Percutaneous balloon cryoablation for pulmonary vein isolation in atrial fibrillation

NICE interventional procedures guidance [IPG427] Published date:

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The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Percutaneous balloon cryoablation for pulmonary vein isolation in atrial fibrillation.

  • Description

    Atrial fibrillation is the irregular and rapid beating of the upper two chambers of the heart (the atria). This is caused by the disorganisation of the electrical impulses that control the heartbeat as a result of electrical triggers that may originate at the mouth of the pulmonary veins (large blood vessels that carry blood from the lungs to the left atrium). Typical symptoms can include palpitations, dizziness, shortness of breath and fatigue. Complications can include stroke. This procedure uses a probe attached to a balloon catheter to freeze tissue in one of the chambers on the left side of the heart. The aim is to produce scarring, which may interrupt the electrical signals and help regulate the heartbeat.

  • OPCS4.6 Code(s)

    K62.1 Percutaneous transluminal ablation of pulmonary vein to left atrium conducting system

    Y11.2 Cryotherapy to organ NOC

    Y53.4 Approach to organ under fluoroscopic control

    In addition ICD-10 code I48.X Atrial fibrillation and flutter is assigned.

    The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding)

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