Autologous blood injection for tendinopathy

NICE interventional procedure guidance [IPG438] 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 Autologous blood injection for tendinopathy.

This document replaces previous guidance on Autologus blood injection (interventional procedure guidance IPG 279).

  • Description

    Tendons are bands of fibrous connective tissue that connect muscle to bone. ‘Tendinopathy’ describes a range of conditions that affect tendons, usually caused by overuse. The most common tendons affected are in the elbow, the heel and the knee. Symptoms include pain, weakness and stiffness. In autologous blood injection, blood is taken from the patient and re-injected around the affected tendon. Sometimes the blood is separated into red blood cells and platelets (cell fragments that produce substances called growth factors) before injecting the sample containing mostly platelets. The aim is to supply the tendon with growth factors that start the healing process.

  • OPCS4.6 Code(s)

    T74.6 Autologous blood injection into tendon

    Chapter ‘Z’ site code to identify tendon


    Y53.2 Approach to organ under ultrasonic control is assigned following T74.6 when performed under ultrasonic guidance.


    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.


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