The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic live donor simple nephrectomy.

  • Description

    Laparoscopic nephrectomy is used to harvest kidneys from live donors.  It can be performed via a retroperineal approach or a transperitoneal approach, but the transperitoneal approach is preferred because it allows more laparoscopic working space and also makes it easier to remove the kidney from the abdomen through a less painful midline incision. The procedure involves the insertion of laparoscopic instruments through the abdominal skin, insufflation of carbon dioxide and removal of a kidney, usually that on the left side.

  • OPCS4.6 Code(s)

    Procedure

    SNOMED CT preferred term (concept ID)

    Laparoscopic live donor nephrectomy (853621000000100)

     

    OPCS-4.7

    X45.1 Donation of kidney

    Y75.2 Laparoscopic approach to abdominal cavity NEC

    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

     

    SNOMED CT provides clinical terms for entry into the patient record to store clinical information relevant to that encounter. The mandated classifications (OPCS-4 or ICD-10) provide a method to collect and aggregate data to allow accurate and consistent data analysis.

    The Clinical Classifications Service of the Health and Social Care Information Centre 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 Clinical Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. Clinical Classifications Service — Health and Social Care Information Centre

     

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