Published interventional procedures

All completed interventional procedures guidance are listed below. For the documents and related material, click on the title in the list.

The list can be sorted by: guidance number (ref), title, date issued and arrangements - simply click on the relevant column heading in the blue box once or twice depending on the order that you want. The table includes an 'arrangements' column to help health professionals identify what additional measures should be put in place when implementing the guidance. The list of arrangements describes what each type means.

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Guidance List

Ref Title Date Issued Arrangements
IPG002 Radiofrequency ablation of hepatocellular carcinoma Jul 2003 Normal
IPG006 Balloon thermal endometrial ablation (using data from Cavaterm and Gynecare as specified by SERNIP) Aug 2003 Normal
IPG007 Microwave endometrial ablation Aug 2003 Normal
IPG008 Radiofrequency ablation of varicose veins Sep 2003 Normal
IPG009 Coblation tonsillectomy Sep 2003 Normal
IPG012 Percutaneous vertebroplasty Sep 2003 Normal
IPG014 Transurethral electrovaporisation of the prostate Oct 2003 Normal
IPG015 Transurethral radiofrequency needle ablation of the prostate Oct 2003 Other (see guidance)
IPG017 Holmium laser prostatectomy Nov 2003 Normal
IPG018 Bone-anchored cystourethropexy (using data from In-Tac and Vesica as specified by SERNIP) Nov 2003 Special
IPG019 Deep brain stimulation for Parkinson's disease Nov 2003 Normal
IPG021 Extra-corporeal shockwave lithotripsy for calcific tendonitis (tendinopathy) of the shoulder Nov 2003 Normal
IPG022 Endoscopic stapling of pharyngeal pouch Nov 2003 Normal
IPG023 Laparoscopic laser myomectomy Nov 2003 Special
IPG025 Laparo-endogastric surgery Dec 2003 Special
IPG028 Customised titanium implants for orofacial reconstruction Dec 2003 Research Only
IPG029 Extracorporeal shockwave therapy for Peyronie's disease Dec 2003 Special
IPG030 Magnetic resonance (MR) image-guided percutaneous laser ablation of uterine fibroids Dec 2003 Special
IPG031 Endoscopic laser foraminoplasty Dec 2003 Special
IPG032 Endoscopic transsphenoidal pituitary adenoma resection Dec 2003 Normal
IPG034 Circular stapled haemorrhoidectomy Dec 2003 Normal
IPG036 Radiofrequency tissue reduction for turbinate hypertrophy Jan 2004 Special
IPG037 Transilluminated powered phlebectomy for varicose veins Jan 2004 Special
IPG038 Extracorporeal membrane oxygenation in post neonatal children Jan 2004 Normal
IPG040 Non-surgical reduction of myocardial septum Feb 2004 Normal
IPG041 Partial left ventriculectomy (the Batista procedure) Feb 2004 Special
IPG042 Cyanoacrylate instillation for occlusion of parotid sinuses Feb 2004 Special
IPG043 Needle fasciotomy for Dupuytren's contracture Feb 2004 Normal
IPG046 Laparoscopic pyeloplasty Mar 2004 Normal
IPG047 Photodynamic endometrial ablation Mar 2004 Research Only
IPG049 Radiotherapy for age-related macular degeneration Mar 2004 Research Only
IPG050 Vagus nerve stimulation for refractory epilepsy in children Mar 2004 Normal
IPG051 Free fluid thermal endometrial ablation Mar 2004 Normal
IPG052 Endovenous laser treatment of the long saphenous vein Mar 2004 Normal
IPG053 Computed tomography (CT) guided thermocoagulation of osteoid osteoma Mar 2004 Normal
IPG055 Endoscopic injection of bulking agents for gastro-oesophageal reflux disease Apr 2004 Special
IPG056 Complete cytoreduction for pseudomyxoma peritonei (Sugarbaker technique) Apr 2004 Special
IPG057 Laparoscopic live donor simple nephrectomy Jun 2004 Normal
IPG058 Transpupillary thermotherapy for age-related macular degeneration Jun 2004 Special
IPG059 Subfascial endoscopic perforator vein surgery Jun 2004 Special
IPG060 Thrombin injections for pseudoaneurysms Jun 2004 Normal
IPG061 Percutaneous endoscopic laser thoracic discectomy Jun 2004 Special
IPG062 Falloposcopy with coaxial catheter Jun 2004 Special
IPG063 Laser sheath removal of pacing leads Jun 2004 Normal
IPG064 Sacral nerve stimulation for urge incontinence and urgency-frequency Jun 2004 Normal
IPG065 Subthalamotomy for Parkinson's disease Jun 2004 Special
IPG066 Artificial anal sphincter implantation Jun 2004 Special
IPG067 Balloon dilatation of pulmonary valve stenosis Jun 2004 Normal
IPG068 Lumbar subcutaneous shunt Jun 2004 Special
IPG069 Insertion of hydrogel keratoprosthesis Jun 2004 Special
IPG070 Scleral expansion surgery for presbyopia Jul 2004 Do not use
IPG071 Fallopian tube recanalisation by guidewire Jul 2004 Normal
IPG074 Balloon angioplasty with or without stenting for coarctation or recoarctation of aorta in adults and children Jul 2004 Normal
IPG075 Balloon angioplasty of pulmonary vein stenosis in infants Jul 2004 Special
IPG076 Balloon dilatation with or without stenting for pulmonary artery or non-valvar right ventricular outflow tract obstruction in children Jul 2004 Normal
IPG077 Balloon dilatation of systemic to pulmonary arterial shunts in children Jul 2004 Normal
IPG078 Balloon valvuloplasty for aortic valve stenosis in adults and children Jul 2004 Normal
IPG079 Stent placement for vena caval obstruction Jul 2004 Normal
IPG080 Selective peripheral denervation of cervical dystonia Aug 2004 Normal
IPG083 Percutaneous intradiscal radiofrequency thermocoagulation for lower back pain Aug 2004 Special
IPG084 Supraorbital minicraniotomy for intracranial aneurysm Aug 2004 Normal
IPG085 Stereotactic radiosurgery for trigeminal neuralgia using the gamma knife Aug 2004 Normal
IPG086 Endovascular atrial septostomy Aug 2004 Normal
IPG087 Photodynamic therapy for advanced bronchial carcinoma Aug 2004 Normal
IPG089 Interstitial laser therapy for breast cancer Sep 2004 Research Only
IPG090 Intralesional photocoagulation of subcutaneous congenital vascular disorders Sep 2004 Special
IPG095 Radiofrequency valvotomy for pulmonary atresia Oct 2004 Normal
IPG096 Endovascular closure of atrial septal defect Oct 2004 Normal
IPG097 Endovascular closure of patent ductus arteriosus Oct 2004 Normal
IPG098 Intraoperative fluorescence angiography in coronary artery bypass grafting Oct 2004 Other (see guidance)
IPG099 Sacral nerve stimulation for faecal incontinence Nov 2004 Normal
IPG101 Wireless capsule endoscopy for investigation of the small bowel Dec 2004 Normal
IPG102 Laser in situ keratomileusis (LASIK) for the treatment of refractive errors Dec 2004 Other (see guidance)
IPG103 Gastroelectrical stimulation for gastroparesis Dec 2004 Special
IPG104 Impedance-controlled endometrial ablation for menorrhagia Dec 2004 Normal
IPG105 Coil embolisation of unruptured intracranial aneurysms Jan 2005 Normal
IPG106 Coil embolisation of ruptured intracranial aneurysms Jan 2005 Normal
IPG107 Transobturator foramen procedures for stress urinary incontinence Jan 2005 Other (see guidance)
IPG108 Auditory brain stem implants Jan 2005 Normal
IPG109 Percutaneous closure of patent foramen ovale for the secondary prevention of recurrent paradoxical embolism Jan 2005 Special
IPG110 Artificial metacarpophalangeal and interphalangeal joint replacement for end-stage arthritis Feb 2005 Normal
IPG111 Artificial trapeziometacarpal (TMC) joint replacement for end-stage osteoarthritis Feb 2005 Normal
IPG113 Endoscopic dacryocystorhinostomy Feb 2005 Normal
IPG114 Lung volume reduction surgery for advanced emphysema Feb 2005 Normal
IPG118 High-intensity focused ultrasound for prostate cancer Mar 2005 Normal
IPG119 Cryotherapy for recurrent prostate cancer May 2005 Normal
IPG120 Potassium-titanyl-phosphate (KTP) laser vaporisation of the prostate for benign prostatic obstruction May 2005 Other (see guidance)
IPG121 Radiofrequency ablation for atrial fibrillation in association with other cardiac surgery May 2005 Normal
IPG122 Microwave ablation for atrial fibrillation in association with other cardiac surgery May 2005 Normal
IPG123 Cryoablation for atrial fibrillation in association with other cardiac surgery May 2005 Normal
IPG124 Radiofrequency ablation of the soft palate for snoring May 2005 Special
IPG126 Leukapheresis for inflammatory bowel disease Jun 2005 Special
IPG127 Endovascular stent-graft placement in thoracic aortic aneurysms and dissections Jun 2005 Normal
IPG128 Totally endoscopic robotically assisted coronary artery bypass grafting Jun 2005 Special
IPG129 Computed tomographic colonography (virtual colonoscopy) Jun 2005 Normal
IPG130 Collagen injection for vocal cord augmentation Jun 2005 Normal
IPG131 Interstitial laser therapy for fibroadenomas of the breast Jun 2005 Special
IPG132 Low dose rate brachytherapy for localised prostate cancer Jul 2005 Normal
IPG133 Insertion of extraurethral (non-circumferential) retropubic adjustable compression devices for stress urinary incontinence in women Jul 2005 Special
IPG134 Photodynamic therapy for bile duct cancer Jul 2005 Special
IPG135 Laparoscopic liver resection Jul 2005 Normal
IPG136 Laparoscopic nephrectomy (including nephroureterectomy) Aug 2005 Normal
IPG137 Photodynamic therapy for localised inoperable endobronchial cancer Nov 2005 Normal
IPG138 Intramural urethral bulking procedures for stress urinary incontinence Nov 2005 Normal
IPG140 Metatarsophalangeal joint replacement of the hallux Nov 2005 Normal
IPG141 Automated percutaneous mechanical lumbar discectomy Nov 2005 Special
IPG142 Cryosurgery for malignant endobronchial obstruction Nov 2005 Normal
IPG144 Intraoperative blood cell salvage in obstetrics Nov 2005 Special
IPG145 Cryotherapy as a primary treatment for prostate cancer Nov 2005 Normal
IPG146 Direct C1 lateral mass screw for cervical spine stabilisation Dec 2005 Normal
IPG147 Endoscopic axillary lymph node retrieval for breast cancer Dec 2005 Special
IPG148 Retrobulbar irradiation for thyroid eye disease Dec 2005 Normal
IPG149 Division of ankyloglossia (tongue-tie) for breastfeeding Dec 2005 Normal
IPG150 Electrosurgery (diathermy and coblation) for tonsillectomy Dec 2005 Normal
IPG151 Laparoscopic partial nephrectomy Jan 2006 Normal
IPG152 Single mini-incision surgery for total hip replacement Jan 2006 Other (see guidance)
IPG153 Foker technique for long gap oesophageal atresia Jan 2006 Normal
IPG154 Insertion of biological slings for stress urinary incontinence Jan 2006 Normal
IPG155 Photodynamic therapy for non-melanoma skin tumours (including premalignant and primary non-metastatic skin lesions) Feb 2006 Normal
IPG156 Image-guided vacuum assisted excision biopsy of benign breast lesions Feb 2006 Normal
IPG157 Endometrial cryotherapy for menorrhagia Mar 2006 Normal
IPG158 Laparoscopic retroperitoneal lymph node dissection for testicular cancer Mar 2006 Special
IPG159 Stimulated graciloplasty for faecal incontinence Mar 2006 Normal
IPG160 High dose rate brachytherapy for carcinoma of the cervix Mar 2006 Normal
IPG161 Percutaneous endoscopic colostomy Mar 2006 Normal
IPG162 Mosaicplasty for knee cartilage defects Mar 2006 Special
IPG163 Stent-graft placement in abdominal aortic aneurysm Mar 2006 Normal
IPG164 Photorefractive (laser) surgery for the correction of refractive error Mar 2006 Normal
IPG166 Balloon kyphoplasty for vertebral compression fractures Apr 2006 Normal
IPG167 Retrograde urethral sphincterometry Apr 2006 Research Only
IPG168 Percutaneous radiofrequency catheter ablation for atrial fibrillation Apr 2006 Normal
IPG170 Living donor lung transplantation for end-stage lung disease May 2006 Special
IPG171 Laparoscopic helium plasma coagulation for the treatment of endometriosis May 2006 Special
IPG173 Percutaneous disc decompression using coblation for lower back pain May 2006 Special
IPG174 High dose rate brachytherapy in combination with external-beam radiotherapy for localised prostate cancer May 2006 Normal
IPG175 Percutaneous fetal balloon valvuloplasty for aortic stenosis May 2006 Special
IPG176 Percutaneous fetal balloon valvuloplasty for pulmonary atresia with intact ventricular septum May 2006 Special
IPG177 Short-term circulatory support with left ventricular assist devices as a bridge to cardiac transplantation or recovery Jun 2006 Normal
IPG178 Tonsillectomy using ultrasonic scalpel Jun 2006 Normal
IPG179 Percutaneous cementoplasty for palliative treatment of bony malignancies Jun 2006 Normal
IPG180 Percutaneous laser therapy for fetal tumours Jun 2006 Special
IPG184 High intensity focused ultrasound ablation of atrial tissue for atrial fibrillation as an associated procedure with other cardiac surgery Jul 2006 Special
IPG186 Tonsillectomy using laser Jul 2006 Normal
IPG187 Catheterless oesophageal pH monitoring Jul 2006 Normal
IPG188 Deep brain stimulation for tremor and dystonia (excluding Parkinson's disease) Aug 2006 Normal
IPG190 Insertion of pleuro-amniotic shunt for fetal pleural effusion Sep 2006 Special
IPG192 Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) Nov 2006 Special
IPG193 Laparoscopic radical prostatectomy Nov 2006 Normal
IPG194 Living-donor liver transplantation Nov 2006 Special
IPG196 Patient safety and reduction of risk of transmission of Creutzfeldt-Jakob disease (CJD) via interventional procedures Nov 2006 Other (see guidance)
IPG197 Intramedullary distraction for lower limb lengthening Dec 2006 Special
IPG198 Intrauterine laser ablation of placental vessels for the treatment of twin-to-twin transfusion syndrome Dec 2006 Normal
IPG199 Septostomy with or without amnioreduction for the treatment of twin-to-twin transfusion syndrome Dec 2006 Special
IPG200 Photo-dynamic therapy for early oesophageal cancer Dec 2006 Special
IPG201 Preoperative high dose rate brachytherapy for rectal cancer Dec 2006 Special
IPG202 Fetal vesico-amniotic shunt for lower urinary tract outflow obstruction Dec 2006 Special
IPG204 Laparoscopic distal pancreatectomy Jan 2007 Normal
IPG205 Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction Jan 2007 Special
IPG206 Palliative photodynamic therapy for advanced oesophageal cancer Jan 2007 Normal
IPG208 Laparoscopic insertion of peritoneal dialysis catheter Feb 2007 Normal
IPG209 Implantation of accommodating intraocular lenses for cataract Feb 2007 Special
IPG210 Injectable bulking agents for faecal incontinence Feb 2007 Special
IPG211 Radiofrequency-assisted liver resection Feb 2007 Normal
IPG212 Laparoscopic nephrolithotomy and pyelolithotomy Mar 2007 Normal
IPG214 Microwave ablation of hepatocellular carcinoma Mar 2007 Normal
IPG216 Tissue-cultured limbal stem cell allograft transplantation for regrowth of corneal epithelium Apr 2007 Special
IPG218 Therapeutic sialendoscopy May 2007 Normal
IPG219 Lower limb deep vein valve reconstruction for chronic deep venous incompetence May 2007 Special
IPG222 Endoscopic augmentation of the lower oesophageal sphincter using hydrogel implants for the treatment of gastro-oesophageal reflux disease Jun 2007 Special
IPG223 Therapeutic percutaneous image-guided aspiration of spinal cysts Jun 2007 Normal
IPG224 Insertion of extraurethral (non-circumferential) retropubic adjustable compression devices for stress urinary incontinence in men Jul 2007 Other (see guidance)
IPG225 Corneal implants for the correction of refractive error Jul 2007 Do not use
IPG226 Laparoscopic deroofing of simple renal cysts Jul 2007 Normal
IPG227 Corneal implants for keratoconus Jul 2007 Normal
IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence Aug 2007 Special
IPG229 Laparoscopic repair of abdominal aortic aneurysm Aug 2007 Special
IPG230 Arthroscopic knee washout, with or without debridement, for the treatment of osteoarthritis Aug 2007 Other (see guidance)
IPG232 Serial transverse enteroplasty procedure (STEP) for bowel lengthening in parenteral nutrition-dependent children Sep 2007 Special
IPG234 Laparoscopic uterine nerve ablation (LUNA) for chronic pelvic pain Oct 2007 Do not use
IPG235 Intravesical microwave hyperthermia with intravesical chemotherapy for superficial bladder cancer Oct 2007 Research Only
IPG236 Grenz rays therapy for inflammatory skin conditions Nov 2007 Research Only
IPG238 Mini/micro screw implantation for orthodontic anchorage Nov 2007 Normal
IPG239 Laparoscopic techniques for hysterectomy Nov 2007 Normal
IPG240 Soft-palate implants for simple snoring Nov 2007 Research Only
IPG241 Soft-palate implants for obstructive sleep apnoea Nov 2007 Do not use
IPG242 Transcranial magnetic stimulation for severe depression Nov 2007 Research Only
IPG243 Thoracoscopic aortopexy for severe primary tracheomalacia Dec 2007 Special
IPG245 Thoracoscopically assisted mitral valve surgery Dec 2007 Normal
IPG246 Hybrid procedure for interim management of hypoplastic left heart syndrome in neonates Dec 2007 Special
IPG247 Thoracoscopic excision of mediastinal parathyroid tumours Dec 2007 Special
IPG249 Ultrasound-guided catheterisation of the epidural space Jan 2008 Normal
IPG251 Liposuction for chronic lymphoedema Feb 2008 Special
IPG252 Laser-assisted cerebral vascular anastomosis without temporary arterial occlusion Feb 2008 Special
IPG253 Laparoscopic mobilisation of the greater omentum for breast reconstruction Feb 2008 Normal
IPG254 Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal masses Feb 2008 Normal
IPG255 Intraoperative nerve monitoring during thyroid surgery Mar 2008 Normal
IPG256 Suburethral synthetic sling insertion for stress urinary incontinence in men Mar 2008 Other (see guidance)
IPG257 Allogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus Apr 2008 Special
IPG258 Intraoperative red blood cell salvage during radical prostatectomy or radical cystectomy Apr 2008 Normal
IPG259 Interstitial photodynamic therapy for malignant parotid tumours Apr 2008 Special
IPG260 Canaloplasty for primary open-angle glaucoma May 2008 Research Only
IPG261 Endoaortic balloon occlusion for cardiac surgery May 2008 Normal
IPG262 Single-incision sub-urethral short tape insertion for stress urinary incontinence in women May 2008 Research Only
IPG263 Lumbar infusion test for the investigation of normal pressure hydrocephalus Jun 2008 Normal
IPG264 Implantation of multifocal (non-accommodative) intraocular lenses during cataract surgery Jun 2008 Normal
IPG267 Surgical repair of vaginal wall prolapse using mesh Jun 2008 Special
IPG268 Brachytherapy as the sole method of adjuvant radiotherapy for breast cancer after local excision Jul 2008 Research Only
IPG269 Laparoscopic gastrectomy for cancer Jul 2008 Normal
IPG270 Direct skeletal fixation of limb or digit prostheses using intraosseous transcutaneous implants Jul 2008 Special
IPG271 Total wrist replacement Aug 2008 Special
IPG272 Implantation of miniature lens systems for advanced age-related macular degeneration Aug 2008 Special
IPG273 Balloon catheter dilation of paranasal sinus ostia for chronic sinusitis Sep 2008 Normal
IPG274 Autologous pancreatic islet cell transplantation for improved glycaemic control after pancreatectomy Sep 2008 Special
IPG275 Laparoscopic prostatectomy for benign prostatic obstruction Nov 2008 Special
IPG276 Transabdominal artificial bowel sphincter implantation for faecal incontinence Nov 2008 Special
IPG277 Electrically-stimulated intravesical chemotherapy for superficial bladder cancer Nov 2008 Research Only
IPG278 Functional electrical stimulation for drop foot of central neurological origin Jan 2009 Normal
IPG280 Infracoccygeal sacropexy using mesh for uterine prolapse repair Jan 2009 Special
IPG281 Infracoccygeal sacropexy using mesh for vaginal vault prolapse repair Jan 2009 Special
IPG282 Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair Jan 2009 Special
IPG283 Sacrocolpopexy using mesh for vaginal vault prolapse repair Jan 2009 Normal
IPG284 Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair Jan 2009 Special
IPG285 Ultrasound-guided regional nerve block Jan 2009 Normal
IPG286 Thoracoscopic epicardial radiofrequency ablation for atrial fibrillation Jan 2009 Special
IPG287 Laparoscopic cystectomy Feb 2009 Normal
IPG288 Extracorporeal photopheresis for Crohn's disease Feb 2009 Research Only
IPG289 Intraocular lens insertion for correction of refractive error, with preservation of the natural lens Feb 2009 Normal
IPG290 Photodynamic therapy for brain tumours Mar 2009 Research Only
IPG292 Endoscopic radiofrequency ablation for gastro-oesophageal reflux disease Mar 2009 Special
IPG293 Implantation of an opaque intraocular lens for intractable double vision Mar 2009 Normal
IPG294 Percutaneous (non-thoracoscopic) epicardial catheter radiofrequency ablation for atrial fibrillation Mar 2009 Special
IPG295 Percutaneous (non-thoracoscopic) epicardial catheter radiofrequency ablation for ventricular tachycardia Mar 2009 Normal
IPG296 Endoscopic mastectomy and endoscopic wide local excision for breast cancer Apr 2009 Research Only
IPG297 Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD) Apr 2009 Special
IPG298 Ex-vivo hepatic resection and reimplantation for liver cancer Apr 2009 Special
IPG299 Tenotomy of horizontal eye muscles for nystagmus (with reattachment at their original insertions) May 2009 Special
IPG300 Percutaneous endoscopic laser lumbar discectomy May 2009 Special
IPG301 Transmyocardial laser revascularisation for refractory angina pectoris May 2009 Do not use
IPG302 Percutaneous laser revascularisation for refractory angina pectoris May 2009 Do not use
IPG303 Percutaneous endoscopic laser cervical discectomy Jun 2009 Special
IPG304 Corneal endothelial transplantation Jun 2009 Normal
IPG305 Sinus tarsi implant insertion for mobile flatfoot Jul 2009 Special
IPG306 Prosthetic intervertebral disc replacement in the lumbar spine Jul 2009 Normal
IPG307 Intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure due to neurological disease Jul 2009 Special
IPG308 Image-guided radiofrequency excision biopsy of breast lesions Jul 2009 Special
IPG309 Percutaneous mitral valve leaflet repair for mitral regurgitation Aug 2009 Other (see guidance)
IPG310 Placement of pectus bar for pectus excavatum (also known as MIRPE or the Nuss procedure) Aug 2009 Normal
IPG311 Extracorporeal shockwave therapy for refractory plantar fasciitis Aug 2009 Special
IPG312 Extracorporeal shockwave therapy for refractory Achilles tendinopathy Aug 2009 Special
IPG313 Extracorporeal shockwave therapy for refractory tennis elbow Aug 2009 Special
IPG315 Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants Sep 2009 Normal
IPG316 Extracorporeal albumin dialysis for acute liver failure Sep 2009 Special
IPG317 Individually magnetic resonance imaging-designed unicompartmental interpositional implant insertion for osteoarthritis of the knee Sep 2009 Research Only
IPG318 Bronchoscopic lung volume reduction with airway valves for advanced emphysema Nov 2009 Special
IPG319 Percutaneous intradiscal electrothermal therapy for low back pain Nov 2009 Special
IPG320 Photochemical corneal cross linkage using riboflavin and ultraviolet A for keratoconus Nov 2009 Special
IPG321 Lateral (including extreme, extra and direct lateral) interbody fusion in the lumbar spine Nov 2009 Special
IPG322 Negative pressure wound therapy for the open abdomen Dec 2009 Special
IPG323 Balloon catheter insertion for Bartholin's cyst or abscess Dec 2009 Normal
IPG324 Electrocautery cutting balloon treatment for pelviureteric junction obstruction Dec 2009 Special
IPG325 Endopyelotomy for pelviureteric junction obstruction Dec 2009 Normal
IPG326 Laparoscopic augmentation cystoplasty (including clam cystoplasty) Dec 2009 Normal
IPG327 Radiofrequency ablation for the treatment of colorectal liver metastases Dec 2009 Normal
IPG328 Suction diathermy adenoidectomy Dec 2009 Normal
IPG329 Total prosthetic replacement of the temporomandibular joint Dec 2009 Special
IPG330 Vagus nerve stimulation for treatment-resistant depression Dec 2009 Special
IPG331 Cytoreduction surgery followed by hyperthermic intraoperative peritoneal chemotherapy for peritoneal carcinomatosis Feb 2010 Special
IPG332 Surgical correction of hallux valgus using minimal access techniques Feb 2010 Special
IPG333 Therapeutic endoscopic division of epidural adhesions Feb 2010 Special
IPG334 Arteriovenous crossing sheathotomy for branch retinal vein occlusion Mar 2010 Research Only
IPG335 Endoscopic submucosal dissection of lower gastrointestinal lesions Mar 2010 Special
IPG336 Transcatheter endovascular closure of perimembranous ventricular septal defect Mar 2010 Normal
IPG337 Endobronchial ultrasound-guided transbronchial biopsy for peripheral lung lesions Mar 2010 Normal
IPG338 Laparoscopic radical hysterectomy for early stage cervical cancer May 2010 Normal
IPG339 Limited macular translocation for wet age-related macular degeneration May 2010 Special
IPG340 Macular translocation with 360° retinotomy for wet age related macular degeneration May 2010 Special
IPG341 Prosthetic intervertebral disc replacement in the cervical spine May 2010 Normal
IPG342 Haemorrhoidal artery ligation May 2010 Normal
IPG343 Endoscopic saphenous vein harvest for coronary artery bypass grafting May 2010 Special
IPG344 Endoscopic radiofrequency ablation for Barrett's oesophagus with low grade dysplasia or no dysplasia May 2010 Other (see guidance)
IPG345 Mini-incision surgery for total knee replacement May 2010 Normal
IPG346 Single-incision laparoscopic cholecystectomy May 2010 Special
IPG347 Therapeutic hypothermia with intracorporeal temperature monitoring for hypoxic perinatal brain injury May 2010 Normal
IPG348 Extracranial to intracranial bypass for intracranial atherosclerosis Jun 2010 Special
IPG349 Percutaneous occlusion of the left atrial appendage in non-valvular atrial fibrillation for the prevention of thromboembolism Jun 2010 Normal
IPG350 Photodynamic therapy for Barrett's oesophagus Jun 2010 Other (see guidance)
IPG351 Stapled transanal rectal resection for obstructed defaecation syndrome Jun 2010 Normal
IPG352 Percutaneous mitral valve annuloplasty Jul 2010 Research Only
IPG353 Percutaneous radiofrequency ablation of renal cancer Jul 2010 Normal
IPG354 Shoulder resurfacing arthroplasty Jul 2010 Normal
IPG355 Endoscopic submucosal dissection (ESD) of oesophageal dysplasia and neoplasia Sep 2010 Other (see guidance)
IPG356 Laparoscopic hysterectomy (including laparoscopic total hysterectomy and laparoscopically assisted vaginal hysterectomy) for endometrial cancer Sep 2010 Normal
IPG357 Percutaneous intradiscal laser ablation in the lumbar spine Sep 2010 Normal
IPG358 Phototherapeutic laser keratectomy for corneal surface irregularities Sep 2010 Normal
IPG359 Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions Oct 2010 Special
IPG360 Endoscopic submucosal dissection of gastric lesions Oct 2010 Special
IPG361 Insertion of metal rib reinforcements to stabilise a flail chest wall Oct 2010 Normal
IPG362 Percutaneous posterior tibial nerve stimulation for overactive bladder syndrome Oct 2010 Normal
IPG363 Minimally invasive total hip replacement Oct 2010 Normal
IPG364 Transperineal template biopsy of the prostate Oct 2010 Normal
IPG365 Interspinous distraction procedures for lumbar spinal stenosis causing neurogenic claudication Nov 2010 Normal
IPG366 Non-rigid stabilisation techniques for the treatment of low back pain Nov 2010 Normal
IPG367 Uterine artery embolisation for fibroids Nov 2010 Normal
IPG368 Radiation therapy for early Dupuytren's disease Nov 2010 Special
IPG369 Cryotherapy for the treatment of liver metastases Dec 2010 Special
IPG370 Percutaneous closure of patent foramen ovale for recurrent migraine Dec 2010 Special
IPG371 Percutaneous closure of patent foramen ovale for the secondary prevention of recurrent paradoxical embolism in divers Dec 2010 Special
IPG372 Percutaneous radiofrequency ablation for primary or secondary lung cancers Dec 2010 Normal
IPG373 Selective dorsal rhizotomy for spasticity in cerebral palsy Dec 2010 Normal
IPG374 Low intensity pulsed ultrasound to promote fracture healing Dec 2010 Normal
IPG375 Distal iliotibial band lengthening for refractory greater trochanteric pain syndrome Jan 2011 Research Only
IPG376 Extracorporeal shockwave therapy for refractory greater trochanteric pain syndrome Jan 2011 Special
IPG377 Off-pump coronary artery bypass grafting Jan 2011 Normal
IPG378 Percutaneous laser coronary angioplasty Jan 2011 Normal
IPG379 Thoracoscopic repair of congenital diaphragmatic hernia in neonates Jan 2011 Normal
IPG380 Percutaneous atherectomy of femoropopliteal arterial lesions with plaque excision devices Feb 2011 Special
IPG381 Deep brain stimulation for intractable trigeminal autonomic cephalalgias Mar 2011 Special
IPG382 Deep brain stimulation for refractory chronic pain syndromes (excluding headache) Mar 2011 Normal
IPG383 Hand allotransplantation Mar 2011 Special
IPG384 Percutaneous retroperitoneal endoscopic necrosectomy Mar 2011 Normal
IPG385 Laser correction of refractive error following non-refractive ophthalmic surgery Mar 2011 Normal
IPG386 Therapeutic hypothermia following cardiac arrest Mar 2011 Normal
IPG387 Transaxial interbody lumbosacral fusion Mar 2011 Special
IPG388 Carotid artery stent placement for asymptomatic extracranial carotid stenosis Apr 2011 Special
IPG389 Carotid artery stent placement for symptomatic extracranial carotid stenosis Apr 2011 Normal
IPG390 Endovascular stent-grafting of popliteal aneurysms Apr 2011 Special
IPG391 Extracorporeal membrane oxygenation for severe acute respiratory failure in adults Apr 2011 Special
IPG392 Stent insertion for bleeding oesophageal varices Apr 2011 Normal
IPG393 Endoscopic radiofrequency therapy of the anal sphincter for faecal incontinence May 2011 Special
IPG394 External aortic root support in Marfan syndrome May 2011 Special
IPG395 Percutaneous tibial nerve stimulation (PTNS) for faecal incontinence May 2011 Special
IPG396 Trabecular stent bypass micro-surgery for open angle glaucoma May 2011 Special
IPG397 Trabeculotomy ab interno for open angle glaucoma May 2011 Normal
IPG398 Endoscopic radical inguinal lymphadenectomy Jun 2011 Special
IPG399 Percutaneous endoscopic catheter laser balloon pulmonary vein isolation for atrial fibrillation Jun 2011 Special
IPG400 Thoracoscopic exclusion of the left atrial appendage in atrial fibrillation (with or without other cardiac surgery) for the prevention of thromboembolism Jun 2011 Other (see guidance)
IPG401 Selective internal radiation therapy for non-resectable colorectal metastases in the liver Jul 2011 Special
IPG402 Percutaneous cryotherapy for renal tumours Jul 2011 Normal
IPG403 Open femoro-acetabular surgery for hip impingement syndrome Jul 2011 Normal
IPG404 Endoluminal gastroplication for gastro-oesophageal reflux disease Jul 2011 Special
IPG405 Laparoscopic cryotherapy for renal cancer Aug 2011 Normal
IPG406 Microwave ablation for the treatment of liver metastases Aug 2011 Special
IPG407 Minimally invasive oesophagectomy Sep 2011 Normal
IPG408 Arthroscopic femoro-acetabular surgery for hip impingement syndrome Sep 2011 Normal
IPG409 Balloon dilatation of the Eustachian tube Nov 2011 Research Only
IPG410 Closure of anorectal fistula using a suturable bioprosthetic plug Nov 2011 Special
IPG411 Endoscopic transluminal pancreatic necrosectomy Nov 2011 Special
IPG412 Drainage, irrigation and fibrinolytic therapy (DRIFT) for post-haemorrhagic hydrocephalus in preterm infants Nov 2011 Research Only
IPG413 Magnetic resonance image-guided transcutaneous focused ultrasound for uterine fibroids Nov 2011 Normal
IPG414 Single-port laparoscopic nephrectomy Nov 2011 Special
IPG415 Epiretinal brachytherapy for wet age related macular degeneration Dec 2011 Research Only
IPG416 Deep brain stimulation for refractory epilepsy Jan 2012 Special
IPG417 Breast reconstruction using lipomodelling after breast cancer treatment Jan 2012 Normal
IPG418 Percutaneous transluminal radiofrequency sympathetic denervation of the renal artery for resistant hypertension Jan 2012 Special
IPG419 Bronchial thermoplasty for severe asthma Jan 2012 Special
IPG420 Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis Mar 2012 Research Only
IPG421 Transcatheter aortic valve implantation for aortic stenosis Mar 2012 Other (see guidance)
IPG422 Incisionless otoplasty Mar 2012 Special
IPG423 Focal therapy using cryoablation for localised prostate cancer Apr 2012 Special
IPG424 Focal therapy using high-intensity focused ultrasound (HIFU) for localised prostate cancer Apr 2012 Special
IPG425 Endoscopic balloon dilatation for subglottic or tracheal stenosis Apr 2012 Special
IPG426 Micropressure therapy for refractory Ménière's disease Apr 2012 Special
IPG427 Percutaneous balloon cryoablation for pulmonary vein isolation in atrial fibrillation May 2012 Normal
IPG428 Extracorporeal membrane carbon dioxide removal Jun 2012 Special
IPG429 Endovascular stent insertion for intracranial atherosclerotic disease Jul 2012 Research Only
IPG430 Partial replacement of the meniscus of the knee using a biodegradable scaffold Jul 2012 Special
IPG431 Laparoscopic insertion of a magnetic bead band for gastro-oesophageal reflux disease Sep 2012 Special
IPG432 Laparoscopic gastric plication for the treatment of severe obesity Nov 2012 Special
IPG433 Percutaneous laser atherectomy as an adjunct to balloon angioplasty (with or without stenting) for peripheral arterial disease Nov 2012 Normal
IPG434 Radiofrequency cold ablation for respiratory papillomatosis Nov 2012 Special
IPG435 Endovenous mechanochemical ablation for varicose veins Jan 2013 Special
IPG436 Percutaneous pulmonary valve implantation for right ventricular outflow tract dysfunction Jan 2013 Normal
IPG437 Autologous blood injection for plantar fasciopathy Jan 2013 Special
IPG438 Autologous blood injection for tendinopathy Jan 2013 Special
IPG439 Deep dermal injection of non-absorbable gel polymer for HIV-related facial lipoatrophy Jan 2013 Special
IPG440 Ultrasound-guided foam sclerotherapy for varicose veins Feb 2013 Normal
IPG441 IRE for treating primary lung cancer and metastases in the lung Feb 2013 Research Only
IPG442 Irreversible electroporation for treating pancreatic cancer Feb 2013 Research Only
IPG443 Irreversible electroporation (IRE) for treating renal cancer Feb 2013 Research Only
IPG444 Irreversible electroporation for treating primary liver cancer Feb 2013 Research Only
IPG445 Irreversible electroporation for the treatment of liver metastases Feb 2013 Research Only
IPG446 Electrochemotherapy for metastases in the skin from tumours of non-skin origin Mar 2013 Normal
IPG447 Electrochemotherapy for primary basal cell carcinoma and primary squamous cell carcinoma Mar 2013 Special
IPG448 Insertion of endobronchial valves for treatment of persistent air leaks Mar 2013 Special
IPG449 Insertion of customised titanium implants, with soft tissue cover, for orofacial reconstruction Mar 2013 Normal
IPG450 Percutaneous electrical nerve stimulation for refractory neuropathic pain Mar 2013 Normal
IPG451 Peripheral nerve-field stimulation for chronic low back pain Mar 2013 Special
IPG452 Occipital nerve stimulation for intractable chronic migraine Apr 2013 Special
IPG453 Prostate Artery Embolisation for Benign Prostatic Hyperplasia Apr 2013 Research Only
IPG454 Insertion of a subcutaneous implantable cardioverter defibrillator for prevention of sudden cardiac death Apr 2013 Special
IPG455 Corneal inlay implantation for correction of Presbyopia Apr 2013 Special
IPG456 Sutureless Aortic Valve Replacement for aortic stenosis Jul 2013 Other (see guidance)
IPG457 Insertion of customised exposed titanium implants, without soft tissue cover, for complex orofacial reconstruction Jul 2013 Special
IPG458 Mechanical clot retrieval for the treatment of acute ischaemic stroke Jul 2013 Other (see guidance)
IPG459 Selective internal radiation therapy for primary cholangiocarcinoma Jul 2013 Special
IPG460 Selective internal radiation therapy for primary hepatocellular carcinoma Jul 2013 Normal
IPG461 Endoscopic radiofrequency ablation for gastro-oesophageal reflux disease Aug 2013 Special
IPG462 Translaryngeal tracheostomy Aug 2013 Normal
IPG463 Insertion and use of implantable pulmonary artery pressure monitors in chronic heart failure Aug 2013 Special
IPG464 Endoscopic bipolar radiofrequency ablation for the treatment of malignant biliary obstructions from cholangiocarcinoma or pancreatic adenocarcinoma Sep 2013 Research Only
IPG465 Insertion of endobronchial valves for lung volume reduction in emphysema Sep 2013 Special
IPG466 Photochemical corneal collagen cross linkage using riboflavin and ultraviolet A for keratoconus and keratectasia Sep 2013 Other (see guidance)
IPG467 Negative pressure wound therapy for the open abdomen Nov 2013 Normal
IPG468 Phrenic nerve transfer in brachial plexus injury Nov 2013 Normal
IPG469 Microwave ablation for treating primary lung cancer and metastases in the lung Nov 2013 Special
IPG470 Ultra-radical (extensive) surgery for advanced ovarian cancer Nov 2013 Special
IPG471 Implantation of a duodenal-jejunal bypass sleeve for managing obesity Nov 2013 Research Only
IPG472 Percutaneous closure of patent foramen ovale to prevent recurrent cerebral embolic events Dec 2013 Normal
IPG473 Uterine Artery Embolisation for treating adenomyosis Dec 2013 Normal
IPG474 Arthroscopic trochleoplasty for patellar instability Jan 2014 Special
IPG475 Insertion of prostatic urethral lift implants to treat lower urinary tract symptoms secondary to benign prostatic hyperplasia Jan 2014 Normal
IPG476 Radiofrequency ablation of the soft palate for snoring Jan 2014 Normal
IPG477 Transcranial magnetic stimulation for treating and preventing migraine Jan 2014 Special
IPG478 Electrochemotherapy for primary basal cell carcinoma and primary squamous cell carcinoma Feb 2014 Special
IPG479 Subcutaneous implantation of a battery-powered catheter drainage system for managing refractory and recurrent ascites Feb 2014 Research Only
IPG480 Endoscopic thoracic sympathectomy for primary facial blushing Feb 2014 Normal
IPG481 Optical coherence tomography to guide percutaneous coronary intervention Feb 2014 Special
IPG482 Extracorporeal membrane oxygenation (ECMO) for acute heart failure in adults Mar 2014 Special
IPG483 Insertion of a magnetic-bead band for faecal incontinence Mar 2014 Normal
IPG484 Transoral carbon dioxide laser surgery for primary treatment of oropharyngeal malignancy Mar 2014 Normal
IPG485 Faecal microbiota transplant for recurrent clostridium difficile infection Mar 2014 Normal

NICE Interventional Procedures Guidance - Types of Arrangements

  • Normal - apply normal consent, audit and clinical governance arrangements
  • Special - notify clinical governance leads, ensure patients understand the uncertainties and audit and review clinical outcomes of all patients having the procedure
  • Other (see guidance) - includes additional recommendations, for example, on training, service delivery or data collection
  • Research only - use only in the context of a research protocol
  • Do not use - the procedure should not be used in the National Health Service (NHS)

OPCS-4.6 codes

The NHS Classification service (NCS), is the authoritative source of clinical coding guidance. NCS has worked with NICE to assure accurate assignment of OPCS-4.6 codes for procedures covered by NICE guidance. These published interventional procedures and OPCS-4.6 codes are available in a single PDF report for reference.

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This page was last updated: 15 April 2014

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.