Radiofrequency-assisted liver resection

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on radiofrequency-assisted liver resection.

Description

Cancer of the liver may be surgically removed in a number of ways Rafiofrequency (RF) assisted resection employs RF energy to coagulate the liver at the hepatic resection line after which hepatic resection is performed with the use of a common scalpel

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: colorectal cancer

OPCS4.6 Code(s):

A code from the following category is assigned:

J02.-  Partial excision of liver

plus

Y11.4 Radiofrequency controlled thermal destruction of organ NOC

Includes: Radiofrequency ablation of organ NOC

Y53.2 Approach to organ under ultrasonic control (if used)

The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.

In addition the ICD-10 code C22.9 Malignant neoplasm of liver, unspecified or C78.7 Secondary malignant neoplasm of liver would be recorded.

_{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}

Details

Contact details:

Links:

	Radiofrequency-assisted liver resection: Guidance	28 February 2007
	IPG211 Radiofrequency-assisted liver resection: guidance (web format)	07 April 2011
	Radiofrequency-assisted liver resection: Understand NICE guidance	28 February 2007
	Radiofrequency-assisted liver resection: Understanding NICE guidance (MS word format)	28 February 2007
	Radiofrequency-assisted liver resection (interventional procedures consultation)	31 October 2006
	Radiofrequency-assisted liver resection (interventional procedures overview)	31 October 2006
	Radiofrequency-assisted liver resection: Consultation comments table	28 February 2007