The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on extracorporeal shockwave therapy for refractory Achilles tendinopathy.
Guidance has also been issued on Extracorporeal shockwave therapy for refractory plantar fasciitis and Extracorporeal shockwave therapy for refractory tennis elbow. It replaces the previous guidance on Extracorporeal shockwave therapy for refractory tendinopathies (plantar fasciitis and tennis elbow) (IPG139, November 2005).
Achilles tendinopathy is a condition of the tendon which connects the calf muscles to the heel bone. It is usually caused by overuse or injury. Symptoms include pain in the lower calf and back of the heel, and weakness or stiffness. In extracorporeal shockwave therapy, a machine is used to deliver sound waves to the painful area. It is not known exactly how it works, but it is thought that it might stimulate healing.
T74.8 Other specified other operations on tendon
Y53.2 Approach to organ under ultrasonic control (if ultrasound guidance is utilised)
Z58.1 Triceps surae
Includes: Tendo achillis
In addition the ICD-10 code M76.6 Achilles tendinitis 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