The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Bronchial thermoplasty for severe asthma.

  • Description

    Treating severe asthma using radiofrequency (heat) energy.

    Asthma is a condition that causes the airways to become narrower; the lining of the airways also becomes inflamed and starts to swell. Bronchial thermoplasty involves applying thermal energy to the airway wall. The aim is to reduce the amount of excessive muscle in the airway, and limit its ability to contract and narrow the airway, in patients with severe asthma.

  • OPCS4.6 Code(s)

    E48.8 Other specified therapeutic fibreoptic endoscopic operations on lower respiratory tract

    Y11.4 Radiofrequency controlled thermal destruction of organ NOC


    In addition one of the following site codes is assigned:


    Z24.5 Bronchus

    Z24.6 Lung

    Z24.8 Specified respiratory tract NEC

    In addition an ICD-10 code from category J45.- Asthma is assigned.


    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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