The Interventional Procedures Advisory Committee (IPAC) reconsidered this procedure in light of comments received during the initial consultation in May 2003. As a result, NICE issued a second consultation document about its safety and efficacy.

NICE has now issued full guidance to the NHS is England, Wales, Scotland and Northern Ireland on endovenous laser treatment of the long saphenous vein.

NICE has published a clinical guideline on Varicose veins in the legs (NICE clinical guideline 168, 2013).

  • Description

    Under ultrasound guidance and local anaesthesia, a catheter is placed into the long saphenous vein. A laser fibre is passed through it and positioned below the saphenofemoral junction.

    An anaesthetic agent is then injected, and the fibre is slowly withdrawn while energy from a diode laser (810 or 940 nm wavelength) is applied in short pulses. This is repeated along the entire length of the vein until the long saphenous vein is closed from the saphenofemoral junction to the point of access.

  • OPCS4.6 Code(s)

    Procedure

    SNOMED CT preferred term (concept ID)

    Ultrasonography guided percutaneous transluminal laser ablation of long saphenous vein (853981000000105)

     

    OPCS-4.7

    L88.1 Percutaneous transluminal laser ablation of long saphenous vein

    Y53.2 Approach to organ under ultrasonic control

    Note:L88.3 Percutaneous transluminal laser ablation of varicose vein of leg NEC can be assigned if this is on a different vein and not the long saphenous vein.

    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

     

    Diagnosis or health condition

    SNOMED CT preferred term (concept ID)

    Varicose veins of lower extremity (72866009)

    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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