Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair

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 insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair.

 

NICE was notified of various procedures for the treatment of pelvic organ prolapse. NICE asked the Review Body for Interventional Procedures to undertake a systematic review of these procedures.The Interventional Procedures Advisory Committee (IPAC) considered the systematic review and have also produced guidance on: sacrocolpopexy using mesh for vaginal vault prolapse repair, sacrocolpopexy using mesh for uterine prolapse repair, infracoccygeal sacropexy using mesh for vaginal vault prolapse repair and infracoccygeal sacropexy using mesh for uterine prolapse repair.

Description

Uterine prolapse occurs when the womb slips down from its normal position into the vagina. Uterine suspension sling involves an operation to insert a piece of material (mesh) with the aim of holding the womb in place.

OPCS4.6 Code(s):

One of the following OPCS-4 codes is selected as appropriate:

Q54.4 Suspension of uterus using mesh NEC

Q54.5 Sacrohysteropexy

Note: Code Y75.2 Laparoscopic approach to abdominal cavity NEC would also be recorded if the procedure was performed using a laparoscopic approach.

In addition ICD-10 code N81.2 Incomplete uterovaginal prolapse, N81.3 Complete uterovaginal prolapse or N81.4 Uterovaginal prolapse, unspecified 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.  www.connectingforhealth.co.uk/clinicalcoding}

Details

Contact details:

Links:

	IPG282 Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair: guidance	28 January 2009
	IPG282 Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair: guidance (web format)	07 February 2011
	IPG282 Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair: understanding NICE guidance	28 January 2009
	IPG282 Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair: understanding NICE guidance (MS Word format)	28 January 2009
	IPG282 Trin llithriad y groth gyda sling crogi rhwyll: deall canllawiau NICE (fformat MS Word)	03 November 2009
	IPG282 Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair: consultation comments	28 January 2009
	Insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair: interventional procedures consultation document	26 August 2008
	A systematic review of the efficacy and safety of using mesh or grafts in surgery for uterine or vaginal vault prolapse	25 August 2008