The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Thoracoscopic repair of congenital diaphragmatic hernia in neonates.

Description

Congenital diaphragmatic hernia is a life-threatening condition caused by failure of the diaphragm to form properly during a baby’s development in the womb. This results in the baby’s abdominal organs moving up into the chest cavity, compressing its lungs and heart. In thoracoscopic repair, small incisions are made in the chest to insert surgical instruments, which are then used to move the abdominal organs out of the chest and repair the diaphragm.

Coding recommendations

Procedure

SNOMED CT preferred term (concept ID)

Thoracoscopic repair of congenital diaphragmatic hernia (865731000000100)

T16.4 Repair of congenital diaphragmatic hernia

Y74.2 Thoracoscopic approach to thoracic cavity NEC

Diagnosis or health condition

SNOMED CT preferred term (concept ID)

Congenital diaphragmatic hernia (17190001)

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

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