The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on insertion of pleuro-amniotic shunt for fetal pleural effusion in September 2006. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.

The guidance was considered for reassessment in September 2009 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.


Insertion of a pleuro-amniotic shunt to drain pleural effusions in a fetus during pregnancy

Coding recommendations

R04.2 Percutaneous insertion of fetal pleuroamniotic shunt

Y53.2 Approach to organ under ultrasonic control

A code from category Y95.- Gestational age must be assigned in a subsidiary position where this information is available.