The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic insertion of peritoneal dialysis catheter.


A peritoneal dialysis catheter is a soft tube inserted into the abdomen and used to remove waste products (that would normally be removed by the kidneys) from the blood. Laparoscopic insertion (also known as 'keyhole surgery') is a way of inserting the catheter using a fine telescope to guide the catheter into the abdominal cavity.

Coding recommendations

Depending on whether a permanent or temporary dialysis catheter is inserted, one of the following pairs of OPCS-4 codes is assigned:

X41.1 Insertion of ambulatory peritoneal dialysis catheter

Y75.2 Laparoscopic approach to abdominal cavity NEC


X42.1 Insertion of temporary peritoneal dialysis catheter

Y75.2 Laparoscopic approach to abdominal cavity NEC

Note: If an ambulatory peritoneal dialysis catheter is removed, this is classified to the following two OPCS-4 codes: X41.2 Removal of ambulatory peritoneal catheter and Y75.2 Laparoscopic approach to abdominal cavity NEC.

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.