The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on radiofrequency-assisted liver resection.
Cancer of the liver may be surgically removed in a number of ways Rafiofrequency (RF) assisted resection employs RF energy to coagulate the liver at the hepatic resection line after which hepatic resection is performed with the use of a common scalpel.
A code from the following category is assigned:
J02.- Partial excision of liver
Y11.4 Radiofrequency controlled thermal destruction of organ NOC
Includes: Radiofrequency ablation of organ NOC
Y53.2 Approach to organ under ultrasonic control (if used)
The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.
In addition the ICD-10 code C22.9 Malignant neoplasm of liver, unspecified or C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct would be recorded.
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.