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 uterine nerve ablation (LUNA) for chronic pelvic pain.


Pelvic pain in women can have a number of causes, including endometriosis (a condition in which tissue that is normally found lining the inside of the womb also occurs outside the womb, usually in the pelvic cavity). In many cases of pelvic pain, the cause is unknown. Laparoscopic uterine nerve ablation (LUNA) involves the destruction of a small segment of ligament that carries nerve fibres within the pelvis.

Coding recommendations

A60.8 Other specified destruction of peripheral nerve

Y75.2 Laparoscopic approach to abdominal cavity NEC

Z11.8 Specified sacral plexus NEC

In addition the ICD-10 code R10.2 Pelvic and perineal pain would be recorded if the cause of the pain is unknown.