The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Grenz rays therapy for inflammatory skin conditions.
The guidance was considered for reassessment in November 2010 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.
Skin inflammation is associated with conditions such as dermatitis, psoriasis and lichen planus. Grenz rays therapy involves exposing the skin to low-energy, non-penetrative electromagnetic radiation. It is used in several inflammatory skin conditions (including certain localised forms of eczema and psoriasis) when other therapies have failed. These conditions can severely impair quality of life, with effects that include redness, itching and blistering.
X65.4 Delivery of fraction of external beam radiotherapy NEC
Y91.3 Superficial or orthovoltage treatment for radiotherapy
Note: A code from Chapter Z would also be recorded to identify the site of the therapy.
In addition an ICD-10 code(s) is assigned for the specific type of inflammatory skin condition being treated, such as eczema or psoriasis.
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.