The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on thoracoscopic excision of mediastinal parathyroid tumours in December 2007. 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 January 2011 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.

Description

Parathyroid tumours may develop in the chest causing excess parathyroid hormone production and excess levels of calcium in the blood. Thorascopic removal of the tumour uses a keyhole surgery to operate on the tumour using a flexible camera inserted into the chest

Coding recommendations

B14.5 Excision of lesion of parathyroid gland

Y74.2 Thoracoscopic approach to thoracic cavity NEC

In addition the ICD-10 code C75.0 Malignant neoplasm of parathyroid gland, C79.8 Secondary malignant neoplasm of other specified sites,  D35.1 Benign neoplasm of other and unspecified endocrine glands, parathyroid gland or D44.2 Neoplasm of uncertain or unknown behaviour of endocrine glands, parathyroid gland would be recorded.

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.