The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on the implantation of multifocal (non-accommodative) intraocular lenses during cataract surgery.

Description

A cataract is an eye condition in which the lens becomes cloudy over time. If untreated, cataracts can lead to blindness. During cataract surgery, the clouded lens is removed and replaced with an artificial lens, which provides clearer vision. Unlike standard intraocular lenses, a multifocal intraocular lens has areas with different focusing power with the aim of allowing near and distant objects to be seen without the need for spectacles.

Coding recommendations

C75.1 Insertion of prosthetic replacement for lens NEC

Note:  A supplementary OPCS-4 code is used to identify the method of concurrent extraction of lens (C71-C74).

It is not possible to capture the type of prosthetic lens replacement using OPCS-4.

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.