The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on corneal endothelial transplantation.

Description

Some diseases can effect the clear section at the front of the eye (the cornea), and in particular the layers that help maintain its clarity (the endothelium). This procedure aims to replace only the innermost layers of the cornea with a healthy section from a donor eye without disturbing the overall structure of the cornea. 

Coding recommendations

C44.3 Endothelial graft to cornea

Includes: Endothelial keratoplasty

Y01.4   Alloreplacement of organ from cadaver heart beating NOC

or

Y01.5   Alloreplacement of organ from cadaver heart non-beating NOC

or

Y01.6 Alloreplacement of organ from cadaver NOC

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.

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.

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