The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on sinus tarsi implant insertion for mobile flatfoot.

Description

Mobile flatfoot is a condition in which the foot becomes flattened when standing. It can occur in children, where it may self-correct, and in adults. It usually results from tendon damage. In most people this is asymptomatic, but in some it may cause pain or other symptoms. This procedure involves surgery to insert an implant just above the heel bone, with the aim of correcting the condition and improving symptoms.

Coding recommendations

Procedure

SNOMED CT preferred term (concept ID)

Insertion of implant to sinus tarsi (840611000000103)

OPCS-4.7

W81.7 Insertion of therapeutic spacer into joint

Z85.3 Talocalcaneal joint

Diagnosis or health condition

SNOMED CT preferred term (concept ID)

Hypermobile flat foot (203531001)

 

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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