The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on placement of pectus bar for pectus excavatum (Nuss procedure).

It replaces the previous guidance on minimally invasive placement of pectus bar (NICE interventional procedure guidance 3, August 2003).


Pectus excavatum is an abnormality of the chest in which the breastbone sinks inward (sometimes called funnel chest). Problems associated with pectus excavatum are mainly cosmetic, although the condition can impair cardiac and respiratory function. Placement of a pectus bar for pectus excavatum (also known as the Nuss procedure) involves placing one or two steel (pectus) bars under the breastbone with the aim of raising it and correcting the abnormal shape. The bar, which is bent into a curve to fit the patient’s chest, is inserted through small openings in the chest. The bar (or bars) are usually removed within a few years of placement.

Coding recommendations

T02.1 Correction of pectus deformity of chest wall

Includes: Correction of pectus carinatum

Correction of pectus excavatum

Y74.1 Thoracoscopically assisted approach to thoracic cavity (if used)

Y02.2 Insertion of prosthesis into organ NOC

  • National Institute for Health and Care Excellence (NICE) accreditation logo