The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Distal iliotibial band lengthening for refractory greater trochanteric pain syndrome.


The greater trochanter is the bony bump on the outer side of the hip. This area may become painful following hip surgery or as a result of inflammation of the fluid-filled sac (bursa) that allows smooth motion between bones and tendons or muscles. Such inflammation (bursitis) is often caused by minor repetitive trauma or a direct injury.

This procedure aims to relieve the pressure on the bursa by lengthening the fibrous band that runs along the outside of the thigh from the hip to the knee (iliotibial band).

Coding recommendations

T54.8 Other specified division of fascia

Z90.3 Upper leg NEC

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.

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