The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Percutaneous laser coronary angioplasty.

Description

Blood vessels from the heart can become blocked by the build-up of deposits of fat on their inner surface. This can cause problems with the heart and circulation such as angina.

In this technique, a flexible plastic tube (a catheter), connected to a laser, is inserted though the leg and into the circulation. It is moved to the site of the blockage and the laser is then used to burn away the deposits. This procedure may be done on its own or with other techniques to help remove the deposits and/or keep the blood vessel open.

Coding recommendations

Procedure

SNOMED CT preferred term (concept ID)

Coronary atherectomy by laser (29843007)

The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty alone are:

K50.1 Percutaneous transluminal laser coronary angioplasty

Y53.4 Approach to organ under fluoroscopic control

The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty with balloon angioplasty are:

K50.1 Percutaneous transluminal laser coronary angioplasty

Y40.3 Balloon dilation of organ NOC

Y53.4 Approach to organ under fluoroscopic control

The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty with balloon angioplasty and insertion of stent are:

K75.- Percutaneous transluminal balloon angioplasty and insertion of stent into coronary artery (a code is selected from this category depending on the number and type of stents inserted)

Y08.4 Laser destruction of lesion of organ NOC

Y53.4 Approach to organ under fluoroscopic control

Diagnosis or health condition

SNOMED CT preferred term (concept ID)

Coronary arteriosclerosis (53741008)

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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