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


Individuals whose hands have been severely damaged by injury or disease may undergo amputation.

This procedure involves transplanting a hand from a recently deceased donor to the amputated stump. The donor bones are rigidly fixed to those of the patient and the blood vessels, nerves, tendons and skin are restored.

Coding recommendations

X01.3 Replantation of hand

Y99.1 Cadaveric donor

Z94.- Laterality of operation

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