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

Description

Inguinal lymph nodes are removed in the routine management of genital or anal cancer, and melanoma of the leg. This procedure aims to reduce discomfort, scarring and complications associated with the procedure by using an endoscopic device and small incisions. Robotic control may also be used.

Coding recommendations

T85.5 Block dissection of inguinal lymph nodes

or

T87.7 Excision or biopsy of inguinal lymph nodes

Y76.3 Endoscopic approach to other body cavity or Y76.5 Robotic assisted minimal access approach to other body cavity

If resection of the saphenous vein is required the following codes are included:

L93.1 Excision of vein NEC

Y76.3 Endoscopic approach to other body cavity or Y76.5 Robotic assisted minimal access approach to other body cavity

A site code is also selected:

Z98.5 Long saphenous vein
Z98.6 Short saphenous vein
Z39.5 Saphenous vein NEC

Note: A laterality code is also added either Z94.1 Bilateral operation or Z94.2 Right sided operationor Z94.3 Left sided operation.

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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