The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Bronchial thermoplasty for severe asthma.
Asthma is a condition that causes the airways to become narrower; the lining of the airways also becomes inflamed and starts to swell. Bronchial thermoplasty involves applying thermal energy to the airway wall. The aim is to reduce the amount of excessive muscle in the airway, and limit its ability to contract and narrow the airway, in patients with severe asthma.
E48.8 Other specified therapeutic fibreoptic endoscopic operations on lower respiratory tract
Y11.4 Radiofrequency controlled thermal destruction of organ NOC
In addition one of the following site codes is assigned:
Z24.8 Specified respiratory tract NEC
In addition an ICD-10 code from category J45.- Asthma is assigned.
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.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.