The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Endovascular stent insertion for intracranial atherosclerotic disease.

This document replaces previous guidance on Endovascular stent insertion for intracranial atherosclerotic disease (NICE interventional procedure guidance IPG 233, October 2007).

Description

Intracranial atherosclerotic disease (ICAD) is the narrowing of the arteries inside the head that supply blood to the brain. ICAD is associated with an increased risk of stroke. In this procedure, a balloon catheter is inserted into an artery in the arm or leg, guided to the affected artery and inflated to open up the narrowing. A small tube made of metal mesh, called a stent, is then positioned at the site of the narrowing to maintain improved blood flow.

Coding recommendations

L31.4 Percutaneous transluminal insertion of stent into carotid artery

Or

L35.3 Percutaneous transluminal insertion of stent into cerebral artery

A code from category L76 Endovascular placement of stent or L89 Other endovascular placement of stent should be added to specify the type and number of stents used.

Y53.- Approach to organ under image control

In addition ICD-10 code I67.2 Cerebral atherosclerosis is assigned.

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