The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Laparoscopic gastric plication for the treatment of morbid obesity

Description

Laparoscopic gastric plication reduces the size of the stomach to limit food intake. It is carried out using keyhole surgery through several (usually 5 or 6) small cuts in the abdomen (belly). It involves folding the stomach in on itself and stitching it together to reduce its volume by about 70%. None of the stomach is removed and the procedure is potentially reversible.

Coding recommendations

G30.8 Other specified plastic operations on stomach

Y75.2 Laparoscopic approach to abdominal cavity NEC

In addition an ICD-10 code from category E66.- Obesity is assigned.

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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