The National Institute for Health and Care Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on, implantation of a corneal graft–keratoprosthesis for severe corneal opacity in wet blinking eyes in November 2015.

Coding recommendations

OPCS-4 

C46.4 Insertion of prosthesis into cornea

Excludes: Insertion of therapeutic contact lens (C51.5)In addition the relevant code from category

H17.- Corneal scars and opacities would be recorded.

The Clinical Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure.  The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.

ICD-10

In addition the ICD-10 code H17.Corneal scars and opacities would be recorded.

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.

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.

  • National Institute for Health and Care Excellence (NICE)