The National Institute for Health and Care Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica in January 2016.

Coding recommendations

OPCS-4 

V62.- Primary percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc
V55.- Levels of spine
Y53.4 Approach to organ under fluoroscopic control

Or:

V63.- Revisional percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc
V55.- Levels of spine
Y53.4 Approach to organ under fluoroscopic control

Note: Codes within categories V62 and V63 specify the area of the spine where the operation takes place. If the area of spine is not specified, the code V62.9 Unspecified primary percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc or V63.9 Unspecified revisional percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc is used.

Note: Codes within category V55.- are assigned in second place each time a spinal operation is coded. If the levels of spine are not specified, the code V55.9 Unspecified levels of spine is used.

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 M54.5 Low back pain or M54.3 Sciatica would be recorded.

This interventional procedure guidance replaces previous guidance on percutaneous intradiscal electrothermal therapy for low back pain (IPG319).

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)