Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Percutaneous venoplasty for chronic cerebrospinal venous insufficiency in Multiple Sclerosis.

Description

It is possible that there is a link between blocked veins in the head, neck and chest and progression of multiple sclerosis. This procedure aims to open blocked or narrowed veins by inflating a small balloon in the vein, allowing for better blood flow and a reduction in the symptoms of multiple sclerosis.

OPCS4.6 Code(s):

 Without stenting:

 L94.7 Percutaneous transluminal balloon angioplasty of vein NEC

Y53.- Approach to organ under image control

Z91.8 Specified vein of upper body NEC

 

 With stenting:

 

L94.5 Percutaneous transluminal insertion of stent into vein NEC

 

Supplementary code L76.1 Endovascular placement of one metallic stent or L76.3.Endovascular placement of two metallic stents or L76.5 Endovascular placement of three or more metallic stents is assigned to identify the number of metal stents

 

Y53.- Approach to organ under image control

Z91.8 Specified vein of upper body NEC

 

 Note: Current coding rules state that when angioplasty and stent procedures are performed concurrently, and individual codes are available for the angioplasty and stent, only the code for the stent insertion is required. This is because the angioplasty is implicit within the code for stent insertion.

 

Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control is assigned.

Details

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Links:

	Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis: guidance	28 March 2012
	IPG420 Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis: guidance (web format)	02 April 2012
	Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis: understanding NICE guidance	28 March 2012
	Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis: understanding NICE guidance (MS Word format)	28 March 2012
	Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis: consultation comments table	28 March 2012
	Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis: equality impact assessment form	28 March 2012
	Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis - Consultation Document	24 August 2011
	Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for Multiple Sclerosis - Overview	24 August 2011