Tonsillectomy using ultrasonic scalpel (IPG178)
Fast, easy summary view of NICE guidance on 'ear nose and throat conditions'
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on tonsillectomy using ultrasonic scalpel.
Ultrasonic scalpel tonsillectomy is typically performed under general anaesthetic. This procedure uses ultrasonic energy to simultaneously dissect through tissues and seal blood vessels. Tissues are cut by a disposable blade, which vibrates at an ultrasonic frequency thereby cutting the tissue. This vibration also transfers energy to the tissue, thereby leading to coagulation, and through this achieving haemostasis. The temperature caused by the vibration is around 55–100ºC and is lower than by other hot methods such as diathermy or lasers.
F34.1 Bilateral dissection tonsillectomy
Y11.5 Ultrasonic destruction of organ NOC
Note: Use a supplementary code for concurrent excision of adenoid (E20.1Total adenoidectomy Includes: Excision of adenoid and adenoidectomy or E20.4 Suction diathermy adenoidectomy).
The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. www.connectingforhealth.co.uk/clinicalcoding
- IPG178 Tonsillectomy using ultrasonic scalpel - guidance
- IPG178 Tonsillectomy using ultrasonic scalpel - guidance (web format)
- IPG178 Tonsillectomy using ultrasonic scalpel - information for the public
- IPG178 Tonsillectomy using ultrasonic scalpel - information for the public (Word)
- IPG178 Tonsillectomy using ultrasonic scalpel - consultation comments tables and responses
- Tonsillectomy using ultrasonic scalpel (interventional procedure consultation)
- Interventional procedures overview - tonsillectomy using ultrasonic scalpel
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: ear nose and throat conditions
No last updated information available
- Web format
- Full Guidance (PDF)
- IPG178 Tonsilectomi gan ddefnyddio fflaim uwchsonig: deall canllawiau NICE (fformat MS Word)
Information for the public
Implementation tools and resources
- None available
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