Preoperative high dose rate brachytherapy for rectal cancer
Summary
The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on preoperative high dose rate brachytherapy for rectal cancer in December 2006. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.
The guidance was considered for reassessment in October 2010 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.
Description
Rectal cancer is a common form of bowel cancer. Preoperative high dose rate brachytherapy involves placing radioactive material in or close to the tumour to shrink it before surgery.
NICE Pathways
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: colorectal cancer
OPCS4.6 Code(s):
X65.2 Delivery of a fraction of intracavitary radiotherapy
Note: Use a subsidiary code to identify introduction of radioactive material (Y35, Y36)
Y35.8 Other specified introduction of removable radioactive material into organ NOC
Z29.1 Rectum
In addition the ICD-10 code C20.X Malignant neoplasm of rectum orC78.5 Secondary malignant neoplasm of large intestine and rectum is assigned
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
Details
Digestive system
Royal College of Radiologists
Association of Coloproctology of Great Britain and Ireland
Contact details:
(for procedure specific enquiries or comments)
ip@nice.org.uk
Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
Links:
This page was last updated: 10 November 2011

