Laparoscopic insertion of peritoneal dialysis catheter
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 laparoscopic insertion of peritoneal dialysis catheter.
Description
A peritoneal dialysis catheter is a soft tube inserted into the abdomen and used to remove waste products (that would normally be removed by the kidneys) from the blood. Laparoscopic insertion (also known as 'keyhole surgery') is a way of inserting the catheter using a fine telescope to guide the catheter into the abdominal cavity.
OPCS code:
Depending on whether a permanent or temporary dialysis catheter is inserted, one of the following pairs of OPCS-4.5 codes is assigned:
X41.1 Insertion of ambulatory peritoneal dialysis catheter
Y75.2 Laparoscopic approach to abdominal cavity NEC
or
X42.1 Insertion of temporary peritoneal dialysis catheter
Y75.2 Laparoscopic approach to abdominal cavity NEC
Note: If an ambulatory peritoneal dialysis catheter is removed, this is classified to the following two OPCS-4.5 codes: X41.2 Removal of ambulatory peritoneal catheter and Y75.2 Laparoscopic approach to abdominal cavity NEC
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
British Association of Paediatric Nephrology
Royal College of Paediatrics and Child Health
Royal College of Surgeons of Edinburgh
The Renal Association
Contact details:
(for general enquiries or comments)
(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
