Endoaortic balloon occlusion for cardiac surgery (IPG261)
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on endoaortic balloon occlusion for cardiac surgery.
During major heart surgery, the flow of blood through the heart needs to be stopped temporarily. In endoaortic balloon occlusion, a flexible tube (catheter) with a balloon attached to its tip is inserted into an artery in the groin (femoral artery) and threaded up to the heart. When the catheter is in the correct position in the heart, the balloon is filled with saline. As the balloon expands it blocks the aorta, which is the largest artery in the body. With the aorta blocked, the heart surgery can be performed. After heart surgery, the balloon and catheter are removed and the blood flow is restored.
Codes Y44.3 Temporary occlusion of organ NOC and Z34.1 Ascending Aorta are assigned as supplementary codes in addition to the code(s) used to describe the primary procedure on the heart.
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
- Endoaortic balloon occlusion for cardiac surgery: consultation comments
- Endoaortic balloon occlusion for cardiac surgery (interventional procedures consultation)
- Endoaortic balloon occlusion for cardiac surgery (interventional procedures overview)
- IPG261 Endoaortic balloon occlusion for cardiac surgery: guidance (web format)
This page was last updated: 22 November 2012
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