Percutaneous endoscopic laser lumbar discectomy (IPG300)
The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on percutaneous endoscopic laser thoracic discectomy in June 2004. It was considered for review as part of the Institute's work programme. Although it did not meet the criteria to be re-assessed, percutaneous endoscopic laser cervical discectomy and percutaneous endoscopic laser lumbar discectomy were identified for consideration.
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 endoscopic laser lumbar discectomy.
Symptomatic lumbar disc herniation is when one of the discs in the bottom of the back which act as cushions between the bones bursts and pushes against the spinal cord or nerve roots that run through the backbone, causing: pain in the neck or back, weakness and numbness in the arms or legs, or bladder problems.
The aim of a percutaneous endoscopic laser discectomy is to remove the part of the disc that is pushing against the spinal cord or nerve root. A small cut is made in the skin and special equipment including a laser is used to heat and destroy some of the disc and remove the part that is sticking out to relieve pressure on the spinal cord or nerve root.
V33.8 Other specified primary excision of lumbar intervertebral disc
V55.- Levels of spine
Y76.3 Endoscopic approach to other body cavity
Y08.3 Laser destruction of organ NOC
Note: Codes within category V55.- are assigned in second place each time a spinal operation is coded: if the levels of spine are not specified, V55.9 Unspecified levels of spine is used.
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
- IPG301 Transmyocardial laser revascularisation for refractory angina pectoris: guidance (Web format)
- IPG300 Percutaneous endoscopic laser lumbar discectomy: guidance (Web format)
- IPG300 Percutaneous endoscopic laser lumbar discectomy: consultation comments
- Percutaneous endoscopic laser lumbar discectomy (interventional procedures consultation)
- Percutaneous endoscopic laser lumbar discectomy (interventional procedures overview)
This page was last updated: 22 November 2012
- Web format
- Full Guidance (PDF)
- IPG300 Triniaeth twll clo o ddisg meingefnol wedi llithro drwy laser wedi'i lywio gan endosgop: deall canllawiau NICE (fformat MS Word)
Information for the public
Implementation tools and resources
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.