Percutaneous mitral valve leaflet repair for mitral regurgitation

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 percutaneous mitral valve leaflet repair for mitral regurgitation.

Description

Mitral regurgitation occurs when the mitral valve does not close properly, allowing blood to leak backwards. This can lead to shortness of breath and the heart may be unable to pump enough blood to the rest of the body. During percutaneous mitral valve leaflet repair, a catheter is inserted through the skin via a large vein in the groin or neck and passed through to the heart. The two leaflets of the mitral valve are partially clipped or sewn together to reduce the amount of blood leaking backwards.

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: chronic heart failure

OPCS4.6 Code(s):

K35.8 Other specified percutaneous transluminal operations on valve of heart

Y07.2 Clipping of cavity of organ NOC (if clips are used)

Y53.4 Approach to organ under fluoroscopic control

Z32.1 Mitral valve

 

Note:  U20.2Transoesophageal echocardiography is also assigned when transoesophageal echocardiography (TOE) is used during the procedure.

Note: Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control 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

Contact details:

Links:

	IPG309 Percutaneous mitral valve leaflet repair for mitral regurgitation: guidance	26 August 2009
	IPG309 Percutaneous mitral valve leaflet repair for mitral regurgitation: guidance (web format)	07 April 2011
	IPG309 Percutaneous mitral valve leaflet repair for mitral regurgitation: understanding NICE guidance	26 August 2009
	IPG309 Trwsio dalennau meitrol wedi'i lywio gan ddelweddau ar gyfer adlifo meitrol: deall canllawiau NICE (fformat MS Word)	11 December 2009
	IPG309 Percutaneous mitral valve leaflet repair for mitral regurgitation: consultation comments table - second consultation	21 August 2009
	Percutaneous mitral valve leaflet repair for mitral regurgitation(interventional procedures second consultation)	23 February 2009
	Percutaneous mitral valve leaflet repair for mitral regurgitation (interventional procedures second overview)	23 February 2009
	Percutaneous mitral valve leaflet repair for mitral regurgitation (consultation comments table)	23 February 2009
	Percutaneous mitral valve leaflet repair for mitral regurgitation (interventional procedures consultation)	23 December 2008
	Percutaneous mitral valve leaflet repair for mitral regurgitation (interventional procedures overview)	23 December 2008