Placement of pectus bar for pectus excavatum (also known as MIRPE or the Nuss procedure)

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 placement of pectus bar for pectus excavatum (Nuss procedure).

It replaces the previous guidance on minimally invasive placement of pectus bar (IPG3, August 2003).

Description

Pectus excavatum is an abnormality of the chest in which the breastbone sinks inward (sometimes called funnel chest). Problems associated with pectus excavatum are mainly cosmetic, although the condition can impair cardiac and respiratory function. Placement of a pectus bar for pectus excavatum (also known as the Nuss procedure) involves placing one or two steel (pectus) bars under the breastbone with the aim of raising it and correcting the abnormal shape. The bar, which is bent into a curve to fit the patient’s chest, is inserted through small openings in the chest. The bar (or bars) are usually removed within a few years of placement.

OPCS4.6 Code(s):

T02.1 Correction of pectus deformity of chest wall

Includes: Correction of pectus carinatum

                Correction of pectus excavatum

Y74.1 Thoracoscopically assisted approach to thoracic cavity (if used)

Y02.2 Insertion of prosthesis into organ NOC

_{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:

	IPG310 Placement of pectus bar for pectus excavatum (also known as MIRPE or the Nuss procedure): guidance (web format)	07 April 2011
	IPG310 Minimally invasive placement of pectus bar: guidance	26 August 2009
	IPG310 Minimally invasive placement of pectus bar: understanding NICE guidance	26 August 2009
	IPG310 Trin pectus excavatum gan ddefnyddio bar metel crwm a osodir y tu ôl i asgwrn y fron (MIRPE neu driniaeth Nuss): deall canllawiau NICE (fformat MS Word)	11 December 2009
	IPG310 Minimally invasive placement of pectus bar: consultation comments table	26 August 2009
	Placement of pectus bar for pectus excavatum (Nuss procedure) (interventional procedures consultation)	23 April 2009
	Placement of pectus bar for pectus excavatum (Nuss procedure) (interventional procedures overview)	23 April 2009