Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued updated full guidance to the NHS in England, Wales, Scotland and Northern Ireland on hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants

This guidance replaces previous guidance on hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants (interventional procedure guidance 44).

Description

Sterilisation results in the inability to conceive children naturally. It is sometimes chosen as a method of birth control and is usually permanent. In women, hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants is used to block the fallopian tubes, with the aim of preventing the eggs from reaching the womb and becoming fertilised. The procedure is performed by passing a small camera and tube (hysteroscope) through the vagina and cervix. A very small implant called a microinsert is placed into each fallopian tube using specialised narrow surgical instruments that are passed through the hysteroscope. The presence of the microinserts causes scar tissue to form in the fallopian tubes, which eventually blocks them.

OPCS4.6 Code(s):

Q35.4 Endoscopic bilateral placement of intrafallopian implants

           Includes:Hysteroscopic placement of intrafallopian implants

Or if there is only one remaining solitary fallopian tube the OPCS-4 code is:

Q36.2 Endoscopic placement of intrafallopian implant into remaining solitary fallopian tube Includes: Hysteroscopic placement of intrafallopian implant into remaining solitary fallopian tube

_{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}

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	IPG315 Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants: guidance	23 September 2009
	IPG315 Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants: guidance (web format)	11 February 2011
	IPG315 Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants: understanding NICE guidance	29 September 2009
	IPG315 Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants: understanding NICE guidance (MS Word format)	29 September 2009
	IPG315 Diffrwythloni benywaidd drwy ddefnyddio mewnblaniadau (a osodir drwy'r fagina) i flocio'r tiwbiau ffalopaidd: deall canllawiau NICE (fformat MS Word)	29 October 2009
	IPG315 Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants: consultation comments table	23 September 2009
	Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implant (interventional procedures consultation)	23 February 2009
	Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implant (interventional procedures overview)	23 February 2009