Extracorporeal albumin dialysis for acute liver failure (IPG316)
Fast, easy summary view of NICE guidance on 'alcohol use disorders'
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 extracorporeal albumin dialysis for acute liver failure replacing IPG45.
Extracorporeal albumin dialysis for acute-on-chronic liver failure involves pumping blood from the body through a thin membrane coated with albumin. Molecules that bind to the albumin membrane are then removed by passing through a charcoal column and an anion exchange, before being reintroduced into the circuit. Both water-soluble toxins (as in renal dialysis) and strongly albumin-bound toxins are removed by this process.
Albumin is purported to have important transport and detoxifications functions, such as the removal of albumin-bound substances, which may ameliorate some of the problems of liver failure.
X43.1 Extracorporeal albumin haemodialysis
In addition the ICD-10 code K70.4 Alcoholic hepatic failure, K71.1 Toxiic liver disease with hepatic necrosis (includes hepatic failure(acute)(chronic) due to drugs) or K72.0 Acute and subacute hepatic failure would be recorded.
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
- IPG316 Extracorporeal albumin dialysis for acute liver failure: guidance (web format)
- Extracorporeal albumin dialysis for acute liver failure (interventional procedures overview)
- Extracorporeal albumin dialysis for acute liver failure (interventional procedures consultation)
- IPG316 Extracorporeal albumin dialysis for acute liver failure: consultation comments table
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: alcohol use disorders
This page was last updated: 19 June 2012
- Web format
- Full Guidance (PDF)
- IPG316 Dialysis albwmin i gynorthwyo cleifion â methiant aciwt ar yr iau: deall canllawiau NICE (fformat MS Word)
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