Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus

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 Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus.

Description

Keratoconus is a degenerative condition that usually involves both eyes. It affects the shape of the eyeball and causes blurred vision and light sensitivity. Wearing spectacles or contact lenses can help some people who have this condition. Photochemical corneal collagen cross-linkage is an outpatient procedure. First a local anaesthetic is given in the form of eye drops. Then riboflavin (vitamin B2) drops are applied to the eye, and it is exposed to ultraviolet light. This procedure aims to stabilise the outer coating of the eyeball, called the cornea, with the intention of preventing further changes to its shape.

OPCS4.6 Code(s):

C51.8 Other specified other operations on cornea

Y37.1 Introduction of photodynamic substance into organ NOC

In addition ICD-10 code H18.6 Keratoconus or Q13.4 Other congenital corneal malformations or a combination of the following two codes Q90.-D Down’s syndrome and H19.3A Keratitis and keratoconjunctivitis in other diseases classified elsewhere are assigned.

The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.

_{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

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Links:

	IPG320 Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus: guidance (web format)	21 February 2011
	IPG320 Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus: guidance	25 November 2009
	IPG320 Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus: understanding NICE guidance	01 February 2011
	IPG320 Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus: consultation comments table	25 November 2009
	IPG320 Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus: audit support	25 November 2009
	Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus (interventional procedures consultation)	26 June 2009
	Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus (interventional procedures overview)	26 June 2009