Electrocautery cutting balloon treatment for pelviureteric junction obstruction (IPG324)
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Electrocautery cutting balloon treatment for pelviureteric junction obstruction.
Pelviureteric junction obstruction is a condition caused by a narrowing of the funnel-shaped part of the kidney (known as the renal pelvis) where urine collects before being carried to the bladder by tubes called ureters. The obstruction may cause episodes of loin pain and/or nausea and vomiting, urinary infections and kidney stones. In some patients the condition could also affect the normal function of the kidney.
This procedure (electrocautery cutting balloon treatment) aims to widen the renal pelvis by inserting a catheter with a balloon and wire into the urinary tract. The wire is used to cut away the tissue that is causing the obstruction.
The correct OPCS-4 codes required to classify this procedure are:
M10.8 Other specified other therapeutic endoscopic operations on kidney
Y13.1 Cauterisation of lesion of organ NOC
Y53.4 Approach to organ under fluoroscopic control
Note: Where a stent is inserted during the procedure a code from category Y14.- Placement of stent in organ NOC is also assigned, following Y13.1, to classify the type of stent used.
In addition the ICD-10 code N13.8 Other obstructive and reflux uropathy is 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
- IPG324 Electrocautery cutting balloon treatment for pelviureteric junction obstruction: guidance (web format)
- Electrocautery cutting balloon treatment for pelviureteric junction obstruction (interventional procedures overview)
- Electrocautery cutting balloon treatment for pelviureteric junction obstruction (interventional procedures consultation)
- IPG324 Electrocautery cutting balloon treatment for pelviureteric junction obstruction: consultee comments
This page was last updated: 25 November 2013
- Web format
- Full Guidance (PDF)
- IPG324 Rhyddhau rhwystr yn y cysylltle pelfiwrethrol drwy ddefnyddio balŵn chwyddadwy gyda gwifren dorri boeth: deall canllawiau NICE (fformat MS Word)
Information for the public
Implementation tools and resources
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.