Total prosthetic replacement of the temporomandibular joint

 
Guidance issued
 
IPG Number: IPG329

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 Total prosthetic replacement of the temporomandibular joint.

Description

The temporomandibular joint (TMJ) is formed by the temporal bone of the cranium (skull) and the lower jaw or mandible. Symptoms of degenerative disease in this joint include dysfunction or pain in the head, face, jaws, neck and shoulders. TMJ replacement involves substituting a prosthesis, usually metal-on-metal or metal-on-acrylic, for the TMJ. The procedure takes 2–3 hours and the patient is usually in hospital for a few days afterwards.

OPCS4.6 Code(s):

V20.1 Total prosthetic replacement of temporomandibular joint

Note: OPCS-4 code V14.3 Partial excision of mandible NEC may also be assigned if the coronoid process is excised during the procedure.

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

Arrangement:
Special
Topic area:
Musculoskeletal
Specialty:
Trauma and orthopaedic surgery
Specialist advice sought from:
  • British Association of Oral & Maxillofacial Surgery
  • Institute of Maxillofacial Prosthetists & Technologists
Date notified to NICE:
20 October 2003
Provisional consultation date:
Spring 2009
Guidance issue date:
16 December 2009

Contact details:

Contact NICE about this project
Technical lead
(for procedure specific enquiries or comments)
Heather Stegenga
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links:

This page was last updated: 26 May 2011

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.