Therapeutic endoscopic division of epidural adhesions
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 Therapeutic endoscopic division of epidural adhesions.
It replaces the previous guidance on endoscopic division of epidural adhesions (Interventional Procedures Guidance no. 88, September 2004).
If you wish to be updated to any developments with this procedure, you can express an interest here.
Description
Endoscopic epidural procedures are used to treat lower back pain, particularly when radiculopathy is present. The epidural space is examined with an endoscope and further interventions may then be performed, such as mobilising spinal adhesions or administering drugs to inflamed tissue.
OPCS4.6 Code(s):
A51.4 Endoscopic division of epidural adhesions
Y53.4 Approach to organ under fluoroscopic control
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
Surgical procedures
- British Association of Spinal Surgeons
- Society of British Neurological Surgeons
- British Orthopaedic Association
- British Pain Society
- Society for Back Pain Research
Contact details:
Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
Links:
This page was last updated: 04 April 2011

