Endoscopic saphenous vein harvest for coronary artery bypass grafting

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 Endoscopic saphenous vein harvest for coronary artery bypass grafting.

It replaces the previous guidance on Endoscopic saphenous vein harvest for coronary artery bypass grafting (Interventional Procedures Guidance no. 248 December 2007).

Description

Endoscopic vein harvest is a minimally invasive procedure undertaken through keyhole surgery to collect a section of vein usually from the leg to act as a graft for the heart operation.

OPCS4.6 Code(s):

One of the following OPCS-4 codes is used to classify the coronary artery bypass grafting with a saphenous vein graft, depending on the number of arteries replaced:

K40.1 Saphenous vein graft replacement of one coronary artery

K40.2 Saphenous vein graft replacement of two coronary arteries

K40.3 Saphenous vein graft replacement of three coronary arteries

K40.4 Saphenous vein graft replacement of four or more coronary arteries

K40.8 Other specified saphenous vein graft replacement of coronary artery

K40.9 Unspecified saphenous vein graft replacement of coronary artery

The endoscopic harvest of the saphenous vein is not coded in addition as this is implicit in the saphenous vein graft replacement code.

_{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:

	IPG343 Triniaeth twll clo i gynaeafu gwythïen saffenaidd ar gyfer grafftiad i ddargyfeirio'r rhydwelïau coronaidd (fformat MS Word)	13 July 2010
	IPG343 Endoscopic saphenous vein harvest for coronary artery bypass grafting: guidance	26 May 2010
	IPG343 Endoscopic saphenous vein harvest for coronary artery bypass grafting: guidance (web format)	10 February 2011
	IPG343 Endoscopic saphenous vein harvest for coronary artery bypass grafting: understanding NICE guidance	26 May 2010
	IPG343 Endoscopic saphenous vein harvest for coronary artery bypass grafting: understanding NICE guidance (MS Word format)	26 May 2010
	IPG343 Endoscopic saphenous vein harvest for coronary artery bypass grafting: consultation comments	26 May 2010
	Endoscopic saphenous vein harvest for coronary artery bypass grafting - Interventional Procedures Consultation Document	26 January 2010
	Endoscopic saphenous vein harvest for coronary artery bypass grafting - Interventional Procedures Overview	26 January 2010
	Endoscopic saphenous vein harvest for coronary artery bypass grafting (interventional procedures overview)	24 July 2007