Extracranial to intracranial bypass for intracranial atherosclerosis

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 Extracranial to intracranial bypass for intracranial atherosclerosis.

It replaces the previous guidance on High-flow interposition extracranial to intracranial bypass, IPG73, July 2004.

Description

In intracranial atherosclerosis disease, blood vessels (arteries) in the head can become narrowed or blocked. An extracranial to intracranial bypass is an operation to join a blood vessel outside the skull to one inside the skull, bypassing the problem. The aim is to maintain and improve blood supply to the brain to prevent stroke.

OPCS4.6 Code(s):

L29.6 High-flow interposition extracranial to intracranial bypass from external carotid artery to middle cerebral artery

or

L29.7 Bypass of carotid artery by anastomosis of superficial temporal artery to middle cerebral artery

or

L29.8 Other specified reconstruction of carotid artery

 Note: L29.8 is used to capture all other extracranial to intracranial bypass procedures not included at L29.6 or L29.7. Additional codes are required if a graft is utilised.

_{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:

	IPG348 Extracranial to intracranial bypass for intracranial atherosclerosis: guidance	23 June 2010
	IPG348 Extracranial to intracranial bypass for intracranial atherosclerosis: guidance (web format)	07 April 2011
	IPG348 Extracranial to intracranial bypass for intracranial atherosclerosis: understanding NICE guidance	23 June 2010
	IPG348 Extracranial to intracranial bypass for intracranial atherosclerosis: understanding NICE guidance (MS Word format)	23 June 2010
	IPG348 Dargyfeirio rhydwelïau wedi culhau a achoswyd gan atherosglerosis yn y pen gan ddefnyddio grafftiau rhydwelïol: deall canllawiau NICE (fformat MS Word)	22 July 2010
	IPG348 Extracranial to intracranial bypass for intracranial atherosclerosis: audit support	23 June 2010
	Extracranial to intracranial bypass for intracranial atherosclerosis: consultation comments table	23 June 2010
	Extracranial to intracranial bypass for intracranial atherosclerosis - Interventional Procedures Consultation Document	22 February 2010
	Extracranial to intracranial bypass for intracranial atherosclerosis - Interventional Procedures Overview	22 February 2010