IPG296 |
Endoscopic mastectomy and endoscopic wide local excision for breast cancer (IPG296) |
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early and locally advanced breast cancer
Fast, easy summary view of NICE guidance on 'early and locally advanced breast cancer'
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Endoscopic mastectomy and endoscopic wide local excision for breast cancer
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 mastectomy and endoscopic wide local excision for breast cancer.
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Description
Treatment for early breast cancer usually involves surgery to remove all or part of the breast. In this keyhole procedure, part or all of the breast tissue is removed using special instruments inserted through small skin incisions. The skin envelope of the breast and nipple are left intact, ready for an implant that can be inserted during the same operation.
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OPCS4.6 Code(s)
The OPCS-4 codes for endoscopic wide local excision are as follows:
B28.2 Partial excision of breast NEC
Includes: Wedge excision of breast NEC
Wide excision of breast NEC
Y76.3 Endoscopic approach to other body cavity
The OPCS-4 codes for endoscopic mastectomy are as follows:
B27.- Total excision of breast (fourth character dependent on the description of the mastectomy)
Y76.3 Endoscopic approach to other body cavity
Note: The codes within B27. - do not include any associate lymph node removal and these are classified with an additional code from categories T85-T87.
In addition an ICD-10 code from category C50.- Malignant neoplasm of breast or C79.8 Secondary malignant neoplasm of other specified sites is assigned.
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
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Other information
- IPG296 Endoscopic mastectomy and endoscopic wide local excision for breast cancer: guidance (Web format)
- Endoscopic mastectomy and endoscopic wide local excision for breast cancer: interventional procedures consultation
- Endoscopic mastectomy and endoscopic wide local excision for breast cancer: interventional procedures overview
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NICE Pathways
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: early and locally advanced breast cancer
This page was last updated: 26 October 2011
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Guidance formats
- Web format
- Full Guidance (PDF)
- IPG296 Llawdriniaeth twll clo i dynnu meinwe'r fron i drin canser y fron: deall canllawiau NICE (fformat MS Word)
Endoscopic mastectomy and endoscopic wide local excision for breast cancer
Information for the public
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Implementation tools and resources
- None available
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