Guidance
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 sialendoscopy.
Description
The salivary glands are located around the mouth and the throat. These glands may at times be blocked, usually because of stones. Sialendoscopy involves the use of a flexible tube (endoscope) to enter a salivary gland and to visualise and remove the stone.
Coding recommendations
A code(s) is selected dependent upon the site and nature of the procedure:
F51.1 Open extraction of calculus from parotid duct
Y76.3 Endoscopic approach to other body cavity
or
F51.2 Open extraction of calculus from submandibular duct
Y76.3 Endoscopic approach to other body cavity
or
F55.1 Dilation of parotid duct
Y76.3 Endoscopic approach to other body cavity
or
F55.2 Dilation of submandibular duct
Y76.3 Endoscopic approach to other body cavity
or
F51.8 Other specified open extraction of calculus from salivary duct
Y76.3 Endoscopic approach to other body cavity
Z26.3 Sublingual gland
Note: If a stent is inserted then Y14.- Placement of stent in organ NOC can be used in addition.