Functional electrical stimulation for drop foot of central neurological origin

 
Guidance issued
 
IPG Number: IPG278

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 functional electrical stimulation for drop foot of central neurological origin.

Description

Drop foot is the inability to lift the foot and toes when walking. It can result from conditions such as stroke, multiple sclerosis or spinal cord injury. Functional electrical stimulation involves stimulation of the peripheral nerves that supply the paralysed muscle using electrodes that may be implanted or placed on the surface of the skin. The aim is to restore muscular function.

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: stroke

OPCS4.6 Code(s):

Implanted FES electrodes:

A70.1 Implantation of neurostimulator into peripheral nerve

Skin surface FES:

A70.7 Application of transcutaneous electrical nerve stimulator

In addition a site code from chapter Z is assigned depending on the nerve into which the stimulator is implanted or applied.

The ICD-10 code M21.3 Wrist or foot drop (acquired) would also be recorded.

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

Arrangement:
Normal
Topic area:
Central nervous system
Specialty:
Neurology
Specialist advice sought from:

Association of British Neurologists

British Society of Rehabilitation Medicine

Chartered Society of Physiotherapy

Institute of Physics and Engineering in Medicine

Society of British Neurological Surgeons

Date notified to NICE:
04 June 2007
Provisional consultation date:
Summer 2008
Guidance issue date:
28 January 2009

Contact details:

Contact NICE about this project
Technical lead
(for procedure specific enquiries or comments)
Sally Gallaugher
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links:

This page was last updated: 26 September 2011

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Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.