The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Non-rigid stabilisation techniques for the treatment of low back pain.

It replaces the previous guidance on non-rigid stabilisation techniques for the treatment of low back pain (Interventional Procedures Guidance no. 183, June 2006).  

  • Description

    Chronic low back pain is most often the result of normal wear and tear (degenerative change) which affects most people during their middle years, causing loss of height of the spinal discs and arthritis of the spinal joints. Non-rigid stabilisation (otherwise known as flexible or dynamic stabilisation) of the lumbar spine is intended to improve chronic low back pain by reducing painful movement without rigidly fusing the spine.

  • OPCS4.6 Code(s)

    V40.1 Non-rigid stabilisation of spine

    V55.- Levels of spine 

    Y53.- Approach to organ under image control

    Site code from Chapter Z

    Note: Codes within category V55.-  are assigned in second place each time a spinal operation is coded: if the levels of spine are not specified, V55.9 Unspecified levels of spine is used.

    Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control 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.

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