The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Selective dorsal rhizotomy for spasticity in cerebral palsy.

It replaces the previous guidance on Selective dorsal rhizotomy for spasticity in cerebral palsy  (Interventional Procedures Guidance no. 195, November 2006).  

  • Description

    The aim of selective dorsal rhizotomy is to ease muscle spasticity and improve mobility in people with cerebral palsy. It involves cutting nerves in the lower spine that are responsible for muscle rigidity.

  • OPCS4.6 Code(s)

    A57.2 Rhizotomy of spinal nerve root

    Z07.- Spinal nerve root 


    In addition an ICD-10 code from category G80.- Cerebral palsy would 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.

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