The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Deep brain stimulation for intractable trigeminal autonomic cephalalgias.

NICE has also published guidance on Deep brain stimulation for refractory chronic pain syndromes (excluding headache)

  • Description

    Trigeminal autonomic cephalalgias (TACs) are characterised by frequent severe headache attacks that last for short periods. The headaches are usually accompanied by tears, sweating, flushing, and a runny nose on the same side of the head as the pain. Deep brain stimulation has been introduced to treat TACs that do not respond to other treatments. It aims to mask the pain by delivering electrical impulses to a precise area of the brain using an electrode.

  • OPCS4.6 Code(s)

    A09.1 Implantation of neurostimulator into brain

    Y53.3 Approach to organ under computed tomography scan control

    Includes: Approach to organ under stereotactic control


    Y53.7 Approach to organ under magnetic resonance imaging control

     In addition an ICD-10 code from category G44.- Other headache syndromes or code  R51.X Headache 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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