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 refractory epilepsy.

  • Description

    Deep brain stimulation for difficult to treat epilepsy

    Epilepsy is a chronic neurological condition characterised by recurrent seizures, in which the brain's normal electrical activity becomes overactive and abnormal. During deep brain stimulation, a thin wire is implanted into the brain. The wire is attached to an electrical stimulator, which is placed under the skin of the chest. The aim is that electrical stimulation of a particular area of the brain will suppress the abnormal electrical activity associated with a seizure.

  • OPCS4.6 Code(s)

    A09.1 Implantation of neurostimulator into brain


    Y53.3 Approach to organ under computed tomography scan control


    Y53.7 Approach to organ under magnetic resonance imaging control

    In addition an ICD-10 code from category G40.- Epilepsy 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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