Occipital nerve stimulation for intractable chronic migraine

NICE interventional procedures guidance [IPG452] Published date:

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The National Institute for Health and Care Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Occipital nerve stimulation for intractable chronic migraine.

  • Description

    A migraine is a severe headache usually felt as a throbbing pain at the front or on one side of the head. Some people also have other symptoms, such as nausea and sensitivity to light. Occipital nerve stimulation involves implanting electrodes, an impulse generator and connecting insulated wires under the skin. The electrodes are implanted near the occipital nerve located just beneath the skin at the back of the head and the impulse generator is usually implanted at a site in the torso. The patient uses a remote control to deliver electrical impulses to the occipital nerve with the aim of masking the pain.

  • OPCS4.6 Code(s)

    Stage 1

    A70.4 Insertion of neurostimulator electrodes into peripheral nerve

    Y70.5 Temporary operations

    Y70.3 First stage of staged operations NOC

    Y53.4   Approach to organ under fluoroscopic control (if fluoroscopic control has been used)

    Z92. 1 Head  NEC

     

    Stage 2

    A70.1 Implantation of neurostimulator into peripheral nerve

    Y71.1 Subsequent stage of staged operations NOC

    Y53.4   Approach to organ under fluoroscopic control (if fluoroscopic control has been used)

    Z92.1 HeadNEC

    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)

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