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.


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.

Coding recommendations

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.

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