Discussion on Surgical Coding for Refractory Epilepsy
Common surgeries for refractory epilepsy include resection of epileptogenic lesions,nerve pathway blockade,and neuromodulation.SEEG technique is often used in resection of epileptogenic lesions.The purpose is to evaluate and locate epileptogenic foci by temporary electrode implantation.The surgical code is 02.93.The surgery code for the removal of intracranial electrodes is 01.22.According to the different ranges of the lesion,the surgical code of the lesion usually includes 01.59 cerebral lesion resection,01.52 hemisphetomy,and 01.53 lobectomy.Neuroural pathway-blocking surgery often refers to callolotomy with a surgical code of 01.32.Neuromodulation techniques mainly include VNS,DBS,and RNS.VNS first electrode winding on the vagal trunk has the surgical code of 04.92.Then the pulse generator is connected to the electrode and is buried subcutaneously,and the surgical code is 86.96.The DBS first implanted the electrode,and the operation code is 02.93.It is then connected to the pulse generator located under the skin of the chest wall through wires and is coded(86.94-86.98)according to the specific circumstances of pulse generator implantation.RNS first implants the electrodes into the skull,and the operation code is 02.93.Then it connects the pulse generator to the intracranial electrodes and fixes them on the skull,and the operation code is 01.20.