Codes for seizure frequency (Added in the last 15 months)
- 6675. Fit frequency
- 667F. Seizure free >12 months
- 667P. No seizures on treatment
- 667Q. 1 to 12 seizures a year
- 667R. 2 to 4 seizures a month
- 667S. 1 to 7 seizures a week
- 667T. Daily seizures
- 667V. Many seizures a day
Aged 18 years and over with both a diagnosis code AND a treatment code:
Diagnostic codes for epilepsy
- F25.. Epilepsy
- F250. Generalised nonconvulsive epilepsy
- F2500 Petit mal (minor) epilepsy
F2501 Pykno-epilepsy (v17)
F2502 Epileptic seizures - atonic
F2503 Epileptic seizures - akinetic
F2504 Juvenile absence epilepsy
(v9)
F2505 Lennox-Gastaut syndrome
F250y Other specified generalised nonconvulsive epilepsy
F250z Generalised nonconvulsive epilepsy NOS
- F251. Generalised convulsive epilepsy
- F2510 Grand mal (major) epilepsy
F2511 Neonatal myoclonic
epilepsy (v9)
F2512 Epileptic seizures - clonic
F2513 Epileptic seizures - myoclonic
F2514 Epileptic seizures - tonic
F2515 Tonic-clonic epilepsy
F2516 Grand mal seizure
F251y Other specified generalised convulsive epilepsy
F251z Generalised convulsive epilepsy NOS
- F252. Petit mal status
F253. Grand mal status
F254. Partial epilepsy with impairment of consciousness
- F2540 Temporal lobe epilepsy
F2541 Psychomotor epilepsy
F2542 Psychosensory epilepsy
F2543 Limbic system epilepsy
F2544 Epileptic automatism
F2545 Complex partial epileptic seizure
F254z Partial epilepsy with impairment of consciousness NOS
- F255. Partial epilepsy without mention of impairment of consciousness
- F2550 Jacksonian, focal or motor epilepsy
F2551 Sensory induced epilepsy
F2552 Somatosensory epilepsy
F2553 Visceral reflex epilepsy
F2554 Visual reflex epilepsy
F2555 Unilateral epilepsy
F2556 Simple partial epileptic seizure
F255y Other specified partial epilepsy without mention of impairment
of consciousness
F255z Partial epilepsy without mention of impairment of consciousness
NOS
F256. Infantile spasms
(v9)
F2560 Hypsarrhythmia (v9)
F2561 Salaam attacks (v9)
F256z Infantile spasms NOS (v9)
- F257. Kojevnikov's epilepsy
F258. Post-ictal state
(v9)
F259. Early infantile epileptic encephalopathy with suppression bursts
(v9)
F25A. Juvenile myoclonic epilepsy (v9)
F25B. Alcohol-induced epilepsy
F25C. Drug-induced epilepsy
F25D. Menstrual epilepsy
F25E. Stress-induced epilepsy
F25F. Photosensitive epilepsy
F25X. Status epilepticus, unspecified
F25y. Other forms of epilepsy
- F25y0 Cursive (running) epilepsy
F25y1 Gelastic epilepsy
F25y2 Localization-related(focal)(partial)idiopathic epilepsy and
epileptic syndromes with seizures of localised onset
F25y3 Complex partial status epilepticus
F25y4 Benign Rolandic
epilepsy (v17)
F25yz Other forms of epilepsy NOS
- F25z. Epilepsy NOS
F1321 Progressive myoclonic epilepsy
SC200 Traumatic epileps
Without
Codes for epilepsy resolved
- 21260 Epilepsy resolved
- 212J. Epilepsy resolved
And
Drug treatment for epilepsy
dn...% CONTROL OF EPILEPSY
d26..% CLOBAZAM (v16)
-
Epilepsy exception reporting codes
- 9h6.. Exception reporting: epilepsy quality indicators
- 9h61. Excepted from epilepsy quality indicators: Patient unsuitable
- 9h62. Excepted from epilepsy quality indicators: Informed dissent
Epilepsy 6.1 Rationale
It is recommended that the following information should be recorded
routinely in patients' notes at each review
- seizure type and frequency, including date of last seizure
- antiepileptic drug therapy and dosage „h any adverse drug reactions arising
from antiepileptic drug therapy
- key indicators of the quality of care i.e. topics discussed and plans for
future review.
NICE clinical guideline 20 suggests that ¡¥all individuals with
epilepsy should have a regular structured review ¡Kin adults this review should
be carried out at least yearly by either a generalist or a specialist¡¦. This
guidance therefore supports the current epilepsy indicators which are in essence
the component parts of an annual structured face to face review, where clinically
appropriate. An updated version of this guidance was in progress at the time
of publication of this document. The updated guidance will be published on the
NICE website once available.
Further information
NICE clinical guideline 20 (2004). The diagnosis and management of the epilepsies
in adults and children in primary and secondary care.
http://guidance.nice.org.uk/CG20/NICEGuidance/pdf/English
SIGN clinical guideline 70 (2003). Diagnosis and management of
epilepsy in adults.
http://www.sign.ac.uk/guidelines/fulltext/70/index.html
Epilepsy 6.2 Reporting and verification
The practice reports the percentage of patients on the epilepsy
register who have a record of seizure frequency in the preceding 15 months.
Prepared By Jean Keenan