QOF QOF 2008/2009

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Code for ‘Seizure free > 12 months’ (Added in the last 15 months)

667F. Seizure free >12 months

Code for maximal anticonvulsant therapy (Added in the last 15 months)

8BL3. Patient on maximal tolerated anticonvulsant therapy

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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
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
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

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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

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Epilepsy 8.1 Rationale

Seizure control gives some indication of how effective the management of epilepsy is.

However, it is recognised that fit control is often under the influence of factors outside the general practitioner’s control. It is expected that exception-reporting in the epilepsy data set will be more common than in other chronic conditions (e.g. for patients with forms of brain injury which mean that their seizures cannot be controlled, patients who find the side effects of medication intolerable etc).

The top level in this indicator has been deliberately kept at a lower level in order to encourage general practitioners to record the frequency of seizures as accurately as possible.

Epilepsy 8.2 Reporting and verification

Practices should report the percentage of patients with epilepsy who have been seizure free in the preceding 12 months, recorded in patients in the last 15 months.

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Prepared By Jean Keenan