EITHER Percutaneous nerve evaluation | | | | |
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Insertion of neurostimulator | £1,096 | HRG code AA21Z intracranial prodecures except trauma with other diagnoses | Medtronic and an NHS provider, 2012 | Based on OPCS code A70.4 Insertion of neurostimulator electrodes into peripheral nerve |
Follow-up outpatient appointment | £99 | HRG code - admitted patient care & outpatient procedures. Urology follow-up attendance (multiprofessional) | Medtronic 2012 | Follow-up required for removal of PNE |
External pulse generator | £10 | | NHS provider 2012 | Cost of generator is £350. Approximate use, 20 times. |
Test stimulation kit | £210 | | Medtronic 2012 | |
Nurse led visit (during 3 weeks) | £70 | Non consultant -led face to face OP | PSSRU 2011 | |
Total cost PNE | £1,485 | | | |
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OR Two-stage trial (not all patients) | | | | |
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Tined lead | £1,300 | | NHS 2012 | Undertaken on the NHS |
Lead introducer kit | £200 | | NHS 2012 | |
External pulse generator | £10 | | NHS 2012 | |
Procedure | £1,096 | HRG code AA 21Z Intracranial Procedures Except Trauma with other Diagnoses - category 1 or 2 | NHS provider, checked with Medtronic, 2012 | Medtronic model has this cost again for removal of tined lead |
Follow-up review | £70 | | | |
Nurse led visit (during 3 weeks) | £70 | Non consultant -led face to face OP | PSSRU 2011 | |
Total, two-stage trial | £2,746 | | | |
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Follow-up in case of failure (both test procedures) | | | | |
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Nurse led visit (during 3 weeks) | £70 | Non consultant -led face to face OP | PSSRU 2011 | |
Procedure to explants temporary electrodes | £1,096 | | | This may be less than the £1,096 tariff AA 21Z, as it is a small procedure |
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Permanent implant | | | | |
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Tined lead (included if two-stage trial not undertaken) (Not included in this analysis) | £1,300 | | NHS provider 2012 | Undertaken on the NHS |
Lead introducer kit (included if two-stage trial not undertaken) (Not included in this analysis) | £200 | | NHS provider 2012 | |
Implantable pulse generator | £5,700 | | NHS, checked with Medtronic, 2012 | |
HRG code for SNS | £2,441 Other estimates: £2,615 (With MFF*) £1,800 (excl MFF*) | HRG code AB01Z Complex neurological pain procedure | Medtronic 2012 | HRG code for complex neurological pain procedures, Combined day case / ordinary elective tariff (£) |
NHS 2012 |
Patient controlled programmer | £500 | | NHS, checked by Medtronic, 2012 | Hand-held device given to every patient (1 per patient) |
Total cost permanent implant (excluding tined lead and lead introducer kit) | £8,641 | | | |
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Replacement of implantable pulse generator | | | | |
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Device | £5,700 | | NHS 2012 | |
HRG code for battery change | £923 | OPCS-4 code A70.2 Maintenance of neurostimulator in peripheral nerve AB02Z Complex Major Pain Procedures | NHS 2012 | Estimate provided |
Total cost replacement generator | £6,623 | | | |
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SNS removal | | | | |
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SNS removal | £923 | OPCS-4 code A70.2 Removal of neurostimulator in peripheral nerve AB02Z Complex Major Pain Procedures AB01Z Complex neurological pain procedure | NHS 2012 | NHS |
£2,441 | | Medtronic |
Total cost of SNS removal | £923 | | | |