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  • Update to COVID-19 National Clinical Coding Standards and Guidance – nMABs

    Published November 2021

    Dear Colleague, 

    The COVID-19 National Clinical Coding Standards have been updated to include a coding standard for Neutralising monoclonal antibodies (nMABs) for the treatment of COVID-19 for episodes ending on or after 01 November 2021.

    The downloadable format of the COVID-19 National Clinical Coding Standards (01 November 2021) has been updated along with the summary of changes.

    Kind regards,

    Terminology & Classifications Delivery Service

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    By Greg Tait 10 months ago

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  • COVID-19 coded data review, England, 2020-21

    Dear Colleagues,

    Following publication of the COVID-19 National Clinical Coding Standards and guidance, we have analysed the coded data recorded in HES Admitted Patient Care 2020-21 to evaluate adherence to the standards. We have evaluated the coding of COVID-19 pneumonia and the implementation of the new OPCS-4.9 code E85.6 Continuous positive airway pressure. Our findings can be found here or via COVID-19 National Clinical Coding Standards and Guidance.

    This article is aimed at clinical coding professionals working in secondary care, and those with an interest in coded data, to highlight the importance of accurate and consistent clinical coding for quality COVID-19 data. We hope you find this information interesting. We intend to publish more of this type of information and we welcome feedback on the format and also suggestions for any other areas of interest you would like us to review.

     Kind regards

     Terminology and Classifications Delivery Service

    By Victoria Tudge 11 months ago

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  • Re-release of National Clinical Coding Standards OPCS-4 Reference Book (2021) and publication of COVID-19 National Clinical Coding Standards (01 April 2021)

    Published March 2021

    Dear Colleague, 

    The National Clinical Coding Standards OPCS-4 reference book (2021) has been re-released with the addition of a new coding standard PCSK10: Renewal of pacemaker generator/battery (K73.- and K74.-) and a minor correction to PCSU9: Bone densitometry (U13.1). It is now available to download from the Publications & Resources page on Delen.

    We apologise for any inconvenience this may cause.

    In response to feedback from the coding service, we have published the COVID-19 National Clinical Coding Standards (01 April 2021) in a downloadable format for use from 01 April 2021. Based on feedback received through the Product Support Helpdesk, the standards have been updated as follows:

    • Minor textual changes to provide clarity on the instruction within the standard
    • Deletion of standards associated with routine testing as this has now become standard practice on hospital admissions
    • Additional examples to illustrate the use of the COVID-19 emergency use codes

    All changes can be found in the Summary of Changes section with a rationale for the change where applicable. These changes will take effect from 01 April 2021, at which point the COVID-19 Delen page will also be updated.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Victoria Tudge 1 year ago

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  • ICD-10 Emergency use codes for COVID-19 (U07.6 and U07.7)

    Published February 2021

    Dear Colleague,

    The following two ICD-10 codes in category U07 are now available for use with immediate effect for episodes ending on or after 01 February 2021. 

    U07.6 Need for immunization against COVID-19

    U07.7 COVID-19 vaccines causing adverse effects in therapeutic use

    These codes must be used with the COVID-19 Clinical Coding Standards and Guidance which have been updated to instruct coders on their use.

    Note that the conditions at codes U07.6 and U07.7 were designated by the World Health Organization (WHO) at categories U11 and U12 for countries that are unable to report codes at four-character level. However, as these categories are not currently included as part of the NHS ICD-10 5th Edition data file, the WHO has agreed that countries which are technically constrained from using the issued three-character categories may utilise available emergency four-character codes already included at U07. Further information is available on the COVID-19 and ICD-10 page on Delen.

    The emergency codes and descriptions and associated COVID-19 clinical coding standards and guidance are available on the COVID-19 National Clinical Coding Standards and Guidance page.

    The eVersion shared notes reflecting the code descriptions of the Emergency use codes within categories U06 and U07 released in November 2020 have been updated to include the additional codes at U07.6 and U07.7. The notes can be downloaded from the Classifications Browser and e-Versions page on Delen.

    Kind regards, 

    Terminology and Classifications Delivery Service 

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    By Victoria Tudge 1 year ago

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  • ICD-10 Emergency use codes for COVID-19

    Published: November 2020

    Dear Colleague, 

    The following three ICD-10 codes in category U07 are now available for use for episodes ending on or after 01 November 2020 to identify conditions that occur in the context of COVID-19. 

    U07.3 Personal history of COVID-19

    U07.4 Post COVID-19 condition

    U07.5 Multisystem inflammatory syndrome associated with COVID-19

    These codes are for use with immediate effect. There is no expectation for episodes already coded on or after 01 November to be recoded, unless there is a local requirement to do so.

    These codes must be used with the COVID-19 Clinical Coding Standards and Guidance which have been updated to instruct coders on their use.

    Note that the conditions at codes U07.3, U07.4 and U07.5 were designated by the World Health Organisation (WHO) at categories U08, U09 and U10 for countries that are unable to report codes at four-character level. However, as these categories are not currently included as part of the NHS ICD-10 5th Edition data file, the WHO has agreed that countries which are technically constrained from using the issued three-character categories may utilise available emergency four-character codes already included at U07. Further information is available on the COVID-19 and ICD-10 page on Delen.

    The emergency codes and descriptions and associated COVID-19 clinical coding standards and guidance are available on the COVID-19 National Clinical Coding Standards and Guidance page.

    Kind regards,

    Terminology and Classifications Delivery Service

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    By Victoria Tudge 1 year ago

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