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

    Published: April 2020

    We have received a large number of queries through the product support helpdesk regarding the COVID-19 standards and guidance. Therefore the COVID-19 National Clinical Coding Standards and Guidance have been updated throughout to provide clarification based on these queries.

    We have also sought further guidance from the WHO on the assignment of U07.2 Emergency use of U07.2 for cases of clinically diagnosed COVID-19 with a negative test result. We can confirm that U07.2 must be assigned when laboratory testing for COVID-19 is negative, reported as inconclusive, or has not been carried out but the responsible consultant confirms a diagnosis of COVID-19 based on clinical or epidemiological evidence (i.e. COVID-19 is clinically diagnosed and therefore not ruled out).

    We recommend you familiarise yourself with this updated guidance and if this answers a previously submitted helpdesk query that no longer requires a resolution please contact information.standards@nhs.net quoting your service desk reference number to retract your query.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Greg Tait 2 years ago

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  • Classifications Query Resolution Form: 1st April 2020

    Published: March 2020

    Dear colleague,

    A new Query Resolution Form has been uploaded to the Clinical Coding Query Mechanism for use from 1st April 2020. 

    You can access the form here.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • COVID-19 and ICD-10 Classification

    Published: March 2020

    Dear Colleague,

    A dedicated COVID-19 area has been launched on Delen to provide: COVID-19 information from the World Health Organisation; information on the classification of COVID-19 in ICD-10; and a single authoritative location for COVID-19 national clinical coding standards for Admitted Patient Care in England. This area will be updated as more information becomes available so please check back regularly for updates.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • Publication of OPCS-4.9 eVersion and National Clinical Coding Standards 2020 for the eViewer

    Published: March 2020

    Dear colleague,

    The OPCS-4.9 eVersion Book and National Clinical Coding Standards (NCCS) reference books (2020) for the eViewer are now available for download from TRUD: https://isd.digital.nhs.uk/trud3/user/authenticated/group/0/pack/37

    OPCS-4.9 content and National Clinical Coding Standards 2020 will be available in the Classifications Browser shortly.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • SNOMED CT Awareness for Clinical Coders

    Published: February 2020

    Dear Colleague

    A SNOMED CT awareness for clinical coders presentation is available in the Resource Library on Delen. This presentation provides an overview of the differences in the structure, content and uses of SNOMED CT compared with the ICD-10 and OPCS-4 classifications and how these three NHS Information Standards can be linked via the classification maps. The content may be useful for novice coders, those working toward the National Clinical Coding Qualification or coders who wish to gain a basic understanding of how a SNOMED CT enabled Electronic Patient Record (EPR) may inform the classification coded record.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • High Cost Drugs

    Published: February 2020

    Dear colleague

    From April 2020 High Cost Drugs OPCS-4 codes will no longer be required for National Cost Collection or the NHS National Tariff Payment System, with the exception of High Cost Drugs OPCS-4 codes X83.3 Fibrinolytic drugs Band 1 and X90.4 Intravenous nutrition Band 1

    The National Tariff High Cost Drugs List and associated High Cost Drugs Clinical Coding Standards and Guidance will no longer be issued from April 2020. The previous National Tariff High Cost Drugs List will remain available on the Publications & Resources page on Delen, should Trusts wish to collect this data for local purposes.

    PRule 10: National Tariff High Cost Drugs List and PCSX22: High Cost Drugs (X81-X98) have been deleted from the National Clinical Coding Standards OPCS-4 reference book (2020). See the OPCS-4.9 Supplementary Information and the National Clinical Coding Standards reference books for full information on the changes to the standards.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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