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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 11 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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  • National Clinical Coding Standards ICD-10 and OPCS-4 Reference Books (2021)

    Published: February 2021

    Dear colleague,

    The National Clinical Coding Standards ICD-10 and OPCS-4 reference books for use from 1 April 2021 are available for download from the Publications & Resources page on Delen.

    The OPCS-4 and ICD-10 Reference Books will be available in the Classifications Browser and will be made available on TRUD for addition into the eVersion shortly. Further communications will be issued when they are available.

    Please note the following:

    • In the OPCS-4 reference book there is reference to Coding Clinic Ref 121: Procedures performed for female pelvic organ prolapse and stress urinary incontinence which will contain a guidance table with procedures performed for female Stress Urinary Incontinence and Pelvic Organ Prolapse that are not easily reached using the OPCS-4 Alphabetical Index. This guidance is being finalised and will be published in the next issue of the Coding Clinic.
    • The COVID-19 National Clinical Coding Standards and Guidance are referenced within the ICD-10 Reference Book but will remain on Delen for the time being so that we can continue to quickly update the standards to reflect developing clinical knowledge of COVID-19, problems identified from helpdesk resolutions and any changes provided to us by WHO, ensuring you have the most up to date information to aid accurate and timely coding. However, we will be providing the COVID-19 Standards and Guidance in separate downloadable format.

    Kind regards,

    Terminology and Classifications Delivery Service

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    By Greg Tait 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 codes for COVID-19 vaccination

    ICD-10 codes for COVID-19 vaccination

    Published: January 2021

    Dear Colleague,

    Further ICD-10 emergency use codes to classify COVID-19 vaccination are being considered by the World Health Organization (WHO).  As a WHO Family of International Classifications (WHO-FIC) Collaboration Centre we are involved in the current discussions with WHO.  The codes being considered are for:

    • Need for immunisation against COVID-19 as a reason for encounter
    • COVID-19 vaccine causing adverse reaction 

    The codes and descriptions have yet to be finalised by WHO and will be supplemented by national guidance. 

    As soon as WHO publish the two new codes and national guidance has been agreed with the home nations, we will send a notification about the codes with any relevant instructions on their use.  This information will be posted under COVID-19 National Clinical Coding Standards and Guidance on our collaboration website. 

    Kind regards, 

    Terminology and Classifications Delivery Service

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    By Claire Fennell 1 year ago

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  • eVersion Notes for ICD-10 Emergency Use Codes

    Published November 2020

    Dear Colleague, 

    There are now a number of codes within categories U06.- Emergency use of U06 and U07.- Emergency use of U07 that have been designated for use for Zika Virus (U06.9), Vaping (U07.0) and COVID-19 (U07.1-U07.5). The codes within categories U06 and U07 are available within the ICD-10 5th Edition Codes and Titles file and the WHO ICD-10 Volume 1 Tabular List but their descriptions remain as ‘Emergency use of’ as it would be too great a burden on users to issue an update to the files.

    In order to assist users of the eVersion we have created a set of shared notes reflecting the code descriptions of the codes designated for emergency use within categories U06 and U07 that can be imported into the eVersion. These are available on our Classifications Browser and e-Versions page.

    Kind regards,

    Terminology and Classifications Delivery Service

    By Andrew Brooke 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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  • Summary of changes to Delen COVID-19 Standards: July 2020

    Published: June 2020

    Dear Colleague,

    Following discussions with data analysts we have made changes to the sequencing of COVID-19 (U07.1 Emergency use of U07.1 and U07.2 Emergency use of U07.2) with codes for unrelated conditions. This will ensure that time series analysis can continue to effectively identify the main condition treated or investigated during the relevant episode of healthcare, even where COVID-19 is treated but is not necessarily considered the main condition by the responsible consultant.

    The sequencing of U07.1 and U07.2 must be in line with DGCS.1: Primary Diagnosis and applies to episodes ending on or after 01 July 2020.

    The COVID-19 National Clinical Coding Standards and Guidance has been updated to reflect the changes and are outlined in the attached document. Red strikethrough indicates what has been deleted and blue underline indicates what has been added.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • Basic Anatomy & Physiology Manual 2020 and NCCQ (UK) Bibliography

    Published: May 2020

    Dear colleague,

    The Basic Anatomy & Physiology Clinical Coding Instruction Manual and NCCQ (UK) Syllabus, Framework and bibliography along with the NCCQ (UK) Self-Directed Learning Framework have been updated for 2020.

    The SNOMED CT section of the NCCQ (UK) bibliography has been simplified to include the SNOMED CT Awareness for Clinical Coders presentation.

    There have been some minor amendments to the A&P manual, these can be found in the table of changes located in Section 12 at the end of the manual. Following discussions with our publisher TSO, it has become clear that the demand for hard copies of the Basic Anatomy & Physiology Clinical Coding Instruction Manual has reduced significantly. The A&P manual sales average at only six per month and the books would require a significant price increase to offset the high production costs of a full colour publication, which makes the Print on Demand service a non-viable option.

    We have therefore taken the decision to cease production of hard copies of the A&P manual from the 2020 version onwards.

    Electronic versions of all of the reference books, including the A&P manual will continue to be available for download from Delen.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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