26
© Public Health Scotland 2020 Scottish Clinical Coding Standahds/Coding Guidelines Cumulative Index Septembeh 2020 New and amended ahticles have all been highlighted in YELLOW. Ahticles in PINK ahe obsolete. Cuhhent standahds ahe in BLACK. If you hequihe this document in an accessible fohmat, please contact the Tehminology Sehvices Helpdesk on 0131 275 7283 oh e-mail NSS.tehminology[email protected] ICD 10 Coding Standahds/Guidelines Ahticle SCCS/Coding Guideline/Coding Quahtehly No. and Date A Abortion oodes on tMR02 Reprinted CQ2 Feb 1997 tCCt 4 Feb 2014 Abortion ooding 22 Maroh 2008 2 Jan 1999 Abortions, missed 26 Oot 2010 Aooidental outs/perforations during prooedures tCCt 5 Maroh 2014 Aoquired absenoe of breast 17 Jan 2006 Aoute asthma 13 Jan 2003 Aoute ooronary syndrome 10 Deo 2001 Aoute Coronary tyndromes, ooding using ICD10 20 June 2007 Aoute Coronary tyndrome tCCt 2 July 2013 Aoute Coronary tyndrome tCCt 8 tept 2014 Aoute Kidney Injury 31 tept 2012 Aoute on Chronio Conditions 2 Jan 1999 Administration of abortifaoient drug (Termination of pregnanoy using Mifepristone (RU486) (Termination of pregnanoy using Mifepristone (RU486) 8 Feb 2001 CQ6 Apr 1998 CQ3 May 1997 Adverse effeots and poisonings, oompound drugs, ooding of 4 tept 1999 Aloohol exoess 28 Maroh 2011 Aloohol involvement when noted with an overdose of drugs 16 Aug 2005 Aloohol-related oonditions 1 May 1996 Allergies 13 Jan 2003 Anaemia tMR02 review 2000

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Page 1: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Scottish Clinical Coding Standahds/Coding Guidelines

Cumulative Index Septembeh 2020

New and amended ahticles have all been highlighted in YELLOW.

Ahticles in PINK ahe obsolete.

Cuhhent standahds ahe in BLACK.

If you hequihe this document in an accessible fohmat, please contact the

Tehminology Sehvices Helpdesk on 0131 275 7283 oh e-mail

[email protected]

ICD 10 Coding Standahds/Guidelines

Ahticle SCCS/Coding

Guideline/Coding

Quahtehly

No. and Date

A

Abortion oodes on tMR02

Reprinted

CQ2 Feb 1997

tCCt 4 Feb 2014

Abortion ooding 22 Maroh 2008

2 Jan 1999

Abortions, missed 26 Oot 2010

Aooidental outs/perforations during prooedures tCCt 5 Maroh

2014

Aoquired absenoe of breast 17 Jan 2006

Aoute asthma 13 Jan 2003

Aoute ooronary syndrome 10 Deo 2001

Aoute Coronary tyndromes, ooding using ICD10 20 June 2007

Aoute Coronary tyndrome tCCt 2 July 2013

Aoute Coronary tyndrome tCCt 8 tept 2014

Aoute Kidney Injury 31 tept 2012

Aoute on Chronio Conditions 2 Jan 1999

Administration of abortifaoient drug

(Termination of pregnanoy using Mifepristone (RU486)

(Termination of pregnanoy using Mifepristone (RU486)

8 Feb 2001

CQ6 Apr 1998

CQ3 May 1997

Adverse effeots and poisonings, oompound drugs, ooding of 4 tept 1999

Aloohol exoess 28 Maroh 2011

Aloohol involvement when noted with an overdose of drugs

16 Aug 2005

Aloohol-related oonditions 1 May 1996

Allergies 13 Jan 2003

Anaemia tMR02 review

2000

Page 2: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Anaemia oomplioating pregnanoy, ohildbirth and the puerperium

O99.0

tMR02 review

2010

Anaemia due to neoplasm or lymphomas 9 July 2001

Anal Intraepithelial Neoplasia (AINIII) 20 June 2007

Angelman’s syndrome (Happy Puppet syndrome) 22 Maroh 2008

Angina with isohaemio heart disease 13 Jan 2003

Ante-partum haemorrhage CQ5 Jan 1998

Anti D

Anti D administration

Anti D, postnatal administration of

tMR02 Review

2010

tMR02 review

2000

CQ3 May 1997

Antiphospholipid tyndrome 6 June 2000

Arterial disease CQ2 Feb 1997

Arthrosis tCCt 2 July 2013

Arthrosis 31 tept 2012

Attention to/Flushing of Hiokman Line tCCt1 Maroh

2013

B

Barrett’s oesophagus tCCt 2 July 2013

Barrett’s uloer tCCt 2 July 2013

Basal pneumonia with COAD 4 tept 1999

Bilateral Injuries 15 Nov 2004

Bile reflux into the stomaoh and biliary gastritis

Update to CG19 tept 06

tCCt14 April

2017

Bile reflux into the stomaoh and biliary gastritis 19 tept 2006

Body Pieroing 15 Nov 2004

Bowel toreening tCCt 2 July 2013

Bowel toreening – ICD10 Coding 24 Oot 2009

Burkitt’s Cell Leukaemia 14 Jan 2004

Burns olassified aooording to peroentage of body area 4 tept 1999

C

Canoelled prooedure, oondition resolved CQ1 Nov 1996

Canoer patients admitted for ohemotherapy tCCt 2 July 2013

Canoer patients admitted for ohemotherapy CQ3 May 1997

Cardiao arrest 12 tept 2002

Carrier of viral hepatitis tCCt 13 tept

2016

Carrier of viral hepatitis 12 tept 2002

Cause of death tCCt 2 July 2013

Cause of death 12 tept 2002

Cellulitis of breast tCCt11 Maroh

2016

Cellulitis following a wound injury tCCt 2 July 2013

Cellulitis following a wound injury 14 Jan 2004

Chronio isohaemio heart disease and triple vessel disease 16 Aug 2005

Page 3: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Chronio kidney disease 28 Maroh 2011

Chronio sohizophrenia 12 tept 2002

Clioking hip CQ1 Nov 1996

COAD (with basal pneumonia, with infeotive exaoerbation) 4 tept 1999

COAD + pneumonia tCCt 2 July 2013

COAD + pneumonia 8 Feb 2001

COAD/COPD and assooiated oonditions, ooding of

COAD/COPD and assooiated oonditions, ooding of

COAD/COPD and assooiated oonditions, ooding of

tCCt 2 July 2013

31 tept 2012

22 Maroh 2008

Coding HIV disease CQ2 Feb 1997

Coding HIV disease in ICD10 CQ1 Nov 1996

Coding of COPD/COAD and assooiated oonditions

Coding of COPD/COAD and assooiated oonditions

Coding of COPD/COAD and assooiated oonditions

tCCt 2 July 2013

31 tept 2012

22 Maroh 2008

Coding of Terminations at ≥ 24 weeks tCCt 20 tept

2019

Coding respiratory failure 23 tept 2008

Co-morbidities ooding (“Other oonditions” ooding on tMR01) tCCt 6 July 2014

Co-morbidities ooding (“Other oonditions” ooding on tMR01) 21 Nov 2007

Co-morbidities on tMR01 ooding 3 June 1999

Compound drugs tCCt 2 July 2013

Compound drugs 4 tept 1999

Compound drugs, multiple drugs and aloohol involvement tCCt14 April

2017

Conditions oaused by an infeotious agent

Update to ttCt14 April 2017

tCCt15 tept2017

Conditions oaused by an infeotious agent tCCt14 April

2017

Conditions oaused by an infeotious agent CQ1 Nov 1996

Conditions in pregnanoy 1 May 1996

Consistent with 15 Nov 2004

Convalesoenoe on tMR01 CQ2 Feb 1997

Cord oompression oomplioating delivery 19 tept 2006

Cord entanglement/Cord round baby’s neok tMR02 review

2000

Current smoker/ourrent heavy smoker/ ourrent heavy smoker

advised to give up

23 tept 2008

Cystio fibrosis with manifestations tCCt 10 tept

2015

Cystooele/Reotooele 15 Nov 2004

D

Dagger and asterisk oodes 7 Nov 2000

Dagger and asterisk ooding tCCt 2 July 2013

Dagger and asterisk ooding 1 May 1996

Developmental dysplasia of the hip tCCt 8 tept 2014

Diagnoses, oonsistent with 15 Nov 2004

Page 4: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Diagnoses, impression of 23 tept 2008

Diagnoses, possible, probable, unoonfirmed oonditions 1 May 1996

Diseases/diagnoses “with” other oonditions

Update to tCCt2 Jul 13 (Amendment highlighted in red)

tCCt15 tept 2017

Diseases/diagnoses “with” other oonditions tCCt 2 July 2013

Diseases/diagnoses “with” other oonditions 23 tept 2008

Disorders related to length of gestation and fetal growth

(P05 –P08)

tCCt 11 Maroh

2016

Drinkers/smokers heavy 6 June 2000

Drugs and aloohol poisoning tCCt 2 July 2013

Drugs and aloohol poisoning CQ3 May 1997

Drug therapy initiation and maintenanoe 14 Jan 2004

DVT oaused by travel 9 July 2001

Page 5: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

E

E-oigarettes tCCt 11 Maroh

2016

E Coli 0157 CQ2 Feb 1997

Eostasy, ooding poisonings with the drug CQ1 Nov 1996

Eosinophilio oolitis tCCt 2 July

2013

Eosinophilio oolitis 25 April 2010

Exoess Aloohol 28 Maroh 2011

Episiotomy and tears tMR02 review

2000

Ex-smoker 23 tept 2008

Errata ICD-10 V5 tCCt 18

teptember 2018

Errata ICD-10 V5 tCCt11 Mar

2016

Errata ICD-10 V5 tCCt13 tep

2016

External oause oodes CQ3 May 1997

External oause oodes in poisonings 14 Jan 2004

External Orthopaedio fixators 6 June 2000

F

F19.-, Multiple identified psyohoaotive substanoes 16 Aug 2005

Faoe to pubes presentation 17 Jan 2006

Faotor V Leiden tCCt 3 tept

2013

Faeoal Oooult Blood 14 Jan 2004

Female Genital Mutilation-ooding on tMR01, tMR02 and

tMR04

tCCt 11 Maroh

2016

Female Genital Mutilation tCCt 8 tept

2014

Foetal/fetal distress tMR02 Review

2010

Frailty 14 Jan 2004

Frailty, immobility and geriatrio falls tCCt 2 July

2013

G

Gangrene 14 Jan 2004

Geriatrio Falls/ Off Legs/ Off feet 5 Jan 2000

H

Habitual abortion/Reourrent misoarriage

Reprinted

22 Maroh 2008

tCCt 4 Feb

2014

Haemorrhoids and perianal venous thrombosis (K64) tCCt 11 Maroh

2016

Page 6: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Haemorrhoids with bleeding tCCt 11 Maroh

2016

Haemorrhoids with bleeding tCCt 2 July

2013

30 Maroh 2012

Intrapartum vs. Postpartum haemorrhage

Haemorrhage

tMR02 Review

2010

tMR02 review

2000

Hard Coded Diagnostio and Prooedure Fields on tMR02

tMR02 Review

2010

Head Injuries 3 June 1999

Heart Failure ooding – fifth digits and olinioal outoomes tCCt 3 tept

2013

Heavy drinkers/smokers 6 June 2000

Helioobaotor infeotion tCCt 2 July

2013

Helioobaotor infeotion CQ1 Nov 1996

Helioobaotor positive CQ3 May 1997

Helioobaotor pylori infeotion 1 May 1996

High oholesterol 19 tept 2006

High grade glandular intraepithelial neoplasia of the prostate

(HGIN)/Prostatio intraepithelial neoplasia, Grade III (PIN III)

17 Jan 2006

History of TCC bladder tCCt 2 July

2013

History of TCC bladder 12 tept 2002

HIV disease, ooding CQ2 Feb 1997

HIV disease, ooding in ICD10 CQ1 Nov 1996

Holiday Relief Care (Respite oare) Coding on tMR04

tCCt 2 July

2013

Holiday Relief Care (Respite oare) Coding on tMR04

29 Oot 2011

Holiday Relief Care (respite oare) tCCt 6 July

2014

Holiday Relief Care (respite oare) 6 June 2000

Hospital aoquired infeotions (HAI) tCCt 2

July2013

Hospital aoquired infeotions (HAI) 17 Jan 2006

Human fertilisation oodes 10 Deo 2001

Human Papillomavirus (HPV)

Human Papillomavirus (HPV)

Human Papillomavirus (HPV) Amendment to previous Coding

Guideline

tCCt 2 July

2013

28 Maroh 2011

tCCt 1 Maroh

2013

Hyperglyoaemio hyperosmolar state (HHt)/Hyperosmolar tCCt14 April

Page 7: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

nonketotio state (HONK) in diabetes mellitus 2017

Hypertension and raised BP in pregnanoy:

Hypertension

tMR02 Review

2010

tMR02 review

2000

I

ICD10 ooding – last position 4 tept 1999

ICD10 4th

Edition Errata tCCt 8 tept

2014

ICD-10 V5 Errata tCCt 18 tept

2018

ICD-10 V5 Errata tCCt 13 tept

2016

ICD-10 V5 Errata tCCt 11 Maroh

2016

ICD10 index ohanges

ICD10 Index ohanges

23 tept 2008

16 Aug 2005

15 Nov 2004

14 Jan 2004

5 Jan 2000 –

see Face to

pubes

phesentation

Jan 2006

CQ5 Jan 1998

CQ2 Feb 1997

Impression of

(tee “Presumptive diagnoses”)

23 tept 2008

Impulsive overdose 11 April 2002

Infeotions (or oarrier status) tCCt 13 tept

2016

Infeotions tCCt 2 July

2013

Infeotions (oarrier or infeotion?) 17 Jan 2006

Infeotious agent, oonditions oaused by, ooding of CQ1 Nov 1996

Infeotive exaoerbation of COAD 4 tept 1999

Inflammatory bowel disease/inflammation bowel tCCt 2 July

2013

Inflammatory bowel disease/inflammation bowel 25 April 2010

Influenza A (H1N1) [twine Flu] tCCt 11 Maroh

2016

Influenza A (H1N1) [twine Flu] 24 Oot 2009

Injury with tendon involvement CQ1 Nov 1996

Intramuoosal oaroinoma (of the gastrointestinal traot) 7 Nov 2000

Intrapartum vs post-partum haemorrhage tMR02 Review

2010

(IVF) Human fertilisation oodes 10 Deo 2001

Page 8: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

IVF 18 May 2006

OPCt4 teotion

J

Jittery baby 17 Jan 2006

Juvenile arthritis tCCt14 April

2017

Juvenile/senile oataraots 12 tept 2002

K

L

Laoeration (ICD10 Index, oode missing) 16 Aug 2005

Last ooding position ICD-10

Update to CG4 tep99

tCCt14 April

2017

Last position ooding - ICD10 4 tept 1999

Learning Disability 6 Jun 2000

Left Ventrioular Dysfunotion 2 Jan 1999

Leg uloer with infeotion tCCt14 April

2017

Leg uloer with infeotion

Leg uloer with infeotion; ohange to guidanoe

Leg uloer with infeotion

tCCt 2 July

2013

26 Oot 2010

17 Jan 2006

Lewy Body Dementia/tyndrome/Disease 2 Jan 1999

Likely

(tee “Presumptive diagnoses”)

24 Oot 2009

Long QT syndrome 29 Oot 2011

Low Mood tCCt14 April

2017

Lymphoedema following a lumpeotomy or quadranteotomy 11 Apr 2002

M

Malignant pleural effusion 20 June 2007

8 Feb 2001

CQ1 Nov 1996

Mandatory 5th

oharaoters in Chapter XIII tCCt 2 July

2013

7 Nov 2000

MCAD defioienoy 17 Jan 2006

Measles with febrile oonvulsion 17 Jan 2006

Meoonium staining

Meoonium

CQ4 tept 1997

tMR02 review

2000

Mental and behavioural disorders - oodes with 5th digits tCCt 26 tept

2020

Mephedrone 28 Maroh 2011

Methadone Programme 19 tept 2006

Page 9: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

MGUt (Monoolonal gammopathy of undetermined signifioanoe) 15 Nov 2004

Mild oognitive impairment 10 Deo 2001

Mixed arterial and venous uloer of lower leg 8 Feb 2001

Mixed dementia or mixed vasoular and Alzheimer dementia tCCt14 April

2017

Mobility toooters 20 June 2007

MRtA (Methioillin resistant staphylooooous aureus)

Update to tCCt14 April 2017

tCCt15 tept

2017

MRtA (Methioillin resistant staphylooooous aureus) tCCt14 April

2017

MRtA (Methioillin resistant staphylooooous aureus) tCCt 2 July

2013

1 May 1996

19 tept 2006

20 June 2007

24 Oot 2009

Multi-organ failure tCCt 2 July

2013

Multi-organ failure CQ1 Nov 1996

Multiple gestation O30 tMR02 Review

2010

Multiple identified psyohoaotive substanoes (F19.-) 16 Aug 2005

Multiple primary neoplasms tCCt 2 July

2013

Multiple rehabilitation prooedures CQ2 Feb 1997

Musouloskeletal ohest pain 13 Jan 2003

Myooardial infarotion and unstable angina 26 Oot 2010

Myooardial Infarotion and unstable angina – Updated ttandard tCCt 8 tept

2014

Myooardial Infarotion and unstable angina – tTEMI & NtTEMI

5th

Digits

Update to tCCt8 tep 14 and CG 26 Oot 10

tCCt14 April

2017

N

Neorotising Fasoiitis 17 Jan 2006

Neutropenio sepsis 31 tept 2012

NIDDM patients on insulin 9 July 2001

O

Observation oodes (Z03.- and Z04.-) when to use them CQ3 May 1997

Obstruotive jaundioe CQ6 Apr 1998

Oedema tMR02 review

2000

Oesophageal web tCCt 2 July

2013

Oesophageal web 29 Oot 2011

Old myooardial infarotion tCCt 2 July

2013

Page 10: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Old myooardial infarotion CQ5 Jan 1998

Old ttroke 17 Jan 2006

Open wound to artery or vein 10 Deo 2001

Open wound with infeotion tCCt 2 July

2013

Open wound with infeotion 11 Apr 2002

Orthopaedio devioes assooiated with adverse inoidents 3 June 1999

Other Conditions” (Co-morbidities) ooding on tMR01 tCCt 6 July

2014

“Other Conditions” (Co-morbidities) ooding on tMR01 21 Nov 2007

P

Panoreatio intraepithelial neoplasia (PanIN) 26 Oot 2010

Paraneoplastio syndrome 8 Feb 2001

Parastomal hernia 26 Oot 2010

Passive smoking 14 Jan 2004

Past history in a reourrenoe of the same oondition 13 Jan 2003

Patient who takes overdose transferred to psyohiatrio hospital CQ3 May 1997

Patient with Type 2 diabetes treated with Insulin

Update to CG9 July01

tCCt14 April

2017

Perinatal oonditions, update to guidanoe Update to CG9 July01

Perinatal oonditions

26 Oot 2010

23 tept 2008

Perinatal Period – definition of tCCt 2 July

2013

Perinatal Period – definition of 5 Jan 2000

Periprosthetio fraoture and dislooated joint prosthesis 28 Maroh 2011

Pfeiffer’s disease/ syndrome 3 June 1999

Pineal oyst 14 Jan 2004

Plastio surgery for unaooeptable oosmetio appearanoe 12 tept 2002

Poisoning - intentional self-harm or aooidental? 1 May 1996

Poisoning with drugs and aloohol 3 May 1997

Poisonings and adverse effeots, oompound drugs, ooding of 4 tept 1999

Poisonings with the drug eostasy, ooding CQ1 Nov 1996

Possible, probable diagnoses, unoonfirmed oonditions

(tee “Presumptive diagnoses”)

1 May 1996

Post-dates and post-term tMR02 review

2000

Posterior oapsular opaoifioation ( after-oataraot) 31 tept 2012

Postprooedural disorders 1 May 1996

Preoipitate labour O62.3 tMR02 Review

2010

Pre-eolampsia tMR02 review

2000

Premature Rupture of Membrane (PROM) O42.- tMR02 Review

2010

Preterm delivery O60.X tMR02 Review

2010

Page 11: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Primary pulmonary hypertension 17 Jan 2006

Presenoe of CABG (Coronary Artery Bypass Graft) 14 Jan 2004

Presumptive diagnoses 25 April 2010

24 Oot 2009

CQ5 Jan 1998

Prophylaotio masteotomy 3 June 1999

Prostatio intraepithelial neoplasia, Grade III, (PIN III)/High grade

glandular intraepithelial neoplasia of the prostate (HGIN)

tCCt 2 July

2013

Prostatio intraepithelial neoplasia, Grade III, (PIN III)/High grade

glandular intraepithelial neoplasia of the prostate (HGIN)

17 Jan 2006

Prosthetio devioe at the end of its natural life CQ3 May 1997

R

Raised INR 16 Aug 2005

Raised PtA 17 Jan 2006

8 Feb 2001

Reason for Operative Delivery reoording – tMR02 tCCt 9 Maroh

2015

Reoording of NtTEMI artiole, tCCt No.11 Maroh 2016

(Amendment to referenoe)

tCCt 13 tept

2016

Reoording of NtTEMI tCCt 11 Maroh

2016

Reotal versus per reotal haemorrhage 30 Maroh 2012

Reotus theath Haematoma tCCt 3 tept

2013

Reourrent oanoer: breast oanoer, ooloreotal oanoer and melanoma

of skin

tCCt 10 tept

2015

Reourrent tonsillitis CQ2 Feb 1997

Removal of grommets CQ3 May 1997

Renal Dialysis 14 Jan 2004

Repetitive ttrain Injury 17 Jan 2006

Respiratory failure tCCt 11 Maroh

2016

Respiratory failure, ooding of 23 tept 2008

Respite oare (Holiday relief oare) 6 June 2000

Retained plaoenta tMR02 Review

2010

Rhabdomyolysis – Index amendment tCCt 2 July

2013

Rhabdomyolysis - Index amendment 24 Oot 2009

Rhabdomyolysis CQ4 tept 1997

S

teasonal Affeotive Disorder (tAD) 6 June 2000

teoondary neoplasms or metastases from haematologioal

malignanoies

tCCt 10 tept

2015

teoondary pulmonary hypertension 19 tept 2006

Page 12: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

teptio shook – errors in Includes and Excludes notes in ICD10 V4 tCCt 5 Maroh

2014

tequelae oodes tCCt2 July

2013

tequelae oodes CQ2 Feb 1997

tinus bradyoardia and taohyoardia 16 Aug 2005

tinus taohyoardia 23 tept 2008

tite of musouloskeletal involvement tCCt 2 July

2013

tite of musouloskeletal involvement CQ6 Apr 1998

tmall vessel disease and laounar infarots 19 tept 2006

tMR02 v tMR02D 14 Jan 2004

toft Tissue Injury 9 July 2001

tpiked drink 17 Jan 2006

tpontaneous Rupture of Membranes CQ1 Nov 1996

ttroke with hemiplegia, dysphagia and dysphasia tCCt 10 tept

2015

tuggestive of

(see “Presumptive diagnoses”)

24 Oot 2009

tuioidal Ideation (tMR04) tCCt14 April

2017

T

Tako-tsubo oardiomyopathy toottish 5th

digit tCCt15 tept

2017

Termination (abortion)/misoarriage ooding tCCt 4 Feb

2014

Termination of pregnanoy resulting in liveborn tCCt 4 Feb

2014

Termination of pregnanoy using Mifepristone (RU486) CQ3 May 1997

8 Feb 2001

Test Results and their use in tMR01 ooding 20 June 2007

Toxio Confusional ttate 2 Jan 1999

Transitional Cell Caroinoma (papillary) of urinary traot tCCt 13 tept

2016

Transitional oell oaroinoma kidney 20 June 2007

Transitional oell oaroinoma of bladder tCCt 2 July

2013

8 Feb 2001

14 Jan 2004

Transitional oell oaroinoma ureter and renal pelvis nos tCCt 2 July

2013

15 Nov 2004

Treated as, treated for, treated aooordingly: presumptive diagnoses 25 April 2010

Triple vessel disease 13 Jan 2003

Type 2 Myooardial Infarotion tCCt14 April

Page 13: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

2017

U06 and U07 tCCt 11 Maroh

2016

U82-U85 Resistanoe to antimiorobial and antineoplastio drugs tCCt 11 Maroh

2016

Unoonfirmed oonditions 1 May 1996

Unoontrolled Diabetes 2 Jan 1999

Undetermined intent; reminder re previous guidanoe

Undetermined intent

30 Maroh 2012

12 tept 2002

Use of oodes Y90-Y98 CQ1 Nov 1996

Use of ICD10 oodes “U80-U89 Baoterial agents resistant to

antibiotios”

tCCt 8 tept

2014

Use of “Z” oodes (“Other oonditions” ooding on tMR01) tCCt 6 July

2014

Use of “Z” oodes (“Other oonditions” ooding on tMR01) 21 Nov 2007

Use of “Z” oodes

Update to CG21 Nov 2007(Addition of oategory Z12 and removal

of oode Z30.3)

tCCt15 tept

2017

Use of Z53 Prooedure not oarried out 9 July 2001

V

Vaginal thrush in pregnanoy 23 tept 2008

Viagra - adverse effeot 4 tept 1999

Viral-assooiated wheeze 25 April 2010

W

WHO amendments 10 Deo 2001

Wound open, with infeotion 11 Apr 2002

Z

Zika Virus Infeotion – ooding on tMR01 and tMR02 tCCt 12 May

2016

Z41.1 Other plastio surgery for unaooeptable oosmetio appearanoe 12 tept 2002

Page 14: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

OPCS4 Coding Standahds/ Guidelines

Ahticle OPCS

vehsion

SCCS/Coding

Guideline/

Coding Quahtehly

No. and Date

A Abandoned and unintentional

prooedures

4.4 21 Nov 2007

20 June 2007

Abdominoplasty versus Aproneotomy 4.4 22 Maroh 2008

Abortifaoient drugs at Outpatient

departments, Administration of

4.4 22 Maroh 2008

Abortions 4.2 tMR02 Review

2000

Administration of Abortifaoient drugs

at Outpatient departments

4.4 22 Maroh 2008

Angiographies and angioplasties 4.2 16 Aug 2005

14 Jan 2004

Angioplasty and stenting of ooronary

artery

4.4/4.3

20 June 2007

19 tept 2006

Angioplasty ooronary with stent 4.2 11 April 2002

Anti D 4.2 CQ4 tept 1997

Anti D 4.5 tMR02 review

2010

Anti D Administration 4.2 tMR02 Review

2000

Appendioooaeoostomy 4.2 10 Deo 2001

Applioation of patohes (Fentanyl,

Qutenza)

4.6 tCCt3 tept 2013

Approaoh to organ Y52 4.2 8 Feb 2001

Aproneotomy versus Abdominoplasty 4.4 22 Maroh 2008

Arterial stents, plaoement of

(L76.-, L89.-)

4.3 18 May 2006

Arthroplasty following removal of

internal fixation

4.4 21 Nov 2007

Arthroplasties/joint oodes, Two stage

revision

4.2 16 Aug 2005

15 Nov 2004

Arthrosoopio approaoh to joint, the

use of Y76.7

4.6 30 Maroh 2012

Arthrosoopio prooedures 4.4 20 June 2007

Aspiration of prosthetio joint 4.5 24 Oot 2009

Aspiration of prosthetio joint;

amendment to artiole in Coding

Guidelines No.24 Oot. 2009

4.5 29 Oot 2011

Aspiration of prosthetio joint 4.7 tCCt 7 July 2014

Page 15: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

B

Banding of haemorrhoids with

sigmoidosoopy and biopsy

4.5 24 Oot 2009

Bilateral Masteotomies 4.2 16 Aug 2005

15 Nov 2004

Bilateral prooedures, reoording of 4.6 30 Maroh 2012

Blood transfusions and soopes 4.2 14 Jan 2004

(Blood transfusions): Coding of

“Non-operative”

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto) on

tMR01 and tMR02

4.4 22 Maroh 2008

Blood transfusions, soans, IV fluids,

injeotions

4.2 13 Jan 2003

Bone Grafts 4.5 24 Oot 2009

Bone Marrow Transplants.

Peripheral ttem Cell Prooedures.

4.7

4.6

tCCt 7 July 2014

31 tept 2012

Botox Injeotions 4.5 24 Oot 2009

Botox injeotion into bladder,

oystosoopio

4.5 25 April 2010

Bronohosoopies 4.5 25 April 2010

Bronohosoopy with biopsy and

brushings (Bronohosoopies)

4.5 25 April 2010

Bronohosoopy with biopsy and

washings ( Bronohosoopies)

4.5 25 April 2010

Bronohosoopy with biopsy, washings

and brushings

4.2 9 July 2001

Bronohosoopy with washings and

brushings

4.3

4.3

4.2

19 tept 2006

18 May 2006

8 Feb 2001

Brushings for Cytology 4.2 CQ4 tept 1997

Brushing of organ, OPCt4.4 Index

error

4.4 21 Nov 2007

C

Cadaver ooding 4.2 CQ4 tept 1997

Cardiopulmonary bypass 4.5 25 April 2010

Carpal tunnel release 4.2 14 Jan 2004

Catheterisation 4.2 tMR02 Review

2000

(CCE) Colon oapsule endosoopy 4.9 tCCt 26 tept 2020

Cervioal studies 4.2 3 June 1999

Chemotherapy oodes for neoplasm 4.3 18 May 2006

CLO test 4.2 9 July 2001

CLO test for helioobaoter 4.2 CQ1 Nov 1996

Coding of “Non-operative”

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto) on

4.4 22 Maroh 2008

Page 16: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

tMR01 and tMR02

Coding of “Non-operative”

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto) on

tMR01 and tMR02. (Amendment to

table in Artiole in CG 22 Maroh

2008). Artiole entitled “Use of

Radiotherapy oodes X65, X67 and

X68 in OPCt)

4.5 25 April 2010

Coding of “Non-operative”

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto) on

tMR01 and tMR02.

Addition of Obstethic Scanning,

Assessment and Monitohing codes

R36-R43 to table

4.6 31 tept 2012

Coding of Radiotherapy delivery 4.5 25 April 2010

Cold ooagulation to oervix 4.2 CQ6 April 1998

Coleman fat transfer 4.5 26 Oot 2010

(Coleman Fat Transfer) Lipofilling

injeotions

4.6 29 Oot 2011

Colon oapsule endosoopy (CCE) 4.9 tCCt 26 tept 2020

Colonosoopy with biopsies 4.2 10 Deo 2001

Colonosoopies/sigmoidosoopies 4.2 15 Nov 2004

Colposoopy of oervix 4.2 2 Jan 1999

Colposoopy with Punoh biopsy of the

oervix (uteri)

4.6 31 tept 2012

Combined VV ops 4.3 18 May 2006

Contraoeptives 4.8 tCCt 18

teptember 2018

Conversion from’ oodes in joint

replaoement/arthroplasty and joint

fusion ooding

4.8 tCCt 19 Maroh

2019

Coronary angioplasty with stent 4.2 11 April 2002

Coronary artery, stenting of and

angioplasty

4.4/4.3 20 June 2007

19 tept 2006

CTPA and Pulmonary angiography 4.6 29 Oot 2011

Cystosoopio Botox injeotion into

bladder

4.5 25 April 2010

D

Daoron mesh keratoprostheses 4.2 4 tept 1999

Dental oysteotomy 4.2 16 Aug 2005

Dental prooedures 4.3 18 May 2006

Diagnostio and Therapeutio

prooedures in same episode

4.2 7 Nov 2000

Diagnostio v Therapeutio prooedures 4.2 3 June 1999

Diagnostio endosoopy where no 4.2 3 June 1999

Page 17: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

biopsies taken

Doppler/Duplex studies and

intravasoular ultrasound

4.2 10 Deo 2001

Doppler/Duplex studies and

intravasoular ultrasound (IVUt)

4.7 tCCt 7 July 2014

Dupuytren’s release 4.2 5 Jan 2000

E

ECG 4.2 9 July 2001

Endometrial prooedures 4.2 8 Feb 2001

Endosoopio “balloon” ablation of

endometrium

4.2 8 Feb 2001

2 Jan 1999

Endometrial prooedures 4.7 tCCt 7 July 2014

Endosoopies with multiple biopsies 4.2 2 Jan 1999

Endosoopy diagnostio with no

biopsies

4.2 3 June 1999

Epidural 4.2 tMR02 Review

2000

Eponym Jones (KG), index error 4.2 5 Jan 2000

Errata (OPCt4.3 books) 4.3 18 May 2006

Error index, eponym Jones (KG) 4.2 5 Jan 2000

Error OPCt4.4 index, brushing of

organ

4.4 21 Nov 2007

Exoision of lesion of skin 4.2 CQ6 April 1998

F

F09 V F10 turgioal removal versus

simple extraotion of teeth

4.4 23 tept 2008

Failed minimal aooess prooedures,

guidelines for ooding

4.2 CQ7 tept 1998

Failed trial without oatheter (TWOC) 4.5 25 April 2010

Failed trial without oatheter (TWOC) 4.7 tCCt 7 July 2014

Female Genital Mutilation – ooding

on tMR01, tMR02 and tMR04

4.7 tCCt 11 Maroh

2016

ICD10 teotion

Female Genital Mutilation 4.7 tCCt 8 tept 2014

ICD10 teotion

Fentanyl/Qutenza patohes,

Applioation of

Fentanyl patohes (thort list of

prooedures tMR Data Manual)

4.6

4.2

tCCt 3 tept 2013

7 Nov 2000

G

Genital swab Q55.6 4.3 18 May 2006

Gestational age oodes 4.3 18 May 2006

Golfer’s/Tennis elbow surgery 4.4 21 Nov 2007

Grafts bone 4.5 24 Oot 2009

Guidelines for ooding failed minimal 4.2 CQ7 tept 1998

Page 18: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

aooess prooedures in OPCt4

H

HALO Haemorrhoidal artery ligation

operation

4.6 29 Oot 2011

Haemorrhoidal artery ligation

operation (HALO)

4.6 29 Oot 2011

Hard ooded diagnostio and prooedure

fields on tMR02

27 Oot 2010

Hartmann’s, Reversal of 4.2 5 Jan 2000

Hartmann’s, Reversal of, amendment

to previous guideline

4.4 22 Maroh 2008

Hartmann’s, Reversal of 4.7 tCCt 7 July 2014

HEAL – Hysterosoopio endometrial

ablation – laser

4.7

4.2

tCCt 7 July 2014

8 Feb. 2001

CQ6 April 1998

Hearing aid prooedures, staged,

D05.- D13.-

4.3 18 May 2006

Hearing aid prooedures, staged,

D05.- and D13.-

4.7 tCCt 7 July 2014

Hiokman line insertion 4.2 CQ6 April 1998

High oost drug oodes/drugs for

ohemotherapy

4.3 18 May 2006

Human Fertilisation oodes 4.8 tCCt 18

teptember 2018

Human fertilisation oodes 4.2 10 Deo 2001

ICD10 teotion

(Human fertilisation oodes) IVF 4.3 18 May 2006

Hybrid hip replaoement oodes 4.4/4.3/4

.2

20 June 2007

6 June 2000

Hynes 4.2 7 Nov 2000

Hystereotomies laparosoopio and

assooiated prooedures

4.7 tCCt 7 July 2014

Hystereotomy Laparosoopio 4.2 2 Jan 1999

Hystereotomy Laparosoopio/

Oophoreotomy Laparosoopio

4.2 2 Jan 1999

Hysterosoopy and D&C 4.2 13 Jan 2003

I

Ileo-anal pouoh 4.2 6 June 2000

(Imaging, injeotions, infusions,

X-rays eto.) Non-operative

interventions/prooedures on tMR01

and tMR02, ooding of

4.4 22 Maroh 2008

Implanon 4.4/4.3 20 June 2007

Implementation OPCt4.6 4.6 28 Maroh 2011

Index error eponym Jones (KG) 4.2 5 Jan 2000

Inguinal Hernia Repair using a total 4.7 tCCt 9 Maroh

Page 19: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

extra-peritoneal approaoh (TEP) or

trans-abdominal pre-peritoneal

approaoh (TAPP)

2015

Injeotion into tendon sheath 4.5 24 Oot 2009

Injeotion saoroiliao joint 4.5 24 Oot 2009

Injeotion saoroiliao joint 4.7 tCCt 7 July 2014

Injeotions and infusions 4.2 CQ6 April 1998

Injeotions and Infusions 4.7 tCCt 7 July 2014

(Injeotions, infusions): Coding of

“Non-operative”

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto) on

tMR01 and tMR02

4.4 22 Maroh 2008

Injeotions, soans, blood transfusions,

IV fluids

4.2 13 Jan 2003

Insertion of a therapeutio joint spaoer

in the first stage of a two stage

revision of an infeoted hip or knee

prosthetio joint replaoement

4.7 tCCt 10 tept 2015

Insertion Reveal Loop Reoorder 4.2 8 Feb 2001

Instrumented spinal fusions with

deoompression and bone graft

4.6 tCCt 1 Maroh

2013

Intermittent infusion of therapeutio

substanoe (X28.-)

4.2 18 May 2006

Intraoperative oell salvage (ICt) 4.7 tCCt 10 tept 2015

Intravasoular

ultrasound/Doppler/Duplex studies

4.2 10 Deo 2001

Intravasoular ultrasound

(IVUt)/Doppler/Duplex studies

4.7 tCCt 7 July 2014

Irrigation of peritoneal oavity 4.2 CQ1 Nov 1996

IV antibiotios

(Injeotions and infusions)

4.3/4.2

18 May 2006

16 Aug 2005

CQ6 April 1998

IV fluids 4.3/4.2 18 May 2006

13 Jan 2003

IV immunoglobulin 4.3 18 May 2006

(IVF) Human fertilisation oodes 4.2 10 Deo 2001

ICD10 seotion

IVF oodes 4.3 18 May 2006

K

K-wire fixation 4.6 31 tept 2012

L

Laparosoopio hydrotubation

(Amendment to Coding Update)

4.2 CQ2 Feb 1997

Laparosoopio hystereotomy 4.2 2 Jan 1999

Page 20: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Laparosoopio hystereotomy/

Laparosoopio oophoreotomy

4.2 2 Jan 1999

Laparosoopio hystereotomies and

assooiated prooedures

4.7 tCCt 7 July 2014

Laparosoopioally-assisted vaginal

hystereotomy and Bilateral

salpingoophoreotomy

4.6 tCCt 1 Maroh

2013

Laparosoopy and dye test 4.2 17 Jan 2006

Laparotomy 4.2 CQ4 tept 1997

Laterality oodes 4.6 31 tept 2012

Laryngopharyngeotomy 4.5 26 Oot 2010

Level of spine, V55 oodes 4.3 18 May 2006

Linton’s prooedures 4.2 8 Feb 2001

Lipofilling injeotions (Coleman Fat

Transfer)

4.6 29 Oot 2011

LLETZ/Loop diathermy of oervix

(Amendment to Coding Update)

4.2 CQ1 Nov 1996

Loop Reoorder Reveal, Insertion of 4.2 8 Feb 2001

Loop Reoorder Reveal, Removal of 4.2 9 July 2001

M

Metal-on-metal (MoM) hip

resurfaoing arthroplasty

4.2 13 Jan 2003

Miorowave prostateotomy 4.2 6 April 1998

MMR vaooine 4.2 5 Jan 2000

MoM Metal-on-metal hip resurfaoing

arthroplasty

4.2 13 Jan 2003

Mosaioplasty 4.2 7 Nov 2000

Multiple endosoopio biopsies 4.2 2 Jan 1999

N

Nebuliser 4.3 19 tept 2006

Nerve blooks 4.2 4 tept 1999

New pair oodes 4.3 18 May 2006

“Non-operative”

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto.), on

tMR01 and tMR02, ooding of

4.4 22 Maroh 2008

Non-operative interventions 4.7 tCCt 7 July 2014

O

One soope, two or more prooedures 4.4 21 Nov 2007

One soope, two or more prooedures;

reminder

4.4 22 Maroh 2008

One soope, two or more prooedures –

olarifioation of previous standard

4.7 tCCt 5 Maroh

2014

OPCt4.2 Index error eponym Jones

(KG)

4.2 5 Jan 2000

OPCt4.4 Index error, brushing of 4.4 21 Nov 2007

Page 21: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

organ

OPCt4.6 4.6 25 April 2010

OPCt4.6 Implementation 4.6 28 Maroh 2011

Operations for texual Transformation 4.7 tCCt 9 Maroh

2015

Oophoreotomy laparosoopio/

hystereotomy laparosoopio

4.2 2 Jan 1999

Outpatient attendanoes for

termination of pregnanoy

4.6 tCCt 4 Feb 2014

O/Z oodes 4.5 26 Oot 2010

O/Z oodes; amendment to artiole in

CG No.26 Oot 2010

4.5 28 Maroh 2011

P

Paoemaker, testing of 4.3 18 May 2006

Pain relief oode list 4.2 5 Jan 2000

Pair oodes new 4.3 18 May 2006

Panendosoopies 4.2 10 Deo 2001

Patellar resurfaoing/patellar button 4.8 tCCt 19 Maroh

2019

Patients request termination of

pregnanoy at outpatient olinio and

return to ward to reoeive oral

abortifaoient drug (Mifepristone)

4.4 23 tept 2008

PEG 4.3 18 May 2006

Pelvio region site 4.5 24 Oot 2009

Peripheral stem oell prooedures 4.2 3 June 1999

Peripheral stem oell prooedures:

amendment to previous guidanoe

4.4 23 tept 2008

Peripheral stem oell prooedures:

amendment to CG No.23 tept 2008

4.5 24 Oot 2009

Peripheral stem oell prooedures,(Bone

Marrow Transplants).

4.7

4.6

tCCt 7 July 2014

31 tept 2012

Pharyngolaryngeotomy

(Amendment to Coding Update)

4.2 CQ1 Nov 1996

Pituitary exoision and skull based

reoonstruotion

4.7 tCCt 5 Maroh

2014

Plaoement of arterial stents

(L76.-, L89.-)

4.3 18 May 2006

Plasmapheresis 4.7 tCCt 7 July 2014

Plasmapheresis 4.2 5 Jan 2000

Pre-assessment oode for a kidney

transplant (M17.-)

4.3 18 May 2006

Pre-aurioular and post-aurioular area 4.2 6 June 2000

Prooedures mentioned on the

disoharge summary

4.3

18 May 2006

Page 22: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

Prooedures on intestinal pouohes 4.4 20 June 2007

Prootosoopy 4.6/4.2 29 Oot 2011

CQ5 Jan 1998

Pulmonary angiography and CTPA 4.6 29 Oot 2011

R

Radiotherapy 4.3 18 May 2006

25 April 2010

Radiotherapy Codes, Use of X65,

X67 and X68 in OPCt

4.5 25 April 2010

Radiotherapy delivery, ooding of 4.5 25 April 2010

Radiotherapy delivery 4.7 tCCt 7 July 2014

Rastelli 4.2 16 Aug 2005

Re-amputations 4.2 5 Jan 2000

Reoording bilateral prooedures 4.6 30 Maroh 2012

Reoording non-operations 4.2 CQ4 tept 1997

Rehabilitation oodes U50.- to U54.- 4.3 18 May 2006

Removal of Reveal Loop Reoorder 4.2 9 July 2001

Respiratory support, eto.

E85.- to E97.-

4.3 18 May 2006

Reveal Loop Reoorder, Insertion of 4.2 8 Feb 2001

Reveal Loop Reoorder, Removal of 4.2 9 July 2001

Reversal of Hartmann’s 4.2 5 Jan 2000

Reversal of Hartmann’s; amendment

to previous guideline

4.4/4.2 22 Maroh 2008

Reversal of Hartmann’s 4.7 tCCt 7 July 2014

S

toans 4.3 19 tept 2006

18 May 2006

toans, blood transfusions, IV fluids,

injeotions

4.2 13 Jan 2003

(toans): Coding of “Non-operative”

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto) on

tMR01 and tMR02

4.4 22 Maroh 2008

toopes and blood transfusions 4.2 14 Jan 2004

teoondary reduotions

4.7

4.2

tCCt 7 July

201412 tept 2002

thoulder turgery 4.7

4.2

tCCt 7 July 2014

10 Deo 2001

5 Jan 2000

tite of spine 4.5 25 April 2010

tkin oleansing, sterilising, taping

oodes

4.3 18 May 2006

tkin grafts 4.8 tCCt 18

teptember 2018

tkin grafts 4.2 8 Feb 2001

Page 23: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

tkin “t” enhanoe oodes (unlikely pair

oodes)

4.2 3 June 1999

tkin, sutures and debridement 4.2 16 Aug 2005

tkin test oodes 4.3 18 May 2006

tMR00 operation oodes 4.3 18 May 06

tnare reseotion of polyps from both

sigmoid and reotum

4.2 12 tept 2002

9 July 2001

tpine, site of 4.5 25 April 2010

ttaged hearing aid prooedures D05.-

D13.-

4.3 18 May 2006

ttaged hearing aid prooedures D05.-

and D13.-

4.7 tCCt 7 July 2014

tterilisation 4.2 tMR02 Review

2000

tuboutaneous injeotions 4.2 5 Jan 2000

tummary of signifioant ohanges from

OPCt4.3 to OPCt4.4

4.4 20 June 2007

tutures and debridement 4.2 16 Aug 2005

T

TAVI Transoatheter aortio valve

implantation

4.6 29 Oot 2011

Tears 4.2 tMR02 Review

2000

Temporal bone exoision 4.5 26 Oot 2010

Tennis/Golfer’s elbow surgery 4.4 21 Nov 2007

Tension band wiring of a fraoture of

the patella

4.2 CQ5 Jan 1998

Tension-free Vaginal Tape prooedure 4.2 5 Jan 2000

Termination (abortion)/misoarriage

ooding

4.6 tCCt 4 Feb 2014

Termination of pregnanoy, patients

request at outpatient olinio, return to

ward to reoeive oral abortifaoient

drug (Mifepristone)

4.4

23 tept2008

Termination of pregnanoy using

Mifepristone (RU486) pessary

4.2 CQ6 April 1998

Teeth, surgioal removal versus simple

extraotion of, F09 V F10

4.4

23 tept 2008

Testing of paoemaker 4.3 18 May 2006

The use of Y76.7 Arthrosoopio

approaoh to joint

4.6 30 Maroh 2012

The use of Y76.7 Arthrosoopio

approaoh to joint (Revised 2012)

4.6 31 tept 2012

Therapeutio and Diagnostio 4.2 7 Nov 2000

Page 24: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

prooedures in same episode

Therapeutio v Diagnostio prooedures 4.2 3 June 1999

Total Hip Replaoement with

Aoetabular bone graft

4.6 31 tept 2012

Total Hip Replaoement with

Aoetabular bone graft: Updated

ooding standard

4.7 tCCt 5 Maroh

2014

Transoatheter aortio valve

implantation (TAVI)

4.6 29 Oot 2011

Transthoraoio Eohooardiogram (TTE) 4.5 25 April 2010

Transvaginal drainage of ovarian oyst 4.2 10 Deo 2001

Trial without oatheter, failed (TWOC) 4.5 25 April 2010

Trial without oatheter, failed (TWOC 4.7 tCCt 7 July 2014

TTE, Transthoraoio Eohooardiogram 4.5 25 April 2010

Two stage revision

arthroplasties/joint oodes

4.2 16 Aug 2005

15 Nov 2004

TWOC, failed trial without oatheter 4.5 25 April 2010

TWOC, failed trial without oatheter 4.7 tCCt 7 July 2014

U

Unioompartmental knee replaoement 4.8 tCCt Maroh 2019

Unioondylar/Unioompartmental knee

joint replaoement

4.2 CQ6 April 1998

Unlikely pair oodes (“t” enhanoe

oodes)

4.2 3 June 1999

Urethral oatheterisation 4.6 31 tept 2012

Use of oodes X60-X62 and X66 4.3 18 May 2006

Use of C90 for looal anaesthetio for

ophthalmology prooedures

4.3 18 May 2006

Use of Obstetrio toanning,

Assessment and Monitoring Codes

R36-R43.

Addition to table in the artiole

entitled “Coding of non-operative

interventions/prooedures (imaging,

injeotions, infusions, x-rays, eto.) on

tMR01 and tMR02” in CG No. 22

Maroh 2008 and updated in CG No.

25 April 2010.

4.6 31 tept 2012

Use of Radiotherapy Codes, X65,

X67 and X68 in OPCt

4.5 25 April 2010

V

V55 oodes to reoord the level of spine 4.3 18 May 2006

W

X

(X-rays): Coding of “Non-operative” 4.4 22 Maroh 2008

Page 25: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

interventions/prooedures (imaging,

injeotions, infusions, X-rays, eto) on

tMR01 and tMR02

X65, X67 and X68, Use of

Radiotherapy oodes in OPCt

4.5 25 April 2010

Y

Y52 approaoh to organ 4.2 8 Feb 2001

Y76.7, Arthrosoopio approaoh to

joint, the use of

4.6 30 Maroh 2012

Y76.7, Arthrosoopio approaoh to

joint, the use of (Revised 2012)

4.6 31 tept 2012

Genehal Infohmation Section

Aooident and Emergenoy, reoording

aotivity in, on inpatient episodes

24 Oot 2009

Aloohol in pregnanoy tCCt 5 Maroh

2014

A message from Janioe Watson,

Terminology tervioes Manager

tCCt 26 tept 2020

Available Courses tCCt 18

teptember 2018

Certifioate of Teohnioal Competenoe

in Clinioal Coding (tootland)

tCCt 18

teptember 2018

Certifioate of Teohnioal Competenoe

in Clinioal Coding (tootland)

tCCt15 tept 2017

Certifioate in Teohnioal Competenoe

Clinioal Coding (tootland)

tCCt 10 tept2015

Clinioal Coding – ttaff survey 30 Maroh 2012

Codes for oentral returns 17 Jan 2006

Contaoting Terminology tervioes and

our website

tCCt 26 tept 2020

Date of Operation tCCt 8 tept 2014

Definition of a delivery 9 July 2001

ICD10 Books 28 Maroh 2011

ICD-10 V5 tCCt11 Maroh

2016

Implementation of Latest Revision to

the International Classifioation of

Diseases ICD10 Version 5

tCCt 10 tept 2015

Implementation of OPCt4.8 tCCt 13 tept 2016

Initiative to improve heart failure

information for ooding

tCCt 10 tept 2015

National Clinioal Coding

Qualifioation (NCCQ)

28 Maroh 2011

National Clinioal Coding

Qualifioation (NCCQ)

30 Maroh 2012

Page 26: Scottish Clinical Coding Standahds/Coding Guidelines

© Public Health Scotland 2020

New title for “Coding Guidelines” 31 tept 2012

OPCt4.8 Books

tCCt15 tept 2017

Reoording aotivity in Aooident and

Emergenoy on inpatient episodes

24 Oot 2009

toottish Morbidity Reoord (tMR)

and Hospital ttandardised Mortality

Ratios (HtMR)

tCCt 3 tept 2013

SMR02 Manual tCCt 26 tept 2020

tMR04 Disoharge Diagnoses tCCt 3 tept 2013

ttaff News tCCt teptember

2018

Terminology Advisory tervioe

Helpdesk tCCt 19 Maroh

2019

SMR02 Review – Coding

Guidelines

SMR02 Review Update

27 Oct 2010

28 Mahch 2011

SMR02 Data Items 27 Oct 2010

Analgesia during labour and/or

delivery

27 Oot 2010

Apgar soore – Babies 1-3 27 Oot 2010

Booking date 27 Oot 2010

Drugs and Aloohol use 28 Maroh 2011

Drugs misuse during this pregnanoy 27 Oot 2010

Duration of labour 27 Oot 2010

Hard ooded diagnostio and prooedure

fields on tMR02

27 Oot 2010

Height 27 Oot 2010

Mode of delivery – Babies 1 to 3 27 Oot 2010

Mode of delivery - Foroeps 28 Maroh 2011

Tears 27 Oot 2010

28 Maroh 2011

Typioal weekly aloohol oonsumption 27 Oot 2010

Weight of mother at booking 27 Oot 2010

NB: Fhom Nov 96 to Sep 98 issues wehe entitled Coding Quahtehly

Fhom Jan 1999 to Sept 2012 issues wehe entitled Coding Guidelines

May 1996 issue was entitled Clinical Coding Guidelines

© Public Health Scotland 2020. You can copy or reproduce the information

in this document for use within Public Health Scotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of Public Health Scotland.