FOI Request
- Disclosure ID
- FOI/03296
- Request Date
- September 5, 2019
- Subject
- Coding For Clinical Discharge Summary
- Description
I have a freedom of information request regarding the clinical coding used for the neurological diseases outlined in the table below.
1). Please write below what you use for manual coding (e.g., ICD 10 2016) and which computer programme you use on a clinical discharge summary for HES statistics.
2). Please tell us how you would code the following diseases. If you have a computer programme for coding, please code it manually and with the programme. Please include all relevant information (e.g., Multiple possible codes depending on context).
3). Please indicate whether any of the clinical coding was different before 2016.
- Response
1). Manual: ICD 10 fifth edition 2016
Programme: n/a
2).
Disease Computer ICD 10 coding Manual ICD 10 coding Example G20 Progressive Supranuclear Palsy n/a G23.1 Multiple system atrophy n/a G23.2 Corticobasal syndrome n/a G31.8 (This does not index, so based on the disease it would be assigned to other specified degenerative diseases of nervous system) Corticobasal degeneration n/a G31.8 (This does not index, so based on the disease it would be assigned to other specified degenerative diseases of nervous system) 3).
Disease Computer ICD 10 coding Manual ICD 10 coding Progressive Supranuclear Palsy n/a G23.1 (This did not index prior to 2016, but classification guidance directed coders to G23.1) Index trail for Supranuclear paralysis without the qualifier of progressive ( N.B. paralysis is an interchangeable term with palsy) directs coders to G12.2 Multiple system atrophy n/a G903 Corticobasal syndrome n/a G31.8 (This does not index, so based on the disease it would be assigned to other specified degenerative diseases of nervous system) Corticobasal degeneration n/a G31.8 (This does not index, so based on the disease it would be assigned to other specified degenerative diseases of nervous system)