View June's Board Pack - Royal Bournemouth Hospital

Example 10ID Speclty 320 SpecialtyEpisode Start 30/04/2010 End 02/05/2010TrustCodingAuditCodingError KeyPDiag I211 Acute transmuralmyocardial infarction ofinferior wallDiag1 I251 Atherosclerotic heartdiseaseDiag2 E780 PurehypercholesterolaemiaI211I251E780Acute transmuralmyocardial infarction ofinferior wallAtherosclerotic heartdiseasePurehypercholesterolaemiaDiag3 Z720 Tobacco use Z720 Tobacco useDiag4 L309 Other dermatitis -Dermatitis, unspecifiedL309 Other dermatitis -Dermatitis, unspecifiedProc1 K751 Percutaneoustransluminal balloonangioplasty and insertionof 1-2 drug-eluting stentsinto coronary arteryK751 Percutaneoustransluminal balloonangioplasty and insertionof 1-2 drug-eluting stentsinto coronary arteryProc2 K631 Angiocardiography ofcombination of right andleft side of heartProc3 Y539 Approach to organ underimage control -UnspecifiedProc4 U201 TransthoracicechocardiographyHRG EA32Z Percutaneous CoronaryIntervention (0-2 stents)and CatheterisationSpellHRGEA32ZPercutaneous CoronaryIntervention (0-2 stents)and CatheterisationY539U201EA31ZEA31ZApproach to organ underimage control -UnspecifiedTransthoracicechocardiographyPercutaneous CoronaryIntervention (0-2 Stents)Percutaneous CoronaryIntervention (0-2 Stents)SPNRCodingManual orCodingClinicreferenceOPCSinstructionManualPage E-6Base£4,949 £4,428tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£4,949 £4,428PriceCoding SourceClinical RecordThere is no need to record the angiocardiography. Rationale: Diagnostic versus therapeutic rule if a therapeuticprocedure is done at the same time and on the same site as a diagnostic procedure there is no need to code thediagnostic procedure as well. See Clinical Coding Instruction Manual OPCS-4 page E-6Audit Commission Payment by results data assurance framework 47