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Example 8ID Speclty 330 SubchapterEpisode Start 14/04/2010 End 14/04/2010TrustAuditError KeyCodingPDiag C440 Other malignantneoplasms of skin - Skinof lipDiag1 I10X Essential (primary)hypertensionDiag2 E109 Insulin-dependentdiabetes mellitus -Insulin-dependentdiabetes mellitus withoutcomplicationsCodingC440I10XE119Other malignantneoplasms of skin - Skinof lipEssential (primary)hypertensionNon-insulin-dependentdiabetes mellitus - Noninsulin-dependentdiabetes mellitus withoutcomplicationsDiag3 J459 Asthma - Asthma,unspecifiedProc1 S065 Excision of lesion of skinof head or neck NECSDISDOCodingManual orCodingClinicreferenceF021 Excision of lesion of lip PP3 OPCS 4.5instructionmanualPage S-5Proc2 S279 Other local flap of skin -UnspecifiedF042 Reconstruction of lipusing skin flapProc3 Z251 LipHRG JC15Z Skin Therapies level 3 CZ03V Major Mouth Procedures19 years and over withCCSpellHRGJC15Z Skin Therapies level 3 CZ03V Major Mouth Procedures19 years and over withCCBase£635 £2,476tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£635 £2,476PriceCoding SourceClinical RecordThere is an exclusion note at the beginning of Chapter S in OPCS-4 that codes from this chapter should not beused for certain sites including the site for lip. A code from chapter F should be used.SP3Audit Commission Payment by results data assurance framework 59