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Example 3ID Speclty 320 SpecialtyEpisode Start 05/05/2010 End 08/05/2010TrustCodingAuditCodingError KeyPDiag I200 Unstable angina I200 Unstable anginaDiag1 I258 Chronic ischaemic heartdisease - Other forms ofchronic ischaemic heartdiseaseI258 Chronic ischaemic heartdisease - Other forms ofchronic ischaemic heartdiseaseDiag2 I10X Essential (primary) I10X Essential (primary)hypertensionDiag3 Z955 Presence of coronaryangioplasty implant andgraftDiag4 E119 Non-insulin-dependentdiabetes mellitus - Noninsulin-dependentdiabetes mellitus withoutcomplicationsDiag5 E785 Hyperlipidaemia,unspecifiedDiag6 E669 Obesity - Obesity,unspecifiedProc1 K751 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 -UnspecifiedHRG EA32Z Percutaneous CoronaryIntervention (0-2 stents)SpellHRGEA32ZBasetariffShortstayadj.Specialist TopUpExcessbeddaysTotalPriceCoding Sourceand CatheterisationPercutaneous CoronaryIntervention (0-2 stents)and CatheterisationZ955E119E785E669K751Y539EA31ZEA31Z£4,949 £4,428£0 £0£0 £0£0 £0£4,949 £4,428Clinical RecordhypertensionPresence of coronaryangioplasty implant andgraftNon-insulin-dependentdiabetes mellitus - Noninsulin-dependentdiabetes mellitus withoutcomplicationsHyperlipidaemia,unspecifiedObesity - Obesity,unspecifiedPercutaneoustransluminal balloonangioplasty and insertionof 1-2 drug-eluting stentsinto coronary arteryApproach to organ underimage control -UnspecifiedPercutaneous CoronaryIntervention (0-2 Stents)Percutaneous CoronaryIntervention (0-2 Stents)SPNRCodingManual orCodingClinicreferenceOPCSinstructionManualPage E-6It is incorrect to record an angiogram with an angioplasty. The clinician has instructed the coders to add thesecodes.Audit Commission Payment by results data assurance framework 39