In late February 2021, the Delen collaboration platform of NHS Digital issued 2021 National Clinical Coding Standards (NCCS) OPCS-4.9 and ICD-10 reference books that must be used during the procedure and diagnosis coding from April 01, 2021.
The NCCS OPCS-4.9 reference book focuses on the clinical coding standards that must be applied when assigning OPCS-4 codes. Multiple updates of coding recommendations were made in 2021. They mainly concerned endoscopic procedures (gastrointestinal, endobronchial, nasal), transarterial chemoembolization (TACE) of the liver, peripheral vascular procedures using stents and stent-grafts, gynecological procedures using meshes, and bone densitometry.
No significant changes were made in the ICD-10 Reference Book. The COVID-19 National Clinical Coding Standards and Guidance are referenced within the ICD-10 NCCS but not incorporated in it and can be downloaded separately on Delen. So, they can be quickly updated to reflect developing clinical knowledge of COVID-19.
See the full details in English here.
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