Cambridgeshire Respiratory Project recommended codes
and review checklist
Codes
SystmOne
EMIS
Mild Chronic Obstructive Pulmonary Diease
XaEIV
Moderate Chronic Obstructive Pulmonary Diease
XaEIW
Severe Chronic Obstructive Pulmonary Diease
XaEIY
Very Severe Chronic Obstructive Pulmonary Diease
XaN4a
Acute exacerbation
H3122
H3122
At risk of exacerbation
XaPzu
140X
Admit COPD emergency
XaJFu
Post bronchodilator spirometry
XaXeg
745D3
Expected FEV1
XaCJK
339P
% Predicted FEV1
XaEFz
339S
Post bronchodilator FVC
XaJ3K
339h
Post bronchodilator FEV1/FVC
XaJ9E
339m
MRC - A Score 1
XaIUi
173H
MRC - B Score 2
XaIUl
173I
MRC - C Score 3
XaIUm
173J
MRC - D Score 4
XaIUn
173K
MRC - E Score 5
XaIUo
173L
Cor Pulmonale acute
G400
G400
Cor Pulmonale chronic
X203E
G41z
Dyspnoea Obstruction Smoking Status Exacerbation
frequency (DOSE) score
Y0e6d
Oxygen Therapy
8771
Direct from Nice Guidelines:
1.1.5.1 Be aware that disability in COPD can be poorly reflected in the FEV1. A more
comprehensive assessment of severity includes the degree of airflow obstruction and
disability, the frequency of exacerbations and the following known prognostic factors:
created November 2011 Revised January 2012
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FEV1
TLCO
breathlessness (MRC scale)
health status
exercise capacity (for example, 6-minute walk test)
BMI
partial pressure of oxygen in arterial blood (PaO2)
cor pulmonale
created November 2011 Revised January 2012
Check list for review of recurrent exacerbaters
Review to include (in addition to usual
annual review)
Recommended
code
S1
Medication review
8B314
EMIS
Named contact at surgery for continuity?
Self Management care plan traffic light
document amended to include key contact
name and number
Recent medication review to make sure
inhaled medication in line with NICE
guidance?
Flu / pneumovax given?
Pulmonary rehabilitation considered?
Sp02 when stable?
Referral to pulmonary
rehab
XaIf9
8H7U
Referral to pulmonary
rehab - declined
XaNQU
8IA9
Referral to pulmonary
rehab - completed
XaIUs
8FA2
Blood oxygen Sats
X7708
44YA
Blood oxygen
saturation calculated
XaIai
44Y9
Exacerbations:
Number of exacerbations in last year?
Number of COPD
exacerbations in the
last year
XaK8U
Preferred place of care for next exacerbation
Preferred place of
care for next
exacerbation COPD
XaXzu
Exacerbation pack issued and patient is clear
about when to use it?
Issue of COPD
rescue pack
XaW9D
CAT score
Personal management plan to include
review of social circumstances and carers
created November 2011 Revised January 2012
8BMW
XaRFy
38Dg
COPD Management
Plan given
XaIUT
66YI
COPD Management
No code
No code
Chronic Obstructive
Pulmonary Disease
assessment Test
needs
Or, we suggest using the following as an interim
solution
UCC Special notes done and management
plan shared with UCC?
?How to guide
created November 2011 Revised January 2012
Plan declined
yet,
requested
yet,
requested
Personal Care Plan
declined
XaRB0
8IAe
GP OOH service
notified of COPD care
plan
XaXnt
GP out of hours
handover form
completed
XaKS9