Salisbury Foundation Trust


Internal Reference Number: FOI_5274

Date Request Received: 08/09/2019 07:38:54

Date Request Replied To: 11/11/2019 08:33:32

This response was sent via: By Email

Request Summary: Coding for clinical discharge summary

Request Category: Private Individuals

Question Number 1:
Please write below what you use for manual coding (e.g., ICD 10 2016) and which computer programme you use on a clinical discharge summary for HES statistics.


Answer To Question 1:
Manual: ICD10 (5th edition - 2016)

Programme: Clinical discharge summaries do not include coded information – HES statistics come via the data warehouse
Question Number 2:
Please tell us how you would code the following diseases. If you have a computer programme for coding, please code it manually and with the programme. Please include all relevant information (e.g., Multiple possible codes depending on context).

Disease Computer ICD 10 coding Manual ICD 10 coding
Example G20
Progressive Supranuclear Palsy
Multiple system atrophy
Corticobasal syndrome
Corticobasal degeneration
Answer To Question 2:
Progressive Supranuclear Palsy – code G23.1
Multiple system atrophy – either code G23.2 or code G23.3(depending on documented condition)
Corticobasal syndrome/degeneration – code G31.8 (no specific indexable code for this condition so it defaults to other specified degeneration of the brain)
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