Accident and Emergency Clinical Coding Structure
  Change history 2.1.0

ACCIDENT and EMERGENCY CLINICAL CODES

    Accident and Emergency Treatment

    A broad classification of types of treatment or guidance which may be provided to a patient as a result of ACCIDENT AND EMERGENCY ATTENDANCES.

  1. Certain items are sub-analysed to specify the diagnosis, investigation or treatment more precisely. These are marked with an asterisk. The diagnosis sub-analysis list follows the main diagnosis list, and the treatment sub-analysis list follows the main treatment list.

  2. It is recommended that computerised systems provide a minimum of six character fields for each category in order to accommodate more detailed information if necessary. Where fewer than six characters are required for coding, such as for investigations and treatments, it is recommended that the codes are left-justified and the unused fields left blank.

  3. ACCIDENT AND EMERGENCY TREATMENT is a six character code, comprising:

    4. Condition n2 (see Treatment Table below)
    Sub-Analysis n1 (see Sub-analysis Table below)
    Local use up to an3

    Accident and Emergency Treatment - Treatment

    Treatment Code
    Dressing 01
    Bandage 02
    Sutures 03
    Wound closure, other* 04
    Plaster of Paris 05
    Splint 06
    Prescription 07
    Removal foreign body 08
    Physiotherapy* 09
    Reduction 10
    I&D (Incision & Drainage) 11
    Intravenous cannula 12
    Central line 13
    Lavage/Emesis 14
    Intubation 15
    Chest drain 16
    Urinary catheter 17
    Defibrillation/pacing 18
    Resuscitation 19
    Minor surgery 20
    Observation 21
    Guidance* 22
    Anaesthesia* 23
    Tetanus* 24
    Nebuliser 25
    Parenteral thrombolysis 28
    Other Parenteral drugs 29
    Other 27
    None 99

    Items sub-analysed in Table below

    Accident and Emergency Treatment - Sub-analysis

    Sub-analysis Treatment   Code
    Wound closure, other - steristrips
    - wound glue
    - other    		 1
    2
    3
    Physiotherapy - manipulation
    - other physiotherapy    		 1
    2
    Guidance - written
    - verbal    		 1
    2
    Anaesthesia - general anaesthetic
    - local anaesthetic
    - regional block
    - entonox
    - sedation
    - other    		 1
    2
    3
    4
    5
    6
    Tetanus - immune
    - tetanus toxoid course
    - tetanus toxoid booster
    - human immunoglobulin
    - combined tetanus/diphtheria course
    - combined tetanus/diphtheria booster    		 1
    2
    3
    4
    5
    6