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SNOMED CT Coding for Laparoscopic Deroofing of Simple Renal Cysts, Study notes of Health sciences

The snomed ct preferred term and opcs-4 codes for the laparoscopic deroofing of simple renal cysts procedure. It also includes information on the clinical coding recommendations for nice guidance and the role of nhs digital and the clinical classifications service in managing and determining coding standards.

What you will learn

  • What role does NHS Digital and the Clinical Classifications Service play in clinical coding?
  • What is the SNOMED CT preferred term for laparoscopic deroofing of simple renal cysts?
  • What are the OPCS-4 codes for laparoscopic deroofing of simple renal cysts?

Typology: Study notes

2021/2022

Uploaded on 09/12/2022

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IPG226 - Laparoscopic deroofing of simple renal
cysts
SNOMED CT provides clinical terms for entry into the patient record to record clinical
information relevant to that encounter; the mandated classifications (OPCS-4 or ICD-
10) provide a method to collect and aggregate data to allow accurate and consistent
data analysis.
Procedure and device:
SNOMED CT preferred term (concept ID)
Laparoscopic decortication of cyst of kidney (446844009)
OPCS-4 code(s):
M04.1 Deroofing of cyst of kidney
Y75.2 Laparoscopic approach to abdominal cavity NEC
or
M10.3 Endoscopic deroofing of multiple cysts of kidney
Note: Both options have been provided, as historically both options have been
utilised.
Diagnosis or health condition:
SNOMED CT preferred term (concept ID)
Simple renal cyst (77945009)
pf2

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IPG226 - Laparoscopic deroofing of simple renal

cysts

SNOMED CT provides clinical terms for entry into the patient record to record clinical information relevant to that encounter; the mandated classifications (OPCS-4 or ICD-

  1. provide a method to collect and aggregate data to allow accurate and consistent data analysis.

Procedure and device:

SNOMED CT preferred term (concept ID) Laparoscopic decortication of cyst of kidney ( 446844009 )

OPCS- 4 code(s): M04.1 Deroofing of cyst of kidney Y75.2 Laparoscopic approach to abdominal cavity NEC or M10.3 Endoscopic deroofing of multiple cysts of kidney

Note: Both options have been provided, as historically both options have been utilised.

Diagnosis or health condition:

SNOMED CT preferred term (concept ID) Simple renal cyst ( 77945009 )

Clinical coding recommendations for NICE guidance

For each published interventional procedure and medical technologies guidance, we work with NHS Digital to provide relevant clinical coding information.

SNOMED CT provides clinical terms for entry into the patient record to store clinical information relevant to that encounter.

The mandated classifications (OPCS-4 or ICD-10) provide a method to collect and aggregate data to allow accurate and consistent data analysis.

The UK Edition of SNOMED CT is managed by the Clinical Terminology Service of NHS Digital. For further information including licensing, see UK Terminology Centre — NHS Digital.

The Clinical Classifications Service of the Health and Social Care Information Centre is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The Clinical Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. Clinical Classifications Service — NHS Digital.