COPD Codes
- H3... Chronic obstructive pulmonary disease
- H31.. Chronic bronchitis
- H310. Simple chronic bronchitis
- H3100 Chronic catarrhal bronchitis
- H310z Simple chronic bronchitis NOS
- H311. Mucopurulent chronic bronchitis
- H3110 Purulent chronic bronchitis
- H3111 Fetid chronic bronchitis
- H311z Mucopurulent chronic bronchitis NOS
- H312. Obstructive chronic bronchitis
- H3120 Chronic asthmatic bronchitis
- H3121 Emphysematous bronchitis
- H3123 Bronchiolitis obliterans
- H312z Obstructive chronic bronchitis NOS
- H313. Mixed simple and mucopurulent chronic bronchitis
- H31y. Other chronic bronchitis
- H31y1 Chronic tracheobronchitis
- H31yz Other chronic bronchitis NOS
- H31z. Chronic bronchitis NOS
- H32.. Emphysema
- H320. Chronic bullous emphysema
- H3200 Segmental bullous emphysema
- H3201 Zonal bullous emphysema
- H3202 Giant bullous emphysema
- H3203 Bullous emphysema with collapse
- H320z Chronic bullous emphysema NOS
- H321. Panlobular emphysema
- H322. Centrilobular emphysema
- H32y. Other emphysema
- H32y0 Acute vesicular emphysema
- H32y1 Atrophic (senile) emphysema
- H32y2 MacLeod's unilateral emphysema
- H32yz Other emphysema NOS
- H32z. Emphysema NOS
- H36.. Mild chronic obstructive pulmonary disease
- H37.. Moderate chronic obstructive pulmonary disease
- H38.. Severe chronic obstructive pulmonary disease
- H3y.. Other specified chronic obstructive airways disease
- H3y0. Chronic obstructive pulmonary disease with acute lower respiratory
infection
- H3y1. Chronic obstructive pulmonary disease with acute exacerbation,
unspecified
- H3z.. Chronic obstructive airways disease NOS
Exclusion codes (Every 15 months)
- 9h5.. Exception reporting: COPD quality indicators
- 9h51. Excepted from COPD quality indicators: Patient unsuitable
- 9h52. Excepted from COPD quality indicators: Informed dissent
COPD 1.1 Rationale
A register is a prerequisite for monitoring patients with COPD.
A diagnosis of COPD should be considered in any patient who has
symptoms of persistent cough, sputum production, or dyspnoea and/or a history
of exposure to risk factors for the disease. The diagnosis is confirmed by post
bronchodilator spirometry.
See COPD 12.1
Where patients have a long-standing diagnosis of COPD and the
clinical picture is clear, it would not be essential to confirm the diagnosis
by spirometry in order to enter the patient onto the register. However, where
there is doubt about the diagnosis practices may wish to carry out post bronchodilator
spirometry for confirmation.
COPD 1.2 Reporting and verification
The practice reports the number of patients on its COPD disease
register and the number of patients on its COPD disease register as a proportion
of total list size.
Where patients have co-existing COPD and asthma then they should
be on both disease registers. Approximately 15% of patients with COPD will also
have asthma.
Verification – PCOs may compare the expected prevalence with the
reported prevalence.
Prepared By Jean Keenan