Codes for check inhaler technique (Added in last 15 months)
- 6636. Inhaler technique shown
- 6637. Inhaler technique observed
- 663H. Inhaler technique - good
- 663I. Inhaler technique - poor
- 66Y4. Inhaler technique - moderate
Codes for inhaled therapy (Prescribed in the last 6 months)
c1...% (excluding c11..%, c12..%, c135., c139., c13A., c13B., c13W., c13X.,
c13j., c13m., c13o., c13w., c13z., c141. - c143,. c147. - c14c., c14e., c14h.,
c14i., c14k. - c14s., c14w. - c14z., c152., c15z., c161. - c163., c16w. - c16y.,
c171., c172., c174. - c17x., c17z., c1A..%, c1B..%, c1a..%)
- c213.
- c216.
- c243. - c246.
- c24x. - c24z.
- c254.
- c255.
- c25y.
- c25z.
- c311.
- c313.
- c315.
- c318. - c31B.
- c31u.
- c31x.
- c31z.
c32..%
c33..%
c514.
c515.
c518.
c519. - c51D., c51a. - c51e. c51g.
- c51l., c51n. - c51p. c51x.
c6…% (excluding c616., c61y., c64a., c64b., c64i., c64j, c65X - c65a)
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 11.1 Rationale
All patients should be managed according to the BTS COPD guidelines.
All symptomatic patients should be given a short-acting beta agonist and if
still symptomatic a trial of regular use of an inhaled anti-cholinergic. Symptomatic
patients should also be given a trial of inhaled steroids. Where there is no
objective benefit inhaled steroids should not be continued. Exacerbations should
generally be treated with a combination of antibiotics and oral steroids.
Further information: www.thorax.bmj.com/content/vol59/suppl_1/
There is evidence that inhaled therapies can improve the quality
of life in some patients with COPD. However, there is evidence that patients
require training in inhaler technique and that such training requires reinforcement.
See COPD 10.1
COPD 11.2 Reporting and verification
The practice should report the percentage of patients on the COPD
register in whom inhaler technique has been checked in the previous 15 months.
Patients not on therapy which involves the use of inhalers will be excluded
from the denominator for this indicator.
Prepared By Jean Keenan