QOF QOF 2008/2009

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Spirometry codes for COPD (Must be done between three months before and up to twelve months after diagnosis (v12))

 
33H.. Salbutamol reversibility
33H0. Negative reversibility test to salbutamol
33H1. Positive reversibility test to salbutamol
33I.. Ipratropium reversibility
33I0. Negative reversibility test to ipratropium bromide
33I1. Positive reversibility test to ipratropium bromide
33J.. Combined reversibility
33J0. Negative reversibility test to combination of salbutamol and ipratropium bromide
33J1. Positive reversibility test to a combination of salbutamol and ipratropium bromide
66Ya. Reversibility trial by bronchodilator
66Yb. Reversibility trial by anticholinergic
8HRC. Referral for spirometry

33G.. Spirometry reversibility (v12)

33G0. Spirometry reversibility negative (v12)
33G1. Spirometry reversibility positive (v12)
33K.. Steroid reversibility (v12)
33K0. Negative reversibility test to corticosteroid (v12)
33K1. Positive reversibility test to corticosteroids (v12)
5882. Spirometry (v12)
663J. Airways obstruction reversible (v12)
663K. Airways obstructn irreversible (v12)
663k. Reversibility trial by steroids (v12)
68M.. Spirometry screening (v12)
 

Spirometry exception codes (Added in the last 15 months)

8I2M. Spirometry reversibility testing contraindicated
8I3b. Spirometry test declined
8I6L. Spirometry not indicated
8I6d. Spirometry reversibility testing not indicated (v10)

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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
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COPD 12.1 Rationale

COPD is diagnosed if:

• the patient has an FeV1 of less than 80 per cent of predicted normal
and has an FeV1/FVC ratio of less than 70 per cent
and the patient has symptoms consistent with COPD.

Spirometry should be performed after the administration of an adequate dose of an inhaled bronchodilator (e.g. 400mcg salbutamol).

Prior to performing post-bronchodilator spirometry, patients do not need to stop any therapy, such as long acting bronchodilators or inhaled steroids.

All of these elements are required to make the diagnosis of COPD. Routine reversibility testing is not recommended in NICE, and the GOLD guidelines require post bronchodilator spirometry for diagnosis and grading. Failure to use post bronchodilator readings overestimated the prevalence of COPD by 25% (Johannessesn et al. Thorax 2005; 60(10): 842-847). This change will reduce workload in primary care and removes the conflict with evidence based guidelines.

Where doubt occurs as to whether the diagnosis is asthma or COPD, reversibility testing may add additional information to post bronchodilator readings alone and peak flow charts are useful. It is acknowledged that COPD and asthma can co-exist and that many patients with asthma who smoke will eventually develop irreversible airways obstruction. However, where asthma is present, these patients should be managed as asthma patients as well as COPD patients. This will be evidenced by a greater than 400mls response to a reversibility test and a post bronchodilator FeV1 of <80% of predicted normal as well as an appropriate medical history.

Patients with reversible airways obstruction should be included on the asthma register. Patients with coexisting asthma and COPD should be included on the register for both conditions.

Further information: Global Strategy for the Diagnosis, Management and Prevention of COPD 2006
www.goldcopd.org

NICE Clinical Guideline 2004
www.nice.org.uk/guidance/index.jsp?action=download&o=29303
www.thorax.bmj.com/content/vol59/suppl_1/

For the purposes of the QOF, post bronchodilator spirometry undertaken between three months before and twelve months after a diagnosis of COPD being made would be considered as meeting the requirements of this indicator.

COPD 12.2 Reporting and verification

Practices should report the percentage of patients diagnosed after 1st April 2008 who are on their COPD register, who have a record that the diagnosis has been confirmed by post bronchodilator spirometry.

In verifying that this information has been correctly recorded, a number of approaches could be taken by a PCO:

i. Inspection of the output from a computer search that has been used to provide information on this indicator.
ii. Inspection of a sample of records of patients with COPD to look at the proportion with a record of post bronchodilator spirometry.
iii. Inspection of a sample of records of patients for whom a record of post bronchodilator spirometry is claimed, to see if there is evidence of this in the medical records.

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Prepared By Jean Keenan