- A broad classification of types of treatment or guidance which may be provided to a PATIENT as a result of Accident And Emergency Attendance.
- 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.
- 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.
- ACCIDENT AND EMERGENCY TREATMENT is a six character code, comprising:
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/support 02 Sutures* 03 Wound closure (excluding sutures)* 04 Plaster of Paris* 05 Splint 06 Prescription - Retired 2006-04-01 07 Removal foreign body 08 Physiotherapy* 09 Manipulation* 10 Incision & drainage 11 Intravenous cannula 12 Central line 13 Lavage/emesis/charcoal/eye irrigation 14 Intubation & Endotracheal tubes/laryngeal mask airways/rapid sequence induction 15 Chest drain 16 Urinary catheter/suprapubic 17 Defibrillation/pacing* 18 Resuscitation/cardiopulmonary resuscitation 19 Minor surgery 20 Observation/electrocardiogram, pulse oximetry/head injury/trends 21 Guidance/advice only* 22 Anaesthesia* 23 Tetanus* 24 Nebuliser/spacer 25 Parenteral thrombolysis* 28 Other Parenteral drugs* 29 Recording vital signs 30 Burns review 31 Recall/x-ray review 32 Fracture review 33 Wound cleaning 34 Dressing/wound review 35 Sling/collar cuff/broad arm sling 36 Epistaxis control 37 Nasal airway 38 Oral airway 39 Supplemental oxygen 40 Continuous positive airways pressure/nasal intermittent positive pressure ventilation/bag valve mask 41 Arterial line 42 Infusion fluids 43 Blood product transfusion 44 Pericardiocentesis 45 Lumbar puncture 46 Joint aspiration 47 Minor plastic procedure/split skin graft 48 Active rewarming of the hypothermic patient 49 Cooling - control body temperature 50 Medication administered* 51 Occupational Therapy* 52 Loan of walking aid (crutches) 53 Social work intervention 54 Eye* 55 Dental treatment 56 Prescription/medicines prepared to take away 57 Other (consider alternatives) 27 None (consider guidance/advice option) 99 Items sub-analysed in Table below
Accident and Emergency Treatment - Sub-analysis
Sub-analysis Treatment Code Dressing - dressing minor wound/burn/eye
- dressing major wound/burn1
2Sutures - primary sutures
- secondary/complex suture
- removal of sutures/clips1
2
3Wound closure (excluding sutures) - steristrips
- wound glue
- other (e.g. clips)1
2
3Plaster of Paris - application Plaster of Paris
- removal Plaster of Paris1
2Physiotherapy - strapping, ultra sound treatment, short wave diathermy, manipulation
- gait re-education, falls prevention1
2Manipulation - manipulation of upper limb fracture
- manipulation of lower limb fracture
- manipulation of dislocation1
2
3Defibrillation/pacing - defibrillation
- external pacing1
2Guidance/advice only - written
- verbal1
2Anaesthesia - general anaesthetic
- local anaesthetic
- regional block
- entonox
- sedation
- other1
2
3
4
5
6Tetanus - immune
- tetanus toxoid course
- tetanus toxoid booster
- human immunoglobulin
- combined tetanus/diphtheria course
- combined tetanus/diphtheria booster1
2
3
4
5
6Parenteral thrombolysis - streptokinase parenteral thrombolysis
- recombinant - plasminogen activator1
2Other Parenteral drugs - intravenous drug, e.g. stat/bolus
- intravenous infusion1
2Medication administered - oral
- intra-muscular
- subcutaneous
- per rectum
- sublingual
- intra-nasal
- eye drops
- ear drops
- topical skin cream1
2
3
4
5
6
7
8
9Occupational Therapy - OT functional assessment
- OT activities of daily living equipment provision1
2Eye - orthoptic exercises
- laser of retina/iris or posterior capsule
- retrobulbar injection
- epilation of lashes
- subconjunctival injection1
2
3
4
5