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Are we Getting It Right First Time? An exploration of clinical coding practices within a UK paediatric dental hospital department

British Dental Journal volume 235, pages 615–620 (2023)Cite this article

Abstract

Introduction Issues arising from the current coding system in dentistry have been highlighted. Available codes are considered to lack clarity and fail to reflect all dental specialties. There are no paediatric-specific codes, which means codes from other specialties are used, which may not accurately reflect the work carried out.

Aim This paper aims to explore the range of codes and the consistency and accuracy of current coding practices within the paediatric dentistry department at Newcastle Dental Hospital, and explore the potential impact of introducing new speciality-specific codes for the aforementioned procedures.

Method Data were retrospectively collected to determine whether the following treatments had been undertaken, and if so, which procedure code had been used for the treatment: inhalation sedation; dietary advice; acclimatisation; preformed metal crowns, silver diamine fluoride application; and apexification. All codes used within the department for a six-month period were also reviewed retrospectively and the frequency in which procedures relating to the potential new codes would be undertaken within the department was estimated to facilitate consideration of potential financial impact of the introduction of new codes.

Results Codes utilised for the aforementioned procedures did not accurately reflect work carried out despite being relatively consistent. The potential new codes corresponded to procedures that were commonly undertaken within the department.

Discussion This study highlights shortcomings in the coding system relating to a lack of applicable codes for paediatric dentistry procedures. Introduction of new speciality-specific codes should help to address this deficit to ensure a more accurate representation of the needs of the community to help commissioning and workforce planning.

Key points

  • Coding in paediatric dentistry is essential to allow effective commissioning and workforce planning.

  • The recent Getting It Right First Time report highlights shortcomings within the current coding system, including a lack of applicable codes to numerous paediatric dentistry procedures.

  • This paper highlights how introduction of new paediatric dental-specific codes can better reflect clinical practice and improve representation of the needs of the community to help commissioning and workforce planning.

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References

  1. UK Government. Delivering the NHS Plan: next steps on investment next steps on reform. London: The Stationery Office, 2002.

  2. NHS Data Model and Dictionary. OPCS Classification of Interventions and Procedures. Available at https://www.datadictionary.nhs.uk/supporting_information/opcs_classification_of_interventions_and_procedures.html (accessed October 2022).

  3. NHS England. Commissioning Standard for Dental Specialties - Paediatric Dentistry. 2023. Available at https://www.england.nhs.uk/long-read/paediatric-dentistry/ (accessed September 2023).

  4. NHS England. Activity coding in orthodontics: Information for secondary care trusts. 2020. Available at https://gettingitrightfirsttime.co.uk/wp-content/uploads/2020/02/New-A4-final-draft-version-coding-in-orthodonticsBOS.pdf (accessed September 2023).

  5. NHS England. Hospital Dentistry: GIRFT Programme National Speciality Report. 2021. Available at https://gettingitrightfirsttime.co.uk/wp-content/uploads/2021/09/HospitalDentistryReport-Sept21j-1.pdf (accessed September 2023).

  6. Ballaro A, Oliver S, Emberton M. Do we do what they say we do? Coding errors in urology. BJU Int 2000; 85: 389-391.

  7. Khurram S A, Warner C, Henry A M, Kumar A, Mohammed-Ali R I. Accuracy of clinical coding for procedures in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 2016; 54: 894-897.

  8. Mirza S, Arhsad F, Watson A. Clinical coding in ear, nose and throat (ENT) operations. Br J Healthc Manage 2011; 17: 603-606.

  9. Mitra I, Malik T, Homer J J, Loughran S. Audit of clinical coding of major head and neck operations. Ann R Coll Surg Engl 2009; 91: 245-248.

  10. Moar K K, Rogers S N. Impact of coding errors on departmental income: an audit of coding of microvascular free tissue transfer cases using OPCS-4 in UK. Br J Oral Maxillofac Surg 2012; 50: 85-87.

  11. UK Government. Personalised Health and Care 2020: Using Data and Technology to Transform Outcomes for Patients and Citizens. A Framework for Action. 2014. Available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/384650/NIB_Report.pdf (accessed September 2023).

  12. British Dental Journal. SNOMED disruption: urgent statement now required. Br Dent J 2021; 231: 323.

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Author information

Authors and Affiliations

  1. Newcastle Dental Hospital, Newcastle, UK

    Rachel Osborne

  2. School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, UK

    Helen Rogers

Authors
  1. Rachel Osborne
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  2. Helen Rogers
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Contributions

Helen Rogers had the original idea for this article. Rachel Osborne collected data, undertook the analysis and led the development of the manuscript. Rachel Osborne and Helen Rogers were both involved in reviewing and editing the manuscript.

Corresponding author

Correspondence to Rachel Osborne.

Ethics declarations

Helen Rogers was a member of the working group in collaboration with GIRFT to update and define the OPCS codes used in paediatric dentistry.

Ethical approval was not required for this study as it did not involve any human participation or person-identifiable data. Consent to participate was not needed for retrospective review of patient records.

Data availability: not applicable.

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Osborne, R., Rogers, H. Are we Getting It Right First Time? An exploration of clinical coding practices within a UK paediatric dental hospital department. Br Dent J 235, 615–620 (2023). https://doi.org/10.1038/s41415-023-6390-8

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  • DOI: https://doi.org/10.1038/s41415-023-6390-8

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