NHS Digital has contacted all GP practices in England because some might be using Read and CTV3 code 685..‘Cervical neoplasia screening’ as an administrative code or problem heading to manage cervical screening recalls.
This Read/CTV3 code ‘685..’ was not included in the code cluster SMEAR _COD for QOFv38 (Payment QOF2017-18).
The Read and CTV3 code 685..‘Cervical neoplasia screening’ is in the preventative procedures chapter and has been mapped to the SNOMED term 171149006 ‘Screening for malignant neoplasm of cervix’ which is in the cancer screening hierarchy in SNOMED. There are some other Read and CTV3 codes that also map to SNOMED code171149006. The table below shows Read/CTV3 codes that are mapped to SNOMED code 171149006 ‘Screening for malignant neoplasm of cervix’.
Scheme |
Code |
Synonym |
Term |
SNOMED Concept |
SNOMED Term |
CTV |
ZV762 |
|
[V]Screening for malignant neoplasm of cervix |
171149006 |
Screening for malignant neoplasm of cervix |
CTV |
685.. |
|
Cervical neoplasia screening |
171149006 |
Screening for malignant neoplasm of cervix |
RCT |
ZV762 |
0 |
[V]Screening for malignant neoplasm of cervix |
171149006 |
Screening for malignant neoplasm of cervix |
RCT |
685.. |
0 |
Cervical neoplasia screening |
171149006 |
Screening for malignant neoplasm of cervix |
RCT |
685.. |
11 |
Cervical cytology screen |
171149006 |
Screening for malignant neoplasm of cervix |
RCT |
685.. |
12 |
Cervical smear screen |
171149006 |
Screening for malignant neoplasm of cervix |
RCT |
6859 |
11 |
Cervical cytology examination |
171149006 |
Screening for malignant neoplasm of cervix |
171149006 ‘Screening for malignant neoplasm of cervix’’ has been included in the cluster SMEAR_COD for QOF v41 (Payment QOF 2018-19). The effect of this is that records with 685.. ‘Cervical neoplasia screening’ will now be reported for QOF v41. If the QOF cluster is used to support cervical smear recall then patients who have a record where 685.. has been used as an administrative code may appear to have had a smear and could be missed from smear recall.
NHS Digital request that practices check for this code in their records so that if they are using it for administrative purposes, rather than to show the smear has taken place, then they will need to update their records for the end of year. The SNOMED code 714971000000104 | Cervical smear screening administration | which is a ‘heading’ code could be used instead.
Further information to support users can be found on the SNOMED implementation in Primary Care site. Some useful links can be found below:
Home Page - SNOMED CT IMPLEMENTATION IN PRIMARY CARE: https://hscic.kahootz.com/connect.ti/t_c_home/view?objectId=299987&exp=e1
SNOMED CT Mapping Lookup: READ V https://hscic.kahootz.com/connect.ti/t_c_home/view?objectId=407588&exp=e1
CTV3 https://hscic.kahootz.com/connect.ti/t_c_home/view?objectId=407556&exp=e1
Details of CQRS services, including the live collections timetable can be found on the GP Collections website: https://digital.nhs.uk/GP-collections
740