clinical coding guidance between these settings: ordinary elective or non-elective admissions day case and regular day or night attendances outpatients other. Ordinary admissions The reporting of ordinary elective or non-elective admissions should include the core HRG and the relevant chemotherapy procurement HRGs where generated. Chemotherapy delivery HRGs will not be generated because OPCS chemotherapy delivery codes are not recorded for ordinary admissions (Figure 1). The ability to deliver chemotherapy is expected to be part of the routine care delivered on a ward, and therefore costs should be reported as an overhead to the core HRG. Figure 1: Reporting chemotherapy ordinary admissions Day case and regular day or night admissions The reporting of day cases and regular day or night admissions solely for the delivery of chemotherapy should include an unbundled chemotherapy delivery HRG, and may include an unbundled chemotherapy procurement HRG where the procurement of a cycle is recorded. The core HRG SB97Z will be generated for patients admitted for same day chemotherapy treatment if no other significant procedure has taken place (Figure 2). Figure 2: Reporting chemotherapy day cases and regular day or night attenders Outpatients Outpatients attending solely for the delivery of chemotherapy should be reported as an unbundled chemotherapy delivery HRG, and may be reported as an unbundled chemotherapy procurement HRG where the procurement of a cycle is recorded. The core HRG SB97Z will also be generated for patients attending for same day chemotherapy treatment (Figure 3). Figure 3: Reporting chemotherapy outpatients Other settings This setting should be used to report community chemotherapy, which describes services where patients receive their chemotherapy treatment outside of cancer centres or cancer units in facilities nearer to home such as a GP surgery or in their own homes. Additional guidance on chemotherapy Although rare, some patients may have two regimens delivered at one attendance which results in two delivery HRGs. An example is a patient receiving an intrathecal
clinical coding guidance between these settings: ordinary elective or non-elective admissions day case and regular day or night attendances outpatients other. Ordinary admissions The reporting of ordinary elective or non-elective admissions should include the core HRG and the relevant chemotherapy procurement HRGs where generated. Chemotherapy delivery HRGs will not be generated because OPCS chemotherapy delivery codes are not recorded for ordinary admissions (Figure 1). The ability to deliver chemotherapy is expected to be part of the routine care delivered on a ward, and therefore costs should be reported as an overhead to the core HRG. Figure 1: Reporting chemotherapy ordinary admissions Day case and regular day or night admissions The reporting of day cases and regular day or night admissions solely for the delivery of chemotherapy should include an unbundled chemotherapy delivery HRG, and may include an unbundled chemotherapy procurement HRG where the procurement of a cycle is recorded. The core HRG SB97Z will be generated for patients admitted for same day chemotherapy treatment if no other significant procedure has taken place (Figure 2). Figure 2: Reporting chemotherapy day cases and regular day or night attenders Outpatients Outpatients attending solely for the delivery of chemotherapy should be reported as an unbundled chemotherapy delivery HRG, and may be reported as an unbundled chemotherapy procurement HRG where the procurement of a cycle is recorded. The core HRG SB97Z will also be generated for patients attending for same day chemotherapy treatment (Figure 3). Figure 3: Reporting chemotherapy outpatients Other settings This setting should be used to report community chemotherapy, which describes services where patients receive their chemotherapy treatment outside of cancer centres or cancer units in facilities nearer to home such as a GP surgery or in their own homes. Additional guidance on chemotherapy Although rare, some patients may have two regimens delivered at one attendance which results in two delivery HRGs. An example is a patient receiving an intrathecal