Clinical Coding
The coding workstream focuses on the accuracy of coding and supports trusts to create specialty-specific methodology to improve the accuracy of coding. A key aim is to increase collaboration between clinical teams and coders by including coders in multidisciplinary team meetings where appropriate.
The workstream works closely with clinical associations, helping to identify and share good practice among coding departments and providing materials to support coding service provision.
The current focus of the GIRFT clinical coding project is to advise on how the GIRFT project uses and reports on clinical coding, as well as supporting the design of clinical activity groups for consultant level reporting in the National Clinical Improvement Programme (NCIP).
- Further information:
For further information about our clinical coding work please email: england.girft.coding@nhs.net
Find out more about GIRFT’s data-led approach and best practice resources:
- Clinical Coding News
Clinical Coding Academy Resources
- Coding guides for clinicians
Breast Surgery
GIRFT clinical coding: breast conserving surgery >
GIRFT clinical coding: mastectomy and breast reconstruction >
ENT
GIRFT clinical coding Thyroidectomy and Parathyroidectomy clinician guidance on procedure coding >
Hospital Dentistry
April 2026 updates have been made to reflect new codes added to OPCS-4.11
Specific changes are:
New procedure codes for curettage of tooth socket (F21.3) and irrigation of tooth socket (F21.4).
New subsidiary codes to denote primary dentition (O36.6) and mixed dentition (O36.7).
Outpatient activity coding in Paediatric Dentistry
Outpatient activity coding in Restorative Dentistry
Outpatient activity coding in Oral Surgery
Outpatient activity coding in Orthodontics
Outpatient activity coding in Special Care Dentistry
Urology
Clinician guidance for Nephrectomy and Nephroureterectomy
Clinician guidance for Prostatectomy
Clinician guidance for Male Bladder Outflow Obstruction Surgery
- Published studies
- Clinical information for coders
ENT
GIRFT clinical coding Thyroidectomy and Parathyroidectomy coder guidance on procedure coding >
Urology
Male Bladder Outflow Obstruction Surgery – coder guidance on procedure coding (April 2023)
Urinary Calculus Removal (including PCNL) coder Guidance (May 2023)
Urethroplasty – coder guidance on procedure coding (July 2023)
- HVLC coding recipes
Use the links below to access the code group recipes for GIRFT’s High Volume Low Complexity (HVLC) pathways in the following specialties: