Acute Appendicitis

Codelist metadata

Coding system

CTV3 (Read V3)

Coding system release

unknown

Organisation

OpenSAFELY

Codelist ID

opensafely/acute-appendicitis

Version Tag

2020-09-23

Version ID

58440b27

Versions

About

Description

Codes that indicate an episode of acute appendicitis

Methodology

These codes were mapped first in snomed using the opencodelist builder. The search terms used were:

  • appendicitis
  • appendix
  • appendicectomy

The codes were discussed by 3 practicing doctors. A summary of this discussion is available on the github issue below. The main points were:

  • codes indicating chronic or recurrent appendicitis were removed
  • codes indicating a specific cause of appendicitis such as in relation to Crohns disease or amoebic were removed
  • codes indicating length of appendix as a specimen after surgery were kept.

These codes were mapped to CTV3 and rechecked. Some extinct codes were found during this mapping and removed.

The final codelist was signed off by the 3 clinicians indicated below.

References

Signed off by

  • Caroline Morton, (Sept. 23, 2020)
  • Laurie Tomlinson, (Sept. 23, 2020)
  • Sinéad langan, (Sept. 23, 2020)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

Codes not in the full codelist are in faint grey.

Clinical Findings
Appendicitis(Xa9C4)
Acute appendicitis(J20..)
Amoebic appendicitis(A05y0)
Appendicitis NOS(XaB9A)
Appendicitis, unqualified(J21..)
Chronic appendicitis(J221.)
Other appendicitis(J22..)
Other appendicitis NOS(J22z.)
Relapsing appendicitis(J222.)
Subacute appendicitis(J220.)
[X]Other appendicitis(Jyu20)
Appendix abscess(X304N)
Appendix abscess (& [acute appendicitis])(J201.)
Perforation of appendix(XA08f)
Operations, Procedures And Interventions
Drainage of appendix abscess(77020)
Emergency appendicectomy(7700.)
Emergency appendicectomy NEC(77003)
Emergency excision of abnormal appendix NEC(77001)
Emergency excision of abnormal appendix and drainage HFQ(77000)
Emergency excision of appendix NOS(7700z)
Emergency excision of normal appendix(77002)
Laparoscopic emergency appendicectomy(77004)
Other specified emergency excision of appendix(7700y)
Endoscopic appendicectomy NEC(77014)
Inversion appendicectomy(X20X1)
Laparoscopic appendicectomy(Xa9w5)