ADULT OR CHILDREN'S MODEL, INPATIENT SETTING

Inpatient

Adult, older-adult and children's beds — the bed-type field is the trust's biggest gap (recorded in ≤2.25%).

The clinical note

34-year-old woman, admitted to the general adult mental health ward via the crisis resolution team after a 3-day episode of decreased need for sleep, grandiose beliefs (she believed she had been offered a national media role), pressured speech, and impulsive spending, culminating in a police call-out. She has a 5-year history of bipolar affective disorder with previous depressive episodes. No psychotic features during this presentation. No substance misuse. Admitted under section 136, then 2(1)(c), now consenting. Bed type: general acute adult mental health bed. Night 4 of an expected short stay. Diagnosis: bipolar affective disorder, current episode manic without psychotic symptoms.

Step 1 · Routing to ICD-10-CM mental-health categories

F3180%
F3020%
F010%
F020%
F030%

Step 2 · Ranking candidate codes within the top categories

F31.1067%
F31.1313%
F30.1310%
F31.123%
F30.103%

Step 3 · The coded payment record

ICD-10-CM DIAGNOSIS
F31.10
F31.10, F31.13, F30.13 (top candidates)
PAYMENT CURRENCY · 2026/27
MAB98A
Adult - Mood and Anxiety Disorders - Inpatient - Acute & PICU
MHNRG SECTION
Adult - Mood and Anxiety Disorders
diagnostic resource-group family
fields the agent extracted for this currency model
clinical needacute manic episode
bed typegeneral acute adult mental health bed (recorded in ≤2.25%)
admission statusMHA 2(1)(c), now consenting
length of stay4 nights

Service report — Inpatient

currency model: Adult/children's · inpatient setting Inpatient payment needs the bed type and the admission context. Bed type is the trust's most-quoted gap — recorded in ≤ 2.25% of contacts — yet it decides which inpatient band (acute & PICU, rehab, specialist, forensic) the contact pays under.

recorded fieldNELFT completeness
clinical need (diagnosis or presenting complaint)98.7%
bed type≤ 2.25%
primary reason for referral · service/team typenot retrievable at warehouse grain

The agent read the episode as a manic presentation of bipolar disorder, classified F31 (category confidence 80%), ranked the leaf candidates and returned F31.10 with the sibling F31.13 close behind — the same payment category either way — and, from the "general acute adult mental health bed" line, selected the acute inpatient band MAB98A. That bed-type extraction is precisely the ≤2.25% gap closed by reading the note instead of the form field.