Ops-301

The Operationen- und Prozedurenschlüssel (OPS) (in 2008, and 2005: OPS-301) is the German modification of the ICPM and now the official classification of operational procedures for power control, the performance record and basis for the claims processing (for inpatient services for G-DRG) of the German hospitals and physicians.

The OPS is now provided on an annual basis by Deutsches Institut für Medizinische Dokumentation und Information.

For coding for DRGs first encryption to the valid version of the WHO standard, German Modification) is required. This problem is now often by specially trained Kodierfachkräften perceived.

History

Basis for the OPS, the Dutch ICPM-DE, resulting in the classification key operation according to § 301 SGB V (OPS-301) was formed. OPS-301 Version 1.0 on 14 Published in October 1994 and took effect on 1 January 1995. OPS-301 but was originally only a subset of the ICPM was, but since version 2.0 extends (valid in 2001) a significant number of national codes. An enormous increase in significance was the OPS-classification with the introduction of lump under the DRG system (Diagnosis Related Groups) in 2004.

With version OPS 2005 it accounted for the previously popular suffix "-301", since the application of OPS since that issue is no longer on § 301 SGB V is limited but by out-patient surgery in a hospital (§ 115b SGB V) and the ambulatory care established Doctors (§ 295 SGB V) includes.

Properties and metrics of OPS 2008

General

• 65 section headings (e.g., 5-29 to 5-31: Operations on pharynx, larynx and trachea)
• 230 handler classes in three-digit classification (e.g. 5-31: Other Larynxoperationen and operations on the trachea)
• 1400 handler classes in four-digit classification (e.g., 5-314: excision, resection and destruction (of diseased tissue) of the trachea)
• 7800 handler classes in the five-digit classification (e.g. 5-314.1: resection)
• About 18 700 additional procedure classes in the six-digit classification (e.g. 5-314.11: With end-to-end anastomosis)

• Notation: numeric first three points, 4 Alphanumeric Centre, 5 / 6 Numerically or place: x - any other procedures, y - unspecified
• Topographical outline (no orientation to the field)
• Not used all the points of the four-digit classification (for comparability with the ICPM)
• Multiple listing in exchange of the surgical area and intra-operative complications
• Inclusion and exclusion rules, further information at the highest possible level in the hierarchy
• Mono-hierarchical classification with respect to the physiology
• 6 Procedure sections which are not numbered consecutively

Diagnostic procedures

• 1: Diagnostic procedures
  • 1-10...1-10: physical examination
  • 1-20...1-33: study of individual body systems
  • 1-40...1-49: biopsy without incision
  • 1-50...1-58: biopsy with incision
  • 1-61...1-69: diagnostic endoscopy
  • 1-70...1-79: function tests
  • 1-84...1-85: exploratory diagnostic measures
  • 1-90...1-99: Other diagnostic measures

Radiology

• 3: Radiology
  • 3-03...3-05: ultrasound
  • 3-10...3-13: projection radiography
  • 3-20...3-26: computed tomography (CT)
  • 3-30...3-30: optical techniques
  • 3-60...3-69: representation of the vascular system
  • 3-70...3-76: nuclear medicine diagnostic procedure
    • 3-70: scintigraphy
    • 3-72: single-photon emission computed tomography (SPECT)
    • 3-73: single-photon emission computed tomography with computed tomography (SPECT / CT)
    • 3-74: positron emission tomography (PET) with full-ring scanner
    • 3-75: positron emission tomography with computed tomography (PET / CT)
    • 3-76: probe measurements and incorporation
  • 3-80...3-84: magnetic resonance imaging (MRI)
  • 3-90...3-90: other imaging techniques
  • 3-99...3-99: additional information on imaging techniques

Operations

• 5: Operations
  • 5-01...5-05: Operations on the nervous system (neurosurgery)
  • 5-06...5-07: Operations on endocrine glands (endocrine surgery)
  • 5-08...5-16: Operations on the eye (eye surgery)
  • 5-18...5-20: Operations on the ear
  • 5-21...5-22: Operations on the nose and paranasal sinuses
  • 5-23...5-28: Operations on mouth and face
  • 5-29...5-31: Operations on pharynx, larynx and trachea
  • 5-32...5-34: Operations on lung and bronchus
  • 5-35...5-37: Heart surgery
  • 5-38...5-39: Operations on the blood vessels (vascular surgery)
  • 5-40...5-41: Operations on the hematopoietic and lymphatic system
  • 5-42...5-54: Operations on the digestive tract (digestive system surgery)
  • 5-55...5-59: Operations on the urinary system
  • 5-60...5-64: male genital organs
  • 5-65...5-71: female genital organs
  • 5-72...5-75: Obstetric surgery
  • 5-76...5-77: Operations on the jaw and facial bones
  • 5-78...5-86: Operations on the musculoskeletal system
  • 5-87...5-88: Operations on the breast
  • 5-89...5-92: Operations on the skin and subcutaneous tissue
  • 5-93...5-99: additional information on operations

Drugs

• 6: Drugs

Non-surgical therapeutic measures

• 8: Non-surgical therapeutic measures
  • 8-01...8-02: administration of medications and nutritional and therapeutic injection
  • 8-03...8-03: immunotherapy
  • 8-10...8-11: removal of foreign material and debris
  • 8-12...8-13: manipulation of digestive tract and urinary tract
  • 8-14...8-17: Therapeutic catheterization, aspiration, aspiration and irrigation
  • 8-19...8-19: units
  • 8-20...8-22: Closed reduction and correction of deformities
  • 8-31...8-39: immobilization, and special storage
  • 8-40...8-41: bone extension and other extension methods
  • 8-50...8-51: tamponade of bleeding and manipulation of fetus or uterus
  • 8-52...8-54: radiotherapy, nuclear medicine therapy and chemotherapy
  • 8-55...8-60: Frührehabilitative and physical therapy
  • 8-63...8-66: electrical stimulation, electrical therapy and duration of treatment by focused ultrasound
  • 8-70...8-72: measures for the respiratory system
  • 8-77...8-77: measures in the resuscitation
  • 8-80...8-85: measures for the circulation
  • 8-86...8-86: therapy with special cells and blood components
  • 8-90...8-91: anesthesia and pain management
  • 8-92...8-93: patient monitoring
  • 8-97...8-98: complex treatment
  • 8-99...8-99: additional information about non-surgical therapeutic measures

Additional measures

• 9: Additional measures
  • 9-20...9-20: and nursing care of patients
  • 9-26...9-28: birth Accompanying measures and treatment for infertility
  • 9-31...9-32: Phoniatrics and pedaudiological therapy
  • 9-40...9-41: psychosocial, psychological, neuropsychological and psychotherapeutic treatment
  • 9-50...9-50: Preventive measures
  • 9-60...9-64: treatment of mental and psychosomatic disorders and behavioral disorders in adults
  • 9-65...9-69: treatment of mental and psychosomatic disorders and behavioral disorders in children and adolescents
  • 9-98...9-99: Other complementary measures and information

See also

• Procedure codes

External links

• DIMDI: official OPS as download and online version
• OPS 2008 full text search
• OPS Scout: Provides a full text search in the systematic and alphabetical list of the OPS-catalog
• German OPS and ICD-10 search engine Allows encoding and decoding of medical procedures (operations, therapies, surgery) and diagnoses
• German search for OPS therapy and ICD diagnoses Powerful search engine for ICD-10 and OPS codes / keys and their Meanings