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data-event-name="pinnable-header.vector-toc.pin">move to sidebar</button> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-unpin-button" data-event-name="pinnable-header.vector-toc.unpin">hide</button> </div> <ul class="vector-toc-contents" id="mw-panel-toc-list"> <li id="toc-mw-content-text" class="vector-toc-list-item vector-toc-level-1"> <a href="#" class="vector-toc-link"> <div class="vector-toc-text">(Top)</div> </a> </li> <li id="toc-History" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#History"> <div class="vector-toc-text"> <span class="vector-toc-numb">1</span> <span>History</span> </div> </a> <ul id="toc-History-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Volume_I_-_Tabular_List" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Volume_I_-_Tabular_List"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Volume I - Tabular List</span> </div> </a> <button aria-controls="toc-Volume_I_-_Tabular_List-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Volume I - Tabular List subsection</span> </button> <ul id="toc-Volume_I_-_Tabular_List-sublist" class="vector-toc-list"> <li id="toc-"Missing"_chapters" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#"Missing"_chapters"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>"Missing" chapters</span> </div> </a> <ul id="toc-"Missing"_chapters-sublist" class="vector-toc-list"> <li id="toc-I-codes" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#I-codes"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1.1</span> <span>I-codes</span> </div> </a> <ul id="toc-I-codes-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-O-codes" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#O-codes"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1.2</span> <span>O-codes</span> </div> </a> <ul id="toc-O-codes-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Code_structure" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Code_structure"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.2</span> <span>Code structure</span> </div> </a> <ul id="toc-Code_structure-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Volume_II_-_Alphabetical_Index" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Volume_II_-_Alphabetical_Index"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Volume II - Alphabetical Index</span> </div> </a> <button aria-controls="toc-Volume_II_-_Alphabetical_Index-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Volume II - Alphabetical Index subsection</span> </button> <ul id="toc-Volume_II_-_Alphabetical_Index-sublist" class="vector-toc-list"> <li id="toc-Introduction" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Introduction"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.1</span> <span>Introduction</span> </div> </a> <ul id="toc-Introduction-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Section_I_–_Alphabetical_Index_of_Interventions_and_Surgical_Procedures" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Section_I_–_Alphabetical_Index_of_Interventions_and_Surgical_Procedures"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.2</span> <span>Section I – Alphabetical Index of Interventions and Surgical Procedures</span> </div> </a> <ul id="toc-Section_I_–_Alphabetical_Index_of_Interventions_and_Surgical_Procedures-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Section_II_–_Alphabetical_Index_of_Surgical_Eponyms" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Section_II_–_Alphabetical_Index_of_Surgical_Eponyms"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.3</span> <span>Section II – Alphabetical Index of Surgical Eponyms</span> </div> </a> <ul id="toc-Section_II_–_Alphabetical_Index_of_Surgical_Eponyms-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Section_III_–_Alphabetical_Index_of_Surgical_Abbreviations" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Section_III_–_Alphabetical_Index_of_Surgical_Abbreviations"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.4</span> <span>Section III – Alphabetical Index of Surgical Abbreviations</span> </div> </a> <ul id="toc-Section_III_–_Alphabetical_Index_of_Surgical_Abbreviations-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Section_IV_–_Alphabetical_Index_of_Common_Surgical_Suffixes" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Section_IV_–_Alphabetical_Index_of_Common_Surgical_Suffixes"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.5</span> <span>Section IV – Alphabetical Index of Common Surgical Suffixes</span> </div> </a> <ul id="toc-Section_IV_–_Alphabetical_Index_of_Common_Surgical_Suffixes-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Supplementary_publications" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Supplementary_publications"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Supplementary publications</span> </div> </a> <button 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div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox hproduct"><caption class="infobox-title fn">OPCS-4</caption><tbody><tr><td colspan="2" class="infobox-subheader">OPCS Classification of Interventions and Procedures</td></tr><tr><th scope="row" class="infobox-label">Abbreviation</th><td class="infobox-data">OPCS</td></tr><tr><th scope="row" class="infobox-label">Status</th><td class="infobox-data">Published</td></tr><tr><th scope="row" class="infobox-label">Latest version</th><td class="infobox-data">OPCS-4.10<br />April 2023</td></tr><tr><th scope="row" class="infobox-label">Organization</th><td class="infobox-data"><a href="/wiki/NHS_Digital" title="NHS Digital">NHS Digital</a></td></tr><tr><th scope="row" class="infobox-label">Domain</th><td class="infobox-data"><a href="/wiki/Medical_classification" title="Medical classification">Medical classification</a></td></tr><tr><th scope="row" class="infobox-label">Copyright</th><td class="infobox-data"><a href="/wiki/Crown_copyright" title="Crown copyright">Crown copyright</a></td></tr><tr><th scope="row" class="infobox-label">Website</th><td class="infobox-data"><span class="url"><a rel="nofollow" class="external text" href="https://hscic.kahootz.com/connect.ti/t_c_home/view?objectId=14270896#14270896">OPCS-4 NHS Digital</a></span></td></tr></tbody></table> <p><b>OPCS-4</b>, or more formally <b>OPCS Classification of Interventions and Procedures version 4</b>,<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> is the <a href="/wiki/Procedure_code" title="Procedure code">procedural classification</a> used by clinical coders within <a href="/wiki/National_Health_Service" title="National Health Service">National Health Service</a> (NHS) hospitals of <a href="/wiki/National_Health_Service_(England)" title="National Health Service (England)">NHS England</a>, <a href="/wiki/NHS_Scotland" title="NHS Scotland">NHS Scotland</a>, <a href="/wiki/NHS_Wales" title="NHS Wales">NHS Wales</a> and <a href="/wiki/Health_and_Social_Care_in_Northern_Ireland" class="mw-redirect" title="Health and Social Care in Northern Ireland">Health and Social Care in Northern Ireland</a>. It is based on the earlier <a href="/wiki/Office_of_Population_Censuses_and_Surveys" title="Office of Population Censuses and Surveys">Office of Population Censuses and Surveys</a> Classification of Surgical Operations and Procedures (4th revision),<sup id="cite_ref-history_2-0" class="reference"><a href="#cite_note-history-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> and retains the OPCS abbreviation from this now defunct publication. </p><p>OPCS-4 codifies operations, procedures and interventions performed during <a href="/wiki/Inpatient_care" title="Inpatient care">in-patient</a> stays, day case surgery and some <a href="/wiki/Outpatient" class="mw-redirect" title="Outpatient">out-patient</a> treatments in NHS hospitals. Though the code structure is different, as a code set, OPCS-4 is comparable to the American Medical Association's <a href="/wiki/Current_Procedural_Terminology" title="Current Procedural Terminology">Current Procedural Terminology</a>. </p><p>As a publication, OPCS-4 is split into two volumes; a tabular list (Volume I) and an alphabetical index (Volume II).<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> An electronic version is also available. However, a number of supplementary publications are also used by <a href="/wiki/Clinical_coder" title="Clinical coder">coding staff</a>. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=1" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The first NHS procedural classification was published in 1970 by the Office of Population Censuses and Surveys (OPCS) as the <i>Classification of Surgical Operations</i>, the second revision came in 1971. A completely re-written classification was produced and released in 1977, referred to as OPCS3.<sup id="cite_ref-:0_4-0" class="reference"><a href="#cite_note-:0-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> In 1989 the 4th revision was released as the <i>OPCS Classification of Surgical Operations and Procedures (4th revision)</i>, with a second revision coming a year later<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-:0_4-1" class="reference"><a href="#cite_note-:0-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-history_2-1" class="reference"><a href="#cite_note-history-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> usually shorted to OPCS-4.2. Responsibility for the classifications used in the NHS, including OPCS-4, passed to the <a href="/wiki/NHS_Information_Authority" title="NHS Information Authority">NHS Information Authority</a> (NHS IA) when it formed in 1999. </p><p>By 2003, the NHS IA had realised OPCS-4.2 no longer accurately reflected many of the procedures being performed in the <a href="/wiki/UK_health_care" class="mw-redirect" title="UK health care">UK healthcare system</a>. As a medium term measure, a project to replace OPCS-4 with a more robust method of procedure coding was proposed and partially developed. Rather than using a sequence of codes to capture activity, the new classification would have used a single alphanumeric code up to 15 characters long. When the NHS IA was superseded by <a href="/wiki/NHS_Connecting_for_Health" title="NHS Connecting for Health">NHS Connecting for Health</a> (NHS CFH) in 2005, the project was placed on indefinite hold, and a program of annual revisions to OPCS-4 was implemented. Much of the development work for the suspended project was reused to produce the initial expansion and enhancement of OPCS-4.2 to OPCS-4.3. However, OPCS-4.2 remained the mandated method of procedural classification in the NHS setting until March 2006.<sup id="cite_ref-HSCIC-OPCS_6-0" class="reference"><a href="#cite_note-HSCIC-OPCS-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> </p><p>Since the implementation of OPCS-4.3 in April 2006 there have been six further editions of OPCS-4 released. Each becoming the mandated classification on 1 April in the year of publication. </p><p><b>OPCS-4 version mandated for use (financial year)</b><sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> </p> <ul><li>1989-1990 OPCS-4</li> <li>1990-2006 OPCS-4.2</li> <li>2006-7 OPCS-4.3</li> <li>2007-9 OPCS-4.4</li> <li>2009-11 OPCS-4.5</li> <li>2011-14 OPCS-4.6</li> <li>2014-17 OPCS-4.7</li> <li>2017-20 OPCS-4.8</li> <li>2020-23 OPCS-4.9</li> <li>Since 1 April 2023 OPCS-4.10 (until further notice)</li></ul> <p>Whilst additions to OPCS-4 are reviewed on an annual basis, the long term plan is to replace OPCS-4 with <a href="/wiki/SNOMED_CT" title="SNOMED CT">SNOMED CT</a>.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> </p><p>On 31 March 2013 NHS CFH ceased to exist. On 1 April 2013, the Health and Social Care Information Centre's (HSCIC) Clinical Classifications Service (CCS) became responsible for the revision and maintenance of OPCS-4.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> On 1 April 2016, HSCIC was rebranded to <a href="/wiki/NHS_Digital" title="NHS Digital">NHS Digital</a>;<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> responsibility for OPCS-4 remains with NHS Digital.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> NHS Digital merged with <a href="/wiki/NHS_England" title="NHS England">NHS England</a> 1 February 2023.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Volume_I_-_Tabular_List">Volume I - Tabular List</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=2" title="Edit section: Volume I - Tabular List"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>OPCS-4 Volume I is split into 24 chapters: </p> <ul><li>Chapter A - Nervous System</li> <li>Chapter B - Endocrine System and Breast</li> <li>Chapter C - Eye</li> <li>Chapter D - Ear</li> <li>Chapter E - Respiratory Tract</li> <li>Chapter F - Mouth</li> <li>Chapter G - Upper Digestive System</li> <li>Chapter H - Lower Digestive System</li> <li>Chapter J - Other Abdominal Organs, Principally Digestive</li> <li>Chapter K - Heart</li> <li>Chapter L - Arteries and Veins</li> <li>Chapter M - Urinary</li> <li>Chapter N - Male Genital Organs</li> <li>Chapter P - Lower Female Genital Tract</li> <li>Chapter Q - Upper Female Genital Tract</li> <li>Chapter R - Female Genital Tract Associated with Pregnancy, Childbirth and the Puerperium</li> <li>Chapter S - Skin</li> <li>Chapter T - Soft Tissue</li> <li>Chapter U - Diagnostic Imaging, Testing and Rehabilitation</li> <li>Chapter V - Bones and Joints of Skull and Spine</li> <li>Chapter W - Other Bones and Joints</li> <li>Chapter X - Miscellaneous Operations</li> <li>Chapter Y - Subsidiary Classification of Methods of Operation</li> <li>Chapter Z - Subsidiary Classification of Sites of Operation</li></ul> <div class="mw-heading mw-heading3"><h3 id=""Missing"_chapters"><span id=".22Missing.22_chapters"></span>"Missing" chapters</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=3" title="Edit section: "Missing" chapters"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading4"><h4 id="I-codes">I-codes</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=4" title="Edit section: I-codes"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>There is currently no Chapter I. Nor are there any codes beginning with an "I". </p> <div class="mw-heading mw-heading4"><h4 id="O-codes">O-codes</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=5" title="Edit section: O-codes"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Whilst there is no Chapter O, codes beginning with an "O" can be found in OPCS-4. These were added to chapters when all the available 3-character code blocks were exhausted, but further classifications were needed. They are also referred to as "overflow codes", and are located at the end of the related chapter. When indexing a procedure or intervention that is classified to an O-code, the letter denoting the chapter the code is found in is given in <a href="/wiki/Parentheses" class="mw-redirect" title="Parentheses">parentheses</a> after the code. For example: O04.- Embolisation Artery Aneurysmal Transluminal Percutaneous NEC (L).<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Code_structure">Code structure</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=6" title="Edit section: Code structure"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>OPCS-4 is an alphanumeric nomenclature, and uses a four character code layout; similar to that found in <a href="/wiki/ICD-10" title="ICD-10">ICD-10</a>. The first character is always a letter. With the exception of the O-codes mentioned above, the letter indicates the chapter the code is from. The second, third and fourth characters are always numbers. A <a href="/wiki/Full_stop" title="Full stop">full stop</a> (.) separates the third and fourth characters. Also, unlike ICD-10, there are no three character codes within OPCS-4. </p><p>Although OPCS-4 is used to classify procedures and interventions, and ICD-10 classifies diagnoses; their chapters do not correlate. That is to say; Chapter A of OPCS-4 is not used to classify treatments for conditions in Chapter I of ICD-10. </p> <table class="wikitable" style="text-align: center;"> <caption>Syntax of an example OPCS-4 code </caption> <tbody><tr> <th>1st character </th> <th>2nd character </th> <th>3rd character </th> <th>. </th> <th>4th character </th></tr> <tr> <td>A </td> <td>0 </td> <td>1 </td> <td>. </td> <td>1 </td></tr></tbody></table> <div class="mw-heading mw-heading2"><h2 id="Volume_II_-_Alphabetical_Index">Volume II - Alphabetical Index</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=7" title="Edit section: Volume II - Alphabetical Index"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>OPCS-4 Volume II is an index for looking up codes in Volume I. It is bad practice to use it by itself, as some trails only index to the 3rd character category, rather than the 4th character <a href="/wiki/Rubric" title="Rubric">rubric</a>. </p><p>It is split into four numbered sections, along with an introduction section. </p> <div class="mw-heading mw-heading3"><h3 id="Introduction">Introduction</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=8" title="Edit section: Introduction"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The introduction gives a brief guide on using OPCS-4, and defines some abbreviations; for example <em>NEC (Not Elsewhere Classified)</em>. </p> <div class="mw-heading mw-heading3"><h3 id="Section_I_–_Alphabetical_Index_of_Interventions_and_Surgical_Procedures"><span id="Section_I_.E2.80.93_Alphabetical_Index_of_Interventions_and_Surgical_Procedures"></span>Section I – Alphabetical Index of Interventions and Surgical Procedures</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=9" title="Edit section: Section I – Alphabetical Index of Interventions and Surgical Procedures"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>This is the main bulk of the index, and contains the mechanism of looking up codes within the tabular list. </p><p>Terms are indexed in a <em>What</em>, <em>Where</em>, <em>How</em> method. For example, <a href="/wiki/Oesophagogastroduodenoscopy" class="mw-redirect" title="Oesophagogastroduodenoscopy">oesophagogastroduodenoscopy</a> is trailed via Examination (the What), Gastrointestinal Tract Upper (the Where), Endoscopic Fibreoptic (the How).<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Section_II_–_Alphabetical_Index_of_Surgical_Eponyms"><span id="Section_II_.E2.80.93_Alphabetical_Index_of_Surgical_Eponyms"></span>Section II – Alphabetical Index of Surgical Eponyms</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=10" title="Edit section: Section II – Alphabetical Index of Surgical Eponyms"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>This list of surgical <a href="/wiki/Eponyms" class="mw-redirect" title="Eponyms">eponyms</a>, contains common NHS procedures that may also be known by the surgeon, team or institution that developed the method or device used. For example, the Birmingham <a href="/wiki/Hip_resurfacing" title="Hip resurfacing">hip resurfacing</a> and the Thompson <a href="/wiki/Hemiarthroplasty" class="mw-redirect" title="Hemiarthroplasty">Hemiarthroplasty</a>. </p><p>The eponyms list is no longer maintained and has not been updated since 2008 and is "only retained for legacy purposes"<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Section_III_–_Alphabetical_Index_of_Surgical_Abbreviations"><span id="Section_III_.E2.80.93_Alphabetical_Index_of_Surgical_Abbreviations"></span>Section III – Alphabetical Index of Surgical Abbreviations</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=11" title="Edit section: Section III – Alphabetical Index of Surgical Abbreviations"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>This section of the Volume II contains an alphabetical list of common <a href="/wiki/Abbreviations" class="mw-redirect" title="Abbreviations">abbreviations</a> and their definitions. For example, <a href="/wiki/ECMO" class="mw-redirect" title="ECMO">ECMO</a> - Extracorporeal Membrane Oxygenation.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> </p><p>As there are few instances where the abbreviation has been used more than once, and medical language is liable to change; descriptors are given to clarify all abbreviations. For example, SST could stand for Serum Skin Test or <a href="/wiki/ACTH_stimulation_test" title="ACTH stimulation test">Short Synacthen Test</a>.<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Section_IV_–_Alphabetical_Index_of_Common_Surgical_Suffixes"><span id="Section_IV_.E2.80.93_Alphabetical_Index_of_Common_Surgical_Suffixes"></span>Section IV – Alphabetical Index of Common Surgical Suffixes</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=12" title="Edit section: Section IV – Alphabetical Index of Common Surgical Suffixes"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>This section of Volume II is a single page <a href="/wiki/Glossary" title="Glossary">glossary</a> that defines <a href="/wiki/Suffixes" class="mw-redirect" title="Suffixes">suffixes</a> that are used throughout the classification. For example, -otomy. </p> <div class="mw-heading mw-heading2"><h2 id="Supplementary_publications">Supplementary publications</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=13" title="Edit section: Supplementary publications"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>There are a number of publications that supplement OPCS-4. </p> <div class="mw-heading mw-heading3"><h3 id="Standards_book">Standards book</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=14" title="Edit section: Standards book"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The <i>National Clinical Coding Standards OPCS-4</i> is a reference book on how to use the classification, and provides guidance through examples. It is initially supplied to novice coders who attend a standards course run by a CCS approved trainer. Whilst each revision to OPCS-4 sees the issue of a new manual; any updates or corrections are issued electronically, and the onus is on the coder to update them by hand. </p><p>Prior to OPCS-4.7, and the move of maintenance responsibility to NHS Digital, the standards book was known as the <i>Clinical Coding Instruction Manual</i>. </p> <div class="mw-heading mw-heading3"><h3 id="ICD-10_and_OPCS-4_Classifications_Content_Changes">ICD-10 and OPCS-4 Classifications Content Changes</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=15" title="Edit section: ICD-10 and OPCS-4 Classifications Content Changes"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Minor changes and coding advice for both ICD-10 and OPCS-4 are disseminated through the <i>ICD-10 and OPCS-4 Classifications Content Changes</i>. Until March 2022 this publication was known as <i>The Coding Clinic</i>, which was initially issued as a printed newsletter. Then, in 2012, the format was switched to a single, compendium-like electronic publication. </p> <div class="mw-heading mw-heading3"><h3 id="High_Cost_Drugs_List">High Cost Drugs List</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=16" title="Edit section: High Cost Drugs List"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Maintained by the <a href="/wiki/Department_of_Health_(United_Kingdom)" class="mw-redirect" title="Department of Health (United Kingdom)">Department of Health's</a> (DH) <a href="/wiki/Payment_by_Results" class="mw-redirect" title="Payment by Results">Payment by Results</a> team; the High Cost Drugs List was a catalogue of drugs licensed for use in the NHS that are excluded from the Payment by Results (PbR) tariff. </p><p>Although reviewed annually; the list required updates to be published infrequently. Any changes that were made, however, would always be valid from the start of the next April – even in years with no revision to OPCS-4. The list consists of the generic names of certain drugs next to the relevant OPCS-4 code. The guidance section of the list stated that it was down to the clinical staff to use the generic instead of brand names. </p> <div class="mw-heading mw-heading3"><h3 id="Chemotherapy_Regimens_List">Chemotherapy Regimens List</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=17" title="Edit section: Chemotherapy Regimens List"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The Chemotherapy Regimens List, also issued by the DH Payment by Results team, is for the coding of administration of <a href="/wiki/Chemotherapy" title="Chemotherapy">antineoplastic drugs</a>. Organised alphabetically, the list contains adult and paediatric chemotherapy regimens used in the NHS. Adult <a href="/wiki/Clinical_trials" class="mw-redirect" title="Clinical trials">Drug trials</a> are excluded as they are usually financed by the trial's commissioner, for example a pharmaceutical company or cancer charity. </p><p>The National Clinical Coding Standards OPCS-4 and both of the DH lists are issued to coders via Terminology Reference Data Update Distribution Service (TRUD)<a rel="nofollow" class="external autonumber" href="https://web.archive.org/web/20111030015028/http://www.uktcregistration.nss.cfh.nhs.uk/">[1]</a> and on the NHS England platform Delen<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup> </p><p>The Chemotherapy Regimens list has not been updated since 2017. </p> <div class="mw-heading mw-heading2"><h2 id="Copyright">Copyright</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=18" title="Edit section: Copyright"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>As an NHS publication, OPCS-4 is covered by <a href="/wiki/Crown_copyright#United_Kingdom" title="Crown copyright">Crown Copyright</a>. </p> <div class="mw-heading mw-heading2"><h2 id="Derived_works">Derived works</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=19" title="Edit section: Derived works"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The <a rel="nofollow" class="external text" href="http://www.ccsd.org.uk/">Clinical Coding and Schedule Development (CCSD) Group's</a> Schedule of Procedures is based upon OPCS-4.<sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=20" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/ICD-10" title="ICD-10">ICD-10</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=OPCS-4&action=edit&section=21" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a 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London: TSO. 2014. p. 58. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/9780113229918" title="Special:BookSources/9780113229918"><bdi>9780113229918</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=OPCS+classification+of+interventions+and+procedures%2C+version+4.7%2C+Volume+II+-+Alphabetical+Index&rft.place=London&rft.pages=58&rft.pub=TSO&rft.date=2014&rft.isbn=9780113229918&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOPCS-4" class="Z3988"></span></span> </li> <li id="cite_note-15"><span class="mw-cite-backlink"><b><a href="#cite_ref-15">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFEngland" class="citation web cs1">England, N. H. S. <a rel="nofollow" class="external text" href="https://nhsengland.kahootz.com/connect.ti/t_c_home/viewDatastore?adv=S&datViewMode=list&dsid=356868&search=&search_0=&search_11=&search_12=&search_13=&search_14=&search_18=National+Clinical+Coding+Standards&search_19=7&search_5=&searchop_0=LIKE&searchop_11=LIKE&searchop_12=LIKE&searchop_13=LIKE&searchop_14=LIKE&searchop_18=LIKE&searchop_19=LIKE&searchop_5=LIKE">"Delen: Home : Resource Library"</a>. <i>nhsengland.kahootz.com</i><span class="reference-accessdate">. Retrieved <span class="nowrap">16 May</span> 2023</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=nhsengland.kahootz.com&rft.atitle=Delen%3A+Home+%3A+Resource+Library&rft.aulast=England&rft.aufirst=N.+H.+S.&rft_id=https%3A%2F%2Fnhsengland.kahootz.com%2Fconnect.ti%2Ft_c_home%2FviewDatastore%3Fadv%3DS%26datViewMode%3Dlist%26dsid%3D356868%26search%3D%26search_0%3D%26search_11%3D%26search_12%3D%26search_13%3D%26search_14%3D%26search_18%3DNational%2BClinical%2BCoding%2BStandards%26search_19%3D7%26search_5%3D%26searchop_0%3DLIKE%26searchop_11%3DLIKE%26searchop_12%3DLIKE%26searchop_13%3DLIKE%26searchop_14%3DLIKE%26searchop_18%3DLIKE%26searchop_19%3DLIKE%26searchop_5%3DLIKE&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOPCS-4" class="Z3988"></span></span> </li> <li id="cite_note-16"><span class="mw-cite-backlink"><b><a href="#cite_ref-16">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation book cs1"><i>OPCS classification of interventions and procedures, version 4.7</i>. London: TSO. 2014. p. 211. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/9780113229918" title="Special:BookSources/9780113229918"><bdi>9780113229918</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=OPCS+classification+of+interventions+and+procedures%2C+version+4.7.&rft.place=London&rft.pages=211&rft.pub=TSO&rft.date=2014&rft.isbn=9780113229918&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOPCS-4" class="Z3988"></span></span> </li> <li id="cite_note-17"><span class="mw-cite-backlink"><b><a href="#cite_ref-17">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation book cs1"><i>OPCS classification of interventions and procedures, version 4.7</i>. London: TSO. 2014. p. 212. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/9780113229918" title="Special:BookSources/9780113229918"><bdi>9780113229918</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=OPCS+classification+of+interventions+and+procedures%2C+version+4.7.&rft.place=London&rft.pages=212&rft.pub=TSO&rft.date=2014&rft.isbn=9780113229918&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOPCS-4" class="Z3988"></span></span> </li> <li id="cite_note-18"><span class="mw-cite-backlink"><b><a href="#cite_ref-18">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFEngland" class="citation web cs1">England, N. H. S. <a rel="nofollow" class="external text" href="https://nhsengland.kahootz.com/connect.ti/t_c_home/view?objectID=14270896">"Delen: Home : OPCS-4"</a>. <i>nhsengland.kahootz.com</i><span class="reference-accessdate">. Retrieved <span class="nowrap">16 May</span> 2023</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=nhsengland.kahootz.com&rft.atitle=Delen%3A+Home+%3A+OPCS-4&rft.aulast=England&rft.aufirst=N.+H.+S.&rft_id=https%3A%2F%2Fnhsengland.kahootz.com%2Fconnect.ti%2Ft_c_home%2Fview%3FobjectID%3D14270896&rfr_id=info%3Asid%2Fen.wikipedia.org%3AOPCS-4" class="Z3988"></span></span> </li> <li id="cite_note-19"><span class="mw-cite-backlink"><b><a href="#cite_ref-19">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.ccsd.org.uk/copyright/">"Copyright in the CCSD Schedule, CCSD Schedule with Hospital Classifications, Bulletins and supportive documents"</a>. <i>CCSD</i><span class="reference-accessdate">. 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abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Medical_classification" title="Template:Medical classification"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Medical_classification" title="Template talk:Medical classification"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Medical_classification" title="Special:EditPage/Template:Medical classification"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Medical_classification" style="font-size:114%;margin:0 4em"><a href="/wiki/Medical_classification" title="Medical classification">Medical classification</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Topographical_code" title="Topographical code">Topographical codes</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Federative_International_Committee_on_Anatomical_Terminology" class="mw-redirect" title="Federative International Committee on Anatomical Terminology">Terminologia</a> <ul><li><a href="/wiki/Terminologia_Anatomica" title="Terminologia Anatomica">TA</a></li> <li><a href="/wiki/Terminologia_Histologica" title="Terminologia Histologica">TH</a></li> <li><a href="/wiki/Terminologia_Embryologica" title="Terminologia Embryologica">TE</a></li></ul></li> <li><a href="/wiki/Systematized_Nomenclature_of_Medicine#T_(Topography)_--_Anatomic_terms" title="Systematized Nomenclature of Medicine">SNOMED T axis</a></li> <li><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH A axis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Diagnosis_code" title="Diagnosis code">Diagnostic codes</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><i>general:</i></span></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/International_Classification_of_Diseases" title="International Classification of Diseases">ICD</a> <ul><li><a href="/wiki/ICD-11" title="ICD-11">11</a></li> <li><a href="/wiki/ICD-10" title="ICD-10">10</a></li> <li><a href="/wiki/ICD-9" class="mw-redirect" title="ICD-9">9</a></li></ul></li> <li><a href="/wiki/International_Classification_of_Primary_Care" title="International Classification of Primary Care">ICPC-2</a></li> <li><a href="https://fr.wikipedia.org/wiki/Dictionnaire_des_r%C3%A9sultats_de_consultation" class="extiw" title="fr:Dictionnaire des résultats de consultation">DRC</a></li> <li><a href="/wiki/NANDA" class="mw-redirect" title="NANDA">NANDA</a></li> <li><a href="/wiki/Read_code" title="Read code">Read codes</a></li> <li><a href="/wiki/Systematized_Nomenclature_of_Medicine" title="Systematized Nomenclature of Medicine">SNOMED D axis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><i>specialized:</i></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/International_Classification_of_Diseases_for_Oncology" title="International Classification of Diseases for Oncology">ICD-O</a></li> <li><a href="/wiki/International_Classification_of_Sleep_Disorders" title="International Classification of Sleep Disorders">ICSD</a></li> <li><a href="/wiki/International_Classification_of_Headache_Disorders" title="International Classification of Headache Disorders">ICHD</a></li> <li><a href="/wiki/The_International_League_of_Dermatological_Societies" title="The International League of Dermatological Societies">ILDS</a></li> <li><a href="/wiki/Diagnostic_and_Statistical_Manual_of_Mental_Disorders" title="Diagnostic and Statistical Manual of Mental Disorders">DSM</a> <ul><li><a href="/wiki/DSM-IV_codes" class="mw-redirect" title="DSM-IV codes">IV</a></li> <li><a href="/wiki/DSM-5" title="DSM-5">5</a></li></ul></li> <li><a href="/wiki/British_Pediatric_Association_Classification_of_Diseases" title="British Pediatric Association Classification of Diseases">BPA</a></li> <li><a href="/wiki/Chinese_Classification_of_Mental_Disorders" title="Chinese Classification of Mental Disorders">CCMD-3</a></li> <li><a href="/wiki/Orchard_Sports_Injury_and_Illness_Classification_System_(OSIICS)" class="mw-redirect" title="Orchard Sports Injury and Illness Classification System (OSIICS)">OSIICS</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Procedure_code" title="Procedure code">Procedural codes</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Healthcare_Common_Procedure_Coding_System" title="Healthcare Common Procedure Coding System">HCPCS</a> (<a href="/wiki/Current_Procedural_Terminology" title="Current Procedural Terminology">CPT</a>, <a href="/wiki/HCPCS_Level_2" title="HCPCS Level 2">Level 2</a>)</li> <li><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a> <ul><li><a href="/wiki/ICD-10_Procedure_Coding_System" title="ICD-10 Procedure Coding System">10 PCS</a></li> <li><a href="/wiki/ICD-9-CM_Volume_3" title="ICD-9-CM Volume 3">9-CM Volume 3</a></li> <li><a href="/wiki/International_Classification_of_Health_Interventions" title="International Classification of Health Interventions">ICHI</a></li></ul></li> <li><a href="/wiki/Nursing_Interventions_Classification" title="Nursing Interventions Classification">NIC</a></li> <li><a href="/wiki/Systematized_Nomenclature_of_Medicine" title="Systematized Nomenclature of Medicine">SNOMED P axis</a></li> <li><a href="/wiki/OPS-301" title="OPS-301">OPS-301</a></li> <li><a href="/wiki/Read_code" title="Read code">Read codes</a>/<a class="mw-selflink selflink">OPCS-4</a></li> <li><a href="/wiki/Classification_Commune_des_Actes_M%C3%A9dicaux" title="Classification Commune des Actes Médicaux">CCAM</a></li> <li><a href="/wiki/LOINC" title="LOINC">LOINC</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Pharmaceutical_code" title="Pharmaceutical code">Pharmaceutical codes</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Anatomical_Therapeutic_Chemical_Classification_System" title="Anatomical Therapeutic Chemical Classification System">ATC</a></li> <li><a href="/wiki/National_drug_code" title="National drug code">NDC</a></li> <li><a href="/wiki/Systematized_Nomenclature_of_Medicine" title="Systematized Nomenclature of Medicine">SNOMED C axis</a></li> <li><a href="/wiki/Drug_Identification_Number" class="mw-redirect" title="Drug Identification Number">DIN</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Outcomes codes</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Nursing_Outcomes_Classification" title="Nursing Outcomes Classification">NOC</a></li></ul> </div></td></tr></tbody></table></div>    </div><noscript><img src="https://login.wikimedia.org/wiki/Special:CentralAutoLogin/start?type=1x1" alt="" width="1" height="1" style="border: none; position: absolute;"></noscript> <div class="printfooter" data-nosnippet="">Retrieved from "<a dir="ltr" href="https://en.wikipedia.org/w/index.php?title=OPCS-4&oldid=1156746878">https://en.wikipedia.org/w/index.php?title=OPCS-4&oldid=1156746878</a>"</div></div> <div id="catlinks" class="catlinks" data-mw="interface"><div id="mw-normal-catlinks" class="mw-normal-catlinks"><a href="/wiki/Help:Category" title="Help:Category">Categories</a>: <ul><li><a href="/wiki/Category:Clinical_procedure_classification" title="Category:Clinical procedure classification">Clinical procedure classification</a></li><li><a href="/wiki/Category:Medical_classification" 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