OPS-301
Encyclopedia
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 ICD-10-GM is (current WHO
standard, German Modification) is required. This problem is now often by specially trained Kodierfachkräften perceived.
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.
The OPS is now provided on an annual basis by Deutsches Institut für Medizinische Dokumentation und Information
Deutsches Institut für Medizinische Dokumentation und Information
The Deutsches Institut für Medizinische Dokumentation und Information is a German organization responsible for medical classification.In English, its name would translate to "German Institute of Medical Documentation and Information"....
.
For coding for DRGs first encryption to the valid version of the ICD-10-GM is (current WHO
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...
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 classificationClassification
Classification may refer to:* Library classification and classification in general* Taxonomic classification * Biological classification of organisms* Medical classification* Scientific 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.
General
- 65 section headings (eg, 5-29 to 5-31: Operations on pharynx, larynx and trachea)
- 230 handler classes in three-digit classification (eg 5-31: Other Larynxoperationen and operations on the trachea)
- 1400 handler classes in four-digit classification (eg, 5-314: excision, resection and destruction (of diseased tissue) of the trachea)
- 7800 handler classes in the five-digit classification (eg 5-314.1: resection)
- About 18 700 additional procedure classes in the six-digit classification (eg 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
: Diagnostic procedures-
- : physical examinationPhysical examinationPhysical examination or clinical examination is the process by which a doctor investigates the body of a patient for signs of disease. It generally follows the taking of the medical history — an account of the symptoms as experienced by the patient...
- : study of individual body systems
- : biopsyBiopsyA biopsy is a medical test involving sampling of cells or tissues for examination. It is the medical removal of tissue from a living subject to determine the presence or extent of a disease. The tissue is generally examined under a microscope by a pathologist, and can also be analyzed chemically...
without incision - : biopsyBiopsyA biopsy is a medical test involving sampling of cells or tissues for examination. It is the medical removal of tissue from a living subject to determine the presence or extent of a disease. The tissue is generally examined under a microscope by a pathologist, and can also be analyzed chemically...
with incision - : diagnostic endoscopy
- : function tests
- : exploratory diagnostic measures
- : Other diagnostic measures
- : physical examination
Radiology
: RadiologyRadiology
Radiology is a medical specialty that employs the use of imaging to both diagnose and treat disease visualized within the human body. Radiologists use an array of imaging technologies to diagnose or treat diseases...
-
- : ultrasoundUltrasoundUltrasound is cyclic sound pressure with a frequency greater than the upper limit of human hearing. Ultrasound is thus not separated from "normal" sound based on differences in physical properties, only the fact that humans cannot hear it. Although this limit varies from person to person, it is...
- : projection radiography
- : computed tomographyComputed tomographyX-ray computed tomography or Computer tomography , is a medical imaging method employing tomography created by computer processing...
(CT) - : optical techniques
- : representation of the vascular system
- : nuclear medicineNuclear medicineIn nuclear medicine procedures, elemental radionuclides are combined with other elements to form chemical compounds, or else combined with existing pharmaceutical compounds, to form radiopharmaceuticals. These radiopharmaceuticals, once administered to the patient, can localize to specific organs...
diagnostic procedure- : scintigraphyScintigraphyScintigraphy is a form of diagnostic test used in nuclear medicine, wherein radioisotopes are taken internally, and the emitted radiation is captured by external detectors to form two-dimensional images...
- : single-photon emission computed tomography (SPECT)
- : single-photon emission computed tomography with computed tomography (SPECT / CT)
- : positron emission tomographyPositron emission tomographyPositron emission tomography is nuclear medicine imaging technique that produces a three-dimensional image or picture of functional processes in the body. The system detects pairs of gamma rays emitted indirectly by a positron-emitting radionuclide , which is introduced into the body on a...
(PET) with full-ring scanner - : positron emission tomography with computed tomography (PET / CT)
- : probe measurements and incorporation
- : scintigraphy
- : magnetic resonance imagingMagnetic resonance imagingMagnetic resonance imaging , nuclear magnetic resonance imaging , or magnetic resonance tomography is a medical imaging technique used in radiology to visualize detailed internal structures...
(MRI) - : other imaging techniques
- : additional information on imaging techniques
- : ultrasound
Operations
: Operations-
- : Operations on the nervous systemNervous systemThe nervous system is an organ system containing a network of specialized cells called neurons that coordinate the actions of an animal and transmit signals between different parts of its body. In most animals the nervous system consists of two parts, central and peripheral. The central nervous...
(neurosurgeryNeurosurgeryNeurosurgery is the medical specialty concerned with the prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spine, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.-In the United States:In...
) - : Operations on endocrine glandsEndocrine glandsEndocrine glands are glands of the endocrine system that secrete their products, hormones, directly into the blood rather than through a duct. The main endocrine glands include the pituitary gland, pancreas, ovaries, testes, thyroid gland, and adrenal glands. The hypothalamus is a neuroendocrine...
(endocrine surgeryEndocrine surgeryEndocrine surgery is a specialized surgical field where procedures are performed on endocrine glands to achieve a hormonal or anti-hormonal effect in the body...
) - : Operations on the eyeEyeEyes are organs that detect light and convert it into electro-chemical impulses in neurons. The simplest photoreceptors in conscious vision connect light to movement...
(eye surgeryEye surgeryEye surgery, also known as orogolomistician surgery or ocular surgery, is surgery performed on the eye or its adnexa, typically by an ophthalmologist.-Preparation and precautions:...
) - : Operations on the earEarThe ear is the organ that detects sound. It not only receives sound, but also aids in balance and body position. The ear is part of the auditory system....
- : Operations on the noseNoseAnatomically, a nose is a protuberance in vertebrates that houses the nostrils, or nares, which admit and expel air for respiration in conjunction with the mouth. Behind the nose are the olfactory mucosa and the sinuses. Behind the nasal cavity, air next passes through the pharynx, shared with the...
and paranasal sinuses - : operations on mouthMouthThe mouth is the first portion of the alimentary canal that receives food andsaliva. The oral mucosa is the mucous membrane epithelium lining the inside of the mouth....
and faceFaceThe face is a central sense organ complex, for those animals that have one, normally on the ventral surface of the head, and can, depending on the definition in the human case, include the hair, forehead, eyebrow, eyelashes, eyes, nose, ears, cheeks, mouth, lips, philtrum, temple, teeth, skin, and... - : Operations on pharynxPharynxThe human pharynx is the part of the throat situated immediately posterior to the mouth and nasal cavity, and anterior to the esophagus and larynx. The human pharynx is conventionally divided into three sections: the nasopharynx , the oropharynx , and the laryngopharynx...
, larynxLarynxThe larynx , commonly called the voice box, is an organ in the neck of amphibians, reptiles and mammals involved in breathing, sound production, and protecting the trachea against food aspiration. It manipulates pitch and volume...
and tracheaTracheaTrachea may refer to:* Vertebrate trachea, or windpipe, in terrestrial vertebrates, such as birds and mammals* Invertebrate trachea, in terrestrial invertebrates, such as insects and crustaceans* Vessel elements in plants... - : operations on lungLungThe lung is the essential respiration organ in many air-breathing animals, including most tetrapods, a few fish and a few snails. In mammals and the more complex life forms, the two lungs are located near the backbone on either side of the heart...
and bronchusBronchusA bronchus is a passage of airway in the respiratory tract that conducts air into the lungs. The bronchus branches into smaller tubes, which in turn become bronchioles.... - : Heart surgery
- : Operations on the blood vessels (vascular surgeryVascular surgeryVascular surgery is a specialty of surgery in which diseases of the vascular system, or arteries and veins, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery...
) - : Operations on the hematopoietic and lymphatic systemLymphatic systemThe lymphoid system is the part of the immune system comprising a network of conduits called lymphatic vessels that carry a clear fluid called lymph unidirectionally toward the heart. Lymphoid tissue is found in many organs, particularly the lymph nodes, and in the lymphoid follicles associated...
- : Operations on the digestive tract (digestive system surgeryDigestive system surgeryDigestive system surgery can be divided into upper GI surgery and lower GI surgery.Upper gastrointestinal surgery, often referred to as upper GI surgery, refers to a practise of surgery that focuses on the upper parts of the gastrointestinal tract...
) - : Operations on the urinary systemUrinary systemThe urinary system is the organ system that produces, stores, and eliminates urine. In humans it includes two kidneys, two ureters, the bladder and the urethra.-Kidney:...
- : Operations on the male genital organs
- : Operations on the female genital organs
- : Obstetric surgery
- : operations on the jawJawThe jaw is any opposable articulated structure at the entrance of the mouth, typically used for grasping and manipulating food. The term jaws is also broadly applied to the whole of the structures constituting the vault of the mouth and serving to open and close it and is part of the body plan of...
and facial bonesFacial bonesThe facial skeleton, splanchnocranium or viscerocranium consists of part of skull that is derived from branchial arches. The facial bones are the bones of the anterior and lower human skull.Most sources include:* Inferior nasal concha... - : Operations on the musculoskeletal systemMusculoskeletal systemA musculoskeletal system is an organ system that gives animals the ability to move using the muscular and skeletal systems...
- : Operations on the breastBreastThe breast is the upper ventral region of the torso of a primate, in left and right sides, which in a female contains the mammary gland that secretes milk used to feed infants.Both men and women develop breasts from the same embryological tissues...
- : Operations on the skinSkin-Dermis:The dermis is the layer of skin beneath the epidermis that consists of connective tissue and cushions the body from stress and strain. The dermis is tightly connected to the epidermis by a basement membrane. It also harbors many Mechanoreceptors that provide the sense of touch and heat...
and subcutaneous tissueSubcutaneous tissueThe hypodermis, also called the hypoderm, subcutaneous tissue, or superficial fascia is the lowermost layer of the integumentary system in vertebrates. Types of cells that are found in the hypodermis are fibroblasts, adipose cells, and macrophages... - : additional information on operations
- : Operations on the nervous system
Non-surgical therapeutic measures
: Non-surgical therapeutic measures-
- : administration of medications and nutritional and therapeutic injection
- : immunotherapyImmunotherapyImmunotherapy is a medical term defined as the "treatment of disease by inducing, enhancing, or suppressing an immune response". Immunotherapies designed to elicit or amplify an immune response are classified as activation immunotherapies. While immunotherapies that reduce or suppress are...
- : removal of foreign material and debris
- : manipulation of digestive tract and urinary tract
- : Therapeutic catheterization, aspirationAspirationAspiration may refer to:In linguistics:*Aspirated consonant, a plosive pronounced with a strong burst of air*Debuccalization, the conversion of a consonant to [h] or [ʔ]*Voiceless glottal fricative In engine technology:...
, aspirationAspirationAspiration may refer to:In linguistics:*Aspirated consonant, a plosive pronounced with a strong burst of air*Debuccalization, the conversion of a consonant to [h] or [ʔ]*Voiceless glottal fricative In engine technology:...
and irrigationIrrigationIrrigation may be defined as the science of artificial application of water to the land or soil. It is used to assist in the growing of agricultural crops, maintenance of landscapes, and revegetation of disturbed soils in dry areas and during periods of inadequate rainfall... - : units
- : Closed reduction and correction of deformities
- : immobilizationImmobilizationImmobilization in soil science is when organic matter decomposes and is absorbed by micro-organisms, therefore preventing it being accessible to plants. Immobilization is the opposite of mineralization....
, and special storage - : bone extension and other extension methods
- : tamponade of bleeding and manipulation of fetus or uterus
- : radiotherapy, nuclear medicine therapy and chemotherapyChemotherapyChemotherapy is the treatment of cancer with an antineoplastic drug or with a combination of such drugs into a standardized treatment regimen....
- : Frührehabilitative and physical therapyPhysical therapyPhysical therapy , often abbreviated PT, is a health care profession. Physical therapy is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, diagnosis, treatment/intervention,and rehabilitation...
- : electrical stimulation, electrical therapy and duration of treatment by focused ultrasound
- : measures for the respiratory system
- : measures in the resuscitation
- : measures for the circulation
- : therapy with special cells and blood components
- : anesthesiaAnesthesiaAnesthesia, or anaesthesia , traditionally meant the condition of having sensation blocked or temporarily taken away...
and pain managementPain managementPain management is a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain. The typical pain management team includes medical practitioners, clinical psychologists, physiotherapists, occupational therapists,... - : patient monitoring
- : complex treatment
- : additional information about non-surgical therapeutic measures
Additional measures
: Additional measures-
- : and nursing care of patients
- : birth Accompanying measures and treatment for infertility
- : Phoniatrics and pedaudiological therapy
- : psychosocial, psychological, neuropsychological and psychotherapeutic treatment
- : Preventive measures
- : treatment of mental and psychosomatic disorders and behavioral disorders in adults
- : treatment of mental and psychosomatic disorders and behavioral disorders in children and adolescents
- : Other complementary measures and information
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