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How many steps make up the OPCS coding process?
4
What is the definition of an intervention within OPCS?
Interventions are those aspects of clinical care carried out on patients
undergoing treatment:
• for the prevention, diagnosis, care or relief of disease;
• for the correction of deformity or deficit, including those
performed for cosmetic reasons; and
• associated with pregnancy, childbirth or contraceptive or
procreative management.
Typically this will be:
• surgical in nature; and/or
• carries a procedural risk; and/or
• carries an anaesthetic risk; and/or
• requires specialist training; and/or
• requires special facilities or equipment only available in an acute care
setting
,How many chapters are there within OPCS-4? What do they cover?
There are 24 chapters in total within the OPCS-4 classification.
These comprise 20 chapters covering individual body systems (Chapters
A-T and V-W)
One for diagnostic imaging, testing and rehabilitation procedures
(Chapter U) One for miscellaneous procedures and operations covering
multiple systems,
e.g. transfusion, resuscitation (Chapter X). There are also two additional
chapters providing subsidiary classifications, one for methods of
operation (Chapter Y) and the other for sites and laterality of operation
(Chapter Z).
What is the main axis of classification within OPCS-4?
Body system
What further/more specific axis of classification exists within OPCS-4
apart from body system?
Within any particular body system the axis is the organ and within any
particular organ the axis is the specific operation/intervention.
, The operations/interventions are broadly listed in descending order
of complexity, give these levels of complexity and an example of a
procedure for each.
Major -
Total removal
Functional
replacement
Transplant
Intermediate -
Partial removal
Partial destruction
Reconstruction Repair
Minor -
Biopsy
Incision
Aspiration
Non-operative procedures -
Injection
Examination
Scan/Imaging
Screening
In some chapters the major-minor hierarchy of complexity principle is
either not applicable or not as evident as it should be, why is this?
Due to capacity issues