2010 Hospital Guide Consultation: metric codes and risk adjustment variables
AHRQ PATIENT SAFETY INDICATOR COMPOSITE
12 August 2010
Dr Foster is committed to being as transparent as possible in our work. Dr Foster publishes
the methodologies used in its publications and benchmarking tools. For the first time we are
making the methodologies we intend to use available pre-publication for comment and
consultation. We are delighted to be doing this in partnership with the Health Service
Journal.
In this year’s Hospital Guide we are looking at a number of new metrics measuring patient
safety and clinical effectiveness. These are based on best practice and clinical guidance.
The indicators have been developed in partnership with the Dr Foster Unit at Imperial
College London and in conversation with other leading indicator development units not least
Kings College London and the US Agency for Healthcare Research Quality (AHRQ). We
have also involved NHS clinicians in this development.
This website gives you the opportunity to understand the indicators we propose to publish
and to feedback any concerns or suggestions for improvement that you might have. In
particular we ask for consideration of three questions:
1. Are there any diagnosis or procedure codes that we have included that you
believe should be removed? Please give your reasons
2. Are there any diagnosis or procedure codes that we have omitted that you
believe should be included? Please give your reasons
3. What are the strengths and weaknesses of this metric as an indicator
4. We intend to aggregate these indicators and produce the composite
recommended by AHRQ. Please see
http://www.qualityindicators.ahrq.gov/news/AHRQ_PSI_Composite_Draft.pdf
for further information
You can use the feedback box below to submit comments. Alternatively you can email us
directly at HGconsult2010@drfoster.co.uk. Please submit your response by the 31st August
2010. The Dr Foster Unit will review all responses and suggest modifications to the
indicators. We regret that we cannot reply to all submissions individually.
The Hospital Guide will be published on line and in a printed report at the end of November.
All Trust listed in this report will be contacted in advance with the results of the analyses in
advance of publication.
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considerable investment in developing new ideas, methods and techniques. The
methodologies outlined here include some new algorithms which are the intellectual property
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Thank you for taking the time to offer your feedback.
About Dr Foster
Dr Foster aims to help bridge the gap between data and knowledge. We are a joint venture
between The Department of Health and Dr Foster Holdings LLP, and provide a unique,
innovative public service.
One of Dr Foster’s key objectives is to promote the development of an information culture in
the NHS by providing appropriate information and analysis to clinicians and managers in
order to help them deliver the best quality healthcare. Dr Foster also promotes greater
access to data across all public services and more intelligent use of data to understand
variations in outcomes and availability of services.
The Dr Foster Unit at Imperial College London has developed pioneering methodologies that
enable fast, accurate identification of potential problems in clinical performance – and areas
of high achievement.
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chaired by Sir Donald Irvine, chairman of Picker Institute Europe and former president of the
General Medical Council.
Please see www.drfoster.co.uk for more information
PSI 9: Postoperative Haemorrhage or Haematoma
Metric
Cases of haematoma or haemorrhage requiring a procedure per 1,000 surgical discharges with an
operating room procedure.
Numerator
Discharges meeting the inclusion and exclusion rules for the denominator with a secondary diagnosis
code of:
T810
T811
Haemorrhage and haematoma complicating a procedure NEC
Shock during or resulting from a procedure NEC
Any of the following OPCS codes are required to accompany the above diagnosis codes:
Control of Postoperative Haemorrhage:
F365 + E203
H568 + Y443
L588 + Y443
L798 + Y443
M418 + Y443
M708 + Y443
L126
L255
L302
L333
L382
L423
L463
L623
L628
L663
L691
L703
L933
L995
Arrest of postop bleeding from tonsillar bed + adenoid
Open operations on anus + temporary occlusion of organ NOC
Operations on iliac artery + temporary occlusion of organ NOC
Operations on vena cava + temporary occlusion of organ NOC
Open operations on bladder + temporary occlusion of organ NOC
Operations on outlet of male bladder + temporary occlusion of organ NOC
Pulmonary artery ligation
Operations on aortic body + occlusion vessel temporary
Ligation of carotid artery & Ligation of vein NEC + Jugular body
Ligation of aneurysm of cerebral artery NEC
Ligation of subclavian artery
Ligation Artery Renal
Ligation of visceral branch of abdominal aorta NEC
Ligation of aneurysm of popliteal artery
Other specified other open operations on femoral artery
Occlusion artery transluminal percutaneous
Major systemic to pulmonary collateral artery occlusion
Ligation of artery NEC
Ligation of vein NEC
Occlusion vein transluminal percutaneous
Drainage of Haematoma:
D041
T309
T301
N032
N131
P292
Drainage of haematoma of external ear
Unspecified opening of abdomen
Reopening of abdomen, re-exploration of op site, arrest of postop bleeding
Drainage of scrotum
Drainage of testis
Colpotomy NEC
P149
P131 + Y221
P093
P271
S471
S472
Unspecified incision of introitus of vagina
Drainage of female perineum + aspiration of haematoma of organ NOC
Evacuation of haematoma from vulva
Evacuation of haematoma from vagina
Drainage of lesion of skin of head or neck
Drainage of lesion of skin NEC
Denominator
All surgical discharges age 18 and older defined by specific HRGs (Appendix A) and an OPCS code for
an operating room procedure.
See Appendix A: Surgical HRGs
See Appendix B: Non-Operating Room Procedures
Exclusions

Primary diagnosis of:
T810
T811
Haemorrhage and haematoma complicating a procedure NEC
Shock during or resulting from a procedure NEC

Control of Postoperative Haemorrhage* (see numerator)

Drainage of Haematoma* (see numerator)
*If this is the only operating room procedure or if these codes occur before the first operating
room procedure

Pregnancy, childbirth, and puerperium: defined by the following HRG codes:
N06
N07
N08
N09
N10
N11
N12
M09
M10
M11
Data Source
SUS – CDS
Time frame
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
Surgical Termination of Pregnancy
Medical Termination of Pregnancy
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A Surgical HRGs
HRG code
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
HRG code
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
D06
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
Description
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
HRG code
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
Description
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
HRG code
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
Description
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
HRG code
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
Description
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
HRG code
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix B: Non-Operating Room Procedures
OPCS code
A52
A55
D07
E423
H441
H443
M47
Q12
Q55
R15
R24
S13
S14
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
Description
Therapeutic epidural injection
Diagnostic spinal puncture
Clearance of external auditory canal
Temporary tracheostomy
Manual removal of foreign body from rectum
Manual evacuation of impacted faeces from rectum
Urethral catheterisation of bladder
Intrauterine contraceptive device
Other examination of female genital tract
Other induction of labour
Normal delivery
Punch biopsy of skin
Shave biopsy of skin
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Toilet to burnt skin of head or neck NEC
Dressing of burnt skin of head or neck
Attention to dressing of burnt skin of head or neck
Toilet to burnt skin NEC
Dressing of burnt skin NEC
OPCS code
S555
S563
S564
S565
S573
S574
S575
T12
T46
V49
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
X48
X49
X50
X51
X558
X559
A705
C871
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
Description
Attention to dressing of burnt skin NEC
Toilet to skin of head or neck NEC
Dressing of skin of head or neck NEC
Attention to dressing of skin of head or neck NEC
Toilet of skin NEC
Dressing of skin NEC
Attention to dressing of skin NEC
Puncture of pleura
Other drainage of peritoneal cavity
Exploration of spine
Manipulation of joint using traction NEC
Examination of joint under image intensifier
Continuous Infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance
Compensation for renal failure
Immobilisation using plaster cast
Other external support of limb
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
OPCS code
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
Description
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
OPCS code
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
Description
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
OPCS code
U083
U084
U088
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
Description
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
OPCS code
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
U238
U239
U241
U242
U243
U248
U249
U251
U252
U253
Description
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuropsychology test of language
Neuropsychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
Other specified
Unspecified
Pure tone audiometry
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
OPCS code
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
U308
U309
U311
U318
U319
U321
U328
U329
U501
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
Description
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
Unspecified
Delivery of rehabilitation for amputation of limb
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
OPCS code
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
X618
X619
X621
X622
X623
X628
X629
X631
X632
X633
X634
X635
X636
X638
X639
X641
X642
Description
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated radiation
therapy (IMRT) dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
OPCS code
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
X738
X739
X818
X819
X821
X822
X823
X824
X828
X829
X831
X832
X833
X838
X839
X841
X848
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
Description
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged infusional
treatment at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
Other specified
Unspecified
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
OPCS code
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
X961
X968
X969
X978
X979
Y941
Y942
Y943
Description
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
PSI 10: Postoperative Physiologic and Metabolic Derangement
Metric
Cases of specified physiological or metabolic derangement per 1,000 elective surgical discharges
with an operating room procedure.
Numerator
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD10
codes for physiologic and metabolic derangements in any secondary diagnosis field.
Physiologic And Metabolic Derangements:
a) Ketoacidosis, Hyperosmolarity, or Other Coma:
E100
E101
E110
E111
Insulin-dependent diabetes mellitus with coma
Insulin-dependent diabetes mellitus with ketoacidosis
Non-insulin-dependent diabetes mellitus with coma
Non-insulin-dependent diabetes mellitus with ketoacidosis
b) Acute Renal Failure*:
N170
N171
N172
N178
N179
N19
N998
Acute renal failure with tubular necrosis
Acute renal failure with acute cortical necrosis
Acute renal failure with medullary necrosis
Other acute renal failure
Acute renal failure, unspecified
Unspecified renal failure
Other postprocedural disorders of genitourinary system
*Discharges with acute renal failure (subgroup of physiologic and metabolic derangements) must be
accompanied by a procedure code for dialysis (X402: Peritoneal dialysis NEC or X403: Haemodialysis
NEC).
Denominator
All elective surgical discharges age 18 and over defined by specific HRGs (Appendix A) and an OPCS
code for an operating room procedure.
See Appendix A: Surgical HRGs
See Appendix B: Non-Operating Room Procedures
Exclusions

Principal diagnosis of physiologic and metabolic derangements or chronic renal failure
Physiologic And Metabolic Derangements:
E100
E101
E110
E111
N170
Insulin-dependent diabetes mellitus with coma
Insulin-dependent diabetes mellitus with ketoacidosis
Non-insulin-dependent diabetes mellitus with coma
Non-insulin-dependent diabetes mellitus with ketoacidosis
Acute renal failure with tubular necrosis
N171
N172
N178
N179
N19
N998
Acute renal failure with acute cortical necrosis
Acute renal failure with medullary necrosis
Other acute renal failure
Acute renal failure, unspecified
Unspecified renal failure
Other postprocedural disorders of genitourinary system
Chronic Renal Failure:
I120
I131
I132
N18


Hypertensive renal disease with renal failure
Hypertensive heart and renal disease with renal failure
Hyper heart and renal dis both (cong) heart and renal fail
Chronic renal failure
With acute renal failure where a procedure for dialysis occurs before or on the same day as
the first operating room procedure i.e. dialysis procedures X402 or X403 must occur with
acute renal failure (N17) in any secondary diagnosis field, if before or on same day as first
operating room procedure.
With both a diagnosis code of ketoacidosis, hyperosmolarity, or other coma (codes as per
numerator) and a principal diagnosis of diabetes.
Diabetes:
E10
E11
E12
E13
E14

Insulin-dependent diabetes mellitus
Non-insulin-dependent diabetes mellitus
Malnutrition-related diabetes mellitus
Other specified diabetes mellitus
Unspecified diabetes mellitus
With both a secondary diagnosis code for acute renal failure (N17) and a principal diagnosis
of acute myocardial infarction, cardiac arrhythmia, cardiac arrest, shock, haemorrhage, or
gastrointestinal haemorrhage.
Acute Myocardial Infarction:
I210
I211
I212
I213
Acute transmural myocardial infarction of anterior wall
Acute transmural myocardial infarction of inferior wall
Acute transmural myocardial infarction of other sites
Acute transmural myocardial infarction of unspecified site
I214
Acute subendocardial myocardial infarction
Cardiac Arrhythmia:
I442
I471
I472
I479
I48
I490
I499
Atrioventricular block, complete
Supraventricular tachycardia
Ventricular tachycardia
Paroxysmal tachycardia, unspecified
Atrial fibrillation and flutter
Ventricular fibrillation and flutter
Cardiac arrhythmia, unspecified
Cardiac Arrest:
I469
Cardiac arrest, unspecified
Shock:
A419
O033
O038
O043
O048
O053
O058
O063
O068
O073
O083
O150
O751
O908
R570
R578
R579
T782
T805
T811
T882
Septicaemia, unspecified
Incomplete spont abort with other and unspec complication
Complete or unsp spont abort comp with other & unsp comp
Incomplete med abort with other and unsp complication
Complete or unspec med abort comp by with other & unsp comp
Incomplete other abortion with other and unsp complication
Complete/unsp other abortion comp with other & unsp comp
Incomplete unspec abortion comp with other and unspec comp
Unspec abort, complete/unspec with other & unsp compl
Failed medical abortion with other/unspecified complication
Shock following abortion and ectopic and molar pregnancy
Eclampsia in pregnancy
Shock during or following labour and delivery
Other complications of the puerperium
Cardiogenic shock
Other shock
Shock, unspecified
Anaphylactic shock, unspecified
Anaphylactic shock due to serum
Shock during or resulting from a procedure NEC
Shock due to anaesthesia
Haemorrhage:
D62
R58
T792
T810
Acute posthaemorrhagic anaemia
Haemorrhage NEC
Traumatic secondary and recurrent haemorrhage
Haemorrhage and haematoma complicating a procedure NEC
Gastrointestinal Haemorrhage:
I850
I982
K226
K228
K25
K250
K252
K254
K256
K260
K262
K264
K266
K270
K272
K274
K276
K280
K282
K284
K286
K290
K317
K318
K552
K571
K572
K625
K920
K921
K922

Oesophageal varices with bleeding
Oesophageal varices in diseases classified elsewhere
Gastro-oesophageal laceration-haemorrhage syndrome
Other specified diseases of oesophagus
Gastric ulcer
Gastric ulcer, acute with haemorrhage
Gastric ulcer, acute with both haemorrhage and perforation
Gastric ulcer, chronic or unspecified with haemorrhage
Gastric ulcer, chronic or unspecified with both haemorrhage and perforation
Duodenal ulcer, acute with haemorrhage
Duodenal ulcer, acute with both haemorrhage and perforation
Duodenal ulcer, chronic or unspecified with haemorrhage
Duodenal ulcer, chronic or unspecified: both haemorrhage & perforation
Peptic ulcer, acute with haemorrhage
Peptic ulcer, acute with both haemorrhage and perforation
Peptic ulcer, chronic or unspecified with haemorrhage
Peptic ulcer, chronic or unspecified with both haemorrhage and perforation
Gastrojejunal ulcer, acute with haemorrhage
Gastrojejunal ulcer, acute with both haemorrhage and perforation
Gastrojejunal ulcer, chronic or unspecified with haemorrhag
Gastrojejunal ulcer, chronic or unspecified: both haemorrhage & perforation
Acute haemorrhagic gastritis
Polyp of stomach and Duodenum
Other specified diseases of stomach and duodenum
Angiodysplasia of colon
Diverticular dis of small intestine without perf or abscess
Diverticular dis of large intestine with perf and abscess
Haemorrhage of anus and rectum
Haematemesis
Melaena
Gastrointestinal haemorrhage, unspecified
Pregnancy, childbirth, and puerperium. Defined by the following HRG codes:
N06
N07
N08
N09
N10
N11
N12
M09
M10
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
Surgical Termination of Pregnancy
M11
Medical Termination of Pregnancy
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A Surgical HRGs
HRG code
A01
A02
A03
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
HRG code
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
D06
D07
D08
E01
E02
E03
E04
E07
Description
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
HRG code
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
G05
Description
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
HRG code
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
Description
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
HRG code
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
Description
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
HRG code
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix B: Non-Operating Room Procedures
OPCS code
A52
A55
D07
E423
H441
H443
M47
Q12
Q55
R15
R24
S13
S14
Description
Therapeutic epidural injection
Diagnostic spinal puncture
Clearance of external auditory canal
Temporary tracheostomy
Manual removal of foreign body from rectum
Manual evacuation of impacted faeces from rectum
Urethral catheterisation of bladder
Intrauterine contraceptive device
Other examination of female genital tract
Other induction of labour
Normal delivery
Punch biopsy of skin
Shave biopsy of skin
OPCS code
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
S574
S575
T12
T46
V49
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
X48
X49
X50
X51
X558
X559
A705
C871
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
Description
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Toilet to burnt skin of head or neck NEC
Dressing of burnt skin of head or neck
Attention to dressing of burnt skin of head or neck
Toilet to burnt skin NEC
Dressing of burnt skin NEC
Attention to dressing of burnt skin NEC
Toilet to skin of head or neck NEC
Dressing of skin of head or neck NEC
Attention to dressing of skin of head or neck NEC
Toilet of skin NEC
Dressing of skin NEC
Attention to dressing of skin NEC
Puncture of pleura
Other drainage of peritoneal cavity
Exploration of spine
Manipulation of joint using traction NEC
Examination of joint under image intensifier
Continuous Infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance
Compensation for renal failure
Immobilisation using plaster cast
Other external support of limb
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
OPCS code
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
Description
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
OPCS code
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
Description
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
OPCS code
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
U084
U088
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
Description
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
OPCS code
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
Description
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuropsychology test of language
Neuropsychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
OPCS code
U238
U239
U241
U242
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
U308
U309
U311
U318
U319
U321
U328
U329
U501
Description
Other specified
Unspecified
Pure tone audiometry
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
Unspecified
Delivery of rehabilitation for amputation of limb
OPCS code
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
X618
X619
X621
X622
X623
X628
X629
X631
Description
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated radiation
OPCS code
X632
X633
X634
X635
X636
X638
X639
X641
X642
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
X738
X739
X818
X819
X821
X822
X823
X824
X828
X829
X831
X832
X833
X838
X839
X841
X848
Description
therapy (IMRT) dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged infusional
treatment at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
Other specified
Unspecified
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
OPCS code
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
X961
X968
X969
X978
X979
Y941
Y942
Description
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
OPCS code
Y943
Description
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
PSI 11: Postoperative Respiratory Failure
Metric
Cases of acute respiratory failure per 1,000 elective surgical discharges with an operating room
procedure.
Numerator
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD10
codes for ‘Respiratory failure, unspecified’ (J969) in any secondary diagnosis.
OR
Discharges among cases meeting the inclusion and exclusion rules for the denominator with OPCS
codes as follows:


E411: Open insertion of tubal prosthesis in trachea one or more days after the major
operating room procedure code
E851: Invasive ventilation two or more days after the major operating room procedure
Denominator
All elective surgical discharges age 18 and over defined by specific HRGs (Appendix A) and an OPCS
code for an operating room procedure.
See Appendix A: Surgical HRGs
See Appendix B: Non-Operating Room Procedures
Exclusions



Primary diagnosis of ‘Respiratory failure, unspecified’ (J969)
where a procedure for tracheostomy (E42.2, E42.3, E42.5) is the only operating room
procedure or tracheostomy occurs before the first operating room procedure
Pregnancy, childbirth, and puerperium: defined by the following HRG codes:
N06
N07
N08
N09
N10
N11
N12
M09
M10
M11
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
Surgical Termination of Pregnancy
Medical Termination of Pregnancy
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A Surgical HRGs
HRG code
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
HRG code
D06
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
Description
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
HRG code
F93
F94
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
Description
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
HRG code
J05
J06
J07
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
Description
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
HRG code
L29
L30
L33
L34
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix B: Non-Operating Room Procedures
OPCS code
A52
A55
D07
E423
H441
Description
Therapeutic epidural injection
Diagnostic spinal puncture
Clearance of external auditory canal
Temporary tracheostomy
Manual removal of foreign body from rectum
OPCS code
H443
M47
Q12
Q55
R15
R24
S13
S14
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
S574
S575
T12
T46
V49
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
X48
X49
X50
X51
X558
X559
A705
C871
C873
C874
C875
C878
C879
E851
Description
Manual evacuation of impacted faeces from rectum
Urethral catheterisation of bladder
Intrauterine contraceptive device
Other examination of female genital tract
Other induction of labour
Normal delivery
Punch biopsy of skin
Shave biopsy of skin
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Toilet to burnt skin of head or neck NEC
Dressing of burnt skin of head or neck
Attention to dressing of burnt skin of head or neck
Toilet to burnt skin NEC
Dressing of burnt skin NEC
Attention to dressing of burnt skin NEC
Toilet to skin of head or neck NEC
Dressing of skin of head or neck NEC
Attention to dressing of skin of head or neck NEC
Toilet of skin NEC
Dressing of skin NEC
Attention to dressing of skin NEC
Puncture of pleura
Other drainage of peritoneal cavity
Exploration of spine
Manipulation of joint using traction NEC
Examination of joint under image intensifier
Continuous Infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance
Compensation for renal failure
Immobilisation using plaster cast
Other external support of limb
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
OPCS code
E852
E853
E858
E859
E871
E872
E873
E878
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
E978
E979
F631
F632
F633
Description
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
OPCS code
F634
F635
F638
F639
G483
G484
M171
N351
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
U049
U051
U052
U053
Description
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
OPCS code
U054
U055
U058
U059
U061
U062
U063
U064
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
U084
U088
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
U131
U132
U133
Description
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
OPCS code
U134
U135
U136
U138
U139
U141
U142
U143
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
U224
U225
Description
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuropsychology test of language
Neuropsychology test of memory
OPCS code
U226
U227
U228
U229
U231
U232
U233
U234
U238
U239
U241
U242
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
U308
Description
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
Other specified
Unspecified
Pure tone audiometry
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
OPCS code
U309
U311
U318
U319
U321
U328
U329
U501
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
Description
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
Unspecified
Delivery of rehabilitation for amputation of limb
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
OPCS code
X618
X619
X621
X622
X623
X628
X629
X631
X632
X633
X634
X635
X636
X638
X639
X641
X642
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
X738
X739
X818
X819
X821
X822
X823
X824
X828
Description
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated radiation
therapy (IMRT) dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged infusional
treatment at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
Other specified
Unspecified
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
OPCS code
X829
X831
X832
X833
X838
X839
X841
X848
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
Description
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
OPCS code
X959
X961
X968
X969
X978
X979
Y941
Y942
Y943
Description
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
PSI 12: Postoperative Pulmonary Embolism or Deep Vein Thrombosis
Metric
Number of infections per 1,000 spells
Numerator
Discharges among cases meeting the inclusion and exclusion rules for the denominator with
ICD-10 codes for deep vein thrombosis or pulmonary embolism in any secondary diagnosis
field
See Appendix A: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes
Denominator
All surgical discharges age 18 and older defined by specific HRGs and excluding all nonoperating room procedures (Appendix C).
See Appendix B: Non-operating Room Procedure Codes
See Appendix C: List of HRGs
Exclude cases
Exclude cases:
• principal diagnosis of deep vein thrombosis or pulmonary embolism
• where a procedure for interruption of vena cava is the only operating room procedure or is
the same day or before the first operating room procedure
• pregnancy, childbirth, and puerperium HRGs (M09, M10, M11, N06, N07, N08, N09, N10,
N11, N12)
See Appendix A: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes
OPCS-4 Interruption Of Vena Cava procedure codes:
OPCS-4
L791
L792
Description
Insertion of filter into vena cava
L79.2 - plication of vena cava or other specified other operations on
vena cava
Repair of wound of major artery or vein of abdomen (including aorta and
vena cava)
L798
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A: Embolism/Deep Vein Thrombosis Diagnosis Codes
ICD10
Description
I260
I269
I801
I802
I803
I808
I809
I828
I829
Pulmonary embolism with mention of acute corpulmonale
Pulmonary embolism without mention of acute cor pulmonale
Phlebitis and thrombophlebitis of femoral vein
Phlebitis/thrombophlebitis oth deep vessels low extremities
Phlebitis and thrombophlebitis of lower extremities, unspecified
Phlebitis and thrombophlebitis of other sites
Phlebitis and thrombophlebitis of unspecified site
Embolism and thrombosis of other specified veins
Embolism and thrombosis of unspecified vein
Appendix B: Non-operating Room Procedure Codes
OPCS code
A18
A52
A55
A84
B32
B37
D07
E25
Description
Diagnostic endoscopic examination of ventricle of brain
Therapeutic epidural injection
Diagnostic spinal puncture
Neurophysiological operations
Biopsy of breast
Other operations on breast
Clearance of external auditory canal
Diagnostic endoscopic examination of pharynx
OPCS code
E36
E423
E49
E51
E63
G16
G19
G45
G55
G65
G80
H22
H25
H28
H441
H443
J13
J25
J43
J44
J45
J67
K58
L714
L72
L91
L95
M11
M30
M45
M47
M77
Q12
Q55
R02
R05
R14
R15
R24
R27
S13
S14
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
Description
Diagnostic endoscopic examination of larynx
Exteriorisation of trachea temporary tracheostomy
Diagnostic fibreoptic endoscopic examination of lower respiratory tract
Diagnostic endoscopic examination of lower respiratory tract
Diagnostic endoscopic examination of mediastinum
Diagnostic fibreoptic endoscopic examination of oesophagus
Diagnostic endoscopic examination of oesophagus using rigid
oesophagoscope
Diagnostic fibreoptic endoscopic exam of upper gastrointestinal tract
Diagnostic endoscopic examination of duodenum
Diagnostic endoscopic examination of jejunum
Diagnostic endoscopic examination of ileum
Diagnostic endoscopic examination of colon
Diagnostic endoscopic exam of lower bowel using fibreoptic sigmoidoscope
Diagnostic endoscopic examination of sigmoid colon using rigid
sigmoidoscope
Manipulation of rectum manual removal of foreign body
Manipulation of rectum manual evacuation of impacted faeces
Diagnostic percutaneous operations on liver
Diagnostic percutaneous operations on gall bladder
Diag.endo.retrograde exam of bile duct and pancreatic duct
Diagnostic endoscopic retrograde examination of bile duct
Diagnostic endoscopic retrograde exam of pancreatic duct
Diagnostic percutaneous operations on pancreas
Diagnostic transluminal operations on heart
Therapeutic transluminal operations on other artery percutaneous
Diagnostic transluminal operations on other artery
Other vein related operations
Diagnostic transluminal operations on vein
Diagnostic endoscopic examination of kidney
Diagnostic endoscopic examination of ureter
Diagnostic endoscopic examination of bladder
Urethral catheterisation of bladder
Diagnostic endoscopic examination of urethra
Intrauterine contraceptive device
Other examination of female genital tract
Diagnostic endoscopic examination of fetus
Diagnostic percutaneous examination of fetus
Surgical induction of labour
Other induction of labour
Normal delivery
Other operations to facilitate delivery
Punch biopsy of skin
Shave biopsy of skin
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Exploration of burnt skin of head or neck toilet to burnt skin
Exploration of burnt skin of head or neck dressing of burnt skin
Exploration of burnt skin of head or neck
Exploration of burnt skin of other site toilet to burnt skin
Exploration of burnt skin of other site dressing of burnt skin
Exploration of burnt skin of other site attention
Exploration of other skin of head or neck toilet to skin
Exploration of other skin of head or neck dressing of skin
Exploration of other skin of head or neck attention
Exploration of other skin of other site toilet of skin
OPCS code
S574
S575
T11
T12
T43
T46
T81
T86
T90
V47
V49
W36
W87
W88
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
X41
X42
X46
X48
X49
X50
X51
X558
X559
A705
C871
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
E879
E891
E892
E893
E894
E898
Description
Exploration of other skin of other site dressing of skin
Exploration of other skin of other site attention to dressing
Diagnostic endoscopic examination of pleura
Puncture of pleura
Diagnostic endoscopic examination of peritoneum
Other drainage of peritoneal cavity
Biopsy of muscle
Sampling of lymph nodes
Contrast radiology of lymphatic tissue
Biopsy of spine
Exploration of spine
Diagnostic puncture of bone
Diagnostic endoscopic examination of knee joint
Diagnostic endoscopic examination of other joint
Other manipulation of joint manipulation of joint using
Other operations on joint examination of joint under image intensifier
Continuous infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance (OPCS4.3)
Compensation for renal failure
Placement of ambulatory apparatus for compensation for renal failure
Placement of other apparatus for compensation for renal
Donation of other tissue
Immobilisation using plaster cast
Other immobilisation
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
OPCS code
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
N352
N353
N358
N359
R361
R362
R363
R368
Description
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of
airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
OPCS code
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
Description
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
OPCS code
U084
U088
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
U171
U172
U173
U174
Description
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
Meckels scan
SeHCAT study
Barium swallow
Barium enema
OPCS code
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
U238
U239
U241
U242
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
Description
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuro psychology test of language
Neuro psychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
Other specified
Unspecified
Pure tone audiometry
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
OPCS code
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
U308
U309
U311
U318
U319
U321
U328
U329
U501
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
Description
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
Unspecified
Delivery of rehabilitation for amputation of limb
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
OPCS code
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
X618
X619
X621
X622
X623
X628
X629
X631
X632
X633
X634
X635
X636
X638
X639
X641
X642
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
Description
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated
radiation therapy (IMRT) dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple
calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
OPCS code
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
X738
X739
X818
X819
X821
X822
X823
X824
X828
X829
X831
X832
X833
X838
X839
X841
X848
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
Description
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
"Procurement of drugs for chemotherapy for neoplasm for regimens in Band
7"
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band
10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged
infusional treatment at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
Other specified
Unspecified
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
OPCS code
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
X961
X968
X969
X978
X979
Y941
Y942
Y943
Description
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
Appendix C Surgical HRGs
HRG code
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
HRG code
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
D06
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
Description
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
HRG code
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
Description
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
HRG code
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
Description
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
HRG code
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
Description
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
HRG code
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
PSI 13: Post-operative sepsis
Metric
Cases of sepsis per 1,000 elective surgery patients with an operating room procedure and a length of
stay of 4 days or more.
Numerator

Sepsis codes in any secondary diagnosis field
ICD code
A40
A41
T826
T827
T835
T836
T845
T846
T847
T857
T811
Description
Streptococcal septicaemia
Other septicaemia
Infection and inflammatory reaction due to cardiac valve prosthesis
Infection and inflammatory reaction due to other cardiac and vascular devices,
implants and grafts
Infection and inflammatory reaction due to prosthetic device, implant and graft in
urinary system
Infection and inflammatory reaction due to prosthetic device, implant and graft in
genital tract
Infection and inflammatory reaction due to internal joint prosthesis
Infection and inflammatory reaction due to internal fixation device [any site]
Infection and inflammatory reaction due to other internal orthopaedic prosthetic
devices, implants and grafts
Infection and inflammatory reaction due to other internal prosthetic devices,
implants and grafts
Shock during or resulting from a procedure, not elsewhere classified
Denominator




All elective (ADMIMETH=11-13)
Surgical discharges
Aged 18 and older
Defined by specific HRGs and an OPCS code for an operating room procedure
See Appendix A: Surgical HRGs
See Appendix B. Exclusions for operating theatre procedure codes
Exclude cases




with sepsis codes in the primary diagnosis field
with a principal diagnosis of infection, or any code for immunocompromised state, or cancer
pregnancy, childbirth, and puerperium
LOS < 4 days
See Appendix C: Codes for immunocompromised states
See Appendix D: Cancer codes
See Appendix E: Infection codes
Pregnancy, childbirth, and puerperium: defined by primary diagnosis using O chapter
Time frame
April 2009- March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A Surgical HRGs
HRG code
A01
A02
A03
A04
A05
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
HRG code
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
D06
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
Description
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
HRG code
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
Description
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
HRG code
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
Description
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
HRG code
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
Description
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
HRG code
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix B Exclusions for operating theatre procedure codes
This table represents a list of OPCS 4.3 procedure codes that are not performed in an
operating theatre. This is now (Jan 12th 2007) the HCC list with our OPCS4.3 additions, with
further amendment (Jan 17th 2007) when they gave us an updated list.
ICD code
A52
A55
D07
E423
H441
H443
M47
Q12
Q55
R15
R24
S13
S14
Description
Therapeutic epidural injection
Diagnostic spinal puncture
Clearance of external auditory canal
Temporary tracheostomy
Manual removal of foreign body from rectum
Manual evacuation of impacted faeces from rectum
Urethral catheterisation of bladder
Intrauterine contraceptive device
Other examination of female genital tract
Other induction of labour
Normal delivery
Punch biopsy of skin
Shave biopsy of skin
ICD code
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
S574
S575
T12
T46
V49
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
X48
X49
X50
X51
X558
X559
A705
C871
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
Description
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Toilet to burnt skin of head or neck NEC
Dressing of burnt skin of head or neck
Attention to dressing of burnt skin of head or neck
Toilet to burnt skin NEC
Dressing of burnt skin NEC
Attention to dressing of burnt skin NEC
Toilet to skin of head or neck NEC
Dressing of skin of head or neck NEC
Attention to dressing of skin of head or neck NEC
Toilet of skin NEC
Dressing of skin NEC
Attention to dressing of skin NEC
Puncture of pleura
Other drainage of peritoneal cavity
Exploration of spine
Manipulation of joint using traction NEC
Examination of joint under image intensifier
Continuous Infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance
Compensation for renal failure
Immobilisation using plaster cast
Other external support of limb
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
ICD code
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
Description
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
ICD code
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
Description
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
ICD code
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
U084
U088
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
Description
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
ICD code
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
Description
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuropsychology test of language
Neuropsychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
ICD code
U238
U239
U241
U242
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
U308
U309
U311
U318
U319
U321
U328
U329
U501
Description
Other specified
Unspecified
Pure tone audiometry
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
Unspecified
Delivery of rehabilitation for amputation of limb
ICD code
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
X618
X619
X621
X622
X623
X628
X629
X631
Description
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated radiation
ICD code
X632
X633
X634
X635
X636
X638
X639
X641
X642
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
X738
X739
X818
X819
X821
X822
X823
X824
X828
X829
X831
X832
X833
X838
X839
X841
X848
Description
therapy (IMRT) dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged infusional treatment
at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
Other specified
Unspecified
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
ICD code
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
X961
X968
X969
X978
X979
Y941
Y942
Description
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
ICD code
Y943
Description
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
Appendix C Immunocompromised states
ICD code
B24
B59
D70
D71
D720
D800
D801
D802
D803
D804
D805
D808
D814
D819
D820
D821
D830
D831
D838
D849
D898
D899
E40
E41
E43
I120
I131
I132
K912
M359
N18
T860
T861
T862
T864
T868
T869
Z452
Z491
Z940
Z941
Z942
Z944
Z948
Z992
Description
Unspecified human immunodefiency virus [HIV] disease
Pneumocystosis
Agranulocytosis
Functional disorders of polymorphonuclear neutrophils
Genetic anomalies of leukocytes
Hereditary hypogammaglobulinaemia
Nonfamilial hypogammaglobulinaemia
Selective deficiency of immunoglobulin A [IgA]
Selective deficiency of immunoglobulin G [IgG] subclasses
Selective deficiency of immunoglobulin M [IgM]
Immunodefiency with increased immunoglobulin M [IgM]
Other immunodefiencies with predominantly antibody defects
Nezelof's syndrome
Combined immunodefiency, unspecified
Wiskott-Aldrich syndrome
Di George's syndrome
Com var immunodef with predom abn B-cell numb and funct
Common var immunodef predom immunoregulatory T-cell disord
Other common variable immunodefiencies
immunodefiency, unspecified
Other specified disorders involving the immune mechanism NEC
Disorder involving the immune mechanism, unspecified
Kwashiorkor
Nutritional marasmus
Unspecified severe protein-energy malnutrition
Hypertensive renal disease with renal failure
Hypertensive heart and renal disease with renal failure
Hyper heart and renal dis both (cong) heart and renal fail
Postsurgical malabsorption, not elsewhere classified
Systemic involvement of connective tissue, unspecified
Chronic renal failure (no exact ICD10 match possible)
Bone-marrow transplant rejection
Kidney transplant failure and rejection
Heart transplant failure and rejection
Liver transplant failure and rejection
Failure and reject of other transplanted organs and tissues
Failure and reject of unspec transplanted organ and tissue
Adjustment and management of vascular access device
Extracorporeal dialysis
Kidney transplant status
Heart transplant status
Lung transplant status
Liver transplant status
Other transplanted organ and tissue status
Dependence on renal dialysis
Appendix D Cancer codes
ICD code
B21
Whole C chapter
D00-D09
M724
Z08
Z12
Z511
Z85
Description
Human immunodeficiency virus disease resulting in malignant neoplasms
Carcinomata-in-situ
Pseudosarcomatous fibromatosis
Follow-up examination after treatment for malignant neoplasm
Special screening examination for neoplasms
Chemotherapy session for neoplasm
Personal history of malignant neoplasm
Appendix E Infection OCD codes
ICD code
A000
A001
A009
A010
A011
A012
A013
A014
A020
A021
A022
A028
A029
A030
A031
A032
A033
A038
A039
A040
A041
A042
A043
A044
A045
A046
A047
A048
A049
A050
A051
A052
A053
A058
A059
A200
A201
A202
A207
Description
Cholera due to Vibrio cholerae 01, biovar cholerae
Cholera due to Vibrio cholerae 01, biovar eltor
Cholera, unspecified
Typhoid fever
Paratyphoid fever A
Paratyphoid fever B
Paratyphoid fever C
Paratyphoid fever, unspecified
Salmonella enteritis
Salmonella septicaemia
Localized salmonella infections
Other specified salmonella infections
Salmonella infection, unspecified
Shigellosis due to Shigella dysenteriae
Shigellosis due to Shigella flexneri
Shigellosis due to Shigella boydii
Shigellosis due to Shigella sonnei
Other shigellosis
Shigellosis, unspecified
Enteropathogenic Escherichia coli infection
Enterotoxigenic Escherichia coli infection
Enteroinvasive Escherichia coli infection
Enterohaemorrhagic Escherichia coli infection
Other intestinal Escherichia coli infections
Campylobacter enteritis
Enteritis due to Yersinia enterocolitica
Enterocolitis due to Clostridium difficile
Other specified bacterial intestinal infections
Bacterial intestinal infection, unspecified
Foodborne staphylococcal intoxication
Botulism
Foodborne Clostridium perfringens [Cl welchii] intoxication
Foodborne Vibrio parahaemolyticus intoxication
Other specified bacterial foodborne intoxications
Bacterial foodborne intoxication, unspecified
Bubonic plague
Cellulocutaneous plague
Pneumonic plague
Septicaemic plague
ICD code
A208
A209
A210
A211
A212
A213
A218
A219
A220
A221
A222
A227
A228
A229
A230
A231
A232
A233
A238
A239
A240
A244
A250
A251
A259
A269
A280
A288
A289
A329
A33
A35
A360
A361
A362
A363
A368
A369
A370
A371
A378
A379
A38
A390
A391
A394
A395
A398
A399
A403
A409
A412
A413
A414
A415
A418
Description
Other forms of plague
Plague, unspecified
Ulceroglandular tularaemia
Oculoglandular tularaemia
Pulmonary tularaemia
Gastrointestinal tularaemia
Other forms of tularaemia
Tularaemia, unspecified
Cutaneous anthrax
Pulmonary anthrax
Gastrointestinal anthrax
Anthrax septicaemia
Other forms of anthrax
Anthrax, unspecified
Brucellosis due to Brucella melitensis
Brucellosis due to Brucella abortus
Brucellosis due to Brucella suis
Brucellosis due to Brucella canis
Other brucellosis
Brucellosis, unspecified
Glanders
Melioidosis, unspecified
Spirillosis
Streptobacillosis
Rat-bite fever, unspecified
Erysipeloid, unspecified
Pasteurellosis
Other specified zoonotic bacterial diseases NEC
Zoonotic bacterial disease, unspecified
Listeriosis, unspecified
Tetanus neonatorum
Other tetanus
Pharyngeal diphtheria
Nasopharyngeal diphtheria
Laryngeal diphtheria
Cutaneous diphtheria
Other diphtheria
Diphtheria, unspecified
Whooping cough due to Bordetella pertussis
Whooping cough due to Bordetella parapertussis
Whooping cough due to other Bordetella species
Whooping cough, unspecified
Scarlet fever
Meningococcal meningitis
Waterhouse-Friderichsen syndrome
Meningococcaemia, unspecified
Meningococcal heart disease
Other meningococcal infections
Meningococcal infection, unspecified
Septicaemia due to Streptococcus pneumoniae
Streptococcal septicaemia, unspecified
Septicaemia due to unspecified staphylococcus
Septicaemia due to Haemophilus influenzae
Septicaemia due to anaerobes
Septicaemia due to other Gram-negative organisms
Other specified septicaemia
ICD code
A419
A420
A421
A422
A428
A429
A46
A480
A481
A483
A488
A499
A540
A542
A543
A544
A545
A546
A548
B479
B950
B951
B952
B953
B954
B956
B957
B958
B962
B963
B964
B965
B966
B967
B968
G000
G001
G002
G003
G008
G009
G01
G039
G050
G060
G061
G062
H000
H010
H040
H043
H050
H100
H102
H103
H105
Description
Septicaemia, unspecified
Pulmonary actinomycosis
Abdominal actinomycosis
Cervicofacial actinomycosis
Other forms of actinomycosis
Actinomycosis, unspecified
Erysipelas
Gas gangrene
Legionnaires' disease
Toxic shock syndrome
Other specified bacterial diseases
Bacterial infection, unspecified
GC inf low GU tract without periurethral / acces gland abs
Gonococcal pelviperitonitis and other gonococcal GU inf
Gonococcal infection of eye
Gonococcal infection of musculoskeletal system
Gonococcal pharyngitis
Gonococcal infection of anus and rectum
Other gonococcal infections
Mycetoma, unspecified
Strept group A as cause of dis classified to other chapters
Strept group B as cause of dis classified to other chapters
Strept group D as cause of dis classified to other chapters
Strep pneumoniae as cause of dis classif other chapters
Other strep as cause of dis classified to other chapters
Staph aureus as cause of dis classified to other chapters
Other staph as cause of dis classified to other chapters
Unspec staphy as cause of dis classif to other chapters
Escherichia coli as cause of dis classified to other chaps
Haemophilus influenzae as cause of dis class oth chaps
Proteus (mirabilis)(morganii)cause of dis class oth chaps
P.(aerugin)(mallei)(pseudomallei)caus dis class oth chap
Bacillus fragilis as cause of dis classified to other chaps
Clostridium perfringens as cause of dis class to oth chaps
Other spec bact agents as cause of dis class oth chaps
Haemophilus meningitis
Pneumococcal meningitis
Streptococcal meningitis
Staphylococcal meningitis
Other bacterial meningitis
Bacterial meningitis, unspecified
Meningitis in bacterial diseases classified elsewhere
Meningitis, unspecified
Encephalitis, myelitis & encephalomyelitis in bact dis CE
Intracranial abscess and granuloma
Intraspinal abscess and granuloma
Extradural and subdural abscess, unspecified
Hordeolum and other deep inflammation of eyelid
Blepharitis
Dacryoadenitis
Acute and unspecified inflammation of lacrimal passages
Acute inflammation of orbit
Mucopurulent conjunctivitis
Other acute conjunctivitis
Acute conjunctivitis, unspecified
Blepharoconjunctivitis
ICD code
H109
H131
H163
H192
H440
H481
H602
H603
H660
H661
H662
H663
H664
H669
H678
H680
H700
H702
H730
H830
I308
I309
I320
I328
I330
I339
I398
I400
I410
I520
J010
J011
J012
J013
J018
J019
J020
J029
J039
J051
J13
J14
J150
J151
J152
J153
J154
J155
J156
J158
J159
J170
J178
J180
J188
J209
Description
Conjunctivitis, unspecified
Conjunctivitis in infectious and parasitic diseases EC
Interstitial and deep keratitis
Keratitis and keratoconjunctivitis oth infec/parasit dis EC
Purulent endophthalmitis
Retrobulbar neuritis in diseases classified elsewhere
Malignant otitis externa
Other infective otitis externa
Acute suppurative otitis media
Chronic tubotympanic suppurative otitis media
Chronic atticoantral suppurative otitis media
Other chronic suppurative otitis media
Suppurative otitis media, unspecified
Otitis media, unspecified
Otitis media in other diseases classified elsewhere
Eustachian salpingitis
Acute mastoiditis
Petrositis
Acute myringitis
Labyrinthitis
Other forms of acute pericarditis
Acute pericarditis, unspecified
Pericarditis in bacterial diseases classified elsewhere
Pericarditis in other diseases classified elsewhere
Acute and subacute infective endocarditis
Acute endocarditis, unspecified
Endocarditis, valve unspec, in diseases class elsewhere
Infective myocarditis
Myocarditis in bacterial diseases classified elsewhere
Other heart disorders in bacterial diseases EC
Acute maxillary sinusitis
Acute frontal sinusitis
Acute ethmoidal sinusitis
Acute sphenoidal sinusitis
Other acute sinusitis
Acute sinusitis, unspecified
Streptococcal pharyngitis
Acute pharyngitis, unspecified
Acute tonsillitis, unspecified
Acute epiglottitis
Pneumonia due to Streptococcus pneumoniae
Pneumonia due to Haemophilus influenzae
Pneumonia due to Klebsiella pneumoniae
Pneumonia due to Pseudomonas
Pneumonia due to staphylococcus
Pneumonia due to streptococcus, group B
Pneumonia due to other streptococci
Pneumonia due to Escherichia coli
Pneumonia due to other aerobic Gram-negative bacteria
Other bacterial pneumonia
Bacterial pneumonia, unspecified
Pneumonia in bacterial diseases classified elsewhere
Pneumonia in other diseases classified elsewhere
Bronchopneumonia, unspecified
Other pneumonia, organism unspecified
Acute bronchitis, unspecified
ICD code
J36
J390
J40
J44
J47
J852
J853
J860
J869
J950
J985
K040
K046
K047
K050
K052
K102
K113
K122
K350
K351
K359
K36
K37
K571
K572
K610
K630
K650
K658
K659
K671
K678
K681
K750
K751
K800
K801
K804
K810
K818
K822
K830
K832
K85
K908
K914
K942
L00
L010
L020
L021
L022
L023
L024
L028
Description
Peritonsillar abscess
Retropharyngeal and parapharyngeal abscess
Bronchitis, not specified as acute or chronic
Other chronic obstructive pulmonary disease
Bronchiectasis
Abscess of lung without pneumonia
Abscess of mediastinum
Pyothorax with fistula
Pyothorax without fistula
Tracheostomy malfunction
Diseases of mediastinum, not elsewhere classified
Pulpitis
Periapical abscess with sinus
Periapical abscess without sinus
Acute gingivitis
Acute periodontitis
Inflammatory conditions of jaws
Abscess of salivary gland
Cellulitis and abscess of mouth
Acute appendicitis with generalized peritonitis
Acute appendicitis with peritoneal abscess
Acute appendicitis, unspecified
Other appendicitis
Unspecified appendicitis
Diverticular dis of small intestine without perf or abscess
Diverticular dis of large intestine with perf and abscess
Anal abscess
Abscess of intestine
Acute peritonitis
Other peritonitis
Peritonitis, unspecified
Gonococcal peritonitis
Other disorders of peritoneum in infectious diseases EC
Not in standard ICD10
Abscess of liver
Phlebitis of portal vein
Calculus of gallbladder with acute cholecystitis
Calculus of gallbladder with other cholecystitis
Calculus of bile duct with cholecystitis
Acute cholecystitis
Other cholecystitis
Perforation of gallbladder
Cholangitis
Perforation of bile duct
Acute pancreatitis
Other intestinal malabsorption
Colostomy and enterostomy malfunction
Not in standard ICD10
Staphylococcal scalded skin syndrome
Impetigo [any organism] [any site]
Cutaneous abscess, furuncle and carbuncle of face
Cutaneous abscess, furuncle and carbuncle of neck
Cutaneous abscess, furuncle and carbuncle of trunk
Cutaneous abscess, furuncle and carbuncle of buttock
Cutaneous abscess, furuncle and carbuncle of limb
Cutaneous abscess, furuncle and carbuncle of other sites
ICD code
L029
L030
L031
L032
L033
L038
L039
L049
L080
L088
L089
L89
M009
M010
M013
M600
M608
M725
M861
M866
M869
M902
N10
N12
N151
N300
N302
N308
N309
N338
N340
N351
N378
N390
N410
N412
N413
N418
N419
N431
N450
N459
N481
N482
N490
N499
N510
N511
N518
N61
N700
N701
N709
N710
N719
N72
Description
Cutaneous abscess, furuncle and carbuncle, unspecified
Cellulitis of finger and toe
Cellulitis of other parts of limb
Cellulitis of face
Cellulitis of trunk
Cellulitis of other sites
Cellulitis, unspecified
Acute lymphadenitis, unspecified
Pyoderma
Other spec local infections of skin and subcutaneous tissue
Local infection of skin and subcutaneous tissue, unspecified
Decubitus ulcer
Pyogenic arthritis, unspecified
Meningococcal arthritis
Arthritis in other bacterial diseases classified elsewhere
Infective myositis
Other myositis
Fasciitis, not elsewhere classified
Other acute osteomyelitis
Other chronic osteomyelitis
Osteomyelitis, unspecified
Osteopathy in other infectious diseases classified elsewhere
Acute tubulo-interstitial nephritis
Tubulo-interstitial nephritis not spec as acute or chronic
Renal and perinephric abscess
Acute cystitis
Other chronic cystitis
Other cystitis
Cystitis, unspecified
Bladder disorders in other diseases classified elsewhere
Urethral abscess
Postinfective urethral stricture, not elsewhere classified
Other urethral disorders in diseases classified elsewhere
Urinary tract infection, site not specified
Acute prostatitis
Abscess of prostate
Prostatocystitis
Other inflammatory diseases of prostate
Inflammatory disease of prostate, unspecified
Infected hydrocele
Orchitis, epididymitis and epididymo-orchitis with abscess
Orchitis epididymitis and epididymo-orchitis without absces
Balanoposthitis
Other inflammatory disorders of penis
Inflammatory disorders of seminal vesicle
Inflammatory disorder of unspecified male genital organ
Disorders of prostate in diseases classified elsewhere
Disorders of testis and epididymis in diseases EC
Other disorders of male genital organs in diseases EC
Inflammatory disorders of breast
Acute salpingitis and oophoritis
Chronic salpingitis and oophoritis
Salpingitis and oophoritis, unspecified
Acute inflammatory disease of uterus
Inflammatory disease of uterus, unspecified
Inflammatory disease of cervix uteri
ICD code
N730
N731
N733
N739
N743
N751
N760
N764
O030
O035
O040
O045
O050
O055
O060
O065
O070
O080
O234
O235
O239
O268
O269
O411
O645
O753
O754
O758
O85
O861
O862
O908
O910
O911
O912
O982
O988
O989
P38
P390
P398
P77
R02
R651
T802
T814
T826
T827
T835
T845
T846
T857
T858
Description
Acute parametritis and pelvic cellulitis
Chronic parametritis and pelvic cellulitis
Female acute pelvic peritonitis
Female pelvic inflammatory disease, unspecified
Female gonococcal pelvic inflammatory disease
Abscess of Bartholin's gland
Acute vaginitis
Abscess of vulva
Incomplete spont abort comp by genital tract & pelvic infec
Complete or unsp spont abort comp by gen tract & pelvic infn
Incomplete med abort comp by genital tract & pelvic infec
Complete or unspec med abort comp by gen tract & pelvic infn
Incomplete other abortion comp by genital tract & pelvic inf
Complete/unsp other abortion comp by gen tract & pelvic infn
Incomplete unspec abortion comp by genital tract & pelvic in
Unspec abort, complete/unspec comp by gen tract & pelvic inf
Failed medical abortion complic by genital tract/pelvic infn
Gen tract and pelv infect follow abort/ectop and molar preg
Unspecified infection of urinary tract in pregnancy
Infections of the genital tract in pregnancy
Other and unspec genitourinary tract infection in pregnancy
Other specified pregnancy-related conditions
Pregnancy-related condition, unspecified
Infection of amniotic sac and membranes
Obstructed labour due to compound presentation
Other infection during labour
Other complications of obstetric surgery and procedures
Other specified complications of labour and delivery
Puerperal sepsis
Other infection of genital tract following delivery
Urinary tract infection following delivery
Other complications of the puerperium
Infection of nipple associated with childbirth
Abscess of breast associated with childbirth
Nonpurulent mastitis associated with childbirth
Gonorrhoea comp pregnancy, childbirth and the puerperium
Oth mat infect/ parasitic dis comp preg childbirth/puerprum
Unspec mat infect parasit dis comp preg childbth/puerprum
Omphalitis of newborn with or without mild haemorrhage
Neonatal infective mastitis
Other specified infections specific to the perinatal period
Necrotizing enterocolitis of fetus and newborn
Gangrene, not elsewhere classified
Not in standard ICD10
Infections following infusion transfusion & therap inject
Infection following a procedure, not elsewhere classified
Infect and inflammatory reaction due to cardiac valve pros
Infect inflamm reac due other card vasc devs implant and graft
Infect inflam react due pros dev implt & graft urinary syst
Infect and inflammatory reaction due to internal joint pros
Infect and inflamm react due int fixation dev [any site]
Inf inflamm react due oth int prosth devs implants & grafts
Other comps int prosthetic devs implants & grafts NEC
PSI 14: Postoperative Wound Dehiscence
Metric
Cases of reclosure of postoperative disruption of abdominal wall per 1,000 cases of abdominopelvic
surgery.
Numerator
Discharges among cases meeting the inclusion and exclusion rules for the denominator with an OPCS
procedure code for reclosure of postoperative disruption of abdominal wall (T283) in any procedure
field.
Denominator
All abdominopelvic surgical discharges age 18 and over defined by specific OPCS procedure codes
(Appendix A).
See Appendix A: Abdominopelvic Surgical Procedures
Exclusions




Where a procedure for reclosure of postoperative disruption of abdominal wall (OPCS
procedure code: T283) occurs before or on the same day as the first abdominopelvic surgery
procedure.
With immunocompomised state (see Appendix B).
Where length of stay is less than 2 days (< 2 days).
Pregnancy, childbirth, and puerperium: defined by the following HRG codes:
N06
N07
N08
N09
N10
N11
N12
M09
M10
M11
Data Source
SUS – CDS
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
Surgical Termination of Pregnancy
Medical Termination of Pregnancy
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A Abdominopelvic Surgery
OPCS code
A271
A272
A273
A279
G011
G012
G013
G018
G019
G022
G023
G024
G025
G029
G031
G032
G033
G034
G035
G036
G038
G039
G05
G104
G24
G273
G278
G281
G282
G283
G288
G292
G293
G294
G295
G311
G312
G313
G322
G331
G332
Description
Extracranial truncal vagotomy
Proximal gastric vagotomy
Selective extracranial vagotomy NEC
Unspecified extracranial extirpation of vagus nerve (x)
Oesophagogastrectomy and anastomosis of oesophagus to stomach
Oesophagogastrectomy and anastomosis of oesophagus to transposed jejunum
Oesophagogastrectomy and anastomosis of oesophagus to jejunum NEC
Other specified excision of oesophagus and stomach
Unspecified excision of oesophagus and stomach
Total oesophagectomy and interposition of microvascularly attached jejunum
Total oesophagectomy and interposition of jejunum NEC
Total oesophagectomy and interposition of microvascularly attached colon
Total oesophagectomy and interposition of colon NEC
Unspecified total excision of oesophagus
Partial oesophagectomy and end to end anastomosis of oesophagus
Partial oesophagectomy and interposition of microvascularly attached jejunum
Partial oesophagectomy and anastomosis of oesophagus to transposed jejunum
Partial oesophagectomy and anastomosis of oesophagus to jejunum NEC
Partial oesophagectomy and interposition of microvascularly attached colon
Partial oesophagectomy and interposition of colon NEC
Other specified partial excision of oesophagus
Unspecified partial excision of oesophagus
Bypass of oesophagus
Local ligation of varices of oesophagus
Antireflux operations
Total gastrectomy and interposition of jejunum
Other specified total excision of stomach
Partial gastrectomy and anastomosis of stomach to duodenum
Partial gastrectomy and anastomosis of stomach to transposed jejunum
Partial gastrectomy and anastomosis of stomach to jejunum NEC
Other specified partial excision of stomach
Open excision of lesion of stomach NEC
Open laser destruction of lesion of stomach
Diathermy to lesion of stomach
Cryotherapy to lesion of stomach
Bypass of stomach by anastomosis of oesophagus to duodenum
Bypass of stomach by anastomosis of stomach to duodenum
Revision of anastomosis of stomach to duodenum
Revision of anastomosis of stomach to transposed jejunum
Bypass of stomach by anastomosis of stomach to jejunum NEC
Revision of anastomosis of stomach to jejunum NEC
OPCS code
G352
G361
G363
G368
G38
G401
G403
G406
M028
G49
G501
G502
G522
J168
G535
G58
G591
G592
G601
G602
G603
G632
G532
G69
G702
G703
G722
G723
G724
G725
G74
G75
G633
G785
H011
H024
H028
H029
H031
H032
H038
G784
H042
H043
H048
Description
Closure of ulcer of stomach NEC
Gastropexy NEC
Closure of abnormal opening of stomach NEC
Other specified other repair of stomach
Other open operations on stomach
Pyloromyotomy
Pyloroplasty NEC
Open dilation of pylorus
Other specified total excision of kidney + Y037 Removal of prosthesis from organ NOC
Excision of duodenum
Excision of lesion of duodenum
Open destruction of lesion of duodenum
Suture of ulcer of duodenum NEC
Other specified other operations on liver + Y051 Total excision of organ NOC
Incision of duodenum NEC
Excision of jejunum
Excision of lesion of jejunum
Open destruction of lesion of jejunum
Creation of jejunostomy
Refashioning of jejunostomy
Closure of jejunostomy
Incision of jejunum
Closure of perforation of duodenum NEC + Y073 Obliteration of sinus track from organ NOC
Excision of ileum
Excision of lesion of ileum NEC
Open destruction of lesion of ileum
Anastomosis of ileum to transverse colon
Anastomosis of ileum to colon NEC
Anastomosis of ileum to rectum
Anastomosis of ileum to anus and creation of pouch HFQ
Creation of artificial opening into ileum
Attention to artificial opening into ileum
Closure of perforation of jejunum + Y073 Obliteration of sinus track from organ NOC
Exclusion of segment of ileum
Emergency excision of abnormal appendix and drainage HFQ
Incidental appendicectomy
Other specified other excision of appendix
Unspecified other excision of appendix
Drainage of abscess of appendix
Drainage of appendix NEC
Other specified other operations on appendix
Closure of perforation of ileum + Y073 Obliteration of sinus track from organ NOC
Panproctocolectomy and anastomosis of ileum to anus and creation of pouch HFQ
Panproctocolectomy and anastomosis of ileum to anus NEC
Other specified total excision of colon and rectum
OPCS code
H049
H052
H053
H059
H061
H064
H039
H069
H074
H079
H083
H084
H085
H094
H095
H099
H104
H105
H109
H114
H115
H119
H122
H123
H142
H143
H151
H152
H153
H154
H198
L931
Q528
H159
H162
H163
H168
H169
H174
H175
H192
Q548
H331
H332
H337
Description
Unspecified total excision of colon and rectum
Total colectomy and ileostomy and creation of rectal fistula HFQ
Total colectomy and ileostomy NEC
Unspecified total excision of colon
Extended right hemicolectomy and end to end anastomosis
Extended right hemicolectomy and ileostomy HFQ
Unspecified other operations on appendix + Y073 Obliteration of sinus track from organ NOC
Unspecified extended excision of right hemicolon
Right hemicolectomy and ileostomy HFQ
Unspecified other excision of right hemicolon
Transverse colectomy and anastomosis NEC
Transverse colectomy and ileostomy HFQ
Transverse colectomy and exteriorisation of bowel NEC
Left hemicolectomy and ileostomy HFQ
Left hemicolectomy and exteriorisation of bowel NEC
Unspecified excision of left hemicolon
Sigmoid colectomy and ileostomy HFQ
Sigmoid colectomy and exteriorisation of bowel NEC
Unspecified excision of sigmoid colon
Colectomy and ileostomy NEC
Colectomy and exteriorisation of bowel NEC
Unspecified other excision of colon
Excision of lesion of colon NEC
Destruction of lesion of colon NEC
Refashioning of caecostomy
Closure of caecostomy
Loop colostomy
End colostomy
Refashioning of colostomy
Closure of colostomy
Other specified other open operations on colon + Y073 Obliteration of sinus track from organ NOC
Excision of vein NEC + Y162 Anastomosis of organ NOC + Z39 Vein
Other specified operations on broad ligament of uterus + Y203 Biopsy of lesion of organ NOC
Unspecified other exteriorisation of colon
Caecotomy
Colotomy
Other specified incision of colon
Unspecified incision of colon
Open reduction of volvulus of colon NEC
Open relief of strangulation of colon
Fixation of colon
Other specified operations on other ligament of uterus + Y203 Biopsy of lesion of organ NOC
Abdominoperineal excision of rectum and end colostomy
Proctectomy and anastomosis of colon to anus
Perineal resection of rectum HFQ
OPCS code
H352
H404
H411
H622
J012
J019
J021
J022
J025
J028
J032
J049
J053
J059
M709
J183
J185
J191
J194
J198
J202
J212
J232
J241
J271
J275
J278
J279
J292
J293
J304
J308
J314
J328
H158
H158
H158
J332
J339
J342
J343
J351
J353
J359
J368
Description
Posterior fixation of rectum using prosthetic material
Trans-sphincteric anastomosis of colon to anus
Rectosigmoidectomy and peranal anastomosis
Mobilisation of bowel NEC
Heterotopic transplantation of liver
Unspecified transplantation of liver
Right hemihepatectomy NEC
Left hemihepatectomy NEC
Marsupialisation of lesion of liver
Other specified partial excision of liver
Destruction of lesion of liver NEC
Unspecified repair of liver
Open wedge biopsy of lesion of liver
Unspecified incision of liver
Unspecified other operations on outlet of male bladder + Y26 Other repair of organ NOC
Total cholecystectomy NEC
Partial cholecystectomy NEC
Anastomosis of gall bladder to stomach
Anastomosis of gall bladder to intestine NEC
Other specified connection of gall bladder
Closure of cholecystotomy
Drainage of gall bladder
Open biopsy of lesion of gall bladder
Percutaneous drainage of gall bladder
Excision of ampulla of Vater and replantation of common bile duct into duodenum
Excision of extrahepatic bile ducts HFQ
Other specified excision of bile duct
Unspecified excision of bile duct
Anastomosis of hepatic duct to jejunum NEC
Revision of anastomosis of hepatic duct
Revision of anastomosis of common bile duct
Other specified connection of common bile duct
Open removal of tubal prosthesis from bile duct
Other specified repair of bile duct
Other specified other exteriorisation of colon + Y262 Plastic repair of organ NOC
Other specified other exteriorisation of colon + Y268 Other specified other repair of organ NOC
Other specified other exteriorisation of colon + Y269 Unspecified other repair of organ NOC
Open removal of calculus from bile duct NEC
Unspecified incision of bile duct
Sphincteroplasty of bile duct using duodenal approach NEC
Sphincteroplasty of pancreatic duct using duodenal approach NEC
Sphincterotomy of bile duct and pancreatic duct using duodenal approach
Sphincterotomy of pancreatic duct using duodenal approach NEC
Unspecified incision of sphincter of Oddi using duodenal approach
Other specified other operations on ampulla of Vater using duodenal approach
OPCS code
J474
J658
J542
J545
J552
J56
J57
J58
J598
J604
J614
J629
J651
T368
J659
J692
J693
J701
J702
J709
J721
J723
J724
J728
J729
L251
L252
L253
L41
L42
L43
L45
L46
L47
L48
L49
L50
L51
L52
L53
L54
L652
G459
T164
Description
Percutaneous insertion of tubal prosthesis into hepatic duct NEC
Other specified other open operations on pancreas + Y269 Unspecified other repair of organ NOC
Transplantation of whole pancreas
Renewal of transplanted pancreatic tissue
Total pancreatectomy NEC
Excision of head of pancreas
Other partial excision of pancreas
Extirpation of lesion of pancreas
Other specified connection of pancreatic duct
Open insertion of tubal prosthesis into pancreatic duct
Drainage of cyst of pancreas NEC
Unspecified incision of pancreas
Open biopsy of lesion of pancreas
Other specified operations on omentum + Y269 Unspecified other repair of organ NOC
Unspecified other open operations on pancreas
Total splenectomy
Excision of accessory spleen
Partial splenectomy
Marsupialisation of lesion of spleen
Unspecified other excision of spleen
Transplantation of spleen
Biopsy of lesion of spleen
Repair of spleen
Other specified other operations on spleen + Y309 Unspecified incision of organ NOC
Unspecified other operations on spleen
Endarterectomy of aorta and patch repair of aorta
Endarterectomy of aorta NEC
Open embolectomy of bifurcation of aorta
Reconstruction of renal artery
Other open operations on renal artery
Transluminal operations on renal artery
Reconstruction of other visceral branch of abdominal aorta
Other open operations on other visceral branch of abdominal aorta
Transluminal operations on other visceral branch of abdominal aorta
Emergency replacement of aneurysmal iliac artery
Other replacement of aneurysmal iliac artery
Other emergency bypass of iliac artery
Other bypass of iliac artery
Reconstruction of iliac artery
Other open operations on iliac artery
Transluminal operations on iliac artery
Revision of reconstruction involving iliac artery
Unspecified diagnostic fibreoptic endoscopic examination of upper gastrointestinal tract
+ Y502 Laparotomy approach NEC
Repair of congenital diaphragmatic hernia + Y502 Laparotomy approach NEC
OPCS code
H068
J329
J329
L811
J529
J329
L81
L82
L83
L85
L86
L87
L90
L93
L94
L95
L81
L82
L83
L85
L86
L87
L90
L93
L94
L95
L81
L82
L83
L85
L86
L87
L90
L93
L94
L95
L81
L82
L83
L85
L86
L87
L90
L93
L94
Description
Other specified extended excision of right hemicolon + Z282 Caecum
Unspecified repair of bile duct + Z303 Common bile duct
Unspecified repair of bile duct + Z304 Bile duct NEC
Creation of peritovenous shunt
Unspecified other operations on bile duct + Z309 Biliary tract NEC
Unspecified repair of bile duct + Z312 Pancreatic duct
Other bypass operations on vein + Z391 Superior vena cava
Repair of valve of vein + Z391 Superior vena cava
Other operations for venous insufficiency + Z391 Superior vena cava
Ligation of varicose vein of leg + Z391 Superior vena cava
Injection into varicose vein of leg + Z391 Superior vena cava
Other operations on varicose vein of leg + Z391 Superior vena cava
Open removal of thrombus from vein + Z391 Superior vena cava
Other open operations on vein + Z391 Superior vena cava
Therapeutic transluminal operations on vein + Z391 Superior vena cava
Diagnostic transluminal operations on vein + Z391 Superior vena cava
Other bypass operations on vein + Z392 Inferior vena cava
Repair of valve of vein + Z392 Inferior vena cava
Other operations for venous insufficiency + Z392 Inferior vena cava
Ligation of varicose vein of leg + Z392 Inferior vena cava
Injection into varicose vein of leg + Z392 Inferior vena cava
Other operations on varicose vein of leg + Z392 Inferior vena cava
Open removal of thrombus from vein + Z392 Inferior vena cava
Other open operations on vein + Z392 Inferior vena cava
Therapeutic transluminal operations on vein + Z392 Inferior vena cava
Diagnostic transluminal operations on vein + Z392 Inferior vena cava
Other bypass operations on vein + Z393 Portal vein
Repair of valve of vein + Z393 Portal vein
Other operations for venous insufficiency + Z393 Portal vein
Ligation of varicose vein of leg + Z393 Portal vein
Injection into varicose vein of leg + Z393 Portal vein
Other operations on varicose vein of leg + Z393 Portal vein
Open removal of thrombus from vein + Z393 Portal vein
Other open operations on vein + Z393 Portal vein
Therapeutic transluminal operations on vein + Z393 Portal vein
Diagnostic transluminal operations on vein + Z393 Portal vein
Other bypass operations on vein + Z394 Renal vein
Repair of valve of vein + Z394 Renal vein
Other operations for venous insufficiency + Z394 Renal vein
Ligation of varicose vein of leg + Z394 Renal vein
Injection into varicose vein of leg + Z394 Renal vein
Other operations on varicose vein of leg + Z394 Renal vein
Open removal of thrombus from vein + Z394 Renal vein
Other open operations on vein + Z394 Renal vein
Therapeutic transluminal operations on vein + Z394 Renal vein
OPCS code
L95
L81
L82
L83
L85
M011
M012
M013
M018
M019
M022
M023
M025
M026
L86
M038
M053
M058
M068
M08
M191
M192
M193
M194
M195
M198
M211
M216
M218
M222
M223
M228
M23
M253
M343
M348
M362
M388
M611
M612
M613
M614
M621
M622
M64
Description
Diagnostic transluminal operations on vein + Z394 Renal vein
Other bypass operations on vein + Z398 Specified vein NEC
Repair of valve of vein + Z398 Specified vein NEC
Other operations for venous insufficiency + Z398 Specified vein NEC
Ligation of varicose vein of leg + Z398 Specified vein NEC
Autotransplantation of kidney
Allotransplantation of kidney from live donor
Allotransplantation of kidney from cadaver NEC
Other specified transplantation of kidney
Unspecified transplantation of kidney
Nephroureterectomy NEC
Bilateral nephrectomy
Nephrectomy NEC
Excision of rejected transplanted kidney
Injection into varicose vein of leg + Z398 Specified vein NEC
Other specified partial excision of kidney
Nephropexy
Other specified open repair of kidney
Other specified incision of kidney
Other open operations on kidney
Construction of ileal conduit
Creation of urinary diversion to intestine NEC
Revision of urinary diversion
Cutaneous ureterostomy NEC
Revision of ureterostomy stoma
Other specified urinary diversion
Direct anastomosis of ureter to bladder
Ureteroureterostomy
Other specified other connection of ureter
Removal of ligature from ureter
Closure of ureteric fistula
Other specified repair of ureter
Incision of ureter
Ureterolysis
Cystectomy NEC
Other specified total excision of bladder
Ileocystoplasty
Other specified open drainage of bladder
Total excision of prostate and capsule of prostate
Retropubic prostatectomy
Transvesical prostatectomy
Perineal prostatectomy
Open extirpation of lesion of prostate
Open biopsy of lesion of prostate
Other open operations on outlet of male bladder
OPCS code
M702
M703
M708
L87
N221
N222
N223
N228
N229
Q07
Q09
Q20
Q221
Q222
Q223
Q228
Q229
Q232
Q233
Q234
Q236
Q241
Q243
Q25
Q271
Q272
Q278
Q279
Q28
Q30
Q311
Q319
Q322
Q341
Q431
Q432
Q433
Q438
Q439
Q441
Q45
Q47
L90
Q541
L93
Description
Perineal needle biopsy of prostate
Rectal needle biopsy of prostate
Other specified other operations on outlet of male bladder
Other operations on varicose vein of leg + Z398 Specified vein NEC
Excision of seminal vesicle
Incision of seminal vesicle
Seminal vesiculography
Other specified operations on seminal vesicle
Unspecified operations on seminal vesicle
Abdominal excision of uterus
Other open operations on uterus
Other operations on uterus
Bilateral salpingoophorectomy
Bilateral salpingectomy NEC
Bilateral oophorectomy NEC
Other specified bilateral excision of adnexa of uterus
Unspecified bilateral excision of adnexa of uterus
Salpingoophorectomy of remaining solitary fallopian tube and ovary
Unilateral salpingectomy NEC
Salpingectomy of remaining solitary fallopian tube NEC
Oophorectomy of remaining solitary ovary NEC
Salpingoophorectomy NEC
Oophorectomy NEC
Partial excision of fallopian tube
Open bilateral ligation of fallopian tubes
Open bilateral clipping of fallopian tubes
Other specified open bilateral occlusion of fallopian tubes
Unspecified open bilateral occlusion of fallopian tubes
Other open occlusion of fallopian tube
Other repair of fallopian tube
Removal of products of conception from fallopian tube
Unspecified incision of fallopian tube
Burying of fimbria in wall of uterus
Open freeing of adhesions of fallopian tube
Excision of wedge of ovary
Excision of lesion of ovary
Marsupialisation of lesion of ovary
Other specified partial excision of ovary
Unspecified partial excision of ovary
Open cauterisation of lesion of ovary
Repair of ovary
Other open operations on ovary
Open removal of thrombus from vein + Z398 Specified vein NEC
Suspension of uterus NEC
Other open operations on vein + Z398 Specified vein NEC
OPCS code
L94
L95
W169
T201
T202
T209
T221
T222
T223
T201
T202
T209
T221
T222
T223
T201
T202
T209
T221
T241
T242
T243
T251
T252
T259
T271
T272
T279
T28
T29
T30
T311
T312
T313
T314
T33
T34
T222
T374
T39
T41
T854
T855
T223
Description
Therapeutic transluminal operations on vein + Z398 Specified vein NEC
Diagnostic transluminal operations on vein + Z398 Specified vein NEC
Unspecified other division of bone + Z755 Ramus of pubis
Primary repair of inguinal hernia using insert of natural material + Z941 Bilateral operation
Primary repair of inguinal hernia using insert of prosthetic material + Z941 Bilateral operation
Unspecified primary repair of inguinal hernia + Z941 Bilateral operation
Primary repair of femoral hernia using insert of natural material + Z941 Bilateral operation
Primary repair of femoral hernia using insert of prosthetic material + Z941 Bilateral operation
Primary repair of femoral hernia using sutures + Z941 Bilateral operation
Primary repair of inguinal hernia using insert of natural material + Z942 Right sided operation
Primary repair of inguinal hernia using insert of prosthetic material + Z942 Right sided operation
Unspecified primary repair of inguinal hernia + Z942 Right sided operation
Primary repair of femoral hernia using insert of natural material + Z942 Right sided operation
Primary repair of femoral hernia using insert of prosthetic material + Z942 Right sided operation
Primary repair of femoral hernia using sutures + Z942 Right sided operation
Primary repair of inguinal hernia using insert of natural material + Z943 Left sided operation
Primary repair of inguinal hernia using insert of prosthetic material + Z943 Left sided operation
Unspecified primary repair of inguinal hernia + Z943 Left sided operation
Primary repair of femoral hernia using insert of natural material + Z943 Left sided operation
Repair of umbilical hernia using insert of natural material
Repair of umbilical hernia using insert of prosthetic material
Repair of umbilical hernia using sutures
Primary repair of incisional hernia using insert of natural material
Primary repair of incisional hernia using insert of prosthetic material
Unspecified primary repair of incisional hernia
Repair of ventral hernia using insert of natural material
Repair of ventral hernia using insert of prosthetic material
Unspecified repair of other hernia of abdominal wall
Other repair of anterior abdominal wall
Operations on umbilicus
Opening of abdomen
Biopsy of lesion of anterior abdominal wall
Excision of lesion of anterior abdominal wall and insert of prosthetic material
into anterior abdominal wall
Excision of lesion of anterior abdominal wall NEC
Destruction of lesion of anterior abdominal wall
Open extirpation of lesion of peritoneum
Open drainage of peritoneum
Primary repair of femoral hernia using insert of prosthetic material + Z943 Left sided operation
Repair of mesentery of small intestine
Operations on posterior peritoneum
Other open operations on peritoneum
Block dissection of para-aortic lymph nodes
Block dissection of inguinal lymph nodes
Primary repair of femoral hernia using sutures + Z943 Left sided operation
OPCS code
X14
X406
Y713
Description
Clearance of pelvis
Continuous ambulatory peritoneal dialysis
Revisional operations NOC
Appendix B Immunocompromised State
OPCS code
B24
B59
D70
D71
D720
D800
D801
D802
D803
D804
D805
D808
D814
D819
D820
D821
D830
D831
D838
D849
D898
D899
E40
E41
E43
I120
I131
I132
K912
M359
N18
T860
T861
T862
T864
T868
T869
Z452
Z491
Z940
Z941
Description
Unspecified human immunodeficiency virus [HIV] disease
Pneumocystosis
Agranulocytosis
Functional disorders of polymorphonuclear neutrophils
Genetic anomalies of leukocytes
Hereditary hypogammaglobulinaemia
Nonfamilial hypogammaglobulinaemia
Selective deficiency of immunoglobulin A [IgA]
Selective deficiency of immunoglobulin G [IgG] subclasses
Selective deficiency of immunoglobulin M [IgM]
immunodefiency with increased immunoglobulin M [IgM]
Other immunodefiencies with predominantly antibody defects
Nezelof's syndrome
Combined immunodefiency, unspecified
Wiskott-Aldrich syndrome
Di George's syndrome
Com var immunodef with predom abn B-cell numb and funct
Common var immunodef predom immunoregulatory T-cell disord
Other common variable immunodefiencies
immunodefiency, unspecified
Oth specified disorders involving the immune mechanism NEC
Disorder involving the immune mechanism, unspecified
Kwashiorkor
Nutritional marasmus
Unspecified severe protein-energy malnutrition
Hypertensive renal disease with renal failure
Hypertensive heart and renal disease with renal failure
Hyper heart and renal dis both (cong) heart and renal fail
Postsurgical malabsorption, not elsewhere classified
Systemic involvement of connective tissue, unspecified
Chronic renal failure
Bone-marrow transplant rejection
Kidney transplant failure and rejection
Heart transplant failure and rejection
Liver transplant failure and rejection
Failure and reject of other transplanted organs and tissues
Failure and reject of unspec transplanted organ and tissue
Adjustment and management of vascular access device
Extracorporeal dialysis
Kidney transplant status
Heart transplant status
OPCS code
Z942
Z944
Z948
Z992
Description
Lung transplant status
Liver transplant status
Other transplanted organ and tissue status
Dependence on renal dialysis
PSI 15: Accidental Puncture or Laceration
Metric
Cases of accidental cut, puncture, perforation or laceration per 1,000 surgery discharges.
Numerator
Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD10
code denoting accidental cut, puncture, perforation or laceration during a procedure in any
secondary diagnosis field.
ICD10 Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care:
ICD code
Y600
Y601
Y602
Y603
Y604
Y606
Y605
Y607
Y608
Y609
T812
Description
During surgical operation
During infusion or transfusion
During kidney dialysis or other perfusion
During injection or immunization
During endoscopic examination
During aspiration, puncture and other catheterization
During heart catheterization
During administration of enema
During other surgical and medical care
During unspecified surgical and medical care
Accidental puncture and laceration during a procedure NEC
Denominator
All surgical and medical discharges age 18 years and older defined by specific HRG codes
See Appendix A: Surgical and medical HRGs
Exclusions


Primary diagnosis denoting accidental cut, puncture, perforation, or laceration.
Pregnancy, childbirth, and puerperium: defined by the following HRG codes:
HRG
N06
N07
N08
N09
N10
N11
N12
M09
Description
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
M10
M11
Surgical Termination of Pregnancy
Medical Termination of Pregnancy
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix B: Surgical and Medical HRGs
HRG
Description
A01
Intracranial Procedures Except Trauma - Category 1
A02
Intracranial Procedures Except Trauma - Category 2
A03
Intracranial Procedures Except Trauma - Category 3
A04
Intracranial Procedures Except Trauma - Category 4
HRG
Description
A05
Intracranial Procedures for Trauma w cc
A06
Intracranial Procedures for Trauma w/o cc
A07
Intermediate Pain Procedures
A08
Percutaneous Image Controlled Pain Procedures
A09
Peripheral Nerve Disorder w cc
A10
Peripheral Nerve Disorder w/o cc
A11
Muscular Disorders
A12
Disorder of Balance aetiology unknown w cc
A13
Disorder of Balance aetiology unknown w/o cc
A14
Brain Tumours or Cerebral Cysts >69 or w cc
A15
Brain Tumours or Cerebral Cysts <70 w/o cc
A16
Cerebral Degenerations >69 or w cc
A17
Cerebral Degenerations <70 w/o cc
A18
Multiple Sclerosis or other CNS Demyelinating Conditions
A19
Haemorrhagic Cerebrovascular Disorders
A20
Transient Ischaemic Attack >69 or w cc
A21
Transient Ischaemic Attack <70 w/o cc
A22
Non-Transient Stroke or Cerebrovascular Accident >69 or w cc
A23
Non-Transient Stroke or Cerebrovascular Accident <70 w/o cc
A24
Cranial Nerve Disorders
A25
Nervous System Infections
A26
Encephalopathy
A27
Headache or Migraine >69 or w cc
A28
Headache or Migraine <70 w/o cc
A29
Epilepsy >69 or w cc
A30
Epilepsy <70 w/o cc
A31
Head Injury with Brain Injury
A32
Head Injury without Significant Brain Injury w cc
A33
Head Injury without Significant Brain Injury w/o cc
A34
Miscellaneous Disorders of Nervous System
A37
Motor Neuron Disease
A38
Alzheimers Disease
A98
Chemotherapy with a Nervous System Primary Diagnosis
A99
Complex Elderly with a Nervous System Primary Diagnosis
B13
Phakoemulsification Cataract Extraction and Insertion of Lens
B14
Non Phakoemulsification Cataract Surgery
B15
Other Lens Surgery Low Complexity
B16
Oculoplastic Low Complexity
B17
Oculoplastic Intermediate Complexity
B18
Oculoplastic High Complexity
B19
Orbit / Lacrimal Low Complexity
B20
Orbit / Lacrimal Intermediate Complexity
B21
Orbit / Lacrimal High Complexity
HRG
Description
B22
Cornea / Sclera Low Complexity
B23
Cornea / Sclera Intermediate / High Complexity
B24
Ocular Motility Intermediate Complexity
B25
Ocular Motility Redo / Adjustable / High Complexity
B26
Glaucoma / Uvea Low Complexity
B27
Glaucoma / Uvea Intermediate Complexity
B28
Glaucoma / Uvea High Complexity
B29
Surgical Retina Low Complexity
B30
Surgical Retina Intermediate Complexity
B31
Surgical Retina High Complexity
B32
Non Surgical Ophthalmology with los <2 days
B33
Non Surgical Ophthalmology with los >1 day
C04
Minor Mouth or Throat Procedures
C06
Minor Medical Head, Neck or Ear Diagnoses >69 or w cc
C07
Minor Medical Head, Neck or Ear Diagnoses <70 w/o cc
C15
Minor Maxillo-facial/ENT procedures
C16
Intermediate Medical Head, Neck or Ear Diagnoses w cc
C17
Intermediate Medical Head, Neck or Ear Diagnoses w/o cc
C21
Intermediate Ear Procedures
C22
Intermediate Nose Procedures
C25
Intermediate Maxillo-facial/ENT procedures
C26
Major Medical, Head, Neck or Ear Diagnoses w cc
C27
Major Medical, Head, Neck or Ear Diagnoses w/o cc
C31
Major Ear Procedures
C32
Major Nose Procedures
C35
Major Maxillo-facial/ENT Procedures
C36
Complex Major Head, Neck or Ear Diagnoses >69 or w cc
C37
Complex Major Head, Neck or Ear Diagnoses <70 w/o cc
C41
Complex Major Ear Procedures
C42
Complex Major Nose Procedures
C45
ENT Complex Major Maxillo-facial Procedures
C54
Complex Major Mouth or Throat Procedures
C55
Minor Ear Procedures
C56
Minor Nose Procedures
C57
Major Mouth or Throat Procedures
C58
Intermediate Mouth or Throat Procedures
C59
Exteriorisation of Trachea
C60
Cochlea Implants
C98
Chemotherapy with a Mouth, Head, Neck or Ear Primary Diagnosis
C99
Complex Elderly with a Mouth, Head, Neck or Ear Primary Diagnosis
D01
Lung Transplant
D02
Complex Thoracic Procedures
D03
Major Thoracic Procedures
HRG
Description
D04
Intermediate Thoracic Procedures w cc
D05
Intermediate Thoracic Procedures w/o cc
D06
Minor Thoracic Procedures
D07
Fibreoptic Bronchoscopy
D08
Rigid Bronchoscopy
D10
Pulmonary Embolis w cc
D11
Pulmonary Embolis w/o cc
D12
Lung Abscess-Empyema
D13
Lobar, Atypical or Viral Pneumonia w cc
D14
Lobar, Atypical or Viral Pneumonia w/o cc
D16
Bronchiectasis
D17
Cystic Fibrosis
D18
Pulmonary, Pleural or Other Tuberculosis
D21
Asthma w cc
D22
Asthma w/o cc
D23
Pleural Effusion w cc
D24
Pleural Effusion w/o cc
D25
Respiratory Neoplasms
D31
Sleep Disordered Breathing
D33
Other Respiratory Diagnoses >69 or w cc
D34
Other Respiratory Diagnoses <70 w/o cc
D37
Pulmonary Oedema
D39
Chronic Obstructive Pulmonary Disease or Bronchitis w cc
D40
Chronic Obstructive Pulmonary Disease or Bronchitis w/o cc
D41
Unspecified Acute Lower Respiratory Infection
D42
Bronchopneumonia w cc
D43
Bronchopneumonia w/o cc
D44
Inhalation Lung Injury or Foreign Body w cc
D45
Inhalation Lung Injury or Foreign Body w/o cc
D46
Fibrosis or Pneumoconiosis w cc
D47
Fibrosis or Pneumoconiosis w/o cc
D48
Pneumothorax w cc
D49
Pneumothorax w/o cc
D50
Respiratory Failure w cc
D51
Respiratory Failure w/o cc
D52
Plurisy
D53
Granulomatous, Allergic Alveolitis or Autoamune Lung Disease
D98
Chemotherapy with a Respiratory System Primary Diagnosis
D99
Complex Elderly with a Respiratory System Primary Diagnosis
E01
Heart and Lung Transplant
E02
Heart Transplant
E03
Cardiac Valve Procedures
E04
Coronary Bypass
HRG
Description
E07
Pacemaker Implant for AMI, Heart Failure or Shock
E08
Pacemaker Implant except for AMI, Heart Failure or Shock
E09
Cardiac Pacemaker Replacement/Revision
E11
Acute Myocardial Infarction w cc
E12
Acute Myocardial Infarction w/o cc
E13
Cardiac Catheterisation and Angiography with complications
E14
Cardiac Catheterisation and Angiography without complications
E15
Percutaneous Coronary Intervention
E17
Endocarditis
E18
Heart Failure or Shock >69 or w cc
E19
Heart Failure or Shock <70 w/o cc
E20
Deep Vein Thrombosis >69 or w cc
E21
Deep Vein Thrombosis <70 w/o cc
E22
Ischaemic Heart Disease without intervention >69 or w cc
E23
Ischaemic Heart Disease without intervention <70 w/o cc
E24
Hypertension >69 or w cc
E25
Hypertension <70 w/o cc
E28
Cardiac Arrest
E29
Arrhythmia or Conduction Disorders >69 or w cc
E30
Arrhythmia or Conduction Disorders <70 w/o cc
E31
Syncope or Collapse >69 or w cc
E32
Syncope or Collapse <70 w/o cc
E35
Chest Pain >69 or w cc
E36
Chest Pain <70 w/o cc
E37
Other Cardiac Diagnoses
E38
Electrophysiological and other Percutaneous Cardiac Procedures >18
E39
Electrophysiological and other Percutaneous Cardiac Procedures <19
E40
Other Cardiothoracic or Circulatory Procedures >18
E41
Other Cardiothoracic or Circulatory Procedures <19
E42
Valve Disorders
E43
Congenital Disorders
E99
Complex Elderly with a Cardiac Primary Diagnosis
F01
Oesophagus - Complex Procedures
F02
Oesophagus - Very Major Procedures
F03
Oesophagus - Major Procedures or Prostheses
F04
Therapeutic endoscopic procedures
F06
Diagnostic Procedures, Oesophagus and Stomach
F07
Disorders of the Oesophagus >69 or w cc
F08
Disorders of the Oesophagus <70 w/o cc
F12
Stomach or Duodenum Very Major Procedures
F13
Stomach or Duodenum - Major Procedures >69 or w cc
F14
Stomach or Duodenum - Major Procedures <70 or w/o cc
F15
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
HRG
Description
F17
Stomach or Duodenum Disorders >69 or w cc
F18
Stomach or Duodenum Disorders <70 w/o cc
F21
Small Intestine - Very Major Procedures
F22
Small Intestine - Major Procedures >69 or w cc
F23
Small Intestine - Major Procedures <70 w/o cc
F24
Small Intestinal Disorders (excluding IBD)
F31
Large Intestine - Complex Procedures
F32
Large Intestine - Very Major Procedures
F33
Large Intestine - Major Procedures w cc
F34
Large Intestine - Major Procedures w/o cc
F35
Large Intestine - Endoscopic or Intermediate Procedures
F36
Large Intestinal Disorders >69 or w cc
F37
Large Intestinal Disorders <70 w/o cc
F41
General Abdominal - Very Major or Major Procedures >69 or w cc
F42
General Abdominal - Very Major or Major Procedures <70 w/o cc
F43
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
F44
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
F45
General Abdominal - Diagnostic Procedures
F46
General Abdominal Disorders >69 or w cc
F47
General Abdominal Disorders <70 w/o cc
F48
Intestinal Infectious Disorders >69 or w cc
F49
Intestinal Infectious Disorders <70 w/o cc
F51
Inflammatory Bowel Disease - Complex Procedures
F52
Inflammatory Bowel Disease - Major Procedures
F53
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
F54
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
F55
Inflammatory Bowel Disease >69 or w cc
F56
Inflammatory Bowel Disease <70 w/o cc
F61
Gastrointestinal Bleed - Very Major Procedures
F62
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
F63
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
F64
Gastrointestinal Bleed >69 or w cc
F65
Gastrointestinal Bleed <70 w/o cc
F71
Abdominal Hernia Procedures >69 or w cc
F72
Abdominal Hernia Procedures <70 w/o cc
F73
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
F74
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
F75
Herniotomy Procedures
F76
Hernia Disorders >69 or w cc
F77
Hernia Disorders <70 w/o cc
F81
Appendicectomy Procedures >69 or w cc
F82
Appendicectomy Procedures <70 w/o cc
F83
Appendix Disorders
HRG
Description
F91
Anus - Major Procedures
F92
Anus - Intermediate Procedures >69 or w cc
F93
Anus - Intermediate Procedures <70 w/o cc
F94
Anus - Minor Procedures >69 or w cc
F95
Anus - Minor Procedures <70 w/o cc
F96
Anal Disorders
F98
Chemotherapy with a Digestive System Primary Diagnosis
F99
Complex Elderly with Digestive System Primary Diagnosis
G01
Liver Transplant
G02
Liver - Complex Procedures
G03
Liver - Very Major Procedures
G04
Liver - Major Procedures >69 or w cc
G05
Liver - Major Procedures <70 w/o cc
G06
Acute Liver Disorders
G07
Chronic Liver Disorders >69 or w cc
G08
Chronic Liver Disorders <70 w/o cc
G11
Biliary Tract - Complex Procedures
G12
Biliary Tract - Very Major Procedures
G13
Cholecystectomy >69 or w cc
G14
Cholecystectomy <70 w/o cc
G15
Therapeutic Pancreatic or Biliary Procedures
G16
Diagnostic Pancreatic or Biliary Procedures w cc
G17
Diagnostic Pancreatic or Biliary Procedures w/o cc
G18
Biliary Tract Disorders >69 or w cc
G19
Biliary Tract Disorders <70 w/o cc
G20
Biliary Tract Neoplasms
G21
Pancreas - Complex Procedures
G22
Pancreas - Very Major Procedures
G23
Pancreatic Disorders
G24
Chronic Pancreatic Disease >69
G25
Chronic Pancreatic Disease <70
G26
Therapeutic Pancreatic or Billary Procedures with Neoplasms
G27
Procedures on the Spleen
G98
Chemotherapy with a Hepato-Biliary or Pancreatic System Primary Diagnosis
G99
Complex Elderly with a Hepato-Biliary or Pancreatic System Primary Diagnosis
H01
Bilateral Primary Hip Replacement
H03
Bilateral Primary Knee Replacement
H04
Primary Knee Replacement
H07
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
H08
Joint Replacements or Revisions, Site Unspecified
H09
Anterior Cruciate Ligament Reconstruction
H10
Arthroscopies
H11
Foot Procedures - Category 1
HRG
Description
H12
Foot Procedures - Category 2
H13
Hand Procedures - Category 1
H14
Hand Procedures - Category 2
H15
Hand Procedures - Category 3
H16
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
H17
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
H18
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
H19
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
H20
Muscle, Tendon or Ligament Procedures - Category 1
H21
Muscle, Tendon or Ligament Procedures - Category 2
H22
Minor Procedures to the Musculoskeletal System
H23
Soft Tissue Disorders >69 or w cc
H24
Soft Tissue Disorders <70 w/o cc
H25
Inflammatory Spine, Joint or Connective Tissue Disorders >69 or w cc
H26
Inflammatory Spine, Joint or Connective Tissue Disorders <70 w/o cc
H27
Non-Inflammatory Bone or Joint Disorders >69 or w cc
H28
Non-Inflammatory Bone or Joint Disorders <70 w/o cc
H29
Congenital Hip Dislocation with Open Procedures
H30
Infections of Bones or Joints
H31
Musculoskeletal Signs and Symptoms >69 or w cc
H32
Musculoskeletal Signs and Symptoms <70 w/o cc
H35
Open Lower Limb Fractures or Dislocations
H36
Closed Pelvis or Lower Limb Fractures >69 or w cc
H37
Closed Pelvis or Lower Limb Fractures <70 w/o cc
H38
Open Upper Limb Fractures or Dislocations
H39
Closed Upper Limb Fractures or Dislocations >69 or w cc
H40
Closed Upper Limb Fractures or Dislocations <70 w/o cc
H41
Sprains, Strains, or Minor Open Wounds >69 or w cc
H42
Sprains, Strains, or Minor Open Wounds <70 w/o cc
H43
Major Cranial, Visceral or Blood Vessel Injury >69 or w cc
H44
Major Cranial, Visceral or Blood Vessel Injury <70 w/o cc
H45
Minor Fractures or Dislocations
H47
Traumatic Amputations
H48
Other Wounds or Injuries
H49
Multiple Injury >69
H50
Multiple Injury <70
H51
Removal of Fixation Device >69 or w cc
H52
Removal of Fixation Device <70 w/o cc
H53
Pathological Fractures or Malignancy of Bone and Connective Tissue >69 or w cc
H54
Pathological Fractures or Malignancy of Bone and Connective Tissue <70 w/o cc
H63
Head Injury >69 or w cc
H64
Head Injury <70 w/o cc
H70
Resurfacing of Hip
HRG
Description
H71
Revisional Procedures to Hips
H72
Revisional Procedures to Knees
H80
Primary Hip Replacement Cemented
H81
Primary Hip Replacement Uncemented
H82
Extracapsular Neck of Femur Fracture with Fixation w cc
H83
Extracapsular Neck of Femur Fracture with Fixation w/o cc
H84
Intracapsular Neck of Femur Fracture with Fixation w cc
H85
Intracapsular Neck of Femur Fracture with Fixation w/o cc
H86
Neck of Femur Fracture with Hip Replacement w cc
H87
Neck of Femur Fracture with Hip Replacement w/o cc
H88
Other Neck of Femur Fracture w cc
H89
Other Neck of Femur Fracture w/o cc
H98
Chemotherapy with a Musculoskeletal System Primary Diagnosis
H99
Complex Elderly with a Musculoskeletal System Primary Diagnosis
J01
Complex Breast Reconstruction using Flaps
J04
Intermediate Breast Surgery w cc
J05
Intermediate Breast Surgery w/o cc
J06
Minor Breast Surgery w cc
J07
Minor Breast Surgery w/o cc
J08
Non-Malignant Breast Disorders
J09
Malignant Breast Disorders >69 or w cc
J10
Malignant Breast Disorders <70 w/o cc
J11
Lymph Dissection Procedures
J12
Drainage of Ascites
J13
Major Burn >29% TBSA without Significant Graft Procedure >49
J14
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
J15
Major Burn >29% TBSA without Significant Graft Procedure <19
J16
Major Burn >29% TBSA with Significant Graft Procedure >49
J17
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
J18
Major Burn >29% TBSA with Significant Graft Procedure <19
J19
Other Burn with Inhalation Injury
J20
Other Burn with 1 Significant Graft Procedure >49
J21
Other Burn with 1 Significant Graft Procedure >18 <50
J22
Other Burn with 1 Significant Graft Procedure <19
J23
Other Burn with Multiple Significant Graft Procedures >49
J24
Other Burn with Multiple Significant Graft Procedures >18 <50
J25
Other Burn with Multiple Significant Graft Procedures <19
J26
Other Burn without Significant Graft Procedure >49
J27
Other Burn without Significant Graft Procedure >18 <50
J28
Other Burn without Significant Graft Procedure <19
J29
Major Reconstructive Surgery
J30
Major Skin Procedures >49 or w cc
J31
Major Skin Procedures <50 w/o cc
HRG
Description
J32
Intermediate Skin Procedures
J33
Minor Skin Procedures - Category 3
J34
Minor Skin Procedures - Category 2 w cc
J35
Minor Skin Procedures - Category 2 w/o cc
J36
Minor Skin Procedures - Category 1 w cc
J37
Minor Skin Procedures - Category 1 w/o cc
J38
Skin Ulcers
J39
Major Dermatological Conditions >69 or w cc
J40
Major Dermatological Conditions <70 w/o cc
J41
Major Skin Infections >69 or w cc
J42
Major Skin Infections <70 w/o cc
J43
Major Skin Tumours
J44
Minor Dermatological Conditions or Benign Tumours
J45
Minor Skin Infections
J46
Total Mastectomy w cc
J47
Total Mastectomy w/o cc
J48
Partial/Subtotal Mastectomy w cc
J49
Partial/Subtotal Mastectomy w/o cc
J50
Other Major Breast Surgery
J98
Chemotherapy with a Skin, Breast or Burn Primary Diagnosis
J99
Complex Elderly with a Skin, Breast or Burn Primary Diagnosis
K01
Thyroid Procedures
K02
Parathyroid Procedures
K03
Adrenal Procedures
K04
Anterior Pituitary Disorders
K07
Fluid or Electrolyte Disorders >69 or w cc
K08
Fluid or Electrolyte Disorders <70 w/o cc
K09
Disorders of Nutrition
K10
Inborn Errors of Metabolism
K11
Diabetes with Hypoglycaemic Emergency >69 or w cc
K12
Diabetes with Hypoglycaemic Emergency <70 w/o cc
K13
Diabetes with Hyperglycaemic Emergency >69 or w cc
K14
Diabetes with Hyperglycaemic Emergency <70 w/o cc
K15
Diabetes and Other Hyperglycaemic Disorder >69 or w cc
K16
Diabetes and Other Hyperglycaemic Disorder <70 w/o cc
K17
Diabetes with Lower Limb Complications
K18
Non Pituaritary Endocrine Neoplasms >69 or w cc
K19
Non Pituaritary Endocrine Neoplasms <70 w/o cc
K20
Non Surgical Thyroid Disorders >69 or w cc
K21
Non Surgical Thyroid Disorders <70 w/o cc
K22
Other Endocrine Disorders >69 or w cc
K23
Other Endocrine Disorders < 70 w/o cc
K98
Chemotherapy with an Endocrine or Metabolic System Primary Diagnosis
HRG
Description
K99
Complex Elderly with an Endocrine or Metabolic System Primary Diagnosis
L01
Kidney Transplant
L02
Kidney Major Open Procedure >49 or w cc
L03
Kidney Major Open Procedure <50 w/o cc
L04
Kidney Major Endoscopic Procedure
L05
Kidney Intermediate Endoscopic Procedure >69 or w cc
L06
Kidney Intermediate Endoscopic Procedure <70 w/o cc
L07
Non OR Admission for Kidney or Urinary Tract Neoplasms >69 or w cc
L08
Non OR Admission for Kidney or Urinary Tract Neoplasms <70 w/o cc
L09
Kidney or Urinary Tract Infections >69 or w cc
L10
Kidney or Urinary Tract Infections <70 w/o cc
L11
Ureter Open Procedure
L12
Ureter Major Endoscopic Procedure
L13
Ureter Intermediate Endoscopic Procedure
L14
Bladder Major Open Procedures or Reconstruction
L15
Urinary Diversion without Cystectomy
L16
Bladder Intermediate Open Procedure
L17
Bladder Major Endoscopic Procedure
L18
Bladder Intermediate Endoscopic Procedure w cc
L19
Bladder Intermediate Endoscopic Procedure w/o cc
L20
Bladder Minor Endoscopic Procedure w cc
L21
Bladder Minor Endoscopic Procedure w/o cc
L22
Bladder or Urinary Mechanical Problems >69 or w cc
L23
Bladder or Urinary Mechanical Problems <70 w/o cc
L24
Ureteric or Bladder Disorders
L25
Bladder Neck Open Procedures Male
L26
Bladder Neck Open Procedures Female
L27
Prostate Transurethral Resection Procedure >69 or w cc
L28
Prostate Transurethral Resection Procedure <70 w/o cc
L29
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
L30
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
L31
Malignant Prostate Disorders
L32
Non-Malignant Prostate Disorders
L33
Urethra Major Open Procedures
L34
Urethra Intermediate or Minor Procedures >69 or w cc
L35
Urethra Intermediate or Minor Procedures <70 w/o cc
L36
Urethra Disorders
L37
Penis Major or Intermediate Open Procedures
L38
Penis Minor Open Procedure > 69 or w cc
L39
Penis Minor Open Procedure <70 w/o cc
L40
Penis Disorders
L41
Vasectomy Procedures
L42
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
HRG
Description
L43
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
L44
Scrotum Testis or Vas Deferens Disorders
L45
Extracorporeal Lithotripsy
L46
Renal Replacement Associated Procedures
L47
Renal Replacement Therapy w cc
L48
Renal Replacement Therapy w/o cc
L49
Acute Renal Failure >69 or w cc
L50
Acute Renal Failure <70 w/o cc
L51
Chronic Renal Failure
L52
Renal General Disorders >69 or w cc
L53
Renal General Disorders <70 w/o cc
L54
Urinary Tract Findings >69 or w cc
L55
Urinary Tract Findings <70 w/o cc
L66
Urethra Major Open Procedure - paediatric
L68
Cystectomy with Urinary Diversion and Reconstruction
L69
Urinary Tract Stone Disease
L98
Chemotherapy with a Urinary Tract or Male Reproductive System Primary Diagnosis
L99
Complex Elderly with a Urinary Tract or Male Reproductive System Primary Diagnosis
M01
Lower Genital Tract Minor Procedures
M02
Lower Genital Tract Intermediate Procedures
M03
Lower Genital Tract Major Procedures
M04
Lower Genital Tract Complex Major Procedures
M05
Upper Genital Tract Minor Procedures
M06
Upper Genital Tract Intermediate Procedures
M07
Upper Genital Tract Major Procedures
M08
Upper Genital Tract Complex Major Procedures
M09
Threatened or Spontaneous Abortion
M10
Surgical Termination of Pregnancy
M11
Medical Termination of Pregnancy
M12
Non-Surgical Treatment of Lower Genital Tract Disorders
M13
Non-Surgical Treatment of Genital Prolapse or Incontinence
M14
Non-Surgical Treatment of Fibroids, Menstrual Disorders, or Endometriosis
M15
Non-Surgical Treatment of Ovary, Tube, or Pelvis Disorders
M16
Non-Surgical Treatment of Gynaecological Malignancy w cc
M17
Non-Surgical Treatment of Gynaecological Malignancy w/o cc
M18
Non-Surgical Treatment of Other Gynaecological Conditions
M19
Gynaecological Radiotherapy
M98
Chemotherapy with a Female Reproductive System Primary Diagnosis
M99
Complex Elderly with a Female Reproductive System Primary Diagnosis
N01
Neonates - Died <2 days old
N02
Neonates with Multiple Minor Diagnoses
N03
Neonates with one Minor Diagnosis
N04
Neonates with Multiple Major Diagnoses
HRG
Description
N05
Neonates with one Major Diagnosis
N06
Normal Delivery w cc
N07
Normal Delivery w/o cc
N08
Assisted Delivery w cc
N09
Assisted Delivery w/o cc
N10
Caesarean Section w cc
N11
Caesarean Section w/o cc
N12
Antenatal Admissions not Related to Delivery Event
P01
Asthma or Wheezing
P02
Cystic Fibrosis
P03
Upper Respiratory Tract Disorders
P04
Lower Respiratory Tract Disorders without Acute Bronchiolitis
P05
Major Infections (including Immune Disorders)
P06
Minor Infections (including Immune Disorders)
P07
Neoplasms
P08
Febrile Convulsions
P09
Nervous System Disorders
P11
Endocrine Disorders (excluding Diabetes Mellitus)
P12
Major Gastrointestinal or Metabolic Disorders
P13
Other Gastrointestinal or Metabolic Disorders
P14
Ingestion Poisoning or Allergies
P15
Accidental Injury without Brain Injury
P16
Child Welfare and Protection
P17
Behavioural Disorders
P18
Developmental Disorders
P19
Major Congenital Conditions
P20
Other Congenital Conditions
P21
Renal Disease
P22
Renal Disease with Renal Failure
P23
Blood Cell Disorders
P24
Skin, Musculoskeletal, or Connective Tissue Disorders
P25
Cardiac Conditions
P26
Infectious and Non-Infectious Gastroenteritis
P27
Acute Bronchiolitis
P28
Epilepsy Syndrome
P29
Diabetes Mellitus
P30
Head Injury with Brain Injury
P31
Head Injury without Brain Injury
P98
Chemotherapy with a Disease of Childhood Primary Diagnosis
Q01
Emergency Aortic Surgery
Q02
Elective Abdominal Vascular Surgery
Q03
Lower Limb Arterial Surgery
Q04
Bypasses to Tibial Arteries
HRG
Description
Q05
Extracranial or Upper Limb Arterial Surgery
Q06
Miscellaneous Vascular Procedures
Q09
Procedures on the Lymphatic System w cc
Q10
Procedures on the Lymphatic System w/o cc
Q11
Varicose Vein Procedures
Q12
Therapeutic Endovascular Procedures
Q13
Diagnostic Radiology - Arteries or Lymphatics w cc
Q14
Diagnostic Radiology - Arteries or Lymphatics w/o cc
Q15
Amputations
Q16
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Q17
Non-Surgical Peripheral Vascular Disease w cc
Q18
Non-Surgical Peripheral Vascular Disease w/o cc
Q19
Vascular Access for Renal Replacement Therapy
Q98
Chemotherapy with a Vascular System Primary Diagnosis
Q99
Complex Elderly with a Vascular System Primary Diagnosis
R01
Minor Spinal Procedures
R02
Surgery for Prolapsed Intervertebral Disc
R03
Decompression and Effusion for Degenerative Spinal Disorders
R04
Vertebral Column Injury with Fusion or Decompression
R05
Vertebral Column Injury without Procedure >69 or w cc
R06
Vertebral Column Injury without Procedure <70 w/o cc
R07
Spinal Cord Injury with Fusion or Decompression
R08
Spinal Cord Injury without Procedure
R09
Revisional Spinal Procedures
R10
Surgery for Scoliosis or Other Spinal Deformity
R11
Spinal Cord Surgery
R12
Cervical Spinal Disorders >69 or w cc
R13
Cervical Spinal Disorders <70 w/o cc
R14
Spinal Tumours
R15
Thoracic or Lumbar Spinal Disorders >69 or w cc
R16
Thoracic or Lumbar Spinal Disorders <70 w/o cc
R17
Non-Traumatic Spinal Cord Disorders
R18
Scoliosis or Other Spinal Deformity
R19
Intermediate Spinal Procedures
R98
Chemotherapy with a Spinal Primary Diagnosis
R99
Complex Elderly with a Spinal Primary Diagnosis
S04
Coagulation Disorders
S05
Red Blood Cell Disorders >69 or w cc
S06
Red Blood Cell Disorders <70 w/o cc
S07
Other Haematological or Splenic Disorders w cc
S08
Other Haematological or Splenic Disorders w/o cc
S09
Bone Marrow Graft
S10
Manifestations of HIV/AIDS
HRG
Description
S11
Disorders of Immunity without HIV/AIDS
S12
Septicaemia
S13
Pyrexia of Unknown Origin
S14
Other Viral Illness
S15
Other Non-Viral Infections
S16
Poisoning, Toxic, Environmental and Unspecified Effects
S19
Complications of Procedures
S21
Convalescent or Other Relief Care
S22
Planned Procedures Not Carried Out
S24
Respite Care
S26
Shock and Anaphylaxis
S27
Malignant Disorder of the Lymphatic/ Haematological Systems with los <2 days
S28
Malignant Disorder of the Lymphatic/ Haematological Systems with los >1 day
S29
Other Admissions Related to Neoplasms
S30
Other Congenital Conditions Persisting in Adulthood
S31
Admission for Unexplained Symptons
S32
Abnormal Findings without Diagnosis
S33
Examination, Follow up and Special Screening
S34
Other Procedures and Health Care Problems
S35
Other Specified Admissions and Counselling
S36
S99
Diagnostic Extraction of Bone Marrow
Chemotherapy with a Haematology, Infectious Disease, Poisoning, or Non-specific Primary
Diagnosis
Complex Elderly with a Haematology, Infectious Disease, Poisoning, or Non-specific Primary
Diagnosis
T01
Senile Dementia
T02
Schizophreniform Psychoses with Section
T03
Schizophreniform Psychoses without Section
T04
Mania with Section
T05
Mania without Section
T06
Depression with Section
T07
Depression without Section
T08
Presenile Dementia
T09
Anxiety Syndromes
T10
Alcohol or Drugs Non-Dependent Use >18
T11
Alcohol or Drugs Non-Dependent Use <19
T12
Alcohol or Drugs Dependency
T13
Eating Disorders or Obsessive Compulsive Disorders
T14
Acute Reactions or Personality Disorders
T15
Childhood Non-Psychotic Disorders
T16
Mental Retardation
T17
Specific Learning Disabilities
S98
PSI 3: Decubitus Ulcer
Numerator
All spells with ICD10 code for decubitus ulcer in any secondary field
ICD10 code
L89 Decubitus Ulcer
Denominator
All surgical and medical spells in patients aged 18 and over, defined by specific HRG codes
See Appendix A: Surgical HRGs
See Appendix B: Medical HRGs
Exclude cases




With length of stay less than 5 days
With ICD10 code of decubitus ulcer (see numerator) in the principal diagnosis field
See Appendix C: Exclusions for operating theatre procedure codes
Any diagnosis of ICD10 codes for Hemiplegia, paraplegia, quadriplegia, spina bifida or anoxic
brain damage.


















ICD10 code Description
G801
Spastic diplegia
G802
Infantile hemiplegia
G808
Other infantile cerebral palsy
G809
Infantile cerebral palsy, unspecified
G810
Flaccid hemiplegia
G811
Spastic hemiplegia
G819
Hemiplegia, unspecified
G822
Paraplegia, unspecified
G825
Tetraplegia, unspecified
G830
Diplegia of upper limbs
G831
Monoplegia of lower limb
G832
Monoplegia of upper limb
G833
Monoplegia, unspecified
G834
Cauda equina syndrome
G838
Other specified paralytic syndromes
G839
Paralytic syndrome, unspecified
N319
Neuromuscular dysfunction of bladder, unspecified
With an OPCS procedure code for debridement or pedicle graft op before or on the same
day as the major operating room procedure (surgical cases only)
OPCS code
 T778
 S571
 S573
Description
Other specified excision of muscle
Debridement of skin NEC (includes excision of devitalised skin)
Toilet of skin NEC

 S17 + Y703
Distant flap of skin & muscle (first stage of staged operations NOC)
 S18 + Y703
Distant flap of skin & fascia (first stage of staged operations NOC)
 S19 + Y703
Distant pedicle flap of skin (first stage of staged operations NOC)
 S24 + Y703
Local flap of skin & muscle (first stage of staged operations NOC)
 S25 + Y703
Local flap of skin & fascia (first stage of staged operations NOC)
 S26 + Y703
Local pedicle flap of skin (first stage of staged operations NOC)
 S17 + Y713
Distant flap of skin & muscle (Revisional operations NOC)
 S18 + Y713
Distant flap of skin & fascia (Revisional operations NOC)
 S19 + Y713
Distant pedicle flap of skin (Revisional operations NOC)
 S24 + Y713
Local flap of skin & muscle (Revisional operations NOC)
 S25 + Y713
Local flap of skin & fascia (Revisional operations NOC)
 S26 + Y713
Local pedicle flap of skin (Revisional operations NOC)
Admission source (ADMISORC) indicating long-term care

 54 NHS run nursing home, residential care home or group home
 85 Non-NHS (other than Local Authority) run residential care home (from 1996-97)
 86 Non-NHS (other than Local Authority) run nursing home (from 1996-97)
 88 non-NHS (other than Local Authority) run hospice
Transferred from acute care facility

Transfer (ADMIMETH=81 or ADMISORC=50-54 or DISDEST of pre-transfer spell=5054) plus previous trust is acute plus at most two days between end of previous spell
and current spell
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and multiplying the
figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents the national average. If the
trust has an RR of 100, that means that the number of events is exactly as it would be expected taking into
account the standardisation factors. An RR above 100 means there were more events than would be expected;
one below 100 means that fewer than expected events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A Surgical HRGs
HRG code
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
HRG code
D03
D04
D05
D06
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
Description
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
HRG code
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
Description
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
HRG code
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
Description
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
HRG code
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Description
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
HRG code
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation
Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix B Medical diagnosis codes
ICD code
A09
A10
A11
A12
A13
A14
A15
A16
A17
A18
A19
A20
A21
A22
A23
A24
A25
A26
A27
A28
A29
A30
A31
A32
A33
A34
A37
A38
A98
A99
B32
B33
C06
C07
C16
C17
C26
C27
C36
C37
C98
C99
D10
D11
D12
D13
D14
Description
Peripheral Nerve Disorder w cc
Peripheral Nerve Disorder w/o cc
Muscular Disorders
Disorder of Balance aetiology unknown w cc
Disorder of Balance aetiology unknown w/o cc
Brain Tumours or Cerebral Cysts >69 or w cc
Brain Tumours or Cerebral Cysts <70 w/o cc
Cerebral Degenerations >69 or w cc
Cerebral Degenerations <70 w/o cc
Multiple Sclerosis or other CNS Demyelinating Conditions
Haemorrhagic Cerebrovascular Disorders
Transient Ischaemic Attack >69 or w cc
Transient Ischaemic Attack <70 w/o cc
Non-Transient Stroke or Cerebrovascular Accident >69 or w cc
Non-Transient Stroke or Cerebrovascular Accident <70 w/o cc
Cranial Nerve Disorders
Nervous System Infections
Encephalopathy
Headache or Migraine >69 or w cc
Headache or Migraine <70 w/o cc
Epilepsy >69 or w cc
Epilepsy <70 w/o cc
Head Injury with Brain Injury
Head Injury without Significant Brain Injury w cc
Head Injury without Significant Brain Injury w/o cc
Miscellaneous Disorders of Nervous System
Motor Neuron Disease
Alzheimers Disease
Chemotherapy with a Nervous System Primary Diagnosis
Complex Elderly with a Nervous System Primary Diagnosis
Non Surgical Ophthalmology with los <2 days
Non Surgical Ophthalmology with los >1 day
Minor Medical Head, Neck or Ear Diagnoses >69 or w cc
Minor Medical Head, Neck or Ear Diagnoses <70 w/o cc
Intermediate Medical Head, Neck or Ear Diagnoses w cc
Intermediate Medical Head, Neck or Ear Diagnoses w/o cc
Major Medical, Head, Neck or Ear Diagnoses w cc
Major Medical, Head, Neck or Ear Diagnoses w/o cc
Complex Major Head, Neck or Ear Diagnoses >69 or w cc
Complex Major Head, Neck or Ear Diagnoses <70 w/o cc
Chemotherapy with a Mouth, Head, Neck or Ear Primary Diagnosis
Complex Elderly with a Mouth, Head, Neck or Ear Primary Diagnosis
Pulmonary Embolis w cc
Pulmonary Embolis w/o cc
Lung Abscess-Empyema
Lobar, Atypical or Viral Pneumonia w cc
Lobar, Atypical or Viral Pneumonia w/o cc
ICD code
D16
D17
D18
D21
D22
D23
D24
D25
D31
D33
D34
D37
D39
D40
D41
D42
D43
D44
D45
D46
D47
D48
D49
D50
D51
D52
D53
D98
D99
E11
E12
E17
E18
E19
E20
E21
E22
E23
E24
E25
E28
E29
E30
E31
E32
E35
E36
E37
E42
E43
Description
Bronchiectasis
Cystic Fibrosis
Pulmonary, Pleural or Other Tuberculosis
Asthma w cc
Asthma w/o cc
Pleural Effusion w cc
Pleural Effusion w/o cc
Respiratory Neoplasms
Sleep Disordered Breathing
Other Respiratory Diagnoses >69 or w cc
Other Respiratory Diagnoses <70 w/o cc
Pulmonary Oedema
Chronic Obstructive Pulmonary Disease or Bronchitis w cc
Chronic Obstructive Pulmonary Disease or Bronchitis w/o cc
Unspecified Acute Lower Respiratory Infection
Bronchopneumonia w cc
Bronchopneumonia w/o cc
Inhalation Lung Injury or Foreign Body w cc
Inhalation Lung Injury or Foreign Body w/o cc
Fibrosis or Pneumoconiosis w cc
Fibrosis or Pneumoconiosis w/o cc
Pneumothorax w cc
Pneumothorax w/o cc
Respiratory Failure w cc
Respiratory Failure w/o cc
Plurisy
Granulomatous, Allergic Alveolitis or Autoamune Lung Disease
Chemotherapy with a Respiratory System Primary Diagnosis
Complex Elderly with a Respiratory System Primary Diagnosis
Acute Myocardial Infarction w cc
Acute Myocardial Infarction w/o cc
Endocarditis
Heart Failure or Shock >69 or w cc
Heart Failure or Shock <70 w/o cc
Deep Vein Thrombosis >69 or w cc
Deep Vein Thrombosis <70 w/o cc
Ischaemic Heart Disease without intervention >69 or w cc
Ischaemic Heart Disease without intervention <70 w/o cc
Hypertension >69 or w cc
Hypertension <70 w/o cc
Cardiac Arrest
Arrhythmia or Conduction Disorders >69 or w cc
Arrhythmia or Conduction Disorders <70 w/o cc
Syncope or Collapse >69 or w cc
Syncope or Collapse <70 w/o cc
Chest Pain >69 or w cc
Chest Pain <70 w/o cc
Other Cardiac Diagnoses
Valve Disorders
Congenital Disorders
ICD code
E99
F07
F08
F17
F18
F24
F36
F37
F46
F47
F48
F49
F55
F56
F64
F65
F76
F77
F83
F96
F98
F99
G06
G07
G08
G18
G19
G20
G23
G24
G25
G98
G99
H23
H24
H25
H26
H27
H28
H30
H31
H32
H35
H36
H37
H38
H39
H40
H41
H42
Description
Complex Elderly with a Cardiac Primary Diagnosis
Disorders of the Oesophagus >69 or w cc
Disorders of the Oesophagus <70 w/o cc
Stomach or Duodenum Disorders >69 or w cc
Stomach or Duodenum Disorders <70 w/o cc
Small Intestinal Disorders (excluding IBD)
Large Intestinal Disorders >69 or w cc
Large Intestinal Disorders <70 w/o cc
General Abdominal Disorders >69 or w cc
General Abdominal Disorders <70 w/o cc
Intestinal Infectious Disorders >69 or w cc
Intestinal Infectious Disorders <70 w/o cc
Inflammatory Bowel Disease >69 or w cc
Inflammatory Bowel Disease <70 w/o cc
Gastrointestinal Bleed >69 or w cc
Gastrointestinal Bleed <70 w/o cc
Hernia Disorders >69 or w cc
Hernia Disorders <70 w/o cc
Appendix Disorders
Anal Disorders
Chemotherapy with a Digestive System Primary Diagnosis
Complex Elderly with Digestive System Primary Diagnosis
Acute Liver Disorders
Chronic Liver Disorders >69 or w cc
Chronic Liver Disorders <70 w/o cc
Biliary Tract Disorders >69 or w cc
Biliary Tract Disorders <70 w/o cc
Biliary Tract Neoplasms
Pancreatic Disorders
Chronic Pancreatic Disease >69
Chronic Pancreatic Disease <70
Chemotherapy with a Hepato-Biliary or Pancreatic System Primary Diagnosis
Complex Elderly with a Hepato-Biliary or Pancreatic System Primary Diagnosis
Soft Tissue Disorders >69 or w cc
Soft Tissue Disorders <70 w/o cc
Inflammatory Spine, Joint or Connective Tissue Disorders >69 or w cc
Inflammatory Spine, Joint or Connective Tissue Disorders <70 w/o cc
Non-Inflammatory Bone or Joint Disorders >69 or w cc
Non-Inflammatory Bone or Joint Disorders <70 w/o cc
Infections of Bones or Joints
Musculoskeletal Signs and Symptoms >69 or w cc
Musculoskeletal Signs and Symptoms <70 w/o cc
Open Lower Limb Fractures or Dislocations
Closed Pelvis or Lower Limb Fractures >69 or w cc
Closed Pelvis or Lower Limb Fractures <70 w/o cc
Open Upper Limb Fractures or Dislocations
Closed Upper Limb Fractures or Dislocations >69 or w cc
Closed Upper Limb Fractures or Dislocations <70 w/o cc
Sprains, Strains, or Minor Open Wounds >69 or w cc
Sprains, Strains, or Minor Open Wounds <70 w/o cc
ICD code
H43
H44
H45
H48
H49
H50
H53
H54
H63
H64
H88
H89
H98
H99
J08
J09
J10
J19
J26
J27
J28
J38
J39
J40
J41
J42
J43
J44
J45
J98
J99
K04
K07
K08
K09
K10
K11
K12
K13
K14
K15
K16
K17
K18
K19
K20
K21
K22
K23
K98
Description
Major Cranial, Visceral or Blood Vessel Injury >69 or w cc
Major Cranial, Visceral or Blood Vessel Injury <70 w/o cc
Minor Fractures or Dislocations
Other Wounds or Injuries
Multiple Injury >69
Multiple Injury <70
Pathological Fractures or Malignancy of Bone and Connective Tissue >69 or w cc
Pathological Fractures or Malignancy of Bone and Connective Tissue <70 w/o cc
Head Injury >69 or w cc
Head Injury <70 w/o cc
Other Neck of Femur Fracture w cc
Other Neck of Femur Fracture w/o cc
Chemotherapy with a Musculoskeletal System Primary Diagnosis
Complex Elderly with a Musculoskeletal System Primary Diagnosis
Non-Malignant Breast Disorders
Malignant Breast Disorders >69 or w cc
Malignant Breast Disorders <70 w/o cc
Other Burn with Inhalation Injury
Other Burn without Significant Graft Procedure >49
Other Burn without Significant Graft Procedure >18 <50
Other Burn without Significant Graft Procedure <19
Skin Ulcers
Major Dermatological Conditions >69 or w cc
Major Dermatological Conditions <70 w/o cc
Major Skin Infections >69 or w cc
Major Skin Infections <70 w/o cc
Major Skin Tumours
Minor Dermatological Conditions or Benign Tumours
Minor Skin Infections
Chemotherapy with a Skin, Breast or Burn Primary Diagnosis
Complex Elderly with a Skin, Breast or Burn Primary Diagnosis
Anterior Pituitary Disorders
Fluid or Electrolyte Disorders >69 or w cc
Fluid or Electrolyte Disorders <70 w/o cc
Disorders of Nutrition
Inborn Errors of Metabolism
Diabetes with Hypoglycaemic Emergency >69 or w cc
Diabetes with Hypoglycaemic Emergency <70 w/o cc
Diabetes with Hyperglycaemic Emergency >69 or w cc
Diabetes with Hyperglycaemic Emergency <70 w/o cc
Diabetes and Other Hyperglycaemic Disorder >69 or w cc
Diabetes and Other Hyperglycaemic Disorder <70 w/o cc
Diabetes with Lower Limb Complications
Non Pituaritary Endocrine Neoplasms >69 or w cc
Non Pituaritary Endocrine Neoplasms <70 w/o cc
Non Surgical Thyroid Disorders >69 or w cc
Non Surgical Thyroid Disorders <70 w/o cc
Other Endocrine Disorders >69 or w cc
Other Endocrine Disorders < 70 w/o cc
Chemotherapy with an Endocrine or Metabolic System Primary Diagnosis
ICD code
K99
L07
L08
L09
L10
L22
L23
L24
L31
L32
L36
L40
L44
L46
L47
L48
L49
L50
L51
L52
L53
L54
L55
L69
L98
L99
M12
M13
M14
M15
M16
M17
M18
M19
M98
M99
P01
P02
P03
P04
P05
P06
P07
P08
P09
P11
P12
P13
P14
P15
Description
Complex Elderly with an Endocrine or Metabolic System Primary Diagnosis
Non OR Admission for Kidney or Urinary Tract Neoplasms >69 or w cc
Non OR Admission for Kidney or Urinary Tract Neoplasms <70 w/o cc
Kidney or Urinary Tract Infections >69 or w cc
Kidney or Urinary Tract Infections <70 w/o cc
Bladder or Urinary Mechanical Problems >69 or w cc
Bladder or Urinary Mechanical Problems <70 w/o cc
Ureteric or Bladder Disorders
Malignant Prostate Disorders
Non-Malignant Prostate Disorders
Urethra Disorders
Penis Disorders
Scrotum Testis or Vas Deferens Disorders
Renal Replacement Associated Procedures
Renal Replacement Therapy w cc
Renal Replacement Therapy w/o cc
Acute Renal Failure >69 or w cc
Acute Renal Failure <70 w/o cc
Chronic Renal Failure
Renal General Disorders >69 or w cc
Renal General Disorders <70 w/o cc
Urinary Tract Findings >69 or w cc
Urinary Tract Findings <70 w/o cc
Urinary Tract Stone Disease
Chemotherapy with a Urinary Tract or Male Reproductive System Primary Diagnosis
Complex Elderly with a Urinary Tract or Male Reproductive System Primary Diagnosis
Non-Surgical Treatment of Lower Genital Tract Disorders
Non-Surgical Treatment of Genital Prolapse or Incontinence
Non-Surgical Treatment of Fibroids, Menstrual Disorders, or Endometriosis
Non-Surgical Treatment of Ovary, Tube, or Pelvis Disorders
Non-Surgical Treatment of Gynaecological Malignancy w cc
Non-Surgical Treatment of Gynaecological Malignancy w/o cc
Non-Surgical Treatment of Other Gynaecological Conditions
Gynaecological Radiotherapy
Chemotherapy with a Female Reproductive System Primary Diagnosis
Complex Elderly with a Female Reproductive System Primary Diagnosis
Asthma or Wheezing
Cystic Fibrosis
Upper Respiratory Tract Disorders
Lower Respiratory Tract Disorders without Acute Bronchiolitis
Major Infections (including Immune Disorders)
Minor Infections (including Immune Disorders)
Neoplasms
Febrile Convulsions
Nervous System Disorders
Endocrine Disorders (excluding Diabetes Mellitus)
Major Gastrointestinal or Metabolic Disorders
Other Gastrointestinal or Metabolic Disorders
Ingestion Poisoning or Allergies
Accidental Injury without Brain Injury
ICD code
P16
P17
P18
P19
P20
P21
P22
P23
P24
P25
P26
P27
P28
P29
P30
P31
P98
Q13
Q14
Q17
Q18
Q19
Q98
Q99
R05
R06
R08
R12
R13
R14
R15
R16
R17
R18
R98
R99
S04
S05
S06
S07
S08
S09
S10
S11
S12
S13
S14
S15
S16
S19
Description
Child Welfare and Protection
Behavioural Disorders
Developmental Disorders
Major Congenital Conditions
Other Congenital Conditions
Renal Disease
Renal Disease with Renal Failure
Blood Cell Disorders
Skin, Musculoskeletal, or Connective Tissue Disorders
Cardiac Conditions
Infectious and Non-Infectious Gastroenteritis
Acute Bronchiolitis
Epilepsy Syndrome
Diabetes Mellitus
Head Injury with Brain Injury
Head Injury without Brain Injury
Chemotherapy with a Disease of Childhood Primary Diagnosis
Diagnostic Radiology - Arteries or Lymphatics w cc
Diagnostic Radiology - Arteries or Lymphatics w/o cc
Non-Surgical Peripheral Vascular Disease w cc
Non-Surgical Peripheral Vascular Disease w/o cc
Vascular Access for Renal Replacement Therapy
Chemotherapy with a Vascular System Primary Diagnosis
Complex Elderly with a Vascular System Primary Diagnosis
Vertebral Column Injury without Procedure >69 or w cc
Vertebral Column Injury without Procedure <70 w/o cc
Spinal Cord Injury without Procedure
Cervical Spinal Disorders >69 or w cc
Cervical Spinal Disorders <70 w/o cc
Spinal Tumours
Thoracic or Lumbar Spinal Disorders >69 or w cc
Thoracic or Lumbar Spinal Disorders <70 w/o cc
Non-Traumatic Spinal Cord Disorders
Scoliosis or Other Spinal Deformity
Chemotherapy with a Spinal Primary Diagnosis
Complex Elderly with a Spinal Primary Diagnosis
Coagulation Disorders
Red Blood Cell Disorders >69 or w cc
Red Blood Cell Disorders <70 w/o cc
Other Haematological or Splenic Disorders w cc
Other Haematological or Splenic Disorders w/o cc
Bone Marrow Graft
Manifestations of HIV/AIDS
Disorders of Immunity without HIV/AIDS
Septicaemia
Pyrexia of Unknown Origin
Other Viral Illness
Other Non-Viral Infections
Poisoning, Toxic, Environmental and Unspecified Effects
Complications of Procedures
ICD code
S21
S22
S24
S26
S27
S28
S29
S30
S31
S32
S33
S34
S35
S36
S98
S99
T01
T02
T03
T04
T05
T06
T07
T08
T09
T10
T11
T12
T13
T14
T15
T16
T17
Description
Convalescent or Other Relief Care
Planned Procedures Not Carried Out
Respite Care
Shock and Anaphylaxis
Malignant Disorder of the Lymphatic/ Haematological Systems with los <2 days
Malignant Disorder of the Lymphatic/ Haematological Systems with los >1 day
Other Admissions Related to Neoplasms
Other Congenital Conditions Persisting in Adulthood
Admission for Unexplained Symptons
Abnormal Findings without Diagnosis
Examination, Follow up and Special Screening
Other Procedures and Health Care Problems
Other Specified Admissions and Counselling
Diagnostic Extraction of Bone Marrow
Chemotherapy with a Haematology, Infectious Disease, Poisoning, or Non-specific
Primary Diagnosis
Complex Elderly with a Haematology, Infectious Disease, Poisoning, or Non-specific
Primary Diagnosis
Senile Dementia
Schizophreniform Psychoses with Section
Schizophreniform Psychoses without Section
Mania with Section
Mania without Section
Depression with Section
Depression without Section
Presenile Dementia
Anxiety Syndromes
Alcohol or Drugs Non-Dependent Use >18
Alcohol or Drugs Non-Dependent Use <19
Alcohol or Drugs Dependency
Eating Disorders or Obsessive Compulsive Disorders
Acute Reactions or Personality Disorders
Childhood Non-Psychotic Disorders
Mental Retardation
Specific Learning Disabilities
Appendix C Exclusions for operating theatre procedure codes
OPCS code
A52
A55
D07
E423
H441
H443
M47
Q12
Q55
R15
R24
S13
S14
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
S574
S575
T12
T46
V49
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
Description
Therapeutic epidural injection
Diagnostic spinal puncture
Clearance of external auditory canal
Temporary tracheostomy
Manual removal of foreign body from rectum
Manual evacuation of impacted faeces from rectum
Urethral catheterisation of bladder
Intrauterine contraceptive device
Other examination of female genital tract
Other induction of labour
Normal delivery
Punch biopsy of skin
Shave biopsy of skin
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Toilet to burnt skin of head or neck NEC
Dressing of burnt skin of head or neck
Attention to dressing of burnt skin of head or neck
Toilet to burnt skin NEC
Dressing of burnt skin NEC
Attention to dressing of burnt skin NEC
Toilet to skin of head or neck NEC
Dressing of skin of head or neck NEC
Attention to dressing of skin of head or neck NEC
Toilet of skin NEC
Dressing of skin NEC
Attention to dressing of skin NEC
Puncture of pleura
Other drainage of peritoneal cavity
Exploration of spine
Manipulation of joint using traction NEC
Examination of joint under image intensifier
Continuous Infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance
Compensation for renal failure
OPCS code
X48
X49
X50
X51
X558
X559
A705
C871
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
Description
Immobilisation using plaster cast
Other external support of limb
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
OPCS code
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
Description
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
OPCS code
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
U084
U088
U089
U091
U092
Description
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
OPCS code
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
Description
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
OPCS code
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
U238
U239
U241
U242
Description
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuropsychology test of language
Neuropsychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
Other specified
Unspecified
Pure tone audiometry
Balance assessment
OPCS code
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
U308
U309
U311
U318
U319
U321
U328
Description
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
OPCS code
U329
U501
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
Description
Unspecified
Delivery of rehabilitation for amputation of limb
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
OPCS code
X618
X619
X621
X622
X623
X628
X629
X631
X632
X633
X634
X635
X636
X638
X639
X641
X642
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
X738
X739
Description
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated
radiation therapy (IMRT) dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple
calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
"Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged infusional
treatment at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
Other specified
Unspecified
OPCS code
X818
X819
X821
X822
X823
X824
X828
X829
X831
X832
X833
X838
X839
X841
X848
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
Description
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
OPCS code
X919
X921
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
X961
X968
X969
X978
X979
Y941
Y942
Y943
Description
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
PSI 4: Failure to Rescue
Metric
Number of deaths per 1,000 spells
Numerator
Discharges with a method of discharge of death (DISMETH = 4) among cases meeting the inclusion
and exclusion rules for the denominator.
Denominator
All surgical discharges aged 18-90 defined by specific HRGs (Appendix A) with a secondary diagnosis
code for potential complications of care (Appendix B).
Inclusions
The admission was either
 elective (admission method equal to 11, 12 or 13) or
 an emergency admission (admission method equal to 21, 22, 23, 24 or 28) where the
principal operating room procedure took place in <= 2 days of admission.
Exclusions


External transfers or unknown transfers (DISDEST = 49-53 but no subsequent spell found)
and
all non-operating room procedures (Appendix C).
Spells which satisfied the following criteria:
 See Appendix A: Surgical HRGs
 See Appendix B: Potential Complications of Care Diagnoses
 See Appendix C: Non-Operating Room Procedures
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
For emergency admissions, the principal operating room procedure date was searched for within the
first two episodes of the spell, to check that the procedure took place within two days of the
admission date and not just the start of the episode.
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by Peter Griffiths and Simon Jones, Kings College London and Alex Bottle from the Dr
Foster Unit at Imperial College
Appendix A: List of Surgical HRGs
HRG code
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
HRG code
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
D06
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
Description
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
HRG code
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
Description
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
HRG code
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
Description
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
HRG code
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Description
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
HRG code
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation
Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix B: Potential Complications of Care Diagnoses
ICD 10 Code
Description
A40
Streptococcal septicaemia
A41
Other septicaemia
A419
Septicaemia, unspecified
A481
Legionnaires' disease
A483
Toxic shock syndrome
A499
Bacterial infection, unspecified
I26
Pulmonary embolism
I46
Cardiac arrest
I80
Phlebitis and thrombophlebitis
I828
Embolism and thrombosis of other specified veins
I829
Embolism and thrombosis of unspecified vein
I850
Oesophageal varices with bleeding
I982
Oesophageal varices in diseases classified elsewhere
J13
Pneumonia due to Streptococcus pneumoniae
J14
Pneumonia due to Haemophilus influenzae
J15
Bacterial pneumonia NEC
J16
Pneumonia due to other infectious organisms NEC
J18
Pneumoniaorganism unspecified
J69
Pneumonitis due to solids and liquids
J81
Pulmonary oedema
K226
Gastro-oesophageal laceration-haemorrhage syndrome
K228
Other specified diseases of oesophagus
K250
Gastric ulcer, acute with haemorrhage
K251
Gastric ulcer, acute with perforation
K252
Gastric ulcer, acute with both haemorrhage and perforation
K259
Gastric ulcer, unspecified as acute or chronic without haemorrhage or perforation
K260
Duodenal ulcer, acute with haemorrhage
K261
Duodenal ulcer, acute with perforation
ICD 10 Code
Description
K262
Duodenal ulcer, acute with both haemorrhage and perforation
K263
Duodenal ulcer, acute without haemorrhage or perforation
K269
Duodenal ulcer, unspecified as acute or chronic without haemorrhage or perforation
K270
Peptic ulcer, acute with haemorrhage
K271
Peptic ulcer, acute with haemorrhage
K272
Peptic ulcer, acute with both haemorrhage and perforation
K273
Peptic ulcer, acute without haemorrhage or perforation
K279
Peptic ulcer, unspecified as acute or chronic without haemorrhage or perforation
K280
Gastrojejunal ulcer, acute with haemorrhage
K281
Gastrojejunal ulcer, acute with perforation
K282
Gastrojejunal ulcer, acute with both haemorrhage and perforation
K283
Gastrojejunal ulcer, acute without haemorrhage or perforation
K289
Gastrojejunal ulcer, unspecified as acute or chronic without haemorrhage or perforation
K290
Acute haemorrhagic gastritis
K318
Other specified diseases of stomach and duodenum
K552
Angiodysplasia of colon
K570
Diverticular dis of small intestine with perf and abscess
K571
Diverticular dis of small intestine without perf or abscess
K572
Diverticular dis of large intestine with perf and abscess
K574
Divertic dis of both sml and lge intest with perf + abscess
K578
Diverticular dis of intest part unspec with perf and absces
K625
Haemorrhage of anus and rectum
K920
Haematemesis
K921
Melaena
K922
Gastrointestinal haemorrhage, unspecified
N17
Acute renal failure
O083
Shock following abortion and ectopic and molar pregnancy
O084
Renal failure folowing abortion and ectopic and molar pregn
O150
Eclampsia in pregnancy
O751
Shock during or following labour and delivery
O754
Other complications of obstetric surgery and procedures
O904
Postpartum acute renal failure
R092
Respiratory arrest
R57
Shock NEC
T780
Anaphylactic shock due to adverse food reaction
T782
Anaphylactic shock, unspecified
T802
Infections following infusion transfusion & therap inject
T805
Anaphylactic shock due to serum
T811
Shock during or resulting from a procedure NEC
T814
Infection following a procedure, not elsewhere classified
T826
Infect and inflammatory reaction due to cardiac valve pros
T827
Infect inflamm reac due oth card vasc devs implant and graf
T836
Infect inflam react due pros dev implant graft in gen tract
T845
Infect and inflammatory reaction due to internal joint pros
T846
Infect and inflamm react due int fixation dev [any site]
ICD 10 Code
Description
T847
Inf inflam reac due oth int orth prosth devs implts & grfts
T857
Inf inflamm react due oth int prosth devs implants & grafts
T882
Shock due to anaesthesia
T886
Anaphy shock due adv effect correct drug or med prop admin
Appendix C: Non-operating Room Procedure Codes
OPCS code
A18
A52
A55
A84
B32
B37
D07
E25
E36
E423
E49
E51
E63
G16
G19
G45
G55
G65
G80
H22
H25
H28
H441
H443
J13
J25
J43
J44
J45
J67
K58
L714
L72
L91
L95
M11
M30
M45
M47
M77
Q12
Q55
R02
R05
R14
R15
R24
Description
Diagnostic endoscopic examination of ventricle of brain
Therapeutic epidural injection
Diagnostic spinal puncture
Neurophysiological operations
Biopsy of breast
Other operations on breast
Clearance of external auditory canal
Diagnostic endoscopic examination of pharynx
Diagnostic endoscopic examination of larynx
Exteriorisation of trachea temporary tracheostomy
Diagnostic fibreoptic endoscopic examination of lower respiratory tract
Diagnostic endoscopic examination of lower respiratory tract
Diagnostic endoscopic examination of mediastinum
Diagnostic fibreoptic endoscopic examination of oesophagus
Diagnostic endoscopic examination of oesophagus using rigid oesophagoscope
Diagnostic fibreoptic endoscopic exam of upper gastrointestinal tract
Diagnostic endoscopic examination of duodenum
Diagnostic endoscopic examination of jejunum
Diagnostic endoscopic examination of ileum
Diagnostic endoscopic examination of colon
Diagnostic endoscopic exam of lower bowel using fibreoptic sigmoidoscope
Diagnostic endoscopic examination of sigmoid colon using rigid sigmoidoscope
Manipulation of rectum manual removal of foreign body
Manipulation of rectum manual evacuation of impacted faeces
Diagnostic percutaneous operations on liver
Diagnostic percutaneous operations on gall bladder
Diag.endo.retrograde exam of bile duct and pancreatic duct
Diagnostic endoscopic retrograde examination of bile duct
Diagnostic endoscopic retrograde exam of pancreatic duct
Diagnostic percutaneous operations on pancreas
Diagnostic transluminal operations on heart
Therapeutic transluminal operations on other artery percutaneous
Diagnostic transluminal operations on other artery
Other vein related operations
Diagnostic transluminal operations on vein
Diagnostic endoscopic examination of kidney
Diagnostic endoscopic examination of ureter
Diagnostic endoscopic examination of bladder
Urethral catheterisation of bladder
Diagnostic endoscopic examination of urethra
Intrauterine contraceptive device
Other examination of female genital tract
Diagnostic endoscopic examination of fetus
Diagnostic percutaneous examination of fetus
Surgical induction of labour
Other induction of labour
Normal delivery
OPCS code
R27
S13
S14
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
S574
S575
T11
T12
T43
T46
T81
T86
T90
V47
V49
W36
W87
W88
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
X41
X42
X46
X48
X49
X50
X51
X558
X559
A705
C871
Description
Other operations to facilitate delivery
Punch biopsy of skin
Shave biopsy of skin
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Exploration of burnt skin of head or neck toilet to burnt skin
Exploration of burnt skin of head or neck dressing of burnt skin
Exploration of burnt skin of head or neck
Exploration of burnt skin of other site toilet to burnt skin
Exploration of burnt skin of other site dressing of burnt skin
Exploration of burnt skin of other site attention
Exploration of other skin of head or neck toilet to skin
Exploration of other skin of head or neck dressing of skin
Exploration of other skin of head or neck attention
Exploration of other skin of other site toilet of skin
Exploration of other skin of other site dressing of skin
Exploration of other skin of other site attention to dressing
Diagnostic endoscopic examination of pleura
Puncture of pleura
Diagnostic endoscopic examination of peritoneum
Other drainage of peritoneal cavity
Biopsy of muscle
Sampling of lymph nodes
Contrast radiology of lymphatic tissue
Biopsy of spine
Exploration of spine
Diagnostic puncture of bone
Diagnostic endoscopic examination of knee joint
Diagnostic endoscopic examination of other joint
Other manipulation of joint manipulation of joint using
Other operations on joint examination of joint under image intensifier
Continuous infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance (OPCS4.3)
Compensation for renal failure
Placement of ambulatory apparatus for compensation for renal failure
Placement of other apparatus for compensation for renal
Donation of other tissue
Immobilisation using plaster cast
Other immobilisation
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
OPCS code
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
E959
E971
E972
E973
Description
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
OPCS code
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
U041
U042
U043
U044
U048
Description
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
OPCS code
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
U084
U088
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
U124
U125
U126
U127
U128
U129
Description
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
OPCS code
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
U216
U217
U218
U219
U221
U222
U223
Description
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
OPCS code
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
U238
U239
U241
U242
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
U292
U293
U294
U295
U296
U298
U299
U301
Description
Neuro psychology test of language
Neuro psychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
Other specified
Unspecified
Pure tone audiometry
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
OPCS code
U308
U309
U311
U318
U319
U321
U328
U329
U501
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
X601
X602
X603
X608
X609
X611
X612
X613
X614
Description
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
Unspecified
Delivery of rehabilitation for amputation of limb
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
OPCS code
X618
X619
X621
X622
X623
X628
X629
X631
X632
X633
X634
X635
X636
X638
X639
X641
X642
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
X738
X739
X818
X819
X821
X822
X823
X824
X828
Description
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated
radiation therapy dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple
calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
"Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7"
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged infusional
treatment at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
Other specified
Unspecified
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
OPCS code
X829
X831
X832
X833
X838
X839
X841
X848
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
X922
X928
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
Description
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
OPCS code
X961
X968
X969
X978
X979
Y941
Y942
Y943
Description
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
Meta-Iodo-Benzyl-Guanidine(MIBG) scan
PSI 7: Infections associated with central line (formerly “selected infections
due to medical care”)
Numerator
ICD10 code in secondary diagnosis fields:
T802
Infections following infusion transfusion & therap inject
Denominator
All surgical and medical spells in patients aged 18 and over, defined by specific HRG codes, or
pregnancy, childbirth, and puerperium
See Appendix D: Surgical HRGs
See Appendix E: Medical HRGs
Pregnancy, childbirth, and puerperium: defined by the following HRG codes:
N06
N07
N08
N09
N10
N11
N12
M09
M10
M11
Normal Delivery w cc
Normal Delivery w/o cc
Assisted Delivery w cc
Assisted Delivery w/o cc
Caesarean Section w cc
Caesarean Section w/o cc
Antenatal Admissions not Related to Delivery Event
Threatened or Spontaneous Abortion
Surgical Termination of Pregnancy
Medical Termination of Pregnancy
Exclude cases



With numerator ICD code in the primary diagnosis field
Length of stay <2 days
With any code for immunocompromised state or cancer
See Appendix B: Codes for immunocompromised states
See Appendix C: Cancer codes
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and
multiplying the figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents
the national average. If the trust has an RR of 100, that means that the number of events is exactly
as it would be expected taking into account the standardisation factors. An RR above 100 means
there were more events than would be expected; one below 100 means that fewer than expected
events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data
points falling within the control limits are consistent with random or chance variation and are said to
display ‘common-cause variation’; for data points falling outside the control limits, chance is an
unlikely explanation and hence they are said to display ‘special-cause variation’ – that is, where the
trust’s rate diverges significantly from the national rate.
Notes
The code relating to cardiac devices (T827: Infect inflamm reaction due to other cardiac vascular
devices, implants and graft) has now been removed as it was considered to be less important and
relevant to a different type of patient from those with central lines in place.
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix B Immunocompromised states
ICD code
Description
B24
B59
D70
D71
D720
D800
D801
D802
D803
Unspecified human immunodefiency virus [HIV] disease
Pneumocystosis
Agranulocytosis
Functional disorders of polymorphonuclear neutrophils
Genetic anomalies of leukocytes
Hereditary hypogammaglobulinaemia
Nonfamilial hypogammaglobulinaemia
Selective deficiency of immunoglobulin A [IgA]
Selective deficiency of immunoglobulin G [IgG] subclasses
ICD code
Description
D804
D805
D808
D814
D819
D820
D821
D830
D831
D838
D849
D898
D899
E40
E41
E43
I120
I131
I132
K912
M359
N18
T860
T861
T862
T864
T868
T869
Z452
Z491
Z940
Z941
Z942
Z944
Z948
Z992
Selective deficiency of immunoglobulin M [IgM]
Immunodefiency with increased immunoglobulin M [IgM]
Other immunodefiencies with predominantly antibody defects
Nezelof's syndrome
Combined immunodefiency, unspecified
Wiskott-Aldrich syndrome
Di George's syndrome
Com var immunodef with predom abn B-cell numb and funct
Common var immunodef predom immunoregulatory T-cell disord
Other common variable immunodefiencies
immunodefiency, unspecified
Other specified disorders involving the immune mechanism NEC
Disorder involving the immune mechanism, unspecified
Kwashiorkor
Nutritional marasmus
Unspecified severe protein-energy malnutrition
Hypertensive renal disease with renal failure
Hypertensive heart and renal disease with renal failure
Hyper heart and renal dis both (cong) heart and renal fail
Postsurgical malabsorption, not elsewhere classified
Systemic involvement of connective tissue, unspecified
Chronic renal failure (no exact ICD10 match possible)
Bone-marrow transplant rejection
Kidney transplant failure and rejection
Heart transplant failure and rejection
Liver transplant failure and rejection
Failure and reject of other transplanted organs and tissues
Failure and reject of unspec transplanted organ and tissue
Adjustment and management of vascular access device
Extracorporeal dialysis
Kidney transplant status
Heart transplant status
Lung transplant status
Liver transplant status
Other transplanted organ and tissue status
Dependence on renal dialysis
Appendix C Cancer codes
ICD code
Description
B21
Whole C chapter
D00-D09
M724
Z08
Z12
Z511
Z85
Human immunodeficiency virus disease resulting in malignant neoplasms
Carcinomata-in-situ
Pseudosarcomatous fibromatosis
Follow-up examination after treatment for malignant neoplasm
Special screening examination for neoplasms
Chemotherapy session for neoplasm
Personal history of malignant neoplasm
Appendix D Surgical HRGs
HRG
Description
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
D06
D07
D08
E01
E02
E03
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
HRG
Description
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
F95
G01
G02
G03
G04
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
HRG
Description
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
J11
J12
J13
J14
J15
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
HRG
Description
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
L35
L37
L38
L39
L41
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
HRG
Description
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix E Medical diagnosis codes
ICD code
A09
A10
A11
A12
A13
A14
A15
A16
A17
A18
A19
A20
A21
A22
A23
A24
A25
A26
A27
A28
A29
A30
A31
A32
A33
A34
A37
A38
A98
A99
B32
B33
C06
C07
C16
C17
C26
C27
C36
C37
C98
C99
D10
D11
D12
D13
D14
D16
D17
D18
D21
Description
Peripheral Nerve Disorder w cc
Peripheral Nerve Disorder w/o cc
Muscular Disorders
Disorder of Balance aetiology unknown w cc
Disorder of Balance aetiology unknown w/o cc
Brain Tumours or Cerebral Cysts >69 or w cc
Brain Tumours or Cerebral Cysts <70 w/o cc
Cerebral Degenerations >69 or w cc
Cerebral Degenerations <70 w/o cc
Multiple Sclerosis or other CNS Demyelinating Conditions
Haemorrhagic Cerebrovascular Disorders
Transient Ischaemic Attack >69 or w cc
Transient Ischaemic Attack <70 w/o cc
Non-Transient Stroke or Cerebrovascular Accident >69 or w cc
Non-Transient Stroke or Cerebrovascular Accident <70 w/o cc
Cranial Nerve Disorders
Nervous System Infections
Encephalopathy
Headache or Migraine >69 or w cc
Headache or Migraine <70 w/o cc
Epilepsy >69 or w cc
Epilepsy <70 w/o cc
Head Injury with Brain Injury
Head Injury without Significant Brain Injury w cc
Head Injury without Significant Brain Injury w/o cc
Miscellaneous Disorders of Nervous System
Motor Neuron Disease
Alzheimers Disease
Chemotherapy with a Nervous System Primary Diagnosis
Complex Elderly with a Nervous System Primary Diagnosis
Non Surgical Ophthalmology with los <2 days
Non Surgical Ophthalmology with los >1 day
Minor Medical Head, Neck or Ear Diagnoses >69 or w cc
Minor Medical Head, Neck or Ear Diagnoses <70 w/o cc
Intermediate Medical Head, Neck or Ear Diagnoses w cc
Intermediate Medical Head, Neck or Ear Diagnoses w/o cc
Major Medical, Head, Neck or Ear Diagnoses w cc
Major Medical, Head, Neck or Ear Diagnoses w/o cc
Complex Major Head, Neck or Ear Diagnoses >69 or w cc
Complex Major Head, Neck or Ear Diagnoses <70 w/o cc
Chemotherapy with a Mouth, Head, Neck or Ear Primary Diagnosis
Complex Elderly with a Mouth, Head, Neck or Ear Primary Diagnosis
Pulmonary Embolis w cc
Pulmonary Embolis w/o cc
Lung Abscess-Empyema
Lobar, Atypical or Viral Pneumonia w cc
Lobar, Atypical or Viral Pneumonia w/o cc
Bronchiectasis
Cystic Fibrosis
Pulmonary, Pleural or Other Tuberculosis
Asthma w cc
ICD code
D22
D23
D24
D25
D31
D33
D34
D37
D39
D40
D41
D42
D43
D44
D45
D46
D47
D48
D49
D50
D51
D52
D53
D98
D99
E11
E12
E17
E18
E19
E20
E21
E22
E23
E24
E25
E28
E29
E30
E31
E32
E35
E36
E37
E42
E43
E99
F07
F08
F17
F18
F24
F36
F37
F46
F47
Description
Asthma w/o cc
Pleural Effusion w cc
Pleural Effusion w/o cc
Respiratory Neoplasms
Sleep Disordered Breathing
Other Respiratory Diagnoses >69 or w cc
Other Respiratory Diagnoses <70 w/o cc
Pulmonary Oedema
Chronic Obstructive Pulmonary Disease or Bronchitis w cc
Chronic Obstructive Pulmonary Disease or Bronchitis w/o cc
Unspecified Acute Lower Respiratory Infection
Bronchopneumonia w cc
Bronchopneumonia w/o cc
Inhalation Lung Injury or Foreign Body w cc
Inhalation Lung Injury or Foreign Body w/o cc
Fibrosis or Pneumoconiosis w cc
Fibrosis or Pneumoconiosis w/o cc
Pneumothorax w cc
Pneumothorax w/o cc
Respiratory Failure w cc
Respiratory Failure w/o cc
Plurisy
Granulomatous, Allergic Alveolitis or Autoamune Lung Disease
Chemotherapy with a Respiratory System Primary Diagnosis
Complex Elderly with a Respiratory System Primary Diagnosis
Acute Myocardial Infarction w cc
Acute Myocardial Infarction w/o cc
Endocarditis
Heart Failure or Shock >69 or w cc
Heart Failure or Shock <70 w/o cc
Deep Vein Thrombosis >69 or w cc
Deep Vein Thrombosis <70 w/o cc
Ischaemic Heart Disease without intervention >69 or w cc
Ischaemic Heart Disease without intervention <70 w/o cc
Hypertension >69 or w cc
Hypertension <70 w/o cc
Cardiac Arrest
Arrhythmia or Conduction Disorders >69 or w cc
Arrhythmia or Conduction Disorders <70 w/o cc
Syncope or Collapse >69 or w cc
Syncope or Collapse <70 w/o cc
Chest Pain >69 or w cc
Chest Pain <70 w/o cc
Other Cardiac Diagnoses
Valve Disorders
Congenital Disorders
Complex Elderly with a Cardiac Primary Diagnosis
Disorders of the Oesophagus >69 or w cc
Disorders of the Oesophagus <70 w/o cc
Stomach or Duodenum Disorders >69 or w cc
Stomach or Duodenum Disorders <70 w/o cc
Small Intestinal Disorders (excluding IBD)
Large Intestinal Disorders >69 or w cc
Large Intestinal Disorders <70 w/o cc
General Abdominal Disorders >69 or w cc
General Abdominal Disorders <70 w/o cc
ICD code
F48
F49
F55
F56
F64
F65
F76
F77
F83
F96
F98
F99
G06
G07
G08
G18
G19
G20
G23
G24
G25
G98
G99
H23
H24
H25
H26
H27
H28
H30
H31
H32
H35
H36
H37
H38
H39
H40
H41
H42
H43
H44
H45
H48
H49
H50
H53
H54
H63
H64
H88
H89
H98
H99
J08
J09
Description
Intestinal Infectious Disorders >69 or w cc
Intestinal Infectious Disorders <70 w/o cc
Inflammatory Bowel Disease >69 or w cc
Inflammatory Bowel Disease <70 w/o cc
Gastrointestinal Bleed >69 or w cc
Gastrointestinal Bleed <70 w/o cc
Hernia Disorders >69 or w cc
Hernia Disorders <70 w/o cc
Appendix Disorders
Anal Disorders
Chemotherapy with a Digestive System Primary Diagnosis
Complex Elderly with Digestive System Primary Diagnosis
Acute Liver Disorders
Chronic Liver Disorders >69 or w cc
Chronic Liver Disorders <70 w/o cc
Biliary Tract Disorders >69 or w cc
Biliary Tract Disorders <70 w/o cc
Biliary Tract Neoplasms
Pancreatic Disorders
Chronic Pancreatic Disease >69
Chronic Pancreatic Disease <70
Chemotherapy with a Hepato-Biliary or Pancreatic System Primary Diagnosis
Complex Elderly with a Hepato-Biliary or Pancreatic System Primary Diagnosis
Soft Tissue Disorders >69 or w cc
Soft Tissue Disorders <70 w/o cc
Inflammatory Spine, Joint or Connective Tissue Disorders >69 or w cc
Inflammatory Spine, Joint or Connective Tissue Disorders <70 w/o cc
Non-Inflammatory Bone or Joint Disorders >69 or w cc
Non-Inflammatory Bone or Joint Disorders <70 w/o cc
Infections of Bones or Joints
Musculoskeletal Signs and Symptoms >69 or w cc
Musculoskeletal Signs and Symptoms <70 w/o cc
Open Lower Limb Fractures or Dislocations
Closed Pelvis or Lower Limb Fractures >69 or w cc
Closed Pelvis or Lower Limb Fractures <70 w/o cc
Open Upper Limb Fractures or Dislocations
Closed Upper Limb Fractures or Dislocations >69 or w cc
Closed Upper Limb Fractures or Dislocations <70 w/o cc
Sprains, Strains, or Minor Open Wounds >69 or w cc
Sprains, Strains, or Minor Open Wounds <70 w/o cc
Major Cranial, Visceral or Blood Vessel Injury >69 or w cc
Major Cranial, Visceral or Blood Vessel Injury <70 w/o cc
Minor Fractures or Dislocations
Other Wounds or Injuries
Multiple Injury >69
Multiple Injury <70
Pathological Fractures or Malignancy of Bone and Connective Tissue >69 or w cc
Pathological Fractures or Malignancy of Bone and Connective Tissue <70 w/o cc
Head Injury >69 or w cc
Head Injury <70 w/o cc
Other Neck of Femur Fracture w cc
Other Neck of Femur Fracture w/o cc
Chemotherapy with a Musculoskeletal System Primary Diagnosis
Complex Elderly with a Musculoskeletal System Primary Diagnosis
Non-Malignant Breast Disorders
Malignant Breast Disorders >69 or w cc
ICD code
J10
J19
J26
J27
J28
J38
J39
J40
J41
J42
J43
J44
J45
J98
J99
K04
K07
K08
K09
K10
K11
K12
K13
K14
K15
K16
K17
K18
K19
K20
K21
K22
K23
K98
K99
L07
L08
L09
L10
L22
L23
L24
L31
L32
L36
L40
L44
L46
L47
L48
L49
L50
L51
L52
L53
L54
Description
Malignant Breast Disorders <70 w/o cc
Other Burn with Inhalation Injury
Other Burn without Significant Graft Procedure >49
Other Burn without Significant Graft Procedure >18 <50
Other Burn without Significant Graft Procedure <19
Skin Ulcers
Major Dermatological Conditions >69 or w cc
Major Dermatological Conditions <70 w/o cc
Major Skin Infections >69 or w cc
Major Skin Infections <70 w/o cc
Major Skin Tumours
Minor Dermatological Conditions or Benign Tumours
Minor Skin Infections
Chemotherapy with a Skin, Breast or Burn Primary Diagnosis
Complex Elderly with a Skin, Breast or Burn Primary Diagnosis
Anterior Pituitary Disorders
Fluid or Electrolyte Disorders >69 or w cc
Fluid or Electrolyte Disorders <70 w/o cc
Disorders of Nutrition
Inborn Errors of Metabolism
Diabetes with Hypoglycaemic Emergency >69 or w cc
Diabetes with Hypoglycaemic Emergency <70 w/o cc
Diabetes with Hyperglycaemic Emergency >69 or w cc
Diabetes with Hyperglycaemic Emergency <70 w/o cc
Diabetes and Other Hyperglycaemic Disorder >69 or w cc
Diabetes and Other Hyperglycaemic Disorder <70 w/o cc
Diabetes with Lower Limb Complications
Non Pituaritary Endocrine Neoplasms >69 or w cc
Non Pituaritary Endocrine Neoplasms <70 w/o cc
Non Surgical Thyroid Disorders >69 or w cc
Non Surgical Thyroid Disorders <70 w/o cc
Other Endocrine Disorders >69 or w cc
Other Endocrine Disorders < 70 w/o cc
Chemotherapy with an Endocrine or Metabolic System Primary Diagnosis
Complex Elderly with an Endocrine or Metabolic System Primary Diagnosis
Non OR Admission for Kidney or Urinary Tract Neoplasms >69 or w cc
Non OR Admission for Kidney or Urinary Tract Neoplasms <70 w/o cc
Kidney or Urinary Tract Infections >69 or w cc
Kidney or Urinary Tract Infections <70 w/o cc
Bladder or Urinary Mechanical Problems >69 or w cc
Bladder or Urinary Mechanical Problems <70 w/o cc
Ureteric or Bladder Disorders
Malignant Prostate Disorders
Non-Malignant Prostate Disorders
Urethra Disorders
Penis Disorders
Scrotum Testis or Vas Deferens Disorders
Renal Replacement Associated Procedures
Renal Replacement Therapy w cc
Renal Replacement Therapy w/o cc
Acute Renal Failure >69 or w cc
Acute Renal Failure <70 w/o cc
Chronic Renal Failure
Renal General Disorders >69 or w cc
Renal General Disorders <70 w/o cc
Urinary Tract Findings >69 or w cc
ICD code
L55
L69
L98
L99
M12
M13
M14
M15
M16
M17
M18
M19
M98
M99
P01
P02
P03
P04
P05
P06
P07
P08
P09
P11
P12
P13
P14
P15
P16
P17
P18
P19
P20
P21
P22
P23
P24
P25
P26
P27
P28
P29
P30
P31
P98
Q13
Q14
Q17
Q18
Q19
Q98
Q99
R05
R06
R08
R12
Description
Urinary Tract Findings <70 w/o cc
Urinary Tract Stone Disease
Chemotherapy with a Urinary Tract or Male Reproductive System Primary Diagnosis
Complex Elderly with a Urinary Tract or Male Reproductive System Primary Diagnosis
Non-Surgical Treatment of Lower Genital Tract Disorders
Non-Surgical Treatment of Genital Prolapse or Incontinence
Non-Surgical Treatment of Fibroids, Menstrual Disorders, or Endometriosis
Non-Surgical Treatment of Ovary, Tube, or Pelvis Disorders
Non-Surgical Treatment of Gynaecological Malignancy w cc
Non-Surgical Treatment of Gynaecological Malignancy w/o cc
Non-Surgical Treatment of Other Gynaecological Conditions
Gynaecological Radiotherapy
Chemotherapy with a Female Reproductive System Primary Diagnosis
Complex Elderly with a Female Reproductive System Primary Diagnosis
Asthma or Wheezing
Cystic Fibrosis
Upper Respiratory Tract Disorders
Lower Respiratory Tract Disorders without Acute Bronchiolitis
Major Infections (including Immune Disorders)
Minor Infections (including Immune Disorders)
Neoplasms
Febrile Convulsions
Nervous System Disorders
Endocrine Disorders (excluding Diabetes Mellitus)
Major Gastrointestinal or Metabolic Disorders
Other Gastrointestinal or Metabolic Disorders
Ingestion Poisoning or Allergies
Accidental Injury without Brain Injury
Child Welfare and Protection
Behavioural Disorders
Developmental Disorders
Major Congenital Conditions
Other Congenital Conditions
Renal Disease
Renal Disease with Renal Failure
Blood Cell Disorders
Skin, Musculoskeletal, or Connective Tissue Disorders
Cardiac Conditions
Infectious and Non-Infectious Gastroenteritis
Acute Bronchiolitis
Epilepsy Syndrome
Diabetes Mellitus
Head Injury with Brain Injury
Head Injury without Brain Injury
Chemotherapy with a Disease of Childhood Primary Diagnosis
Diagnostic Radiology - Arteries or Lymphatics w cc
Diagnostic Radiology - Arteries or Lymphatics w/o cc
Non-Surgical Peripheral Vascular Disease w cc
Non-Surgical Peripheral Vascular Disease w/o cc
Vascular Access for Renal Replacement Therapy
Chemotherapy with a Vascular System Primary Diagnosis
Complex Elderly with a Vascular System Primary Diagnosis
Vertebral Column Injury without Procedure >69 or w cc
Vertebral Column Injury without Procedure <70 w/o cc
Spinal Cord Injury without Procedure
Cervical Spinal Disorders >69 or w cc
ICD code
R13
R14
R15
R16
R17
R18
R98
R99
S04
S05
S06
S07
S08
S09
S10
S11
S12
S13
S14
S15
S16
S19
S21
S22
S24
S26
S27
S28
S29
S30
S31
S32
S33
S34
S35
S36
S98
S99
T01
T02
T03
T04
T05
T06
T07
T08
T09
T10
T11
T12
T13
T14
T15
T16
Description
Cervical Spinal Disorders <70 w/o cc
Spinal Tumours
Thoracic or Lumbar Spinal Disorders >69 or w cc
Thoracic or Lumbar Spinal Disorders <70 w/o cc
Non-Traumatic Spinal Cord Disorders
Scoliosis or Other Spinal Deformity
Chemotherapy with a Spinal Primary Diagnosis
Complex Elderly with a Spinal Primary Diagnosis
Coagulation Disorders
Red Blood Cell Disorders >69 or w cc
Red Blood Cell Disorders <70 w/o cc
Other Haematological or Splenic Disorders w cc
Other Haematological or Splenic Disorders w/o cc
Bone Marrow Graft
Manifestations of HIV/AIDS
Disorders of Immunity without HIV/AIDS
Septicaemia
Pyrexia of Unknown Origin
Other Viral Illness
Other Non-Viral Infections
Poisoning, Toxic, Environmental and Unspecified Effects
Complications of Procedures
Convalescent or Other Relief Care
Planned Procedures Not Carried Out
Respite Care
Shock and Anaphylaxis
Malignant Disorder of the Lymphatic/ Haematological Systems with los <2 days
Malignant Disorder of the Lymphatic/ Haematological Systems with los >1 day
Other Admissions Related to Neoplasms
Other Congenital Conditions Persisting in Adulthood
Admission for Unexplained Symptons
Abnormal Findings without Diagnosis
Examination, Follow up and Special Screening
Other Procedures and Health Care Problems
Other Specified Admissions and Counselling
Diagnostic Extraction of Bone Marrow
Chemotherapy with a Haematology, Infectious Disease, Poisoning, or Non-specific Primary
Diagnosis
Complex Elderly with a Haematology, Infectious Disease, Poisoning, or Non-specific Primary
Diagnosis
Senile Dementia
Schizophreniform Psychoses with Section
Schizophreniform Psychoses without Section
Mania with Section
Mania without Section
Depression with Section
Depression without Section
Presenile Dementia
Anxiety Syndromes
Alcohol or Drugs Non-Dependent Use >18
Alcohol or Drugs Non-Dependent Use <19
Alcohol or Drugs Dependency
Eating Disorders or Obsessive Compulsive Disorders
Acute Reactions or Personality Disorders
Childhood Non-Psychotic Disorders
Mental Retardation
ICD code
T17
Description
Specific Learning Disabilities
PSI 8: Post-operative hip fracture
Numerator
Hip fracture codes in any secondary diagnosis field
ICD codes



S720
S721
S722
Fracture of neck of femur
Pertrochanteric fracture
Subtrochanteric fracture
Denominator

All surgical discharges age 18 and older defined by specific HRGs and an OPCS code for an
operating room procedure


See Appendix A: Surgical HRGs
See Appendix B. Exclusions for operating theatre procedure codes
Exclude cases






Hip fracture codes in the primary diagnosis field
where the only operating room procedure is hip fracture repair (see Appendix A)
where a procedure for hip fracture repair occurs before or on the same day as the first
operating room procedure
spells with diseases and disorders of the musculoskeletal system and connective tissue in
the primary diagnosis field (ICD M and O chapters)
with primary diagnosis codes for seizure, syncope, stroke, coma, cardiac arrest, poisoning,
trauma, delirium and other psychoses, or anoxic brain injury (see Appendix B for codes)
with any diagnosis of metastatic cancer, lymphoid malignancy or bone malignancy, or selfinflicted injury
Data Source
SUS – CDS
Time frame
April 2009 – March 2010
Basis
Acute Trust
Statistical methods used
Case-mix adjusted using a logistic regression model.
Logistic regression
The ratio is calculated by dividing the actual number of events by the expected number and multiplying the
figure by 100. It is expressed as a relative risk, where a risk rating of 100 represents the national average. If the
trust has an RR of 100, that means that the number of events is exactly as it would be expected taking into
account the standardisation factors. An RR above 100 means there were more events than would be expected;
one below 100 means that fewer than expected events.
Control limits
Control limits tell us the range of values which are consistent with random or chance variation. Data points
falling within the control limits are consistent with random or chance variation and are said to display
‘common-cause variation’; for data points falling outside the control limits, chance is an unlikely explanation
and hence they are said to display ‘special-cause variation’ – that is, where the trust’s rate diverges
significantly from the national rate.
Notes
Based on AHRQ PSI indicators
http://www.qualityindicators.ahrq.gov/psi_overview.htm
Translated by the Dr Foster Unit at Imperial College
Appendix A
Hip fracture repair OPCS codes
OPCS codes
W281+ Z76
W241
W242 + Z76
W243 + Z76
W248 + Z76
W249 + Z76
W221
W222 + Z76
W228 + Z76
W229 + Z76
W191
W192 + Z76
W193 + Z76
W201 + Z76
W202 + Z76
W204 + Z76
W371
W381
Description
Application of internal fixation to bone NEC + Z76 Femur
W241 Closed reduction of intracapsular fracture of neck of femur & fixation using nail or
screw,
Closed reduction of fracture of long bone and rigid internal fixation NEC,
Closed reduaction of fracture of long bone & flexible internal fixation NEC,
Other specified closed reduction of fracture of bone & internal fixation,
Unspecified closed reduction of fracture of bone & internal fixation
Primary open reduction of fracture of bone & skeletal traction HFQ,
Primary open reduction of fracture of bone & external fixation HFQ,
other specified other primary open reduction of fraction of bone &
unspecified
Primary open reduction of fracture of head of neck of femur & open reduction using pin &
plate (includes dynamic hip screw DHS),
Primary open reduction of fracture of long bone & fixation using rigid nail NEC,
Primary open reduction of fracture of long bone & fixation using flexible nail Primary open reduction of fracture of long bone & extramedullary fixation using plate NEC,
Primary open reduction of fracture of long bone & extramedullary fixation using circlage &
Primary open reduction of fracture of long bone & complex extramedullary fixation NEC
Primary total prosthetic replacement of hip joint using cement
Primary total prosthetic replacement of hip joint not using cement
OPCS codes
W391
W461
W471
W481
Description
Primary total prosthetic replacement of hip joint NEC
Primary prosthetic replacement of head of femur using cement - (includes primary
prosthetic hemiarthroplasty of head of femur)
Primary prosthetic replacement of head of femur not using cement - (includes primary
prosthetic hemiarthroplasty of head of femur)
Primary prosthetic replacement of head of femur NEC - (includes primary prosthetic
hemiarthroplasty of head of femur)
See Appendix B:
Trauma diagnosis codes
Seizure or syncope
ICD codes
G411
G410
G403
G403
G403
G403
G412
G412
G401
G401
G404
G405
G405
G408
G409
G409
R560
R568
R55
Description
Petit mal status epilepticus
Grand mal status epilepticus
Generalized idiopathic epilepsy and epileptic syndromes
Generalized idiopathic epilepsy and epileptic syndromes
Generalized idiopathic epilepsy and epileptic syndromes
Generalized idiopathic epilepsy and epileptic syndromes
Complex partial status epilepticus
Complex partial status epilepticus
Locl-rel(foc)part)symp epilep/ epilptic syn simple part seiz
Locl-rel(foc)part)symp epilep/ epilptic syn simple part seiz
Other generalized epilepsy and epileptic syndromes
Special epileptic syndromes
Special epileptic syndromes
Other epilepsy
Epilepsy, unspecified
Epilepsy, unspecified
Febrile convulsions
Other and unspecified convulsions
Syncope and collapse
Stroke
ICD codes
I609
I619
I621
I620
I629
I64
G978
Description
Subarachnoid haemorrhage, unspecified
Intracerebral haemorrhage, unspecified
Nontraumatic extradural haemorrhage
Subdural haemorrhage (acute)(nontraumatic)
Intracranial haemorrhage (nontraumatic), unspecified
Stroke, not specified as haemorrhage or infarction
Other postprocedural disorders of nervous system
Coma, cardiac arrest
ICD codes
E100
E110
E15
I469
K729
R401
Description
Insulin-dependent diabetes mellitus with coma
Non-insulin-dependent diabetes mellitus with coma
Nondiabetic hypoglycaemic coma
Cardiac arrest, unspecified
Hepatic failure, unspecified
Stupor
ICD codes
R402
Description
Coma, unspecified
Poisoning
ICD codes
T360
T361
T362
T363
T364
T367
T368
T369
T370
T371
T372
T373
T374
T375
T378
T379
T380
T381
T382
T383
T384
T387
T388
T389
T390
T391
T392
T394
T398
T399
T400
T401
T403
T404
T407
T410
T411
T412
T413
T420
T422
T423
T424
T426
T427
T428
T430
T433
T434
T435
Description
Poisoning by Penicillins
Poisoning by Cefalosporins and other -lactam antibiotics
Poisoning by Chloramphenicol group
Poisoning by Macrolides
Poisoning by Tetracyclines
Poisoning by antifungal antibiotics, systemically used
Poisoning by other systemic antibiotics
Poisoning by systemic antibiotic, unspecified
Poisoning by Sulfonamides
Poisoning by antimycobacterial drugs
Poisoning by antimalarials & drugs act on oth blood protozoa
Poisoning by other antiprotozoal drugs
Poisoning by anthelminthics
Poisoning by antiviral drugs
Poisoning by oth spec systemic anti-infects & antiparasitics
Poisoning by systemic anti-infect & antiparasit, unspec
Poisoning by glucocorticoids and synthetic analogues
Poisoning by thyroid hormones and substitutes
Poisoning by antithyroid drugs
Poisoning by insulin & oral hypoglycaemic [antidiabet] drugs
Poisoning by oral contraceptives
Poisoning by androgens and anabolic congeners
Poisoning by oth & unsp hormones & their synthetic substits
Poisoning by other and unspecified hormone antagonists
Poisoning by Salicylates
Poisoning by 4-Aminophenol derivatives
Poisoning by Pyrazolone derivatives
Poisoning by antirheumatics, not elsewhere classified
Poisoning by other nonopiod analgesics and antipyretics NEC
Poisoning by nonopioid analges,antipyretic & antirheum unsp
Poisoning by Opium
Poisoning by Heroin
Poisoning by Methadone
Poisoning by other synthetic narcotics
Poisoning by Cannabis (derivatives)
Poisoning by inhaled anaesthetics
Poisoning by intravenous anaesthetics
Poisoning by other and unspecified general anaesthetics
Poisoning by local anaesthetics
Poisoning by Hydantoin derivatives
Poisoning by Succinimides and oxazolidinediones
Poisoning by Barbiturates
Poisoning by Benzodiazepines
Poisoning by other antiepileptic and sedative-hypnotic drugs
Poisoning by antiepileptic and sedative-hypnotic drugs, unsp
Poisoning by antipark drug & oth cent muscle-tone depressant
Poisoning by tricyclic and tetracyclic antidepressants
Poisoning by Phenothiazine antipsychotics and neuroleptics
Poisoning by Butyrophenone and thioxanthene neuroleptics
Poisoning by other & unsp antipsychotics & neuroleptics
ICD codes
T436
T439
T441
T442
T443
T448
T449
T450
T451
T452
T453
T454
T455
T456
T457
T458
T459
T460
T462
T463
T465
T466
T468
T469
T471
T472
T474
T475
T476
T477
T478
T479
T480
T481
T482
T483
T484
T485
T486
T487
T490
T491
T492
T493
T494
T495
T496
T497
T498
T499
T502
T503
T504
T506
T507
T509
Description
Poisoning by psychostimulants with abuse potential
Psychotropic drug, unspecified
Poisoning by other parasympathomimetics [cholinergics]
Poisoning by ganglionic blocking drugs, NEC
Pois oth parasympatholy [antichol&antimusc] spasmolyts NEC
Poisoning by centrally act & adrenergic-neuron-block ags NEC
Poisoning by oth unsp drugs prim affect autonom nervous sys
Poisoning by antiallergic and antiemetic drugs
Poisoning by antineoplastic and immunosuppressive drugs
Poisoning by vitamins, not elsewhere classified
Poisoning by enzymes, not elsewhere classified
Poisoning by iron and its compounds
Poisoning by anticoagulants
Poisoning by fibrinolysis-affecting drugs
Poisoning by anticoagulant antagons, vit K & oth coagulants
Poisoning by oth prim systemic & haematological agents
Poisoning by primarily systemic & haematological agent, unsp
Poisoning by cardiac-stim glycosides & drugs of sim action
Poisoning by other antidysrhythmic drugs, NEC
Poisoning by coronary vasodilators, NEC
Poisoning by other antihypertensive drugs, NEC
Poisoning by antihyperlipidaemic & antiarteriosclerotic drug
Poisoning by antivaricose drugs, incl sclerosing agents
Poisoning by oth & unsp agent prim affect cardiovasc sys
Poisoning by oth antacids & anti-gastric-secretion drugs
Poisoning by stimulant laxatives
Poisoning by other laxatives
Poisoning by digestants
Poisoning by antidiarrhoeal drugs
Poisoning by emetics
Poisoning by oth agents prim affect gastrointest sys
Poisoning by agent primarily affect gastrointest sys unsp
Poisoning by oxytocic drugs
Poisoning by skel musc relaxs [neuromuscular blocking agent]
Poisoning by oth & unsp agents primarily acting on muscles
Poisoning by antitussives
Poisoning by expectorants
Poisoning by anti-common-cold drugs
Poisoning by antiasthmatics, not elsewhere classified
Poisoning by oth & unsp agents prim acting on the resp sys
Poisoning by local antifung anti-infec & anti-inflam drg NEC
Poisoning by topical agent antipruritics
Poisoning by local astringents and local detergents
Poisoning by topical emollients, demulcents and protectants
Poisn top keratolyts keratoplasts ot hair treat drgs & preps
Poisoning by topical ophthalmological drugs and preparations
Poisoning by topical otorhinolaryngological drugs and preps
Poisoning by dental drugs, topically applied
Poisoning by other topical agents
Poisoning by topical agent, unspecified
Poison by carbonic-anhydrase inhibs benzothiadiaz oth diuret
Electrolytic, caloric and water-balance ags
Poisoning by drugs affecting uric acid metabolism
Poisoning by antidotes and chelating agents, NEC
Poisoning by analeptics and opioid receptor antagonists
Poisoning by oth & unsp drugs medicaments & biological subs
ICD codes
T568
X400
X401
X402
X403
X404
X406
X407
X408
X409
X410
X411
X412
X413
X414
X416
X417
X418
X419
X420
X421
X422
X423
X424
X426
X427
X428
X429
X430
X431
X432
X433
X434
X436
X437
X438
X439
X440
X441
X442
X443
X444
X446
X447
X448
X449
X450
X451
X452
X453
X454
X456
X457
X458
X459
X460
Description
Toxic effect of other metals
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
ICD codes
X461
X462
X463
X464
X466
X467
X468
X469
X470
X471
X472
X473
X474
X476
X477
X478
X479
X480
X481
X482
X483
X484
X486
X487
X488
X489
X490
X491
X492
X493
X494
X496
X497
X498
X499
X660
X661
X662
X663
X664
X666
X667
X668
X669
X670
X671
X672
X673
X674
X676
X677
X678
X679
X851
X852
X853
Description
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
ICD codes
X854
X856
X857
X858
X859
X880
X881
X882
X883
X884
X886
X887
X888
X889
X890
X891
X892
X893
X894
X896
X897
X898
X899
X900
X901
X902
X903
X904
X906
X907
X908
X909
Y100
Y101
Y102
Y103
Y104
Y106
Y107
Y108
Y109
Y110
Y111
Y112
Y113
Y114
Y116
Y117
Y118
Y119
Y140
Y141
Y142
Y143
Y144
Y146
Description
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
ICD codes
Y147
Y148
Y149
Y160
Y161
Y162
Y163
Y164
Y166
Y167
Y168
Y169
Y170
Y171
Y172
Y173
Y174
Y176
Y177
Y178
Y179
Y180
Y181
Y182
Y183
Y184
Y186
Y187
Y188
Y189
Y190
Y191
Y192
Y193
Y194
Y196
Y197
Y198
Y199
Description
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Occurrence at home
Occurrence in residential institution
Occurrence at school other instit'n/pub admin area
Occurrence at sports/athletics area
Occurrence on street/highway
Occurrence at industrial/construction area
Occurrence on farm
Occurrence at other specified place
Occurrence at unspecified place
Delirium and Other Psychoses
ICD codes
F018
F028
F03
F04
F050
F051
F058
F059
F060
F062
F063
F068
Description
Other vascular dementia
Dementia in other specified diseases classified elsewhere
Unspecified dementia
Organic amnesic synd not induced alc/oth psychoactive subs
Delirium not superimposed on dementia, so described
Delirium superimposed on dementia
Other delirium
Delirium, unspecified
Organic hallucinosis
Organic delusional [schizophrenia-like] disorder
Organic mood [affective] disorders
Oth sp mental disord brain damag and dysfunction/physical d
ICD codes
F069
F100
F104
F105
F106
F107
F193
F195
F196
F197
F198
F199
F200
F201
F202
F205
F206
F208
F209
F21
F22
F232
F233
F238
F258
F259
F29
F301
F302
F308
F309
F310
F311
F312
F313
F314
F315
F316
F317
F319
F320
F321
F322
F323
F328
F330
F331
F332
F333
F334
F339
F388
F39
F448
F840
F843
Description
Unsp mental disord brain damag and dysfunction/physical d
Mental & behav dis due to use of alcohol: acute intoxication
Men & behav dis due alcohol: withdrawl state with delirium
Mental & behav dis due to use of alcohol: psychotic disorder
Mental and behav dis due to use of alcohol: amnesic syndrome
Men & behav dis due use alc: resid & late-onset psychot dis
Men & behav dis multiple/psychoact drug: withdrawl state
Men & behav dis multiple/psychoact drug: psychotic disorder
Men & behav dis multiple/psychoact drug: amnesic syndrome
Men & behav dis multiple/psychoact drug: res & late-ons psy
Men & behav dis multiple/psychoact drug: oth men & behav dis
Men & behav dis multiple/psychoact drug: unsp men & behav di
Paranoid schizophrenia
Hebephrenic schizophrenia
Catatonic schizophrenia
Residual schizophrenia
Simple schizophrenia
Other schizophrenia
Schizophrenia, unspecified
Schizotypal disorder
Persistent delusional disorders
Acute schizophrenia-like psychotic disorder
Other acute predominantly delusional psychotic disorders
Other acute and transient psychotic disorders
Other schizoaffective disorders
Schizoaffective disorder, unspecified
Unspecified nonorganic psychosis
Mania without psychotic symptoms
Mania with psychotic symptoms
Other manic episodes
Manic episode, unspecified
Bipolar affective disorder, current episode hypomanic
Bipolar affect disord cur epi manic without psychotic symp
Bipolar affect disorder cur epi manic with psychotic symp
Bipolar affect disorder cur epi mild or moderate depression
Bipolar affect disord cur epi sev depres without psyc symp
Bipolar affect disord cur epi severe depres with psyc symp
Bipolar affective disorder, current episode mixed
Bipolar affective disorder, currently in remission
Bipolar affective disorder, unspecified
Mild depressive episode
Moderate depressive episode
Severe depressive episode without psychotic symptoms
Severe depressive episode with psychotic symptoms
Other depressive episodes
Recurrent depressive disorder, current episode mild
Recurrent depressive disorder, current episode moderate
Recurrent depress disorder cur epi severe without psyc symp
Recurrent depress disorder cur epi severe with psyc symp
Recurrent depressive disorder, currently in remission
Recurrent depressive disorder, unspecified
Other specified mood [affective] disorders
Unspecified mood [affective] disorder
Other dissociative [conversion] disorders
Childhood autism
Other childhood disintegrative disorder
ICD codes
F848
F849
Description
Other pervasive developmental disorders
Pervasive developmental disorder, unspecified
Anoxic Brain Injury
ICD codes
G931
Description
Anoxic brain damage, not elsewhere classified
Any diagnosis of metastatic cancer, lymphoid malignancy or bone malignancy, or self-inflicted injury
ICD codes
Metastatic cancer
ICD codes Description
C770
Sec & uns malig neoplasm of lymph nodes of head, face & neck
C771
Sec & uns malignant neoplasm of intrathoracic lymph nodes
C772
Sec & uns malignant neoplasm of intra-abdominal lymph nodes
C773
Sec & uns malig neoplasm of axillary & upp limb lymph nodes
C774
Sec & uns malig neoplasm of inguinal & low limb lymph nodes
C775
Sec & uns malignant neoplasm of intrapelvic lymph nodes
C778
Sec & uns malig neoplasm of lymph nodes of multiple regions
C779
Sec & uns malignant neoplasm of lymph node, unspecified
C780
Secondary malignant neoplasm of lung
C781
Secondary malignant neoplasm of mediastinum
C782
Secondary malignant neoplasm of pleura
C783
Secondary malignant neoplasm of oth & unsp respiratory orgs
C784
Secondary malignant neoplasm of small intestine
C785
Secondary malignant neoplasm of large intest & rectum
C786
Secondary malignant neoplasm of retroperitoneum & peritoneum
C787
Secondary malignant neoplasm of liver
C788
Secondary malignant neoplasm of other & unsp digestive orgs
C80
Malignant neoplasm without specification of site
Lymphoid malignancy
ICD codes
C810
C811
C812
C813
C817
C819
C822
C830
C833
C837
C840
C841
C845
C859
C887
C900
C901
C910
Description
Hodgkin's disease, lymphocytic predominance
Hodgkin's disease, nodular sclerosis
Hodgkin's disease, mixed cellularity
Hodgkin's disease, lymphocytic depletion
Hodgkin's disease, other Hodgkin's disease
Hodgkin's disease, Hodgkin's disease, unspecified
Follicular non-Hodgkin's large cell lymphoma
Diffuse non-Hodgkin's small cell (diffuse)lymphoma
Diffuse non-Hodgkin's large cell (diffuse) lymphoma
Diffuse non-Hodgkin's lymphoma, Burkitt's tumour
Peripheral and cutaneous T-cell lymphomas, mycosis fungoides
Peripheral and cutaneous T-cell lymphomas, Sezary's disease
Periph & cutan T-cell lymphomas, oth & unsp T-cell lymphomas
Non-Hodgkin's lymphoma, unspecified type
Other malignant immunoproliferative diseases
Multiple myeloma
Plasma cell leukaemia
Acute lymphoblastic leukaemia
ICD codes
C911
C912
C914
C917
C919
C920
C921
C922
C923
C927
C929
C930
C931
C932
C937
C939
C940
C941
C942
C947
C950
C951
C952
C957
C959
C960
C961
C962
C967
Description
Chronic lymphocytic leukaemia
Subacute lymphocytic leukaemia
Hairy-cell leukaemia
Other lymphoid leukaemia
Lymphoid leukaemia, unspecified
Acute myeloid leukaemia
Chronic myeloid leukaemia
Subacute myeloid leukaemia
Myeloid sarcoma
Other myeloid leukaemia
Myeloid leukaemia, unspecified
Acute monocytic leukaemia
Chronic monocytic leukaemia
Subacute monocytic leukaemia
Other monocytic leukaemia
Monocytic leukaemia, unspecified
Acute erythraemia & erythroleukaemia
Chronic erythraemia
Acute megakaryoblastic leukaemia
Other specified leukaemias
Acute leukaemia of unsp cell type
Chronic leukaemia unsp cell type
Subacute leukaemia unsp cell type
Other leukaemia unspecified cell type
Leukaemia, unspecified
Letterer-Siwe disease
Malignant histiocytosis
Malignant mast cell tumour
Oth spec malig neop lymphoid h'poietic & related tissue
Bone malignancy
ICD codes Description
C400
Malignant neoplasm of scapula and long bones of upper limb
C401
Malignant neoplasm of short bones of upper limb
C402
Malignant neoplasm of long bones of lower limb
C403
Malignant neoplasm of short bones of lower limb
C409
Malignant neoplasm of bone and artic cart of limb, unsp
C410
Malignant neoplasm of bones of skull and face
C411
Malignant neoplasm of mandible
C412
Malignant neoplasm of vertebral column
C413
Malignant neoplasm of ribs, sternum and clavicle
C414
Malignant neoplasm of sacrum and coccyx
Trauma diagnosis codes
ICD codes Description
S011
Open wound of eyelid and periocular area
S020
Fracture of vault of skull
S021
Fracture of base of skull
S022
Fracture of nasal bones
S023
Fracture of orbital floor
S024
Fracture of malar and maxillary bones
ICD codes Description
S026
Fracture of mandible
S027
Multiple fractures involving skull and facial bones
S028
Fractures of other skull and facial bones
S029
Fracture of skull and facial bones, part unspecified
S030
Dislocation of jaw
S052
Ocular lacn and rupture with prolapse or loss intraoc tiss
S053
Ocular lacn without prolapse or loss of intraocular tissue
S054
Penetrating wound of orbit with or without foreign body
S055
Penetrating wound of eyeball with foreign body
S057
Avulsion of eye
S058
Other injuries of eye and orbit
S059
Injury of eye and orbit, part unspecified
S060
Concussion
S062
Diffuse brain injury
S062
Diffuse brain injury
S064
Epidural haemorrhage
S064
Epidural haemorrhage
S065
Traumatic subdural haemorrhage
S066
Traumatic subarachnoid haemorrhage
S068
Other intracranial injuries
S068
Other intracranial injuries
S070
Crushing injury of face
S099
Unspecified injury of head
S120
Fracture of first cervical vertebra
S121
Fracture of second cervical vertebra
S127
Multiple fractures of cervical spine
S128
Fracture of other parts of neck
S129
Fracture of neck, part unspecified
S131
Dislocation of cervical vertebra
S133
Multiple dislocations of neck
S141
Other and unspecified injuries of cervical spinal cord
S142
Injury of nerve root of cervical spine
S143
Injury of brachial plexus
S150
Injury of carotid artery
S152
Injury of external jugular vein
S153
Injury of internal jugular vein
S157
Injury of multiple blood vessels at neck level
S158
Injury of other blood vessels at neck level
S159
Injury of unspecified blood vessel at neck level
S179
Crushing injury of neck, part unspecified
S220
Fracture of thoracic vertebra
S222
Fracture of sternum
S223
Fracture of rib
S224
Multiple fractures of ribs
S225
Flail chest
S231
Dislocation of thoracic vertebra
S241
Other and unspecified injuries of thoracic spinal cord
S242
Injury of nerve root of thoracic spine
S250
Injury of thoracic aorta
S251
Injury of innominate or subclavian artery
S252
Injury of superior vena cava
S253
Injury of innominate or subclavian vein
S254
Injury of pulmonary blood vessels
S255
Injury of intercostal blood vessels
S257
Injury of multiple blood vessels of thorax
S258
Injury of other blood vessels of thorax
ICD codes Description
S259
Injury of unspecified blood vessel of thorax
S268
Other injuries of heart
S269
Injury of heart, unspecified
S270
Traumatic pneumothorax
S271
Traumatic haemothorax
S272
Traumatic haemopneumothorax
S273
Other injuries of lung
S274
Injury of bronchus
S278
Injury of other specified intrathoracic organs
S278
Injury of other specified intrathoracic organs
S279
Injury of unspecified intrathoracic organ
S320
Fracture of lumbar vertebra
S321
Fracture of sacrum
S323
Fracture of ilium
S324
Fracture of acetabulum
S325
Fracture of pubis
S328
Fracture of oth and unspec parts of lumbar spine and pelvis
S331
Dislocation of lumbar vertebra
S332
Dislocation of sacroiliac and sacrococcygeal joint
S341
Other injury of lumbar spinal cord
S342
Injury of nerve root of lumbar and sacral spine
S343
Injury of cauda equina
S344
Injury of lumbosacral plexus
S350
Injury of abdominal aorta
S351
Injury of inferior vena cava
S352
Injury of coeliac or mesenteric artery
S353
Injury of portal or splenic vein
S354
Injury of renal blood vessels
S355
Injury of iliac blood vessels
S357
Inj multi blood vessels abdomen lower back and pelvis level
S358
Inj oth blood vessels abdomen lower back and pelvis level
S359
Inj of unspec blood vessel abdom low back and pelvis level
S360
Injury of spleen
S361
Injury of liver or gallbladder
S362
Injury of pancreas
S363
Injury of stomach
S364
Injury of small intestine
S365
Injury of colon
S366
Injury of rectum
S368
Injury of other intra-abdominal organs
S369
Injury of unspecified intra-abdominal organ
S370
Injury of kidney
S371
Injury of ureter
S372
Injury of bladder
S376
Injury of uterus
S378
Injury of other pelvic organs
S379
Injury of unspecified pelvic organ
S380
Crushing injury of external genital organs
S381
Crush inj oth and unspec part of abdo lower back and pelvis
S420
Fracture of clavicle
S421
Fracture of scapula
S422
Fracture of upper end of humerus
S423
Fracture of shaft of humerus
S424
Fracture of lower end of humerus
S430
Dislocation of shoulder joint
S431
Dislocation of acromioclavicular joint
ICD codes Description
S432
Dislocation of sternoclavicular joint
S433
Dislocation of other and unspec parts of shoulder girdle
S451
Injury of brachial artery
S452
Injury of axillary or brachial vein
S47
Crushing injury of shoulder and upper arm
S520
Fracture of upper end of ulna
S521
Fracture of upper end of radius
S522
Fracture of shaft of ulna
S523
Fracture of shaft of radius
S524
Fracture of shafts of both ulna and radius
S525
Fracture of lower end of radius
S526
Fracture of lower end of both ulna and radius
S528
Fracture of other parts of forearm
S529
Fracture of forearm, part unspecified
S531
Dislocation of elbow, unspecified
S552
Injury of vein at forearm level
S570
Crushing injury of elbow
S579
Crushing injury of forearm, part unspecified
S580
Traumatic amputation at elbow level
S581
Traumatic amputation at level between elbow and wrist
S620
Fracture of navicular [scaphoid] bone of hand
S621
Fracture of other carpal bone(s)
S622
Fracture of first metacarpal bone
S623
Fracture of other metacarpal bone
S624
Multiple fractures of metacarpal bones
S628
Fracture of other and unspecified parts of wrist and hand
S630
Dislocation of wrist
S631
Dislocation of finger
S652
Injury of superficial palmar arch
S655
Injury of blood vessel(s) of other finger
S670
Crushing injury of thumb and other finger(s)
S678
Crush injury other and unspecified parts of wrist and hand
S710
Open wound of hip
S720
Fracture of neck of femur
S721
Pertrochanteric fracture
S722
Subtrochanteric fracture
S723
Fracture of shaft of femur
S724
Fracture of lower end of femur
S729
Fracture of femur, part unspecified
S730
Dislocation of hip
S750
Injury of femoral artery
S751
Injury of femoral vein at hip and thigh level
S752
Injury of greater saphenous vein at hip and thigh level
S772
Crushing injury of hip with thigh
S789
Traumatic amputation of hip and thigh, level unspecified
S810
Open wound of knee
S820
Fracture of patella
S821
Fracture of upper end of tibia
S822
Fracture of shaft of tibia
S824
Fracture of fibula alone
S825
Fracture of medial malleolus
S826
Fracture of lateral malleolus
S828
Fractures of other parts of lower leg
S830
Dislocation of patella
S831
Dislocation of knee
S832
Tear of meniscus, current
ICD codes Description
S833
Tear of articular cartilage of knee, current
S850
Injury of popliteal artery
S851
Injury of (anterior)(posterior) tibial artery
S855
Injury of popliteal vein
S858
Injury of other blood vessels at lower leg level
S859
Injury of unspecified blood vessel at lower leg level
S870
Crushing injury of knee
S878
Crushing injury of other and unspecified parts of lower leg
S880
Traumatic amputation at knee level
S881
Traumatic amputation at level between knee and ankle
S889
Traumatic amputation of lower leg, level unspecified
S913
Open wound of other parts of foot
S920
Fracture of calcaneus
S921
Fracture of talus
S922
Fracture of other tarsal bone(s)
S923
Fracture of metatarsal bone
S929
Fracture of foot, unspecified
S930
Dislocation of ankle joint
S931
Dislocation of toe(s)
S933
Dislocation of other and unspecified parts of foot
S951
Injury of plantar artery of foot
S958
Injury of other blood vessels at ankle and foot level
S959
Injury of unspecified blood vessel at ankle and foot level
S970
Crushing injury of ankle
S971
Crushing injury of toe(s)
S978
Crushing injury of other parts of ankle and foot
S980
Traumatic amputation of foot at ankle level
T012
Open wounds involving multiple regions of upper limb(s)
T021
Fractures involving thorax with lower back and pelvis
T024
Fractures involving multiple regions of both upper limbs
T025
Fractures involving multiple regions of both lower limbs
T039
Multiple dislocations, sprains and strains, unspecified
T041
Crush inj involv thorax with abdomen lwr back & pelvis
T042
Crushing injuries involving multiple region of upper limb(s)
T043
Crushing injuries involving multiple region of lower limb(s)
T049
Multiple crushing injuries, unspecified
T052
Traumatic amputation of both arms [any level]
T053
Traumatic amputation of both feet
T055
Traumatic amputation of both legs [any level]
T061
Inj nerves and spinal cord involving oth multi body regions
T080
Fracture of spine, level unspecified
T081
Fracture of spine, level unspecified
T092
Dislocation sprain & strain unspec joint & ligament trunk
T093
Injury of spinal cord, level unspecified
T094
inj unspec nerve spinal nerve root & plexus trunk
T100
Fracture of upper limb, level unspecified
T101
Fracture of upper limb, level unspecified
T114
Injury of unspec blood vessel of upper limb level unspec
T116
Traumatic amputation of upper limb, level unspecified
T120
Fracture of lower limb, level unspecified
T121
Fracture of lower limb, level unspecified
T131
Open wound of lower limb, level unspecified
T142
Fracture of unspecified body region
T143
Dislocation, sprain and strain of unspecified body region
T145
Injury of blood vessel(s) of unspecified body region
T147
Crush injury and traumatic amputation of unspec body region
ICD codes Description
T148
Other injuries of unspecified body region
T200
Burn of unspecified degree of head and neck
T201
Burn of first degree of head and neck
T202
Burn of second degree of head and neck
T203
Burn of third degree of head and neck
T210
Burn of unspecified degree of trunk
T211
Burn of first degree of trunk
T212
Burn of second degree of trunk
T213
Burn of third degree of trunk
T220
Burn unspec degree should and upp limb excpt wrist and hand
T221
Burn first deg of shoulder and up limb excpt wrist and hand
T222
Burn sec deg of shoulder and upr limb exc wrist/hand
T223
Burn third deg shoulder and upper limb excpt wrist and hand
T230
Burn of unspecified degree of wrist and hand
T260
Burn of eyelid and periocular area
T261
Burn of cornea and conjunctival sac
T262
Burn with resulting rupture and destruction of eyeball
T264
Burn of eye and adnexa, part unspecified
T790
Air embolism (traumatic)
T791
Fat embolism (traumatic)
T792
Traumatic secondary and recurrent haemorrhage
T793
Post-traumatic wound infection, not elsewhere classified
T794
Traumatic shock
T795
Traumatic anuria
T796
Traumatic ischaemia of muscle
T797
Traumatic subcutaneous emphysema
T798
Other early complications of trauma
Appendix C Surgical HRGs
HRG code
A01
A02
A03
A04
A05
A06
A07
A08
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
B23
B24
B25
B26
B27
B28
B29
B30
B31
C04
C15
C21
C22
C25
C31
C32
C35
C41
C42
C45
C54
C55
C56
C57
C58
C59
C60
D01
D02
D03
D04
D05
D06
Description
Intracranial Procedures Except Trauma - Category 1
Intracranial Procedures Except Trauma - Category 2
Intracranial Procedures Except Trauma - Category 3
Intracranial Procedures Except Trauma - Category 4
Intracranial Procedures for Trauma w cc
Intracranial Procedures for Trauma w/o cc
Intermediate Pain Procedures
Percutaneous Image Controlled Pain Procedures
Phakoemulsification Cataract Extraction and Insertion of Lens
Non Phakoemulsification Cataract Surgery
Other Lens Surgery Low Complexity
Oculoplastic Low Complexity
Oculoplastic Intermediate Complexity
Oculoplastic High Complexity
Orbit / Lacrimal Low Complexity
Orbit / Lacrimal Intermediate Complexity
Orbit / Lacrimal High Complexity
Cornea / Sclera Low Complexity
Cornea / Sclera Intermediate / High Complexity
Ocular Motility Intermediate Complexity
Ocular Motility Redo / Adjustable / High Complexity
Glaucoma / Uvea Low Complexity
Glaucoma / Uvea Intermediate Complexity
Glaucoma / Uvea High Complexity
Surgical Retina Low Complexity
Surgical Retina Intermediate Complexity
Surgical Retina High Complexity
Minor Mouth or Throat Procedures
Minor Maxillo-facial/ENT procedures
Intermediate Ear Procedures
Intermediate Nose Procedures
Intermediate Maxillo-facial/ENT procedures
Major Ear Procedures
Major Nose Procedures
Major Maxillo-facial/ENT Procedures
Complex Major Ear Procedures
Complex Major Nose Procedures
ENT Complex Major Maxillo-facial Procedures
Complex Major Mouth or Throat Procedures
Minor Ear Procedures
Minor Nose Procedures
Major Mouth or Throat Procedures
Intermediate Mouth or Throat Procedures
Exteriorisation of Trachea
Cochlea Implants
Lung Transplant
Complex Thoracic Procedures
Major Thoracic Procedures
Intermediate Thoracic Procedures w cc
Intermediate Thoracic Procedures w/o cc
Minor Thoracic Procedures
HRG code
D07
D08
E01
E02
E03
E04
E07
E08
E09
E13
E14
E15
E38
E39
E40
E41
F01
F02
F03
F04
F06
F12
F13
F14
F15
F21
F22
F23
F31
F32
F33
F34
F35
F41
F42
F43
F44
F45
F51
F52
F53
F54
F61
F62
F63
F71
F72
F73
F74
F75
F81
F82
F91
F92
F93
F94
Description
Fibreoptic Bronchoscopy
Rigid Bronchoscopy
Heart and Lung Transplant
Heart Transplant
Cardiac Valve Procedures
Coronary Bypass
Pacemaker Implant for AMI, Heart Failure or Shock
Pacemaker Implant except for AMI, Heart Failure or Shock
Cardiac Pacemaker Replacement/Revision
Cardiac Catheterisation and Angiography with complications
Cardiac Catheterisation and Angiography without complications
Percutaneous Coronary Intervention
Electrophysiological and other Percutaneous Cardiac Procedures >18
Electrophysiological and other Percutaneous Cardiac Procedures <19
Other Cardiothoracic or Circulatory Procedures >18
Other Cardiothoracic or Circulatory Procedures <19
Oesophagus - Complex Procedures
Oesophagus - Very Major Procedures
Oesophagus - Major Procedures or Prostheses
Therapeutic endoscopic procedures
Diagnostic Procedures, Oesophagus and Stomach
Stomach or Duodenum Very Major Procedures
Stomach or Duodenum - Major Procedures >69 or w cc
Stomach or Duodenum - Major Procedures <70 or w/o cc
Stomach or Duodenum - Therapeutic Endoscopic or Intermediate Procedures
Small Intestine - Very Major Procedures
Small Intestine - Major Procedures >69 or w cc
Small Intestine - Major Procedures <70 w/o cc
Large Intestine - Complex Procedures
Large Intestine - Very Major Procedures
Large Intestine - Major Procedures w cc
Large Intestine - Major Procedures w/o cc
Large Intestine - Endoscopic or Intermediate Procedures
General Abdominal - Very Major or Major Procedures >69 or w cc
General Abdominal - Very Major or Major Procedures <70 w/o cc
General Abdominal - Endoscopic or Intermediate Procedures >69 or w cc
General Abdominal - Endoscopic or Intermediate Procedures <70 w/o cc
General Abdominal - Diagnostic Procedures
Inflammatory Bowel Disease - Complex Procedures
Inflammatory Bowel Disease - Major Procedures
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures >69 or w cc
Inflammatory Bowel Disease - Endoscopic or Intermediate Procedures <70 w/o cc
Gastrointestinal Bleed - Very Major Procedures
Gastrointestinal Bleed - Major or Therapeutic Endoscopic Procedures
Gastrointestinal Bleed - Diagnostic Endoscopic or Intermediate Procedures
Abdominal Hernia Procedures >69 or w cc
Abdominal Hernia Procedures <70 w/o cc
Inguinal Umbilical or Femoral Hernia Repairs >69 or w cc
Inguinal Umbilical or Femoral Hernia Repairs <70 w/o cc
Herniotomy Procedures
Appendicectomy Procedures >69 or w cc
Appendicectomy Procedures <70 w/o cc
Anus - Major Procedures
Anus - Intermediate Procedures >69 or w cc
Anus - Intermediate Procedures <70 w/o cc
Anus - Minor Procedures >69 or w cc
HRG code
F95
G01
G02
G03
G04
G05
G11
G12
G13
G14
G15
G16
G17
G21
G22
G26
G27
H01
H03
H04
H07
H08
H09
H10
H11
H12
H13
H14
H15
H16
H17
H18
H19
H20
H21
H22
H29
H47
H51
H52
H70
H71
H72
H80
H81
H82
H83
H84
H85
H86
H87
J01
J04
J05
J06
J07
Description
Anus - Minor Procedures <70 w/o cc
Liver Transplant
Liver - Complex Procedures
Liver - Very Major Procedures
Liver - Major Procedures >69 or w cc
Liver - Major Procedures <70 w/o cc
Biliary Tract - Complex Procedures
Biliary Tract - Very Major Procedures
Cholecystectomy >69 or w cc
Cholecystectomy <70 w/o cc
Therapeutic Pancreatic or Biliary Procedures
Diagnostic Pancreatic or Biliary Procedures w cc
Diagnostic Pancreatic or Biliary Procedures w/o cc
Pancreas - Complex Procedures
Pancreas - Very Major Procedures
Therapeutic Pancreatic or Billary Procedures with Neoplasms
Procedures on the Spleen
Bilateral Primary Hip Replacement
Bilateral Primary Knee Replacement
Primary Knee Replacement
Primary or Revisional Shoulder, Elbow, or Ankle Replacements
Joint Replacements or Revisions, Site Unspecified
Anterior Cruciate Ligament Reconstruction
Arthroscopies
Foot Procedures - Category 1
Foot Procedures - Category 2
Hand Procedures - Category 1
Hand Procedures - Category 2
Hand Procedures - Category 3
Soft Tissue or Other Bone Procedures - Category 1 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 1 <70 w/o cc
Soft Tissue or Other Bone Procedures - Category 2 >69 or w cc
Soft Tissue or Other Bone Procedures - Category 2 <70 w/o cc
Muscle, Tendon or Ligament Procedures - Category 1
Muscle, Tendon or Ligament Procedures - Category 2
Minor Procedures to the Musculoskeletal System
Congenital Hip Dislocation with Open Procedures
Traumatic Amputations
Removal of Fixation Device >69 or w cc
Removal of Fixation Device <70 w/o cc
Resurfacing of Hip
Revisional Procedures to Hips
Revisional Procedures to Knees
Primary Hip Replacement Cemented
Primary Hip Replacement Uncemented
Extracapsular Neck of Femur Fracture with Fixation w cc
Extracapsular Neck of Femur Fracture with Fixation w/o cc
Intracapsular Neck of Femur Fracture with Fixation w cc
Intracapsular Neck of Femur Fracture with Fixation w/o cc
Neck of Femur Fracture with Hip Replacement w cc
Neck of Femur Fracture with Hip Replacement w/o cc
Complex Breast Reconstruction using Flaps
Intermediate Breast Surgery w cc
Intermediate Breast Surgery w/o cc
Minor Breast Surgery w cc
Minor Breast Surgery w/o cc
HRG code
J11
J12
J13
J14
J15
J16
J17
J18
J20
J21
J22
J23
J24
J25
J29
J30
J31
J32
J33
J34
J35
J36
J37
J46
J47
J48
J49
J50
K01
K02
K03
L01
L02
L03
L04
L05
L06
L11
L12
L13
L14
L15
L16
L17
L18
L19
L20
L21
L25
L26
L27
L28
L29
L30
L33
L34
Description
Lymph Dissection Procedures
Drainage of Ascites
Major Burn >29% TBSA without Significant Graft Procedure >49
Major Burn >29% TBSA without Significant Graft Procedure >18 <50
Major Burn >29% TBSA without Significant Graft Procedure <19
Major Burn >29% TBSA with Significant Graft Procedure >49
Major Burn >29% TBSA with Significant Graft Procedure >18 <50
Major Burn >29% TBSA with Significant Graft Procedure <19
Other Burn with 1 Significant Graft Procedure >49
Other Burn with 1 Significant Graft Procedure >18 <50
Other Burn with 1 Significant Graft Procedure <19
Other Burn with Multiple Significant Graft Procedures >49
Other Burn with Multiple Significant Graft Procedures >18 <50
Other Burn with Multiple Significant Graft Procedures <19
Major Reconstructive Surgery
Major Skin Procedures >49 or w cc
Major Skin Procedures <50 w/o cc
Intermediate Skin Procedures
Minor Skin Procedures - Category 3
Minor Skin Procedures - Category 2 w cc
Minor Skin Procedures - Category 2 w/o cc
Minor Skin Procedures - Category 1 w cc
Minor Skin Procedures - Category 1 w/o cc
Total Mastectomy w cc
Total Mastectomy w/o cc
Partial/Subtotal Mastectomy w cc
Partial/Subtotal Mastectomy w/o cc
Other Major Breast Surgery
Thyroid Procedures
Parathyroid Procedures
Adrenal Procedures
Kidney Transplant
Kidney Major Open Procedure >49 or w cc
Kidney Major Open Procedure <50 w/o cc
Kidney Major Endoscopic Procedure
Kidney Intermediate Endoscopic Procedure >69 or w cc
Kidney Intermediate Endoscopic Procedure <70 w/o cc
Ureter Open Procedure
Ureter Major Endoscopic Procedure
Ureter Intermediate Endoscopic Procedure
Bladder Major Open Procedures or Reconstruction
Urinary Diversion without Cystectomy
Bladder Intermediate Open Procedure
Bladder Major Endoscopic Procedure
Bladder Intermediate Endoscopic Procedure w cc
Bladder Intermediate Endoscopic Procedure w/o cc
Bladder Minor Endoscopic Procedure w cc
Bladder Minor Endoscopic Procedure w/o cc
Bladder Neck Open Procedures Male
Bladder Neck Open Procedures Female
Prostate Transurethral Resection Procedure >69 or w cc
Prostate Transurethral Resection Procedure <70 w/o cc
Prostate or Bladder Neck Intermediate Endoscopic Procedure (Male and Female)
Prostate or Bladder Neck Minor Endoscopic Procedure (Male and Female)
Urethra Major Open Procedures
Urethra Intermediate or Minor Procedures >69 or w cc
HRG code
L35
L37
L38
L39
L41
L42
L43
L45
L66
L68
M01
M02
M03
M04
M05
M06
M07
M08
M10
N10
N11
Q01
Q02
Q03
Q04
Q05
Q06
Q09
Q10
Q11
Q12
Q15
Q16
R01
R02
R03
R04
R07
R09
R10
R11
R19
Description
Urethra Intermediate or Minor Procedures <70 w/o cc
Penis Major or Intermediate Open Procedures
Penis Minor Open Procedure > 69 or w cc
Penis Minor Open Procedure <70 w/o cc
Vasectomy Procedures
Scrotum Testis or Vas Deferens Open Procedures >69 or w cc
Scrotum Testis or Vas Deferens Open Procedures <70 w/o cc
Extracorporeal Lithotripsy
Urethra Major Open Procedure - paediatric
Cystectomy with Urinary Diversion and Reconstruction
Lower Genital Tract Minor Procedures
Lower Genital Tract Intermediate Procedures
Lower Genital Tract Major Procedures
Lower Genital Tract Complex Major Procedures
Upper Genital Tract Minor Procedures
Upper Genital Tract Intermediate Procedures
Upper Genital Tract Major Procedures
Upper Genital Tract Complex Major Procedures
Surgical Termination of Pregnancy
Caesarean Section w cc
Caesarean Section w/o cc
Emergency Aortic Surgery
Elective Abdominal Vascular Surgery
Lower Limb Arterial Surgery
Bypasses to Tibial Arteries
Extracranial or Upper Limb Arterial Surgery
Miscellaneous Vascular Procedures
Procedures on the Lymphatic System w cc
Procedures on the Lymphatic System w/o cc
Varicose Vein Procedures
Therapeutic Endovascular Procedures
Amputations
Foot Procedures for Diabetes or Arterial Disease, and Procedures to Amputation Stumps
Minor Spinal Procedures
Surgery for Prolapsed Intervertebral Disc
Decompression and Effusion for Degenerative Spinal Disorders
Vertebral Column Injury with Fusion or Decompression
Spinal Cord Injury with Fusion or Decompression
Revisional Spinal Procedures
Surgery for Scoliosis or Other Spinal Deformity
Spinal Cord Surgery
Intermediate Spinal Procedures
Appendix D Exclusions for operating theatre procedure codes
OPCS code
A52
A55
D07
E423
H441
H443
M47
Q12
Q55
R15
R24
S13
S14
S15
S50
S51
S52
S53
S543
S544
S545
S553
S554
S555
S563
S564
S565
S573
S574
S575
T12
T46
V49
W911
W923
X29
X30
X31
X32
X33
X34
X35
X36
X37
X38
X39
X40
X48
X49
X50
X51
X558
Description
Therapeutic epidural injection
Diagnostic spinal puncture
Clearance of external auditory canal
Temporary tracheostomy
Manual removal of foreign body from rectum
Manual evacuation of impacted faeces from rectum
Urethral catheterisation of bladder
Intrauterine contraceptive device
Other examination of female genital tract
Other induction of labour
Normal delivery
Punch biopsy of skin
Shave biopsy of skin
Other biopsy of skin
Introduction of other inert substance into subcutaneous tissue
Introduction of destructive substance into subcutaneous tissue
Introduction of therapeutic substance into subcutaneous tissue
Introduction of substance into skin
Toilet to burnt skin of head or neck NEC
Dressing of burnt skin of head or neck
Attention to dressing of burnt skin of head or neck
Toilet to burnt skin NEC
Dressing of burnt skin NEC
Attention to dressing of burnt skin NEC
Toilet to skin of head or neck NEC
Dressing of skin of head or neck NEC
Attention to dressing of skin of head or neck NEC
Toilet of skin NEC
Dressing of skin NEC
Attention to dressing of skin NEC
Puncture of pleura
Other drainage of peritoneal cavity
Exploration of spine
Manipulation of joint using traction NEC
Examination of joint under image intensifier
Continuous Infusion of therapeutic substance
Injection of therapeutic substance
Injection of radiocontrast material
Exchange blood transfusion
Other blood transfusion
Other intravenous transfusion
Other intravenous injection
Blood withdrawal
Intramuscular injection
Subcutaneous injection
Other route of administration of therapeutic substance
Compensation for renal failure
Immobilisation using plaster cast
Other external support of limb
External resuscitation
Change of body temperature
Other operations on unspecified organ other specified
OPCS code
X559
A705
C871
C873
C874
C875
C878
C879
E851
E852
E853
E858
E859
E871
E872
E873
E878
E879
E891
E892
E893
E894
E898
E899
E911
E912
E913
E918
E919
E921
E922
E923
E924
E925
E926
E928
E929
E931
E932
E933
E934
E935
E936
E938
E939
E941
E942
E943
E944
E948
E949
E951
E952
E953
E954
E958
Description
Other operations on unspecified organ unspecified
Electroacupuncture
Digital imaging of retina
Tomography evaluation of retina
Ultrasonic evaluation of retina
Scanning laser ophthalmoscopy evaluation of retina
Other specified
Unspecified
Invasive ventilation
Non-invasive ventilation
Improving efficiency of ventilation
Other specified
Unspecified
Home oxygen support
Long term oxygen assessment
Ambulatory oxygen assessment
Other specified
Unspecified
Secretion clearance
Induced sputum
Nebuliser therapy
Control of respiration
Other specified
Unspecified
Oximetry assessment
Continuous pulse oximetry
Overnight oximetry
Other specified
Unspecified
Carbon monoxide transfer factor test
Distribution of ventilation test
Measurement of alveolar carbon monoxide
Blood gas analysis
Complex lung function exercise testing
Simple lung function exercise testing
Other specified
Unspecified
Measurement of peak expiratory flow rate
Spirometry
Body plethysmographic measurement of airways resistance
Measurement of airways resistance using forced oscillation technique
Measurement of static lung volume
Measurement of respiratory muscle strength
Other specified
Unspecified
Bronchodilator response to inhaled therapy using simple measures of airflow
Bronchodilator response to inhaled therapy using complex measures of airflow
Bronchial reactivity
Bronchial challenge
Other specified
Unspecified
Heaf Testing
BCG administration
Directly observed therapy
Contact tracing
Other specified
OPCS code
E959
E971
E972
E973
E978
E979
F631
F632
F633
F634
F635
F638
F639
G483
G484
M171
N351
N352
N353
N358
N359
R361
R362
R363
R368
R369
R371
R372
R373
R374
R375
R376
R378
R379
R381
R382
R388
R389
R401
R402
R408
R409
R421
R422
R423
R428
R429
R431
R432
R438
R439
T912
U011
U012
U018
U019
Description
Unspecified
Education for inhaled therapy education
Education for peak flow technique
Education for self-management of respiratory health
Other specified
Unspecified
Creating of impression for denture or obturator
Fitting of denture or obturator
Adjustment of denture or obturator
Repair of denture or obturator
Splinting of teeth
Other specified
Unspecified
Induction of emesis
Administration of activated charcoal
Live kidney donor screening
Dermatological non-operative interventions involving the scrotum
Dermatological non-operative interventions involving the penis
Dermatological non-operative interventions involving the male perineum
Other specified
Unspecified
Dating scan
Viability scan
Mid trimester scan
Other specified
Unspecified
Biophysical profile
Detailed structural scan
Fetal biometry
Nuchal translucency scan
Fetal ascites scan
Rhesus detailed scan
Other specified
Unspecified
Placental localisation scan
Liquor volume scan
Other specified
Unspecified
Maternal cervical assessment (TV)
Cervical length scanning at 24 weeks
Other specified
Unspecified
Umbilical artery Doppler
Uterine artery Doppler
Middle cerebral artery Doppler
Other specified
Unspecified
Ultrasound monitoring of luteal phase
Ultrasound monitoring of early pregnancy
Other specified
Unspecified CHAPTERS
Scanning of sentinel lymph node
Computed tomography of whole body
Magnetic resonance imaging of whole body
Other specified
Unspecified
OPCS code
U041
U042
U043
U044
U048
U049
U051
U052
U053
U054
U055
U058
U059
U061
U062
U063
U064
U065
U068
U069
U071
U072
U073
U078
U079
U081
U082
U083
U084
U088
U089
U091
U092
U098
U099
U101
U102
U103
U104
U105
U106
U107
U108
U109
U111
U112
U113
U114
U115
U116
U117
U118
U119
U121
U122
U123
Description
Bitewing radiology
Periapical radiology
Occlusal radiology
Lateral oblique jaw radiology
Other specified
Unspecified
Computed tomography of head
Magnetic resonance imaging of head
Functional magnetic resonance imaging of head
Computed tomography of spine
Magnetic resonance imaging of spine
Other specified
Unspecified
Computed tomography of sinuses
Dacroscintigram
Ultrasound of thyroid gland
X-ray of skull
Scanning of thyroid gland nec
Other specified
Unspecified
Computed tomography of chest
Magnetic resonance imaging of chest
Plain x-ray of chest
Other specified
Unspecified
Computed tomography of abdomen
Ultrasound of abdomen
Plain x-ray of abdomen
Upper gastrointestinal series
Other specified
Unspecified
Computed tomography of pelvis
Ultrasound of pelvis
Other specified
Unspecified
Cardiac computed tomography for calcium scoring
Cardiac computed tomography angiography
Cardiac magnetic resonance imaging
Myocardial positron emission tomography
Radionuclide angiocardiography
Myocardial perfusion scan
Cardiac multiple gated acquisition scan
Other specified
Unspecified
Ultrasound of carotid artery
Doppler ultrasound of vessels of extremities
Vascular ultrasound nec
Computed Tomography scan of cerebral vessels
Thallium stress test
D-Dimer assay
Magnetic resonance angiography
Other specified
Unspecified
Voiding cystourethrogram
Ultrasound of scrotum
Ultrasound of kidneys
OPCS code
U124
U125
U126
U127
U128
U129
U131
U132
U133
U134
U135
U136
U138
U139
U141
U142
U143
U144
U148
U149
U151
U152
U158
U159
U161
U168
U169
U171
U172
U173
U174
U178
U179
U181
U188
U189
U192
U193
U194
U195
U196
U198
U199
U201
U202
U203
U204
U205
U206
U208
U209
U211
U212
U213
U214
U215
Description
Ultrasound of bladder
Static renogram
MAG3 renogram
Nuclear cystography
Other specified
Unspecified
Bone densitometry
Ultrasound of joint
Magnetic resonance imaging of joint
Plain x-ray of joint
X-ray of bone
Computed tomography of bone
Other specified
Unspecified
Bone scan of whole body
Bone scan – special views
Bone scan – three phase
Bone scan – two phase
Other specified
Unspecified
Lung perfusion scanning
Lung ventilation scanning
Other specified
Unspecified
Hepatobiliary scan
Other specified
Unspecified
Meckels scan
SeHCAT study
Barium swallow
Barium enema
Other specified
Unspecified
Scintimammography
Other specified
Unspecified
24 hour ambulatory electrocardiography
48 hour ambulatory electrocardiography
Exercise electrocardiography
Holter extended electrocardiographic recording
Cardiomemo electrocardiographic monitoring
Other specified
Unspecified
Transthoracic echocardiography
Transoesophageal echocardiography
Intravascular echocardiography
Epicardial echocardiography
Stress echocardiography
Fetal echocardiography
Other specified
Unspecified
Magnetic resonance imaging nec
Computerised tomography nec
Positron emission tomography nec
Single photon emission computed tomography nec
Contrast fluoroscopy nec
OPCS code
U216
U217
U218
U219
U221
U222
U223
U224
U225
U226
U227
U228
U229
U231
U232
U233
U234
U238
U239
U241
U242
U243
U248
U249
U251
U252
U253
U254
U258
U259
U261
U262
U263
U264
U265
U268
U269
U271
U272
U273
U274
U275
U276
U277
U278
U279
U281
U282
U283
U284
U285
U286
U287
U288
U289
U291
Description
Ultrasound scan nec
Plain X-ray nec
Other specified
Unspecified
Electroencephalograph telemetry
Functional inactivation of single brain hemisphere test
Neuropsychology test of intelligence
Neuropsychology test of language
Neuropsychology test of memory
Neuropsychology test of perception
Neuropsychology test of executive function
Other specified
Unspecified
Red cell mass studies
White cell scan using indium 111
White cell scan using technetium 99
Ferrokinetic studies
Other specified
Unspecified
Pure tone audiometry
Balance assessment
Hearing assessment
Other specified
Unspecified
C14 urea helicobacter pylori breath test
C14 glycocholic acid breath test
Hydrogen breath test
Urea breath test
Other specified
Unspecified
Glomerular filtration rate testing
Uroflowmetry nec
Test strip urinalysis
Urodynamics nec
Schilling test
Other specified
Unspecified
Standard series patch testing of skin
Extended series patch testing of skin
Closed routine patch testing of skin
Closed special patch testing of skin
Open patch testing of skin
Patch testing of skin with patient’s own products
Photopatch testing of skin
Other specified
Unspecified
Phototesting of skin using monochromator
Phototesting of skin using solar simulator
Provocation phototesting
Passive transfer test for solar urticaria
Reverse passive transfer test for solar urticaria
Autologous SST serum skin test for urticaria
Physical challenge tests for urticaria
Other specified
Unspecified
Insulin stress test of anterior pituitary function
OPCS code
U292
U293
U294
U295
U296
U298
U299
U301
U308
U309
U311
U318
U319
U321
U328
U329
U501
U502
U503
U504
U505
U508
U509
U511
U512
U513
U518
U519
U521
U522
U528
U529
U531
U532
U533
U534
U538
U539
U541
U542
U543
U548
U549
X521
X528
X529
X561
X562
X563
X568
X569
X571
X572
X573
X578
X579
Description
Insulin secretion glucagon test
Glucose tolerance test
Water deprivation test
Adrenal suppression test
Arginine Vasopressin response to hypertonic saline test
Other specified
Unspecified
Tilt table testing
Other specified
Unspecified
Distant pacemaker test
Other specified
Unspecified
Human Immunodeficiency Virus blood test
Other specified
Unspecified
Delivery of rehabilitation for amputation of limb
Delivery of rehabilitation for hip fracture
Delivery of rehabilitation for joint replacement
Delivery of rehabilitation for rheumatoid arthritis
Delivery of rehabilitation for osteoarthritis
Other specified
Unspecified
Delivery of rehabilitation for brain injuries
Delivery of rehabilitation for spinal cord injury
Delivery of rehabilitation for pain syndromes
Other specified
Unspecified
Delivery of rehabilitation for drug addiction
Delivery of rehabilitation for alcohol addiction
Other specified
Unspecified
Delivery of rehabilitation following plastic maxillofacial reconstructive surgery
Delivery of rehabilitation following other plastic reconstructive surgery nec
Delivery of rehabilitation for burns
Delivery of rehabilitation for trauma nec
Other specified
Unspecified
Delivery of rehabilitation for acute cardiac disorders
Delivery of rehabilitation for respiratory disorders
Delivery of rehabilitation for stroke
Other specified
Unspecified
Hyperbaric therapy
Other specified
Unspecified
Nasotracheal intubation
Endotracheal intubation
Tracheal intubation using laryngeal mask airway
Other specified
Unspecified
Bag valve mask ventilation
Non-invasive intermittent positive pressure ventilation
Nebuliser ventilation
Other specified
Unspecified
OPCS code
X601
X602
X603
X608
X609
X611
X612
X613
X614
X618
X619
X621
X622
X623
X628
X629
X631
X632
X633
X634
X635
X636
X638
X639
X641
X642
X643
X648
X649
X661
X662
X668
X669
X701
X702
X703
X704
X705
X708
X709
X711
X712
X713
X714
X715
X718
X719
X721
X722
X723
X724
X728
X729
X731
Description
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by multidisciplinary
Rehabilitation assessment by unidisciplinary team
Other specified
Unspecified
Functional therapy session
Relaxation therapy session
Body massage
Movement therapy nec
Other specified
Unspecified
Assessment by uni-professional team
Assessment by multi-professional team
Assessment by multi-disciplinary team
Other specified
Unspecified
Volume definition for radiotherapy with imaging and intensity-modulated radiation
therapy (IMRT) dosimetry
Volume definition for radiotherapy with imaging technical support
Volume definition for multiple phases of complex radiotherapy with dosimetry
Volume definition for simple radiotherapy with imaging and dosimetry
Volume definition for simple radiotherapy with imaging and simple calculation
Volume definition for superficial or deep X-ray radiotherapy with simple calculation
Other specified
Unspecified
Preparation for total body irradiation
Preparation for intracavitary radiotherapy
Preparation for interstitial radiotherapy
Other specified
Unspecified
Cognitive behavioural therapy by unidisciplinary team
Cognitive behavioural therapy by multidisciplinary team
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
Other specified
Unspecified
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
Other specified
Unspecified
Delivery of complex chemotherapy for neoplasm including prolonged infusional
treatment at first attendance
Delivery of complex parenteral chemotherapy for neoplasm at first attendance
Delivery of simple parenteral chemotherapy for neoplasm at first attendance
Delivery of subsequent element of cycle of chemotherapy for neoplasm
Other specified
Unspecified
Delivery of exclusively oral chemotherapy for neoplasm
OPCS code
X738
X739
X818
X819
X821
X822
X823
X824
X828
X829
X831
X832
X833
X838
X839
X841
X848
X849
X851
X852
X858
X859
X861
X862
X863
X864
X868
X869
X871
X872
X873
X878
X879
X888
X889
X891
X892
X893
X894
X898
X899
X901
X902
X903
X904
X908
X909
X911
X912
X913
X914
X918
X919
X921
X922
X928
Description
Other specified
Unspecified
Other specified
Unspecified
Primary pulmonary hypertension drugs band 1
Primary pulmonary hypertension drugs band 2
Primary pulmonary hypertension drugs band 3
Primary pulmonary hypertension drugs band 4
Other specified
Unspecified
Blood products band 1
Blood products band 2
Fibrinolytic drugs band 1
Other specified
Unspecified
Medical gases band 1
Other specified
Unspecified
Torsion dystonias and other involuntary movements drugs band 1
Amyotrophic lateral sclerosis drugs band 1
Other specified
Unspecified
Anti fungal drugs band 1
Anti fungal drugs band 2
Hepatitis B treatment drugs band 1
Hepatitis C treatment drugs band 1
Other specified
Unspecified
Growth hormone receptor antagonist drugs band 1
Growth hormone analogue drugs band 1
Bone metabolism drugs band 1
Other specified
Unspecified
Other specified
Unspecified
Monoclonal antibodies band 1
Monoclonal antibodies band 2
Immunomodulating drugs band 1
Somatostatin analogues band 1
Other specified
Unspecified
Hypoplastic haemolytic and renal anaemia drugs band 1
Hypoplastic haemolytic and renal anaemia drugs band 2
Neutropenia drugs band 1
Intravenous nutrition band 1
Other specified
Unspecified
Metabolic disorder drugs band 1
Metabolic disorder drugs band 2
Metabolic disorder drugs band 3
Metabolic disorder drugs band 4
Other specified
Unspecified
Cytokine inhibitor drugs band 1
Hyperuricaemia drugs band 1
Other specified
OPCS code
X929
X938
X939
X941
X942
X948
X949
X951
X958
X959
X961
X968
X969
X978
X979
Y941
Y942
Y943
Description
Unspecified
Other specified
Unspecified
Immune response drugs band 1
Immunoglobulins band 1
Other specified
Unspecified
Immune response drugs band 1
Other specified
Unspecified
Immunoglobulins band 1
Other specified
Unspecified
Other specified
Unspecified
DaTSCAN imaging
Octreotide imaging
Meta-Iodo-Benzyl-Guanidine(MIBG) scan