ESP 2006 Gen Shell
Document Sample
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Operations on thyroid Unilateral thyroid Databank and Databank and Databank Databank Databank and
1 GENERAL 06.2
and parathyroid glands lobectomy National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on thyroid Complete Databank and Databank and Databank Databank Databank and
2 GENERAL 06.4
and parathyroid glands thyroidectomy National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on thyroid Databank and Databank and Databank Databank Databank and
3 GENERAL Parathyroidectomy 06.8
and parathyroid glands National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on other Databank and Databank and Databank Databank Databank and
4 GENERAL Total adrenalectomy 07.3
endocrine glands National Expert and Expert and Expert National
organisations Interviews Interviews Interviews organisations
National National National National National
Operations on other Databank and Databank and Databank Databank Databank and
5 GENERAL Hypophysectomy 07.6
endocrine glands National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on Incision of lymphatic Databank and Databank and Databank Databank Databank and
6 GENERAL 40.0
lymphatic system structures National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on Biopsy of lymphatic Not Databank and Databank and Databank Databank Databank and
7 GENERAL 40.11
lymphatic system structure available National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on 40.2 40.3 Databank and Databank and Databank Databank Databank and
8 GENERAL Lymphadenectomy
lymphatic system 40.4 40.5 National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National
National National National National Databank,
Bone marrow or
Operations on bone Databank and Databank and Databank Databank National
9 GENERAL hematopoietic stem 41.0
marrow and spleen National National and Expert and Expert organisations
cell transplant
organisations organisations Interviews Interviews and Expert
Interviews
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Operations on bone Databank and Databank and Databank Databank Databank and
10 GENERAL Splenectomy 41.43 41.5
marrow and spleen National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on Databank and Databank and Databank Databank Databank and
11 GENERAL Esophagectomy 42.4
esophagus National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on Databank and Databank and Databank Databank Databank and
12 GENERAL Esophagomyotomy 42.7
esophagus National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Incision and excision of Databank and Databank and Databank Databank Databank and
13 GENERAL Gastrotomy 43.0
stomach National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Incision and excision of Databank and Databank and Databank Databank Databank and
14 GENERAL Pyloromyotomy 43.3
stomach National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Open extirpation of Databank and Databank and Databank Databank Databank and
15 GENERAL Bariatric surgery
lesion of stomach National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Total and partial
Incision and excision of 43.5 43.6 43.7 Databank and Databank and Databank Databank Databank and
16 GENERAL Gastrectomy gastrectomy
stomach 43.8 43.9 National National and Expert and Expert National
included.
organisations organisations Interviews Interviews organisations
National National National National National
Incision and excision of Databank and Databank and Databank Databank Databank and
17 GENERAL Vagotomy 44.0
stomach National Expert and Expert and Expert National
organisations Interviews Interviews Interviews organisations
National National National National National
Gastroenterostomy
Incision and excision of Databank and Databank and Databank Databank Databank and
18 GENERAL without gastrectomy 44.3
stomach National National and Expert and Expert National
(gastric bypass)
organisations organisations Interviews Interviews organisations
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
Laparoscopic gastric
bypass procedures National National National National National
Gastric Bypass, are a subset of Databank and Databank and Databank Databank Organisations
19 GENERAL Bariatric surgery
laparoscopic gastroenterostomy National National and Expert and Expert and Opinion
without gastrectomy organisations organisations Interviews Interviews Leaders
procedures (44.3)
Open gastric bypass
procedures are a National National National National National
subset of Databank and Databank and Databank Databank Databank and
20 GENERAL Bariatric surgery Gastric Bypass, open
gastroenterostomy National National and Expert and Expert National
without gastrectomy organisations organisations Interviews Interviews organisations
procedures (44.3)
Includes all National National National National National
Operations on fundiplications, Databank and Databank and Databank Databank Databank and
21 GENERAL Fundoplication Part of 44.66
esophagus including Nissen National National and Expert and Expert National
fundoplication. organisations organisations Interviews Interviews organisations
National
National National National National Databank,
Databank and Databank and Databank Databank National
22 GENERAL Bariatric surgery Gastroplasty 44.68 44.69 Not available
National National and Expert and Expert organisations
organisations organisations Interviews Interviews and Expert
Interviews
(Laparoscopic) National National National National National
adjustment of size of Not Not Databank and Databank and Databank Databank Databank and
23 GENERAL Bariatric Surgery 44.98 Not available New
adjustable gastric available available National Expert and Expert and Expert National
restrictive device organisations Interviews Interviews Interviews organisations
National National National National National
Incision, excision, and
Databank and Databank and Databank Databank Databank and
24 GENERAL anastomosis of Enterotomy 45.0
National National and Expert and Expert National
intestine
organisations organisations Interviews Interviews organisations
National National National National National
Incision, excision, and
Excision of small Databank and Databank and Databank Databank Databank and
25 GENERAL anastomosis of 45.3, 45.63
intestine National National and Expert and Expert National
intestine
organisations organisations Interviews Interviews organisations
National National National National National
Incision, excision, and
Databank and Databank and Databank Databank Databank and
26 GENERAL anastomosis of Small bowel resection 45.61 45.62 45.51
National National and Expert and Expert National
intestine
organisations organisations Interviews Interviews organisations
Excision of colon and National National National National National
Incision, excision, and
Excision of large rectum Databank and Databank and Databank Databank Databank and
27 GENERAL anastomosis of 45.7 45.8
intestine (hemicolectomy National National and Expert and Expert National
intestine
included). organisations organisations Interviews Interviews organisations
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
Right
National National National National National
hemicolectomies
Other operations on Databank and Databank and Databank Databank Databank and
28 GENERAL Right hemicolectomy 45.73 (45.73) are a subset
intestine National National and Expert and Expert National
of excisions of large
organisations organisations Interviews Interviews organisations
Intestine (45.7 45.8)
Transverse
National National National National National
colectomies (45.74)
Other operations on Transverse Databank and Databank and Databank Databank Databank and
29 GENERAL 45.74 are a subset of
intestine colectomy National National and Expert and Expert National
excisions of large
organisations organisations Interviews Interviews organisations
Intestine (45.7 45.8)
Left hemicolectomies National National National National National
Other operations on (45.75) are a subset Databank and Databank and Databank Databank Databank and
30 GENERAL Left hemicolectomy 45.75
intestine of excisions of large National National and Expert and Expert National
intestine (45.7 45.8) organisations organisations Interviews Interviews organisations
National
National National National National Databank,
Databank and Databank and Databank Databank National
31 GENERAL Colorectal surgery Hartmann procedure
National Expert and Expert and Expert organisations
organisations Interviews Interviews Interviews and Expert
Interviews
Sigmoidectomies National National National National National
Operations on rectum,
(45.76) are a subset Organisations Databank and Databank Databank Databank and
32 GENERAL rectosigmoid and Sigmoidectomy 45.76
of excisions of large and Opinion National and Expert and Expert National
perirectal tissue
intestine (45.7 45.8) Leaders organisations Interviews Interviews organisations
Other colectomies National National National National National
Other colectomies (45.79) are a subset Organisations Databank and Databank Databank Databank and
33 GENERAL Colorectal surgery 45.79
(incl. subtotal) of excisions of large and Opinion Expert and Expert and Expert National
intestine (45.7 45.8) Leaders Interviews Interviews Interviews organisations
National National National National National
Databank and Databank and Databank Databank Databank and
34 GENERAL Colorectal surgery Total colectomy
National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Total Databank and Databank and Databank Databank Databank and
35 GENERAL Colorectal surgery
proctocolectomy National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National
National National National National Databank,
Incision, excision, and
Intestinal Databank and Databank and Databank Databank National
36 GENERAL anastomosis of 45.9
anastomosis National National and Expert and Expert organisations
intestine
organisations organisations Interviews Interviews and Expert
Interviews
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
J-Pouch procedures
are a subset of
intestinal
anastomosis
National National National National National
procedures (45.9).
Databank and Databank and Databank Databank Databank and
37 GENERAL Colorectal surgery J-Pouch procedure Part of 45.95 The J-pouch
National Expert and Expert and Expert National
procedures do not
organisations Interviews Interviews Interviews organisations
include procedures
involving formation of
an H-pouch or S-
pouch (45.95).
National National National National National
Other operations on Databank and Databank and Databank Databank Databank and
38 GENERAL Colostomy 46.1
intestine National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Other operations on Databank and Databank and Databank Databank Databank and
39 GENERAL Ileostomy 46.2
intestine National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on Databank and Databank and Databank Databank Databank and
40 GENERAL Appendectomy 47.0
appendix National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on Drainage of Databank and Databank and Databank Databank Databank and
41 GENERAL 47.2
appendix appendiceal abscess National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on rectum,
Proctotomy, with and Databank and Databank and Databank Databank Databank and
42 GENERAL rectosigmoid and 48.0
without anterior repair National National and Expert and Expert National
perirectal tissue
organisations organisations Interviews Interviews organisations
National National National National National
Includes only the
Excision of rectal Databank and Databank and Databank Databank Databank and
43 GENERAL Colorectal surgery 48.35 excisions of rectal
adenoma National National and Expert and Expert National
adenoma.
organisations organisations Interviews Interviews organisations
National National National National National
Includes excision of
Reduction of rectal Databank and Databank and Databank Databank Databank and
44 GENERAL Colorectal surgery rectal mucosa only--
mucosa National National and Expert and Expert National
not submucosa.
organisations organisations Interviews Interviews organisations
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Operations on rectum,
Abdomino-perineal Databank and Databank and Databank Databank Databank and
45 GENERAL rectosigmoid and 48.5
resection of anus National Expert and Expert and Expert National
perirectal tissue
organisations Interviews Interviews Interviews organisations
National National National National National
Low anterior Databank and Databank and Databank Databank Databank and
46 GENERAL Colorectal surgery Part of 48.63
resection National Expert and Expert and Expert National
organisations Interviews Interviews Interviews organisations
National National National National National
Databank and Databank and Databank Databank Databank and
47 GENERAL Colorectal surgery Rectopexy 48.76 48.75
National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Includes all surgical
Procedures on Databank and Databank and Databank Databank Databank and
48 GENERAL Operations on anus 49.4 procedures on
Hemorrhoids National National and Expert and Expert National
hemorrhoids
organisations organisations Interviews Interviews organisations
Destruction of
hemorroids
procedures (49.43,
49.44) are a subset
National National National National National
of the total number of
Destruction of Databank and Databank and Databank Databank Databank and
49 GENERAL Operations on anus 49.43 49.44 procedures on
Hemorrhoids National Expert and Expert and Expert National
hemorroids. This
organisations Interviews Interviews Interviews organisations
includes the
destruction of
hemorrhoids, any
method.
Hemorrhoidectomies
National National National National National
(49.46) are a subset
Databank and Databank and Databank Databank Databank and
50 GENERAL Operations on anus Hemorrhoidectomy 49.46 of the total number of
National National and Expert and Expert National
procedures on
organisations organisations Interviews Interviews organisations
hemorrhoids (49.4).
National National National National National
Implantation of
Databank and Databank and Databank Databank Databank and
51 GENERAL Colorectal surgery artificial anal
National National and Expert and Expert National
sphincter
organisations organisations Interviews Interviews organisations
National National National National National
Division of anal Databank and Databank and Databank Databank Databank and
52 GENERAL Operations on anus 49.5
sphincter National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Databank and Databank and Databank Databank Databank and
53 GENERAL Operations on anus Repair of anus 49.7
National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
Other repairs of anal National National National National National
Other repair of anal sphincter (49.79) are Databank and Databank and Databank Databank Databank and
54 GENERAL Colorectal surgery 49.79
sphincter a subset of repairs of National National and Expert and Expert National
anus (49.7) organisations organisations Interviews Interviews organisations
National National National National National
Databank and Databank and Databank Databank Databank and
55 GENERAL Operations on liver Hepatotomy 50.0
National Expert and Expert and Expert National
organisations Interviews Interviews Interviews organisations
National National National National National
Hepatectomy (partial Databank and Databank and Databank Databank Databank and
56 GENERAL Operations on liver 50.22 50.4
+ complete) National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National
National National National National Databank,
Databank and Databank and Databank Databank National
57 GENERAL Operations on liver Lobectomy of liver 50.3
National National and Expert and Expert organisations
organisations organisations Interviews Interviews and Expert
Interviews
National National National National National
Databank and Databank and Databank Databank Databank and
58 GENERAL Operations on liver Liver transplant 50.5
National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National National National National National
Operations on
Databank and Databank and Databank Databank Databank and
59 GENERAL gallbladder and biliary Cholecystectomy 51.2
National National and Expert and Expert National
tract
organisations organisations Interviews Interviews organisations
Open
cholecystectomy
National National National National National
Operations on procedures (51.21
Open Databank and Databank and Databank Databank Databank and
60 GENERAL gallbladder and biliary 51.21 51.22 51.22) are a subset
cholecystectomy National National and Expert and Expert National
tract of all
organisations organisations Interviews Interviews organisations
cholecystectomies
(51.2)
Laparoscopic
cholecystectomies National National National National National
Operations on
Laparoscopic (51.23 51.24) are a Databank and Databank and Databank Databank Databank and
61 GENERAL gallbladder and biliary 51.23 51.24
cholecystectomy subset of all National National and Expert and Expert National
tract
cholecystectomies organisations organisations Interviews Interviews organisations
(51.2)
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Operations on Anastomosis of
Databank and Databank and Databank Databank Databank and
62 GENERAL gallbladder and biliary gallbladder or bile 51.3
National National and Expert and Expert National
tract duct
organisations organisations Interviews Interviews organisations
National
National National National National Databank,
Operations on Includes subtotal and
Pancreatectomy - Databank and Databank and Databank Databank National
63 GENERAL gallbladder and biliary 52.52 partial
distal National National and Expert and Expert organisations
tract pancreatectomy.
organisations organisations Interviews Interviews and Expert
Interviews
National National National National National
Repair of inguinal Databank and Databank and Databank Databank Databank and
64 GENERAL Repair of hernia 53.0 53.1
hernia Expert National and Expert and Expert National
Interviews organisations Interviews Interviews organisations
Laparoscopic inguinal
herniorrhaphy National National National National National
Inguinal
procedures are a Databank and Databank and Databank Databank Databank and
65 GENERAL Repair of hernia herniorrhaphy,
subset of repairs of Expert Expert and Expert and Expert National
laparoscopic
inguinal hernia (53.0, Interviews Interviews Interviews Interviews organisations
53.1).
Open inguinal
herniorrhaphy National National National National National
Inguinal procedures are a Databank and Databank and Databank Databank Databank and
66 GENERAL Repair of hernia
herniorrhaphy, open subset of repairs of Expert Expert and Expert and Expert National
inguinal hernia (53.0, Interviews Interviews Interviews Interviews organisations
53.1).
National National National National National
Repair of femoral Databank and Databank and Databank Databank Databank and
67 GENERAL Repair of hernia 53.2 53.3
hernia Expert National and Expert and Expert National
Interviews organisations Interviews Interviews organisations
National National National National National
Repair of recurrent
Databank and Databank and Databank Databank Databank and
68 GENERAL Repair of hernia inguinal or femoral
National Expert and Expert and Expert National
hernia
organisations Interviews Interviews Interviews organisations
National National National National National
Repair of umbilical Databank and Databank and Databank Databank Databank and
69 GENERAL Repair of hernia 53.4
hernia Expert National and Expert and Expert National
Interviews organisations Interviews Interviews organisations
National National National National National
Repair of incisional Databank and Databank and Databank Databank Databank and
70 GENERAL Repair of hernia 53.51
hernia Expert National and Expert and Expert National
Interviews organisations Interviews Interviews organisations
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Other operations on Exploratory Databank and Databank and Databank Databank Databank and
71 GENERAL 54.11
abdominal region laparotomy National Expert and Expert and Expert National
organisations Interviews Interviews Interviews organisations
National
National National National National Databank,
Other operations on Lysis of peritoneal Databank and Databank and Databank Databank National
72 GENERAL 54.5
abdominal region adhesions National National and Expert and Expert organisations
organisations organisations Interviews Interviews and Expert
Interviews
National
Cystocele/rectocele National National National National Databank,
Operations on rectum,
Cystocele/rectocele repairs (70.50) are a Databank and Databank and Databank Databank National
73 GENERAL rectosigmoid and 70.50
repair subset of repair of National National and Expert and Expert organisations
perirectal tissue
prolapse procedures organisations organisations Interviews Interviews and Expert
Interviews
Cystocele repairs National National National National National
Operations on rectum,
(70.51) are a subset Databank and Databank and Databank Databank Databank and
74 GENERAL rectosigmoid and Cystocele repair 70.51
of repair of prolapse National National and Expert and Expert National
perirectal tissue
procedures organisations organisations Interviews Interviews organisations
Rectocele repairs National National National National National
Operations on rectum,
(70.52) are a subset Databank and Databank and Databank Databank Databank and
75 GENERAL rectosigmoid and Rectocele repair 70.52
of repair of prolapse National Expert and Expert and Expert National
perirectal tissue
procedures organisations Interviews Interviews Interviews organisations
National National National National National
Operations on rectum,
Obliteration of the Databank and Databank and Databank Databank Databank and
76 GENERAL rectosigmoid and 70.8 New
vaginal vault National Expert and Expert and Expert National
perirectal tissue
organisations Interviews Interviews Interviews organisations
National National National National National
Operations on rectum,
Databank and Databank and Databank Databank Databank and
77 GENERAL rectosigmoid and Enterocele repair Part of 70.92
National National and Expert and Expert National
perirectal tissue
organisations organisations Interviews Interviews organisations
National National National National National
Operations on the Organisations Databank and Databank Databank Databank and
78 GENERAL Breast biopsy, needle 85.11
breast and Opinion National and Expert and Expert National
Leaders organisations Interviews Interviews organisations
National National National National National
Operations on the Organisations Databank and Databank Databank Databank and
79 GENERAL Breast biopsy, open 85.12
breast and Opinion National and Expert and Expert National
Leaders organisations Interviews Interviews organisations
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Operations on the Operations on duct of Not Not Databank and Databank and Databank Databank Databank and
80 GENERAL Not available
breast breast available available National National and Expert and Expert National
organisations organisations Interviews Interviews organisations
National
National National National National Databank,
Operations on the Removal breast Databank and Databank and Databank Databank National
81 GENERAL
breast tumour National National and Expert and Expert organisations
organisations organisations Interviews Interviews and Expert
Interviews
Breast lumpectomies
(85.21) are a subset National National National National National
Operations on the Removal lesion of of removal of breast Databank and Databank and Databank Databank Databank and
82 GENERAL 85.21
breast breast - lumpectomy tumour procedures. National Expert and Expert and Expert National
Includes only organisations Interviews Interviews Interviews organisations
lumpectomies.
National National National National National
Operations on the Subcutaneous 85.33, 85.34 Databank and Databank and Databank Databank Databank and
83 GENERAL
breast mastectomy 85.35, 85.36 National Expert and Expert and Expert National
organisations Interviews Interviews Interviews organisations
Mastectomies (85.4) National National National National National
Operations on the are a subset of Databank and Databank and Databank Databank Databank and
84 GENERAL Mastectomy 85.4
breast removal of breast National National and Expert and Expert National
tumour procedures. organisations organisations Interviews Interviews organisations
Simple mastectomies
are a subset of National National National National National
Operations on the Simple mastectomy 85.41 85.42 + part mastectomies (87.4). Databank and Databank and Databank Databank Databank and
85 GENERAL
breast (total mastectomy) of 85.43 & 85.44 Modified radical National National and Expert and Expert National
mastectomies are not organisations organisations Interviews Interviews organisations
included.
Modified radical
mastectomies are a
National National National National National
subset of
Operations on the Modified radical Part of Databank and Databank and Databank Databank Databank and
86 GENERAL mastectomies (87.4).
breast mastectomy 85.43 & 85.44 National National and Expert and Expert National
Includes only the
organisations organisations Interviews Interviews organisations
modified radical
mastectomies.
National
Radical National National National National Databank,
Operations on the 85.45 85.46 mastectomies are a Databank and Databank and Databank Databank National
87 GENERAL Radical mastectomy
breast 85.47 85.48 subset of National National and Expert and Expert organisations
mastectomies (87.4) organisations organisations Interviews Interviews and Expert
Interviews
Only includes
reduction of National National National National National
abdomen: does not Databank and Databank and Databank Databank Databank and
88 GENERAL Bariatric surgery Abdominoplasty Part of 86.83
include reduction of National Expert and Expert and Expert National
arms, buttocks and organisations Interviews Interviews Interviews organisations
thighs.
SURGICAL
ID SPECIALTY
CATEGORY PROCEDURE CODING 2005 PROCEDURE VOLUMES GENERAL SOURCES/ASSUMPTIONS NEW
(ICD-9-CM) REMARKS CODES
GERMANY FRANCE ITALY SPAIN UK GERMANY FRANCE ITALY SPAIN UK
National National National National National
Operations on rectum,
Databank and Databank and Databank Databank Databank and
89 GENERAL rectosigmoid and Sacro-colpo-fixation
National National and Expert and Expert National
perirectal tissue
organisations organisations Interviews Interviews organisations
The European Surgical Procedures (ESP) Database reflects the TforG Euro Surgical Databank.
Medtech Insight is the exclusive distributor of these data.
PROCEDURES INCLUDED
General The European Surgical Procedures Database (ESP) includes both primary and secondary surgical
procedures performed in the public, private and university hospitals in France, the United Kingdom (UK),
Germany, Spain and Italy. For each country, data were derived from national databases and interviews
with private hospitals and professional organizations. The data were standardized using the ICD-9
system for comparison and validated via interviews with 25 physician experts and opinion leaders in
each specialty (ENT, Cardiology, Orthopedics, etc.) per country. A complete list of definition sources is
given below.
Data are derived from the most recently available data in each country. The 2006 ESP Release reflects
Most recently available data:
2004 and 2005 data from France, Germany, Italy, the United Kingdom and Spain.
METHODOLOGY
To make sure we handle the same definitions in each European country, procedures are defined by identifying the correct ICD-9 code. The
definition of this code is then used to find in each country the country-specific codes.
When there is a clear code translation from the ICD-9 coding to the country-coding, the numbers are
Data-identification:
identified in the country-databases.
Some ICD-9 procedures are in other coding systems part of more general code. To filter out the defined
procedure, we contact national organisations and/or opinion leaders and/or experts.
When no country-specific codes are identified, TforG has conducted expert interviews to gather the
data.
Validation: To validate the data, the following quality checks are taken into account:
1) All data are double-checked and verified with national organizations.
2) The procedures/population ratio is calculated for each country for comparison.
3) The growth path for each procedure is compared to the prior year.
4) When data-points deviate more than 10% from the prior year or when the procedures/population
ratio from one country is completely different from the others, the database figures are checked with
national organizations and/or opinion leaders.
As the different country-databases in Europe also evolve, there can be a change in data identification
Change in process
from one year to the next for a specific procedure.
This can mean a new database is launched and/or new and more detailed codes are added.
For procedures where the data-identification is handled differently compared to last year, the numbers
are put in bold and italic. This also means that for these data-points some caution needs to be taken into
account when comparing current figures with last year's figures.
In France the coding system changed in 2005. Formerly hospitals were working with the Cdam coding
(Catalogue des Actes Médicaux). Since 2005 hospitals are coding their procedures according to the
CCAM (Classification Commune des Actes Médicaux). The CCAM coding system is a lot more detailed
compared to the Cdam system. Becuase of this caution needs to be taken into account when
comparing the French procedures with last year's figures.
DEFINITION SOURCES
Expert Interviews 20-25 interviews per medical field
(ENT, Cardiology, Orthopaedics, ... Departments) per country.
TforG contacted the head doctors to give an overview on the number of
surgical procedures (per type) performed per year in their department.
National organisations: medical or governmental
National Organisations and
(e.g. National Cardiology Association or The Society of Cardio-Thoracic Surgeons).
Opinion Leaders
Opinion leaders: those active in university clinics or national/European medical associations.
National Databank Germany: WIdO
GERMANY English Translation
Opinion Leaders
Associations DGNC (Deutsche Gesellschaft für Neurochirugie e.V.) German Society for Neurosurgery
DGN (Deutsche Gesellschaft für Neurologie) German Society for Neurology
DGK (Deutsche Gesellschaft für Kardiologie - Herz- und Kreislaufforschung) German Society for Cardiology
DKG (Deutsche Krankenhaus Gesellschaft) German Hospital Association
German Society for Orthopaedics and
DGOOC (Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie e. V.)
Orthopaedic Surgery
DGW (Deutsche Gesellschaft für Wirbelsäulenchirurgie e.V.) German Society for Spine Surgery
German Society for ENT medicine and
DGHNOKHC(Deutsche Gesellschaft für Hals- Nasen- Ohren-Heilkunde, Kopf- und Hals- Chirurgie)
Head- and Neck Surgery
DGSM (Deutsche Gesellschaft für Schlafforschung und Schlafmedizin) German Sleep Society
DGG (Deutsche Gesellschaft für Gefässchirurgie) German Society for Vascular Surgery
German Association of Heart-, Thorax- and
DGTHG (Deutsche Gesellschaft fur Herz-, Thorax- und Gefässchirurgie)
Vascular Surgery
German Association of
Deutsche Gesellschaft für UroGyn (Frauenklinik Schwerin) Obstetrics/Gynaecology (Women's
Hospital in Schwerin)
German Foundation for Organ
DSO (Deutsche Stiftung Organtransplantation)
Transplantations
German Association of Tissue
DSO-G (Gemeinnützige Gesellschaft für Gewebetransplantation)
Transplantation
Bundesministerium für Gesundheit Federal Health Administration
AOK Insurance Company AOK Insurance Company
BAK (Bundes Ärzte Kammer) Chamber of Federal Physicians
German Association for Medical
BV Med - Bundesverband Medizintechnologie e.V.
Technology
Hospital of Aachen (Plastic Surgery
Uniklinik Aachen (Plastic Surgery Department)
Department)
Uniklinik Köln Hospital of Cologne
Apherese Forschungsinstitut Apheresis Research Institute
Bundesamt für Statistik Federal Office for Statistics
Regional Office for Statistics, Nordrein-
Landesamt für Statistik Nordrhein-Westfalen
Westfalen
Landesamt für Statistik Berlin Regional Office for Statistics, Berlin
Regional Office for Statistics, Baden-
Landesamt für Statistik Baden-Württemberg
Württemberg
Landesamt für Statistik Bayern Regional Office for Statistics, Bayern
InEK - Institut für das Entgeltsystem im Krankenhaus gGmbH
InEK, Institute for Hospital Reimbursement
DIMDI, German Institute for Medical
DIMDI - Deutsches Institut für Medizinische Dokumentation und Information
Documentation and Information
DKI - Deutsches Krankenhaus Institut DKI, German Hospital Institute
WIdO - Wissenschaftliches Institut der AOK WldO, Scientific Institute of AOK
Herzbericht German Heart Report
Universitäts-HNO-Klinik Homburg
Academic Hospital for ENT, Homburg
Universitäts-Zahn/HNO-Klinik Köln Department for ENT and Dental Surgery of
the University Hospital of Cologne
(Continued)
GERMANY (Continued) English Translation (Continued)
Städtische Kliniken Frankfurt-Höchst City Hospital Frankfurt-Höchst
Medizincontrolling / DRG Research Group; Universitätsklinikum Münster; Westfälische Wilhelms- DRG Research Group of the University
Universität Münster Hospital of Münster
Univertätsklinik Regensburg University Hospital Regensburg
Heart Center Lahr Heart Center Lahr
Universitätsklinik Göttingen University Hospital of Göttingen
RWTH Aachen University Hospital of Aachen
Universitätsklinik Rostock University Hospital of Rostock
Universitätsklinik Düsseldorf University Hospital of Düsseldorf
Paracelsus-Klinik München Paracelsus Hospital Munich
Albertinen-Krankenhaus Hamburg Albertinen Hospital Hamburg
Desk research
Internet Search
FRANCE English Translation
Opinion Leaders
Associations France Acouphènes, Paris Tinnitus, France
French Society of ENT and Cervico-Facial
Société Française d'ORL et de Chirurgie Cervico-Faciale, Paris surgery
Fédération Française des associations d'Oto Rhino Laryngologie (ORL), Paris French Society of ENT associations
Program of Medicalization of Information
Programme de Médicalisation des Systèmes d'Information (PMSI) Systems
Direction of Statistics of the Primary
Direction des Statistiques de la Caisse Primaire Nationale d'Assurance Maladie (CPNAM) National Fund of Medical Insurance
National Institute of Statistics and
Institut National de la Statistique et des Economiques (INSEE) Economics
National Fund of Medical Insurance for
Caisse Nationale d'Assurance-maladie des Travailleurs Salariés (CNAMTS) Employed Workers
Ministère de la Santé Ministery of Health
French Society of Aesthetic Plastic
Société Française des Chirurgiens Esthétiques Plasticiens (SOFCEP) Surgeons
National Union of reconstructive and
Syndicat National de Chirurgie Plastique Reconstructuive et esthétique (SNCPRE) esthetic plastic surgeons
Technical Agency for Information on
Agence Technique de l'information sur l'Hospitalisation (ATIH) Hospitalisation
Assistance Public des Hôpitaux de Paris (APHP) Public Assistence of Parisien Hospitals
Hopital Europeen G. Pompidou European Hospital G. Pompidou
Société Française de cardiologie French Society for Cardiology
Fédération Française de cardiologie French Federation of Cardiology
Research Institute for Healthcare Institutes -
Bureau d'Etude des Etablissements de la Santé - Direction des statistiques Direction Statistics
Direction of Research, Studies, Evaluations
Direction de la Recherche des Etudes de l'Evaluation et des Statistiques (DREES) and Statistics
University hospitals University Hospitals
Desk research
Internet Search
ITALY English Translation
Opinion Leaders
Associations Associazone Italiana di Audiologia Clinica e di Vestibologia, Torino Italian Association of Audiology, Torina
Italian Assocation of ENT, non-hospital
Associazone Italiana Otorinolaringoiatri Libero Professionisti, Roma based
Ministero Della Salute : Programmazione Sanitaria e Qualita Ministery of Health
ENT Clinic, University of Bologna ENT clinic, University of Bologna
Department of Audiology, University of
Department of Audiology, University of Ferrara Ferrara
Italian Association of plastic surgery
AICPRE - Associazione Italiana Infermieri Chirurgia Plastica nursing
European Association of Aesthetic
ASSECE - Associazione Europea Chirurgia Estetica Surgeons
AMI - Associazione Medici Italiani Italian Association of physicians
Italian Society of Medicine and Aesthetic
SIES - Societá Italiana Medicina e Chirurgia Estetica Surgery
SOI - Societá Oftalmologica Italiana Italian Society of ophthalmology
SICVE - Societá Italiana Chirurgia Vascolare Italian Society of Vascular Surgery
SINch - Societá Italiana Neurochirurgia Italian Society of Neurosurgery
AOGOI - Associazione Italiana Ostetrici e Ginecologi Italian Assocation of ObGyn
AOOI - Associazione Italiana Otorinolaringoiatri Italian Association of ENT, Hospital Based
Azienda Ospedaliera Niguarda Ca' Granda - Milano Hospital Niguarda Ca'Granda, Milan
Azienda Ospedaliera Ospedale Maggiore di Bologna Hospital Maggiore, Bologna
Azienda Ospedaliera Policlinico di Bari Policlinic, Bari
Azienda Ospedale Policlinico Umberto I - Roma Policlinic, Roma
Istituto Clinico Humanitas - Milano Clinical Institute Humanitas, Milan
AIAC - Associazione Italiana Aritmologia e Cardiostimolazione Italian Association for Cardiac Stimulation
Ospedale Madonna delle Grazie - Matera Madonna delle Grazie Hospital - Matera
Ospedale Civile - Ravenna Ospedale Civile- Ravenna
Ospedale San Severino - Basilicata San Severino's Hospital - Basilicata
Azienda Ospedaliera San Giovanni di Dio - Sicilia San Giovanni di Dio's Hospital - Sicilia
Desk research
Internet Search
UK English Translation
Opinion Leaders
Associations BAAPS British Association of Aesthetic Plastic Surgeons
BAO-HNS British Association of Otorhinolaryngologists - Head & Neck Surgeons
BAPS British Association of Plastic Surgeons
Barts and the London NHS trust
BASO-ACS British Association of Surgical Oncology - Association for Cancer Surgery
BAUS British Association of Urological Surgeons
BCIS British Cardiovascular Intervention Society
BCS British Cardiac Society
BHF British Heart Foundation
BOA British Orthopaedic Association
Bradford Teaching Hospital NHS Trust
BUI British Urological Institute
BUPA Hartswood Hospital
Chelsea & Westminster
Countess of Chester Hospital
County Durham & Darlington Acute Hospital
DH Department of Health
Doncaster Royal Infirmiry
EHRA European Heart Rhythm Association
ETCO European Transplant Coordination Organization
Halton General Hospital NHS Trust
Hammersmith Hospitals NHS Trust
IHA Independent Healthcare Association
IHM Institute of Healthcare Management
Kings College University Hospital
Lancashire Teaching Hospital
NHS National Health Service
NJREW National Joint Registry for England and Wales
North Staffordshire Hospital NHS Trust
RCOG Royal College of Obstetricians and Gynaecologists
SBNS Society of British Neurological Surgeons
SCTS The Society of Cardiothoracic Surgeons
South Tees Hospitals NHS Trust
St-George's Health Care Trust
Trafford General Hospital
UKBIR UK Breast Implant Registry
Wirral Hospital NHS Trust
Womens Hospital Trust Birmingham
Desk research
Internet Search
SPAIN English Translation
Opinion Leaders
Associations Servicio Andaluz de Salud Andalusian Healthcare Service
Spanish Ministry of Health – Community of
Ministerio de Sanidad y Consumo – Comunidad de Madrid Madrid
Servicio Aragonés de Salud Healthcare Service of Aragón
Servicio de Salud del Principado de Asturias (SESPA) Healthcare Service of Asturias
Servicio Canario de la Salud Canarian Healthcare Service
Servicio Cántabro de Salud Cantabrian Healthcare Service
Servicio Español de Salud Castilla La Mancha (SESCAM) Healthcare Service of Castilla La Mancha
Council of Castilla y León - Healthcare
Junta de Castilla y León - Consejería de Sanidad Department
Generalitat de Catalunya - CATSALUT Catalan Healthcare Service
Generalitat Valenciana - Conselleria de Sanitat Healthcare Service of Valencia
Servicio Extremeño de Salud Healthcare Service of Extremadura
Servicio Gallego de Salud Galician Healthcare Service
Servicio Balear de Salud Healthcare Service of Baleares
Servicio Riojano de Salud Healthcare Service of Rioja
Ministerio de Sanidad y Consumo - Instituto de Información Sanitaria Ministery of Health and Consumption
Servicio Murciano Murcian Healthcare Service
Servicio Navarro de Salud Navarran Healthcare Service
Servicio Vasco de Salud - Osakidetza Basque Healthcare Service
Spanish Society of Reparatory, Aesthetic
Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) and Plastic Surgery
Spanish Society of neumology and thoracic
Sociedad Española de Neumología y Cirugía Torácica surgery
Spanish Society of Cardiovascular and
Sociedad Española de Cirugía Torácica y Cardiovascular (SECTCV) Thoracic Surgery
Sociedad Española de Cardiología (SEC) Spanish Society of cardiology
Spanish Society of Angiology and Vascular
Sociedad Española de Angiología y Cirugía Vascular Surgery
Asociación Española de Urología (AEU) Spanish Association of urology
Spanish Society of Gastroenterology,
Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica Hepatology and Pediatric Nutrition
Asociación Española de Gastroenterología Spanish Association of Gastroenterology
Sociedad Española de Patología Digestiva Spanish Society of digestive diseases
Spanish Association of Digestive
Asociación Española de Endoscopia Digestiva Endoscopy
Spanish Society of rehabilitation and
Sociedad Española de Rehabilitación y Medicina Física physical medicine
Spanish Society of Orthopeadic and
Sociedad Española de Cirugía Ortopédica y Traumatológica Trauma Surgery
Sociedad Española de Ginecología y Obstetricia Spanish Society of ObGyn
Sociedad Española de Otorrinolaringología y Patología Cérvico-facial Spanish Society of ENT
Sociedad Española de Neurocirugía Spanish Society of Neuro Surgery
Sociedad Española de Neurología Spanish Society of Neurology
Sociedades Oftalmológicas Españolas Ophthalmology Society of Spain
Asociación Española de Cirujanos Spanish Association of Surgeons
Desk research
Internet Search
OTHER English Translation
European Society of Cardiology
European Society of Ophthalmology
European Society of Neurology
UEGF: United European Gastro-enterology Federation
European Association of Plastic Surgeons
Eurostat
WHO
OECD
University Hospital Antwerp
