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					OPCS codes for SSNDS Definition No. 34 Specialised Orthopaedic Services (adult) (3rd edition)

Please note: that this coding list is not exhaustive and that the text definition should serve as the main guide in deciding what can appropriately be considered a specialised service.

OPCS  OPCS CATEGORY                                                            OPCS SUB-CATEGORY




                                                                                                                                                                                           Specialised

                                                                                                                                                                                                         Maybe specialised
CODES




A576      Operations on spinal nerve root                                      Reimplantation of spinal nerves into spinal cord                                                            y
A621      Microsurgical repair of peripheral nerve                             Primary microsurgical graft to peripheral nerve                                                             y
A622      Microsurgical repair of peripheral nerve                             Secondary microsurgical graft to peripheral nerve                                                           y
A623      Microsurgical repair of peripheral nerve                             Microsurgical graft to peripheral nerve NEC                                                                 y
A624      Microsurgical repair of peripheral nerve                             Primary microsurgical repair of peripheral nerve NEC                                                        y
A625      Microsurgical repair of peripheral nerve                             Secondary microsurgical repair of peripheral nerve NEC                                                      y
A626      Microsurgical repair of peripheral nerve                             Microsurgical graft to multiple peripheral nerves NEC                                                       y
A627      Microsurgical repair of peripheral nerve                             Microsurgical repair of multiple peripheral nerves NEC                                                      y
A628      Microsurgical repair of peripheral nerve                             Other specified microsurgical repair of peripheral nerve                                                    y
A629      Microsurgical repair of peripheral nerve                             Unspecified microsurgical repair of peripheral nerve                                                        y
A631      Other graft to peripheral nerve                                      Primary graft to peripheral nerve NEC                                                                       y
A632      Other graft to peripheral nerve                                      Secondary graft to peripheral nerve NEC                                                                     y
A638      Other graft to peripheral nerve                                      Other specified other graft to peripheral nerve                                                             y
A639      Other graft to peripheral nerve                                      Unspecified other graft to peripheral nerve                                                                 y
A644      Other repair of peripheral nerve                                     Secondary repair of peripheral nerve NEC                                                                    y
A691      Revision of release of peripheral nerve                              Revision of neurolysis of peripheral nerve and transposition of peripheral nerve                            y
A698      Revision of release of peripheral nerve                              Other specified revision of release of peripheral nerve                                                     y
T641      Transposition of tendon                                              Multiple transfer of tendon to tendon                                                                                     y
T681      Secondary repair of tendon                                           Secondary repair of tendon using tendon transfer procedure                                                  y
T682      Secondary repair of tendon                                           Secondary repair of tendon using lengthening procedure                                                      y
T683      Secondary repair of tendon                                           Secondary repair of tendon using permanent prosthesis                                                       y
T684      Secondary repair of tendon                                           Secondary repair of tendon using temporary prosthesis                                                       y
T685      Secondary repair of tendon                                           Secondary repair of tendon using graft                                                                                    y
T721      Other operations on sheath of tendon                                 Reconstruction of sheath of tendon                                                                                        y
T761      Transplantation of muscle                                            Microvascular free tissue transfer of flap of muscle                                                        y
T771      Excision of muscle                                                   Excision of whole muscle group                                                                              y
W011      Complex reconstruction of thumb                                      Microvascular transfer of toe to thumb                                                                      y
W012      Complex reconstruction of thumb                                      Pollicisation of finger                                                                                     y
W013      Complex reconstruction of thumb                                      Reconstruction of thumb using bone graft and skin flap                                                      y
W014      Complex reconstruction of thumb                                      Reconstruction of thumb using bone lengthening procedure                                                    y
W015      Complex reconstruction of thumb                                      Opposition transfer to thumb                                                                                y
W018      Complex reconstruction of thumb                                      Other specified complex reconstruction of thumb                                                             y
W019      Complex reconstruction of thumb                                      Unspecified complex reconstruction of thumb                                                                 y
W021      Other complex reconstruction of hand                                 Proximal row carpectomy                                                                                     y
W022      Other complex reconstruction of hand                                 Metacarpal support operations on carpus                                                                     y
W023      Other complex reconstruction of hand                                 Multiple joint reconstruction of hand NEC                                                                   y
W024      Other complex reconstruction of hand                                 Complex reconstruction of soft tissue of hand NEC                                                           y
W028      Other complex reconstruction of hand                                 Other specified other complex reconstruction of hand                                                        y
W045      Complex reconstruction of hindfoot                                   Release of medial soft tissue of hindfoot and excision of lateral wedge of os calcis and fusion of os       y
                                                                               calcis
W051      Prosthetic replacement of bone                                       Articulated prosthetic replacement of bone                                                                  y
W052      Prosthetic replacement of bone                                       Implantation massive endoprosthetic replacement of bone                                                     y
W061      Total excision of bone                                               Total excision of cervical rib                                                                              y
W067      Total excision of bone                                               Total excision of pelvic bones                                                                              y
W134      Other periarticular division of bone                                 Relocation and derotation osteotomy                                                                         y
W172      Other reconstruction of bone                                         Traction lengthening of diaphysis of bone                                                                   y
W173      Other reconstruction of bone                                         Traction lengthening of epiphyseal plate of bone                                                            y
W315      Other autograft of bone                                              Vascularised pedicle autograft of bone                                                                      y
W316      Other autograft of bone                                              Muscle pedicle autograft of bone                                                                            y
W722      Prosthetic replacement of ligament                                   Prosthetic replacement of multiple ligaments NEC                                                            y
W837      Therapeutic endoscopic operations on other articular cartilage       Endoscopic osteochondral autograft                                                                          y
W853      Therapeutic endoscopic operations on cavity of knee joint            Endoscopic autologous chondrocyte implantation of knee joint                                                y
O101   Complex reconstruction of shoulder                            Extraarticular scapular resection with reconstruction of shoulder                                y
X011   Replantation of upper limb                                    Replantation of whole arm                                                                        y
X012   Replantation of upper limb                                    Replantation of forearm                                                                          y
X013   Replantation of upper limb                                    Replantation of hand                                                                             y
X014   Replantation of upper limb                                    Replantation of thumb                                                                            y
X015   Replantation of upper limb                                    Replantation of finger NEC                                                                       y
X018   Replantation of upper limb                                    Other specified replantation of upper limb                                                       y
X019   Replantation of upper limb                                    Unspecified replantation of upper limb                                                           y
X021   Replantation of lower limb                                    Replantation of whole leg                                                                        y
X022   Replantation of lower limb                                    Replantation of foot                                                                             y
X023   Replantation of lower limb                                    Replantation of toe                                                                              y
X028   Replantation of lower limb                                    Other specified replantation of lower limb                                                       y
X071   Amputation of arm                                             Forequarter amputation                                                                           y
X072   Amputation of arm                                             Disarticulation of shoulder                                                                      y
X091   Amputation of leg                                             Hindquarter amputation                                                                           y
X092   Amputation of leg                                             Disarticulation of hip                                                                           y
X191   Correction of congenital deformity of shoulder or upper arm   Reduction of Sprengel deformity                                                                  y
X192   Correction of congenital deformity of shoulder or upper arm   Correction of obstetric palsy                                                                    y
X198   Correction of congenital deformity of shoulder or upper arm   Other specified correction of congenital deformity of shoulder or upper arm                      y
X199   Correction of congenital deformity of shoulder or upper arm   Unspecified correction of congenital deformity of shoulder or upper arm                          y
X201   Correction of congenital deformity of forearm                 Excision of anlage of radius                                                                     y
X202   Correction of congenital deformity of forearm                 Excision of anlage of ulna                                                                       y
X203   Correction of congenital deformity of forearm                 Centralisation of carpus for correction of congenital deformity of forearm                       y
X204   Correction of congenital deformity of forearm                 Revision of release of radius for correction of congenital deformity of forearm                  y
X205   Correction of congenital deformity of forearm                 Revision of release of ulna for correction of congenital deformity of forearm                    y
X208   Correction of congenital deformity of forearm                 Other specified correction of congenital deformity of forearm                                    y
X209   Correction of congenital deformity of forearm                 Unspecified correction of congenital deformity of forearm                                        y
X211   Correction of congenital deformity of hand                    Reduction of gigantism of hand                                                                   y
X212   Correction of congenital deformity of hand                    Correction of mirror hand                                                                        y
X217   Correction of congenital deformity of hand                    Reconstruction of radial club hand                                                               y
X222   Correction of congenital deformity of hip                     Primary osteotomy of pelvis for correction of congenital deformity of hip                        y
X223   Correction of congenital deformity of hip                     Secondary arthroplasty of hip for correction of congenital deformity of hip                      y
X224   Correction of congenital deformity of hip                     Intraarticular soft tissue procedures for correction of congenital deformity of hip              y
X225   Correction of congenital deformity of hip                     Extraarticular procedures for correction of congenital deformity of hip                          y
X228   Correction of congenital deformity of hip                     Other specified correction of congenital deformity of hip                                        y
X231   Correction of congenital deformity of leg                     Operative reduction of congenital dislocation of knee                                            y
X232   Correction of congenital deformity of leg                     Correction of pseudarthrosis of tibia                                                            y
X235   Correction of congenital deformity of leg                     Centralisation of tarsus for correction of congenital deformity of leg                           y
X236   Correction of congenital deformity of leg                     Reversal of rotation plasty of ankle for correction of congenital deformity of leg               y
X253   Other correction of congenital deformity of foot              Reduction of gigantism of foot                                                                   y
Y717   Late operations NOC                                           Third or greater revisional operation NOC (Comment: used as secondary code in conjunction with
                                                                     W337-W54)

				
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