Final Orthopaedic Surgery ELECTIVE Procedure OPCS codes SC



Coding system
OPCS-4
Organisation
OpenSAFELY
Codelist ID
opensafely/final-orthopaedic-surgery-elective-procedure-opcs-codes-sc
ID
544fb762

Versions

Description

OPCS-4 codes for all ELECTIVE, or non-emergency, orthopaedic procedures.

Methodology

Non-emergency procedures defined according to the Royal College of Surgeons surgical prioritisation guidelines. This list contains all procedures which were deemed to fall in category 2, 3 and 4.

Signed off by

  • salma chaudhury, (March 2, 2021)
  • Allison Rodgers, (March 2, 2021)
Code Description
A442 Extirpation of lesion of spinal cord NEC
A443 Excision of lesion of intradural intramedullary spinal cord
A444 Excision of lesion of extradural spinal cord
A445 Excision of lesion of intradural extramedullary spinal cord
A448 Other specified partial extirpation of spinal cord
A449 Unspecified partial extirpation of spinal cord
A451 Stereotactic chordotomy of spinal cord
A452 Open chordotomy of spinal cord NEC
A454 Open biopsy of lesion of spinal cord
A455 Removal of foreign body from spinal cord
A456 Open aspiration of lesion of spinal cord
A458 Other specified other open operations on spinal cord
A459 Unspecified other open operations on spinal cord
A481 Biopsy of lesion of spinal cord NEC
A482 Aspiration of lesion of spinal cord
A491 Freeing of spinal tether NEC
A492 Closure of spinal myelomeningocele
A493 Closure of spinal meningocele
A494 Complex freeing of spinal tether
A498 Other specified repair of spina bifida
A499 Unspecified repair of spina bifida
A511 Extirpation of lesion of meninges of spinal cord
A512 Freeing of adhesions of meninges of spinal cord
A513 Biopsy of lesion of meninges of spinal cord
A521 Therapeutic lumbar epidural injection
A522 Therapeutic sacral epidural injection
A514 Endoscopic division of epidural adhesions
A578 Other specified operations on spinal nerve root
A621 Primary microsurgical graft to peripheral nerve
A622 Secondary microsurgical graft to peripheral nerve
A623 Microsurgical graft to peripheral nerve NEC
A624 Primary microsurgical repair of peripheral nerve NEC
A625 Secondary microsurgical repair of peripheral nerve NEC
A626 Microsurgical graft to multiple peripheral nerves NEC
A627 Microsurgical repair of multiple peripheral nerves NEC
A628 Other specified microsurgical repair of peripheral nerve
A629 Unspecified microsurgical repair of peripheral nerve
A631 Primary graft to peripheral nerve NEC
A632 Secondary graft to peripheral nerve NEC
A641 Primary approximation of peripheral nerve
A642 Primary repair of peripheral nerve NEC
A644 Secondary repair of peripheral nerve NEC
A648 Other specified other repair of peripheral nerve
A649 Unspecified other repair of peripheral nerve
A651 Carpal tunnel release
A652 Canal of Guyon release
A658 Other specified release of entrapment of peripheral nerve at wrist
A659 Unspecified release of entrapment of peripheral nerve at wrist
A661 Tarsal tunnel release
A668 Other specified release of entrapment of peripheral nerve at ankle
A669 Unspecified release of entrapment of peripheral nerve at ankle
A671 Cubital tunnel release
A672 Release of entrapment of lateral cutaneous nerve of thigh
A673 Release of entrapment of plantar digital nerve
A678 Other specified release of entrapment of peripheral nerve at other site
A679 Unspecified release of entrapment of peripheral nerve at other site
A681 Primary neurolysis of peripheral nerve and transposition of peripheral nerve
A682 Secondary neurolysis of peripheral nerve and transposition of peripheral nerve
A683 Neurolysis of peripheral nerve and transposition of peripheral nerve NEC
A684 Primary neurolysis of peripheral nerve NEC
A685 Secondary neurolysis of peripheral nerve NEC
A688 Other specified other release of peripheral nerve
A689 Unspecified other release of peripheral nerve
A691 Revision of neurolysis of peripheral nerve and transposition of peripheral nerve
A692 Revision of carpal tunnel release
A693 Revision of tarsal tunnel release
A698 Other specified revision of release of peripheral nerve
A699 Unspecified revision of release of peripheral nerve
A731 Biopsy of lesion of peripheral nerve
A732 Freeing of adhesions of peripheral nerve NEC
A733 Decompression of peripheral nerve NEC
A734 Exploration of peripheral nerve
A735 Injection of therapeutic substance around peripheral nerve
A736 Transfer and reimplantation of peripheral nerve NEC
A738 Other specified other operations on peripheral nerve
O061 Primary hybrid prosthetic replacement of shoulder joint using cemented humeral component
O062 Conversion to hybrid prosthetic replacement of shoulder joint using cemented humeral component
O063 Revision of hybrid prosthetic replacement of shoulder joint using cemented humeral component
O068 Other specified hybrid prosthetic replacement of shoulder joint using cemented humeral component
O071 Primary hybrid prosthetic replacement of shoulder joint using cemented glenoid component
O072 Conversion to hybrid prosthetic replacement of shoulder joint using cemented glenoid component
O073 Revision of hybrid prosthetic replacement of shoulder joint using cemented glenoid component
O081 Primary hybrid prosthetic replacement of shoulder joint using cement NEC
O083 Revision of hybrid prosthetic replacement of shoulder joint using cement NEC
O084 Attention to hybrid prosthetic replacement of shoulder joint using cement NEC
O088 Other specified hybrid prosthetic replacement of shoulder joint using cement
O101 Extra-articular scapular resection with reconstruction of shoulder
O108 Other specified complex reconstruction of shoulder
O181 Primary hybrid prosthetic replacement of knee joint using cement
O182 Conversion to hybrid prosthetic replacement of knee joint using cement
O183 Revision of hybrid prosthetic replacement of knee joint using cement
O184 Attention to hybrid prosthetic replacement of knee joint using cement
O191 Endoscopic autologous matrix induced chondrogenesis of joint
O192 Endoscopic excision of infrapatellar fat pad
O211 Primary total prosthetic replacement of elbow joint using cement
O212 Conversion to total prosthetic replacement of elbow joint using cement
O213 Revision of total prosthetic replacement of elbow joint using cement
O214 Revision of one component of total prosthetic replacement of elbow joint using cement
O219 Unspecified total prosthetic replacement of elbow joint using cement
O221 Primary total prosthetic replacement of elbow joint not using cement
O222 Conversion to total prosthetic replacement of elbow joint not using cement
O223 Revision of total prosthetic replacement of elbow joint not using cement
O224 Revision of one component of total prosthetic replacement of elbow joint not using cement
O231 Primary total prosthetic replacement of elbow joint NEC
O232 Conversion to total prosthetic replacement of elbow joint NEC
O233 Revision of total prosthetic replacement of elbow joint NEC
O234 Attention to total prosthetic replacement of elbow joint NEC
O235 Revision of one component of total prosthetic replacement of elbow joint NEC
O238 Other specified total prosthetic replacement of elbow joint
O241 Primary prosthetic replacement of head of radius using cement
O242 Conversion to prosthetic replacement of head of radius using cement
O243 Revision of prosthetic replacement of head of radius using cement
O249 Unspecified prosthetic replacement of head of radius using cement
O251 Primary prosthetic replacement of head of radius not using cement
O253 Revision of prosthetic replacement of head of radius not using cement
O258 Other specified prosthetic replacement of head of radius not using cement
O259 Unspecified prosthetic replacement of head of radius not using cement
O261 Primary prosthetic replacement of head of radius NEC
O263 Revision of prosthetic replacement of head of radius NEC
O264 Attention to prosthetic replacement of head of radius NEC
O271 Extra-articular ligament reconstruction for stabilisation of joint
O272 Repair of capsule and anterior and posterior labrum for stabilisation of glenohumeral joint
O273 Repair of capsule and anterior labrum for stabilisation of glenohumeral joint
O274 Repair of capsule and posterior labrum for stabilisation of glenohumeral joint
O278 Other specified other stabilising operations on joint
O291 Subacromial decompression
O321 Primary total prosthetic replacement of ankle joint NEC
O322 Conversion to total prosthetic replacement of ankle joint NEC
O323 Revision of total prosthetic replacement of ankle joint NEC
O324 Attention to total prosthetic replacement of ankle joint NEC
O325 Revision of one component of total prosthetic replacement of ankle joint NEC
T521 Palmar fasciectomy
T522 Revision of palmar fasciectomy
T523 Plantar fasciectomy
T524 Revision of plantar fasciectomy
T525 Digital fasciectomy
T526 Revision of digital fasciectomy
T528 Other specified excision of other fascia
T529 Unspecified excision of other fascia
T531 Excision of lesion of fascia
T532 Destruction of lesion of fascia
T538 Other specified extirpation of lesion of fascia
T539 Unspecified extirpation of lesion of fascia
T541 Division of palmar fascia
T542 Division of plantar fascia
T548 Other specified division of fascia
T549 Unspecified division of fascia
T561 Dermofasciectomy
T568 Other specified other excision of other fascia
T562 Revision of dermofasciectomy
T571 Freeing of adhesions of fascia
T572 Biopsy of lesion of fascia
T573 Repair of fascia
T574 Stripping of fascia
T578 Other specified other operations on fascia
T591 Excision of ganglion of wrist
T592 Excision of ganglion of hand NEC
T593 Excision of ganglion of knee
T594 Excision of ganglion of foot
T598 Other specified excision of ganglion
T599 Unspecified excision of ganglion
T601 Re-excision of ganglion of wrist
T602 Re-excision of ganglion of hand NEC
T603 Re-excision of ganglion of knee
T604 Re-excision of ganglion of foot
T608 Other specified re-excision of ganglion
T611 Aspiration of ganglion
T618 Other specified other operations on ganglion
T619 Unspecified other operations on ganglion
T621 Total excision of bursa
T622 Excision of bursa NEC
T624 Aspiration of bursa
T625 Injection into bursa
T626 Exploration of bursa
T628 Other specified operations on bursa
T641 Multiple transfer of tendon to tendon
T642 Transfer of tendon to tendon NEC
T643 Multiple insertion of tendons into bone
T644 Insertion of tendon into bone NEC
T645 Tenodesis
T648 Other specified transposition of tendon
T649 Unspecified transposition of tendon
T651 Sacrifice of tendon
T652 Excision of lesion of tendon
T658 Other specified excision of tendon
T659 Unspecified excision of tendon
T671 Primary repair of tendon using tendon transfer procedure
T672 Primary repair of tendon using lengthening procedure
T673 Primary repair of tendon using permanent prosthesis
T674 Primary repair of tendon using temporary prosthesis
T675 Primary repair of tendon using graft
T676 Primary simple repair of tendon
T678 Other specified primary repair of tendon
T679 Unspecified primary repair of tendon
T681 Secondary repair of tendon using tendon transfer procedure
T682 Secondary repair of tendon using lengthening procedure
T683 Secondary repair of tendon using permanent prosthesis
T684 Secondary repair of tendon using temporary prosthesis
T685 Secondary repair of tendon using graft
T686 Secondary simple repair of tendon
T688 Other specified secondary repair of tendon
T689 Unspecified secondary repair of tendon
T691 Primary tenolysis
T692 Revision of tenolysis
T698 Other specified freeing of tendon
T699 Unspecified freeing of tendon
T701 Subcutaneous tenotomy
T702 Tenotomy NEC
T703 Adjustment to muscle origin of tendon
T704 Shortening of tendon NEC
T705 Lengthening of tendon
T708 Other specified adjustment to length of tendon
T709 Unspecified adjustment to length of tendon
T711 Tenosynovectomy
T718 Other specified excision of sheath of tendon
T719 Unspecified excision of sheath of tendon
T721 Reconstruction of sheath of tendon
T723 Release of constriction of sheath of tendon
T724 Exploration of sheath of tendon
T728 Other specified other operations on sheath of tendon
T742 Removal of prosthesis from tendon
T746 Autologous blood injection into tendon
T748 Other specified other operations on tendon
T749 Unspecified other operations on tendon
T791 Plastic repair of rotator cuff of shoulder NEC
T792 Quadricepsplasty
T793 Revisional repair of rotator cuff NEC
T794 Plastic repair of multiple tears of rotator cuff of shoulder
T795 Revisional repair of multiple tears of rotator cuff of shoulder
T798 Other specified repair of muscle
T799 Unspecified repair of muscle
T612 Biopsy of ganglion
T623 Biopsy of lesion of bursa
T722 Biopsy of lesion of sheath of tendon
T741 Biopsy of lesion of tendon NEC
T743 Exploration of tendon NEC
T811 Percutaneous biopsy of muscle
T813 Biopsy of lesion of muscle NEC
T818 Other specified biopsy of muscle
T819 Unspecified biopsy of muscle
T831 Destruction of lesion of muscle
T832 Division of muscle
T833 Stretching of muscle
T834 Exploration of muscle
T838 Other specified other operations on muscle
V231 Revisional anterior decompression of cervical spinal cord and fusion of joint of cervical spine
V232 Revisional anterior decompression of cervical spinal cord NEC
V233 Revisional foraminotomy of cervical spine
V234 Revisional anterior corpectomy of cervical spine with reconstruction HFQ
V235 Revisional decompression of posterior fossa and upper cervical spinal cord and instrumentation
V236 Revisional decompression of posterior fossa and upper cervical spinal cord NEC
V237 Revisional laminoplasty of cervical spine
V238 Other specified revisional decompression operations on cervical spine
V239 Unspecified revisional decompression operations on cervical spine
V243 Revisional decompression of thoracic spinal cord NEC
V244 Primary anterior corpectomy of thoracic spine and reconstruction HFQ
V245 Revisional anterior corpectomy of thoracic spine and reconstruction HFQ
V248 Other specified decompression operations on thoracic spine
V251 Primary extended decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V252 Primary extended decompression of lumbar spine NEC
V253 Primary posterior decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V254 Primary posterior laminectomy decompression of lumbar spine
V255 Primary posterior decompression of lumbar spine NEC
V256 Primary lateral foraminotomy of lumbar spine
V257 Primary anterior corpectomy of lumbar spine and reconstruction HFQ
V258 Other specified primary decompression operations on lumbar spine
V259 Unspecified primary decompression operations on lumbar spine
V261 Revisional extended decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V262 Revisional extended decompression of lumbar spine NEC
V263 Revisional posterior decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V264 Revisional posterior laminectomy decompression of lumbar spine
V265 Revisional posterior decompression of lumbar spine NEC
V266 Revisional lateral foraminotomy of lumbar spine
V267 Revisional anterior corpectomy of lumbar spine and reconstruction HFQ
V268 Other specified revisional decompression operations on lumbar spine
V269 Unspecified revisional decompression operations on lumbar spine
V273 Revisional decompression of spinal cord NEC
V281 Primary insertion of lumbar interspinous process spacer
V288 Other specified insertion of lumbar interspinous process spacer
V291 Primary laminectomy excision of cervical intervertebral disc
V292 Primary hemilaminectomy excision of cervical intervertebral disc
V293 Primary fenestration excision of cervical intervertebral disc
V294 Primary anterior excision of cervical intervertebral disc and interbody fusion of joint of cervical spine
V295 Primary anterior excision of cervical intervertebral disc NEC
V296 Primary microdiscectomy of cervical intervertebral disc
V298 Other specified primary excision of cervical intervertebral disc
V299 Unspecified primary excision of cervical intervertebral disc
V301 Revisional laminectomy excision of cervical intervertebral disc
V304 Revisional anterior excision of cervical intervertebral disc and interbody fusion of joint of cervical spine
V305 Revisional anterior excision of cervical intervertebral disc NEC
V309 Unspecified revisional excision of cervical intervertebral disc
V311 Primary anterolateral excision of thoracic intervertebral disc and graft HFQ
V312 Primary anterolateral excision of thoracic intervertebral disc NEC
V313 Primary costotransversectomy of thoracic intervertebral disc
V314 Primary percutaneous endoscopic excision of thoracic intervertebral disc
V318 Other specified primary excision of thoracic intervertebral disc
V319 Unspecified primary excision of thoracic intervertebral disc
V322 Revisional anterolateral excision of thoracic intervertebral disc NEC
V328 Other specified revisional excision of thoracic intervertebral disc
V331 Primary laminectomy excision of lumbar intervertebral disc
V332 Primary fenestration excision of lumbar intervertebral disc
V333 Primary anterior excision of lumbar intervertebral disc and interbody fusion of joint of lumbar spine
V334 Primary anterior excision of lumbar intervertebral disc NEC
V335 Primary anterior excision of lumbar intervertebral disc and posterior graft fusion of joint of lumbar spine
V336 Primary anterior excision of lumbar intervertebral disc and posterior instrumentation of lumbar spine
V337 Primary microdiscectomy of lumbar intervertebral disc
V338 Other specified primary excision of lumbar intervertebral disc
V339 Unspecified primary excision of lumbar intervertebral disc
V341 Revisional laminectomy excision of lumbar intervertebral disc
V342 Revisional fenestration excision of lumbar intervertebral disc
V343 Revisional anterior excision of lumbar intervertebral disc and interbody fusion of joint of lumbar spine
V344 Revisional anterior excision of lumbar intervertebral disc NEC
V345 Revisional anterior excision of lumbar intervertebral disc and posterior graft fusion of joint of lumbar spine
V346 Revisional anterior excision of lumbar intervertebral disc and posterior instrumentation of lumbar spine
V347 Revisional microdiscectomy of lumbar intervertebral disc
V348 Other specified revisional excision of lumbar intervertebral disc
V349 Unspecified revisional excision of lumbar intervertebral disc
V351 Primary excision of intervertebral disc NEC
V352 Revisional excision of intervertebral disc NEC
V358 Other specified excision of unspecified intervertebral disc
V361 Prosthetic replacement of cervical intervertebral disc
V363 Prosthetic replacement of lumbar intervertebral disc
V368 Other specified prosthetic replacement of intervertebral disc
V371 Posterior fusion of atlantoaxial joint NEC
V372 Posterior fusion of joint of cervical spine NEC
V374 Fusion of atlanto-occipital joint
V376 Posterior fusion of atlantoaxial joint using pedicle screw
V377 Fusion of occipitocervical junction NEC
V378 Other specified primary fusion of joint of cervical spine
V379 Unspecified primary fusion of joint of cervical spine
V381 Primary fusion of joint of thoracic spine
V382 Primary posterior interlaminar fusion of joint of lumbar spine
V383 Primary posterior fusion of joint of lumbar spine NEC
V384 Primary intertransverse fusion of joint of lumbar spine NEC
V385 Primary posterior interbody fusion of joint of lumbar spine
V386 Primary transforaminal interbody fusion of joint of lumbar spine
V388 Other specified primary fusion of other joint of spine
V389 Unspecified primary fusion of other joint of spine
V391 Revisional fusion of joint of cervical spine NEC
V392 Revisional fusion of joint of thoracic spine
V393 Revisional posterior interlaminar fusion of joint of lumbar spine
V394 Revisional posterior fusion of joint of lumbar spine NEC
V395 Revisional intertransverse fusion of joint of lumbar spine NEC
V396 Revisional posterior interbody fusion of joint of lumbar spine
V397 Revisional transforaminal interbody fusion of joint of lumbar spine
V398 Other specified revisional fusion of joint of spine
V401 Non-rigid stabilisation of spine
V402 Posterior instrumented fusion of cervical spine NEC
V403 Posterior instrumented fusion of thoracic spine NEC
V404 Posterior instrumented fusion of lumbar spine NEC
V405 Removal of instrumentation from spine
V408 Other specified stabilisation of spine
V409 Unspecified stabilisation of spine
V411 Posterior attachment of correctional instrument to spine
V412 Anterior attachment of correctional instrument to spine
V413 Removal of correctional instrument from spine
V414 Anterior and posterior attachment of correctional instrument to spine
V415 Posterior attachment of spinal growing system
V416 Attention to spinal growing system
V417 Surgical distraction of spinal growing system
V418 Other specified instrumental correction of deformity of spine
V419 Unspecified instrumental correction of deformity of spine
V422 Epiphysiodesis of spinal apophyseal joint for correction of deformity
V423 Anterolateral release of spine for correction of deformity and graft HFQ
V425 Anterior epiphysiodesis of spine for correction of deformity NEC
V426 Posterior epiphysiodesis of spine for correction of deformity NEC
V428 Other specified other correction of deformity of spine
V431 Excision of lesion of cervical vertebra
V432 Excision of lesion of thoracic vertebra
V433 Excision of lesion of lumbar vertebra
V438 Other specified extirpation of lesion of spine
V471 Biopsy of cervical vertebra
V472 Biopsy of thoracic vertebra
V473 Biopsy of lumbar vertebra
V478 Other specified biopsy of spine
V479 Unspecified biopsy of spine
V491 Exploratory cervical laminectomy
V492 Exploratory thoracic laminectomy
V493 Exploratory lumbar laminectomy
V494 Exploratory laminectomy NEC
V498 Other specified exploration of spine
V499 Unspecified exploration of spine
V511 Primary direct lateral excision of lumbar intervertebral disc and interbody fusion of joint of lumbar spine
V521 Enzyme destruction of intervertebral disc
V522 Destruction of intervertebral disc NEC
V523 Discography of intervertebral disc
V524 Biopsy of lesion of intervertebral disc NEC
V528 Other specified other operations on intervertebral disc
V541 Transoral excision of odontoid process of axis
V542 Graft of bone to spine NEC
V543 Osteotomy of spine NEC
V544 Injection around spinal facet of spine
V548 Other specified other operations on spine
V551 One level of spine
V552 Two levels of spine
V553 Greater than two levels of spine
V568 Other specified primary foraminoplasty of spine
V581 Primary automated percutaneous mechanical excision of cervical intervertebral disc
V601 Primary percutaneous decompression using coblation to cervical intervertebral disc
V603 Primary percutaneous decompression using coblation to lumbar intervertebral disc
V618 Other specified revisional percutaneous decompression using coblation to intervertebral disc
V621 Primary percutaneous intradiscal radiofrequency thermocoagulation to cervical intervertebral disc
V622 Primary percutaneous intradiscal radiofrequency thermocoagulation to thoracic intervertebral disc
V623 Primary percutaneous intradiscal radiofrequency thermocoagulation to lumbar intervertebral disc
V661 Revisional fusion of occipitocervical junction
V664 Revisional posterior fusion of atlantoaxial joint NEC
V671 Primary posterior lumbar medial facetectomy
V672 Primary hemilaminectomy decompression of lumbar spine
V681 Revisional posterior lumbar medial facetectomy
V682 Revisional hemilaminectomy decompression of lumbar spine
W012 Pollicisation of finger
W013 Reconstruction of thumb using bone graft and skin flap
W014 Reconstruction of thumb using bone lengthening procedure
W015 Opposition transfer to thumb
W018 Other specified complex reconstruction of thumb
W021 Proximal row carpectomy
W022 Metacarpal support operations on carpus
W023 Multiple joint reconstruction of hand NEC
W024 Complex reconstruction of soft tissue of hand NEC
W028 Other specified other complex reconstruction of hand
W031 Excision of heads of multiple lesser metatarsals
W032 Osteotomy of multiple metatarsals
W033 Total correction of claw toe
W034 Transfer of extensor hallucis longus tendon to head of first metatarsal and fusion of interphalangeal joints
W035 Localised fusion of joints of midfoot and forefoot
W036 Osteotomy of multiple metatarsals and fixation HFQ
W038 Other specified complex reconstruction of forefoot
W039 Unspecified complex reconstruction of forefoot
W041 Localised fusion of joints of hindfoot
W042 Triple fusion of joints of hindfoot
W043 Subtalar fusion of joints of hindfoot
W044 Stripping of muscle from os calcis
W045 Release of medial soft tissue of hindfoot and excision of lateral wedge of os calcis and fusion of os calcis
W048 Other specified complex reconstruction of hindfoot
W049 Unspecified complex reconstruction of hindfoot
W051 Articulated prosthetic replacement of bone
W052 Implantation massive endoprosthetic replacement of bone
W053 Implantation endoprosthetic replacement of bone NEC