Office of Population, Census and Surveys Classification of Interventions and Procedures, version 4, codes to identify surgical procedures (Hospital Episode Statistics data)

Rebecca S Geary; Ipek Gurol-Urganci; Jil B Mamza; Rebecca Lynch; Dina El-Hamamsy; Andrew Wilson; Simon Cohn; Douglas Tincello; Jan van der Meulen

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Geary RS, Gurol-Urganci I, Mamza JB, et al. Variation in availability and use of surgical care for female urinary incontinence: a mixed-methods study. Southampton (UK): NIHR Journals Library; 2021 Mar. (Health Services and Delivery Research, No. 9.7.)

Variation in availability and use of surgical care for female urinary incontinence: a mixed-methods study.

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Appendix 1Office of Population, Census and Surveys Classification of Interventions and Procedures, version 4, codes to identify surgical procedures (Hospital Episode Statistics data)

TABLE 13

Stress UI operations

OPCS-4	Description
MUT insertions
M53.3	Introduction of tension-free vaginal tape
M53.6	Introduction of transobturator tape
MUT removals
M53.4	Total removal of tension-free vaginal tape
M53.5	Partial removal of tension-free vaginal tape
M53.7	Removal of transobturator tape
Injection of urethral bulking agents
M56.3	Endoscopic injection of inert substance into outlet of the female bladder
Other abdominal/vaginal operations
M51.1	Abdominoperineal suspension of the urethra
M51.2	Endoscopic suspension of the neck of the bladder
M51.8	Other specified combined abdominal and vaginal operations to support the outlet of the female bladder
M51.9	Unspecified combined abdominal and vaginal operations to support the outlet of the female bladder
M52.1	Suprapubic sling operation
M52.2	Retropubic suspension of the neck of the bladder
M52.3	Colposuspension of the neck of the bladder
M52.8	Other specified abdominal operations to support the outlet of the female bladder
M52.9	Unspecified abdominal operations to support the outlet of the female bladder
M53.1	Vaginal buttressing of the urethra
M53.8	Other specified vaginal operations to support the outlet of the female bladder
M53.9	Unspecified vaginal operations to support the outlet of the female bladder
M55.2	Implantation of artificial urinary sphincter into the outlet of the female bladder
M55.6	Insertion of retropubic device for female SUI – NEC
M55.8	Other specified other open operations on the outlet of the female bladder
M55.9	Unspecified other open operations on the outlet of the female bladder
M58.8	Other specified other operations on the outlet of the female bladder
M58.9	Unspecified other operations on the outlet of the female bladder

: NEC, not elsewhere classified.

TABLE 14

Urgency UI/overactive bladder operations

OPCS-4	Description
Enlargement of the bladder
M36.2	Ileocystoplasty
Botulinum toxin A injection
M43.4	Endoscopic injection of neurolytic substance into the nerve of the bladder
M49.5	Injection of therapeutic substance into the bladder wall
Neuromodulation
A70.1	Implantation of neurostimulator into the peripheral nerve
A70.2	Maintenance of neurostimulator in the peripheral nerve
A70.3	Removal of neurostimulator from the peripheral nerve
A70.4	Insertion of neurostimulator electrodes into the peripheral nerve

: NEC, not elsewhere classified.

TABLE 15

The ICD-10 diagnostic codes to supplement procedure codes

ICD-10	Description
N39.3	SUI
N39.4	UUI
R32	Other specified urinary incontinence
N32.8	Unspecified urinary incontinence
N32.8	Other specified disorders of the bladder

Copyright © Queen’s Printer and Controller of HMSO 2021. This work was produced by Geary et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

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Geary RS, Gurol-Urganci I, Mamza JB, et al. Variation in availability and use of surgical care for female urinary incontinence: a mixed-methods study. Southampton (UK): NIHR Journals Library; 2021 Mar. (Health Services and Delivery Research, No. 9.7.) Appendix 1, Office of Population, Census and Surveys Classification of Interventions and Procedures, version 4, codes to identify surgical procedures (Hospital Episode Statistics data)
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