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A list of ICD-10 and OPCS-4 codes for the IBD organisational audit
Crohn’s Disease
K50: Crohn's disease [regional enteritis]
Includes: granulomatous enteritis
K50.0 Crohn's disease of small intestine
Crohn's disease [regional enteritis] of:
- duodenum
- ileum
- jejunum
- Ileitis:
- regional
- terminal
K50.1 Crohn's disease of large intestine
Colitis:
- granulomatous
- regional
Crohn's disease [regional enteritis] of:
- colon
- large bowel
- rectum
K50.8 Other Crohn's disease
Crohn's disease of both small and large intestine
K50.9 Crohn's disease, unspecified
Regional enteritis NOS
Ulcerative Colitis
K51 Ulcerative colitis
K51.0 Ulcerative (chronic) enterocolitis
K51.1 Ulcerative (chronic) ileocolitis
K51.2 Ulcerative (chronic) proctitis
K51.3 Ulcerative (chronic) rectosigmoiditis
K51.4 Pseudopolyposis of colon
K51.5 Mucosal proctocolitis
K51.8 Other ulcerative colitis
K51.9 Ulcerative colitis, unspecified
Ulcerative enteritis NOS
Relevant OPCS–4 codes
The OPCS-4 codes come as either 3 or 4 digit codes. The 3 digit ones are broad categories of types of operation and the 4 digit ones are more precise definitions of the broad categories.
The suggested codes for Ileo-anal pouch surgery relevant to DEM1.22 are as below but please contact your colorectal surgery colleagues directly to discuss this further.
OPCS4.
Code
OPCS4.
Code Description
H04.2 H04.
Panproctocolectomy and anastomosis of ileum to anus and creation of pouch HFQ
G72.5 G72.5 Anastomosis of ileum to anus and creation of pouch hfq- ileo-anal pouch
TABULAR LIST OF THREE DIGIT CATEGORIES
Jejunum (G58-G67) G58 Excision of jejunum G59 Extirpation of lesion of jejunum G60 Artificial opening into jejunum G63 Other open operations on jejunum G67 Other operations on jejunum
Ileum (G69-G82) G69 Excision of ileum G70 Open extirpation of lesion of ileum G71 Bypass of ileum G72 Other connection of ileum G73 Attention to connection of ileum G74 Creation of artificial opening into ileum G75 Attention to artificial opening into ileum G78 Other open operations on ileum G82 Other operations on ileum
H. LOWER DIGESTIVE TRACT
Colon H04 Total excision of colon and rectum H05 Total excision of colon H06 Extended excision of right hemicolon H07 Other excision of right hemicolon H08 Excision of transverse colon H09 Excision of left hemicolon H10 Excision of sigmoid colon H11 Other excision of colon H12 Extirpation of lesion of colon H13 Bypass of colon H14 Exteriorisation of caecum H15 Other exteriorisation of colon H16 Incision of colon H19 Other open operations on colon H30 Other operations on colon
Appendix (H01-H03) H01 Emergency excision of appendix H02 Other excision of appendix H03 Other operations on appendix Rectum (H33-H46) H33 Excision of rectum H34 Open extirpation of lesion of rectum H40 Operations on rectum through anal sphincter H41 Other operations on rectum through anus H46 Other operations on rectum
Anus and perianal region H47 Excision of anus H48 Excision of lesion of anus H49 Destruction of lesion of anus H54 Dilation of anal sphincter H55 Other operations on perianal region H56 Other operations on anus
TABULAR LIST OF FOUR DIGIT CATEGORIES
G58 Excision of jejunum G58.1 Total jejunectomy and anastomosis of stomach to ileum G58.2 Total jejunectomy and anastomosis of duodenum to ileum G58.3 Total jejunectomy and anastomosis of duodenum to colon G58.4 Partial jejunectomy and anastomosis of jejunum to ileum
Includes: Jejunectomy and anastomosis of jejunum to jejunum G58.5 Partial jejunectomy and anastomosis of duodenum to colon G58.8 Other specified G58.9 Unspecified Includes: Jejunectomy nec
G59 Extirpation of lesion of jejunum G59.1 Excision of lesion of jejunum G59.2 Open destruction of lesion of jejunum G59.8 Other specified G59.9 Unspecified
G60 Artificial opening into jejunum G60.1 Creation of jejunostomy G60.2 Refashioning of jejunostomy G60.3 Closure of jejunostomy G60.8 Other specified G60.9 Unspecified
CHAPTER H - LOWER DIGESTIVE TRACT (CODES H01-H62)
H 02 Other excision of appendix H02.1 Interval appendicectomy H02.2 Planned delayed appendicectomy nec H02.3 Prophylactic appendicectomy nec H02.4 Incidental appendicectomy Includes: Appendicectomy performed during course of other abdominal operation Note: Use as secondary code when performed during creation of caecostomy (H14.9) H02.8 Other specified H02.9 Unspecified Includes: Appendicectomy nec
H03.1 Drainage of abscess of appendix H03.2 Drainage of appendix nec H03.8 Other specified H03.9 Unspecified H04 Total excision of colon and rectum H04.1 Panproctocolectomy and ileostomy Includes: Proctocolectomy nec H04.2 Panproctocolectomy and anastomosis of ileum to anus and creation of pouch hfq H04.3 Panproctocolectomy and anastomosis of ileum to anus nec H04.8 Other specified H04.9 Unspecified H05 Total excision of colon H05.1 Total colectomy and anastomosis of ileum to rectum H05.2 Total colectomy and ileostomy and creation of rectal fistula hfq H05.3 Total colectomy and ileostomy nec H05.8 Other specified subtotal excision of colon H05.9 Unspecified subtotal excision of colon
H06 Extended excision of right hemicolon Includes: Excision of right colon and other segment of ileum or colon and surrounding tissue. Caecum H06.1 Extended right hemicolectomy and end to end anastomosis H06.2 Extended right hemicolectomy and anastomosis of ileum to colon H06.3 Extended right hemicolectomy and anastomosis nec H06.4 Extended right hemicolectomy and ileostomy hfq H06.8 Other specified H06.9 Unspecified H07 Other excision of right hemicolon Includes: Limited excision of caecum and terminal ileum caecum H07.1 Right hemicolectomy and end to end anastomosis of ileum to colon Includes: Ileocaecal resection H07.2 Right hemicolectomy and side to side anastomosis of ileum to transverse colon H07.3 Right hemicolectomy and anastomosis nec H07.4 Right hemicolectomy and ileostomy hfq H07.8 Other specified H07.9 Unspecified
H08 Excision of transverse colon H08.1 Transverse colectomy and end to end anastomosis H08.2 Transverse colectomy and anastomosis of ileum to colon H08.3 Transverse colectomy and anastomosis nec H08.4 Transverse colectomy and ileostomy hfq H08.5 Transverse colectomy and exteriorisation of bowel nec. Note: Use secondary code for type of exteriorisation of bowel (H14 H15) H08.8 Other specified H08.9 Unspecified
H09 Excision of left hemicolon H09.1 Left hemicolectomy and end to end anastomosis of colon to rectum H09.2 Left hemicolectomy and end to end anastomosis of colon to colon H09.3 Left hemicolectomy and anastomosis nec H09.4 Left hemicolectomy and ileostomy hfq H09.5 Left hemicolectomy and exteriorisation of bowel nec. Note: Use secondary code for type of exteriorisation of bowel (H14 H15) H09.8 Other specified H09.9 Unspecified
H10 Excision of sigmoid colon H10.1 Sigmoid colectomy and end to end anastomosis of ileum to rectum H10.2 Sigmoid colectomy and anastomosis of colon to rectum H10.3 Sigmoid colectomy and anastomosis nec H10.4 Sigmoid colectomy and ileostomy hfq H10.5 Sigmoid colectomy and exteriorisation of bowel nec. Note: Use secondary code for type of exteriorisation of bowel (H14 H15) H10.8 Other specified H10.9 Unspecified
H11 Other excision of colon Includes: Excision of colon where segment removed is not stated H11.1 Colectomy and end to end anastomosis of colon to colon nec H11.2 Colectomy and side to side anastomosis of ileum to colon nec H11.3 Colectomy and anastomosis nec H11.4 Colectomy and ileostomy nec H11.5 Colectomy and exteriorisation of bowel nec Note: Use secondary code for type of exteriorisation of bowel (H14 H15) H11.8 Other specified H11.9 Unspecified, Includes: Colectomy nec, Hemicolectomy nec
H12 Extirpation of lesion of colon. Includes: Caecum H12.2 Excision of lesion of colon nec H12.3 Destruction of lesion of colon nec H12.8 Other specified H12.9 Unspecified H13 Bypass of colon. Includes: Caecum. Excludes: Bypass of colon when associated with excision of colon (H04-H11) H13.1 Bypass of colon by anastomosis of ileum to colon H13.2 Bypass of colon by anastomosis of caecum to sigmoid colon H13.3 Bypass of colon by anastomosis of transverse colon to sigmoid colon H13.4 Bypass of colon by anastomosis of transverse colon to rectum H13.5 Bypass of colon by anastomosis of colon to rectum nec H13.8 Other specified H13.9 Unspecified H14 Exteriorisation of caecum H14.1 Tube caecostomy H14.2 Refashioning of caecostomy H14.3 Closure of caecostomy H14.8 Other specified H14.9 Unspecified. Includes: Caecostomy nec
H15 Other exteriorisation of colon H15.1 Loop colostomy H15.2 End colostomy H15.3 Refashioning of colostomy H15.4 Closure of colostomy H15.5 Dilation of colostomy H15.6 Reduction of prolapse of colostomy H15.8 Other specified H15.9 Unspecified. Includes: Colostomy nec H16 Incision of colon. Includes: Caecum H16.1 Drainage of colon Includes: Drainage of pericolonic tissue H16.2 Caecotomy H16.3 Colotomy H16.8 Other specified H16.9 Unspecified
H19 Other open operations on colon. Includes: Caecum. Excludes: Repair of intestinovesical fistula (M37.2) H19.1 Open biopsy of lesion of colon Includes: Open biopsy of colon, Biopsy of lesion of colon, Biopsy of colon H19.8 Other specified H19.9 Unspecified H30 Other operations on colon H30.8 Other specified H30.9 Unspecified
H34 Open extirpation of lesion of rectum H34.1 Open excision of lesion of rectum H34.2 Open cauterisation of lesion of rectum H34.3 Open cryotherapy to lesion of rectum H34.4 Open laser destruction of lesion of rectum H34.5 Open destruction of lesion of rectum nec H34.8 Other specified H34.9 Unspecified
H33 Excision of rectum. Includes: Excision of whole or part of rectum with or without part of sigmoid colon H33.1 Abdominoperineal excision of rectum and end colostomy H33.2 Proctectomy and anastomosis of colon to anus H33.3 Anterior resection of rectum and anastomosis of colon to rectum using staples. Includes: Rectosigmoidectomy and anastomosis of colon to rectum
H40 Operations on rectum through anal sphincter H40.1 Transsphincteric excision of mucosa of rectum H40.2 Transsphincteric excision of lesion of rectum Includes: Transsphincteric biopsy of lesion of rectum. Transsphincteric biopsy of rectum H40.3 Transsphincteric destruction of lesion of rectum H40.4 Transsphincteric anastomosis of colon to anus H40.8 Other specified H40.9 Unspecified
