CCSD are proud to launch the first official sector wide CCSD to OPCS code mapping framework to support and drive comparability of independent and NHS healthcare data.
The development of the mapping framework has been born out of a desire across the sector for a unified approach to mapping from CCSD to OPCS. Insurers, hospital providers and other sector organisations came together to plan, build and review the mapping framework ensuring its value for users.
The mapping uses CCSD code narratives in the current schedule as the source information and maps these to corresponding OPCS codes. A combination of automated predictive solutions and clinical coders experienced in both private (CCSD) and NHS (OPCS activity were used to draft the mapping between CCSD and OPCS. By doing this the tool set a consistent position for the sector for mapping from OPCS to CCSD. In turn this enables comparability between the NHS and private healthcare and supports data being used for clinical, operational and activity analysis and improvement.
Due to the differences in narratives and information in each respective classifications the level of mapping varies in specificity, with codes mapped in the following ways:
- Four character OPCS code assigned – complete mapping with CCSD code
- Three character OPCS code assigned – codes have been assigned when the CCSD narrative matches a number of potential codes in an OPCS subchapter (often when additional information about the procedure is required to assign a four character code)
- Range of OPCS codes assigned – information in the CCSD code narrative is not specific enough to assign a code from one OPCS subchapter and a range of subchapters are suggested
The examples below demonstrates how the mapping framework can support moving from CCSD to OPCS codes.
Where a CCSD narrative matches a code narrative in OPCS, a full 4-character OPCS code has been assigned, for example:
- CCSD – H5640 Excision of anal fissure
- OPCS – H564 Excision of anal fissure
Where a CCSD narrative requires 2 or more OPCS codes (e.g. to specify method of approach) and can match the narrative of the CCSD procedure described, both have been provided with ‘and’ used to indicate both codes should be assigned, for example:
- CCSD – G5280 Laparoscopic closure of perforated ulcer of duodenum
- OPCS – G521 Closure of perforated ulcer of duodenum, AND
- OPCS – Y752 Laparoscopic approach to abdominal cavity NEC
Where a CCSD narrative provides more than one 4-character OPCS to pick from, both have been provided with a ‘/’ to indicate one of the codes provided should be selected and used, for example:
- CCSD – F2810 Excision / destruction of lesion of palate
- OPCS – F281 Excision of lesion of palate / F282 Destruction of lesion of palate
Where a CCSD narrative matches a number of potential codes in an OPCS sub-chapter, the 3-character subchapter code will be provided, as additional information required to assign a 4-character complete OPCS code is not available in the current CCSD code narrative, for example:
- CCSD – C1780 Total reconstruction of eyelid
- OPCS – C14 Reconstruction of eyelid. OPCS subchapter C14 has been assigned as the method of reconstruction is required in OPCS to assign a full 4-character code; C141 – Flap reconstruction, C142 – Graft to skin of eyelid, C143 – Graft of cartilage to eyelid, C144 – Graft of skin and fat to eyelid, C145 – Graft of fascia to eyelid
CCSD licence holders can download the full mapping framework and supporting guidance by clicking here. Anyone who does not hold a CCSD licence and would like to access the mapping framework will need to sign up to a licence by clicking here.
