NCCQ theory OPCS Exam with precise detailed solutions || || || || || || ||
How many steps make up the OPCS coding process? - ✔✔4
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What is step one of the OPCS four step coding process? - ✔✔Analyse
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procedural/interventional terminology to determine lead term(s) and modifier(s || || || || || || ||
What is step two of the OPCS four step coding process? - ✔✔Locate the lead term(s) in the
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Alphabetical Index (OPCS-4 Volume II) || || || ||
What is step three of the OPCS four step coding process? - ✔✔Assign a tentative code(s)
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using the Alphabetical Index and taking into account all rules, conventions and standards
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What is step four of the OPCS four step coding process? - ✔✔Verify the code(s) using the
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Tabular List (OPCS-4 Volume I) and taking into account instructional notes
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What is the definition of an intervention within OPCS? - ✔✔Interventions are those aspects
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of clinical care carried out on patients undergoing treatment:
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• for the prevention, diagnosis, care or relief of disease;
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• for the correction of deformity or deficit, including those performed for cosmetic reasons;
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and ||
• associated with pregnancy, childbirth or contraceptive or procreative management.
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Typically this will be: || || || ||
• surgical in nature; and/or
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• carries a procedural risk; and/or
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• carries an anaesthetic risk; and/or
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• requires specialist training; and/or
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, 2
• requires special facilities or equipment only available in an acute care setting
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How many chapters are there within OPCS-4? What do they cover? - ✔✔There are 24
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chapters in total within the OPCS-4 classification.
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These comprise 20 chapters covering individual body systems (Chapters A-T and V-W)
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One for diagnostic imaging, testing and rehabilitation procedures (Chapter U)
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One for miscellaneous procedures and operations covering multiple systems, e.g.
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transfusion, resuscitation (Chapter X). There are also two additional chapters providing
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subsidiary classifications, one for methods of operation (Chapter Y) and the other for sites
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and laterality of operation (Chapter Z).
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What is the main axis of classification within OPCS-4? - ✔✔Body system
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What further/more specific axis of classification exists within OPCS-4 apart from body
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system? - ✔✔Within any particular body system the axis is the organ and within any
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particular organ the axis is the specific operation/intervention.
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The operations/interventions are broadly listed in descending order of complexity, give
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these levels of complexity and an example of a procedure for each. - ✔✔Major -
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Total removal || ||
Functional replacement || ||
Transplant ||
Intermediate - || ||
Partial removal || ||
Partial destruction || ||
Reconstruction Repair || ||