[
  {
    "phenotype_id": "PH3745",
    "phenotype_version_id": 8871,
    "name": "Surgery Emergency OPCS-4 codes WITHOUT complication codes",
    "definition": "This codelist was taken from [OpenCodelists](https://www.opencodelists.org/), created by [OpenSAFELY](https://www.opensafely.org/). We recommend viewing this Phenotype on the OpenCodelist website to view the most recent version.\n\n\nThis is a list of all the emergency OPCS\\-4 codes (as defined by RCS priority groups 1a and 1b), excluding the complication OPCS\\-4 codes for amputations, dislocations, compartment syndrome and washouts\n\n\n© University of Oxford for the Bennett Institute for Applied Data Science 2025\\. This work may be copied freely for non\\-commercial research and study.\n\n",
    "implementation": null,
    "publications": null,
    "validation": null,
    "citation_requirements": null,
    "created": "2026-01-26T23:32:24.938610Z",
    "author": "OpenSAFELY",
    "collections": [
      {
        "name": "OpenCodelist",
        "value": 31
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 1,
      "slug": "opensafely",
      "name": "OpenSAFELY"
    },
    "world_access": 1,
    "updated": "2026-01-26T23:32:26.215438Z",
    "references": [],
    "signed_off": [],
    "methodology": "",
    "coding_system": [
      {
        "name": "OPCS4 codes",
        "value": 7
      }
    ],
    "open_codelist_id": "opensafely/surgery-emergency-opcs-4-codes-without-complication-codes",
    "source_reference": "https://www.opencodelists.org/codelist/opensafely/surgery-emergency-opcs-4-codes-without-complication-codes/066e9dcd",
    "concept_information": [
      {
        "concept_id": 9048,
        "concept_version_id": 16533,
        "concept_name": "opensafely/surgery-emergency-opcs-4-codes-without-complication-codes/066e9dcd",
        "coding_system": {
          "id": 7,
          "name": "OPCS4 codes",
          "description": "OPCS4 codes"
        },
        "phenotype_id": "PH3745",
        "phenotype_version_id": 8871,
        "phenotype_name": "Surgery Emergency OPCS-4 codes WITHOUT complication codes",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "V221",
            "description": "Primary anterior decompression of cervical spinal cord and fusion of joint of cervical spine",
            "attributes": null
          },
          {
            "code": "V222",
            "description": "Primary anterior decompression of cervical spinal cord NEC",
            "attributes": null
          },
          {
            "code": "V225",
            "description": "Primary decompression of posterior fossa and upper cervical spinal cord and instrumentation",
            "attributes": null
          },
          {
            "code": "V226",
            "description": "Primary decompression of posterior fossa and upper cervical spinal cord NEC",
            "attributes": null
          },
          {
            "code": "V227",
            "description": "Primary laminoplasty of cervical spine",
            "attributes": null
          },
          {
            "code": "V228",
            "description": "Other specified primary decompression operations on cervical spine",
            "attributes": null
          },
          {
            "code": "V229",
            "description": "Unspecified primary decompression operations on cervical spine",
            "attributes": null
          },
          {
            "code": "V241",
            "description": "Primary decompression of thoracic spinal cord and fusion of joint of thoracic spine",
            "attributes": null
          },
          {
            "code": "V242",
            "description": "Primary decompression of thoracic spinal cord NEC",
            "attributes": null
          },
          {
            "code": "V248",
            "description": "Other specified decompression operations on thoracic spine",
            "attributes": null
          },
          {
            "code": "V249",
            "description": "Unspecified decompression operations on thoracic spine",
            "attributes": null
          },
          {
            "code": "V251",
            "description": "Primary extended decompression of lumbar spine and intertransverse fusion of joint of lumbar spine",
            "attributes": null
          },
          {
            "code": "V252",
            "description": "Primary extended decompression of lumbar spine NEC",
            "attributes": null
          },
          {
            "code": "V253",
            "description": "Primary posterior decompression of lumbar spine and intertransverse fusion of joint of lumbar spine",
            "attributes": null
          },
          {
            "code": "V254",
            "description": "Primary posterior laminectomy decompression of lumbar spine",
            "attributes": null
          },
          {
            "code": "V255",
            "description": "Primary posterior decompression of lumbar spine NEC",
            "attributes": null
          },
          {
            "code": "V256",
            "description": "Primary lateral foraminotomy of lumbar spine",
            "attributes": null
          },
          {
            "code": "V257",
            "description": "Primary anterior corpectomy of lumbar spine and reconstruction HFQ",
            "attributes": null
          },
          {
            "code": "V258",
            "description": "Other specified primary decompression operations on lumbar spine",
            "attributes": null
          },
          {
            "code": "V259",
            "description": "Unspecified primary decompression operations on lumbar spine",
            "attributes": null
          },
          {
            "code": "V271",
            "description": "Primary decompression of spinal cord and fusion of joint of spine NEC",
            "attributes": null
          },
          {
            "code": "V272",
            "description": "Primary decompression of spinal cord NEC",
            "attributes": null
          },
          {
            "code": "V408",
            "description": "Other specified stabilisation of spine",
            "attributes": null
          },
          {
            "code": "V409",
            "description": "Unspecified stabilisation of spine",
            "attributes": null
          },
          {
            "code": "V441",
            "description": "Complex decompression of fracture of spine",
            "attributes": null
          },
          {
            "code": "V442",
            "description": "Anterior decompression of fracture of spine",
            "attributes": null
          },
          {
            "code": "V443",
            "description": "Posterior decompression of fracture of spine NEC",
            "attributes": null
          },
          {
            "code": "V444",
            "description": "Vertebroplasty of fracture of spine",
            "attributes": null
          },
          {
            "code": "V445",
            "description": "Balloon kyphoplasty of fracture of spine",
            "attributes": null
          },
          {
            "code": "V448",
            "description": "Other specified decompression of fracture of spine",
            "attributes": null
          },
          {
            "code": "V451",
            "description": "Open reduction of fracture of spine and excision of facet of spine",
            "attributes": null
          },
          {
            "code": "V452",
            "description": "Open reduction of fracture of spine NEC",
            "attributes": null
          },
          {
            "code": "V453",
            "description": "Manipulative reduction of fracture of spine",
            "attributes": null
          },
          {
            "code": "V458",
            "description": "Other specified other reduction of fracture of spine",
            "attributes": null
          },
          {
            "code": "V461",
            "description": "Fixation of fracture of spine using plate",
            "attributes": null
          },
          {
            "code": "V462",
            "description": "Fixation of fracture of spine using Harrington rod",
            "attributes": null
          },
          {
            "code": "V463",
            "description": "Fixation of fracture of spine using wire",
            "attributes": null
          },
          {
            "code": "V464",
            "description": "Fixation of fracture of spine and skull traction HFQ",
            "attributes": null
          },
          {
            "code": "V465",
            "description": "Removal of fixation device from spine",
            "attributes": null
          },
          {
            "code": "V468",
            "description": "Other specified fixation of fracture of spine",
            "attributes": null
          },
          {
            "code": "V469",
            "description": "Unspecified fixation of fracture of spine",
            "attributes": null
          },
          {
            "code": "V501",
            "description": "Manipulation of spine using traction",
            "attributes": null
          },
          {
            "code": "V508",
            "description": "Other specified manipulation of spine",
            "attributes": null
          },
          {
            "code": "V509",
            "description": "Unspecified manipulation of spine",
            "attributes": null
          },
          {
            "code": "V525",
            "description": "Aspiration of intervertebral disc NEC",
            "attributes": null
          },
          {
            "code": "W181",
            "description": "Fenestration of cortex of bone",
            "attributes": null
          },
          {
            "code": "W182",
            "description": "Saucerisation of bone",
            "attributes": null
          },
          {
            "code": "W183",
            "description": "Sequestrectomy of bone",
            "attributes": null
          },
          {
            "code": "W184",
            "description": "Decompression of fourage of bone",
            "attributes": null
          },
          {
            "code": "W185",
            "description": "Insertion of drainage system into bone",
            "attributes": null
          },
          {
            "code": "W188",
            "description": "Other specified drainage of bone",
            "attributes": null
          },
          {
            "code": "W189",
            "description": "Unspecified drainage of bone",
            "attributes": null
          },
          {
            "code": "W191",
            "description": "Primary open reduction of fracture of neck of femur and open fixation using pin and plate",
            "attributes": null
          },
          {
            "code": "W192",
            "description": "Primary open reduction of fracture of long bone and fixation using rigid nail NEC",
            "attributes": null
          },
          {
            "code": "W193",
            "description": "Primary open reduction of fracture of long bone and fixation using flexible nail",
            "attributes": null
          },
          {
            "code": "W201",
            "description": "Primary open reduction of fracture of long bone and extramedullary fixation using plate NEC",
            "attributes": null
          },
          {
            "code": "W202",
            "description": "Primary open reduction of fracture of long bone and extramedullary fixation using cerclage",
            "attributes": null
          },
          {
            "code": "W203",
            "description": "Primary open reduction of fracture of long bone and extramedullary fixation using suture",
            "attributes": null
          },
          {
            "code": "W204",
            "description": "Primary open reduction of fracture of long bone and complex extramedullary fixation NEC",
            "attributes": null
          },
          {
            "code": "W211",
            "description": "Primary reduction of intra-articular fracture of bone using arthrotomy as approach",
            "attributes": null
          },
          {
            "code": "W212",
            "description": "Primary excision of intra-articular fragment of intra-articular fracture of bone",
            "attributes": null
          },
          {
            "code": "W213",
            "description": "Primary fixation of fragment of chondral cartilage of intra-articular fracture of bone",
            "attributes": null
          },
          {
            "code": "W214",
            "description": "Primary intra-articular fixation of intra-articular fracture of bone NEC",
            "attributes": null
          },
          {
            "code": "W215",
            "description": "Primary extra-articular reduction of intra-articular fracture of bone",
            "attributes": null
          },
          {
            "code": "W218",
            "description": "Other specified primary open reduction of intra-articular fracture of bone",
            "attributes": null
          },
          {
            "code": "W219",
            "description": "Unspecified primary open reduction of intra-articular fracture of bone",
            "attributes": null
          },
          {
            "code": "W241",
            "description": "Closed reduction of intracapsular fracture of neck of femur and fixation using nail or screw",
            "attributes": null
          },
          {
            "code": "W242",
            "description": "Closed reduction of fracture of long bone and rigid internal fixation NEC",
            "attributes": null
          },
          {
            "code": "W243",
            "description": "Closed reduction of fracture of long bone and flexible internal fixation HFQ",
            "attributes": null
          },
          {
            "code": "W301",
            "description": "Application of external fixation to bone NEC",
            "attributes": null
          },
          {
            "code": "W304",
            "description": "Application of external ring fixation to bone NEC",
            "attributes": null
          },
          {
            "code": "W308",
            "description": "Other specified other external fixation of bone",
            "attributes": null
          },
          {
            "code": "W309",
            "description": "Unspecified other external fixation of bone",
            "attributes": null
          },
          {
            "code": "W336",
            "description": "Debridement of bone NEC",
            "attributes": null
          },
          {
            "code": "W337",
            "description": "Lavage of bone",
            "attributes": null
          },
          {
            "code": "W651",
            "description": "Primary open reduction of fracture dislocation of joint and skeletal traction HFQ",
            "attributes": null
          },
          {
            "code": "W652",
            "description": "Primary open reduction of traumatic dislocation of joint and skeletal traction NEC",
            "attributes": null
          },
          {
            "code": "W653",
            "description": "Primary open reduction of fracture dislocation of joint NEC",
            "attributes": null
          },
          {
            "code": "W654",
            "description": "Primary open reduction of fracture dislocation of joint and internal fixation NEC",
            "attributes": null
          },
          {
            "code": "W655",
            "description": "Primary open reduction of fracture dislocation of joint and combined internal and external fixation",
            "attributes": null
          },
          {
            "code": "W658",
            "description": "Other specified primary open reduction of traumatic dislocation of joint",
            "attributes": null
          },
          {
            "code": "W659",
            "description": "Unspecified primary open reduction of traumatic dislocation of joint",
            "attributes": null
          },
          {
            "code": "W661",
            "description": "Primary closed reduction of fracture dislocation of joint and skeletal traction HFQ",
            "attributes": null
          },
          {
            "code": "W662",
            "description": "Primary closed reduction of traumatic dislocation of joint and skeletal traction NEC",
            "attributes": null
          },
          {
            "code": "W663",
            "description": "Primary manipulative closed reduction of fracture dislocation of joint NEC",
            "attributes": null
          },
          {
            "code": "W664",
            "description": "Primary closed reduction of fracture dislocation of joint and internal fixation",
            "attributes": null
          },
          {
            "code": "W668",
            "description": "Other specified primary closed reduction of traumatic dislocation of joint",
            "attributes": null
          },
          {
            "code": "W669",
            "description": "Unspecified primary closed reduction of traumatic dislocation of joint",
            "attributes": null
          },
          {
            "code": "W681",
            "description": "Open reduction of injury to growth plate and internal fixation HFQ",
            "attributes": null
          },
          {
            "code": "W682",
            "description": "Open reduction of injury to growth plate and traction HFQ",
            "attributes": null
          },
          {
            "code": "W683",
            "description": "Open reduction of injury to growth plate NEC",
            "attributes": null
          },
          {
            "code": "W684",
            "description": "Closed reduction of injury to growth plate and internal fixation HFQ",
            "attributes": null
          },
          {
            "code": "W685",
            "description": "Closed reduction of injury to growth plate and traction HFQ",
            "attributes": null
          },
          {
            "code": "W686",
            "description": "Closed reduction of injury to growth plate NEC",
            "attributes": null
          },
          {
            "code": "W901",
            "description": "Aspiration of joint",
            "attributes": null
          }
        ]
      }
    ],
    "coding_system_release": "",
    "open_codelist_version_id": "066e9dcd",
    "open_codelist_version_tag": "",
    "status": 1,
    "doi": "https://doi.org/10.48533/s0bd-r506",
    "is_deleted": false,
    "publish_status": 2,
    "owner": "ieuan.scanlon",
    "template": {
      "id": 3,
      "name": "OpenCodelists Phenotype",
      "description": "OpenSafely's OpenCodelist Phenotype, visit https://www.opencodelists.org/ to learn more",
      "version_id": 1
    },
    "versions": [
      {
        "version_id": 8871,
        "version_name": "Surgery Emergency OPCS-4 codes WITHOUT complication codes",
        "version_date": "2026-01-26T23:32:26.225606Z",
        "is_published": true,
        "is_latest": true
      },
      {
        "version_id": 8870,
        "version_name": "Surgery Emergency OPCS-4 codes WITHOUT complication codes",
        "version_date": "2026-01-26T23:32:24.949714Z",
        "is_published": true,
        "is_latest": false
      }
    ]
  }
]