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OPCS Classification of Interventions and Procedures

OPCS-4 is a statistical classification for clinical coding of hospital interventions and procedures undertaken by the NHS.

Documentation

About this standard

Publisher
NHS England
Also known as
OPCS-4 Classification of Interventions and Procedures
Reference code
DAPB0084 Amd 36/2025
Publication date
6 November 2025
Publication version
4.11.0
Status
Active
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Active. Active standards are stable, maintained and have been approved, assured or endorsed for use by qualified bodies.

Deprecated Deprecated standards are available for use and are maintained, but are being phased out, so new functionality will not be added.

Retired standards Retired standards are not being maintained or supported and should not be used.

Standard type
Information standards
Show definitions of standard types

Collections. A Collection is a systematic gathering of a specified selection of data or information for a particular stated purpose from existing records held within health and care systems and electronic devices.

Extractions. An extraction is a type of collection that is pulled from an operational system by the data controller and transmitted to the receiver without additional processing or transcription by the sender.

Information standards. Information standards are agreed ways of doing something, written down as a set of precise criteria so they can be used as rules, guidelines, or definitions.

Technical Standards and specifications. Technical standards and specifications specify how to make information available technically including how the data is structured and transported.

Contact point

support.digitalservices@nhs.net

Using this standard

Associated medias
Applies to
All providers of NHS funded hospital services
Impacts on
Implementation of this information standard impacts all health IT systems suppliers providing systems to the above providers; suppliers should work with their customers to determine necessary changes.
Effective from
1 April 2026

Topics and care settings

Topic
  • Data definitions and terminologies
  • Reference data
Care setting
  • Community health
  • Hospital
  • Maternity
  • Mental health
  • Urgent and Emergency Care
Related standards

Review Information

Scope
NHS Services
Approval date
29 October 2025
Technical Committee

Data Assurance Board (DAB)

Link to Information Standards Notice (ISN)
View the information standards notice

Information Standards Notices (ISNs) are published to announce new or changes to information standards published under section 250 of the Health and Social Care Act 2012

Legal authority

Section 250 of the Health and Social Care Act 2012

This information standard is published under section 250 of the Health and Social Care Act 2012

More information

OPCS-4 Classification of Interventions and Procedures is a mandatory information standard used for the clinical coding of hospital interventions and procedures undertaken by the NHS. It supports analysis of healthcare data across the NHS. Previous releases were produced in two paper volumes, OPCS-4.11 will migrate to an online web browser only, called ‘NHS Classifications Browser’. OPCS-4.11 includes new codes, retirements and changes to code descriptions, notes, and changes to the Alphabetical Index. In total there are 5114 amendments proposed to OPCS-4.11

Page last updated: 13 May 2026