On October 26, 2023, the BfArM (Federal Institute for Drugs and Medical Devices) unveiled the official 2024 OPS procedure coding classification, a critical component of Germany’s outpatient and inpatient healthcare reimbursement systems, working alongside the ICD-10-GM.
The OPS 2024 incorporates 160 proposals from various stakeholders, including professional societies, health insurance associations, and healthcare institutions. Notable updates and new procedure codes are particularly concentrated in chapters 5, “Operations,” and 8, “Non-operative therapeutic measures.”
OPS Procedure Coding Classification
Here are some examples of the newly introduced codes by the technology group:
Cardiovascular
- Ablative measures in cardiac arrhythmias with the use of guidance, including endoscopy and magnetic resonance imaging.
- Other percutaneous transluminal vascular interventions on the heart and coronary vessels, such as intracoronary hyperoxemic therapy.

Extracorporeal Treatments
- Adsorption and related procedures like C-reactive protein apheresis, with options for reusable and regenerable adsorbers.
- Extracorporeal liver replacement therapy (liver dialysis), with and without individualized pH control to compensate for acidosis.
Gastrointestinal
- Additional diagnostic measures involve the use of single-use endoscopes for duodenoscopy and gastroscopy.
- Revision after gastric resection, specifically the reduction of an anastomosis.
- Replacement and removal of a gastrostomy catheter, with or without a jejunal probe, and other variations.
For more detailed information in German, please refer to the full article linked here.
Resource: Med Tech Reimbursement and IVD Consulting, November 14, 2023

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