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<p>For the 2026 proposal procedure, numerous modifications to the ICD-10-GM and OPS classification were initiated and implemented through the Health Economics Section of the German Society for General and Visceral Surgery at the Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte). The aim is to achieve a&#xa0;more precise and performance-adequate representation of surgical procedures within the G‑DRG system. Within ICD-10-GM, perianal malignancies were further differentiated, including the introduction of a&#xa0;new specific code for malignant melanoma of the perianal skin.</p><p>In the OPS classification, the designation of bilateral procedures with the marker “B” will be discontinued in favor of separate side-specific coding. A&#xa0;new code has also been introduced for the intraoperative identification of parathyroid glands using autofluorescence.</p><p>Revision surgery of the stomach has been expanded by introducing a&#xa0;new category for other revision procedures. In addition, the coding of surgical treatment for diaphragmatic hernias has been fundamentally restructured and will now differentiate between primary and recurrent procedures as well as surgical approaches, allowing a&#xa0;more accurate representation of clinical practice in this field. In hemifundoplication, closure of the hiatus must now be coded separately in a&#xa0;systematic manner.</p><p>For incisional hernias, a&#xa0;renewed proposal will be submitted to the Federal Institute for Drugs and Medical Devices for the 2027 proposal procedure to introduce differentiated coding of W1–W3 defect sizes. This request is based on our recently published study demonstrating a&#xa0;significantly higher complication rate starting from W2 incisional hernias, suggesting that these cases are clinically unsuitable for management within a&#xa0;hybrid DRG framework. The transversus abdominis release (TAR) technique will now be considered equivalent to component separation procedures in OPS coding.</p><p>Furthermore, colon resections and atypical liver resections will be coded in greater detail, particularly with regard to reconstruction type, conversion of surgical approach, and the number of resected lesions.</p>

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Update DRG-Kodierung 2026 für die Allgemein- und Viszeralchirurgie

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月10日

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  • Rolf Bartkowski,
  • Ferdinand Köckerling,
  • Bernhard J. Lammers,
  • Stefan Farke,
  • Helmut Witzigmann,
  • Andreas Zielke,
  • Waldemar Uhl

摘要

For the 2026 proposal procedure, numerous modifications to the ICD-10-GM and OPS classification were initiated and implemented through the Health Economics Section of the German Society for General and Visceral Surgery at the Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte). The aim is to achieve a more precise and performance-adequate representation of surgical procedures within the G‑DRG system. Within ICD-10-GM, perianal malignancies were further differentiated, including the introduction of a new specific code for malignant melanoma of the perianal skin.

In the OPS classification, the designation of bilateral procedures with the marker “B” will be discontinued in favor of separate side-specific coding. A new code has also been introduced for the intraoperative identification of parathyroid glands using autofluorescence.

Revision surgery of the stomach has been expanded by introducing a new category for other revision procedures. In addition, the coding of surgical treatment for diaphragmatic hernias has been fundamentally restructured and will now differentiate between primary and recurrent procedures as well as surgical approaches, allowing a more accurate representation of clinical practice in this field. In hemifundoplication, closure of the hiatus must now be coded separately in a systematic manner.

For incisional hernias, a renewed proposal will be submitted to the Federal Institute for Drugs and Medical Devices for the 2027 proposal procedure to introduce differentiated coding of W1–W3 defect sizes. This request is based on our recently published study demonstrating a significantly higher complication rate starting from W2 incisional hernias, suggesting that these cases are clinically unsuitable for management within a hybrid DRG framework. The transversus abdominis release (TAR) technique will now be considered equivalent to component separation procedures in OPS coding.

Furthermore, colon resections and atypical liver resections will be coded in greater detail, particularly with regard to reconstruction type, conversion of surgical approach, and the number of resected lesions.