Klinik für Geburtshilfe und Frauenheilkunde

Treatments according to OPS

Service Number of cases OPS key Info
Care of a new-born baby after birth 1.856 9-262.0
Monitoring and care of childbirth with increased risk for the mother or child 1.129 9-261
Patient education 1.080 9-500.0
Treatment by injecting a medicine into an organ or tissue, or removal of excess fluid (effusion) e.g. from the joints 809 8-020.x
Care of a new-born baby after birth 574 9-262.1
Other caesarean section 356 5-749.0
Reconstructive operations on the female reproductive organs after a perineal tear during delivery 349 5-758.4
Reconstructive operations on the female reproductive organs after a perineal tear during delivery 332 5-758.3
Artificial rupture of membranes 314 5-730
Other caesarean section 222 5-749.10
Other caesarean section 221 5-749.11
Monitoring and care of normal childbirth 199 9-260
Caesarean section with incision above the cervix or through the body of the uterus 190 5-741.0
Reconstructive operations on the female reproductive organs after a perineal tear during delivery 173 5-758.2
Extension of the vaginal opening with an incision into the perineum (episiotomy) during childbirth, with subsequent suturing 162 5-738.0
Caesarean section with incision above the cervix or through the body of the uterus 147 5-741.1
Classic caesarean section 143 5-740.1
Classic caesarean section 138 5-740.0
Delivery with aid of specific manual manoeuvres 99 8-515
Surgical destruction of the upper part of the lining of the womb (endometrium) - curettage 83 5-690.0
Vaginal delivery by means of a vacuum extractor 66 5-728.1
Surgical removal of a fallopian tube 60 5-661.62
Hospital treatment prior to delivery in the same stay 56 9-280.0
Examination of the uterus by endoscopy 50 1-672
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification 48 5-657.60
Surgical removal or destruction of tissue in the ovary 47 5-651.92
Removal of the retained placenta after childbirth 47 5-756.1
Vaginal delivery by means of a vacuum extractor 42 5-728.0
Reconstructive operations on the female reproductive organs after a perineal tear during delivery 41 5-758.5
Surgical removal and destruction of diseased uterine tissue 39 5-681.4
Almost complete surgical removal of the womb (uterus) 39 5-682.02
Transfusion of blood, red blood cells or platelets from a donor to a recipient 39 8-800.c0
Removal of the retained placenta after childbirth 37 5-756.0
Surgical removal of a fallopian tube 32 5-661.60
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification 31 5-657.62
Hospital treatment prior to delivery in the same stay 27 9-280.1
Complete surgical removal of the uterus - hysterectomy 26 5-683.03
Examination of the abdominal cavity or its organs by endoscopy 17 1-694
Surgical removal of the ovary and the fallopian tube 17 5-653.32
Operation when the fertilised egg has implanted outside the uterus (ectopic pregnancy) 17 5-744.02
Other operations on the intestine 16 5-469.20
Surgical destruction or closure of the fallopian tube - sterilisation operation for women 16 5-663.40
Temporary covering of soft tissue injuries with skin or artificial skin 16 5-916.a0
Hospital treatment prior to delivery in the same stay 15 9-280.2
15 9-984.8
14 8-98g.10
Surgical destruction or closure of the fallopian tube - sterilisation operation for women 13 5-663.50
13 9-984.7
Surgical removal or destruction of tissue in the ovary 12 5-651.82
Surgical removal or destruction of tissue in the ovary 12 5-651.90
Surgical removal of a fallopian tube 12 5-661.50
Complete surgical removal of the uterus - hysterectomy 12 5-683.20
Surgical destruction of the upper part of the lining of the womb (endometrium) - curettage 12 5-690.1
Interdisciplinary management for colonisation or infection with multiresistant germs (pathogens) 12 8-987.10
Reconstructive operations on the cervix during pregnancy 11 5-674.0
Reconstructive operations on the female reproductive organs after a perineal tear during delivery 11 5-758.0
11 9-984.6
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification 10 5-657.72
Dilatation of the cervix 10 5-670
Complete surgical removal of the uterus - hysterectomy 10 5-683.01
Complete surgical removal of the uterus - hysterectomy 10 5-683.23
Surgical destruction of the upper part of the lining of the womb (endometrium) - curettage 10 5-690.2
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina 10 5-704.00
Revision operations 10 5-983
Examination to detect a metabolic disorder, in which a specific substance (e.g. glucose) is given 9 1-760
Surgical removal of the ovary and the fallopian tube 9 5-653.30
Removal of a foreign body from the womb (uterus) 9 5-691
Other operations on the intestine 8 5-469.21
Surgical removal or destruction of tissue in the abdominal cavity 8 5-543.21
Surgical removal and destruction of diseased uterine tissue 8 5-681.53
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina 8 5-704.01
Temporary covering of soft tissue injuries with skin or artificial skin 8 5-916.a5
Surgical removal or destruction of tissue in the ovary 7 5-651.80
Surgical removal and destruction of diseased uterine tissue 7 5-681.80
Surgical removal and destruction of diseased uterine tissue 7 5-681.82
Type of material used for tissue replacement and tissue reinforcement 7 5-932.41
Specific dressing techniques 7 8-190.20
Changing the lie (version) of the unborn child (fetus) before childbirth 7 8-510.1
Transfusion of blood plasma or plasma components or genetically engineered blood proteins 7 8-810.j7
Taking a tissue sample (biopsy) of the lining of the uterus (endometrium) without surgical incision 6 1-471.2
Other operations on the tongue 6 5-259.1
Surgical removal of individual lymph nodes or lymphatic vessels 6 5-401.92
Reconstructive operations on the cervix during pregnancy 6 5-674.1
Surgical removal or destruction of diseased tissue in the vagina or the space between the uterus and the large intestine (pouch of Douglas), with access through the vagina 6 5-702.2
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina 6 5-704.10
Operation on a Bartholin-s gland 6 5-711.0
Operation when the fertilised egg has implanted outside the uterus (ectopic pregnancy) 6 5-744.42
6 5-896.1b
Treatment by specific positioning of the patient in bed, e.g. positioning in a sling table or special bed 6 8-390.y
Transfusion of blood plasma or plasma components or genetically engineered blood proteins 6 8-810.j5
Hospital treatment prior to delivery in the same stay 6 9-280.3
Taking a tissue sample (biopsy) of any other digestive tract organ, the peritoneum, or the tissue lying behind the peritoneum (retroperitoneum) through a surgical incision 5 1-559.4
Other operations on the mouth 5 5-279.1
Other operations on blood vessels 5 5-399.5
Surgical repair of the abdominal wall or the peritoneum 5 5-545.0
Reconstructive operations on the ovary 5 5-656.a2
Surgical removal or destruction of diseased tissue in the fallopian tube 5 5-665.40
Other operations on the cervix 5 5-679.0
Surgical removal and destruction of diseased uterine tissue 5 5-681.83
Surgical removal or destruction of diseased tissue in the vagina or the space between the uterus and the large intestine (pouch of Douglas), with access through the vagina 5 5-702.1
Surgical removal or destruction of diseased tissue in the vagina or the space between the uterus and the large intestine (pouch of Douglas), with access through the vagina 5 5-702.4
Surgical incision into the external female reproductive organs 5 5-710
Other surgical removal or destruction of diseased tissue in the external female reproductive organs 5 5-712.0
Simple surgical closure of the skin or the subcutaneous tissues after injuries, e.g. with a suture 5 5-900.1b
Insertion of a small tube (cannula) or catheter into another organ or tissue for the drainage of fluid 5 8-148.0
Supervision and management of isolated placenta birth 5 9-263
Examination of the abdominal cavity by taking a sample of fluid or tissue with a needle 4 1-853.2
Surgical removal of a fallopian tube 4 5-661.42
Other reconstructive operations on the cervix 4 5-675.0
Surgical removal and destruction of diseased uterine tissue 4 5-681.92
Complete surgical removal of the uterus - hysterectomy 4 5-683.00
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina 4 5-704.6a
Other reconstructive operations on the vagina 4 5-706.0
Operation on a Bartholin-s gland 4 5-711.1
Other surgical incision into the skin or subcutaneous tissues 4 5-892.0b
Other surgical incision into the skin or subcutaneous tissues 4 5-892.0c
Other surgical incision into the skin or subcutaneous tissues 4 5-892.1b
Type of material used for tissue replacement and tissue reinforcement 4 5-932.40
Changing the lie (version) of the unborn child (fetus) before childbirth 4 8-510.0
Use of a face, nasal, or laryngeal mask for mechanical ventilation 4 8-706
Transfusion of blood previously taken from a person - autologous blood transfusion 4 8-803.2
Comprehensive pain control for acute pain 4 8-919
Clinical examination under general anaesthetic not specified 1-100
Examination of the cerebrospinal fluid spaces not specified 1-204.2
Taking a tissue sample (biopsy) of the female reproductive organs with a needle through the skin not specified 1-470.2
Taking a tissue sample (biopsy) of the female reproductive organs with a needle through the skin not specified 1-470.4
Taking a tissue sample (biopsy) of the female reproductive organs with a needle through the skin not specified 1-470.5
Taking a tissue sample (biopsy) of the female reproductive organs with a needle through the skin not specified 1-470.6
Taking a tissue sample (biopsy) of the lining of the uterus (endometrium) without surgical incision not specified 1-471.0
Taking a tissue sample (biopsy) of the cervix without surgical incision not specified 1-472.0
Taking a tissue sample (biopsy) of the cervix without surgical incision not specified 1-472.x
Taking a tissue sample (biopsy) of bone without surgical incision, guided by imaging procedures such as ultrasound not specified 1-481.7
Taking a tissue sample (biopsy) of other organs or tissues through the skin, guided by imaging procedures such as ultrasound not specified 1-494.7
Taking a tissue sample (biopsy) of any other digestive tract organ, the peritoneum, or the tissue lying behind the peritoneum (retroperitoneum) through a surgical incision not specified 1-559.3
Taking a tissue sample (biopsy) of the ovary, fallopian tubes or uterine ligaments through a surgical incision not specified 1-570.0
Taking a tissue sample (biopsy) of the uterus or cervix through a surgical incision not specified 1-571.1
Taking a tissue sample (biopsy) of the vagina through a surgical incision not specified 1-572
Taking a tissue sample (biopsy) of lymph nodes through a surgical incision not specified 1-586.0
Taking a tissue sample (biopsy) of other organs or tissues through a surgical incision not specified 1-589.1
Examination of the urethra and the urinary bladder by endoscopy not specified 1-661
Examination of the urinary tract by endoscopy through a surgical incision or during an operation not specified 1-693.2
Complex sonographic diagnosis of disease and malformation in foetuses not specified 3-032
Complex differential diagnostic sonography of the vascular system with quantitative evaluation not specified 3-035
Ultrasound of the urinary bladder and the urethra with access through the urethra or anus not specified 3-05b.1
Ultrasound of the female reproductive organs with access through the vagina not specified 3-05d
Surgical suture of blood vessels not specified 5-388.33
Surgical suture of blood vessels not specified 5-388.97
Surgical removal of individual lymph nodes or lymphatic vessels not specified 5-401.6
Clearance of several lymph nodes from a region [as a standalone operation] not specified 5-402.5
Clearance of several lymph nodes from a region [as a standalone operation] not specified 5-402.x
Clearance of several lymph nodes from a region during another operation not specified 5-406.2
Clearance of several lymph nodes from a region during another operation not specified 5-406.3
Clearance of several lymph nodes from a region during another operation not specified 5-406.4
Clearance of several lymph nodes from a region during another operation not specified 5-406.5
Clearance of several lymph nodes from a region during another operation not specified 5-406.6
Removal of all lymph nodes from a region during another operation not specified 5-407.2
Other operations on the intestine not specified 5-469.00
Other operations on the intestine not specified 5-469.10
Other operations on the intestine not specified 5-469.22
Other operations on the intestine not specified 5-469.d3
Other operations on the appendix not specified 5-479.x
Reconstructive operations on the rectum not specified 5-486.0
Reconstructive operations on the liver not specified 5-505.1
Surgical incision into the abdominal wall not specified 5-540.0
Surgical opening of the abdominal cavity or tissue lying behind (retroperitoneum) not specified 5-541.0
Surgical opening of the abdominal cavity or tissue lying behind (retroperitoneum) not specified 5-541.2
Surgical opening of the abdominal cavity or tissue lying behind (retroperitoneum) not specified 5-541.3
Surgical removal or destruction of tissue in the abdominal cavity not specified 5-543.0
Surgical removal or destruction of tissue in the abdominal cavity not specified 5-543.20
Reconstructive surgery of the abdominal wall or the peritoneum not specified 5-546.1
Other abdominal operations not specified 5-549.0
Other abdominal operations not specified 5-549.5
Reconstructive operations on the ureter not specified 5-568.d0
Surgical removal or destruction of diseased tissue in the urinary bladder, by an open operation or by endoscopy not specified 5-574.1
Other reconstructive operations on the urinary bladder not specified 5-578.00
Surgical incision into or removal of tissue lying behind the abdominal cavity (retroperitoneum) not specified 5-590.51
Surgical incision into or removal of tissue lying behind the abdominal cavity (retroperitoneum) not specified 5-590.53
Operation to lift the neck of the bladder in cases of urinary incontinence, with access through the vagina not specified 5-593.20
Other operations on the urinary tract not specified 5-599.00
Surgical incision into the ovary not specified 5-650.4
Surgical removal or destruction of tissue in the ovary not specified 5-651.b2
Surgical removal or destruction of tissue in the ovary not specified 5-651.x2
Surgical removal of the ovary not specified 5-652.60
Surgical removal of the ovary not specified 5-652.62
Surgical removal of the ovary and the fallopian tube not specified 5-653.20
Surgical removal of the ovary and the fallopian tube not specified 5-653.22
Surgical removal of the ovary and the fallopian tube not specified 5-653.33
Reconstructive operations on the ovary not specified 5-656.81
Reconstructive operations on the ovary not specified 5-656.a0
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification not specified 5-657.6x
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification not specified 5-657.80
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification not specified 5-657.82
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification not specified 5-657.90
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification not specified 5-657.92
Surgical division of adhesions on the ovary and fallopian tube without the aid of equipment for optical magnification not specified 5-657.x0
Surgical division of adhesions on the ovary and fallopian tube with the aid of equipment for optical magnification not specified 5-658.6
Other operations on the ovary not specified 5-659.x2
Surgical incision into the fallopian tubes not specified 5-660.2
Surgical incision into the fallopian tubes not specified 5-660.4
Surgical removal of a fallopian tube not specified 5-661.40
Surgical removal of a fallopian tube not specified 5-661.52
Surgical removal of a fallopian tube not specified 5-661.5x
Surgical removal of a fallopian tube not specified 5-661.63
Surgical removal of a fallopian tube not specified 5-661.65
Surgical removal of a fallopian tube not specified 5-661.6x
Surgical destruction or closure of the fallopian tube - sterilisation operation for women not specified 5-663.00
Surgical destruction or closure of the fallopian tube - sterilisation operation for women not specified 5-663.4x
Surgical destruction or closure of the fallopian tube - sterilisation operation for women not specified 5-663.x0
Surgical removal or destruction of diseased tissue in the fallopian tube not specified 5-665.42
Surgical removal or destruction of diseased tissue in the fallopian tube not specified 5-665.52
Surgical removal or destruction of diseased tissue in the fallopian tube not specified 5-665.x0
Restoration of the patency of the fallopian tubes by the injection of fluid or gas not specified 5-667.1
Surgical removal of a cone-shaped piece of tissue (biopsy) from the cervix not specified 5-671.01
Other surgical removal or destruction of diseased cervical tissue not specified 5-672.0
Other reconstructive operations on the cervix not specified 5-675.1
Surgical removal and destruction of diseased uterine tissue not specified 5-681.33
Surgical removal and destruction of diseased uterine tissue not specified 5-681.60
Surgical removal and destruction of diseased uterine tissue not specified 5-681.84
Surgical removal and destruction of diseased uterine tissue not specified 5-681.86
Surgical removal and destruction of diseased uterine tissue not specified 5-681.90
Surgical removal and destruction of diseased uterine tissue not specified 5-681.94
Almost complete surgical removal of the womb (uterus) not specified 5-682.00
Almost complete surgical removal of the womb (uterus) not specified 5-682.01
Almost complete surgical removal of the womb (uterus) not specified 5-682.03
Almost complete surgical removal of the womb (uterus) not specified 5-682.x0
Complete surgical removal of the uterus - hysterectomy not specified 5-683.02
Complete surgical removal of the uterus - hysterectomy not specified 5-683.04
Complete surgical removal of the uterus - hysterectomy not specified 5-683.10
Complete surgical removal of the uterus - hysterectomy not specified 5-683.14
Complete surgical removal of the uterus - hysterectomy not specified 5-683.24
Surgical removal of the uterus including the surrounding tissue, as well as the upper part of the vagina not specified 5-685.1
Surgical destruction of the upper part of the lining of the womb (endometrium) - curettage not specified 5-690.x
Reconstructive operations on the womb (uterus) not specified 5-695.00
Reconstructive operations on the womb (uterus) not specified 5-695.02
Reconstructive operations on the womb (uterus) not specified 5-695.x0
Surgical opening of the lower abdominal cavity (pouch of Douglas) from the vagina - culdotomy not specified 5-700
Surgical incision into the vagina not specified 5-701.0
Surgical incision into the vagina not specified 5-701.2
Closure or almost complete surgical removal of the vagina not specified 5-703.1
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina not specified 5-704.4e
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina not specified 5-704.4f
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina not specified 5-704.4g
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina not specified 5-704.5g
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina not specified 5-704.69
Reconstructive operations on the lesser pelvis or on the space between the uterus and the large intestine (pouch of Douglas) not specified 5-707.31
Other surgical removal or destruction of diseased tissue in the external female reproductive organs not specified 5-712.11
Other surgical removal or destruction of diseased tissue in the external female reproductive organs not specified 5-712.12
Operation on the clitoris not specified 5-713.x
Surgical removal of the external female reproductive organs not specified 5-714.41
Surgical construction or reconstruction of the external female reproductive organs (or of the perineum) not specified 5-716.0
Surgical construction or reconstruction of the external female reproductive organs (or of the perineum) not specified 5-716.5
Other operations on the external female reproductive organs not specified 5-718.0
Vaginal delivery by means of a vacuum extractor not specified 5-728.x
Failed vaginal delivery not specified 5-733.1
Extension of the vaginal opening with an incision into the perineum (episiotomy) during childbirth, with subsequent suturing not specified 5-738.2
Caesarean section with incision above the cervix or through the body of the uterus not specified 5-741.2
Caesarean section with incision above the cervix or through the body of the uterus not specified 5-741.4
Caesarean section with incision above the cervix or through the body of the uterus not specified 5-741.5
Removal of the retained placenta after childbirth not specified 5-756.x
Reconstructive operations on the female reproductive organs after a perineal tear during delivery not specified 5-758.1
Reconstructive operations on the female reproductive organs after a perineal tear during delivery not specified 5-758.6
Reconstructive operations on the female reproductive organs after a perineal tear during delivery not specified 5-758.7
Reconstructive operations on the female reproductive organs after a perineal tear during delivery not specified 5-758.x
Other operations in relation to childbirth not specified 5-759.00
Other operations in relation to childbirth not specified 5-759.1
Other operations in relation to childbirth not specified 5-759.x
Reconstructive operations on the connective tissue sheaths of muscles not specified 5-856.06
Other surgical incision into the skin or subcutaneous tissues not specified 5-892.1c
Surgical removal of diseased tissue from the skin or subcutaneous tissues not specified 5-894.0b
Surgical removal of diseased tissue from the skin or subcutaneous tissues not specified 5-894.0e
Surgical removal of diseased tissue from the skin or subcutaneous tissues not specified 5-894.1b
Surgical removal of diseased tissue from the skin or subcutaneous tissues not specified 5-894.1d
not specified 5-896.0c
not specified 5-896.2b
not specified 5-896.xb
Skin grafting [site of removal and nature of the piece of skin removed] not specified 5-901.0e
Free skin flap grafting [site of removal and nature of the graft] not specified 5-902.0b
Nature of the graft material not specified 5-930.4
Type of material used for tissue replacement and tissue reinforcement not specified 5-932.12
Type of material used for tissue replacement and tissue reinforcement not specified 5-932.42
Use of a plastic or biological dividing wall to prevent adhesions not specified 5-933.0
Operation using aids for optical magnification, e.g. magnifying spectacles, operating microscope not specified 5-984
not specified 5-98c.0
Premature termination of an operation (operation not carried out completely) not specified 5-995
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.72
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.99
not specified 6-009.p6
Insertion or exchange of a tube inserted into the small intestine through the oesophagus not specified 8-125.0
Insertion, exchange or removal of a ureteral stent not specified 8-137.00
Insertion of a small tube (cannula) or catheter in the kidney or urinary tract for the drainage of fluid other than urine not specified 8-147.0
Specific dressing techniques not specified 8-190.21
Specific dressing techniques not specified 8-190.23
Specific dressing techniques not specified 8-190.40
Specific dressing techniques not specified 8-190.41
not specified 8-192.0b
Treatment of uterine bleeding by packing with absorbent material (tamponade), not in relation to childbirth not specified 8-503
Treatment of vaginal bleeding by packing with absorbent material (tamponade), not in relation to childbirth not specified 8-504
Making or modifying a device for radiotherapy not specified 8-527.6
Others therapeutic procedures to influence the immune system not specified 8-547.0
Use of natural or artificial light for therapeutic purposes - light therapy not specified 8-560.x
Cardiac or cardiopulmonary resuscitation not specified 8-771
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.c1
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.c2
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.c3
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.g0
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.g3
Transfusion of blood plasma or plasma components or genetically engineered blood proteins not specified 8-810.d7
Transfusion of blood plasma or plasma components or genetically engineered blood proteins not specified 8-810.jb
Transfusion of blood plasma or plasma components or genetically engineered blood proteins not specified 8-810.jd
Transfusion of blood plasma or plasma components or genetically engineered blood proteins not specified 8-810.jn
Transfusion of other plasma components or genetically engineered blood proteins not specified 8-812.52
Transfusion of other plasma components or genetically engineered blood proteins not specified 8-812.5b
Transfusion of other plasma components or genetically engineered blood proteins not specified 8-812.60
Treatment by the exchange of the patient-s own blood for a substitute solution not specified 8-820.04
not specified 8-831.00
not specified 8-831.02
not specified 8-831.04
Treatment with a heart-lung machine (cardiopulmonary bypass) to increase the oxygen concentration in the blood outside the body - ECMO or pre-ECMO therapy not specified 8-852.05
Anaesthesia with administration of an anaesthetic via the respiratory tract not specified 8-901
Regional pain control by injecting an anaesthetic into a space in the spinal canal (subarachnoid space) not specified 8-911
Treatment on the intensive care unit (basic procedures) not specified 8-980.0
Interdisciplinary management for colonisation or infection with multiresistant germs (pathogens) not specified 8-987.11
not specified 8-98g.11
not specified 8-98g.12
Patient education not specified 9-500.1
not specified 9-984.b
Post mortem examination (autopsy) in the hospital to determine the cause of death or for quality assurance not specified 9-990