Klinik für Urologie

Treatments according to OPS

Service Number of cases OPS key Info
Use of an imaging procedure during an operation 578 3-992
X-rays of the kidney and urinary tract with contrast medium 504 3-13d.5
Injection or administration of medicines into the urinary bladder 459 8-132.3
Insertion, exchange or removal of a ureteral stent 318 8-137.00
313 5-98k.0
Computed tomography (CT) of the abdomen without contrast medium 222 3-207
Surgical incision, removal or destruction of diseased tissue in the urinary bladder, with access through the urethra 197 5-573.40
Insertion, exchange or removal of a ureteral stent 182 8-137.10
Surgical incision into the ureter or removal of a stone during an open operation or endoscopy 133 5-562.8
Examination of the urethra and the urinary bladder by endoscopy 117 1-661
102 1-999.40
Examination of the ureter and the renal pelvis with a tube-shaped instrument with a camera mounted at the end (endoscope) 96 5-98b.0
Operation using lasers 84 5-985.9
Comprehensive pain control for acute pain 81 8-919
X-rays of the kidney and urinary tract with contrast medium 79 3-13d.6
Surgical removal or destruction of prostatic tissue through the urethra 79 5-601.0
Dilatation of the ureters during an operation or endoscopy 76 5-560.2
Surgical removal or destruction of prostatic tissue through the urethra 76 5-601.1
Examination of the ureter by endoscopy 68 1-665
Computed tomography (CT) of the pelvis without contrast medium 67 3-206
Computed tomography of the abdomen with contrast medium 52 3-225
Surgical incision into the ureter or removal of a stone during an open operation or endoscopy 47 5-562.5
X-rays of the urinary bladder with contrast medium 43 3-13f
Injection or administration of medicines into the urinary bladder 43 8-132.2
40 8-137.20
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy 39 5-550.31
Surgical incision, removal or destruction of diseased tissue in the urinary bladder, with access through the urethra 38 5-573.41
Transfusion of blood, red blood cells or platelets from a donor to a recipient 38 8-800.c0
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy 35 5-550.6
Surgical incision into the ureter or removal of a stone during an open operation or endoscopy 35 5-562.4
Intensive care monitoring of respiration, the heart and the circulation without measurement of the pressure in the pulmonary artery and in the right atrium of the heart 35 8-930
Partial surgical removal of the kidney 33 5-553.00
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy 32 5-550.1
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy 30 5-550.21
Instillation into a body cavity and locally restricted treatment with chemotherapy drugs or agents that influence the immune system 30 8-541.4
Removal of stones, foreign bodies or collections of blood from the bladder by endoscopy 29 5-570.4
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy 26 5-550.30
Insertion or exchange of a tube (catheter) in a large vein 24 8-831.0
Surgical fixation of the testicle in the scrotum 22 5-624.5
Insertion, exchange or removal of a ureteral stent 22 8-137.03
Surgical creation of a connection between the urinary bladder and skin of the abdomen for artificial urinary drainage 20 5-572.1
Surgical removal of the prostate, of the seminal vesicle and the associated lymph nodes 18 5-604.12
Other operations on the testicle 18 5-629.x
18 5-98k.2
Exchange or removal of a tube (catheter) in the kidney for draining urine through the abdominal wall 18 8-138.1
Surgical removal of the tissue around the epididymis 17 5-631.2
Treatment on the intensive care unit (basic procedures) 17 8-980.0
Dilatation of the ureters during an operation or endoscopy 16 5-560.3x
Surgical incision into diseased tissue in the urethra, with access through the urethra 16 5-585.1
16 8-98g.10
Taking a tissue sample (biopsy) of the kidney, urinary tract or prostate via the urethra 15 1-460.1
Exchange or removal of a tube (catheter) in the kidney for draining urine through the abdominal wall 14 8-138.0
12 1-999.42
Removal of stones, foreign bodies or collections of blood from the bladder by endoscopy 12 5-570.0
Premature termination of an operation (operation not carried out completely) 12 5-995
Regional pain control by injecting an anaesthetic into a space in the spinal canal (epidural space) 12 8-910
Computed tomography of the pelvis with contrast medium 10 3-226
Surgical removal of the kidney 10 5-554.50
Operation on the foreskin of the penis 10 5-640.2
Exchange or removal of a urinary catheter through the abdominal wall 10 8-133.1
Function-orientated physical exercises and uses 10 8-561.1
Taking a tissue sample (biopsy) of the kidney, urinary tract or prostate via the urethra 9 1-460.2
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy 9 5-550.20
Surgical removal of the kidney 9 5-554.40
Surgical incision, removal or destruction of diseased tissue in the urinary bladder, with access through the urethra 9 5-573.1
Operation to lift the neck of the bladder in cases of urinary incontinence, with access through the vagina 9 5-593.20
Temporary covering of soft tissue injuries with skin or artificial skin 9 5-916.a0
Insertion, exchange or removal of a ureteral stent 9 8-137.01
Taking a tissue sample (biopsy) of the male reproductive organs through the rectum 8 1-464.00
Computed tomography (CT) of the head without contrast medium 8 3-200
Removal of all lymph nodes from a region during another operation 8 5-407.2
Type of material used for tissue replacement and tissue reinforcement 8 5-932.41
Injection or administration of medicines into the urinary bladder 8 8-132.1
Computed tomography of the chest with contrast medium 7 3-222
Surgical incision into the ureter or removal of a stone during an open operation or endoscopy 7 5-562.9
Surgical removal or destruction of diseased tissue of the ureter or the whole ureter 7 5-563.00
Partial surgical removal of the urinary bladder 7 5-575.00
Surgical removal or destruction of prostatic tissue through an abdominal incision 7 5-603.00
7 5-896.1b
Other treatment by irrigation or lavage 7 8-179.x
Interdisciplinary management for colonisation or infection with multiresistant germs (pathogens) 7 8-987.10
Surgical connection of the ureter to the abdominal wall, with the interposition of a piece of intestine, losing the ability to retain urine 6 5-565.00
Surgical removal of the urinary bladder - cystectomy 6 5-576.20
Surgical incision into the scrotum or the coat of the testicle 6 5-610.1
Surgical removal of a testicle 6 5-622.5
Insertion, exchange or removal of a ureteral stent 6 8-137.13
Taking a tissue sample (biopsy) of the kidney, urinary tract or prostate via the urethra 5 1-460.0
Reconstructive operations on the ureter 5 5-568.b0
Operation on the foreskin of the penis 5 5-640.3
Temporary covering of soft tissue injuries with skin or artificial skin 5 5-916.a5
Injection or administration of medicines into the urinary bladder 5 8-132.x
Examination of the urinary tract by endoscopy through a surgical incision or during an operation 4 1-693.1
Computed tomography (CT) of the chest without contrast medium 4 3-202
Removal of all lymph nodes from a region during another operation 4 5-407.3
Surgical removal or destruction of (diseased) tissue in the kidney 4 5-552.0
Reconstructive operations on the kidney 4 5-557.40
Dilatation of the ureters during an operation or endoscopy 4 5-560.8
Surgical dilatation of the opening of a ureter by incision, removal of tissue or other technique 4 5-561.7
Surgical incision into the urinary bladder 4 5-571.1
Surgical incision, removal or destruction of diseased tissue in the urinary bladder, with access through the urethra 4 5-573.20
4 5-573.32
Surgical replacement of the urinary bladder 4 5-577.00
Surgical removal of the prostate, of the seminal vesicle and the associated lymph nodes 4 5-604.02
Other operations on the prostate 4 5-609.0
Surgical treatment of a varicocele of the testicles or of a hydrocele in the region of the spermatic cord 4 5-630.4
Other surgical incision into the skin or subcutaneous tissues 4 5-892.0c
Exchange or removal of a urinary catheter through the abdominal wall 4 8-133.0
Insertion, exchange or removal of a ureteral stent 4 8-137.12
4 8-137.23
Insertion of a small tube (cannula) or catheter into another organ or tissue for the drainage of fluid 4 8-148.3
Other treatment by the targeted insertion of a needle with subsequent administration or removal of substances, e.g. fluid 4 8-159.2
Use of a face, nasal, or laryngeal mask for mechanical ventilation 4 8-706
Other treatment of the heart or the blood vessels through a tube (catheter) 4 8-839.x
Treatment on the intensive care unit (basic procedures) 4 8-980.10
4 8-98g.11
Clinical examination under general anaesthetic not specified 1-100
Examination of the cerebrospinal fluid spaces not specified 1-204.2
Measurement of the electrical activity of the heart without a tube (catheter) inserted into the heart via an artery not specified 1-266.0
Measurement of urethral width not specified 1-336
Taking a tissue sample (biopsy) of the bone marrow without surgical incision not specified 1-424
Taking a tissue sample (biopsy) of lymph nodes, spleen or thymus gland through the skin, guided by imaging procedures such as ultrasound not specified 1-426.5
Taking a tissue sample (biopsy) of lymph nodes, spleen or thymus gland through the skin, guided by imaging procedures such as ultrasound not specified 1-426.6
Taking a tissue sample (biopsy) of the kidney, urinary tract or prostate via the urethra not specified 1-460.3
Taking a tissue sample (biopsy) of the kidney, urinary tract or prostate via the urethra not specified 1-460.4
Taking a tissue sample (biopsy) of the kidney, urinary tract or male reproductive organs, with a needle not specified 1-463.4
Taking a tissue sample (biopsy) of the male reproductive organs through the rectum not specified 1-464.01
Taking a tissue sample (biopsy) of the kidney, urinary tract or male reproductive organs through the skin, guided by imaging procedures such as ultrasound not specified 1-465.0
not specified 1-466.00
Taking a tissue sample (biopsy) of the cervix without surgical incision not specified 1-472.x
Taking a tissue sample (biopsy) of other organs or tissues through the skin, guided by imaging procedures such as ultrasound not specified 1-494.8
Taking a tissue sample (biopsy) of the urethra or surrounding tissue through a surgical incision not specified 1-561.0
Taking a tissue sample (biopsy) of the testis through a surgical incision not specified 1-565
Taking a tissue sample (biopsy) of lymph nodes through a surgical incision not specified 1-586.5
Examination of the larynx by endoscopy not specified 1-610.0
Examination of the trachea and the bronchi by endoscopy not specified 1-620.00
Examination of the trachea and the bronchi by endoscopy not specified 1-620.01
Examination of the anus and rectum by endoscopy not specified 1-653
Examination of an artificial urinary tract by endoscopy not specified 1-666.1
Examination of the urinary tract by endoscopy through a surgical incision or during an operation not specified 1-693.0
Examination of the urinary tract by endoscopy through a surgical incision or during an operation not specified 1-693.2
Examination of the urinary tract by endoscopy through a surgical incision or during an operation not specified 1-693.x
Examination of the space between the lungs and ribs by taking a sample of fluid or tissue with a needle not specified 1-844
Examination of the kidney or of the urinary tract by taking a sample of fluid or tissue with a needle not specified 1-846.3
Examination of the abdominal cavity by taking a sample of fluid or tissue with a needle not specified 1-853.2
Additional information for investigations not specified 1-999.20
not specified 1-999.41
Comprehensive ultrasound examination with contrast medium for investigating and excluding suspected diagnoses not specified 3-030
X-rays of the kidney and urinary tract with contrast medium not specified 3-13d.0
X-rays of unnatural connections between organs or with the surface of the body (fistulas) with contrast medium not specified 3-13m
X-rays of other organs with contrast medium not specified 3-13x
Computed tomography (CT) of the neck without contrast medium not specified 3-201
Computed tomography (CT) of the musculoskeletal system with contrast medium not specified 3-227
Imaging procedure to show the kidneys by means of radioactivity (scintigraphy) not specified 3-706.0
Imaging procedure to show the kidneys by means of radioactivity (scintigraphy) not specified 3-706.1
Magnetic resonance imaging (MRI) of the spine and spinal cord without contrast medium not specified 3-802
Magnetic resonance imaging (MRI) of the abdominal cavity without contrast medium not specified 3-804
Magnetic resonance imaging (MRI) of the abdominal cavity with contrast medium not specified 3-825
Magnetic resonance imaging (MRI) of the pelvis with contrast medium not specified 3-82a
Partial surgical removal of the adrenal gland not specified 5-071.00
Surgical removal of the adrenal gland - adrenalectomy not specified 5-072.00
Other operations on the adrenal gland not specified 5-073.10
Surgical incision, removal or destruction of diseased tissue in the oral cavity not specified 5-273.x
Insertion of a temporary, artificial tracheal opening not specified 5-311.1
Reconstructive operation on the lungs or branches of the trachea (bronchi) not specified 5-334.0
Reconstructive operation on the lungs or branches of the trachea (bronchi) not specified 5-334.x
Other operations on the chest not specified 5-349.x
Surgical closure of a hole in the blood vessel wall with a skin or synthetic flap not specified 5-395.97
Surgical removal of individual lymph nodes or lymphatic vessels not specified 5-401.51
Clearance of several lymph nodes from a region [as a standalone operation] not specified 5-402.5
Complete, surgical removal of all lymph nodes as a standalone operation not specified 5-404.d
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 5-406.5
Other operations on the lymphatic system not specified 5-408.21
Other operations on the stomach not specified 5-449.s3
Surgical incision into the intestine not specified 5-450.1
not specified 5-493.01
Surgical repair of an inguinal hernia not specified 5-530.03
Surgical repair of a umbilical hernia not specified 5-534.1
Surgical opening of the abdominal cavity or tissue lying behind (retroperitoneum) not specified 5-541.5
Surgical repair of the abdominal wall or the peritoneum not specified 5-545.0
Reconstructive surgery of the abdominal wall or the peritoneum not specified 5-546.1
Reconstructive surgery of the abdominal wall or the peritoneum not specified 5-546.3
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy not specified 5-550.0
Surgical incision into a kidney, insertion of a tube to drain urine from the kidney, removal of a stone (calculus) through a surgical incision, dilatation of the renal pelvis or removal of a stone by endoscopy not specified 5-550.4
Open operation with incision into the kidney or the renal pelvis or insertion of a tube to drain urine from the kidney or the renal pelvis not specified 5-551.2
Surgical removal or destruction of (diseased) tissue in the kidney not specified 5-552.2
Surgical removal of the kidney not specified 5-554.41
Surgical removal of the kidney not specified 5-554.43
Surgical removal of the kidney not specified 5-554.b1
Surgical removal of the kidney not specified 5-554.b3
Reconstructive operations on the kidney not specified 5-557.60
Dilatation of the ureters during an operation or endoscopy not specified 5-560.0
Dilatation of the ureters during an operation or endoscopy not specified 5-560.1
Dilatation of the ureters during an operation or endoscopy not specified 5-560.30
Dilatation of the ureters during an operation or endoscopy not specified 5-560.6
Surgical dilatation of the opening of a ureter by incision, removal of tissue or other technique not specified 5-561.2
Surgical incision into the ureter or removal of a stone during an open operation or endoscopy not specified 5-562.0
Surgical removal or destruction of diseased tissue of the ureter or the whole ureter not specified 5-563.0x
Surgical removal or destruction of diseased tissue of the ureter or the whole ureter not specified 5-563.10
Surgical removal or destruction of diseased tissue of the ureter or the whole ureter not specified 5-563.11
Surgical removal or destruction of diseased tissue of the ureter or the whole ureter not specified 5-563.20
Surgical connection of the ureter to the abdominal wall not specified 5-564.21
Surgical connection of the ureter to the abdominal wall, with the interposition of a piece of intestine, losing the ability to retain urine not specified 5-565.40
Reconstructive operations on the ureter not specified 5-568.00
Reconstructive operations on the ureter not specified 5-568.10
Reconstructive operations on the ureter not specified 5-568.d0
Removal of stones, foreign bodies or collections of blood from the bladder by endoscopy not specified 5-570.2
Removal of stones, foreign bodies or collections of blood from the bladder by endoscopy not specified 5-570.x
Surgical creation of a connection between the urinary bladder and skin of the abdomen for artificial urinary drainage not specified 5-572.0
Surgical creation of a connection between the urinary bladder and skin of the abdomen for artificial urinary drainage not specified 5-572.5
Surgical incision, removal or destruction of diseased tissue in the urinary bladder, with access through the urethra not specified 5-573.0
Surgical removal or destruction of diseased tissue in the urinary bladder, by an open operation or by endoscopy not specified 5-574.0
Partial surgical removal of the urinary bladder not specified 5-575.20
Partial surgical removal of the urinary bladder not specified 5-575.80
Partial surgical removal of the urinary bladder not specified 5-575.x0
Surgical removal of the urinary bladder - cystectomy not specified 5-576.50
Surgical removal of the urinary bladder - cystectomy not specified 5-576.60
Surgical replacement of the urinary bladder not specified 5-577.20
Other operations on the urinary bladder not specified 5-579.03
Surgical dilatation of the urethral opening not specified 5-581.1
Surgical removal or destruction of diseased tissue in the urethra not specified 5-582.0
Surgical removal or destruction of diseased tissue in the urethra not specified 5-582.1
Reconstructive operations on the urethra not specified 5-584.5
Reconstructive operations on the urethra not specified 5-584.72
Reconstructive operations on the urethra not specified 5-584.7x
Surgical incision into diseased tissue in the urethra, with access through the urethra not specified 5-585.0
Surgical incision into or removal of tissue lying behind the abdominal cavity (retroperitoneum) not specified 5-590.50
Surgical incision into or removal of tissue surrounding the urinary bladder not specified 5-591.0
Operation for urinary incontinence through an abdominal incision not specified 5-595.10
Procedure in connection with an artificial urinary sphincter muscle not specified 5-597.00
Procedure in connection with an artificial urinary sphincter muscle not specified 5-597.2
Procedure in connection with an artificial urinary sphincter muscle not specified 5-597.4
Procedure in connection with an artificial urinary sphincter muscle not specified 5-597.x
Surgical removal or destruction of prostatic tissue through the urethra not specified 5-601.x
Surgical removal or destruction of prostatic tissue through an abdominal incision not specified 5-603.10
Other operations on the prostate not specified 5-609.3
Surgical incision into the scrotum or the coat of the testicle not specified 5-610.0
Surgical occlusion of a hydrocele on the testicle not specified 5-611
Surgical removal or destruction of diseased scrotal tissue not specified 5-612.0
Surgical removal or destruction of diseased scrotal tissue not specified 5-612.1
Other operations on the scrotum or the coat of the testicle not specified 5-619
Surgical removal or destruction of diseased tissue in the testicles not specified 5-621
Surgical removal of a testicle not specified 5-622.0
Surgical removal of a testicle not specified 5-622.1
Surgical removal of the tissue around the epididymis not specified 5-631.1
Surgical removal of the epididymis not specified 5-633.1
Reconstructive operations on the spermatic cord not specified 5-634.2
Other operations on the spermatic cord, spermatic duct or epididymis not specified 5-639.x
Surgical removal or destruction of diseased tissue in the penis not specified 5-641.0
Surgical amputation of the penis not specified 5-642.0
Reconstructive operations on the penis not specified 5-643.x
Other operations on the penis not specified 5-649.51
Surgical removal and destruction of diseased uterine tissue not specified 5-681.30
Complete surgical removal of the uterus - hysterectomy not specified 5-683.11
Complete surgical removal of the uterus - hysterectomy not specified 5-683.20
Surgical removal of all the organs from the female lesser pelvis not specified 5-687.0
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 not specified 5-702.1
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 5-704.01
Surgical tightening of the vaginal wall or perineal floor, with access through the vagina not specified 5-704.48
Surgical incision into the muscles, tendons or their connective tissue sheaths not specified 5-850.d6
Other surgical incision into the skin or subcutaneous tissues not specified 5-892.0a
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 5-894.1c
not specified 5-896.0c
not specified 5-896.1a
not specified 5-896.1c
Simple surgical closure of the skin or the subcutaneous tissues after injuries, e.g. with a suture not specified 5-900.1a
Type of material used for tissue replacement and tissue reinforcement not specified 5-932.11
Type of material used for tissue replacement and tissue reinforcement not specified 5-932.40
Revision operations not specified 5-983
Operation using lasers not specified 5-985.2
Treatment by injecting a medicine into an organ or tissue, or removal of excess fluid (effusion) e.g. from the joints not specified 8-020.2
Treatment by injecting a medicine into an organ or tissue, or removal of excess fluid (effusion) e.g. from the joints not specified 8-020.x
Removal of a foreign body by endoscopy not specified 8-100.8
Removal of a foreign body by endoscopy not specified 8-100.b
Removal of a foreign body by endoscopy not specified 8-100.c
Removal of a foreign body without a surgical incision not specified 8-101.x
Intestinal lavage not specified 8-121
Insertion, exchange or removal of a ureteral stent not specified 8-137.11
Insertion, exchange or removal of a ureteral stent not specified 8-137.2
not specified 8-137.22
Insertion, exchange or removal of a ureteral stent not specified 8-137.x
Other procedure on the kidney, ureter, bladder or urethra not specified 8-139.00
Insertion of a small tube (cannula) or catheter into the space between the lungs and ribs for the drainage of fluid not specified 8-144.0
Insertion of a small tube (cannula) or catheter into the space between the lungs and ribs for the drainage of fluid not specified 8-144.2
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
Insertion of a small tube (cannula) or catheter into another organ or tissue for the drainage of fluid not specified 8-148.0
Insertion of a small tube (cannula) or catheter into another organ or tissue for the drainage of fluid not specified 8-148.1
Insertion of a small tube (cannula) or catheter into another organ or tissue for the drainage of fluid not specified 8-148.x
Treatment by the targeted insertion of a needle into the chest with subsequent administration or removal of substances, e.g. fluid not specified 8-152.1
Treatment by the targeted insertion of a needle into the kidney or urinary tract with subsequent administration or removal of substances, e.g. fluid not specified 8-155.0
Specific dressing techniques not specified 8-190.23
not specified 8-192.1d
Insertion of a tube into the trachea for ventilation - intubation not specified 8-701
Cardiac or cardiopulmonary resuscitation not specified 8-771
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.61
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.c1
Transfusion of blood plasma or plasma components or genetically engineered blood proteins not specified 8-810.j5
Transfusion of other plasma components or genetically engineered blood proteins not specified 8-812.60
Insertion or exchange of a tube (catheter) in a large vein not specified 8-831.2
Insertion or exchange of a tube (catheter) in a large vein not specified 8-831.5
Procedure for dialysing the blood outside the body with removal of the poison over a concentration gradient - dialysis not specified 8-854.2
Treatment of pain by the introduction of a liquid anaesthetic around other nerves outside the brain and spinal cord not specified 8-915
Radio-controlled cardiological telemetry not specified 8-933
Treatment on the intensive care unit (basic procedures) not specified 8-980.11
Treatment on the intensive care unit (basic procedures) not specified 8-980.21
not specified 8-98g.12
not specified 8-98g.13
Patient education not specified 9-500.0