Klinik für Innere Medizin I: Kardiologie, Rhythmologie und Intensivmedizin

Treatments according to OPS

Service Number of cases OPS key Info
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery 2.049 1-275.0
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 1.646 8-930
Radio-controlled cardiological telemetry 1.632 8-933
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 1.343 8-837.00
Additional information on materials used 1.201 8-83b.bx
Additional information on materials used 1.141 8-83b.0c
Ultrasound of the heart (echocardiography) through the oesophagus - TEE 887 3-052
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 726 8-837.m0
Treatment of cardiac arrhythmias with electric shocks - defibrillation 694 8-640.0
682 8-98f.0
561 9-984.7
436 9-984.8
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 410 8-837.m1
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery 342 1-275.2
Additional information on materials used 309 8-83b.c6
269 8-831.00
229 9-984.b
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 228 8-837.01
Additional information on materials used 208 8-83b.08
Comprehensive ultrasound examination of the heart (echocardiography) by attaching the ultrasound transponder to the chest wall (transthoracic) during physical exercise 199 3-031
198 9-984.6
Additional information on materials used 181 8-83b.0b
Transfusion of blood, red blood cells or platelets from a donor to a recipient 169 8-800.c0
Use of a cardiac pacemaker that can be used in a magnetic resonance tomography unit 160 5-934.0
Use of a face, nasal, or laryngeal mask for mechanical ventilation 160 8-706
Insertion of a tube into the trachea for ventilation - intubation 136 8-701
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 134 8-837.m3
130 9-984.9
Measurement of the electrical activity of the heart without a tube (catheter) inserted into the heart via an artery 127 1-266.0
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery 127 1-275.5
Cardiac or cardiopulmonary resuscitation 124 8-771
Insertion of a cardiac pacemaker or of a defibrillator 108 5-377.30
Measurement of the brain waves - EEG 90 1-207.0
Other investigations of the heart or blood vessels by means of a tube (catheter) 89 1-279.a
Treatment by the targeted insertion of a needle into the chest with subsequent administration or removal of substances, e.g. fluid 85 8-152.1
Electrical measurement of the heart in looking for the cause of a cardiac arrhythmia - cardiac mapping 81 1-268.0
76 8-98f.10
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 70 8-837.m2
Measurement of the electrical activity of the heart without a tube (catheter) inserted into the heart via an artery 64 1-266.1
Special imaging procedures, for example, to examine the back of the eye (retina) 64 3-300.1
Additional information on materials used 62 8-83b.00
61 1-274.30
61 8-713.0
Additional information on materials used 60 8-83b.b6
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 58 8-837.m4
Use of a cardiac pacemaker that can be used in a magnetic resonance tomography unit 53 5-934.1
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation 50 1-265.e
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 50 8-837.50
Other treatment of the heart or the blood vessels through a tube (catheter) 49 8-839.46
Electrical measurement of the heart in looking for the cause of a cardiac arrhythmia - cardiac mapping 45 1-268.1
Treatment of cardiac arrhythmias with electric shocks - defibrillation 45 8-640.1
Destruction of the heart tissue because of a cardiac arrhythmia 43 8-835.20
43 8-98g.11
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation 42 1-265.4
Investigation of the activity of the heart and lungs during sleep 41 1-791
Transfusion of other plasma components or genetically engineered blood proteins 41 8-812.60
40 8-831.04
Destruction of the heart tissue because of a cardiac arrhythmia 40 8-835.8
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 39 8-837.m5
Insertion of a small tube (cannula) or catheter into the space between the lungs and ribs for the drainage of fluid 38 8-144.0
Other treatment of the heart or the blood vessels through a tube (catheter) 37 8-839.48
Duration of treatment with a cardiac support system 37 8-83a.30
37 8-98g.10
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 35 8-837.m6
Treatment by the targeted insertion of a needle into the chest with subsequent administration or removal of substances, e.g. fluid 31 8-152.0
Destruction of the heart tissue because of a cardiac arrhythmia 31 8-835.a5
30 9-984.a
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation 28 1-265.f
27 8-83d.9
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery 25 1-275.1
Measurement of the electrical activity of the heart without a tube (catheter) inserted into the heart via an artery 22 1-266.2
Temporary stimulation of the heart rhythm by an implanted cardiac pacemaker 22 8-642
Destruction of the heart tissue because of a cardiac arrhythmia 21 8-835.21
Other treatment of the heart or the blood vessels through a tube (catheter) 21 8-839.91
21 8-98f.11
20 1-274.31
Treatment of physically or functionally induced disorders of speech, language, the voice or swallowing 20 9-320
Insertion of a cardiac pacemaker or of a defibrillator 19 5-377.1
Removal, exchange or correction of a pacemaker or defibrillator 19 5-378.52
Treatment by extreme cooling (hypothermia) to reduce the need for oxygen 19 8-607.0
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 19 8-837.s0
Transfusion of blood, red blood cells or platelets from a donor to a recipient 18 8-800.g0
Transfusion of other plasma components or genetically engineered blood proteins 18 8-812.51
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 17 8-837.k0
17 8-98f.20
Examination of the left side of the heart with a tube (catheter) inserted via an artery and across the septum of the heart 16 1-274.0
15 1-274.3x
Insertion of a cardiac pacemaker or of a defibrillator 15 5-377.50
X-ray examination of the heart and the major blood vessels with contrast medium 14 1-276.0
14 8-831.01
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration 14 8-853.81
Insertion of a cardiac pacemaker or of a defibrillator 13 5-377.71
13 8-718.71
Destruction of the heart tissue because of a cardiac arrhythmia 13 8-835.h
Interdisciplinary management for colonisation or infection with multiresistant germs (pathogens) 13 8-987.10
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation 12 1-265.1
Insertion of a small tube (cannula) or catheter into the space between the lungs and ribs for the drainage of fluid 12 8-144.2
Transfusion of other plasma components or genetically engineered blood proteins 12 8-812.61
Transfusion of blood, red blood cells or platelets from a donor to a recipient 11 8-800.c1
Other treatment of the heart or the blood vessels through a tube (catheter) 11 8-839.0
Duration of treatment with a cardiac support system 11 8-83a.00
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration 11 8-853.80
11 8-98g.12
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 10 8-837.m7
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 10 8-837.ma
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 10 8-837.t
Other treatment of the heart or the blood vessels through a tube (catheter) 10 8-839.3
Examination of the right side of the heart with a tube (catheter) inserted into the heart via a vein 9 1-273.2
Insertion of a cardiac pacemaker or of a defibrillator 9 5-377.41
9 8-718.70
Destruction of the heart tissue because of a cardiac arrhythmia 9 8-835.j
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 9 8-837.m8
Examination of the right side of the heart with a tube (catheter) inserted into the heart via a vein 8 1-273.1
Removal, exchange or correction of a pacemaker or defibrillator 8 5-378.72
Administration of medicines according to List 4 of the Catalogue of Procedures 8 6-004.d
Treatment by injecting a medicine into an organ or tissue, or removal of excess fluid (effusion) e.g. from the joints 8 8-020.8
Others therapeutic procedures to influence the immune system 8 8-547.31
Destruction of the heart tissue because of a cardiac arrhythmia 8 8-835.35
Other treatment of the heart or the blood vessels through a tube (catheter) 8 8-839.93
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation 7 1-265.8
Removal, exchange or correction of a pacemaker or defibrillator 7 5-378.51
Removal, exchange or correction of a pacemaker or defibrillator 7 5-378.5c
Administration of medicines according to List 4 of the Catalogue of Procedures 7 6-004.c
Temporary stimulation of the heart rhythm by an external cardiac pacemaker 7 8-641
7 8-718.72
Treatment of a vessel with access via a tube (catheter) 7 8-836.0s
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 7 8-837.q
Additional information on materials used 7 8-83b.r0
Additional information on materials used 7 8-83b.x
Insertion of a cardiac pacemaker or of a defibrillator 6 5-377.6
Removal, exchange or correction of a pacemaker or defibrillator 6 5-378.5f
Transfusion of blood, red blood cells or platelets from a donor to a recipient 6 8-800.c2
Transfusion of blood plasma or plasma components or genetically engineered blood proteins 6 8-810.j5
Destruction of the heart tissue because of a cardiac arrhythmia 6 8-835.33
Duration of treatment with a cardiac support system 6 8-83a.31
Additional information on materials used 6 8-83b.4
6 8-98f.21
6 8-98f.30
Measurement of the electrical activity of the heart without a tube (catheter) inserted into the heart via an artery 5 1-266.3
Removal, exchange or correction of a pacemaker or defibrillator 5 5-378.32
Surgical insertion of a tube into the stomach through the abdominal wall for artificial feeding 5 5-431.20
Keeping the respiratory tract open by means of a tube through the mouth or nose 5 8-700.1
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels 5 8-837.m9
Other treatment of the heart or the blood vessels through a tube (catheter) 5 8-839.92
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration 5 8-853.82
Patient education 5 9-500.0
Examination of the cerebrospinal fluid spaces 4 1-204.2
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery 4 1-275.4
X-ray examination of the heart and the major blood vessels with contrast medium 4 1-276.x
Removal, exchange or correction of a pacemaker or defibrillator 4 5-378.5b
Transfusion of blood, red blood cells or platelets from a donor to a recipient 4 8-800.g1
Transfusion of other plasma components or genetically engineered blood proteins 4 8-812.50
Transfusion of other plasma components or genetically engineered blood proteins 4 8-812.52
Transfusion of other plasma components or genetically engineered blood proteins 4 8-812.62
Other treatment of the heart or the blood vessels through a tube (catheter) 4 8-839.90
Additional information on materials used 4 8-83b.06
Additional information on materials used 4 8-83b.c2
Intensive care monitoring of respiration, the heart and the circulation with measurement of the pressure in the superior vena cava (central venous pressure) 4 8-931.0
Interdisciplinary management for colonisation or infection with multiresistant germs (pathogens) 4 8-987.11
Interdisciplinary management for colonisation or infection with multiresistant germs (pathogens) 4 8-987.12
Examination of nerve conduction - ENG not specified 1-206
Measurement of brain waves triggered by targeted stimuli (evoked potentials) not specified 1-208.2
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation not specified 1-265.0
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation not specified 1-265.5
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation not specified 1-265.6
Measurement of the electrical activity of the heart with a tube (catheter) inserted into the heart via an artery - electrophysiological investigation not specified 1-265.7
Electrical measurement of the heart in looking for the cause of a cardiac arrhythmia - cardiac mapping not specified 1-268.3
Electrical measurement of the heart in looking for the cause of a cardiac arrhythmia - cardiac mapping not specified 1-268.4
Electrical measurement of the heart in looking for the cause of a cardiac arrhythmia - cardiac mapping not specified 1-268.x
Examination of the right side of the heart with a tube (catheter) inserted into the heart via a vein not specified 1-273.5
Examination of the right side of the heart with a tube (catheter) inserted into the heart via a vein not specified 1-273.6
Examination of the left side of the heart with a tube (catheter) inserted via an artery and across the septum of the heart not specified 1-274.1
Examination of the left side of the heart with a tube (catheter) inserted via an artery and across the septum of the heart not specified 1-274.x
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery not specified 1-275.3
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery not specified 1-275.6
Examination of the left side of the heart with a tube (catheter) inserted into the heart via an artery not specified 1-275.x
X-ray examination of the heart and the major blood vessels with contrast medium not specified 1-276.20
Other investigations of the heart or blood vessels by means of a tube (catheter) not specified 1-279.0
Taking a tissue sample (biopsy) of the bone marrow without surgical incision not specified 1-424
Taking a tissue sample (biopsy) of bone without surgical incision, guided by imaging procedures such as ultrasound not specified 1-481.4
Taking a tissue sample (biopsy) of other organs or tissues with a needle not specified 1-493.31
Taking a tissue sample (biopsy) of other organs or tissues through the skin, guided by imaging procedures such as ultrasound not specified 1-494.5
Investigation of the of the brain, heart, and muscle activity, and respiration during sleep not specified 1-790
Examination of the pericardium by taking a sample of fluid or tissue with a needle not specified 1-842
Examination of the liver by taking a sample of fluid or tissue with a needle not specified 1-845
Examination of the abdominal cavity by taking a sample of fluid or tissue with a needle not specified 1-853.2
Other examination by taking a sample of fluid or tissue with a needle not specified 1-859.x
Other examination by taking a sample of fluid or tissue with a needle not specified 1-859.y
not specified 1-999.42
Ultrasound of the lungs with access through the respiratory tract not specified 3-05f
Insertion of a permanent, artificial tracheal opening not specified 5-312.0
Division of adhesions between the lungs and chest wall - lysis of adhesions not specified 5-333.1
Reconstructive operation on the septum of the heart (with congenital heart defects) not specified 5-356.2
Surgical opening of the pericardium or the heart not specified 5-370.0
Surgical removal or destruction of diseased tissue in the pericardium, or removal of the pericardium not specified 5-372.6
Insertion of a cardiac pacemaker or of a defibrillator not specified 5-377.31
Insertion of a cardiac pacemaker or of a defibrillator not specified 5-377.40
Insertion of a cardiac pacemaker or of a defibrillator not specified 5-377.51
Insertion of a cardiac pacemaker or of a defibrillator not specified 5-377.70
Insertion of a cardiac pacemaker or of a defibrillator not specified 5-377.8
Insertion of a cardiac pacemaker or of a defibrillator not specified 5-377.f0
Insertion of a cardiac pacemaker or of a defibrillator not specified 5-377.j
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.02
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.07
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.18
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.42
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.55
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.5d
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.5e
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.61
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.62
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.6c
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.6f
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.71
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.7b
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.b2
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.b3
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.b5
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.c2
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.c6
Removal, exchange or correction of a pacemaker or defibrillator not specified 5-378.cd
Other operations on the heart or pericardium not specified 5-379.d
Complete surgical removal of the colon as well as the rectum not specified 5-456.02
Surgical incision into the liver not specified 5-500.1
Reconstructive operations on the liver not specified 5-505.1
Other reconstructive operations on the biliary tract not specified 5-516.1
Surgical procedure on a joint by endoscopy not specified 5-810.1h
Operation on the synovium by endoscopy (arthroscopy) not specified 5-811.2h
Other operations on the bone, muscles or joints not specified 5-869.1
Use of a cardiac pacemaker that can be used in a magnetic resonance tomography unit not specified 5-934.2
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.55
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.p1
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.p2
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.p7
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.r6
Administration of medicines in accordance with List 2 of the procedures list not specified 6-002.rb
not specified 6-007.60
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.c
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
Stomach pumping (gastric lavage) not specified 8-120
Insertion of a small tube (cannula) or catheter into the space between the lungs and ribs for the drainage of fluid not specified 8-144.1
Insertion of a small tube (cannula) or catheter into an organ in the abdominal cavity for the drainage of fluid not specified 8-146.0
Insertion of a small tube (cannula) or catheter into an organ in the abdominal cavity for the drainage of fluid not specified 8-146.1
Treatment by specific positioning of the patient in bed, e.g. positioning in a sling table or special bed not specified 8-390.0
Others therapeutic procedures to influence the immune system not specified 8-547.0
Others therapeutic procedures to influence the immune system not specified 8-547.30
Treatment by extreme cooling (hypothermia) to reduce the need for oxygen not specified 8-607.4
Treatment by extreme cooling (hypothermia) to reduce the need for oxygen not specified 8-607.x
Keeping the respiratory tract open by means of a tube through the mouth or nose not specified 8-700.0
Installation and adjustment of a mechanical ventilator for home use not specified 8-716.10
not specified 8-718.73
Transfusion of blood, red blood cells or platelets from a donor to a recipient not specified 8-800.g2
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.h4
Transfusion of blood plasma or plasma components or genetically engineered blood proteins not specified 8-810.j6
Transfusion of blood plasma or plasma components or genetically engineered blood proteins not specified 8-810.x
Transfusion of other plasma components or genetically engineered blood proteins not specified 8-812.54
Transfusion of other plasma components or genetically engineered blood proteins not specified 8-812.57
not specified 8-831.02
Insertion or exchange of a tube (catheter) in a large vein not specified 8-831.2
not specified 8-831.20
not specified 8-831.21
Insertion or exchange of a tube (catheter) in a large vein not specified 8-831.x
Destruction of the heart tissue because of a cardiac arrhythmia not specified 8-835.22
Destruction of the heart tissue because of a cardiac arrhythmia not specified 8-835.23
Destruction of the heart tissue because of a cardiac arrhythmia not specified 8-835.24
Destruction of the heart tissue because of a cardiac arrhythmia not specified 8-835.30
Destruction of the heart tissue because of a cardiac arrhythmia not specified 8-835.a0
Destruction of the heart tissue because of a cardiac arrhythmia not specified 8-835.a3
Treatment of a vessel with access via a tube (catheter) not specified 8-836.02
Treatment of a vessel with access via a tube (catheter) not specified 8-836.0a
Treatment of a vessel with access via a tube (catheter) not specified 8-836.0c
Treatment of a vessel with access via a tube (catheter) not specified 8-836.0m
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels not specified 8-837.20
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels not specified 8-837.60
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels not specified 8-837.a0
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels not specified 8-837.k3
Treatment of the heart and/or the coronary arteries with access through a tube (catheter) along the blood vessels not specified 8-837.p
not specified 8-838.n0
Other treatment of the heart or the blood vessels through a tube (catheter) not specified 8-839.83
Additional information on materials used not specified 8-83b.01
Additional information on materials used not specified 8-83b.07
Additional information on materials used not specified 8-83b.0x
Additional information on materials used not specified 8-83b.50
Additional information on materials used not specified 8-83b.70
not specified 8-83b.8g
Additional information on materials used not specified 8-83b.9
Additional information on materials used not specified 8-83b.b1
Additional information on materials used not specified 8-83b.b8
Additional information on materials used not specified 8-83b.bc
Additional information on materials used not specified 8-83b.c3
Additional information on materials used not specified 8-83b.c4
Additional information on materials used not specified 8-83b.c5
Additional information on materials used not specified 8-83b.g
Implantation of non-drug eluting tubing (stents) in blood vessels not specified 8-840.0m
Implantation of non-drug eluting tubing (stents) in blood vessels not specified 8-840.0q
Implantation of non-drug eluting tubing (stents) in blood vessels not specified 8-840.0s
Implantation of drug eluting tubing (stents) in blood vessels not specified 8-841.0a
Implantation of other tubing (stents) with open mesh and a large diameter in blood vessels not specified 8-849.0s
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 8-852.00
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration not specified 8-853.70
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration not specified 8-853.71
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration not specified 8-853.72
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration not specified 8-853.83
Procedure to detoxify the blood outside the body with forced removal of the poison - haemofiltration not specified 8-853.84
Intensive care monitoring of respiration, the heart and the circulation with measurement of the pressure in pulmonary artery not specified 8-932
not specified 8-98f.50
not specified 8-98f.51
not specified 8-98g.00
not specified 8-98g.13
not specified 8-98g.14
Use of a system to guide the instruments (navigation system) not specified 8-990