Objective To explore the operation code of main diagnosis and treatment methods of lung cancer.Methods The main diagnostic operations in the field of lung cancer mainly include transbronchial needle aspiration biopsy, transbron chial lung biopsy, transbronchoscope pollution protection brush technology and bronchoalveolar lavage, etc.; while the therapeutic operations mainly include high frequency electric cauterization technology, cryoablation, endotracheal stent implantation, radiofrequency ablation of lung cancer and radioactive particle implantation through bronchoscope, etc. In this paper, we analyzed the clinical knowledge of the aforementioned diagnosis and treatment operations, and then sorted out and summarized the corresponding codes based on the classification principles of ICD-9-CM-3.Results Different diagnosis and treatment methods, operation sites and approaches led to different operation classification codes.Conclusion In order to accurately code and fully express medical record information, coders need to fully understand the latest clinical technologies, master the principles of surgical classification, and review the medical records carefully.
[1]陈天君,THAKUR A,阳甜,等.支气管镜氩等离子体凝固对管腔内肺癌患者呼吸功能的影响[J].中国全科医学,2011,14(33):3823-3825。
[2]DANE B,GRECHUSHKIN V,PLANK A,et al.PET/CT vs.noncontrast CT alone for surveillancel 1year post lobectomy for stage I nonsmallcell lung cancer [J].Am J Nucl Med Mol Imaging, 2013,3(5):408-16.
[3]程剑剑,陈献亮,张文平,等.支气管镜介导下氩气刀与氩气刀联合冷冻技术治疗气道狭窄的对照研究[J].中国实用医刊,2011,38(15):49-5l.
[4]刘爱民.国际疾病分类:第九版临床修订本:手术与操作 ICD-9-CM-3[M].2011版.北京:人民军医出版社,2013.
[5]刘爱民.医院管理学:病案管理分册[M].2版.北京:人民卫生出版社,2012:334-336.
[6]王洪武,金发光,柯明耀.支气管镜介入治疗[M].北京:人民卫生出版社,2013:85-89,194-195.
[7]ARSLAN Z, ILGAZLI A, BAKIR M, et al. Conventional vs. endobronchial ultrasoundguided transbronchial needle aspiration in the diagnosis of mediastinal lymphadenopathies[J]. Tuberk Toraks, 2011,59(2):153-157.
[8]RIVERA M P, MEHTA A C, WAHIDI M M. Establishing the diagnosis of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidencebased clinical practice guidelines[J]. Chest, 2013,143(5 suppl.):e142S-e165S.
[9]BAK M, HIDVEGI J, ANDI J, et al. Quality assurance of rapid onsite evaluation of CTguided fineneedle aspiration cytology of lung nodules [J]. Orv Hetil, 2013,154(1): 28-32.
[10]余书翰,陈俊辉.射频消融在肺癌多学科综合治疗中的作用[J].医学综述,2013,19(9):1594-1596.
[11]雍娟,徐守荣,库小玲.关于疾病编码的几点认识[J].中国医院统计,2019,26(3):236-238.