Discussion on classification and coding of adult congenital cardiovascular disease and interventional therapy
Zhang Fan1, Zheng Jing2
1 Medical Record Statistics Room, Guangxi International Zhuang Medicine Hospital, Nanning 530200, China;
2 Cardiology Department, The First Affiliated Hospital Of Guangxi Medical University, Nanning 530021, China
Abstract：Objective To investigate the classification codes of adult congenital cardiovascular disease and interventional therapy. Methods By studying the information and literature on interventional treatment of adult congenital cardiovascular disease and adult congenital heart disease in cardiology, according to the classification principle of international disease and surgical operation, we carefully read the medical records for accurate coding of ICD-10 and ICD-9-CM-3. Results Primary atrial septal defect was classified to Q21.2; secondary atrial septal defect was classified to Q21.1; ventricular septal defect was classified to Q21.0; patent ductus arteriosus was classified to Q25.0; pulmonary stenosis was classified to Q25.6; bicuspid aortic valve was classified to Q23.1; tricuspid valvular malformation was classified to Q22.5; congenital aortic coarctation was classified to Q23.0; aortic sinus aneurysm was classified to Q25.4; the tetralogy of fallot was classified to Q21.3. Percutaneous balloon pulmonary valvuloplasty (PBPV) and percutaneous balloon aortic valvuloplasty (PBAV) were classified to 35.96; patent ductus arteriosus closure was classified to 38.85; atrial septal defect closure was classified to 35.52; the interval defect closure was classified to 35.55. Conclusion The coders must undergo professional study and assessment, master ICD classification principles and coding skills, learn and accumulate clinical medical knowledge and understand new medical advances, actively communicate with clinicians in daily work, establish coding quality control mechanisms, and continuously improve coding quality.
