1 Department of Medical Records, Guangxi Academy of Medical Sciences, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;
2 Department of Neurology, Guangxi Academy of Medical Sciences, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:Objective To investigate the ICD-9-CM-3 coding in cerebrovascular interventional operation.Methods The characteristics of common cerebrovascular interventional surgery were sorted out, and ICD-9-CM-3 coding was performed according to the international classification principle of surgery and operation and typical case analysis.Results For ischemic cerebrovascular disease, extracranial percutaneous balloon dilatation is classified in 00.61, and extracranial percutaneous stent placement is classified in 00.63 or 00.64; Intracranial percutaneous balloon dilatation is classified in 00.61, and intracranial percutaneous stent placement is classified in 00.65; Percutaneous thrombectomy is classified in 39.74; Percutaneous cerebrovascular hemolysis is classified as 99.10 or 99.20 according to different thrombolytic agents. Interventional embolization for hemorrhagic cerebrovascular disease is classified as 39.72, 39.75 or 39.76 according to different interventional material.Conclusion The surgical site, operation, disease nature and interventional material should be considered for the correct classification of cerebrovascular intervention operation. Incomprehension of the connotation of the operations and dependence too much on computers easily lead to miscoding.