|
|
ICD-9-CM-3 coding and case analysis of cerebrovascular intervention operation |
Zhou Qin1,Feng Hun2,Li Aiping1,He Zhichen1,Liu Haoyi1,Zhang Sisi1 |
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.
|
Received: 31 January 2023
|
|
|
|
[1]贾建平,陈生弟.神经病学[M].8版.北京:人民卫生出版社,2018:186-254.
[2]周琴,何治琛,封浑,等.脑梗死的ICD-10编码分析[J].中国病案,2020,21(6):21-23.DOI: 10.3969/j.issn.1672-2566.2020.06.009.
[3]周琴,封浑,赵春丽,等.脑梗死病例编码的多学科讨论实践[J].中华医院管理杂志,2020,36(2):173-176.DOI: 10.3760/cma.j.issn.1000-6672.2020.02.020.
[4]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作组.中国急性缺血性卒中早期血管内介入诊疗指南2022[J].中华神经科杂志,2022,55(6):565-580.DOI: 10.3760/cma.j.cn113694-20220225-00137.
[5]中国卒中学会科学声明专家组.症状性颅内外动脉粥样硬化性大动脉狭窄管理规范:中国卒中学会科学声明[J].中国卒中杂志,2017,12(1):64-71. DOI: 10.3969/j.issn.1673-5765.2017.01.014.〖JP〗
[6]刘爱民.病案信息学[M]. 2版. 北京:人民卫生出版社, 2019:220.
[7]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-3:2011版[M].北京:人民军医出版社, 2013: 161-163.
[8]顾晓敏,赵青.DRGs支付下呼吸机操作填报错误对入组的影响及对策分析[J].中国医院统计,2022,29(5): 367-372.DOI: 10.3969/j.issn.1006-5253.2022.05.011.
|
[1] |
. [J]. journal1, 2015, 22(3): 235-236. |
|
|
|
|