冠状动脉旁路移植术(CABG)ICD-9-CM-3的编码探讨

Coronary artery bypass grafting (CABG) ICD-9-CM-3 Encoding Discussion

根据冠状动脉旁路移植术(CABG)的手术记录,依据国际疾病分类第九版临床修订本手术与操作 ICD-9-CM-3(2008版)正确的对冠状动脉旁路移植术进行逐一编码,一根冠状动脉的(主动脉)冠状动脉搭桥36.11;二根冠状动脉的(主动脉)冠状动脉搭桥36.12;三根冠状动脉的(主动脉)冠状动脉搭桥36.13;四根或以上冠状动脉的(主动脉)搭桥;单乳房内动脉-冠状动脉搭桥36.15;双乳房内动脉-冠状动脉搭桥36.16;并另编码心肺搭桥:[体外循环][心肺机]39.61.在编码过程中,一定要仔细阅读病案的手术记录,掌握相关知识,多与临床医师沟通,才能准确编码。

According to coronary artery bypass graft(CABG)surgery records,based on the revised version of the international classification of diseases the Nineth Edition of clinical surgery and operations ICD-9-CM-3(2008 Edition)codes one by one right coronary artery bypass graft surgery,A root coronary of(active pulse)coronary bypass 36.11;Two root coronary of(active pulse)coronary bypass 36.12;three root coronary of(active pulse)coronary bypass 36.13;four root or above coronary of(active pulse)bypass;single breast within artery-coronary bypass 36.15;double breast within artery-coronary bypass 36.16;and another coding heart lung bypass'cardiopulmonary bypass''heart lung machine'39.61.In coding process it needs to read the medical records of operation records,acquire the relevant knowledge,communicate with clinicians,can accurately coded.