关于腮腺手术编码的探讨

Study on the Coding of Parotid Gland

腮腺的解剖结构既特殊又复杂,目前在临床手术中通常有腮腺肿物切除,腮腺浅叶切除,腮腺深叶切除,腮腺部分浅叶切除等几个术式。临床医师根据病情确定手术切除的范围,以及是否需要做面神经解剖术、组织补片植入术。通过不同病例,分析腮腺不同手术的编码思路,总结手术的切除范围以及在ICD-9-CM-3工具书中查找路径,明确和规范腮腺手术ICD-9手术及医疗操作分类的正确编码。通过阅读住院病案中的手术记录,注意腮腺浅叶切除术与腮腺部分浅叶切除术以及腮腺深叶切除术与腮腺切除术的区别,提高腮腺手术的编码质量。

The anatomical structure of parotid gland is special and complex.At present,there are several surgical methods in clinical operation,such as parotid mass excision,parotid superficial lobe excision,parotid deep lobe excision and parotid partial superficial lobe excision.In addition,doctors should determine the extent of surgical excision according to the condition,and whether facial nerve anatomy and tissue patch implantation are necessary.Significance Through several different medical records,analysis of different parotid surgery coding ideas,summarize the scope of surgery and find the path in ICD-9-CM-3 tool book,determine the coding.To clarify and standardize the correct coding of ICD-9 operation and medical operation classification of parotid gland surgery,and to distinguish superficial parotid lobectomy from partial superficial parotid lobectomy and deep parotid lobectomy from parotid gland resection by reading medical records,so as to improve the coding quality.