机器人辅助操作手术ICD编码探讨

Discussion on ICD Coding of Robot Assisted Surgery

机器人辅助手术作为新兴外科手术技术,在外科手术中出现的频率不断增加,本文利用病案编码系统的检索功能,检索出某三甲医院2017年8月-2019年4月全院实施机器人辅助手术的手术方式共有5种,这5种术式及其编码为机器人辅助直视手术(编码17.41)、机器人辅助腹腔镜手术(编码17.42)、机器人辅助经皮手术(编码17.43)、机器人辅助内镜手术(编码17.44)、机器人辅助胸腔镜手术(编码17.45),并结合案例对其进行编码分析。目的使编码员熟悉机器人辅助操作手术术式,并建议编码人员应丰富ICD编码专业知识及临床知识,与临床医师沟通,增强责任心,定期参加专业培训,以提高编码水平。

Robot assisted surgery,as a new surgical technique,is increasingly frequent in surgical operations.This paper,by using the retrieval function of the medical record coding system,retrieves a total of 5 surgical methods of robot assisted surgery in a third-level first-class hospital from August 2017 to April 2019,and their codes are as follows:robot-assisted open vision surgery(code 17.41),robot-assisted laparoscopic surgery(code 17.42),robot-assisted percutaneous surgery(code 17.43),robot-assisted endoscopic surgery(code 17.44),robot-assisted thoracoscopic surgery(code 17.45),and combined with cases to conduct coding analysis.Objective to make the coders familiar with the operation of robot assisted operation,and to suggest that coders should enrich the professional and clinical knowledge of ICD coding,communicate with clinicians,enhance their sense of responsibility,and regularly participate in professional training to improve the coding level.