输卵管妊娠的手术编码分析

Analysis of Surgical Coding of Tubal Pregnancy

目前输卵管妊娠手术主要编码包括66.01输卵管切开术、66.02输卵管造口术、66.62输卵管切除术、74.3输卵管外异位妊娠等。编码查找主导词为"去除",编码过程需注意区分各种手术术式相应的编码,并根据手术情况进行另编码。通过剖析具体输卵管妊娠手术案例,总结输卵管妊娠手术编码难点在于临床手术名称与手术分类名称存在差异,编码员对各种手术术式缺乏深入认识,误用临床同名手术编码,过分依赖编码库。编码员需理解各种手术术式并掌握相应编码规则,仔细阅读手术记录,确认手术术式,使用工具书在书上查找编码并结合另编码指示才能给予完整正确的手术编码。

At present, the main codes of tubal pregnancy surgery include: 66.01 Salpingotomy, 66.02 Salpingostomy, 66.62 Salpingectomy with removal of tubal pregnancy and 74.3 removal of extratubal ectopic pregnancy. The leading word of coding search is "remove". In the coding process, it is necessary to distinguish the coding of various surgical procedures, and carry out additional code according to the operation conditions. Through the analysis of specific cases of tubal pregnancy surgery, the difficulty of coding of tubal pregnancy surgery lies in the difference name of disease between clinicians and coders, Coders lacks in-depth understanding of various surgical methods, misuses the clinical operation code with the same name, and excessively relies on the coding library. Coders should understand all kinds of surgical procedures and master the corresponding coding rules, carefully read the operation records, confirm the surgical procedures, and use the reference book to search for the codes in the book and combine with additional code instructions to give complete and correct operation codes.