甲状腺切除术ICD-9-CM-3编码分析

Coding Analysis of ICD-9-CM-3 in Thyroidectomy

ICD-9-CM-3甲状腺切除术分为胸骨上、胸骨下和舌部切除术.胸骨上切除术对应临床的颈前Kocher和Miccoli切口,治疗颈部甲状腺疾病,切除方式包括病损切除、部分切除、单侧切除和双侧切除,强调切除范围,编码范围是06.2~06.4.病损切除仅切除病变组织,部分切除是切除没有明确病损的甲状腺肿,或切除病损及周围正常组织;胸骨下切除术对应临床的颈前Kocher和"T"形切口,分类胸骨下甲状腺肿手术,强调疾病性质,编码为06.5-;舌部切除术是经颏、胸乳、腋窝、耳后和口等切口,强调手术切口,只要是颈外切口,无论切除范围,均编码为06.6.编码时应查看手术记录,明确甲状腺疾病类型、切除方式和手术切口,以便正确编码.

ICD-9-CM-3 thyroidectomy was divided into suprasternal, suprasternal and lingual resection. Suprasternal resection corresponds to the clinical incision of anterior cervical Kocher and Miccoli for the treatment of cervical thyroid diseases. The resection methods include lesion resection, partial resection, unilateral resection and bilateral resection, with emphasis on the resection range and the coding range is 06.2-06.4. The lesion excision only excises the lesion, and partial excision refers to the removal of goiter without definite lesion, or the removal of lesion and surrounding normal tissue;Substernotomy corresponds to clinical anterior cervical Kocher and "T-shaped" incision, classifies substernal goiter surgery, emphasizes the nature of disease, and codes 06.5-. Glossotomy is a transmental, pectoral, axillary, retroauricular and oral incision, emphasizing the surgical incision. As long as it is an external cervical incision, regardless of the resection range, the code is 06.6. When coding, the surgical records should be checked to make clear the type of thyroid disease, the method of excision and the surgical incision, and the correct coding should be performed.