游离皮瓣移植术编码分析

Coding Analysis of Free Flap Transplantation

游离皮瓣移植术疗程短、疗效好,是整形外科与创伤重建领域重要方法.根据ICD-9-CM-3编码规则,针对临床上皮瓣移植所处阶段、常用皮瓣类型、皮瓣供区及受区手术,对游离皮瓣移植术给出准确编码.在皮瓣准备阶段,游离皮瓣预制术编码为86.71,采用扩张皮瓣预制时,扩张器植入术编码为86.93;皮瓣转移阶段,手以外部位游离皮瓣移植术编码为86.74,手游离皮瓣移植术86.73,86类目不包括部位的游离皮瓣移植术编码于受区部位所在系统章节;皮瓣移植术后修复阶段的游离皮瓣修整术编码为86.75;手以外其他部位游离筋膜瓣和肌皮瓣移植术编码为86.74,手游离筋膜瓣和肌皮瓣移植术编码为86.73;供区皮瓣切取术86.71;游离皮片移植时,手以外的游离中厚皮片移植术86.69,手游离中厚皮片移植术86.62.皮瓣编码员编码时要了解手术内涵,根据实际手术情况,对游离皮瓣预制术、游离皮瓣移植术、供区皮瓣切取术、皮瓣供区皮片移植术、游离皮瓣修整术进行判断并准确编码.

Free skin flap transplantation has a short course of treatment and good curative effect. It is an important method in the field of plastic surgery and trauma reconstruction. According to the coding rules of ICD-9-CM-3, accurate codes are given for free flap transplantation according to the stage of clinical epithelial flap transplantation, the commonly used flap types, the flap donor and recipient regions. During the flap preparation stage, the free flap prefabrication code is 86.71, and when the expanded flap prefabrication is used, the dilator implantation code is 86.93;in the flap transfer phase, the free flap transplantation code is 86.74, and the hand free skin Flap transplantation 86.73 and 86 categories do not include the chapter of free flap transplantation coded in the system where the recipient site is located;free flap repair code for the repair stage after flap transplantation is 86.75;free fascial flaps in other parts other than the hand And myocutaneous flap transplantation code is 86.74, hand free fascia flap and myocutaneous flap transplantation code is 86.73;donor site flap extraction is 86.71;when free skin graft is transplanted, free medium-thickness skin graft outside the hand is 86.69, Hand free medium-thickness skin grafting 86.62. Flap coders should understand the connotation of the operation when coding. According to the actual operation conditions, perform free flap prefabrication, free flap transplantation, donor site flap extraction, flap donor site skin grafting, and free flap repair Make judgments and code accurately.