膝关节韧带手术编码分析

Coding Analysis of Knee Ligament Surgery

膝关节韧带指的是膝关节周围的韧带,如髌韧带、前后交叉韧带、内外侧副韧带、髌骨内外侧支持带等。对损伤韧带的修补,主要是通过缝合、锚钉固定、移植肌腱来完成。在对损伤韧带的修补术进行编码时,应注意主导词的选择。编码员要按照工具书中的编码规则结合临床实际进行编码,对膝关节韧带损伤的手术编码,要根据手术记录明确手术术式,膝关节韧带单纯缝合术81.95,内侧支持带重建术81.44,膝副韧带重建术81.46,膝交叉韧带重建术81.45,膝关节三联修补术81.43。同时对韧带修补术的案例进行分析,分析编码人员在编码过程中可能存在的问题,让编码员意识到正确选择主导词的重要性,加强对ICD-9-CM-3编码工具书的应用,提高医学知识和国际疾病分类专业技能,是准确进行编码的关键。

Knee ligaments refer to the ligaments around the knee joint,such as the patellar ligament,anterior and posterior cruciate ligaments,medial and lateral collateral ligaments,medial and lateral patella retinaculum,etc.The repair of injured ligaments is mainly completed by suture,anchor fixation and tendon transplantation.When coding the repair of injured ligaments,attention should be paid to the selection of leading words.Coders should code according to the coding rules in the reference book and combined with clinical practice.For the operation code of knee ligament injury,the operation method should be clarified according to the surgical records.For the surgery coding,it was 81.95 for knee ligament simple suture;81.44 for knee medial patellofemoral retinaculum reconstruction;81.46 for knee collateral ligament reconstruction;81.45 for knee cruciate ligament reconstruction;81.43 for Triad knee repair.The coders should also analyze the cases of ligament repair,the possible problems of coders in the coding process,to make themselves aware of the importance of correctly choosing leading words,strengthen the application of ICD-9-CM-3 coding reference book,improve medical knowledge and professional skills of international classification of diseases,is the key to accurate coding.