尿道下裂疾病及手术编码分析

Discussion on Hypospadias Diseases and Operation Codes

尿道下裂是常见的泌尿系统先天性畸形,尿道下裂修复术是针对不在正常位置的尿道口进行的修复性手术。根据ICD-10编码规则,临床常见尿道下裂的准确编码:阴茎头型、冠状沟型尿道下裂编码为Q54.0,阴茎体型尿道下裂编码为Q54.1,阴茎阴囊型尿道下裂编码为Q54.2,会阴型尿道下裂编码为Q54.3。阴茎阴囊型和阴囊会阴型尿道下裂常有伴随畸形,需具体编码。根据ICD-9-CM-3编码规则,临床常用尿道下裂修复手术的准确编码:一期尿道下裂修复术、分期手术的一期阴茎弯曲矫正术、分期手术的二期尿道下裂修复术均编码于58.45,膀胱造瘘术编码为57.21,睾丸下降固定术编码为62.5。编码员编码时要了解疾病及手术内涵,根据ICD-10及ICD-9-CM-3编码规则,对尿道下裂及相关手术进行判断并准确编码。

Hypospadias are common urinary system congenital anomalies.Hypospadias repair is a repair surgery performed on a urethral orifice that is not in its normal position.According to the ICD-10 coding rule,the accurate coding of common hypospadias is given.The code for glans penis type and coronal sulcus type hypospadias is Q54.0,the code for penile body type hypospadias is Q54.1,the code for penoscrotal type hypospadias is Q54.2,and the code for perineal type hypospadias is Q54.3.Penile-scrotal type and scrotal-perineal type of hypospadias are often accompanied by deformities that require specific coding.According to the ICD-9-CM-3 coding rule,the correct coding is given for the repair of hypospadias commonly used in clinics.One-stage repair of hypospadias,one-stage correction of penile curvature by staged surgery,and two-stage repair of hypospadias by staged surgery are all coded as 58.45.Cystostomy is coded as 57.21.Orchiopexy is coded as 62.5.When coding,coders should understand the connotations of diseases and surgeries.They need to judge and accurately code hypospadias and related surgeries according to ICD-10 and ICD-9-CM-3 coding rules.