黑素细胞痣疾病及手术编码探讨

Discussion on Melanocytic Nevus Disease and Operation Coding

黑素细胞痣及相关手术是常见的疾病和手术之一,编码容易混淆。临床根据病因、坑浆大小、外观形态及黑素细胞巢在皮肤层次的部位对黑素细胞痣进行分类。ICD-10将巨型黑素细胞痣形态学编码分类于M8761/1,巨型黑素细胞痣部位编码分类于D48.5;非巨型黑素细胞痣形态学编码分类于M872-M879,动态编码为/0,非巨型黑素细胞痣部位编码分类于D22.-。ICD-9-CM-3中86类目包括部位的黑素细胞痣切除术编码为86.3,86类目不包括部位的黑素细胞痣切除术分类于系统章节。黑素细胞痣切除游离植皮术或皮瓣移植术编码时除了将对黑素细胞痣切除术进行编码,还要对游离皮片移植术或皮瓣移植术进行编码。编码员对黑素细胞痣及其常见手术编码时要了解黑素细胞痣部位、病理及其手术术式和部位,根据ICD-10及ICD-9-CM-3编码规则准确编码。

Melanocytic nevus and related surgery is one of the common diseases and operations.The coding is easy to confuse.The clinical classification of Melanocytic nevus is based on the etiology,size,morphology,and location of melanocyte nests at the skin level.ICD-10 classifies Melanocytic nevus Melanocytic nevus as M87611,giant Melanocytic nevus as D48.5,non-giant Melanocytic nevus as M872-M879,and dynamic as 0.Non-giant Melanocytic nevus code is classified as D22.-.The 86 category Melanocytic nevus with site is coded as 86.3 in ICD-9-CM-3,and the 86 category Melanocytic nevus without site is classified in the systems section.In addition to Melanocytic nevus,a free skin graft or flap graft is coded for free skin graft or flap graft.When coding melanocytic nevus and its common surgeries,coders should understand the location,pathology,and surgical procedures and locations of melanocytic nevus,and code accurately according to ICD-10 and ICD-9-CM-3 coding rules.