探讨内镜下微创手术与操作ICD-9-CM-3的编码与应用  

Explore the ICD-9-CM-3 Coding Implement of the Minimally Invasive Surgery under the Endoscopy

作　　者：林瑄[1] 洪春燕[1] LIN Xuan, HONG Chun-yan （Zhongshan University Affiliated Shantou Hospital,Shantou Central Hospital, Shantou 515000, China）

机构地区：[1]汕头市中心医院中山大学附属汕头医院,广东汕头515000

出　　处：《医学信息》2011年第20期6764-6765,共2页Journal of Medical Information

摘　　要：目的探讨内镜下微创手术与操作ICD-9-CM-3的编码与应用。方法基于《国际疾病分类第九版临床修订本手术与操作》（ICD-9-CM-3）2008版的编码原则与方法。结果手术操作编码的分类结构以各解剖部位为主，各类操作均归于解剖各系统，而ICD-9-CM-3的分类则基于两位数类目，再以亚目细目进行区分，故一般以细目扩展码给予分辨内镜下各种手术操作。结论医学的不断发展，要求编码人员要适时掌握临床新动态，适应新需求，从而不断提高编码技能，以保持与临床和当代科学的同步发展。Objective To explore the ICD-9-CM-3 coding implement of the minimally invasive surgery under the endoscopy. Methods Based on the coding rules and methods according to ICD-9-CM-3 2008. Results Classifying operation codes are based on the anatomical system while ICD-9- CM-3 are on the category showed by two number. So it is common that we code the minimally invasive surgery under the endoscopy with the detailed catalog code. Conclusion With the developing in medicine, the coder must improve their coding skill to contribute to the clinical for correct information.

关 键 词：内镜 微创手术操作 ICD-9-CM-3编码 

分 类 号：R195.1[医药卫生—卫生统计学;医药卫生—卫生事业管理;医药卫生—公共卫生与预防医学]