脑血管介入手术ICD-9-CM-3编码及案例分析  

ICD-9-CM-3 coding and case analysis of cerebrovascular intervention operation

作　　者：周琴 封浑 李爱平[1] 何治琛 刘昊祎 张斯斯 Zhou Qin;Feng Hun;Li Aiping;He Zhichen;Liu Haoyi;Zhang Sisi(Department of Medical Records,Guangxi Academy of Medical Sciences,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China;Department of Neurology,Guangxi Academy of Medical Sciences,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西医学科学院广西壮族自治区人民医院病案信息管理科,广西南宁530021 [2]广西医学科学院广西壮族自治区人民医院神经内科,广西南宁530021

出　　处：《中国医院统计》2023年第4期285-288,共4页Chinese Journal of Hospital Statistics

基　　金：广西省自然科学基金项目(2018GXNSFBA281061)。

摘　　要：目的探讨脑血管介入手术的ICD-9-CM-3编码。方法梳理常见脑血管介入手术的术式特点,根据国际手术与操作分类原则和典型案例分析,对其进行ICD-9-CM-3编码。结果治疗缺血性脑血管病的颅外血管经皮球囊扩张成形术分类于00.61,经皮支架置入术分类于00.63或00.64;颅内血管经皮球囊扩张成形术分类于00.62,经皮支架置入术分类于00.65;经皮脑血管内取栓术分类于39.74,经皮脑血管内溶栓术根据溶栓药物的不同分类于99.10或99.20;治疗出血性脑血管病的介入栓塞术根据介入材料的不同分类于39.72、39.75或39.76。结论正确分类脑血管介入手术需要考虑解剖部位、手术术式、疾病性质和介入材料这4个轴心。不了解手术内涵以及过于依赖计算机容易导致错误编码。Objective To investigate the ICD-9-CM-3 coding in cerebrovascular interventional operation.Methods The characteristics of common cerebrovascular interventional surgery were sorted out,and ICD-9-CM-3 coding was performed according to the international classification principle of surgery and operation and typical case analysis.Results For ischemic cerebrovascular disease,extracranial percutaneous balloon dilatation is classified in 00.61,and extracranial percutaneous stent placement is classified in 00.63 or 00.64;Intracranial percutaneous balloon dilatation is classified in 00.61,and intracranial percutaneous stent placement is classified in 00.65;Percutaneous thrombectomy is classified in 39.74;Percutaneous cerebrovascular hemolysis is classified as 99.10 or 99.20 according to different thrombolytic agents.Interventional embolization for hemorrhagic cerebrovascular disease is classified as 39.72,39.75 or 39.76 according to different interventional material.Conclusion The surgical site,operation,disease nature and interventional material should be considered for the correct classification of cerebrovascular intervention operation.Incomprehension of the connotation of the operations and dependence too much on computers easily lead to miscoding.

关 键 词：脑血管介入手术 生物活性弹簧圈 ICD-9-CM-3编码 手术操作分类 

分 类 号：R651.1[医药卫生—外科学] R197.323[医药卫生—临床医学]