Discussion on Surgical Coding of Interventional Therapy for Three Kinds of Common Cerebrovascular Diseases
At present,ischemic cerebrovascular disease,cerebral aneurysm and cerebral arteriovenous malformation are three kinds of diseases widely used in interventional therapy of cerebrovascular disease,and the specific operation methods used for different types of diseases are also different.Based on the analysis of various operation methods,the surgical code of interventional therapy for cerebrovascular diseases was determined according to the coding rules of ICD-9-CM-3.The codes for balloon dilatation for ischemic cerebrovascular disease are 00.61(extracranial vessels)and 00.62(intracranial vessels),stenting is 00.63(carotid arteries),00.64(extracranial vessels)and 00.65(intracranial vessels),and endovascular thrombectomy is 39.74.Endovascular embolization of cerebral aneurysms is coded as 39.72(stent,liquid embolization agent,endovascular graft,etc.),39.75(bare spring ring)and 39.76(bioactive spring ring)according to different embolization materials.Interventional treatment of cerebral arteriovenous malformation was mainly coded in 39.72.In addition,it is also necessary to take care not to leave out the"alternative code"that needs to be used.Coders should fully understand the anatomical structure of cerebral vessels and the operation methods and materials of interventional therapy,and combine with the connotation of coding to ensure the accuracy of coding.
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