Discussion on the Main Diagnostic Selection and Coding of Retinoblastoma
Retinoblastoma(RB)is a malignant tumor originating from the retina.The main diagnosis of patients is based on the selection principle of the main diagnosis of malignant tumors,and the main diagnosis selection and coding are determined by the main purpose of hospitalization and treatment methods.Mainly divided into the diagnosis or surgery of RB itself,with C69.2 as the main diagnostic code;Fundus examination was conducted,and no tumor recurrence was found.No other treatment was performed,with Z08 as the main diagnostic code;Perform course chemotherapy,radiation therapy,and immunotherapy on RB,selecting Z51.1,Z51.0,and Z51.8 respectively;Perform cataract removal surgery on concurrent cataracts,with a main diagnostic code of H26.2;Regularly remove silicone oil from the eye according to medical advice,with a main diagnostic code of Z45.8;For the complications of RB(such as exposure of artificial eye implants and emulsification of silicone oil),T85.3 was chosen;C69.2 was selected as the main diagnostic code for unilateral RB(stages D and E)undergoing simultaneous tumor resection surgery,chemotherapy,silicone oil removal,and treatment of complications;After transpupillary thermotherapy,cryotherapy,laser photocoagulation and Photodynamic therapy for RB tumor,C69.2 can be used as the main diagnostic code.For the diagnosis or surgical treatment of RB metastatic tumors,the main diagnosis should be metastatic tumors.Trilateral Retinoblastoma belongs to primary Retinoblastoma,and the main diagnostic code is selected according to the main diagnostic selection principle of malignant tumor.