首页|涎腺切除术的手术编码探讨

涎腺切除术的手术编码探讨

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涎腺切除术是治疗涎腺炎症、涎腺囊肿、涎腺肿瘤的主要方法 .ICD-9-CM-3 中以手术切除范围为分类轴心将涎腺切除术分为涎腺病损切除术 26.29、涎腺部分切除术 26.31、涎腺全部切除术 26.32,临床上常用的涎腺病损切除术包括腮腺病损切除术和小涎腺病损切除术,涎腺部分切除术包括腮腺部分(浅叶、深叶、副腮腺)切除术、颌下腺部分切除术、小涎腺部分切除术,涎腺全部切除术包括腮腺全部切除术、颌下腺全部切除术、舌下腺全部切除术.编码员在掌握每种手术的内涵后,应注意另编码同时进行的其它手术操作如任何淋巴结清扫术(40.40-40.42)、面神经切除术 04.07、面神经移植术 04.5、皮瓣移植术(27.57、25.59、86.71-86.72,86.74-86.75)、涎腺修补术 26.49 等.编码员应重视医学知识的学习,仔细阅读手术记录,充分与临床医师沟通,保证编码的准确、科学、完整.
Analysis of ICD-9-CM-3 Coding of Sialoadenectomy
Sialoadenectomy is the main method for salivary gland inflammation,saliva cysts and tumors.In ICD-9-CM-3,Sialoadenectomy is classified into excision of lesion of salivary gland,partial sialoadenectomy 26.31,and complete sialoadenectomy 26.32,and the commonly used excision of lesion of salivary gland in clinical practice includes parotidectomy and subtotal salivary gland lesion resection,and partial sialoadenectomy includes partial parotidectomy(superficial,deep,parotid),partial submandibular gland resection,partial salivary gland resection,and complete sialoadenectomy includes total parotidectomy,total submandibular gland resection and total sublingual gland resection.After mastering the connotation of each procedure,coders should pay attention to other surgical operations performed at the same time by another code such as any lymph node dissection(40.40-40.42),facial neurectomy 04.07,facial nerve graft 04.5,flap graft(27.57,25.59,86.71-86.72,86.74-86.75),salivary gland repair 26.49,etc.Coders should pay attention to medical knowledge,read surgical records carefully,and fully communicate with clinicians to ensure accurate,scientific and complete coding.

Salivary cystSalivary gland tumorSialoadenectomySurgical code

周蒙、张晓青、战凯

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青岛市市立医院,山东省,青岛市,266011

涎腺囊肿 涎腺肿瘤 涎腺切除术 手术编码

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(2)
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