Discussion on the Surgical Code of Anterior Resection of Rectal
Anterior rectal resection refers to an abdominal and anus-preserving resection of the lower sigmoid colon and rectal cancer,which is the most widely used anus-preserving surgery for rectal cancer at present.In order to improve the accuracy of coding for anterior resection of the rectum,this study summarizes the surgical coding of each surgical procedure of anterior resection of the rectum combining ICD-9-CM-3(2011 version)and reviews the coding of different surgical procedures through cases.Among them,the pull-out of the rectum through the anus during the Parks and Bacon procedures is classified as pull-out surgery and classified as 48.4;Low anterior rectal resection(Dixon),anterior rectal resection through sphincter(ISR),one-stage anastomosis after intestinal resection to restore intestinal continuity are classified as 48.63.According to the principle of separate coding and equal coding in ICD-9-CM-3(2011),anterior rectal resection should also be coded with additional codes such as lymph node dissection(40.59)and intestinal anastomosis(46.01/46.21)in addition to the main surgical coding.Total mesorectal resection and enterostomy are necessary surgical steps for anterior rectal resection and are not coded.
ICD-9-CM-3Anterior resection of the rectumSurgical code
NETL
NSTL
万方数据
