Discussion on Chronic Suppurative Otitis Media Disease and Surgical Coding
Chronic suppurative otitis media is a common ear disease,which can be divided into simple type,cholesteatoma type and caries type according to the pathological and clinical manifestations.Mastoid surgery aimed at clearing the middle ear lesions and tympanoplasty aimed at reconstructing the middle ear sound transmission structure are the most common treatment methods at present.The specific types of mastoidectomy are:radical mastoidectomy,complete wall mastoidectomy,open mastoidectomy,complete bridge mastoidectomy,and tympanoplasty,and the corresponding ICD-9-CM-3 codes are:20.42,20.4900x009,20.4900x008,20.4901 and 20.4900x007,tympanoplasty is classified into five types according to the Wullstein-Zollner classification system,with codes of type Ⅰ 19.4,type Ⅱ 19.52,type Ⅲ 19.53,type Ⅳ 19.54,and type Ⅴ 19.55.Other important surgical procedures,such as external auditory canal shaping surgery 18.6,need to be coded according to the actual situation.Coders should be proficient in mastering relevant disease and surgical codes and their connotations,while strengthening the learning of relevant clinical knowledge,communicating with clinical physicians,and improving the quality of coding to ensure the accuracy of coding.
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