Disease and Surgical Coding Analysis of Common Mediastinal Primary Tumors
Mediastinal primary tumor is a common disease in thoracic surgery.The disease and operative code of mediastinal primary tumor were analyzed by case study.It is suggested that ICD-10 classify thymomas of type A,AB,B1,B2,B3,chemogenetic type,NOS(not specifically referred to as type)as C37.X thymoma and ICD-11 as 2C27.2 malignant thymoma.Micronodular thymoma with lymphoid stromal thymoma was classified by ICD-10 as D38.4 tumors with uncertain or unknown thymus dynamics,and by ICD-11 as 2F71.0 tumors with uncertain thymus biological behavior.The ICD-10 classification of lipofibroadenoma of the thymus is D15.0 benign tumor of the thymus,and the ICD-11 code is 2F01 benign tumor of the thymus.Mediastinal schwannomas were classified as benign peripheral and autonomic nervous system tumors by ICD-10 and benign non-mesenchymal tumors by ICD-11 in 2F3Y and other specific sites.Mature mediastinal teratoma was classified as D15.2 mediastinal benign tumor by ICD-10,and 2F01 mediastinal benign tumor by ICD-11.The ICD-10 classification of mediastinal immature teratoma is premediastinal malignancies of C38.1,postmediastinal malignancies of C38.2,and mediastinal malignancies not specifically specified at C38.3.The ICD-11 code is 2C28.0 malignant germ cell tumors of the heart,mediastinum,or pleura that are not mesothelioma.Common procedures included 07.81 partial thymotomy,07.82 total thymotomy,07.83 thoracoscopic partial thymotomy,07.84 total thoracoscopic thymotomy,04.07 other excision and avulsion of cranial and peripheral nerves,and 34.3 excision and destruction of mediastinal lesion or tissue.The key point of coding is to distinguish the origin,nature and surgical methods of tumors.Coders not only need to master the classification rules of diseases and surgeries and constantly learn the new types of mediastinal tumors by WHO,but also need to read through medical records to understand the nature of diseases and corresponding surgical sites and methods in the actual coding process,so as to further improve the coding level of primary mediastinal tumors.
Mediastinal tumorICD-10ICD-11ICD-9-CM-3CodeFifth WHO Classification of Thoracic tumors
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NSTL
万方数据
