Coding Analysis of Lymph Node Excision in the Radical Surgery for Tumors
During radical surgery,the location and assessment of lymph nodes are important for decision-making on the extent of surgery.Lymph node resection and dissection have an important impact on the outcome of surgery.In the ICD-9-CM-3 coding of radical surgery,the operation code related to lymphatic tissue is easy to miss,spare,and miscoded.The codes for radical laryngectomy 30.4,radical mastectomy 85.43-85.48,and pneumectomy 32.5 already include lymphoid tissue resection and no additional coding is required.In radical surgery for other malignant tumors,if lymphadenectomy is performed,additional coding 40.3-40.5 is required.The difference between regional lymph node resection 40.3 and radical(neck)lymph node dissection 40.4-40.5 is the range and depth of lymph node dissection.Sentinel lymph node biopsy and lymph node trace need to be coded as 40.11 and 40.19,respectively.Coders should strengthen their of clinical and coding knowledge and extract key information from surgical records to achieve accurate coding of lymph node surgery in tumor surgery.
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