ICD-9-CM-3 Coding Case Study for Tubal and Oophorectomy
The fallopian tube and ovary are called the adnexa uteri.Adnexa operation is a common operation in gynecology,including unilateral adnexectomy,bilateral adnexectomy,unilateral salpingectomy,unilateral oophorectomy and partial salpingo-oophorectomy.By analyzing the operation cases of fallopian tube and ovary,the differences between the operation name written by the clinician and the classification name of ICD-9-CM-3 operation were summarized.Fallopian tube and ovary as pairs of gonadal organs,the same scope of operation,the name of the operation,the operation code will be different because of the nature of the disease,the outcome of the operation,the purpose of the different."Residual/isolated"removal of fallopian tubes and ovaries should be coded in the corresponding bilateral total removal suborder,such as"unilateral salpingectomy,removal of only one side,leaving the opposite side",coded in 66.4 unilateral total salpingectomy.66.52 residual/isolated salpingectomy and 66.51 unilateral salpingectomy were classified in subhead 66.5 bilateral total salpingectomy.When the nature of the disease is tubal pregnancy"unilateral salpingectomy"is performed,coded in 66.62 salpingectomy with removal of tubal pregnancy.
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