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骨修复材料的ICD-9-CM-3编码分析

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随着医学的快速发展,各类型的骨质缺损使得临床对骨缺损修复材料的要求越来越高,骨修复材料的种类也越来越多,国家药监局发布的《医疗器械分类目录》对市面上的各种骨修复材料进行了详细分类,然而不同的材料类型所对应的编码存在一定的差异,因此编码员对于鉴别各类型骨修复材料所对应的编码存在一定难度.通过对ICD-9-CM-3工具书索引查找,发现涉及骨修复材料植入的相关编码有骨移植术(78.0)、重组骨形成蛋白置入(84.52)、骨空隙填补物置入(84.55)和填充物(水泥)置入(84.56),结合骨移植手术中使用的骨修复材料耗材标签提供的国械注准编号或名称产地等信息在国家药监局官网数据库进一步核查材料的具体成分,分析各类骨修复材料所对应的手术操作编码.编码员可以利用官方数据库注册器械信息与手术操作编码工具书进行比对选择正确编码,从而进一步提高编码的准确性,加强对工具书索引的使用和理解.
ICD-9-CM-3 Coding Analysis of Bone Repair Materials
With the rapid development of medicine,the increasing variety of bone defects raises clinical demands for bone defect repair materials,leading to a growing range of available bone repair materials.The Medical Device Classification Catalogue issued by the State Food and Drug Administration provides a detailed classification of various bone repair materials available on the market.However,there are differences in the codes corresponding to different material types,making it difficult for coders to identify the appropriate codes for various types of bone repair materials.By searching the index of ICD-9-CM-3 reference books,this study found the following codes related to bone repair material implantation:bone grafting(78.0),insertion of recombinant bone morphogenetic protein(84.52),insertion of bone void filler(84.55),and insertion of(cement)spacer(84.56).By combining the national instrument registration number or name and origin information provided on the consumable label of bone repair materials used in bone transplantation surgery,this study further verified the specific composition of the materials in the official website database of the State Food and Drug Administration.Subsequently,this study analyzed the operative codes corresponding to various bone repair materials.Coders can utilize the official database to register device information and refer to surgical operation coding reference books to compare and select the correct code.This helps to further enhance coding accuracy and reinforce the utilization and comprehension of reference book indices.

Bone graftingBone repair materialsICD-9-CM-3

陈俊伟

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遵义医科大学附属医院医务处病案管理科,贵州省,遵义市,563003

植骨术 骨修复材料 ICD-9-CM-3编码

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(7)
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