ICD-9-CM-3 coding analysis of hysterovaginal prolapse suspension
The commonly used suspensions for hysterovaginal prolapse include sacral ligament suspension,iliopectineal ligament suspension,sacrospinous ligament suspension and pelvic fascia tendon arch suspension.The purpose of sacral ligament suspension,iliopectineal ligament suspension,and sacrospinous ligament suspension is to reposition the prolapsed pelvic organs directly or indirectly by suspending the uterus or vagina.The clinical surgical names were converted into categorical surgical names according to the purpose of suspension:uterine suspension 69.22 or vaginal suspension 70.77/70.78.However,the suspension of pelvic fascia tendon arch for cystocele belongs to transvaginal paravaginal repair,not suspension,according to literature review.Thus,the code should be classified as 70.51 cystocele repair.The coding difficulty of hysterovaginal prolapse suspension lies in the need to deeply grasp the essence and connotation of clinical suspension,and then convert the clinical operation name into the classified operation name.Therefore,when coding for hysterovaginal prolapse suspension,it is not only necessary to read the surgical records in detail but also to communicate extensively with clinicians and coding peers,carefully search for coding,and consult literature to obtain accurate ICD-9-CM-3 coding.
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