Discussion on the Operation Coding of ICD-9-CM-3 for Congenital Bile Duct Dilatation
The classification of congenital biliary dilatation is complex,the mode of operation is professional,and there are many difficulties in coding.Todani classification is the most commonly used classification method,it divides congenital bile duct dilatation into five types,different clinical classification will develop different surgical methods.The common surgical procedures of type Ⅰ,Ⅱ,Ⅲ and Ⅳb need to be coded according to the extent of resection and dilatation of bile duct,and the reconstruction of bile duct needs to be coded according to the site of anastomosis,that is,the code for choledochojejunostomy is 51.36,the code for hepatojejunostomy is 51.37,and the code for choledochojejunostomy(intrahepatic)is 51.39.The codes of Ⅳa and Ⅴ-type common surgical procedures are 50.22 or 50.3 according to the scope of hepatectomy,17.42 for laparoscopic robot-assisted operation,50.5 for liver transplantation and 00.91-00.93 for additional donor liver.In their work,the coding staff must read through the medical records,define the classification of congenital bile duct dilatation,the scope of surgical resection and the mode of bile duct reconstruction,and skillfully master the principles of ellipsis coding and other coding,combined with the analysis of the difficulties of the case.to further improve the accuracy of surgical coding for congenital bile duct dilatation.
Congenital bile duct dilatationOperation codingICD-9-CM-3
NETL
NSTL
万方数据
