摘要
心脏瓣膜手术复杂,手术部位、术式、入路、是否伴有组织移植物及假体类别对手术编码起关键作用。心脏瓣膜手术包括瓣膜成形术和瓣膜置换术,瓣膜成形术根据手术入路分为闭合性的瓣膜成形术35.00-35.04、开放性瓣膜成形术35.1、经皮球囊瓣膜成形术35.96等。瓣膜置换术根据手术入路的不同分为直视下瓣膜置换术35.2、经导管的瓣膜置换术35.05-35.08,经导管的瓣膜置换手术入路分为经血管入路和经心尖入路。研究从心脏瓣膜病的手术方式、编码查找方法、编码规则及实证案例对常见心脏瓣膜手术编码进行分析,总结编码要点,建议通过临床医师和编码员共同努力,提高手术编码准确性。
Heart valve surgery is complex,and the surgical site,procedure,approach,presence of tissue grafts,and prosthesis type play a key role in surgical coding.Heart valve surgery includes valvuloplasty and valve replacement.According to the surgical approach,valvuloplasty is divided into closed valvuloplasty 35.00-35.04,open valvuloplasty 35.1,percutaneous balloon valvuloplasty 35.96,etc.According to the different surgical approaches,valve replacement can be divided into direct vision valve replacement 35.2 and transcatheter valve replacement 35.05-35.08.Transcatheter valve replacement can be divided into transvascular approach and transapical approach.This paper analyzes common heart valve surgery codes from the aspects of surgical methods,coding search methods,coding rules and empirical cases.It summarizes the coding points,and suggests that clinicians and coders should work together to improve the accuracy of surgical coding.
作者
张丽晶
李炳
Zhang Lijing;Li Bing(Department of Medical Records and Statistics,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,Hubei Province,China;不详)
出处
《中国病案》
2025年第9期35-38,共4页
Chinese Medical Record
