肠造口治疗相关手术编码探讨

肠造口治疗作为粪便转流是非常重要的消化道手术之一,但是因其临床分类的复杂性给编码工作带来一定的困难.临床上依据造口的部位、形状、功能、目的、造口的保留时间对其进行分类,而肠造口手术治疗编码主要依据肠造口的3个临床特征进行分类,分别是造口形状(是否襻式)、造口部位(回肠、结肠)和造口保留时间(暂时性、永久性),主要编码于...

Discussion on the Surgical Coding of Enterostomy Treatment

Enterostomy treatment is one of the most important digestive tract surgery as fecal diversion, but the complexity of its clinical classification has caused certain difficulties for coding. Clinically, the stoma is classified according to its location, shape, function and purpose, and the retention time of the stoma. The surgical treatment code for enterostomy is mainly classified based on the three clinical characteristics of the stoma, namely the shape of the stoma(Whether loop type), stoma site(ileum, colon) and stoma retention time(temporary, permanent), are mainly coded in 46.0, 46.1, and 46.2. Controlled enterostomy is a special type of enterostomy, coded at 46.22(ileum) and 46.13(colon) according to different parts. The postoperative outcome of an intestinal stoma is mainly reconciliation and the treatment of stoma complications. This article also summarizes the stoma reconduction and the treatment methods of different stoma complications and their related surgical codes. Only by constantly learning clinical knowledge can coders perform better and more accurate coding.