V-Y成形术ICD-9-CM-3编码探讨.pdfVIP

·30·《中国病案》2018年第19卷第9期

V-Y成形术ICD-9-CM-3编码探讨

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段沁江郭晓玲李建华*

摘要V-Y成形术包括皮肤的V-Y成形术和皮肤以外器官的V-Y成形术。对于皮肤的V-Y成形术，

临床和ICD-9-CM-3的概念有一定差异。临床上皮肤的V-Y成形术一般是皮瓣移植术，编码为86.7-。

ICD-9-CM-3中皮肤的V-Y成形术分类到皮肤和皮下组织的其他修补术和重建术86.89，非皮瓣移植。皮

肤以外其他器官的V-Y成形术是器官重建术或修补术，也包含部分器官(如舌、耳等)表层皮肤移植术。编

码V-Y成形术时，应阅读手术记录，确定是皮瓣移植还是器官重建术和修补术，再给予正确分类和编码。

关键词V-Y成形术；ICD-9-CM-3；编码

DiscussiononICD-9-CM-3codingofV-YoperationDuanQinjiang,GuoXiaoling,LiJianhua

AbstractV-YoperationincludesV-YoperationofskinandnonskinV-Yoperation.Forthemeaningofskin

V-Yoperation,ICD-9-CM-3isdifferentfromclinic.TheV-YoperationofICD-9-CM-3isan

orthopedics-basedskinandsubcutaneoustissuereconstructionandrepair86.89,andtheclinicalskinV-Y

operationisusuallytheflaptransplantation86.7-.V-Yoperationofotherorgansisorganreconstructionor

repair,andalsoincludesskintransplantationofsomeorgans,suchastongueandpilussinus.WhenV-Yoperationis

performed,surgicalrecordsshouldbereadtodeterminewhetherskinflaptransplantationororganreconstructionand

repairshouldbeperformed,andthenthecorrectclassificationandcodingshouldbegiven.

KeywordsV-yangioplasty；ICD-9-CM-3；Coding

First-authorsaddressJiangsuHealthVocationalCollege,NanJing211800,JiangsuProvince,China

CorrespondingauthorLiJianhua

V-Y成形术是外科常用的手术术式，ICD-分类在第十七章体被系统手术，肛门等器官的皮肤

9-CM-3将V-Y成形术可分为皮肤的V-Y成形术和皮下组织手术分类到相应系统章节。再核对

和皮肤以外器官的V-Y成形术，给予相应分类[1]。86.6是游离皮肤移植，86.7是带蒂皮瓣或皮瓣移

临床上皮肤的V-Y成形术又称V-Y皮瓣推进术、植，这2个亚目涵盖了大部分皮肤的皮片和皮瓣移

V-Y皮瓣修复术等[2]，常用于外伤性指端缺损和其