【摘要】 甲状腺癌手术编码主要包括甲状腺切除术编码和颈淋巴结清扫术编码。与甲状腺癌相关的甲状腺切除术常见编码有06.2甲状腺单侧腺叶切除术、06.4甲状腺全切术。国家临床3.0版ICD-9-CM-3用扩展码06.2×02表达甲状腺单侧腺叶伴峡部切除术，用06.2×04表达甲状腺单侧腺叶伴峡部和其他叶部分切除术。颈淋巴结清扫术编码包括40.3中央区颈淋巴结清扫术、40.4单侧或双侧根治性淋巴结清扫术。准确编码首先要确定切除甲状腺的具体部位，然后需对区域性颈淋巴结清扫术及根治性颈淋巴结清扫术进行甄别。编码员要在掌握临床基础知识及编码规则的前提下仔细阅读手术记录，明确甲状腺癌手术切除范围，以提高编码质量。更多还原

【Abstract】 The surgical codes for thyroid cancer mainly include thyroidectomy codes and neck dissection codes.The common codes for thyroidectomy associated with thyroid cancer were unilateral thyroidectomy(06.2) and total thyroidectomy(06.4). National Clinical Version 3.0 ICD-9-CM-3 expressed unilateral thyroid lobectomy with isthmus with extension code 06.2×02 and unilateral thyroid lobectomy with isthmus and other partial lobectomy with extension code 06.2×04. The codes for neck dissection included 40.3 central neck dissection and 40.4 unilateral or bilateral radical lymph node dissection. Accurate coding should first determine the specific location of thyroidectomy, and then regional neck dissection and radical neck dissection should be screened. The coders should carefully read the surgical records on the premise of mastering the basic clinical knowledge and coding rules to clarify the surgical resection scope of thyroid cancer, so as to improve the quality of coding.更多还原