【摘要】 手术治疗是治愈男性乳房发育最有效办法，常见术式包括开放式切除手术、单纯抽脂手术、腔镜辅助下手术、微创旋切术或将吸脂手术与上述手术方式相结合以及人工智能机器人的使用。通过分析临床实际手术案例，梳理编码思路。ICD-9-CM-3男性乳房发育手术以手术切除方式和范围为分类轴心，分别为85.21乳房病损局部切除术、85.23乳房次全切除术、85.31单侧缩小性乳房成形术、85.32双侧缩小性乳房成形术、85.36其他双侧皮下乳房切除术。在编码男性乳房发育手术时要明确切除方式，注意切除范围，特别注意乳头乳晕是否保留。编码员应加强自身临床知识学习，掌握手术内涵，加强与临床医师沟通，不断提高男性乳房发育手术编码准确性。更多还原

【Abstract】 Surgical treatment is the most effective method for curing gynecomastia in men. Common surgical procedures include open excision surgery, simple liposuction surgery, laparoscopic-assisted surgery, minimally invasive rotary resection surgery, or combining liposuction surgery with the above surgical methods, as well as the use of artificial intelligence robots. This article analyzes clinical actual surgical cases, sorts out coding ideas, and improves the accuracy of coding for related surgical procedures. The ICD-9-CM-3 coding for male gynecomastia surgery is based on the surgical excision method and scope as the classification axis, and is classified as 85.21 Local excision of breast lumpectomy, 85.23 Subtotal mastectomy, 85.31 Unilateral reduction mammoplasty, 85.32 Bilateral reduction mammoplasty, and 85.36 Other bilateral subcutaneous mammoplasty. When coding for male gynecomastia surgery, it is necessary to clearly identify the excision method, pay attention to the excision scope, and particularly pay attention to whether the nipple-areola complex is retained. Coding personnel should strengthen their clinical knowledge learning, master the surgical connotation, enhance communication with clinical physicians, and continuously improve the accuracy of coding for male gynecomastia surgery.更多还原