普通外科疑难重症ICD编码对照表

1、普通外科疑难重症疾病注：黑色字体为还可以诊治的疑难疾病。序号疾病名称ICD-10手术或操作名称ICD-9-CM-31上消化道出血K25K28(.0 .2 .4 .6)I85.0 I98.3*K22.8 K29.0 K83.8K92.0 K92.2胃切除+胆道探查+断流术+肝切除术+输血+补液43.5-43.9 + 51.5 + 38.7 38.8 42.91 44.4 44.91 39.41 39.7 + 99.02梗阻性黄疸、急性重症胆管炎K83.1 K83.0 K80.3腹腔镜胆道探查取石T管引流+EST(肠镜下乳头肌切开)+PTGD(B超下胆囊穿刺引流)+PTCD（经皮肝穿胆道引流）+开

2、腹胆道探查取石T管引流51.88 51.86 + 51.85 + 51.01 + 51.98 + 51.41 51.53低位直肠癌C20 C21.8直肠癌DIXON+MILES术48.63 48.69 48.54胆管癌、肝癌、胆囊癌C22 C23 C24根治性手术治疗+姑息性内引流+介入外引流50.22 50.3 50.4 51.2 51.6 + 51.3 51.59 51.86 51.87 51.985重症急性胰腺炎K85保守治疗+手术切除52.2 52.5 52.66胰头癌C25.0手术切除+保守治疗52.5 52.6 52.77胰体尾恶性肿瘤C25.1 C25.2 C25.8 胰体尾切除

3、+脾切除+联合脏器切除+腹腔神经丛毁损52.5 + 41.5 + 52.6 52.7 + 04.2 05.38肝门胆管癌C24.0肝切除+肝尾状叶切除+肝肠Roux-Y吻合术+胆道介入内外引流术50.4 50.22 + 50.3 + 51.37 51.39 + 51.86 51.87 51.989后腹膜肿瘤(腹膜后)C45.7 C48.0 C48.8 C78.6 D17.7 D20.0 D48.3 C77.2 C85.9 D18 D36.1后腹膜肿瘤切除+联合脏器切除+血管移植术40.29 54.4 59.00 + 38.3 38.6 40.3 40.5 41.43 41.5 45.7 50.

4、22 50.3 50.4 52.5 52.6 55.4 55.5 56.4 07.2 07.3 45.31 45.62 48.6 + 38.4 10炎性乳腺癌或期乳腺癌C50术前靶向化疗+手术治疗+综合治疗99.28 + 85.2 85.4 + 99.25 99.8511胃恶性肿瘤C16胃癌根治术序号疾病名称ICD-10手术或操作名称ICD-9-CM-312复发转移胃癌的综合治疗C16 C77-C80 + Z85.0 Z98.8 辅助化疗+手术切除+分子靶向治疗99.25 + 43 50.2-50.4 32 52.5-52.7 54.4 65.2-65.6 38.3-38.4 38.6 40.

5、2-40.5 42.4 45.6-45.8 17.32 17.33 17.39 06.2-06.8 07.2 07.3 07.8 55.4 55.51 41.5 41.43 86.4 + 99.28 00.1813肠系膜血管缺血性疾病K55保守溶栓治疗+肠外营养+手术切除+介入治疗99.10 + 38.93 99.15 + 38.06 38.07 38.16 38.36 38.46 39.26 54.4 17.3 45.6 - 45.8 48.6 + 39.79 39.9 17.56 00.55 39.50 99.1014良性十二指肠瘀滞症K31.5十二指肠转流术45.9115复杂肝内外胆管结

6、石包括数次胆道术后K80.3 K80.4 K80.5 + Z98.8胆总管切开取石T管引流术+内镜下ODDI括约肌切开取石术+经皮经肝胆道镜取石术+肝部分切除术胆肠Roux-en-Y吻合术51.41 + 51.85(51.84) + 51.98 + 50.22 - 50.26 50.3 + 51.316结直肠癌局部晚期及肝转移C18 C19 C20 + C78.7新辅助治疗+手术治疗+肝转移同期切除99.25 + 17.3 + 50.22 50.3 50.417肠外瘘K31.6 K60.4 K63.2保守治疗+手术切除96 99.0-99.2 + 54.5 45.6-45.9 46.72 46

7、.74 46.76 47.92 48.6 48.73 48.9318医源性胆道损伤及肝门部胆管狭窄K91.8 T81.2 T81.8 T85.5 T85.8 T88.8 S36.1 K83.1胆肠Roux-en-Y吻合术+介入引流51.3 + 51.86 51.87 51.9819慢传输型便秘K59.0次全结肠切除术+全结肠切除术17.39 45.79 + 45.820肢体动脉栓塞取栓术后血栓复发I74.2 I74.3 I74.4 + Z86.7 Z92 Z98.8Fogarty球囊导管取栓术+切开减压+透析+截肢39.50 39.79 + 83.09 + 39.95 + 84.0 84.121胃肠间质瘤的综合治疗C15-C20 C26 C48 D12 D13 D20 D37