贾汪区人民医院手术分级目录2023年修订.docx

贾汪区人民医院手术分级目录（2023年修订）1普外科（含肛肠科手术）22骨科133神经外科234胸外科275泌尿外科326妇科387产科448眼科469耳鼻喉科5310口腔科6011介入科6412消化内科6613神经内科6714心内科6815疼痛科691普外科（含肛肠科手术）序号手术ICD编码手术名称手术级别106.3101腔镜下甲状腺病损切除术四级206.3908腔镜下甲状腺部分切除术四级306.4x00甲状腺全部切除术四级406.2x00单侧甲状腺叶切除术四级506.2x01腔镜下单侧甲状腺切除术四级606.8902甲状旁腺部分切除术四级706.8903甲状旁腺病损切除术四级806.9501甲状旁腺自体移植术四级941.5x00全脾切除术四级1044.9100胃静脉曲张结扎术四级1144.9101胃底静脉结扎术四级1217.3300腹腔镜右半结肠切除术四级1345.7300开放性和其他右半结肠切除术四级1445.7302右半结肠根治性切除术四级1517.3400腹腔镜横结肠切除术四级1645.7401横结肠部分切除术四级1745.7304升结肠切除术四级1845.7200开放性和其他盲肠切除术四级1945.9301回肠-横结肠吻合术四级2045.7500左半结肠切除术四级2145.7501左半结肠根治性切除术四级2245.7602降结肠切除术四级2345.7600开放性和其他乙状结肠切除术四级2445.7601乙状结肠部分切除术四级2545.9401横结肠-降结肠吻合术四级2645.9402横结肠-乙状结肠吻合术四级2745.9403降结肠一直肠吻合术四级2845.9404结肠一直肠吻合术四级2945.9405乙状结肠-宜肠吻合术四级3045.9406升结肠-横结肠吻合术四级3145.9407升结肠-降结肠吻合术四级3245.9408升结肠一直肠吻合术四级3340.5908腹腔淋巴结清扫术四级3440.5909肠系膜淋巴结清扫术四级3540.5911腹腔镜腹腔淋巴结清扫术四级3641.5x01腹腔镜全脾切除术四级3717.3401腹腔镜横结肠部分切除术四级3845.7400开放性和其他横结肠切除术四级3945.4102横结肠病损切除术四级序号手术ICD编码手术名称手术级别4045.9400大肠-大肠吻合术四级4143.5x03腹腔镜下胃大部切除伴食管-胃吻合术四级4243.6x02腹腔镜胃大部切除伴胃十二指肠吻合术四级4343.7x03腹腔镜胃大部切除伴胃空肠吻合术四级4444.3800腹腔镜下胃肠吻合术四级4544.3801腹腔镜下胃空肠吻合术四级4644.3802腹腔镜下胃十二指肠吻合术四级4743.8201腹腔镜胃部分切除术四级4843.9901全胃切除伴食管空肠吻合术四级4943.9903全胃切除伴食管十二肠吻合术四级5043.9101全胃切除伴空肠间置术四级5143.9100胃全部切除术伴肠间置术四级5243.9102腹腔镜辅助全胃切除伴空肠间置术四级5343.9904腹腔镜辅助全胃切除伴食管-十二指肠吻合术四级5443.9905腹腔镜辅助全胃切除伴食管-空肠吻合术四级5543.5x01胃大部切除伴食管胃吻合术四级5643.6x01胃大部切除伴胃十二指肠吻合术四级5743.6x02腹腔镜胃大部切除伴胃十二指肠吻合术四级5843.7x03腹腔镜胃大部切除伴胃空肠吻合术四级5943.5x00胃部分切除术伴食管胃吻合术四级6043.6x00胃部分切除术伴胃十二指肠吻合术四级6143.7x00胃部分切除术伴胃空肠吻合术四级6243.7x01残胃部分切除伴胃空肠吻合术四级6343.9902残胃切除，食管空肠吻合术四级6443.9905腹腔镜辅助全胃切除伴食管-空肠吻合术四级6543.8901胃部分切除术四级6642.5403食管空肠吻合术四级6743.9102腹腔镜辅助全胃切除伴空肠间置术四级6843.4203腹腔镜下胃病损切除术四级6944.1900胃其他诊断性操作四级7052.4x00胰囊肿内引流术四级7152.4x01胰腺囊肿十:指肠吻合术四级7252.4x02胰腺囊肿胃吻合术四级7352.4x03胰腺囊肿空肠吻合术四级7444.0000迷走神经切断术四级7544.4202腹腔镜十二指肠渍疡修补术四级7645.4104乙状结肠病损切除术四级7745.7603降结肠部分切除术四级7848.6902直肠部分切除术四级7917.3600腹腔镜乙状结肠切除术四级8048.6909腹腔镜下直肠部分切除术四级序号手术ICD编码手术名称手术级别8148.5000腹会阴直肠切除术四级8248.5100腹腔镜下腹会阴宜肠切除术四级8348.5200开放性腹会阴直肠切除术四级8448.5201肛提肌外腹会阴直肠联合切除术四级8548.5900其他腹会阴直肠切除术四级8640.2908肠系膜淋巴结切除术四级8748.6100经舐直肠乙状结肠切除术四级8848.6101腹腔镜下经舐直肠乙结肠切除术四级8948.6901经舐经肛门括约肌直肠病损切除术四级9048.6903直肠-乙状结肠切除术四级9148.6904直肠乙状结肠部分切除术四级9248.6201腹腔镜下直肠前切除伴结肠造口术四级9350.2201肝楔形切除术四级9450.2908肝病损切除术四级9550.2200部分肝切除术四级9650.2202肝段切除术四级9750.3x00肝叶切除术四级9850.3x02左半肝切除术四级9951.2200胆囊切除术四级10051.2300腹腔镜下胆囊切除术四级10151.8803腹腔镜下胆总管切开取石术四级10252.5901胰腺部分切除术四级10352.5200远端胰腺切除术四级10443.8200腹腔镜垂直（袖状）胃切除术四级10506.3100甲状腺病损切除术三级10606.3906甲状腺峡部部分切除术三级10706.5100胸骨下甲状腺部分切除术三级10806.3901甲状腺大部切除术三级10906.3902腔镜下甲状腺大部切除术三级11006.2x03单侧甲状腺切除伴他叶部分切除术三级11106.0902甲状腺切开引流术三级11206.9200甲状腺血管结扎术三级11306.7x01甲状舌管病损切除术三级11440.2906腹腔淋巴结切除术三级11540.5100腋下淋巴结根治性切除术三级11641.9300副脾切除术三级11741.9501牌修补术三级11843.4202胃病损切除术三级11943.6x01胃大部切除伴胃十二指肠吻合术三级12043.6x00胃部分切除术伴胃十二指肠吻合术三级12145.4301内镜下乙状结肠病损切除术三级序号手术ICD编码手术名称手术级别12245.4101结肠病损切除术三级12345.4302内镜下结肠病损切除术三级12445.4105盲肠病损切除术三级12545.4303内镜下盲肠病损切除术三级12645.4108盲肠憩室切除术三级12745.6207回肠切除术三级12845.6206回肠部分切除术三级12945.6200小肠其他部分切除术三级13045.6201小肠部分切除术三级13145.6208腹腔镜下小肠部分切除术三级13245.7202盲肠切除术三级13345.7201回盲部分切除术三级13417.3900其他腹腔镜大肠部分切除术三级13545.7900其他和未特指大肠部分切除术三级13646.9300小肠吻合口修复术三级13746.9400大肠吻合口修复术三级13846.0101十二指肠外置术三级13946.0300大肠外置术三级14046.7100十二指肠裂伤缝合术三级14146.5000肠造口闭合术三级14246.5100小肠造口闭合术三级14346.5202结肠造口闭合术三级14446.7601乙状结肠疹修补术三级14546.7904十二指肠憩室修补术三级14646.7200十二指肠疹的闭合术三级14751.9303胆囊十二指肠瘦修补术三级14848.3501直肠病损切除术三级14948.3502经肛门直肠病损切除术三级15048.3503经舐尾直肠病损切除术三级15148.3508内镜下宜肠病损切除术三级15248.7100直肠裂伤缝合术三级15350.9102肝脓肿穿刺引流术三级15450.0x01肝切开引流术三级15550.0x03腹腔镜下肝囊肿开窗引流术三级15650.2100肝病损的袋形缝合术造袋术三级15750.6101肝破裂修补术三级15850.6900肝其他修补术三级15950.9100经皮肝抽吸术三级16051.0401胆囊切开取石术三级16151.8808腹腔镜下胆囊切开取石术三级16287.5401胆管造影三级序号手术ICD编码手术名称手术级别16387.5402胆总管造影三级16487.5403胆道T管造影三级16551.2100部分胆囊切除术三级16651.2400腹腔镜下部分胆囊切除术三级16751.2201残余胆囊切除术三级16851.2301腹腔镜下残余胆囊切除术三级16951.3602胆总管十二指肠吻合术三级17051.3601胆总管空肠吻合术三级17151.3901胆管空肠吻合术三级17251.3902胆管十二指肠吻合术三级17351.3906胆管胃吻合术三级17451.4100胆总管探查术，用于去除结石三级17551.4201胆总管切开异物取出术三级17651.4903胆管切开取石术（伴T管引流）三级17751.5100胆总管探查术三级17851.1104腹腔镜下胆总管探查术三级17951.4200胆总管探查术，用于解除其他梗阻三级18051.8701腹腔镜下胆总管T管引流术三级18151.5101胆总管切开引流术三级18251.7100胆总管单纯缝合术三级18351.7101胆总管裂伤缝合术三级18454.5101腹腔镜下肠粘连松解术三级18585.2100乳房病损局部切除术三级18685.4302单侧保乳乳腺改良根治术三级18785.4402双侧保乳乳腺改良根治术三级18840.1105前哨淋巴结活组织检查三级18985.2200乳房象限切除术三级19085.2300乳房次全切除术三级19185.3200双侧缩小性乳房成形术三级19285.4100单侧单纯乳房切除术三级19385.4200双侧单纯乳房切除术三级19485.4301单侧乳腺改良根治术三级19540.5101腔镜腋下淋巴结清扫术三级19685.4401双侧乳腺改良根治术三级19785.4500单侧根治性乳房切除术三级19885.4501腔镜单侧乳腺根治性切术三级19985.4600双侧根治性乳房切除术三级20085.4300单侧扩大的单纯乳房切除术三级20185.4400双侧扩大的单纯乳房切除术三级20245.3302小肠憩室切除术三级20345.3304腹腔镜麦克尔憩室切除术三级序号手术ICD编码手术名称手术级别20451.1105腹腔镜下胆道造影术三级20546.4103回肠造口周围疝修补术三级20646.4200结肠造口周围疝修补术三级20753.9x02腰疝修补术三级20854.0x02腹壁切开引流术三级20954.0x03腹壁异物取出术三级21054.0x04腹股沟切开引流术三级21154.0x05脐切开引流术三级21253.9x00其他疝修补术三级21385.2401副乳腺切除术三级21485.2402副乳头切除术三级21553.7202经腹食管裂孔疝修补术二级21653.0001单侧腹股沟疝修补术二级21753.0100其他和开放性腹股沟直疝修补术二级21853.0101单侧腹股沟直疝修补术二级21953.0102单侧腹股沟宜疝斜疝修补术二级22053.0200其他和开放性腹股沟斜疝修补术二级22153.0201单侧腹股沟斜疝修补术二级22253.0202单侧腹股沟斜疝疝囊高位结扎术二级22353.1000双侧腹股沟疝修补术二级22453.1100其他和开放性双侧腹股沟直疝修补术二级22553.HOl双侧腹股沟直疝修补术二级22653.1200其他和开放性双侧腹股沟斜疝修补术二级22753.1201双侧腹股沟斜疝修补术二级22853.1202双侧腹股沟斜疝疝囊高位结扎术二级22953.1300其他和开放性双侧腹股沟疝修补术，一侧直疝和一侧斜疝二级23053.1301腹股沟疝修补术，一侧直疝一侧斜疝二级23153.2900其他单侧股疝缝合术二级23253.2901单侧股疝修补术二级23353.3900其他双侧股疝缝合术二级23453.3901双侧股疝修补术二级23553.4100其他和开放性脐疝修补术伴假体二级23653.4101脐疝无张力修补术二级23753.4900其他开放性脐疝缝合术二级23853.4901脐疝修补术二级23953.4902脐重建术二级24053.5100切口疝修补术二级24153.5900其他前腹壁疝的修补术二级24253.5901腹壁疝修补术二级序号手术ICD编码手术名称手术级别24353.7200其他和开放性腹入路横隔疝修补术二级24453.7201经腹膈疝修补术二级24553.7500腹入路横隔疝修补术二级24606.1100闭合性经皮针吸甲状腺活组织检查二级24706.1101超声引导下经皮甲状腺活组织检查术二级24806.1200开放性甲状腺活组织检查二级24938.5901大隐静脉高位结扎和剥脱术二级25038.5903大隐静脉曲张剥脱术二级25138.5902大隐静脉曲张结扎术二级25243.0x02胃切开异物取出术二级25343.0x03腹腔镜下胃切开异物取出术二级25443.1900其他胃造口术二级25543.4105内镜下胃息肉切除术二级25643.4106内镜下经黏膜下隧道胃病损切除术(STER)二级25743.4100内镜下胃病损或胃组织切除术或破坏术二级25844.2900其他幽门成形术二级25944.4101胃溃疡修补术二级26044.4102腹腔镜胃溃疡穿孔修补术二级26144.4201十二指肠溃疡修补术二级26244.4202腹腔镜十二指肠溃疡修补术二级26344.6200胃造口闭合术二级26442.7x02腹腔镜食管贲门肌层切开术二级26542.7x03内镜下贲门肌切开术(POEM)二级26644.6901胃修补术二级26744.4102腹腔镜胃渍疡穿孔修补术二级26844.6902腹腔镜胃修补术二级26944.9201胃扭转复位术二级27045.0002肠切开异物取出术二级27145.0200小肠的其他切开术二级27245.0202小肠切开取石术二级27345.6204空肠部分切除术二级27445.7303升结肠部分切除术二级27545.7901结肠部分切除术二级27645.9100小肠小肠吻合术二级27745.9101空肠空肠吻合术二级27845.9102回肠回肠吻合术二级27945.9103十二指肠空肠吻合术二级28045.9104空肠回肠吻合术二级28145.9200小肠直肠残端吻合术二级28245.9300其他小肠-大肠吻合术二级28345.9302回肠-降结肠吻合术二级序号手术ICD编码手术名称手术级别28445.9303回肠-盲肠吻合术二级28545.9304回肠-升结肠吻合术二级28645.9305回肠-乙状结肠吻合术二级28745.9306回肠一直肠吻合术二级28845.9307空肠-横结肠吻合术二级28945.9308空肠-降结肠吻合术二级29045.9309空肠-升结肠吻合术二级29145.9310空肠-乙状结肠吻合术二级29245.9500肛门吻合术二级29345.9501结肠-肛门吻合术二级29445.9502回肠-肛门吻合术二级29545.9503降结肠-肛门吻合术二级29645.9504乙状结肠-肛门吻合术二级29746.1100暂时性结肠造口术二级29846.1300永久性结肠造口术二级29946.4301结肠造口修复术二级30046.4302横结肠造口修复术二级30146.4303降结肠造口修复术二级30246.0102伴式回肠造口术二级30346.2001腹腔镜回肠造口术二级30446.2100暂时性回肠造口术二级30546.2200节制性回肠造口术二级30646.2300其他永久性回肠造口术二级30746.2301腹腔镜永久性回肠造口术二级30846.3201空肠穿刺置管造口术二级30946.3200经皮（内镜的）空肠造口术PEJ二级31046.3901空肠（营养性）造口术二级31146.3905腹腔镜空肠造口术二级31246.3902十二指肠造口术二级31346.4000肠造口修复术二级31446.7901肠穿孔修补术二级31544.6301胃结肠矮修补术二级31644.6302胃空肠痿修补术二级31746.7600大肠疹修补术二级31846.7602盲肠疹修补术二级31946.5101回肠造口闭合术二级32046.5102空肠造口闭合术二级32146.5200大肠造口闭合术二级32246.5201盲肠造口闭合术二级32346.5203乙状结肠造口闭合术二级32446.5204横结肠造口闭合术二级序号手术ICD编码手术名称手术级别32545.3102十二指肠憩室切除术二级32646.7603结肠矮修补术二级32746.7604腹腔镜下结肠疹修补术二级32846.7501横结肠裂伤修补术二级32946.7502乙状结肠裂伤修补术二级33046.7503盲肠裂伤修补术二级33146.7504升结肠裂伤修补术二级33246.7505降结肠裂伤修补术二级33346.7506腹腔镜下结肠裂伤修补术二级33446.7400小肠瘦修补术，除外十二指肠二级33546.7401小肠-小肠吻合口痿修补术二级33646.7402小肠-大肠吻合口屡修补术二级33746.7403空肠矮修补术二级33846.7404小肠腹壁疹切除术二级33946.7405小肠-乙状结肠疹切除术二级34046.7300小肠裂伤缝合术，除外十二指肠二级34146.7301空肠裂伤修补术二级34246.8101小肠扭转复位术二级34346.8201大肠扭转复位术二级34446.8002肠套叠复位术二级34546.8102小肠套叠复位术二级34646.8202大肠套叠复位术二级34796.2900消化道肠套迭复位术二级34853.0204腹腔镜下单侧腹股沟斜疝疝囊高位结扎术二级34948.1x00直肠造口二级35049.0100肛周脓肿切开术二级35149.1200肛门疹管切除术二级35249.3901肛裂切除术二级35349.3905肛门病损切除术二级35449.4600痔切除术二级35549.4601痔切除术伴肛门成形术二级35649.7301肛瘦挂线术二级35749.7302肛疹结扎术二级35851.0200套管胆囊造口术二级35951.0300其他胆囊造口术二级36051.0301腹腔镜下胆囊造口术二级36151.0402胆囊切开引流术二级36251.0102经皮经肝胆囊置管引流术二级36351.0103超声引导下胆囊穿刺引流术二级36451.0404腹腔镜下胆囊切开引流术二级36551.1200经皮胆囊或胆管活组织检查二级序号手术ICD编码手术名称手术级别36651.1201经皮胆囊活组织检查二级36751.1300开放性胆囊或胆管活组织检查二级36851.1301开放性胆囊活组织检查二级36951.1402内镜下胆囊活组织检查二级37054.0x01腹股沟探查术二级37154.1100开腹探查术二级37254.1202近期开腹术后腹腔止血术二级37354.1904膈下脓肿切开引流术二级37454.1903腹腔切开引流术二级37554.9101腹腔穿刺引流术二级37654.1905男性盆腔切开引流术二级37754.0x07腹膜外切开引流术二级37854.0x08腹膜后切开引流术二级37954.2300腹膜活组织检查二级38054.2301开放性腹膜活组织检查二级38154.2403经皮腹膜活组织检查二级38254.2406腹腔镜下腹膜活组织检查二级38354.2302开放性网膜活组织检查二级38454.2405腹腔镜下网膜活组织检查二级38554.4x05网膜病损切除术二级38654.5904盆腔粘连松解术二级38754.5903肠粘连松解术二级38854.5901腹腔粘连松解术二级38954.5902腹膜粘连松解术二级39054.6101腹壁切口裂开缝合术二级39154.6301腹壁裂伤缝合术二级39254.6300其他腹壁缝合术二级39354.7400网膜其他修补术二级39454.7500肠系膜其他修补术二级39585.2301乳腺部分切除术二级39685.2400异位乳房组织切除术二级39785.2500乳头切除术二级39885.8900其他乳房成形术二级39986.6303上肢全厚皮片移植术二级40086.6304下肢全厚皮片移植术二级40186.6906下肢植皮术二级40286.6905上肢植皮术二级40347.0900其他阑尾切除术一级40447.9100阑尾造口术一级40547.2x00阑尾脓肿引流术一级40647.2x01腹腔镜下阑尾脓肿引流术一级序号手术ICD编码手术名称手术级别40747.9901阑尾内翻包埋术一级40849.1100肛门屡管切开术一级40949.3906肛乳头切除术一级41049.4500痔结扎术一级41149.7900肛门括约肌的其他修补术一级41254.2900腹部其他诊断性操作一级41354.3x00腹壁或脐病损或组织的切除术或破坏术一级41454.3x08腹壁瘢痕切除术一级41554.3x04脐切除术一级41654.3x05盆腔壁病损切除术一级41754.3x03腹股沟病损切除术一级41854.6400腹膜缝合术一级41954.9105腹腔穿刺术一级42085.0x02乳腺导管切开引流术一级42185.1100闭合性经皮针吸乳房活组织检查一级42285.1200开放性乳房活组织检查一级42385.2000乳房组织切除术或破坏术一级42486.0100皮肤和皮下组织抽吸术一级42586.0502皮肤和皮下组织异物切开取出术一级42686.1900皮肤和皮下组织的其他诊断性操作一级42786.2200伤口、感染或烧伤的切除性清创术一级42886.2800伤口、感染或烧伤的非切除性清创术一级42954.3x06腹壁清创术一级43086.6000游离皮肤移植一级43186.8403皮肤Z型成形术一级43297.0504胆囊引流管置换术一级2骨科序号手术ICD编码手术名称手术级别13.5302颈椎骨折切开复位内固定术四级23.5304胸椎骨折切开复位内固定术四级380.5101颈椎间盘切除术四级478.5904椎骨内固定术四级577.8905椎骨部分切除术四级678.0904椎骨植骨术四级781.0701腰椎后柱融合术，后入路四级884.5100椎体脊椎融合装置的置入四级981.62002-3个椎骨融合或再融合四级1081.63004-8个椎骨融合或再融合四级1179.3603踝关节骨折切开复位内固定术四级1279.3900其他骨骨折开放性复位术伴内固定四级1379.3901盆骨骨折切开复位内固定术四级1479.3902肩胛骨骨折切开复位内固定术四级1579.8500髓脱位开放性复位术四级1681.2100髅关节固定术四级1780.5110内镜下腰椎间盘切除术四级1881.4300膝关节三联修补术四级1980.2600关节镜膝关节检查四级203.5305腰椎骨折切开复位内固定术四级2181.5400全部膝关节置换四级2281.5100全麒关节置换四级2300.7000髓关节置换修复术，双髅臼和股骨成分四级2479.8100肩脱位开放性复位术四级2581.2300肩关节固定术四级2679.8901胸锁关节切开复位术四级2781.2000关节固定术四级2881.8101人工肱骨头置换术四级2981.8305肩关节成形翻修术四级3081.8500肘关节的其他修补术四级3181.8300肩关节的其他修补术四级3279.3101肱骨骨折切开复位内固定术四级3379.8200肘脱位开放性复位术四级3481.2400肘关节固定术四级3579.3202尺骨骨折切开复位内固定术四级3679.3201槎骨骨折切开复位内固定术四级3781.2901舐能关节融合术四级3879.3501股骨骨折切开复位内固定术四级3979.1500股骨骨折闭合性复位术伴内固定四级序号手术ICD编码手术名称手术级别4079.3500股骨骨折开放性复位术伴内固定四级4179.1601胫骨骨折闭合复位内固定术四级4280.2000关节镜检查四级4379.3601胫骨骨折切开复位内固定术四级4479.8900其他特指部位脱位的开放性复位术四级4579.8800足和趾脱位的开放性复位术四级4679.3000骨折开放性复位术伴内固定四级4779.3100肱骨骨折开放性复位术伴内固定四级4879.3904锁骨骨折切开复位内固定术四级4979.1100肱骨骨折闭合性复位术伴内固定四级5079.8300腕脱位开放性复位术四级5179.8600膝脱位开放性复位术四级5281.2401肘关节融合术四级5384.0800肩关节离断术四级5484.1800髅关节离断术四级5584.2201手指断指再植术四级5681.1100踝融合术四级5781.1200三关节固定术四级5879.8802距下关节脱位切开复位术四级5981.2101髅关节融合术四级6081.2201膝关节融合术四级6181.2301肩关节融合术四级6278.4000骨的其他修补术或整形术四级6304.3x11尺神经缝合术四级6404.6x10尺神经移位术四级6504.7409尺神经吻合术四级6604.3x10正中神经缝合术四级6704.7407周围神经吻合术四级6800.8500髅关节表面置换，全部，髅臼和股骨头四级6900.8600