Gynecological procedures Organs Ovary ICD9 CM ICD10 TM

Gynecological procedures Organs Ovary ICD-9 -CM ICD-10 -TM 65. x 523 -xx-xx 524 -xx-xx Fallopian tube 66. x 521 -xx-xx 522 -xx-xx Cervix 67. x 518 -xx-xx Uterus 68. x 519 -xx-xx 69. x Uterine supporting Female pelvic cavity 520 -xx-xx No code Peritoneum 54. x Cul-de-sac 70. x Vagina Vulva and perineum 525 -xx-xx 517 -xx-xx 71. x 516 -xx-xx

Obstetric procedures Procedural types ICD-9 -CM ICD-10 -TM Forceps, vacuum and breech 72. x 526 -xx-xx Inducing or assisting delivery 73. x Cesarean section 74. x Other obstetric operations 75. x

Ovarian cystectomy ICD-9 -CM 65. 25 Other laparoscopic local excision or destruction of ovary 65. 29 Other local excision or destruction of ovary Bisection of ovary Cauterization of ovary Partial excision of ovary ไมมรหสเฉพาะสำหรบ ovarian cystectomy ไมมรหสแยกระหวางการทำผาตดขางเดยวกบสองขาง มรหสแยกระหวางการผาตดแบบ open กบ laparoscopic

Ovarian cystectomy ICD-10 -TM 523 -26 -98 Other excision of lesion of ovary 524 -26 -98 Other excision of lesion of ovaries ไมมรหสเฉพาะสำหรบ ovarian cystectomy มรหสแยกระหวางการผาตดขางเดยวกบสองขาง ไมมรหสแยกระหวางการผาตดแบบ open กบ laparoscopic

Excision of par-ovarian cyst ICD-9 -CM 69. 19 Other excision or destruction of uterus and supporting structures ICD-10 -TM 520 -26 -00 Excision of uterine supporting structures, open 520 -26 -01 Excision of uterine supporting structures, laparoscopic อยาสบสนกบ excision of ovarian cyst Par-ovarian cyst เปน embryonic cyst of broad ligament

Unilateral salpingo-oophorectomy [SO] ICD-9 -CM 65. 4 Unilateral salpingo-oophorectomy 65. 41 Laparoscopic unilateral salpingo-oophorectomy 65. 49 Other unilateral salpingo-oophorectomy มรหสแยกระหวางการผาตดแบบ มรหสสำหรบ unilateral SO NOS open กบ laparoscopic

Unilateral salpingo-oophorectomy [SO] ICD-10 -TM 523 -26 -10 Salpingo-oophorectomy, unilateral, open 523 -26 -11 Salpingo-oophorectomy, unilateral, laparoscopic มรหสแยกระหวางการผาตดแบบ ไมมรหสสำหรบ open กบ laparoscopic unilateral SO NOS

Bilateral salpingo-oophorectomy [BSO] ICD-9 -CM 65. 6 Bilateral salpingo-oophorectomy 65. 61 Other removal of both ovaries and tubes at same operative episode 65. 62 Other removal of remaining ovary and tube 65. 63 Laparoscopic removal of both ovaries and tubes at same operative episode 65. 64 Laparoscopic removal of remaining ovary and tube มรหสแยกระหวางการผาตดแบบ open กบ laparoscopic 65. 62 และ 65. 64 เปนการผาตดเพยงขางเดยว ภาษาสบสน รหสทสำหรบ ไมควรอยกอนรหสสำหรบ other laparoscopic ไมใช bilateral

Bilateral salpingo-oophorectomy [BSO] ICD-10 -TM 524 -26 -10 Salpingo-oophorectomy, bilateral, open 524 -26 -11 Salpingo-oophorectomy, bilateral, laparoscopic มรหสแยกระหวางการผาตดแบบ ไมมรหสสำหรบ open กบ laparoscopic bilateral SO NOS ไมมรหสสำหรบการตด เพราะใหไปใชรหสสำหรบ remaining ovary and tube unilateral SO

Female sterilization ชอการผาตดทแพทยบนทก ICD-9 -CM ICD-10 -TM Tubal ligation [TL] 66. 31 522 -30 -00 Tubal resection [TR] 66. 32 522 -30 -10 Pomeroy operation 66. 32 522 -30 -10 Modified Pomeroy operation 66. 32 522 -30 -10 Laparoscopic sterilization 66. 29 522 -30 -99 Laparoscopic TR* 66. 22 522 -30 -11 Tubal sterilization 66. 39 522 -30 -10 Sterilization 66. 39 522 -30 -10 Unilateral TR 66. 92 521 -30 -10 Unilateral TR, solitary tube 66. 32 521 -30 -10

Bilateral salpingectomy ICD-9 -CM 66. 5 Total bilateral salpingectomy Excludes: bilateral partial salpingectomy for sterilization (66. 39) that with oophorectomy (65. 61 -65. 64) 66. 51 Removal of both fallopian tubes at same operative episode 66. 52 Removal of remaining fallopian tube Removal of solitary fallopian tube ไมมรหสแยกระหวางการผาตดแบบ 66. 52 เปนการผาตดเพยงขางเดยว open กบ laparoscopic ไมใช bilateral

Bilateral salpingectomy ICD-10 -TM 522 -26 -00 Total salpingectomy, bilateral, open 522 -26 -21 Total salpingectomy, bilateral, laparoscopic 522 -26 -29 Other bilateral total salpingectomy มรหสแยกระหวางการผาตดแบบ open กบ laparoscopic ไมมรหสสำหรบการตด remaining fallopian tube ใหใชรหสสำหรบ unilateral salpingectomy

Salpingectomy for tubal pregnancy ICD-9 -CM 66. 62 Salpingectomy with removal of tubal pregnancy Code also any synchronous oophorectomy (65. 31, 65. 39) ไมมรหสแยกระหวาง total กบ partial salpingectomy ไมมรหสแยกระหวางการผาตดแบบ ถาแพทยทำ unilateral SO ตองให open กบ laparoscopic 2 รหส คอ 66. 62 Salpingectomy with removal of tubal pregnancy กบ 65. 31 Laparoscopic unilateral oophorectomy หรอ 65. 39 Other unilateral oophorectomy

Salpingectomy for tubal pregnancy ICD-10 -TM 521 -26 -20 Partial salpingectomy with removal of tubal pregnancy, unilateral, open 521 -26 -21 Partial salpingectomy with removal of tubal pregnancy, unilateral, laparoscopic 521 -26 -40 Total salpingectomy with removal of tubal pregnancy, unilateral, open 521 -26 -41 Total salpingectomy with removal of tubal pregnancy, unilateral, laparoscopic มรหสแยกระหวาง total กบ partial salpingectomy มรหสแยกระหวางการผาตดแบบ open กบ laparoscopic

Tuboplasty ICD-10 -TM 521 -39 -99 Repair of fallopian tube, unilateral, unspecified Unilateral salpingoplasty NOS Unilateral tuboplasty NOS 522 -39 -99 Repair of fallopian tubes, unspecified Salpingoplasty NOS Tuboplasty NOS ไมมรหสแยกระหวางการผาตดแบบ open กบ laparoscopic มรหสแยกระหวางการผาตดขางเดยวกบสองขาง

Repair of cervix ICD-9 -CM 67. 6 Other repair of cervix Excludes: repair of current obstetric laceration (75. 51) 67. 61 Suture of laceration of cervix 67. 62 Repair of fistula of cervix Cervicosigmoidal fistula 67. 69 Other repair of cervix Repair of old obstetric laceration of cervix 75. 51 Repair of current laceration of cervix รหสในกลม 67. 6 ไมใชกบการซอมปากมดลกทฉกขาดจากการคลอดในปจจบน แตแพทยมกบนทกเพยง “repair of cervix” หรอ “suture of cervix” ผใหรหสตองพจารณาความสอดคลองระหวางการผาตดกบค ำวนจฉย

Repair of cervix ICD-10 -TM 518 -39 -00 Suture of laceration of cervix 518 -39 -01 Repair of current obstetric laceration of cervix 518 -39 -02 Repair of old obstetric laceration of cervix 518 -39 -10 Repair of fistula of cervix 518 -39 -20 Cervical cerclage 518 -39 -98 Other repair of cervix 518 -39 -99 Repair of cervix, unspecified รหสการซอมปากมดลกรวมอยในกลมเดยวกนคอ 518 -39 -xx

Subtotal abdominal hysterectomy ICD-9 -CM 68. 3 Subtotal abdominal hysterectomy 68. 31 Laparoscopic supracervical hysterectomy [LSH] Classic infrafascial SEMM hysterectomy [CISH] Laparoscopically assisted supracervical hysterectomy [LASH] 68. 39 Other and unspecified subtotal abdominal hysterectomy, NOS Supracervical hysterectomy เปนรหส 4 หลกทเพมขน หลกเดม คอ 68. 3 ดงนนใหยกเลกรหส 3

Subtotal abdominal hysterectomy ICD-10 -TM 519 -26 -20 Subtotal abdominal hysterectomy Supracervical hysterectomy มเพยงรหสเดยว ยงไมมรหสเฉพาะสำหรบ supracervical hysterectomy laparoscopic

Total abdominal hysterectomy ICD-9 -CM 68. 4 Total abdominal hysterectomy Hysterectomy: extended Code also any synchronous removal of tubes and ovaries (65. 31 -65. 64) Excludes: radical abdominal hysterectomy, any approach (68. 61 -68. 69) 68. 41 Laparoscopic total abdominal hysterectomy Total laparoscopic hysterectomy [TLH] 68. 49 Other and unspecified total abdominal hysterectomy Hysterectomy: extended เปนรหส 4 หลกทเพมขน หลกเดม คอ 68. 4 ดงนนใหยกเลกรหส 3

Total abdominal hysterectomy ICD-10 -TM 519 -26 -30 Total abdominal hysterectomy [TAH] Excludes: that with lymph gland dissection (519 -26 -31) Code also any synchronous procedures 519 -26 -31 Total abdominal hysterectomy [TAH] with lymph gland dissection Code also any synchronous procedures ไมมรหสเฉพาะสำหรบ hysterectomy มรหสรวมสำหรบ laparoscopic total abdominal TAH with lymph gland dissection

Radical abdominal hysterectomy ICD-9 -CM 68. 6 Radical abdominal hysterectomy Code also any synchronous: lymph gland dissection (40. 3, 40. 5) removal of tubes and ovaries (65. 31 -65. 64) Excludes: pelvic evisceration (68. 8) 68. 61 Laparoscopic radical abdominal hysterectomy Laparoscopic modified radicalhysterectomy Total laparoscopic radical hysterectomy[TLRH] 68. 69 Other and unspecified radical abdominal hysterectomy Modified radical hysterectomy Wertheim’s operation เปนรหส 4 หลกทเพมขน หลกเดม คอ 68. 6 ดงนนใหยกเลกรหส 3

Radical abdominal hysterectomy ICD-10 -TM 519 -26 -40 Radical abdominal hysterectomy Modified radical hysterectomy Wertheim’s operation Excludes: that with lymph gland dissection (519 -26 -41) Code also any synchronous procedures 519 -26 -41 Radical abdominal hysterectomy with lymph gland dissection Code also any synchronous procedures ไมมรหสเฉพาะสำหรบ hysterectomy มรหสรวมสำหรบ gland dissection laparoscopic radical abdominal Radical abdominal hysterectomy with lymph

Vaginal hysterectomy ICD-9 -CM 68. 5 Vaginal hysterectomy 68. 51 Laparoscopic assisted vaginal hysterectomy [LAVH] 68. 59 Other and unspecified vaginal hysterectomy Code also any synchronous: removal of tubes and ovaries (65. 31 -65. 64) repair of cystocele or rectocele (70. 50 -70. 52) repair of pelvic floor (70. 79) Excludes: laparoscopically assisted vaginal hysterectomy [LAVH] (68. 51) radical vaginal hysterectomy (68. 7) ระวงแพทยสบสนระหวาง TLH (68. 41) กบ LAVH (68. 51)

Vaginal hysterectomy ICD-10 -TM 519 -26 -50 Vaginal hysterectomy Code also any synchronous procedures including repair of urethrocele, cystocele or rectocele (517 -39 -20, 517 -39 -21, 517 -39 -22, 517 -39 -23) 519 -26 -60 Laparoscopically assisted vaginal hysterectomy [LAVH] Code also any synchronous procedures

Radical vaginal hysterectomy ICD-9 -CM 68. 7 Radical vaginal hysterectomy Code also any synchronous: lymph gland dissection (40. 3, 40. 5) removal of tubes and ovaries (65. 31 -65. 64) 68. 71 Laparoscopic radical vaginal hysterectomy [LRVH] 68. 79 Other and unspecified radical vaginal hysterectomy Hysterocolpectomy Schauta operation ไมนาจะมการทำผาตดนในประเทศไทย

Dilation and curettage [D&C] ICD-9 -CM 69. 0 Dilation and curettage of uterus 69. 01 Dilation and curettage for termination of pregnancy 69. 02 Dilation and curettage following delivery or abortion 69. 09 Other dilation and curettage Diagnostic D and C Excludes: aspiration curettage of uterus (69. 51 -69. 59) แพทยมกบนทกหตถการเหมอนกน ย คอ “D&C” ผใหรหสตองพจารณาเลอกรหสทสอดคลองกบการวนจฉ

Endometrial sampling ICD-9 -CM 69. 59 Other aspiration curettage of uterus ICD-10 -TM 519 -04 -11 Aspiration curettage of uterus Endometrial sampling Excludes: that, following abortion or delivery (526 -45 -00) for termination of pregnancy (526 -52 -04)

Spontaneous delivery ICD-10 -TM 526 -54 -10 Normal delivery without episiotomy 526 -54 -11 Normal delivery with episiotomy Spontaneous vertex delivery with episiotomy 526 -54 -40 Spontaneous breech delivery without episiotomy 526 -54 -41 Spontaneous breech delivery with episiotomy มรหสแยกระหวางการคลอดปกตกบการคลอดทากน มรหสแยกระหวางการตดฝเยบกบการไมตดฝเยบ

Cesarean section ICD-9 -CM 74 Cesarean section and removal of fetus 74. 0 Classical cesarean section 74. 1 Low cervical cesarean section Lower uterine segment cesarean section 74. 2 Extraperitoneal cesarean section 74. 3 Removal of extratubal ectopic pregnancy 74. 4 Cesarean section of other specified type 74. 9 Cesarean section of unspecified type 74. 91 Hysterotomy to terminate pregnancy 74. 99 Other cesarean section of unspecified type

Cesarean section ICD-10 -TM 526 -54 -70 Cesarean section, classical 526 -54 -71 Cesarean section, classical, with tubal sterilization 526 -54 -72 Cesarean section, lower uterine segment Low cervical cesarean section Low transverse cesarean section 526 -54 -73 Cesarean section, lower uterine segment, with tubal sterilization 526 -54 -74 Extraperitoneal cesarean section 526 -54 -78 Other cesarean section 526 -54 -79 Cesarean section, unspecified

Explor. Lap. ICD-9 -CM 54. 11 Exploratory laparotomy Excludes: exploration incidental to intra abdominal surgery - - omit code ICD-10 -TM 400 -21 -00 Exploratory laparotomy Note: This code should not be used as main operation code unless no further operation was performed in the patient

Tumor debulking from pelvic cavity ICD-9 -CM 54 Other operations on abdominal region Includes: operations on: epigastric region flank groin region hypochondrium inguinal region loin region male pelvic cavity mesentery omentum peritoneum retroperitoneal tissue space Excludes: female pelvic cavity (69. 01 -70. 92) ไมมรหสทเหมาะสมใน ICD-9 -CM

Tumor debulking from pelvic cavity ICD-10 -TM 525 -26 -20 Tumor debulking from pelvic cavity, open 525 -26 -21 Tumor debulking from pelvic cavity, laparoscopic

Implantation of subdermal contraception ICD-9 -CM 99. 23 Injection of steroid Injection of cortisone Subdermal implantation of progesterone ICD-10 -TM 910 -10 -10 Implantation of contraceptive device into skin

Removal of subdermal contraception ICD-9 -CM 86. 05 Incision with removal of foreign body or device from skin and subcutaneous tissue ICD-10 -TM 602 -21 -08 Other incision of upper arm skin and subcutaneous tissue

Chemotherapy ICD-9 -CM 99. 25 Injection or infusion of cancer chemotherapeutic substance Chemoembolization Injection or infusion of antineoplastic agent Excludes: immunotherapy, antineoplastic (00. 15, 99. 28) implantation of chemotherapeutic agent (00. 10) injection of radioisotope (92. 28) injection or infusion of biological response modifier [BRM] as an antineoplastic agent (99. 28) รหสนใชไมไดกบยาเคมบำบดชนดรบประทาน รหสนใชไดกบการใหยาเคมบำบดเพอรกษาเนองอกท ไมใชมะเรง

ใหรหสผาตดใหครบ ผปวย complete uterine prolapse ทำผาตด hysterectomy + AP repair ถาใหรหสผาตด DRG 13550 vaginal 68. 5 Vaginal hysterectomy รหสเดยว Menstrual & other female reproductive system disorders, no CC RW 0. 3897 ถาใหรหสผาตด DRG 13080 RW 1. 6778 68. 5 Vaginal hysterectomy + 70. 50 AP repair Female reproductive system reconstructive procedure, no CC

หตถการทยงไมมรหส Non-diagnostic amniocentesis 75. 1 Diagnostic amniocentesis 75. 99 Other obstetric operation Embryo transfer 69. 99 Other operations on cervix and uterus