Assurance de qualité pour le cancer rectal – phase 2 ...

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106 PROCARE – phase 2 KCE reports 81Table 66. Possible ICD-9-CM codes for resectional surgery.Code Description CommentAbdominoperinealresection48.5 Abdominoperineal resection of the rectumIncludes : with synchronous colostomyCombined abdominoendorectal resectionComplete proctectomyCode also any synchronous anastomosisother than end-to-end (45.90, 45.92-45.95)Excludes :Duhamel abdominoperineal pull-through (48.65)that as part of pelvic exenteration (68.8)Hartmann’s procedure45.75 Left hemicolectomyExcludes:proctosigmoidectomy (48.41-48.69)second stage Mikulicz operation (46.04)Sphincter-sparingsurgery45.95 Anastomosis to anusFormation of endorectal ileal pouch (Hpouch)(J-pouch) (S-pouch) with anastomosisof small intestine to anus48.62 Anterior resection of rectum withsynchronous colostomy48.63 Other anterior resection of rectumExcludes :that with synchronous colostomy (48.62)48.64 Posterior resection of rectumAbdominoperinealresection or sphinctersparingsurgery48.6 Other resection of rectumCode also any synchronous anastomosisother than end-to-end (45.90, 45.92-45.95)48.61 Transsacral rectosigmoidectomy48.69 Other :Partial proctectomyRectal resection NOSLocal excision - TEMS48.35 Local excision of rectal lesion or tissueExcludes :Biopsy of rectum (48.24 – 48.25)Excision of perirectal tissue (48.82)Hemorrhoidectomy (49.46)[endoscopic] polypectomy of rectum (48.36)rectal fistulectomy (48.73)48.36 [Endoscopic] polypectomy of rectumNot specific forHartmann’sprocedureTable 67. Possible ICD-9-CM codes for palliative surgery.Code Description Comment48.31 Radical electrocoagulation of rectal lesion ortissue48.32 Other electrocoagulation of rectal lesion ortissue48.33 Destruction of rectal lesion or tissue by laser48.34 Destruction of rectal lesion or tissue bycryosurgery
KCE Reports 81 PROCARE – phase 2 107Table 68. Possible ICD-9-CM codes for stoma surgery (placement).Code Description Comment46.0 Exteriorization of intestineIncludes: loop enterostomyMultiple stage resection of intestine46.01 Exteriorization of small intestineLoop ileostomy46.02 Resection of exteriorized segment of smallintestine46.03 Exteriorization of large intestineExteriorization of intestine NOSFirst stage Mikulicz exteriorization of intestineLoop colostomy46.04 Resection of exteriorized segment of largeintestineResection of exteriorized segment of intestineNOSSecond stage Mikulicz operation46.1 Colostomy :Code also any synchronous resection (45.49,45.71-45.79, 45.8)Excludes :Loop colostomy (46.03)that with abdominoperineal resection of rectum(48.5)that with synchronous anterior rectal resection(48.62)46.10 Colostomy, not otherwise specified46.11 Temporary colostomy46.14 Delayed opening of colostomyTable 69. Possible diagnostic ICD-9-CM codes related to rectal cancer.Code Description Comment154.0 Rectosigmoid junctionColon with rectumRectosigmoid (colon)154.1 RectumRectal ampulla154.2 Anal canalAnal sphincterExcludes:skin of anus (172.5, 173.5)154.8 OtherAnorectumCloacogenic zoneMalignant neoplasm of contiguous oroverlapping sites of rectum, rectosigmoidjunction, and anus whose point of origin cannotbe determinedTable 70. Nomenclature codes for radiotherapy.Nomenclature Description (Dutch)Description (French)code440016 –440020Behandeling (één of meer lokalisaties)met hoge energie of gammatherapie(betatron, lineaire accelerator,telekobalt) : In een dienst die beschiktover telekobalt én een een simulator éneen dosimetriesysteem met computerTraitement (une ou plusieurslocalisations) au moyen des hautesénergies ou de gammathérapie(bêtatron, accélérateur linéaire,télécobalt) : Dans un service disposantde télécobalt et d'un accélérateur et
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