1

Inguinal hernia

ICD10 – ICD9 :

53.00 Unilateral repair of inguinal hernia, not otherwise specified

53.01 Other and open repair of direct inguinal hernia

53.02 Other and open repair of indirect inguinal hernia

53.03 Other and open repair of direct inguinal hernia with graft or prosthesis

53.04 Other and open repair of indirect inguinal hernia with graft or prosthesis

53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise Specified

53.10 Bilateral repair of inguinal hernia, not otherwise specified

53.11 Other and open bilateral repair of direct inguinal hernia

53.12 Other and open bilateral repair of indirect inguinal hernia

53.13 Other and open bilateral repair of inguinal hernia, one direct and one indirect

53.14 Other and open bilateral repair of direct inguinal hernia with graft or prosthesis

53.15 Other and open bilateral repair of indirect inguinal hernia with graft or prosthesis

53.16 Other and open bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis

53.17 Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified

53.21 Unilateral repair of femoral hernia with graft or prosthesis

53.29 Other unilateral femoral herniorrhaphy

53.31 Bilateral repair of femoral hernia with graft or prosthesis

53.39 Other bilateral femoral herniorrhaphy

2

Hydrocele

ICD10 – ICD9 :

61.2 Excision of hydrocele (of tunica vaginalis)

3

Hemorrhoid

ICD10 – ICD9 :

49.44 Destruction of hemorrhoids by cryotherapy

49.45 Ligation of hemorrhoids

49.46 Excision of hemorrhoids

49.49 Other procedures on hemorrhoids

4

Vaginal bleeding

ICD10 – ICD9 :

68.16 Closed biopsy of uterus

68.21 Division of endometrial synechiae

68.22 Incision or excision of congenital septum of uterus

68.23 Endometrial ablation

68.29 Other excision or destruction of lesion of uterus

5

Esophagogastricvarices

(Esophageal varices, Gastric varices)

ICD10 :

I85.0 Oesophageal varices with bleeding

I85.9 Oesophageal varices without bleeding

I86.4 Gastric varices

I98.2* Oesophageal varices without bleeding in diseases classified elsewhere

I98.3* Oesophageal varices with bleeding in diseases classified elsewhere

ICD9 :

42.33 Endoscopic excision or destruction of lesion or tissue of Esophagus

43.41 Endoscopic excision or destruction of lesion or tissue of stomach

44.43 Endoscopic control of gastric or duodenal bleeding

6

Esophageal-Gastric Stricture

ICD10 – ICD9 :

42.92 Dilation of esophagus

44.22 Endoscopic dilation of pylorus

7

Esophagogastric cancer with obstruction

(Esophageal cancer, gastric cancer)

ICD10 :

C15 Malignant neoplasm of oesophagus

C16 Malignant neoplasm of stomach

ICD9 :

42.33 Endoscopic excision or destruction of lesion or tissue of Esophagus

42.81 Insertion of permanent tube into esophagus

8

Colorectal polyp

(colonic, rectal polyp)

ICD 10 :

D12.6 Colon, unspecified Polyposis (hereditary) of colon

K62.0 Anal polyp

K62.1 Rectal polyp

K63.5 Polyp of colon

ICD9 :

45.42 Endoscopic polypectomy of large intestine

45.43 Endoscopic destruction of other lesion or tissue of large intestine

9

Common bile duct Stone

(Bile duct stone)

ICD10 :

K80.0 Calculus of gallbdr w ac cholecystitis

K80.1 Calculus of gallbdr w oth cholecystitis

K80.2 Calculus of gallbdr w/o cholecystitis

K80.3 Calculus of bile duct w cholangitis

K80.4 Calculus of bile duct w cholecystitis

K80.5 Calculus of bile duct w/o cholangitis or cholecystitis

ICD9 :

51.85 Endoscopic sphincterotomy and papillotomy

51.86 Endoscopic insertion of nasobiliary drainage tube

51.87 Endoscopic insertion of stent (tube) into bile duct

51.88 Endoscopic removal of stone(s) from biliary tract

10

Pancreatic ductstone

ICD10 :

K86.8 Other specified diseases of pancreas : Calculus

ICD9 :

51.85 Endoscopic sphincterotomy and papillotomy

52.93 Endoscopic insertion of stent (tube) into pancreatic duct

52.94 Endoscopic removal of stone(s) from pancreatic duct

11

Bile duct stricture

ICD10 :

C22.1 Intrahepatic bile duct carcinoma : Cholangiocarcinoma

C23 Malignant neoplasm of gallbladder

C24 Malignant neoplasm of other and unspecified parts of biliary tract

C25 Malignant neoplasm of pancreas

K82.0 Obstruction of gallbladder: Stricture of cystic duct or gallbladder without calculus

K82.8 Other specified diseases of gallbladder: Adhesions of cystic duct or gallbladder without calculus

K83.1 Obstruction of bile duct:Stricture of without bile duct calculus

K83.8 Other specified diseases of biliary tract: Adhesions of bile duct

K91.8 Other postprocedural disorders of digestive system, not elsewhere classified: postoperative bile duct (common), (hepatic) stricture

ICD9 :

51.85 Endoscopic sphincterotomy and papillotomy

51.86 Endoscopic insertion of nasobiliary drainage tube

51.87 Endoscopic insertion of stent (tube) into bile duct

12

Pancreatic duct stricture

ICD10 :

C25 Malignant neoplasm of pancreas

K86.0 Alcohol-induced chronic pancreatitis

K86.1 Other chronic pancreatitis

K91.8 Other postprocedural disorders of digestive system, not elsewhere classified: postoperative bile duct (common), (hepatic) stricture

ICD9 :

52.93 Endoscopic insertion of stent (tube) into pancreatic duct

52.97 Endoscopic insertion of nasopancreatic drainage tube

52.98 Endoscopic dilation of pancreatic duct

13

Foreign body of upper

GI. tract

ICD10 :

T18.1 Foreign body in oesophagus

T18.2 Foreign body in stomach

ICD9 :

98.02 Removal of intraluminal foreign body from esophagus without incision

98.03 Removal of intraluminal foreign body from stomach and small intestine without incision

14

Pterygium Excision

ICD10 :

H11.0 Pterygium

ICD9 :

11.31 Transposition of pterygium

11.32 Excision of pterygium with corneal graft

11.39 Other excision of pterygium + 10.44 Other free graft to conjunctiva

15

Female sterilization

ICD10 :

Z30.2 Sterilization

ICD9 :

66.29 Other bilateral endoscopic destruction or occlusion of fallopian tubes

66.31 Other bilateral ligation and crushing of fallopian tubes

66.32 Other bilateral ligation and division of fallopian tubes Pomeroy operation

66.39 Other bilateral destruction or occlusion of fallopian tubes Female sterilization operation NOS

16

Percutaneous

fracture fixation

ICD10 :

S42.1 Fracture of scapula

S42.2 Fracture of upper end of humerus

S42.3 Fracture of shaft of humerus

S42.4 Fracture of lower end of humerus

S42.7 Multiple fractures of clavicle, scapula and humerus

S42.8 Fracture of other parts of shoulder and upper arm

S42.9 Fracture of shoulder girdle, part unspecified

S52.0 Fracture of upper end of ulna

S52.1 Fracture of upper end of radius

S52.2 Fracture of shaft of ulna

S52.3 Fracture of shaft of radius

S52.4 Fracture of shafts of both ulna and radius

S52.5 Fracture of lower end of radius

S52.6 Fracture of lower end of both ulna and radius

S52.7 Multiple fractures of forearm

S52.8 Fracture of other parts of forearm

S52.9 Fracture of forearm, part unspecified

S62.0 Fracture of navicular [scaphoid] bone of hand

S62.1 Fracture of other carpal bone(s)

S62.4 Multiple fractures of metacarpal bones

S62.7 Multiple fractures of fingers

S82.0 Fracture of patella

S82.1 Fracture of upper end of tibia

S82.2 Fracture of shaft of tibia

S82.3 Fracture of lower end of tibia

S82.4 Fracture of fibula alone

S82.5 Fracture of medial malleolus

S82.6 Fracture of lateral malleolus

S82.7 Multiple fractures of lower leg

S82.8 Fractures of other parts of lower leg

S82.9 Fracture of lower leg, part unspecified

S92.0 Fracture of calcaneus

S92.1 Fracture of talus Astragalus

S92.2 Fracture of other tarsal bone(s)

S92.7 Multiple fractures of foot

ICD9 :

78.1 Application of external fixator device

17

Fistula in ano

ICD10 :

K60.3 Anal fistula

ICD9 :

49.11 Anal fistulotomy

49.12 Anal fistulectomy

18

Perirectal, Perianal

abscess

ICD10 :

K61.0 Anal abscess

K61.1 Rectal abscess

K61.2 Anorectal abscess

K61.3 Ischiorectal abscess

K61.4 Intrasphincteric abscess

ICD9 :

49.01 Incision of perianal abscess

49.02 Other incision of perianal tissue

19

Breast abscess

ICD10 :

N61 Inflammatory disorders of breast

O91.1 Abscess of breast associated with childbirth

ICD9 :

85.0 Mastotomy

20

Vesicle stone

ICD10 :

N21.0 Calculus in bladder

ICD9 :

57.0 Transure thralclearance of bladder

21

Ureteric stone

ICD10 :

N20.1 Calculus of ureter

ICD9 :

56.0 Transurethral removal of obstruction from ureter and renal pelvis

22

Urethral stone

ICD10 :

N21.1 Calculus in urethra

ICD9 :

58.0 Urethrotomy

58.1 Urethral meatotomy

23

Urethral stricture

ICD10 :

N35.0 Post-traumatic urethral stricture

N35.1 Postinfective urethral stricture, not elsewhere classified

N35.8 Other urethral stricture

N35.9 Urethral stricture, unspecified

ICD9 :

58.5 Release of urethral stricture

24

Anal fissure

ICD10 :

K60.0 Acute anal fissure

K60.1 Chronic anal fissure

K60.2 Anal fissure, unspecified

ICD9 :

49.51 Left lateral anal sphincterotomy

49.52 Posterior anal sphincterotomy

49.59 Other anal sphincterotomy

25

Orchidectomy

ICD10 :

C61 MALIGNANT NEOPLASM OF PROSTATE

D292 BENIGN NEOPLASM OF TESTIS

N40 HYPERPLASIA OF PROSTATE

N44 TORSION OF TESTIS

N450 ORCHITIS, EPIDIDYMITIS AND EPIDIDYMO-ORCHITIS WITH

ABSCESS

N459 ORCHITIS, EPIDIDYMITIS AND EPIDIDYMO-ORCHITIS WITHOUT

ABSCESS

N500 ATROPHY OF TESTIS

N501 VASCULAR DISORDERS OF MALE GENITAL ORGANS

N508 OTHER SPECIFIED DISORDERS OF MALE GENITAL ORGANS

N509 DISORDER OF MALE GENITAL ORGANS, UNSPECIFIED

Q531 UNDESCENDED TESTICLE, UNILATERAL

Q532 UNDESCENDED TESTICLE, BILATERAL

Q552 OTHER CONGENITAL MALFORMATIONS OF TESTIS AND

SCROTUM

ICD9 :

62.3 Unilateral Orchidectomy

62.41 Bilateral orchidectomy NOS

62.42 Removal of solitary testis

26

Hysteroscopy

ICD10 :

D07.0 Carcinoma in situ of other and unspecified genital organs:Endometrium

D250 SUBMUCOUS LEIOMYOMA OF UTERUS

D252 SUBSEROSAL LEIOMYOMA OF UTERUS

D26* Other benign neoplasms of uterus

D39.0 Neoplasm of uncertain or unknown behavior of female genital organs :Uterus

N710 ACUTE INFLAMMATORY DISEASE OF UTERUS

N80.0 Endometriosis of uterus

N801 ENDOMETRIOSIS OF OVARY

N80.9 Endometriosis, unspecified

N84* Polyp of female genital tract

N85* Other noninflammatory disorders of uterus, except cervix

N91-N98 Noninflammatory disorders of female genital tract

ICD9 :

68.12 Hysteroscopy

27

Amputation finger

ICD10 :

C436 MALIGNANT MELANOMA OF UPPER LIMB, INCLUDING SHOULDER

E10.5/7 Diabetes Mellitus With peripheral circulatory complications/ With multiple complications Insulin-dependent diabetes mellitus With peripheral circulatory complications

E11.5/7 Non-insulin-dependent diabetes mellitus With peripheral circulatory complications

E12.5/7 Malnutrition-related diabetes mellitus With peripheral circulatory complications

E13.5/7 Other specified diabetes mellitus With peripheral circulatory complications

E14.5/7 Unspecified diabetes mellitus

M8644 CHRONIC OSTEOMYELITIS WITH DRAINING SINUS:CARPUS/FINGER/METACARPUS

M72.6 Necrotizing fasciitis

R02 GANGRENE, NOT ELSEWHERE CLASSIFIED

S611 OPEN WOUND OF FINGER(S) WITH DAMAGE TO NAIL

S6261 FRACTURE OF OTHER FINGER: OPEN

S6271 MULTIPLE FRACTURES OF FINGERS: OPEN

S6281 FRACTURE OF OTHER AND UNSPECIFIED PARTS OF WRIST AND HAND: OPEN

S680 TRAUMATIC AMPUTATION OF THUMB (COMPLETEXPARTIAL)

S681 TRAUMATIC AMPUTATION OF OTHER SINGLE FINGER (COMPLETEXPARTIAL)

S682 TRAUMATIC AMPUTATION OF TWO OR MORE FINGERS ALONE (COMPLETEXPARTIAL)

T233 BURN OF THIRD DEGREE OF WRIST AND HAND

T793 POST-TRAUMATIC WOUND INFECTION, NOT ELSEWHERE CLASSIFIED

T846 INFECTION AND INFLAMMATORY REACTION DUE TO INTERNAL FIXATION DEVICE [ANY SITE]

ICD9 :

84.01 Amputation finger

28

Wide excision

breast mass

ICD10 :

C50* Malignant neoplasm of breast

D05* Carcinoma in situ of breast

D48.6 Phyllodes tumor

ICD9 :

85.21 Wide excision breast mass

29

Simple

mastectomy

ICD10 :

C50* Malignant neoplasm of breast

D05* Carcinoma in situ of breast

D24 Benign neoplasm of breast

N601 DIFFUSE CYSTIC MASTOPATHY

N603 FIBROSCLEROSIS OF BREAST

N62 HYPERTROPHY OF BREAST

Q831 ACCESSORY BREAST

ICD9 :

85.41 simple mastectomy

30

Breast

conservative

surgery

ICD10 :

C50* Malignant neoplasm of breast

D05* Carcinoma in situ of breast

ICD9 :

85.21 Breast conservative surgery

85.22 Resection of quadrant of breast

85.23 Subtotal mastectomy

31

Tongue tie

release

ICD10 :

Q381 ANKYLOGLOSSIA

ICD9 :

25.91 Tongue tie release

25.92 Lingual frenectomy

27.91 Labial frenectomy

รอบ 3 เดือน

รอบ 6 เดือน

รอบ 9 เดือน

รอบ 12 เดือน

-

³  ร้อยละ 10

³  ร้อยละ 15

³  ร้อยละ 20

รอบ 3 เดือน

รอบ 6 เดือน

รอบ 9 เดือน

รอบ 12 เดือน

-

³  ร้อยละ 20

³  ร้อยละ 25

³  ร้อยละ 30

รอบ 3 เดือน

รอบ 6 เดือน

รอบ 9 เดือน

รอบ 12 เดือน

-

³  ร้อยละ 30

³  ร้อยละ 35

³  ร้อยละ 40