Table 10 Example of hierarchical medical coding for diagnosis, medication, and surgical procedure.
From: Ophtimus-V2-Tx: a compact domain-specific LLM for ophthalmic diagnosis and treatment planning
Category | Clinical term | Hierarchical coding (with description) |
|---|---|---|
Primary diagnosis | Ophthalmomyiasis externa | ICD-10-CM Code: B87.81 L1-B: Infectious diseases L2-87: Myiasis (infestation by fly larvae) L3-8: Other myiasis L4-1: External ocular involvement |
Medication | Topical antibiotic–steroid combination eye drops | ATC Code: S01CA01 L1-S: Sensory organ system L2-01: Ophthalmological agents L3-CA01: Tobramycin + dexamethasone combination |
Surgical procedure | Removal of larvae from the conjunctiva | ICD-10-PCS Code: 08CQXZZ L1-08: Eye system L2-C: Conjunctiva L3-Q: Extirpation (removal of solid matter) L4-ZZ: External approach, no device |
