The coding defect of Pedicle screw internal fixation is due to the lack of clinical knowledge of the coders and should be omitted or coded to 84.82 for different purposes; the coding defect of laparoscopic radical rectal surgery is due to the misuse of residual categories;the coding defect of Transcranial thrombectomy is because the coding is not specific and should be coded according to the specific Anatomic site;The coding defect of Lobectomy with lymphadenectomy is that the coder relies too much on the computer dictionary and should code according to the actual operation.