Surgery grading management is one of the key aspects of medical technology access and medical quality management. Surgical classification is graded by risk level, the degree of difficulty of the process and the technology; however, surgery coding is mainly classified by the surgical site. Therefore, the grading of the ICD coding surgical name encounters some difficulties. Our hospital uses the “Jiangsu Province set of medical information classification and coding standards” and “Jiangsu Province surgery hierarchical directory”, which is issued by Jiangsu Provincial Commission of Health and Family Planning, as the basis. We are practicing and exploring about the correspondence between the surgery which has graded and ICD-9-CM-3 encoding, including six categories problems, such as different types of the same operation, different surgeries of the same parts. We carry out the surgical grading and coding intelligent management into hospital management, which will regulate the management of hospital surgery more effectively, ensure the safety of medical quality, and reduce the incidence of adverse events in health care.