白内障的疾病与手术分类  

The Disease and Surgery Classification of Cataract

作　　者：尹劲峰[1] 岳月英[1] 陈彩霞[1] 刘波苑[1] 方宝珍[1] 俞长荣[1] 

机构地区：[1]深圳市人民医院病案室,深圳市518020

出　　处：《中国病案》2011年第9期26-27,共2页Chinese Medical Record

摘　　要：目的探讨白内障疾病与手术编码及另编码问题。方法通过学习白内障疾病与手术的相关文献,仔细阅读病历,按照分类原则进行准确的ICD编码。结果白内障疾病编码分类轴心有多重,应按发病时间、病因以及晶状体混浊的形态和部位准确分类。白内障摘除术编码分类轴心也有多重,根据不同的白内障类型、不同的摘除方法及入路等准确分类到13.1-13.6的各个具体细目,伴有人工晶体植入术应另编码13.71,伴有玻璃体切除术应另编码14.73或14.74,伴有抗青光眼手术应另编码12.64,伴有角膜移植术应另编码11.6,白内障摘出术后人工晶体的二期置入手术只需编码13.72。结论编码员不但要掌握ICD编码知识,还要学习相关的医学知识和仔细阅读病历,才能做到准确编码。Objectives This article discusses disease and surgery code of cataract and code also problems.Methods Through learning about the related references of cataract disease and surgery and careful medical records reading,it has correct ICD code according to classification principle.Results the disease code axis of cataract has many,we should correctly classify according to disease time,the cause of disease and the shape and position of lens opacity.The code classification axis of cataract enucleation also has many,we should correctly classify to subdivisions from 13.1 to 13.6 according to types of cataract,different enucleation and different approach;the code of intraocular lens implantation is 13.71;the code of vitrectomy is 14.73 or 14.74;the code of anti-glaucoma surgery is 12.64;the code of keratoplasty is 11.6;The code of secondary imbedding operation after cataract enucleation is 13.72.Conclusions The coder not only should master ICD code knowledge,but also need to learn related medical knowledge and careful medical records reading for correct coding.

关 键 词：白内障 ICD-10 ICD-9-CM-3 

分 类 号：R779.66[医药卫生—眼科]