妊娠期高血压疾病的ICD-10编码案例分析  

ICD-10 Coding Cases Analysisof Hypertensive Disorders Complicating Pregnancy

作　　者：陆双华 吴良明[1] 

机构地区：[1]南京大学医学院附属鼓楼医院,南京市210008

出　　处：《中国病案》2017年第8期33-36,共4页Chinese Medical Record

基　　金：南京大学医院管理研究所医院管理课题项目(NDYG2015019)

摘　　要：妊娠期高血压疾病是妊娠与血压升高并存的一组疾病,包括妊娠期高血压、子痫前期、子痫、以及慢性高血压并发子痫前期和慢性高血压合并妊娠。ICD-10将妊娠期高血压疾病分类于O10-O16中并将其区分为两大类:原有高血压者和由妊娠引起者,然后再根据临床上的轻重程度再细分。其中,O10慢性高血压合并妊娠,O11慢性高血压并发先兆子痫,O12妊娠期水肿、蛋白尿不伴高血压,O13-O14先兆子痫,O15子痫,O16未特指的孕产妇高血压。本文选取7例妊娠期高血压疾病的典型病例进行回顾性分析,指导编码人员准确编码,提高编码工作质量。Hypertensive disorders complicating pregnancy is a group of diseases of pregnancy and hypertension.It includes five types ofgestationalhypertension, preeclampsia, eclampsia, chronic hypertension with preeclampsia and chronic hypertensioncomplicating pregnancy. In ICD-10,the codes for hypertensive disorders complicating pregnancyare O10-O16.First, they can be divided into two categories：the ones with hypertension and the other ones caused by pregnancy.Thenthey are further classified according to the clinical severity. The codes for chronic hypertensioncomplicating pregnancyare O10,forchronic hypertension with preeclampsia are O11, forges tationaloedema and proteinuria without hypertension are O12,forpreeclampsia are O13-O14,for eclampsia are O15,and for unspecified maternal hypertension are O16.In this article, 7 typical cases are selected to beretrospectively analyzed, aim to guide the coder how to code the hypertensive disorders complicating pregnancy exactly andenhance the quality of encoding.

关 键 词：妊娠期高血压疾病 ICD-10编码 案例分析 

分 类 号：R197.323[医药卫生—卫生事业管理] R714.246[医药卫生—公共卫生与预防医学]