皮肤移植术手术编码探讨及案例分析  

Discussion and Case Analysis on Surgical Coding of Skin Transplantation

作　　者：陈佳旭 宋萍[1] CHEN Jia-xu;SONG Ping(Department of Medical Record Statistics,Children's Hospital of Chongqing Medical University,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院病案统计科,重庆400014

出　　处：《医学信息》2020年第15期5-7,共3页Journal of Medical Information

基　　金：重庆医科大学儿科学院2019年教研教改项目(编号:EY201915)。

摘　　要：皮肤移植术是治疗创伤、烧伤及其他因素所致的皮肤与皮下组织缺损常用的方法,其ICD编码较为复杂,移植到不同部位及手术过程都会对编码造成影响。为此,本文结合临床知识、ICD-9-CM-3编码规则以及实际案例,总结游离皮肤移植及皮瓣移植的编码过程及注意事项,帮助编码员深入理解皮肤移植的临床分类、手术方式,以及如何通过编码分类轴心提取手术关键信息,为皮肤移值术的准确编码提供参考。Skin transplantation is a commonly used method to treat skin and subcutaneous tissue defects caused by trauma,burns and other factors.Its ICD code is more complicated,and transplantation to different parts and surgical procedures will affect the code.To this end,this article combines clinical knowledge,ICD-9-CM-3 coding rules and actual cases to summarize the coding process and precautions of free skin transplantation and skin flap transplantation,and help coders understand the clinical classification and surgical methods of skin transplantation.And how to extract the key information of the operation through the coding classification axis,which provides a reference for the accurate coding of skin transfer surgery.

关 键 词：游离皮肤移植 皮瓣移植 ICD-9-CM-3 编码 

分 类 号：R197[医药卫生—卫生事业管理]