肺癌主要诊疗性操作编码  

Coding of main diagnosis and treatment procedures for lung cancer

作　　者：叶茜 郭佳奕[1] 郑盼 郑苏婷 王赛斌[1] 徐敏慧[1] 郭晓东[1] Ye Qian;Guo Jiayi;Zheng Pan;Zheng Suting;Wang Saibin;Xu Minhui;Guo Xiaodong(Jinhua Municipal Central Hospital, Jinhua 321000, China)

机构地区：[1]金华市中心医院,浙江金华321000

出　　处：《中国医院统计》2020年第4期358-361,共4页Chinese Journal of Hospital Statistics

基　　金：浙江省医药卫生科技计划学科平台青年人才项目(2018RC079);金华市科技局重点科研项目(201603011)。

摘　　要：目的探讨肺癌主要诊疗方式操作的编码。方法在肺癌领域主要诊断性操作主要包括:经支气管针吸活检术、经支气管肺活检、经支气管镜防污染保护毛刷技术和支气管肺泡灌洗等;而治疗性操作主要包括:高频电灼技术、冷冻切除治疗、气道内支架置入术、肺癌射频消融和经支气管镜放射性粒子置入等。本文通过对以上诊疗技术进行临床知识学习,认真分析操作过程,遵循ICD-9-CM-3的分类原则,对相应编码进行梳理和归纳。结果诊疗操作的方式、部位和入路不同导致操作分类编码不同。结论编码人员在工作中需要充分了解临床最新技术动态,掌握手术分类原则,认真阅读病案,才能准确编码,充分表达病案信息。Objective To explore the operation code of main diagnosis and treatment methods of lung cancer.Methods The main diagnostic operations in the field of lung cancer mainly include transbronchial needle aspiration biopsy,transbron-chial lung biopsy,transbronchoscope pollution protection brush technology and bronchoalveolar lavage,etc.;while the therapeutic operations mainly include high frequency electric cauterization technology,cryoablation,endotracheal stent implantation,radiofrequency ablation of lung cancer and radioactive particle implantation through bronchoscope,etc.In this paper,we analyzed the clinical knowledge of the aforementioned diagnosis and treatment operations,and then sorted out and summarized the corresponding codes based on the classification principles of ICD-9-CM-3.Results Different diagnosis and treatment methods,operation sites and approaches led to different operation classification codes.Conclusion In order to accurately code and fully express medical record information,coders need to fully understand the latest clinical technologies,master the principles of surgical classification,and review the medical records carefully.

关 键 词：肺癌 气管镜 编码 ICD-9-CM-3 

分 类 号：R197.323.1[医药卫生—卫生事业管理]