Klippel-Trenaunay综合征手术患者的ICD-9-CM-3编码讨论  

Discussion on ICD-9-CM-3 codes in patients undergoing surgery for klippel-trenaunay syndrome

作　　者：付子龙 张鲍明 周樟屏 吕歆 FU Zilong;ZHANG Baoming;ZHOU Zhangping;LV Xin(The second affiliated hospital of Xi’an medical university,Xi’an 710038,China;Hospital of Stomatology,Xi’an Jiaotong University,Xi’an 710004,China;School of Public Health,Kunming Medical University,Kunming 650500,China;Peking Union Medical College Hospital,Peking 100730,China)

机构地区：[1]西安医学院第二附属医院,陕西西安710038 [2]西安交通大学口腔医院,陕西西安710004 [3]昆明医科大学公共卫生学院,云南昆明650031 [4]中国医学科学院北京协和医院,北京100730

出　　处：《现代医院》2021年第9期1363-1365,共3页Modern Hospitals

摘　　要：目的了解克利佩尔-特农纳综合征(Klippel-Trenaunay综合征)的各类手术操作ICD-9-CM-3编码。方法从医院电子化住院病案系统中调取2019年9月—2020年1月以来以Klippel-Trenaunay综合征为主要诊断并给予手术操作治疗的患者共36例。结果通过分析病例内容,研究学习手术操作方法得出了针对Klippel-Trenaunay综合征的手术操作编码。结论ICD-9-CM-3编码的准确性直接影响到医院统计数据的准确性,所以医院病案统计室的编码人员必须掌握一定的方法,对各种新型手术操作做出准确地判断并编出正确的ICD-9-CM-3编码,全面反映新型手术操作的价值。Objective In order to understand the ICD-9-CM-3 codes of various surgical procedures of Klippel-Trenaunay syndrome.Methods A total of 36 patients who were diagnosed with Klippel-Trenaunay syndrome as the main diagnosis and given surgical treatment from September 2019 to January 2020 were collected from the electronic inpatient medical record system of our hospital.Results This article analyzed the content of the case and studied the surgical operation method to obtain the surgical operation code for Klippel-Trenaunay syndrome for the coders to discuss.Conclusion The accuracy of the ICD-9-CM-3 coding directly affects the accuracy of the hospital’s statistical data,so the coders in the hospital’s medical record statistics room must master certain methods to make accurate judgments on various new surgical operations and compile them correctly.The ICD-9-CM-3 code fully reflects the value of new surgical operations.

关 键 词：KLIPPEL-TRENAUNAY综合征 ICD-9-CM-3编码 主要诊断编码 血管畸形 动静脉瘘 骨肥大 增生 

分 类 号：R197.323.1[医药卫生—卫生事业管理]