淀粉样变ICD-10编码探讨  

Discussion on ICD-10 Coding of Amyloidosis

作　　者：林慕蕾 赖丽文 赵淑媛 Lin Mulei;Lai Liwen;Zhao Shuyuan(Department of Medical Records,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510080,Guangdong Province,China;不详)

机构地区：[1]南方医科大学附属广东省人民医院(广东省医学科学院)病案科,广东省广州市510080

出　　处：《中国病案》2024年第11期27-30,共4页Chinese Medical Record

摘　　要：随着医学的不断发展和进步,对淀粉样变的疾病性质有了更深入的认识,其疾病命名及对应的疾病性质、形态学编码发生了变化。通过梳理淀粉样变病最新的临床诊断类型与标准共识,探讨相应的ICD-10编码的变化。原名为原发性系统性淀粉样变的系统性免疫球蛋白轻链型淀粉样变性和其他类型淀粉样变,其中系统性免疫球蛋白轻链型淀粉样变性从过去定义的交界性肿瘤D47.7 M9769/1变为系统性恶性浆细胞肿瘤C90.2M9731/3,其他类型淀粉样变性根据是否为获得性或遗传性、是否为局限性或系统性以及淀粉样蛋白的不同分类至ICD-10中解剖系统章节E85不同亚目,其中局限性淀粉样变一般为星剑号编码,β淀粉样变性导致特发性阿尔茨海默病则分类于G30。编码员应掌握淀粉样变疾病性质及ICD编码规则,对淀粉样变进行准确分类,从而提高编码准确性。With the continuous development and progress of medicine,there has been a deeper understanding of the nature of amyloidosis,leading to changes in its disease naming,corresponding disease characteristics,and morphological coding.This article summarizes the latest clinical diagnostic types and standard consensus of amyloidosis,including systemic immunoglobulin light chain amyloidosis,formerly known as primary systemic amyloidosis,and other types of amyloidosis.Systemic immunoglobulin light chain amyloidosis has changed from the previously defined borderline tumor D47.7 M9769/1 to systemic malignant plasma cell tumor C90.2 M9731/3.Other types of amyloidosis are classified into different subcategories under section E85 of the ICD-10 anatomical system,based on whether they are acquired or inherited,localized or systemic,and the type of amyloid proteins.Localized amyloidosis is generally encoded by the Star Sword number,whileβIdiopathic Alzheimer's disease caused by amyloidosis is classified as G30.4.Coders should master the nature of amyloidosis and ICD coding rules and accurately classify amyloidosis to improve coding accuracy.

关 键 词：淀粉样变 免疫球蛋白轻链型淀粉样变性 ICD-10 编码 

分 类 号：R197.323[医药卫生—卫生事业管理] R597.2[医药卫生—公共卫生与预防医学]