继发性高血压ICD-10编码案例分析  

Case Analysis of ICD-10 Coding for Secondary Hypertension

作　　者：闫学丽 孔德莹 苟瑜坤 胡颖辉 Yan Xueli;Kong Deying;Gou Yukun;Hu Yinghui(The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710000,Shaanxi Province,China;不详)

机构地区：[1]西安交通大学第一附属医院医疗信息管理办公室,陕西省西安市710000

出　　处：《中国病案》2024年第11期32-36,共5页Chinese Medical Record

摘　　要：继发性高血压是由明确的疾病引起的高血压,除妊娠高血压综合征外,其余皆分类于I15,其亚目分类轴心是病因。常见的继发性高血压有肾血管性高血压I15.0、肾实质性高血压I15.1、原发性醛固酮增多症性高血压I15.2、嗜铬细胞瘤/副神经节瘤性高血压I15.2、库欣综合征性高血压I15.2、阻塞性睡眠呼吸暂停综合征性高血压I15.8。通过案例总结继发性高血压及其病因的编码归类方法,剖析继发性高血压编码难点及易错点。编码员需熟练掌握编码分类规则,理解继发性高血压发生机制,结合疾病诊治过程,实现精准编码。Secondary hypertension is high blood pressure caused by an identifiable disease.Except for pregnancy-induced hypertension syndrome,all others are classified under I15,with subcategories based on etiology.Common types of secondary hypertension include renal parenchymal(I15.0),renal vascular diseases(I15.1),primary aldosteronism hypertension(I15.2),pheochromocytoma/paraganglioma hypertension(I15.2),Cushing's syndrome hypertension(I15.2),and obstructive sleep apnea syndrome hypertension(I15.8).Through case studies,this study summarized the coding classification methods for secondary hypertension and its causes and analyzed the coding challenges and common errors related to secondary hypertension.Coders need to be proficient in mastering the coding classification rules,understand the mechanisms of secondary hypertension,and combine this knowledge with the diagnosis and treatment process to achieve accurate coding.

关 键 词：继发性高血压 病因 编码 ICD-10 

分 类 号：R544.1[医药卫生—心血管疾病] R197.323[医药卫生—内科学]