周围神经疼痛微创介入治疗编码探讨  

Discussion on the Coding of Minimally Invasive Interventional Treatment for Peripheral Nerve Pain

作　　者：胡赛 徐清榜[2] 孙扬[1] 李迪[1] Hu Sai;Xu Qingbang;Sun Yang;Li Di(Department of Medical Records and Statistics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei Province,China;不详)

机构地区：[1]华中科技大学同济医学院附属协和医院病案统计科,湖北省武汉市430022 [2]华中科技大学同济医学院附属协和医院疼痛科,湖北省武汉市430022

出　　处：《中国病案》2024年第11期40-42,78,共4页Chinese Medical Record

摘　　要：周围神经病理性疼痛是临床上最为常见的慢性疼痛疾病,近年来发展迅速的神经阻滞、化学毁损、射频热凝和脉冲射频等微创介入治疗技术对其有显著疗效。探讨此类技术在ICD-9-CM-3中的分类,以解剖部位和术式为双轴心,前者以类目分为03脊神经椎管内部分、04颅神经和周围神经、05交感神经;后者包括注射术、破坏术及其他术式。编码实践中需辨认神经具体部位、厘清介入手术技术要点,以避免编码错误。此外,针对国家临床版3.0编码库中相应扩展码的神经解剖部位不具体、新兴技术无具体分类导致的临床诊疗信息缺失问题,结合疼痛医学发展特点,提出在相应亚目或细目下增加扩展码等解决思路。Peripheral neuropathic pain is the most common chronic pain disease in clinical practice.Minimally invasive interventional treatment technologies such as nerve block,chemical destruction,radiofrequency thermocoagulation and pulsed radiofrequency that have emerged in recent years have significant effects on it.This article discusses the classification of such techniques in ICD-9-CM-3,focusing on anatomical sites and procedure.The former is divided into 03 spinal nerves,04 cranial nerves and peripheral nerves,05 sympathetic nerves;The latter includes injection,destruction and other procedures.In coding practice,it is necessary to identify the specific location of the nerves and clarify the key points of interventional surgery techniques to avoid coding errors.In addition,this article addresses the issue of missing clinical diagnosis and treatment information due to the absence of specific neuroanatomical locations in the corresponding extended codes in the National Clinical 3.0 version of the coding library,as well as the lack of specific classifications for emerging technologies.Combined with the development characteristics of pain medicine,this article proposes solutions such as adding extended codes under corresponding sub-headings or sub-headings.

关 键 词：疼痛 周围神经 微创介入治疗技术 ICD-9-CM-3 

分 类 号：R197.323[医药卫生—卫生事业管理] R745[医药卫生—公共卫生与预防医学]