下肢动脉缺血性疾病的编码  

Exploration of Coding for Common Lower Extremity Arterial Ischemic Diseases

作　　者：黄珂 Huang Ke(Jinhua People's Hospital,Jinhua 321000,Zhejiang Province,China)

机构地区：[1]金华市人民医院,浙江省金华市321000

出　　处：《中国病案》2024年第12期31-34,共4页Chinese Medical Record

摘　　要：对下肢动脉硬化闭塞症、血栓闭塞性脉管炎、下肢动脉栓塞和下肢动脉血栓形成这几种常见下肢动脉缺血性疾病的临床知识和准确编码进行整理归纳,使用2019年WHOICD-10第二版和国家临床版2.0对其进行编码并分别举例编码分析。下肢动脉硬化闭塞症编码为I70.2,根据不同的临床分期再进行细分;血栓闭塞性脉管炎编码为I73.1;下肢动脉栓塞和下肢动脉血栓形成都编码于I74.3,根据不同部位和类型具体编码。编码员在进行疾病编码时要了解疾病内涵,区分疾病性质和临床表现,并仔细阅读病案,正确编码以确保数据上传质量。The disease names and clinical manifestations of lower extremity arterial ischemic diseases are similar,but the disease coding categories are different,and the lack of clinical knowledge of coders is easy to cause the wrong coding of diseases.The clinical knowledge and accurate coding of several common ischemic diseases of lower extremity arteries,such as lower extremity arteriosclerosis obliterans,thromboangiitis obliterans,lower extremity arterial embolism and lower extremity arterial thrombosis,were summarized and coded using WHO ICD-102nd Edition 2019 and National Clinical Edition 2.0 respectively and analyzed with examples.The code of lower extremity arteriosclerosis obliterans was I70.2,which was subdivided according to different clinical stages.Thromboangiitis obliterans was coded I73.1;Both lower extremity artery embolism and lower extremity artery thrombosis are encoded in I74.3 and coded according to different sites and types.Coders should understand the connotation of diseases,distinguish the nature of diseases and clinical manifestations,read the medical records carefully,and code correctly to ensure the quality of data upload.

关 键 词：下肢动脉缺血性疾病 ICD-10 疾病编码 

分 类 号：R197.323[医药卫生—卫生事业管理]