神经元核内包涵体病ICD-10编码探讨  

ICD-10 Coding of Neuronal Intranuclear Inclusion Disease

作　　者：刘志东 王帅 丁梅 Liu Zhidong;Wang Shuai;Ding Mei(Department of Medical Recerd and Management,Brain Heapital Afiliated to Nanjing Medical University,Nanjing 210029,Jiangsu Province,China;不详)

机构地区：[1]南京医科大学附属脑科医院,江苏省南京市210029 [2]南京医科大学第二附属医院,江苏省南京市210000

出　　处：《中国病案》2024年第12期36-38,共3页Chinese Medical Record

摘　　要：神经元核内包涵体病是一种罕见的以中枢神经系统、周围神经系统以及自主神经系统神经元内发现嗜酸性透明包涵体为特征的多系统慢性进展性神经变性疾病。作为罕见病,国内相关报告较少,罕见病编码,ICD-10没有直接提供分类的,编码员应严格按照三步骤查找编码。通过分析神经元核内包涵体病的病理机制、临床表现、影像学特征等,确定其ICD-10主导词应为“病”,再转换主导词“异常的”,通过查找“异常的-运动(障碍)”,归类到编码G25.8。编码员在查找罕见病、少见病的编码时,应结合临床相关知识,了解疾病的发病机制,正确利用工具书,才能准确编码。Neuronal intranuclear inclusion disease is a rare multi-system chronic progressive neurodegenerative disease characterized by eosinophilic hyaloid inclusion bodies in the central and peripheral nervous systems and internal organs. As a rare disease, there are few related reports in China, and the research literature on its coding is not available. By analyzing its pathological mechanism, clinical manifestations, and imaging features, this paper points out that the dominant word of ICD-10 should be etiology, and convert the dominant word to abnormal, it is classified into the code G25.8 by searching for abnormal-movement(disorder).When searching for the code of rare diseases and rare diseases, coders should combine clinical knowledge,understand the pathogenesis of diseases, and correctly use reference books to accurately code.

关 键 词：神经元核内包涵体病(NIID) 罕见病 ICD编码 

分 类 号：R197.323[医药卫生—卫生事业管理]