甲状腺毒症的ICD-10编码案例分析  

Case Analysis of ICD-10 Coding of Thyrotoxicosis

作　　者：刘晓娅 Liu Xiaoya(Medical Record Department of Mianyang Traditional Chinese Medicine Hospital,Mianyang 621000,Sichuan Province,China)

机构地区：[1]绵阳市中医医院病案管理与统计科,四川省绵阳市621000

出　　处：《中国病案》2025年第3期28-30,99,共4页Chinese Medical Record

摘　　要：通过学习甲状腺毒症的临床分类及病因,查找相关文献资料,按照分类原则对临床诊断进行准确的ICD-10编码。甲状腺毒症可以分为甲亢型甲状腺毒症和非甲亢型甲状腺毒症2大类,多种不同的病因均能导致甲状腺毒症。ICD-10主要以甲状腺毒症的临床表现为分类轴心归于第四章内分泌、营养和代谢疾病,使用了类目E05,对于妊娠期甲状腺毒症归于第十五章O99.2,产后甲状腺炎归于第十五章O90.5,新生儿暂时性甲状腺功能亢进归于第十六章P72.1。在编码过程中不仅要掌握国际疾病分类的相关知识,还应该积极学习和分类轴心相关的临床知识,做到准确编码。This article aims to study the clinical classification and etiology of thyrotoxicosis,search for relevant literature,and accurately code the clinical diagnosis in ICD-10 according to the classification principles.Thyrotoxicosis can be divided into two major categories:hyperthyroid thyrotoxicosis and non-hyperthyroid thyrotoxicosis.Thyrotoxicosis can be caused by a variety of different causes.ICD-10 mainly uses the clinical manifestations of thyrotoxicosis as the classification axis and classifies it into Chapter 4 Endocrine,Nutrition and Metabolic Diseases,using category E05.Thyrotoxicosis during pregnancy is classified into Chapter 15(O99.2),postpartum thyroiditis is classified into Chapter 15(O90.5),and transient hyperthyroidism of the neonate is classified into Chapter 16(P72.1).During the coding process,coders should not only master the relevant knowledge of the International Classification of Diseases,but also actively learn the clinical knowledge related to the classification axis to achieve accurate coding.

关 键 词：甲状腺毒症 ICD-10 编码 

分 类 号：R581[医药卫生—内分泌]