浅析三类常见的产科疾病编码  

Analysis on Three Common Obstetric Disease Coding

作　　者：陈红 Chen Hong(Yangxin Hospital of Traditional Chinese Medicine,Binzhou 251800,Shandong Province,China)

机构地区：[1]阳信县中医医院,山东省滨州市251800

出　　处：《中国病案》2025年第2期37-40,共4页Chinese Medical Record

摘　　要：简述梗阻性分娩、子宫瘢痕妊娠、产后出血三类产科疾病的定义及其之间的关联,依据国际疾病分类原则探讨编码要点,并对临床实际案例进行分析。总结产科梗阻性分娩编码时需要注意是否进入产程,未进入产程分类于O32-O34,进入产程分类于O64-O66;瘢痕妊娠编码时需要注意是否进入产程与分娩方式,未进入产程编码于O34.2,已进入产程经阴分娩编码于O75.7,已进入产程行剖宫产术编码于O65.5;产后出血编码时需要注意出血发生的时间段与出血原因,即刻出血编码于O72.1,延迟出血编码于O72.2,第三产程出血编码于O72.0。从编码员、产科医师和医院医保管理三个方面分析产科编码错误的原因,旨在提高产科ICD-10编码的完整率与正确率。Briefly describe the definitions and interrelationships of three obstetric diseases:obstructed labor,cesarean scar pregnancy,and postpartum hemorrhage.Based on the principles of international disease classification,explore the coding points of these three diseases and analyze clinical actual cases.Summarize that when coding obstructed labor,one should pay attention to whether the patient has entered labor,and if not,it should be classified under O32-O34,and if yes,it should be classified under O64-O66.When coding cesarean scar pregnancy,one should pay attention to whether the patient has entered labor and the mode of delivery,and if not,it should be classified under O34.2,and if yes,it should be classified under O75.7 if delivered vaginally or O65.5 if delivered by cesarean section.When coding postpartum hemorrhage,one should pay attention to the time period and cause of bleeding,and it should be classified under O72.1 for immediate bleeding,O72.2 for delayed bleeding,and O72.0 for third-stage postpartum hemorrhage.Analyze the reasons for obstetric coding errors from the perspectives of coders,obstetricians,and hospital medical insurance management and propose corresponding measures to improve the accuracy rate of obstetric coding.The aim is to improve the completeness and accuracy rate of obstetric ICD-10 coding.

关 键 词：梗阻性分娩 子宫瘢痕妊娠 产后出血 疾病编码 

分 类 号：R197.3[医药卫生—卫生事业管理]