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嗜铬细胞瘤/副神经节瘤ICD编码案例分析

Case analysis of ICD coding for pheochromocytoma and paraganglioma

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目的 探讨嗜铬细胞瘤/副神经节瘤的ICD-10编码.方法 通过介绍肿瘤不同的病理特性和3例临床实际案例,对错误编码案例进行回顾性分析,梳理肿瘤的编码思路和方法,总结编码错误的原因.结果 嗜铬细胞瘤/副神经节瘤分类分型复杂、形态学多变,容易与其他肿瘤混淆或良恶性肿瘤无法区分造成编码错误.结论 编码员应严格按照国际疾病分类的编码规则及编码步骤,仔细阅读病案文书,主动与临床、病理科医生沟通才能保证编码质量,提高疾病编码的准确性.
Objective To explore the ICD-10 coding of pheochromocytoma and paraganglioma.Methods By introdu-cing the different pathological characteristics of tumors and three clinical cases,a retrospective analysis was conducted on cases of incorrect coding.The coding ideas and methods of tumors were sorted out,and the reasons for coding errors were summarized.Results The classification of pheochromocytoma/paraganglioma is complex and the morphology is variable.It is easily confused with other tumors or the benign and malignant tumors can not be distinguished,resulting in coding errors.Conclusion Coders should strictly follow the coding rules and steps of the International Classification of Diseases,carefully read medical records,and actively communicate with clinical and pathological doctors to ensure coding quality and improve the accuracy of their disease cod-ing.

pheochromocytomaparagangliomaICD-10case

蒋春燕、秦坤龙、叶海林

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钦州市第一人民医院病案科,535099广西钦州

嗜铬细胞瘤 副神经节瘤 ICD-10 案例

2024

中国医院统计
卫生部统计信息中心,滨州医学院

中国医院统计

影响因子:0.564
ISSN:1006-5253
年,卷(期):2024.31(5)