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视网膜母细胞瘤主要诊断选择和编码探讨

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视网膜母细胞瘤(RB)是源于视网膜的恶性肿瘤,患者主要诊断根据恶性肿瘤主要诊断的选择原则,由住院主要目的和治疗方式不同而决定主要诊断选择和编码.主要分为对RB本身进行确诊或手术,C69.2作为主要诊断编码;进行眼底检查,未见肿瘤复发,未进行其他治疗,以Z08 作为主要诊断编码;对RB进行疗程性化疗、放射治疗、免疫治疗,分别选择Z51.1、Z51.0、Z51.8;对并发性白内障进行白内障切除手术,主要诊断编码H26.2;遵医嘱定期取出眼内硅油,主要诊断编码Z45.8;只是针对RB的并发症(如义眼台暴露、眼硅油乳化),选择T85.3;对单侧RB(D和E期)同时进行切除瘤体手术、化疗、取出硅油和对并发症的治疗,选择C69.2作为主要诊断编码;对RB瘤体进行经瞳孔温热疗法、冷冻疗法、激光光凝疗法和光动力疗法,C69.2可以作为主要诊断编码.对RB转移瘤进行确诊或手术治疗,主要诊断应选择转移瘤.三侧性视网膜母细胞瘤属于原发性视网膜母细胞瘤,按恶性肿瘤主要诊断选择原则选择主要诊断编码.
Discussion on the Main Diagnostic Selection and Coding of Retinoblastoma
Retinoblastoma(RB)is a malignant tumor originating from the retina.The main diagnosis of patients is based on the selection principle of the main diagnosis of malignant tumors,and the main diagnosis selection and coding are determined by the main purpose of hospitalization and treatment methods.Mainly divided into the diagnosis or surgery of RB itself,with C69.2 as the main diagnostic code;Fundus examination was conducted,and no tumor recurrence was found.No other treatment was performed,with Z08 as the main diagnostic code;Perform course chemotherapy,radiation therapy,and immunotherapy on RB,selecting Z51.1,Z51.0,and Z51.8 respectively;Perform cataract removal surgery on concurrent cataracts,with a main diagnostic code of H26.2;Regularly remove silicone oil from the eye according to medical advice,with a main diagnostic code of Z45.8;For the complications of RB(such as exposure of artificial eye implants and emulsification of silicone oil),T85.3 was chosen;C69.2 was selected as the main diagnostic code for unilateral RB(stages D and E)undergoing simultaneous tumor resection surgery,chemotherapy,silicone oil removal,and treatment of complications;After transpupillary thermotherapy,cryotherapy,laser photocoagulation and Photodynamic therapy for RB tumor,C69.2 can be used as the main diagnostic code.For the diagnosis or surgical treatment of RB metastatic tumors,the main diagnosis should be metastatic tumors.Trilateral Retinoblastoma belongs to primary Retinoblastoma,and the main diagnostic code is selected according to the main diagnostic selection principle of malignant tumor.

RetinoblastomaICD-10Main diagnostic code

韦艳灵、张保华、冯启明、肖晓兰

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广西医科大学信息与管理学院,广西壮族自治区,南宁市, 530021

广州市妇女儿童医疗中心柳州医院,广西壮族自治区,柳州市,545001

柳州市妇幼保健院,广西壮族自治区,柳州市,545001

广西医科大学附属肿瘤医院,广西壮族自治区,南宁市,530021

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视网膜母细胞瘤 ICD-10 主要诊断编码

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(2)
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