Coding Errors and Difficulty Analysis of Brain Tumors
Objectives This study aims to explore the difficulties in coding brain tumors and sort out the correct coding ideas to improve the accuracy of coding by analyzing the causes of brain tumor coding errors in a certain hospital.Methods A total of 285 medical records of brain tumor surgery conducted from January 1,2022 to September 30,2022 were randomly selected.The number of coding errors and the main types of errors were counted,and case analysis was conducted by carefully reading each medical record and checking the disease and surgery codes.Results A total of 27 cases among the 285 randomly selected cases had coding errors,with an error rate of 9.47％.Three main types of errors were summarized.There were six errors in the morphological coding of brain tumors,with an error rate of 2.10％.Among them,two errors occurred,resulting in eight errors in morphological coding and part coding,with an error rate of 2.80％,all caused by the same error.There were five cases of hemangioblastoma,three cases of schwannoma,and 13 surgical coding errors,accounting for 4.56％,which were all caused by the same error.There were seven cases of cerebral hemangiomas,five cases of meningiomas,and one case of schwannoma.Conclusions There are three main steps in the coding process of brain tumors,which are determining the morphological code of the brain tumor,checking the code,and finally checking and determining the code of the surgical operation.Coders must follow the correct coding ideas for brain tumors,strengthen their study of brain tumor-related medical knowledge,and communicate with pathology,clinical,and other departments.Medical record departments should improve the accuracy of brain tumor coding by strengthening the coding quality control model and continuously optimizing the medical record coding operating system.
NETL
NSTL
万方数据
