Case Analysis of Common Error-prone Operation Coding in Obstetrics
In ICD-9-CM-3,the surgical operations in the obstetric system are clinically written the same and the surgical procedures are similar,but the coding is often different.Thus,coders often make mistakes when coding.By listing several coding errors found in the quality control of medical records in a hospital for obstetric surgery operations,such as oxytocin intravenous infusion,artificial rupture of membranes to induce labor,episiotomy,perineal laceration repair,cesarean section,uterine balloon implantation,etc,this study discusses and analyzes the coding points and search methods,and summarizes the need to pay attention to whether the drug enhances labor when coding oxytocin intravenous infusion in obstetrics.Artificial rupture of membranes was coded in 73.01 and 73.09 according to whether the operation entered the labor process;Episiotomy was coded in 73.6,72.1,72.21,72.31,and 72.71 according to whether it was accompanied by forceps or vacuum suction;The codes of perineal laceration repair were 71.71,75.69,and 71.79 according to the nature of the disease;The codes of cesarean section were 74.1 and 74.91 according to the different purposes;The codes of uterine balloon implantation were 69.91,73.1,and 75.8 according to different purposes;Curettage after delivery was coded in 69.02,69.52 according to the surgical procedure.In order to improve the accuracy of coding,coders need to improve their basic clinical knowledge and professional skills in medical records,master the coding rules of obstetric operations skillfully,and maintain good communication with the clinic.
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