烧伤ICD-10疾病编码探讨
Discussion on ICD-10 Disease Cding of Burns
谭娟 1冯启明2
作者信息
- 1. 广西医科大学信息与管理学院,南宁市,广西壮族自治区,530021;柳州市人民医院,广西壮族自治区,柳州市,545006
- 2. 柳州市人民医院,广西壮族自治区,柳州市,545006
- 折叠
摘要
烧伤是意外伤害死亡的主要原因之一,进行烧伤疾病编码时,应建立清晰的编码思路,明确烧伤的疾病特征,掌握烧伤的编码规则与主要编码的选择原则.烧伤疾病的临床诊断应完整描述烧伤的类型及原因、烧伤的部位与深度、烧伤的面积等特征.体表烧伤的ICD-10编码应包含T20-T28烧伤部位及深度、T31-T32烧伤面积、V01-Y98烧伤外因,眼和内部器官的烧伤编码省略烧伤面积.以烧伤部位及深度为主要编码,烧伤面积及外因为附加编码;只有在未指明烧伤的部位时,烧伤的面积才能作为主要编码.多处烧伤,以烧伤深度最重的部位为主要编码;在烧伤深度相同时,以烧伤面积最大的部位为主要编码;无法区分多处烧伤中哪一部位更严重或面积更大时,以T29为主要编码.
Abstract
Burns are one of the leading causes of accidental injury death.When coding burn diseases,a clear coding idea should be established,the disease characteristics of burns should be clarified,and the coding rules of burns and the main coding selection principles should be mastered.The clinical diagnosis of burn diseases should fully describe the type and cause of the burn,the location and depth of the burn,the area of the burn and other characteristics.The ICD-10 code for surface burns should include T20-T28 burn location and depth,T31-T32 burn area,V01-Y98 external cause of burn,and the burn code for eyes and internal organs omits burn area.The burn location and depth are the main codes,and the burn area and external cause are additional codes.The size of the burn can be used as the primary code only if the location of the burn is not specified.When there are multiple burns,the area with the deepest burn will be the main code;When the burn depths are the same,the area with the largest burn area will be used as the main code;When it is impossible to distinguish which part of multiple burns is more severe or has a larger area,T29 is used as the main code.
关键词
烧伤/ICD-10/疾病编码Key words
Burns/ICD-10/Disease codes引用本文复制引用
出版年
2024
NETL
NSTL
万方数据