颅内和椎管内肿瘤易混淆编码案例分析
Analysis of Coding Cases with Intracranial and Intraspinal Tumors
褚冬妮 1陶培东 2唐晓慧2
作者信息
- 1. 北京丰台医院,北京市,100071
- 2. 重庆市中医院,重庆市,400020
- 折叠
摘要
颅内和椎管内肿瘤是神经外科常见病种,病理类型分级分型较多,编码手术操作时,应当关注手术切除部位、入路、术式及疾病性质,以及是否应用微创神经外科技术等要素.按照肿瘤编码查找方法,查阅相关资料,分别梳理颈胸段室管膜瘤、听神经瘤、垂体腺瘤(生长激素型)、斜坡脑膜瘤(非典型脑膜瘤WHO II级)的ICD-10和ICD-9-CM-3编码,从临床医师、编码员、相互沟通三方面探讨编码错误原因,建议规范临床医师书写、提高编码员专业素质和建立有效沟通渠道,共同提高肿瘤编码质量.
Abstract
Tumor in intracranial and spinal canal is a common type of neurosurgery.Because of its variety of pathological types,complex diagnosis,coding is easy to confuse.Finding the tumor coding method,check the relevant information,and comb the tubular tumor of the neck and thoracic section,the hearing neuroma,the pituitary adenoma(growth hormone),the slope meningioma(the atypical meningioma II level)Easy to confuse diseases and surgical operations,analyze the causes of error coding from the aspects of clinicians,coders,and communication.It is recommended to standardize the writing of clinical physicians,improve the professional quality of coders,and establish effective communication to jointly improve the accuracy of tumor coding.
关键词
颅内肿瘤/椎管内肿瘤/ICD-10/ICD-9-CM-3Key words
Intracranial tumor/Intraspinal tumor/ICD-10/ICD-9-CM-3引用本文复制引用
出版年
2024
NETL
NSTL
万方数据