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流产案例ICD-10编码分析

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临床上流产分为自然流产和人工流产.按发展的不同阶段,自然流产分先兆流产、难免流产、不全流产和完全流产 4种类型,以及稽留流产、复发性流产和流产合并感染 3种特殊情况.难免流产、不全流产和完全流产分类于O03;稽留流产分类于O02.1,若伴有萎缩卵分类于O02.0;不一定是流产结局的先兆流产分类于妊娠早期出血O20.0;习惯性流产分类于N96,习惯性流产伴近期流产编码于O03~O06,习惯性流产者的妊娠医疗分类于O26.2;流产合并感染分类于O03~O06各类目的.0、.5和.8亚目中.人工流产主要为O04医疗性流产.此外,一些流产的其他情况,如生化妊娠分类于O03、纸样胎分类于O31.0、1 个或多个胎儿流产/宫内死亡后的继续妊娠分类于O31.1/O31.2.O08 各亚目表达流产、异位妊娠和葡萄胎妊娠后的过时并发症情况.结合典型案例,对相关流产诊断进行鉴别和分析,提高流产病案编码质量.
Analysis of ICD-10 Coding in Abortion Cases
Clinical abortion can be divided into spontaneous abortion and artificial abortion.According to different stages of development,spontaneous abortion is divided into 4 types:threatened abortion,inevitable abortion,incomplete abortion and complete abortion,as well as 3 special cases:missed abortion,recurrent abortion and abortion with infection.Inevitable abortion,incomplete abortion and complete abortion were coded in O03.O02.1 Missed abortion,if embryos form atrophied eggs are classified as O02.0.Threatened abortion,which is not necessarily the outcome of abortion,is classified as bleeding in early pregnancy O20.0.Habitual abortion can be classified in N96,habitual abortion with current types of abortion is coded in O03-O06 and pregnancy medical treatment for habitual abortion is coded inO26.2.Abortion with infection is classified in the subcategories.0 Incomplete,complicated by genital tract and pelvic infection;.5 Complete or unspecified,complicated by genital tract and pelvic infection and.8 Complete or unspecified,with other and unspecified complications in O03-O06.The induced abortion is mainly O04 medical abortion.In addition,some other cases of abortion,such as biochemical pregnancy is classified in O03,and continued pregnancy after abortion/intrauterine death of one or more fetuses is coded in O31.1/O31.2,paper fetus O31.0.When the complications mentioned above are obsolete,use O08.-Complications following abortion,ectopic and mole pregnancy to express obsolete complications.Combined with typical cases,the relevant abortion diagnosis was identified and analyzed,and the coding quality of abortion medical records was improved accurately.

AbortionICD-10 codingCases

陆双华、朱爱霞、贾增丽、唐健

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南京大学医学院附属鼓楼医院,江苏省,南京市,210008

流产 ICD-10编码 案例

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(12)