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卵巢肿瘤的ICD-10编码较难,容易产生编码错误。例如卵巢颗粒细胞瘤,若以“瘤”为主导词在ICD-10卷三中查“颗粒细胞”这一修饰词得到的是错误编码;卵巢类固醇细胞瘤,根本无法直接从ICD-10卷三中查到编码,需变换修饰词;卵巢皮样囊肿,由于其疾病名称中无“瘤”字,则易使编码员误按卵巢囊肿进行分类。通过对日常工作中所积累的较疑难的卵巢肿瘤编码进行分析与归类,总结出导致其编码错误的主要原因在于编码员医学知识匮乏,对其所分类的疾病缺乏认识。建议编码员在进行疾病分类时除熟练掌握编码原则外,还要积极补充医学知识,要做到在确保对疾病有全面了解的基础上进行分类,才能提高编码准确率。
Ovarian tumors ICD-10 encoding more difficult to produce coding errors. For example, ovarian granulosa cell tumor, if the “tumor” as the leading word in the ICD-10 Volume III check “granulosa cells ” this modifier was wrongly coded; ovarian steroid cell tumor, simply can not directly from the ICD -10 Volume three found in the code, the need to transform the modifier; ovarian dermoid cyst, because of its disease name without “knob ” word, then easy to make the coder mistakenly classified according to ovarian cysts. Through the analysis and classification of the more difficult ovarian tumor codes accumulated in daily work, the main reason that led to its encoding errors is that the coder lack of medical knowledge and lack of understanding of the diseases classified by them. It is suggested that in addition to being familiar with the coding principle, the coder should actively supplement the medical knowledge when carrying out the disease classification, so as to improve the coding accuracy by ensuring that the disease has a comprehensive understanding on the basis of classification.