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手术后食管心包瘘没有专门的疾病命名,而疾病命名是ICD-10编码的基础,没有命名的疾病编码需要查找出归类的依据,方能准确编码。依据手术后食管心包瘘的相关医学文献,学习其病因、病理、临床表现及解剖,综合分析此病例属于迟发型医疗并发症,按照ICD-10相关知识及医疗并发症编码原则:迟发型医疗并发症、有明确的临床表现且可归入某一个疾病编码者,此时要按临床表现归入身体系统章中的某一个疾病,编码为I31.9。作为编码员不仅需要加强ICD-10分类知识的学习,还需要加强相关知识的学习,不断提高医学知识水平,提高ICD-10分类技能,查找准确的编码,提高编码的准确率。
There is no specific disease name for esophageal pericardial fistula after surgery, and disease naming is the basis of ICD-10 coding. No named disease code needs to find out the basis for classification in order to accurately encode. According to the relevant medical literature of esophageal pericardial fistula after surgery, the etiology, pathology, clinical manifestations and anatomy were analyzed. The cases were delayed type of medical complications. According to ICD-10 related knowledge and medical complication coding principles, delayed type of medical complications It has a definite clinical manifestation and can be classified as a disease-coding person. At this time, it is classified as a disease of the body system according to its clinical manifestations and is encoded as I31.9. As a coder, not only need to strengthen the classification of ICD-10 knowledge, but also need to strengthen the relevant knowledge, improve medical knowledge, improve ICD-10 classification skills, find accurate coding, improve coding accuracy.