乳房肿瘤诊断ICD-10编码的常见问题及对策分析
方静
【期刊名称】《中国病案》 【年(卷),期】2024(019)006
【摘要】Objective Understand the current state of the ICD-10 code for the breast tumor in my hospital, analyze the common problem, combing the correct coding ideas, discussmore accurate coding methods, to improve the quality of ICD-10 code. Methods Based on the 10813 breast tumor cases in the inpatient department of my hospital from 2013 to 2016, we check the main diagnosis and code for the first page in their medical record. Results We found that the accuracy of thecode for the main diagnosis is about 97.94%. In addition, in these medical records, some common problemsare found in the main diagnostic, such as for breast tumor with multiple pathological diagnoses, the accuracy is less than 80%; for the medical records with the malignant tumor of breast as the main diagnosis, the accuracy is 94.78%; the code process is not integrity for the special treatment, the accuracy is about 97.43%.Conclusions ICD-10 code for the breast tumor should be completed not only based on the first page. The coding staff should read the medical records carefully and correctly judge the coding and nature of the tumor site,flexibly use the coding rules to code carefully, reduce the error rate in the coding process, and improve
乳房肿瘤诊断ICD-10编码的常见问题及对策分析
