探讨慢性肾衰竭ICD编码
罗以娟;谭永恒
【期刊名称】《中国病案》 【年(卷),期】2016(017)003
【摘要】Objective To investigate the accurate ICD-10 coding through analyzing the chronic renal failure error coding.Methods The disease diagnosis information in medical record front sheet,treatment purpose and treatment schedule as well as inspection report of 532 cases of chronic renal failure patients were retrospectively analyzed. Results In the data of 532 cases, coding errors account for 49.25%. The main reason was the major diagnostic choose wrong, and did not conduct coding according to inspection report or had not used combined coding. Conclusions It was inaccurate to code all the cases diagnosed with \renal failure\as N18.9, we should read medical record data carefully so as to make the right ICD coding.%目的 通过对慢性肾衰竭错误编码的分析,探讨准确的ICD-10编码.方法 对532例慢性肾衰竭病案资料包括病案首页的疾病诊断信息,住院的治疗目的和治疗方案、检验检查报告进行回顾性分析.结果 532份资料中,编码错误占49.25%,其原因主要是主要诊断选择错误、未按检查化验报告编码和未使用合并编码等.结论 把诊断为\慢性肾衰竭\的病例都笼统地统一编码为N18.9欠妥当,应详细阅读病案资料,才能做出正确ICD编码.
【总页数】2页(34-35)
探讨慢性肾衰竭ICD编码
