摘要
随着心脏外科技术的创新发展,房间隔缺损修补术的手术方式多种多样,由于临床医师在病案首页填写和病历记录中只笼统的书写"房间隔缺损修补术",从而在手术编码的过程中常常给编码工作者带来困扰。通过对房间隔缺损修补术的手术方式介绍,依据2011版ICD-9-CM-3手术与操作对不同术式的房间隔缺损修补术进行编码。在编码的过程中,编码工作者应仔细阅读手术记录,熟练掌握编码原则,确保房间隔缺损修补术的手术编码准确。
With the innovation and development of cardiac surgery technology, atrial septal defect neoplasty methods are varied. Coders have difficulty in coding this operation because of clinicians General writing atrial septal defect neoplasty in the front page of medical record and the records. Through an introduction to the atrial septal defect neoplasty, encode the operations according to the 2011 edition of the ICD-9-CM-3. In the process of coding,coding workers should carefully read operation records, and familiar with coding principle, to ensure the code accurately.
出处
《中国病案》
2015年第8期26-28,共3页
Chinese Medical Record
关键词
房间隔缺损
修补术
手术编码
ASD （atrial septal defect）
Neoplasty
Operation coding
