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女性盆腔器官脱垂ICD-10和ICD-9-CM-3编码的正确应用

Correct Application of ICD-10 and ICD-9-CM-3 Coding in Female Pelvic Organ Prolapse
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摘要 女性盆腔器官脱垂(pelvic organ prolapse,POP)是影响女性生活质量的常见疾病,POP的发病与多种因素有关,目前国际国内常用临床诊断分度为POP-Q分度(0~Ⅳ),治疗方式通常选择全盆底重建术。由于国际、国内在手术治疗上不断改进和发展,治疗POP的术式有几十余种,因此POP在病案疾病分类编码中,因临床分度与编码分度不一致,同时手术术式繁多,属于疑难复杂编码,容易出现错编、漏编情况。疾病分类编码员在编码过程中要学习相关临床医学知识、解剖学知识,积极与临床医师沟通,才能准确进行疾病编码与手术编码,确保疾病诊断分类的准确率。 Pelvic organ prolapse(POP)in women is a common disease that affects their quality of life.The onset of POP is related to multiple factors.Currently,the commonly used clinical diagnostic scale for POP-Q(0-IV)is the POP-Q scale,and the treatment method is usually total pelvic floor reconstruction surgery.Due to continuous improvement and development in surgical treatment both internationally and domestically,there are over ten surgical methods for treating POP.Therefore,in the classifi cation and coding of medical records and diseases,POP is prone to errors and omissions due to inconsistent clinical and coding scores,as well as a variety of surgical methods,which are diffi cult and complex to code.Disease classifi cation coders need to learn relevant clinical and anatomical knowledge during the coding process,actively communicate with clinical physicians,in order to accurately code diseases and surgeries,and ensure the accuracy of disease diagnosis and classification.
作者 邓娅 Deng Ya(Liupanshui Maternal and Child Health Care Service Center,Liupanshui,Guizhou 553000)
出处 《科技与健康》 2023年第23期27-30,共4页 Technology and Health
关键词 ICD-10疾病分类 ICD-9-CM-3手术与操作分类 盆腔器官脱垂 POP-Q分度 合并编码 ICD-10 disease classification ICD-9-CM-3 Classification of Surgery and Operations pelvic organ prolapse POP-Q indexing merge encoding
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