摘要
骨折有病理性和创伤性之别,编码时应遵循一定思路。骨质疏松引起的病理性骨折应编码于M80.-。非骨质疏松引起的病理性骨折,发生于脊柱者编M49.5*;非发生于脊柱者,若系肿瘤引起,编M90.7*,非肿瘤引起者编M84.4。在创伤性骨折中,脊柱疲劳性骨折编M48.4,非脊柱疲劳性骨折编M84.3;产伤性骨折编P11.5或P13.-;在一般创伤性骨折中,部位不明者编T08-T14,多部位(跨类目)者编T02,单部位多发(跨亚目)者编S-2.7(同一类目的亚目.7),单发者编S-2中除S-2.7以外的相应亚目。病理性骨折的编码应优先于创伤性骨折。椎体压缩骨折应根据不同原因来编码。
Fractures have a difference between the pathological one and traumatic one, and a certain line of thinking should be followed when make the coding. The pathological fractures caused by osteoporosis should be coded to M80. - . For the pathological fractures not caused by osteoporosis, if occur in spine, code M49.5 ~ ;for those not occur in spine, if caused by tumor, code Mgo. 7 ＊ , for those not caused by tumor,code M84.4. In traumatic fractures,fatigue fractures of spine should be coded to M48.4,for those not of spine,code M84.3; fractures due to birth injury should be coded to P11.5 or P13. - ;in general traumatic fractures,if the region of fractures unspecified, code TO8 - T 14, for fractures of multiple regions（cross-categories）, code T02, for multiple fractures of single re- gion（cress-subeategories）, code S- 2.7, for single fracture, code relevant subeategories in S- 2 except for S- 2.7. The coding of pathological fractures should have precedence over that of traumatic fractures, and collapsed vertebra should be coded according to dif- ferent causes.
出处
《中国病案》
2013年第10期27-28,共2页
Chinese Medical Record
