摘要
为了明确冠心病相关的疾病编码和冠脉支架置入的手术编码,根据疾病和有关健康问题的国际统计分类第十次修订本(ICD-10)中I20~I25关于缺血性心脏病的分类标准,以及国际疾病分类第九版临床修订本手术与操作(ICD-9-CM-3)2011修订版中36.06~36.07关于冠脉支架的分类标准展开深入剖析,并结合某三级甲等综合性医院的典型案例进行探讨分析,整理出冠心病和冠脉支架的正确编码。从而促进医疗信息的规范化和标准化,为植入冠脉支架的冠心病患者的医保支付改革提供参考依据。
This study aimed to clarify the appropriate disease coding for coronary heart disease(CHD)and procedure coding for coronary stent implantation through an in-depth analysis of the I20-I25 classification for ischemic heart disease in the International Classification of Diseases,Tenth Revision(ICD-10),and the 36.06-36.07 procedure codes for coronary stents in the International Classification of Diseases,Ninth Revision,Clinical Modification(ICD-9-CM-3),2011 revision.Representative cases from a tertiary general hospital were analyzed to illustrate and validate accurate coding practices.Based on coding guidelines and case analyses,a set of correct codes for CHD and coronary stent procedures was compiled.This work provides guidelines for standardizing medical information documentation and provides a reference for medical insurance payment reform in CHD patients undergoing coronary stent implantation.
作者
邬小凤
谢倩颖
刘婷
何子然
刘俊
WU Xiaofeng;XIE Qianying;LIU Ting;HE Ziran;LIU Jun(The Sixth Affiliated Hospital,Sun Yat-sen University/Biomedical Innovation Center,The Sixth Affiliated Hospital,Sun Yat-sen University,Huangpu District,Guangzhou 510630,China)
出处
《现代医院》
2025年第11期1711-1713,1717,共4页
Modern Hospitals
