有关涉及解剖术语“陷凹(窝)”的手术编码的探讨

Discussion of the ICD-9-CM-3 Coding of the Anatomy Term“ Hollow( Fossa)”

通过对医生临床病历书写中关于陷凹(窝)的部位进行归纳总结,列出临床常见的"窝"及所在部位。窝就是临床术语中所指的陷凹。小凹陷就是隐窝,大而且恒定的隐窝称为陷凹。医生在病历书写中会经常出现"窝",所以对"窝"的部位进行界定和准确的进行分类就显得十分必要。本文通过对ICD-9-CM-3分类编码的研究,使广大编码人员了解查找陷凹(窝)编码的方法及注释。准确对各种不同的陷凹(窝)进行分类,以利于临床及各方面检索的需要。

To summarize the part of＂ hollow（ fossa）＂ in clinical medical record, and list the clinical common ＂hollow（ fossa）＂ and their positions. Fossa is hollow which clinical terms referred to. A small hollow is recess, big and constant recess is hollow. The ＂fossa＂ will often appear in the medical record. So to define the part of the ＂fossa＂ and accurate classification is very necessary. This article making coders un- derstanding searching method and comments of＂ hollow（ fossa）＂ by researching the ICD-9-CM-3 classification. Coders should classify dif- ferent ＂hollow（ fossa）＂ accurately, to meet needs of clinic and all aspects of retrieval.