先兆子宫破裂ICD-10编码分析

ICD-10 Coding Analysis on Threatened Uterine Rupture

临床诊断为先兆子宫破裂的病例,往往病情各异,ICD-10编码应反映和体现引起先兆子宫破裂的具体原因、伴随情况和产程状况。因催产素使用不当出现病理缩复环,先兆子宫破裂编码为病理缩复环(O62.4),可以Y55.0作为附加编码。梗阻性分娩与病理缩复环同时存在时,ICD-10认为梗阻性分娩是先兆子宫破裂的病因,先兆子宫破裂与梗阻性分娩在四位数亚目水平编码相同,二者可用扩展码区别。医生依据瘢痕子宫诊断先兆子宫破裂的,其含义是瘢痕子宫肌层薄,有破裂先兆,应根据病变部位和产程情况分别编码为O34.2、O34.4或O65.5,伴随病理缩复环时,O62.4可作为附加编码。

The diseases situation of patients diagnosed with threatened uterine rupture were often different. ICD-10 coding could reflect the specific reasons, accompanying conditions and labor status. Due to the improper use of oxytocin, the pathological ring was found, and the threatened uterine rapture was coded as a pathological retraction ring （062.4）, Y55.0 could be used as additional code. Delivery and pathology of obstruetive retraction ring existing at the same time, ICD-10 thought that obstructed labor was the cause of uterine rupture, uterine rupture and obstructed labor was the same encoding at four digit sub level, the two could be divided with spreading codes. Due to the diagnosis of uterine sear uterus rupture of the uterus, the meaning of the scar was a thin layer of the uterine muscle, there are signs of rupture, coding should be based on the location and the production process as 034.2, 034. 4 or 065.5. 062.4 could be used as additional coding when the pathology was complex.