尘肺的疾病与手术操作编码探讨

Discussion on the Coding of Disease and Operation of Pneumoconiosis

尘肺是目前我国最常见和最主要的职业病,是在职业活动中长期吸入生产性粉尘而引起的以肺组织弥漫性纤维化为主的全身性疾病。迄今国内外均没有针对尘肺病肺纤维化有效的治疗药物和措施,对于部分具有适应症的患者临床通过肺灌洗来缓解其症状,终末期尘肺病患者可考虑肺移植。本文通过具体案例来探讨尘肺的疾病编码与肺灌洗的编码。对尘肺进行疾病分类,首先要明确其致病原因,即引起尘肺的粉尘种类,根据病因分类于J60-J64,尘肺合并结核分类于J65。肺灌洗术编码要区分灌洗的范围和目的,注意全肺灌洗术33.99、支气管肺泡灌洗术96.56与诊断性支气管肺泡灌洗术33.24三者之间的区别。

Pneumoconiosis is the most common and major occupational disease in China now. It is a systemic disease caused by diffuse fibrosis of lung tissue that inhale productive dust in occupational activities by long-term. So far, there are no effective treatments and measures for pneumoconiosis pulmonary fibrosis at home and abroad. For some patients with indications, lung lavage is used to relieve their symptoms. Patients with end-stage pneumoconiosis may consider lung transplantation. This article discusses the disease coding of pneumoconiosis and the coding of lung lavage through several specific cases. In the classification of pneumoconiosis, the cause should be determined first, that is the type of dust. According to the cause, it was classified as J60-J64, and pneumoconiosis with tuberculosis as J65. The scope and purpose of lung lavage should be distinguished, and pay attention to the difference between whole lung lavage33.99, bronchoalveolar lavage96.56 and diagnostic bronchoalveolar lavage 33.24.