新型冠状病毒肺炎相关的ICD-10编码探讨

Discussion on ICD-10 Coding of Corona Virus Disease 2019(COVID-19)

新型冠状病毒肺炎,是指2019新型冠状病毒感染导致的肺炎。新型冠状病毒肺炎U07.100x001适用于新型冠状病毒肺炎的确诊患者;新型冠状病毒肺炎临床确诊病例U07.100x003适用于第五版诊疗方案中湖北等地的临床诊断病例;新型冠状病毒感染U07.100x002适用于新型冠状病毒无症状感染者。不忽视新型冠状病毒肺炎疑似病例作为其它诊断代码的作用。明确新冠肺炎临床分型,细读病案,准确完整地编码出该病案的其它诊断、手术和相关操作。编码员应重视新型传染病ICD编码工作,了解编码的分类原则,结合临床诊疗方案,仔细阅读病案相关内容,明确临床诊断和临床分型,提高编码准确性。

Corona Virus Disease 2019(COVID-19)is an acute respiratory infectious disease caused by 2019 new coronavirus infection.U07.100 xx001 is suitable for confirmed COVID-19 pneumonia patients;U07.100 x003 are applicable to clinically diagnosed cases in Hubei and other places in the fifth version of the diagnosis and treatment guideline;U07.100 x002 is suitable for novel Coronavirus asymptomatic infected persons.The role of suspected COVID-19 cases as other diagnostic codes is not overlooked.Identify the clinical classification of COVID-19,read the medical records closely,and accurately and completely encode other diagnoses,surgeries and related operations of the medical records.We should pay attention to ICD coding of new infectious diseases and understand the classification principle of codes.Clinic coder should make the clinical diagnosis clear and improve the coding accuracy through considering the treatment guideline,medical record and other relevant contents comprehensively.