宫颈鳞状上皮内病变的ICD-10编码分析

ICD-10 Coding Analysis of Cervical Squamous Intraepithelial Lesions

宫颈鳞状上皮内病变既往称为宫颈上皮内瘤变,WHO女性生殖器肿瘤分类建议采用与细胞分类相同的二级分类法:低级别宫颈鳞状上皮内病变和高级别宫颈鳞状上皮内病变。ICD-10中宫颈鳞状上皮内病变是按既往病理学分类为3级:CINⅠ.CINⅡ.CINⅢ。通过列举临床实例病案分析,准确分类低级别宫颈鳞状上皮内病变编码为N87.0,高级别宫颈鳞状上皮内病变编码为N87.1或D06.-。编码员应及时更新临床知识,与临床及病理科专家充分沟通和交流,确保编码的准确性。

Cervical squamous intraepithelial lesion used to be called as Cervical intraepithelial neoplasia.The WHO Classification of Tumors of the Female Genital Tract recommends to use the same secondary classification as cell classification:low-grade squamous intraepithelial lesion and high-grade squamous intraepithelial lesion.In ICD-10,CIN will be conventionally divided into 3 degrees:CINⅠ.CINⅡ.CINⅢ.According to the analysis of clinical cases,the coding of low-grade squamous intraepithelial lesion was N87.0,and the coding of high-grade squamous intraepithelial lesion was N87.1 or D06.-.Coders should timely update their clinical knowledge and fully communicate with clinical and pathology experts to ensure the accuracy of coding.