感染科ICD编码和ADRG入组错误案例探讨

Discussion on Error Cases of ICD Coding and ADRG Enrollment in Infection Department

分析感染科ICD-10疾病分类编码和ADRG分组特点,列举和讨论感染科5个ICD-10编码和ADRG入组错误案例:如将慢性中度乙型病毒性肝炎(B18.105)替代乙型肝炎肝硬化(K74.600x003)当主要诊断、错误将流行性腮腺炎(B26.900x001)替代流行性腮腺炎性睾丸炎(B26.000+N51.1*)、将急性血行播散性结核(A19.200x001)替代急性血行播散型肺结核(A19.001)、错误使用疱疹病毒感染(B00.900)统计代码、错误使用附加编码金黄色葡萄球菌作为分类于其他章疾病的原因(B95.600)当主要诊断编码,因此造成了感染科病例的ADRG入组错误,并给出质控后正确的主要诊断编码选择.阐明影响感染科病例ADRG入组的主要因素包括主要诊断编码选择、规避使用统计码和附加码等,需引起临床医师和编码员的高度重视.

The article analyzes the ICD-10 disease classification codes and ADRG grouping characteristics of the Infectious Diseases Department,lists and discusses 5 cases of ICD-10 codes and ADRG enrollment errors in the Infectious Diseases Department:such as replacing Hepatitis B liver cirrhosis(K74.600 x003)with chronic moderate hepatitis B(B18.105)as the main diagnosis,replacing mumps orchitis(B26.000+N51.1*)with mumps(B26.900 x001),replacing acute blood disseminated Tuberculosis(A19.200 x001)with acute blood-borne tuberculosis(A19.001),incorrect use of herpes virus infection(B00.900)statistical code,incorrect use of additional code Staphylococcus aureus as the cause of diseases classified in other chapters(B95.600)as the main diagnosis code,it caused an error in the ADRG enrollment of the infection department and gave the correct main diagnosis code selection after quality control.Clarifying that the main factors affecting the admission of infectious disease cases to the ADRG group include the choice of main diagnostic codes,avoiding the use of statistical codes and additional codes,etc.,which need to arouse the attention of clinicians and coders.