内生软骨瘤编码探讨

Coding of enchondroma in ICD-10

目的探讨内生软骨瘤的疾病分类编码,提高其编码准确率。方法通过内生软骨瘤的病因、发病机制、解剖部位、临床表现和病理,结合ICD-10分类原则,分别以“软骨瘤”、“软骨瘤病”、“内生软骨瘤病”作为主导词查找编码。结果内生软骨瘤病的疾病编码应以良性肿瘤为主,具有发育障碍特征的应辅以Q78.4加以区分说明。单发性内生软骨瘤的主要编码应为D16.-M9220/0,多发性内生软骨瘤病的主要编码应为D48.0 M9220/1,并附加Q78.4。结论内生软骨瘤是常见的软骨源性的良性骨肿瘤,合并肢体畸形称为多发性内生软骨瘤病,合并皮肤、软组织和内脏血管瘤者称为Maffucci′s综合征,均为发育障碍性疾病综合征,因此,内生软骨瘤的编码应以肿瘤为主,具有发育障碍特征的应辅以Q78.4加以区分说明。

Objective To explore the coding of enchondroma and improve its coding accuracy.Methods Based on etiology,pathogenesis,anatomic site,clinical manifestations and pathology of enchondroma,"chondroma","osteoma disease"and"enchondroma"were used as leading words to find the coding in accordance with the classification principle of ICD-10.Results Enchondroma was coded mainly as a benign tumor,plus Q78.4 for those with developmental disabilities.Solitary enchondroma was primarily coded with D16.-M9220/0,and multiple enchondroma with D48.0 M9220/1,plus Q78.4.Conclusion Enchondroma is a common cartilage-derived benign bone tumor.It develops into Ollier’s disease when combined with limb deformities,and into Maffucci’s syndrome when combined with dermatoma,soft tissue tumor and visceral hemangiomas.Because of all of them belong to developmental disability syndrome enchondroma should be coded in the category of tumor,plus Q78.4a for those with developmental disabilities.