冠心病相关ICD编码及DRG分组

Coronary Heart Disease Related ICD Codes and DRG Groupings

本文基于CHS-DRG1.1分析冠心病相关编码及入组情况。冠心病不同临床分型的内科入组不同,急性心肌梗死入组FR1、心绞痛入组FR2、其他类型冠心病大部分入组FR4。冠心病介入治疗时,不同术式入组不同,是否同时伴瓣膜手术入组也不同,冠脉支架置入入组FM1(伴瓣膜手术入组FB1)、经皮冠状动脉腔内成形术入组FM2(伴瓣膜手术入组FB1)、冠脉造影或冠状动脉血管内超声等入组FM3,冠状动脉旁路移植入组FC1(伴瓣膜手术入组FB1)。提示应重视冠心病手术病例的主要手术的选择,同时,加强对分组规则的分析和分组结果的应用,持续提高病案首页质量。

Based on CHS-DRG 1.1,this paper analyzes coronary heart disease-related coding and enrollment.Different clinical types of coronary heart disease have different medical groups.Acute myocardial infarction is included in FR1,angina pectoris is included in FR2,and most other types of coronary heart disease are included in FR4.In coronary heart disease interventional therapy,different surgical procedures are included in different groups,and whether they are accompanied by valve surgery at the same time are also different.Coronary stent implantation is included in FM1(with valve surgery is included in FB1);percutaneous transluminal coronary angioplasty is included in the group FM2(with valve surgery included in FB1);coronary angiography or coronary intravascular ultrasound was included in FM3.Coronary artery bypass grafting was enrolled in FC1(with valve surgery in FB1).It is suggested that attention should be paid to the selection of main operations for coronary heart disease cases,and at the same time,the analysis of grouping rules and the application of grouping results should be strengthened to continuously improve the quality of homepage.