隐源性多灶性溃疡性狭窄性小肠炎的疾病编码探讨

Coding of cryptogenic multifocal ulcerous stenosing enteritis

目的探讨罕见病隐源性多灶性溃疡性狭窄性小肠炎的ICD-10及ICD-11疾病编码,在统计疾病时使其能够准确体现,为罕见病的统计及科研需求提供准确数据。方法查阅消化内科关于隐源性多灶性溃疡性狭窄性小肠炎的相关资料和文献,根据国际疾病分类原则,对诊断进行准确的ICD-10和ICD-11编码。结果隐源性多灶性溃疡性狭窄性小肠炎的ICD-10编码归类到K63.304原发性小肠溃疡;其ICD-11编码归类到DA94.02。结论编码员应经过专业的编码基础知识学习,掌握ICD-10和ICD-11的分类原则与编码技能,学习和积累临床医学知识并了解罕见病,建立编码双重审核质控机制,不断提升编码质量。

Objective To assign appropriate ICD-10 and ICD-11 codes to cryptogenic multifocal ulcerous stenosing enteritis(CMUSE),a rare disease,for accurate representation in disease statistics and provision of reliable data for epidemiological and scientific research purposes.Methods The article reviewed the relevant data and literature from the department of gastroenterology on CMUSE and assigned accurate ICD-10 and ICD-11 codes according to the principles of the International Classification of Diseases.Results The code assigned to CMUSE based on the ICD-10 code and the ICD-11 was K63.304 and DA94.02,respectively,corresponding to primary intestinal ulceration and cryptogenic multifocal ulcerous stenosing enteritis.Conclusion Coders should improve their coding quality by learning the basic knowledge of coding,mastering the classification principles and coding skills of ICD-10 and ICD-11 and on the other hand,it is also important for them to learn clinical knowledge and understandrare diseases so that they are capable of establishing a dual audit quality control mechanism for coding.