痴呆的ICD-10编码案例分析

Case Analysis of ICD-10 Coding for Dementia

痴呆是由脑部疾病所致的综合征,见于阿尔茨海默病、脑血管病以及其他伤害大脑的情况,所涉及的ICD-10疾病编码不同。在实际工作中,由于收集病例资料不全,痴呆综合征的编码往往会出现不正确的情况。通过选取案例,分别对不同类型的痴呆进行编码分析,使用附加编码来表明根本的疾病,涉及编码有■,指出编码的易错点和诊断的难点。阿尔茨海默病性痴呆、血管性痴呆是编码难点,此外还应关注分类于他处的其他疾病引起痴呆的编码规则。编码员不但要认真查看病历,还要广泛征集主治医师的意见,遵循医师的诊断描述,综合分析后才能获得正确的疾病编码。

Dementia is a syndrome caused by brain diseases,which can be seen in Alzheimer's disease,cerebrovascular disease,and other conditions that damage the brain.The ICD-10 disease codes involved are different.In practice,due to incomplete collection of medical records,dementia syndrome coding often appears incorrect.By selecting cases,coding analysis is performed for different types of dementia,and additional coding is used to indicate the underlying disease,involving codes such as G30.8†F00.2*,G30.0†F00.0*,G30.1†F00.1*,F01.2,F01.1,F01.0,A52.1†F02.8*,pointing out the easy-to-make mistakes in coding and the difficulties in diagnosis.The difference between the different stages of Alzheimer's disease dementia and vascular dementia is a difficulty,followed by the situation when the two diseases coexist,and in addition,the coding rules for other diseases causing dementia classified elsewhere also need attention.Coders must not only carefully review medical records but also widely solicit the opinions of attending physicians,follow the diagnostic descriptions provided by physicians,and obtain correct dementia coding through comprehensive analysis.