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腰椎间盘突出症手术操作分类编码的探讨
引用本文:邹孟群,陈志佳.腰椎间盘突出症手术操作分类编码的探讨[J].中国病案,2010,11(3):29-29.
作者姓名:邹孟群  陈志佳
作者单位:广州市番禺区大石人民医院病案室,广州市,511430
摘    要:目的通过回顾性分析探讨腰椎间盘突出症手术操作分类的编码。方法利用《国际疾病分类第九次临床修订本手术与操作》(ICD-9-CM-3)和《广东省医院统计病案管理系统》手术编码字典库,从手术操作的术式和路径及所用器械或材料的不同给予ICD-9-CM-3编码。结果手术操作术式和路径及所用器械或材料不同,手术操作分类的编码亦不同。结论编码员必须认真阅读病案及手术记录,熟悉手术术式和路径,才能保证手术操作分类编码的准确性。

关 键 词:ICD-9-CM-3  手术分类  腰椎间盘突出症  摘除术

The Discussion about the Coding and Categories of Lumbar disc herniation Operation
Zou Mengqun,Chen Zhijia.The Discussion about the Coding and Categories of Lumbar disc herniation Operation[J].Chinese Medical Record,2010,11(3):29-29.
Authors:Zou Mengqun  Chen Zhijia
Institution:Zou Mengqun Chen Zhijia Medical Records Room of Dashi people\'s hospital,Panyu District,Guangzhou city.511430
Abstract:object Discuss the coding and categories of Lumbar disc herniation operation by retrospective analysis.Methods To encode ICD-9-CM-3 in different of the surgical operations and passing surgical instruments or materials used,according to International surgical and medical operational taxonomic(ICD-9-CM-3)and Medical Records Management System Statistics of Guangdong Provincial Hospital.Results The different of Surgical operations and passing surgical instruments or materials used will lead to the different of ...
Keywords:ICD-9-CM-3
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