摘要
为降低剖宫产率,促进自然分娩,催引产已经成为产科处理高危妊娠的主要临床手段。实际工作中产科病历催引产操作常出现漏填,手术编码混淆等情况。本文通过梳理产科中催引产理论知识与催引产手术操作在国际疾病分类第九版临床修订手术与操作(ICD-9-CM-3)分类规则,结合临床实际案例分类探讨,旨在为产科编码员提供参考,不断提高产科知识储备,牢固掌握编码规则,提高手术操作编码正确率。
In order to reduce the rate of cesarean section and promote natural delivery,induction of labor has become the main clinical means for obstetrics department to deal with high-risk pregnancy.In the actual work of obstetric medical records,there are often cases of missed filling and confusion of surgical codes in the induction of labor operation.In this paper,by combing the theoretical knowledge of induction of labor in obstetrics department and the classification rules of induction of labor operation in the International Classification of Diseases,Ninth Revision,Clinical Modification(ICD-9-CM-3),combined with the classification of clinical cases,this paper aims to provide reference for obstetric coders,continuously improve the knowledge reserve of obstetrics department,firmly grasp the coding rules,and improve the coding accuracy of surgical operation.
作者
潘燕妮
PAN Yan-ni(Medical Record Room,Dongguan Maternal and Child Health Care Hospital,Dongguan 523000,Guangdong,China)
出处
《医学信息》
2023年第23期9-12,共4页
Journal of Medical Information
关键词
产科
催引产
手术编码
Obstetrics department
Induction of labor
Surgical coding
