耳带状疱疹ICD-10编码分析

摘要

目的 分析耳带状疱疹错误编码,找出原因,提出对策,提高耳带状疱疹编码的准确率.方法检索某医院近3年编码为B02. 2 + 病案97 份,按照ICD-10 编码原则,复阅病案找出错误编码,并对其进行统计分析.结果 耳带状疱疹Ⅲ型编码错误率较高,编码员对耳带状疱疹分型概念的混淆是造成编码错误的主要原因,编码员未阅读病历、临床诊断不够具体也是导致编码错误的常见原因.结论 不断提高编码员临床知识、分清耳带状疱疹类型是正确编码的关键.%Objective To analyze error of ear herpes zoster, find out the reasons and put forward countermeasures, improve the accuracy of ear herpes zoster coding. Methods A hospital has been retrieved for 97 copies of B02. 2 + medical records for nearly 3 years, according to the ICD-10 coding principle, review the medical records to find out the error code. Results The coding error rate of ear herpes zoster is relatively high. The main cause of coding errors is the confusion of the concept of classification of ear herpes zoster by coders. The cause of the error also lies in the fact that the coders does not read the medical record and the clinical diagnosis is not enough. Conclusion The key to correct coding is continuously improving the clinical knowledge of coders and distinguishing the type of ear herpes zoster.