摘要
肾小球疾病编码首先要区分其为原发性、继发性还是遗传性。原发性肾小球疾病分类于N00-N06,遗传性肾病分类于N07;再根据有无病理和病理类型从.0-.9中确定亚目:无病理者编.9;有病理者若病理类型有专门亚目,编.0-.7,无专门亚目者,编.8。继发性者要在第十四章之外的章节中选择原发病的编码,通常是剑号码;所继发的肾小球病变编入星号类目N08*的相应亚目,但继发性的病理类型不在编码中体现。在肾小球疾病的相关概念中,有些有广义与狭义之分,如"肾病"与"肾炎";有些定义不很明确,如"特发性血尿"和"孤立性蛋白尿";有些容易被混淆,如"系膜增生性"与"膜增生性"。弄清楚这些概念,对于正确编码思路的形成从而提高编码的准确性具有重要作用。
Glomerular disease coding must first distinguish it as a primary, secondary, or inherited. The primary glomerular diseases should be designated to one of the categories N00 to N06 and the hereditary nephropathy be coded to the category N07; then, assign subcategory from .0 to .9 according to whether having pathologic material and the pathologic patterns: code .9 for those not having pathologic material, .0 to .7 for those having pathologic material, if there is a special subcategory correspond to the pathologic pattern, code .8 for no corresponding subcategory. For the secondary, a code from chapters except Chapter 14 should be chosen for the primary disease, and it’s usually a dagger code; for the secondary lesion in glomeruli, code to relevant subcategory in the asterisk category N08*, but the secondary pathologic pattern don’t need to be reflected in the code. In the relevant concepts about glomerular diseases,some have difference of broad and narrow sense, e.g.,“nephropathy”,“nephrosis”and“nephritis”;some haven’t been defined clearly, e.g.,“idiopathic hematuria”and“isolated proteinuria”; some are likely to be confused,e.g.,“mesangial proliferative”and“membranoproliferative”. To make clear these concepts is important for forming a correct line of thinking and then improving accuracy of coding.
出处
《中国病案》
2015年第6期28-29,共2页
Chinese Medical Record