摘要
Warthin瘤是临床常见诊断名称,90%以上发生于腮腺,属于涎腺的良性肿瘤。多数患者表现为无痛性肿块。本文通过其发病机理和病理学诊断。分析病例内容,探讨该疾病的ICD-10编码。按照国际疾病的分类和查找方法,甄选和变通主导词进行查询。分别以人名沃辛、腺瘤、淋巴瘤为主导词查找,未获得准确编码;最后以瘤为主导词,下一级修饰词直接找到人名沃辛,以又名腺淋巴瘤为主导词,均能得到Warthin瘤的正确编码D11.0 M8561/0。通过Warthin瘤的ICD-10编码思路,建议在编码的过程中,编码人员要注意经验总结与积累,认真阅读病案资料,熟练掌握编码原则,并养成与临床医师、病理医师多沟通交流的好习惯,确保疾病编码的准确性、科学性。
Warthin tumor is a common clinical diagnosis name, more than 90% occurred in parotid gland,belong to benign tumor of salivary gland. Most patients presented with a painless mass. This paper analyzes cases,discusses the disease of ICD-10 code according to the pathogenesis and pathology diagnosis. Select and change leading words according to the international classification of diseases and search method. Search code with leading word names such as worthing, adenoma, lymphoma respectively, but without obtain accurate coding;Finally, take tumor as the leading word, directly find worthing in the next modifier level, or take lymphoma and gland as the leading word,all can get the correct coding D11.0 M8561/0. It is suggested that in the process of coding, coding staffs must pay attention to the experience summary and accumulation, read the medical records, familiar with coding principle, and develop the good habit of communication with pathology and clinical physicians, physician,ensure the accuracy and scientific of disease coding.
出处
《中国病案》
2016年第4期31-32,共2页
Chinese Medical Record
