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目的通过对病理性骨折几种不同情况在ICD-10中分类编码的分析,帮助编码人员掌握病理性骨折的编码技巧,提高编码的准确性。方法对某医院2011年分类到外伤性骨折的1114份病例做了回顾性分析,了解病理性骨折错误分类情况。结果应分类到病理性骨折的60份病例中,按照肿瘤引起的病理性骨折、骨质疏松引起的病理性骨折和其他骨病等引起的病理性骨折采取不同分类。结论为了提高编码的准确性,编码员要正确分析病案和理解编码原则,保证信息数据的真实可靠。
Objective To analyze the classification and coding of several pathological fractures in ICD-10 to help the coders master the coding skills of pathological fractures and improve the accuracy of coding. Methods A retrospective analysis of 1114 cases classified as traumatic fractures in a hospital in 2011 was made to understand the classification of pathological fractures. The results should be classified into 60 cases of pathological fractures, according to pathological fractures caused by tumors, pathological fractures caused by osteoporosis and other bone diseases caused by pathological fractures to take a different classification. Conclusion In order to improve the accuracy of coding, the coder should correctly analyze the medical record and understand the coding principle to ensure the authenticity of the information data.