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目的探讨脑卒中疾病与介入操作分类编码。方法通过学习脑卒中疾病与介入治疗相关文献,根据国际疾病分类原则,认真阅读病历进行准确的ICD编码。结果脑卒中的疾病编码根据病因、病灶的解剖部位、脑损害的程度分类到G45、I60-I64。脑卒中的血管溶栓治疗分类到99.10,介入栓塞分类到39.72,扩张成形分类到00.61或00.62,支架放置分类到00.63-00.65,根据具体的血管操作方式、入路、数量进行详细的另编码。结论编码员在日常工作中要掌握ICD分类原则,学习相关的医学知识,仔细阅读病历才能做到准确编码。
Objective To investigate the classification and coding of stroke diseases and interventional procedures. Methods By studying the literature about stroke and interventional therapy, according to the international classification of diseases, carefully read the medical records for accurate ICD coding. Results Stroke disease codes were categorized as G45, I60-I64 based on etiology, anatomy of the lesion, and extent of brain damage. Thrombolytic therapy for stroke was classified as 99.10, embolic classification as 39.72, as expanded shape as 00.61, or as 00.62, as stents for placement as 00.63-00.65, and detailedly coded according to the specific vascular operation, approach and number. Conclusion The coder should grasp the principle of ICD classification in daily work, learn relevant medical knowledge, and carefully read the medical records to achieve accurate coding.