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ICD-10编码是病案管理工作中一项较难掌握的技能,本文主要从编码的查找和临床对疾病的最新研究进展两个方面对肾血管平滑肌脂肪瘤的ICD-10编码进行分析,肾血管平滑肌脂肪瘤的编码查找应以“血管肌脂肪瘤”作为主导词,而不应选择“错构瘤”作为主导词,由此得到正确的编码为D17.7,M8860/0。人们对疾病的正确认识,是建立合理分类体系的基础。编码员应不断学习新的临床知识,了解疾病的最新研究进展,同时应具备一定的英语基础,才能不断的提高编码准确率。
ICD-10 coding is a difficult skill in medical record management. This paper mainly analyzes ICD-10 coding of renal angiomyolipoma from two aspects of coding search and clinical research on disease. The coding search for leiomyosarcoma should be dominated by “angiomyolipoma ” instead of “hamartoma ” as the leading word, resulting in the correct code for D17.7, M8860 / 0. People’s correct understanding of the disease is the basis for establishing a reasonable classification system. The coder should constantly learn new clinical knowledge, understand the latest research progress of the disease, and at the same time should have a certain English foundation in order to constantly improve the coding accuracy.