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目的倡导使用ICD编码工具书编码模式,提升编码准确性。方法对563例心血管介入手术ICD编码进行回顾性分析。结果经核对185例偏差手术编码中181例为直接套用ICD字典库中类似名称的编码模式造成。结论一味套用字典库中类似名称的初级编码模式易导致编码偏差,通过各种学习途径充分了解疾病与手术操作方式内涵并使用ICD编码工具书以实现精准ICD编码。
Objective To promote the use of ICD coding book coding mode to improve the coding accuracy. Methods A retrospective analysis of ICD coding of 563 cardiovascular interventional procedures was performed. Results After verification of 181 cases of 185 deviations in surgical coding, they were directly caused by similar coding patterns in ICD dictionary. Conclusion Applying the primary coding mode with similar names in the dictionary library can easily result in coding bias. The various learning paths can fully understand the connotation of disease and surgical operation and use ICD coding tools to achieve accurate ICD coding.