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目的交流植入人工心脏起搏器的疾病与手术分类编码的体会。方法学习人工心脏起搏器的相关医学知识,结合我院近5年来植入人工心脏起搏器的268例病例,应用国际疾病分类ICD-10与新版ICD-9-CM-3的工具书查找心脏起搏器的疾病与手术编码。结果对人工心脏起搏器的类型和植入方法有了进一步认识,已安装人工心脏起搏器的编码是Z95.0,更换脉冲发生器的编码是Z45.0,起搏器植入引起并发症的编码是T82.9。结论编码员应主动学习相关医学知识,提高自身的编码水平,才能正确进行疾病与手术分类。
Objective To exchange the experience of implanting artificial heart pacemakers in diseases and surgical classification codes. Methods To learn about the medical knowledge of artificial pacemaker and to combine with 268 cases of artificial pacemaker implanted in our hospital in the recent 5 years, find out the International Classification of Diseases ICD-10 and the new ICD-9-CM-3 Pacemaker Diseases and Surgical Coding. The results of the type of artificial pacemaker and implantation methods have been further understanding of the artificial heart pacemakers have been installed code is Z95.0, replace the pulse generator code is Z45.0, pacemaker implantation caused by complications The disease code is T82.9. Conclusion The coder should take the initiative to learn the relevant medical knowledge and improve their coding level in order to correctly carry out the classification of diseases and operations.