TW-DRG MDC11 腎及尿道之疾病與疾患 黃素勤 96/01/25
實務演練
例題一 請問疾分編碼為何?落入之MDC及 DRG又為何? 主要診斷:ARF(acute renal failure) 次要診斷:acute lung edema ureter stone 處置 : 1.hemodialysis 2.TURSL(Transurethral removal stone lithotripsy) 請問疾分編碼為何?落入之MDC及 DRG又為何?
解答 主診:584.9(faulure→renal →acute ) 次診: 518.4(edema →lung →acute ) 次診:592.1(stone →ureter) 處置: 39.95 hemodialysis 56.0 (lithotripsy →ureter)
雖39. 95落入DRG31601,其weight為1. 6718,而56. 0落入DRG310,而其weight為0. 9685,但因56 雖39.95落入DRG31601,其weight為1.6718,而56.0落入DRG310,而其weight為0.9685,但因56.0為OR procedure,故以OR procedure優先判讀,故落入 DRG310
例題二 請問疾分編碼為何?落入之MDC及 DRG又為何? 主診: APN(acute pyelonephritis) 次診: hydrocephrosis BPH(Benign Prostatic Hypertrophy) 處置: PCN(Percutaneous nephrostomy) TURP(Transureteral Resection of Prostate) 請問疾分編碼為何?落入之MDC及 DRG又為何?
解答 主診:590.10(pyelonephritis →acute) 次診:591( hydrocephrosis) 次診:600.0(hypertrophy → prostatic → benign) 處置: 55.03(nephrostomy →percutaneous) 60.29(resection→ prostate →transureteral)
55.03為DRG 305,weigh 1.8066,60.29為DRG 307,weight 1.5148,故落入DRG 305
例題三 請問疾分編碼為何?落入之MDC及 DRG又為何? 病患為92年次之男孩,因發燒,解尿疼痛入院, 入院三天後出現咳嗽,痰多,醫師之診斷如下: 診斷: UTI (Urinary tract infection ) pneumonia 請問疾分編碼為何?落入之MDC及 DRG又為何?
解答 診斷:599.0(infection → urinary) 診斷:486 (pneumonia)
因病患年齡落入0-17歲的規範,且有CC,故落入DRG32201