MDC13 女性生殖系統之疾病與疾患 DRG邏輯說明 郭金葉疾病分類師

Presentation on theme: "MDC13 女性生殖系統之疾病與疾患 DRG邏輯說明 郭金葉疾病分類師"— Presentation transcript:

1 MDC13 女性生殖系統之疾病與疾患 DRG邏輯說明 郭金葉疾病分類師

2 實務演練-1 主訴:lower abdominal pain
診斷:Ruptured chocolate cyst of left ovary oophrocystectom S/P wound infection 處置：Laparoscopic partial oophrocystectomy 請問此案例之疾分代碼為何? 其歸屬之DRG碼為何?

3 實務演練-1解答 診斷: Ruptured chocolate cyst of left ovary
關鍵字: cyst→ovary → chocolate 617.1 Wound infection 關鍵字:infection →postoperative wound998.59 complication →as an abnormal reaction E878.6 處置 Laparoscopic partial oophrocystectomy 關鍵字:oophrocystectomy → partial →Laparoscopic 65.25

4 實務演練-1歸屬之DRG DRG358子宮及其附屬器官非惡性腫瘤手術， 有合併症或併發症 診斷 處置 MDC DRG 6171+99859
6525 13 358

5 實務演練-2 主訴: Abdominal pain and abnormal vaginal itching yellowish discharge 入院診斷: Endometrosis R/o cervicitis 出院診斷: (1).Uterus endometrosis (2).cervix of CIS (3).pelvic adhesion

6 實務演練-2 Operation method : ATH(abdominal total hysterectomy)
bilateral salping –oophorectomy Pathology report: uterus ,cervix –squamous cell carcinoma in situ Uterus---endometrosis 請問此案例之疾分代碼為何? 其歸屬之DRG碼為何?

7 實務演練-2解答 診斷: 233.1+617.0+614.6+M8070/2 Uterus endometrosis
關鍵字:endometrosis →Uterus 617.0 cervix of CIS 關鍵字:carcinoma →in situ → squamous cell carcinoma M8070/2 pelvic adhesion 關鍵字:adhesion →pelvic 614.6 診斷: M8070/2

8 實務演練-2解答 ATH(abdominal total hysterectomy)
關鍵字:hysterectom →abdominal68.4 bilateral salping –oophorectomy 關鍵字:salping –oophorectomy → bilateral 65.61 處置:

9 實務演練-2歸屬之DRG DRG355非卵巢或附屬器官惡性腫瘤之子宮及附屬器官手術，無合併症或併發症 診斷 處置 MDC DRG
13 355

10 實務演練-2主診更改之DRG DRG359子宮及其附屬器官非惡性腫瘤手術，無合併症或併發症 診斷 處置 MDC DRG
13 359

11 實務演練-2主診更改之權重差 更改前: 診斷:233.1+617.0+614.6 處置:68.4+65.61 DRG:355
RW:1.5778 更改後: 診斷: 處置: DRG:359 RW:1.3492 權重差: