MDC13 女性生殖系統編碼作業介紹 疾病分類師:郭金葉.

Presentation on theme: "MDC13 女性生殖系統編碼作業介紹 疾病分類師:郭金葉."— Presentation transcript:

1 MDC13 女性生殖系統編碼作業介紹 疾病分類師:郭金葉

2 實務演練1-2 1.Cystocele with incomplete uterine prolapse and stress incontinence Cystocele repair and Vaginal suspension of uterus 2.Acute and Chronic cervicitis Vaginal hysterectomy 請問此2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 主診618.2 Cystocele→female →with uterine prolapse → incomplete 618.2 次診incontinence → stress 625.6 主處: repair → Cystocele 70.51 次處: suspension →uterus 69.22 MDC:13 DRG:35602 RW:1.0762

4 實務演練2-解答 主診:cervicitis 616.0 主處: hysterectomy → Vaginal 68.59 MDC:13
DRG:359 RW:1.4020

5 實務演練3 3.主訴:dysmenorrhea 入院診斷:uterus myoma left chocolate cyst
left hydrosalpix severe pelvic adhesion 處置: myomectomy+ drainage of chocolate cyst& left hydrosalpix + lysis of pelvic adhesion 請問此案例之疾分代碼為何? 其歸屬之DRG碼為何?

6 實務演練3-解答 主診:Myoma → uterus218.9 次診: hydrosalpix 614.1
adhesion → pelvic →female 614.6 主處: myomectomy 68.29 次處: drainage →ovary →65.91 lysis → adhesion →pelvic 54.59 MDC:13 DRG:359 RW:1.4020

7 實務演練4 4.主訴:acute abdominal pain with nausea and vomiting
入院診斷:left ovary tumor 出院診斷:left ovary teratoma right ovary cyst 處置:left salpingo-oophorectomy excision of right ovary cyst 請問此案例之疾分代碼為何? 其歸屬之DRG碼為何?

8 實務演練4-解答 主診:teratoma→ovary 220 M9080/0 次診:cyst → ovary 620.2
主處:salpingo-oophorectomy 65.49 次處: excision →cyst → ovary 65.29 MDC:13 DRG:359 RW:1.4020

9 實務演練5 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?

10 實務演練5-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 wound complication →as an abnormal reaction E878.6 處置 Laparoscopic partial oophrocystectomy 關鍵字:oophrocystectomy → partial →Laparoscopic 65.25 MDC:13 DRG:358 RW:1.5301