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TW-DRG MDC11 腎及尿道之疾病與疾患 黃素勤 96/01/25
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實務演練
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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?
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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)
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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
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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?
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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)
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55.03為DRG 305,weigh 1.8066,60.29為DRG 307,weight 1.5148,故落入DRG 305
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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?
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解答 診斷:599.0(infection → urinary) 診斷:486 (pneumonia)
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因病患年齡落入0-17歲的規範,且有CC,故落入DRG32201
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