Discussion on multiple primary malignancy ICD-10 coding
10.3969/j.issn.1671-332X.2024.07.016
- VernacularTitle:多原发恶性肿瘤ICD-10编码探讨
- Author:
Yinghui HU
1
;
Deying KONG
;
Huang ZUO
;
Xueli YAN
Author Information
1. 西安交通大学第一附属医院 陕西西安 710061
- Keywords:
Multiple primary malignant tumors;
Medical record quality control;
ICD-10;
Disease coding
- From:
Modern Hospital
2024;24(7):1048-1050,1054
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the coding quality of multiple primary malignant tumors in a tertiary hospital,identify existing problems,and improve the accuracy of coding for multiple primary malignant tumors.Methods We collected 393 medi-cal records from a tertiary hospital from June 1,2021,to June 30,2023,with ICD-10 code C97 for the discharge diagnosis.By carefully reading the medical records,we analyzed the reasons for coding errors in multiple primary malignant tumors with code C97.Results Among the 393 medical records,there were 34 cases with coding errors in C97,including 11 cases where meta-static malignant tumors were erroneously coded as multiple primary malignant tumors,9 cases where malignant tumors of the same organ system with non-adjacent sites and the same histological type were erroneously coded as multiple primary malignant tumors,7 cases where distant metastasis or local invasion was erroneously coded as multiple primary malignant tumors,4 cases where be-nign tumors were mistakenly coded as malignant tumors,and 3 cases where suspected malignant tumors were coded as confirmed cases.Conclusion To improve the quality and efficiency of C97 coding,coders need to have a clear understanding of the defini-tion of multiple primary malignant tumors,read the medical records carefully and completely,determine the location and histolog-ical type of the tumors accurately,and strengthen communication with clinical physicians.
