ICD-10 coding of malignant tumors in multiple sites of the digestive system
10.3969/j.issn.1671-332X.2024.11.018
- VernacularTitle:消化系统多部位恶性肿瘤ICD-10编码案例分析
- Author:
Yinghui HU
1
;
Deying KONG
;
Xueli YAN
;
Ruixiang TANG
Author Information
1. 西安交通大学第一附属医院 陕西西安 710000
- Keywords:
Malignant tumors in multiple sites of the digestive system;
ICD-10;
Disease coding;
Case study
- From:
Modern Hospital
2024;24(11):1699-1701
- CountryChina
- Language:Chinese
-
Abstract:
Coding malignant tumors in multiple sites within the digestive system involves some coding rules.When more than two malignant tumors present various pathologic types,they should be included in the code of C97,which indicates multiple primary malignancies,and should be categorized into a specific code under the category of C97 upon corresponding treatment pur-poses.For those malignant tumors in the digestive system presenting with the same pathological results but unidentified primary sites,which are diagnosed as more than two types of tumors and recorded on the first page of a medical record,they are coded ac-cording to their specific locations.The coding principles are as followed:① If a malignant tumor spans two or more adjacent sites with an unidentified primary origin,it should be classified as a cross-site malignant tumor and coded based on the tumor's ana-tomical location.② If more than two malignant tumors are located in the separate parts of the same location,they should be co-ded with".9"as a subheading of the three-digit category specific to the right location.③If more than two malignant tumors are not adjacent to each other in the digestive system,they should be classified to the code of C26.9.In the process of coding,cod-ers should review case data thoroughly,enhance the accumulation of clinical knowledge,and strengthen communications with doc-tors,thereby enhancing coding precision.
