Study on ICD-10 coding of sepsis related diseases in the context of DRG payment
10.3969/j.issn.1671-332X.2025.03.012
- VernacularTitle:DRG支付改革背景下脓毒症相关疾病ICD-10编码探讨
- Author:
Bingjue XIE
1
;
Lu TANG
1
;
Ying SHE
1
;
Tingting TANG
1
;
Ping SONG
1
Author Information
1. 重庆医科大学附属儿童医院 重庆 400014
- Publication Type:Journal Article
- Keywords:
Sepsis;
Septicemia;
ICD-10
- From:
Modern Hospital
2025;25(3):375-378
- CountryChina
- Language:Chinese
-
Abstract:
Objective To enhance the accuracy of sepsis related disease coding and primary diagnosis selection,thereby ensuring the quality of medical record home page and DRG data.Methods Sepsis related disease concepts and coding rules have been reviewed by combining clinical and International Classification of Diseases(ICD-10)expertise.The main diagnostic selection principles of sepsis were summarized based on the filling criteria of the medical record home page and the medical insur-ance settlement list,and sepsis coding ideas were analyzed through clinical cases.Results Negative or unidentified pathogens are classified as A41.9,while sepsis with identified pathogens is mainly classified as A40-A41.8;sepsis of newborn is classified as P36;sepsis during pregnancy,childbirth and puerperium is respectively classified as O03-O08,O75.3,and O85;sepsis follow-ing surgery or operations is classified as T80.2,T81.4,or T88.0;sepsis with organ dysfunction or septic shock should be separate-ly coded as R65.1 or R57.2.The main diagnostic selection of sepsis follows the principle of etiology priority,and the cause and pathogen of sepsis should be confirmed when coding.Conclusion Coders need to master the clinical knowledge and coding rules related to sepsis,read the medical records carefully and strengthen communication with doctors to enhance the accuracy of coding and improve the main diagnosis,thereby ensuring the quality of medical record home page and the accuracy of DRG grouping re-sults.
