Analysis of the coding quality of lower extremity arteriosclerosis occlusion with thrombosis and endo-vascular intervention
10.3969/j.issn.1671-332X.2025.03.013
- VernacularTitle:下肢动脉硬化闭塞并血栓形成及腔内介入治疗编码质量分析
- Author:
Wenjia LI
1
;
Deying KONG
1
;
Yukun GOU
1
;
Xinxin ZHANG
1
;
Ying XU
1
Author Information
1. 西安交通大学第一附属医院 陕西西安 710061
- Publication Type:Journal Article
- Keywords:
Lower extremity arteriosclerosis obliterans with thrombosis;
Endovascular interventional therapy;
Disease code;
Operation code
- From:
Modern Hospital
2025;25(3):379-381
- CountryChina
- Language:Chinese
-
Abstract:
Objective By analyzing the causes of coding errors of lower extremity arteriosclerosis occlusion with throm-bosis and the endovascular intervention,explore the principle diagnosis and intervention coding rules to improve coding quality.Methods Inpatient medical records with the principle diagnosis codes of I70-I74 and I77 accompanied by endovascular interven-tional from January 1,2023 to December 31,2023 were retrieved from a tertiary hospital.A retrospective study was conducted to analyze the causes of coding errors.Results A total of 924 eligible cases were selected.There were 41 principle diagnosis cod-ing errors,with an error rate of 4.43％,among which the lower limb atherosclerosis coding had the highest error rate,accounting for 1.30％.There were 46 intervention coding errors,with an error rate of 4.98％,among which the percutaneous thrombectomy had the highest error rate.The main reason for coding errors was insufficient reading of medical record.Conclusion The coding error rate of the principle diagnosis of lower extremity arteriosclerosis occlusion and the endovascular intervention were relatively high.Therefore,it is necessary to continuously strengthen the training of clinicians and coders,including the coding rules and clinical knowledge of specialized disciplines,actively communicate between coders and clinicians,establish a quality control and assessment system,so as to improve the coding quality.
