Analysis of ICD-10 coding for leukemia under DRG payment
10.3969/j.issn.1671-332X.2025.04.016
- VernacularTitle:DRG支付下白血病ICD-10编码分析
- Author:
Yanfang PAN
1
;
Zhen LI
;
Hua ZHAO
Author Information
1. 广西医科大学信息与管理学院 广西南宁 530021;柳州市人民医院 广西柳州 545006
- Publication Type:Journal Article
- Keywords:
Leukemia;
DRG;
Myelocytic leukemia;
Lymphocytic leukemia
- From:
Modern Hospital
2025;25(4):553-555,559
- CountryChina
- Language:Chinese
-
Abstract:
Leukemia is a common malignant tumor of the blood system,and the accuracy of ICD coding plays a key role in medical record management and DRG grouping.Currently,in clinical practice,both French-American-British(FAB)classifi-cation and World Health Organization(WHO)classification are used for leukemia classification.With the introduction of MICM(morphology,immunology,genetics and molecular biology)technology,the leukemia classification system has become more re-fined,which also increases the complexity of medical record coding.Therefore,medical record coders need to keep up with the forefront of medical development,thoroughly understand the latest classification standards of leukemia,systematically summarize the coding points and ideas for myeloid leukemia,lymphoid leukemia and unclassified leukemia,and clarify the situation where leukemia is coded as the main diagnosis.In the context of DRG payment reform,clinical doctors should accurately fill in the dis-ease diagnosis and surgical operation information on the medical record cover,and when coding the medical record cover,the co-der needs to comprehensively consider the three principles of selecting the main diagnosis and the local DRG grouping rules to en-sure the accurate selection of the main diagnosis,thus improving the accuracy of DRG admission and providing a reliable basis for the rational allocation of medical resources.
