关于消化内科常见疾病编码细化问题

首页主要诊断及编码时,常常会出现.9的编码,这种编码往往被称为“垃圾编码”,实际上就是说编码没有细化,因此在信息上传后,医院诊断水平低或是编码水平低。比如:脑梗死的诊断。乡镇卫生院也诊断脑梗死,可能由于诊疗条件或医生水平的限制,医院只能笼统的诊断脑梗死,而不能具体确定脑梗死的部位,医院,医生会对脑梗死的部位会有具体定位,而脑梗死的相关编码,也正是根据脑梗死的不同部位有不同的编码,因此,要求医师的主要诊断名称也要进一步细化,不要单纯填写脑梗死的诊断,尽量根据脑梗死的部位进一步细化诊断及编码。尽量不用.9的编码。再此就消化内科的疾病列举一部分供参考。

胃溃疡、十二指肠溃疡

K25.0急性胃溃疡伴出血K25.0急性胃粘膜病变伴出血K25.0迪厄拉富瓦溃疡(胃浅表性溃疡)K25.1急性胃溃疡伴穿孔K25.1急性胃穿孔K25.2急性胃溃疡伴出血和穿孔K25.3急性胃溃疡K25.3急性糜烂性胃炎K25.4胃溃疡伴出血K25.4幽门溃疡伴出血K25.5胃溃疡伴穿孔K25.5幽门穿孔K25.5幽门溃疡伴穿孔K25.5胃溃疡穿孔K25.5胃溃疡穿孔伴腹膜炎K25.7慢性胃溃疡K25.9残胃溃疡K25.9胃溃疡K25.9胃溃疡型假性淋巴瘤K25.9幽门管溃疡K25.9应激性胃溃疡K25.9胃小弯溃疡K26.0急性十二指肠溃疡伴出血K26.0急性十二指肠球部溃疡并出血K26.1急性十二指肠溃疡伴穿孔K26.2急性十二指肠溃疡伴出血和穿孔K26.3急性十二指肠溃疡K26.4十二指肠球部溃疡伴出血K26.4十二指肠溃疡伴出血K26.4十二指肠糜烂出血K26.5十二指肠溃疡伴穿孔K26.5十二指肠球部溃疡伴穿孔K26.5十二指肠溃疡穿孔伴腹膜炎K26.6十二指肠溃疡伴穿孔和出血K26.6慢性或未特指的十二指肠溃疡伴穿孔K26.7慢性十二指肠溃疡K26.7慢性十二指肠球部溃疡K26.9十二指肠溃疡K26.9十二指肠球部溃疡K27.0急性胃十二指肠溃疡伴出血K27.1上消化道溃疡穿孔K27.1消化性溃疡伴急性穿孔K27.1急性胃十二指肠溃疡伴穿孔K27.2上消化道溃疡出血和穿孔K27.2急性胃十二指肠溃疡伴穿孔出血K27.2急性消化性溃疡伴出血及穿孔(胃及十二指肠溃疡)K27.3急性胃十二指肠溃疡K27.4多发性溃疡伴出血K27.4胃十二指肠溃疡伴出血K27.4应激性溃疡伴出血K27.4应激性消化道出血K27.4消化性溃疡伴出血K27.4溃疡病的呕血K27.5溃疡病穿孔K27.5胃十二指肠溃疡伴穿孔K27.5消化道穿孔K27.5应激性溃疡伴穿孔K27.5慢性胃十二指肠溃疡伴穿孔K27.6慢性胃十二指肠溃疡伴穿孔出血K27.7慢性胃十二指肠溃疡K27.9多发性复合性溃疡病K27.9复合性溃疡K27.9胃十二指肠溃疡(消化性溃疡)K27.9应激性溃疡K28.0胃肠吻合口溃疡伴出血K28.1急性空肠溃疡伴穿孔K28.4胃肠吻合口溃疡出血K28.5胃肠吻合口溃疡穿孔K28.7慢性胃吻合口炎K28.9食管空肠吻合口炎K28.9胃肠吻合口溃疡

2.胃炎

K29.0急性出血性胃炎K29.0急性出血性胃肠炎K29.1急性胃炎K29.2酒精性胃炎(门内特里尔氏综合征)K29.3慢性红斑性胃(窦)炎K29.3慢性浅表性胃窦炎K29.3慢性浅表性胃炎K29.3慢性浅表性疣状胃炎K29.4慢性萎缩性胃炎K29.4萎缩性胃炎K29.4慢性萎缩性胃炎伴慢性出血K29.5慢性胃窦炎K29.5慢性胃炎K29.6肥厚性胃炎K29.6门内特里尔氏病(胃巨皱襞症)K29.6糜烂性胃炎K29.6胃粘膜肥厚K29.6药物性胃炎K29.6变应性胃炎K29.6胆汁反流性胃炎K29.6化学性胃炎K29.6肉芽肿性胃炎K29.6梅内特里耶病或梅内特里耶综合征K29.6胃巨黏膜症K29.7反流性胃炎K29.7胃窦炎K29.7胃炎K29.7胃炎性假瘤K29.7应激性胃炎K29.7幽门炎K29.7疣状胃(胃窦)炎K29.8十二指肠球部炎K29.8十二指肠炎K29.8十二指肠周炎K29.9胃十二指肠炎

3.肠炎

K50.0末端性回肠炎K50.0小肠节段性肠炎(十二指肠,回肠或空肠)(小肠克隆氏病)K50.1大肠克隆氏病(大肠节段性肠炎)K50.1结肠克隆氏病(结肠节段性肠炎)K50.1肉芽肿性结肠炎K50.1直肠节段性肠炎(直肠克隆氏病)K50.8大肠和小肠克罗恩病脓肿(节段性肠炎)K50.9节段性肠炎(克隆氏病)K50.9节段性肠炎性关节病K51.0溃疡性(慢性)小肠结肠炎K51.1溃疡性慢性回肠结肠炎K51.2慢性溃疡性直肠炎K51.3溃疡性(慢性)直肠乙状结肠炎K51.4结肠假息肉病K51.5粘膜性直肠结肠炎K51.8其他溃疡性结肠炎K51.9溃疡性肠炎K51.9溃疡性结肠炎K51.9溃疡性结肠炎性关节病K52.0放射性肠炎K52.0放射性胃肠炎K52.0放射性结肠炎K52.1中毒性腹泻K52.1中毒性肠炎K52.1中毒性结肠炎K52.1中毒性胃肠炎K52.2过敏性肠炎K52.2过敏性腹泻K52.2过敏性结肠炎K52.2胃肠道过敏症K52.2饮食性腹泻K52.2饮食性胃肠炎K52.8嗜酸粒细胞性胃肠炎K52.8药物相关性肠炎K52.8胰源性腹泻K52.8假膜性结肠炎K52.9肠炎K52.9出血性结肠炎K52.9非感染性腹泻K52.9腹泻K52.9急性肠炎K52.9急性出血性肠炎K52.9急性结肠炎K52.9急性胃肠炎K52.9结肠炎K52.9流行性肠炎K52.9慢性肠炎K52.9慢性腹泻K52.9慢性结肠炎K52.9慢性胃肠炎K52.9脓毒性肠炎

3.肝炎、肝硬化

K70.0酒精性脂肪肝K70.0轻症酒精性肝病K70.1酒精性肝炎K70.1急性酒精性肝炎K70.2酒精性肝纤维化K70.3酒精性肝硬化K70.4急性酒精性肝衰竭K70.4慢性酒精性肝衰竭K70.4亚急性酒精性肝衰竭K70.4酒精性肝衰竭K70.4酒精性肝衰竭伴有肝昏迷K70.9酒精性肝损坏K71.0中毒性肝病伴胆汁郁积K71.1中毒性肝病伴肝坏死K71.2中毒性肝病伴急性肝病K71.3中毒性肝病伴慢性迁延肝炎K71.4中毒性肝病伴有慢性小叶性肝炎K71.5中毒性肝病伴狼疮状肝炎K71.5中毒性肝病伴有慢性活动性肝炎K71.6药物性肝炎K71.6中毒性肝炎K71.7药物性肝硬变K71.7中毒性肝病伴有肝纤维化和硬变K71.8中毒性肝病伴有局灶性结节性增生K71.8中毒性肝病伴有肝肉芽肿K71.8中毒性肝病伴有紫癜性肝炎K71.8中毒性肝病伴有肝静脉闭塞K71.9药物性肝损害K71.9中毒性肝病K72.0急性肝功能衰竭K72.0急性肝衰竭K72.0急性肝炎(非病毒性)K72.0急性黄疸型肝炎K72.0急性黄色肝萎缩(罗布尔氏病)K72.0亚急性肝坏死K72.0亚急性肝炎K72.0亚急性肝衰竭K72.0急性肝萎缩K72.0慢性肝炎伴亚急性肝坏死K72.1慢性肝衰竭K72.1慢性肝萎缩K72.9肝功能衰竭K72.9肝坏死(重症肝炎)K72.9肝性脑病K72.9肝萎缩K73.0慢性迁延性肝炎K73.1慢性小叶性肝炎K73.2慢性活动性肝炎K73.2狼疮状肝炎K73.8慢性复发性肝炎K73.9慢性肝炎K73.9慢性肝炎.重型K74.0肝纤维化K74.1肝硬化K74.1代偿期肝硬化K74.1失代偿期肝硬化K74.2肝纤维化伴有肝硬化K74.3阿诺(肥大性)肝硬变K74.3慢性非化脓性破坏性胆管炎K74.3托德硬变(肝)K74.4继发性胆汁型肝硬变K74.5胆汁性肝硬变K74.6肝炎肝硬化K74.6乙型肝炎肝硬化K74.6丙型肝炎肝硬化K74.6肝硬变K74.6坏死后肝硬变K74.6结节性肝硬变K74.6慢性间质性肝炎K74.6门脉性肝硬变K74.6血吸虫性肝硬化K74.6肝硬变伴食管静脉曲张K74.6肝硬变伴食管静脉曲张破裂出血K74.6代谢性肝硬变K74.6肥大性肝硬变K74.6肝硬变伴腹水K74.6中毒性肝硬化K74.6拉埃内克肝硬变K74.6鲍姆加滕-克吕韦耶肝硬变(先天性肝硬化)K75.0肝脓肿K75.0急性化脓性肝胆管炎K75.0细菌性肝脓肿K75.1门静脉炎K75.1门静脉毒血症K75.2非特异性反应肝炎K75.3肝肉芽肿K75.8胆小管炎性肝炎K75.8胆汁郁积性肝炎K75.8淤胆型肝炎(急性)K75.8淤胆型肝炎(慢性)K75.8肝胆管炎K75.8胆系感染K75.8肝内胆管炎K75.8肝炎性假瘤K75.8肝炎性肿物K75.8药物性胆汁郁积性肝炎K75.8营养性肝炎K75.8自身免疫性肝炎K75.8瘀胆型病毒性肝炎(毛细胆管性肝炎)K75.9肝炎K75.9肝炎综合征K76.0脂肪肝K76.0非酒精性单纯性脂肪肝K76.0非酒精性脂肪性肝炎K76.0肝(脏)脂肪变K76.0中毒性(急性)肝脂肪变性K76.1慢性被动性肝郁血K76.1心源性肝硬变K76.1淤血性肝损坏K76.1郁滞肝K76.2肝中心出血性坏死K76.3肝梗塞K76.4紫癜性肝炎K76.4肝血管瘤病K76.5肝静脉闭塞性病K76.6班替氏综合征K76.6门脉高压K76.6特发性门脉高压K76.7肝肾功能衰竭K76.7肝肾综合征K76.8肝癌破裂出血K76.8肝出血K76.8肝多发性再生肥大结节K76.8肝肺综合征K76.8肝钙化灶K76.8肝功能不全K76.8肝管出血K76.8肝管息肉K76.8肝积液K76.8肝内钙化点K76.8肝囊肿K76.8肝细胞性黄疸K76.8肝下垂K76.8肝血肿K76.8肝炎后黄疸K76.8肝增生性结节K76.8肝自发性破裂出血K76.8肝黑变病K76.8肝痛K76.8肝源性水肿K76.8肝局灶结节性增生

4.胆囊结石、胆囊炎、胆管炎

K80.0胆囊结石伴坏疽性胆囊炎K80.0胆囊结石伴急性胆囊炎(胆石症伴急性胆囊炎)K80.0胆囊结石伴急性化脓性胆囊炎K80.1胆囊结石伴胆囊炎K80.1胆囊结石伴慢性胆囊炎K80.1胆囊结石伴萎缩性胆囊炎K80.2残余胆囊结石K80.2胆囊绞痛(复发性)K80.2胆囊结石K80.2胆囊结石嵌顿K80.2胆囊管结石K80.3总胆管结石伴急性化脓性胆管炎K80.3胆管结石伴有胆管炎K80.4胆管结石伴(慢性)胆囊炎K80.4胆总管结石伴(慢性)胆囊炎K80.4胆管结石伴急性胆囊炎K80.4胆总管结石伴急性胆囊炎K80.4肝胆管结石伴(慢性)胆囊炎K80.4肝管结石伴(慢性)胆囊炎K80.4总胆管结石伴慢性胆囊炎K80.5胆道术后残留结石K80.5胆管结石K80.5胆绞痛K80.5胆总管结石K80.5胆总管残余结石K80.5复发性肝绞痛K80.5肝胆管结石K80.5肝管结石K80.5肝结石K80.5胆道腹腔镜(LC)术后胆管结石K80.5胆管结石伴梗阻K80.5原发性胆管结石(胆红素钙结石)K80.5法特氏壶腹结石K80.5夏科热(胆)(肝)(间歇性)K80.8其他胆石病K81.0胆囊坏疽K81.0胆囊脓肿K81.0胆囊周围脓肿K81.0急性胆囊炎K81.0急性化脓性胆囊炎K81.0急性坏疽性胆囊炎K81.0慢性胆囊炎急性发作K81.0坏疽性胆囊炎K81.1慢性胆囊炎K81.8胆囊周炎K81.8其他胆囊炎K81.8萎缩性胆囊炎K81.8息肉性胆囊炎K81.9胆囊炎K82.0胆囊管梗阻K82.0梗阻性黄疸(胆囊)K82.0梗阻性胆囊肿大K82.1胆囊积液K82.1胆囊粘液囊肿K82.2胆囊穿孔K82.3胆囊肠瘘K82.3胆囊结肠瘘K82.3胆囊瘘K82.3胆囊十二指肠瘘K82.3胆囊胃瘘K82.3手术后胆囊瘘K82.3胆囊肝总管瘘K82.4胆固醇性胆囊炎K82.4胆囊胆固醇沉着症K82.4胆固醇性胆囊息肉伴慢性胆囊炎K82.4草霉状胆囊K82.8胆囊管扩张K82.8胆囊沉积物K82.8胆囊肥大K82.8胆囊钙化K82.8胆囊肌腺症K82.8胆囊扭转K82.8胆囊萎缩K82.8胆囊息肉K82.8胆囊缺如K82.8胆囊囊肿K82.8胆囊溃疡K82.8胆囊运动障碍K82.9胆囊病变K82.9胆囊占位性病变K82.9胆囊肿物K82.9胆心综合征K82.9胆囊病K83.0奥狄氏括约肌炎K83.0胆道感染K83.0胆管炎K83.0胆管周围炎K83.0胆总管炎K83.0返流性胆管炎K83.0复发性胆管炎K83.0梗阻性胆管炎K83.0梗阻性化脓性胆管炎K83.0化脓性胆管炎K83.0急性胆管炎K83.0急性梗阻性胆管炎K83.0急性化脓性胆管炎K83.0急性化脓性梗阻性胆管炎K83.0慢性胆管炎K83.0硬化性胆管炎K83.0淤积性胆管炎K83.0毛细胆管炎K83.0缩窄性胆管炎K83.0中毒性胆管炎K83.0肝内性胆总管炎K83.0化脓性胆总管炎K83.0十二指肠胆管炎K83.1肝管梗阻综合征K83.1胆管狭窄K83.1胆管阻塞K83.1胆汁郁积症K83.1胆总管阻塞K83.1胆总管梗阻K83.1胆总管狭窄K83.1肝胆管狭窄K83.1肝管狭窄K83.1原发性胆管狭窄K83.2胆管穿孔K83.3胆管瘘K83.3手术后胆总管小肠瘘K83.3手术后肝总管小肠瘘K83.3总胆管十二指肠瘘K83.4奥狄氏扩约肌痉挛K83.4法特壶腹痉挛K83.4欧狄氏括约肌痉挛K83.5胆管囊肿K83.5胆总管(肝总管)囊肿K83.8奥狄氏括约肌狭窄K83.8缩窄性法特氏乳头炎K83.8胆管出血K83.8胆管溃疡K83.8胆总管痉挛K83.8胆总管扩张K83.8肝胆管扩张K83.8胆管扩张K83.8胆总管息肉K83.8胆总管粘连

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