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目的在微创手术不断发展和广为使用的今天,为了避免微创手术编码的不准确,给将来的医疗管理、教学科研、医疗保险、商业保险带来不确切的检索,使病案资料更能体现其学术价值和利用价值。方法了解微创治疗的适应症和微创治疗的主要项目。结果结论要使用广义的手术分类,编码人员对临床医生要求书写手术术式,编码人员要仔细核对是否属微创手术,编码力求准确。
Objective In order to avoid the inaccuracy of minimally invasive surgical codes, today’s minimally invasive surgery continues to develop and is widely used. Inaccurate search for future medical management, teaching and scientific research, medical insurance, and commercial insurance will make medical record data more effective. Reflect its academic value and use value. Methods To understand the main items of minimally invasive treatment indications and minimally invasive treatment. Outcome Conclusions To use a broad surgical classification, the coder asks the clinician to write a surgical procedure, and the coder must carefully check whether it is a minimally invasive surgical procedure and the code strives to be accurate.