รหัสการวินิจฉัยและรหัสหัตถการ ที่ปรับปรุงใน TDRG 4.0
ตุลาคม 2550
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1. รหัสการวินิจฉัย (ICD-10) ที่เพิ่มขึ้น
1.1. เพิ่มรหัสวินิจฉัย ICD-10 ตามการปรับปรุงรหัสขององค์การอนามัยโรค (WHO) เริ่มใช้ตั้งแต่ วันที่ 1 มกราคม 2550
1.1.1. รหัสโรคไข้หวัดนก
J09 Influenza due to identified avian influenza virus
Influenza caused by influenza viruses that normally infect only birds and, less commonly, other animals.
1.1.2. รหัสย่อยของ Acute pancreatitis
K85 Acute pancreatitis
Abscess of pancreas
Necrosis of pancreas:
• acute
• infective
Pancreatitis:
• NOS
• acute (recurrent)
• haemorrhagic
• subacute
• suppurative
K85.0 Idiopathic acute pancreatitis
K85.1 Biliary acute pancreatitis
Gallstone pancreatitis
K85.2 Alcohol-induced acute pancreatitis
K85.3 Drug-induced acute pancreatitis
Use additional external cause code (Chapter XX), if desired, to identify drug
K85.8 Other acute pancreatitis
K85.9 Acute pancreatitis, unspecified
1.1.3. รหัสอื่นๆ
G90.4 Autonomic dysreflexia
K22.7 Barrett’s esophagus
Barrett’s:
• disease
• syndrome
Excludes: Barrett’s ulcer (K22.1)
M31.7 Microscopic polyangiitis
Microscopic polyarteritis
Excludes: polyarteritis nodosa (M30.0)
M79.7 Fibromyalgia
Fibromyositis
Fibrositis
Myofibrositis
O60 Preterm delivery labour
Onset (spontaneous) of delivery labour before 37 completed weeks of gestation
O60.0 Preterm labour without delivery
O60.1 Preterm labour with preterm delivery
Preterm labour with delivery NOS
O60.2 Preterm labour with term delivery
R29.6 Tendency to fall, not elsewhere classified
Tendency to fall because of old age or other unclear health problems
Excludes: accidents NOS (X59)
difficulty in walking (R26.2)
dizziness and giddiness (R42)
falls causing injury (W00-W19)
falls due to diseases classified elsewhere
syncope and collapse (R55)
R50.2 Drug-induced fever
Use additional external cause code (Chapter XX), if desired, to identify drug.
R50.8 Other specified fever
Fever with chills
Fever with rigors
Persistent fever
W46 Contact with hypodermic needle
Z58.7 Exposure to tobacco smoke
Passive smoking
Excludes: Mental and behavioural disorders due to the use of tobacco (F17.-)
Personal history of psychoactive substance abuse(Z86.4)
Tobacco use (Z72.0)
Z92.6 Personal history of chemotherapy for neoplastic disease
1.2. รหัสวินิจฉัย ICD-10-TM ที่เพิ่มจาก WHO และไม่มีอยู่ใน TDRG 3.0 จำนวน 1053 รหัส ที่คณะผู้จัดทำได้รับเมื่อดำเนินการจัดทำ TDRG 4.0 ในช่วงต้นเดือนมีนาคม 2550 รหัสเหล่านี้ ในหนังสือ การจัดกลุ่มวินิจฉัยโรคร่วม และน้ำหนักสัมพัทธ์ ฉบับที่ 4.0 มีคำว่า “(TM)” ที่ท้ายข้อความอธิบายรหัส
2. รหัสการวินิจฉัย (ICD-10) ที่ยกเลิก
ยกเลิกตั้งแต่ 1 เมษายน 2550 จำนวน 4 รหัส ดังนี้
K85 Acute pancreatitis
O60 Preterm delivery
R50.0 Fever with chills
Fever with rigors
R50.1 Persistent fever
3. รหัสหัตถการ (ICD-9-CM) ที่เพิ่มขึ้น
ปรับปรุงรหัสเป็นรุ่นปี 2007 เริ่มใช้ตั้งแต่ วันที่ 1 ตุลาคม 2550
00.18 Infusion of immunosuppressive antibody therapy during induction phase of solid organ transplantation.
00.40 Procedure on single vessel .
00.41 Procedure on two vessels
00.42 Procedure on three vessels
00.43 Procedure on four or more vessels
00.44 Procedure on vessel bifurcation
00.45 Insertion of one vascular stent
00.46 Insertion of two vascular stents
00.47 Insertion of three vascular stents
00.48 Insertion of four or more vascular stents
00.56 Insertion or replacement of implantable pressure sensor (lead) for intracardiac hemodynamic monitoring
00.57 Implantation or replacement of subcutaneous device for intracardiac hemodynamic monitoring
00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy
00.70 Revision of hip replacement, both acetabular and femoral components
00.71 Revision of hip replacement, acetabular component
00.72 Revision of hip replacement, femoral component
00.73 Revision of hip replacement, acetabular liner and/or femoral head only
00.74 Hip replacement bearing surface, metal on polyethylene
00.75 Hip replacement bearing surface, metal-on-metal
00.76 Hip replacement bearing surface, ceramic-on-ceramic
00.77 Hip replacement bearing surface, ceramic-on-polyethylene
00.80 Revision of knee replacement, total (all components)
00.81 Revision of knee replacement, tibial component
00.82 Revision of knee replacement, femoral component
00.83 Revision of knee replacement, patellar component
00.84 Revision of total knee replacement, tibial insert (liner)
00.85 Resurfacing hip, total, acetabulum and femoral head
00.86 Resurfacing hip, partial, femoral head
00.87 Resurfacing hip, partial, acetabuluin
01.26 Insertion of catheter into cranial cavity
01.27 Removal of catheter from cranial cavity
01.28 Placement of intracerebral catheters via burr hole(s)
13.90 Operation on lens, Not Elsewhere Classified
13.91 Implantation of intraocular telescope prosthesis
32.23 Open ablation of lung lesion or tissue
32.24 Percutaneous ablation of lung lesion or tissue
32.25 Thoracoscopic ablation of lung lesion or tissue
32.26 Other and unspecified ablation of lung lesion or tissue
33.71 Endoscopic insertion or replacement of bronchial valve(s)
33.78 Endoscopic removal of bronchial device(s) or substances
3379 Endoscopic insertion of other bronchial device or substances
35,55 Repair of ventricular septal defect with prosthesis, closed technique
36.33 Endoscopic transmyocardial revascularization
36.34 Percutaneous transmyocardial revascularization
37.20 Noninvasive programmed electrical stimulation [NIPS]
37.41 Implantation of prosthetic cardiac support device around the heart
37.49 Other repair of heart and pericardium
39.73 Endovascular implantation of graft in thoracic aorta
39.74 Endovascular removal of obstruction from head and neck vessel(s)
50.23 Open ablation of liver lesion or tissue
50.24 Percutaneous ablation of liver lesion or tissue
50.25 Laparoscopic ablation of liver lesion or tissue
50.26 Other and unspecified ablation of liver lesion or tissue
55,33 Percutaneous ablation of renal lesion or tissue
55.32 Open ablation of renal lesion or tissue
5534 Laparoscopic ablation of renal lesion or tissue
5535 Other and unspecified ablation of renal lesion or tissue
68.41 Laparoscopic total abdominal hysterectomy
68.49 Other and unspecified total abdominal hysterectomy
68.61 Laparoscopic radical abdominal hysterectomy
68.69 Other and unspecified radical abdominal hysterectomy
68.71 Laparoscopic radical vaginal hysterectomy [LRVHJ
68.79 Other and unspecified radical vaginal hysterectomy
81.18 Subtalar joint arthroereisis
84.56 Insertion of (cement) spacer
84.57 Removal of (cement) spacer
84.58 Implantation of interspinous process decompression device
84.71 Application of external fixator device, monoplanar system
84.72 Application of external fixator device, ring system
84.73 Application of hybrid external fixator device
86.97 Insertion or replacement of single array rechargeable neurostimulator pulse generator
86.98 Insertion or replacement of dual array rechargeable neurostimulator pulse generator
92.20 Infusion of liquid brachytherapy radioisotope
4. รหัสหัตถการ (ICD-9-CM) ที่ยกเลิก
4.1. ยกเลิกตั้งแต่ 1 มกราคม 2550
37.5 Heart transplantation
67.5 Repair of internal cervical os
68.3 Subtotal abdominal hysterectomy
81.09 Refusion of spine, any level or technique
4.2. จะยกเลิก 1 ตุลาคม 2551
13.9 Other operations on lens
36.01 Single vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy without mention of thrombolytic agent.
36.02 Single vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy with mention of thrombolytic agent.
36.05 Multiple vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary atherectomy performed during the same operation, with or without mention of thrombolytic agent.
37.4 Repair of heart and pericardium
68.4 Total abdominal hysterectomy
68.6 Radical abdominal hysterectomy
68.7 Radical vaginal hysterectomy
81.61 360 degree spinal fusion, single incision approach
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หัวข้อ: Thai DRG Version 4.0 ออกแล้วครับ (อ่าน 11401 ครั้ง)