文章目录
颅脑损伤ICD9编码
对开放/闭合以及合并颅内损伤的声明
在分类800、801、803、804下,使用第4位编码,声明患者骨折位开放/闭合,以及合并颅内损伤情况:
# 闭合:0~4; 开放:5~9
# 无合并颅内损伤: 0,5
# 合并脑挫裂伤: 1,6
# 合并SAH/SDH/EDH: 2,7 # 可见,此处对于SAH/SDH/EDH没有明确的分类
# 合并其他未分类的颅内出血: 3,8
# 合并其他未分类的颅内损伤: 4,9
0 Closed without mention of intracranial injury
1 Closed with cerebral laceration and contusion
2 Closed with subarachnoid, subdural, and extradural hemorrhage
3 Closed with other and unspecified intracranial hemorrhage
4 Closed with intracranial injury of other and unspecified nature
5 Open without mention of intracranial injury
6 Open with cerebral laceration and contusion
7 Open with subarachnoid, subdural, and extradural hemorrhage
8 Open with other and unspecified intracranial hemorrhage
9 Open with intracranial injury of other and unspecified nature
对意识障碍的声明
在分类800、801、803、804、851~854下,使用第5位编码,声明患者的意识障碍状态:
0 unspecified state of consciousness
1 with no loss of consciousness
2 with brief [less than one hour] loss of consciousness
3 with moderate [1-24 hours] loss of consciousness
4 with prolonged [more than 24 hours] loss of consciousness and return to pre-existing conscious level
5 with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level
# Use fifth-digit 5 to designate when a patient is unconscious and **dies** before regaining consciousness, regardless of the duration of the loss of consciousness
6 with loss of consciousness of unspecified duration
9 with concussion, unspecified
FRACTURE OF SKULL (800-804)
收录颅骨骨折的诊断,伴或不伴颅内损伤。
800 Fracture of vault of skull
第4、5位编码见上述。
801 Fracture of base of skull
第4、5位编码见上述。
802 Fracture of face bones
802.0 Nasal bones, closed
802.1 Nasal bones, open
802.2 Mandible, closed
802.3 Mandible, open
802.4 Malar and maxillary bones, closed
802.5 Malar and maxillary bones, open
802.6 Orbital floor (blow-out), closed
802.7 Orbital floor (blow-out), open
802.8 Other facial bones, closed
802.9 Other facial bones, open
803 Other and unqualified skull fractures
第4、5位编码见上述。
804 Multiple fractures involving skull or face with other bones
第4、5位编码见上述。
INTRACRANIAL INJURY, EXCLUDING THOSE WITH SKULL FRACTURE (850-854)
收录颅内损伤的诊断,不伴颅骨骨折。