《中国病案》2023年第24卷第7期·47··疾病与手术分类·ICD-11糖尿病编码结构及规则陆田田①陆丹艳①钟婷婷①*虞丽霞②*摘要ICD-11糖尿病编码主要分类于第5章内分泌、营养或代谢疾病，妊娠期糖尿病分类于第18章妊娠、分娩和产褥期，新生儿糖尿病分类于第19章起源于围生期的某些情况，糖尿病并发症的编码一部分分类于第5章内分泌、营养或代谢疾病，另一部分则根据并发症发生的解剖部位和疾病性质分类于对应的其他章节。ICD-11在ICD-10的基础上增加了扩展码来表述解剖部位、严重程度等信息，还增加了预组配、后组配、簇编码的编码组合，更新了ICD的编码结构。糖尿病肾脏病、糖尿病视网膜病两种常见糖尿病并发症的ICD-11编码规则在ICD-10的基础上扩充了临床分期、分型及解剖部位等信息。编码员要加强与临床医师沟通，让临床医师完善住院病案首页的诊断信息，才能更好地满足ICD-11编码的需要，为将来ICD-11在卫生医疗领域的推广做好准备。关键词ICD-11；ICD-10；糖尿病；疾病编码AnalysisofICD-11DiabetesCodingStructureandCodingRulesLuTiantian,LuDanyan,ZhongTingting,YuLixiaAbstractICD-11diabetescodesaremainlyclassifiedinChapter5Endocrine,Nutritional,orMetabolicDiseases.GestationaldiabetesisclassifiedinChapter18Pregnancy,childbirth,andPuerperium.DiabetesmellitusofthenewbornisclassifiedinChapter19CertainConditionsofPerinatalOrigin.PartofthecodingofdiabeticcomplicationsisclassifiedinChapter5Endocrine,Nutritional,orMetabolicDiseases,andtheotherpartisclassifiedinothercorrespondingchaptersaccordingtotheanatomicalsitewherethecomplicationsoccurandthenatureofthedisease.ICD-11addsextensioncodesonthebasisofICD-10toexpressinformationsuchasanatomicallocationandseverity.Thecodingcombinationofpre-assembly,post-assemblyandclustercodingisalsoadded,andthecodingstructureofICDisupdated.TheICD-11codingrulesfordiabeticnephropathyanddiabeticretinopathy,twocommondiabeticcomplications,expandtheinformationofclinicalstage,typeandanatomicalsiteonthebasisofICD-10.Codersshouldstrengthencommunicationwithcliniciansandletcliniciansimprovethediagnosticinformationonthefrontpagesofinpatientmedicalrecords,soastobettermeettheneedsofICD-11codingandprepareforthepromotionofICD-11in...
