2021年10月27日星期三

Malignant tumor request cannot ignore ICD-10 code

From the perspective of medium-term terms, we often see such words—— ICD-10。 I don't know what that means. I don't know why the insurance salesman will explain and why the insurance terms are so stipulated.

ICD-10 looks very complex, but it is actually a global coding rule - International. Doctors all over the world can know what disease that person has by looking at the ICD-10 code recorded in the diagnosis book. There is no need to "bite" translation, which takes a lot of time and is not accurate.

International Classification of diseases (ICD) is a universal disease diagnostic code system regularly maintained by the World Health Organization (ICD), which is widely used all over the world.

Take an example. Mr. Liu took risks abroad. The local doctor diagnosed him with malignant tumor and returned home for treatment. However, to a certain extent, if domestic doctors do not understand German, they need to find German medical experts to translate and confirm the correct diagnosis for many times. After a long time, Mr. Liu's condition deteriorated, and the doctor-patient relationship began to be tense.

What about ICD-10 coding?

Benign tumor d10-d36

Dynamic undetermined or unknown d37-d48

Tumor in situ d00-d09

Malignant tumors are described or assumed to be primary c00-c76.

Malignant tumors are described or assumed to be secondary c80-c97.

Malignant, primary or secondary sites have not been confirmed c77-c79.

Even doctors who are not experts can easily judge what disease Mr. Liu has.

This provision of the insurance clause obviously helps the insurance claim adjuster to judge whether the condition is serious, and provides convenience for insurance claim settlement and medical communication. (William Shakespeare, insurance, insurance, insurance, insurance, insurance, insurance, insurance, insurance)

According to the definition of malignant tumor caused by serious disease risk, clinical diagnosis belongs to the category of malignant tumor in the international statistical classification of diseases and related health problems (ICD-10) of the World Health Organization. If the malignant tumor category specified in ICD-10 code is not reached, the insurance consumer will not be able to obtain compensation.

This is real-time ICD-10 news. During the new crown period this year, China formulated the new crown ICD-10 code, which greatly accelerated the speed of global medical big data epidemic prevention and control.

At the 2017 China US smart medical big data summit, Weng Chunhua, an associate professor of Columbia University, said that the use of ICD code was inaccurate, and a large number of medical data were inaccurate, incomplete and unusable. An example is given. New York Presbyterian Hospital is a famous hospital with electronic medical records of 4.5 million patients. "Studies have shown that patients with hypertension must be found. The results show that there is no ICD9 / 10 data related to hypertension in all patient records. The doctor said that everyone has hypertension, so it is not recommended to include the information in the case. The information should be included in the case only when the patient has other diseases." the ICD9 / 10 data is insufficient, A large number of troops cannot be converted into effective data available in the medical big data laboratory.

Some people say that ICD code is the key to breaking the big data epidemic!

Can you still look down on ICD-10 code now?

Reading this article, you will find that the disease classification code is of great practical significance. This is also an important part of the final compensation basis of insurance companies. You can't ignore it.

If you know a little about insurance, the settlement of claims will not be blurred.

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