García-Pérez A, Martínez-Granero M A, Verdú-Pérez A, de Castro-De Castro P, Garzo-Fernández C, Vázquez-López M, Martínez-Bermejo A, Simón-De las Heras R, Martínez-Menéndez B, San Antonio-Arce V, de Santos-Moreno M T, Carrasco-Marina M L, Cazorla-Calleja M R
Servicios de Neuropediatría, Fundación Hospital Alcorcón, Madrid, España.
Rev Neurol. 2009;48(2):58-60.
To analyze International Classification Diseases, 9th revision (ICD-9) coding and adapt it, on a consensus basis, to 'reasons for medical consultation', 'diagnoses' and 'procedures' in child neurology.
The most frequent reasons for medical consultation, diagnoses and procedures in neuropediatrics were selected and assigned the most appropriate ICD-9, Clinical Modification (5th ed.) (ICD-9-CM) codes in accordance with this system's coding rules. Disorders were grouped by sections, and allocated to the various members of the working group (13 child neurologists from 10 hospitals in Madrid and environs).
Available on the web www.neurologia.com/cie-9. ICD-9-CM codes were assigned to: 158 reasons for medical consultation; 886 diagnoses; 73 diagnostic procedures; and 53 therapeutic procedures. In every case, the most appropriate ICD-9 code was sought for the respective diagnosis. No codes were invented but the working group did take certain liberties with interpretation, which nevertheless showed respect for general ICD-9-CM philosophy and are described in full in the text.
The creation of this ICD-9 adaptation will not only enhance diagnostic coding in child neurology departments, but will also provide them with a useful tool for setting up databases to enable information to be retrospectively analyzed and shared by the different health centers.
分析国际疾病分类第九版（ICD - 9）编码，并在共识基础上使其适用于儿童神经科的“就诊原因”“诊断”及“诊疗程序”。
选取神经儿科最常见的就诊原因、诊断及诊疗程序，并根据该系统的编码规则为其指定最合适的ICD - 9临床修订版（第5版）（ICD - 9 - CM）编码。疾病按章节分组，并分配给工作组的各个成员（来自马德里及周边地区10家医院的13名儿童神经科医生）。
可在网站www.neurologia.com/cie - 9上获取。ICD - 9 - CM编码被分配给：158个就诊原因；886个诊断；73个诊断性程序；以及53个治疗性程序。在每种情况下，都针对相应诊断寻找最合适的ICD - 9编码。未编造编码，但工作组在解释上有一定灵活性，不过仍遵循ICD - 9 - CM的总体理念，文中对此有详细描述。
创建此ICD - 9适配版不仅会增强儿童神经科的诊断编码，还将为其提供一个有用工具，用于建立数据库，以便不同健康中心能够对信息进行回顾性分析和共享。
