1 2 1 Cystocele with incomplete uterine prolapse

實務演練 1 -2 1. Cystocele with incomplete uterine prolapse and stress incontinence Cystocele repair and Vaginal suspension of uterus 2. Acute and Chronic cervicitis Vaginal hysterectomy • 請問此 2案例之疾分代碼為何? • 其歸屬之DRG碼為何? 2

實務演練 1 -解答 • 主診 618. 2 • Cystocele→female →with uterine prolapse → incomplete 618. 2 • 次診incontinence → stress 625. 6 • 主處: repair → Cystocele 70. 51 • 次處: suspension →uterus 69. 22 • MDC: 13 • DRG: 35602 • RW: 1. 0762 3

實務演練 2 -解答 • • • 主診: cervicitis 616. 0 主處: hysterectomy → Vaginal 68. 59 MDC: 13 DRG: 359 RW: 1. 4020 4

實務演練 3 3. 主訴: dysmenorrhea 入院診斷: uterus myoma left chocolate cyst 出院診斷: uterus myoma left hydrosalpix severe pelvic adhesion 處置: myomectomy+ drainage of chocolate cyst& left hydrosalpix + lysis of pelvic adhesion • 請問此案例之疾分代碼為何? • 其歸屬之DRG碼為何? 5

實務演練 3 -解答 主診: Myoma → uterus 218. 9 次診: hydrosalpix 614. 1 adhesion → pelvic →female 614. 6 主處: myomectomy 68. 29 次處: drainage →ovary → 65. 91 lysis → adhesion →pelvic 54. 59 MDC: 13 DRG: 359 RW: 1. 4020 6

實務演練 4 4. 主訴: acute abdominal pain with nausea and vomiting 入院診斷: left ovary tumor 出院診斷: left ovary teratoma right ovary cyst 處置: left salpingo-oophorectomy excision of right ovary cyst • 請問此案例之疾分代碼為何? • 其歸屬之DRG碼為何? 7

實務演練 4 -解答 • • 主診: teratoma→ovary 220 M 9080/0 次診: cyst → ovary 620. 2 主處: salpingo-oophorectomy 65. 49 次處: excision →cyst → ovary 65. 29 MDC: 13 DRG: 359 RW: 1. 4020 8

實務演練 5 主訴: lower abdominal pain 診斷: Ruptured chocolate cyst of left ovary oophrocystectom S/P wound infection 處置：Laparoscopic partial oophrocystectomy • 請問此案例之疾分代碼為何? • 其歸屬之DRG碼為何? 9

實務演練 5 -解答 診斷: Ruptured chocolate cyst of left ovary 關鍵字: cyst→ovary → chocolate 617. 1 Wound infection 關鍵字: infection →postoperative wound 998. 59 complication →as an abnormal reaction E 878. 6 處置 Laparoscopic partial oophrocystectomy 關鍵字: oophrocystectomy → partial →Laparoscopic 65. 25 • • • MDC: 13 DRG: 358 RW: 1. 5301 10