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Intest Res > Volume 9(1); 2011 > Article
Intestinal Research 2011;9(1):1-11.
DOI: https://doi.org/10.5217/ir.2011.9.1.1    Published online April 30, 2011.
Clinical Classification of Colorectal Epithelial Tumors and Proposal for Diagnostic Coding
Hyun Gun Kim, Jin-Oh Kim, Suck-Ho Lee, Chang Kyun Lee, Hyun Soo Kim, Hwang Choi, Dong-Hoon Yang, Bora Keum, Sung Pil Hong, Seong-Eun Kim, Byung Chang Kim, Jeong Eun Shin, Cheol Hee Park, Chang Soo Eun, Tae Il Kim, Dong Il Park, Kyu Chan Huh, Dong Kyung Chang, Seun Ja Park
*Department of Internal Medicine, Soonchunhyang University College of Medicine
*Kyung Hee University School of Medicine
*Seoul, Yonsei University, Wonju College of Medicine
§Wonju, The Catholic University of Korea College of Medicine
Seoul, University of Ulsan College of Medicine
§Korea University College of Medicine
*Yonsei University College of Medicine
††Ewha Woman's University School of Medicine
‡‡Seoul, National Cancer Center
§§Goyang, Dankook University College of Medicine
∥∥Hallym University College of Medicine
¶¶Hanyang University College of Medicine
*Sungkyunkwan University School of Medicine
††Seoul, Konyang University College of Medicine
‡‡Daejeon, Kosin University College of Medicine‡, Busan, Korea
대장 상피성 종양의 임상적 분류와 진단 코드 부여를 위한 제안
김현건, 김진오, 이석호, 이창균, 김현수, 최황, 양동훈, 금보라, 홍성필, 김성은, 김병창, 신정은, 박철희, 은창수, 김태일, 박동일, 허규찬, 장동경, 박선자
*순천향대학교 의과대학
*경희대학교 의학전문대학원
*연세대학교 원주의과대학
§가톨릭대학교 의과대학
울산대학교 의과대학
§고려대학교 의과대학
*연세대학교 의과대학
††이화여자대학교 의학전문대학원
‡‡국립암센터
§§단국대학교 의과대학
∥∥한림대학교 의과대학
¶¶한양대학교 의과대학
*성균관대학교 의과대학
††건양대학교 의과대학
‡‡고신대학교 의과대학‡ 내과학교실
Abstract
The Korean Standard Classification of Diseases (KCD), which reflects the International Classification of Diseases (ICD), is a fundamental coding system for the diagnosis of colorectal epithelial tumors. The KCD coding of colorectal lesions is entirely up to the clinician and is based on pathologic reports. However, coding discrepancies have arisen among physicians using the KCD and pathologists using the ICD for Oncology-3 (ICD-O-3). The Korean Society of Pathologists recently proposed a standardized pathology-reporting format and guidelines for the coding of colorectal cancer to decrease these discrepancies among pathologists. However, ICD and ICD-O are simple classification codes based on pathologic reports, and are neither intended nor suitable for indexing of distinct clinical entities. For appropriate diagnostic coding using the KCD, a corrected coding principle based upon pathologic reports is required, and unified coding between KCD and ICD-O is necessary. A standardized pathologic report format and communication with understanding between physicians and pathologists should be established. Additionally, the private medical insurance system for colorectal cancer should be revised to reduce conflicts among patients, clinicians, and insurance companies over the medical coding system. (Intest Res 2011;9: 2-11)
Key Words: Colorectal Epithelial Tumor, Coding System
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