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KMID : 0988920110090010001
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Intestinal Research
2011 Volume.9 No. 1 p.1 ~ p.11
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Clinical Classification of Colorectal Epithelial Tumors and Proposal for Diagnostic Coding
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Kim Hyun-Gun
Lee Chang-Kyun
Choi Hwang
Yang Dong-Hoon
Kim Seong-Eun
Kim Byung-Chang
Shin Jeong-Eun
Kim Tae-Il
Huh Kyu-Chan
Chang Dong-Kyung
Kim Jin-Oh
Lee Suck-Ho
Kim Hyun-Soo
Keum Bo-Ra
Hong Sung-Pil
Shin Jeong-Eun
Park Cheol-Hee
Eun Chang-Soo
Park Dong-Il
Park Seun-Ja
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Abstract
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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.
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KEYWORD
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Colorectal Epithelial Tumor, Coding System
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