2021年10月27日星期三

Has your ICD coding record been standardized?

ICD, the full name of international classification of diseases, is an international unified disease classification method formulated by who. It is a combination of letters and numbers. According to the characteristics of etiology, pathology, clinical manifestation and anatomical location of diseases, diseases are classified into an orderly combination and represented by coding method. At present, the latest version is ICD-10. In Chapter 2, tumor diseases are coded as c00-d48, as follows:

What is icd-o-3?

The full name of icd-o is international classification of diseases for oncology. As the name suggests, icd-o should be an expanded version based on the tumor part of ICD. As early as ICD-8, oncology circles thought that ICD tumor disease code only contained anatomical information and could not fully meet the needs of tumor diagnosis and research. Therefore, icd-o system was developed from ICD-9. The composition of icd-o Code: anatomical classification + morphological classification + biological property classification.

For example, lung squamous cell carcinoma encodes c34.9 and m-8070 / 3 for icd-o-3. The latest icd-o version is icd-o-3. At present, it is still difficult to use icd-o system in China, but we should work in this direction!

Main differences between icd-o-3 and ICD-10

ICD-10 encodes anatomical sites and pathological tissue types together, while icd-o system only uses a set of four digit codes for anatomical sites, and the last dynamic code is used as the fifth digit of morphological code to identify malignant and benign tumors. Take lung cancer as an example:

How do oncologists correctly record ICD codes

With the development of cancer research management to informatization and digitization, the accuracy of ICD coding has become a very important step in data management. So what links should oncologists pay attention to when recording ICD for tumor patients (including icd-o-3)? The author does not fully summarize the following points:

ICD coding is a highly technical work in the management of tumor scientific research. Oncologists are required not only to master the theory of disease classification and coding, but also to be familiar with basic medical knowledge, anatomy, pathology and so on. At the same time, we should have a rigorous and pragmatic scientific research style, establish a sense of responsibility and professionalism, which is the only way to reduce ICD coding errors.

Scientific research and ICD-10

Those who have used crabyte research treasure will find that ICD-10 code has been embedded in the research treasure system to help oncologists record the cancer types of tumor patients more regularly, which is more conducive to later statistical analysis. When we all standardize the records of ICD coding of tumor diseases, it will facilitate the scientific research cooperation among various medical institutions.

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