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Gastrointestinal Endoscopic
Terminology Coding
GET-C
Extension of the ICD-10
M. Groenen
W. Hirs, H. Becker, E. Kuipers,
G. van Berge Henegouwen,
P. Fockens, R. Ouwendijk
Cancer in Europe 2000
n= 2.051.439
600000
500000
Gi cancer
Lung
Breast
Prostate
Kidney/Bladder
Gynae
ENT
Brain
other
400000
300000
200000
100000
0
cancers incidence 2000 Europe
United European Gastroenterology Federation, 2003
No information of endoscopic
diagnosis in Europe
COUNTRIES
Austria
Belgium
Denmark
Finland
France
Germany
Greece
Ireland
Number
Number
Number
Number
Number
Number
Number
Number
Practice in GE
Endoscopies
Colonoscopy
153534
680996
Total number of procedures per year
143450
831286
Number of diagnostic procedures
119344
unknown
Number of therapeutic procedures
24106
unknown
United European Gastroenterology Federation, 2003
Need for databases
• Surveillance
– Polyps
– Ulcers and Barrett oesophagus
– Inflammatory Bowel Diseases
• Epidemiology
• Quality control
• Research
Endoscopic data that need a
specific code
•
•
•
•
•
•
Indication
Endoscopic diagnosis
Therapeutical interventions
Advice
Therapy
Complications
D12 Benign neoplasm of colon, rectum,
anus and anal canal
ICD-10
D12.0
D12.1
D12.2
D12.3
D12.4
D12.5
D12.6
D12.7
D12.8
D12.9
Benign neoplasm of cecum
Benign neoplasm of appendix
Benign neoplasm of ascending colon
Benign neoplasm of transverse colon
Benign neoplasm of descending colon
Benign neoplasm of sigmoid colon
Benign neoplasm of colon, unspecified
Benign neoplasm of rectosigmoid junction
Benign neoplasm of rectum
Benign neoplasm of anus and anal canal
Important for polyps (1)
• Appearance of the polyp
– XXX.X1
– XXX.X2
– XXX.X3
– XXX.X4
– XXX.X5
– XXX.X6
Pedunculated polyp
Sessile polyp
Villous adenoma
Flat adenoma
Hyperplastic polyp
Incipient polyp
• Therapy, prognosis and follow up
Important for polyps (2)
• Number of polyps
– XXX.XX1
– XXX.XX2
– XXX.XX3
One polyp
Two polyps
More polyps
• < 2 polyps Surveillance endoscopy 6 years
• > 2 polyps Surveillance endoscopy 3 years
Benign neoplasm of descending
colon
D12.4 Benign neoplasm of desc. Colon
D12.41 Pedunculated polyp in desc. colon
D12.411 One ped. polyp in desc. colon
D12.412 Two ped. polyps in desc. colon
D12.413 Several ped. polyps in desc. colon
D12.44 Flat adenoma in descending colon
D12.441 One flat adenoma in desc. colon
D12.442 Two flat adenomas in desc. colon
D12.443 Several flat adenomas in desc. Colon
D12.42 Sessile polyp in descending colon
D12.421 One sessile polyp in desc. colon
D12.422 Two sessile polyps in desc. colon
D12.423 Several sessile polyps in desc. colon
D12.45 Hyperplastic polyp in desc.colon
D12.451 One hyperplastic polyp in desc. colon
D12.452 Two hyperplastic polyps in desc. colon
D12.453 Several hyperpl. polyps in desc. Colon
D12.43 Villous adenoma in desc.colon
D12.431 One villous adenoma in desc. colon
D12.432 Two villous adenomas in desc. colon
D12.433 Several villous aden. in desc. colon
D12.46 Incipient polyp in descending colon
D12.461 One incipient polyp in descending colon
D12.462 Two incipient polyps in desc. colon
D12.463 Several incipient polyps in desc. colon
K25 Gastric ulcer
ICD-10
K25.0 Acute gastric ulcer with hemorrhage
K25.1 Acute gastric ulcer with perforation
K25.2 Acute gastric ulcer with both hemorrhage and
perforation
K25.3 Acute gastric ulcer without hemorrhage or perforation
K25.4 Chronic or unspecified gastric ulcer with hemorrhage
K25.5 Chronic or unspecified gastric ulcer with perforation
K25.6 Chronic or unspecified gastric ulcer with both
hemorrhage and perforation
K25.7 Chronic gastric ulcer without hemorrhage or
perforation
K25.9 Gastric ulcer, unspecified as acute or chronic, without
hemorrhage or perforation
Important for ulcers (1)
• Forrest Classification
•
•
•
•
•
•
Ia
Ib
IIa
IIb
IIc
III
Acute spurting bleeding
Non-spurting active bleeding
Vissible vessel
Overlying clot
Haematin covered basis
Clean ulcer
– Prognosis
– Treatment
– Follow up
Extension of ICD-10 to GET-C
Important for ulcers (2)
• Number of ulcers at one location
– XXX.XX1
– XXX.XX2
– XXX.XX3
One ulcer
Two ulcers
Several ulcers
Important for ulcers (3)
• Location of ulcers in stomach
– XXX.XXX1
– XXX.XXX2
– XXX.XXX3
– XXX.XXX4
– XXX.XXX5
– XXX.XXX6
– XXX.XXX8
Cardia of stomach
Fundus of stomach
Corpus of stomach
Angulus of stomach
Antrum of stomach
Pyloric region
Whole stomach
New Gastrointestinal Endoscopic
Terms
• New chapter with character μ
• Adaptations and extensions performed
by gastroenterologists
• More new techniques expected in near
future
Gastrointestinal Endoscopic
Terminology Coding (GET-C)
• Developed by TRANS.IT working group
• Accepted by Dutch Society of
Gastroenterologists
• Revised by Dutch translation board of ICD-10
• Submitted for publication international journal
• Important for Epidemiology and Mortality
statistics