A review on the problems in coding system of Korean Classification of Disease for temporomandibular disorders

측두하악관절장애에 있어서 표준질병사인분류기호 부여의 문제점에 대한 고찰

  • 송윤헌 (김연종.송윤헌치과의원) ;
  • 김연중 (김연종.송윤헌치과의원)
  • Published : 2010.06.01

Abstract

International Classification of Disease (ICD-10) is widely used as a crucial reference not only in the medical diagnosis of diseases but also within the health insurance system. It makes possible for medical personnel to make decisions systematically and for the people working in the health insurance or public health industries to better understand medical issues. However, this classification is often not enough or acceptable in a clinical setting. Many countries amend in their own way to make it more appropriate for their people. Korean Classification of Disease (KCD-5) was made by adding a 5 digit code for some diseases to clarify the conditions of the patients. The authors found problems of KCD-5 in temporomandibular disorders and several related medical problems. Medical treatment for these problems had not been covered even by public health insurance until 2000 in Korea. For the last decade, private insurance companies have introduced new items for reimbursement of the treatment fees the patients actually pay. The authors assumed that many patients with these medical problems encountered difficulties in the reimbursement from private insurance companies because KCD-5 did not classify these medical conditions appropriately. An overview of KCD-5 and suggestions for improvement are introduced in this study.

Keywords

References

  1. Korean National Statistical Office, The 5th revision of Korean Standard Classification of diseases (KCD), Seoul.
  2. WHO, International Classification of Disease(ICD). http://www.who.int/classifications/icd/en/
  3. 의료법 시행규칙 [보건복지부령 제1호, 2010.3.19.]
  4. 통계법 [법률 제9557호, 2009.4.1.]
  5. American Academy of Orofacial Pain, with Reny de Leeuw (ed). Orofacial Pain; AAOP Guidelines. 4th edition, Quintessence. 2008.
  6. North America - National Center for Health Statistics, ICD-10-CM, 2010.
  7. Canadian Institute for Health Information, ICD-10-CA, 2009.
  8. Thailand - Ministry of Public Health, ICD-10-TM, 2006.
  9. 임용규, 김민지, 김연중, 송윤헌, 이동렬. 측두하악장애 환자 중 하악과두의 퇴행성 골 변화를 보이는 환자의 분포 및 임상적 특징. 대한치과교정학회지 2006;36(6):402-411.
  10. 조정환. 측두하악장애 환자에서 하악과두의 퇴행성 변화의 발생 양상에 대한 연구. 서울대학교 대학원 석사학위논문. 2009.
  11. 김종숙. 측두하악장애를 가진 환자에서 나타나는 퇴행성악관절 질환의 역학연구. 고려대학교 임상치의학대학원 석사학위 논문. 2005.