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Clinical coding is the task of transforming medical information in a patient's health records into structured codes so that they can be used for statistical analysis. This is a cognitive and time-consuming task that follows a standard…

Computation and Language · Computer Science 2022-10-11 Hang Dong , Matúš Falis , William Whiteley , Beatrice Alex , Joshua Matterson , Shaoxiong Ji , Jiaoyan Chen , Honghan Wu

The International Classification of Diseases (ICD) is an authoritative medical classification system of different diseases and conditions for clinical and management purposes. ICD indexing assigns a subset of ICD codes to a medical record.…

Computation and Language · Computer Science 2024-05-30 Xindi Wang , Robert E. Mercer , Frank Rudzicz

ICD coding is the process of mapping unstructured text from Electronic Health Records (EHRs) to standardised codes defined by the International Classification of Diseases (ICD) system. In order to promote trust and transparency, existing…

Artificial Intelligence · Computer Science 2026-03-13 Mingyang Li , Viktor Schlegel , Tingting Mu , Wuraola Oyewusi , Kai Kang , Goran Nenadic

Coding of unstructured clinical free-text to produce interoperable structured data is essential to improve direct care, support clinical communication and to enable clinical research.However, manual clinical coding is difficult and time…

The effectiveness of artificial intelligence (AI) in healthcare is significantly hindered by unstructured clinical documentation, which results in noisy, inconsistent, and logically fragmented training data. To address this challenge, we…

Machine Learning · Computer Science 2025-10-21 Dun Liu , Qin Pang , Guangai Liu , Hongyu Mou , Jipeng Fan , Yiming Miao , Pin-Han Ho , Limei Peng

International Classification of Diseases (ICD) coding assigns diagnosis codes to clinical documents and is essential for healthcare billing and clinical analysis. Reliable coding requires that each predicted code be supported by explicit…

Computation and Language · Computer Science 2026-05-08 Xu Zhang , Wenxin Ma , Chenxu Wu , Rongsheng Wang , Zhiyang He , Xiaodong Tao , Kun Zhang , S. Kevin Zhou

Clinical coding is a critical task in healthcare, although traditional methods for automating clinical coding may not provide sufficient explicit evidence for coders in production environments. This evidence is crucial, as medical coders…

Computation and Language · Computer Science 2025-04-08 Leonor Barreiros , Isabel Coutinho , Gonçalo M. Correia , Bruno Martins

Accurate medical coding requires consulting authoritative resources such as the ICD tabular list and coding guidelines. Existing LLM-based automated methods largely rely on LLMs' internal knowledge, which is prone to hallucination and…

Computation and Language · Computer Science 2026-05-29 Yidong Gan , David D. Nguyen , Yang Lin , Peter Zhong , Thanh Vu , Long Duong , Yuan-Fang Li

Medical coding is a complex task, requiring assignment of a subset of over 72,000 ICD codes to a patient's notes. Modern natural language processing approaches to these tasks have been challenged by the length of the input and size of the…

Machine Learning · Computer Science 2022-08-17 Jay DeYoung , Han-Chin Shing , Luyang Kong , Christopher Winestock , Chaitanya Shivade

Automated International Classification of Diseases (ICD) coding assigns standardized diagnosis and procedure codes to clinical records, playing a critical role in healthcare systems. However, existing methods face challenges such as…

Computation and Language · Computer Science 2025-11-12 Mucheng Ren , He Chen , Yuchen Yan , Danqing Hu , Jun Xu , Xian Zeng

This study aims to explore the implementation of Natural Language Processing (NLP) and machine learning (ML) techniques to automate the coding of medical letters with visualised explainability and light-weighted local computer settings.…

Computation and Language · Computer Science 2024-07-19 Jamie Glen , Lifeng Han , Paul Rayson , Goran Nenadic

Automatic coding of International Classification of Diseases (ICD) is a multi-label text categorization task that involves extracting disease or procedure codes from clinical notes. Despite the application of state-of-the-art natural…

Machine Learning · Computer Science 2023-10-17 Chang Lu , Chandan K. Reddy , Ping Wang , Yue Ning

Automated medical coding is a process of codifying clinical notes to appropriate diagnosis and procedure codes automatically from the standard taxonomies such as ICD (International Classification of Diseases) and CPT (Current Procedure…

Machine Learning · Computer Science 2022-07-15 Jeshuren Chelladurai , Sudarsun Santhiappan , Balaraman Ravindran

Although the International Classification of Diseases (ICD) has been adopted worldwide, manually assigning ICD codes to clinical text is time-consuming, error-prone, and expensive, motivating the development of automated approaches. This…

Computation and Language · Computer Science 2024-02-06 Gonçalo Gomes , Isabel Coutinho , Bruno Martins

Automatic International Classification of Diseases (ICD) coding plays a crucial role in the extraction of relevant information from clinical notes for proper recording and billing. One of the most important directions for boosting the…

Machine Learning · Computer Science 2024-02-27 Junyu Luo , Xiaochen Wang , Jiaqi Wang , Aofei Chang , Yaqing Wang , Fenglong Ma

Linking clinical narratives to standardized vocabularies and coding systems is a key component of unlocking the information in medical text for analysis. However, many domains of medical concepts lack well-developed terminologies that can…

Computation and Language · Computer Science 2021-03-11 Denis Newman-Griffis , Eric Fosler-Lussier

Medical coding, the translation of unstructured clinical text into standardized medical codes, is a crucial but time-consuming healthcare practice. Though large language models (LLM) could automate the coding process and improve the…

Computation and Language · Computer Science 2025-03-25 John Wu , David Wu , Jimeng Sun

This study evaluates how well large language models (LLMs) can classify ICD-10 codes from hospital discharge summaries, a critical but error-prone task in healthcare. Using 1,500 summaries from the MIMIC-IV dataset and focusing on the 10…

Computation and Language · Computer Science 2025-07-08 Akram Mustafa , Usman Naseem , Mostafa Rahimi Azghadi

Clinical coding is the task of assigning a set of alphanumeric codes, referred to as ICD (International Classification of Diseases), to a medical event based on the context captured in a clinical narrative. The latest version of ICD,…

Computation and Language · Computer Science 2022-03-11 Cansu Sen , Bingyang Ye , Javed Aslam , Amir Tahmasebi

We present a system that uses a learned autocompletion mechanism to facilitate rapid creation of semi-structured clinical documentation. We dynamically suggest relevant clinical concepts as a doctor drafts a note by leveraging features from…

Machine Learning · Computer Science 2020-07-31 Divya Gopinath , Monica Agrawal , Luke Murray , Steven Horng , David Karger , David Sontag
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