Malignant Neoplasm of the Colon and Rectum B066
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/m/malignant-neoplasm-colorectum-b066-c18c19c20
Factors in CCPS as at 26 August 2004 (B066)
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/m/malignant-neoplasm-colorectum-b066/factors-ccps-26-august-2004-b066
Alcohol consumption
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/alcohol-consumption
Alteration in dietary pattern - processed meat
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/alteration-dietary-pattern-processed-meat
Alteration in dietary pattern - unprocessed meat
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/alteration-dietary-pattern-unprocessed-meat
Atomic radiation
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/atomic-radiation
Being obese
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/being-obese
Cigar smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/cigar-smoking
Cigarette smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/cigarette-smoking
Colorectal adenoma
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/colorectal-adenoma
Crohn's disease
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/crohns-disease
Familial adenomatous polyposis
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/familial-adenomatous-polyposis
Inability to consume fibre in food
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/inability-consume-fibre-food
Inability to consume folate in food
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/inability-consume-folate-food
Inability to undertake any physical activity greater than 3 METs
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/inability-undertake-any-physical-activity-greater-3-mets
Inhaling respirable asbestos fibres in an enclosed space
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/inhaling-respirable-asbestos-fibres-enclosed-space
No appropriate clinical management for malignant neoplasm of colorectum
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/no-appropriate-clinical-management-malignant-neoplasm-colorectum
Pipe smoking
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/pipe-smoking
Smoking tobacco products - material contribution
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/smoking-tobacco-products-material-contribution
Therapeutic radiation to the abdominal or pelvic region
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/therapeutic-radiation-abdominal-or-pelvic-region
Ulcerative colitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 19 of 2022 |
| Balance of Probabilities SOP | 20 of 2022 |
Changes from previous Instruments
ICD Coding
Brief description
This is a primary cancer of the lining of the large intestine (colon or rectum). Primary means that the cancer arose in the colon or rectum and did not arrive secondarily from another body site.
Confirming the diagnosis
Information on histology (from biopsy, surgery, or autopsy) is required to confirm the diagnosis and apply the SOP. There are SOP factors specific to MN of the colon only, so information on tumour location will be required to apply those factors.
The relevant medical specialist is a general surgeon, colorectal surgeon or gastroenterologist.
Additional diagnoses covered by these SOPs
- adenocarcinoma of the colon or rectum
- adenosquamous carcinoma of the colon or rectum
- carcinoma of the appendix
- carcinoma of the colon or rectum
- medullary carcinoma of the colon or rectum
- mucinous (colloid) adenocarcinoma of the colon or rectum
- signet ring carcinoma of colon or rectum
- small cell (oat cell) carcinoma of the colon or rectum
- squamous cell (epidermoid) carcinoma of the colon or rectum
- undifferentiated carcinoma of the colon or rectum
Related conditions that may be covered by SOP (further information required)
- colon cancer
- cancer of the colon
- cancer of the rectum
- rectal cancer
Conditions excluded from SOP
- adenoma of the colon or rectum*
- carcinoid of the colon or rectum#
- carcinoma-in- situ of the colon or rectum#
- Hodgkin’s lymphoma* of the colon or rectum
- non-Hodgkin lymphoma* of the colon or rectum
- secondary/metastatic cancer/carcinoma involving the colon or rectum (code to primary site)
- soft tissue sarcoma* of the colon or rectum
* another SOP applies
# non-SOP condition
Clinical onset
Clinical onset will generally be at the time of diagnosis. Symptoms are non-specific, but it may be possible to back-date onset on the basis of symptoms such as rectal bleeding, change in bowel habit or loss of weight.
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Colorectal cancer has a very variable course and prognosis. It is particularly amenable to treatment if found early. A delay in appropriate treatment could result in worsening of the condition. Establishing whether worsening beyond the normal course of the disease has occurred will generally require expert medical opinion.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-colorectum-b066-c18c19c20/rulebase-malignant-neoplasm-colorectum/ulcerative-colitis