ICD-10

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The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization. (WHO)[1]. The code set allows more than 14,400 different codes and permits the tracking of many new diagnoses. Using optional subclassifications, the codes can be expanded to over 16,000 codes. Using codes that are meant to be reported in a separate data field, the level of detail that is reported by ICD can be further increased, using a simplified multiaxial approach.

WHO provides detailed information about ICD online, and makes available a set of materials online, as an ICD-10 online browser [2], ICD10Training ICD-10 online training [3], ICD-10 online training support[4], and study guide materials[5] for download.

The International version of ICD should not be confused with national Clinical Modifications of ICD that include frequently much more detail, and sometimes have separate sections for procedures, so the new US ICD-10 CM has some 155,000 codes.[6]

Work on ICD-10 began in 1983 and was completed in 1992.[1]

List

The following is a List of ICD-10 codes.[7]

International Statistical Classification of Diseases and Related Health Problems 10th Revision
Chapter Blocks Title
I A00-B99 Certain infectious and parasitic diseases
II C00-D48 Neoplasms
III D50-D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
IV E00-E90 Endocrine, nutritional and metabolic diseases
V F00-F99 Mental and behavioural disorders
VI G00-G99 Diseases of the nervous system
VII H00-H59 Diseases of the eye and adnexa
VIII H60-H95 Diseases of the ear and mastoid process
IX I00-I99 Diseases of the circulatory system
X J00-J99 Diseases of the respiratory system
XI K00-K93 Diseases of the digestive system
XII L00-L99 Diseases of the skin and subcutaneous tissue
XIII M00-M99 Diseases of the musculoskeletal system and connective tissue
XIV N00-N99 Diseases of the genitourinary system
XV O00-O99 Pregnancy, childbirth and the puerperium
XVI P00-P96 Certain conditions originating in the perinatal period
XVII Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities
XVIII R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
XIX S00-T98 Injury, poisoning and certain other consequences of external causes
XX V01-Y98 External causes of morbidity and mortality
XXI Z00-Z99 Factors influencing health status and contact with health services
XXII U00-U99 Codes for special purposes

Nomenclature

National adoption for clinical use

Some 25 countries use ICD-10 for reimbursement and resource allocation in their health system. A few of them made modifications to ICD to better accommodate this use of ICD-10. The article below makes reference to some of these modifications. The unchanged international version of ICD-10 is used in about 110 countries ICD-10 for cause of death reporting and statistics.

Australia

Australia introduced their first edition of "ICD-10-AM" in 1998.

Canada

Canada introduced "ICD-10-CA" in 2000.

France

France introduced a clinical addendum to ICD-10 in 2005. See also website of the ATIH.

Germany

Germany: ICD-10-GM (German Modification)

Korea

A Korean modification exists since 2008.

Sweden

The current Swedish translation of ICD-10 was created in 1997. A clinical modification has added more detail and omits codes of the international version in the context of clinical use of ICD:

The codes F64.1 (Dual-role transvestism), F64.2 (Gender identity disorder of childhood), F65.0 (Fetishism), F65.1 (Fetishistic transvestism), F65.5 (Sadomasochism), F65.6 (Multiple disorders of sexual preference) are not used in Sweden since 1 January 2009 according to a decision by the present Director General of The National Board of Health and Welfare, Sweden. The code O60.0 is not used in Sweden. Since 1 January 2009 the Swedish extension codes to O47 are recommended for use, instead of O60.0.

Thailand

A Thai modifications exists since 2007.

United States

The United States will begin official use of ICD-10 on October 1, 2013, using Clinical Modification ICD-10-CM for diagnosis coding and Procedure Coding System ICD-10-PCS for inpatient hospital procedure coding.[8][9] All HIPAA "covered entities" must make the change; a pre-requisite to ICD-10 is the adoption of EDI Version 5010 by January 1, 2012 [10]. The implementation of ICD-10 has already been delayed. In January 2009, the date was moved forward by two years, to Oct. 1, 2013 rather than a prior proposal of Oct. 1, 2011[11].

Language versions

Language versions should not be confused with clinical versions. ICD has been translated into 42 languages.

See also

References

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  1. 1.0 1.1 WHO | International Classification of Diseases (ICD)
  2. International Statistical Classification of Diseases and Related Health Problems 10th Revision Version for 2007
  3. ICD-10 training tool
  4. ICD 10 Online Support
  5. ICD-10 Study Guide
  6. CMS Office of Public Affairs (August 15, 2008). "HHS Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction Standards" (web). News Release. U.S. Department of Health & Human Services. Retrieved 2008-10-22. 
  7. WHO (2007). "International Statistical Classification of Diseases and Related Health Problems 10th Revision Version for 2007" (web). World Health Organization. Retrieved February 26, 2010. 
  8. National Center for Health Statistics
  9. Centers for Medicare & Medicaid Services
  10. Noblis ICD-10 F.A.Q.
  11. "Wall Street Journal" Jan. 15, 2009