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ICD-10 2e Volume 3 (2013) SECTION I - Alphabetical index to diseases and nature of injury. Aarskog's syndrome Q87.1 Abandonment T74.0 Abasia(-astasia) (hysterical) F44.4 Abdomen, abdominal - see also condition -acute R10.0 2b -convulsive equivalent G40.8 -muscle deficiency syndrome Q79.4 Abdominalgia R10.4 2b -periodic E85.9 2b. The Web's Free 2019 ICD-10-CM/PCS Medical Coding Reference. ICD10Data.com is a free reference website designed for the fast lookup of all current American ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) medical billing codes. ICD-10 Online contains the ICD-10 (International Classification of Diseases 10th Revision) Search Text: Advanced Search Help. Advanced search lets you search selected properties of the classification. Here the porgram lists the titles of the ICD categories in which your search keywords are found.
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ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.[1] Work on ICD-10 began in 1983,[2] became endorsed by the Forty-third World Health Assembly in 1990, and was first used by member states in 1994.[1]
Whilst WHO manages and publishes the base version of the ICD, several members states have modified it to better suit their needs. In the base classification, the code set allows for more than 14,000 different codes[3] and permits the tracking of many new diagnoses compared to the preceding ICD-9. Through the use of optional sub-classifications ICD-10 allows for specificity regarding the cause, manifestation, location, severity and type of injury or disease.[4] The adapted versions may differ in a number of ways, and some national editions have expanded the code set even further; with some going so far as to add procedure codes. ICD-10-CM, for example, has over 70,000 codes.[5]
The WHO provides detailed information regarding the ICD via its website – including an ICD-10 online browser[6] and ICD training materials.[7] The online training includes a support forum,[8] a self learning tool[7] and user guide.[9]
- 2National adoptions
List[edit]
The following table lists the chapter number (using Roman numerals), the code range of each chapter, and the chapter's title from the international version of the ICD-10.[10]
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 |
National adoptions[edit]
Approximately 27[11][12] countries use ICD-10 for reimbursement and resource allocation in their health system, and some have made modifications to ICD to better accommodate its utility. The unchanged international version of ICD-10 is used in 117 countries for performing cause of death reporting and statistics.[1]
The national versions may differ from the base classification in the level of detail, incomplete adoption of a category,[13] or the addition of procedure codes.
Australia[edit]
Introduced in 1998, ICD-10 Australian Modification (ICD-10-AM) was developed by the National Centre for Classification in Health at the University of Sydney.[14] It is currently maintained by the Australian Consortium for Classification Development.[15]
ICD-10-AM has also been adopted by New Zealand,[16] the Republic of Ireland,[17]Saudi Arabia[18] and several other countries.[19]
Brazil[edit]
Brazil introduced ICD-10 in 1996.[20]
Canada[edit]
Canada began using ICD-10 for mortality reporting in 2000.[21] A six-year, phased implementation of ICD-10-CA for morbidity reporting began in 2001.[22] It was staggered across Canada's ten provinces, with Quebec the last to make the switch.[22]
ICD-10-CA is available in both English and French language versions.[21]
China[edit]
China adopted ICD-10 in 2002.[23]
Czech Republic[edit]
The Czech Republic adopted ICD-10 in 1994, one year after its official release by WHO.[24] Revisions to the international edition are adopted continuously.[25];[26] The official Czech translation of ICD-10 2016 10th Revision was published in 2018.[27]
France[edit]
France introduced a clinical addendum to ICD-10 in 1997.[28] See also website of the ATIH.
Germany[edit]
Germany's ICD-10 German Modification (ICD-10-GM) is based on ICD-10-AM.[19] ICD-10-GM was developed between 2003 and 2004, by the German Institute for Medical Documentation and Information.[19]
Korea[edit]
A Korean modification has existed since 2008.[29]
Netherlands[edit]
The Dutch translation of ICD-10 is ICD10-nl, which was created by the WHO-FIC Network in 1994.[30] There is an online dictionary.[31]
Russia[edit]
The Ministry of Healthcare of the Russian Federation ordered in 1997 to transfer all health organizations to ICD-10.[32]
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South Africa[edit]
ICD-10 was implemented in July 2005 under the auspice of the National ICD-10 Implementation Task Team which is a joint task team between the National Department of Health and the Council for Medical Schemes.[33]
Sweden[edit]
The current Swedish translation of ICD-10 was created in 1997.[34] 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 (Preterm labor without delivery) is not used in Sweden; instead, since 1 January 2009, the Swedish extension codes to O47 (False labor) are recommended for use.[citation needed]
Thailand[edit]
First published in 1998,[citation needed] the ICD-10-TM (Thai Modification) is a Thai language version of ICD-10. Maintenance and development of ICD-10-TM is the responsibility of the Thai Health Coding Center (THCC),[citation needed] a department of the Thai Ministry of Public Health.[citation needed] The current version of ICD-10-TM is based on the 2016 version of ICD-10.[citation needed] An unusual feature of the index of ICD-10-TM is that it is bilingual, containing both Thai and English trails.[35]
Along with Czechoslovakia and Denmark; Thailand was one of the first adopters of ICD-10 for coding purposes.[citation needed]
United Kingdom[edit]
ICD-10 was first mandated for use in the UK in 1995.[36] In 2010 the UK Government made a commitment to update the UK version of ICD-10 every three years.[37] On 1 April 2016, following a year's delay,[37] ICD-10 5th Edition[note 1] replaced the 4th Edition as the mandated diagnostic classification within the UK.[38]
United States[edit]
For disease reporting, the US utilizes its own national variant of ICD-10 called the ICD-10 Clinical Modification (ICD-10-CM).[39] A procedural classification called ICD-10 Procedure Coding System (ICD-10-PCS)[note 2] has also been developed for capturing inpatient procedures.[39] The ICD-10-CM and ICD-10-PCS were developed by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS).[39][40] There are over 70,000 ICD-10-PCS procedure codes and over 69,000 ICD-10-CM diagnosis codes, compared to about 3,800 procedure codes and roughly 14,000 diagnosis codes found in the previous ICD-9-CM.[5]
There was much controversy when the transition from the ICD-9-CM to the ICD-10-CM was first announced in the US. Many providers were concerned about the vast number of codes being added, the complexity of the new coding system, and the costs associated with the transition [41]. The Centers for Medicare and Medicaid Services (CMS) weighed these concerns against the benefits of having more accurate data collection, clearer documentation of diagnoses and procedures, and more accurate claims processing[41]. CMS decided the financial and public health cost associated with continuing to use the ICD-9-CM was too high and mandated the switch to ICD-10-CM.[41]
The deadline for the United States to begin using ICD-10-CM for diagnosis coding and Procedure Coding System ICD-10-PCS for inpatient hospital procedure coding was set at October 1, 2015,[42][43] a year later than the previous 2014 deadline.[44] Before the 2014 deadline, the previous deadline had been a year before that on October 1, 2013.[45][46] All HIPAA 'covered entities' were required to make the change; a pre-requisite to ICD-10-CM is the adoption of EDI Version 5010 by January 1, 2012.[47] Enforcement of 5010 transition by the Centers for Medicare & Medicaid Services (CMS), however, was postponed by CMS until March 31, 2012, with the federal agency citing numerous factors, including slow software upgrades.[48] The implementation of ICD-10-CM has been subject to previous delays. In January 2009, the date was pushed back to October 1, 2013, rather than an earlier proposal of October 1, 2011.[49]
Criticism[edit]
The expansion of healthcare delivery systems and changes in global health trends prompted a need for codes with improved clinical accuracy and specificity.[40] The alphanumeric coding in ICD-10 is an improvement from ICD-9 which had a limited number of codes and a restrictive structure.[40] Early concerns in the implementation of ICD-10 included the cost and the availability of resources for training healthcare workers and professional coders.[50]
Two common complaints in the United States about the ICD-10-CM are 1) the long list of potentially relevant codes for a given condition (such as rheumatoid arthritis) which can be confusing and reduce efficiency and 2) the assigned codes for seldom seen conditions (i.e W55.22XA: Struck by cow, initial encounter and V91.07XA: Burn due to water-skis on fire, initial encounter).[51][52]
See also[edit]
- Diagnostic and Statistical Manual of Mental Disorders, used in psychiatry
- DSM-5 its current version
Notes[edit]
- ^The numbering system of editions only refers to those used in the UK; not those issued by WHO. For example, whilst the 5th edition is based on ICD-10 version:2016, the 4th edition was based on the version from 2010 (skipping the versions of ICD-10 from 2014 and 2015).
- ^Although named ICD-10-PCS, this volume is not based on any of the WHO-FIC publications.
References[edit]
- ^ abc'International Classification of Diseases (ICD) Information Sheet'. Retrieved 29 October 2018.
- ^'ICD-10 Fifth Edition'(PDF). apps.who.int. p. 5. Retrieved 29 October 2018.
- ^'FAQ on ICD'. Retrieved 29 October 2018.
- ^'ICD-10 Second Edition Volume 2 – World Health Organization, p15'(PDF). Who.int. Retrieved 23 May 2017.
- ^ ab'The switch from ICD-9 to ICD-10: When and why'. icd.codes. Retrieved 19 January 2018.
- ^'ICD-10 Version:2016'. apps.who.int. Retrieved 29 October 2018.
- ^ ab'ICD-10 Training Tool'. apps.who.int. Retrieved 23 May 2017.
- ^'ICD-10-online-training'. sites.google.com. Retrieved 23 May 2017.
- ^'ICD-10 User Guide'(PDF). Retrieved 20 November 2018.
- ^'International Classification of Diseases 10th Revision'. World Health Organization. 2010. Retrieved February 26, 2010.
- ^'3M Health Information Services: ICD-10 Overview'(PDF). Eastern Ohio Health Information Management Association. 2009. Retrieved Dec 2, 2015.
- ^France, Francis H. Roger (2001). Case Mix: Global Views, Local Actions : Evolution in Twenty Countries. Amsterdam: IOS Press. ISBN1 58603 217 8.
- ^National Clinical Coding Standards ICD-10 5th Edition (2017). NHS Digital Clinical Classification Services. April 2017. p. 200.
- ^'ICD-10-AM/ACHI/ACS: Australian Consortium for Classification Development'. Australian Consortium for Classification Development. Retrieved 3 December 2018.
- ^'Overview : Australian Consortium for Classification Development'. Australian Consortium for Classification Development. Retrieved 3 December 2018.
- ^'ICD-10-AM/ACHI/ACS'. Ministry of Health NZ. Retrieved 3 December 2018.
- ^'Irish Coding Standards Version 9'(PDF). Healthcare Pricing Office. Retrieved 3 December 2018.
- ^الصحة, فريق بوابة وزارة. 'ICD-10-AM - Introduction'. www.moh.gov.sa. Retrieved 3 December 2018.
- ^ abcKillewo, Japhet; Heggenhougen, Kristian; Quah, Stella R. (2010). Epidemiology and Demography in Public Health. Academic Press. ISBN9780123822017. Retrieved 3 December 2018.
- ^Fazito, Erika; Cuchi, Paloma; Fat, Doris Ma; Ghys, Peter Denis; Pereira, Mauricio G.; Vasconcelos, Ana Maria Nogales; Pascom, Ana Roberta Pati (1 December 2012). 'Identifying and quantifying misclassified and under-reported AIDS deaths in Brazil: a retrospective analysis from 1985 to 2009'. Sex Transm Infect. 88 (Suppl 2): i86–i94. doi:10.1136/sextrans-2012-050632. ISSN1368-4973. PMC3512438. PMID23172349. Retrieved 3 December 2018.
- ^ abMoskal, Lori (15 October 2004). 'Implementation of ICD-10-CA and CCI in Canada'. Implementation of ICD-10-CA and CCI in Canada / AHIMA, American Health Information Management Association. Retrieved 3 December 2018.
- ^ abWalker, Robin L; Hennessy, Deirdre A; Johansen, Helen; Sambell, Christie; Lix, Lisa; Quan, Hude (10 June 2012). 'Implementation of ICD-10 in Canada: how has it impacted coded hospital discharge data?'. BMC Health Services Research. 12: 149. doi:10.1186/1472-6963-12-149. PMC3411494. PMID22682405.
- ^'Deloitte Center for Health Solutions'(PDF). Deloitte.com. Retrieved 23 May 2017.
- ^'MKN Mezinárodní statistická klasifikace nemocí a přidružených zdravotních problémů' [International Statistical Classification of Diseases and Related Health Problems]. uzis.cz (in Czech). Retrieved 26 April 2019.
- ^'Spolupráce s WHO' [Cooperation with WHO]. uzis.cz (in Czech). Retrieved 26 April 2019.
- ^Zvolský, Miroslav. 'Implementation of international classifications in the Czech Republic', cz:ÚZIS, December 2016. Retrieved on 26 April 2019.
- ^'MKN Mezinárodní statistická klasifikace nemocí a přidružených zdravotních problémů' [International Statistical Classification of Diseases and Related Health Problems]. uzis.cz (in Czech). Retrieved 26 April 2019.
- ^'History of ICD-10'. 2015-02-17.
- ^Kim, Sukil (July 18, 2013). 'Use of Classifications in Korea'(PDF). Retrieved Oct 10, 2017.
- ^'WHO-Fic'. Rivm.nl. Retrieved 23 May 2017.
- ^'Browser'. class.who-fic.nl.
- ^'Приказ Минздрава РФ от 27.05.97 № 170 (ред. от 12.01.98) 'О переходе органов и учреждений здравоохранения Российской Федерации на Международную статистическую классификацию болезней и проблем, связанных со здоровьем X пересмотра''. zakonbase.ru (in Russian). Retrieved 2 November 2018.
- ^Council for Medical Schemes (March 2009), South African ICD-10 Coding Standards(PDF), Republic of South Africa Department of Health, Version 3, retrieved 2016-01-24
- ^Povl Munk-Jørgensen, Aksel Bertelse (January 1999). 'Implementation of ICD-10 in the Nordic countries'. Nordic Journal of Psychiatry. 53 (1): 5–9. doi:10.1080/080394899426648. ISSN0803-9488.
- ^'ICD10TM2016VOL1_FINAL'. thcc.or.th.
- ^'ICD-10 Classification'. Archived from the original on 29 April 2016.
- ^ ab'SCCI0021: ICD-10 5th Edition: Change Paper'(PDF). Health & Social Care Information Centre. Retrieved 17 January 2016.
- ^'ICD-10 Updates'. Health and Social Care Information Centre. Archived from the original on 9 May 2016.
- ^ abc'ICD-10 FAQs'. www.ahima.org. Retrieved 2018-11-20.
- ^ abc'ICD - ICD-10-CM - International Classification of Diseases,(ICD-10-CM/PCS Transition'. www.cdc.gov. Retrieved 2018-11-20.
- ^ abc'Misperceptions, Misinformation, and Misrepresentations: the ICD-10-CM/PCS Saga'.
- ^'Senate Approves ICD-10 Delay, 'Doc Fix''. Healthdatamanagement.com. Retrieved 23 May 2017.
- ^'H.R. 4302 (Protecting Access to Medicare Act of 2014)'. United States Senate. March 31, 2014
- ^'Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD–10–CM and ICD–10–PCS) Medical Data Code Sets'. Centers for Medicare and Medicaid Services{{inconsistent citations}}. 77 FR54664 of 5 September 2012. 77 FR60629 of 4 October 2012.
- ^'International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)'. National Center for Health Statistics. Centers for Disease Control and Prevention (CDC). December 20, 2010.
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- ^'HIPAA History'. hipaajournal.com.
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External links[edit]
- Official website at World Health Organization (WHO)
- ICD-10 online browser (WHO)
- ICD-10 online training direct access (WHO)
- ICD-10-CM (USA – modification) at Centers for Disease Control and Prevention (CDC)
Retrieved from 'https://en.wikipedia.org/w/index.php?title=ICD-10&oldid=901558900'
Published online 2015 Sep 25. doi: 10.1002/wps.20262
PMID: 26407802
This article has been cited by other articles in PMC.
The beta draft of the chapter on mental and behavioural disorders of the eleventh revision of the International Classification of Diseases (ICD-11) is now available online at http://apps.who.int/classifications/icd11/browse/l-m/en.
In addition to reading the contents, registered users can actively contribute to the development of the chapter by: a) commenting on the available materials and responding to the comments that have already been made; b) answering some questions about the quality of the materials; c) making proposals of changes or additions to the classification.
The ICD-11 Clinical Descriptions and Diagnostic Guidelines for each disorder will finally contain the following elements: a definition, a set of inclusion and exclusion terms, a description of the essential (required) features, a characterization of the boundary of the disorder with normality (threshold for the diagnosis) and with other disorders (differential diagnosis), a series of coded qualifiers/subtypes, and a description of course features, associated clinical presentations, culture-related features, developmental presentations, and gender-related features (see()). At present, the beta draft includes the definitions of the various disorders (summary statements of about 100-125 words each), the inclusion and exclusion terms, and, in some cases, the definitions of qualifiers/subtypes.
From the available materials, registered users are able to appreciate several features of the revised classification that have been already extensively discussed in the scientific literature (e.g.,(–)).
Among them is the introduction of the grouping of disorders specifically associated with stress, including the new categories of complex post-traumatic stress disorder and prolonged grief disorder, and an extensively revised category of adjustment disorder. Acute stress reaction is now characterized as a non-disordered response and classified among “conditions associated with psychosocial circumstances” (see()).
The definitions and subtyping of personality disorders and bodily distress disorder have also been extensively revised and simplified (see(), ()), and are being lively discussed on the beta draft platform. The grouping of impulse control disorders now includes also pathological gambling and compulsive sexual behaviour disorder (see()). A new name (“disorders of intellectual development”) and characterization is provided for those conditions that were subsumed under the heading “mental retardation” in the ICD-10 (see()).
In the definition of schizophrenia, disturbances of self-experience are highlighted in addition to those of thinking, perception, cognition, volition and affect. The one month duration criterion is kept, and functional impairment is not mentioned as a mandatory criterion, contrary to the DSM-5. Qualifiers referring to the course of the disorder are introduced. Schizoaffective disorder is characterized cross-sectionally as a disorder in which the diagnostic requirements for schizophrenia and a mood episode are met within the same episode of illness, either simultaneously or within a few days, contrary to the longitudinal characterization of the DSM-5 (see()).
In the grouping of mood disorders, the concept of mixed episode, characterized by either a mixture or a very rapid alternation of prominent manic and depressive symptoms on most days during a period of at least two weeks, is kept, contrary to the DSM-5 (see(4)). The categories of bipolar type II disorder and premenstrual dysphoric disorder are introduced (see(4)), and the definition provided for the latter is already being debated on the beta draft platform.
In the grouping of feeding and eating disorders, subtypes of anorexia nervosa “with dangerously low body weight” and “with significantly low body weight” have been included, and the new category of avoidant-restrictive food intake disorder has been introduced (see(5)).
Internet-based and clinic-based field studies of the new classification are now ongoing (see()). The former are being implemented through the Global Clinical Practice Network, currently including about 12,000 practitioners from all regions of the world. Psychiatrists can register to this network in any of nine languages at www.globalclinicalpractice.net.
The possibility of an interaction between the ICD-11 and the Research Domain Criteria (RDoC) projects is also being considered. Indeed, the main objectives of the two projects (i.e., improving the clinical utility of psychiatric diagnoses for the former; exploring in an innovative way the etiopathogenetic underpinnings of psychopathology for the latter) can be regarded as complementary, and much can be done to reduce the current gap between the RDoC constructs and some clinical phenomena that psychiatrists encounter in their ordinary clinical practice, especially in the area of psychoses (see(14–)).
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