ICD-10

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.<ref Name="WHOICD"/>

The code set allows more than 14,400 different codes and permits the tracking of many new diagnosesTemplate:Fact. The codes can be expanded to over 16,000 codes by using optional sub-classificationsTemplate:Fact. The detail reported by ICD can be further increased, with a simplified multi-axial approach, by using codes meant to be reported in a separate data fieldTemplate:Fact.

The WHO provides detailed information about ICD online, and makes available a set of materials online, such as an ICD-10 online browser,<ref>ICD-10 online browser</ref> ICD-10 Training, ICD-10 online training,<ref>ICD-10 training tool</ref> ICD-10 online training support,<ref>ICD 10 Online Support</ref> and study guide materials for download.

The International version of ICD should not be confused with national Clinical Modifications (CM) of ICD that frequently include much more detail, and sometimes have separate sections for procedures. The US ICD-10 Clinical Modification (ICD-10-CM), for instance, has some 68,000 codesTemplate:Fact. The US also has the ICD-10 Procedure Coding System (ICD-10 PCS), a coding system that contains 76,000 codes not used by other countries.<ref Name="CMS_PressAug2008">Template:Cite press release</ref>

Be aware that many ICD-10 references in Wikipedia refer to ICD-10 CM (US modification), in particular if they have 5 digits (xxx.xx).

Work on ICD-10 began in 1983 and was completed in 1992.<ref Name="WHOICD">Template:Cite web</ref>

List

The following is a List of ICD-10 codes.<ref Name="WHO">Template:Cite web</ref> Template:ICD-10

National adoption for clinical use

Some 25Template:Fact 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 for cause of death reporting and statistics.

Australia

ICD-10-AM (Australian Modification)

1 July 1998 Victoria, New South Wales, Australian Capital Territory and Northern Territory implemented ICD-10-AM.
1 July 1999 Queensland, South Australia, Tasmania and Western Australia implemented ICD-10-AM.<ref>DRG and ICD information in QueenslandTemplate:Verify source</ref>

Canada

Canada introduced ICD-10-CA in 2000.<ref>"ICD10-CA"</ref>

China

China adopted ICD-10 in 2002.<ref>Deloitte Center for Health Solutions</ref>

Czech republic

Czech republic adopted ICD-10 in 1994, one year after official release from WHO.<ref>Czech Translation of ICD 10 </ref> Czech republic uses the international version without any local modifications. Czech republic adopted all updates to the international version (namely in 2004,2010,2011,2012).

France

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

Germany

Germany: ICD-10-GM (German Modification)Template:Fact

Korea

A Korean modification has existed since 2008.Template:Fact

Netherlands

The Dutch translation of ICD-10 is ICD10-nl, which was created by the WHO-FIC Netwerk in 1994.<ref>WHO - FIC Homepage</ref> There is an online dictionary.

South Africa

1 January 2005 Pretoria, Johannesburg, Cape townTemplate:Fact

Sweden

The current Swedish translation of ICD-10 was created in 1997.Template:Fact 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.Template:Fact

Thailand

A Thai modification has existed since 2007; the Ministry of Public Health has ICD 10 TM. and 1 of 3 first used ICD-10 Code with Czechoslovakia and Denmark in 1994Template:Fact

United States

The deadline for the United States to begin using Clinical Modification ICD-10-CM for diagnosis coding and Procedure Coding System ICD-10-PCS for inpatient hospital procedure coding is set at October 1, 2015,<ref>"Senate Approves ICD-10 Delay, 'Doc Fix'".March 31, 2014</ref><ref>"H.R. 4302 (Protecting Access to Medicare Act of 2014)". U.S. Senate. March 31, 2014, 06:31pm.</ref> another year delayed from the previous 2014 deadline<ref>Template:Cite journal. Template:USFR of Template:Date. Template:USFR of Template:Date.</ref> The deadline prior was October 1, 2013.<ref>"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.</ref><ref>"Overview ICD-10". Centers for Medicare and Medicaid Services.</ref> 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.<ref>Noblis ICD-10 F.A.Q.</ref> 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.<ref>"Physicians Get Grace Period from CMS on HIPAA 5010 Enforcement".Physicians Practice.November 18, 2011</ref> The implementation of ICD-10 has been subject to previous delays. In January 2009, the date was pushed back by two years, to October 1, 2013 rather than a prior proposal of October 1, 2011.<ref>"Feds Delay ICD-10 for Two Years". The Wall Street Journal. January 15, 2009.</ref> The most recent pushback of the implementation date has inspired a mixed reaction from the healthcare community.<ref>Template:Cite web</ref>

Even though the deadline for ICD-10 has been pushed back repeatedly, CMS recommends that medical practices take several years to prepare for implementation of the new code set.<ref>"CMS.gov/ICD-10/Provider Resources" accessed Aug 1, 2012.</ref> The basic structure of the ICD-10 code is the following: Characters 1-3 (the category of disease); 4 (etiology of disease); 5 (body part affected), 6 (severity of illness) and 7 (placeholder for extension of the code to increase specificity) .<ref>"AHIMA ICD-10 CM Primer".</ref> Not only must new software be installed and tested, but medical practices must provide training for physicians, staff members, and administrators. They will also need to develop new practice policies and guidelines, and update paperwork and forms. For convenience, practices may also create "crosswalks" that will convert their most frequently used ICD-9 codes to the ICD-10 equivalents. <ref>"CMS ICD-10 website".</ref> <ref>"Free ICD10 data".</ref>

U.A.E (Dubai)

Dubai Health Authority (DHA) introduced ICD-10 in 2012.Template:Fact

Language versions

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

See also

• Classification of Pharmaco-Therapeutic Referrals
• ICD#ICD-10—provides multiple external links for looking up ICD-10 codes
• International Classification of Diseases for Oncology
• International Classification of Primary Care