PRODUCED BY THE WORLDHEALTH ORGANIZATIONThe ICD has been evolving for more than 100 years as aSYSTEMATIC CODING SYSTEM.
-it is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems commonly known as ICD - 10-it is used in clinical coding
-it is the translation of diseases,health related problems andprocedural concepts from text toalphabetic/numeric codes forstorage, retrieval and analysis
-it is a system of categories or groupings to which diseases, injuries, conditions and procedures are assigned according to established criteria ICD-10 is a statistical classification, which means that it contains limited number of mutually exclusive code categories describing all disease concepts.
To allow easy storage, retrieval and analysis of dataTo allow comparison of data between hospitals, provinces, regions and countries
Consistent use of ICD-10 codes allowscomparative/accurate statistics –quality statistics to be produced... HOSP. A HOSP. B Region 2 CAR INDIA PHILIPPINES
ICD-10 codes are used to generate statisticsfor Morbidity and Mortality.
Epidemiology Medical Care ManagementHOW?• provides clues for causes of disease• evaluation of previous treatments• review of previous public health initiatives or programs• aid health services planning decisions
• There are three (3) Volumes Volume 1 (Tabular List) It is an alphanumeric listing of diseases and disease groups along with inclusion and exclusion notes and other coding conventions
Volume 2 It provides: 1. an introduction and instructions on the use of Volumes 1 and 3 2. Guidelines in morbidity and mortality coding Volume 3 It is a comprehensive Alphabetical Index of diseases and conditions found in the Tabular List
1. There are 21 Chapters The number of categories assigned to a Chapter is influenced by the number of diseases and conditions that fall within the scope of the Chapter
1. The structure of the ICD-10 code is alphanumeric: The first character of the code is an alpha character followed by 2 , 3 or 4 numeric characters Examples: A90 A00.0 M79.09
The ICD-10 follows certain conventions in order toprovide information in a consistent manner.These conventions fall into several categoriesnamely: Instructional Notes: Inclusion, Exclusion Glossary descriptions Dual coding Use of additional code/s Punctuation marks Abbreviations Relational terms “And” “With”, “Without” “Due to”, “Resulting in”
¢ Review diagnostic statements and case notes to identify main condition and other conditions¢ Locate the lead term and modifiers in Volume 3 (Alphabetical Index)¢ Follow cross reference terms such as “see” and “see also”¢ Refer to Volume 1 (Tabular List) to verify the code given by the Alphabetical Index¢ Follow all applicable coding conventions found in the Tabular List¢ Finally, ASSIGN THE CODE
In 1997, WHO sponsored an ICD-10 Train the Trainorsseminar/workshop. A workshop on the development of theStudent Manual was also conducted.In 1998, the Department of Health (DOH) resolved to adopt the ICD-10 in Philippine hospitals and registries to improve existing health statistics The DOH started to conduct ICD-10 TrainingsDOH Administrative Order No. 47 s. 2000mandates all hospitals to implement ICD-10coding beginning January 01, 2001. To complement this Administrative Order, PhilHealthissued Circular No. 04 s. 2001 mandating all accredited providers to code their claims beginning July 01, 2001.
The National Epidemiology Center together with the Bureau of Health Facilities and Services, National Center for Health Facility Development of the DOH and PhilHealth, have been tasked to provide intensive training courses on ICD-10 Coding to all concerned.Two Training Modules were developed by the National ICD-10 Program: • Non-Coders Training (3 days) • Coders Training (5 days)
ICD-10 Coding Guidelines were developed by the ICD-10 National Technical Working Group in consultation with the concerned Medical Specialty SocietiesDepartment Circular No. 33, s. 2004 was signed by then Health Secretary Manuel M. Dayrit for the dissemination of the said guidelines
ICD-10 Coding Guidelines:• No. 001- Pregnancy, Childbirth and the Puerperium• No. 002- Cataract and Disorders of Lens• No. 003- Influenza• No. 004- Pneumonia• No. 005- Pulmonary Tuberculosis• No. 006- Conditions with No Direct IndexThis year , the “ICD-10 Philippine Modification” will be launched to assist coder in the coding certain conditions/diseases common in the country
1. Unfamiliarity of the ICD-10 Philippine Modifications2. Incomplete Translation • Outcome of Delivery not coded • Missing fourth and fifth digit category • No Morphology and Behaviour Code3. Failure to follow the ICD-10 Conventions.(site of musculo-skeletal involvement, laterality, exclusions, etc.)
4. Requiring the Physicians to adopt the ICD-10 category titles as diagnostic statements Note: ICD is a classification, therefore, category title may as represent a specific diagnosis or it may also appear a general terminology for a group of related conditions/diseases/circumstances. Example: Dengue Fever Other Disorders of the Lung
1.Always write the complete and correct diagnoses for the main condition and other conditions or the correct sequence of events for mortality cases to enable the coder (medical records officer) to apply the appropriate rule/s and arrive at the correct set of codes.2. In diagnosing injuries, provide the nature of the injury, the circumstances that caused the injury including the place of occurrence, and the activity of the injured. Follow the guidance in coding injury and poisoning.
3. In diagnosing neoplasms, provide the site, morphology and behaviour of the cancer.4. In diagnosing infections, provide the etiologic agent, if possible.5. Specify if the condition is a late effect or a sequelae of another condition.6. Specify the offending agent (chemical or drug) when diagnosing poisoning or adverse reactions.
ICD-10 CODE CONDITIONS dengue, dengue fever, dengue fever A90 syndrome dengue hemorrhagic fever stage 1, A91.0 DHF I, dengue stage I dengue hemorrhagic fever stage 2, A91.1 DHF II, dengue stage II dengue hemorrhagic fever stage 3, A91.2 DHF III, dengue stage III dengue hemorrhagic fever stage 4, A91.3 DSS, dengue stage IV A91.9 dengue hemorrhagic fever stage unspecified, dengue hemorrhagic fever
ICD-10 CODE CONDITIONS AGE with some/mildA09.0 dehydration AGE with moderate/markedA09.1 dehydration AGE with severeA09.2 dehydration AGE with no signsA09.3 dehydration AGE; AGE with DHN; acuteA09.9 gastroenteritis with DHN
ICD-10 CODE CONDITIONS I10.0 Stage I I10.1 Stage II I10.2 Stage III I10.3 Stage IV I10.9 Hypertension, HPN, HTN
ICD-10 CODE CONDITIONS Z20.1 Pulmonary Tuberculosis [PTB] Class 1,2 A15.0 Pulmonary Tuberculosis [PTB] Class 3 by sputum confirmation A16.2 Pulmonary Tuberculosis [PTB] Pulmonary Tuberculosis [PTB] Class 2,3,5 by x-ray confirmation Z03.0 Pulmonary Tuberculosis [PTB] Class 5