International Classification of Diseases 10

1. International Classification
of Diseases 10
Moderator :- Dr Gajanan Velhal
Presenters:- Dr Rukman Mecca
Dr Chandrika Dandekar
Dr Ambika Bhadkar
Dr Pradnya Shinde
Dr Pratik Borkar

2. TYPES OF CLASSIFICATION IN WHO-FIC
(FIC-Family of InternationalClassification)
• REFERENCE CLASSIFICATION
• DERIVED CLASSIFICATION
• RELATED CLASSIFICATION

3. REFERENCE CLASSIFICATION
• Covers the main parameter of the health system, such as death,
disease, functioning disability, health and health interventions.
• Achieved broad acceptance and official agreement for use
• Approved as guidelines for international reporting on health
Eg:
International Classification of Diseases (ICD)
International Classification of Functioning, Disability and Health(ICF)
International Classification of Health(ICH)

4. DERIVED CLASSIFICATION
Prepared either by-
• Adopting the reference classification structure or through
rearrangement or aggregation of items from one or more
reference classifications
It includes speciality based adaptations of ICF and ICD, such
as :
• International Classification of Diseases for Oncology
• ICD 10 for Mental and behavioural disorders

5. • They are partially related to reference classifications or,
associated with reference classification at specific level
Eg:
International Classification of Primary care(ICPC-2)
International Classification of External causes of Injury(ICECI)
RELATED CLASSIFICATION

6. Introduction
• ICD is the abbreviation of the International statistical
classification of diseases and related health problems
• This is the global health information standard for mortality
and morbidity statistics implemented in nearly
110countries
• ICD is the foundation for the identification of health trends
and statistics globally, and the international standard for
reporting diseases and health conditions.
• Standard for all clinical and research purposes.

7. It allows for:
1. easy storage, retrieval and analysis of health information for
evidenced-based decision-making;
2. sharing and comparing health information between
hospitals, regions, settings and countries;
3. data comparisons in the same location across different time
periods.

8. History
• Francois Bossier de Lacroix (1706-1777) -
Conceived the idea of classification of diseases &
published it under the title Nosologia methodica
• Linnaeus (1707-1778)- a great methodologist
and contemporary of Lacroix published his work
under the title Genera morborum
• William Cullen (1710-1790) - simplified the
system for general use & published it under the
title Synopsis nosologiae methodic

9. • William Farr (1807-1883) first medical statistician
in 1855 submitted report on nomenclature and
statistical classification of diseases, in which he
included most of those diseases that affect health
and that are fatal.
•Jacques Bertillon(1851-1922) in 1893 began
a modern Classification Chief of Statistical
Services of Paris, prepared classification
based on the principle of distinguishing
between general diseases and those localized
to a particular organ or anatomical site

10. •The Sixth Decennial Revision Conference in 1948
recommended the adoption of a comprehensive
programme of international cooperation in the
field of vital and health statistics(ICD 6)
• The Seventh Revision Conference was held in
Paris in 1955 and, the revision was limited to
essential changes- ICD 7
• The Eighth Revision Conference was convened
by WHO in Geneva in 1965 which was much
more extensive- ICD 8

11. • The International Conference for the Ninth
Revision (ICD 9) was convened by WHO in
Geneva in 1975 and it came into effect from
1979.
• Due to limited accuracy of clinical data coding and
limitation in the number of new codes that can be
created, got replaced.
• ICD-10 was endorsed by the 43rd World Health
Assembly in May 1990 and came into use in WHO
Member States as from 1994. India adopted this
classification in the year 2000.

12. ICD-11 is here!
A version released on 18 June 2018 is
available for Member States and other
stakeholders to use in order to begin
preparations for implementation in their
country, such as preparing translations.

13. •The ICD 10 uses an alphanumeric code
with a letter in the first position and a
number in the second, third and fourth
positions.
•A decimal point after third character.
•Possible code numbers therefore range
from A00.0 to Z99.9
NB:- The letter U is not used

14. So whats ICD CM ?
The (ICD) is the classification used to code
and classify data from death certificates.
The (ICD-CM) is used to code and classify
morbidity data from the inpatient and
outpatient records and physician offices

15. • ICD 10 (2015 update ICD 10) is modified further into
A. ICD-10 CM -Clinical modification/ diagnostic coding
used by health care providers
B. ICD-10-PCS- In-patient procedure reporting used by
hospitals

16. Major differences from ICD 9
1. ICD-10 is printed in a three-volume set compared
with ICD-9's two-volume set
2. ICD-10 has alphanumeric categories rather than
numeric categories.
3. Some chapters have been rearranged, some titles
have changed, and conditions have been regrouped
4. ICD-10 has almost twice as many categories as
ICD-9.
5. Some fairly minor changes have been made in the
coding rules for mortality.

18. Structure
ICD-10 comprises three volumes:
• Volume 1 contains the main classifications;
• Volume 2 provides guidance to users of the ICD;
• Volume 3 is the Alphabetical Index to the
classification.
ICD 10 CM has 2 volumes- preferentially called as
1. Index-Alphabetical list of terms and its codes
2. Tabular list- sequential alpha-numeric list of
codes divided into 21 chapters

19. CHAPTERS:
The classification is divided into 21 chapters.
• Chapters I–XVII relate to diseases and other morbid conditions
• Chapter XVIII covers Symptoms, signs and abnormal clinical and
laboratory findings, not elsewhere classified.
• Chapter XIX to injuries, poisoning and certain other
consequences of external causes.
• Chapter XX, External causes of morbidity and mortality, was
traditionally used to classify causes of injury and poisoning.
• Chapter XXI, Factors influencing health status and contact with
health services

20. Thank you