International Classification Of Diseases (ICD)

International Classification Of Diseases (ICD)
The International Classification of Diseases (ICD) is used by physicians, nurses, other providers, researchers, health information managers and coders,
health information technology workers, policy–makers, insurers and patient organizations to classify diseases and other health problems recorded on
many types of health and vital records, including death certificates and health records. In October of this year, the long–standing International
Classification of Diseases, 9th Edition, Clinical Modification (ICD–9–CM) will be replaced by the International Classification of Diseases, 10th
Edition, Clinical Modification/Procedure Coding System (ICD–10–CM/PCS).
The new classification system provides significant improvements through greater detailed information and the ability to expand to capture additional
advancements in clinical medicine. . The new coding system switch comes at a very demanding time for the healthcare industry. New requirements
introduced by the Patient Protection and Affordable Care Act (healthcare reform) and meaningful use requirements established by the HITECH Act,
will result in a tsunami of business process changes and application integration challenges. In implementing this new code set, a single, centralized,
controlled point of reference for disease and procedure codes, rules, mappings, and translations that can be applied uniformly to all applications must be
established. ... Show more content on Helpwriting.net ...
ICD–10 contains 141,060 codes which is 121,243 more codes than ICD–9. Additionally, to further complicate matters there isn't a one–to–one
relationship between codes contained in ICD–9 and ICD–10, the relationship between the two code sets are many–to–many. One code in ICD–9 can
link to more than a dozen codes in ICD–10 and conversely so, one ICD–10 code can link to multiple ICD–9 codes. Lastly, there are some instances
where no map exists between the code
... Get more on HelpWriting.net ...

Medical Billing And Coding Industry
The Medical Billing and Coding industry is ever changing. In order to keep up with the trends you always need to be learning and keep on your toes.
With the transition to ICD–10, Implementation of The Affordable care act, and computer–assisted coding it is necessary to be forward thinking at all
times! ICD–10 is "The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD–10–CM) is a system used by physicians
and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United
States (Rouse, n.d.). ICD–10 replaced the hard to understand ICD–9. ICD–10 is now used to help prevent, fraudulent charges, wrongful coding, and it

ICD-10 Code Sets and Health Care
Originally slated for October 1, 2014, the Centers for Medicare & Medicaid Services (CMS) had planned to replace the current ICD–9 codes sets with
the new ICD–10 code sets. However, on March 31, 2014, the Senate approved a bill that has delayed the implementation until at least October 2015.
The numbers of the ICD means "International Classification of Diseases" (ICD) and the numbers nine and 10 describe therefer to "editions," just like
with books. ICD defines designations prescribed for every possible description of symptom, cause of death, or diagnosis that a human may
experience. These codes are utilized used for reporting medical diagnoses as well asand inpatient procedures, according to the CMS. Everyone who
works in conjunction with the Health Insurance Portability Accountability Act (HIPAA) is required to adopt these code set changes. The CMS has
issued a reminder that ICD–10 will not impact affect coding for physician services and outpatient procedures.
The World Health Organization(WHO) is the entity which monitors, copyrights, and develops the classification system. However, tThe National
Center for Health Statistics (NCHS), a part of the CMS, is the entity which oversees the U.S.–specific modifications and changes to ICD codes in
collaboration with WHO. According to WHO, ICD is "the standard diagnostic tool for epidemiology, health management and clinical purposes. This
includes the analysis of the general health situation of population groups. It is used to

ICD-9-CM Coding Classification System
Similar to the previous study, the ICD–9–CM coding classification system was used for case definition of CT and NG cases. A male or female service
member of the US Army with a first–time diagnosis (incidence case) of CT infection based on the ICD–9–CM codes 099.41 or 099.5, or with NG
infection based on the ICD–9–CM codes 098.0x, 098.1x, 098.4x, or 098.8x) in either the first or second diagnostic position of a record of an
outpatient or inpatient encounter of a medical record between January 1, 2006 and December 31, 2012 were initially selected. For both CT and NG
case, the index date was the date of diagnosis of infection registered in the DMSS. Consequently, medical records (inpatient and outpatient) from all
incident CT or NG cases selected... Show more content on Helpwriting.net ...
For both bacterial infections, some researchers recommend that to eliminate persistent infections, it should use a laboratory test after the first
infection before estimating the number of repeat infections. In contrast, other researchers consider that the infected patient should be
asymptomatic for at least two weeks before counting as a new infection. However, the majority of researchers set a number of days after the initial
infection to determine the burden of repeat infections (Hillis et al., 1994; Richey et al., 1999; Barnett and Brundage, 2001; Burstein et al., 2001).
The most common time frame for consideration as a repeat infection for CT and NG is that diagnosed 30 days or more after the preceding
infection. This minimal time interval is based on the evidence that nucleic acid amplification tests may occasionally detect residual chlamydia
deoxyribonucleic acid or ribonucleic acid to three weeks after antimicrobial therapy (Workowski et al., 1996; Gaydos et al., 1998; Morre et al.,
1998; Xu et al., 2000). For this study and data analysis, all service members with more than one CT or NG report registered in the DMSS, a
subsequent diagnosis of infection must occur at least 30 or more days from the

Icd 10 : A System Of Medical Classification Of Diseases
ICD–10 stands for International Classification of Diseases, Revision 10. ICD–10 is a revision of the ICD–9 system which physicians and other
providers currently use to code all diagnoses, symptoms, and procedures recorded in hospitals and physician practices. There are two main types of
ICD–10 coding books, the International Classification of Diseases, Revision 10, Clinical Modification (ICD–10–CM) and the International
Classification of Diseases, Revision 10, Procedure Coding System (ICD–10–PCS). ICD–10–CM is a system used by physicians and healthcare
professionals to code diagnoses and procedures that occur in American hospitals. ICD–10–PCS is a system of medical classification used for procedural
coding. The implementation of... Show more content on Helpwriting.net ...
For example, with ICD–10 codes a physician can simply look up disease patterns that relate to the patient that he/she is currently seeing. If the patterns
match up to a prior patient that has been diagnosed with all of the same problems as the new patient, then the physician will be able to make an
educated decision to diagnose the new patient with the same diagnoses. This coding system will not only improve patient's documentation and help
with diagnosing other patients; it will improve the physician's overall experience with his/her patients. Many practices have lost patients because of
misdiagnoses or by giving a patient medicine for a disease that they do not have. These common mistakes are made by physicians and having a better
analysis of disease patterns will help the physician narrow down the choices of diagnoses. (ICD–10 Benefits Beyond Coding) Additional benefits for
patients from ICD–10 include better detection of fraud and abuse. There are many cases where an individual had used another individuals health
insurance benefits for their own personal use. For example, there was a case from July 7, 2015 where a physician underreported his income and
claimed millions in false and fictitious medical supply expenses. The physician was caught and sentenced 24 months in prison and was ordered to
forfeit 17.6 million dollars. With the improved coding system it will be more

ICD-10-CM Transition Analysis
I think transitioning over to ICD–10–CM will make coding easier by being more specific with the descriptions. I think that the biggest challenge is
going to be just learning the different sections of the ICD–10–CM. Some other challenges may include training in ICD–10–CM, the cost of the
transition, and maintaining two coding systems because some private insurance like workman compensation insurance are not required to switch over
to ICD–10–CM. I believe that we have had ICD–9 since 1979 with updates yearly, which makes the ICD–9 over twenty years and almost thirty years
old. A lot has changed in the medical world since then and we are due for a change. Anything new will take some time to learn and I believe that the
transition would be

HIPAA Transaction And Code Set Standards
HIPPA Transaction and Code Set Standards apply to the electronic exchange of information between two parties for a specific purpose. HIPPA adopted
standards for electronic information, transactions of administrative healthcare data between health care providers, and health care facilities. If a
healthcare organization or provider uses one of the designated health care electronic transaction code sets. HIPPA requires that the healthcare
professional or organization must adhere and adopt the content and format requirements of each transaction to follow HIPPA Transaction and Code
Set Standards by October 1, 2015. HIPPA Transactional Code Set Standards adopted HHS version X12 and Version 5010 and version D.0 for HIPPA
transactions. By adopting

Classification Of Information For The Healthcare System
Overview of coding Coding consists of ICD–9–CM, ICD–10–CM, CPT and HCPCS codes. The codes help classify and document the information for
the healthcare system in the United States. The ICD–9–CM stands for the International Classification of Diseases, Clinical Modifications. October 1st
2014 ICD–10–CM came out to update the class with more illnesses, conditions, and injuries of any patient that used the medical services. The
ICD–9–CM is generally classified as numerical and alphanumerical codes with codes describing the illness and injuries. The CPT which is Current
Procedural Terminology and the HCPCS which is the Healthcare Common Procedure Coding System are used in various medical settings. The CPT is
published by the AMA yearly. CPT... Show more content on Helpwriting.net ...
The CPT code book has nine different conventions including with symbols in the book. The semicolon identify the main entry what is it part of all
indented entries that follow with their code. The bullets and triangles identify as the changes that were made and the current code. The facing
triangle symbol is used to identify the beginning and ending of a new or revised text within the guidelines and instruction notes. Plus symbols are
you when a procedure is carried out with another procedure. Circled bullet symbols indicate moderate sedation is inherits part of the procedure. The
null symbol indicates codes that may not be appended with modifier 51. The pending symbol indicates for a vaccine that is pending approval from
the FDA. The resequenced symbol do not appear in numeric sequence the reinstated code applies to codes that have been recycled. Some of the
general rules for CPT coding are analyze the note or procedural statement, determine the procedure, locate the main term in the index, review and select
the sub terms, note the code numbers if found opposite of the selected terms, if applicable follow cross–reference never code directly from the index,
read all the notes that apply to the code, select the appropriate modifier, continue coding all components of the procedure or services. Modifiers
Modifiers may be reported with a CPT code to identify a particular service or

Essay on Converting from Icd 9 to Icd 10
Converting from ICD 9 to ICD 10
Kaplan University
Unit 9 Final Project
CM107
Converting from ICD 9 to ICD10
I. Introduction a. Why converting to ICD 10 is important b. What do we need to do to prepare for the transition? II. ICD 10 will affect a lot of
people a. It affects providers when diagnosing a patient b. It affects the coders by having to learn a new system III. What you can do to ease the
transition a. Upgrade electronic medical record systems b. Upgrade practice management systems c. Update encounter form with most used codes
IV. Conclusion a. It is important to make the transition because
The International Classification ... Show more content on Helpwriting.net ...
We also need to have our systems upgraded with the correct software. Staff must be aware that the old and new ICD will have to co–exist while the
system is reengineered. We must review all of our processes, systems, and reports to find out where icd–9 codes are presently being used. That will
make sure that no one is left out once the upgrade takes effect. The transition to ICD–10 gives us an opportunity to focus on our processes. This may
also help to ease the transition to ICD–10. The change to the new system will affect many staff members in our clinic. Physicians should find it easier
to diagnose patients since this coding set is more specific than the previous one. For instance when previously diagnosing asthma you had 2
choices, intrinsic and extrinsic. With this new set of codes the provider can choose from mild intermittent, mild persistent, and moderate persistent
just to name a few. There is a broader range for the providers to select which will make it easier on them. Since there will be more documentation,
providers will have to ensure they keep up so as not to get behind. The coders will have to learn 5 times as many sets of codes. They will also have to
be re–certified to use ICD10 (AHIMA 03). We

Icd 10 Diagnostic Code
Before discussing the implementation process of ICD–10 it is imperative to understand the differences between ICD–9 and ICD–10 coding and the
reason for the transition. The new ICD–10 coding has over 69,000 codes to identify diagnoses compared to 14,000 in the ICD–9 coding version. The
increasing number of codes will aid in specificity of all diagnoses. Every diagnosis has a specific code identity. The code identity for the ICD–10 coding
is made up of seven digits whereas ICD–9 coding has only three to five digits for each diagnosis. These digits are numbers used to explain a specific
injury or procedure. Behind each diagnostic code is an exclusion wording. It gives the diagnosis code in specific detail of the exact diagnosis the
physician

What Are The Standardized Code Sets?
HIPAA as we have all learned by now stands for the Health Insurance Portability and Accountability Act. HIPAA mandates providers and contractors
to use approved standardized code sets so as to ensure the ebb and flow of our health care system can continue to improve and become more
efficient. Let's look at it another way. You have hundreds of thousands of medical facilities all coding their bills. Imagine if they all did things
differently and all used different code sets how much harder it would be for insurance companies to pay out in a timely manner.
When HIPAA became enacted in 1996, they set standards for how electronic billing should be handled within covered entities (a covered entity as we
should all know are health plans, ... Show more content on Helpwriting.net ...
The structural base for them are not quite the same. The setup for the manual, the formatting of codes and even some of the guidelines are different
(not to mention ICD–10–CM has around 70,000 codes while ICD–9–CM has only about 16,000 codes).
ICD–9–CM contained procedural codes in volume 3, ICD–10–CM does not contain any as they are now implemented within ICD–10–PCS.
ICD–9–CM procedure codes had about 3,000 codes, ICD–10–PCS has over 72,000 codes. The way the new system has been set up this number has
the ability to grow as well.
ICD–9–CM diagnosis codes were 3 to 5 characters in length, ICD–10–CM codes are 3 to 7 characters in length.
ICD–9–CM codes are the majority numbers only with the exception of those supplemental V and E codes, ICD–10–CM codes are all alphanumeric.
Remember, ICD–9–CM was implemented and in use since 1979, so updating terminology and new classifications were also changed with the upgrade
of ICD–10–CM/PCS.
ICD–9–CM codes could before be labeled in just one code, now with more clinical detail to sort through, ICD–10–CM have many more codes to
choose from that are much more detail oriented and specific.
I'm actually really excited to be starting this month's course and learn the ICD coding process. I am nearing the end of my college experience soon
and will be beginning my externship after next month's course. When I am done I will graduate with a certificate in Medical billing and coding. I will be

Icd Data Collection Case Study
The original function for ICD data collection was for statistics and research while ICD–10–CM has many differences from ICD–9–CM; the new
classification system does retain the traditional format and many of the same characteristics and conventions (AHIMA's 75th Anniversary National
Convention and Exhibit Proceedings, 2003). Creating a data integration plan for Green Tree Healthcare starts with should be a unique code for all
substantially different procedures.
According, to The Centers for Medicare & Medicaid Services (CMS) the goal is to establish a unique code for all substantially different procedures:
Completeness– There should be a unique code for all substantially different procedures.
Expandability– As new procedures are developed, the structure ... Show more content on Helpwriting.net ...
(2003, October). ICD–9 CM to ICD–10 CM: Implementation Issues and Challenges. Retrieved from http://library.ahima.org/doc
Averill, Richard F. (1996). The Development of the ICD–10 procedure coding system (ICD–10–PCS): Draft. Wallingford, CT: 3MHealth Information
System.
Centers for Medicare and Medicaid Services. (n.d.). Development of the ICD–10 Procedure Coding System (ICD–10–PCS) [PDF]. Retrieved from
https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2015–pcs–final–report.pdf
Centers for Medicare & Medicaid Services (CMS). (February 24). Lessons Learned: Reflections on CMS and the Successful Implementation of
ICD–10 | The CMS Blog. Retrieved from https://blog.cms.gov/2016/02/24
/lessons–learned–reflections–on–cms–and–the–successful–implementation–of–icd–10/
Ormondroyd, T. (2013, July 17). How ICD–10 will benefit physicians | Medical Practice Insider. Retrieved from http://www.medicalpracticeinsider.com
/best–practices/compliance/how–icd–10–will–benefit–physicians
Wiskerchen, MBA, CPC, S. (n.d.). Mapping Your Way to ICD
–10 Implementation Success. Retrieved from

The Change from ICD-9-MCS to ICD-10-CMS
The change from:
ICD–9–CMS to ICD–10–CMS
Due to ICD–9–CMS' ability to provide necessary detail for patients' medical conditions or the procedures and services performed on hospital patients,
ICD–10–CM/PCS was implemented.
Problems with ICD–9–CMS were:
Program over 30 years old
Outdated and obsolete terminology
Uses outdated codes that produce inaccurate and limited data
Inconsistent with current medical practice
The implementation of the new ICD–10CM/PC will:
Enhance accurate payment for services rendered
Facilitate evaluation of medical processes and outcomes
A number of countries have already moved to ICD–10–CM, but here in the United States we are still behind, and have not evolved from ICD–9–CM to
ICD–10–CM.
The compliance date for implementation of the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System
(ICD–10–CM/PCS) was October 1, 2013 for all covered entities. Although, a number of countries that have already converted to ICD–10:
вћ¤ United Kingdom (1995)
вћ¤ France (1997)
вћ¤ Australia (1998)
вћ¤ Germany (2000)
вћ¤ Canada (2001)
ICD–10–CM/PCS consists of two parts:

Subtle differences include:
вћ¤ Diagnosis classification system developed by the Centers for Disease Control and Prevention for use in all U.S. health care treatment settings.
Diagnosis coding under this system uses 3–7 alpha and numeric digits and full code titles, but the format is very much the same as ICD–9–CM
More

ICD-10 Summary
Although implementation of ICD–10 adoption by other countries started in the 1990s, the US was hesitant with adopting a new system, ultimately
affecting many businesses' efficiency. Cost was the biggest concern, with implementation comes training, errors and upkeep of the new system. Chute
describes implementation of ICD–10 as "expensive, arduous, disruptive, and of limited clinical benefit" (Chute 2012: 839). ICD–10 includes more
descriptive and specific diagnostic codes, but its ability measure clinical data is not better than its previous version (Chute 2012: 839). Pear also
agrees that the new coding system requires more strenuous work for physicians. Physicians would have to be even more specific with claims, and if
re–submission is an option it also requires extra effort (Pear 2015:... Show more content on Helpwriting.net ...
However, not all practices think ICD–10 is bad, spine surgeons specifically believe an increase in cost–efficiency. Rahmathulla discusses all the
benefits from ICD–10 especially when performing existing and new surgical procedures. The nature of ICD–10 allows for codes to describe illnesses
and injuries in more detail, meaning new and existing procedures are also accounted for in those new codes. The issue with spinal procedures and
ICD–9 was that the old version didn't include appropriate coding for necessary tests and procedures for patients. Practices are frustrated because
surgeons weren't performing certain procedures for reimbursement issues, resulting in patients not being approved for necessary procedures
(Rahmathulla 2014: 189). Long–term implementation of ICD–10 saves "approximately $100–$1500 million", which could be used as funds for new
procedures. Barriers always exist, but long–term benefits have

Tenth Revision
The International Classification of Diseases, Tenth Revision (ICD–10) has been in development since 1983 to replace the outdated Ninth Revision
(ICD–9) that has been in use in the U.S. for over 35 years (Giannangelo, 2015). Due to the Health Insurance Portability and Accountability Act (HIPAA)
Administrative Simplification regulation published in 2009, the Clinical Modification (ICD–10–CM) will replace ICD–9–CM Volumes 1 and 2, and the
Procedure Coding System (ICD–10–PCS) will replace ICD–9–CM Volume 3 for all HIPAA transactions effective October 2015 (Giannangelo, 2015).
These new code sets accommodate new procedures and diagnoses and allow for greater specificity in clinical documentation (Centers for Medicare &
Medicaid Services [CMS], ... Show more content on Helpwriting.net ...
Mapping guidelines, or mapping decisions, detail how to select the best code translation in order to ensure clinical semantic interoperability, as well
as limiting the impact to organizational operations, such as administrative and financial functionality. Additionally, these guidelines outline the ways
in which mapping rules should comply with or override GEMs. As previously stated, GEMs should be utilized as a guide, not a stringent directive,
to aid in code conversion. Therefore, mappings identified by the GEMs can either be accepted, overridden by selecting a different approximate match
or combination code, overridden by selecting target codes from a different GEM option, or overridden by rejecting all GEM suggestions and selecting
or creating a new mapping not listed (De, 2012). All mapping selections must be agreed upon by the mapping team; therefore, all individual mappings
need to include justification for the codes selected in order to aid in interpretation during review (De,

Icd 9 In Healthcare
The Centers for Medicare and Medicaid Services (CMS) requires all providers to implement ICD–10 coding system begin on October 1st, 2015 so the
U.S. healthcare system can communicate in the same language as with other countries' systems. The transition from ICD–9 to ICD–10 had big changes
from 14,000 diagnostic codes to more than 68,000 and 4,000 procedure codes to 87,000. The transition affected the reimbursements of hospitals.
Medicare requires all patients' procedures and services to be coded using ICD–10 system while they are charged in CDM using CPT codes. However,
there is no direct link between ICD and CPT codes (Jensen, Ward, & Starbuck, 2016). The CDM committee had to work together to prepare for this
event. Switching from numerical

Request for Proposal Computer Assisted Coding
Request for Proposal
Computer Assisted Coding
HIM 4411Section 700 HIS Strategies and Application
March 8, 2013
Due to the growing inpatient/outpatient requirements, as well as the impending update to the ICD–10 codes; the spearfish regional hospital is in dire
need of a new Computer assisted coding system (CACS) with ICD–10 code language. This technologies will assist the coding department with their
day to day processes, as well as allow the hospital to continue with its growth to meet the higher demands of our growing community. Included in this
report will be a detailed report of the technologies being requested, as well as information on these vendors 3M, Nuance, and Optum who can supply
these ... Show more content on Helpwriting.net ...
The only department that will be utilizing the computerized coding assistant is the health information department mainly our coding staff. The HIM
staff will mainly use this system in order to help smooth the coding process of charts, check to make sure all codes are correct before being
submitted for billing, and to help them identify codes for diagnosis or procedures they are unfamiliar with. The receptionists in the different
departments may also utilize the system if a time were ever to arise in order to assist the coders with work load.
The only projects that the organization is currently undergoing is the preparation for the implementation of the new ICD–10 coding. We are hoping
that with the new computer coding assistant that it will help the HIM staff transition better and be able to look up the new codes for all the diagnosis
and procedures more easily and quickly.
Product Scoring Tool
System requirementsscoring
0 – 1 points
1 – 2 points 2 – 3 points 3 – 4 points
Total Points
Win 7 or higher
No

Updateable
Yes
ICD–10 format
No
Updateable
Yes
Tech support
Training only
Training and
Troubleshoot
Full support
Web based
Yes
Both Optional
No
Installation
None Offered
Over the
Phone installation
Remote
Installation
Supervised Installation

Icd 10 Essay
On October 1st, 2015 ICD–10 (International Classification of Disease) code was set up to take place of ICD–9 codes. It has actually been in the works
for several years to make the change. The Change is being required by the Center for Medicare and Medicaid services to provide more specificity to
the existing coding system. The ICD–10 uses up to five times as many codes as the former codes of ICD–9 set. This will require more documentation,
revised forms, retraining of staff, physicians, and changes in the software. This could require up to sixteen hours of training for coding staff. Structural
difference between ICD–9 and ICD–10 are ICD–9 used mainly numeric digits, and ICD– 10 is using alpha and numeric digits. Medical providers had
to be ready for a conversion of the new codes which could have to the potential for 140,000 new codes to bill the government and private insurers. .
Step 3– This issue with the change has not currently affected me since I have yet to work in the field or attend more core classes. I have spoke with
a lady I know in the field, and she had let me know the changes are big. They are affecting her workplace by requiring additional training, but can
make things easier by having less contacting the... Show more content on Helpwriting.net ...
It seems to always take a little bit of time to get into the swing of how to do it the new way, and once everyone comes around they may find that
ICD–10 is better to use than ICD–9. The structural differences between the two code systems are that ICD–9 had three to five digits mostly numeric
and ICD–10 has three to seven with an alpha first digit, numeric second, alpha third through the seventh digit. It would seem that thought of more
characters is what is scaring more people than actually putting the ICD–10 to use. The actual effect of these changes really won't be clearly known until
the system is in full effect and claims processing

Healthcare Common Procedure Coding System
Clinical vocabularies are defined as terminologies or coding systems that are structured list of terms which together with their definitions are designed
to describe unambiguously the care and treatment of patients. The clinical vocabularies are used to create classification systems that are used around
the world to provide a method of distributing coded concepts in a stored meaningful manner. (Thomson 2013) 1.What vocabularies do you have to
choose from? The week 4 Neehr Perfect Assignment gives a list of the more well known and most commonly used classification systems and are as
followed: Healthcare Common Procedure Coding System (HCPCS) Healthcare Common Procedure Coding System (HCPCS) Level II International
Classification of Diseases,... Show more content on Helpwriting.net ...
International Classification of Diseases, 10th revision, Procedure Coding System (ICD–10–PCS): Coding system developed to replace Volume 3 of the
ICD–9–CM manual. International Classification of Diseases for Oncology (ICD–O): Coding system used in tumor or cancer registries for coding the
site (topography) and the histology (morphology) of neoplasms. National Drug Codes (NDC): Universal product identifier for human drugs used to
identify and report drug products. Current Procedural Terminology (CPT): Coding system established by the American Medical Association for
coding of procedures and services. Diagnostic and statistical manual of Mental disorders (DSM): Standard classification of mental disorders used by
mental health professionals in the US. Logical Observation Identifiers Names and Codes (LOINC): A free, universal standard for laboratory and
clinical observations, and to enable exchange of health information across different systems. 3.Is the vocabulary appropriate for your setting and

Quality Of Care Case Study
Another major issue that affects the quality of care is the implementation of new coding systems under the International Classification of Diseases by
the United States government. In order to further understand the affects of these coding systems, we first should look at how they actually work. The
current coding system being used nationwide, ICD–9, works as a way of identifying certain medical procedures and making sure that these medical
procedures match the diagnosis. For instance, Dr. Karen Malley, a podiatrist, sees an average of twenty patients a day. Due to the limitations of her
license, she can only do procedures that relate to that of the foot, therefore, she has a relatively small number of diagnosis codes that she has to learn...
Show more content on Helpwriting.net ...
What normally would take approximately thirty seconds to a minute to identify, now takes up to three to four minutes. Because most medical
doctors are already trying to see as many patients as they can to compensate for the previously mentioned Affordable Care Act, they only have a set
number of minutes dedicated to each type of patient. This time between the patient and doctor is crucial, and as a result of its decrease we can expect
to see a decrease in the quality of care that each patient is then able to receive. The reason for the implementation of this new coding system is because
of the United States government's need to conform. They want to conform to the international coding systems that are already in affect by many other
major countries in order to make a more universal system of health care. However, many doctors have asked why? Why does the government need to
conform to this universal system, and more importantly, why do they need to know such specificity of medical

10-Cm Vs Icd-9
The United States implemented the current version (ICD–9) in 1979. ICD–10– CM is the mandated code set for diagnoses under the HIPAA Electronic
Health Care Transactions and Code Sets standard starting on October 1, 2014. While most countries moved to ICD–10 several years ago, the United
States is just now transitioning into ICD–10 and has to be compliant by October 1, 2015. ICD has been revised a number of times since the coding
system was first developed more than a hundred years ago. ICD–10 – CM is a three– to seven character alphanumeric representation of a disease or
condition. The first digit is alpha; Digit 2 is numeric. There is a decimal placed after the third character. There are 69,000 codes to better capture
specificity, tis also

Application Of Computer Assisted Coding
The trends one can find when reading through the articles found under the AHIMA Body of Knowledge pertaining to the coding function is relative to
the use of computer–assisted coding, implementation of Electronic Health Record (HER), and the transition to ICD–10–CM. Computer–assisted
coding is defined as the "use of computer software that automatically generates a set of medical codes for review, validation, and use based upon
clinical documentation provided by healthcare practitioners" The outmoded coding professional's role was to describe and apportion diagnosis,
procedure, and other medicinal service codes using ICD–9–CM and HCPCS/CPT coding classifications while referencing the Coding Clinic for
ICD–9–CM, Coding Clinic for HCPCS,... Show more content on Helpwriting.net ...
These codes are then reviewed by a human coder." There are several advantages that computer–assisted coding offers with its strategy over manual
coding, including increased productivity and accuracy, enhanced efficiency, and advance compliance in coding and the consistent use of coding rules.
By no means does computer–assisted coding replace the human coder. There is an accentuation on the need for quality of coded data with the use of
computer–assisted coding in healthcare organizations to assure compliance is being met with regards to the increasingly multifaceted quality reporting
requirements. "Data is plural of datum, which is the dates, numbers, ages, symbols, letters, and words that represent basic facts and observations about
people, processes, measurements, and conditions." To be useful, data must be accurate. Once data is collected it can be used by numerous health care
providers and decision makers to monitor the health and needs of individuals and populations, as well as contribute to the analysis of the health system.
Users including hospitals, health care practitioners, government, professional associations, researchers, media, students, and the general public. Having
the correct and up–to–date coded data is critical, not only for the delivery of high–quality clinical care, but also for continuing health care, maintaining
health care at an optimum level, for clinical and health service research, and planning and management of

ICD-10-CM: A Case Study
CD–10–CM has a greater number of new features that allow a greater level of specificity and clinical detail such as combination codes for conditions
and symptoms or common manifestations, Codes of combination for poisoning and external causes, extensions were added for the episode of attention
among others. Some of the changes are: Coding procedure changes – As providers and coders make the transition to ICD–10–CM, their documentation
/coding workflows will change. If coder is using ICD–10 code lookup tool to assist with the code conversion, they'll need to update procedures to
reflect the new step. Coding rejection auditing – Billers might be responsible for auditing the use of ICD–10 codes and any rejections received by
payers as a result

Diagnostic Coding And Procedural Coding
Medical Coding Essay Academic Essay Diagnostic coding and procedural coding lend themselves well to the improvement of healthcare efficiency.
Both have accurate recording for diagnoses and the procedures enable the analysis of information for the patient's care, research, performance
improvement, healthcare planning and facility management. The diagnosis codes are divided into chapters, sections, subsections, and subcategories
(1). A coder should become familiar with all of the codes before the individual moves on. It is very important to understand when an additional code
or codes are needed, what codes are secondary, and when additional information may be needed to complete the code (1). Also, the coder should
always code the reason why the patient sought medical advice as the main diagnosis (1). There are many rules when using diagnostic and procedural
codes. By using the national diagnostic and procedural coding system correctly the coder will have no trouble on finding the right codes to use for the
case scenarios.
The information the coder needs to get from the health records is very important because this will provide the correct information on the claim when
it is billed out. If the steps are not followed correctly then the information being submitted will not be correct. Here are the steps that need to be taken
to find the proper sequencing when diagnosing and coding are the coder needs to find the main term or terms in the patient's medical records.

ICD-10 Codes
I am choosing ICD–10 Codes. The reason I have chosen ICD–10 codes is because every medical facility uses the ICD–10 codes for the billing and
coding. That is the only way they get paid is by using ICD–10 codes. They will all receive adequate payments using the updated codes and the right
type of billing.
Step 2 & 3:
The interested parties I have chosen are: Dental Offices, Physician Offices and Hospitals.
All three of the parties have an interest in ICD–10 codes. They all have to use the updated version of ICD–10 codes, for the fact, it is an medical
guideline by the government. The ICD–10 codes are easier to use than writing out the full medical term. They have over ten thousand codes, they can
range from weird codes to normal

History Of Icd 10 Cm : Coding And Billing
The History of ICD–10–CM Coding & Billing I HIMS 2420 January 11, 2015 Sandi Brennan Chris Michener, Instructor Health care is growing and
demand on our health care system is rising. According to the Administration on Aging of the U.S. Department of Health and Human Services, people
65+ represented roughly 13% of the population in 2011, but are expected to be 21% of the population by 2040. The aging population, as well as
increasing technological advances, and improved access to health care reinforce why reimbursement optimization is now essential to cost control and
maintaining the quality of our health care system. Coding systems are used in the inpatient and outpatient settings for the classification of patient
morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International
Classification of Diseases (ICD–9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth
Revision, Clinical Modification (ICD–9–CM), is the adaptation the U.S. health system uses as a standard list of six–character alphanumeric codes to
describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims
reimbursement, as well as clinical research, and tracking purposes. Almost all countries in the world now utilize ICD–10 released by WHO in 1993,
which is more detailed and data–rich,

Healthcare Revolution : Coding Around Us-The Breakdown Of 3M
Healthcare Revolution: Coding Around Us– The Breakdown of 3M Introduction: In the daily changes of healthcare, health information technology is
evolving rapidly. The generation of coding is making significant developments along the years as well. The 3M–encoder system provides number of
essential options to coders in just one click. It provides sophisticated, easy–to–learn solution for accurate, complete, and compliant coding and grouping.
Coders need to be acquainted with these references because they provide back up through the articles in each one of them. 3M Coding and
Reimbursement System, 3M Coding Reference, and 3M Coding Reference plus have articles for coders to read and get answers to use the appropriate
codes. (Prophet). Due... Show more content on Helpwriting.net ...
The Clinical Pharmacology Drug Reference provides diagnoses followed by a link to provide more assistant related to the age. The number four
feature shows 4 ways Nasal and a link to follow for Adult Monograph and another one to View Pediatric Monograph. Under the references comes the
3M Coding Reference Plus, and it contains AHA Coding Clinic for HCPCS, Coders' Desk Reference for Procedures by Optum, Anesthesia Crosswalk,
Faye Brown's ICD–9–CM Coding Handbook, and ICD–10–CM and ICD–10–PCS Coding Handbook. The References include introductions, changes in
the ICD coding, and guidelines for coders to find and better understand the coding process. For example, the Anesthesia section provides the section
of the surgery and next to it the section where the right code can be assigned. Then, the Coding Clinic for HCPCS provide some articles and
questions with their answers related to coding and the changes to some codes. These references are crucial in the coding sector, especially with the
changes that occur on some codes and modifiers. Coders should be aware of the references and use them to avoid intention and non–intention mistakes,
frauds or abuse. The AHA Coding Clinic and AMA Assistant provide vital features for coders to prevent code fraud and abuse. The features can be
found in the tabs of each assistant window. For example, the

ICD-9-CM Analysis
ICD–9–CM is the United States' alteration of the International Classification of Diseases, Ninth Revision, created by the World Health Organization. It
is the most generally connected arrangement framework for coding analyze, explanations behind social insurance experiences, wellbeing status, and
outside reasons for damage. The controls with respect to electronic exchanges and code set declared under HIPAA assign ICD–9–CM as the medicinal
code set standard for sicknesses, wounds, or different experiences for social insurance administrations. In declaration before Congress in May 2002,
Sue Prophet, AHIMA's executive of coding arrangement and consistency, affirmed that "AHIMA trusts that appropriation of a substitution for the
ICD–9–CM analysis ... Show more content on Helpwriting.net ...
These progressions ought to bring about real enhancements in both the quality and employments of information for different medicinal services
settings. Huge enhancements in both the substance and the organization of ICD–10–CM incorporate the accompanying:
General Changes and Overall Improvements
ICD–10–CM codes are alphanumeric and incorporate all letters aside from "U," along these lines giving a more noteworthy pool of code numbers.
ICD–9–CM's V and E codes are joined into the fundamental grouping in ICD–10–CM. The length of codes in ICD–10–CM can be a greatest of seven
characters (digits and letters) instead of ICD–9–CM's five digits. ICD–10–CM offers the expansion of data with respect to mobile and oversaw mind
experiences.
Conditions that are new or that were not interestingly distinguished in ICD–9–CM have been allowed code numbers in

A Comparative Analysis Of ICD-10-CM (PCS)
There are a lot of difference in the structural between ICD–10–CM/PCS. The ICD–9–CM is the international classification of Diseases,9th Revision
Clinical Modification it's been used in the United States since 1979 to code diagnoses that describe patients reasons for seeking health care services
and to code inpatient hospital services. Did you know that ICD–9–CM will be a legacy system only use for historical purposes because ICD–10–CM
and ICD–10–PCS become mandated code sets for transactions conducted by covered entities under the Hipaa. ICD–9–CM emphasizes the intent of the
modification to classify and manage data related to the actual examination and treatment of patients. But using ICD–9–CM to code medical claims for
reimbursement, ICD–9–CM... Show more content on Helpwriting.net ...
The difference between theses two medical coding systems that medical practices rely on being financial stability.ICD–9 contains approximately
13,000 codes and ICD–10 will contain a totally 68,000 available codes. The ICD–10 structure code is greatly expanded and the new codes are capable
of reporting data in much greater specific. When the CMS mandated the changes to be effective in 2014. The data ICD–10 codes contain is expected to
improve the efficiency of healthcare reimbursement and reduce charges of fraud and abuse. The ICD–10 billing will involve an all encompassing
alphanumeric systemization. The ICD–10 diagnosis code will always be a letter then numbers. The ICD–10CM/PCS has two consisted parts,
ICD–10–CM diagnosed classification system developed by the centers for disease control and prevention for use in all U.S. health care treatment
settings. Diagnosis coding under this system uses 3–7 alpha and numeric digit and full code titles. ICD–9–cm is very much the same. ICD–10–PCS
procedure classification system developed by the centers for Medicare and Medicaid services CMS for use in the U.S. for inpatient hospital setting
only. The new procedure coding system uses 7 alpha or numerical digits while the ICD–9–cm coding system uses 3or4 numbers that's the

Case Study : Lesson 9 Exercise 1
Lesson 9 exercise 1: The information that should be obtained from the patient at the time of scheduling the appointment is the reason for the visit,
name, DOB, phone number, and insurance information. It is important for the medical assistant to verify whether the office is a preferred provider
with the patient's insurance at the time the appointment is scheduled to alleviate any confusion or misunderstanding, and so the patient can make the
choice to find another provider that accepts their insurance. The policy states that if a patient has a copay or any other payment that needs to be
made then he/she should do so at the time of their visit. This is usually done at the end of the visit encase the doctor orders any tests or lab work that
might cost the patient more money. Patient's should be informed of all or any charges and given an estimated cost. Kristin was correct in stating that
Mountain View Clinic was not a participating provider for Shaunti's insurance plan. This was the family was aware of needing to pay for the visit and
with the estimate that Kristin offered they had an idea of how much the appointment was going to cost prior to seeing the doctor. The medical assistant
should have advised Shaunti's mother to call back with the insurance information and/or gave her a list of what insurance companies Mountain View
Clinic accepted. This would have alleviated the confusion during Shaunti's check in with Kristin and would have allowed the parents to find a

International Statistical Classification Of Diseases And...
In today's technological world patients are choosing where they receive their care based on research and public access to hospitals quality of care
numbers. Hospitals are competing with other hospitals for patients. In order to attract patients hospitals are improving their quality of care by
providing safe and efficient care. Advancements in Medical Technology has made it possible for Health care providers to better diagnose and treat their
patients, one of those medical advancements is conversion of International Statistical Classification of Diseases and Related Health Problems 9th
edition (ICD–9) to International Statistical Classification of Diseases and Related Health Problems 10th edition (ICD–10).
ICD–10 a medical classification list went live on October 1, 2015 for U.S healthcare industry after experiencing many lengthy. The adoption of ICD–10
codes offer many more relegation options compared to ICD–9 (Rouse, 2015). With ICD–10 codes, healthcare officials properly document diseases on
patient's charts, government agencies track epidemiology trends, and insurance carriers assist in medical reimbursement decisions. ICD–10 codes are
developed by The World Health Organization (WHO) and are adopted by the rest of the healthcare system in the United States.
ICD–9 was introduced in 1979. With the advancement in medicine and the direction healthcare has gone into a new set of coding was needed that
supported advances in modern technology and medical devices.ICD–10 is

Medical Billing: A Case Study
Health Care Setting
Medical billing is the health care area selected for the discussion. Medical billing is the process of submitting and tracking claims with health insurance
companies in order to receive payments for the services rendered by healthcare providers to ensure business finances success. (https://en.wikipedia.org
/wiki/Medical_billing). Usually, the process is performed by electronic means and each claim must be a mirror image of the patient encounter. Although
electronic billing carries sensitive information most practice management billing software relies on the clearinghouse which converts the data into
HIPAA format. Thus, information is encrypted to minimize any unauthorized access. The actual diagnosis code system will be replaced by ICD–10 on
October 1, 2015. Hence, the need for greater coding accuracy and specificity has heightened considerably since the implementation of ICD–9–CM
(Bowman S., 2008).
Interoperability Impediment ... Show more content on Helpwriting.net ...
For this reason, is so arduous to report and capture international data in areas of public health, top mortality disease rates, or threatens related to
bioterrorism. The situation worsens since clinical research, reimbursements, patient safety monitoring, quality and outcome measures are negatively
impacted by the limited outdated coding system. In contrast, ICD–10 present additional details of patient conditions as well as the healing process. For
example, the actual system does not provide specific information for a woman with breast cancer while ICD–10 report details of the neoplasm such as
the exact, location by quadrant, side, size, or even the

Diagnostic Coding Summary
Diagnostic coding is one of the most critical parts of medical coding. If the correct diagnostic code is not selected, a claim may be denied (Deborah
Vines, 2013, pp. 88–125). Using the ICD–9–CM, diagnosis coding became mandatory for Medicare claims since the Medicare Catastrophic Coverage
Act of 1988. In 1948, the ICD came under the direction of the World Health Organization, which assisted in tracking deaths and sicknesses to help
make statistical assessments of international health and disease trends (Deborah Vines, 2013, pp. 88–125). Medical terminology plays a key role in
proper diagnosis coding. You must be able to read and understand thephysician's documentation to identify the appropriate codes for medical
conditions that pertain ... Show more content on Helpwriting.net ...
Procedure codes are linked with diagnostic codes to establish the medical necessity of the procedure and the fee reimbursement to the providers
(Deborah Vines, 2013, pp. 146–163). There are three categories for CPT. CPT Category I codes describes a procedure or service and are subjected to a
lengthy approval process conducted by the CPT Editorial Panel. CPT Category II codes are a set of optional tracking codes, developed principally for
performance measurement (Deborah Vines, 2013, pp. 146–163). CPT Category III are temporary codes that are intended to be used for data collection
purposes to substantiate widespread use of new technologies, services, and procedures or those that are in the FDA approval process. CPT
Nomenclature consist of descriptive terms, guidelines, and identifying codes for reporting medical services and procedures (Deborah Vines, 2013, pp.

Influence On The Workplace Settings
Influence On The Workplace Settings
ICD–10–CM/PCS touches on almost every aspect of healthcare systems and processes. Patient access is impacted by ICD–10–CM/PCS in regards to
information capture, registration, and medical necessity. The influence on clinical care is with disease and case management, DRG assignment and
case mix management, clinical documentation and coding, care guidelines or protocols, and nursing documentation. Billing and financial systems are
also affecting for health plan contracting, coding, claims processing, payment policy, and physician reimbursement management. Health information
systems impacted include; clinical documentation and coding; electronic health record and CPOE; e–Rx pharmacy and radiology systems; and health
exchange integration and support processes. Performance and reporting areas influenced by ICD–10 include: clinical research and registry reporting;
performance measurement; audits and fraud and abuse investigation support; quality measures and pay–for–performance; epidemiology and public
health reporting.
The healthcare industry in general will benefit from having more robust data surrounding diagnoses and procedures for measuring the quality and value
of care. It should ultimately improve assessment of patient outcomes. The new ICD–10–CM/PCS codes are anticipated to be multifaceted with deep
impacts on systems, processes, and people.
New and improved codes. External cause of injury codes are much more detailed in

Classification Of Diseases
International Classification of Diseases
The adoption of Electronic Health Record (EHR) system promises a number of substantial benefits including better care and decreased health care
costs. One of them is the International Classification of Diseases (ICD). These International Classification of Disease (ICD) is developed by the World
Health Organization, which has a set of diagnostic codes for the classification of disease, mortality and morbidity, indexing hospital records by disease,
analyzing payments, resource utilization and tracking public health records (Hebda & Czar, 2013). There are two classification systems, the ICD–9
which is used by the United States for reimbursement purposes and the ICD–10 is used internationally. Currently,... Show more content on
Helpwriting.net ...
The conversion to ICD–10 CM/PCS may present challenges initially, but will offer substantial benefits to the APRNs over time. The ICD–9 is
developed based on the health landscape 34 years ago, uses outdated technology, lack details, uses antiquated terminology and lacks optimal claim
reimbursement whereas, ICD–10 provides a much needed update to medical terminology and disease classification. In addition, ICD–10 will allow
APRN to better evaluate patient care, support research initiatives, construct payment systems, process claim, make clinical decisions, observe public
health trends, and uncover fraud. Therefore, ICD–10 classification system will support the Advance Practice Nurse more than than the ICD–9
classification

Hospital Wage Rate Differences
Due to the advances in technology, medical practitioners are more able to retrieve medical information. Coding systems, such as ICD–10–CM, CPT,
and HCPCS are used to code and enter such information into a database. These coding systems are useful in administrative and statistical purposes.
The Center for Medicare & Medicaid Services, CMS uses a prospective payment services, which was effected in 2012 and 2013 to ensure better health
care at lower costs (CMS, 2015).
The CMS payment system standardizes bills to enhance comparability by adjusting charges to eliminate hospital wage rate differences. Under the
payment system facilities receive a single payment per Medicare beneficiary to provide for a full inpatient stay or a defined time period.

Icd 9 Case Study
Since the implementation of ICD–9 coding in 1979, we have made great breakthrough's in the medical field. However, the time had come for the U.S.
to expand on its coding procedures, and implement the new version of coding, ICD–10. ICD–10 requires doctors and medical staff to be even more
specific about an illness or injury. What exactly are the problems facing ICD–10 coding systems, and what have we encountered since it was
implemented? According to Donna Smith, an RHIT and senior consultant at 3M Health Information Systems, she says there are specific problems
concerning the types of codes, matching the illnesses or injuries, and there are overall problems, like training. (ahima.org) She mentions examples of
specific coding illness and... Show more content on Helpwriting.net ...
Insurance companies and state health care management agencies must have these conditions coded correctly to reimburse the hospital or physician's
office for patient treatments. With these new changes, it is making it easier to specify injuries and diseases for a patient and keep data updated. DRG
weights take into consideration the demographic of the patient, location demographics, and other criteria. If the patient is in a poor location, then they
should not be penalized with a huge bill for health treatment they cannot afford. This keeps hospitals and other health facilities from price gouging
patients that cannot afford insurance or any type of healthcare. With the implementation of the ICD–10 coding system, many problems and challenges
have arisen. Teaching the physicians and other medical staff how to correctly code with the new system has been first and foremost a problem. Also, if
medical coders don't have the correct codes marked, they can just revert to the "non–specific" code, and this will eventually throw off their collected
data and could possibly hamper their efforts for full reimbursement. For a certain facility, I would review all medical coding issues and present them in
a list of most problematic to the least, starting with the top 10. I would hold meetings to present

The American Medical Association ( Ama )
First, Do No Harm: Implement ICD 10 Now
The American Medical Association (AMA) pushes to continue delaying implementation of ICD10.
In 1975, The International Conference for the Ninth Revision of the International Classification Diseases, was convened by the World Health
Organization (WHO), in Geneva. During discussions that lead up to the conference, the original intent was that there should be little change, other than
some updating of classifications. This was mainly due to the expense of adopting data processing systems each time the classification was revised.
A number of nations had become interested in using the ICD for statistical modeling and there was concern that the subject areas were incorrectly
organized and pressure was put on the committee for greater detail in the coding classes. Additionally, there was a growing need for adoption and a
way to enable the classifications that were more relevant for the evaluation and treatment of patients.
Forward 20 years
The ICD–10 coding model was endorsed by the WHO in May 1990 and came into use by member States beginning in 1994. Now ICD is currently
under revision again, through the WHO Revision Process, with the release date for ICD–11 set for 2017.1
While every developed country has adopted the ICD–10, with the first country doing so on July 1st 1998. The United States has yet to adopt.
A few short years ago
One factor, preventing the United States' implementation ICD–10, was the implementation of EDI Version

The Importance Of The HIPAA Interactions And Code Set...
The HIPAA transactions and code set standards are certain rules that regulate electronic data interchange (EDI) of healthcare information, which include
patients' identifiable and medical data, between two or more parties. Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), if
providers or healthcare organizations conduct one of the nine types of electronic transactions of health–related information, they must adhere to the
standards, which include claims status reporting, claims submission, referral authorization and certification, and benefits coordination. In addition,
HIPAA mandates that all transactions must use standardized medicalcode sets, such as CPT codes, Health Care Procedure Coding System (HCPCS),
and ICD–10, to ensure the uniform communications between providers, healthcare organizations, and payers ( American Medical Association, 2013).
The standards affect all practices because insurance payers and health plans require all paper or electronically submitted claims must use HIPAA
transactions and code set standards to be complied with HIPAA rules and regulations. The Code Set standards allows any insurance companies to
understand the provided services that providers send in submitted claims. Therefore, the HIPAA standards assure that payers will promptly respond to
electronic claims submission with proper reimbursements for providers and healthcare organizations with minimal delays. With electronic transactions,
the standards have

International Classification Of Diseases (ICD)

Recommended

Recommended

More Related Content

Similar to International Classification Of Diseases (ICD)

Similar to International Classification Of Diseases (ICD) (11)

More from Elizabeth Brooks

More from Elizabeth Brooks (20)

Recently uploaded

Recently uploaded (20)

International Classification Of Diseases (ICD)