The ICD-10 is a systematic coding system developed by the World Health Organization for classifying diseases and health conditions into categories for statistical analysis and reporting, and it has been revised over 100 years. The ICD-10 code structure is alphanumeric and used internationally to classify morbidity and mortality data for purposes like epidemiology, health services planning, and medical care management. Proper use of ICD-10 codes allows for consistent and accurate health statistics to be produced and compared across hospitals, regions, and countries.

2. PRODUCED BY THE WORLD
HEALTH ORGANIZATION
The ICD has been evolving for more
than 100 years as a
SYSTEMATIC CODING SYSTEM.

3. -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

4. -it is the translation of diseases,
health related problems and
procedural concepts from text to
alphabetic/numeric codes for
storage, retrieval and analysis

5. -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.

6. To allow easy storage, retrieval
and analysis of data
To allow comparison of data
between hospitals, provinces,
regions and countries

7. Consistent use of ICD-10 codes allows
comparative/accurate statistics –
quality statistics to be produced...
HOSP. A HOSP. B Region 2
CAR
INDIA
PHILIPPINES

8. ICD-10 codes are used to
generate
statistics
for Morbidity and Mortality.

9. Epidemiology
Medical Care Management
HOW?
• provides clues for causes of disease
• evaluation of previous treatments
• review of previous public health
initiatives or programs
• aid health services planning decisions

10. • 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

11. 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

12. 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

13. 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

14. The ICD-10 follows certain conventions in order to
provide information in a consistent manner.
These conventions fall into several categories
namely:
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”

15. ¢ 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

17. In 1997, WHO sponsored an ICD-10 Train the Trainors
seminar/workshop. A workshop on the development of the
Student 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 Trainings
DOH Administrative Order No. 47 s. 2000
mandates all hospitals to implement ICD-10
coding beginning January 01, 2001.
To complement this Administrative Order, PhilHealth
issued Circular No. 04 s. 2001 mandating all accredited
providers to code their claims beginning July 01, 2001.

18. 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)

19. ICD-10 Coding Guidelines were developed by the
ICD-10 National Technical Working Group in
consultation with the concerned Medical Specialty
Societies
Department Circular No. 33, s. 2004 was signed by
then Health Secretary Manuel M. Dayrit for the
dissemination of the said guidelines

20. 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 Index
This year , the “ICD-10 Philippine Modification” will be
launched to assist coder in the coding certain
conditions/diseases common in the country

21. 1. Unfamiliarity of the ICD-10 Philippine
Modifications
2. Incomplete Translation
• Outcome of Delivery not coded
• Missing fourth and fifth digit category
• No Morphology and Behaviour Code
3. Failure to follow the ICD-10 Conventions.
(site of musculo-skeletal involvement, laterality,
exclusions, etc.)

22. 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

23. 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.

24. 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.

25. 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

26. ICD-10 CODE CONDITIONS
AGE with some/mild
A09.0 dehydration
AGE with moderate/marked
A09.1 dehydration
AGE with severe
A09.2 dehydration
AGE with no signs
A09.3 dehydration
AGE; AGE with DHN; acute
A09.9 gastroenteritis with DHN

27. 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

28. 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

29. B 34.9 Systemic Viral Infection
(SVI)
A01.0 Typhoid Fever
K31.8 Acid Peptic Disease

30. J45.9 Bronchial Asthma in Acute
Exacerbation (BAIAE)
J18.9 Community Acquired Pneumonia
(CAP)
M94.88 Chostocondritis

31. Diagnoses/Conditions ICD-10 Code
Chronic Respiratory Insufficiency R06.8
Diabetic Gastropathy E14.4
Diabetic Hypermotility E14.4
Diabetic Macrovascular Disease E14.7, I21.9, I63.9
Gastropathy K31.9
Metabolic Encephalopathy G93.4† E90*
Multiple Organ Failure R68.8
NSAID Gastropathy K31.9, Y56.0
Renal Scar N28.9
Soft Tissue Mass M35.9
Soft Tissue Rheumatism M79.09