Icd 10

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, a ssociated 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: easy storage, retrieval and analysis of health information for evidenced-based decision-making; sharing and comparing health information between hospitals, regions, settings and countries; 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 ICD-10 CM -Clinical modification/ diagnostic coding used by health care providers ICD-10-PCS- In-patient procedure reporting used by hospitals

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

17. 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 Index-Alphabetical list of terms and its codes Tabular list- sequential alpha-numeric list of codes divided into 21 chapters

18. 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

19. Thank you