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ICD-10-CM Codes

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Press Release 09/22/03

Field-Test Shows Benefits of New Medical Coding System

Press Release 04/13/034

PITAC Draft Recommendation on ICD-10/SNOMED

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Major modifications
in the ICD 10 Codes
include:

ICD 10 Codes ability to report laterally specifying whether a medical condition occurred on the right or left side.
Expanded sections with ICD 10 Codes including diabetes, postoperative complications, injury and substance/alcohol abuse.
ICD 10 Codes will define standard definitions for "excludes" notes.
ICD 10 Codes will expand identification of trimesters to obstetrical codes.
Identification with ICD 10 Codes of initial encounter, subsequent encounter, and sequelae of injuries.
The ICD 10 Codes offer combination diagnosis/symptoms codes.
ICD 10 Codes offer expanded external causes of injury.
ICD 10 Codes will drastically improve clinical detail.
ICD 10 CM Codes include and addition of a sixth character.
In some of the ICD 10 Codes twenty-one chapters an addition of a seventh character extension is noted (ICD 9 Codes have a maximum of five characters).

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On September 22, 2003, the American Health Information Management Association (AHIMA) and the American Hospital Association (AHA) concluded a field-test study of ICD 10 Codes medical code sets. These findings indicated that the ICD 10 Codes represented a significant improvement over the current ICD 9 Codes coding system. The study also added that the ICD 10 Codes can be implemented without changes in documentation practices or excessive staff training costs.

Development of ICD 10 codes
In the mid 1990's the National Center for Health Statistics (NCHS) found that a clinical modification of ICD 10 Codes would be a significant improvement which should be implemented in the United States. As medical knowledge has increased including emerging diseases, new concepts and the need to expand distinctions for managed care and ambulatory care, a clinical modification was needed. The clinical modification for ICD 10 Codes was created in three phases. The first phase developed with the assistance of a technical advisory panel (TAP) being a prototype. The next two phases incorporated enhancements to the prototype based on the ICD 9 Codes Coordination and Maintenance Committee and public input. The development of the ICD 10 Codes included group discussions with physicians, professional associations (e.g., American Hospital Association, or AHA) and professional licensed coders currently using ICD 9 Codes. As potential problems are identified during the field testing, future improvements are expected. Although ICD 10 Codes are in the public domain, neither the codes nor the code titles can be changed unless approved by the Coordination and Maintenance process overseen together by the Centers for Medicare and Medical Services (CMS) and the National Center for Health Statistics (NCHS). ICD 10 Codes consist of twenty-one chapters. The classification of factors influencing health status and contact with health services (V codes), and the classification of external causes of injury and poisoning (E codes), are incorporated within ICD 10 Codes instead of being considered supplementary classifications, as in ICD 9 Codes.