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CHAPTER 2. AN OVERVIEW OF ICD-10-CM. An Overview of the ICD-10-CM. Classification System Morbidity (illness) Mortality (death) ICD = International Classification of Diseases WHO ’ s ICD-10 used globally World Health Organization ICD-10-CM = 10th Revision; CM, Clinical Modification
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CHAPTER 2 AN OVERVIEW OF ICD-10-CM
An Overview of the ICD-10-CM Classification System Morbidity (illness) Mortality (death) ICD = International Classification of Diseases WHO’s ICD-10 used globally World Health Organization ICD-10-CM = 10th Revision; CM, Clinical Modification Continuity of data (Cont’d…)
Index Main terms and subterms Figure 2.2 ICD-10-CM Index(From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
ICD-10-CM Chapters Chapter 1 Certain Infectious and Parasitic Diseases (A00–B99) Chapter 2 Neoplasms (C00–D49) Chapter 3 Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50–D89) Chapter 4 Endocrine, Nutritional, and Metabolic Diseases (E00–E89) Chapter 5 Mental, Behavioral and Neurodevelopmental Disorders (F01–F99) Chapter 6 Diseases of the Nervous System (G00–G99) Chapter 7 Diseases of the Eye and Adnexa (H00-H59) Chapter 8 Diseases of the Ear and Mastoid Process (H60–H95) Chapter 9 Diseases of the Circulatory System (I00–I99) Chapter 10 Diseases of the Respiratory System (J00–J99) Chapter 11 Diseases of the Digestive System (K00–K95) • Chapter 12 Diseases of the Skin and Subcutaneous Tissue (L00–L99) • Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue (M00–M99) • Chapter 14 Diseases of the Genitourinary System (N00–N99) • Chapter 15 Pregnancy, Childbirth, and the Puerperium (O00–O9A) • Chapter 16 Certain Conditions Originating in the Perinatal Period (P00–P96) • Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00–Q99) • Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99) • Chapter 19 Injury, Poisoning, and Certain Other Consequences of External Causes (S00–T88) • Chapter 20 External Causes of Morbidity (V00–Y99) • Chapter 21 Factors Influencing Health Status and Contact with Health Services (Z00–Z99 )
Tabular Each section begins with unique letter and codes arranged in numerical order Figure 2.5 ICD-10-CM Tabular, R codes.(From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
Official Instructional Notations Includes Define or give examples of category content Figure 2.13 Includes notation. (From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
Excludes1 Excludes1 = Not Coded Here Figure 2.14 Excludes1 notation in I-10. (From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
Excludes2 Excludes2 = Not Included Here Figure 2.15 Excludes2 notation. (From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
Code First/Use Additional Code Code First/Use Additional = Etiology/Manifestation Paired Codes Figure 2.16 I-10 Tabular, Code first notation. (From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
Code Also Code Also = More than 1 code required Figure 2.18 I-10 Tabular, Code also notation (From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
7th Character and Placeholder X Codes <6 characters that have a 7th character requirement, X is placeholder Figure 2.20 X as the placeholder. (From Elsevier: Buck’s 2019 ICD-10-CM Hospital Edition, St. Louis, 2019, Elsevier.)
GEMs Files (1 of 2) ICD-9-CM codes mapped to new ICD-10-CM codes Figure 2.21 GEMs mapping files I-9 to I-10 (Courtesy U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.)
GEMs Files (2 of 2) ICD-10-CM codes mapped to ICD-9-CM codes Figure 2.22 GEMS mapping files I-10 to I-9 (Courtesy U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.)
GEMs Flag (Column 3) Three types of flags Approximate Direct match from I-9 to I-10 Flags: 00000 and 10000 No Map No diagnosis code available Combination Requires a combination of codes to map from one system to another
ConclusionCHAPTER 2 AN OVERVIEW OF ICD-10-CM