ICD-10 is a coding system for the International Statistical Classification for Diseases and Related Health Problems.
It pertains to the signs and symptoms, complaints, abnormal findings, external causes and social circumstances of injuries or diseases as put out and classified by the WHO, or World Health Organization.
This is a code set that allows for well over 14,000 different codes as well as permits for the tracking of a lot of new diagnoses.
The ICD-10 is an updated version of the older ICD-9 code sets. There are a number of countries that have now taken on the ICD-10 code for enlarged prostate and worked to modify it for use with their medical systems.
In the United States and through the National Center for Health Statistics, it has been developed for the Clinical Modification, or ICD-10-CM, version of the coding set for use in the United States.
There has also been a new code set created through the Centers for Medicare and Medicaid Services (CMS), which is the ICD-10-PCS, or Procedure Coding System.
These are code sets that are considered to be classification code sets. These sets are at a higher level of information than some of the other medical coding sets, such as the Systematized Nomenclature of Medicine, or SNOMED.
This is used for electronic exchange of the information on clinical health with the federal government systems.
Current Uses For ICD-9-CM Code Sets As Well As Other Code Sets
It is required that all current health care providers and health plan systems use a standard code set to help indicate a variety of procedures and diagnoses for transactions, as set forth by the Health Insurance Portability and Accountability Act, or HIPAA. The ICD-9-CM code set is used for all diagnoses.
ICD-9-CM is a procedure code set that is to be used for all inpatient hospital procedures. For any of the other kinds of procedures, the health providers and plans will use what is known as Current Procedural Terminology (CPT) or (HCPCS) Healthcare Common Procedure Coding System codes.
These explain all of the ICD-10-CM codes that are soon to be required for diagnoses as well as the ICD-10-PCS codes that are used for inpatient hospital procedures.
Currently, there are no plans for drastically changing the HCPCS and CPT code sets.
Major Changes Moving From ICD-9 To ICD-10
While there are usual, annual updates that are made to the ICD-9 codes, the ICD-10 codes are different.
Because the ICD-9 codes are common in just about all administrative and clinical processes in any healthcare setting, there are a lot of changes necessary for the implementation and correct use of the new codes.
All of the updated code sets will require these significant changes in how the health plans will reimburse services as well as the way that coverages for services are determined.
The ICD-10 codes will enable a lot of improvements to the public health reporting, care management, quality measurement and research.