Transcript ICD-10-TM Classification Health Intervention, Dr. Wansa Paoin.

ICD-10-TM Classification
Health Intervention
Wansa Paoin
Thai WHO-FIC CC
6th WHO-FIC APN Meeting, Bangkok, July 18-19, 2013
Mofication of ICD in Thailand
• 2000
– Vol 1.
– Vol 2.
– Vol 3.
– Vol 4.
– Vol 5.
ICD-10-TM
Tabular List of Diseases
Alphabetical Index of
Diseases
Tabular List of
Procedures
Alphabetical Index of
Procedures
Standard Coding Guidelines
Scopes of ICD-10-TM Vol. 3
• Medical and Surgical Procedures &
Operations
• Dental Procedures
• Physical Therapy & Rehabilitation Procedures
• Radiology Diagnostic and Therapy
• Laboratory Request List
• Thai Traditional Medicine Procedures
(add in 2007)
ICD-10-TM Code Structures
• 7 Digit
• 3 Axis
– Anatomical Axis
– Procedure Axis
– Detail Axis
Digit 1-3
Digit 4-5
Digit 6-7
Example Codes
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•
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•
•
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733-11-70
734-11-70
735-11-70
736-11-70
737-11-70
738-11-70
Removal of Sutures from skin of thigh
Removal of Sutures from skin of knee
Removal of Sutures from skin of lower leg
Removal of Sutures from skin of ankle
Removal of Sutures from skin of foot
Removal of Sutures from skin of toe (s)
Procedure Codes
Implementation
• 2007
• 2008
• 2010
• 2010
Selected hospital start using the surgical
procedure codes as volunteer use
Thai Traditional Medicine Procedures are fully
implemented in all hospitals
Medical and Surgical Procedures are fully
implemented in all Primary Care Units
Dental Procedures are partly
implemented in some hospitals
Tools to facilitate
procedure coding
• ICD-10-TM for PCU procedure coding book
– English and Thai Indexes
– Explanation in Thai
• Simple Picture Guideline
– Help the coder to quickly find the code for
common procedures
ICD-10-TM for PCU
Procedure coding guideline
• Remove sutures
xxx-11-70
• Remove foreign body xxx-11-71
• Skin aspiration
• Incision & drain
• Skin debridement
xxx-22-70
xxx-22-71
xxx-26-70
• Excision of skin lesion xxx-26-71
• Destruction of lesion xxx-28-70
• Wound suturing
xxx-39-70
• Wound dressing
xxx-80-70
ICD-10-TM for PCU
Procedure coding guideline
• Remove sutures
xxx-11-70
• Remove foreign body xxx-11-71
• Skin aspiration
• Incision & drain
• Skin debridement
xxx-22-70
xxx-22-71
xxx-26-70
• Excision of skin lesion xxx-26-71
• Destruction of lesion xxx-28-70
• Wound suturing
xxx-39-70
• Wound dressing
xxx-80-70
ICD-10-TM
procedure codes in ICHI
• Development of WHO International
Classification of Health Intervention (ICHI)
• ICD-10-TM procedures content were add in
2011
– Medical and Surgical Procedures
– Physical Therapy and Rehabilitation
Procedures