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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 ICD-10-TM
– Vol 1. Tabular List of Diseases
– Vol 2. Alphabetical Index of
Diseases
– Vol 3. Tabular List of
Procedures
– Vol 4. Alphabetical Index of
Procedures
– Vol 5. 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 Digit 1-3
– Procedure Axis Digit 4-5
– Detail Axis Digit 6-7
Example Codes
• 733-11-70 Removal of Sutures from skin of thigh
• 734-11-70 Removal of Sutures from skin of knee
• 735-11-70 Removal of Sutures from skin of lower leg
• 736-11-70 Removal of Sutures from skin of ankle
• 737-11-70 Removal of Sutures from skin of foot
• 738-11-70 Removal of Sutures from skin of toe (s)
Procedure Codes
Implementation
• 2007 Selected hospital start using the surgical
procedure codes as volunteer use
• 2008 Thai Traditional Medicine Procedures are fully
implemented in all hospitals
• 2010 Medical and Surgical Procedures are fully
implemented in all Primary Care Units
• 2010 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 xxx-22-70
• Incision & drain xxx-22-71
• Skin debridement 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 xxx-22-70
• Incision & drain xxx-22-71
• Skin debridement 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