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