1. ICD-10-TM Classification Health Intervention
Wansa Paoin
Thai WHO-FIC CC
6th WHO-FIC APN Meeting, Bangkok, July 18-19, 2013

2. 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

3. 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)

4. ICD-10-TM Code Structures
7 Digit
3 Axis
Anatomical Axis Digit 1-3
Procedure Axis Digit 4-5
Detail Axis Digit 6-7

5. Example Codes 733-11-70 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)

6. 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

7. 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

9. 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  

10. 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  

11. 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