ICD-10-TM ClassificationHealth Intervention

Wansa PaoinThai 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