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ICD-10-TM Classification Health Intervention. Wansa Paoin Thai WHO-FIC CC. 6 th 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
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ICD-10-TM ClassificationHealth Intervention WansaPaoin 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 Digit1-3 • Procedure Axis Digit 4-5 • Detail Axis Digit 6-7
ExampleCodes • 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