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
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