Understanding the Impact of the Differences in ICD-9 …
Understanding the Impact of the Differences in ICD-9-CM and ICD10-CM and Its Potential Impact on
Data Analysis
Donna Pickett, MPH, RHIA National Center for Health Statistics
August 6, 2012
Overview
? History of ICD ? Overview of ICD-10 ? Overview of ICD-10-CM
? Development/Testing ? Benefits
? Structure/Conventions ? Chapter-specific Overview ? Guidelines ? General Equivalence Maps (GEMs)
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History of the ICD
ICD Revision No. First Second Third Fourth Fifth Sixth Seventh Eighth
Ninth Tenth
ICD Revisions
Year of Conference When Adopted 1900 1909 1920 1929 1938 1948 1955 1965
Year in Use in the U.S. 1900-1909 1910-1920 1921-1929 1930-1938 1939-1948 1949-1957 1958-1967 1968-1978
1975 1989
1979-1998 1999-
ICD, Clinical Modification
ICDA-8 H-ICDA-1 H-ICDA-2 ICD-9-CM ICD-10-CM
Year in Use in the U.S.
1968-1978 1968-1972 1973-1978 1979 Oct. 1, 2013 (2014?)
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World Health Organization and ICD-10 Implementation
? W.H.O. has authorized the publication of ICD-10 versions in 30+ languages
? Death certificates in U.S. have been coded using ICD-10 since data year 1999
? More than 90 countries having implemented ICD-10 (or a clinical modification) for morbidity applications.
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