The International Classification of Diseases, 10th Revision (ICD-10) is a system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care in medical records.
A unique alphanumeric code assigned to a specific medical condition or disease, according to the guidelines set forth by the ICD-10 system. These codes are used for billing, statistical tracking, and medical research purposes.
A code used in medical records to represent specific medical procedures, surgeries, or interventions performed on a patient. These codes are essential for accurately documenting healthcare services provided and for billing purposes.
The practice of assigning both ICD-9 and ICD-10 codes to diagnoses and procedures during the transition period from ICD-9 to ICD-10. It helps healthcare organizations and providers ensure a smooth transition to the new coding system.
Clinical Modification (CM)
The version of the ICD-10 code set used in the United States for diagnosis coding. It includes additional clinical details and is adapted for use in the American healthcare system.
The portion of the ICD-10 code set used for procedure coding in the United States. It provides a comprehensive system for coding medical procedures performed in inpatient hospital settings.
The process of cross-referencing codes from one coding system (such as ICD-9) to equivalent codes in another system (such as ICD-10). Mapping helps ensure continuity of data and facilitates the transition between code sets.
A collection of codes organized systematically to represent various medical diagnoses, symptoms, procedures, and conditions. The ICD-10 code set consists of thousands of alphanumeric codes, each representing a specific medical concept.
A process aimed at enhancing the quality and accuracy of clinical documentation to ensure that diagnoses and procedures are captured comprehensively and accurately in medical records. CDI efforts are particularly crucial in the context of ICD-10 coding.
The federal agency responsible for overseeing the implementation and maintenance of the ICD-10 code set in the United States. The NCHS provides guidance, updates, and resources related to ICD-10 coding for healthcare professionals and organizations.