Health & Medical Health Care

What Do ICD Codes Mean?

    Administration

    • ICD stands for "International Classification of Diseases." The system is maintained by the World Health Organization of the United Nations.

    Significance

    • Standardizing the identification of diseases and conditions allows for better comparison of health statistics among countries and better coordination of public health efforts.

    Systems

    • The most recent version of the system is ICD-10. It allows for about twice as many codes as its predecessor, ICD-9, which had been running out of codes. Most countries use only ICD-10; the United States uses both.

    In the U.S.

    • The U.S. health-care system uses ICD-9 for classifying "morbidity"--diseases and conditions in living people--and ICD-10 for classifying "mortality"--cause of death. The federal government has required ICD-9 codes on all Medicare and Medicaid claims, which has hampered adoption of ICD-10.

    Differences

    • The ICD-9 system allows for up to five digits, all of them numerals, while ICD-10 allows for up to six characters, the first of which is a letter. The systems' codes are radically different. An asthma attack, for example, is "493.92" in ICD-9, but in ICD-10, it could be "J45.21," "J45.41" or "J45.51," depending on severity.

    Identification

    • See the links in the Resources section for searchable databases of ICD codes.

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