Johns Hopkins University School of Medicine, Baltimore, MD.
University of Pennsylvania School of Medicine, Philadelphia, PA.
Chest. 2018 Jul;154(1):207-218. doi: 10.1016/j.chest.2018.04.004. Epub 2018 Apr 21.
The International Classification of Disease (ICD) coding system is broadly used by health-care providers, hospitals, health-care payers, and governments to track health trends and statistics at the global, national, and local levels and to provide a reimbursement framework for medical care based on diagnosis and severity of illness. The current iteration of the ICD system, the ICD, Tenth Revision (ICD-10), was implemented in 2015. Although many changes to the prior ICD, Ninth Revision system were included in the ICD-10 system, the newer revision failed to adequately reflect advances in the clinical classification of certain diseases such as pulmonary hypertension (PH). Recently, a proposal to modify the ICD-10 codes for PH was considered and ultimately adopted for inclusion as an update to the ICD-10 coding system. Although these revisions better reflect the current clinical classification of PH, in the future, further changes should be considered to improve the accuracy and ease of coding for all forms of PH.
国际疾病分类（ICD）编码系统被广泛应用于医疗保健提供者、医院、医疗保健支付者和政府，用于跟踪全球、国家和地方各级的健康趋势和统计数据，并根据诊断和疾病严重程度为医疗提供报销框架。当前版本的 ICD 系统，即 ICD-10，于 2015 年实施。尽管 ICD-10 系统包含了对之前的 ICD-9 系统的许多更改，但新版本未能充分反映某些疾病（如肺动脉高压[PH]）的临床分类的进展。最近，提出了修改 PH 的 ICD-10 编码的建议，并最终被采纳为 ICD-10 编码系统的更新。虽然这些修订更好地反映了当前 PH 的临床分类，但未来应考虑进一步的更改，以提高所有类型 PH 的编码准确性和便利性。
