[The ICD-10 and the Unified Diagnoses Code of the Pension Insurance. Guidelines for interpretation of the diagnostic codes within the legislative framework for pension insurance].
The "International Statistical Classification of Diseases and Related Health Problems", Tenth Revision (ICD-10), has to be used by all social security funds in Germany since Jan. 1, 2000. For purposes of the official statistical classification of causes of death, it has been used since 1998. There are a number of fundamental differences between the ICD-10 and the ninth revision. In particular, a considerably higher degree of specification and differentiation warrant a thorough look at the ICD-10 in numerous respects. The Unified diagnoses code of the statutory pension insurance is an extract from the ICD-10 referring specifically to diseases occurring in medical rehabilitation and early retirement contexts. Several new four- and five-digit codes were added for statutory pension insurance purposes, hence are not contained in the original ICD-10. This extract will only turn out a practical tool if the physician is well-qualified in his particular field and is familiar with the sometimes very complex differentiations within the systematical register in volume I of the ICD-10. The article provides an overview of the structure of the ICD-10; deals with major novelties and alterations as well as practical problems; uses various exemplary diagnoses to illustrate a systematical approach in possibly problematical encoding; and recalls several general rules for diagnoses encoding in social medicine.
Cibis
W
W
Verband Deutscher Rentenversicherungsträger, Frankfurt/M. wolfgang.cibis@vdr.de
D002908:Chronic Disease / Q000145:classification* / Q000534:rehabilitation*; D003953:Diagnosis-Related Groups / Q000145:classification*; D004185:Disability Evaluation; D005858:Germany; D006801:Humans; D018868:Insurance, Disability / Q000331:legislation & jurisprudence; D012943:Social Security / Q000331:legislation & jurisprudence*