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ICD-9-CM and ICD-10-CM Diagnosis Code Structure Comparison

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ICD-9-CM Volumes I and II 3-5 characters in length Approximately 13,000 codes Example: First digit may be alpha (E or V) V18.51 or numeric Digits 2-5 are numeric Limited space for adding new codes Lacks detail Lacks laterality (sides of the body) Difficult to define diagnoses and analyze data due to non-specific codes Does not support interoperability (information exchange)

y y y y y y y y y

ICD-10-CM 3-7 characters in length Approximately 68,000 codes Example: First digit is alpha; digits 2 G47.419 and 3 are numeric Digits 4-7 are alpha or numeric Flexible for adding new codes Very specific Allows laterality and bi-laterality (sides of the body) Specificity of codes improves coding accuracy, quality of data for analysis and medical research Supports interoperability (information exchange) of health data between the United States and other countries

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