ICD-11 extension codes support detailed clinical abstraction and comprehensive classification

Saskia E. Drösler, Stefanie Weber, Christopher G. Chute

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: The new International Classification of Diseases—11th revision (ICD-11) succeeds ICD-10. In the three decades since ICD-10 was released, demands for detailed information on the clinical history of a morbid patient have increased. Methods: ICD-11 has now implemented an addendum chapter X called “Extension Codes”. This chapter contains numerous codes containing information on concepts including disease stage, severity, histopathology, medicaments, and anatomical details. When linked to a stem code representing a clinical state, the extension codes add significant detail and allow for multidimensional coding. Results: This paper discusses the purposes and uses of extension codes and presents three examples of how extension codes can be used in coding clinical detail. Conclusion: ICD-11 with its extension codes implemented has the potential to improve precision and evidence based health care worldwide.

Original languageEnglish (US)
Article number278
JournalBMC medical informatics and decision making
Volume21
DOIs
StatePublished - Nov 2021

Keywords

  • Classification
  • Extension codes
  • ICD11
  • International Classification of Diseases

ASJC Scopus subject areas

  • Health Policy
  • Health Informatics

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