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ICD-10 is the 10th revision of the International Classification of Diseases, a system of codes for diseases, symptoms, and health problems. It has been replaced by ICD-11 since 2022, but some countries still use modified versions of ICD-10 for various purposes.
ICD-10-CM stands for International Classification of Diseases, Tenth Revision, Clinical Modification. It is a set of codes used in the US to classify diseases and symptoms for health care transactions.
ICD stands for International Classification of Diseases, a medical classification system used for epidemiology, health management and clinical purposes. The ICD is maintained by the World Health Organization and revised periodically, with the latest version being ICD-11.
CMS is a U.S. agency that administers Medicare, Medicaid, CHIP, and other health insurance standards and quality measures. It was established in 2001 and has over 6,000 employees in various locations.
A National Provider Identifier (NPI) is a unique 10-digit number issued to health care providers in the US by CMS. Learn about the mandated and optional uses, signup process, identifier details, and open data set of NPI.
MDC is a code that divides principal diagnoses from ICD-9-CM into 25 mutually exclusive categories. MDC codes are used for claims and administrative data in the US medical care reimbursement system.
Diagnosis-related group (DRG) is a system to classify hospital cases into one of originally 467 groups, based on ICD diagnoses, procedures, age, sex, discharge status, and complications. DRGs are used to determine how much Medicare pays the hospital for each case, and have been developed for different markets and purposes.
ICD-10-PCS is a US-developed standard that replaces Volume 3 of ICD-9-CM. It consists of seven alphanumeric characters that code different types of medical and surgical procedures by body system, root operation, body part, approach, and qualifier.