Evaluation of Orthopedic and Traumatology Diseases According to the 11th Revision of the International Classification of Diseases

Abstract

Objective: International Classification of Diseases (ICD) codes provide valuable and detailed information to measure the quality, effectiveness, and safety of healthcare services. This paper addresses the key differences between ICD-10 and ICD-11 in relation to orthopedics and traumatology, focusing on the main challenges orthopedic physicians may face during the transition to ICD-11 and offering potential solutions to these issues. Methods: This study outlines the main headings and diseases of the ICD-10 guidelines published by the World Health Organization and the ICD-11 guidelines published in 2019. The orthopedic and traumatology sections were compared. Results: In ICD-10, chapter numbering is done with Roman numerals, whereas in ICD-11, Arabic numerals are used for chapter numbering. In ICD-11, the main code has 4 characters and the first two characters consist of letters, and the last two characters consist of numbers. The number of main headings, which was 21 in ICD-10, was updated to 26+2 in ICD-11. In ICD-11, unlike ICD-10, health services related to traditional medicine are included in the last sections, and these services have been tried to be standardized internationally. In addition, separate sections for the evaluation of functioning and additional codes were included in sections V and X. Conclusion: When ICD-11 is analyzed in terms of its general structure, the number of disease diagnoses has increased and a more comprehensive hierarchical structure is observed compared with ICD-10. It is an absolute fact that physicians in particular will experience difficulties during the transition to ICD-11.