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ICD-10-CM官方指南说明书用户手册.pdf

发布:2025-05-06约35.91万字共页下载文档
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ICD-10-CMOfficialGuidelinesforCodingandReporting

FY2021–UPDATEDJanuary1,2021

(October1,2020-September30,2021)

Narrativechangesappearinboldtext

ItemsunderlinedhavebeenmovedwithintheguidelinessincetheFY2020version

Italicsareusedtoindicaterevisionstoheadingchanges

TheCentersforMedicareandMedicaidServices(CMS)andtheNationalCenterforHealth

Statistics(NCHS),twodepartmentswithintheU.S.FederalGovernment’sDepartmentofHealth

andHumanServices(DHHS)providethefollowingguidelinesforcodingandreportingusingthe

InternationalClassificationofDiseases,10thRevision,ClinicalModification(ICD-10-CM).

TheseguidelinesshouldbeusedasacompaniondocumenttotheofficialversionoftheICD-10-

CMaspublishedontheNCHSwebsite.TheICD-10-CMisamorbidityclassificationpublished

bytheUnitedStatesforclassifyingdiagnosesandreasonforvisitsinallhealthcaresettings.The

ICD-10-CMisbasedontheICD-10,thestatisticalclassificationofdiseasepublishedbytheWorld

HealthOrganization(WHO).

TheseguidelineshavebeenapprovedbythefourorganizationsthatmakeuptheCooperating

PartiesfortheICD-10-CM:theAmericanHospitalAssociation(AHA),theAmericanHealth

InformationManagementAssociation(AHIMA),CMS,andNCHS.

Theseguidelinesareasetofrulesthathavebeendevelopedtoaccompanyandcomplementthe

officialconventionsandinstructionsprovidedwithintheICD-10-CMitself.Theinstructionsand

conventionsoftheclassificationtakeprecedenceoverguidelines.Theseguidelinesarebasedon

thecodingandsequencinginstructionsintheTabularListandAlphabeticIndexofICD-10-CM,

butprovideadditionalinst

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