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Source Data, General Comments

Like the ICD-9, the data is provided in a text file, formatted in two columns separated by white space. The first column is the ICD code, the second is a definition. Unlike the ICD-9 source, ICD-10 CM (diagnosis codes) and ICD-10 PCS (procedure codes) are not bundled together. They can be found at:

  • *CM
    *
  • [ICD-10-CM|VKC:http
    //www.cms.gov/ICD10/14_2009_ICD_10_CM.asp] then click on 2009 Diagnosis Code Set General Equivalence Mappings and download the zip file. The data file is named: I10cm_desc.txt
  • *PCS
    *
  • [ICD-10-PCS|VKC:http
    //www.cms.gov/ICD10/13_2010_ICD10PCS.asp]then click on 2010 Code Descriptions - Long Format, Table Format and README files ZIP, 1MB

CM and PCS each placed their own coding scheme. They are not combined into one coding scheme like ICD-9.

Source Data, Code Format

In the case of diagnosis codes, the concept code is comprised of 3 to seven alpha numeric digits. There will always be three leading digits, then possibly a decimal point followed by 1 to 4 digits. With procedure codes, no decimal system is used. The codes are used as is from the source file.

Source Data, Example

CM

  • A000 Cholera due to Vibrio cholerae 01, biovar cholerae
  • A001 Cholera due to Vibrio cholerae 01, biovar eltor
  • A009 Cholera, unspecified

PCS

  • 00Q00ZZ Repair Brain, Open Approach
  • 00Q03ZZ Repair Brain, Percutaneous Approach
  • 00Q04ZZ Repair Brain, Percutaneous Endoscopic Approach

Mappings

General Comments

As with ICD-9 described above the description data about the code system is not provided in the date file; so the loader provides defaults. Also the type of data contained in the files is exactly the same as with ICD-9; that is, concept codes and descriptions. Thus the ICD-10 loader behaves the same as the ICD-9 loader with respect to what tables are populated. And because there is no hierarchy, again like the ICD-9 data, the ICD-10 loader behaves the same way as the ICD-9 loader with respect to associations.

So for details on how the data from the ICD files is processed into LexGrid please refer to the ICD-9 section above.

What follows are the specific default data values unique to ICD-10 CM and ICD-10 PCS.

CM

Table: codingScheme(abbreviated)

Field Name

Value

 

 

codingSchemeName

ICD-10-CM

codingSchemeUri

urn:oid:2.16.840.1.113883.6.3

representsVersion

<provided by user>

formalName

ICD-10 CM

defaultLanguage

ENG

description

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

copyRight

Centers for Medicare & Medicaid Services (CMS)

codingSchemeSource

http://www.cms.hhs.gov

Table: relation(abbreviated)

Field Name

Value

 

 

containerName

icd10CmCmsRelations

isMapping

0

sourceCodingScheme

Null

sourceCodingSchemeVersion

Null

targetCodingScheme

urn:oid:2.16.840.1.113883.6.3

targetCodingSchemeVersion

< provided by user >

description

ICD-10-CM CMS relations container

PCS

Table: codingScheme(abbreviated)

Field Name

Value

 

 

codingSchemeName

ICD-10-PCS

codingSchemeUri

urn:oid:2.16.840.1.113883.6.4

representsVersion

<provided by user>

formalName

ICD-10 PCS

defaultLanguage

ENG

description

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-PCS)

copyRight

Centers for Medicare & Medicaid Services (CMS)

codingSchemeSource

http://www.cms.hhs.gov

Table: relation(abbreviated)

Field Name

Value

 

 

containerName

icd10PcsCmsRelations

isMapping

0

sourceCodingScheme

Null

sourceCodingSchemeVersion

Null

targetCodingScheme

urn:oid:2.16.840.1.113883.6.4

targetCodingSchemeVersion

< provided by user >

description

ICD-10-PCS CMS relations container

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