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Congenital anomalies from the health surveillance perspective: compilation of a list based on ICD-10
João Matheus Bremm1, Augusto César Cardoso-Dos-Santos1, Vivyanne Santiago Magalhães2
1Universidade Federal do Rio Grande Sul, Departamento de Genética, Porto Alegre, RS, Brasil.
Insights
This study identified 898 codes for congenital anomalies, finding that the International Classification of Diseases, 10th Revision (ICD-10) Chapter XVII alone is insufficient for comprehensive health surveillance.
Area of Science:
- Medical Informatics
- Public Health
- Genetics
Background:
- Congenital anomalies represent a significant global health burden.
- Accurate coding is crucial for effective health surveillance and research.
- Existing coding systems may not fully capture the spectrum of these conditions.
Purpose of the Study:
- To develop a comprehensive list of congenital anomalies with corresponding International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) codes.
- To enhance health surveillance capabilities for congenital anomalies.
Main Methods:
- Searched ICD-10, ICD-11, surveillance programs, and Orphanet for anomaly codes.
- Processed retrieved anomalies for ICD-10 correspondence.
- Manually reviewed and compiled the final list.
Main Results:
- Identified 898 unique codes for congenital anomalies.
- 619 codes (68.9%) were found in ICD-10 Chapter XVII.
- 279 codes were identified from other sources, including ICD-11, surveillance programs, and Orphanet.
Conclusions:
- The current ICD-10 Chapter XVII codes do not encompass all congenital anomalies.
- An expanded list is necessary for robust health surveillance of these conditions.
Objective:
To propose a list of congenital anomalies having corresponding codes in the International Statistical Classification of Diseases and Related Health Problems, 10thRevision (ICD-10), with the aim of applying it in health surveillance.
Methods:
In December 2019, the following data sources were searched: ICD-10; ICD-11; anomalies monitored by three surveillance programs; and a database of rare diseases (Orphanet). Anomalies were retrieved from these data sources, processed to check for correspondence with ICD-10 and reviewed manually to compile the list.
Results:
898 codes were identified, of which 619 (68.9%) were contained in ICD-10 Chapter XVII. Of the 279 codes contained in other chapters, 19 were exclusive to the ICD-11 search, 72 to the surveillance programs, 79 to Orphanet and 36 to the search for terms in ICD-10.
Conclusion:
The codes contained in ICD-10 Chapter XVII do not capture the totality of congenital anomalies, indicating the need to adopt an expanded list.
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