簡介2021年美國疾病分類編碼及申報指引的增修方向

A brief Introduce the ICD-10-CM/PCS Official Guidelines for Coding and Reporting FY 2021

美國疾病分類的編碼及申報的官方指引除了每年修訂外，此新一版本的使用生效日從ICD-9-CM以來一直是以10月1日為更新版實施日期的分界點。故本文所轉述的編碼指引觀念將於美國2020年10月1日開始生效於全美所有的健康照護機構。2021年美國疾病分類的編碼及申報指引與前一年（2020年）版本比較上在ICD-10-CM方面增修共有22處，其中新增14處，修訂共8處。而在ICD-10-PCS方面增修共有4處，其中新增2處，修訂2處。本文擬利用美國疾病管制署（CDC）下的國家健康資料統計中心（NCHS）及美國老人醫療保險與貧民救助中心（CMS）所公告針對2021年ICD-10-CM／PCS編碼及申報指引，比較2020年版資料後新增或修訂之處，提供給我國關心疾病分類發展的同仁夥伴們參考，同時也提供我國健保署在未來規劃新版本ICD-10-CM／PCS政策釐訂或使用更新版本時機的參考。

The annual update of the ICD-10-CM/PCS Official Guidelines for Coding and Re-porting in fiscal year 2021, the effective date of this new version has been October 1 for the implementation date of the updated version since the beginning of ICD-9-CM era. There-fore, the coding guidelines presented in this article will take effect in all health care institu-tions in the United States from October 1, 2021. Comparing with the previous year's (2020) version, the coding and reporting guide-lines of the U.S., both disease and operation or procedures classification, in 2021 have been revised in 22 features in ICD-10-CM, of which 14 are added and 8 revised. In terms of ICD-10-PCS, there are 4 features, including 2 features for addition and 2 issues for revision. This article intends to use the National Center for Health Information Statistics (NCHS) under the U.S. Department of Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) to compare the ICD-10-CM/PCS coding and reporting guidelines in 2021. The new or revised information after the 2020 edition is provided for reference to our colleagues in Taiwan being concerned about the development of the ICD-10-CM/PCS coding features. It also provides our National Health Insurance Administration with a new version of coding in the future planning.