The International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10 of WHO) is an official classification of diagnoses. The German version is a direct translation in German language of the English version of ICD-10 of WHO; its main use in Germany is the encoding of causes of death. The currently valid version in Germany is ICD-10-WHO version 2019.
Version 2019 marks the end of the regular update cycle for the ICD-10-WHO. Changes to the international edition of the ICD-10 will only be published by WHO in exceptional cases.
ICD-10-GM is to be used for encoding in the outpatient and inpatient sectors.
Official diagnostic classification for the encoding of causes of death
BfArM publishes the ICD-10-WHO on behalf of the Federal Ministry of Health; it is in the public domain. From 1 January 1998, it has been used in Germany for the encoding of causes of death, thus forming a basis for internationally comparable official statistics of causes of death.
ICD-10-WHO in German as direct translation of ICD-10 of WHO
The abbreviation ICD stands for "International Statistical Classification of Diseases and Related Health Problems", the number 10 refers to the 10th revision of the classification. ICD-10 is the follow-up version to ICD-9 and part of the family of international health-related classifications of WHO. It is updated at regular intervals and undergoes fundamental revisions at greater intervals. ICD-10 of WHO is the internationally most frequently used diagnostic classification (mainly for the encoding of mortality).
BfArM is a WHO collaboration centre
As a WHO collaboration centre for the system of international classifications, BfArM works closely with WHO on the further development of ICD-10 and is represented in numerous WHO working groups and committees.
ICD-10-WHO vs. ICD-10-GM
In Germany, ICD-10 is mainly used in two official areas:
- encoding of causes of death for mortality statistics
- encoding of diagnoses in outpatient care to document inability to work and for billing purposes in accordance with the German Uniform Assessment Standard (EBM), and for billing purposes in inpatient care as part of the G-DRG payment system.
For the encoding of causes of death, the unmodified translation in German language of ICD-10 of WHO, known as ICD-10-WHO, is used for the purpose of an internationally comparable statistic of the causes of death. By contrast, in inpatient and outpatient care, the modified version ICD-10-GM is used which is adapted to the requirements of the German healthcare system. Both are official versions.
International comparable statistics of health
ICD-10 is the international standard diagnostic classification and permits the systematic recording, analysis, interpretation and comparison of mortality and morbitity data collected in different countries and at different times. One result of such comparison are the reports of the "World Health Statistics" of WHO.