To collect information on various diseases, maintain statistics, unified classification and treatment methods, the International Classification of Diseases - ICD was created. The peptic ulcer is also included in this list and has the assigned number K25.Periodically, the IBC is revised. Usually this happens every 10 years. Since 1948, WHO has coordinated the revision.
In the ICD, gastric ulcer was included long ago. With each revision, information about the disease was supplemented and changed. New ones were included and old subpoints were excluded from certain diseases. Today is the document of the tenth revision. All the latest changes in peptic ulcer in the ICD-10 were taken in 1989, but in Russia this classification was adopted much later, and until 1998 the concept of ulcers and the principles of its treatment in us and peptic ulcer ICD-10 had some differences. But from January 1, 1998 the classification became unified.
It should be noted that the tenth revision is a great work of health organizations of different countries. The peculiarity of this document from the previous ones is the introduction of letters and three digits into classification, which allowed using 100 three-digit categories in each class.25 letters of 26 were used, the letter U was reserved.
The ulcer in the ICD-10 has the letter code K25 and excludes such diseases as peptic ulcer of the BDU and acute form of erosive hemorrhagic gastritis. The modern classification of gastric ulcer( code ICD-10) includes the following 9 sub-items, of which K25.0-K25.3 is an acute form of the disease, K25.4-K25.7-chronic form and K25.9-unspecified. In case of bleeding, the patient is classified as K25.0 or K25.4, depending on the form of the disease, and when perforating K25.1 or K25.5.Without perforation or bleeding in the case history, they write K25.3 or K25.7, with bleeding and with perforation K25.2 or K25.6.
More details on the classification of the ICD-10 stomach ulcer:
- 0 - acute bleeding;
- 1 - acute with perforation;
- 2 - acute bleeding with perforation;
- 3 - acute necrosis without perforation;
- 4 - unstable or chronic bleeding;
- 5 - unstable or chronic with perforation;
- 6 - unstable or chronic bleeding with perforation;
- 7 - unstable or chronic necrointestinal, without perforation;
- 9 - unidentified form( acute or chronic bleeding, or with perforation).
It is thanks to this unified classification that a doctor in any country, seeing a letter code in the patient's history, will understand the diagnosis.