ICD-10
ICD-10 is the 10th revision of the World Health Organization's International Classification of Diseases — a standardized coding system of over 70,000 codes used to record diagnoses for clinical, statistical, and insurance-claim purposes. In Indonesia it is the coding basis for BPJS/INA-CBGs reimbursement, where the assigned codes determine the payment package.
Accurate ICD-10 coding requires identifying every documented diagnosis, applying the correct specificity, and sequencing principal versus secondary diagnoses — skilled work that is often done at volume by non-specialist staff, which is where errors and denials creep in. AI can suggest codes from the documentation, but a human accepts them: AI writes, doctors decide.
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