German Modification of ICD-10. The standard for diagnosis coding in Germany
The German modification of ICD-10, maintained by the BfArM. Required for diagnosis coding across all German healthcare settings and the basis for DRG-based reimbursement. Around 14,000 alphanumeric codes (3–5 characters, e.g., E11.90).
Encounter type is required. ICD-10-GM coding guidelines differ significantly between inpatient and outpatient settings. For instance, in the outpatient setting, one should only code established diagnoses. In the inpatient setting, one should also include all diagnoses that are uncertain, even those that are ruled out. Use icd10gm-inpatient for inpatient cases and icd10gm-outpatient for outpatient cases. The correct guideline set is applied automatically based on the suffix.
For German inpatient episodes, ICD-10-GM is paired with OPS for procedure coding. Use icd10gm-inpatient for diagnoses and ops for procedures in the same request.
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