Читать книгу Dental Management of Sleep Disorders - Ronald Attanasio - Страница 71

In 1948, the World Health Organization (WHO), which is part of the United Nations System, was formed and it published the sixth edition of the ICD [5] for the purposes of diagnostic coding as well as collating mortality statistics regarding all medical conditions. The initial development of the ICD‐10 started in 1983 and was approved by the WHO in 1990. The World Health Organization is the organization that publishes the ICD; however, member countries, like the United States, are authorized to make appropriate modifications for clinical purposes as well as for heath management. The ICD has since undergone multiple revisions that include clinical modifications (CM) resulting in the ICD‐10‐CM [3]. In the Introduction to the ICSD‐3 under the coding section, it is reported that the codes that defined the various classifications in the ICSD were not always found to be in agreement with the ICD codes.

At this time the majority of the sleep disorders are the G47 codes and these are in the chapter Diseases of the Nervous System. This group of codes applies to many of the more commonly encountered sleep disorders and will be reviewed more specifically, especially those that are of importance to the dentist, as each of the sleep disorders is reviewed in this chapter. The codes that begin with R06 are related to abnormal breathing, such as snoring and even mouth breathing. These are respiratory codes that are associated with abnormal clinical and laboratory findings as well as signs and symptoms that are not otherwise classified. The F50 codes are in the broad category of behavioral disorders. In this specific group, these are sleep disorders (F51) that are not related to a substance or to any known physiological condition.

In January of 2022 the ICD‐11 will go into effect. Information regarding this can be found on the website for the WHO. As in the past this may undergo some adaptive revisions to conform to the healthcare system in the United States.