Health data standards

ICD-10 vs ICD-11: what changed, and what it means for your medical record

ICD-11 replaced ICD-10 as the WHO standard in January 2022, but most countries still code in ICD-10. How the two classifications differ (code format, structure, digital design), examples such as I10 and BA00 for essential hypertension, and what the transition means for records and apps.

by Published 2 min read

Short answer: ICD is the WHO's International Classification of Diseases, used to code diagnoses and causes of death for statistics and, in many countries, for billing. ICD-10 has been in use since the 1990s; ICD-11, adopted by the World Health Assembly in 2019, came into effect on 1 January 2022. Countries move to ICD-11 at their own pace, so most records today still contain ICD-10 codes.

What changed

  • Code format: ICD-10 codes start with a letter and two digits (I10, essential hypertension; E11, type 2 diabetes). ICD-11 codes start with a digit or letter pattern such as BA00 (essential hypertension) or 5A11 (type 2 diabetes).
  • Structure: ICD-11 has a foundation of entities linked in several ways, from which the statistical classification is derived, and allows codes to be combined (post-coordination) to add detail such as severity or body site.
  • Digital design: ICD-11 is built to be used through software, with an online browser and an API, and in multiple languages.
  • Content: new chapters (for example traditional medicine, conditions related to sexual health) and updated knowledge.

Why ICD-10 is still everywhere

Payment systems, national registries and software were built around ICD-10, and changing them takes years. Several countries use national modifications, such as ICD-10-CM in the United States or ICD-10-GM in Germany, which add detail. During the transition records may carry both, and mappings between ICD-10 and ICD-11 are published by the WHO.

In Anpheros

In Anpheros, conditions are stored with ICD-10 codes, which most systems read today; Anpheros Search links symptoms and conditions to their ICD-11 entries at the WHO. Developers: FHIR code systems and the symptom data API.

Sources

Frequently asked questions

Has ICD-11 replaced ICD-10?

As the WHO standard, yes, since January 2022. In practice most countries still use ICD-10 or a national version while they transition.

What is the ICD-11 code for essential hypertension?

BA00; in ICD-10 it is I10.

What is ICD-10-CM?

The US clinical modification of ICD-10, with more detailed codes, used for diagnoses in the United States.

Do I need to know my ICD codes?

Not usually, but they appear on discharge letters and sick notes, and a record that keeps them is easier for other systems to read.

Anpheros Platform

Try it free in the sandbox

Your first FHIR call in 5 minutes. An HL7 FHIR R4 API with the patient's consent built in: try it in the sandbox, then connect your own app or clinic system.

Free · 30 synthetic patients · no card

This guide is for information and does not replace medical advice. For decisions about your health, talk to your doctor. In an emergency, call your local emergency number (112 in Europe).
Written by
The Anpheros team

Anpheros builds a medical record that the patient controls and can share with any clinic, on an HL7 FHIR R4 platform, based in the EU. These guides help you understand and organise your health; they do not replace your doctor.

About Anpheros →
Anpheros

The more you log, the clearer your record

Your health history in one place, under your control.

Symptom diaryPatterns show over time
Emergency cardQR in your phone's Wallet
All your resultsLabs and reports together
You decideWho sees what, and for how long
Create your free account

Free · Works in your browser · No card