ICD-10 CA – Training & Certification – Canadian Coding Program

The International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Canada (ICD-10-CA) is a morbidity classification that was developed by the World Health Organization (WHO) and enhanced by CIHI to meet Canadian morbidity data needs. The companion classification to ICD-10-CA for coding procedures in Canada is the Canadian Classification of Health Interventions (CCI). ICD-10-CA replaces ICD-9 and ICD-9-CM in Canada.


Scope of ICD-10-CA

ICD-10-CA classifies diseases, injuries and causes of death, as well as external causes of injury and poisoning. The classification has 23 chapters with alpha-numeric categories and subcategories. Unlike ICD-9, ICD-10-CA applies beyond acute hospital care. ICD-10-CA also includes conditions and situations that are not diseases but represent risk factors to health, such as occupational and environmental factors, lifestyle and psycho-social circumstances.
Canadian Coding Standards for ICD-10-CA and CCI

The Canadian Coding Standards for ICD-10-CA and CCI are intended for use with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Canada (ICD-10-CA) and the Canadian Classification of Health Interventions (CCI). The coding standards are intended to supplement the classification rules inherent in ICD-10-CA and CCI by providing additional information that could not be embedded into the classifications. The coding standards are updated on the same cycle as ICD-10-CA/CCI.

The coding standards apply to all data sets submitted to the Discharge Abstract Database (DAD) and the National Ambulatory Care Reporting System (NACRS).


Benefits of new version

ICD-10-CA represents the broadest scope of any previous ICD revision to date. ICD-10-CA is more comprehensive and specific than current standards and extends well beyond the traditional causes of death and hospital admission. ICD-10-CA is also more adaptable than previous versions, allowing for the addition of codes as new diseases are discovered. Both CIHI and Statistics Canada are represented on the Update and Revision Committee, a sub-committee of the WHO Family of International Classifications. Canada fully participates in the updating process with input into the decisions for both mortality and morbidity data collection.



At the completion of this program, learners will be able to:

  • Apply coding and classification rules, principles, and standards with confidence
  • Display a high level of accuracy, completeness, and efficiency in coding charts of varying degrees of complexity and type
  • Apply a systematic process to problem solving any case
  • Assign ICD-10-CA and CCI codes for any codes, for any case and explain/justify code selection confidently:
    • Explain how and why they arrived at codes
    • Identify key information sources and pertinent facts needed for decision-making
    • Apply and explain all relevant coding rules and principles
    • Access appropriate resources and support
    • Use common and helpful tips and tricks to enhance accuracy and efficiency
    • Use appropriate and consistent methods of troubleshooting