Health Logistics Agriculture and Logistics Group assessment team conducted a comprehensive study on the implementation and capacity of the ICD-10 system in Nepal’s health facilities. With a focus on strengthening the International Statistical Classification of Diseases (ICD), the study aimed to enhance national policies, optimize resource allocation, and build capacity for effective implementation with actionable recommendations to drive meaningful improvements and ensure a robust ICD-10 framework across Nepal, empowering the healthcare system with better data for better health outcomes.