What is the difference between the ICF framework and the ICD coding system? January 2, 2023 by admin The ICF framework is responsible for coding diseases, whereas the ICD coding system codes a medical diagnosis. The ICD coding system codes diseases, whereas the ICF framework codes a medical diagnosis. The ICF framework is responsible for coding functional abilities, whereas the ICD coding system codes diseases. The ICF framework and the ICD coding system both code a medical diagnosis and diseases. See Answer The ICF framework is responsible for coding functional abilities, whereas the ICD coding system codes diseases.