By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    mosquito misting spray to fight malaria
    Avoid Malaria with Mosquito Misting Systems
    June 12, 2023
    Medical Surveys
    Beyond the Clinic: Medical Surveys Are a Roadmap to Passive Income for Doctors
    September 23, 2023
    Glutathione
    What Are The Benefits of Glutathione?
    January 22, 2024
    Latest News
    6 Easy Healthcare Ways to Sit Less and Move More Every Day
    September 10, 2025
    7 Most Common Healthcare Accreditation Programs: Which Should You Use?
    August 20, 2025
    Hospital Pest Control and the Fight Against Superbugs
    August 20, 2025
    Hygiene Beyond The Clinic: Attention To Overlooked Non-Clinical Spaces
    August 13, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Tips for Older Travelers
    April 14, 2012
    Anti-RUC Suit Challenges Process for Setting Doc Pay Scales
    October 25, 2011
    Math Matters: Dosing Errors Can Be Deadly
    May 1, 2012
    Latest News
    Healthcare at a Crossroads: Why Leadership Matters More Than Ever
    September 9, 2025
    How Social Security Disability Shapes Access to Care and Everyday Health
    August 22, 2025
    How a DUI Lawyer Can Help When Your Future Health Feels Uncertain
    August 22, 2025
    How One Fall Can Lead to a Long Road of Medical Complications
    August 22, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: ICD-10? Get Ready for ICD-11
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Global Healthcare > ICD-10? Get Ready for ICD-11
DiagnosticsGlobal HealthcareHospital AdministrationMedical EducationMedical InnovationsMedical RecordsPolicy & LawTechnology

ICD-10? Get Ready for ICD-11

Charles Settles
Charles Settles
Share
7 Min Read
SHARE

ICD-10 implementation has been called medicine’s perfect storm. Between the deadlines for Meaningful Use (MU) Stage 2, ICD-10, and other health IT requirements, it’s not surprising many are looking ahead to ICD-11 with trepidation.

ICD-10 implementation has been called medicine’s perfect storm. Between the deadlines for Meaningful Use (MU) Stage 2, ICD-10, and other health IT requirements, it’s not surprising many are looking ahead to ICD-11 with trepidation.

ICD-9, or the International Classification of Diseases Revision 9, was released by the World Health Organization (WHO) in 1979. The United States’ version, adopted twenty years later as ICD-9 CM (Clinical Modification), has 17,849 procedure and diagnosis codes. The WHO’s Forty-third World Health Assembly endorsed ICD-10 for release in 1990, and it came into widespread use by WHO member countries in 1994. A Technical Advisory Panel, with guidance from the Centers for Medicaid and Medicare Services (CMS), WHO, CDC, physician groups, clinical coders, EMR vendors, and other stakeholders, has been developing the US provider versions, ICD-10-CM and ICD-10-PCS (Procedure Coding System), with 141,747 combined codes, for the last twenty-four years.  

icd_9_and_10_differences.png

More Read

Enhancing Cultural Competency In Healthcare Settings
Enhancing Cultural Competency In Healthcare Settings
What Healthcare Can Learn from the G20 Summit
ALS Patient Improves on NurOwn, New Stem Cell Therapy
Medical technologies under development at startups, August 2015
4 Important Healthy Aging Tips To Keep In Mind As You Age

ICD-10-CM and ICD-10-PCS have had a long road to implementation that started back in 2009. The original deadline for adoption was scheduled for Oct. 1, 2013, which was then pushed back to Oct. 1, 2014, and is now set for Oct. 1, 2015. These delays aren’t entirely surprising, if you consider that according to 2012 census data from the Federation of State Medical Boards (FSMB), and a 2012 Physician’s Foundation Report, nearly half of US physicians received their medical licenses before ICD-10’s release. That means they have little familiarity with the new regulatory standard, which includes an eightfold increase in the number of codes. Trying to switch to this new system while simultaneously implementing MU Stage 2 requirements and penalties was always an ambitious goal.

The ICD-10 National Pilot Program, administered by the Healthcare Information and Management Systems Society (HIMSS) and the Workgroup for Electronic Data Interchange (WEDI), ran from Apr. 4, 2012 through Aug. 30, 2013. The program’s goal: “to assist the healthcare industry in its efforts to prepare for ICD-10 testing…[and] share best practices of, and lessons learned from, early-adopter/early-mover organizations.”

The program was an unmitigated disaster. Using a few hundred actual, anonymized medical records which represented some of the most common medical conditions and diagnoses, two hundred forty-eight highly qualified and well-studied volunteers coded the encounters using ICD-10 standards. This group of volunteer all-stars coded these records accurately only 63 percent of the time. Considering that correct coding is necessary for payments from Medicare, Medicaid, and insurance providers, a 37 percent loss of income could be a death knell for providers already struggling to maintain fiscal solvency in the current medical environment. Toss in the reduced Medicare and Medicaid payments for providers failing to meet MU Stage 2 deadlines, it is little surprise that the ICD-10 adoption mandate has been delayed once again.

Depending upon one’s perspective, it is either fortunate or unfortunate that Congress recently passed the Protecting Access to Medicare Act of 2014, prohibiting CMS from implementing ICD-10 before Oct. 1, 2015. For those who were ICD-10 ready, this delay means that the funds spent on training and support won’t see any return on investment for at least a year — a significant financial loss, both in opportunity and investment costs. For those unready, the delay means they have a year to try and get up to speed — or at least apply for a stay of execution.

Some industry stakeholders have wondered if moving to ICD-10 standards is the best course of action, since ICD-11, which entered public beta in May 2012, is scheduled for release by the WHO in May 2017. Considering the amount of time required to adapt WHO ICD-10 standards for the US healthcare market, waiting for ICD-11 could mean delaying increased specificity in medical coding for another decade or more.

Even though adoption of more-specific coding won’t come without pain, all stakeholders agree that increased specificity in diagnosis and procedure coding is important. Increased standardization and accuracy of data will help to prevent delayed or inaccurate diagnoses and procedures. Eventually, this is expected to reduce medical costs and increase positive patient outcomes. Delaying this initiative may help in the short-term, but it will only cost the American taxpayer and healthcare consumer more money in the long run.

MU Stage 3 guidelines are still under development, but attestation is scheduled to begin in 2017, the same year the WHO releases ICD-11. Barring any more Meaningful Use delays, it is unlikely the US version of ICD-11 will be ready before the Meaningful Use program is finished in 2021. As a result, it is unlikely there will be as much conflict surrounding ICD-11 implementation as has surrounded ICD-10. However, based upon the results of the ICD-10 National Pilot Program, it would still be wise to have a similar, but longer-running and larger program for ICD-11.

In short, the sheer amount of adaptation required from providers in 2014, including ICD-10, MU Stage 2, and acclimating to the Affordable Care Act, combined to become a “perfect storm” for healthcare providers. Asking too much and allowing too little time to comply is a recipe for disaster in any endeavor, but especially in the already complex regulatory environment that is the United States’ healthcare industry. ICD-11 implementation should go much more smoothly than ICD-10, thanks in part to the lessons learned from this debacle.

TAGGED:Health ITICD-10ICD-11
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

a woman walking on the hallway
6 Easy Healthcare Ways to Sit Less and Move More Every Day
Health
September 9, 2025
Clinical Expertise
Healthcare at a Crossroads: Why Leadership Matters More Than Ever
Global Healthcare
September 9, 2025
travel nurse in north carolina
Balancing Speed and Scope: Choosing the Nursing Degree That Fits Your Goals
Nursing
September 1, 2025
intimacy
How to Keep Intimacy Comfortable as You Age
Relationship and Lifestyle Senior Care
September 1, 2025

You Might also Like

Tornado Hits Joplin, Missouri and Destroys St. John’s Hospital

May 23, 2011
Image
GeriatricsTechnology

Person-Centered HealthCare; BeClose Home Monitoring System Helps Keep Track of the Elderly

December 21, 2012
Health careHospital AdministrationMedical Education

4 Healthcare Degrees with Terrific Job Placement Rates after Graduation

July 31, 2017

J and J DePuy Hip Recall Methodologies Touching on Patient Privacy

August 22, 2011
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?