The Role Of ICD-10 In Healthcare
The Implementation of ICD-10
ICD codes are medical codes that provide a detailed representation of a patient’s condition or diagnosis. The implementation of ICD-10 replaced ICD-9 which was in effect since 1979. (www.humana.com, n.d.) The implementation to ICD-10 on October 1, 2015 occurred after much anticipation and has made a positive impact in healthcare in the United States.
ICD-10 was delayed a total of three times. In the 2009, implementation was delayed from the original implementation date of October 2011 until October 2013. In September 2012, the Department of Health and Human Services issued a one-year delay, changing the final compliance date to October 2014. In March 2014, Congress voted to delay ICD-10 again until October 1, 2015. (www.coalitionforicd10.org, 2015) The change not only affected large hospitals and billing companies but also small, private medical offices. Any healthcare related facility covered by the Health Insurance Portability and Accountability Act (HIPAA) must be able to successfully conduct health care transactions using ICD-10 diagnosis and
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By skipping the ICD-10 implementation, the healthcare industry would miss out on vast amounts of experience and training in ICD-10 which is needed for a smooth transition to ICD-11. The World Health Organization’s version of ICD-11 is currently scheduled to be finalized and released in 2017. Even if everything goes as planned, ICD-11 is still at least 10 years away from being ready for implementation in the United States. Additionally, ICD-11 does not include a procedure classification system, which means a procedure coding system for use in the US would need to be developed. It is estimated that the process of developing a US clinical modification, followed by expert review, solicitation of public comments, and further refinement based on review and comments, would take close to a decade. (www.ahima.org,
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