ICD 10 Coding Alert

Here's why CMS will ignore the AMA's endorsement.

Last month, you checked out the ICD-11 possibility in "AMA 'Evaluating ICD-11' As ICD-9 Alternative" in the Volume 2, Number 7 ICD-10 Coding Alert -- but others are scoffing at that idea.

Despite endorsement of a direct move to ICD-11 from the American Medical Association and others, don't be surprised to see CMS ignore that advice. "It took the U.S. eight years to adapt the WHO version of ICD-10 and create ICD-10-CM for use in this country," the American Health Information Management Association (AHIMA) counters in a recent article.

"Regardless of the benefits of ICD-11, the U.S. would need a national version to allow for the annual updating required by Congress and U.S. stakeholders. Assuming that the development timeline for a national version or clinical modification of ICD-11 could be cut in half down to four years, it would then take an additional two years to get through the HIPAA rulemaking process. As with ICD-10-CM/PCS, the industry would want at least a three-year period for converting systems to ICD-11," the AHIMA article says.

End result: "Assuming that ICD-11 becomes available on schedule from WHO in 2016, then the earliest the U.S. could move to ICD-11 would be 2025, or 13 years from now," the AHIMA article points out.