ICD-10 Deadline Review Update

Andrea Kraynak, for HealthLeaders Media , February 15, 2012

The reaction by the physician community is to be expected: "There will be much rejoicing..." said Robert S. Gold, MD, CEO of DCBA, Inc., in Atlanta. He believes that the physicians lack the tools they need for the transition. "If a tool were there that spoke clinical language and was available as an app on a smart phone or a tablet and would intercommunicate with the hospital and the physicians' offices, there would be no problem in meeting the existing deadline. Without this, it's dead in the water."

Meanwhile, as Kennedy explained, the rest of the world is already using ICD-10 and will likely transition to ICD-11 soon, while the United States is still using ICD-9. "Change is necessary if we are to develop a robust database of our patients' illnesses and treatments as to better measure outcomes and efficiency. While ICD-10 is not perfect—nothing is—we should not let the need for perfection be the enemy of the common good. Procrastination is not the solution," he said.

Jennifer Avery, CCS, CPC-H, CPC, CPC-I, regulatory specialist for HCPro, Inc, agreed. "I think it would be a tragedy to delay the process any further because we are so far behind the ball now that it is going to be even more difficult playing catch up." She too noted that until the move to ICD-10 is complete, there will be ongoing problems because the ICD-9 system is insufficient. "ICD-9 codes just don't work when it comes to reporting our diagnoses and procedures [for inpatients] and we need the added specificity," she says.

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2 comments on "ICD-10 Deadline Review Update"

Suzy Chapman (2/18/2012 at 5:54 AM)
http://www.healthcarefinancenews.com/news/could-us-skip-icd-10-and-leapfrog-directly-icd-11 Tom Sullivan reports, above, that Chris Chute (Chair, ICD-11 Revision Steering Group) is now talking about the possibility of shifting the projected completion of ICD-11 from 2015 to 2016. The implementation date for ICD-11 has already been shifted from 2012 to 2014 to 2015+.

Suzy Chapman (2/16/2012 at 8:22 AM)
"Meanwhile, as Kennedy explained, the rest of the world is already using ICD-10 and will likely transition to ICD-11 soon, while the United States is still using ICD-9." Just to clarify, ICD-11, WHO's revision of ICD-10, is still at the Alpha drafting stage; a Beta drafting platform for which stakeholder interaction and input will be invited is timelined for release this year (May 2012). If ICD Revision can meet the Beta schedule, there then follows a 2yr period for ICD-11 Field Trials. The final version for public viewing is currently timelined for 2014 with implementation from 2015+. For comparison of current schedules: DSM-5 slated for publication in May 2013 ICD-10-CM scheduled for adoption in October 2013 ICD-11 scheduled for implementation in 2015+ So unless transition to ICD-10-CM were to be significantly delayed, there would be no overlap between the US's ICD-9-CM and the WHO's ICD-11.




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