6 Advantages and Disadvantages for Delaying ICD-10 Adoption
As we reported yesterday, the American Medical Association (AMA) announced that it will lobby for a two year extension of ICD-10 to extend the grace period until October 2015. The AMA has been lobbying since August 2012 to skip ICD-10 implementation and wait to implement ICD-11 in 2015.
What exactly is the history of the International Classification of Diseases (ICD)
The ICD is the oldest method for tracking diseases and mortality in the world. Developed in Europe in 1893, ICD-1 was known as the International List of Causes of Death when it was adopted by the International Statistical Institute that year. North America adopted this system the same year.
ICD-9 was developed by the World Health Organization (WHO) and modified for use and adopted in the United States in 1979.
In 1989, new planning began by WHO to design ICD-10. The proposed adoption date of ICD-10 is 25 years from when WHO first began designing it.
The pros and cons of delaying ICD-10 implementation:
Advantages to holding off:
1. Avoids immediate costs of installing ICD-10 in exchange for delayed cost of installing ICD-11
2. Work through only one implementation of ICD starting in 2015
3. ICD-11 will provide a much larger code set
4. Providers get more time to install and interface electronic health records (EHR)
5. Providers get more time to connect to the health information exchanges.
6. Give providers time to gather resources for a successful roll-out of new systems
Disadvantages to holding off:
1. Continued use of outdated and insufficient ICD-9 codes
2. No benefit from larger code set included in ICD-10
3. No recent institutional knowledge from an ICD-10 implementation to aid implementation of ICD-11
4. No lowered reliance by payers on claims attachments under ICD-10
5. Unknown timetable for ICD-11 adoption, could be anywhere from two to twenty years.
6. ICD-9 adopted in 1979, that means a possible 45 years between ICD-9 and ICD-11
What Does The AMA Say?
Despite the AMA's recent lobbying for an extension, it appears to be of two minds on the subject of ICD-10, because its own board of trustees has issued a report stating that it would not advise delaying the adoption of ICD-10 for some of the reasons listed above. Here is their full report.
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