Resource ICD-11

WHO is ready for ICD-11?
When it might be used for reporting on healthcare claims in the U.S. (replacing ICD-10-CM) is still unknown so do not panic.
New features of ICD-11 include the following:

An entirely new architecture that includes the Foundation Component, an underlying knowledge base from which a subset (or “linearization”) is defined to create a tabular list and alphabetic index;
Over 80,000 entities that point to approximately 17,000 codes in 26 chapters (compared to approximately 14,000 codes in 21 chapters in ICD-10);
Alphanumeric codes ranging from 1A00 to ZZ92.ZZ (minimum of four, maximum of seven characters);
New chapters covering sleep-wake disorders, traditional medicine, and sexual health;
Up-to-date scientific knowledge, for example newly discovered microbes (e.g. COVID-19) and gaming disorders (added to the addictive disorders chapter);
A new coding approach: “cluster” coding, which provides a mechanism to use more than one code, in a cluster, to fully represent a concept; and
Machine computable design, including a unique resource identifier (URI) for each entity and an application program interface.

Read more here:

Introduction to the WHO’s ICD-11 – MedLearn Publishing

Cluster coding is a new feature for coding professionals. The World Health Organization (WHO) began developing the International Classification of Diseases, Eleventh Version (ICD-11), in 2007, and first released a preliminary version for evaluation and testing in 2016 – ironically, just one year...

www.icd10monitor.com

 

[Lori]

What Is ICD-11?​

ICD-11 is the 11th revision of the International Classification of Diseases (ICD).

When and how the United States will implement ICD-11 remains to be seen, but now is the time to start learning about what this transition could look like.

Why Do We Need ICD-11?​

ICD codes can have enormous financial importance, as they also are used to determine resource allocation, such as funding for health initiatives. In countries where ICD codes are the basis for health insurance billing, such as the United States, ICD is closely tied to healthcare finances and provider reimbursement

ICD-11 Structure and Digital Focus​

The classification system underwent a major redesign. It is now structured as a database that includes up to 13 dimensions, with changes ranging from making it more information technology (IT)-friendly and better able to support data collection on morbidity, to lowering cost. It will also have a new name: ICD-11 for Mortality and Morbidity Statistics (ICD-11-MMS)

What Is ICD-11?

ICD-11 is the 11th revision of the International Classification of Diseases. Know about ICD-11, structure, What's new in ICD-11, advantages and coding examples.

www.aapc.com

What’s New in ICD-11: Post-Coordination​

ICD-11 also introduces two noteworthy features — extensions and clustering — which enable two kinds of post-coordination (linking multiple codes to describe a concept) and the addition of specific detail to coded entities. Both features have the potential to improve ICD-11 code data.

Read more here & see an example:

What Is ICD-11?

ICD-11 is the 11th revision of the International Classification of Diseases. Know about ICD-11, structure, What's new in ICD-11, advantages and coding examples.

www.aapc.com

 

[Lori]

WHO is a great resource for ICD-11

Here are he best resources.

Be prepared for implementation.

ICD-11

icd.who.int

ICD browser:

ICD-11 for Mortality and Morbidity Statistics

Coding Tool:

ICD-11 Coding Tool Mortality and Morbidity Statistics (MMS)

Web services to get programmatic access to ICD-11

Home Page ICD API

ICD-11 Transition Guide:

https://icd.who.int/docs/ICD-11%20Implementation%20or%20Transition%20Guide_v105.pdf

ICD-11 Home Page:

International Classification of Diseases (ICD)

International Classification of Diseases (ICD) Revision

www.who.int

ICD-11 Reference Guide:

ICD-11 Reference Guide

ICD-11 Fact Sheet:

https://icd.who.int/en/docs/icd11factsheet_en.pdf

ICD-11 License Info:

https://icd.who.int/en/docs/ICD11-license.pdf

ICD-11 Training:

https://icdcdn.who.int/icd11training/index.html

• How to use the ICD-11 Education Tool
• How to use the ICD-11 Coding Tool and Browser
• ICD-11 Education Tool Death Certification
• ICD-11 Education Tool Unit 1
• ICD-11 Education Tool Unit 2
• ICD-11 Education Tool Unit 3
• ICD-11 Education Tool Unit 4
• ICD-11 Education Tool Unit 5
• ICD-11 Education Tool Unit 6
• ICD-11 Education Tool Unit 7
• ICD-11 Education Tool Unit 8
• ICD-11 Education Tool Unit 9
• ICD-11 Education Tool Unit 10
• ICD-11 Education Tool Unit 11
• ICD-11 Education Tool Unit 12

 

[Lori]

Looking for more ICD-11?

PAHO has a free ICD-11 course.

Check it out here!

https://www.campusvirtualsp.org/en/course/icd-11-training-package

 

[Lori]

The World Health Organization (WHO) has released the official version of ICD-11, and the National Committee on Vital Health Statistics (NCVHS), is calling for research to evaluate its use in the U.S.

Talk Ten podcast:

Past Episodes – MedLearn Publishing

Listen to Talk Ten Tuesdays Podcast live every Tuesday at 9 a.m. CT.

icd10monitor.com

 

[Lori]

What is the feasibility of replacing ICD-10-CM with ICD-11?

Samples of 388 ICD-10-CM codes from six disease areas, were recoded in ICD-11 to determine whether the meaning could be fully represented with or without post-coordination.

About 60 percent of the ICD-10-CM codes for these conditions could be represented fully by pre- or post-coordinated ICD-11 codes

Early Studies Show Promise of ICD-11 – MedLearn Publishing

Two studies are extremely encouraging, in terms of the content coverage and feasibility of replacing ICD-10-CM with ICD-11. -Medlearn Media NPOS Non-patient outcome spending

icd10monitor.com

 

[CristinaG_69362]

Hi Lori, and thank you for this info. The implementation of ICD-11 will mean that a lot of risk adjustment coding jobs will be lost?

 

[Lori]

Hi Lori, and thank you for this info. The implementation of ICD-11 will mean that a lot of risk adjustment coding jobs will be lost?

I do not think ICD-11 means the loss of any jobs it is just a better version of ICD-10.

Please watch this video at 12:41 Alicia discusses- Will jobs be lost?

Early Studies Show Promise of ICD-11 – MedLearn Publishing

Two studies are extremely encouraging, in terms of the content coverage and feasibility of replacing ICD-10-CM with ICD-11. -Medlearn Media NPOS Non-patient outcome spending

icd10monitor.com

 

[Lori]

ICD-10 is clinically outdated despite the updating process, and some chapters need structural changes. There is also an increasing need to operate in an electronic environment, as well as the need to capture more information for morbidity-use cases.

There is no definite ICD-11 implementation timeline established yet. However, the National Center for Vital and Health Statistics (NCVHS) notes that there are numerous steps needed to move towards ICD-11 implementation including:

• Evaluation of ICD-11 for U.S. purposes (2018 – 2021? 2022? 2023?)
• NCVHS Hearings (2021-2027?)
• Notice of Proposed Rulemaking (NPRM) from HHS published in the Federal Register (? date unknown)
• Final Rule published in the Federal Register (? Date unknown)

WHO ICD-11 revision goals include to:

1. Ensure that ICD-11 will function in an electronic environment by:

• Presenting a digital product
• Providing linkage with terminologies (e.g., SNOMED)
• Defining ICD Categories by “logical operational rules” on their associations and details
• Supporting electronic health records & information systems

2. Provide a multi-purpose and coherent classification for:

• Mortality, morbidity, primary care, clinical care, research, public health
• Consistency & interoperability across different uses

3. Deliver an international, multilingual reference standard for scientific comparability:

• English, French, Spanish, Russian, Chinese, Arabic

It is also very important to note that ICD-11 is only for diagnoses. ICD-10-PCS is completely separate from ICD-10 and will not update with the transition of ICD-10 to ICD-11.

ICD-11 is a classification that is intended for use with EHRs so CMS would have to figure out how to make ICD-10-PCS compatible with AI or get AMA on board with converting CPT to be compatible.

Background & Overview of ICD-11 Before Implementation in 2022

ICD-11 will be fully electronic, providing access to 17,000 diagnostic categories, with over 100,000 medical diagnostic index terms.

yes-himconsulting.com