The American Medical Association's board of trustees has released a report noting that although it still has several significant concerns about the shift to ICD-10 code sets, it does not recommend skipping directly to ICD-11 standards, Modern Physician reports.
The board plans to present its report -- titled, "Evaluation of ICD-11 as a New Diagnostic Coding System" -- during the AMA House of Delegates' June meeting in Chicago. The report will not be considered an official AMA position until it receives approval from the delegates (Robeznieks, Modern Physician, 5/10).
U.S. health care organizations are working to transition from ICD-9 to ICD-10 code sets to accommodate codes for new diseases and procedures. The switch from ICD-9 to ICD-10 code sets means that health care providers and insurers will have to change out about 14,000 codes for about 69,000 codes.
In August 2012, HHS released a final rule that officially delayed the ICD-10 compliance date until Oct. 1, 2014 (iHealthBeat, 1/14). The October compliance date comes a few months before the World Health Organization is expected to consider an update to ICD-11 in May 2015 (Modern Physician, 5/10).
In December 2012, AMA, 42 state medical organizations and 40 medical specialty groups sent a letter urging CMS to halt the implementation of ICD-10 code sets. The letter stated that the transition to ICD-10 code sets would impose an expensive burden on health care providers without improving patient care (iHealthBeat, 1/14).
Also in 2012, AMA's board of trustees said that it would work on a report to explore the feasibility of skipping to ICD-11 transaction codes (iHealthBeat, 11/14/12).
Details of Board of Trustees Report
According to the new board of trustees report, AMA has "serious concerns and reservations with the significant burden of the ICD-10 mandate and will continue to convey these points to policymakers."
However, the board added that it believes "skipping ICD-10 and moving directly to ICD-11 is fraught with its own pitfalls and therefore, based on current information available, is not recommended."
The board cited several concerns about skipping directly to ICD-11 code sets, including the fact that transitioning to a U.S. version of ICD-11 could take as long as 20 years.
In addition, the board noted that many health care organizations will need to update or replace certain electronic systems to implement either ICD-10 or ICD-11. The report stated, "The electronic system changes to implement ICD-11 will be more significant, but they will be significant from either ICD-10 or ICD-9" (Modern Physician, 5/10).