The tedious process of moving from ICD-9-CM to ICD-10-CM/PCS create several challenges for providers and payers in the United States. There are more than 155,000 codes in ICD-10 compared to approximately 17,000 in ICD-9. ICD-10 is far more detailed and allows for much more capture of clinical information. The transition is complex and massive requiring collaboration of multiple key personnel in administrative and clinical areas and between providers and payers. Maintaining and upgrading legacy systems is one of the most difficult challenges faced. Updating to lCD-10 means confronting important decisions as the organization examines existing legacy systems and whether to upgrade or replace these systems.
Cost challenge. The implementation of ICD-10-CM/PCS is an enormous administrative and financial project for providers, payers, and other healthcare organizations who are already overwhelmed by overlapping regulatory requirements. Implementation costs vary considerably depending on the size of the practice or organization. Recent estimates range from an average of $83,000 to $2.7 million for physician offices, and $15 million to $20 million for hospitals and other large …show more content…
The challenges facing public health surveillance activities are similar to other organizations. It is anticipated that challenges will arise with analyzing multi-year data across code sets, different condition definitions across code sets, and lacking of ICD-10 expertise in public health sector. Achieving consensus on transition issues among stakeholders, training needs for the workforce and competing priorities with Meaningful Use along with shrinking budgets are additional concerns. Determining the impact to longitudinal data and converting legacy data, deciding what mapping strategy to utilize are barriers public health shares with other healthcare organizations. Additionally, the translation of patient safety indicators from ICD-9 to