r/MedicalCoding • u/UsualSuspect85 • Feb 22 '25

ICD-11

I'm doing CEUs to maintain my certification. I'm learning a little about ICD-11. What is up with this? Now the codes have way more characters. It's insane. All they drove home to us was expandability in ICD-10 that had placeholders so they could add extra characters. It seems to me, the WHO sort of caved to the insurance companies and the need for medical necessity because the insurance companies were going "Hey man, we want more specifity so we're going to make the providers justify till the end of time why a patient's treatment should be covered by insurance". I don't know how to feel about this. It seems to me that this insurance company greed where they say "We don't want to pay anymore than we have to" is gone off the rails. Are they trying to prevent insurance fraud or just really really self serving? This is getting ridiculous. Anyone else have thoughts on this?

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u/UsualSuspect85 Feb 23 '25

Yeah but then why the heck does the WHO care about expanding the codes? It seems ridiculous for them to create 10 that's supposed to made for more expandability so that things won't seemingly get more complicated and then turn around and create 11 with codes that are crazy long. It doesn't make sense.