ICD-11 Training

By Dr. M. Santosh Kumar Guptha · Founder & CEO, MEDESUN Medical Coding Academy – ICD-11 Training Series Across this series, I have shown how ICD-10-CM repeatedly loses clinical information that ICD-11 preserves — the rhythm of a cardiac arrest, the phenotype of asthma, the cause of gastritis. Inflammatory bowel disease (IBD) adds a different and, in some ways, more interesting lesson. Here, the two systems each do something the other cannot — and understanding that trade is exactly why the United States should begin preparing for ICD-11 thoughtfully, rather than treat it as a simple swap. The question a gastroenterologist asks first: where? When a patient has Crohn’s disease, one of the most consequential facts is where in the digestive tract the disease lives. Crohn’s can affect anything from the mouth to the anus, and the location drives treatment: perianal Crohn’s often requires biologic therapy and surgical management; upper-gastrointestinal […]

  Why U.S. Healthcare Should Move to ICD-11 — Now, Not Later (Coding Is No Longer Just About Payment) The Quiet Storm in Healthcare Coding For decades, medical coding in the United States has been viewed primarily as a billing function—a means to justify reimbursement, support claims, and comply with payer rules. But that era is ending. Healthcare today is driven by data, analytics, population health, AI, global research, and interoperability. In this environment, the limitations of ICD-10-CM are becoming increasingly visible. This is where ICD-11 enters—not as a cosmetic upgrade, but as a fundamental redesign of how health information is captured, shared, and analyzed. The question is no longer if the U.S. will move to ICD-11. The real question is how prepared we are—and what happens if we delay too long. Coding Is Not Just for Payment Anymore Historically, U.S. healthcare coding focused on: Claims submission DRG/APC assignment Risk […]