title: Implementation and impact of ICD-10 (Part II).
abstract: BACKGROUND
  The transition from the International Classification of Disease-9(th) clinical modification to the new ICD-10 was all set to occur on 1 October 2015. The American Medical Association has previously been successful in delaying the transition by over 10 years and has been able to further postpone its introduction to 2015. The new system will overcome many of the limitations present in the older version, thus paving the way to more accurate capture of clinical information.
  
  
  METHODS
  The benefits of the new ICD-10 system include improved quality of care, potential cost savings, reduction of unpaid claims, and improved tracking of healthcare data. The areas where challenges will be evident include planning and implementation, the cost to transition, a shortage of qualified coders, training and education of the healthcare workforce, and a loss of productivity when this occurs. The impacts include substantial costs to the healthcare system, but the projected long-term savings and benefits will be significant. Improved fraud detection, accurate data entry, ability to analyze cost benefits with procedures, and enhanced quality outcome measures are the most significant beneficial factors with this change.
  
  
  RESULTS
  The present Current Procedural Terminology and Healthcare Common Procedure Coding System code sets will be used for reporting ambulatory procedures in the same manner as they have been. ICD-10-PCS will replace ICD-9 procedure codes for inpatient hospital services. The ICD-10-CM will replace the clinical code sets. Our article will focus on the challenges to execution of an ICD change and strategies to minimize risk while transitioning to the new system.
  
  
  CONCLUSIONS
  With the implementation deadline gradually approaching, spine surgery practices that include multidisciplinary health specialists have to anticipate and prepare for the ICD change in order to mitigate risk. Education and communication is the key to this process in spine practices.
authors.affiliation: Department of Neurosurgery, Mayo Clinic, 4500 San Pablo Rd, Cannaday 2E, Jacksonville, FL 32224, USA.
authors.forename: Gazanfar
authors.initials: G
authors.lastname: Rahmathulla
authors.affiliation: Department of Neurosurgery, Mayo Clinic, 4500 San Pablo Rd, Cannaday 2E, Jacksonville, FL 32224, USA.
authors.forename: H Gordon
authors.initials: HG
authors.lastname: Deen
authors.affiliation: Department of Finance, Division of Revenue Integrity, Mayo Clinic, 200 1 SW, Rochester, MN 55905, USA.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Dokken
authors.affiliation: Department of Neurosurgery, Mayo Clinic, 4500 San Pablo Rd, Cannaday 2E, Jacksonville, FL 32224, USA.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Pirris
authors.affiliation: Department of Neurosurgery, Mayo Clinic, 4500 San Pablo Rd, Cannaday 2E, Jacksonville, FL 32224, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Pichelmann
authors.affiliation: Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA ; St. Vincent's Brain and Spine Institute, Jacksonville, FL, USA.
authors.forename: Eric W
authors.initials: EW
authors.lastname: Nottmeier
authors.affiliation: Department of Neurosurgery, Mayo Clinic, 4500 San Pablo Rd, Cannaday 2E, Jacksonville, FL 32224, USA.
authors.forename: Ronald
authors.initials: R
authors.lastname: Reimer
authors.affiliation: Department of Neurosurgery, Mayo Clinic, 4500 San Pablo Rd, Cannaday 2E, Jacksonville, FL 32224, USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Wharen
keywords: Diagnostic coding systems; International Classification of Disease version 10; implementation; practice management; spine surgery