ICD-10 Poses Major Challenge for Pharmaceutical Companies

Drug manufacturers are already behind the curve in planning for ICD-10, according to a report written by John Hosier for Gerson Lehrman Group.

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According to Mr. Hosier, the Food and Drug Administration does not actively work to match product indication language found on pharmaceutical labels with diagnosis language in ICD-9 or ICD-10. When indications and diagnoses are not a perfect match, reimbursement for products and services are denied, potentially adversely affecting patient care.

He recommends pharmaceutical companies need to address the need for indication language that can match up with appropriate codes in ICD-10. Coding and payment processes will suffer if existing product labels are unable to be matched with the more specific codes in ICD-10.

Read Mr. Hosier’s article on the GLGroup website.

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