Be Ready for ICD-11 with a Future-Proof Coding Platform
ICD-11 is transforming global health data standards — but for most systems, adoption means massive change.
Health Code Index (HCI) is built to handle both ICD-10 and ICD-11 side-by-side, ensuring seamless transition, zero downtime, and continuous compliance as South Africa prepares for the next generation of clinical coding.
Are you prepared for a disruption free ICD-11 Migration?
ICD-11 introduces new code structures, post-coordination logic, and thousands of additional diagnostic concepts. For many health systems, this means:
- Significant re-engineering of existing databases and workflows.
- Manual mapping of ICD-10 to ICD-11 codes.
- Risk of misaligned reporting, billing, and reimbursement.
- Compliance uncertainty during dual-code operation.
Without automation, migration can take years — and introduce costly errors.
HCI eliminates that risk by making ICD-11 readiness part of your coding infrastructure today.
The HCI Dual-Ready Coding Engine
HCI’s core validation engine has been architected for ICD-11 since day one. It supports real-time validation, crosswalk mapping, and dual-coding operation for a smooth and compliant transition.
How it works
HCI continues to apply existing ICD-10 rules for current operations.
ICD-11 concepts are stored and cross-mapped to ICD-10 equivalents within the same framework.
Clients can test or implement ICD-11 validation in parallel mode.
All new rules, structures, and terminology updates are managed automatically by SpesNet.
ICD-11 Clinical cross-matches to RPL and CCSA/CPT-4 available when ICD-11 is implemented in the industry.
“Adopt ICD-11 without rebuilding your systems — HCI already speaks the new language.”
Benefits of ICD-10 & CCSA/CPT-4 Validation
Outcome
What You Get
Key ICD-11 Capabilities
ICD-10 → ICD-11 Crosswalk Mapping
- Auto-maps current diagnoses to ICD-11 equivalent clusters.
- Validates clinical appropriateness of conversions.
- Maintains historical comparability for analytics and reporting.
ICD-11 Post-Coordination Support
- Recognizes complex coding structures and post-coordination extensions.
- Applies full ICD-11 relationship logic for accurate validation.
Real-Time Validation Engine
- Dual-version rule application: ICD-10 + ICD-11 concurrently.
- Compatible with CPT-4, CCSA, and RPL validation modules.
Rule & Update Management
- Daily refresh of WHO ICD-11 rule sets and local adaptations.
- Version tracking for every update applied by SpesNet
Transition Tools & Reporting
- Side-by-side comparison reports for ICD-10 vs ICD-11.
- Diagnostic analytics to identify high-impact migration areas.
Seamless Integration
No new infrastructure — ICD-11 runs on the same API and validation endpoints.
- Instant cross-mapping during claim or diagnosis validation.
- Full backward compatibility with ICD-10 datasets.
- POPIA-compliant and audit-ready for both coding standards
Compliance & Governance Assurance
HCI’s ICD-11 readiness aligns with all relevant frameworks:
- WHO ICD-11 reference standards.
- National Department of Health coding and adaptation plans.
- POPIA data protection compliance.
- Full version tracking for rule changes and cross-walk mappings.
Stay Ahead of the Curve
Future-proof your systems today.
HCI keeps your operations compliant, accurate, and ready for ICD-11 — without disruption or redevelopment.