ICD-10, ICD-11, SNOMED CT, and Code Mapping: Everything You Need to Know

Understanding medical coding systems is essential to anyone working in health IT, clinical documentation, billing, or healthcare analytics. Terms like ICD-10, ICD-11, and SNOMED CT are often used interchangeably, but each serves a unique purpose in healthcare data management. And connecting them through code mapping is what makes clinical systems and billing platforms work together.

This guide breaks down each terminology system and explains how diagnostic code mapping bridges the gap between them.

‍

What Is ICD-10?

ICD-10 stands for the International Classification of Diseases, Tenth Revision. It was developed by the World Health Organization (WHO) and is used globally for tracking diseases, injuries, and causes of death.

In the United States, a clinical modification called ICD-10-CM is used to support diagnosis coding in outpatient and inpatient settings.

Key facts about ICD-10:
- Primarily used for billing and reporting
- Contains 68,000+ codes
- Structured as alphanumeric codes (e.g., E11.9 = Type 2 diabetes without complications)
- Essential for reimbursement and statistical reporting

‍

What Is ICD-11?

ICD-11 is the newest version of the International Classification of Diseases, officially released by WHO in 2018. It is designed for digital health systems, with improved structure, clinical relevance, and multilingual support.

Key updates in ICD-11:
- Digital-native format with post-coordination (allows combining multiple codes)
- Improved support for rare diseases and public health tracking
- Expanded to cover modern clinical terms and technologies
- Not yet implemented in the U.S. (as of 2025), but adoption is growing worldwide

ICD-11 is built with interoperability in mind, making it more adaptable to systems using SNOMED CT and other ontologies.

‍

What Is SNOMED CT?

SNOMED CT (Systematized Nomenclature of Medicine – Clinical Terms) is the most comprehensive, multilingual clinical healthcare terminology in the world. It is maintained by SNOMED International.

Unlike ICD, which is built for external reporting and billing, SNOMED CT is designed for internal clinical use—capturing detailed information at the point of care.

Key features of SNOMED CT:
- Over 350,000 clinical concepts
- Includes diagnoses, symptoms, procedures, medications, findings, and more
- Used inside EHR systems to power decision support, alerts, and documentation
- Highly granular and hierarchical (concepts have parent-child relationships)

Example: “Type 2 diabetes mellitus with peripheral neuropathy” exists as a distinct concept, allowing specific documentation.

‍

ICD-10 vs. SNOMED CT: Key Differences

These systems serve different layers of the healthcare data ecosystem—and that’s why code mapping is essential.

‍

What Is Diagnostic Code Mapping?

Code mapping is the process of translating or linking clinical concepts between different terminologies—most often from SNOMED CT to ICD-10-CM or vice versa.

It ensures that the clinical language used at the point of care (SNOMED) can be transformed into the codes needed for billing and reporting (ICD).

Why mapping matters:
- Prevents loss of clinical detail when exporting records
- Reduces coding errors and claim denials
- Supports research and data exchange
- Enables consistent analytics across systems

Modern code mapping solutions (like APIs or on-prem software) automate this process and allow mappings to be updated as terminology standards evolve.

‍

Why Accurate Code Mapping Matters

Without proper mapping:
- Data gets lost between systems
- Reimbursement is delayed or denied
- Patient summaries become inconsistent

With accurate mapping:
- Systems stay aligned
- Clinicians document naturally while coders and billing teams get structured data
- Organizations meet compliance and reporting requirements without duplication

‍

‍

Final Thoughts

ICD-10, ICD-11, and SNOMED CT are pillars of healthcare classification and communication. But without the right mapping strategy, their benefits stay locked in silos.

Understanding each system—and knowing how to bridge them—puts your organization in a better position to deliver coordinated, compliant, and data-driven care.

Whether you're building an EHR, preparing for ICD-11 adoption, or integrating multiple data sources, reliable code mapping is the connective layer that ensures everything works together.

‍

Looking for a Code Mapping Tool?
‍

We offer API-based and on-premise diagnostic code mapping solutions that translate between SNOMED, ICD-10-CM, and custom vocabularies. Reach out to learn how we can help you simplify interoperability.

‍