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市場調查報告書
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1813951

美國醫療編碼市場規模、佔有率和趨勢分析報告：按分類系統、組件、醫療專業和細分市場預測，2025 年至 2033 年

U.S. Medical Coding Market Size, Share & Trends Analysis Report By Classification System (ICD, HCPCS, CPT), By Component (In-house, Outsourced), By Medical Specialty (Oncology, Cardiology, Anesthesia), And Segment Forecasts, 2025 - 2033
出版日期: | 出版商: Grand View Research | 英文 90 Pages | 商品交期: 2-10個工作天內

價格

美國醫療編碼市場規模與趨勢：

預計 2024 年美國醫療編碼市場規模將達到 218.9 億美元，預計 2025 年至 2033 年的複合年成長率為 10.00%。

帳單錯誤、保險詐騙以及醫療文件解讀錯誤會造成巨大的經濟損失。低效率的醫療帳單和收益週期管理導致的損失不斷增加，這推動了對收益週期管理（包括醫療編碼軟體和服務）的需求，預計這將推動市場的成長潛力。

電子健康記錄、收益週期管理軟體、行動醫療應用程式和遠端保健等數位技術的高採用率，以及美國在醫療保健數位化方面的不斷努力，正在積極推動美國醫療編碼行業的成長。根據美國疾病管制與預防中心提供的數據，2021 年，約有 88.2% 的診所使用電子健康記錄。

此外，醫療編碼在收益週期管理流程中的使用日益廣泛，包括對代碼進行新的修訂，以提高靈活性和擴充性。新的 ICD-11 於 2022 年 1 月實施，其中包括幾個支援電子健康記錄的新章節。 ICD-11 包含約 55,000 個用於對疾病、傷害和死亡進行分類的代碼。此外，在 COVID-19 大流行期間，為 COVID-19 和遠端醫療創建了許多新代碼。世界衛生組織推出了新的 ICD-10 代碼，該代碼於 2020 年 4 月至 9 月期間生效。因此，代碼的引入和修訂對市場成長產生了積極影響。

美國勞工統計局職業統計和就業預測辦公室估計，2021年至2031年間，醫療記錄和健康資訊領域的從業人員數量將增加7%。認證醫療編碼員是美國最受歡迎的職業之一。醫療文件對通用語言的需求日益成長，將對醫療編碼員的需求和編碼行業產生積極影響。

由於醫療編碼工作量增加，醫護人員和醫師的工作量也隨之增加，各種自動化解決方案的採用也隨之增加。例如，Athenahealth 的一項調查發現，醫生平均加班編碼時間長達 90 分鐘。為了實現快速、準確和高效的醫療編碼，電腦輔助編碼解決方案的採用率正在上升。根據 3M 的一項研究，電腦輔助編碼可以將生產力提高 11% 至 30%。

此外，人工智慧 (AI) 賦能的醫療編碼技術預計將推動市場發展。例如，2025 年 8 月，HGM Limited 透過其美國子公司 Healthcare Capital Holdings LLC (HCH) 宣布收購 AI 驅動的自主編碼解決方案領導者 Aideo Technologies LLC。此次收購將增強 HGM 在收益週期管理 (RCM)、醫療編碼和醫療分析方面的能力。

收購 Aideo Technologies 標誌著我們朝著建立全面的人工智慧主導醫療服務平台的目標邁出了重要一步。 Aideo 的自主編碼平台基於先進的人工智慧、自然語言處理、即時分析和大型語言模型 (LLM) 構建，其準確性超越了手動方法和傳統的 CAC 工具。其 HL7互通性確保與行業標準的 EHR 系統無縫通訊，為美國的外科專科、急診科、麻醉科、放射科和 RCM 公司提供支援。

Bhargav Thakkar 博士，HGM Limited 醫療保健執行副總裁

目錄

第1章調查方法與範圍

第2章執行摘要

第 3 章美國醫療編碼市場變數、趨勢與範圍

  • 市場區隔和範圍
  • 市場體系展望
    • 母市場展望
    • 相關/輔助市場展望
  • 市場趨勢與展望
  • 市場促進因素分析
  • 市場限制因素分析
  • 商業環境分析
    • PESTLE分析
    • 波特五力分析

第4章美國醫療編碼市場估計與分類系統趨勢分析

  • 美國醫療編碼市場趨勢和市場佔有率分析（按分類系統）
  • 美國醫療編碼市場：細分儀表板
  • ICD
    • ICD市場，2021-2033年
  • CPT
    • 彩管市場，2021-2033
  • HCPCS
    • 2021-2033 年 HCPCS 市場

第5章美國醫療編碼市場估計與趨勢分析

  • 美國醫療編碼市場趨勢及各組成部分的市場佔有率分析
  • 美國醫療編碼市場：細分儀表板
  • 內部
    • 內部市場，2021-2033
  • 外包
    • 外包市場，2021-2033

第6章美國醫療編碼市場估計與醫療專業趨勢分析

  • 美國醫療編碼市場趨勢與醫療專業市場佔有率分析
  • 美國醫療編碼市場：細分儀表板
  • 腫瘤學
    • 腫瘤學市場，2021-2033
  • 心臟病學
    • 心臟病學市場，2021-2033
  • 麻醉
    • 麻醉市場，2021-2033
  • 放射學
    • 輻射市場，2021-2033
  • 疼痛管理
    • 疼痛管理市場，2021-2033
  • 病理
    • 病理學市場，2021-2033
  • 緊急服務
    • 緊急服務市場，2021-2033
  • 其他
    • 其他市場，2021-2033

第7章 競爭態勢

  • 參與企業概況
  • 財務表現
  • 企業市場分析
  • 戰略地圖
    • 擴張
    • 獲得
    • 合作
    • 新產品發布
    • 夥伴關係
    • 其他
  • 參與企業概況
    • STARTEK
    • Oracle
    • Maxim Healthcare Services
    • Paraxel International Corporation
    • Aviacode Inc.
    • Verisk Analytics, Inc.
    • Precyse Solutions, LLC
    • Medical Record Associates, LLC.
Product Code: GVR-3-68038-025-5

U.S. Medical Coding Market Size & Trends:

The U.S. medical coding market size was estimated at USD 21.89 billion in 2024 and is expected to grow at a CAGR of 10.00% from 2025 to 2033. Errors in billings, insurance fraud, and misinterpretations of medical documents result in large financial losses. Increasing losses due to ineffective medical billing and revenue cycle management are increasing the demand for revenue cycle management, including medical coding software and services. This, in turn, is estimated to drive market growth potential.

High adoption of digital technologies such as electronic health records, revenue cycle management software, mhealth applications, telehealth, and increasing efforts towards digitalization of healthcare in the U.S. are positively driving the growth of the U.S. medical coding industry. In 2021, about 88.2% of physicians' offices were using electronic health records in the U.S., as per data provided by the Centers for Disease Control and Prevention.

Moreover, increasing utilization of medical coding in the revenue cycle management process includes new revisions in codes to increase flexibility and scalability. The new ICD-11 was implemented in January 2022, including several new chapters that support electronic health records. It has approximately 55 thousand codes for the classification of disorders, diseases, injuries, and deaths. Moreover, many new codes were created during the COVID-19 pandemic for COVID-19 and telehealth. The World Health Organization introduced new ICD-10 codes, which came into effect between April and September 2020. Thus, the introduction and revisions of codes are positively impacting market growth

The Bureau of Labor Statistics, Office of Occupational Statistics and Employment Projections, estimated that the number of employees in medical records and health information is estimated to grow by 7% between 2021 and 2031. Certified medical coders are one of the most sought-after jobs in the U.S. Increasing demand for a universal language in medical documentation positively impacts the demand for medical coders and the coding industry.

The increasing workload on healthcare staff and physicians for medical coding is increasing the adoption of various automation solutions. For instance, according to a survey conducted by Athenahealth, physicians are working overtime for an average of 90 minutes for coding. There is an increase in the adoption of computer-assisted coding solutions for rapid, accurate, and efficient medical coding. Computer-assisted coding can increase productivity by 11-30%, as per a survey conducted by 3M.

Furthermore, the development of artificial intelligence (AI)-enabled medical coding is estimated to drive market growth. For instance, in August 2025, HGM Limited, through its U.S. subsidiary Healthcare Capital Holdings LLC (HCH), announced the acquisition of Aideo Technologies LLC, a leader in AI-powered autonomous coding solutions. This acquisition expands HGM's capabilities in revenue cycle management (RCM), medical coding, and healthcare analytics.

"Acquiring Aideo Technologies is a major step towards our goal of building a comprehensive AI-driven healthcare services platform. Aideo's Autonomous Coding Platform, built on advanced AI, natural language processing, real-time analytics, and Large Language Models (LLM), delivers accuracy that surpasses manual and traditional CAC tools. Its HL7 interoperability ensures seamless communication with industry standard EHR systems, supporting surgical specialties, emergency departments, anesthesia, radiology, and RCM companies across the U.S."

Dr. Bhargav Thakkar, EVP Healthcare of HGM Limited.

U.S. Medical Coding Market Report Segmentation

This report forecasts revenue growth at the country level and provides an analysis of the latest industry trends in each of the sub-segments from 2021 to 2033. For this study, Grand View Research, Inc. has segmented the U.S. medical coding market report based on classification system, component, and medical specialty:

  • Classification System Outlook (Revenue, USD Million, 2021 - 2033)
  • ICD
  • HCPCS
  • CPT
  • Component Outlook (Revenue, USD Million, 2021 - 2033)
  • In-house
  • Outsourced
    • Onshore
    • Offshore
  • Medical Specialty Outlook (Revenue, USD Million, 2021 - 2033)
  • Oncology
  • Cardiology
  • Anesthesia
  • Radiology
  • Pathology
  • Pain Management
  • Emergency Services
  • Others

Table of Contents

Chapter 1. Methodology and Scope

  • 1.1. Market Segmentation & Scope
  • 1.2. Market Definitions
    • 1.2.1. Product Segment
    • 1.2.2. Application Segment
  • 1.3. Information analysis
    • 1.3.1. Market formulation & data visualization
  • 1.4. Data validation & publishing
  • 1.5. Information Procurement
    • 1.5.1. Primary Research
  • 1.6. Information or Data Analysis
  • 1.7. Market Formulation & Validation
  • 1.8. Market Model
  • 1.9. Total Market: CAGR Calculation
  • 1.10. Objectives
    • 1.10.1. Objective 1
    • 1.10.2. Objective 2

Chapter 2. Executive Summary

  • 2.1. Market Outlook
  • 2.2. Segment Snapshot
  • 2.3. Competitive Insights Landscape

Chapter 3. U.S. Medical Coding Market Variables, Trends, & Scope

  • 3.1. Market Segmentation and Scope
  • 3.2. Market Lineage Outlook
    • 3.2.1. Parent Market Outlook
    • 3.2.2. Related/Ancillary Market Outlook
  • 3.3. Market Trends and Outlook
  • 3.4. Market Driver Analysis
  • 3.5. Market Restraint Analysis
  • 3.6. Business Environment Analysis
    • 3.6.1. PESTLE Analysis
    • 3.6.2. Porter's Five Forces Analysis

Chapter 4. U.S. Medical Coding Market: Classification System Estimates & Trend Analysis

  • 4.1. U.S. Medical Coding Market: Classification System Movement and Market Share Analysis
  • 4.2. U.S. Medical Coding Classification System Market: Segment Dashboard
  • 4.3. ICD
    • 4.3.1. ICD Market, 2021 - 2033 (USD Million)
  • 4.4. CPT
    • 4.4.1. CPT Market, 2021 - 2033 (USD Million)
  • 4.5. HCPCS
    • 4.5.1. HCPCS Market, 2021 - 2033 (USD Million)

Chapter 5. U.S. Medical Coding Market: Component Estimates & Trend Analysis

  • 5.1. U.S. Medical Coding Market: Component Movement and Market Share Analysis
  • 5.2. U.S. Medical Coding Component Market: Segment Dashboard
  • 5.3. In-house
    • 5.3.1. In-house Market, 2021 - 2033 (USD Million)
  • 5.4. Outsourced
    • 5.4.1. Outsourced Market, 2021 - 2033 (USD Million)
    • 5.4.2. Onshore
      • 5.4.2.1. Onshore Market, 2021 - 2033 (USD Million)
    • 5.4.3. Offshore
      • 5.4.3.1. Offshore Market, 2021 - 2033 (USD Million)

Chapter 6. U.S. Medical Coding Market: End Use Estimates & Trend Analysis

  • 6.1. U.S. Medical Coding Market: Medical Specialty Movement and Market Share Analysis
  • 6.2. U.S. Medical Coding Medical Specialty Market: Segment Dashboard
  • 6.3. Oncology
    • 6.3.1. Oncology Market, 2021 - 2033 (USD Million)
  • 6.4. Cardiology
    • 6.4.1. Cardiology Market, 2021 - 2033 (USD Million)
  • 6.5. Anesthesia
    • 6.5.1. Anesthesia Market, 2021 - 2033 (USD Million)
  • 6.6. Radiology
    • 6.6.1. Radiology Market, 2021 - 2033 (USD Million)
  • 6.7. Pain Management
    • 6.7.1. Pain Management Market, 2021 - 2033 (USD Million)
  • 6.8. Pathology
    • 6.8.1. Pathology Market, 2021 - 2033 (USD Million)
  • 6.9. Emergency Services
    • 6.9.1. Emergency Services Market, 2021 - 2033 (USD Million)
  • 6.10. Others
    • 6.10.1. Others Market, 2021 - 2033 (USD Million)

Chapter 7. Competitive Landscape

  • 7.1. Participant's Overview
  • 7.2. Financial Performance
  • 7.3. Company Market Position Analysis
  • 7.4. Strategy Mapping
    • 7.4.1. Expansion
    • 7.4.2. Acquisition
    • 7.4.3. Collaborations
    • 7.4.4. New Product Launches
    • 7.4.5. Partnerships
    • 7.4.6. Others
  • 7.5. Participant's overview
    • 7.5.1. STARTEK
      • 7.5.1.1. Overview
      • 7.5.1.2. Financial Performance
      • 7.5.1.3. Product Benchmarking
      • 7.5.1.4. Strategic Initiatives
    • 7.5.2. Oracle
      • 7.5.2.1. Overview
      • 7.5.2.2. Financial Performance
      • 7.5.2.3. Product Benchmarking
      • 7.5.2.4. Strategic Initiatives
    • 7.5.3. Maxim Healthcare Services
      • 7.5.3.1. Overview
      • 7.5.3.2. Financial Performance
      • 7.5.3.3. Product Benchmarking
      • 7.5.3.4. Strategic Initiatives
    • 7.5.4. Paraxel International Corporation
      • 7.5.4.1. Overview
      • 7.5.4.2. Financial Performance
      • 7.5.4.3. Product Benchmarking
      • 7.5.4.4. Strategic Initiatives
    • 7.5.5. Aviacode Inc.
      • 7.5.5.1. Overview
      • 7.5.5.2. Financial Performance
      • 7.5.5.3. Product Benchmarking
      • 7.5.5.4. Strategic Initiatives
    • 7.5.6. Verisk Analytics, Inc.
      • 7.5.6.1. Overview
      • 7.5.6.2. Financial Performance
      • 7.5.6.3. Product Benchmarking
      • 7.5.6.4. Strategic Initiatives
    • 7.5.7. Precyse Solutions, LLC
      • 7.5.7.1. Overview
      • 7.5.7.2. Financial Performance
      • 7.5.7.3. Product Benchmarking
      • 7.5.7.4. Strategic Initiatives
    • 7.5.8. Medical Record Associates, LLC.
      • 7.5.8.1. Overview
      • 7.5.8.2. Financial Performance
      • 7.5.8.3. Product Benchmarking
      • 7.5.8.4. Strategic Initiatives

List of Tables

  • Table 1. List of secondary sources
  • Table 2. List of abbreviations
  • Table 3. U.S. medical coding market, by classification system, 2021 - 2033 (USD Million)
  • Table 4. U.S. medical coding market, by component, 2021 - 2033 (USD Million)
  • Table 5. U.S. medical coding market, by outsourced, 2021 - 2033 (USD Million)
  • Table 6. U.S. medical coding market, by medical specialty, 2021 - 2033 (USD Million)

List of Figures

  • Fig. 1 Market research process
  • Fig. 2 Information procurement
  • Fig. 3 Primary research pattern
  • Fig. 4 Market research approaches
  • Fig. 5 Value chain-based sizing & forecasting
  • Fig. 6 Market formulation & validation
  • Fig. 7 Practice management system market segmentation
  • Fig. 8 Market snapshot, 2024
  • Fig. 9 Market trends & outlook
  • Fig. 10 Market driver relevance analysis (current & future impact)
  • Fig. 11 Market restraint relevance analysis (current & future impact)
  • Fig. 12 PESTLE analysis
  • Fig. 13 Porter's five forces analysis
  • Fig. 14 U.S. medical coding market: Component movement and market share analysis
  • Fig. 15 U.S. medical coding market component outlook: Segment dashboard
  • Fig. 16 In-house market, 2021 - 2033 (USD Million)
  • Fig. 17 Outsourced market, 2021 - 2033 (USD Million)
  • Fig. 18 Onshore market, 2021 - 2033 (USD Million)
  • Fig. 19 Offshore market, 2021 - 2033 (USD Million)
  • Fig. 20 U.S. medical coding market: classification system movement and market share analysis
  • Fig. 21 U.S. medical coding market classification system outlook: Segment dashboard
  • Fig. 22 ICD market, 2021 - 2033 (USD Million)
  • Fig. 23 CPT market, 2021 - 2033 (USD Million)
  • Fig. 24 HCPCS market, 2021 - 2033 (USD Million)
  • Fig. 25 U.S. medical coding market: Medical specialty movement and market share analysis
  • Fig. 26 U.S. medical coding market medical specialty outlook: Segment dashboard
  • Fig. 27 Cardiology market, 2021 - 2033 (USD Million)
  • Fig. 28 Oncology market, 2021 - 2033 (USD Million)
  • Fig. 29 Anesthesia market, 2021 - 2033 (USD Million)
  • Fig. 30 Radiology market, 2021 - 2033 (USD Million)
  • Fig. 31 Pathology market, 2021 - 2033 (USD Million)
  • Fig. 32 Pain Management market, 2021 - 2033 (USD Million)
  • Fig. 33 Emergency Services market, 2021 - 2033 (USD Million)
  • Fig. 34 Others market, 2021 - 2033 (USD Million)
  • Fig. 35 Company market position analysis
  • Fig. 36 Company/competition categorization
  • Fig. 37 Strategy mapping