美国医疗编码市场规模、份额和趋势分析报告：按分类系统、组件、医疗专业和细分市场预测，2025 年至 2033 年

美国医疗编码市场规模与趋势：

预计 2024 年美国医疗编码市场规模将达到 218.9 亿美元，预计 2025 年至 2033 年的复合年增长率为 10.00%。

帐单错误、保险诈骗以及医疗文件解读错误会造成巨大的经济损失。低效率的医疗帐单和收益週期管理导致的损失不断增加，这推动了对收益週期管理（包括医疗编码软体和服务）的需求，预计这将推动市场的成长潜力。

电子健康记录、收益週期管理软体、行动医疗应用程式和远端保健等数位技术的高采用率，以及美国在医疗保健数位化方面的不断努力，正在积极推动美国医疗编码行业的成长。根据美国疾病管制与预防中心提供的数据，2021 年，约有 88.2% 的诊所使用电子健康记录。

此外，医疗编码在收益週期管理流程中的使用日益广泛，包括对代码进行新的修订，以提高灵活性和扩充性。新的 ICD-11 于 2022 年 1 月实施，其中包括几个支援电子健康记录的新章节。 ICD-11 包含约 55,000 个用于对疾病、伤害和死亡进行分类的代码。此外，在 COVID-19 大流行期间，为 COVID-19 和远端医疗创建了许多新代码。世界卫生组织推出了新的 ICD-10 代码，该代码于 2020 年 4 月至 9 月期间生效。因此，代码的引入和修订对市场成长产生了积极影响。

美国劳工统计局职业统计和就业预测办公室估计，2021年至2031年间，医疗记录和健康资讯领域的从业人员数量将增加7%。认证医疗编码员是美国最受欢迎的职业之一。医疗文件对通用语言的需求日益增长，将对医疗编码员的需求和编码行业产生积极影响。

由于医疗编码工作量增加，医护人员和医师的工作量也随之增加，各种自动化解决方案的采用也随之增加。例如，Athenahealth 的一项调查发现，医生平均加班编码时间长达 90 分钟。为了实现快速、准确和高效的医疗编码，电脑辅助编码解决方案的采用率正在上升。根据 3M 的一项研究，电脑辅助编码可以将生产力提高 11% 至 30%。

此外，人工智慧 (AI) 赋能的医疗编码技术预计将推动市场发展。例如，2025 年 8 月，HGM Limited 透过其美国子公司 Healthcare Capital Holdings LLC (HCH) 宣布收购 AI 驱动的自主编码解决方案领导者 Aideo Technologies LLC。此次收购将增强 HGM 在收益週期管理 (RCM)、医疗编码和医疗分析方面的能力。

收购 Aideo Technologies 标誌着我们朝着建立全面的人工智慧主导医疗服务平台的目标迈出了重要一步。 Aideo 的自主编码平台基于先进的人工智慧、自然语言处理、即时分析和大型语言模型 (LLM) 构建，其准确性超越了手动方法和传统的 CAC 工具。其 HL7互通性确保与行业标准的 EHR 系统无缝通讯，为美国的外科专科、急诊科、麻醉科、放射科和 RCM 公司提供支援。

Bhargav Thakkar 博士，HGM Limited 医疗保健执行副总裁

目录

第一章调查方法与范围

第二章执行摘要

第 3 章美国医疗编码市场变数、趋势与范围

• 市场区隔和范围
• 市场体系展望
  • 母市场展望
  • 相关/辅助市场展望
• 市场趋势与展望
• 市场驱动因素分析
• 市场限制因素分析
• 商业环境分析
  • PESTLE分析
  • 波特五力分析

第四章美国医疗编码市场估计与分类系统趋势分析

• 美国医疗编码市场趋势和市场份额分析（按分类系统）
• 美国医疗编码市场：细分仪表板
• ICD
  • ICD市场，2021-2033年
• CPT
  • 彩管市场，2021-2033
• HCPCS
  • 2021-2033 年 HCPCS 市场

第五章美国医疗编码市场估计与趋势分析

• 美国医疗编码市场趋势及各组成部分的市场份额分析
• 美国医疗编码市场：细分仪表板
• 内部
  • 内部市场，2021-2033
• 外包
  • 外包市场，2021-2033

第六章美国医疗编码市场估计与医疗专业趋势分析

• 美国医疗编码市场趋势与医疗专业市场份额分析
• 美国医疗编码市场：细分仪表板
• 肿瘤学
  • 肿瘤学市场，2021-2033
• 心臟病学
  • 心臟病学市场，2021-2033
• 麻醉
  • 麻醉市场，2021-2033
• 放射学
  • 辐射市场，2021-2033
• 疼痛管理
  • 疼痛管理市场，2021-2033
• 病理
  • 病理学市场，2021-2033
• 紧急服务
  • 紧急服务市场，2021-2033
• 其他的
  • 其他市场，2021-2033

第七章 竞争态势

• 参与企业概况
• 财务表现
• 企业市场分析
• 战略地图
  • 扩张
  • 获得
  • 合作
  • 新产品发布
  • 伙伴关係
  • 其他的
• 参与企业概况
  • STARTEK
  • Oracle
  • Maxim Healthcare Services
  • Paraxel International Corporation
  • Aviacode Inc.
  • Verisk Analytics, Inc.
  • Precyse Solutions, LLC
  • Medical Record Associates, LLC.

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