Medical coding market seen reaching $68.5B by 2035
Market Research Future projects the global medical coding market will grow from $28.71 billion in 2026 to $68.54 billion by 2035, driven by ICD-11 transition mandates, CMS compliance rules and a shift to cloud-based AI coding tools. The forecast points to sustained demand across hospitals, insurers and outsourced coding services as healthcare reimbursement gets more complex. Why it matters: - Medical coding is becoming a core compliance function for health systems, not just a back-office workflow. - The market’s growth reflects mandatory coding updates, reimbursement pressure and automation adoption across healthcare. - Hospitals, payers and outsourced service providers are all facing higher demand for accurate, faster code assignment. What happened: - Market Research Future projected the global medical coding market will rise from USD 28.71 billion in 2026 to USD 68.54 billion by 2035. - The forecast implies a 10.14% CAGR for 2026-2035. - The report estimated the market at USD 26.07 billion in 2025. - The release tied growth to ICD-11 transition mandates and CMS compliance requirements. - Request a free sample . The details: - WHO’s phased ICD-11 rollout became effective for member-state reporting in January 2022 and introduces about 55,000 diagnostic entities. - CMS expanded bundled payment coverage and released the ICD-10-CM FY2026 update in March 2025, adding 395 new diagnosis codes. - The new codes include expanded coverage for social determinants of health and Long COVID sequelae. - CMS processed more than 1.3 billion claims in fiscal year 2024, each requiring validated healthcare billing codes. - The U.S. Department of Health & Human Services distributed more than USD 1.2 billion in health-IT modernization grants between 2023 and 2025. - Web and cloud platforms captured more than 74% of new medical coding deployments in 2024, according to KLAS Research. - More than 62% of certified coders now work remotely at least part-time. - Outsourced coding services held USD 15.55 billion in 2025, or about 63.4% of market demand. - Hospitals were the largest end-user segment in 2025 at about 42.5% share. - Insurance payers were the fastest-growing end-user segment, at 11.5% CAGR for 2026-2035. - The ICD classification system remained the dominant segment in 2025 with about 71% revenue share. - HCPCS was the fastest-growing classification segment, at 10.7% CAGR for 2026-2035. - CPT coding reached USD 4.82 billion in 2025. - In-house coding solutions were the fastest-growing component segment, at 9.2% CAGR for 2026-2035. - Read the detailed report . Between the lines: - The report shows a market being pushed by regulation first and technology second. - Cloud delivery and AI-assisted coding are gaining share because they reduce update delays and help address coder shortages. - More than 60% of health information departments report being consistently understaffed, which supports outsourcing and automation demand. - The report also signals that value-based care and risk-adjustment coding are becoming more financially important for payers. - The forecast suggests routine coding work is likely to keep shifting into software, while complex cases remain human-intensive. What’s next: - The report expects global ICD-11 alignment paths to continue through 2025-2028. - U.S. billing implementation preparation is expected to move toward the late 2020s. - Generative AI and autonomous revenue cycle tools are expected to reshape routine coding by 2030. - The market is likely to split between scalable AI automation for routine encounters and premium human-expert services for complex cases. - Ongoing platform consolidation should favor vendors that can connect EHR systems to claims submission and payment workflows. The bottom line: - Medical coding is shifting from a support function into a regulated, software-driven revenue infrastructure layer for healthcare.
Disclaimer: This article was produced by AGP Wire with the assistance of artificial intelligence based on original source content and has been refined to improve clarity, structure, and readability. This content is provided on an “as is” basis. While care has been taken in its preparation, it may contain inaccuracies or omissions, and readers should consult the original source and independently verify key information where appropriate. This content is for informational purposes only and does not constitute legal, financial, investment, or other professional advice.
Sign up for:
Middle East News Digest
The daily local news briefing you can trust. Every day. Subscribe now.
Check Your Email!
We sent a one-time activation link to: .
Confirm it's you by clicking the email link.
If the email is not in your inbox, check spam or try again.
Welcome back!
is already signed up. Check your inbox for updates.