ICD-10 Coding System, ICD-10, ICD-10 Codes | The Medical Bag
November 19, 2014
Changes in how medical diagnoses are coded under the latest international disease classification system (better known as the ICD-10 codes) may complicate the assessment of hospital safety, say researchers at the University of Illinois at Chicago. Their report is available online in the Journal of the American Medical Informatics Association (JAMIA).
Codes for diagnoses that serve as patient safety indicators may not translate in a simple way from ICD-9 to ICD-10, says Andrew Boyd, assistant professor of biomedical and health information sciences at UIC and first author of the paper.
For example, a hemorrhage coded in ICD-9 may have any of several different codes in ICD-10 depending on which organ system is involved, making it difficult to tell whether a hospital’s safety record is improving, or if information is simply slipping through the cracks.
"It's possible to select 'accurate' new ICD-10 codes that make you look safer than you are because of the differences in the design of the ICD-10 system,” Boyd said. At the same time, he said, some hospitals may look less safe than they really are because of apparent increases in patient safety indicators that are actually the same indicators calculated differently.
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