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首页> 外文期刊>Urology practice. >How Will the Transition to ICD-10 Affect Urology Coding? An Analysis of ICD-9 Code Use from a Large Group Practice
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How Will the Transition to ICD-10 Affect Urology Coding? An Analysis of ICD-9 Code Use from a Large Group Practice

机译：向ICD-10的过渡将如何影响泌尿科编码？大型团体对ICD-9代码使用情况的分析

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Introduction: On October 1, 2015 the ICD (International Classification of Diseases)- 10-CM (10th Revision, Clinical Modification) code set replaced ICD-9 (9th Revision) for coding medical encounters in the United States. The introduction of this unique, expanded code set will change the way medical encounters are coded, and may affect specialties and subspecialists to different degrees.Methods: A retrospective review was performed evaluating ICD-9 codes used at a large urology group. The most commonly used codes were evaluated in the office and hospital settings, and also from 3 individual subspecialists including a men's health/ infertility subspecialist, a pelvic floor/reconstruction subspecialist and a pediatric subspecialist.Results: The top 30 ICD-9 codes comprised 82.5% and 80.7% of the codes chosen in the office and hospital settings, with a 1:1 conversion from ICD-10 in 60% (18 of 30) and 36.7% (11 of 30), respectively. The top 25 codes from the 3 subspecialists (men's health/infertility, pelvic floor/reconstruction and pediatric) comprised 86.8%, 88.7% and 88.1% of the ICD-9 codes chosen, with a 1:1 correlation in 48% (12 of the top 25), 56% (14 of 25) and 40% (10 of 25), respectively. A significant number of unspecified codes was used across all of the aspects of practice.Conclusions: Urologists need to be aware of their practice patterns when converting from ICD-9 to ICD-10. The high percentage of codes concentrated in the top 25 of a practice may allow urologists to focus on their individual needs. Improved documentation and coding education may decrease the number of unspecified codes chosen, leading to improved coding accuracy.
机译：简介：2015年10月1日，ICD（国际疾病分类）-10-CM（第10修订版，临床修改）代码集取代了ICD-9（第9修订版），用于编码美国的医疗事故。这种独特的，扩展的代码集的引入将改变医疗事故的编码方式，并可能在不同程度上影响专科医师和专科医师。方法：进行了回顾性评估，评估了大型泌尿科的ICD-9编码。在办公室和医院环境中对最常用的规范进行了评估，还从3名个人专科医师中进行了评估，其中包括男性健康/不育症专科医生，骨盆底/重建专科医师和儿科专科医师。结果：ICD-9的前30大密码包含82.5。在办公室和医院环境中选择的代码的百分比为80％和80.7％，ICD-10的1：1转换分别为60％（30之18）和36.7％（30之11）。 3位专科医师（男性健康/不育，骨盆底/重建和儿科）中排名前25位的代码占所选择的ICD-9代码的86.8％，88.7％和88.1％，与1：1的相关性在48％（12个前25位），56％（25之14）和40％（25之10）。结论：泌尿科医师在从ICD-9转换为ICD-10时，需要了解其实践模式。集中在实践的前25名中的代码比例很高，这可能使泌尿科医师专注于他们的个人需求。改进的文档编制和编码培训可以减少未指定代码的选择数量，从而提高编码准确性。

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