95
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Measuring diagnoses: ICD code accuracy.

      Health Services Research
      Data Collection, methods, Health Services Research, Humans, International Classification of Diseases, Reproducibility of Results

      Read this article at

      ScienceOpenPublisherPMC
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          To examine potential sources of errors at each step of the described inpatient International Classification of Diseases (ICD) coding process. The use of disease codes from the ICD has expanded from classifying morbidity and mortality information for statistical purposes to diverse sets of applications in research, health care policy, and health care finance. By describing a brief history of ICD coding, detailing the process for assigning codes, identifying where errors can be introduced into the process, and reviewing methods for examining code accuracy, we help code users more systematically evaluate code accuracy for their particular applications. We summarize the inpatient ICD diagnostic coding process from patient admission to diagnostic code assignment. We examine potential sources of errors at each step and offer code users a tool for systematically evaluating code accuracy. Main error sources along the "patient trajectory" include amount and quality of information at admission, communication among patients and providers, the clinician's knowledge and experience with the illness, and the clinician's attention to detail. Main error sources along the "paper trail" include variance in the electronic and written records, coder training and experience, facility quality-control efforts, and unintentional and intentional coder errors, such as misspecification, unbundling, and upcoding. By clearly specifying the code assignment process and heightening their awareness of potential error sources, code users can better evaluate the applicability and limitations of codes for their particular situations. ICD codes can then be used in the most appropriate ways.

          Related collections

          Most cited references4

          • Record: found
          • Abstract: not found
          • Book: not found

          Diagnostic and statistical manual of mental disorders

            Bookmark
            • Record: found
            • Abstract: not found
            • Book: not found

            Reliability of Hospital Discharge Records

              Bookmark
              • Record: found
              • Abstract: not found
              • Book: not found

              Handbook for Coding Guidelines, Version 2.0

                Bookmark

                Author and article information

                Journal
                16178999
                1361216
                10.1111/j.1475-6773.2005.00444.x

                Chemistry
                Data Collection,methods,Health Services Research,Humans,International Classification of Diseases,Reproducibility of Results

                Comments

                Comment on this article