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Does Clinical Evidence Support ICD-9-CM Diagnosis Coding of Complications?

Medical CarePublished 1 August 2000
Ellen P. McCarthy, Lisa I. Iezzoni, Roger B. Davis, R. Heather Palmer, Michael J. Cahalane, Mary Beth Hamel
Citations244
SJR quartileQ1
SJR score1.57
SNIP1.38

TL;DR

Clinical evidence supported most postoperative acute myocardial infarction diagnoses, but fewer than 60% of other diagnoses had confirmatory clinical evidence by explicit clinical criteria, raising questions about whether the clinical conditions represented by ICD-9-CM codes used by the Complications Screening Program were in fact always present.

Abstract

Our findings raise questions about whether the clinical conditions represented by ICD-9-CM codes used by the Complications Screening Program were in fact always present. These findings highlight concerns about the clinical validity of using ICD-9-CM codes for quality monitoring.

Keywords

MedicineHealth Professions