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Usability of icd-10 coding system, urogenital disease percentages and use rates for related codes

Year 2020, Volume: 12 Issue: 3, 181 - 186, 31.12.2020

Abstract

Objectives:
The ICD-10 coding system is commonly used in organizations providing health services in many countries. This coding system used for diagnosis of diseases is standardized for national and international diagnoses with the aim of determining incidence rates for diseases and acting as a guide for determination of health policies.
AIM
The aim of the study was to determine the distribution of ICD-10 codes used for all patients in a 1-year period.


Materials and Methods
:
From 15/04/2018 to 15/04/2019, a total of 3,764,124 ICD-10 codes were recorded for patients admitted to all departments of the hospital. The distribution of these codes were analyzed and the most used code for urogenital diseases were extracted.

Results:
The physicians who work at a governmental hospital, used mostly ICD-10 code for urogenital infections. The most used ICD-10 code was N30, cystitis. Another important results of this study was the narrow dispersion of the used ICD-10 codes. Forty-three (%22) of all ICD-10 codes for urogenital disorders was not entered by physicians and the most used ICD-10 codes were general codes.


Conclusion
:

The usage of the ICD-10 codes for urogenital system infections have an important place in clinical practice of urology.

References

  • 1. Hirsch JA, Nicola G, McGinty G, Liu RW, Barr RM, Chittle MD, Manchikanti L. ICD-10: History and Context. AJNR Am J Neuroradiol. 2016 Apr;37(4):596-9. doi: 10.3174/ajnr.A4696. Epub 2016 Jan 28.
  • 2. World Health Organization: History of the Development of the ICD. http://www.who.int/classifications/icd/en/HistoryOfICD.pdf. Accessed November 4, 2015.
  • 3. Gersenovic M. The ICD family of classifications. Methods Inf Med. 1995;34:172–175.
  • 4. Jetté N, Quan H, Hemmelgarn B, Drosler S, Maass C, Moskal L, Paoin W, Sundararajan V, Gao S, Jakob R, Ustün B, Ghali WA; IMECCHI Investigators. The development, evolution, and modifications of ICD-10: challenges to the international comparability of morbidity data. Med Care. 2010 Dec;48(12):1105-10. doi: 10.1097/MLR.0b013e3181ef9d3e.
  • 5. Khandwala YS, Zhang CA, Li S, Cullen MR, Eisenberg ML. Validity of Claims Data for the Identification of Male Infertility. Curr Urol Rep. 2017 Sep;18(9):68. doi: 10.1007/s11934-017-0714-7.
  • 6. Jetté N, Reid AY, Quan H, Hill MD, Wiebe S. How accurate is ICD coding for epilepsy? Epilepsia. 2010 Jan;51(1):62-9. doi: 10.1111/j.1528-1167.2009.02201.x. Epub 2009 Jul 20.
  • 7. Tollefson MK, Gettman MT, Karnes RJ, Frank I. Administrative data sets are inaccurate for assessing functional outcomes after radical prostatectomy. J Urol. 2011 May;185(5):1686-90. doi: 10.1016/j.juro.2010.12.039. Epub 2011 Mar 21.

Kodlama sisteminin kullanışlılığı, ürogenital hastalık yüzdeleri ve ilgili kodların kullanım oranları

Year 2020, Volume: 12 Issue: 3, 181 - 186, 31.12.2020

Abstract

Arka Plan: ICD -10 sağlık hizmeti sunan kuruluşlarda yaygın olarak kullanılmaktadır. Hastalıkların tanısında kullanılan bu kodlama sistemi bize ulusal ve uluslararası tanıları standardize etmemize olanak tanıyarak, hastalıkların görülme oranlarının kolayca belirlenmesine olanak tanıyarak ilgili sağlık politikaları için yön gösterici olabilmesidir

Amaç: 1 yıl içinde hastanemize başvuran tüm hastalar için kullanılan ICD-10 tanı kodlarının miktarı, ürogenital sistem hastalıklarla ilgili ICD-10 oranları , ürogenital sistem hastalık dağılımını belirlemektir.

Gereç ve Yöntemler: 15/04/2048-15/04/2019 tarihleri arasında Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesinde tüm birimlerinde tedavi olan ve bunların tanı ve tadavisinde kullanılmış olan toplam 3.764.124 ICD -10 Kodları kayıt altına alındı. Ürogenital sistem için kullanılan 174.448(%5) ICD-10 kod ve ürogenital hastalıkalrı için belirlenmiş olan ve hiç kullanılmayan kodlar kayıt altına alındı.


Sonuç: 
Ürogenital hastalıklar ile ilgili 196 ICD-10 kodlama sisteminden 43(%22) tanesinin kullanılmadığı, 1 yıllık süreçte toplam kodlama sisteminin %5 i Ürogenital sistem hastalıklarla ilgili olduğu ve bunun %50 oranında enfeksiyon hastalıklarıyla ilgiliydi.
SONUÇ
Ürogenital sistem enfeksiyonları en sık kullanılan tanı olup ICD-10 kod sisteminde N30 sistit tanısı en çok girilen koddur.

References

  • 1. Hirsch JA, Nicola G, McGinty G, Liu RW, Barr RM, Chittle MD, Manchikanti L. ICD-10: History and Context. AJNR Am J Neuroradiol. 2016 Apr;37(4):596-9. doi: 10.3174/ajnr.A4696. Epub 2016 Jan 28.
  • 2. World Health Organization: History of the Development of the ICD. http://www.who.int/classifications/icd/en/HistoryOfICD.pdf. Accessed November 4, 2015.
  • 3. Gersenovic M. The ICD family of classifications. Methods Inf Med. 1995;34:172–175.
  • 4. Jetté N, Quan H, Hemmelgarn B, Drosler S, Maass C, Moskal L, Paoin W, Sundararajan V, Gao S, Jakob R, Ustün B, Ghali WA; IMECCHI Investigators. The development, evolution, and modifications of ICD-10: challenges to the international comparability of morbidity data. Med Care. 2010 Dec;48(12):1105-10. doi: 10.1097/MLR.0b013e3181ef9d3e.
  • 5. Khandwala YS, Zhang CA, Li S, Cullen MR, Eisenberg ML. Validity of Claims Data for the Identification of Male Infertility. Curr Urol Rep. 2017 Sep;18(9):68. doi: 10.1007/s11934-017-0714-7.
  • 6. Jetté N, Reid AY, Quan H, Hill MD, Wiebe S. How accurate is ICD coding for epilepsy? Epilepsia. 2010 Jan;51(1):62-9. doi: 10.1111/j.1528-1167.2009.02201.x. Epub 2009 Jul 20.
  • 7. Tollefson MK, Gettman MT, Karnes RJ, Frank I. Administrative data sets are inaccurate for assessing functional outcomes after radical prostatectomy. J Urol. 2011 May;185(5):1686-90. doi: 10.1016/j.juro.2010.12.039. Epub 2011 Mar 21.
There are 7 citations in total.

Details

Primary Language English
Subjects Urology
Journal Section Research Articles
Authors

Huseyin Kocan 0000-0002-0670-8080

Mustafa Kadıhasanoğlu This is me 0000-0001-5109-5319

Publication Date December 31, 2020
Published in Issue Year 2020 Volume: 12 Issue: 3

Cite

Vancouver Kocan H, Kadıhasanoğlu M. Usability of icd-10 coding system, urogenital disease percentages and use rates for related codes. Endourol Bull. 2020;12(3):181-6.