A pitfall of using general equivalence mappings to estimate national trends of surgical utilization for pediatric patients
General equivalence mappings (GEMs) were developed to facilitate a transition from International Classification of Diseases, Ninth Revision (ICD-9) to ICD, Tenth Revision (ICD-10). Validation of GEMs is suggested as coding errors have been reported for adult populations. The purpose of this study wa...
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| Veröffentlicht in: | Journal of pediatric surgery 2020-12, Vol.55 (12), p.2602-2607 |
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| container_title | Journal of pediatric surgery |
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| creator | Tian, Yao Ingram, Martha-Conley E. Raval, Mehul V. |
| description | General equivalence mappings (GEMs) were developed to facilitate a transition from International Classification of Diseases, Ninth Revision (ICD-9) to ICD, Tenth Revision (ICD-10). Validation of GEMs is suggested as coding errors have been reported for adult populations. The purpose of this study was to illustrate limitations of the GEMs for pediatric surgical procedures.
Using the 2014 to 2016 National Inpatient Sample, we evaluated all patients undergoing inguinal hernia repair. ICD-9 codes for the repair were independently classified as laparoscopic or open approach by two surgeons. Conversions of the ICD-9 to ICD-10 codes were compared between the GEMs strategy and surgeons' manual mapping. National trends were compared for overall, adult, and pediatric populations.
We found significant inconsistencies in the proportion of laparoscopic inguinal hernia repair based on mapping strategies employed. For adults, the comparison of the proportions in 2016 was 17.79% (GEMs) versus 21.44% (Manual). In pediatric population, the contrast was 0.45% (GEMs) versus 17.75% (Manual), and no laparoscopic repair cases were found using GEMs in the last quarter of 2015.
Some conversions of ICD-9 and ICD-10 using the current GEMs are not valid for certain populations and procedures. Clinical validation of coding conversions is essential.
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| doi_str_mv | 10.1016/j.jpedsurg.2020.03.011 |
| format | Article |
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Using the 2014 to 2016 National Inpatient Sample, we evaluated all patients undergoing inguinal hernia repair. ICD-9 codes for the repair were independently classified as laparoscopic or open approach by two surgeons. Conversions of the ICD-9 to ICD-10 codes were compared between the GEMs strategy and surgeons' manual mapping. National trends were compared for overall, adult, and pediatric populations.
We found significant inconsistencies in the proportion of laparoscopic inguinal hernia repair based on mapping strategies employed. For adults, the comparison of the proportions in 2016 was 17.79% (GEMs) versus 21.44% (Manual). In pediatric population, the contrast was 0.45% (GEMs) versus 17.75% (Manual), and no laparoscopic repair cases were found using GEMs in the last quarter of 2015.
Some conversions of ICD-9 and ICD-10 using the current GEMs are not valid for certain populations and procedures. Clinical validation of coding conversions is essential.
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Using the 2014 to 2016 National Inpatient Sample, we evaluated all patients undergoing inguinal hernia repair. ICD-9 codes for the repair were independently classified as laparoscopic or open approach by two surgeons. Conversions of the ICD-9 to ICD-10 codes were compared between the GEMs strategy and surgeons' manual mapping. National trends were compared for overall, adult, and pediatric populations.
We found significant inconsistencies in the proportion of laparoscopic inguinal hernia repair based on mapping strategies employed. For adults, the comparison of the proportions in 2016 was 17.79% (GEMs) versus 21.44% (Manual). In pediatric population, the contrast was 0.45% (GEMs) versus 17.75% (Manual), and no laparoscopic repair cases were found using GEMs in the last quarter of 2015.
Some conversions of ICD-9 and ICD-10 using the current GEMs are not valid for certain populations and procedures. Clinical validation of coding conversions is essential.
Level V.</description><subject>Health services research</subject><subject>International Classification of Diseases</subject><subject>Pediatric surgery</subject><subject>Reimbursement</subject><subject>Repair of inguinal hernia</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqFkM1O5DAQhK0VaBl-XgH5uJeEbjtxktsitCxISFzgbDlOZ-RRJgm2gwRPj7MDe-Vkqfx1V3UxdomQI6C62uW7mbqw-G0uQEAOMgfEH2yDpcSsBFkdsQ2AEJksVH3CTkPYASQZ8Cc7kUJUdVnIDXu_5rOLvRkGPvV8CW7c8i2N5M3A6WVxr2ag0RLfm3lOf4HHiVOIbm8i8dFEN42JjJ7GLqwb1kTOJmmJbnDv_wDeT56ntM5E7yyfk0hjDOfsOPkGuvh8z9jz7Z-nm7vs4fHv_c31Q2alqmNWEhjZWtX1SjUKpezBWIFVCVgrSYYQbUOqrdqmKaiSRVthX0vbdAKxFUqesV-HvbOfXpYUXu9dsDQMZqRpCVrIuhHQVAUkVB1Q66cQPPV69ulU_6YR9Nq73umv3vXauwapU-9p8PLTY2n31P0f-yo6Ab8PAKVLXx15Haxbm-2cJxt1N7nvPD4AVi-Z8Q</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Tian, Yao</creator><creator>Ingram, Martha-Conley E.</creator><creator>Raval, Mehul V.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202012</creationdate><title>A pitfall of using general equivalence mappings to estimate national trends of surgical utilization for pediatric patients</title><author>Tian, Yao ; Ingram, Martha-Conley E. ; Raval, Mehul V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-5e0a3bc6df6696133f0ac217501863eae11c9e6b7b994e734b71f83c9d211b263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Health services research</topic><topic>International Classification of Diseases</topic><topic>Pediatric surgery</topic><topic>Reimbursement</topic><topic>Repair of inguinal hernia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tian, Yao</creatorcontrib><creatorcontrib>Ingram, Martha-Conley E.</creatorcontrib><creatorcontrib>Raval, Mehul V.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tian, Yao</au><au>Ingram, Martha-Conley E.</au><au>Raval, Mehul V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A pitfall of using general equivalence mappings to estimate national trends of surgical utilization for pediatric patients</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2020-12</date><risdate>2020</risdate><volume>55</volume><issue>12</issue><spage>2602</spage><epage>2607</epage><pages>2602-2607</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>General equivalence mappings (GEMs) were developed to facilitate a transition from International Classification of Diseases, Ninth Revision (ICD-9) to ICD, Tenth Revision (ICD-10). Validation of GEMs is suggested as coding errors have been reported for adult populations. The purpose of this study was to illustrate limitations of the GEMs for pediatric surgical procedures.
Using the 2014 to 2016 National Inpatient Sample, we evaluated all patients undergoing inguinal hernia repair. ICD-9 codes for the repair were independently classified as laparoscopic or open approach by two surgeons. Conversions of the ICD-9 to ICD-10 codes were compared between the GEMs strategy and surgeons' manual mapping. National trends were compared for overall, adult, and pediatric populations.
We found significant inconsistencies in the proportion of laparoscopic inguinal hernia repair based on mapping strategies employed. For adults, the comparison of the proportions in 2016 was 17.79% (GEMs) versus 21.44% (Manual). In pediatric population, the contrast was 0.45% (GEMs) versus 17.75% (Manual), and no laparoscopic repair cases were found using GEMs in the last quarter of 2015.
Some conversions of ICD-9 and ICD-10 using the current GEMs are not valid for certain populations and procedures. Clinical validation of coding conversions is essential.
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| ispartof | Journal of pediatric surgery, 2020-12, Vol.55 (12), p.2602-2607 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | ScienceDirect Journals (5 years ago - present) |
| subjects | Health services research International Classification of Diseases Pediatric surgery Reimbursement Repair of inguinal hernia |
| title | A pitfall of using general equivalence mappings to estimate national trends of surgical utilization for pediatric patients |
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