Development and Assessment of a Crosswalk Between ICD-9-CM and ICD-10-CM to Identify Patients with Common Pain Conditions

•Research on the prevalence and co-occurrence of common pain conditions is needed•ICD-10-CM introduced challenges to assessing pain condition prevalence over time•We developed an ICD-9-CM and ICD-10-CM crosswalk for common pain conditions•It was assessed based on stability of prevalence estimates an...

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Veröffentlicht in:The journal of pain 2019-12, Vol.20 (12), p.1429-1445
Hauptverfasser: Mayhew, Meghan, DeBar, Lynn L., Deyo, Richard A., Kerns, Robert D., Goulet, Joseph L., Brandt, Cynthia A., Von Korff, Michael
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Sprache:eng
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Zusammenfassung:•Research on the prevalence and co-occurrence of common pain conditions is needed•ICD-10-CM introduced challenges to assessing pain condition prevalence over time•We developed an ICD-9-CM and ICD-10-CM crosswalk for common pain conditions•It was assessed based on stability of prevalence estimates and patient demographics•Offers a standard tool for health services and epidemiologic research on pain Effective management of patients with pain requires accurate information about the prevalence, outcomes, and co-occurrence of common pain conditions. However, the transition from ICD-9-CM to ICD-10-CM diagnostic coding in 2015 left researchers without methods for comparing the prevalence of pain conditions before and after the transition. In this study, we developed and assessed a diagnostic framework to serve as a crosswalk between ICD-9-CM and ICD-10-CM diagnosis codes for common pain-related health conditions. We refined existing ICD-9-CM definitions for diagnostic clusters of common pain conditions consistent with the US National Pain Strategy and developed corresponding ICD-10-CM definitions. We then assessed the stability of prevalence estimates and associated patient socio-demographic features of each diagnostic cluster during 1-year periods before and after the transition to ICD-10-CM in 3 US health care systems using electronic health records data for in-person encounters. Prevalence estimates and socio-demographic characteristics were similar before and after the transition. The Pain Condition ICD-9-CM to ICD-10-CM Crosswalk includes a full spectrum of common pain conditions to enable prevalence estimates of multiple and chronic overlapping pain conditions. This allows the tool to serve as a foundation for a broad array of pain-related health services research utilizing electronic databases. This article details the development and assessment of the Pain Condition ICD-9-CM to ICD-10-CM Crosswalk, a diagnostic framework for assessing pain condition prevalence across the ICD-9-CM to ICD-10-CM transition. This framework can serve as a standardized tool for research on pain conditions, including health services and epidemiologic research.
ISSN:1526-5900
1528-8447
DOI:10.1016/j.jpain.2019.05.006