TY  - JOUR
PY  - 2024//
TI  - Variation in completeness of coding external cause of injuries under ICD-10-CM
JO  - Injury prevention
A1  - Stewart, Christine C.
A1  - Simon, Gregory
A1  - Ahmedani, Brian K.
A1  - Beck, Arne
A1  - Daida, Yihe G.
A1  - Lynch, Frances L.
A1  - Owen-Smith, Ashli A.
A1  - Negriff, Sonya L.
A1  - Rossom, Rebecca
A1  - Sterling, Stacy A.
A1  - Lu, Christine Y.
A1  - Schoenbaum, Michael
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: Information about causes of injury is key for injury prevention efforts. Historically, cause-of-injury coding in clinical practice has been incomplete due to the need for extra diagnosis codes in the International Classification of Diseases-Ninth Revision-Clinical Modification (ICD-9-CM) coding. The transition to ICD-10-CM and increased use of clinical support software for diagnosis coding is expected to improve completeness of cause-of-injury coding. This paper assesses the recording of external cause-of-injury codes specifically for those diagnoses where an additional code is still required. <br><br>METHODS: We used electronic health record and claims data from 10 health systems from October 2015 to December 2021 to identify all inpatient and emergency encounters with a primary diagnosis of injury. The proportion of encounters that also included a valid external cause-of-injury code is presented. <br><br>RESULTS: Most health systems had high rates of cause-of-injury coding: over 85% in emergency departments and over 75% in inpatient encounters with primary injury diagnoses. However, several sites had lower rates in both settings. State mandates were associated with consistently high external cause recording. <br><br>CONCLUSIONS: Completeness of cause-of-injury coding improved since the adoption of ICD-10-CM coding and increased slightly over the study period at most sites. However, significant variation remained, and completeness of cause-of-injury coding in any diagnosis data used for injury prevention planning should be empirically determined.<p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/ip-2023-045164
ID  - ref1
ER  -