Abstract
The recent implementation of the International Classification of Diseases, 10 th Revision, Clinical Modification and Procedure Coding System (ICD-10-CM/PCS) provides a robust classification of diagnoses and procedures for hospital systems. As researchers begin using ICD-10-CM/PCS for outcomes research from administrative datasets, it is important to understand ICD-10-CM/PCS, as well as the strengths and challenges of these new classifications. In this review, we describe the development of ICD-10-CM/PCS and summarize how it applies specifically to thoracic surgery patients undergoing pulmonary lobectomy, sublobar resection (segmentectomy or wedge resection) and esophagectomy. This myriad of ICD-10-CM/PCS codes presents challenges and questions for thoracic surgery researchers and medical journal reviewers and editors when evaluating thoracic surgical outcomes research utilizing ICD-10-CM/PCS. Additional work is needed to develop consensus guidelines and uniformity for accurate and coherent research methods to utilize ICD-10-CM/PCS in future outcomes research efforts.
Original language | English (US) |
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Pages (from-to) | S585-S595 |
Journal | Journal of Thoracic Disease |
Volume | 11 |
DOIs | |
State | Published - Jan 1 2019 |
Keywords
- Clinical coding
- International Classification of Diseases
- Outcomes research
- Research design
- Thoracic surgical procedures
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine