The ICD-9 codes for acute respiratory illness (ARI) and pneumonia/influenza (P&I) are commonly used in ARI surveillance; however, few studies evaluate the accuracy of these codes or the importance of ICD-9 position. We reviewed ICD-9 codes reported among patients identified through severe acute respiratory infection (SARI) surveillance to compare medical record documentation with medical coding and evaluated ICD-9 codes assigned to patients with influenza detections.
The transition of all HIPAA covered entities from the use of ICD9CM to ICD10CM/PCS codes on October 1, 2015 will create a paradigm change in the use of electronic health record (EHR) data. Many public health surveillance entities that receive, interpret, analyze, and report ICD9 encoded data will be significantly impacted by the transition. Is your jurisdiction ready? Do you have a plan in place?
Many public health programs use hospital administrative and claims data for assessment and surveillance purposes. They are preparing their data collection processes to make the transition from accepting data coded with ICD-9-CM to ICD-10-CM in preparation for the October 1 implementation date set by Congress. MapIT is a tool that was developed with funding from AHRQ and CDC to support these transition efforts.
Firearm violence is an issue of public health concern leading to more than 30,000 deaths and 80,000 nonfatal injuries in the United States annually. To date, firearm-related studies among Veterans have focused primarily on suicide and attempted suicide. Herein, we examine firearm violence among VHA enrollees for all manners/ intents, including assault, unintentional, self-inflicted, undetermined and other firearm-related injury encounters in both the inpatient and outpatient settings.
The Department of Defense conducts syndromic surveillance of health encounter visits of Military Health System (MHS) beneficiaries. Providers within the MHS assign up to 10 diagnosis codes to each health encounter visit. The diagnosis codes are grouped into syndrome and sub-syndrome categories. On October 1, 2015, the Health and Human Services-mandated transition from ICD- 9-CM to ICD-10-CM required evaluation of the syndrome mappings to establish a baseline of syndrome rates within the DoD. The DoD data within the BioSense system currently utilizes DoD ESSENCE syndrome mappings. The Master Mapping Reference Table (MMRT) was developed by the CDC to translate diagnostic codes across the ICD-9-CM and ICD-10-CM encoding systems to prepare for the transition. The DoD ESSENCE and MMRT syndrome definitions are presented in this analysis for comparison.
Objective
The transition from ICD-9-CM to ICD-10-CM requires evaluation of syndrome mappings to obtain a baseline for syndromic surveillance purposes. Two syndrome mappings are evaluated in this report.
A report of the Injury Surveillance Workgroup Region 9, Safe States Alliance, December 2016.
Impetus for this report: On October 1, 2015 in the United States, ICD-10-CM replaced ICD-9-CM for coding information in hospital discharge, emergency department, and outpatient records for administrative and financial transactions. This change will impact national and state-based injury and violence surveillance activities that use these records.
Join ISDS on June 3rd for an instructional webinar on ICD-9-CM and ICD-10-CM/PCS mapping tools, including the newly released MapIt tool. This tool, which was developed by AHRQ and CDC, is an automated mapping tool that utilizes General Equivalence Mappings (GEMs) to provide both forward and backward or reverse mapping between ICD-9-CM and ICD-10-CM codes.