ArticleJournal of the American Medical Informatics Association : JAMIA
The discriminatory cost of ICD-10-CM transition between clinical specialties: metrics, case study, and mitigating tools.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- Accuracy of administrative data in ascertaining health conditions: a systematic review.JAMIA open · 2026Review
- Clinical diagnosis groups developed to bridge the ICD-9-CM to ICD-10-CM coding transition and monitor trends in workers' compensation claims - Ohio, 2011-2018.Journal of safety research · 2025Article
- With big data comes big responsibility: Strategies for utilizing aggregated, standardized, de-identified electronic health record data for research.Clinical and translational science · 2025Article
- Article
- A Data-Driven Approach to Defining Risk-Adjusted Coding Specificity Metrics for a Large U.S. Dementia Patient Cohort.Healthcare (Basel, Switzerland) · 2024Article
- Short report: Transition to International Classification of Diseases, 10th Revision and the prevalence of autism in a cohort of healthcare systems.Autism : the international journal of research and practice · 2024Article
- A Novel Method for Assessing Risk-Adjusted Diagnostic Coding Specificity for Depression Using a U.S. Cohort of over One Million Patients.Diagnostics (Basel, Switzerland) · 2024Article
- Pediatric Cholelithiasis in the United States: National Hospitalization Trends, 2006 to 2019.Journal of pediatric gastroenterology and nutrition · 2023Article
- Coding Disparity and Specificity during Emergency Department Visits after Transitioning to the Tenth Version of the International Classification of Diseases.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Entropic measures of complexity in a new medical coding system.BMC medical informatics and decision making · 2021Article
- Article
- Spine coding transition from ICD-9 to ICD-10: Not taking advantage of the specificity of a more granular system.North American Spine Society journal · 2020Article
- The new International Classification of Diseases 11th edition: a comparative analysis with ICD-10 and ICD-10-CM.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Article
- End-of-life quality metrics among medicare decedents at minority-serving cancer centers: A retrospective study.Cancer medicine · 2020Article
- Injury Burden in the United States: Accurate, Reliable, and Timely Surveillance Using Electronic Health Care Data.American journal of public health · 2019Article
- Have ICD-10 Coding Practices Changed Since 2015?AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- Using Electronic Health Records To Generate Phenotypes For Research.Current protocols in human genetics · 2019Article
- Transition to international classification of disease version 10, clinical modification: the impact on internal medicine and internal medicine subspecialties.BMC health services research · 2018Article
- ICD-10 procedure codes produce transition challenges.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2018Article
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Authors and funding
12 authors.
Funding
Abstract
objectiveApplying the science of networks to quantify the discriminatory impact of the ICD-9-CM to ICD-10-CM transition between clinical specialties. MATERIALS AND
methodsDatasets were the Center for Medicaid and Medicare Services ICD-9-CM to ICD-10-CM mapping files, general equivalence mappings, and statewide Medicaid emergency department billing. Diagnoses were represented as nodes and their mappings as directional relationships. The complex network was synthesized as an aggregate of simpler motifs and tabulation per clinical specialty.
resultsWe identified five mapping motif categories: identity, class-to-subclass, subclass-to-class, convoluted, and no mapping. Convoluted mappings indicate that multiple ICD-9-CM and ICD-10-CM codes share complex, entangled, and non-reciprocal mappings. The proportions of convoluted diagnoses mappings (36% overall) range from 5% (hematology) to 60% (obstetrics and injuries). In a case study of 24 008 patient visits in 217 emergency departments, 27% of the costs are associated with convoluted diagnoses, with 'abdominal pain' and 'gastroenteritis' accounting for approximately 3.5%. DISCUSSION: Previous qualitative studies report that administrators and clinicians are likely to be challenged in understanding and managing their practice because of the ICD-10-CM transition. We substantiate the complexity of this transition with a thorough quantitative summary per clinical specialty, a case study, and the tools to apply this methodology easily to any clinical practice in the form of a web portal and analytic tables.
conclusionsPost-transition, successful management of frequent diseases with convoluted mapping network patterns is critical. The http://lussierlab.org/transition-to-ICD10CM web portal provides insight in linking onerous diseases to the ICD-10 transition.
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