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J Thorac Dis. 2019 Mar;11(Suppl 4):S585-S595. doi: 10.21037/jtd.2019.01.86.

ICD-10-CM/PCS: potential methodologic strengths and challenges for thoracic surgery researchers and reviewers.

Author information

1
Section of General Thoracic Surgery, Department of Surgery, University of California, Davis Health, Sacramento, CA, USA.
2
Division of Trauma, Acute Care Surgery and Surgical Critical Care, Department of Surgery, University of California, Davis Health, Sacramento, CA, USA.
3
Outcomes Research Group, Department of Surgery, University of California, Davis Health, Sacramento, CA, USA.
4
Department of Public Health Sciences, Division of Biostatistics, University of California, Davis Health, Sacramento, CA, USA.
5
Center for Healthcare Policy and Research, University of California, Davis Health, Sacramento, CA, USA.
6
Department of Internal Medicine, University of California, Davis Health, Sacramento, CA, USA.
7
Thoracic Surgery Outcomes Research Network.

Abstract

The recent implementation of the International Classification of Diseases, 10th 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.

KEYWORDS:

International Classification of Diseases; clinical coding; outcomes research; research design; thoracic surgical procedures

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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