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J Pain. 2019 May 23. pii: S1526-5900(18)30784-3. doi: 10.1016/j.jpain.2019.05.006. [Epub ahead of print]

Development and Assessment of a Crosswalk Between ICD-9-CM and ICD-10-CM to Identify Patients with Common Pain Conditions.

Author information

1
Kaiser Permanente Center for Health Research, Portland, Oregon. Electronic address: meghan.h.mayhew@kpchr.org.
2
Kaiser Permanente Washington Health Research Institute, Seattle, Washington.
3
Oregon Health & Science University, Department of Family Medicine, Portland, Oregon.
4
Yale School of Medicine, Emergency Medicine Department, New Haven, Connecticut; VA Connecticut Healthcare System, West Haven, Connecticut.

Abstract

Effective management of patients with pain requires accurate information about the prevalence, outcomes, and co-occurrence of common pain conditions. However, the transition from ICD-9-CM to ICD-10-CM diagnostic coding in 2015 left researchers without methods for comparing the prevalence of pain conditions before and after the transition. In this study, we developed and assessed a diagnostic framework to serve as a crosswalk between ICD-9-CM and ICD-10-CM diagnosis codes for common pain-related health conditions. We refined existing ICD-9-CM definitions for diagnostic clusters of common pain conditions consistent with the US National Pain Strategy and developed corresponding ICD-10-CM definitions. We then assessed the stability of prevalence estimates and associated patient socio-demographic features of each diagnostic cluster during 1-year periods before and after the transition to ICD-10-CM in 3 US health care systems using electronic health records data for in-person encounters. Prevalence estimates and socio-demographic characteristics were similar before and after the transition. The Pain Condition ICD-9-CM to ICD-10-CM Crosswalk includes a full spectrum of common pain conditions to enable prevalence estimates of multiple and chronic overlapping pain conditions. This allows the tool to serve as a foundation for a broad array of pain-related health services research utilizing electronic databases. PERSPECTIVE: This article details the development and assessment of the Pain Condition ICD-9-CM to ICD-10-CM Crosswalk, a diagnostic framework for assessing pain condition prevalence across the ICD-9-CM to ICD-10-CM transition. This framework can serve as a standardized tool for research on pain conditions, including health services and epidemiologic research.

KEYWORDS:

Pain; electronic databases; epidemiology; health services research; prevalence

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