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Rights & Permissions Free Resources Display this book on your site! Related Titles From Cancer Patient to Cancer Survivor: Lost in Transition Eliminating Health Disparities: Measurement and Data Needs Other Related Titles Reliability of Medicare Hospital Discharge Records: Report of a Study (1977) Institute of Medicine (IOM) Web Search Builder Use this book's key terms to search within this book, across our collection, or across the Web. Skim This Chapter Skim this chapter and use this chapter's key terms to search within this book. Reference Finder Paste in your own text to find books that relate to your topic. Page 75   E-mail  Facebook  Digg  Stumble  Twitter More Page 75 Front Matter (R1-R6) Table of Contents (R7-R8) Foreword (R9-R10) Introduction (1-4) Study Methods (5-22) Analysis (23-60) Summary and Recommendations (61-70) Appendix A Bibliography (71-72) Appendix B Sample Letter to Hospital Administrators (73-74) Appendix C Diagnostic Codes Included as Components of the Sample of Medicare Records (75-84) Appendix D IOM Re-abstracting Form, General Instructions for Field Team, and Specific Instructions for IOM Re-abstracting Form (85-104) Appendix E Informal Checklist (105-106) Appendix F Reliability of Field Work (107-114) Appendix G Percent of Abstracts with no Discrepancy for each Diagnosis Included as a Component of the Sample of Medicare Records (115-120) Appendix H Net and Gross Difference Rates in Designation of Principal Diagnosis (Based on Four-Digit Comparisons of Specific Diagnosis) (121-124) Appendix I General Comparison of Assessment of the Reliability of Medicare Records Maintained by the Health Care Financing Administration and Hospital Discharge Abstracts Compiled by Private Abstract Services (125-126) Appendix J Comparison of the Reliability of HCFA Medicare Records and Private Abstract Service Medicare Abstracts for Selected Diagnoses Common to both Studies (127-128) Appendix K Standard Errors and Confidence Intervals for Statistics Based on Medicare Data (129-131) Appendix L Standard Errors and Confidence Intervals for Statistics Based on Data from Private Abstracting Services (132-133) Appendix M Selected Examples of Principal Procedures not Listed in CPT, as Determined by the IOM Field Team Members (134-134)

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OCR for page 75
Append ix C DIAGNOSTIC CODES INCLUDED AS COMPONENTS OF THE SAMPLE OF MEDICARE RECORDS D. . _ lagnO S1 S related Sub- ICDA-8 code - 1. Ischemic heart disease except AMI Spec i f ic Chron ic i schem ic 4 12 0 diagnosis heart disease 4129 Residual Subacute ischemic 4110 diagnosis heart disease ~ satellite) 4119 Ang ina Pec torts 4130 4139 Asymptomat ic 4140 ischemic heart disease 4149 2. Cerebrovascular diseases Specific Subarachnoid 4300 d iagno sis hemorrhage 4309 Cerebral 43 10 hemorrhage 43 19 Occ 1 us ion 0 f prec ereb ral 43 2 0 arteries 4329 Cerebral thrombo s i s 4330 4339 Cerebral embol ism 4340 4349 Trans ient c erebr al 43 50 ischemia 4359 75

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76 Appendix C Diagnoses related Sub- ICDA-8 code groups groups numbers Acute but it 1-de f ined cerebrovascular disease Generalized ischemic cerebrovascular disease Other and il 1-de f ined cerebrovascular disease Res idual diagnosis 3. Fractures None 4360 4369 4370 4379 4380 4389 Specific Fracture, neck of femur 8200 diagnosis 8201 8202 8203 8204 8205 8209 Residual Fracture o f Skull 8000 diagnosis Spine and Trunk 8001 8009 8011 8019 8020 8021 8022 8023 8024 8025 8029 8030 803 1 8039 8040 8041 8049

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77 Append ix C Diagnosis re lated Sub- ICDA-8 code Fracture of upper limb 8050 8051 8052 8053 8054 8055 8056 8057 8059 8060 8061 8062 8063 8064 8065 8066 8067 8069 8070 8071 8072 8073 8074 8075 8079 8080 8081 8089 8090 8091 8099 8100 8101 8109 8110 8111 8119 8120 8121 8122 8123 .

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78 Append ix C . D~agno sacs related - Sub- groups groups IC DA-8 code numbers 8124 8125 8129 8130 8131 8132 8133 8134 8135 8139 8140 8141 8149 8150 8151 8159 8160 8161 8169 8170 8171 8179 8180 8187 8181 8190 8191 8199 Fracture of lower 1 imb ( inc. 1 ud ing fracture of other and unspec i fled part s 0 f femur but excluding fracture of neck of femur 8210 8211 8212 8213 8219 8220 8221 8229 8230 8231 8232 8233 8239

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79 Diagnoses related Sub- ICDA-8 code groups groups numbers Appendix C ., 4. Diseases of the eye 8240 8241 8249 8250 825 1 8259 8260 8261 8269 8270 8271 8279 8280 8281 8289 8290 829 1 8299 Specific Cataract 3740 diagnosis 3741 3748 3749 Residual Inflammatory 360 diagnosis diseases of the 361 eye 362 3630 3639 364 365 366 367 368 3690 3699

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80 Appendix C _, . Diagnoses related groups Sub- groups ICDA-8 code numbers Other diseases and conditions of the eye; excludes cataract and blindness 5. Acute myocardial infarction 3700 3701 3702 3703 3709 3710 3719 372 3730 3731 3732 3739 3750 3751 3752 3759 376 3770 3771 3772 3773 3774 3775 3776 3779 3780 3781 3782 3783 3784 3785 3786 3787 3788 3789 Specific Acute myocardial 4100 diagnosis infarction 4101 4109

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81 Diagnoses re lated Sub- ICDA-8 code groups groups numbers Residual . . . alagnosls . ... .. .. . 6. Hernia of abdominal cavity None Specific Inquinal hernia 550 diagnosis without mention of obstruction Res idual Other hernia of 5510 diagnosis abdominal cavity 5511 without ment ion of 5512 obstruction 55 13 55 18 55 19 Inguinal hernia with 552 obstruction ~ satellite) Other hernia of abdominal 5530 cavity with mention of 5531 obstruction 5532 5533 5538 5539 7. Diabetes mellitus Specific Diabetes 2500 diagnosis mellitus 2501 2502 2503 2508 2509 Res idual None . . . alagnosls Append ix C ~ r ' :~

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82 Appendix C . . ])zagnos~s related Sub- ICDA-8 codes groups groups numbers 8. Diseases of the prostate Specific Hyperplasia of the 600 ~ . , . diagnoses prostate Residual Prostatitis and 601 diagnosis other diseases 602 of the prostate 9. Pneumonia Specific Bronchopneumonia 485 diagnosis organism not 486 spec i f fed and @ . pneumonia organism and type no t specified Residual Pneumonia, type 480 diagnosis and organism 481 spec i f fed 48 20 4821 4822 4823 4829 483 484 10. Diseases of the gall bladder and bile duct Specific Cho le. lithiasis 5740 diagnosis and cholecystitis 5741 5749 575 Residual Other diseases of the 5760 diagnosis gall bladder and bile 5761 duct 5769

OCR for page 83
83 Append ix C , . . Diagnose s ret ated Sub- ICDA-8 code groups groups numbers 11. Miscellaneous diseases of the intestine and per i toners Spec if ic Intestinal 5600 diagnosis obstruction 5601 without mention 5602 of hernia 5603 5604 5609 Residual Peritonitis, 5670 d iagno si s peritoneal 56 79 adhesions, 568 and other diseases 5690 of the intestine 5691 and per itoneum 56 92 5693 5694 5699 12. Heart failure Specific congestive 4270 diagnosis heart failure 4271 and left ventricular failure Residual Acute heart 7824 diagnosis failure, undefined 13. Enteritis, diverticula, and functional disorders of intestine Spec i fic Divertic ulosi s 5620 d iagno sis of inte st ine 5 621

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84 Appendix C _ , . . . .. D, agnos~s related Sub- groups groups ICDA-8 code number s Residual , . . alagnOS IS 14. Bronchit is Speci fic . . . alagnosls Residual . . dlagnosls Noninf ec t ions gastroenteritis and colitis, except ulcerative Chronic enteritis and ulcerat ive colitis Functional disorders of intestine Bronchit i s None 15. Malignant neoplasm of the respiratory system Speci f ic d iagno s is Residual d iagnos is Mal ignant neoplasm of bronchus and lung Primary malignant neoplasm of re spiratory system except 0 f bronchus and lung 561~ 5630 5631 5639 5640 5641 5649 466 490 491 162 1 L 1600 1601 1602 1608 1609 1610 16 18 1619 1620 1630 1631 1639

Representative terms from entire chapter:

cerebrovascular disease