ICD-10 and Its Impact on Our Practice

Marsh, Robert; Hatic, Safet O.; Curless, Brian; Viehweg, Denise; Smith, Windy; Brigido, Stephen A.

doi:10.1177/1938640015595044

Cited by 2 publications

(2 citation statements)

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“…Throughout its history, the NIS has used various iterations of the ICD, and in the fourth quarter of 2015, it switched from the use of International Classification of Diseases, 9 th Revision, (ICD-9) to the newer International Classification of Diseases, 10 th Revision, (ICD-10) standard [ 20 ]. While the introduction ICD-10 has allowed providers to document patient progress with added granularity, the increased complexity of ICD-10 has concurrently presented challenges to consistently tracking patient outcomes during the transition from ICD-9 [ [25] , [26] , [27] ]. Since this change, there has been a paucity of data describing updated trends in revision arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Instability Is the Most Common Indication for Revision Hip Arthroplasty in the United States: National Trends From 2012 to 2018

et al. 2021

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Background As primary total hip arthroplasty volume continues to increase, so will the number of revision total hip arthroplasty (rTHA) procedures. These complex cases represent a significant clinical and financial burden to the health-care system. Methods This was a retrospective review using the National Inpatient Sample. International Classification of Diseases, 9th and 10 th revision codes were used to identify patients who underwent rTHA and create cohorts based on rTHA indications from 2012 to 2018. National and regional trends for length of stay (LOS), cost, and discharge location were evaluated. Results A total of 292,250 rTHA procedures were identified. The annual number of rTHA procedures increased by 28.1% from 2012 to 2018 (37,325 to 47,810). The top 3 indications for rTHA were instability (20.4%), aseptic loosening (17.8%), and infection (11.1%). Over the study period, the proportion of patients discharged to skilled nursing facility decreased from 44.2% to 38% ( P < .001). Hospital LOS decreased on average from 4.8 to 4.4 days ( P < .001). Infections had the highest average LOS (7.3 days) followed by periprosthetic fractures (6.5 days). Hospital costs decreased over the study period, from $25,794 to $24,555 ( P < .001). The proportion of rTHA cases performed at urban academic centers increased (58.0% to 75.3%, P < .001) while the proportion performed at urban nonacademic centers decreased (35.5% to 19.4%, P < .001). Conclusion Instability was the most common indication for rTHA between 2012 and 2018. The proportion of rTHA performed in urban academic centers has increased substantially, away from urban nonacademic centers. While cost and LOS have decreased, significant geographic variability exists.

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Section: Introductionmentioning

confidence: 99%

Instability Is the Most Common Indication for Revision Hip Arthroplasty in the United States: National Trends From 2012 to 2018

et al. 2021

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“…On October 1, 2015, the coding standard for the ICD was updated, and the ICD, tenth edition, (ICD-10) was introduced. Since the transition from ICD, ninth editon, to ICD-10, there has been a lack of data describing updated trends in indications for rTKA [ [20] , [21] , [22] , [23] ].…”

Section: Introductionmentioning

confidence: 99%