2020
DOI: 10.5435/jaaosglobal-d-20-00167
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Utility of the Current Procedural Terminology Codes for Prophylactic Stabilization for Defining Metastatic Femur Disease

Abstract: Introduction: Cohorts from the electronic health record are often defined by the Current Procedural Terminology (CPT) codes. The error prevalence of CPT codes for patients receiving surgical treatment of metastatic disease of the femur has not been investigated, and the predictive value of coding ontologies to identify patients with metastatic disease of the femur has not been adequately discussed. Methods: All surgical cases at a single academic tertiary institution fr… Show more

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Cited by 3 publications
(2 citation statements)
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“…Previous studies have described the use of NLP and/or CPT codes to expedite the process of RCR. 23–26 Billing codes are often entered by nonclinical administrative staff and fail to account for clinical details embedded in provider notes that are important for correct disease definition. New AI-equipped platforms are currently being developed to analyze narrative text reports and eventually assist with time-consuming RCR of large patient cohorts.…”
Section: Discussionmentioning
confidence: 99%
“…Previous studies have described the use of NLP and/or CPT codes to expedite the process of RCR. 23–26 Billing codes are often entered by nonclinical administrative staff and fail to account for clinical details embedded in provider notes that are important for correct disease definition. New AI-equipped platforms are currently being developed to analyze narrative text reports and eventually assist with time-consuming RCR of large patient cohorts.…”
Section: Discussionmentioning
confidence: 99%
“…As with any large dataset, our data may be subject to coding errors, both in general and as a problem specifically identified in metastatic bone disease. 34 Given the retrospective nature of these data, there may be unaccounted selection bias as to which patients received prophylactic fixation. This dataset does not have the ability to capture the patients’ outpatient therapy regimens, so no conclusions can be drawn as to whether certain complications could be related to common medical treatments for specific diseases.…”
Section: Discussionmentioning
confidence: 99%