ICD-10 Transition Influences Trends in Perforated Appendix Admission Rate

2021 ◽  
Vol 266 ◽  
pp. 345-351
Author(s):  
Yao Tian ◽  
Martha-Conley E. Ingram ◽  
Matt Hall ◽  
Mehul V. Raval
Keyword(s):  
Admission Rate ◽  
Icd 10 ◽  
Perforated Appendix

Description of Total Population Hospital Admissions for Morton's Metatarsalgia in Australia

2014 ◽  
Vol 104 (5) ◽  
pp. 451-454 ◽  
Author(s):  
Reza Naraghi ◽  
Alan Bryant ◽  
Linda Slack-Smith
Keyword(s):  
Old Age ◽  
Total Population ◽  
Hospital Admissions ◽  
Admission Rate ◽  
Population Level ◽  
Age Group ◽  
Explanatory Variables ◽  
Icd 10 ◽  
Morton’S Metatarsalgia ◽  
Morton's Metatarsalgia

Background Morton's metatarsalgia is a painful perineural fibroma of a plantar nerve, most commonly of the second or third intermetatarsal spaces of the forefoot. The aim of this study was to investigate hospital admissions with a diagnosis of Morton's metatarsalgia in the Australian population from 1998 to 2008. Methods Data regarding admissions with a diagnosis code of ICD-10 G57.6 were extracted from the Australian Institute of Health and Welfare databases of hospital morbidity from 1998 to 2008. The event of interest was an admission with ICD-10 G57.6 (Morton's metatarsalgia). The explanatory variables included sex and age group. Rates were calculated using the estimated resident population counts to determine denominators. Results Morton's metatarsalgia admissions were almost three-fold higher for women in the population compared to men. The rate of admissions for Morton's metatarsalgia was the highest for the total population in the 55- to 59-year-old age group. Among women admitted for Morton's metatarsalgia, the highest rate was in the 50- to 54-year-old age group; among men, the highest rate was in the slightly older 55- to 59-year-old age category. Conclusions Population-level information on admissions for Morton's metatarsalgia show that admissions were three times higher among women compared to men. The highest admission rate was in the 50- to 55-year-old age group.

scholarly journals The Surgical Management of Patients Who Deliberately Self-Harm

2009 ◽  
Vol 91 (1) ◽  
pp. 59-62 ◽  
Author(s):  
BA Rogers ◽  
F Pease ◽  
DM Ricketts
Keyword(s):  
Admission Rate ◽  
Management Policy ◽  
Deliberate Self Harm ◽  
Surgical Interventions ◽  
Orthopaedic Care ◽  
Orthopaedic Treatment ◽  
Icd 10 ◽  
Case Surgery ◽  
Self Harm ◽  
The Cost

INTRODUCTION Deliberate self-harm is a common problem that often requires orthopaedic treatment. Patients with injuries due to deliberate self-harm are often referred to our unit. This study assessed the type of treatment required and the cost of treatment. PATIENTS AND METHODS We undertook a retrospective survey of deliberate self-harm patients with known ICD-10 psychiatric disorders admitted for orthopaedic care from a medium-secure, female-only, psychiatric unit. Data were collected on admission rate, duration of stay, surgical interventions and complications. RESULTS Over a 36-month period there were 73 admissions for 15 patients (mean age, 25.1 years) requiring 65 operative interventions, a mean of 4.3 (range, 0–9) per patient. Over 50% of patients were admitted more than 3 times, totalling 416 hospital bed-days and 80% had methicillin-resistant Staphylococcus aureus (MRSA) isolated. The orthopaedic treatment costs for these patients was £453,000 during the period studied. DISCUSSION The significant resources required to manage this patient cohort demonstrates the need for a co-ordinated management policy. We recommend day-case surgery for infected wounds only. Postoperatively, wounds should be protected with plaster of Paris. All patients with deliberate self-harm should be regarded as being infected with MRSA.

scholarly journals Changing patterns of hospital admission for asthma, 1981–97

Thorax ◽  
2001 ◽  
Vol 56 (9) ◽  
pp. 687-690
Author(s):  
D S Morrison ◽  
P McLoone
Keyword(s):  
Hospital Admission ◽  
Hospital Admissions ◽  
Admission Rate ◽  
Hospital Admission Rate ◽  
Admission Rates ◽  
Lengths Of Stay ◽  
Icd 10 ◽  
Changing Patterns ◽  
Bed Days ◽  
Age And Sex

BACKGROUNDHospital admission rates for asthma have stopped rising in several countries. The aim of this study was to use linked hospital admission data to explore recent trends in asthma admissions in Scotland.METHODSLinked Scottish Morbidity Records (SMR1) for asthma (ICD-9 493 and ICD-10 J45–6) from 1981 to 1997 were used to describe rates of first admissions and readmissions by age and sex. As a measure of resource use, annual trends in bed days used were also explored by age and sex.RESULTSThere were 160 039 hospital admissions for asthma by 82 421 individuals in Scotland during the study period. The overall hospital admission rate increased by 122% (from 106.7 to 236.7 per 100 000 population) but this varied by sex, age, and admission type. First admissions rose by 70% from 73.2 per 100 000 in 1986 to 124.8 per 100 000 in 1997 while readmissions fell. Children (<15 years) experienced a decline in overall admissions after 1992 due to falls in both new admissions and readmissions. By 1997 the ratio of female to male admissions was 0.57 in children, but 1.50 above 14 years of age. Mean lengths of stay fell from 10.7 days to 3.7 days between 1981 and 1997 and bed days used showed little change except for a decline after 1992 in children.CONCLUSIONSAfter a period of increasing hospitalisation for asthma in Scotland, rates of admission among children have begun to fall but among adults admissions continue to rise.

A Guide to Coding and Billing for the Audiological Management of Patients Receiving Ototoxic Medical Treatments

2019 ◽  
Vol 4 (5) ◽  
pp. 936-946
Author(s):  
Dawn Konrad-Martin ◽  
Neela Swanson ◽  
Angela Garinis
Keyword(s):  
Otoacoustic Emissions ◽  
Best Practice ◽  
Private Insurance ◽  
Monitoring Program ◽  
Current Method ◽  
International Classification Of Diseases ◽  
Ethical Practice ◽  
Party Payer ◽  
High Frequency Audiometry ◽  
Icd 10

Purpose Improved medical care leading to increased survivorship among patients with cancer and infectious diseases has created a need for ototoxicity monitoring programs nationwide. The goal of this report is to promote effective and standardized coding and 3rd-party payer billing practices for the audiological management of symptomatic ototoxicity. Method The approach was to compile the relevant International Classification of Diseases, 10th Revision (ICD-10-CM) codes and Current Procedural Terminology (CPT; American Medical Association) codes and explain their use for obtaining reimbursement from Medicare, Medicaid, and private insurance. Results Each claim submitted to a payer for reimbursement of ototoxicity monitoring must include both ICD-10-CM codes to report the patient's diagnosis and CPT codes to report the services provided by the audiologist. Results address the general 3rd-party payer guidelines for ototoxicity monitoring and ICD-10-CM and CPT coding principles and provide illustrative examples. There is no “stand-alone” CPT code for high-frequency audiometry, an important test for ototoxicity monitoring. The current method of adding a –22 modifier to a standard audiometry code and then submitting a letter rationalizing why the test was done has inconsistent outcomes and is time intensive for the clinician. Similarly, some clinicians report difficulty getting reimbursed for detailed otoacoustic emissions testing in the context of ototoxicity monitoring. Conclusions Ethical practice, not reimbursement, must guide clinical practice. However, appropriate billing and coding resulting in 3rd-party reimbursement for audiology services rendered is critical for maintaining an effective ototoxicity monitoring program. Many 3rd-party payers reimburse for these services. For any CPT code, payment patterns vary widely within and across 3rd-party payers. Standardizing coding and billing practices as well as advocacy including letters from audiology national organizations may be necessary to help resolve these issues of coding and coverage in order to support best practice recommendations for ototoxicity monitoring.

Are You Ready for ICD-10-CM?

ASHA Leader ◽  
2012 ◽  
Vol 17 (2) ◽  
pp. 3-8
Author(s):  
Janet McCarty ◽  
Neela Swanson
Keyword(s):  
Icd 10

Answers to Your ICD-10-CM Coding Questions

ASHA Leader ◽  
2016 ◽  
Vol 21 (1) ◽  
pp. 30-32
Author(s):  
Kate Ogden ◽  
Neela Swanson ◽  
Janet McCarty
Keyword(s):  
Icd 10

Ready to Code and Bill ICD-10?

ASHA Leader ◽  
2015 ◽  
Vol 20 (8) ◽  
pp. 36-37
Author(s):  
Neela Swanson ◽  
Janet McCarty
Keyword(s):  
Icd 10

CMS Proposes to Switch to ICD-10 Codes by 2011

2008 ◽  
Vol 39 (11) ◽  
pp. 64
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Icd 10

Physician Groups Protest Timeline for ICD-10

2008 ◽  
Vol 41 (19) ◽  
pp. 46-47 ◽  
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Icd 10

Psychogene Lähmungen im Kindes- und Jugendalter

2002 ◽  
Vol 30 (3) ◽  
pp. 199-210 ◽  
Author(s):  
M. Nowak
Keyword(s):  
Icd 10

Zusammenfassung: Am Beispiel vorliegender klinischer Studien aus der Literatur werden die Charakteristika der psychogenen Lähmung im Kindes- und Jugendalter erarbeitet. Anhand einer Übersicht wird zunächst der Wandel in der diagnostischen Einordnung der psychogenen Lähmung von der ICD-6 bis zur ICD-10 dargestellt. Weiterhin werden die epidemiologischen Daten aus der Literatur referiert. Die psychogene Lähmung bei Kindern und Jugendlichen zeigt innerhalb der dissoziativen Störungen in dieser Altersgruppe eine charakteristische Alters- und Geschlechtsverteilung, sowie eine gute Prognose. Eine besondere Rolle für die Genese der psychogenen Lähmungen und Gangstörungen spielen invasive iatrogene diagnostische und therapeutische Eingriffe, körperliche Traumata, Infekterkrankungen und Modellerkrankungen.

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