Map-Assisted Generation of Procedure and Intervention Encoding (Magpie): An Innovative Approach for ICD-10-PCS Coding.

ICD-10-PCS coding is challenging because of the large number of codes, non-intuitive terms and paucity of the ICD-10-PCS index. We previously repurposed the richer ICD-9-CM procedure index for ICD-10-PCS coding. We have developed the MAGPIE tool based on the repurposed ICD-9-CM index with other lexical and mapping resources.

Re-purposing the ICD-9-CM Procedures Index for Coding in ICD-10-PCS and SNOMED CT.

Compared to the ICD-10-PCS index, the ICD-9-CM Procedure (ICD9V3) Index is richer and contains more clinician-friendly terms including abbreviations and eponyms. We re-purposed the ICD9V3 index by mapping the index terms to SNOMED CT and the ICD-9-CM codes to ICD-10-PCS codes through the General Equivalent Mappings. The re-purposed index outperformed the ICD-10-PCS index in the retrieval of ICD-10-PCS codes using a list of commonly used procedure names, with significantly higher recall, precision and F-score.

Achieving Logical Equivalence between SNOMED CT and ICD-10-PCS Surgical Procedures.

Surgical procedures are coded in SNOMED CT in the electronic health record and in ICD-10-PCS in administrative systems. We compared the logical definitions of SNOMED CT concepts to the ICD-10-PCS axial components to identify overlap and gaps. The biggest discrepancy was in the surgical approach which was specified in all ICD-10-PCS codes but only in 8.

Leveraging Lexical Matching and Ontological Alignment to Map SNOMED CT Surgical Procedures to ICD-10-PCS.

In 2015 ICD-10-PCS replaced ICD-9-CM for coding medical procedures in the U.S. We explored two methods to automatically map SNOMED CT surgical procedures to ICD-10-PCS.

[Impact of the management of a cardiac unit on cardiac care delivery. Evolution of clinical effectiveness indicators].

Introduction And Objectives: Cardiac care is one of the most important and rapidly rising costs in the healthcare system. Therefore, any improvement can produce significant savings. We analyze the evolution of classical clinical effectiveness indexes in a cardiac unit after a change in clinical management.