Use of International Classification of Diseases, Ninth Revision, Clinical Modification, codes to identify inpatient fall-related injuries.

Abstract:

OBJECTIVES:To compare falls and fall-related injuries that a fall evaluator or hospital incident report identified with injuries identified according to discharge International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for the same set of inpatient episodes of care. DESIGN:Prospective, descriptive study. SETTING:Sixteen adult general medical and surgical units in a major urban teaching hospital. PARTICIPANTS:All adults who sustained a fall with injury during a 5-year period (380 falls with injury). MEASUREMENTS:Falls that a fall evaluator or hospital incident report identified were classified according to their injury severity. Discharge abstracts provided diagnosis codes (ICD-9-CM) for the discharge, including fall-related injury codes. RESULTS:Three hundred forty-three inpatient falls with injury (90.2%) resulted in temporary harm to the individual; the remaining 37 falls (9.8%) resulted in more-serious harm. Sixteen of the 37 falls with injury extending hospitalization or resulting in death were identified using Centers for Medicare and Medicaid Services (CMS)-targeted injury code ranges combined with present-on-admission indicators. Of the 21 falls with injury that were not identified, nine (42.9%) lacked documentation of any injury, and seven (33.3%) identified other injuries outside the CMS-targeted injury code ranges. CONCLUSION:The CMS-targeted ICD-9-CM codes used to identify fall-related injuries in claims data do not always detect the most-serious falls.

journal_name

J Am Geriatr Soc

authors

Waters TM,Chandler AM,Mion LC,Daniels MJ,Kessler LA,Miller ST,Shorr RI

doi

10.1111/jgs.12539

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

2186-91

issue

12

eissn

0002-8614

issn

1532-5415

journal_volume

61

pub_type

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