Trends in Opioid-related Inpatient Stays Shifted After the US Transitioned to ICD-10-CM Diagnosis Coding in 2015
Bibliographic Data
| ID | 9099181 |
|---|---|
| Authors | Kevin C Heslin (0000-0002-5400-6649, Agency for Healthcare Research and Quality, corresponding author), Pamela L Owens (0000-0002-9905-9664, Agency for Healthcare Research and Quality, corresponding author), Zeynal Karaca (0000-0001-7744-4476, Agency for Healthcare Research and Quality, corresponding author), Marguerite L Barrett (ML Barrett Inc., Del Mar, CA), Brian J Moore (0000-0003-4660-0311, IBM Watson Health, Ann Arbor, MI), Anne Elixhauser (Agency for Healthcare Research and Quality, corresponding author) |
| Year | 2017 |
| Volume | 55 |
| Issue | 11 |
| Pages | 918-923 |
| Publication date | 2017-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000805 |
| PMID | 28930890 |
| OpenAlex | W2753936679 |
| Language | EN |
| Citations received | 7 |
| References cited | 5 |
BACKGROUND: Trend analyses of opioid-related inpatient stays depend on the availability of comparable data over time. In October 2015, the US transitioned diagnosis coding from International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to ICD-10-CM, increasing from ∼14,000 to 68,000 codes. This study examines how trend analyses of inpatient stays involving opioid diagnoses were affected by the transition to ICD-10-CM. SUBJECTS: Data are from Healthcare Cost and Utilization Project State Inpatient Databases for 14 states in 2015-2016, representing 26% of acute care inpatient discharges in the US. STUDY DESIGN: We examined changes in the number of opioid-related stays before, during, and after the transition to ICD-10-CM using quarterly ICD-9-CM data from 2015 and quarterly ICD-10-CM data from the fourth quarter of 2015 and the first 3 quarters of 2016. RESULTS: Overall, stays involving any opioid-related diagnosis increased by 14.1% during the ICD transition-which was preceded by a much lower 5.0% average quarterly increase before the transition and followed by a 3.5% average increase after the transition. In stratified analysis, stays involving adverse effects of opioids in therapeutic use showed the largest increase (63.2%) during the transition, whereas stays involving abuse and poisoning diagnoses decreased by 21.1% and 12.4%, respectively. CONCLUSIONS: The sharp increase in opioid-related stays overall during the transition to ICD-10-CM may indicate that the new classification system is capturing stays that were missed by ICD-9-CM data. Estimates of stays involving other diagnoses may also be affected, and analysts should assess potential discontinuities in trends across the ICD transition
Diagnosis code · Environmental health · Health care · Healthcare Cost and Utilization Project · ICD-10 · Inpatient care · Medical diagnosis · Medical emergency · Medical prescription · Opioid · Pharmacoepidemiology · Psychiatry · Emergency Medicine · Internal Medicine · Medical Coding and Health Information · Medicine · Opioid Use Disorder Treatment · Primary Care and Health Outcomes
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| Citations per year | 1 |
|---|---|
| Citation span | 2019 - 2023 (5) |
| Highly cited | No |