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Do Billing Codes Accurately Capture Intravenous Tissue Plasminogen Activator Treatment Rates? Justified Concern for Clinical Performance Measures Based on Billing Code Assignment
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes are commonly used to determine US national stroke volume and intravenous (IV) tissue plasminogen activator (tPA) treatment rates; however, this method is often criticized because of assumed poor validity and reliability of coding assignment. We sought to understand the validity of IV tPA ICD-9-CM code assignments within a comprehensive stroke center in the southeastern United States.
Source: Journal of Stroke and Cerebrovascular Diseases - December 9, 2014 Category: Neurology Authors: Paola Palazzo, Andrei V. Alexandrov, Anne W. Alexandrov Source Type: research

Identification of Patients with Nontraumatic Intracranial Hemorrhage Using Administrative Claims Data
Administrative claims datasets based on data captured for the purposes of billing are commonly used for health services and outcomes research as well as public health surveillance.1 –3 Although administrative claims offer the potential to study very large populations in a cost effective manner by providing a large amount of information in a standardized format, the data often lack clinical accuracy given the vague coding of symptoms or diagnoses.3,4 While the introduction of the International Classification of Disease version 10 (ICD-10) codes into administrative claims data sought to rectify the challenge of classificat...
Source: Journal of Stroke and Cerebrovascular Diseases - October 15, 2020 Category: Neurology Authors: Rohit B. Sangal, Samah Fodeh, Andrew Taylor, Craig Rothenberg, Emily B. Finn, Kevin Sheth, Charles Matouk, Andrew Ulrich, Vivek Parwani, John Sather, Arjun Venkatesh Source Type: research