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ICD 9 to ICD 10 Bridge Coding

ICD 9 to ICD 10 Bridge Coding. Pnina Zadka, Naama Rotem & Batja Halperin Central Bureau of Statistics Jerusalem, Israel. Matrix Results Comparison. Based on 1552 deaths for 1997 in Israel All deaths assigned an injury / external cause as the underlying cause of death. Reservations:.

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ICD 9 to ICD 10 Bridge Coding

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  1. ICD 9 to ICD 10 Bridge Coding Pnina Zadka, Naama Rotem & Batja Halperin Central Bureau of Statistics Jerusalem, Israel Zadka & Rotem

  2. Matrix Results Comparison Based on 1552 deaths for 1997 in Israel All deaths assigned an injury / external cause as the underlying cause of death Zadka & Rotem

  3. Reservations: • Small number of deaths • Two different coders ; inter coder bias • Coding & punching mistakes Zadka & Rotem

  4. Unintentional Injuries Full agreement in both revisions • Drowning • Fire / flame • Motor vehicle accidents (total) • Poisoning • Struck by • Unspecified mechanism Zadka & Rotem

  5. Unintentional Injuries Unintentional Falls (ICD 9) • 25% coded as undetermined falls under ICD 10 • 25% underlying cause of death a disease • 50% Agreement between the two classifications Zadka & Rotem

  6. Unintentional (cont.) Unintentional Suffocation 40% Underlying causes a disease 60% Agreement Zadka & Rotem

  7. Full agreement Cut / pierce Drowning Fall Fire / flame Firearm MVA Poisoning Unspecified Self inflicted injury Zadka & Rotem

  8. Self inflicted (cont.) Suffocation 25% Undetermined hanging 73% Agreement Zadka & Rotem

  9. Assault Full agreement on Intent and mechanism Zadka & Rotem

  10. Undetermined intent injury Full agreement • Cut pierce • Firearm • Suffocation Zadka & Rotem

  11. Undetermined intent (cont.) Drowning • 20% Accidental drowning Fall • 30% Accidental Fall Fire / flame • 20% Accidental fire Zadka & Rotem

  12. Undetermined intent (cont.) Poisoning • 20% Therapeutic misadventure • 20% disease Unspecified 10% Disease + therapeutic Zadka & Rotem

  13. Other specified Under both classification all cases in Israel A special addition to ICD - terror action 20 deaths in 1997 Zadka & Rotem

  14. Summary • Mechanism remains stable • Differences in the rules for the attribution of unspecified intent for certain mechanisms Zadka & Rotem

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