ICD-10 Coding Mismatch in Computer and Robotic Assisted Primary Total Hip Arthroplasty

The International Statistical Classification of Disease, 10th Revision Procedural Coding System (ICD-10-PCS) is a granular procedural classification system with the ability to precisely classify types of technology utilized in total hip arthroplasty (THA). However, coding nuances and the rapidly evo...

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Bibliographic Details
Published in:The Journal of arthroplasty 2021-12, Vol.36 (12), p.3934-3937
Main Authors: Chen, Eric A., Roof, Mackenzie A., Lygrisse, Katherine A., Kurapatti, Mark, Hepinstall, Matthew S., Schwarzkopf, Ran
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip
coding
computer navigation
Computers
Humans
ICD-10
International Classification of Diseases
Retrospective Studies
Robotic Surgical Procedures
robotics
total hip arthroplasty
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Summary:The International Statistical Classification of Disease, 10th Revision Procedural Coding System (ICD-10-PCS) is a granular procedural classification system with the ability to precisely classify types of technology utilized in total hip arthroplasty (THA). However, coding nuances and the rapidly evolving nature of technology may lead to coding inaccuracies. The purpose of this study is to determine the accuracy of ICD-10-PCS coding in computer-navigated and robotic THA and discuss its implications on clinical data. The arthroplasty database at a single institution was retrospectively reviewed for all primary computer and robotic assisted THAs performed between October 2015 to November 2020. The type of technology utilized was determined from the surgical record and compared with the ICD-10-PCS codes applied to each procedure. A total of 3721 technology-assisted THAs were identified and reviewed. 87.5% of technology-assisted THAs were coded with the correct type of technology. The most common error in computer navigated THA was the omission of the technology code, while the most common error in robotic assisted THA was the designation of codes for both computer navigation and robotic assistance. The granular nature of ICD-10-PCS allows for precise distinction between types of technology-assisted THA. However, rates of coding inaccuracy bring concern for the integrity of this data. The inaccuracy of ICD-10-PCS data is not insignificant and should bring concern for the validity of collective data sets that use it exclusively for its procedural granularity.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2021.08.002