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Implementer report: ICD-10 code F44.5 review for functional seizure disorder.
Ali, Sana F; Bornovski, Yarden; Gopaul, Margaret; Galluzzo, Daniela; Goulet, Joseph; Argraves, Stephanie; Jackson-Shaheed, Ebony; Cheung, Kei-Hoi; Brandt, Cynthia A; Altalib, Hamada Hamid.
Affiliation
  • Ali SF; Neurology, Yale School of Medicine, New Haven, Connecticut, USA.
  • Bornovski Y; Neurology, VA Connecticut Healthcare System West Haven VA Medical Center, West Haven, Connecticut, USA.
  • Gopaul M; Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, USA.
  • Galluzzo D; Neurology, Westchester Medical Center Health Network, Valhalla, New York, USA.
  • Goulet J; Neurology, Yale School of Medicine, New Haven, Connecticut, USA.
  • Argraves S; Neurology, Westchester Medical Center Health Network, Valhalla, New York, USA.
  • Jackson-Shaheed E; Neurology, VA Connecticut Healthcare System West Haven VA Medical Center, West Haven, Connecticut, USA.
  • Cheung KH; Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, USA.
  • Brandt CA; Neurology, VA Connecticut Healthcare System West Haven VA Medical Center, West Haven, Connecticut, USA.
  • Altalib HH; Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, Connecticut, USA.
BMJ Health Care Inform ; 30(1)2023 Sep.
Article in En | MEDLINE | ID: mdl-37730251
ABSTRACT

OBJECTIVE:

The study aimed to measure the validity of International Classification of Diseases, 10th Edition (ICD-10) code F44.5 for functional seizure disorder (FSD) in the Veterans Affairs Connecticut Healthcare System electronic health record (VA EHR).

METHODS:

The study used an informatics search tool, a natural language processing algorithm and a chart review to validate FSD coding.

RESULTS:

The positive predictive value (PPV) for code F44.5 was calculated to be 44%.

DISCUSSION:

ICD-10 introduced a specific code for FSD to improve coding validity. However, results revealed a meager (44%) PPV for code F44.5. Evaluation of the low diagnostic precision of FSD identified inconsistencies in the ICD-10 and VA EHR systems.

CONCLUSION:

Information system improvements may increase the precision of diagnostic coding by clinicians. Specifically, the EHR problem list should include commonly used diagnostic codes and an appropriately curated ICD-10 term list for 'seizure disorder,' and a single ICD code for FSD should be classified under neurology and psychiatry.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: International Classification of Diseases / Epilepsy Type of study: Diagnostic_studies / Prognostic_studies Limits: Humans Language: En Journal: BMJ Health Care Inform Year: 2023 Document type: Article Affiliation country: United States
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: International Classification of Diseases / Epilepsy Type of study: Diagnostic_studies / Prognostic_studies Limits: Humans Language: En Journal: BMJ Health Care Inform Year: 2023 Document type: Article Affiliation country: United States