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Accuracy of ICD-9-CM Codes for Identifying Cardiovascular and Stroke Risk Factors

Medical Care · 2005 · Vol. 43(5) · pp. 480–485
Elena Birman-DeychAmy D. WatermanYan YanDavid S. NilasenaMartha J. RadfordBrian F. Gage

Abstract

Using ICD-9-CM codes alone, heart failure, coronary artery disease, diabetes, hypertension, and stroke can be ruled in but not necessarily ruled out. Where feasible, review of additional data (eg, physician notes or imaging studies) should be used to confirm the diagnosis of valvular disease, arterial peripheral embolus, intracranial hemorrhage, and deep venous thrombosis.

Medical Coding and Health InformationHealthcare cost, quality, practicesChronic Disease Management StrategiesMedicineStroke (engine)CardiologyInternal medicineAtrial fibrillationCoronary artery diseaseDiagnosis codevalvular heart diseasePopulationVenous thrombosis

MeSH terms

AdultAgedAged, 80 and overAtrial FibrillationCardiovascular DiseasesCross-Sectional StudiesFemaleHumansMaleMiddle AgedPredictive Value of TestsRegistriesRisk FactorsSensitivity and SpecificityUnited States
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