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Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data
BACKGROUND: Severe maternal morbidity (SMM) is considered as a near miss for maternal death, therefore it is crucial to identify and prevent SMM. Medical insurance claims can be used to identify SMM. There was a national transition from the International Classification of Diseases, 9th Revision, Cli...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc., publishers
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9148652/ https://www.ncbi.nlm.nih.gov/pubmed/35652000 http://dx.doi.org/10.1089/whr.2021.0092 |
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author | Rezaeiahari, Mandana Brown, Clare C. Ali, Mir M. |
author_facet | Rezaeiahari, Mandana Brown, Clare C. Ali, Mir M. |
author_sort | Rezaeiahari, Mandana |
collection | PubMed |
description | BACKGROUND: Severe maternal morbidity (SMM) is considered as a near miss for maternal death, therefore it is crucial to identify and prevent SMM. Medical insurance claims can be used to identify SMM. There was a national transition from the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) to International Classification of Diseases, 10th Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) in October 2015. OBJECTIVE: This study investigates the impact of transition from ICD-9-CM to ICD-10-CM on the rates of SMM in the state of Arkansas using birth certificates linked with insurance claims data in the Arkansas All-Payer Claims Database (APCD). STUDY DESIGN: Birth certificates between January 1, 2013, and December 31, 2017, were linked to insurance claims data from the APCD. SMM was defined using the algorithm provided by the Centers for Disease Control and Prevention, using ICD-9 codes for births before October 1, 2015, and ICD-10-CM codes for births on or after October 1, 2015. RESULTS: The incidence of SMM increased after transition to the ICD-10-CM system in Arkansas. The relatively higher rate of SMM in ICD-10-CM versus ICD-9-CM was greater in magnitude on the delivery day and throughout the 42-day postpartum period (odds ratio [OR]: 1.30; 95% confidence interval [CI]: 1.20–1.42) compared with the rate on the day of delivery (OR: 1.20; 95% CI: 1.06–1.36). When excluding blood transfusions, the higher rate of SMM during the ICD-10 era was even greater both in the delivery day and 42-day postpartum period (OR: 1.66; 95% CI: 1.49–1.85) and on the day of delivery (OR: 1.58; 95% CI: 1.31–1.90). |
format | Online Article Text |
id | pubmed-9148652 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Mary Ann Liebert, Inc., publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-91486522022-05-31 Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data Rezaeiahari, Mandana Brown, Clare C. Ali, Mir M. Womens Health Rep (New Rochelle) Original Article BACKGROUND: Severe maternal morbidity (SMM) is considered as a near miss for maternal death, therefore it is crucial to identify and prevent SMM. Medical insurance claims can be used to identify SMM. There was a national transition from the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) to International Classification of Diseases, 10th Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) in October 2015. OBJECTIVE: This study investigates the impact of transition from ICD-9-CM to ICD-10-CM on the rates of SMM in the state of Arkansas using birth certificates linked with insurance claims data in the Arkansas All-Payer Claims Database (APCD). STUDY DESIGN: Birth certificates between January 1, 2013, and December 31, 2017, were linked to insurance claims data from the APCD. SMM was defined using the algorithm provided by the Centers for Disease Control and Prevention, using ICD-9 codes for births before October 1, 2015, and ICD-10-CM codes for births on or after October 1, 2015. RESULTS: The incidence of SMM increased after transition to the ICD-10-CM system in Arkansas. The relatively higher rate of SMM in ICD-10-CM versus ICD-9-CM was greater in magnitude on the delivery day and throughout the 42-day postpartum period (odds ratio [OR]: 1.30; 95% confidence interval [CI]: 1.20–1.42) compared with the rate on the day of delivery (OR: 1.20; 95% CI: 1.06–1.36). When excluding blood transfusions, the higher rate of SMM during the ICD-10 era was even greater both in the delivery day and 42-day postpartum period (OR: 1.66; 95% CI: 1.49–1.85) and on the day of delivery (OR: 1.58; 95% CI: 1.31–1.90). Mary Ann Liebert, Inc., publishers 2022-05-02 /pmc/articles/PMC9148652/ /pubmed/35652000 http://dx.doi.org/10.1089/whr.2021.0092 Text en © Mandana Rezaeiahari et al., 2022; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Rezaeiahari, Mandana Brown, Clare C. Ali, Mir M. Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data |
title | Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data |
title_full | Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data |
title_fullStr | Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data |
title_full_unstemmed | Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data |
title_short | Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims Data |
title_sort | impact of the transition from icd-9-cm to icd-10-cm on the rates of severe maternal morbidity in arkansas: an analysis of claims data |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9148652/ https://www.ncbi.nlm.nih.gov/pubmed/35652000 http://dx.doi.org/10.1089/whr.2021.0092 |
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