Procedure coding in the American Joint Replacement Registry

Arthroplast Today. 2019 May 30;5(2):251-255. doi: 10.1016/j.artd.2019.04.003. eCollection 2019 Jun.

Abstract

In October 2015, the Centers for Medicare & Medicaid Services transitioned from the 9th version of the International Classification of Diseases (ICD-9) codes for reporting patient diagnosis and medical procedures to the 10th version (ICD-10). The multitude of coding options for total joint arthroplasty in ICD-10-procedural coding (ICD-10-PCS) poses some challenges for the American Joint Replacement Registry (AJRR) in identifying precise procedures being reported. While AJRR participating hospitals are familiar with ICD-10-PCS, this new coding may not have been introduced to most AJRR participating surgeons. To address these issues, AJRR initiated an ICD-10 workgroup to define and map appropriate ICD-10 codes to total joint procedure types. This initiative sought to improve accuracy of AJRR data.

Keywords: Clinical data registry; ICD-10-PCS codes; Total joint arthroplasty.