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April 29, 2019

Problems With Quality Measurement Using International Statistical Classification of Diseases, Tenth Revision, Clinical Modification: The Elephant No One Knows Is in the Room

Author Affiliations
  • 1Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan, Ann Arbor
JAMA Pediatr. 2019;173(6):515-516. doi:10.1001/jamapediatrics.2019.0844

The transition from International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to International Statistical Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis codes has potentially substantial implications for quality measurement. Challenges include translating each measure by manual review and reassessing their validity. Without this effort, all claims-based quality measures have unknown accuracy, which affects their use by clinicians, patients, and insurers.

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