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...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2022-05-01
|
| Series: | Women's Health Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0092 |
| _version_ | 1797345786718060544 |
|---|---|
| author | Mandana Rezaeiahari Clare C. Brown Mir M. Ali |
| author_facet | Mandana Rezaeiahari Clare C. Brown Mir M. Ali |
| author_sort | Mandana Rezaeiahari |
| collection | DOAJ |
| 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). |
| first_indexed | 2024-03-08T11:22:34Z |
| format | Article |
| id | doaj.art-815de81472cb4864b2137a15df4f31fc |
| institution | Directory Open Access Journal |
| issn | 2688-4844 |
| language | English |
| last_indexed | 2024-03-08T11:22:34Z |
| publishDate | 2022-05-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj.art-815de81472cb4864b2137a15df4f31fc2024-01-26T05:51:08ZengMary Ann LiebertWomen's Health Reports2688-48442022-05-013145846410.1089/WHR.2021.0092Impact of the Transition from ICD-9-CM to ICD-10-CM on the Rates of Severe Maternal Morbidity in Arkansas: An Analysis of Claims DataMandana RezaeiahariClare C. BrownMir M. AliBackground: 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).https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0092ICD-9-CMICD-10-CMinsurance claimssevere maternal morbidity |
| spellingShingle | Mandana Rezaeiahari Clare C. Brown Mir M. Ali 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 Women's Health Reports ICD-9-CM ICD-10-CM insurance claims severe maternal morbidity |
| 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 | ICD-9-CM ICD-10-CM insurance claims severe maternal morbidity |
| url | https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0092 |
| work_keys_str_mv | AT mandanarezaeiahari impactofthetransitionfromicd9cmtoicd10cmontheratesofseverematernalmorbidityinarkansasananalysisofclaimsdata AT clarecbrown impactofthetransitionfromicd9cmtoicd10cmontheratesofseverematernalmorbidityinarkansasananalysisofclaimsdata AT mirmali impactofthetransitionfromicd9cmtoicd10cmontheratesofseverematernalmorbidityinarkansasananalysisofclaimsdata |