The inaccuracy of ICD-9-CM Code 530.2 for identifying patients with Barrett's esophagus.

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
B C Jacobson, L B Gerson

Abstract

Barrett's esophagus (BE) is a chronic complication associated with gastroesophageal reflux disease. The ICD-9-CM code used for BE, 530.2, is also used for patients with 'ulcer of the esophagus.' We aimed to determine if the ICD-9-CM code of 530.2 is reliable for identifying cases of Barrett's esophagus within databases for research purposes. We reviewed the records of all patients assigned code 530.2 at two university medical center hospitals and a veterans' administration hospital over a cumulative 16-year period. Billing records provided information about where the code was assigned, whether it was a major or minor diagnosis, and if the code was assigned on multiple occasions for each patient. Histology and endoscopy records were reviewed to confirm the diagnosis of Barrett's esophagus. Among 435 patients with code 530.2 in their records, 354 (82%) had an esophageal biopsy reported and 393 (90%) had an endoscopy report available for review. Only 182 (42%) had specialized intestinal metaplasia documented in a biopsy from an area of salmon-colored mucosa arising above the esophagogastric junction (51% of those with histology available). There were 288 patients (66%) with an endoscopic diagnosis of Barrett's esophagus (73% of th...Continue Reading

References

Oct 1, 1992·Gastroenterology·A J Cameron, C T Lomboy
Aug 7, 1986·The New England Journal of Medicine·S J Spechler, R K Goyal
Oct 6, 1997·Gastroenterology Clinics of North America·A J Cameron
Apr 1, 1998·American Journal of Epidemiology·J E EverhartA Sonnenberg
Apr 1, 2000·Gastrointestinal Endoscopy·G S CooperG E Rosenthal
Jul 27, 2001·The American Journal of Gastroenterology·L B GersonG Triadafilopoulos
May 2, 2002·Gastroenterology·Robert S SandlerRobert Rubin
Jul 30, 2002·Gastroenterology·Lauren B GersonGeorge Triadafilopoulos
Jan 16, 2003·The American Journal of Gastroenterology·Brian C JacobsonTimothy C Wang
Mar 24, 2005·The American Journal of Gastroenterology·Gareth S DulaiKatherine L Kahn

❮ Previous
Next ❯

Citations

Apr 20, 2010·Journal of the Royal Army Medical Corps·J Breeze, D Bryant
Dec 17, 2008·Clinical Orthopaedics and Related Research·Andrew J SynnCharles S Day
Jun 24, 2009·Clinical Orthopaedics and Related Research·Amita RastogiFrancois de Brantes
Apr 16, 2010·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Amy J HarzkeMichael F Kelley
Dec 14, 2018·BMJ : British Medical Journal·Robert W YehUNKNOWN PARACHUTE Investigators
Oct 12, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·David M TehraniSusan S Huang
Feb 27, 2014·Annals of Biomedical Engineering·Alan J ManPeter Bannerman
Aug 1, 2012·Avian Pathology : Journal of the W.V.P.A·Peter M Biggs, Venugopal Nair
Jan 25, 2018·Scandinavian Journal of Gastroenterology·Jes Sefland VogtPer Ejstrud
Feb 2, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·L B GersonO Lunacsek
Nov 19, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Mohammad A Al-HaddadC Max Schmidt

❮ Previous
Next ❯

Related Concepts

Related Feeds

Barrett Esophagus

Barrett’s esophagus if a serious complication of gastroesophageal reflux disease during which the normal esophageal lining changes to tissue that resembles intestinal lining. Here is the latest research.

Related Papers

Journal of the American Academy of Dermatology
Murat IcenHilal Maradit Kremers
International Journal of Injury Control and Safety Promotion
Kirsten McKenzie, Roderick John McClure
Journal of the American Medical Informatics Association : JAMIA
J StausbergF Rauhut
© 2021 Meta ULC. All rights reserved