Procedure Code Utilization for Vascular Access Device Placement in the Inpatient Setting: A Retrospective Analysis.

Q3 Medicine

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-07-01 eCollection Date: 2022-01-01

Erica DeBoer, Kimberly Alsbrooks

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引用次数: 0

Abstract

Vascular access (VA) is essential to inpatient care, and the documentation/coding practices for vascular access device (VAD) placement procedures remain unexplored. Accurate documentation may present benefits for patients, providers, and researchers. A retrospective analysis was performed in adult inpatients (2015 to 2020) using Cerner Real World Data™ to evaluate the utilization of CPT codes for VAD placement/replacement procedures. A total of 14,253,584 patient encounters were analyzed, 0.111 percent (n=15,833) of which received at least one VAD procedure code. Non-tunneled CVC procedures had the highest code rate (0.067 percent), while PIV/midline procedures were the least likely to be coded (0.004 percent). The annual proportion of code utilization increased from 10.9 percent in 2015 to 19.7 percent in 2020 (p<0.0001). Despite widespread use of VADs in the inpatient setting, the procedure coding rate was found to be remarkably low. Appropriate coding/documentation practices may ensure proper care by capturing VA-related patient history, and improve research quality and resource/staff allocation.

本刊更多论文

程序代码的使用血管通路装置安置在住院设置:回顾性分析。

血管通路(VA)对住院患者的护理至关重要，而血管通路装置(VAD)放置程序的文件/编码实践仍未得到探索。准确的文献记录可以为患者、提供者和研究人员带来好处。使用Cerner Real World Data™对成年住院患者(2015年至2020年)进行回顾性分析，以评估CPT代码在VAD放置/替换过程中的使用情况。共分析了14,253,584例患者，其中0.111% (n=15,833)接受了至少一个VAD程序代码。非隧道CVC手术的编码率最高(0.067%)，而PIV/中线手术的编码率最低(0.004%)。代码使用率的年占比从2015年的10.9%上升到2020年的19.7%

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perspectives in health information management / AHIMA, American Health Information Management Association Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Perspectives in Health Information Management is a scholarly, peer-reviewed research journal whose mission is to advance health information management practice and to encourage interdisciplinary collaboration between HIM professionals and others in disciplines supporting the advancement of the management of health information. The primary focus is to promote the linkage of practice, education, and research and to provide contributions to the understanding or improvement of health information management processes and outcomes.