Codificación en Neurología Pediátrica (CIE-9) - Revista de Neurología

Coding in Neuropediatrics
based on the ICD-9, 5th ed. (2006)
Introduction
A. García-Pérez a, M.A. Martínez-Granero a, A. Verdú-Pérez b,
P. de Castro-de Castro c, C. Garzo c, M. Vázquez-López c,
A. Martínez-Bermejo d, R. Simón-de las Heras e, B. Martínez-
Menéndez f, V. San Antonio-Arce g, T. de Santos-Moreno h,
M.L. Carrasco-Marina i, M.R. Cazorla-Calleja j
a Fundación Hospital Alcorcón. Madrid. b Hospital Virgen de la Salud. Toledo.
c Hospital Gregorio Marañón. Madrid. d Hospital La Paz. Madrid.
e Hospital 12 de Octubre. Madrid. f Hospital Universitario de Getafe. Madrid.
g Hospital Clínico San Carlos. Madrid. h Fundación Jiménez Díaz.
i Hospital Severo Ochoa. Leganés, Madrid. j Hospital de Fuenlabrada. Madrid.
Corresponding author:
Neuropediatrics Unit: Dra Asunción García Pérez. Neuropediatría. Servicio de
Pediatría. Fundación Hospital Alcorcón. Madrid.
agarcia@fhalcorcon.es
E-mail: agarcia@fhalcorcon.es
Acknowledgement. To J.A. Vaquero Mateo of the Fundación Hospital
Alcorcón, Microsoft Office Specialist Master Instructor, for his contribution to
the database development process.
Aim. To analyze ICD-9 coding and adapt it, on a consensus basis, to ‘reasons for
medical consultation’, ‘diagnoses’ and ‘procedures’ in child neurology.
Materials and methods. The most frequent reasons for medical consultation,
diagnoses and procedures in neuropediatrics were selected and assigned the
most appropriate International Classification of Diseases, 9th Revision, Clinical
Modification (5th ed.) (ICD-9-CM) codes in accordance with this system’s coding
rules. Disorders were grouped by sections, and allocated to the various members
of the working group (13 child neurologists from 10 hospitals in Madrid and
environs).
Results. ICD-9-CM codes were assigned to: 158 reasons for medical consultation;
886 diagnoses; 73 diagnostic procedures; and 53 therapeutic procedures. In every
case, the most appropriate ICD-9 code was sought for the respective diagnosis.
No codes were invented but the working group did take certain liberties with
interpretation, which nevertheless showed respect for general ICD-9-CM philosophy
and are described in full in the text.
13