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

Introducción
Coding in Neuropediatrics based on the ICD-9, 5th ed. (2006)
search for the diagnosis. In the event of not finding it, search through other
sections that could also cover it. Diagnoses are shown under only one disorder
section despite the fact that they might pertain to several such sections The
digitized Excel version of this coding enables users to make a quick diagnostic
search, by entering a term similar to or synonymous with the descriptor into the
search engine. If a specific diagnosis is not possible, proceed to a more generic
diagnosis.
• Other diagnoses that better describe the clinical profile (e.g., ‘secondary
headache’ and ‘malignant neoplasm of cerebellum’ and ‘obstructive
hydrocephalus’) can be added to the initial diagnosis. The better a case is
coded, the more information becomes available for its management.
• One can code the reason for consultation on the one hand, and the final
diagnosis on the other: these may sometimes coincide. Diagnostic and
therapeutic procedures can likewise be coded, in view of the importance that
these can have vis-à-vis costs per procedure, and their potential usefulness for
epidemiological study purposes.
Conclusions
This adaptation of the ICD-9 will facilitate and enhance diagnostic coding in child
neurology departments. Moreover, it allows for consistent, standardized coding
of child neurological diagnoses based on an internationally accepted system. It is
a useful tool for epidemiological and clinical management and research in child
neurology departments, and enables databases with common criteria to be set up,
something that will in turn make it possible for information to be analyzed and
shared, and epidemiological, clinical and therapeutic multicentre studies to be
conducted.
References
1. Grupo de Trabajo de Codificación Diagnóstica de la Sociedad de Urgencias de Pediatría de
la Asociación Española de Pediatría. Codificación diagnóstica en urgencias de pediatría.
An Esp Pediatr 2000; 53: 261-72.
2. Clasificación Internacional de Enfermedades. 9.ª revisión. Modificación clínica. CIE-9. MC.
5.ª ed. Madrid: Ministerio de Sanidad y Consumo; 2006.
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