Skip to main content
Journal cover image

Use of the ICD-10 vision codes to study ocular conditions in Medicare beneficiaries with stroke.

Publication ,  Journal Article
Hreha, KP; Fisher, SR; Reistetter, TA; Ottenbacher, K; Haas, A; Li, C-Y; Ehrlich, JR; Whitaker, DB; Whitson, HE
Published in: BMC Health Serv Res
July 8, 2020

BACKGROUND: Ocular conditions are common following stroke and frequently occur in combination with pre-existing ophthalmologic disease. The Medicare International Statistical Classification of Diseases and Related Health Problems (ICD-10) coding system for identifying vision related health conditions provides a much higher level of detail for coding these complex scenarios than the previous ICD-9 system. While this new coding system has advantages for clinical care and billing, the degree to which providers and researchers are utilizing the expanded code structure is unknown. The purpose of this study was to describe the use of ICD-10 vision codes in a large cohort of stroke survivors. METHODS: Retrospective cohort design to study national 100% Medicare claims files from 2015 through 2017. Descriptive data analyses were conducted using all available ICD-10 vision codes for beneficiaries who had an acute care stay because of a new stroke. The outcome of interest was ≥1 ICD-10 visual code recorded in the claims chart. RESULTS: The cohort (n = 269,314) was mostly female (57.1%) with ischemic stroke (87.8%). Approximately 15% were coded as having one or more ocular condition. Unspecified glaucoma was the most frequently used code among men (2.83%), those over 85+ (4.80%) and black beneficiaries (4.12%). Multiple vision codes were used in few patients (0.6%). Less than 3% of those in the oldest group (85+ years) had two or more vision codes in their claims. CONCLUSIONS: Ocular comorbidity was present in a portion of this cohort of stroke survivors, however the vision codes used to describe impairments in this population were few and lacked specificity. Future studies should compare ophthalmic examination results with billing codes to characterize the type and frequency of ocular comorbidity. It important to understand how the use of ICD-10 vision codes impacts clinical decision making, recovery, and outcomes.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

BMC Health Serv Res

DOI

EISSN

1472-6963

Publication Date

July 8, 2020

Volume

20

Issue

1

Start / End Page

628

Location

England

Related Subject Headings

  • United States
  • Stroke
  • Retrospective Studies
  • Medicare
  • Male
  • International Classification of Diseases
  • Insurance Claim Review
  • Humans
  • Health Policy & Services
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hreha, K. P., Fisher, S. R., Reistetter, T. A., Ottenbacher, K., Haas, A., Li, C.-Y., … Whitson, H. E. (2020). Use of the ICD-10 vision codes to study ocular conditions in Medicare beneficiaries with stroke. BMC Health Serv Res, 20(1), 628. https://doi.org/10.1186/s12913-020-05484-z
Hreha, Kimberly P., Steve R. Fisher, Timothy A. Reistetter, Kenneth Ottenbacher, Allen Haas, Chih-Ying Li, Joshua R. Ehrlich, Diane B. Whitaker, and Heather E. Whitson. “Use of the ICD-10 vision codes to study ocular conditions in Medicare beneficiaries with stroke.BMC Health Serv Res 20, no. 1 (July 8, 2020): 628. https://doi.org/10.1186/s12913-020-05484-z.
Hreha KP, Fisher SR, Reistetter TA, Ottenbacher K, Haas A, Li C-Y, et al. Use of the ICD-10 vision codes to study ocular conditions in Medicare beneficiaries with stroke. BMC Health Serv Res. 2020 Jul 8;20(1):628.
Hreha, Kimberly P., et al. “Use of the ICD-10 vision codes to study ocular conditions in Medicare beneficiaries with stroke.BMC Health Serv Res, vol. 20, no. 1, July 2020, p. 628. Pubmed, doi:10.1186/s12913-020-05484-z.
Hreha KP, Fisher SR, Reistetter TA, Ottenbacher K, Haas A, Li C-Y, Ehrlich JR, Whitaker DB, Whitson HE. Use of the ICD-10 vision codes to study ocular conditions in Medicare beneficiaries with stroke. BMC Health Serv Res. 2020 Jul 8;20(1):628.
Journal cover image

Published In

BMC Health Serv Res

DOI

EISSN

1472-6963

Publication Date

July 8, 2020

Volume

20

Issue

1

Start / End Page

628

Location

England

Related Subject Headings

  • United States
  • Stroke
  • Retrospective Studies
  • Medicare
  • Male
  • International Classification of Diseases
  • Insurance Claim Review
  • Humans
  • Health Policy & Services
  • Female