The Diagnostic Coding of Myocardial Infarction

Letters and Corrections1 February 1989The Diagnostic Coding of Myocardial InfarctionGordon D. Schiff, MD, Adel S. Yaacoub, MDGordon D. Schiff, MD, Adel S. Yaacoub, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-3-243_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: We are writing to confirm the findings of Iezzoni and colleagues (1). We reviewed 387 cases of patients discharged for acute myocardial infarction at a public general hospital from November 1985 to March 1988 that were coded according to the International Classification of Diseases, Clinically Modified, Ninth Revision (ICD-9-CM) (2). We found that 219 (57%) patients did not have an acute myocardial infarction during that period of hospitalization.We found, as did Iezzoni and colleagues, that the commonest cause of these 219 coding errors was the miscoding of a "ruled-out" myocardial infarction as an acute myocardial infarction...References1. Iezzoni L, Burnside S, Sickles L, Moskowitz M, Sawitz E, and Levine P. Coding of acute myocardial infarction: clinical and policy implications. Ann Intern Med. 1988;109:745-51. LinkGoogle Scholar2. International Classification of Diseases, Ninth Revision, Clinical Modification. Washington, D.C.: U. S. Government Printing Office; 1980; Publication no (PHS) 80-1260:366-7. Google Scholar3. Coding Clinic for ICD-9-CM. 1985; (March-April):3. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Gordon D. Schiff, MD; Adel S. Yaacoub, MDAffiliations: Cook County Hospital Chicago, IL 60612 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDisagreement between Formal and Medical Record Criteria for the Diagnosis of Acute Coronary SyndromeA multicenter study of the coding accuracy of hospital discharge administrative data for patients admitted to cardiac care units in OntarioCoronary heart disease surveillanceAccuracy of administrative data in traumaCan Hospital Discharge Diagnosis be used for Surveillance of Bacteremia? A Data Quality Study of a Danish Hospital Discharge RegistryAnálisis automatizado de la calidad del conjunto mínimo de datos básicos. Implicaciones para los sistemas de ajuste de riesgosAcute Physiology and Chronic Health Evaluation II scoring system in acute myocardial infarctionA Measure of Mortality Risk for Elderly Patients with Acute Myocardial InfarctionUsing Administrative Diagnostic Data to Assess the Quality of Hospital Care: Pitfalls and Potential of ICD-9-CMMeasuring Health Care Effectiveness 1 February 1989Volume 110, Issue 3 Page: 243-243 Keywords Acute myocardial infarction Hospitalizations International Classification of Diseases International classification of diseases ninth revision clinical modification Myocardial infarction ePublished: 1 December 2008 Issue Published: 1 February 1989 PDF downloadLoading ...