{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T11:07:44Z","timestamp":1759057664121,"version":"3.40.5"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,5,9]],"date-time":"2019-05-09T00:00:00Z","timestamp":1557360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Review changes in the number of International Classification of Diseases, 10th Revision, Clinical Modification (ICD\u201010\u2010CM) codes utilized in head and neck surgery service and associated changes in cost and charges of health services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cross\u2010sectional analysis was performed utilizing the Nationwide Readmissions Database, 2015. The study population included patients who were admitted for a primary head and neck procedure. Patients discharged in the third quarter (Q3), coding system ICD\u20109\u2010CM, compared to patients discharged in the fourth quarter (Q4), coding system ICD\u201010\u2010CM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 11,456 and 10,431 patients discharged in Q3 and Q4, respectively. Comparing the top 90% billed disease codes demonstrated that the number of ICD\u201010\u2010CM codes was more by a factor of 1.20. However, classifying codes by type of surgery, fewer codes were used in patients who had laryngeal surgeries or tonsillectomy\/adenoidectomy by a factor of 0.8. Codes used to document the primary diagnoses for patients who underwent tracheostomy increased the most by a factor of 1.42. Controlling for multiple factors that would affect the cost of health services, there were no significant changes in the cost of management per case (Q3: $70,189.00 \u00b1 1,546.39 vs. Q4: $70,502.00 \u00b1 1,560.17, <jats:italic>P<\/jats:italic> = 0.68) or hospital charges (Q3: $273,411.00 \u00b1 7,852.78 vs. Q4: 265,996 \u00b1 7922.77, <jats:italic>P<\/jats:italic> = 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ICD\u201010\u2010CM provides an expansion of codes. Initial indication is that utilization of ICD\u201010\u2010CM codes for head and neck surgery is within expected parameters and appears not to affect the cost of management and hospital charges despite the overall increase in ICD codes in the newer version.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 130:398\u2013404, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27990","type":"journal-article","created":{"date-parts":[[2019,5,9]],"date-time":"2019-05-09T16:36:42Z","timestamp":1557419802000},"page":"398-404","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of international classification of diseases, 10th revision, on head and neck surgery"],"prefix":"10.1002","volume":"130","author":[{"given":"Zaid","family":"Al\u2010Qurayshi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell","family":"Robins","sequence":"additional","affiliation":[{"name":"Freeman School of Business Tulane University  New Orleans Louisiana U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Pagedar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory W.","family":"Randolph","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Harvard Medical School  Boston Massachusetts U.S.A"},{"name":"Division of Thyroid and Parathyroid Endocrine Surgery Massachusetts Eye and Ear Infirmary, Surgical Oncology, Massachusetts General Hospital  Boston Massachusetts U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5895-4403","authenticated-orcid":false,"given":"Emad","family":"Kandil","sequence":"additional","affiliation":[{"name":"Department of Surgery Tulane University School of Medicine  New Orleans Louisiana U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,9]]},"reference":[{"unstructured":"Centers for Disease Control and Prevention (CDC). International classification of diseases tenth revision clinical modification (ICD\u201010\u2010CM). Available at:https:\/\/www.cdc.gov\/nchs\/icd\/icd10cm.htm. Updated 2018. Accessed October 5 2018.","key":"e_1_2_6_2_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_3_1","DOI":"10.3174\/ajnr.A4696"},{"unstructured":"Centers for Disease Control and Prevention (CDC). Transitioning to ICD\u201010. Available at:https:\/\/www.cms.gov\/newsroom\/fact-sheets\/transitioning-icd-10. Updated 2015. Accessed October 6 2018.","key":"e_1_2_6_4_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_5_1","DOI":"10.1001\/jama.2018.6823"},{"key":"e_1_2_6_6_1","first-page":"20","article-title":"International classification of diseases codes and their use in dentistry","volume":"1","author":"Weatherspoon D","year":"2013","journal-title":"J Dent Oral Craniofac Epidemiol"},{"unstructured":"Healthcare Cost and Utilization Project (HCUP). Overview of the nationwide readmissions database (NRD). Available at:https:\/\/www.hcup-us.ahrq.gov\/nrdoverview.jsp. Updated 2017. Accessed February 9 2019.","key":"e_1_2_6_7_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_8_1","DOI":"10.1016\/j.jacr.2017.08.013"},{"doi-asserted-by":"publisher","key":"e_1_2_6_9_1","DOI":"10.1016\/j.jacr.2015.06.014"},{"unstructured":"Bureau of Labor Statistics. Databases tables & calculators by subject: consumer price index. United States Department of Labor Web site. Available at:http:\/\/www.bls.gov\/data\/. Updated 2016. Accessed September 18 2016.","key":"e_1_2_6_10_1"},{"unstructured":"University of Manitoba. Concept: Charlson comorbidity index. Available at:http:\/\/mchp-appserv.cpe.umanitoba.ca\/viewConcept.php?conceptID=1098. Updated 2016. Accessed October 12 2018.","key":"e_1_2_6_11_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_12_1","DOI":"10.1136\/amiajnl-2012-001358"},{"doi-asserted-by":"publisher","key":"e_1_2_6_13_1","DOI":"10.2147\/OPTH.S161742"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.27990","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27990","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.27990","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T15:49:46Z","timestamp":1692632986000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.27990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,9]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1002\/lary.27990"],"URL":"https:\/\/doi.org\/10.1002\/lary.27990","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2019,5,9]]},"assertion":[{"value":"2019-02-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}