{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T13:45:25Z","timestamp":1746711925152,"version":"3.40.5"},"reference-count":15,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,2,1]]},"abstract":"\n OBJECTIVE:<\/jats:title>\n To validate a novel coding method using Current Procedural Terminology, Fourth Edition (CPT-4) codes for identifying infants who underwent a full evaluation for serious bacterial infection (SBI).<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n We performed a multicenter, retrospective examination to determine the accuracy of a combination of CPT-4 codes for blood, cerebrospinal fluid (CSF), and urine cultures to identify previously healthy infants \u226490 days old admitted to a general care floor and fully evaluated for SBI. Full SBI evaluation was defined as blood, CSF, and urine cultures performed during the emergency department encounter or corresponding hospitalization. Cases were defined as infants who had codes for blood, CSF, and urine cultures (87040, 87070, and either 87086 or 87088), and these were compared with all other encounters. We validated these findings by comparing medical record documentation of blood, CSF, and urine cultures to the corresponding CPT-4 codes, with calculation of sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV).<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n We identified 8548 qualifying encounters, and 347 (4%) had a combination of CPT-4 codes 87040, 87070, and either 87086 or 87088. This combination had a sensitivity of 100% (95% confidence interval, 98.9\u2013100) and specificity of 98.2% (95% confidence interval, 97.3\u201398.8) for identifying infants who underwent full SBI evaluation for an unknown source.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n CPT-4 codes provide an accurate means to identify infants who underwent complete SBI evaluation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/hpeds.2015-0125","type":"journal-article","created":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T09:33:13Z","timestamp":1454319193000},"page":"103-107","source":"Crossref","is-referenced-by-count":1,"title":["Validation of Procedural Codes to Identify Infants Evaluated for Serious Bacterial Infection"],"prefix":"10.1542","volume":"6","author":[{"given":"Eric A.","family":"Biondi","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Rochester Medical Center, Rochester, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell J.","family":"McCulloh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Missouri\u2014Kansas City School of Medicine, Kansas City, Missouri;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JoAnna K.","family":"Leyenaar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Tufts University School of Medicine, Boston, Massachusetts; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Rochester Medical Center, Rochester, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikole","family":"Van Wie","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Rochester Medical Center, Rochester, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Montalbano","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Missouri\u2014Kansas City School of Medicine, Kansas City, Missouri;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek J.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Vanderbilt University School of Medicine, and the Monroe Carell Jr. Children\u2019s Hospital at Vanderbilt, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2016,2,1]]},"reference":[{"key":"2021120817441824400_B1","unstructured":"Cincinnati Children\u2019s Hospital Medical Center. Evidence-Based Clinical Care Guideline for Fever of Uncertain Source in Infants 60 Days of Age or Less. October 2010. 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