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. 2007 Jun 12;4:6.

Table 15.

Differences in Percentage of Agreement and Kappas between ICD-9-CM and ICD-10-CM

Public Health Categories ICD-9-CM (mean) % Agreement ICD-9-CM Kappa (mean) ICD-10-CM (mean) % Agreement ICD-10-CM Kappa (mean) P value for difference in Kappa
External causes of injury*** (n=23 for both I-9 and I-10) 95.30 0.97 14.60 0.15 <0.001
Alzheimer's (n=0) N/A N/A N/A N/A N/A
Cerebrovascular (n=6 for both I-9 and I-10) 78.50 0.83 58.90 0.62 .076
Diabetes (n=3 for both I-9 and I-10) 100 1.00 71.5 0.78 .121
Influenza (n=0) N/A N/A N/A N/A N/A
Lower respiratory disease*** (n=16 for both I-9 and I-10) 95.60 0.97 55.50 0.59 <0.001
Nephritis (n=1 for both I-9 and I-10) 100 1.00 25.00 0.25 .317
Septicemia (n=0) N/A N/A N/A N/A N/A
Heart disease*** (n=25 for both I-9 and I-10) 90.50 0.91 42.10 0.48 <0.001
Malignant neoplasms** (n=10 for both I-9 and I-10) 90.10 0.92 51.10 0.53 .003
Other*** (n=82, I-9; n=81, I-10) 91.30 0.92 41.30 0.46 <0.001

P values determined by Mann Whitney U nonparametric test:

  • *Significan p<0.05

  • **High Significan p<0.01

  • ***Very High Significan p<0.001

  • N/A – Too few cases

  • n = number of cases