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. Author manuscript; available in PMC: 2018 Dec 1.
Published in final edited form as: Med Care. 2017 Dec;55(12):e137–e143. doi: 10.1097/MLR.0000000000000524

Table 3. The Positive Predictive Value of VTE Codes + Anticoagulant Prescriptions Compared to Medical Chart Review (n=1974).

Numbers in parentheses refer to the (number of chart confirmed VTE events/number of reviewed encounters with an ICD-9 code for VTE), excluding charts without available clinical documentation for review.

Hospital/Emergency Department
N=1451
Outpatient
N=523

Primary Position
N=1080
Secondary Position
N=371

Any VTE code 92.4% (998/1080) 73.6% (273/371) 75.5% (395/523)
Pulmonary embolism codes
415.1x
95.4% (617/647) 84.8% (117/138) 54.5% (55/101)
Lower extremity DVT codes
451.1x, 451.2, 451.81, 453.4x, 453.5x
89.6% (276/308) 71.6% (83/116) 89.7% (234/261)
Upper extremity DVT codes
451.83, 451.84, 451.89, 453.72, 453.73, 453.74, 453.75, 453.76, 453.77, 453.82, 453.83, 453.84, 453.85, 453.86, 453.87
81.8% (9/11) 55.2% (16/29) 100% (2/2)
Other venous thrombosis codes
451, 451.9, 452, 453, 453.0, 453.1, 453.2, 453.3, 453.79, 453.8, 453.89, 453.9
84.2% (96/114) 64.8% (57/88) 65.4% (104/159)