Skip to main content
. 2018 Jul 26;3(1):445. doi: 10.23889/ijpds.v3i1.445

Table 3: Proportion of cases in each category of discrepancy on ICD codes showed disagreement between hospital coder and auditor.

NOS: not otherwise specified

Category Categories of discrepancy N (%)
1 One coder recorded a symptom while the other coder recorded a diagnosis related to the symptom. e.g. N76.0: acute vaginitis and N93.9: Abnormal uterine and vaginal bleeding, unspecified 49 (16.5)
2 Coders recorded codes for similar but not identical condition; often one coder is more specific than the other. E.g. T78.4: allergy, unspecified and T78.1: Other adverse food reactions, not elsewhere classified 62 (20.9)
3 Coders recorded obviously different codes for similar conditions. E.g. T09.5: injury of unspecified muscle and tendon of trunk, NOS and M54.5: low back pain 35 (11.8)
4 Coders recorded codes for conditions which were not similar but obviously related conditions. E.g. I49.5: sick sinus syndrome and I47.1: supraventricular tachycardia. 32 (10.8)
5 Coders recorded completely different conditions. E.g. F43.0: acute stress reaction and T48.5: poisoning by anti-common-cold drugs 49 (16.5)
6 The coders recorded different codes for the same conditions. E.g. R07.4: chest pain unspecified and R07.3: other chest pain 70 (23.6)