Identification of Coding Discrepancies in Diabetes Mellitus Diagnosis Based on ICD-10
DOI:
https://doi.org/10.37824/dxc1j643Keywords:
Diabetes Mellitus, ICD-10, coding accuracy, medical records, diagnosis discrepanciesAbstract
This study aims to identify discrepancies in the coding of Diabetes Mellitus diagnoses based on the International Classification of Diseases, Tenth Revision (ICD-10). Accurate medical coding is essential for ensuring reliable medical records, appropriate hospital claims, and valid epidemiological data. The research employed a descriptive quantitative design involving patient medical records diagnosed with Diabetes Mellitus at a hospital. The study analyzed the concordance between physician-assigned codes and ICD-10 standards. Findings indicate a significant proportion of discrepancies, particularly in distinguishing primary and secondary diagnoses, leading to inaccuracies in coding practices. These results highlight the importance of continuous coder training and regular audits to minimize errors and improve the quality of health information systems.
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References
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