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. 2023 May 1;39(5):299-303.
doi: 10.1097/PEC.0000000000002692. Epub 2022 May 25.

Updated Diagnosis Grouping System for Pediatric Emergency Department Visits

Colleen Fant  1 , Jennifer R Marin  2 , Sriram Ramgopal  1 , Norma-Jean E Simon  1 , Rachel Richards  3 , Cody S Olsen  3 , Evaline A Alessandrini  4 , Elizabeth R Alpern  1 ; PECARN Registry Study Group
Collaborators, Affiliations

Updated Diagnosis Grouping System for Pediatric Emergency Department Visits

Colleen Fant et al. Pediatr Emerg Care. .

Abstract

Objectives: This study aims to update the Diagnosis Grouping System (DGS) for International Classification of Disease, Tenth Revision ( ICD-10 ) codes for ongoing use. The DGS was developed in 2010 using ICD-9 codes with 21 major groups and 27 subgroups to facilitate research on pediatric patients presenting to emergency departments and required updated classification for more recent ICD codes.

Methods: All emergency department discharges available in the Pediatric Emergency Care Applied Research Network (PECARN) database for 2016 were included to identify ICD-10 codes. These codes were then mapped onto the DGS codes originally derived from ICD-9 . We used ICD-10 codes from the PECARN database from 2017 to 2019 to confirm validity.

Results: The DGS was updated with ICD-10 codes based on 2016 PECARN data, and this updated DGS was successfully applied to 6,853,479 (97.3%) of all codes from 2017 to 2019.

Discussion: Using ICD-10 codes from the PECARN Registry, the DGS was updated to reflect ICD-10 codes to facilitate ongoing research.

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References

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