Department of Medicine, University of California, San Francisco, California, USA.
Division of Gastroenterology, University of California San Francisco.
Am J Gastroenterol. 2024 Jul 1;119(7):1431-1432. doi: 10.14309/ajg.0000000000002754. Epub 2024 Mar 15.
We examined the utility of the International Classification of Disease, Tenth Revision (ICD-10) code, R19.5, for a positive or abnormal fecal immunochemical test (FIT) and its association with colonoscopy completion.
We identified all patients in a safety-net health system who underwent FITs from January 1, 2020, to August 31, 2021, and extracted the FIT date, FIT result, and ICD-10 code (R19.5) and colonoscopy procedures for each patient.
FIT-positive patients who had an R19.5 designation within 90 days (n = 383) were significantly more likely than all other FIT-positive patients (n = 273) to complete a colonoscopy within 6 months (40.9% vs 16.8%, P <0.001).
We found that less than two-thirds of patients had an ICD-10 code designated in their chart within 30 days of an abnormal FIT. When coding occurred in a timely manner, patients were more likely to complete their colonoscopy within 6 months.
我们研究了国际疾病分类第 10 版（ICD-10）代码 R19.5 对粪便免疫化学检测（FIT）阳性或异常的效用及其与结肠镜检查完成情况的关系。
我们在一个安全网医疗系统中确定了所有在 2020 年 1 月 1 日至 2021 年 8 月 31 日期间接受 FIT 的患者，并提取每位患者的 FIT 日期、FIT 结果和 ICD-10 代码（R19.5）和结肠镜检查程序。
在 90 天内（n=383）有 R19.5 诊断的 FIT 阳性患者，比所有其他 FIT 阳性患者（n=273）在 6 个月内完成结肠镜检查的可能性显著更高（40.9% vs 16.8%，P<0.001）。
我们发现，不到三分之二的患者在异常 FIT 后 30 天内其图表中就有 ICD-10 代码指定。当及时编码时，患者更有可能在 6 个月内完成结肠镜检查。
