To date, no studies have assessed the effects of the transition on TBI-related ED visits and the inclusion/exclusion of unspecified head injury in the surveillance definition on trends spanning the coding transition. ICD-10-CM codes provide more detail regarding the clinical nature of an injury (National Center for Health Statistics 2015), and the transition to ICD-10-CM could provide CDC the opportunity to better align the TBI surveillance definition with the clinical diagnosis of TBI and the injury diagnosis framework for ICD-10-CM (Hedegaard et al. 2002 The Israeli Center for Trauma and Emergency Medicine Research 2005). 2017) even after the publication of the Barell matrix that excluded unspecified head injury as a TBI (Barell et al. 2010 Marr and Coronado 2004 Taylor et al. However, the ICD-9-CM TBI surveillance definition included 959.01 for “unspecified injury of head” (CDC 20 Faul et al. The CDC proposed definition for TBI surveillance using ICD-10-CM codes does not include S09.90 for “unspecified injury of the head” (Hedegaard et al. On Octothe US implemented the tenth revision, ICD-10-CM (National Center for Health Statistics 2015).Įpidemiologists at the CDC and other public health agencies in the US use ICD-coded health care administrative billing data for public health surveillance of TBI (CDC 2015 Marr and Coronado 2004). In Colorado, TBIs contributed to 13 percent of all injury-related emergency department (ED) visits from 2012-2014 based on health care billing data coded in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (Colorado Department of Public Health 2015). Traumatic Brain Injury (TBI) is “caused by a bump, blow, jolt, or penetration to the head that disrupts normal function of the brain” (Faul et al. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
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