SIMPLE AND VALID ICD-9-CODING ICD-10-CODI NG AND ICPM-CODING WITH THECOMPUTER-ASSISTED SYSTEM DO IT - EXPERIENCES AFTER ONE YEARS PRACTICE/

Question by introducing ''Fallpauschalen'' and ''Sonderentgelte'' in G erman healthsystem the coding of diagnoses and therapies gains a new m omentum. Therefore, a new computer based coding-system for ICD-and ICP M-digits is presented. The physician gets enabled for simple and valid classification within his documentation routine. Methods: Development of a hierarchic menue system, whose first part represents the anatomi c region. The second part is reserved for the most common diagnosis rs p. therapies within its special anatomic region. By further sub-menues all other ICD numbers in the orthopedic and traumatologic field may b e coded (selection related by frequency). This coding-system has been in clinical use since jan. Ist. 1995. Results: Control of the efficien cy of this coding-systems by 1316 patients with 1551 operations within one year. By using ICD-10, the representation of orthopedic-traumatol ogic diagnosis inhanced by factor 1,8 versus ICD-9. According to ICPM, 3560 therapies were coded, making it 2-3 actions per operation. ''Fal lpauschalen'' were found in 21,9%, in 27,7% there were ''Sonderentgelt e'' Within one year the coding error rate was reduced from 25% to 5%. Conclusions: Because of its easy handling the coding system ''do it'' represents a good alternative to conventional coding rsp. clear text a nalysis.