Low Sensitivity of International Classification of Diseases, Tenth Revision Coding for Culture-Confirmed Candidemia Cases in an Active Surveillance System: United States, 2019–2020

Author:

Benedict Kaitlin1ORCID,Gold Jeremy A W1,Jenkins Emily N12,Roland Jeremy3,Barter Devra4,Czaja Christopher A4,Johnston Helen4,Clogher Paula5,Farley Monica M67,Revis Andrew789,Harrison Lee H10,Tourdot Laura11,Davis Sarah Shrum12,Phipps Erin C1213,Felsen Christina B14,Tesini Brenda L14,Escutia Gabriela15,Pierce Rebecca15,Zhang Alexia15,Schaffner William16,Lyman Meghan1

Affiliation:

1. Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention , Atlanta, Georgia , USA

2. ASRT, Inc. , Atlanta, Georgia , USA

3. California Emerging Infections Program , Oakland, California , USA

4. Colorado Department of Public Health and Environment , Denver, Colorado , USA

5. Connecticut Emerging Infections Program, Yale School of Public Health , New Haven, Connecticut , USA

6. Emory University School of Medicine , Atlanta, Georgia , USA

7. Atlanta VA Medical Center , Atlanta, Georgia , USA

8. Georgia Emerging Infections Program , Atlanta, Georgia , USA

9. Foundation for Atlanta Veterans Education and Research , Atlanta, Georgia , USA

10. Department of International Health, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland , USA

11. Minnesota Department of Health , St. Paul, Minnesota , USA

12. New Mexico Emerging Infections Program , Albuquerque, New Mexico , USA

13. University of New Mexico , Albuquerque, New Mexico , USA

14. University of Rochester School of Medicine , Rochester, New York , USA

15. Public Health Division, Oregon Health Authority , Portland, Oregon , USA

16. Vanderbilt University Medical Center , Nashville, Tennessee , USA

Abstract

Abstract We evaluated healthcare facility use of International Classification of Diseases, Tenth Revision (ICD-10) codes for culture-confirmed candidemia cases detected by active public health surveillance during 2019–2020. Most cases (56%) did not receive a candidiasis code, suggesting that studies relying on ICD-10 codes likely underestimate disease burden.

Funder

Centers for Disease Control and Prevention

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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