Procedure Code Utilization for Vascular Access Device Placement in the Inpatient Setting: A Retrospective Analysis

Overview

Journal Perspect Health Inf Manag

Specialties Health Services
Medical Informatics

Date 2022 Aug 29

PMID 36035331

Authors

Erica Deboer

Kimberly Alsbrooks

Affiliations

Soon will be listed here.

Abstract

Vascular access (VA) is essential to inpatient care, and the documentation/coding practices for vascular access device (VAD) placement procedures remain unexplored. Accurate documentation may present benefits for patients, providers, and researchers. A retrospective analysis was performed in adult inpatients (2015 to 2020) using Cerner Real World Data™ to evaluate the utilization of CPT codes for VAD placement/replacement procedures. A total of 14,253,584 patient encounters were analyzed, 0.111 percent (n=15,833) of which received at least one VAD procedure code. Non-tunneled CVC procedures had the highest code rate (0.067 percent), while PIV/midline procedures were the least likely to be coded (0.004 percent). The annual proportion of code utilization increased from 10.9 percent in 2015 to 19.7 percent in 2020 (p<0.0001). Despite widespread use of VADs in the inpatient setting, the procedure coding rate was found to be remarkably low. Appropriate coding/documentation practices may ensure proper care by capturing VA-related patient history, and improve research quality and resource/staff allocation.

References

McNally M . The importance of detailed documentation in ICD-10. Bull Am Coll Surg. 2015; 100(8):63-4. View

Hirsch J, Leslie-Mazwi T, Nicola G, Barr R, Bello J, Donovan W . Current procedural terminology; a primer. J Neurointerv Surg. 2014; 7(4):309-12. DOI: 10.1136/neurintsurg-2014-011156. View

Ayele S, Gobena T, Birhanu S, Yadeta T . Attitude Towards Documentation and Its Associated Factors Among Nurses Working in Public Hospitals of Hawassa City Administration, Southern Ethiopia. SAGE Open Nurs. 2021; 7:23779608211015363. PMC: 8150635. DOI: 10.1177/23779608211015363. View

Fiscella K, Sanders M . Racial and Ethnic Disparities in the Quality of Health Care. Annu Rev Public Health. 2016; 37:375-94. DOI: 10.1146/annurev-publhealth-032315-021439. View

Bahl A, Johnson S, Alsbrooks K, Mares A, Gala S, Hoerauf K . Defining difficult intravenous access (DIVA): A systematic review. J Vasc Access. 2021; :11297298211059648. DOI: 10.1177/11297298211059648. View

Landon B, Onnela J, Meneades L, OMalley A, Keating N . Assessment of Racial Disparities in Primary Care Physician Specialty Referrals. JAMA Netw Open. 2021; 4(1):e2029238. PMC: 7835717. DOI: 10.1001/jamanetworkopen.2020.29238. View

Buja A, Canavese D, Furlan P, Lago L, Saia M, Baldo V . Are hospital process quality indicators influenced by socio-demographic health determinants. Eur J Public Health. 2015; 25(5):759-65. DOI: 10.1093/eurpub/cku253. View

Doktorchik C, Lu M, Quan H, Ringham C, Eastwood C . A qualitative evaluation of clinically coded data quality from health information manager perspectives. Health Inf Manag. 2019; 49(1):19-27. DOI: 10.1177/1833358319855031. View

Cheung E, Baerlocher M, Asch M, Myers A . Venous access: a practical review for 2009. Can Fam Physician. 2009; 55(5):494-6. PMC: 2682308. View

10.

Neve B, Schmidt C . Point-of-use hospital inventory management with inaccurate usage capture. Health Care Manag Sci. 2021; 25(1):126-145. PMC: 8342273. DOI: 10.1007/s10729-021-09573-1. View

11.

Alexandrou E, Ray-Barruel G, Carr P, Frost S, Inwood S, Higgins N . Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. J Hosp Med. 2018; 13(5). DOI: 10.12788/jhm.3039. View

12.

Jazayeri H, Khavanin N, Yu J, Wu B, Payne E, Mundinger G . Variability in Current Procedural Terminology Codes for Craniomaxillofacial Trauma Reconstruction: A National Survey. J Craniofac Surg. 2020; 31(4):996-999. DOI: 10.1097/SCS.0000000000006362. View

13.

Burns M, Mathis M, Vandervest J, Tan X, Lu B, Colquhoun D . Classification of Current Procedural Terminology Codes from Electronic Health Record Data Using Machine Learning. Anesthesiology. 2020; 132(4):738-749. PMC: 7665375. DOI: 10.1097/ALN.0000000000003150. View

14.

Axon D, Chinthammit C, Tate J, Taylor A, Leal S, Pickering M . Current Procedural Terminology Codes for Medication Therapy Management in Administrative Data. J Manag Care Spec Pharm. 2020; 26(10):1297-1300. PMC: 10391033. DOI: 10.18553/jmcp.2020.26.10.1297. View

15.

Morrell E . Reducing Risks and Improving Vascular Access Outcomes. J Infus Nurs. 2020; 43(4):222-228. PMC: 7410015. DOI: 10.1097/NAN.0000000000000377. View

16.

Patel A, Patel A, Singh S, Singh S, Khawaja I . Central Line Catheters and Associated Complications: A Review. Cureus. 2019; 11(5):e4717. PMC: 6650175. DOI: 10.7759/cureus.4717. View

17.

Bakhamis L, Paul 3rd D, Smith H, Coustasse A . Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses. Health Care Manag (Frederick). 2019; 38(1):3-10. DOI: 10.1097/HCM.0000000000000243. View

18.

Belanger E, Loomer L, Teno J, Mitchell S, Adhikari D, Gozalo P . Early Utilization Patterns of the New Medicare Procedure Codes for Advance Care Planning. JAMA Intern Med. 2019; 179(6):829-830. PMC: 6547152. DOI: 10.1001/jamainternmed.2018.8615. View

19.

Kornbau C, Lee K, Hughes G, Firstenberg M . Central line complications. Int J Crit Illn Inj Sci. 2015; 5(3):170-8. PMC: 4613416. DOI: 10.4103/2229-5151.164940. View

20.

Carr P, Higgins N, Cooke M, Mihala G, Rickard C . Vascular access specialist teams for device insertion and prevention of failure. Cochrane Database Syst Rev. 2018; 3:CD011429. PMC: 6353147. DOI: 10.1002/14651858.CD011429.pub2. View