Fracture as Main Diagnosis

Completeness of coding within a group of codes: S02, S12, S22, S32, S42, S52, S62, S72, S82, S92, T02, T08, T10, T12, T14 (3-digit level)
2004 - 2006 QA sample data (extract from SMR01 National data)

		Main Condition - code which should have been recorded
		Fractures											Non fracture codes			SMR Total
		S02	S12	S22	S32	S42	S52	S62	S72	S82	S92	Total	I67	S81	Total
Fractures	S02	14														14
	S12		2													2
Main Condition	S22			8												8
as recorded	S32				8											8
on SMR01	S42					12										12
	S52						26							1		27
	S62						2	7								9
	S72					1			39				1			41
	S82									28						28
	S92									1	1					2
QA Total		14	2	8	8	13	28	7	39	29	1	149	1	1	2	151
Non fracture codes	J18				1
	J69								1
	M25								1
	M79						1
	S60						1
	S97										1
	Z47						1
QA under-recorded total					1		3		2		1	7
Number of required codes												156

 

Legend
	Group correctly coded			Group under-recorded
	Group over-recorded			Group recorded on SMR01

 

The Group was recorded with:	Accuracy	95% CI	Sensitivity	Completeness
	98.7%	1.8%	95.5%	96.8%

 

Description of ICD10 codes
Fracture codes - fracture of:		Non-fracture codes
S02	skull and facial bones	I67	Other cerbrovascular diseases
S12	neck	J18	Pneumonia, organism unspecified
S22	rib(s), sternum and thoracic spine	J69	Pneumonia due to solids and liquids
S32	lumbar spine and pelvis	M25	Other joint disorders, nec
S42	shoulder and upper arm	M79	Other soft tissue disorders, nec
S52	forearm	S60	Superficial injury of wrist and hand
S62	wrist and hand	S81	Open wound of leg
S72	femur	S97	Crushing injury of ankle and foot
S82	lower leg, including ankle	Z09	Follow-up axamination after treatment for condition other than malignant neoplasm
S92	foot, except ankle
		Z47	Other orthopaedic follow-up care

 

Interpreting the table