Confessions of a Pediatric Management Consultant... Where fame and fortune await those who help keep pediatric practices alive and independent!

More ICD9 Madness

Written by Chip Hart | Nov 6, 2013 9:16:42 PM

I did, indeed, have a request for a different analysis of the ICD9 data I posted yesterday.  My thought was to group all of the ICD9s by their major groupings to get a more complete sense of the primary drivers of pediatric visits.  My results below.

ICD
Group
ICD9 Description % of
Total
Running %
Of Total
V20 Health supervision of infant or child 30.8% 30.80%
462 Acute pharyngitis 5.8% 36.60%
V04 Need for prophylactic vaccination and inoculation against certain viral diseases 4.9% 41.47%
V05 Need for other prophylactic vaccination and inoculation against single diseases 4.7% 46.19%
382 Suppurative and unspecified otitis media 4.6% 50.83%
465 Acute upper respiratory infections of multiple or unspecified sites 4.2% 55.05%
V06 Need for prophylactic vaccination and inoculation against combinations of diseases 3.2% 58.21%
V03 Need for prophylactic vaccination and inoculation against bacterial diseases 2.2% 60.41%
079 Viral and chlamydial infection in conditions classified elsewhere and of unspecified site 2.1% 62.50%
780 General symptoms [Fever] 1.8% 64.29%
493 Asthma 1.7% 65.98%
786 Symptoms involving respiratory system and other chest symptoms 1.6% 67.63%
034 Streptococcal sore throat and scarlet fever 1.6% 69.22%
477 Allergic rhinitis 1.5% 70.71%
V30 Single liveborn 1.2% 71.88%
466 Acute bronchitis and bronchiolitis 1.0% 72.86%
461 Acute sinusitis 1.0% 73.83%
381 Nonsuppurative otitis media and eustachian tube disorders 0.9% 74.78%
V70 General medical examination 0.8% 75.58%
692 Contact dermatitis and other eczema 0.7% 76.26%
789 Other symptoms involving abdomen and pelvis [stomach pain] 0.7% 76.91%
490 Bronchitis, not specified as acute or chronic 0.7% 77.56%
372 Disorders of conjunctiva 0.6% 78.19%
314 Hyperkinetic syndrome of childhood 0.6% 78.82%
558 Other and unspecified noninfectious gastroenteritis and colitis 0.6% 79.44%
V72 Special investigations and examinations 0.6% 80.00%
599 Other disorders of urethra and urinary tract 0.6% 80.55%
788 Symptoms involving urinary system 0.5% 81.08%
380 Disorders of external ear 0.5% 81.54%
464 Acute laryngitis and tracheitis 0.4% 81.98%
388 Other disorders of ear 0.4% 82.41%

 

The top ~30 code groups get us to 82% of your business.  150 gets us to 95%.  That's amazing, if you think about it - the breadth of what you have to know as a pediatrician is astounding, especially when what you need to do to do a proper well visit alone is complex and personal as...well, those surgical codes that get paid at 20x the rate.  Or more.

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