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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Electronic Coding for Abnormal Fecal Immunochemical Test Is Associated With Increased Colonoscopy Completion.

Shohei Burns¹, Madeline Griffith¹, Shreya Patel^1,2

¹Department of Medicine, University of California, San Francisco, California, USA.

The American Journal of Gastroenterology

|March 15, 2024

Summary

The International Classification of Disease, Tenth Revision (ICD-10) code R19.5 aids in tracking patients with positive fecal immunochemical tests (FITs). Timely coding of abnormal FIT results is associated with higher colonoscopy completion rates.

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Area of Science:

Gastroenterology
Health Informatics
Public Health

Background:

Fecal immunochemical tests (FITs) are crucial for colorectal cancer screening.
Accurate coding of diagnostic results is essential for patient management and health system efficiency.

Purpose of the Study:

To evaluate the utility of the ICD-10 code R19.5 for positive FIT results.
To determine the association between timely ICD-10 coding and colonoscopy completion rates.

Main Methods:

Retrospective cohort study of patients undergoing FITs between January 1, 2020, and August 31, 2021.
Extracted data on FIT results, ICD-10 code R19.5 designation, and colonoscopy completion.

Main Results:

Patients with an R19.5 code within 90 days of a positive FIT were more likely to complete a colonoscopy within 6 months (40.9% vs. 16.8%).
Less than two-thirds of patients had timely ICD-10 code designation (within 30 days) after an abnormal FIT.

Conclusions:

The ICD-10 code R19.5 can be a useful indicator for positive FIT results.
Timely coding of abnormal FITs is associated with improved colonoscopy follow-up, highlighting the importance of efficient health informatics practices.