Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.

ABSTRACT:

Objective

To assess the appropriateness of outpatient antibiotic prescribing for privately insured children and non-elderly adults in the US using a comprehensive classification scheme of diagnosis codes in ICD-10-CM (international classification of diseases-clinical modification, 10th revision), which replaced ICD-9-CM in the US on 1 October 2015.

Design

Cross sectional study.

Setting

MarketScan Commercial Claims and Encounters database, 2016.

Participants

19.2 million enrollees aged 0-64 years.

Main outcome measures

A classification scheme was developed that determined whether each of the 91 738 ICD-10-CM diagnosis codes "always," "sometimes," or "never" justified antibiotics. For each antibiotic prescription fill, this scheme was used to classify all

SUBMITTER: Chua KP 

PROVIDER: S-EPMC6334180 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature