Use of radiology procedure codes in health care

The need for standardization and structure

Kenneth C. Wang, Jigar B. Patel, Bimal Vyas, Michael Toland, Beverly Collins, Daniel Vreeman, Swapna Abhyankar, Eliot L. Siegel, Daniel L. Rubin, Curtis P. Langlotz

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Radiology procedure codes are a fundamental part of most radiology workflows, such as ordering, scheduling, billing, and image interpretation. Nonstandardized unstructured procedure codes have typically been used in radiology departments. Such codes may be sufficient for specific purposes, but they offer limited support for interoperability. As radiology workflows and the various forms of clinical data exchange have become more sophisticated, the need for more advanced interoperability with use of standardized structured codes has increased. For example, structured codes facilitate the automated identification of relevant prior imaging studies and the collection of data for radiation dose tracking. The authors review the role of imaging procedure codes in radiology departments and across the health care enterprise. Standards for radiology procedure coding are described, and the mechanisms of structured coding systems are reviewed. In particular, the structure of the RadLex™ Playbook coding system and examples of the use of this system are described. Harmonization of the RadLex Playbook system with the Logical Observation Identifiers Names and Codes standard, which is currently in progress, also is described. The benefits and challenges of adopting standardized codes—especially the difficulties in mapping local codes to standardized codes—are reviewed. Tools and strategies for mitigating these challenges, including the use of billing codes as an intermediate step in mapping, also are reviewed. In addition, the authors describe how to use the RadLex Playbook Web service application programming interface for partial automation of code mapping.

Original languageEnglish (US)
Pages (from-to)1099-1110
Number of pages12
JournalRadiographics
Volume37
Issue number4
DOIs
StatePublished - Jul 1 2017

Fingerprint

Radiology
Delivery of Health Care
Workflow
Logical Observation Identifiers Names and Codes
Automation
Radiation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Wang, K. C., Patel, J. B., Vyas, B., Toland, M., Collins, B., Vreeman, D., ... Langlotz, C. P. (2017). Use of radiology procedure codes in health care: The need for standardization and structure. Radiographics, 37(4), 1099-1110. https://doi.org/10.1148/rg.2017160188

Use of radiology procedure codes in health care : The need for standardization and structure. / Wang, Kenneth C.; Patel, Jigar B.; Vyas, Bimal; Toland, Michael; Collins, Beverly; Vreeman, Daniel; Abhyankar, Swapna; Siegel, Eliot L.; Rubin, Daniel L.; Langlotz, Curtis P.

In: Radiographics, Vol. 37, No. 4, 01.07.2017, p. 1099-1110.

Research output: Contribution to journalArticle

Wang, KC, Patel, JB, Vyas, B, Toland, M, Collins, B, Vreeman, D, Abhyankar, S, Siegel, EL, Rubin, DL & Langlotz, CP 2017, 'Use of radiology procedure codes in health care: The need for standardization and structure', Radiographics, vol. 37, no. 4, pp. 1099-1110. https://doi.org/10.1148/rg.2017160188
Wang, Kenneth C. ; Patel, Jigar B. ; Vyas, Bimal ; Toland, Michael ; Collins, Beverly ; Vreeman, Daniel ; Abhyankar, Swapna ; Siegel, Eliot L. ; Rubin, Daniel L. ; Langlotz, Curtis P. / Use of radiology procedure codes in health care : The need for standardization and structure. In: Radiographics. 2017 ; Vol. 37, No. 4. pp. 1099-1110.
@article{0fee7ff5813147d8805e2778577ed881,
title = "Use of radiology procedure codes in health care: The need for standardization and structure",
abstract = "Radiology procedure codes are a fundamental part of most radiology workflows, such as ordering, scheduling, billing, and image interpretation. Nonstandardized unstructured procedure codes have typically been used in radiology departments. Such codes may be sufficient for specific purposes, but they offer limited support for interoperability. As radiology workflows and the various forms of clinical data exchange have become more sophisticated, the need for more advanced interoperability with use of standardized structured codes has increased. For example, structured codes facilitate the automated identification of relevant prior imaging studies and the collection of data for radiation dose tracking. The authors review the role of imaging procedure codes in radiology departments and across the health care enterprise. Standards for radiology procedure coding are described, and the mechanisms of structured coding systems are reviewed. In particular, the structure of the RadLex™ Playbook coding system and examples of the use of this system are described. Harmonization of the RadLex Playbook system with the Logical Observation Identifiers Names and Codes standard, which is currently in progress, also is described. The benefits and challenges of adopting standardized codes—especially the difficulties in mapping local codes to standardized codes—are reviewed. Tools and strategies for mitigating these challenges, including the use of billing codes as an intermediate step in mapping, also are reviewed. In addition, the authors describe how to use the RadLex Playbook Web service application programming interface for partial automation of code mapping.",
author = "Wang, {Kenneth C.} and Patel, {Jigar B.} and Bimal Vyas and Michael Toland and Beverly Collins and Daniel Vreeman and Swapna Abhyankar and Siegel, {Eliot L.} and Rubin, {Daniel L.} and Langlotz, {Curtis P.}",
year = "2017",
month = "7",
day = "1",
doi = "10.1148/rg.2017160188",
language = "English (US)",
volume = "37",
pages = "1099--1110",
journal = "Radiographics",
issn = "0271-5333",
publisher = "Radiological Society of North America Inc.",
number = "4",

}

TY - JOUR

T1 - Use of radiology procedure codes in health care

T2 - The need for standardization and structure

AU - Wang, Kenneth C.

AU - Patel, Jigar B.

AU - Vyas, Bimal

AU - Toland, Michael

AU - Collins, Beverly

AU - Vreeman, Daniel

AU - Abhyankar, Swapna

AU - Siegel, Eliot L.

AU - Rubin, Daniel L.

AU - Langlotz, Curtis P.

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Radiology procedure codes are a fundamental part of most radiology workflows, such as ordering, scheduling, billing, and image interpretation. Nonstandardized unstructured procedure codes have typically been used in radiology departments. Such codes may be sufficient for specific purposes, but they offer limited support for interoperability. As radiology workflows and the various forms of clinical data exchange have become more sophisticated, the need for more advanced interoperability with use of standardized structured codes has increased. For example, structured codes facilitate the automated identification of relevant prior imaging studies and the collection of data for radiation dose tracking. The authors review the role of imaging procedure codes in radiology departments and across the health care enterprise. Standards for radiology procedure coding are described, and the mechanisms of structured coding systems are reviewed. In particular, the structure of the RadLex™ Playbook coding system and examples of the use of this system are described. Harmonization of the RadLex Playbook system with the Logical Observation Identifiers Names and Codes standard, which is currently in progress, also is described. The benefits and challenges of adopting standardized codes—especially the difficulties in mapping local codes to standardized codes—are reviewed. Tools and strategies for mitigating these challenges, including the use of billing codes as an intermediate step in mapping, also are reviewed. In addition, the authors describe how to use the RadLex Playbook Web service application programming interface for partial automation of code mapping.

AB - Radiology procedure codes are a fundamental part of most radiology workflows, such as ordering, scheduling, billing, and image interpretation. Nonstandardized unstructured procedure codes have typically been used in radiology departments. Such codes may be sufficient for specific purposes, but they offer limited support for interoperability. As radiology workflows and the various forms of clinical data exchange have become more sophisticated, the need for more advanced interoperability with use of standardized structured codes has increased. For example, structured codes facilitate the automated identification of relevant prior imaging studies and the collection of data for radiation dose tracking. The authors review the role of imaging procedure codes in radiology departments and across the health care enterprise. Standards for radiology procedure coding are described, and the mechanisms of structured coding systems are reviewed. In particular, the structure of the RadLex™ Playbook coding system and examples of the use of this system are described. Harmonization of the RadLex Playbook system with the Logical Observation Identifiers Names and Codes standard, which is currently in progress, also is described. The benefits and challenges of adopting standardized codes—especially the difficulties in mapping local codes to standardized codes—are reviewed. Tools and strategies for mitigating these challenges, including the use of billing codes as an intermediate step in mapping, also are reviewed. In addition, the authors describe how to use the RadLex Playbook Web service application programming interface for partial automation of code mapping.

UR - http://www.scopus.com/inward/record.url?scp=85023767004&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85023767004&partnerID=8YFLogxK

U2 - 10.1148/rg.2017160188

DO - 10.1148/rg.2017160188

M3 - Article

VL - 37

SP - 1099

EP - 1110

JO - Radiographics

JF - Radiographics

SN - 0271-5333

IS - 4

ER -