AIMC Topic: Current Procedural Terminology

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Improved American College of Surgeons NSQIP Hospital Benchmarking with Risk Adjustment for Many CPT Codes Rather Than Just the Principal Code.

Journal of the American College of Surgeons
BACKGROUND: Because of technical limitations inherent to logistic regression, NSQIP benchmarking has historically risk adjusted for procedure using only 1 principal CPT code among other predictors. This has the potential to create bias (favorable or ...

Generalizing machine learning models from clinical free text.

Scientific reports
To assess strategies for enhancing the generalizability of healthcare artificial intelligence models, we analyzed the impact of preprocessing approaches applied to medical free text, compared single- versus multiple-institution data models, and evalu...

Evaluating Large Language Model's accuracy in current procedural terminology coding given operative note templates across various plastic surgery sub-specialties.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS
BACKGROUND: Manual CPT coding from operative notes is a time-intensive process that adds to the administrative burden in healthcare. Large Language Models (LLMs) offer a promising solution, but their accuracy in assigning CPT codes based on full oper...

Systematic evaluation of common natural language processing techniques to codify clinical notes.

PloS one
Proper codification of medical diagnoses and procedures is essential for optimized health care management, quality improvement, research, and reimbursement tasks within large healthcare systems. Assignment of diagnostic or procedure codes is a tediou...

A tree based approach for multi-class classification of surgical procedures using structured and unstructured data.

BMC medical informatics and decision making
BACKGROUND: In surgical department, CPT code assignment has been a complicated manual human effort, that entails significant related knowledge and experience. While there are several studies using CPTs to make predictions in surgical services, litera...

Towards automatic encoding of medical procedures using convolutional neural networks and autoencoders.

Artificial intelligence in medicine
Classification systems such as ICD-10 for diagnoses or the Swiss Operation Classification System (CHOP) for procedure classification in the clinical treatment are essential for clinical management and information exchange. Traditionally, classificati...

A numerical similarity approach for using retired Current Procedural Terminology (CPT) codes for electronic phenotyping in the Scalable Collaborative Infrastructure for a Learning Health System (SCILHS).

BMC medical informatics and decision making
BACKGROUND: Interoperable phenotyping algorithms, needed to identify patient cohorts meeting eligibility criteria for observational studies or clinical trials, require medical data in a consistent structured, coded format. Data heterogeneity limits s...

An Open-architecture AI Model for CPT Coding in Breast Surgery: Development, Validation, and Prospective Testing.

Annals of surgery
OBJECTIVE: To develop, validate, and prospectively test an open-architecture, transformer-based artificial Intelligence (AI) model to extract procedure codes from free-text breast surgery operative notes.