Can ChatGPT support clinical coding using the ICD-10-CM/PCS?

Detalhes bibliográficos
Autor(a) principal: Nascimento Teixeira, Bernardo
Data de Publicação: 2024
Outros Autores: Leitão, Ana, Nascimento, Generosa, Campos-Fernandes, Adalberto, Cercas, Francisco
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: http://hdl.handle.net/10362/176965
Resumo: Publisher Copyright: © 2024 by the authors.
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network_name_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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spelling Can ChatGPT support clinical coding using the ICD-10-CM/PCS?artificial intelligenceChatGPTclinical codingICD-10-CM/PCSCommunicationHuman-Computer InteractionComputer Networks and CommunicationsSDG 3 - Good Health and Well-beingPublisher Copyright: © 2024 by the authors.Introduction: With the growing development and adoption of artificial intelligence in healthcare and across other sectors of society, various user-friendly and engaging tools to support research have emerged, such as chatbots, notably ChatGPT. Objective: To investigate the performance of ChatGPT as an assistant to medical coders using the ICD-10-CM/PCS. Methodology: We conducted a prospective exploratory study between 2023 and 2024 over 6 months. A total of 150 clinical cases coded using the ICD-10-CM/PCS, extracted from technical coding books, were systematically randomized. All cases were translated into Portuguese (the native language of the authors) and English (the native language of the ICD-10-CM/PCS). These clinical cases varied in complexity levels regarding the quantity of diagnoses and procedures, as well as the nature of the clinical information. Each case was input into the 2023 ChatGPT free version. The coding obtained from ChatGPT was analyzed by a senior medical auditor/coder and compared with the expected results. Results: Regarding the correct codes, ChatGPT’s performance was higher by approximately 29 percentage points between diagnoses and procedures, with greater proficiency in diagnostic codes. The accuracy rate for codes was similar across languages, with rates of 31.0% and 31.9%. The error rate in procedure codes was substantially higher than that in diagnostic codes by almost four times. For missing information, a higher incidence was observed in diagnoses compared to procedures of slightly more than double the comparative rates. Additionally, there was a statistically significant excess of codes not related to clinical information, which was higher in procedures and nearly the same value in both languages under study. Conclusion: Given the ease of access to these tools, this investigation serves as an awareness factor, demonstrating that ChatGPT can assist the medical coder in directed research. However, it does not replace their technical validation in this process. Therefore, further developments of this tool are necessary to increase the quality and reliability of the results.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Escola Nacional de Saúde Pública (ENSP)RUNNascimento Teixeira, BernardoLeitão, AnaNascimento, GenerosaCampos-Fernandes, AdalbertoCercas, Francisco2025-01-02T21:26:06Z2024-122024-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/176965eng2227-9709PURE: 105562712https://doi.org/10.3390/informatics11040084info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-01-06T01:34:53Zoai:run.unl.pt:10362/176965Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T19:27:39.661649Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
title Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
spellingShingle Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
Nascimento Teixeira, Bernardo
artificial intelligence
ChatGPT
clinical coding
ICD-10-CM/PCS
Communication
Human-Computer Interaction
Computer Networks and Communications
SDG 3 - Good Health and Well-being
title_short Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
title_full Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
title_fullStr Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
title_full_unstemmed Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
title_sort Can ChatGPT support clinical coding using the ICD-10-CM/PCS?
author Nascimento Teixeira, Bernardo
author_facet Nascimento Teixeira, Bernardo
Leitão, Ana
Nascimento, Generosa
Campos-Fernandes, Adalberto
Cercas, Francisco
author_role author
author2 Leitão, Ana
Nascimento, Generosa
Campos-Fernandes, Adalberto
Cercas, Francisco
author2_role author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Nascimento Teixeira, Bernardo
Leitão, Ana
Nascimento, Generosa
Campos-Fernandes, Adalberto
Cercas, Francisco
dc.subject.por.fl_str_mv artificial intelligence
ChatGPT
clinical coding
ICD-10-CM/PCS
Communication
Human-Computer Interaction
Computer Networks and Communications
SDG 3 - Good Health and Well-being
topic artificial intelligence
ChatGPT
clinical coding
ICD-10-CM/PCS
Communication
Human-Computer Interaction
Computer Networks and Communications
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2024 by the authors.
publishDate 2024
dc.date.none.fl_str_mv 2024-12
2024-12-01T00:00:00Z
2025-01-02T21:26:06Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/176965
url http://hdl.handle.net/10362/176965
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2227-9709
PURE: 105562712
https://doi.org/10.3390/informatics11040084
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