groupWenxing Sun, Andrew M. Briggs, Laura J. Miller, Charles Inderjeeth, and William Pyper

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Osteoporosis is recognised as a National Health Priority Area in Australia, owing to the significant burden of associated disease. One in four men and two in five women aged 50 years and over will experience some form of osteoporotic fracture in their lifetime (Australian Institute of Health and Welfare, 2014). These fractures occur after little or no trauma, such as a fall from standing height. They are also known as “minimal trauma” or “low impact” fractures. Osteoporotic fractures are associated with increased morbidity and mortality and risk increases with the number of fractures sustained (Center et al., 2007). With their high prevalence and associated costs, accurate data on health service utilisation for these fractures is important to researchers, policy makers, and hospital managers for planning and resource allocation.The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, AustralianModification (ICD-10-AM) is used to capture the diagnoses in the admitted patient data in Australia. The purpose of this article is to describe the limitations of using ICD-10-AM codes for surveillance of osteoporotic fracture and to encourage discussion of some emerging clinical coding issues.


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