ICD-10

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DrMatt
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ICD-10

Postby DrMatt » Fri Nov 22, 2013 9:29 pm

The link.
Summary: 2014-10-01, US health care providers will move on to the new international standard for coding diagnoses. There are some surprising entries in the list--including "burn due to waterskis catching on fire."

Matt's comment: if statistical clusters and treatment plans require these details, they're good sense, even if some seem strange.
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Re: ICD-10

Postby Tiosylanyl » Fri Nov 22, 2013 9:38 pm

We've had several presentations on this over the last year or so. There are some nutty ones in there.

http://www.poweryourpractice.com/revenue-cycle-management/the-most-bizarre-icd-10-code-awards/

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Re: ICD-10

Postby Anaxagoras » Sun Nov 24, 2013 1:04 am

Burned due to water skis on fire? Stabbed while crocheting?
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Re: ICD-10

Postby DrMatt » Mon Dec 16, 2013 4:43 pm

ChristmasMCIT.jpg




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Re: ICD-10

Postby Tiosylanyl » Fri Sep 11, 2015 8:07 pm

Making the rounds at work today:

W55.41XA: Bitten by pig, initial encounter. First, be sure that the patient is restrained from doing whatever he or she may have done to provoke the pig in the first place. Security should be placed on alert. Also, what was this person doing in a farm setting in the first place? Pigs are not pets.

W61.62XD: Struck by duck, subsequent encounter. Maladies that rhyme should be given immediately priority in the ER. Ducks, like most water fowl, are mean-spirited animals and this case should be treated with the utmost urgency as it is likely to be a serious injury.

Z63.1: Problems in relationship with in-laws. Who doesn't?

W220.2XD: Walked into lamppost, subsequent encounter. No. No. People. You only get to do this once. ONCE. If a patient is going around whacking into lampposts regularly, there is a deeper problem here, and he should be referred to psych immediately.

Y93.D: V91.07XD: Burn due to water-skis on fire, subsequent encounter. How does this happen? Are water skis even flammable?

W55.29XA: Other contact with cow, subsequent encounter. "Other contact with cow." OTHER CONTACT WITH COW? There are codes for "bitten by cow" and "kicked by cow." What else is there?! What, precisely, is the contact with the cow that has necessitated a hospital visit?!

W22.02XD: V95.43XS: Spacecraft collision injuring occupant, sequela. The existence of this type of code does not engender trust in the National Aeronautics and Space Administration. Shouldn't they have more control over their spacecraft than that? Or are they just careening around in the ether, pinging into one another and injuring occupants/astronauts?

W61.12XA: Struck by macaw, initial encounter. Macaws are endangered—some are extinct in the wild—so if a patient has been struck by a macaw, chances are, it was the patient's fault. Consider calling the SPCA and/or the police. The macaw needs to be found and treated immediately.

R46.1: Bizarre personal appearance. LADY GAGA, IS THAT YOU? WE LOVE YOUR MEAT SUIT.

But seriously, who gets to decide what constitutes "bizarre personal appearance"?

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Re: ICD-10

Postby Rob Lister » Fri Sep 11, 2015 8:25 pm

Where do these codes originate? When I read this thread originally I figured that since these things do happen, maybe they happen enough to necessitate a code. But this:

W22.02XD: V95.43XS: Spacecraft collision injuring occupant, sequela.


... has never happened, at least it is not so recorded in wiki. Not saying it can't, but damn. Wouldn't a single code for hurt in space do well enough?

Is there some kind of coding build system that allows one to make shit up?

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Re: ICD-10

Postby Doctor X » Fri Sep 11, 2015 8:47 pm

It is important that we can bill you for it Lister.

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