12 ms·
Browsing medical diagnosis codes... https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10
by r0m4n0 10y ago
Browsing medical diagnosis codes... https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and...
Some of the most mildly interesting:
V9543XD Spacecraft collision injuring occupant, subsequent encounter
W5602XD Struck by dolphin, subsequent encounter
X35XXXD Volcanic eruption, subsequent encounter
X52XXXD Prolonged stay in weightless environment, subsequent encounter
Y0881XD Assault by crashing of aircraft, subsequent encounter
- protomyth 10y agoSadly, my first job out of college involved these codes after we wrote a rural health grant. The money and pain that went into that thing still wakes me up at night. The codes (and the cost of acquiring the "book" along with filling out the forms) gave me fits and actually made me think heavily about calling in sick for work each morning in the shower.
- snovv_crash 10y agoThere must be a code for that...
- arglebarnacle 10y agoSome more: W2202XA Walked into lamppost, initial encounter W34111A Accidental malfunction of paintball gun, initial encounter W5629XA Other contact with orca, initial encounter Y36511D War operations involving direct blast effect of nuclear weapon, civilian, subsequent encounter V657XXA Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounter Y92331 Roller skating rink as the place of occurrence of the external cause
- ReAzem 10y agoErm, there is a website for W2202XA: http://w2202xa.com/ http://w2202xa.com/
- nawtacawp 10y agobut... why did you know that?
- brianzelip 10y agoi'm sure the parent just searched for the string.
- cloudjacker 10y ago$10/yr well spent
- yitchelle 10y agoMaybe he is targeting a über niche that is so obscure that it becomes abstract.
- brianzelip 10y agoWhat a weird web page and url. Looks like it was just thrown up as text in html, but there's a container, so maybe someone actually applied CSS to that little tidbit? Nope, a blockquote inside a blockquote. Interesting html-only container!
- wl 10y agoThere seems to be some misunderstanding what is meant by "subsequent encounter" in this context. These are codes for office visits. "Subsequent encounter" means that a patient is not seeing a physician for the first time about their injury. There are also codes for "initial encounter."
- happy-go-lucky 10y agoA subsequent encounter must be a followup visit.
- digikata 10y agoSo initial vs subsequent encounter are completely different codes? Wouldn't this approach double the number of codes? Why wouldn't this be some other field of data associated with the form instead of mixing it up in the diagnostic 'topic'. I know nothing about medical diagnosis codes.
- cpfohl 10y agoPretty sure its just a suffix That indicates a second encounter with the patient
- emodendroket 10y agoLooking at the examples, they end with A for initial and D for subsequent visits.
- criley2 10y agoMedical diagnosis codes are all about reimbursement. Doctors do not rely on coding so much as finance dept relies on coding. Proper coding means more $$, so talented dx coders are valuable. Separating the code this way may not make sense medically, but it makes a lot more sense when you realize CMS or Blue Cross wants more coded granularity for automatic transmission of accurate financial information.
- 10y ago
- jrowley 10y agoIf you like these you might also enjoy ICD-10 illustrated. [0] http://www.icd10illustrated.com/ http://www.icd10illustrated.com/ They found a lot of great codes. One of my favorites from the book: V91.07xD Burn due to water-skis on fire, subsequent encounter.
- athenot 10y agoThanks for helping me along my Christmas shopping! This is great for those who work in healthcare...
- KingMob 10y agoMy parents are MDs, and they hate this stuff. Mostly because the onus is on doctors to perfectly use the correct code or not get reimbursed. (Or more realistically, waste time arguing with insurance companies/Medicare to get reimbursed.)
- furyg3 10y agoI don't even... why in the world would it be important for a doctor to differentiate being struck by a dolphin or struck by orca (side note: orcas are dolphins!).
- protomyth 10y agoSeverity of injury?
- ghurtado 10y agoI've gotta believe that some dolphin injuries are more severe than some orca injuries. At any rate, once the code describes a situation so specific that it may only classify a few injuries a year, what possible benefit may come from that?
- protomyth 10y agoAm I missing a table since I can find the orca thing, but it doesn't have a listing for bear. Please tell me bears are a bigger danger than orcas? // holy crud, the comment section is now a rabbit hole - good job karim
- tiglionabbit 10y agoYeah, bears are not specifically mentioned. You'd have to file it by W55.8: contact with other mammal.
- ghurtado 10y agoYou guys are either pulling my leg, or I just entered a Volgon message board by mistake.
- protomyth 10y agoNope, we are quite serious. Download https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Code-Descriptions-in-Tabular-Order.zip https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Cod... and enjoy. So, an orca (9 codes) and a squirrel (6 codes) have their own damn codes but a friggin bear is in the other category?!? Heck, wolves, coyotes, bears, and mountain lions all don't have their own codes. I see a lobbying effort that needs to go on to show the true nature of dangerous animals in the US and quit hiding these attacks in the other category. On the other hand, I do like the difference between cats and dogs: W540XXA Bitten by dog, initial encounter W540XXD Bitten by dog, subsequent encounter W540XXS Bitten by dog, sequela W541XXA Struck by dog, initial encounter W541XXD Struck by dog, subsequent encounter W541XXS Struck by dog, sequela W548XXA Other contact with dog, initial encounter W548XXD Other contact with dog, subsequent encounter W548XXS Other contact with dog, sequela W5501XA Bitten by cat, initial encounter W5501XD Bitten by cat, subsequent encounter W5501XS Bitten by cat, sequela W5503XA Scratched by cat, initial encounter W5503XD Scratched by cat, subsequent encounter W5503XS Scratched by cat, sequela W5509XA Other contact with cat, initial encounter W5509XD Other contact with cat, subsequent encounter W5509XS Other contact with cat, sequela
- kj01a 10y agoMy favorite: W61.62 Struck by duck
- 0xfeba 10y agoReminds me of some of NJ's (and other's, I imagine) state laws: > 39:4–128.4 Improper passing of frozen dessert truck Your honor, those desserts weren't frozen! (Jury gasps)
- jimmies 10y agoInterestingly, I heard about that a couple of months ago going to a med conference and listening to Atul Butte. Here is the longer narrative of the taxonomic structure of death causes: https://youtu.be/pY5_KSMlAUQ?t=105 https://youtu.be/pY5_KSMlAUQ?t=105 (By the way, the rest of Atul's talk is also quite interesting, too, for people who are looking for building the next open-source bio/medical-informatics company in their garage.)
- jmhmd 10y agoInteresting this should pop up, a few weekends ago I put together a simple quick search for ICD-10 codes (and Radlex, a radiology specific lexicon) at http://lex.orionmd.com http://lex.orionmd.com. I'm sure there are other more powerful tools out there, but feel free to play around!
- drivingmenuts 10y agoThose are oddly specific.
- deleted 10y ago[deleted]
- drdrey 10y agoZ62891 Sibling rivalry Y93G2 Activity, grilling and smoking food Y9286 Slaughter house as the place of occurrence of the external cause Y6553 Performance of correct procedure (operation) on wrong side or body part X962XXA Assault by letter bomb, initial encounter X05XXXA Exposure to ignition or melting of nightwear, initial encounter
- watmough 10y agoI can think of examples of all of these. But I did have siblings, burn myself bbq'ing, know people who worked in the local slaughterhouse (knife in the arm to get off work), know of a surgeon who made this terribly sad mistake, live in the UK (IRA letter bombs). Ok, I kinda give up on the last one.
- RyJones 10y agoI knocked one of those quartz desklamps over on my bed when I was asleep. Set the blanket on fire, caused it to melt. Fortunately, I was awakened before I was injured. Not sure if that would count, though.
- projektfu 10y agoSibling rivalry is a serious condition where your young child is trying to harm or murder your new baby.
- provemewrong 10y ago> Y6553 Performance of correct procedure (operation) on wrong side or body part That's horrifying.
- shagie 10y agoMost applicable to our profession is that of T43.616A: Underdosing of caffeine, initial encounter
- twic 10y ago> V9543XD Spacecraft collision injuring occupant, subsequent encounter Hold on, hold on: when you say 'spacecraft', do you mean complete space vehicles, which would be 336414, or space satellites, communications, which would be 334220? http://www.census.gov/eos/www/naics/ http://www.census.gov/eos/www/naics/
- voiddimension 10y agowell done! Responses are evident enough for this being a rabbit hole. :)
- inostia 10y agoApropos. Thomas Morris' excellent blog about historical medical cases is super interesting, using reports from old medical journals as source. Eg "The woman who peed through her nose": http://www.thomas-morris.uk/ http://www.thomas-morris.uk/
- mSparks 10y agoThe best has to be V97.33XD Sucked into jet engine, subsequent encounter Just in case you survived.
- CPLX 10y agoProbably just a hair less unlikely than you had previously thought. Who can forget this early YouTube classic: https://m.youtube.com/watch?v=HeLbtltuB5g https://m.youtube.com/watch?v=HeLbtltuB5g
- JshWright 10y agoA "rabbit hole" for you... A major annoyance for me (a paramedic). Accurately categorizing the stupidity humanity can be surprisingly time consuming...
- theunamedguy 10y agoY385X3A Terrorism involving nuclear weapons, terrorist injured, initial encounter
- 0xmohit 10y agoSome more: Z621 – Parental overprotection Z631 – Problems in relationship with in-laws R460 – Very low level of personal hygiene Z731 – Type A behavior pattern R461 – Bizarre personal appearance
- aduffy 10y agoAnd still no code for "close encounter", tsk tsk
- calcsam 10y agoMy wife studies domestic violence and notes that there is no code for strangulation. Talk about bike-shedding.
- askvictor 10y agoAre these added added to the database as needed, or did a (group of) bureaucrat(s) make these up in one sitting?
- GrinningFool 10y agoW621XX Contact with nonvenomous toads