5 ms·

As others have explained, the subsequent encounter is for a follow-up visit, not a repeated duck attack.

by arcticfox 3y ago

galleywest200 3y ago
This is still silly.
- deleted 3y ago
  [deleted]
- Alupis 3y ago
  It's not when you want statistics about all injury types, treatments, etc.
  - deleted 3y ago
    [deleted]
  - boredpeter 3y ago
    You don’t need arbitrary codes to get statistics for something that can be typed in a description field.
    - paulddraper 3y ago
      You don't need to type arbitrary descriptions for something that can be a standardized code.
    - vanattab 3y ago
      Well the codes are just a standard way to enter the data so you don't have x reports of "duck bite" and y cases of "bitten by duck" or "mallard bite"
    - owenmarshall 3y ago
      Speaking as someone who has seen the inside of an EHR system, their data models, and what data actually ends up stored there: lmao
    - petsfed 3y ago
      I've spent a lot time around people doing statistics for environmental science, especially regulatory compliance around accidentally killing birds and bats. The unfortunate reality for the statisticians is that every tech thinks they're Henry David Thoreau or something. Like, nobody cares if it was a particular large exemplar of a given species, or that it had magnificent plummage, just write down the species of the carcass and where it was located, and move on. Instead, there's so much variance from (mass produced and standardized) data sheet to data sheet that you can't even use hand writing recognition to automate the process of ingesting the data. Manually entering the data is somebody's whole job, because they've tried to automate it, and failed. The billing codes exist explicitly to limit the amount of independent thought that can be applied to something that is adequately summarized as "bit by a duck, third visit".
      - marvin 3y ago
        What if it was a lemur, though? Bet they don't have a code for that.
        webnrrd2k 3y ago
        According to Google, it's: 2023 ICD-10-CM Diagnosis Code W55.81XA Bitten by other mammals, initial encounter
        skylanh 3y ago
        The codes are possibly (also) related to incidents that CDC or other organizations would like statistics on. Lemur's aren't common, ducks are, and "Chlamydia psittaci in ducks: a hidden health risk for poultry workers" is (via https://pubmed.ncbi.nlm.nih.gov/25854003/ https://pubmed.ncbi.nlm.nih.gov/25854003/)
      - CogitoCogito 3y ago
        > The billing codes exist explicitly to limit the amount of independent thought that can be applied to something that is adequately summarized as "bit by a duck, third visit". None of this explains why these codes are needed for billing though. We simply don't need to bill differently for these pieces of information. The visit might have all these tags for informational purposes, but the bill should be for "visit to GP" and that's it.

As others have explained, the subsequent encounter is for a follow-up visit, not a repeated duck attack.

galleywest200 3y ago

This is still silly.

deleted 3y ago
[deleted]
Alupis 3y ago
It's not when you want statistics about all injury types, treatments, etc.
- deleted 3y ago
  [deleted]
- boredpeter 3y ago
  You don’t need arbitrary codes to get statistics for something that can be typed in a description field.
  - paulddraper 3y ago
    You don't need to type arbitrary descriptions for something that can be a standardized code.
  - vanattab 3y ago
    Well the codes are just a standard way to enter the data so you don't have x reports of "duck bite" and y cases of "bitten by duck" or "mallard bite"
  - owenmarshall 3y ago
    Speaking as someone who has seen the inside of an EHR system, their data models, and what data actually ends up stored there: lmao
  - petsfed 3y ago
    I've spent a lot time around people doing statistics for environmental science, especially regulatory compliance around accidentally killing birds and bats. The unfortunate reality for the statisticians is that every tech thinks they're Henry David Thoreau or something. Like, nobody cares if it was a particular large exemplar of a given species, or that it had magnificent plummage, just write down the species of the carcass and where it was located, and move on. Instead, there's so much variance from (mass produced and standardized) data sheet to data sheet that you can't even use hand writing recognition to automate the process of ingesting the data. Manually entering the data is somebody's whole job, because they've tried to automate it, and failed. The billing codes exist explicitly to limit the amount of independent thought that can be applied to something that is adequately summarized as "bit by a duck, third visit".
    - marvin 3y ago
      What if it was a lemur, though? Bet they don't have a code for that.
      - webnrrd2k 3y ago
        According to Google, it's: 2023 ICD-10-CM Diagnosis Code W55.81XA Bitten by other mammals, initial encounter
      - skylanh 3y ago
        The codes are possibly (also) related to incidents that CDC or other organizations would like statistics on. Lemur's aren't common, ducks are, and "Chlamydia psittaci in ducks: a hidden health risk for poultry workers" is (via https://pubmed.ncbi.nlm.nih.gov/25854003/ https://pubmed.ncbi.nlm.nih.gov/25854003/)
    - CogitoCogito 3y ago
      > The billing codes exist explicitly to limit the amount of independent thought that can be applied to something that is adequately summarized as "bit by a duck, third visit". None of this explains why these codes are needed for billing though. We simply don't need to bill differently for these pieces of information. The visit might have all these tags for informational purposes, but the bill should be for "visit to GP" and that's it.