4 ms·
I have a hunch that ambulance rides are probably covered by most insurance policies after lightning strikes (ICD-9 code 994.0 for the curious). In any event, a
by cdjk 13y ago
I have a hunch that ambulance rides are probably covered by most insurance policies after lightning strikes (ICD-9 code 994.0 for the curious).
In any event, a trip to the ER is definitely warranted, even if it's not in an ambulance.
- lostlogin 13y agoWhatever next? So every injury type is specified? This is surreal. How is this cost effective? I thought socialised healthcare was bad as it was inefficient, yet someone writing up the injuries you're covered for doesn't seem very cost friendly.
- kens 13y agoYes, every injury type is specified. You wouldn't believe what is defined in ICD-10. E.g. Stabbed while crocheting: Y93D1 (not to be confused with Activity, computer keyboarding: Y93C1), Hurt at the opera: Y92253. And then there's the famous V9027XA: Drowning and submersion due to falling or jumping from burning water-skis, initial encounter. I should emphasize that these are all real; I am not making this up. http://www.pbs.org/newshour/rundown/2013/03/struck-by-a-turtle-theres-a-code-for-that.html http://www.pbs.org/newshour/rundown/2013/03/struck-by-a-turt... http://www.hipaaspace.com/Medical_Billing/Coding/ICD-10/Diagnosis/V9027XA http://www.hipaaspace.com/Medical_Billing/Coding/ICD-10/Diag...
- cdjk 13y agoYup, and as others have mentioned ICD-10 is worse. There are also CPT codes that specify the procedures and diagnostic techniques that doctors and other healthcare providers do. Insurance is then a mapping from ICD codes to allowed CPT codes. Good luck getting that information from your insurance company, however. Once I had a claim denied because someone transposed two digits in an ICD-9 code, and the treatment obviously didn't make sense. The insurance company couldn't tell me what the codes were - just that it was not an approved treatment for the reported condition. That took a lot of painful debugging to resolve. Oh, and CPT codes are copyrighted by the AMA [1]. If you want to use them you have to pay licensing fees. Too bad it's not usually a case of "want to use" but instead "must use." I'm not sure if ICD codes are copyrighted. [1] http://en.wikipedia.org/wiki/Current_Procedural_Terminology#Copyright http://en.wikipedia.org/wiki/Current_Procedural_Terminology#...
- scotty79 13y agoAnd people wonder how US pays twice as much as germany for the similar quality of medical services, but with worse coverage.
- vacri 13y agoThe cynic in me sees the insurance company trying to figure out if the part of the bolt that struck came from the cloud or the ground, and if the former, dismissing the claim as an 'act of god'...