Administrator rev ronin Posted February 24, 2016 Administrator Share Posted February 24, 2016 So there's a code for a spacecraft accident injuring (not killing, mind you, INJURING) an occupant, something that I'm not sure has ever happened... (V95.4, in case you were wondering) ... but yet there's no ICD-10 code for an infection caused by dirty tattoo needles. Guess what I saw in clinic last week? What's your favorite ICD-10 stupidity? Link to comment Share on other sites More sharing options...
FfIghter23 Posted February 24, 2016 Share Posted February 24, 2016 I used "Stabbed while crocheting Y.93D1" about a month ago. Technically wasn't a stabbing, but pretty good lac from that dang crochet hook. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted February 24, 2016 Share Posted February 24, 2016 V97.33XD Sucked into jet engine, subsequent encounterYou got sucked into a jet engine and lived, only to get sucked back in. That’s rough. Somehow, I will thankfully NEVER see this in my career but came across it while searching for something else. My absolute favorite which is sadly universally true would be the code for "problems with the in-laws"...... Link to comment Share on other sites More sharing options...
Reality Check 2 Posted February 24, 2016 Share Posted February 24, 2016 OK, you asked for it. I LOVE ICD10 - ridiculousness at its best! 1. V9027XA – Drowning and submersion due to falling or jumping from burning water skis. FRATERNITY MEMBER? 2. V9542XA – Forced landing of spacecraft injuring the occupant. MANY OF MY PATIENTS WOULD QUALIFY AS BEING FROM ELSEWHERE.............................. 3. W5609XA – contact with dolphin. AND THIS IS A PROBLEM? THEY ARE AWESOME CREATURES! 4. W5922XS – Struck by turtle, sequela. Sequela indicates that the condition was caused by a previous injury or illness. THE TURTLE HAS IT OUT FOR YOU 5. Z621 – Parental overprotection. HOW MANY TIMES A DAY CAN I USE THIS ONE AND WHAT DOES IT PAY?? 6. Z631 – Problems in relationship with in-laws. EVERY SINGLE DAY................................ 7. V0009XS – Pedestrian on foot injured in collision with other pedestrian conveyance, sequela PROBABLY TEXTING WHILE WALKING 8. W2202XA – Walked into a lamppost, initial encounter. KANYE WEST gets his own code - such a narcissist. 9. R460 – Very low level of personal hygiene OH, WOW, THIS ONE DOES EXIST! 10. W5622XA – Struck by Orca, initial encounter. FOLLOWED BY THE CODE FOR DARWIN CANDIDATE 11. X52 – Prolonged stay in weightless environment. APPLIES TO ABOUT 200 PEOPLE TOTAL ON THE PLANET 12. W6162 – Struck by a duck, sequela - AGAIN, THE DUCK DOESN'T CARE FOR YOU 13. Z731 – Type A behavior pattern - THIS SHOULD BE THE STARTING DIGITS FOR EVERY MEDICAL LICENSE ISSUED 14. R461 – Bizarre personal appearance - DOES THIS APPLY IN AUSTIN, TX AND PORTLAND, OR OR SAN FRANCISCO? 15. W5649 – Other contact with shark - ATTORNEY? Link to comment Share on other sites More sharing options...
HMtoPA Posted February 24, 2016 Share Posted February 24, 2016 V97.33XD Sucked into jet engine, subsequent encounter You got sucked into a jet engine and lived, only to get sucked back in. That’s rough. Somehow, I will thankfully NEVER see this in my career but came across it while searching for something else. My absolute favorite which is sadly universally true would be the code for "problems with the in-laws"...... To be fair, I don't think that "subsequent encounter" implies a second occurrence, but more like a follow-up for the same event. I do agree, though, that ICD-10 is oddly and ridiculously specific when it comes to outlandish injuries, and seems to drop the ball on bread-and-butter diagnoses. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 24, 2016 Moderator Share Posted February 24, 2016 yup , on our emr if you put in "bee sting" the first thing that comes up is "toxic effect, cobra venom, initial encounter". Link to comment Share on other sites More sharing options...
thinkertdm Posted February 24, 2016 Share Posted February 24, 2016 Didn't the "crochet hook stabbing" include other qualifiers, such as "stabbed by crochet hook from Grandma", "stabbed Grandma with crochet hook", "stabbed by crochet hook during prison uprising", stabbed by crochet hook during Thanksgiving"... Link to comment Share on other sites More sharing options...
cordelia*8 Posted February 24, 2016 Share Posted February 24, 2016 W61.62XD Struck by a duck, subsequent encounter Link to comment Share on other sites More sharing options...
Z PA-C Posted February 25, 2016 Share Posted February 25, 2016 V91.07 Burn due to water-skis on fire Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 25, 2016 Moderator Share Posted February 25, 2016 have you seen the injuries incurred at the opera codes? there are a bunch. you know, for all those opera-viewing-related burns, punctures, etc Link to comment Share on other sites More sharing options...
cop to pa Posted February 25, 2016 Share Posted February 25, 2016 R46.1 Bizarre personal appearance Y92.250 Injured in an opera house W55.29XA Other contact with cow, Subsequent encounter Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 25, 2016 Author Administrator Share Posted February 25, 2016 W55.29XA Other contact with cow, Subsequent encounter Wouldn't that actually be W55.29XD for a subsequent encounter? Link to comment Share on other sites More sharing options...
cop to pa Posted February 25, 2016 Share Posted February 25, 2016 You're absolutely correct. Mine was for an initial encounter with said cow. How silly of me... Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted February 27, 2016 Share Posted February 27, 2016 S10.87XA: Other superficial bite of other specified part of neck, initial encounter - diagnosed one of my MA's at the urgent care with this. She covered it with a bandaid for the rest of the shift, and turned a rather cute shade of red. New boyfriend apparently. Link to comment Share on other sites More sharing options...
cordelia*8 Posted February 27, 2016 Share Posted February 27, 2016 After all of the extraordinarily specific codes, I was pretty surprised to come across this one: C80.1 Cancer. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted February 27, 2016 Share Posted February 27, 2016 I am looking for one that relates to "overwhelmed by ICD10 and drooling"…... Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 27, 2016 Author Administrator Share Posted February 27, 2016 You know, the rules for coding, as expounded to me, have always been 3 codes = moderate risk, sufficient for a 99204/99214 coding. One of the nice things about ICD-10 is that it seems I can get three or more codes from just about any encounter... Link to comment Share on other sites More sharing options...
aquafresh11 Posted February 27, 2016 Share Posted February 27, 2016 The one that I can't get an answer to is for a-fib, there is a chronic a-fib, and a persistent a-fib. When does one turn in to the other one? Cardiology didn't know, our coders don't know. Link to comment Share on other sites More sharing options...
whoRyou Posted February 27, 2016 Share Posted February 27, 2016 Didn't the "crochet hook stabbing" include other qualifiers, such as "stabbed by crochet hook from Grandma", "stabbed Grandma with crochet hook", "stabbed by crochet hook during prison uprising", stabbed by crochet hook during Thanksgiving"... Y93.D1 Injured when knitting or crocheting — What? Knitting doesn’t get its own code?Others I have come across are: R46.1 Bizarre personal appearance—Lady Gaga, perhaps? W61.62XA Struck by duck—But struck how? Z63.1 Problems in relationship with in-laws—I guess this is a medical problem now, although this sounds like a psychological problem? W22.2XD Walked into lamppost, again—Don’t text and walk! How many times do I have to tell you! Geesh! W55.41XA Bitten by pig—This is the code for the first encounter only; there is a different code if it’s a second (or third) bite. V97.33XD Sucked into a jet engine—Would this person even be seeing a physician?? Y92.250 Injured in an opera house—I must warn my opera-loving friend of potential dangers … Danger Will Robinson! Link to comment Share on other sites More sharing options...
Guest Paula Posted March 1, 2016 Share Posted March 1, 2016 I couldn't find and ICD 10 code for "Unrealistic expectations of a patient to have their provider give them everything they want and right NOW!!!" Instead I coded her as having a passive aggressive personality disorder. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 1, 2016 Moderator Share Posted March 1, 2016 I thought personality disorders were out of favor in the new dsm? :) Link to comment Share on other sites More sharing options...
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