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Just for fun. A few silly codes. - Maybe old news for coders...sm

Posted: Sep 30, 2014

...but this was in my newspaper today and it cracked me up. Commentators have had fun with the new system of medical diagnostic codes (denominated in from four to ten digits each) scheduled to take effect in October 2015, and the â��Healthcare Diveâ�� blog had its laughs in a July post. The codes for "problems in relationship with in-laws" and "bizarre personal appearance" are quixotic enough, but the most â��absurd" codes are "subsequent encounters" (that is, at least the second time the same thing happened to a patient) for events like walking into a lamppost, or getting sucked into a jet engine, or receiving burns from on-fire water skis, or having contact with a cow beyond being bitten or kicked (since those contacts have separate codes). Also notable was S10.87XA, "Other superficial bite of other specified part of neck, initial encounter," which seems to describe a "hickey." [HealthcareDive.com, 7-15-2014]

very funny, but.... sm - MTMT

[ In Reply To ..]
Could anyone ever have a second encounter of being sucked into a jet engine? haha

Sorry, not quite so funny ... - that article is incorrect.

[ In Reply To ..]
"Subsequent encounter" means an encounter following the initial encounter for the SAME incident.

It is intended to make it more clear that treatment is being provided for the SAME broken leg or other mishap rather than for another one.

In other words, it is not saying that the patient was sucked into a jet engine twice. Rather, it says they got sucked in once, got treated initially, and then got treated some more.

You're joking, right? sm - Anon

[ In Reply To ..]
It's a miracle that someone lived after a jet engine suck-in. There should be a code for "miracle they lived." LOL.

Umm, no, I was not joking. - Z73.1

[ In Reply To ..]
On the other hand, I think bizarre personal appearance is a little iffy. Are there even objective criteria for that?

I also wonder about the agility of someone struck by a turtle.

Struck by turtle, it can happen. - CT

[ In Reply To ..]
Once upon a time, I worked as a veterinary nurse. We dealt with exotics, including turtles. Picture this, nurse is examining turtle, turtle bites nurse, nurse flips out flipping turtle off finger, assistant is clobbered by flying turtle. The end. (I saw this very thing happen with a ferret once, and a chameleon...)

The code sets are an index of the tragedies and - misfortunes that befall us.

[ In Reply To ..]
In the ICD-9 set, there is a code for an injury sustained when a person strikes a train.

There is another for no room at the inn.

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