Saturday, July 2, 2016

What was the ICD10 code?

My oldest is in Florida visiting her boyfriend. 

Post from her boyfriend:

So yesterday we ended up walking on the beach where Montana pegging me with a dead fish. Well the dead fish stabbed me in the wrist and was imbedded in my tendon so then there was blood and a lot of swelling. 

Anyway it hurt and I just want everyone to know that Montana stabbed me with a fish.

The lesson is evidently threefold 

First - Don't throw fish 

Second - Good to know there are more self defense options than what seem readily apparent
and . . . 

Third - Ecstatic that my child can locate such options if needed. 

If you don't have a need for providing medical diagnoses, ICD-10 is the new coding system where almost any malady, assault or complaint has a code.

The secret with coding is insurance reimbursement. Payment is a result of codes that are covered by a policy and not codes that are accurate. 

While S68.012A Complete traumatic metacapophalangeal amputation of left thumb, initial encounter is probably covered, I'm not sure about the coverage of other codes like:

W61.62XD: Struck by duck, subsequent encounter.

Z63.1: Problems in relationship with in-laws.

Y93.D: V91.07XD: Burn due to water-skis on fire, subsequent encounter​.

R46.1: Bizarre personal appearance.

or . . . 

W56.52XA: Struck by other fish, initial encounter

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