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Medical Billing Codes For Injury Via Turtle Among Thousands Created by New Law

A new government law has created an unusually precise list of injury codes for billing purposes. Currently there are 18,000 standard billing codes; the new law would expand that list to around 140,000. If you've been injured at the Opera, walked into a lamppost, pulled something while playing a trumpet, or have been attacked by a turtle, there's now a code for that. From the article: "The federal agencies that developed the system—generally known as ICD-10, for International Classification of Diseases, 10th Revision—say the codes will provide a more exact and up-to-date accounting of diagnoses and hospital inpatient procedures, which could improve payment strategies and care guidelines. "It's for accuracy of data and quality of care," says Pat Brooks, senior technical adviser at the Centers for Medicare and Medicaid Services."

15 of 380 comments (clear)

  1. Some turtle attack advice by elrous0 · · Score: 5, Funny

    The obvious temptation is to run, but that would be a mistake. NEVER show a turtle your fear.

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  2. This isn't really interesting by mat+catastrophe · · Score: 5, Funny

    ICD-9 had codes for masturbation.

    Go ahead and think about why I might know that. Scar yourselves.

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    sig not found
  3. Flaming Skis by Jodka · · Score: 3, Interesting

    My favorites:

    V9107XA Burn due to water-skis on fire, initial encounter
    V9107XD Burn due to water-skis on fire, subsequent encounter
    V9107XS Burn due to water-skis on fire, sequela

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  4. Re:What is the code for burns via shark? by blueg3 · · Score: 4, Funny

    W5649XA
    W902XXA

  5. Re:Make it simple by SydShamino · · Score: 3, Insightful

    There are people who believe that, if something bad happens to someone, then that person did something to deserve it. The action to "earn" punishment might be reckless behavior, or the punishment could be divine retribution, but either way bad things only happen to bad people.

    For that type of people, it's a justification for their belief that no one ever deserves a safety net in case all else fails. You might find that this drives certain political views.

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    It doesn't hurt to be nice.
  6. Re:What is the code for burns via shark? by stubob · · Score: 3, Informative

    W56.49 "Other encounter with shark" + W90.2 "Exposure to laser radiation" is all I've got.

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    Planning to be moderated ± 1: Bad Pun.
  7. Re:U.S. ICD-10 CM not the ICD-10 by Registered+Coward+v2 · · Score: 3, Interesting

    Just to clarify, ICD-10 is maintained by the WHO. The clinical modifications to the ICD-10 in the USA are known as "US ICD-10 CM". Yes, they are very stupid

    However, from an epidemiological standpoint, having better information about the causes of health problems will allow better study of cause and effect relationships between wellness and disease, for example. Even if it is a pain to implement (there must be a code for that).

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    I'm a consultant - I convert gibberish into cash-flow.
  8. Re:Good for insurance by limbodog · · Score: 5, Informative

    The 25 or so other countries who use these codes already have not yet imploded.

  9. Re:Good for insurance by avandesande · · Score: 3, Insightful

    Statements like this make it clear that people don't understand the nature of the insurance industry.
    They don't want to deny anything, as long as the other companies are forced to cover the same issue. That's why they want everything classified, so there is parity of coverage.
    I know it sounds counter intuitive but insurance companies make their money by skimming a percentage off of every transaction. That's why lobbyists pushed through the HMO model, which gave them a 'vig' from small transactions that people could just pay for out of pocket. The higher healthcare costs are, the more money they make.

    The important thing is that other insurers are forced to cover everything so they won't have an advantage by being able to deny things. Insurance companies want costs to be high so they can justify their exorbitant fees.

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    love is just extroverted narcissism
  10. Re:Make it simple by i+kan+reed · · Score: 5, Informative

    I just learned about this kind of injury recently. Apparently sea turtle rape of scuba divers is a not-as-uncommon-as-you-might-think issue, with drowning, compression/decompression sickness, and trauma being common effects, as sea turtles will force divers to the bottom of the ocean and hold them their for as much as an hour. Without being an expert myself, I'd wager cardio-respritory care would be needed in addition to trauma treatment.

    This post is not intended to be humorous, this is an actual, serious issue I learned about with loggerhead turtles recently.

  11. Re:Good for insurance by SleazyRidr · · Score: 3, Funny

    This isn't Twitter, there's plenty of room to post the full URL here. Unless you're just trying to hide a Goatse link...

  12. Re:How does it actually work? by Jeremy+Erwin · · Score: 5, Informative

    I believe you start with the most general, such as
    C Malignant Neoplasms
    and add details
    C71 Malignant neoplasm of brain
    C71.4 Malignant neoplasm of brain, Occipital lobe

  13. Re:Good for insurance by OldeTimeGeek · · Score: 3

    In my experience, doctors don't look up anything. They write down what they did or what is needed for a referral and leave it up to their secretaries/receptionists to figure how to map it to the codes that the insurance companies use.

  14. Re:Make it simple by kenj0418 · · Score: 3, Funny

    You CAN be severely injured by a lightning strike from a clear sky.

    Hmm, let me check my list:
    S444.11 Smote - Fire, Pillar from sky
    S444.12 Smote - Fire, Spontaneous Combustion
    S444.2 Smote - Salt, Transformation into pillar
    S444.3 Smote - Lightning

    Ahh, there it is.

  15. Re:What is the code for burns via shark? by Alsee · · Score: 4, Informative

    Just to expand on that, I looked up the full titles for those codes:
    W5649xA Other contact with shark, initial encounter
    W902xxA Exposure to laser radiation, initial encounter

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