Obamacare

Injured In a Chicken Coop While Playing a Brass Instrument and You Have a Bizarre Personal Appearance? There are Federally Mandated Medical Billing Codes For That.

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They're going to need a lot of codes to describe this one.

Until recently, the federally designed Internal Classification of Diseases included about 18,000 medical classification codes for health providers to use during the billing process. An updated version of system has…a few more. Via The Wall Street Journal:

A new federally mandated version will expand the number to around 140,000—adding codes that describe precisely what bone was broken, or which artery is receiving a stent.

It will also have a code for recording that a patient's injury occurred in a chicken coop. (See code.)

Indeed, health plans may never again wonder where a patient got hurt. There are codes for injuries in opera houses (see code), art galleries (see code), squash courts (see code) and nine locations in and around a mobile home (see codes), from the bathroom to the bedroom.

…Some codes could seem downright insulting: R46.1 is "bizarre personal appearance (see code)," while R46.0 is "very low level of personal hygiene (see code)."

It's not clear how many klutzes want to notify their insurers that a doctor visit was a W22.02XA, "walked into lamppost, initial encounter" (or, for that matter, a W22.02XD, "walked into lamppost, subsequent encounter").

Why are there codes for injuries received while sewing, ironing, playing a brass instrument, crocheting, doing handcrafts, or knitting—but not while shopping, wonders Rhonda Buckholtz, who does ICD-10 training for the American Academy of Professional Coders, a credentialing organization.

Well, you can't say it's not thorough. Complete article here