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The October Surprise that Could Cripple the Practice of Medicine
The American Thinker ^ | 3-28-14 | Brian Joondepth

Posted on 03/28/2014 5:03:31 AM PDT by afraidfortherepublic

You won’t read about the International Classification of Disease (ICD) on TMZ or hear it discussed on The View, but it has the potential to be an unpleasant October surprise in the health care world. It is a list of codes that physicians and hospitals use when billing insurance companies. These codes cover all manner of medical diagnoses for diseases, conditions, and injuries.

The first version of the ICD appeared in 1946, with periodic revisions since. Six months from now, on October 1, the latest version, the ICD-10, will be implemented in the U.S. We are late to the party, with other countries having implemented this over the past 15 years. The ICD-10 has already been delayed for a year, but the administration promises no further delays.

~snip~

The current version, the ICD-9, uses a 4- or 5-digit number to code for a particular disease, such as 540.9 for appendicitis. The ICD-10 will have up to 7 alphanumeric characters to specify a condition, such as S52.521A for “torus fracture of lower end of right radius, initial encounter for closed fracture.” And there are now over five times as many codes for doctors and hospitals to choose from.

But isn’t specificity better? Sure it is. Big data is the new frontier in medical research, making sense of the huge amount of generated health care data. But can this go too far?

In an effort to push specificity to the limit, some ICD-10 codes have gotten silly. Codes exist for being hurt at the opera (Y92253), walking into a lamppost (Y92253), walking into a second lamppost (W2202XD), getting sucked into a jet engine (V97.33XD), and being burned due to water skis on fire (V91.07XD).

(Excerpt) Read more at americanthinker.com ...


TOPICS: Business/Economy; Crime/Corruption; Government; News/Current Events
KEYWORDS: abortion; classifications; codes; deathpanels; diseasecodes; icd; icd10; medicalcodes; medicare; medicine; obamacare; zerocare
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68,000 new codes! When I worked in hospital records many, many years ago, I think that we used only about 100 regularly. And we had them memorized. I can't imagine using 68,000 codes.
1 posted on 03/28/2014 5:03:32 AM PDT by afraidfortherepublic
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To: afraidfortherepublic

People will do what they always do when asked to do the impossible, they will do what they can do and fudge the rest.


2 posted on 03/28/2014 5:09:09 AM PDT by CIB-173RDABN (I do not doubt that our climate changes. I only doubt that anything man does has any effect.)
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To: afraidfortherepublic

By making it more difficult to determine the correct ICD code for a situation I can foresee more and more claims being denied for “incorrect classification”.


3 posted on 03/28/2014 5:10:11 AM PDT by ken in texas
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To: afraidfortherepublic

Most ‘regular’ folks don’t know about these codes until their insurance doesn’t pay something due to a wrong code number and they get the bill. New docs get a rude awakening when they actually go into practice and have to deal with this .... lots of documentation required to bill certain numbers and it definitely impacts what you can bill/bottom line. IDC-9 already was taking hunks out of doc/patient time ... the new codes are just ridiculous, but then so is most of what the government regulates/mandates.


4 posted on 03/28/2014 5:12:14 AM PDT by Qiviut (It's hard to be a donk if you're sane & it's hard to be a pubbie if you have any integrity.)
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To: afraidfortherepublic

I don’t think you are seeing a doctor after being sucked into a jet engine... Is that the mortician’s code?


5 posted on 03/28/2014 5:12:37 AM PDT by greatvikingone
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To: CIB-173RDABN

... or someone will write a short program that would “translate” the diagnosis into the proper code.


6 posted on 03/28/2014 5:13:24 AM PDT by CIB-173RDABN (I do not doubt that our climate changes. I only doubt that anything man does has any effect.)
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To: afraidfortherepublic

You wont hear this on the view, funny! These shows are out there for a purpose, to deaden the senses, to sit there in front of the TV like a mental patient in a straight jacket drooling on yourself is the goal. ABC’s world news with diane sawyer is the same, they wont tell you the news because they have been instructed not to. Lull them to sleep, feed them non information, repetitious garbage over and over so they cant see the changes being made that will effect them and thier children moving forward until it is to late


7 posted on 03/28/2014 5:17:07 AM PDT by ronnie raygun (Im missing a jumbo jet with 235 passengers has anyone seen it?)
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To: CIB-173RDABN
People will do what they always do when asked to do the impossible, they will do what they can do and fudge the rest.

Yep, this will be a case of what I call "false precision." It's like carrying too many decimal places in a computation, a greater number than the accuracy of the quantities concerned.

A lot of time will be wasted trying to distinguish medical conditions that are differentially uncertain, and these will become the fodder for subsequent statistical studies that determine IPAB death panel decisions. Idiocy.

8 posted on 03/28/2014 5:18:57 AM PDT by Pearls Before Swine
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To: afraidfortherepublic

What a nightmare, I have dealt with insurance numerous times due to improper coding.


9 posted on 03/28/2014 5:19:33 AM PDT by Calm_Cool_and_Elected (" Undecided Voter: someone who parades their stupidity as proof of their morality." ~David Burge)
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To: afraidfortherepublic

So long as weird accidents show up in emergency rooms, there will be a proliferation of codes.

I can guess the code “forehead laceration by Tuba” might be one of the 68,000 codes and that my son’s mishap with his friend’s tuba bell is responsible.

The bell was on the ground. My son stumbled and fell, cutting his forehead on the exposed meeting edge. It bled a lot but was not really serious.


10 posted on 03/28/2014 5:20:25 AM PDT by bert ((K.E. N.P. N.C. +12 ..... History is a process, not an event)
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To: afraidfortherepublic

What about getting sucked in to a jet engine after walking in to two lamp posts because you were blinded by a burning water ski on your way to the opera?


11 posted on 03/28/2014 5:22:17 AM PDT by WayneS (Respect the 2nd Amendment; Repeal the 16th (and 17th))
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To: ken in texas

That’s their plan...


12 posted on 03/28/2014 5:22:41 AM PDT by WayneS (Respect the 2nd Amendment; Repeal the 16th (and 17th))
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To: afraidfortherepublic

The first lamppost is covered: The second is not. It is clear on page 12,422 of your policy guidebook. Look it up.


13 posted on 03/28/2014 5:26:20 AM PDT by Coffee... Black... No Sugar (I'm gonna' BICKER!)
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To: WayneS

I have no doubt there will be those who will do what is needed to get their phony changes paid. My concern is what has led us up to the point where it has become the norm to “cheat”. What the hell has our country become? What the hell have our once so proud people have become?

You reap what you sow!


14 posted on 03/28/2014 5:27:31 AM PDT by DaveA37
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To: bert

2014 ICD-10-CM Diagnosis Code Y93.J4

Activity, winds and brass instrument playing
Y93.J4 describes the circumstance causing an injury, not the nature of the injury, and therefore should not be used as a principal diagnosis.


15 posted on 03/28/2014 5:27:42 AM PDT by greatvikingone
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To: Pearls Before Swine
It's like carrying too many decimal places in a computation, a greater number than the accuracy of the quantities concerned.

Apparently, the International Classification of Disease is the 'Common Core' of medicine.

16 posted on 03/28/2014 5:28:06 AM PDT by MamaTexan (I am a Person as created by the Laws of Nature, not a person as created by the laws of Man)
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To: Progov

Too many laws leads to everyone being a criminal.


17 posted on 03/28/2014 5:29:22 AM PDT by WayneS (Respect the 2nd Amendment; Repeal the 16th (and 17th))
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To: greatvikingone
Theses people are completely incompetent. They should have developed separate codes for winds and brass.

They are completely different instruments, each with its own designs, sounds and playing methods.

This is outrageous...

18 posted on 03/28/2014 5:34:06 AM PDT by WayneS (Respect the 2nd Amendment; Repeal the 16th (and 17th))
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To: afraidfortherepublic

This is my business, and there’s debate in my department — delay it a year or not?


19 posted on 03/28/2014 5:35:38 AM PDT by Moonmad27 ("I'm not bad, I'm just drawn that way." Jessica Rabbit)
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To: WayneS

I couldn’t agree more! There is a separate code for piano... what, did they get a callous on their bum or over stretch the pinky finger?

If the mob kills you with piano wire, does it use the same code?


20 posted on 03/28/2014 5:38:12 AM PDT by greatvikingone
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To: WayneS
They should have developed separate codes for winds and brass.

Including sub-categories for the winds to indicate whether treatment involved removal of splinters.

21 posted on 03/28/2014 5:39:24 AM PDT by tacticalogic
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To: tacticalogic
Exactly!

I knew the folks at FR could do a better job of this than the government or the medical community!

22 posted on 03/28/2014 5:41:47 AM PDT by WayneS (Respect the 2nd Amendment; Repeal the 16th (and 17th))
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To: afraidfortherepublic

68,000???

Just going to have pull few all nighters and study harder......


23 posted on 03/28/2014 5:44:38 AM PDT by njslim (T)
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To: greatvikingone

interesting, however at the time of he incident, the
Tuba was not actually being played.


24 posted on 03/28/2014 5:47:35 AM PDT by bert ((K.E. N.P. N.C. +12 ..... History is a process, not an event)
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To: afraidfortherepublic

If a code is entered incorrectly and it gets into the government database, you will never be able to correct it. No one will have the authority or the skill (other than hackers) to change it. My prediction based on past dealings with bureaucracies, and the fact that this will be the biggest and most active database anyone has ever tried to manage.


25 posted on 03/28/2014 5:49:17 AM PDT by Rocky (The further a society drifts from the truth, the more it will hate those who speak it. George Orwell)
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To: afraidfortherepublic

I’d be willing to bet that of those 68,000 codes hospitals will still use only 100 or so regularly.


26 posted on 03/28/2014 5:50:38 AM PDT by DoodleDawg
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To: Pearls Before Swine

I wonder what the IPAB death panel decisions codes will be.


27 posted on 03/28/2014 5:56:17 AM PDT by Diamond (He has erected a multitude of new offices, and sent hither swarms of officers to harass our people,)
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To: afraidfortherepublic
Bureaucracy of, by and for the bureaucrats.
28 posted on 03/28/2014 5:57:28 AM PDT by E. Pluribus Unum ("The man who damns money has obtained it dishonorably; the man who respects it has earned it.")
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To: CIB-173RDABN
People will do what they always do when asked to do the impossible, they will do what they can do and fudge the rest.

They put one doctor in prison that I am aware of for not putting down the exact right code. I can't find the story, but it's been around.

29 posted on 03/28/2014 5:59:55 AM PDT by E. Pluribus Unum ("The man who damns money has obtained it dishonorably; the man who respects it has earned it.")
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To: CIB-173RDABN

Yup. The academics and bean counters are salivating at the “ data”.
But it will be Garbage In Garbage Out. We will find the general codes and use those.


30 posted on 03/28/2014 6:14:43 AM PDT by Kozak ("It may be dangerous to be America's enemy, but to be America's friend is fatal" Henry Kissinger)
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To: greatvikingone
If the mob kills you with piano wire, does it use the same code?

Apparently, the Mob has its own code:

Ice pick in the neck: F***in' D.
Cement shoes: F***in' C.
Piano wire: F***in' B.
Two in the hat: F***in' Aaaa.

31 posted on 03/28/2014 6:16:07 AM PDT by andy58-in-nh (Cogito, ergo armatum sum.)
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To: E. Pluribus Unum

If they arrested him, convicted him and sent him to prison over a simple mistake.... why are not all doctors in prison?

There is a difference between entering “wrong” codes to inflate your billing, and mistake in entering, unless it is your position that those entering the codes do so with 100% accuracy.

I stand by my statement. No one will use anywhere near those 68,000 code numbers. They will find the few that work and will use those.


32 posted on 03/28/2014 6:23:11 AM PDT by CIB-173RDABN (I do not doubt that our climate changes. I only doubt that anything man does has any effect.)
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To: afraidfortherepublic

It’s important that we know how many people are bitten by a shark A SECOND TIME.

W56.41xA Bitten by shark, initial encounter ICD-10-CM Diagnosis Code
W56.41xD Bitten by shark, subsequent encounter ICD-10-CM Diagnosis Code

If only we could tie the codes to voter enrollment. Anyone with W56.41xD is ineligible to vote.


33 posted on 03/28/2014 6:31:43 AM PDT by LostPassword
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To: CIB-173RDABN
“Did you really think we want those laws observed?" said Dr. Ferris. "We want them to be broken. You'd better get it straight that it's not a bunch of boy scouts you're up against... We're after power and we mean it... There's no way to rule innocent men. The only power any government has is the power to crack down on criminals. Well, when there aren't enough criminals one makes them. One declares so many things to be a crime that it becomes impossible for men to live without breaking laws. Who wants a nation of law-abiding citizens? What's there in that for anyone? But just pass the kind of laws that can neither be observed nor enforced or objectively interpreted – and you create a nation of law-breakers – and then you cash in on guilt. Now that's the system, Mr. Reardon, that's the game, and once you understand it, you'll be much easier to deal with.” ― Ayn Rand, Atlas Shrugged, 1957
34 posted on 03/28/2014 6:35:03 AM PDT by E. Pluribus Unum ("The man who damns money has obtained it dishonorably; the man who respects it has earned it.")
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To: greatvikingone
or you got struck by a low flying piano (grand or upright?) launched from a mis directed trebuchet.


35 posted on 03/28/2014 6:36:41 AM PDT by spokeshave (OMG.......Schadenfreude overload is not covered under Obamacare :-()
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To: afraidfortherepublic

I had a young doc at a fairly new clinic for a while. He had a tablet and the clinic had top of the line software. Total eye contact about 15 seconds. Total time doc trying to navigate the tablet 10 minutes. Total investigative time 0. The tablet is suppose to magically diagnose and offer a treatment plan. All I needed were some Antibiotics a simple tongue depressor and flashlight could have shown. I don’t go there anymore. After Obamacare, Who knows how bad it gets? Unless you have cash, if it will be legal, medical care in this country is dead.


36 posted on 03/28/2014 7:02:24 AM PDT by Organic Panic
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To: afraidfortherepublic
Wonder what they would number these.


37 posted on 03/28/2014 7:12:23 AM PDT by Ruy Dias de Bivar (Sometimes you need 7+ more ammo. LOTS MORE.)
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To: afraidfortherepublic

What’s the code for man-child president with big-a#s wookie wife?


38 posted on 03/28/2014 7:27:51 AM PDT by rwoodward ("god, guns and more ammo")
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To: afraidfortherepublic

I see considerable value in the future in having a “Physician-Patient Liberty Act” passed by congress.

It would say that if a doctor and a patient were willing to stay out of Medicare, Medicaid, and Insurance, they would not have to comply with things like HIPAA, and most other reporting beyond taxes and communicable diseases, they could do so without penalty.


39 posted on 03/28/2014 7:47:33 AM PDT by yefragetuwrabrumuy (WoT News: Rantburg.com)
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To: greatvikingone

A sailor was inadvertently sucked into a jet engine on a U.S. aircraft carrier and he survived with minor cuts and bruises. There is a video on Youtube concerning that accident.


40 posted on 03/28/2014 7:49:14 AM PDT by dglang
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To: yefragetuwrabrumuy

Unfortunately, that would mean that there would be even fewer doctors available for Medicare patients.


41 posted on 03/28/2014 7:49:22 AM PDT by afraidfortherepublic
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To: CIB-173RDABN
People will do what they always do when asked to do the impossible, they will do what they can do and fudge the rest.

Boy, ain't that the truth! I had several jobs where most employee energy went into gaming the system in ways to make it appear they were doing the impossible in order to stay off all the sh** lists.


42 posted on 03/28/2014 7:49:24 AM PDT by Buckeye McFrog
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To: MamaTexan


Apparently, the International Classification of Disease is the ‘Common Core’ of medicine.”
****************
We have a Winner! IDC has now made itself a disaster as large as Common Core. Now guess who is going to suffer and and who is going to get rich.


43 posted on 03/28/2014 7:51:01 AM PDT by mongo141 (Revolution ver. 2.0, just a matter of when, not a matter of if!)
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To: afraidfortherepublic

“...being burned due to water skis on fire (V91.07XD)”

That must have been one helluva show!


44 posted on 03/28/2014 8:20:14 AM PDT by Nik Naym (It's not my fault... I have compulsive smartass disorder.)
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To: E. Pluribus Unum

Also, under Directive 10-289, no one will be permitted to catch a disease or suffer an injury that is not already listed in ICD-10.


45 posted on 03/28/2014 8:26:03 AM PDT by Colinsky
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To: afraidfortherepublic

Wonder what the code is for “head exploded while FReeping?”


46 posted on 03/28/2014 8:34:29 AM PDT by BuckeyeTexan (There are those that break and bend. I'm the other kind. ~Steve Earle)
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To: afraidfortherepublic

bkmk


47 posted on 03/28/2014 8:37:18 AM PDT by AllAmericanGirl44
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To: afraidfortherepublic

It does mean transitioning out Medicare patients, leaving only those who need Medicare. The rest, who still have taxable income, should get tax relief in exchange for using private health care instead of Medicare. Sweetened a little so they actually get more money by not using it.

This will free up a lot of doctors to take the remaining Medicare patients.


48 posted on 03/28/2014 8:38:12 AM PDT by yefragetuwrabrumuy (WoT News: Rantburg.com)
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To: afraidfortherepublic

You know, few years back I saw some pics of the aftermath of someone getting sucked into a jet engine.

Not sure why a medical treatment code would be needed. Instead of the number for the local IHOP to borrow some spatulas.


49 posted on 03/28/2014 8:39:22 AM PDT by tanknetter
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To: afraidfortherepublic

Which one is male homosexual? Which one is gun owner? < /sarc >


50 posted on 03/28/2014 11:10:30 AM PDT by JimRed (Excise the cancer before it kills us; feed & water the Tree of Liberty! TERM LIMITS NOW & FOREVER!)
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