Friday, October 2, 2015

Voila, ICD-10!

Despite the controversy surrounding ICD-10, there is one universally agreed-upon upside to the hyper-specific coding system: Weird and obscure codes that stand for bizarre medical injuries. There's even an illustrated book, Struck by an Orca: ICD-10 Illustrated. (Healthcare Dive is super into it.)...

Therefore, behold! The 16 most absurd codes in the entire ICD-10 set, with a little advice from Healthcare Dive on how to handle these cases should they come into your ER:

16. V97.33XD: Sucked into jet engine, subsequent encounter.
Sucked into a jet engine, survived, then sucked in again? First of all, that really, really sucks. Second of all, this patient is obviously Wolverine, and should be detained for imaging and posterity.
(Technically, this means "subsequent encounter with a physician" not "subsequent encounter with a jet engine," but that's less dramatic.)

15. W51.XXXA: Accidental striking against or bumped into by another person, sequela.

The "sequela" here implies the kind of human bumper cars that can only happen at a music festival, the subway or possibly an active combat zone. Potentially fatal for agoraphobics. Recommend handling with care...

14. V00.01XD: Pedestrian on foot injured in collision with roller-skater, subsequent encounter...

13. Y93.D: Activities involved arts and handcrafts.

Camp is a dangerous thing. Hot glue guns and knitting needles definitely wouldn't be allowed on a plane, yet we habitually allow 7-year-olds to play with them. This is a public health crisis that needs to be addressed.

12.Z99.89: Dependence on enabling machines and devices, not elsewhere classified.

11. Y92.146: Swimming-pool of prison as the place of occurrence of the external cause...

10. S10.87XA: Other superficial bite of other specified part of neck, initial encounter...

9. W55.41XA: Bitten by pig, initial encounter​...

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

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

6. W220.2XD: Walked into lamppost, subsequent encounter.

No. No. People. You only get to do this once. ONCE. If a patient is going around whacking into lampposts regularly, there is a deeper problem here, and he should be referred to psych immediately.

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

How does this happen? Are water skis even flammable?

4. W55.29XA: Other contact with cow, subsequent encounter.

"Other contact with cow." OTHER CONTACT WITH COW? There are codes for "bitten by cow" and "kicked by cow." What else is there?! What, precisely, is the contact with the cow that has necessitated a hospital visit?!

3. W22.02XD: V95.43XS: Spacecraft collision injuring occupant, sequela...

2. W61.12XA: Struck by macaw, initial encounter...

1. R46.1: Bizarre personal appearance.

But seriously, who gets to decide what constitutes "bizarre personal appearance"? Let the people do what they want!

Courtesy of a colleague
See ICD-10 lunacy 7/2/15



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