Comments on: Insurance billing codes for injuries resulting from spacecraft http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html Brain candy for Happy Mutants Sat, 25 May 2013 13:59:00 +0000 hourly 1 http://wordpress.org/?v=3.4.1 By: ED-Z が あらわれた！ http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1215401 ED-Z が あらわれた！ Fri, 16 Sep 2011 21:37:00 +0000 http://boingboing.net/?p=117222#comment-1215401 "Activity, cheerleading" HahahaAwesome! “Activity, cheerleading”

HahahaAwesome!

]]> By: ED-Z が あらわれた！ http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1215395 ED-Z が あらわれた！ Fri, 16 Sep 2011 21:35:00 +0000 http://boingboing.net/?p=117222#comment-1215395 "Inadequate social skills, not elsewhere classified" My only comment in this one is: LOL “Inadequate social skills, not elsewhere classified”
My only comment in this one is: LOL

]]> By: jerwin http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1212237 jerwin Wed, 14 Sep 2011 16:53:00 +0000 http://boingboing.net/?p=117222#comment-1212237 Sometimes, a crushing injury of the penis is so severe that it cannot be cleared up in just one visit to the doctor. Followup visits are coded as "subsequent encounters" Sometimes, a crushing injury of the penis is so severe that it cannot be cleared up in just one visit to the doctor. Followup visits are coded as “subsequent encounters”

]]> By: jerwin http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1212227 jerwin Wed, 14 Sep 2011 16:47:00 +0000 http://boingboing.net/?p=117222#comment-1212227 What are you trying to say here? That Roller coasters are perfectly safe? That an unsafe roller coaster could not possibly be associated with particular types of trauma, such as falls or heart attacks? What are you trying to say here?
That Roller coasters are perfectly safe?
That an unsafe roller coaster could not possibly be associated with particular types of trauma, such as falls or heart attacks?

]]> By: ercpman http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1211973 ercpman Wed, 14 Sep 2011 09:46:00 +0000 http://boingboing.net/?p=117222#comment-1211973 My favorite ICD-10 code is:  "E017.0: [injury sustained while] Roller coaster riding" My favorite ICD-10 code is:  “E017.0: [injury sustained while] Roller coaster riding”

]]> By: Max http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1211521 Max Tue, 13 Sep 2011 20:29:00 +0000 http://boingboing.net/?p=117222#comment-1211521 S3801XA Crushing injury of penis, initial encounter S3801XD Crushing injury of penis, subsequent encounter You really think someone would be more careful with what's left after the first time... S3801XA Crushing injury of penis, initial encounter
S3801XD Crushing injury of penis, subsequent encounter

You really think someone would be more careful with what’s left after the first time…

]]> By: paulj http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1211026 paulj Tue, 13 Sep 2011 14:58:00 +0000 http://boingboing.net/?p=117222#comment-1211026 What I know of this comes from a friend who's a coder who worked in a hospital.He took is job very seriously and got certified in ICD-10 and as an ICD-10 trainer. He's got job security for a long time to come. What I know of this comes from a friend who’s a coder who worked in a hospital.He took is job very seriously and got certified in ICD-10 and as an ICD-10 trainer. He’s got job security for a long time to come.

]]> By: Halloween Jack http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1211014 Halloween Jack Tue, 13 Sep 2011 14:44:00 +0000 http://boingboing.net/?p=117222#comment-1211014 What's so "crazy" about this stuff? Astronauts have been hurt and killed on spacecraft in our lifetimes. They have insurance plans. What’s so “crazy” about this stuff? Astronauts have been hurt and killed on spacecraft in our lifetimes. They have insurance plans.

]]> By: Ambiguity http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1211007 Ambiguity Tue, 13 Sep 2011 14:39:00 +0000 http://boingboing.net/?p=117222#comment-1211007 <blockquote>What about the time I chipped my back tooth on the bathroom urinal? </blockquote> I think that's classified as V-TM-Fucking-I

What about the time I chipped my back tooth on the bathroom urinal?

I think that’s classified as V-TM-Fucking-I

]]> By: SeattlePete http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210986 SeattlePete Tue, 13 Sep 2011 14:19:00 +0000 http://boingboing.net/?p=117222#comment-1210986 There's also a whole section dedicated to Laser and Energy Weapon related injuries, at least in the ICD-9.  The military may have phased out laser beams with the new ICD-10. There’s also a whole section dedicated to Laser and Energy Weapon related injuries, at least in the ICD-9.  The military may have phased out laser beams with the new ICD-10.

]]> By: Jack Myers http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210981 Jack Myers Tue, 13 Sep 2011 14:12:00 +0000 http://boingboing.net/?p=117222#comment-1210981 There's nothing there about Death Stars and unshielded thermal exhaust ports. There’s nothing there about Death Stars and unshielded thermal exhaust ports.

]]> By: Jennifer Lum http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210976 Jennifer Lum Tue, 13 Sep 2011 14:06:00 +0000 http://boingboing.net/?p=117222#comment-1210976 My mother is an EMT in upstate New York and was furious when they rolled this out for required reporting. No attention was paid to making this usable for daily practitioners. It now takes hours to file a report using the system that includes these ICD-10 codes.  My mother is an EMT in upstate New York and was furious when they rolled this out for required reporting. No attention was paid to making this usable for daily practitioners. It now takes hours to file a report using the system that includes these ICD-10 codes. 

]]> By: LorenP http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210965 LorenP Tue, 13 Sep 2011 13:54:00 +0000 http://boingboing.net/?p=117222#comment-1210965 Strange.  For aircraft you'll find stuff like: W9423XA: Exposure to sudden change in air pressure in aircraft during ascent, initial encounter but nothing like that for spacecraft. Strange.  For aircraft you’ll find stuff like: W9423XA: Exposure to sudden change in air pressure in aircraft during ascent, initial encounter but nothing like that for spacecraft.

]]> By: 秀平 月 http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210910 秀平 月 Tue, 13 Sep 2011 13:00:00 +0000 http://boingboing.net/?p=117222#comment-1210910 And what about U-Yank trailers? And what about U-Yank trailers?

]]> By: Lobster http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210908 Lobster Tue, 13 Sep 2011 12:58:00 +0000 http://boingboing.net/?p=117222#comment-1210908 Do they insure your spaceship against ship-jackers?  Can they send space-AAA? Do they insure your spaceship against ship-jackers?  Can they send space-AAA?

]]> By: 秀平 月 http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210906 秀平 月 Tue, 13 Sep 2011 12:56:00 +0000 http://boingboing.net/?p=117222#comment-1210906 Hm, I shudder to think what you do with a drinking glass on a table; methinks you might have the concepts of certain, ahem, liquid receptacles reversed if you put your mouth near a urinal ;-). Hm, I shudder to think what you do with a drinking glass on a table; methinks you might have the concepts of certain, ahem, liquid receptacles reversed if you put your mouth near a urinal ;-).

]]> By: tinyinkling http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210890 tinyinkling Tue, 13 Sep 2011 12:30:00 +0000 http://boingboing.net/?p=117222#comment-1210890 Initial contact with a nail gun -- I'm picturing Close Encounters... Initial contact with a nail gun — I’m picturing Close Encounters…

]]> By: 秀平 月 http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210853 秀平 月 Tue, 13 Sep 2011 10:36:00 +0000 http://boingboing.net/?p=117222#comment-1210853 Well, what do you do if a spacecraft crashes somewhere and injures people on the ground? Better be prepared... The ICD is a nice idea though not as "international" as its name suggests. Individual countries (implementation is often mandated by governments) often flesh out certain chapters, remap or omit them altogether. Best case, it's consistent within a country (if used correctly by medical professionals, and that's a big if). At least until a new version comes around and a multi-year transition process is started... Well, what do you do if a spacecraft crashes somewhere and injures people on the ground? Better be prepared…

The ICD is a nice idea though not as “international” as its name suggests. Individual countries (implementation is often mandated by governments) often flesh out certain chapters, remap or omit them altogether. Best case, it’s consistent within a country (if used correctly by medical professionals, and that’s a big if). At least until a new version comes around and a multi-year transition process is started…

]]> By: Thorzdad http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210851 Thorzdad Tue, 13 Sep 2011 10:20:00 +0000 http://boingboing.net/?p=117222#comment-1210851 Job-related injury? Job-related injury?

]]> By: BarBarSeven http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210809 BarBarSeven Tue, 13 Sep 2011 07:54:00 +0000 http://boingboing.net/?p=117222#comment-1210809 Are Colonial Marines covered from accidentally alien egg laying in the gut? Or is it better to just leave them behind and nuke the facility from orbit? Please get back to Bishop on the Sulaco ASAP. TIA! Are Colonial Marines covered from accidentally alien egg laying in the gut? Or is it better to just leave them behind and nuke the facility from orbit? Please get back to Bishop on the Sulaco ASAP. TIA!

]]> By: EH http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210791 EH Tue, 13 Sep 2011 07:08:00 +0000 http://boingboing.net/?p=117222#comment-1210791 What about the time I chipped my back tooth on the bathroom urinal? What about the time I chipped my back tooth on the bathroom urinal?

]]> By: Jakob Nøtseth http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210781 Jakob Nøtseth Tue, 13 Sep 2011 06:55:00 +0000 http://boingboing.net/?p=117222#comment-1210781 In theory atleast you are correct. For GP use, you have ICPC-2 (international classification of primary care) classifications. ICD-10 are for specialist use. In theory atleast you are correct. For GP use, you have ICPC-2 (international classification of primary care) classifications. ICD-10 are for specialist use.

]]> By: dfoic http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210765 dfoic Tue, 13 Sep 2011 06:21:00 +0000 http://boingboing.net/?p=117222#comment-1210765 Yeah you have to get really bored in clinic to start paging through ICD-9 and -10 codes. Although it is a source of amusement. For what it's worth, I know 3 ICD-9 codes by memory: 793.1, 786.2, and 786.05. Guess my speciality.  I love this one: V9733XDSucked into jet engine, subsequent encounter Yeah you have to get really bored in clinic to start paging through ICD-9 and -10 codes. Although it is a source of amusement. For what it’s worth, I know 3 ICD-9 codes by memory: 793.1, 786.2, and 786.05. Guess my speciality.

 I love this one: V9733XDSucked into jet engine, subsequent encounter

]]> By: futnuh http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210758 futnuh Tue, 13 Sep 2011 06:04:00 +0000 http://boingboing.net/?p=117222#comment-1210758 T185XXD: Foreign body in anus and rectum, subsequent encounter. T185XXD: Foreign body in anus and rectum, subsequent encounter.

]]> By: HenryPootel http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210755 HenryPootel Tue, 13 Sep 2011 05:54:00 +0000 http://boingboing.net/?p=117222#comment-1210755 This implies dribbling I think... W2105XA Struck by basketball, initial encounter W2105XD Struck by basketball, subsequent encounter This implies dribbling I think…

W2105XA Struck by basketball, initial encounter
W2105XD Struck by basketball, subsequent encounter

]]> By: paulj http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210748 paulj Tue, 13 Sep 2011 05:29:00 +0000 http://boingboing.net/?p=117222#comment-1210748 To be fair, most doctors hand over their charts to coding specialists who DO know (or are at least supposed to know) the nuances of these codes. The specialists are the ones who are having to go through retraining on a much larger set of codes that has little connection to the old system. To be fair, most doctors hand over their charts to coding specialists who DO know (or are at least supposed to know) the nuances of these codes. The specialists are the ones who are having to go through retraining on a much larger set of codes that has little connection to the old system.

]]> By: Xeni Jardin http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210738 Xeni Jardin Tue, 13 Sep 2011 05:12:00 +0000 http://boingboing.net/?p=117222#comment-1210738 Hmmm... the WSJ staffer who shared this specifically referred to them as "Medicare billing codes," but I'll change this in the interest of clarity. Hmmm… the WSJ staffer who shared this specifically referred to them as “Medicare billing codes,” but I’ll change this in the interest of clarity.

]]> By: fredtrotter http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210736 fredtrotter Tue, 13 Sep 2011 05:09:00 +0000 http://boingboing.net/?p=117222#comment-1210736 Focusing on the crazy stuff in ICD-10 is fun, but there is a deeper issue here. The basic philosophy of American Medicine is "proceduralism", the notion that healthcare should be delivered and compensated in terms of a series of procedures. Procedures require justification. Both procedures, and the justifications have medical ontologies. These are CPT, which is maintained as a monopoly by the American Medical Association and ICD, which is actually the more reasonable of the two standards. These -are- Medicare codes in the sense that the federal government mandates the use of these ontologies in billing not only for Medicare/Medicaid, but for all medical billing transactions. This is mandated in the less-famous part of HIPAA. Under the power given in that law, Health and Human Services is mandating the shift between the relatively sparse ICD-9 and ICD-10. Given that most doctors do not actually understand the nuances of ICD-9, the shift will be traumatic.These codes -are not- mandated for all healthcare data transactions, just for all billing transactions. Health information exchange for other purposes should always use SNOMED or another reasonable clinical ontology. I co-authored the first book on Health IT for O'Reilly, and I spent a considerable time detailing the how the issue of codes specifically, and medical billing generally strangles much of the potential of health IT.  For those that are interested in the real details behind this strange story, I submit my shameless plug: <a href="http://shop.oreilly.com/product/0636920020110.do" rel="nofollow">http://shop.oreilly.com/produc...</a> Focusing on the crazy stuff in ICD-10 is fun, but there is a deeper issue here. The basic philosophy of American Medicine is “proceduralism”, the notion that healthcare should be delivered and compensated in terms of a series of procedures. Procedures require justification. Both procedures, and the justifications have medical ontologies. These are CPT, which is maintained as a monopoly by the American Medical Association and ICD, which is actually the more reasonable of the two standards. These -are- Medicare codes in the sense that the federal government mandates the use of these ontologies in billing not only for Medicare/Medicaid, but for all medical billing transactions. This is mandated in the less-famous part of HIPAA. Under the power given in that law, Health and Human Services is mandating the shift between the relatively sparse ICD-9 and ICD-10. Given that most doctors do not actually understand the nuances of ICD-9, the shift will be traumatic.These codes -are not- mandated for all healthcare data transactions, just for all billing transactions. Health information exchange for other purposes should always use SNOMED or another reasonable clinical ontology. I co-authored the first book on Health IT for O’Reilly, and I spent a considerable time detailing the how the issue of codes specifically, and medical billing generally strangles much of the potential of health IT.  For those that are interested in the real details behind this strange story, I submit my shameless plug: http://shop.oreilly.com/produc…

]]> By: Skarphedin Njalsson http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210730 Skarphedin Njalsson Tue, 13 Sep 2011 05:03:00 +0000 http://boingboing.net/?p=117222#comment-1210730 V9615XA - Hang-glider explosion injuring occupant, initial encounter / V9107XA - Burn due to water-skis on fire, initial encounter I was disappointed that I couldn't find any involving pirates. V9615XA – Hang-glider explosion injuring occupant, initial encounter / V9107XA – Burn due to water-skis on fire, initial encounter

I was disappointed that I couldn’t find any involving pirates.

]]> By: Antinous / Moderator http://boingboing.net/2011/09/12/medicare-billing-codes-for-injuries-resulting-from-spacecraft.html#comment-1210700 Antinous / Moderator Tue, 13 Sep 2011 04:29:00 +0000 http://boingboing.net/?p=117222#comment-1210700 <blockquote>I found it odd that the search turned up "No records found" for "meteor" and for "meteorite."</blockquote>How about <a href="http://www.youtube.com/watch?v=6sx5D76nLdk" rel="nofollow">"toilet seat"</a>?

I found it odd that the search turned up “No records found” for “meteor” and for “meteorite.”

How about “toilet seat”?

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