Friday, December 27, 2019

Why Bureaucracy, Not Your Doctor, Is Making All Your Medical Decisions

Your doctor does not express your diagnosis in words such as arthritis, asthma, or heart failure. If a physician or hospital wants to be paid, they must use a letter-number diagnosis listed in the International Classification of Disease (ICD-10) code book, which turns 1,400 human ailments into more than 68,000 codes. Examples of these “diagnoses” include: W55.21 (bitten by a cow); W61.33 (pecked by a chicken); V00.01 (pedestrian on foot injured in collision with roller blader); Z63.1 (problem with in-laws); and my personal favorite, Y92.146 (injured at a swimming pool within a prison).


This is crazy and true. LWJ's favorite diagnostic code was for "injured by falling off of a ladder during a spacewalk." Not even sure that's possible. It's bureaucracy gone completely mad.

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My daughter does medical coding for a living. I can't think of a field better positioned for the future.

Posted by: jmod46 | Dec 28, 2019 9:26:59 AM