MCViewPoint

Opinion from a Libertarian ViewPoint

Medical Cost-70,000 Reasons Why It Will Go Up

Posted by Martin C. Fox on September 28, 2015

If after reading this you still want the UN and US government involved in medicine you had better see a doctor.  When insurance rates go up (again) and your doctor retires early you now know why.

A few excerpts from the comments on medical ailment coding:

V97.33XD: Sucked into jet engine, subsequent encounter. (subsequent encounter?  (you mean the individual survived the first encounter?)

W55.41XA: Bitten by pig, initial encounter​. (I’m waiting for the TV series, “The Dead Walking Pigs”)

Z63.1: Problems in relationship with in-laws. (Do we really need a code for this?  Can’t we just assume everyone who is married suffers from this?)

W55.29XA: Other contact with cow, subsequent encounter. (Exactly what kind of contact are we talking about?  Isn’t that illegal in most states?)

 

Macaw? You think it’s a joke? Check this out:

W6111XA – Bitten by macaw, initial encounter

W6111XD – Bitten by macaw, subsequent encounter

W6111XS – Bitten by macaw, sequela

W6112XA – Struck by macaw, initial encounter

W6112XD – Struck by macaw, subsequent encounter

W6112XS – Struck by macaw, sequela

W6119XA – Other contact with macaw, initial encounter

W6119XD- Other contact with macaw, subsequent encounter

W6119XS – Other contact with macaw, sequela

You better make sure you tell your doctor, and the doctor gets it right whether you were struck or bitten or had some other kind of encounter with the macaw.

Then there are the encounters with frogs, which you can look at here, and if you do, note that there are more than just the 10 that show in the first page;

 

Code V91.07XA:  “Burn due to water-skis on fire.”.

Code V90.27XA : “Drowning and submersion due to falling or jumping from burning water-skis, initial encounter.”

 

ICD-9 signals the presence of Type I diabetes with a 1 or a 3 on the fifth digit. A 0 or a 2 means either Type II or unspecified diabetes. Code 249.xx is for secondary diabetes.

ICD-10 has the same set of complications and sub-complications for Type I, Type II, Secondary, and Unspecified diabetes. It forces the MD’s hand to be specific. Trust me… this is important. When incentivized Medicare Advantage health plans are trying to intervene with people who have insulin insensitivity, they don’t want to be annoying the folks with Type I or Secondary – two very different conditions.  And as you know, Type II is a very big deal and getting much, much worse.

Be seeing you

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