Decided to have some fun looking up weird ICD-10 codes here ya goโฆ ๐คฃ
ImageIโve done billing. So the reason for that would be if something happens before it to cause it. Honestly itโs for blame shifting and having leeway to say itโs the financial responsibility of someone else. Example. PT tripped on air hose (primary encounter) and then was sucked in (subsequent encounter). Heath insurance says, not our problem, thatโs a WC issue. WC says โnope sue GEโ they made the engine, now GE can say โnope sue the person who left the air hose in the wayโ
I was thinking the same thing
There have been those who survived. I remember seeing something about it happening to a member of the flight deck crew on an aircraft carrier.
Maybe he was just a little suck in?๐คท๐ปโโ๏ธ
I came here to say the same thing! ๐๐๐
Definitely one of the funniest posts Iโve read on this sub. The swimming pool in prison one is really interesting.
wait .. is #17 a hickey?
Vampire bite.
Correct.
MF what you mean correct. Got me trippin
ROFLMAO. Should have added /s. But I wasn't thinking about Reddit etiquette when I read this at 3 AM in the morning.
Holy shit I think it is ๐๐๐
Struck by turtle ๐ข I love this one.
Years ago a child came in to my ER with a head lac. The story was that while the family was camping in the Everglades a young sibling picked up a turtle and threw it at his brother hitting his head and causing the lac.
I guess that would count.
lol wow you are right that would definitely fall under that. Poor little guy. Poor turtle. I hope both were alright.
Iโm confused by that one. I assume struck is different than bite, but turtles donโt exactly hurl down from the sky. Is this a fancy way of saying that someone had a turtle chucked at them?
The ancient Greek playwright, Aeschylus, was reportedly killed by a tortoise dropped from the sky by an eagle. It happens apparently...
I guess I never really considered birds, what a way to go.
Somebody is out here playing Super Mario irl.
Sea turtles are pretty common in some states
Maybe the answer is obvious, but Iโm landlocked. Do they torpedo you in the water or something? Again, genuine question because Iโm kind of dying at the thought of a sea turtle flying through the water.
They're just really, really big. They usually don't swim fast, but they can. I can see a person surfing, falling off their board and being torpedoed by a sea turtle that's also riding the wave.
Their claws can be nasty - maybe that? Lol when I worked at the Herp department of my zoo, our gopher tortoise would headbutt my ankles which hurt haha
Where I live, we've got snapping turtles. They're not especially docile and will reach out quite a ways to take a bite out of something passing by. Even a medium sized one can bite through a 2" piece of wood, and I've seen them get bath tub sized.
Hawai'i ER. Have seen #2 and #4. You can laugh all you want about pig bites until you see someone with an open, shattered tib/fib. Feral hogs are strong and very unpredictable (I'm sure nurses from other places where they're a problem can echo this). Oddly enough, not #5. Sea turtles are much better swimmers than people give them credit for. Chicken bites/scratches are a fairly common way to come down with ringworm fungus.
I'm living in central Europe so ther isn't much dangerous wildlife around. But encountering a wild pig in the forest is one of the scariest things ever. Especially if it's a mom with her kids. Always makes me vacate the area ASAP.
I live in New Zealand and a goat killed its owners recently(an elderly couple). Some of the pigs Iโve seen here are HUGE.
Iโm like if a goat can kill you a fully grown hog/pig can definitely do a lot of damage
Yup, we've had quite a few pig bites come through; made the stories about pig farmers working for organised crime to dispose of people seem very believable.
I think people are readily able to believe that cats, dogs and horses cause a lot of injuries, and when I moved out bush (rural Australia) I was a little surprised at the rate of cow injuries but not that surprised that it happened. I was completely unprepared for the amount and severity of deer-related injuries. I didn't even know they existed around here until we got a cyclist who was mangled by one wandering onto a mountain biking trail.
I've seen feral hog attacks with there tusks, one farmer in Texas had to get 160 stitches after a surprise attack
Yeah we have wild boars here in Florida. Itโs supposed to be shoot to kill, on sight, cause they can and will brutally attack. Only reason Iโd ever own a gun.
I like to use the opera house one along with T20.00XA when I'm building patients in Epic.
I've had like 3 people catch on to it in 6 months.
whatโs T20.00XA?
โburn of an unspecified degree on the head, face, and neck at an unspecified site, during an initial encounterโ. Combined with the Opera House, Iโm thinking itโs a Phantom of the Opera joke.
Clever
I'm trying to figure out how to get dramatic organ music to play when the chart opens.
When you figure out that feature, let me know! I really need some musical stings for some of my charts. ๐
Burn due to water skis on fire is easily the best ๐
I agree. There is absolutely NO way that any adventure that ends with this IDC-10 code DIDN'T start with the patient saying "Hold my beer..."
A fire? At a sea parks?
I want to believe more people would get this joke, but alasโฆnot enough people work with COMputers .
Love that show
Some other favorites I've used in patients
- Z60.4 - Social Isolation/Exclusion
- R14.3
- Z261 - Parental overprotection
- S30.867A
- W60 - Contact with sharp leaves
- W58.03XA
V90.01 - Drowning and submersion due to passenger ship overturning
Paired with
Z60.3 - problems in spouse or partner relationship
Iโm sorry, contact with sharp leaves???
Have you ever seen a century plant?? Got too close to my neighborโs once when mowingโouch! (Definitely not medical visit-worthy, but I barely grazed it and I own soap and water.)
My mom had a childhood encounter with her face and a yucca bush.
Holly bushes suck ass. Iโve gotten multiple leaves stuck in my foot at once (we had a line of the bushes beside the carport growing up and I went outside barefoot) and that was not a fun day. Took a solid 15 minutes to get ten leaves out.
We use social isolation a lot in nursing homes for obvious reasons, bit sad ๐
Trying to put a lab order in and it requires an ICD before you can put in the lab. Took me forever to remember that we only have one in our databank for confusion. G47.51 -confusional arousals.
As a crocheter, I have so many questions about #16. Firstly, is that being stabbed by someone while you are crocheting? It is so oddly specific and yet not specific.
I imagine grannies getting into a fight
I imagine that must have been acquired during a gang war, battling over turf between rival crocheting gangs. Perhaps the battle was over turf: like who gets to go to JoAnnโs Fabric Shop for yarnโฆ ๐งถ๐ฅข
<insert dancing Jets vs Sharks battle from West Side Story gif>
My thought was hook to eye and now I have unlocked a new fearโฆ
Personally Iโm just wondering if they meant knitting needles
Thereโs one for orca attacks too
My favorite diagnosis to come across every now and then on Epic is โwears glassesโ. I donโt know why it tickles me so much but I think itโs just that itโs an appearance description that doesnโt actually describe a medical condition. Like โbizarre personal appearanceโ- what exactly is being billed here??
As a patient, someone included on my Epic chart a diagnosis of โtattoosโ. Nothing medical pertaining to the tattoos, just the fact that they exist! So on the chart and every note where the diagnosis list is just copy-pasted, it lists my actual medical diagnoses plusโฆtattoos.
A few mental health issues can include a symptom of attention-drawing dress. Histrionic Personality Disorder is an example. Or Iโd guess it could also be applied to just being unkempt from lack of self care or access to other clothing
Please don't ever delete this. I am bookmarking it for future reference when I have a bad day. Thanks!
So tempting to share that last one on a ufo subreddit and watch the internet do the restโฆ :D
Omg please do ๐๐
I love the astronaut-specific ones.
Every one of these has a story behind how it came to be. Thats the most fascinating part to me.
Itโs not a weird one but โfunctional diarrhea โ cracks me up every time. For whatever reason itโs the ICD 10 that populates when Iโm searching for โnocturnal stoolingโ. I donโt think nocturnal stools are anywhere near functional diarrhea
As a knitter whoโs been in a couple of very high-drama crafting groups, I donโt find โstabbed while crochetingโ that far-fetched ๐ ๐ ๐
Bitten by dolphin and the walking into lamp post are some of the best. I believe I remember reading about a code that said something along the lines of โ tried outrunning trainโ.
The ICD10-AM has a code for being stabbed by a bayonet.
Also for being attacked by a magpie.
I mean Iโm not surprised in the least by the magpie oneโฆ
The โbite by orcaโ and โsubsequent bite by orcaโ is a personal favorite lol
How did they not get swallowed by orca guess they didnโt taste good. But
I was on the phone with insurance trying to get prior auth for my patients heart transplant meds and she misunderstood โZ94.1โ and asked me to confirm that the patient really needed tacrolimus for V94.1, bather struck by watercraft ๐คฃ
Thereโs swimming pools in prison?!!
There's a forensic psych hospital in my area that has a swimming pool. Technically counts I think.
There is one for assault by bees but I canโt remember the code number.
My mom has W61.33 in her chart. It was true, but not at all why she was at the doctorโs office
Lmao we had a trauma patient whose injury occurred while he was being attacked by pigeons (or maybe seagulls? Either way there was a baby under this guys car and while he was trying to get it out from under the car the parents were attacking him and he ended up falling) . When I read the history and physical done by the orthopod you could tell he was having the time of his life dictating/narrating the patientโs story ๐คฃ
I appreciate that they made #3 rhyme
ICD-10, Z71.1 Person who has a feared complaint but no diagnosis has been made.
Itโs me. Iโm bizarre personal appearance
I had no idea lamp posts could be so dangerous
Depends on how secured into the ground they are, Iโd supposeโฆ
I believe I can be coded as an R46.1 every time I step into work
They have a code for Vampires lol
Hickiesโฆ
My friend from the clinical coding team just lost her father, I've sent these to her in hopes that it might make her smile for even just a moment. Thank you for sharing it.
Ok, but struck by a turtle. Does that mean it bit you or was thrown at you?
or you might be a member of the foot.
i love how so many are subsequent encounter
Youโve got me cackling over here. ๐คฃ๐คฃ๐คฃ
Subsequent encounter post being sucked into a jet engineโฆ do they dx in Bird Hell?
My goodness I'm laughing too hard at some of these.
I miss the medical environment (not being a nurse, as much as I wish I did miss it because I love everything about it apart from what it does to my big bad OCD brain!) and I think medical coding might be a gig I'd enjoy. Admin work with a lot of "huh, never had to use this one before". And knowing me I'd memorise a lot of the funky ones, which is certainly a party trick.
I work on a farm, some of these are just everyday things. Farms are dangerous.
When I worked transport I used to love to look at these. My favorite that we had was "struck by non venomous marine animal"
I donโt remember the code but there is one for sucked into an airplane engine. Initial encounter and a second for subsequent encounters. I donโt know how anyone would survive their first encounter.
Ignore me I didnโt read far enough sorry
First, but not the last encounter ๐๐ข
I was indirectly involved in caring for a patient who disemboweled herself over Z63.1.
Oof. Iโm morbidly curious, here, as to how fighting with her in laws led to disembowelment
Yikes ๐ฌ๐ฌ
As someone who crochets, I can honestly say Iโve never been stabbed while doing so.
โProlonged stay in a weightless environmentโ what could that possibly mean
Too much time in space? Maybe they were the same person with the spacecraft injury ๐๐
TIL X52 is the ICD-10 diagnosis for "astronaut"
Iโve wished for 8 after dealing with 7
I've had a patient with #2 before. No one bats an eye about it in Texas.
Yeah, I grew up in SC. I think nearly half the population there has been at some point.
Yet they wonโt add common diagnoses like plantar fasciitis ๐
Wow @Struck by turtle
With my habits. Youโll see me having number 16 in my chart
You donโt have volcanic eruption as one? Lol
My MDS coordinator is gonna get a kick out of this!!!๐
This may have already been mentioned but I particularly like the one that's something like accident involving spacecraft and then of course the subsequent encounter. I guess that makes sense if you work at nasa or SpaceX or something but it's just fun to imagine someone getting into a fender bender with a UFO
Number 8 actually happen here in SA TX ๐ข
๐ณ๐ณ๐ณ yikessss holy shit thatโs awful
Got to be Florida
We've had 2 jet engine encounters in the last 3 years ๐คฃ๐คฃ๐คฃ๐คฃ๐คฃ
Okay but what is #9!?
I have had three of those things happen to me.
I just think it's interesting that there's a "subsequent encounter" for being sucked into a jet engine lol. Feel like it would really just be an initial, followed by a mortician's note.