ICD-10, the International Classification of Diseases, 10th (American) Revision will expand the number to around 140,000 adding codes that describe precisely what bone was broken, which artery is receiving a stent or what exactly caused an injury. The revisors say the codes will provide a more exact and up-to date accounting of diagnoses and hospital inpatient procedures, which could improve payment strategies and care guidelines."It's for accuracy of data and quality of care," says Pat Brooks, senior technical adviser at the Centers for Medicare and Medicaid Services.
The greatly increased level of detail has raised a few eyebrows. WHO, for instance, didn't see the need for 72 codes about injuries tied to birds. But American doctors whose patients run afoul of a macaw, duck, parrot, goose, turkey or chicken will be able to select from 9 codes for each animal.
It's not clear how many klutzes want to notify their insurers that a doctor visit was a W22.02XA, "walked into lamppost, initial encounter" (or, for that matter, a W22.02XD, "walked into lamppost, subsequent encounter"). X77.3 "Suicide attempt using hot toaster" is also indicative of an obscure but worrying trend. Y93D1 covers the very prevalent, but underdiagnosed, knitting & crocheting injuries.
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