Here are the 20 most strange ICD-10 codes we’ve run across to date. 1. W220.2XD: Walked into lamppost, subsequent encounter 2. W61.33: Pecked by a chicken 3. W61.62XD: Struck by duck, subsequent encounter 4. W55.41XA: Bitten by pig, initial encounter 5. W59.22XA: Struck By turtle 6. R46.1: Bizarre personal appearance 7.
ICD-10 has 68,000 procedure codes, as opposed to the 13,000 in ICD-9. Below you’ll find 80 of the craziest codes created for ICD-10. Look closely at them to make sure you absorb the level detail with their description. Case in point, consider this code: “V97.33XD Sucked into jet engine, subsequent encounter”.
Nightmare disorder. F51.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM F51.5 became effective on October 1, 2018. This is the American ICD-10-CM version of F51.5 - other international versions of ICD-10 F51.5 may differ.
Unusual ICD-10 codes may make you laugh or just leave you puzzled, but they are all important tools in improving how we deliver health care to patients in the United States.
ICD-10 code R41. 3 for Other amnesia is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
2.
ICD-10 code F29 for Unspecified psychosis not due to a substance or known physiological condition is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
1: Bizarre personal appearance.
ICD-10 code F91. 9 for Conduct disorder, unspecified is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
F33. 3 Recurrent depressive disorder, current episode severe with psychotic symptoms.
Code F41. 9 is the diagnosis code used for Anxiety Disorder, Unspecified. It is a category of psychiatric disorders which are characterized by anxious feelings or fear often accompanied by physical symptoms associated with anxiety.
F39 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
If the immunization is related to exposure (eg, the administration of a Tdap vaccine as a part of wound care), the ICD-10 code describing the exposure should be used as the primary diagnosis code for the vaccine, and Z23 should be used as the secondary code.
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.
Preventive medicine, individual counseling CPT codes 99401–99404 are designated to report services provided to individuals at a face-to-face encounter for the purpose of promoting health and preventing illness or injury.
Unspecified psychosis not due to a substance or known physiological condition. F29 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM F29 became effective on October 1, 2021.
F90. 1, Attention-deficit hyperactivity disorder, predominantly hyperactive type. F90. 2, Attention-deficit hyperactivity disorder, combined type.
Substance use disorders and ICD-10-CM codingMental and Behavioral Disorders due to...Code1...use of opioidsF11...use of cannabisF12...use of sedatives, hypnotics, anxiolyticsF13...use of cocaineF146 more rows•Sep 10, 2015
The International Classification of Diseases (ICD) is the publication that the US uses for coding and classifying. The US is currently on its 10th Revision (ICD-10) which includes Clinical Modification for medical diagnoses. This publication has periodic revisions to reflect changes in the medical and healthcare field.
But some codes aren’t billable, such as W59.22, Struck by turtle. Instead, they have more specific classifications including for initial and subsequent encounters. Even the most outrageous codes have logic behind them. They make it easier to classify situations and certain instances have made them necessary to add.
W16.722 - Jumping or diving from boat striking bottom causing other injury
Y92.017 - Garden or yard in single-family (private) house as the place of occurrence of the external cause
Since the healthcare industry is always changing, it makes sense that it would need updates after over thirty years. The content of ICD-9 had limited data and was restrictive for coding, and new versions include more specific definitions.
Their currently revising everything for ICD-11 which is set to release on January 1, 2022. If you look through the current revision, some of these diagnosis codes are hard to take seriously.
T63.621 - Toxic effect of contact with other jellyfish, accidental (unintentional)
Other symptoms and signs involving appearance and behavior 1 R46.8 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM R46.8 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of R46.8 - other international versions of ICD-10 R46.8 may differ.
The 2022 edition of ICD-10-CM R46.8 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM F51.5 became effective on October 1, 2021.
F51.5 Nightmare disorder. F51.8 Other sleep disorders not due to a substance or known physiological condition. F51.9 Sleep disorder not due to a substance or known physiological condition, unspecified. F52 Sexual dysfunction not due to a substance or known physiological condition. F52.0 Hypoactive sexual desire disorder.
Therefore, behold! The 16 most absurd codes in the entire ICD-10 set, with a little advice from Healthcare Dive on how to handle these cases should they come into your ER:
There are 68,000 billing codes under the new ICD-10 system, as opposed to a paltry 13,000 under the current ICD-9. The expansive diagnostic codes, intended to smooth billing processes and assist in population health and cost reduction across the healthcare delivery system, have providers across the board worried about integration: A recent survey by the American Health Information Management Association and the eHealth Initiatives found that 38% of providers think revenue will decrease in year following the switch from ICD-9, while only 6% think revenue will increase.
S10.87XA Other superficial bite of other specified part of neck, initial encounter
W51.XXXA Accidental striking against or bumped into by another person, initial encounter
V91.34 Hit or struck by falling object due to accident to sailboat
Y92.146 Swimming-pool of prison as the place of occurrence of the external cause
G4482 Or a headache associated with sexual activity
Y92.311 Squash court as the place of occurrence of the external cause
These codes permit the classification of environmental events, circumstances, and conditions as the cause of injury and other adverse effects, and are to be used in addition to codes that report the actual injury.
The Y codes contain two important categories: Y92 for place of occurrence of the external cause and Y93, which is an activity code. The guidelines state these codes are to be used with one another, and are only reported on the initial encounter.
E813.1 Motor vehicle traffic accident involving collision with other vehicle injuring passenger in motor vehicle other than motorcycle. Some providers already use these codes voluntarily or when required on auto insurance claims; however, many billers are unfamiliar with external cause codes.
ICD-9-CM has been the standard since 1979, but has outlived its usefulness. Because of its structure, ICD-10-CM provides better data for research and statistical analysis than ICD-9-CM. Although there is no national mandate to report them, external cause codes provide a unique opportunity to report significant detail not available in ICD-9-CM.
External cause code reporting is voluntary (but is encouraged) when ICD-10-CM is implemented. It provides the opportunity to report enhanced detail, and could streamline the process of claims submission and payment adjudication. It may also improve the process of data collection for researchers and policy makers. Physicians and coders, however, must take the time to get familiar with coding guidelines and conventions to take advantage of this opportunity provided by ICD-10 .#N#Sources:#N#Medicare Learning Network, ICN 902143, April 2013#N#Complete and Easy ICD-10-CM Coding for Chiropractic, 2nd edition, The ChiroCode Institute, 2013.#N#“ICD-10-CM. It’s closer than it seems,” CMS News Updates. May 17, 2013.#N#Evan M. Gwilliam, DC, MBA, CPC, CCPC, CPC-I, CCCPC, CPMA, NCICS, MCS-P, is the director of education for FindACode, and is the only chiropractic physician who is also an AAPC certified ICD-10-CM trainer. He spends most of his time teaching chiropractic physicians and other health professionals how to get ready for ICD-10-CM. If you are looking for a speaker or ICD-10-CM resources, he can be reached at [email protected]. Gwilliam is a member of the Provo, Utah, local chapter.