W93.8 Exposure to other excessive cold of manmade origin
Anyone who has worked in an office during the summer understands that air conditioning is no joke. Stay warm with this code for excessive exposure to manmade cold.
W56.02: Struck by dolphin
Multiple studies3,4 found that water-based exercise can have a positive effect on a variety of medical issues, from osteoarthritis to vascular function. However, marine mammals can also be a health hazard: be sure to counsel patients on the dangers of striking dolphins, or they'll be back in your office sooner than you think (keep code W56.02XD: struck by dolphin, subsequent encounter, handy).
We're not pulling your finger with this one.
V97.33XD: Sucked into a jet engine, subsequent encounter
Safety first, folks.
Y93.D1: Activity, knitting and crocheting
Fiber crafts are back, and they're more popular than ever. Knitters and crocheters of all ages are picking up needles. Physicians of particularly enthusiastic crafters may find themselves using this code.
Y92.253: Opera house as the place of occurrence of the external cause
Encouraging patients to cultivate hobbies is important. Opera is one of many quality cultural activities, but remember: patients should beware of phantoms.
T75.81: Effects of abnormal gravitation [G] forces
Spend any time in space lately? Astronauts experiencing prolonged periods in zero gravity often return home with issues related to osteoporosis.2 NASA's on the case, but until they find a solution, use this code when treating the next Neil Armstrong.
W55.32: Struck by other hoof stock
Farmer beware: the code for "struck by other hoof stock" is considered nonbillable. A more specific code, such as butted by animal, contact with goat, or struck by sheep (W55.82, W55.29, or W55.39), should be used instead. However, if your patient is gored by a goat, this code applies.
Z62.891: Sibling Rivalry
Anyone who grew up with a sibling knows the importance of this code — and is telling Mom immediately.
Y93.23: Activity, snow skiing, snowboarding, sledding, tobogganing, and snow tubing
Olympic enthusiasts will be pleased to know that a code exists for injuries related to any number of snow sports, including alpine and downhill skiing, snowboarding, sledding, tobogganing, and snow tubing. Cross country skiers need not apply.
With more than 141,000 International Classification of Diseases, 10th Edition (ICD-10), diagnosis codes available to clinicians,1 things are bound to get interesting in the physician’s office. The staff at Medical Bag has compiled a list of 10 unusually specific ICD-10 codes that may leave you scratching your head.
Compiled by Lauren Biscaldi, Editor.
Share the most unusually specific ICD-10 code you’ve seen in your practice below.
1. Boswell MV, Kaye AD, Singh V, Manchikanti L. The tragedy of the implementation of ICD-10-CM as ICD-10: Is the cart before the horse or is there a tragic paradox of misinformation and ignorance? Pain Physician. 2015;18(4):E485-E495.
2. Preventing bone loss in space flight with prophylactic use of bisphosphonate: health promotion of the elderly by space medicine technology. Washington, DC: NASA. www.nasa.gov/mission_pages/station/research/benefits/bone_loss.html. Published February 29, 2012. Accessed March 20, 2018.
3. Alkatan M, Baker JR, Machin DR, et al. Improved function and reduced pain after swimming and cycling training in patients with osteoarthritis. J Rheumatol. 2016;43:666-672.
4. Alkatan M, Machin DR, Baker JR, Akkari AS, Park W, Tanaka H. Effects of swimming and cycling exercise on vascular function in patients with osteoarthritis. Am J Cardiol. 2016;117:141-145.