Why Bureaucracy, Not Your Doctor, Is Making All Your Medical Decisions
Your doctor does not express your diagnosis in words such as arthritis, asthma, or heart failure. If a physician or hospital wants to be paid, they must use a letter-number diagnosis listed in the International Classification of Disease (ICD-10) code book, which turns 1,400 human ailments into more than 68,000 codes. Examples of these diagnoses include: W55.21 (bitten by a cow); W61.33 (pecked by a chicken); V00.01 (pedestrian on foot injured in collision with roller blader); Z63.1 (problem with in-laws); and my personal favorite, Y92.146 (injured at a swimming pool within a prison).
This is crazy and true. LWJ’s favorite diagnostic code was for “injured by falling off of a ladder during a spacewalk.” Not even sure that’s possible. It’s bureaucracy gone completely mad.