# ICD-10. A new endurance test for doctors **URL:** \ **Category:** Miscellaneous and Personal Stuff I Must Share\ **Created:** [July 27, 2015, 3:45am UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295 "2015-07-27T03:45:30Z")\ **Posts on this page:** 20\ **Page:** 1
**Author:** ![MmeRose](https://avatars.discourse-cdn.com/v4/letter/m/ee7513/32.png) [@MmeRose](https://boards.straightdope.com/u/MmeRose)\ **Post date:** [July 27, 2015, 3:45am UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/1 "2015-07-27T03:45:30Z")
Has everyone had the opportunity to sample the ICD10 (international classification of diseases) which will soon replace the current idiocy (ICD9, oddly enough) mandated for physician billing? Specific codes are the aim, like some of these (actual billing codes): Y92.152 Bathroom in reform school as the place of occurrence of the external cause W220.2XD Walked into lamppost, subsequent encounter. R46.1: Bizarre personal appearance. V91.07XD: Burn due to waterskis on fire, subsequent encounter W55.29XA: Other contact with cow, subsequent encounter T63 Unspecified event, undetermined intent Z63.1 Problems with and/or related to inlaws S06.897D Other specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter Y92.146: Swimming-pool of prison as the place of occurrence of the external cause. V97.33XD: Sucked into jet engine, subsequent encounter Y92.253: Opera house as the place of occurrence of the external cause V95.49XA Other spacecraft accident injury Q55.64 Hidden penis S30867A Insect bite (nonvenomous) of anus, initial encounter T58.03 toxic effect of carbon monoxide from motor vehicle exhaust - assault W61.22XA Struck by other psittacines, sequela W56.12XA Struck by a sea lion Y93D1 Stabbed while crocheting Z03 - persons who present some symptoms or evidence of an abnormal condition which requires study, but who, after examination and observation, shows no need for further treatment or medical care V95.43XS Spacecraft collision injuring occupant, sequela Y92.241 Hurt at the library T63 Unspecified event, undetermined intent R46.0 Very low level of personal hygiene Z73.4 Inadequate social skills, not elsewhere classified VOMITING ALONE (787.03) (sad code) ---
**Author:** ![Czarcasm](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/czarcasm/32/4050_2.png) [@Czarcasm](https://boards.straightdope.com/u/Czarcasm)\ **Post date:** [July 27, 2015, 4:04am UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/2 "2015-07-27T04:04:59Z")
I’d do a check on some of those if I were you-“T63” is “Toxic effect of venomous animals”. Edited to add: For the actual list, check [here.](https://en.wikipedia.org/wiki/ICD-10) ---
**Author:** ![Terr](https://avatars.discourse-cdn.com/v4/letter/t/839c29/32.png) [@Terr](https://boards.straightdope.com/u/Terr)\ **Post date:** [July 27, 2015, 4:10am UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/3 "2015-07-27T04:10:33Z")
I checked a few in ICD10 - at [http://www.icd10data.com](http://www.icd10data.com) - like > **[2023 ICD-10-CM Diagnosis Code V97.33XD: Sucked into jet engine, subsequent...](https://www.icd10data.com/ICD10CM/Codes/V00-Y99/V95-V97/V97-/V97.33XD)** > > ICD 10 code for Sucked into jet engine, subsequent encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code V97.33XD. and > **[2023 ICD-10-CM Diagnosis Code W56.12XA: Struck by sea lion, initial encounter](https://www.icd10data.com/ICD10CM/Codes/V00-Y99/W50-W64/W56-/W56.12XA)** > > ICD 10 code for Struck by sea lion, initial encounter. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code W56.12XA. and [http://www.icd10data.com/ICD10CM/Codes/R00-R99/R40-R46/R46-/R46.1](http://www.icd10data.com/ICD10CM/Codes/R00-R99/R40-R46/R46-/R46.1) and they check out. Funny. ---
**Author:** ![MmeRose](https://avatars.discourse-cdn.com/v4/letter/m/ee7513/32.png) [@MmeRose](https://boards.straightdope.com/u/MmeRose)\ **Post date:** [July 27, 2015, 4:20am UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/4 "2015-07-27T04:20:03Z")
You saved me from using T63 for everything, which was my intention. I will just have to stick with R46.1 (bizarre personal appearance, which pretty much describes me) or Z73.4 (inadequate social skills NOS - describes many of my coworkers). Most likely is z03 (patients who present some symptom…no need for further treatment or medical care…ie bye bye). ---
**Author:** ![GrumpyBunny](https://avatars.discourse-cdn.com/v4/letter/g/bc8723/32.png) [@GrumpyBunny](https://boards.straightdope.com/u/GrumpyBunny)\ **Post date:** [July 27, 2015, 5:09pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/5 "2015-07-27T17:09:19Z")
Most physicians won’t need to know the entire ICD-10 by rote, and most billing software already has ICD-10 coded in and sorted by specialty. Then docs and/or billers can pick and “favorite” the most common. I suppose ER physicians might need W53.21XA (bitten by a squirrel, initial encounter) and V95.43XA (Spacecraft collision injuring occupant, initial encounter). But the average doc? Not so much. Also, ICD-9 is 36 years old. It’s terribly out of date and has needed to be updated for decades. The procedure codes especially just don’t match current technology. ---
**Author:** ![Hey\_Hey\_Paula](https://avatars.discourse-cdn.com/v4/letter/h/85e7bf/32.png) [@Hey\_Hey\_Paula](https://boards.straightdope.com/u/Hey_Hey_Paula)\ **Post date:** [July 27, 2015, 5:16pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/6 "2015-07-27T17:16:55Z")
“Stabbed while crocheting”? That’s just silly. Knitting needles are much more efficient for stabbing than crochet hooks. Oh wait, they mean being the stabbee rather than the stabber? That makes more sense, crochet hooks are awful defensive weapons. That’s why I knit. 🙂 ---
**Author:** ![Dewey\_Finn](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/dewey_finn/32/4222_2.png) [@Dewey\_Finn](https://boards.straightdope.com/u/Dewey_Finn)\ **Post date:** [July 27, 2015, 5:30pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/7 "2015-07-27T17:30:14Z")
> [@GrumpyBunny](#): > > I suppose ER physicians might need W53.21XA (bitten by a squirrel, initial encounter) and V95.43XA (Spacecraft collision injuring occupant, initial encounter). But the average doc? Not so much. > > Also, ICD-9 is 36 years old. It’s terribly out of date and has needed to be updated for decades. The procedure codes especially just don’t match current technology. And if ICD-10 is still in use 36 years from now, something like “V95.43XA (Spacecraft collision injuring occupant, initial encounter)” might not seem so unlikely. ---
**Author:** ![MmeRose](https://avatars.discourse-cdn.com/v4/letter/m/ee7513/32.png) [@MmeRose](https://boards.straightdope.com/u/MmeRose)\ **Post date:** [July 27, 2015, 8:18pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/8 "2015-07-27T20:18:37Z")
87.1 Vomiting with others (collaboration) 787.2 Vomiting on others (war effort) 787.3 Vomiting with others on others (a coalition of the nauseated) 787.4 Vomited upon by others (victimization) 787.5 Vomiting on self (the end of the line) ---
**Author:** ![Jimmy\_Chitwood](https://avatars.discourse-cdn.com/v4/letter/j/f475e1/32.png) [@Jimmy\_Chitwood](https://boards.straightdope.com/u/Jimmy_Chitwood)\ **Post date:** [July 27, 2015, 8:20pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/9 "2015-07-27T20:20:39Z")
Please never stop listing these. ---
**Author:** ![Inigo\_Montoya](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/inigo_montoya/32/124_2.png) [@Inigo\_Montoya](https://boards.straightdope.com/u/Inigo_Montoya)\ **Post date:** [July 27, 2015, 8:26pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/10 "2015-07-27T20:26:20Z")
> [@GrumpyBunny](#): > > Also, ICD-9 is 36 years old. It’s terribly out of date and has needed to be updated for decades. The procedure codes especially just don’t match current technology. Of chief interest to me is the technology that would make “V97.33XD: Sucked into jet engine, subsequent encounter” possible. 😃 But seriously, I’m wondering if this particular code is intended for maybe a coroner making return trips to the morgue to sort through the buckets of human bits and scrapings–just to verify cause of death, absence or presence of toxicity, etc. Or maybe he’s getting in the mood for a 787.3 party later that night. ---
**Author:** ![Ravenman](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/ravenman/32/2929_2.png) [@Ravenman](https://boards.straightdope.com/u/Ravenman)\ **Post date:** [July 27, 2015, 8:26pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/11 "2015-07-27T20:26:23Z")
U78.23 – Internet post causing mild chuckling Okay, that’s not a real one ---
**Author:** ![Jimmy\_Chitwood](https://avatars.discourse-cdn.com/v4/letter/j/f475e1/32.png) [@Jimmy\_Chitwood](https://boards.straightdope.com/u/Jimmy_Chitwood)\ **Post date:** [July 27, 2015, 8:39pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/12 "2015-07-27T20:39:49Z")
> [@The Great Sun Jester](#): > > Of chief interest to me is the technology that would make “V97.33XD: Sucked into jet engine, subsequent encounter” possible. 😃 > > But seriously, I’m wondering if this particular code is intended for maybe a coroner making return trips to the morgue to sort through the buckets of human bits and scrapings–just to verify cause of death, absence or presence of toxicity, etc. Or maybe he’s getting in the mood for a 787.3 party later that night. I think it’s more like “This guy was sucked into a jet engine: you won’t believe what happened NEXT!” ---
**Author:** ![bump](https://avatars.discourse-cdn.com/v4/letter/b/7c8e57/32.png) [@bump](https://boards.straightdope.com/u/bump)\ **Post date:** [July 27, 2015, 9:04pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/13 "2015-07-27T21:04:00Z")
I’ve actually used the V95.43XS and V97.33XD codes in our ICD10 testing here at work, but was wondering what other ones there were. Now I know! ---
**Author:** ![Simplicio](https://avatars.discourse-cdn.com/v4/letter/s/c37758/32.png) [@Simplicio](https://boards.straightdope.com/u/Simplicio)\ **Post date:** [July 27, 2015, 9:12pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/14 "2015-07-27T21:12:52Z")
> [@The Great Sun Jester](#): > > Of chief interest to me is the technology that would make “V97.33XD: Sucked into jet engine, subsequent encounter” possible. :D. There’s at least one case of someone being [sucked into a jet engine and surviving](http://www.experienceproject.com/stories/Love-Sharing-Videos/249612). Still, one wonders what the point of having codes down to that level of specificity is. There can’t be more than a few cases in history, and as a practical concern in the few cases where it comes up, chances are the Doc is just going to end up using a more general code. ---
**Author:** ![Czarcasm](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/czarcasm/32/4050_2.png) [@Czarcasm](https://boards.straightdope.com/u/Czarcasm)\ **Post date:** [July 27, 2015, 9:44pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/15 "2015-07-27T21:44:34Z")
> [@Simplicio](#): > > There’s at least one case of someone being [sucked into a jet engine and surviving](http://www.experienceproject.com/stories/Love-Sharing-Videos/249612). Still, one wonders what the point of having codes down to that level of specificity is. There can’t be more than a few cases in history, and as a practical concern in the few cases where it comes up, chances are the Doc is just going to end up using a more general code. For the ones that don’t survive, what’s the code for “meatpaste”? ---
**Author:** ![c\_carol](https://avatars.discourse-cdn.com/v4/letter/c/e79b87/32.png) [@c\_carol](https://boards.straightdope.com/u/c_carol)\ **Post date:** [July 27, 2015, 10:06pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/16 "2015-07-27T22:06:47Z")
I’m rather fond of “T63.442S Toxic effect of venom of bees, intentional self-harm”. “[V91.07xD](http://www.icd10illustrated.com/) Burn due to water-skis on fire, subsequent encounter” is probably impossible to beat, though. ---
**Author:** ![Jack\_of\_Words](https://avatars.discourse-cdn.com/v4/letter/j/f6c823/32.png) [@Jack\_of\_Words](https://boards.straightdope.com/u/Jack_of_Words)\ **Post date:** [July 27, 2015, 10:08pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/17 "2015-07-27T22:08:14Z")
> [@Hey\_Hey\_Paula](#): > > “Stabbed while crocheting”? That’s just silly. Knitting needles are much more efficient for stabbing than crochet hooks. > > Oh wait, they mean being the stabbee rather than the stabber? That makes more sense, crochet hooks are awful defensive weapons. That’s why I knit. 🙂 Wandering considerably off-topic, but as a performance poet I do a piece in which I ask for a specific sort of volunteer and then ‘stalk’ them through the audience before delivering the provocative final line nose-to-nose. I’d always supposed someone might punch me (though given the class of volunteer I was asking for, maybe not so much). The one time I actually felt scared was when I realised my volunteer was knitting at the time… ---
**Author:** ![robert\_columbia](https://avatars.discourse-cdn.com/v4/letter/r/e79b87/32.png) [@robert\_columbia](https://boards.straightdope.com/u/robert_columbia)\ **Post date:** [July 27, 2015, 10:34pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/18 "2015-07-27T22:34:51Z")
Z55.2 - Failed school examinations (Wait, that’s a medical condition now?) Z60.4 - Social exclusion & rejection Z31.69 - Encounter for other general counseling and advice on procreation Z70.0 - Counseling related to sexual attitude Z70.2 - Counseling related to sexual behavior and orientation of third party (I guess you now can be officially diagnosed as homophobic) Z78.9 - Other specified health status Z72.9 - Problem related to lifestyle, unspecified Z75.0 - Medical services not available in home (Do most people have in-home medical services?) Z75.9 - Unspecified problem related to medical facilities and other health care (Didn’t like the paint job?) X32 - Exposure to sunlight (Wait, what?) Y65.8 - Other specified misadventures during surgical and medical care Y35.113 - Legal intervention involving injury by dynamite, suspect injured (Cops are now allowed to throw dynamite at you?) F81.2 - Mathematics disorder F12.90 - Cannabis use, unspecified, uncomplicated (How is that even a medical problem?) F12.980 - Cannabis use, unspecified with anxiety disorder (That’s not what it does!) F15.988 - Other stimulant use, unspecified with other stimulant-induced disorder (A very stimulating diagnosis I must say!) F51.5 - Nightmare disorder (Take two aspirin and banish your sister to the moon for a thousand years) F51.12 - Insufficient sleep syndrome (Which presumably can be resolved by getting more sleep) R46.2 - Strange and inexplicable behavior R86.3 - Abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organs R99 - Ill-defined and unknown cause of mortality (When you don’t know what the !@#$%^ happened to your patient) R69 - Illness, unspecified (The treatment for which, I presume, is “Treatment, unspecified”) Q55.61 - Curvature of penis (lateral) Q55.64 - Hidden penis (“I’m not _really_ a girl.”) Y65.52 - Performance of procedure (operation) on patient not scheduled for surgery (How did this happen?) W26.1 - Contact with sword or dagger (ow!) W30.81 - Contact with agricultural transport vehicle in stationary use (great-grandpa called this “Tripping over the hay cart”) W21.07 - Struck by softball (at least it was soft) Y71.0 - Diagnostic and monitoring cardiovascular devices associated with adverse incidents (“Sorry for dropping that EKG on you, buddy!”) T63.443 - Toxic effect of venom of bees, assault (via the dogs with bees in their mouths and when they bark they shoot bees at you) Y92.85 - Railroad track as the place of occurrence of the external cause (What were you doing there?) Y92.531 - Health care provider office as the place of occurrence of the external cause (What to put down just before your patient sues you) T62.1X1 - Toxic effect of ingested berries, accidental (unintentional) (What happens when you eated the purple berries) T65.222 - Toxic effect of tobacco cigarettes, intentional self-harm (Also known as “smoking”) T51.0X2 - Toxic effect of ethanol, intentional self-harm (One tequila, two tequila, three tequila, floor) ---
**Author:** ![robert\_columbia](https://avatars.discourse-cdn.com/v4/letter/r/e79b87/32.png) [@robert\_columbia](https://boards.straightdope.com/u/robert_columbia)\ **Post date:** [July 27, 2015, 10:48pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/19 "2015-07-27T22:48:15Z")
> [@Ravenman](#): > > U78.23 – Internet post causing mild chuckling > > Okay, that’s not a real one U78.24 – Internet post causing severe upchucking ---
**Author:** ![psychobunny](https://avatars.discourse-cdn.com/v4/letter/p/54ee81/32.png) [@psychobunny](https://boards.straightdope.com/u/psychobunny)\ **Post date:** [July 27, 2015, 11:36pm UTC](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295/20 "2015-07-27T23:36:08Z")
To be fair, most of the X, Y and Z codes were present before as E codes and weren’t used much. Yes, there are a few more but as somebody who once had to use code E906.3 (bite of other animal except arthropod) I was very unhappy to see that bite by rabid fox is STILL NOT included! (Best I can do is W55.81 bite of mammal NEC). Personally, I am glad to see that you can now code for left knee pain separately from right knee pain and that the fact that there was one code for all brain tumors and multiple codes for breast cancers depending on the exact location of the tumor has been somewhat rectified. Most doctors almost never bother to use the descriptive codes anyway. They’ll code for head contusion without bothering to mention that it occurred while playing Frisbee (which you could do under ICD-9). [Next page](https://boards.straightdope.com/t/icd-10-a-new-endurance-test-for-doctors/726295.md?page=2)