Play ICD-10 Jeopardy

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Play along with this game show presented live and in-person at TexMed 2014, May 2, in Fort Worth, by then-TMA President Stephen L. Brotherton, MD.

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  • Even though TMA has been pushing hard … and will continue to push hard … to stop the feds from forcing us all to use the ICD-10 coding system … even though Congress pushed back the deadline until October of 2015 … we still have to be ready, just in case.
     
    We call this game “ICD-10 Jeopardy” because, when the time comes, if you don’t use the ICD-10 codes, you’re in real jeopardy of not having your claims paid. And we’ve really got a whole new language to learn, a lot more specificity that the bureaucrats want from us.
  • For example, most of us have seen this behavior in our medical school classmates, if not ourselves.
  • But did you know that you can code that as “Z73.1 – Type A Behavior Pattern”?
  • Here’s your first question. Chickens, Geese and Ducks all have specific ICD-10 codes for bites from, strikes by, and contact with them: But which of the following birds do NOT have their own code? Answer with a show of applause.
    Is it Psittacines
    Or Macaws
    Or Pigeons that have no code?
  • Apparently, the researchers don’t care if the PIGEON is the villain. Unlike chickens, geese, ducks, pisttacines, macaws, and even parrots, the pigeon is just a generic bird for the ICD-10 militia.
  • Next, true or false: There are different ICD-10 codes to use if your patient was hurt while watching a Beyoncé concert or a production of La Bohéme.
    By applause, again, how many say:
    True
    Or false
  • Unfortunately for those of us who are about rational thought, the answer is “TRUE.” The code for injury at an opera house is NOT the same as one that took place at a music hall.
  • How about this one? We all know that plenty of unfortunate accidents take place in a mobile home. But which of the following locations for a possible injury in a mobile home does NOT have an associated ICD-10 code?
    How many say “Dining room”?
    What about “Living room”?
    Or “Driveway”
  • Well, it seems the LIVING ROOM is just too generic for the mobile home injury enumerators. We do, however, also have separate codes for the kitchen, bathroom, and swimming pool of mobile … AND STAY-IN-ONE-PLACE … homes.
  • OK, how many of you recognize this disease state?
  • First described by L. Frank , this is obviously “Unspecified balloon accident injury occupant … sequel.” I hear the wizard hired the scarecrow to sue Acme Balloon Company, but that’s not true. He hired the tinman, because he has no heart.
  • Back to the game, some people forget that our current ICD-9 has its own odd specificity. By show of applause, which of these ICD-10 codes does NOT have an exact match in the ICD-9 code set?
    Is it Y93.D1: Activity, knitting and crocheting?
    Or Y93.34 Activity, bungee jumping?
    Or is it V9107 Activity, Burn due to water-skis on fire?
  • The first two – knitting and bungee jumping – appear verbatim in ICD-9. Only the third, the BURNING WATER SKIS, is not in 9. Instead, it’s covered by E831.9 Accident to watercraft causing other injury to unspecified person.
  • And finally, by applause, which of these familial dysfunctions is NOT an ICD-10 code?
    Is it Z62.821 Parent-adopted child conflict?
    Or Z62.823 Parent-stepchild conflict?
    How about Z62.822 Parent-foster child conflict?
  • It surprised me, as I suspect this is the most common, that 823 – the PARENT-STEPCHILD CONFLICT is not a real ICD-10 code.
  • This one, however, is real. I don’t know how often we see it in the office, but …
     
    That’s it. Thanks for playing, you’ve been a great audience.
  • Play ICD-10 Jeopardy

    1. 1. ICD-10 Jeopardy A Game You Don’t Want to Lose
    2. 2. For the Birds No ICD-10 Code For:  Psittacines?  Macaws?  Pigeons?
    3. 3. For the Birds No ICD-10 Code For:  Psittacines?  Macaws?  Pigeons?
    4. 4. True or False? There are different ICD-10 codes to use if your patient was hurt while watching a Beyoncé concert or a production of La Bohéme.
    5. 5. True!  Y92252: MUSIC HALL as place of occurrence  Y92253: OPERA HOUSE as place of occurrence
    6. 6. Home on the Move  Dining Room?  Living Room?  Driveway?
    7. 7. Home on the Move  Dining Room?  Living Room?  Driveway?
    8. 8. Dangerous Toys?  Y93.D1: Activity, Knitting and crocheting?  Y93.34 Activity, Bungee jumping?  V9107 Activity, Burn due to water-skis on fire?
    9. 9. Dangerous Toys?  Y93.D1: Activity, Knitting and crocheting?  Y93.34 Activity, Bungee jumping?  Burn due to water-skis on fire!
    10. 10. Modern Family  Z62.821 Parent-adopted child conflict?  Z62.823 Parent-stepchild conflict?  Z62.822 Parent-foster child conflict?
    11. 11. Modern Family  Z62.821 Parent-adopted child conflict?  Z62.823 Parent-stepchild conflict?  Z62.822 Parent-foster child conflict?

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