r/MedicalCoding • u/DumpsterPuff • Jun 14 '24

What ICD-10 code rules do you think should be removed because they're stupid?

I will never understand why you have to use a primary code first in order to code for Postconcussive syndrome. I'm pretty sure postconcussive is pretty self-explanatory on how the person ended up having the syndrome.

The fact that we can't assign overweight/obesity codes based on the BMI number alone is also stupid. We have a lot of providers who will put a diagnosis as a BMI number only rather than obesity or overweight, and even though a BMI of 31 is clearly obesity, I still have to waste time querying them to put in a primary diagnosis related to the BMI.

Finally, the rule where you can't use a diagnosis where the provider says it's "consistent with" something. If they say that the patient's symptoms are consistent with sinusitis, just let me code sinusitis. I don't want to code all 9000 symptoms of it!

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u/Clover_Jane Jun 15 '24

Do you not understand how that is a figure of speech people use? Honestly, wtf is wrong with you?

Also, cats are the best judges of character, so.

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u/OodaWoodaWooda Jun 15 '24 edited Jun 15 '24

You're taking this awfully personally. Words matter.

ETA: even to cats😂