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RESOURCES Migraines (ICD-9 346 Diagnosis) are another common condition we treat. In the old system, there were variations in the diagnostic codes for patients diagnosed with migraines, but now it's even more complicated. Variables include: with or without aura, chronic or acute, with or without cerebral infarction, and so on. The new ICD-10 Diagnosis code is G43, with the rest of the code based on the specifics. SERIOUS SPECIFICITY There are a lot of jokes going around poking fun at the specificity of these new codes. To lighten this article up a bit, how about the new ICD-10 code for being struck by a macaw? This next one makes people laugh, too: "V97.33XD: Sucked into jet engine, subsequent encounter." That means the patient got sucked into a jet engine more than once! Or how about "W55.41XA: Bitten by pig, initial encounter "? I know this makes sense to document farm mishaps, but still … living in the big city of San Francisco, it seems pretty unlikely to happen. And then we have "Y93.D1: Accident while knitting or crocheting." So, while they're amusing, it is important to know what the referring primary-care provider is diagnosing, so you know what you'll be providing therapy for. If you have trouble understanding all of this, you'll find comfort in knowing you are not alone. Although health-care providers and business consultants like myself have known for years this change was coming, many people are still scrambling to be compliant. Even adjustors and bill review companies have to learn this new system. Be prepared for backlogs and payment delays, misrepresented denials, and a host of other confusions as we all work out the details and the dust begins to settle. Resources Medical Economics. "ICD-10 Documentation: The Key to Getting Paid." Accessed December 2015. documentation-key-getting-paid. US Centers for Disease Control and Prevention. "International Classification of Diseases, (ICD-10-CM/PCS) Transition—Background." Accessed December 2015. US Centers for Disease Control and Prevention. "International Classification of Diseases, 10th Revision, Clinical Modification (ICD-1-0CM)." Accessed December 2015. World Health Organization. "International Classification of Diseases." Accessed December 2015. MAJOR CODE CHANGES Irene Diamond, RT, consults with many of the most successful wellness providers, helping them double their client base and generate more repeat and referral business. Creator of the rehabilitation technique Active Myofascial Therapy—The Diamond Method and founder of Dream Practice Mastery Academy, Diamond is a 2013 Massage Therapy Hall of Fame inductee. For more information, visit C h e c k o u t A B M P 's l a t e s t n e w s a n d b l o g p o s t s . Av a i l a b l e a t w w w. a b m p . c o m . 79

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