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    Physicians locked into ICD-10, but codes may miss the mark

    Carla J Lambert MDLambert, MDCarla J. Lambert, MD
    Family medicine
    Beltsville, Maryland

    Vague specificity

    Nov. 5, 2016

    I'm questioning why some ICD-10 codes are extremely specific and others are nonspecific with no ability to be more precise (e.g. I10 for all hypertension codes). Not that I'm complaining, but it just makes it more time consuming researching whether a code can be more specific or not.

    Are we supposed to code two separate codes or the unspecified code when there is no code for bilateral? It seems silly to code right leg pain and left leg pain separately when one code for bilateral leg pain would make sense.

    I'm glad that fibromyalgia finally has its own code (M79.7)!

    So far, so good regarding payments. We have been getting paid without incident. Unfortunately, we're having other payment issues due to a non-related insurance mix-up. So I'm glad we didn't have to deal with this plus ICD-10 issues.


    NEXT: Bring on the challenges


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