|
|
|
|
|
Search
12/23/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
RE: Outrageous ICD-10 Code of the Day
From: Jeffrey Kass, DPM
Am I the only one who finds the "outrageous ICD-10 codes of the day" highly irritating? Someone should educate those in charge that we have "outrageous codes" but are lacking basic codes, i.e. tailor's bunion, sinus tarsi syndrome, etc. Are those in charge of the making of these codes really that dumb? Never mind, scratch that question.
Jeffrey Kass, DPM, Forest Hills, NY
Other messages in this thread:
06/23/2020
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Robert P. Thiele, DPM
Regarding the foot picture, my simple guess would be a raccoon paw after a good podiatry session as those nails have been very well debrided. 
Robert P. Thiele, DPM, Bridgewater, NJ
06/15/2020
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
RE: Outrageous Shoe of the Day
From: Daniel Chaskin, DPM
It is so important in these stressful times to have some comic relief. Thank you PM News for your shoe of a day.
Daniel Chaskin, DPM, Ridgewood, NY
10/01/2019
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
Wow. A shoe even more fragile than a Nike!
Robert Steinberg, DPM, Schaumburg, IL
09/30/2019
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
So that means a basketball player wearing those sneakers can jump really high?!
Arthur Gudeon, DPM, Rego Park, NY
02/13/2019
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Todd Muhly, DPM
Ellen DeGeneres has a new stand-up comedy show on Netflix. In it, she mentions that she went to a podiatrist for a neuroma. She reports that she was told there was no treatment for neuromas and that she needed to wear cowboy boots. Maybe something got lost in translation, but it is concerning that this podiatrist seemed to offer no treatment options. Either way, our profession came out poorly there.
Todd Muhly, DPM, Eugene, OR
02/12/2019
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
RE: Ron Burgundy and Podiatry
From: Sean Reyes, DPM
I saw the post about Ron Burgandy mentioning podiatry. Joe Rogan made a comment on podiatry in his podcast not too long ago as well supporting us, and I thought you'd find it interesting since he is one of the most popular podcasters (if not the most popular).
 |
Joe Rogan's Podcast |
It's short, but sweet starting at the 7:50 mark.
Sean Reyes, DPM, Las Vegas, NV
01/12/2019
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Martin Taubman, DPM
I was intrigued by what appeared to be a rash of cars crashing into podiatrists’ offices so I did an Internet search and here is what I found:
3/19/2013: El Cerrito, CA
9/25/2015: Northridge, MI,
1/16/2016; Belleville, Ontario
2/01/2017: Columbus, MS
3/20/2017: Kingsport, TN
3/9/2018: Howland, OH
10/22/2018: Sterling Heights, MI
12/14/2018: Manchester, NJ
1/09/2019: Philadelphia, PA
Martin Taubman, DPM, San Diego, CA
01/27/2016
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: George Jacobson, DPM
I tell patients that pointed shoes were designed in the Middle Ages as torture devices. Patients usually get the point that they are creating their own torture.
George Jacobson, DPM, Hollywood, FL
01/06/2016
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
RE: Outrageous Shoe of the Day
From: Stephen Musser, DPM
 |
This shoe is so hot that it appears on fire! |
Could these shoes cause burning foot syndrome? 
Stephen Musser, DPM, Cleveland, OH
12/25/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
RE: Outrageous ICD-10 Code of the Day (Jeffrey Kass, DPM)
From: George Jacobson, DPM
As I mentioned in a previous post, these are real codes. I know it is obvious that I have a distain for all of this government malarkey, but I find the outrageous ICD-10 post both funny and pathetic at the same time. I look up the code and forward the link confirming it to a trial attorney, pharmacist, psychologist, and radiation oncologist (all family members) to point out just how outrageous government mandates are. They in turn send it to colleagues and friends. Who knows how many people may see the crap that physicians have to put up with? As with other aspects of medical mandates, if only the public knew! I wish the outrageous codes were in mainstream media for the mainstream public.
After all the garbage we put up with: charting, ICDing, pre-authorizing, prescription request from automated pharmacies, reviews, appeals, administrative hearing, etc., I like a laugh at the end of PM News with the outrageous shoe among a day of the aforementioned garbage. I don't laugh enough anymore. I like my colleagues comments on "you can't make this stuff up." Most of the time, we have had a similar patient and it reminds me of what a small fraternity we are.
George Jacobson, DPM, Hollywood, FL
12/24/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Carl Ganio, DPM
The only thing I hate more than ICD-10 comments is…ready for it…the stupid shoe of the day!
Carl Ganio, DPM, Vero Beach, FL
Editor's Response: Based on previous readers' letters, this is a popular section of PM News. Whether we like it or not, shoes are intimately related to the feet we treat.
12/18/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) - PART 2
RE: Outrageous ICD-10 Code of the Day
From: H. David Gottlieb, DPM
I agree that the "Outrageous code of the day" can be amusing as well as appearing to be improbable.
One should remember that these codes exist because they are used world wide. These amusing codes are not so amusing to the people that they happen to.
H. David Gottlieb, DPM, Baltimore, MD
12/18/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) - PART 1
From: Keith L. Gurnick, DPM
 |
If shoes could talk! |
These shoes do talk plenty. They speak much about the biomechanics of the person who wears them. The wear pattern is symmetrical. There is even increased friction wear pattern across all five metatarsal heads and under the hallux and to the lesser toes (more so on the left shoe than the right shoe). The heels do not appear to show signs of lateral heel wear, which to me indicates a normal angle or gait, or a slow short step gait pattern, and possibly even a vertical calcaneal heel position in stance. Here is what the shoes tell me: "Time for new shoes."
Keith L. Gurnick, DPM, Los Angeles, CA
12/17/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Chris Funk, DPM
Chris Funk, DPM, Tucson, AZ
12/16/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Neil H Hecht, DPM
In reference to Dr. Oghoorian’s post “Outrageous ICD-10 Code of the Day- my question is “do pigs have legs?” - So if the 5th met fracture of his patient was caused by a pig, which pig leg caused the fracture? How do we specify such?
Well, actually, my comments in reference to Dr. Oghoorian’s post are as follows. He shouldn’t be so foolish as to question the short or long-term involvement of CMS and the insurance companies use of the ICD-10 codes, the treatment involved, or the likely need to refund money for professional services rendered. He is utilizing his intellect, wisdom, good judgement, and experience, as well as common sense. He should know better than to exercise his brain when dealing with the aforementioned payers!
Disclaimer: Dr. Oghoorian was one of my best residents many years ago. He is an exceptional doctor and deserves my admiration. I hope he will forgive my satire in agreeing with his post! I hope the questions posed in his original post will generate appropriate evaluation of our dilemma in regard to ICD-10 mandates and their potential use against us financially.
Neil H Hecht, DPM, Tarzana, CA
12/15/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Catherine Wu, DPM
I had great difficulty explaining to my husband (who is not in the medical field) the outrageous ICD-10 codes. After switching to ICD-10, a metatarsal fracture code of 825.25 could expanded into 120 + codes. Do the math yourself: S90.3 as your root code, laterality: x 2, individual digit: x 5, closed/open: x 2, followed y subcategory of A,D,G,K,P,S: x 6. That's how you code for the metatarsal fracture. Now, we have to code the cause of the injury.
He could not believe that his government is asking us to do that without benefit to patient care. The conclusion we got is this ICD-10 switch created jobs for only statisticians and bean counters.
Catherine Wu, DPM, Revere, MA
12/09/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) PART 2
From: Brandon Macy, DPM
I read that Y92.253 is an ICD-10 code for “hurt at the opera.” If combined with G54.6 (phantom limb pain), would that refer to an injury sustained at Phantom of the Opera?
Brandon Macy, DPM, Clark, NJ
12/09/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) - PART 1
From: George Jacobson, DPM
I find these codes amusing and look each up to verify that they exist. They do! Eventually, we could be denied payment for incomplete or incorrect coding. Can you imagine being denied payment for a open wound of a right great toe (S91.101X) because you left out Y92.253 (Opera house as the place of occurrence of the external cause)? Let's remember that the PQRS has not demonstrated that the data collected has been used in a meaningful way to improve quality of anything. Yet based on a PM News survey, it will decrease payment to 82% of us.
I predict that eventually ICD-10 will cause us enumerable denials, leading to reviews and appeals costing physicians further declines in income. You can never convince me that these changes have anything to do with improving the health and welfare of our patients. Instead they are only are road blocks to physician reimbursement. In case you haven't noticed, there have been no such impediments to the pharmaceutical companies. Physicians are at the bottom of the reimbursement totem pole and are the main group that keeps getting cut.
George Jacobson, DPM, Hollywood, FL
12/02/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Pete Harvey, DPM
I had a good laugh at Dr. Howard Dinowitz's ICD-10 contribution of “Bitten by a Cow”. For further ICD-10 laughs, the readers might consider a small book called Struck by Orca. Initial encounter W56.22xA or W56.22xD struck by orca, subsequent encounter.
Pete Harvey, DPM, Wichita Falls, TX
11/30/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Paul Busman DPM, RN
This code may seem ridiculous to cityfolk, but in places like here in Upstate New York, such incidences are commonplace. Farming is a way of life with many hazards. While I was in practice, I treated many injuries due to livestock, e.g. multiple metatarsal fractures from being stepped on by a cow or horse. Up here, I suppose a code for being caught in a subway door would seem ridiculous.
Paul Busman DPM, RN, Clifton Park, NY
10/20/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Michael J Marcus, DPM
I have seen one case of this type of gigantism in my 38 years of clinical practice. We treated the foot surgically, and the patient is fully ambulatory in custom boots. I would be glad to share my approach.
Michael J Marcus, DPM, Montebello/Irvine CA
09/04/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Jeffrey Kass, DPM
While I agree with the title "unfortunate foot of the day", I hardly doubt that foot looks the way it does because of the "homeless guy not wearing his diabetic shoes and ending up in the ER." I think the elevated sugars, the PAD, and neuropathy had a little more to do with it than the lack of diabetic shoes. Just a hunch.
Jeffrey Kass, DPM, Forest Hills, NY
06/30/2015
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Paul Busman, DPM
 |
To be worn in loafers? |
I'd be worried about yeast infections.
Paul Busman, DPM, Troy, NY
07/21/2014
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
This story was great! It really quacked me up!
David Schofield, DPM
I'm not up-to-date on all the new ICD-10 codes, but does anyone know the ICD-10 code for "Strangulation of the complete idiots who got paid tax dollars to come up with these ridiculous codes."
Name Withheld
12/21/2013
RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) - PART 1B
From: Joe Agostinelli, DPM, Jack A. Reingold, DPM
I really do not see this video as misinforming patients or disparaging podiatric surgeons. The fact is that an orthopedic foot and ankle surgeon is a medical doctor with at least 5 years of orthopedic residency; after that, a fellowship is accomplished in the foot and ankle. This video promotes this fact for their benefit. In the orthopedic surgical group in which I am presently practicing, we are now recruiting an orthopedic foot and ankle surgeon as well as another podiatric surgeon. We see these specialties as complementary.
I reviewed the AOFAS video, and it was pleasant enough for the 1:43 minutes. I did not feel that it was derogatory towards DPMs. What I thought it reflected was that they are feeling a bit of "competitive heat" from well trained non-MDs. Otherwise, why would they go to the effort to even make the video? Also, I found it interesting that they chose a woman physician to be their spokesperson. Although medical schools are 50% female, orthopedic surgery, at least in my experience, is still a pretty male-dominated area. Just do what you do well and those videos are unimportant.
|
| |
|
|
|
