Guest guest Posted August 1, 2010 Report Share Posted August 1, 2010 The following list of medical code numbers from the ICD-9 Code Book clearly seems to indicate that when multiple chemical sensitivity (MCS) is coded as " 989.8 " , the doctor is saying: " I don't know what is making my patient sick, so I'm coding it with this number, so that I will be paid by the patient's insurance company, which requires that SOME code be written on their claim form, or they will refuse to pay my bill. " It is ironic that code number 989.7 is: " Aflatoxin and other mycotoxin [food contaminants] " It occurs to me that we might do better to try to get code number 989.7 EXPANDED, to include " [iNHALATION] " also, in addition to just " [food contaminants] " , than to launch a campaign to get an entirely NEW code assigned to an illness struggling for recognition from the medical profession. Even with the limited mental capacity of the typical doctor, they might grasp the concept that anything which can make you sick, WHEN SWALLOWED, can also make you sick, WHEN INHALED. I would appreciate your feedback, on my thought. Joe 506.4 Chronic respiratory conditions due to fumes and vapors Emphysema (diffuse) (chronic) due to inhalation of chemical fumes and vapors Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemical fumes and vapors Pulmonary fibrosis (chronic) due to inhalation of chemical fumes and vapors INJURY UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED (E980-E989) Note: Categories E980-E989 are for use when it is unspecified or it cannot be determined whether the injuries are accidental (unintentional) suicide (attempted), or assault. INJURY UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY INFLICTED (E980- Note: Categories E980-E989 are for use when it is unspecified or it cannot be determined whether the injuries are accidental (unintentional), suicide SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING (E800-E999) This section is provided to permit the classification of environmental events, circumstances, and conditions as the cause of injury, poisoning, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used in addition to a code from one of the main chapters of ICD-9-CM, indicating the nature of the condition. Certain other conditions which may be stated to be due to external causes are classified in Chapters 1 to 16 of ICD-9-CM. For these, the " E " code classification should be used as an additional code for more detailed analysis. E989 Late effects of injury, undetermined whether accidentally or purposely inflicted Note: This category is to be used to indicate circumstances classifiable to E980-E988 as the cause of death or disability from late effects, which are themselves classifiable elsewhere. The " late effects " include conditions reported as such or as sequelae which may occur at any time after injury, undetermined whether accidentally or purposely inflicted. 989 Toxic effect of other substances, chiefly nonmedicinal as to source 989.0 Hydrocyanic acid and cyanides Potassium cyanide Sodium cyanide Excludes: gas and fumes (987.7) 989.1 Strychnine and salts 989.2 Chlorinated hydrocarbons Aldrin Chlordane DDT Dieldrin Excludes: chlorinated hydrocarbon solvents (982.0-982.3) 989.3 Organophosphate and carbamate Carbaryl Dichlorvos Malathion Parathion Phorate Phosdrin 989.4 Other pesticides, not elsewhere classified Mixtures of insecticides 989.5 Venom Bites of venomous snakes, lizards, and spiders Tick paralysis 989.6 Soaps and detergents 989.7 Aflatoxin and other mycotoxin [food contaminants] 989.8 Other substances, chiefly nonmedicinal as to source 989.9 Unspecified substance, chiefly nonmedicinal as to source 989.81 Asbestos Excludes: asbestosis (501) exposure to asbestos (V15.84) 989.82 Latex 989.83 Silicone Excludes: silicone used in medical devices, implants and grafts (996.00-996.79) 989.84 Tobacco 989.89 Other ................................................................... Posted by: " mnpearl@... " mnpearl@... mnpearl52 Sat Jul 31, 2010 5:22 am (PDT) My daughter's doctor coded her MCS as 989.8....... ..Toxic effect of other substances, chiefly nonmedicinal as to source. Jean Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2010 Report Share Posted August 1, 2010 Hi Joe, I don't know. ICD Codes and how they work in the system is something I know very little about. I do know this though, we are soon to switch to ICD 10 codes. Think it is sometime in the next two years. Sharon In a message dated 7/31/2010 11:23:09 P.M. Pacific Daylight Time, josephsalowitz@... writes: The following list of medical code numbers from the ICD-9 Code Book clearly seems to indicate that when multiple chemical sensitivity (MCS) is coded as " 989.8 " , the doctor is saying: " I don't know what is making my patient sick, so I'm coding it with this number, so that I will be paid by the patient's insurance company, which requires that SOME code be written on their claim form, or they will refuse to pay my bill. " It is ironic that code number 989.7 is: " Aflatoxin and other mycotoxin [food contaminants] " It occurs to me that we Quote Link to comment Share on other sites More sharing options...
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