crazy ICD-10 diagnosis

“Crazy” Added to ICD-10, Right Next to “Dr. Oz Says” Code

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Clinicians around the country were happy to learn that “Crazy” has been added to the upcoming ICD-10 codes, a most recent update to International Classification of Diseases used extensively in the medical system to help standardize diagnosis, treatment, and reimbursement.  “Crazy” will be located next to the “Dr. Oz says” code due to the frequent combination of the two.

crazy ICD-10 diagnosisDr. Regulson of the American Medical Association commented, “The new code is anticipated to ease classification of multiple disease states, patient presentations, combination of comorbidities, and all sorts of other nonsense that we have to deal with in patients with no actual psychiatric conditions.”

Dr. Stevens of CMS, and chair of the ICD committee mentioned, “I am surprised we did not include this frequently encountered condition in our prior updates.  We have all sorts of obscure diagnoses in there.  Look at these, ‘Injury sustained due to unsafe operation of a wheelbarrow,’ ‘Disorder due to a complicated encounter with a marine mammal NOS,’ and my favorite ‘Unspecified malaise,’ but no one ever thought to put ‘Crazy’ in.  And there is a whole lot of it out there.”

Dr. Samuelson, a practicing hospitalist enthusiastically added, “While ‘Crazy’ is not a uniform medical condition, it is encountered very frequently and across multiple specialties and we need a way to document it just like other diagnoses.  The other day I had a patient who presented with ’10/10 brain pain.’  Not a headache, mind you.  She literally told me that the left side of her brain is in 10/10 pain while texting and drinking a Mountain Dew.  When ICD-10 is finally in place, I will be able to put ‘Crazy’ in the electronic chart and bill a high complexity visit.  Good job, ICD guys.”

While there is considerable excitement in the medical community about the new diagnosis code, some say that the measure does not go far enough to characterize a complex cornucopia of medical conditions, and that “Not with the program,” “Out to lunch,” and “Absolutely off their freaking rocker” should also be added.

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  • gomerblog


  • MN denizen

    And now, for some REAL ICD-10 codes:

    V91.07 Burn due to water-skis on fire

    W22.02 Walked into lamppost

    W61.42 Struck by turkey

    W61.43 Pecked by turkey

    W61.49 Other contact with turkey

    W17.82 Fall from (out of) grocery cart

    V90.37 Drowning and submersion due to falling or jumping from crushed water-skis

    V90.37XA …… initial encounter

    V90.37XD …… subsequent encounter (subsequent encounter?!?)

  • Tina Uptonogood Dalgren

    Please add ‘bat shit crazy’ icd code 666

  • Kelly Nagy

    I think I’ve had this a few times!!!

  • Kelly Nagy

    I think I’ve had this a few times!!!

  • Robbie McGregor Hamby

    Inadequate attention acquisition, community acquired.

  • Ginny Moullet

    Linda Givens this was not on my healthstream

  • Casca

    “allergic to everything but Vicodin”

  • Casca

    What about Bug sheet crazy ? Is it different from bat sheet crazy ? Or worse than nucking futs ?

  • Robin Fahringer Mitchell Machajewski

    Hmm. I would like to see “weird” and/or “something just ain’t right” added.

  • En Serio?

    how do I find this author lol? Also, still can’t access author site thing :(

  • Sophia M. Duran


  • Jennifer Bein Rowlinson

    allergic to “all antibiotics” but a Z-pack

  • Khalid Manzoor

    Community acquired, acute on chronic bilateral….

  • Angie Cook

    Oh boy

  • Wendy Marinelli

    Oh…this is good! Angie Cook

  • Daniel Marinelli

    Wendy Marinelli

  • Xiaomang Stickles

    It’ll gain you an extra 0.003 RVU

  • Debbie Rowe

    JFN, NOS… :D

  • James Schoolcraft

    Lisa Lisa Valickus Jillian Gavin Amanda Murphree David Leal Kristy Deyeso

  • Laurie Tucker Lerner

    Like like like

  • Alysha Smid Di Mauro

    Korie Haifley Cochran… I may use this daily.

  • Rona Rooban

    Briony Brincker

  • Emily Brinson Evans

    Cynthia Chaney ;)

  • Sally Harris

    They forgot FITH

  • Christine Baudrexl

    What about triple Cray Cray?? ??

  • ZDoggMD

    Daddy Issues, NOS, acute on chronic.

  • Betsy O’Herron Tolbert

    Hypermedallergic should be a secondary code to crazy. Those with greater than 20 documented medication allergies, 15 of which caused anaphylactic shock, none requiring hospitalization.

  • Theresa Terri Higginbotham-Torretti

    Denise Roberts, Christine Baudrexl, Rosemary Shields(though, no “Bat Sh_t crazy”yet, at least it’s a start.

  • Shahrzad Tabibi

    With extra for “batshit” and “sad sack” varieties. Over half of this was spent in direct consultation.

  • Rebecca Gage

    Or “Web MD, Self-Triaged”

  • Theresa Terri Higginbotham-Torretti


  • Jennifer Bein Rowlinson

    Train wreck, NOS

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