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WASHINGTON, D.C. – 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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Livin La Vida Locum MD
Livin La Vida Locum MD chose the most rewarding of all medical specialties and became a hospitalist. Wanting to contribute even more to the medical community, he trialed his hand at clinical research, but quickly realized that peer reviewed articles, R2,, and Odds Ratios will never top the impact of thorough healthcare reporting. So he dedicated his life to delivering the finest, deepest and broadest medical news from around the country. He accomplishes this monumental task by accepting locum assignments all over the country; in towns, villages and “hospitals” you never heard of and will never visit. May all fans of medical satire benefit from his wandering.
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