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Yup, and as others have mentioned ICD-10 is worse.

There are also CPT codes that specify the procedures and diagnostic techniques that doctors and other healthcare providers do.

Insurance is then a mapping from ICD codes to allowed CPT codes. Good luck getting that information from your insurance company, however. Once I had a claim denied because someone transposed two digits in an ICD-9 code, and the treatment obviously didn't make sense. The insurance company couldn't tell me what the codes were - just that it was not an approved treatment for the reported condition. That took a lot of painful debugging to resolve.

Oh, and CPT codes are copyrighted by the AMA [1]. If you want to use them you have to pay licensing fees. Too bad it's not usually a case of "want to use" but instead "must use." I'm not sure if ICD codes are copyrighted.

[1] http://en.wikipedia.org/wiki/Current_Procedural_Terminology#...



And people wonder how US pays twice as much as germany for the similar quality of medical services, but with worse coverage.




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