Re: Optional ICD-10 codes?
The desire to code every possible problem, indcident, variation or occurence may be a bit over the top and obsessive. Additionally, coding systems will always fail to keep up with the times. Where are the "Shocked by the iPhone, subsequent occurence", and "Internet addiciton" codes? A better approach might be to create category codes rather than specific codes for every possible condition and provide spedifics defined in additional fields. e.g. Traumatic injury, mechanism - fell off ice yacht or impaled by falling flag pole (I have seen this one), associated injuries - femur fracture (can code for this), or Laceration, mechanism - ran into mailbox, location - right forhead, depth - deep, length - 3.5 cm, etc.