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Icd-10-am 5th Edition And Mbs-e How these code are relevant

#1 User is offline   yesno 

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Posted 26 March 2006 - 01:01 AM

Introduction ICD-10-AM 5th edition and MBS-E

This is important to you because if you ever have treatment, ACC will use a system which was developed for general medical care and does not differentiate between Accidental Cause and other causes.

All "elective surgery" applications made to ACC must include a ICD-10-AM code which identifies the injury and the seven digit MBS-E procedure identification code, that identifies the procedure.

Australia developed the ICD-10-AM code by adapting the World Health Organisations' Code to Australian Framework. What Australia then did was apply a Code to all procedures for treatment of any medical condition. Therefore an ICD-10-AM code has a corresponding MBS-E code for the procedures that treat the condition.

The Australian Government Publishes every two years an updated ICD-10-AM, and a Medicare Benefits Schedule. The extended version of this schedule sets out what the australian government will pay for. (This is a bit like the New Zealand govenment passsing a schedule to an Act that sets out what medical procedures that they will pay for. )

This is reviewed every two years. It is avaliable to be viewed online at:

http://www7.health.gov.au/pubs/mbs/mbsnov0...04_contents.htm


THE PROBLEM. The problem is that purpose of medicare is to provide health services in Australia where there is no distinction between accidental injury and disease, and therefore the ICD-10-AM and MBS-E codes are often applied for other surgery. For example there are several conditions which can all be treated by the same procedure.

Also, as there is no distinction between accidental injury and other causes of conditions, there is no reason for the australian healthcare professionals to develop this distinction which leads to conditions being listed under the heading of "disease" which are not in fact disease, or have variable casues. I.e. Sciatica is listed under the heading of disease.

Interestingly, these codes also list Chronic Low Back Pain.

Anyway, by applying a system to New Zealand which was not developed or addapted to differentiate between Accidental cause and another cause, ACC is treating claimants very unfairly.

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Posted 26 March 2006 - 07:51 AM

AS IS THEIR NATURE BY MINISTERIAL AND GOVERNMENT EDICT AND SUPPORT.
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Posted 27 March 2006 - 11:27 PM

Some background information on these topics

Attached File(s)


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Posted 27 March 2006 - 11:39 PM

This is from the Australia site for national classification of health

http://www3.fhs.usyd...cch/4.1.1.htm#3
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