Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 1021
Narratives 74N

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“What is the bodily injury?”

It’s All About the ICD Code!!!!!!!!

“All it takes is long days and sleepless nights” Mark Studin 2018

 

I constantly get calls that many of you need to write narratives for patients that were treated either well before you started in this program or well before you had your head out of your ass in paying attention to what needed to be done yesterday, last week, last month, last year or longer. As a result, when you go to write a narrative report, you realize that your previous notes were deficient in demonstrably identifying what body part(s) were injured.

 

Then, you scramble to get your patient for a reevaluation or see what creative things you can do currently so that you don’t destroy your relationships with the legal community and don’t look like an “inexperienced fool.” The problem always arises well after you saw the patient and often that is your “gotcha” moment where the lightbulb goes off, and you realize everything I told you is true. From that moment forward you start to pay careful attention about every counter and note.

 

Part of the solution is identifying in your E&M reports, both initial and re-evals the description of the bodily injury. However, your diagnosis rules the day in formalizing that injury with the ICD 10 code. I am not talking about the sequela of that bodily injury, such as pain, paresthesia, loss of use of a limb, concussion, headaches, etc. I am talking specifically on listing in your diagnosis the body parts that were injured. In the absence of those injured body parts, you will only be treating the effects.

 

When I broke my back in 1993 and went to a neurosurgeon while I was writhing in pain, the neurosurgeon gave me the best advice, and I want to share it with you. He said, “my job is not to treat your pain, it is to treat the underlying pathology that is causing your pain.” After spending my formative year in our profession reading BJ Palmer books, that neurosurgeon sounded like and “old-time chiropractor.”

 

When you deal with lawyers or medical specialists, this is where you need to live; what is broken, what is the evidence and what needs to be done, if possible. To put it in medical terms, you need an accurate diagnosis, prognosis, and treatment plan. When looking at bodily injury, the following diagnosis could be considered based upon the clinical presentation of your patient…

 

The Bodily Injury Diagnosis list can be found on the consulting site at:

Narratives – Section 3: #75

 

 

Respectfully,

  

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic

Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic

Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College

Graduate Medical Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

Academy of Chiropractic

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