In the search for specificity the ICD 10 splits the diagnosis so much to get DATA which is Granular its utility for day to day clinical use is lost
people are forced to use diagnosis in patients which are not confirmed as a working diagnosis but ICD -10 by itself has no provision for working diagnosis
Insurance companies are adding to the confusion by refusing to pay for exams and procedures based on these diagnosis codes.
so, in the end, it is all going to be garbage in and garbage out
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