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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Abby on July 12, 2002, at 13:42:45
Hi you guys,
I'm really happy to have this board. I stopped posting, because I've been really busy with school and am generally much better. Having a good psychiatrist and therapist really helps. The psychiatrist doesn't take insurance either, but I can submit my bills and get 70% back. I probably save money in the long run, since I don't need to go in for a bizillion visits.
I wanted to try to support people some, but there were just so many neww names all the time that I didn't feel I could follow through. Good to see names I recognize and not needing to remember exactly which category my post fits in.
Noa--have you switched jobs? What's your shrink situation?
My Question: does anybody know where I could find diagnostic criteria for certain syndromes and codes?
It has to do with my grandmother and some litigation, because my uncle. her caretaker, is spending all of her money. Her doctor submitted a letter saying that she suffered from among other things:
Organic Affective Syndrome 293.83
Chronic Coumadin Therapy B58.61I think that these are for medicare billing purposes. OAS seems to be depression and depressive symptoms not otherwise explained. What does the letter part mean B58.61. I don't think it's right to call chronic coumadin therapy (or lithium therapy) a disease or disorder. It's a treatment, right? Of course monitoring is involved.
As for the diagnosis of organic affective syndrome I don't know that a psychiatrist made it.
Where would I find this stuff? I think that 293.83 is in the DSM IV, but where do I look up B58.61?
Thanks for all of your help.
Posted by Phil on July 12, 2002, at 18:27:29
In reply to Re-Introduction and a Question, posted by Abby on July 12, 2002, at 13:42:45
http://www.fda.gov/ohrms/dockets/ac/00/slides/3590s1c/
The above is on 293.83. Just key that # into Google.
Posted by Phil on July 12, 2002, at 18:31:34
In reply to Re-Introduction and a Question, posted by Abby on July 12, 2002, at 13:42:45
http://www.google.com/search?hl=en&lr=&ie=UTF-8&oe=UTF-8&newwindow=1&safe=off&q=B58.61+medical
Closest thing I could find on the other.
Posted by medlib on July 14, 2002, at 11:37:42
In reply to Re-Introduction and a Question, posted by Abby on July 12, 2002, at 13:42:45
Hi Abby--
Welcome back! It's great to see your "handle" once more.
Re code B58.61: I suspect (but can't document) that this is a billing code for a Medicare Part B provider (her physician). Chronic coumadin therapy is most often prescribed in the elderly to prevent complications from small blood clots in the lower extremities and/or in the brain (stroke). (Coumadin [Warfarin] is a widely used anticoagulant, erroneously called a blood "thinner".) Pts. on coumadin or heparin must have regular blood tests (PT, PTT) to keep within the therapeutic range (much like lithium).
While everyone should give someone they trust a "Durable Power of Attorney for Health Care", it sounds like your aunt has given her son an unlimited Power of Attorney (or he had her declared mentally incompetant and requested legal guardianship). This can be (in the wrong hands) a license to loot. If your aunt is not likely to regain mental competance, the only other recourse that I know of is to try to prove malfeasance (i.e., document that he spent her funds on items which will not benefit her.) Poor woman. It's one reason I have no intention of living so long.
Glad to hear that you're doing better. Hope's in short supply for many of us right now, and it's great to be reminded that better is possible.
Take care---medlib
Posted by Abby on July 31, 2002, at 19:57:47
In reply to Re: Re-Introduction and a Question » Abby, posted by medlib on July 14, 2002, at 11:37:42
medlib--thanks for your thoughts. I just wondered whether those things were more about getting paid by medicare, than strictly speaking a diagnosis. Dialysis as opposed to kidney failure.
>
> Glad to hear that you're doing better. Hope's in short supply for many of us right now, and it's great to be reminded that better is possible.
>
> Take care---medlibLess well right now, mainly, cause I am trying to pay bills and eat. This too will pass.
I'm really sorry that "better" isn't *now* for you. What's going on?
Abby
This is the end of the thread.
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