Thread by @nickmmark

Doing a coding refresher while my kids were watching a movie, resulted in an epic crossover: Home Alone ICD10

First the title. 3 options:
Z62.29 Other upbringing away from parents
Z60.2 Problems related to living alone
T76.02XA Child neglect or abandonment, initial encounter
1/

The movies opens with household chaos. The protagonist (Kevin) is bullied by his older Brother “Buzz”.

Don’t worry there’s not one but two ICD10 codes for this:
1️⃣Y07.41 Sibling, perpetrator of maltreatment
2️⃣F93.9 Childhood emotional disorder, unspecified
2/

Kevin fears that Fuller (played by his real life brother Kieran) will wet the bed.

You can code this concern from Fuller’s perspective or from Kevin’s:
1️⃣N39.44 Nocturnal enuresis
2️⃣W55. contact with urine of unspecified mammal

3/

Buzz further torments his little brother by eating all his plain cheese pizza. This backfires on Buzz leading to:
🍕R63.2 Excessive eating
🤮R11.10 Vomiting, unspecified

4/

Kevin retaliates against buzz leading to
🥊 Z62.891 Sibling rivalry

(Eagle eyed fans will note that Kevins passport/ticket get accidentally thrown out with the milk stained napkins; this kinda explains how his terrible parents forget him)

5/

In the resulting fracas, Fuller gets smooshed by a chair causing:
👃S09.92 Unspecified injury of nose
(don’t worry he turns out OK, just watch Succession)

6/

The next morning:
F51.12 Insufficient sleep syndrome
Z63.79 Other stressful life events affecting family and household
7/

After rushing to the airport and boarding a flight to Paris, the family realizes they made a terrible mistake:

Z62.0 Inadequate parental supervision and control
F48.8 Psychogenic Syncope
8/

Z63.1: Problems in relationship with in-laws

Meanwhile
Z63.6 absence of family member due to disappearance

Skipping ahead to act 5, Kevin has to defend his house from the Wet Bandits. This entails:
🏠 F02ZBFZ Environmental, Home and Work Barriers Assessment
👨‍🔧Y93.D: Activities involved arts and handcrafts
🔨Z99.89: Dependence on enabling machines and devices, not elsewhere classified.

X95.01XA Assault by airgun discharge, initial encounter
S39.94XA Unspecified injury of external genitals, initial encounter

X95.01XD Assault by airgun 
discharge, subsequent encounter

W00.1 Fall from stairs and steps due to ice and snow 
W00.2XXA Other fall from one level to another due to ice and snow, initial encounter

T45.4X3 Poisoning by iron and its compounds, assault

W92.x18 Exposure to excessive heat of man-made origin, initial encounter, Contact with hot metals

X97 Assault by smoke, fire and flames
L64.8 Other androgenic alopecia

W45.0 Nail entering through skin
S91.331A Puncture wound without foreign body, right foot, initial encounter

Brief aside from grievous bodily injury GIFs to repeat what my dad said to me after we saw Home Alone in theaters: “you know not to try any of this at home right?”

J30.89 Allergic rhinitis due to feathers

Z18.81 Retained glass fragments

R46.1: Bizarre personal appearance

W30 fall involving recreational machinery

T65.6X3A Toxic effect of paints and dyes, not elsewhere classified, assault, initial encounter

T65.6X3D Toxic effect of paints and dyes, not elsewhere classified, assault, subsequent encounter

T63.303A Toxic effect of unspecified spider venom, assault, initial encounter
F40.210 Arachnophobia

W22.8 Striking against object, wall 
Y30.XXXA Falling, jumping or pushed from a high place, undetermined intent, initial encounter

Just when you think Kevin has messed up and been caught, he’s saved by his neighbor Ulysses S Grant:

Z59.2 Discord with neighbors
W27.8 Contact with other non- powered hand tool

Y35 Legal intervention

Z63.71 Stress on family due to return of family

And of course:
S03.02 Dislocation of tooth

Anyway, if you are still here I hope you enjoyed the ICD10 version of Home Alone.

This ought to have been worth 1.0 CME credit

I’m open to suggestions for next years movie