377 Comments

I’m a physician,and I don’t know the answer to your question,but,I have coders!I’ll ask them tomorrow.

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Just as a side note, for good entertainment, head over and see the bashing Substack is getting, and props Alex is getting, on the page Substack announced making big pharma propogandist Eric Topol a "writer in residence." Just to prove the 900+ commentors bashing this terrible decision by Substack absolutely correct, Topol has already propagandized with his first post, and he's censored and hidden all comments!!!! This IS Substacks Let's Go Brandon moment - how will Substack respond?

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as an anecdote: I now know three people, personally, who I believe are vaccine injured (one my father, one a co-worker, one a mother of a co-worker.) Dad had a stroke 6 weeks post shot (went to the ER with non-specific and undiagnosed chest pain at shot + 4 weeks), co-worker's mom had a stroke 2 hrs post shot, co-worker was in 6th day recovering from COVID and got the shot and went down hill, landing in the hospital for 10 days on oxygen. None of these three are in VAERS.

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Thank you, Alex, for doing real investigative journalism

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Interestingly , when a patient has a miscarriage, abnormal bleeding , abruption ect… I ask the resident if they have been vaccinated, if so when? The resident usually looks at me and asks why ? I’m so disappointed ☹️.

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ICD code for Covid:

FU-666

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Yes we coders see these codes. I just got notice last week that Medicare was beginning to audit Covid records. I cannot wait to see how much fraud went on with billing charts with Covid and they really had another condition that either caused their passing or caused their hospital visit

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Another question to pose...We are constantly being told the ER's are overrun. A Healthcare worker I know was hospitalized for a reaction to the FLU vaccine(yes, they've jacked that up this year as well !). While at the hospital she develops covid. She notices 13 empty rooms in the covid ward and asks her nurse what gives since the story is all the beds are filled. The nurse said they've been told by their superiors that they are full based on their current STAFFING levels - not the true number of beds available.

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Not a coder, but: How did 29 million cases of flu fall to 1,675 in 20/21 (per CDC stats)? Is "Covid the flu?

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T50.B95A is Adverse effect of Covid 19 vaccine.

T50.Z95A is vaccine or biological substance causing adverse effect in therapeutic use.

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I am Brit with no info on coding but just had to write and thank you for your tireless work. I work clinically within the NHS and am so grateful for your determination to get to the truth.

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curious about this statistic: Of people that received the vaccine, how many got Covid after receiving the vaccine? With a "normal" vaccine like measles or mumps, of people that received the vaccine, what percentage of people actually came down with measles or mumps? If we knew that stat exactly, it would show people the efficacy of the vaccine.

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You can’t trust anyone who turns off comments. Don’t know who this asshat is. Admits he’s not a virologist, immunologist etc. sounds like an administrator like Anthony Feces.

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Know for a fact that my sister In-Laws neighbor died of cancer but death certificate said covid. His widow was quite upset about it.

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Hi Alex. I just read this op-ed in the NYT from an ER doc in Michigan, the state I live in. If you or anyone you're aware of is able to respond to the op-ed and the sources it links to for data, I'd encourage you to publish that response. Thanks.

I’m an E.R. Doctor in Michigan, Where Unvaccinated People Are Filling Hospital Beds, Dec. 8, 2021

By Rob Davidson, an emergency physician in a rural area of West Michigan, which is experiencing a Covid surge.

https://www.nytimes.com/2021/12/08/opinion/covid-michigan-surge.html

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Hi, I’m a coder in the US. We don’t currently have U12.9 in the US ICD-10 CM version. We can use the T code but doctors have to link the vaccine to the presenting problem. I work for hospitals all over US and can tell it hardly ever happens.

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Bad news. They are gonna eventually jab us all. Job mandates, flight mandates, travel mandates. It’s all coming. Welcome my son, to the machine.

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Alex: this came from a local (Oregon) contact of mine on FB. --- "I do use those codes. You may have typed U12.9 incorrectly as that is not in my 2022 books. Here's the problem with using those codes. We can only code what the doctor SAYS. we cant automatically correlate the two. I do use the adverse effect code....but can only if it's stated as such. I will tell you right now that the information is being suppressed or not even investigated. The ones I have seen have only been because the family is INSISTING the possible correlation be investigated. PS: I have proton email as well." I've also shared this substack link to encourage her to sign up.

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Alex getting to the heart of the matter - again. Onward!!

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I always look at what impacts reimbursement.

My mantra: “follow the money.”

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I don't do coding but after defending serious personal injury cases for over 20 years, I read enough medical and hospital records and invoices etc... to get the general gist of the significance of the issue re hospital records

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I highly doubt the medical mainstream is looking for, much less documenting, vaccine side effects. Strokes, heart attacks, other vascular disorders...those happen all the time. Why would they venture outside the lines and document something like that in a patients chart? They might privately wonder, but I don't think they'd put it in writing.

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Talking about the vaccine not working!!

Here is one of several articles that are just now being reported that shows that cancer patients MAY NOT get the protection from the COVID vaccines as expected. https://www.cancertherapyadvisor.com/home/cancer-topics/general-oncology/cancer-patients-double-risk-covid19-breakthrough-infection/?mpweb=1323-165465-7637569

I have incurable bone marrow cancer (multiple myeloma). I was diagnosed in 2018 and given 3-6 months to live. I rejected chemo because it would destroy my immune system. I got COVID in June 2021. I’m not vaccinated. The only reason I survived COVID without meds and without being hospitalized is because of my 10 Unconventional Cancer Protocols, which I created for myself in 2018 and have enhanced my “compromised” immune system that was a result of my bone marrow cancer. If I got jabbed with the COVID Vaccine, who knows if I would be thriving today or even dead!!!

By the way, Colin Powell had multiple myeloma as I have, but he was fully vaccinated and got COVID and died. I am sure he had chemo and did nothing to enhance his depressed immune system.

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founding

Alex,

In our organizations, most all providers are now placing whether a patient is vaccinated or not (from their organization or some other place) in the H&P part of the chart so it can easily be data mined. Our COVID Dashboard tells us each day about inpatients that are in the house (within all of our Hospitals) and whether they are on a regular floor unit or in an ICU. If in ICU are they on a vent, have they been vaccinated or not, their age and their gender. If the patient had actual COVID (has antibodies) at some point and no vaccine or came in for another reason and yet are also exhibiting mild to moderate systems of COVID they are classified as a PUI or patient under investigation. We are tracking who does better, gets out faster and, and, and.. So that effort is being made, but on the clinical record (EMR) side.

On the coding side (and ICD codes are ALL about billing) this code is an ICD 10 code being utilized in part on the “Problem List” that a physician /provider documents for reimbursement purposes (only vaguely related to clinical documentation, but a necessary evil). Often recoded (or just coded) by a coder but physicians are supposed to provide the source data to arrive at the code.

This code has to do with the initial encounter of a patient who "experiences adverse effects from vaccines or other external causes like poison". Is it being used? I am sure it is, somewhere by someone. You do not get nearly as much money for reporting this adverse initial condition as saying they were admitted with COVID. So I expect the COVID admits dwarf this code, irrespective of what the actual real admission cause was. As you can imagine, for many patients, what they have is pretty muddy when they come in the door. People are not looking for vaccine reactions on admit, so they are not picked up as a matter of course. (Because the vaccines have no deleterious effects, of course, why look?)

Hope this is helpful.

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I am a certified professional coder of 35+ years.......sending email.

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Glenn Beck Exposes The “JOINTLY OWNED” Coronavirus Vaccine Between Moderna And US Gov (NIAID)

Glenn Beck recently obtained a copy of the 153 Page Confidential Agreement between Moderna and the U.S. Government, and it goes back to 2015.

Last year, it was reported by a few media outlets (see Axios) of such an agreement, but no physical evidence to reference from. Now Glenn Beck got his hands on it.

On page 104, the document shows a collaboration between the NIH, Moderna and Dr. Ralph Baric, whose signature appears on page 106 of the material transfer agreement.

The agreement was that the NIH transfers the mRNA tech to Dr. Baric. But look what they wanted to make clear: “mRNA vaccine candidates developed and jointly owned by the NIAID (National Institute of Allergy and Infectious Diseases) and Moderna.”

Did you get that? The vaccine is co-owned by the government. So in other words, the same government that is mandating the vaccine, owns the vaccine and profiting from it. Conflict of interest much?

https://centipedenation.com/transmissions/glenn-beck-exposes-the-jointly-owned-coronavirus-vaccine-between-moderna-and-us-gov-niaid/

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I will be in touch! I know what’s going on. I’m out to dinner. I want to open Pandora’s box!

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For the first question Alex could check out the Highwire interview with Deborah Conrad, a physician assistant from upstate New York. According to her the hospital knew the vax status if the patient was vaxxed in the hospital system she worked for, but they did not know it, if they had gotten vaxxed somewhere else (pharmacy etc.)

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...could the icd code be one added 2018; regarding adverse effect after vaccination?

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So my doc required that I take a test because I use Ambien once in awhile. She said the government now requires it. That being said, the test is NOT FDA approved. Look at what they tested me for:

6-Acetylmorphone, urine Negative

Negative

AMPHETAMINES Negative

Negative

BARBITURATES Negative

Negative

BENZODIAZEPINES Negative

Negative

Buprenorphine screen, urine Negative

Negative

COCAINE Negative

Negative

OPIATES Negative

Negative

EDDP, urine Negative

Negative

OXYCODONE Negative

Negative

FENTANYL Negative

Negative

The US Food and Drug Administration has not approved or cleared this test, however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as a sole means for clinical diagnosis or patient management decisions.

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As a hospitalist in labor and delivery, there is only positive or negative for Covid. Vaccinated or not vaccinated doesn’t seem to be part of the coding that I see but I will ask.

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Alex what my daughter in IT at a major Dallas hospital was able to provide on the codes -

Well, I don’t see U12.9 in our EMR at all (meaning it can’t be used cause it’s not there). We get official ICD-10 files to load every couple months or so, so all I can say is maybe this is a very new code or something. I see the other one though, it’s basically an adverse reaction to a vaccine, but I feel like I shouldn’t look to see if it’s being used cause I’m not really supposed to do that. But since it’s not even specific to Covid I’m sure it gets used some. I wouldn’t know what the coding guidelines are around it though. Usually what the coder will say is they can’t code it unless it’s specifically documented by the doctor, but there are other rules they have to go by too.

Hope it helps somewhat.

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Alex, along with Glenn Greenwald and Bari Weiss the only ones fighting the narrative of the legacy media. For a deeper dive into the "Truth Squad" go to mikeboyd.substack.com.

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Very rare even to see mean and median age of covid deaths when doing a basic online search.

I would like to compare to the average adult's age of death.

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Really glad you finally got a Protonmail account and dumped the gmail.

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"protonmail.com (more secure than Google)…"

Possibly, but I wouldn't trust them, I'm sure you've seen this already:

"ProtonMail Gives Up Logs on User, Then Scrubs Website of No IP Logging Claims"

https://restoreprivacy.com/protonmail-logs-users/

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For reference, ICD-10 codes are diagnosis codes that healthcare uses to track diagnoses and for reimbursement purposes.

U12. 9 COVID-19 vaccines causing adverse effects in therapeutic use, unspecified.

T50.Z95A: Adverse effect of other vaccines and biological substances, initial encounter.

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founding

A Pulmonologist M.D. is who makes the call only on this no one else not even Fauci, or any on TV cable news or Twitter and Facebook. Work or seen any of these types of patients. It was this way 2 years ago and still the same today. I will Tell you as you well know the P.C.R. test is not the real way as you know it is a process of many things. (ABG) is a start again as you well know these procedures being one of the best Respiratory guys in the world. Knowing their vaccination statis is with your (PCP) insurance and the State. Again, you can find out most things through blood samples. P.C.R. test will tell you say of Coronavirus but not viral pneumonia them another test done by the above M.D. only they can order this type of work for insurance to pay for this type of work. Again, as you already know all these answers for more than 30 years now.

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Don't get too smitten with proton. It's easy to find the needle in the haystack when it's a smaller haystack that attracts dissenter types, adulterers, and criminals. If they were as secure as you want to believe, they would have already gone the way of lavabit.

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I see what you’re doing ;) I suppose the all payout claims databases APCDs for the states that have them would be a fabulous FOIA request. Aggregates tons of data. Could extrapolate from there. Also there are a number of state and regional HIEs that also aggregate hospital clinical feeds; think ADT traffic… admits, discharges, addendums during stay.

From the ambulatory side much trickier and frankly where most incidents might be recorded (assuming they’re even recording the codes because PITA and they’ll get reimbursed anyways). That’s going to be claims I’m afraid as most aggregation in ambulatory is vendor provided and inaccessible outside of probably court order.

Fun fun.

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Alex, you are my light in this complex area.

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Alex,

I am not a biller or coder, but work with them on a daily basis as a sort of consultant.

Medicare has this resource, you can search all of their billing and coding guidelines here or view other resources that billiers use to know exactly how to bill medicare for services.

https://med.noridianmedicare.com/web/jfb/education

Another on Covid specific reimbursement...

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PFSlookup

Here is the 2022 Physician Fee Schedule...

https://public-inspection.federalregister.gov/2021-23972.pdf

Bottom line is...hospitals and physicians are incentivized to bill for as much as they can. Hospitals will bill medicare, etc. for their services and physicians offices will also bill for their time/services that they spend in the hospital if they are not a hospital only physician. Example: A local pulmonologist has a private practice in the community, but treats Covid patients in the hospital ICU. His office would use an office billing form (CMS 1500 form) for his/her time spent in the hospital. The average Hospital stay is something like $3000+, the average ICU stay is $6000+...

Hope these resources are helpful.

Love your work.

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My degree is in Heath Information Management and Technology. After I graduated I went to work in medical sales and marketing, so I never got into medical coding. I know plenty of my classmates who work for Wellstar, Piedmont, and Northside, which are the largest health systems in Georgia.

Back in April 2020 after watching the local news standing outside Kennestone Hospital reporting COVID patients are taking up so many beds, I called some friends who do medical coding for Kennestone. That's when I first realized there is an agenda behind this man made pandemic. Kennestone, they told me, had never been so empty. That none of the COVID deaths they were coding had been lab confirmed, and that at least one trauma patient was coded as a COVID death.

Electronic medical records were mandated by Obama care with the promise it would literally save hundreds of billions of dollars and improve the care of patients. It was all BULLSHIT. There was no interoperability, no continuum of care between providers, certainly NO savings. Alot of physicians have come out and said these systems have hindered care.

I say all that based on my professional experience, there is absolutely no way COVID vaccination records are easily accessible or easily communicated to EMRs.

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Not a coder, no formal training, but I do know what you are saying, yes, it is VERY important. Very similar to setting up a research study. One of the first things I learned at the doctorate level was HOW to set up a "study" to produce different "results". Choosing the variables, the size of the sample, the standard deviation, etc. etc. can produce nearly any results you desire to "prove". And, few, if any, will have ANY idea how to "dig up" the original format of the study, and if they did go to that trouble, few would recognize these various elements or question them; such as: were the variables studied those most likely to produce particular results, is the size of the sample appropriate, HOW were the samples chosen, what was the LENGTH of the study, on and on an on.... the coding and many other variables are of such extreme importance in reporting anything connected to covid, and I fear most of the statistical work is so imbued with bias for one purpose or another that I wonder.... will it all get so muddled and contaminated that we will never be able to determine the real truth of this all.... which is very sad for all mankind !

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Question: How many of you have not been getting the Berenson posts sent or forwarded. seems to be more and more accounts of nuanced censoring going on with substack decimation of information?

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