The Apixio Blog

An ICD-10 Guide to Game of Thrones

The sixth season of HBO’s Game of Thrones doesn’t start until April 2016. But rejoice, GoT fans: winter is coming in the form of ICD-10 codes.

Tomorrow, U.S. health providers must start using a massive new set of International Classification of Diseases (ICD) codes called ICD-10. These alphanumeric designations are given to every diagnosis and cause of death in humans, and they’re in every hospital and physician office billing statement and medical record.  

Not everyone is thrilled with the new system. The American Medical Association calls it an unfunded mandate and had succeeded in delaying implementation. Proponents note that the old system hasn’t been updated in 36 years and is obsolete.

We’ve found that data mining through cognitive computing can unlock the treasure of information contained in these codes and be a secret weapon, like wildfire at the Battle of Blackwater.

In any case, by the old gods and the new, change is inevitable.

As we wait to see if Jon Snow is really dead (say it ain’t so!), let’s familiarize ourselves with the new ICD-10 system with a look at memorable Game of Thrones injuries.

Season 1, Epispasted-image-20ode 1

Young Bran Stark clambers up a tower in his home at Winterfell and spies Queen Cersei and her brother Jaime Lannister in an intimate situation. Ewww. Jaime shoves Bran from the window, paralyzing, but not killing, the lad.

W13.8XXAFall from, out of or through other building or structure, initial encounter

S24.104AUnspecified injury at T11-T12 level of thoracic spinal cord, initial encounter



Season 1, Episopasted-image-16de 6

Dothraki lord Khal Drogo tires of the annoying, insulting, insolent Viserys Targaryen after he threatens to cut out Drogo’s unborn child from the womb of Daenerys. Drogo gives Viserys what he desires – a crown of (molten) gold.

T20.35XABurn of third degree of scalp [any part], initial encounter


pasted-image-18Season 1, Episode 7

Wine-loving King Robert Baratheon gets gored by a boar and dies of his wounds. Proof that drinking and hunting don’t mix.c

W55.42XAStruck by pig, initial encounter


Season 2, Episode 6

Ser Rodrik Cassel loses his head when Theon Greyjoy decapitates him in an effort to save face in front of his Ironborn soldiers. Unfortunately for Cassel, Theon is a bit of a klutz and it took several whacks to finish the job.

Z90.09Acquired absence of other part of head and neck



Jamie Lannister Hand

Season 3, Episode 3

Jaime Lannister was handy with a blade. But the henchman Locke cut off Jamie’s sword hand, leaving him a south paw.

S68.411AComplete traumatic amputation of right hand at wrist level, initial encounter


Season 3, Episode 10pasted-image-32

The psychotic Ramsay “Bastard of Bolton” Snow slices off Theon Greyjoy’s manhood and mockingly renames him “Reek.” It’s almost too gruesome for words. Fortunately, there is an ICD-10 code for it.

S38.221AComplete traumatic amputation of penis, initial encounter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               


Season 4, Episode 2

Joffrey Baratheon (nee Lannister) was poisoned and died a painful death at his own wedding. Long live the king—not.

T50.903APoisoning by unspecified drugs, medicaments and biological substances, assault, initial encounter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

Season 4pasted-image-34, Episode 10

Tywin Lannister suffers an undignified – yet deserving – death when his son Tyrion shoots him (twice!) with a crossbow while the elder was “indisposed”.

X99.8XXAAssault by other sharp object, initial encounter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

Season 5, Episode 9pasted-image-28

Stannis Baratheon consents to have his daughter, Shireen, put to death by fire. He believed The Red Woman, Melisandre, who said burning her alive would please the Lord of Light.

X03.0XXAExposure to flames in controlled fire, not in building or structure, initial encounter


  Season 5, Episode 10pasted-image-38

Alas, in this season finale we see Jon Snow betrayed and stabbed multiple times by men of the Night’s Watch. It’s hard to believe our hero is dead. Then again, this is a show where the dead walk, magic exists, and dragons fly.

X99.2XXAAssault by sword or dagger, initial encounter                                                                                                                                                                                                                                                                                                                                                                                                                               

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© Apixio 2015

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