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by shagie 1107 days ago
At a meeting where Electronic Medical Records was on the agenda, I happened to have been sitting next to a manager involved with that and joked about that you can't take ICD-10-CM Diagnosis Code T43.616A ( Underdosing of caffeine, initial encounter https://www.icd10data.com/ICD10CM/Codes/S00-T88/T36-T50/T43/... ) to Starbucks with a prescription.

He chuckled a bit and told a tale of when he actually had that show up on his hospital visit once.

He was in the hospital for some reason. That next morning he was rather grumpy and after snapping at the doctor apologized and noted that it was 2 hours after he normally had his morning coffee... which he couldn't have. The doctor asked if he'd be better if he had some caffeine and the manager said "probably."

So T43.616A showed up on his chart and shortly after that a nurse came by and added one cup of coffee caffeine equivalent to his IV. Apparently it degrumped the manager sufficiently shortly afterwards.

The IV was much more than the cup of coffee from Starbucks and there was some dickering with insurance about if that was a necessary or elective treatment.

He concluded with that he wouldn't recommend it again.

3 comments

> added one cup of coffee caffeine equivalent to his IV.

> The IV was much more than the cup of coffee

To be clear you mean about same concentration i.e 100mg but higher absorption?

Starbucks is like $5 per 100-200mg. IV caffeine is like $500 per 100-200mg.
And pills are like $0 per 100-200mg, so we know why the hospital didn't just use those.
If he's being administered IV caffeine instead of given a cup it's possible that he couldn't take pills either.
> [cup of coffee] which he couldn't have

Probably 'nil by mouth' (pre-op or something) not just no fluids/coffee.

> To be clear you mean about same concentration i.e 100mg but higher absorption?

I think he means that the IV caffeine cost much more than a cup of Starbucks would have.

The price that the hospital billed was much more than the cup of coffee.
If that was US what did it cost? Possibly the most expensive coffee of his life!
Now that’s some relevant info!