Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Diagnosis Coding
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 07-11-2011, 08:04 AM
ilvchopin ilvchopin is offline
Networker
 
Join Date: Apr 2007
Posts: 44
ilvchopin is on a distinguished road
Default Accidental Needle Stick

Does anyone know what other icd-9 codes are needed with E920.5, hypodermic needle stick, using this for healthcare worker that got accidentally stuck, now testing for HIV as precaution. The code book mentions usng this as an additional code, but not sure what should be the primary code. Please help.
Reply With Quote
  #2  
Old 07-13-2011, 09:06 AM
KRivers26 KRivers26 is offline
Contributor
 
Join Date: Apr 2007
Posts: 10
KRivers26 is on a distinguished road
Thumbs up

I believe the type of injury itself (cut,wound..) would be the primary code. E codes are used for additional information regarding where and how the injury occured. Hope this helps!
Reply With Quote
  #3  
Old 12-15-2011, 02:39 PM
t.rosales t.rosales is offline
New
 
Join Date: Apr 2007
Posts: 8
t.rosales is on a distinguished road
Default

You would use the v1585 (exposure to body fluids).
Reply With Quote
  #4  
Old 12-15-2011, 03:25 PM
ajs ajs is offline
True Blue
 
Join Date: Apr 2007
Location: Tacoma, WA
Posts: 1,066
ajs is on a distinguished road
Default

Quote:
Originally Posted by ilvchopin View Post
Does anyone know what other icd-9 codes are needed with E920.5, hypodermic needle stick, using this for healthcare worker that got accidentally stuck, now testing for HIV as precaution. The code book mentions usng this as an additional code, but not sure what should be the primary code. Please help.
Assuming they were stuck in the hand or finger, you would use either 882.0 ir 882.3 primary with the E code secondary.
__________________
Arlene J. Smith, CPC, COBGC
AAPC Tacoma WA Chapter
President 2013 and 2011
President-Elect 2010
Member Relations 2008
AAPC NAB 2007-2009
Reply With Quote
  #5  
Old 12-16-2011, 10:24 AM
kjohnson kjohnson is offline
Networker
 
Join Date: Apr 2007
Posts: 45
kjohnson is on a distinguished road
Default

Now I'm curious, we've always coded V15.85 along with the E code for needle stick. Wondering how many others use the open wound codes as the primary dx?
Reply With Quote
  #6  
Old 12-16-2011, 04:19 PM
ajs ajs is offline
True Blue
 
Join Date: Apr 2007
Location: Tacoma, WA
Posts: 1,066
ajs is on a distinguished road
Default

Quote:
Originally Posted by kjohnson View Post
Now I'm curious, we've always coded V15.85 along with the E code for needle stick. Wondering how many others use the open wound codes as the primary dx?
I think because there was an injury that led to the need to test, it just makes sense to have the injury code, the E code and then the V code for a complete explanation of the circumstances.
__________________
Arlene J. Smith, CPC, COBGC
AAPC Tacoma WA Chapter
President 2013 and 2011
President-Elect 2010
Member Relations 2008
AAPC NAB 2007-2009
Reply With Quote
  #7  
Old 11-01-2012, 08:07 AM
cpccoder2008 cpccoder2008 is offline
True Blue
 
Join Date: Apr 2007
Location: arkansas
Posts: 594
cpccoder2008 is on a distinguished road
Default

We are having the same problem. What if the patient wasn't puntured with the needle or isn't sure if it went through, how would you code this ? For example sometimes they might get a prick but when they removed their gloves there is no blood or wound but as metioned above the run test and are seen in the ER as a precaution. I have always used 959.5 because i was told if the needle didn't puncture the skin then you cannot code an open wound. I'm curious as to what others are using as well. Thanks
Reply With Quote
  #8  
Old 11-01-2012, 08:26 AM
mitchellde's Avatar
mitchellde mitchellde is offline
True Blue
 
Join Date: Apr 2007
Location: Columbia, MO
Posts: 8,307
mitchellde will become famous soon enoughmitchellde will become famous soon enough
Default

You are correct it is not appropriate to use a code for an open wound for a puncture wound. therfore barring any code for puncture wound the 959.5 would be the first listed. Unless it is documented that there has been exposure to body fluids do not use the V15.85. Use screening V codes for the tests.
__________________

Debra A. Mitchell, MSPH, CPC-H
Reply With Quote
  #9  
Old 11-01-2012, 09:35 AM
cpccoder2008 cpccoder2008 is offline
True Blue
 
Join Date: Apr 2007
Location: arkansas
Posts: 594
cpccoder2008 is on a distinguished road
Default

We dont use the V15.85 code either, only the 959.5 with the E code. We use the V15.85 if while drawing blood it gets on their skin or if a patient spits on them etc...
Thanks
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 10:20 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC