Message From Your Region 5 Representatives | July 2019
Hi there Southwest Region members! Vanessa and I hope you had a wonderful 4th of July holiday. Tis the season for barbecuing, swimming, and fireworks. As a medical coder, you are familiar with the increase of ER visits due to burns from fireworks. We thought we would take the opportunity and refresh information regarding ICD-10-CM coding guidelines for this edition of our regional newsletter. When coding burns, remember ICD-10 distinguishes a difference between burns and corrosions. Burns are classified as coming from a thermal heat source. In the instance a patient suffers a burn from a firework, this would be classified as a burn. Corrosions are classified as being caused from chemicals.
Patients who experience multiple burns from fireworks, burns of the highest severity are required to be coded first to meet sequencing guidelines. When burns are on multiple body sites, code each body site separately. Also remember to utilize TBSA category T31, and if necessary code per the rule of nines. When burns are a result of fireworks, applying the codes for external causes are required. W39.xxxA and potentially Y25.xxxA may be applicable as well. If burns become infected, use an additional code in efforts to code the infection. When a patient suffers a non-healing burn, non-healing burns should be classified as acute burns. Also, necrosis of burned skin, should be coded as a non-healed burn.
If you have any questions on ICD-10 coding for burns, we are happy to help guide you through. Please do not hesitate to reach out! We would love to hear from you. Please let us know if you have any suggestions and/ or concerns. As your NAB leaders, we are here to help each of you in any way we can. If you attended National conference recently, we hope you had a wonderful experience. Please login to www.aapc.com and check out your member benefits, as well as upcoming events.
Your Southwest Regional NAB Leaders,
Sherrie and Vanessa
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