Message From Your Region 6 Representatives | July 2019
Finally, summer has arrived! Time to go enjoy the outdoors.
When I was young, I was riding my bike on the sidewalk in my neighborhood. I lost my balance on the bike and fell to the ground hitting my chin on the concrete. OUCH! Blood was everywhere and I was screaming so loud the whole neighborhood came out to see what happened. I was taken to the emergency department and received 4 stitches in my chin. To this day, I have a scar reminding me of that dreadful day.
What activities do you enjoy during the summer? Swimming, amusement parks, bike riding, picnics in the park, sand volleyball, baseball, skateboarding, etc.
With all of these great activities can come some unwanted accidents. As coders, we will see more emergent visits in the physician office, urgent care and emergency room. We need to tell a complete story when coding the accident by using external cause codes with the stated injury.
Using my accident, let’s see what codes we should use.
Laceration – chin
ICD-10-CM alphabetic index tells us to look for laceration-head-specified site S01.81
Looking in the tabular, I see we need a 7th character for the encounter. I would code this as S01.81XA. X is our placeholder and A is for the initial encounter.
Now comes the fun part. You can really find some interesting codes in the external cause section. I need to code what happened. I fell from my bicycle injuring my chin.
V18.0XXA – pedal driver injured in noncollision transport accident in nontraffic accident
Y93.55 – Activity, bike riding
Y92.480- Sidewalk as the place of occurrence of the external cause
Do you agree? What would you code?
We hope you have a fun and safe summer.
Jean R. Pryor, CPMA, CPC-I, CRC, CBP, CPC, CIMC, CCS-P, CHAP
Pamela Tienter, CPC, CPC-P, COC, CPMA, CPC-I, CCS-P, AAPC Fellow
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