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Wiki Coding an MVC

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bpollard@bondclinic.com

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I have a patient who came to the ED after being in a MVC on 12/16/14 and then returned on 12/26/14 with a cold and minor back pain. This patient has a history of back pain but is stating the pain was aggrevated by the MVC. Should the account be coded with an E-code?
 
bpollard@bondclinic.com said:
I have a patient who came to the ED after being in a MVC on 12/16/14 and then returned on 12/26/14 with a cold and minor back pain. This patient has a history of back pain but is stating the pain was aggrevated by the MVC. Should the account be coded with an E-code?
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The physician must document that the back pain is a result of the injuries and whether it is acute or chronic. If this is documented then use the 338 code for acute/chronic pain due to trauma, plus the appropriate 905 code for late effect of injury. For ICD-9 we do not use External cause codes for late effects.
 
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