We are having a conflict on coding for injuries. When the physician states on the charge ticket a diagnosis of "ankle pain due to slipping on the ice yesterday" some of the coders feel you have to put diagnosis of ankle pain with E codes. Some insurance companies only look at the first diagnosis code. This then would not be considered an injury because ankle pain would be 719.47 and is not a 800 or 900 code which are considered injury codes. Some feel we could use code 959.7 (ankle injury) as first dx code and 719.47 and then E codes, therefore the insurance companies would then view this as a accident. Some insurance companies pay 100% on injuries. We did have a patient with this scenario (insurance pays 100% on injuries, however it was not coded as an injury, therefore went to insurance deductible. unhappy patient) What are your thoughts on this. Would like to have a good answer to provide to the coders. Thanks.