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Thread: contusion vs sprain/strain

  1. #1
    Join Date
    Apr 2007

    Default contusion vs sprain/strain

    AAPC: Back to School
    If a patient has a contusion of the knee (924.11) and a sprain/strain of cruciate ligament of knee (844.2) can you code both the contrusion and the strain/sprain? Wondering because at the beginning of the Contusion heading (920 - 924) it states excludes hemarthrosis (840.0 - 848.9) and the sprain/strain is in that code category.


  2. #2
    Join Date
    Apr 2007
    Lincoln, NE


    Only the sprain/strain should be coded. In the ICD-9 Coding Guidelines Index for Chapter 17 a. 1) states that you don't code for the superficial injury associated with more severe injury of same site (Page 13 of my 2009 AMA ICD-9).

    Julie D, CPC

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