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need help with icd-9 this is W/C case

  1. #1
    Smile need help with icd-9 this is W/C case
    Medical Coding Books
    patient was injured at work he works in construction . he had a nail gun fire a nail into the right distal femur:

    DX: Foreign body, right distal femur

    I used E849.3, but need dx

    Thanks for the help.
    Ivonne Atanacio CPC,CPB,CPMA,CPC-I

  2. #2
    Default
    If this is a current injury, ICD-9 states see Wound, open, by site, complicated. Read the Note under Open Wound category in the Disease Index and see if this is what you're looking for.

  3. #3
    Default codes
    Look at 891.1, E919.9 or E919.8 either one. But I would look at the open wound complication codes. You could also look at the 959.7 injury code, but I would code with the open wound (puncture wound). Just a place for you to start.
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

  4. Default
    How about E920.1 - Other hand powered tools,
    along with the wound, open code.

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