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Thread: Ecode Sequencing

  1. #1

    Question Ecode Sequencing

    Anyone know the proper use of Ecode sequencing? For example, a pt was seen for an injury, plus documented coccyx pain, would the sequencing be..

    xxx.xx
    E-code
    724.79

    OR

    xxx.xx
    724.79
    E-code

  2. #2
    Join Date
    Apr 2007
    Location
    NYMAC
    Posts
    607

    Default

    E codes can not be a primary diagnosis.(never never...)It is always the last code. When you code how it happened (E850-E869 and E880-E928) you must code where it happened.

  3. #3

    Default

    I know E-codes aren't a primary diagnosis, thats why the xxx.xx in the example (takes the place of the dx). I was wondering however where the E-code/s placement would go in the event the pt was seen for an injury + an extra bodily pain and or other body problem if that problem was unclear if it was due to the injury??

    ie..

    dx
    ecode/s
    dx

    or

    dx
    dx
    ecode/s

  4. #4

    Default

    The earlier post was correct. E-codes are always listed last. =)

  5. #5
    Join Date
    Apr 2007
    Location
    Louisville, KY
    Posts
    1,100

    Default

    If you look at the Chapter-specific Guidelines in ICD-9, it states the following:

    * E codes for child & adult abuse take priority over all other E codes.

    * E codes for terrorism events take priority over all other E codes except child/adult abuse.

    * E codes for cataclysmic events take priority over all other E codes except child/adult abuse and terrorism.

    * E codes for transport accidents take priority over all other E codes except cataclysmic events, child/adult abuse and terrorism.

    The first-listed E code should correspond to the cause of the most serious diagnosis due to an assault, accident, or self-harm, follwoing the order of the hierarchy listed above.

    Hope this is of help.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

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