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Ecode Sequencing

  1. #1
    Question Ecode Sequencing
    Medical Coding Books
    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..




  2. #2
    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
    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??





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

  5. #5
    Louisville, KY
    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.

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