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Nerve injury due to H1N1 vaccination

  1. #1
    Default Nerve injury due to H1N1 vaccination
    Medical Coding Books
    I spent way too much time looking into this and thought I'd just throw it on a thread...

    Pt comes back in for pain in R arm since she rec'd H1N1 vaccine. Dr dx'd:
    Injury, nerve, due to injection (H1N1) (R)UE

    Isn't there an E code to explain this too? Is there another more appropriate code?
    Heidi Thompson, CPC

  2. Default
    See E949.6 for your E code. To see how I found it, go to the Table of drugs in the ICD-9 book and go down to vaccines then to influenza. For therapeutic use it takes you to E949.6.
    ~Amy, CPC, CPMA, CEMC~
    Auditor/Consultant

  3. #3
    Default
    Thank you! I was stuck in late effects and reading the e codes page by page. Totally forgot about the drug table for that!

    Thanks again!!
    Heidi Thompson, CPC

  4. #4
    Location
    Milwaukee WI
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    4,466
    Default A question
    Is the injury to nerve due to the NEEDLE or is it due to the VACCINE (effect of the drug itself).

    If it's the needle look for an E-code for needlestick hypodermic E920.5

    If it's the vaccine use the drug table for the effect.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Default
    Okay, so I'm sure with the way it's written that it's from the needle. I did see that code but I was uncomfortable with using the "Accident caused by hypodermic needle", especially since it has needle stick and contaminated needle listed as examples.
    Heidi Thompson, CPC

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