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Is it Observation?

  1. #1
    Default Is it Observation?
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    Patient was admitted to hospital after falling from his balcony at home. Exam revealed several abrasions on his arm. He was admitted for observation of a possible internal injury. The final diagnosis was listed as: Fall from balcony. Concussion ruled out. Which would be the correct diagnosis out of these two?
    1) 913.0 - Superficial injury of arm or 2) V71.4 - Observation following accident?

  2. #2
    I would use both codes plus E codes.

  3. #3
    Unfortunately, that's not one of the choices. It can only be one or the other of those two.

  4. Default
    V71.4 is for examination of an individual following a motor vehicle accident.

    I would code V71.89

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