"E" codes should not be used as a primary diagnosis, but as a supplement to show the external causes of injuries, etc. As an ambulance provider, you usually won't have a final diagnosis, but you can code the symptoms that led to the ambulance being called. I would code the headache, ear pain, and then the fall. However, E987.9 is for a fall from an unspecified high place. If the patient was pushed and fell and was not in a chair, wheelchair or bed, use E886.9; if from chair, etc, to floor, use a code from E884; if unknown for sure, use E888.9. Then use E849.7 for the place of occurrence, a residential institution (the nursing home).
Hope this helps!
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