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Need help with an E-code

  1. #1
    Location
    Madison Wisconsin
    Posts
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    Question Need help with an E-code
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    The HPI document states:right hand pain. Onset: 1 Day(s) ago. Severity level is 6. It occurs constantly and is worsening. Location: right hand. Hand Dominance: right. Punched wall last PM in anger with RT hand.

    Assessment=Hand pain, right (729.5)

    Punched wall Last PM in Anger

    Advised Ice and elevate

    XARY referral may awit 2-3 days if not improving need XRAY

    Mom not interested in films today

    RTC not improved 1 week (XRAY should be completed after 3 days not improved)

    I am thinking E917.4(striking other stationary object w/o fall)? Any other ideas?
    Gina, CPC

  2. #2
    Default
    Quote Originally Posted by grothrock View Post
    The HPI document states:right hand pain. Onset: 1 Day(s) ago. Severity level is 6. It occurs constantly and is worsening. Location: right hand. Hand Dominance: right. Punched wall last PM in anger with RT hand.

    Assessment=Hand pain, right (729.5)

    Punched wall Last PM in Anger

    Advised Ice and elevate

    XARY referral may awit 2-3 days if not improving need XRAY

    Mom not interested in films today

    RTC not improved 1 week (XRAY should be completed after 3 days not improved)

    I am thinking E917.4(striking other stationary object w/o fall)? Any other ideas?
    That one falls under a category of "Accidental" - he didn't accidentally hit the wall, so I'd go with either E029.2 (rough housing or horseplay) or E029.9 (other activity). There's really not a code for punching walls, although I think it happens often enough to justify one. Silly, silly boys...

  3. #3
    Default Oooh...
    Or you could go with E958.8 (Self-inflicted injury by other and unspecified means, Other Specified means). I actually think that one's better than the other 2 I mentioned.

  4. #4
    Location
    Madison Wisconsin
    Posts
    50
    Default
    Thank you so much, I looked at that one also and the link with the suicide threw me off.
    Gina, CPC

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