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Accident vs. trauma coding

  1. #1
    Location
    Fort Worth
    Posts
    22
    Question Accident vs. trauma coding
    Medical Coding Books
    I code in a radiology setting and I am having the darnest time deciding when to use the trauma codes (959.) and when to code just the accident (V71.4). Reason for exam on report is "kicked in nose". Would you code accident or trauma?

    Thanks, Vici

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    hmm good question. I would go with trauma based on only what you have documented here.

    We dont know if the patient was kicked in the nose purposely....or accidently. If it were a fight, then it was purposely...if he were kick boxing, it could be an accident.

    however...in both scenarios above, the patient incurred trauma to the nose.

    I say trauma.

    just my thought process
    Mary

  3. Default
    I would use the trauma code as well.

    ~L
    CPC, CGSC, COSC

  4. #4
    Location
    Columbus, Ohio
    Posts
    14
    Default
    Don't you think that 'Kicked' in the nose would be an assault code V71.6?
    For trauma you would always want the words 'injury'.

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    possibly meenal..unfortunately we dont know the details of the injury to be able to make a judgement call.

  6. #6
    Default
    I would use V71.6 along with s/s and E-codes if the provider did not document a dx
    otherwise, always use an injury code when the provider documents an injury occurred.
    Quote Originally Posted by vmatt View Post
    I code in a radiology setting and I am having the darnest time deciding when to use the trauma codes (959.) and when to code just the accident (V71.4). Reason for exam on report is "kicked in nose". Would you code accident or trauma?

    Thanks, Vici
    Last edited by racheleporter; 07-31-2008 at 10:50 AM. Reason: ha ha ha
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  7. #7
    Location
    Fort Worth
    Posts
    22
    Wink
    Thanks everyone for your help. I can tell that we are split as to injury vs accident and will code accordingly. Thanks again for your input

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