Question

The coding from these chapters is going to be covered in next term HIM202. I want you to test yourselves and see if you are ready. Just code as you would normally code. Remember there are 7 diagnosis codes in total however 4 of them are external cause codes.

External Cause Codes are most often reported secondarily to codes from nearby chapter 19, Injury, poisoning, and certain other consequences of external causes (S00-T88). Chapter 19 codes begin with the letters S or T, and this is where codes for acute injuries are found, such as those sustained in an automobile accident.

If a physician were to select a code such as S13.4xxA Sprain of ligaments of the cervical spine, initial encounter, it’s also appropriate to report the external cause of the injury. The S code would act as the primary diagnosis; external cause codes can NEVER be reported first.

Here's the case:

A 12-year-old boy presents with his father to the ER due to open wounds in his arm, hand, and upper leg. The injury occurred when the boy fell on a barbed wire fence at the farm while running in the field. Diagnosis: Multiple lacerations to the right forearm, right hand, and left thigh.

HINT: First code the sites individually

Next Go to Index to External Cause to find the codes for external cause  for:

1. Intent or reason for injury: Main term --> Fall

2. Place of occurrence: Main term --> Place of occurrence

3. The activity involved: Main term --> Activity

4. Status: Main term ---> Status

Answer 1

Chapter 19 of ICD -10 CM , contains ICD code that cover injury , poisoning and certain other consequences of external causes. According to the ICD-10-CM the codes for external causes are :-

1. Intent or reason for injury -fall =in this case the boy fell on a barbed fence wire while running in the field (farm field) accidentally.

Code - W19.XXXA for unspecified fall with initial encounter(A)

2. Place of occurance - farm field

Code - Y92.73 for farm field

3. Activity - running in the field (farm field)

Code - Y93.57 for running in non - running track (farm field)

4. Status - multiple laceration of right hand ,right forearm and left thigh .

Code for multiple laceration of right forearm- S 51.811A

Code for multiple laceration of right hand - S 61.411A

Code for multiple laceration of left thigh - S 71.112A