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#58483 11/27/2013 9:50 AM
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JBS Offline OP
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It is that time of the year again, and turkey-related injuries are common. This is the last Thanksgiving where use of ICD-9 is permitted, so it isn?t too early to prepare for ICD-10. Next year, be sure to code appropriately! For your patient who is injured by a turkey, be precise. For example, if your patient is pecked, do NOT simply use W61.43.
Be complete, and use:

Pecked by a turkey
W61.43XA ?? initial encounter
W61.43XD ?? subsequent encounter
W61.43XS ?? sequela

Of course these only apply if your patient has been pecked. You would use W61.42 if they were ?struck? by a turkey, and if necessary, you can fall back on W61.49, ?other contact with turkey?. Be aware that may lead to a denial of your claim since it is so vague.

Finally, be sure that the bird in question was a turkey. If the contact was with a duck, goose, or chicken, there are multiple separate codes to code for such contact.

Every code mentioned here is real. If you don?t believe me, check your ICD-10 code book. There is no way I could make this stuff up?

Wishing a healthy and happy Thanksgiving to all. And watch out for those turkeys.


Jon
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Any Emu inury codes?????????


jimmie
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Thanks Jon. This information will allow researchers to gather valid and improved data in the important area of turkey attacks, and more broadly in poultry attacks in general.


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Hysterical. I stole your example, Jon and used it on another site. God help us everyone!


Leslie
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And don't forget that this is the last day of the year that you can get away with upcharging all your turkey patients to a 99214 by adding a diagnosis of F60.0, paranoid personality disorder.



Dan
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Well, I have been learning more about coding, and so with the help of the Google learning platform, I can provide some additional coding assistance.

Originally Posted by external
While most of us still put our bird in the oven on Thanksgiving, Dennis decided to try something different. He went for the deep fried turkey. Not such a good choice as it turns out.

Dennis claims that when he attempted to put his Butterball turkey into the hot oil, the bird jumped out, splattering the aforementioned oil in its wake. As a result, Dennis suffered second degree burns to his arm, side of his neck, and side of his face.

Dr. Gobbler documents the following:

36-year-old male patient presents with second degree burns to left forearm, left neck area, and left check ?patient suffered third degree burns to left index and middle fingers ? initial encounter ? patient accidentally burned by cooking oil while attempting to deep fry turkey outside on patio of single-family residence ? patient suffered no additional injuries.

ICD-10-CM codes do not specify the size of the burn, just the degree. And some of the codes include multiple areas. So even though Dr. Gobbler documented burns on five sites, we only need the following three codes:

T23.242A, burn of second degree of multiple left fingers (nail), including thumb, initial encounter
T22.212A, burn of second degree of left forearm, initial encounter
T20.29XA, burn of second degree of multiple sites of head, face, and neck
The burn codes all feature the following note:

Use additional external cause code to identify the source, place and intent of the burn (X00-X19, X75-X77, X96-X98, Y92)

So we need to add:

X10.2XXA, contact with fats and cooking oils, initial encounter
Y92.018, other place in single-family (private) house as the place of occurrence of the external cause
Y93.G3, activity, cooking and baking
Since Dennis? burns were accidentally self-inflicted, we don?t need an assault code (X96-X98) or an intentional self-harm code (X75-X77).

The bird did not get far however. Dennis? wife found it ?hiding? on the roof of the garage. She decided to dump Dennis at Fix ?Em Up Clinic and head for a restaurant for dinner.

- See more at: http://blogs.hcpro.com/icd-10/2012/11/icd-10-coding-for-thanksgiving-mishaps/#sthash.7h76R0PV.dpuf
original - ICD10 geek alert


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