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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

Although some people may think the summer months bring the most injuries, autumn comes with its share of interesting maladies for patients. With that in mind, Medscape has again compiled a list of ICD-10 codes that you may see in the coming months.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

V06.0 Pedestrian Injured in Collision

Everyone loves a front-row seat at a parade, but no one likes it when the parade invades the front row. If a paper-mache pilgrim or turkey comes barreling toward the spectators, you might have to use this nonbillable code if an injury occurs. To bill properly, you'll have to indicate initial encounter (XA) or subsequent encounter (XD).

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W60: Contact With Sharp Leaves

Yes, this is actually a billable code (with the proper specificity). So, if patients are collecting autumn leaves and come away injured, use this code and advise them to wear gloves next time. The code also covers nonvenomous plant thorns and spines, so whatever lurks in the shrubbery should be covered.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

Y93.D Activities Involving Arts and Crafts

Hot glue guns, utility knives, and yes, even pinecones are all great crafting accessories, but they can be dangerous. If a fun project turns injurious, there's absolutely a code for that. In fact, to bill properly, ICD-10 includes codes for knitting and crocheting (D1), sewing (D2), furniture building and finishing (D3), and other arts and handcrafts (D9).

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W61.43: Pecked by a Turkey

Our fine-feathered friends tend to be a little on edge this time of year and prone to nip at people nearby. W61.43 is a category code, meaning it's nonbillable, so you'll have to indicate initial encounter (43XA), subsequent encounter (43XD), or sequela (43XS). A patient could also get charged or scratched by a gobbler, so that would require W61.49 (other contact with a turkey), with the same specificity.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

Y93.6: Sports/Athletic Activity (Group)

Maybe it happens while you're watching Thanksgiving football games with family or playing your own game in the backyard. Either way, if someone gets hurt, you'll need this code series handy. ICD-10 definitely has you covered for fall sports, with billable codes for flag/touch football (Y93.62), soccer (Y93.66), and even rugby (Y93.63), so be sure to specify the exact sport to get reimbursed.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

K03.81 Cracked Tooth

If the pecans in the holiday pie are a bit too tough or there's a surprise in the green bean casserole, teeth can take a beating. Use this billable code to indicate a fracture in the tooth that may cause a patient pain and sensitivity.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

Z63.1: Problems in Relationship With In-laws

Family gatherings often mean laughter, memories, and the inevitable argument. No worries—there's an ICD-10 code for that. "Z" codes designate reasons for encounters, so you'll have to use a corresponding procedure code if one is performed. You might also need the billable code V61.8: Other specified family circumstances.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

Y92.7: Farm as the Place of Occurrence

Lots of farms open their gates to the public each autumn, and this opens the door to injuries that might occur as a result. This is another category code, so it specifies location and not diagnosis. There are several more specific codes to note the exact location of the injury (ie, Y92.71 for barn, Y92.72 for chicken coop, and Y92.74 for orchard).

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

X08.8 Burn Due to Candle

All it takes is one errant pass of the mashed potatoes or a crowded cornucopia of treats to knock a candlestick down on the Thanksgiving table. If it burns someone, make sure you indicate the encounter to be able to bill for treatment. If a candle isn't the cause of the burn, you can also use this code for a cigar, lighter, and yes, even a welding torch, which really has no place at the table.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W52: Crushed, Pushed, or Stepped on by Crowd or Human Stampede

Although many people take advantage of "Black Friday" shopping online, there are still those brave souls venturing to stores and malls in the early morning for a deal. In case the rush for the latest must-have toy or flat-screen TV offer gets out of hand, use this code for any "black-and-blue Friday" injuries. Be aware that W.52 is a category (ie, nonbillable) code and requires specificity plus additional codes for injury to get reimbursed properly.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W14: Fall From a Tree

If someone takes a tumble back to earth while reaching up for that perfect McIntosh or plump Macoun on the apple tree or when retrieving a lost ball, you'll probably use this code. This category code describes the circumstance causing the injury, not the nature of the injury, so you'll also need to detail the results to get reimbursed properly.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

K30: Functional Dyspepsia (Indigestion)

It's the season of pumpkin-spice everything and the occasional overindulgence, so when indigestion strikes, hit back with this ICD-10 code. This billable code is different from those for heartburn (R12) or nervous dyspepsia (F45.8), so make sure you attach the right code to your diagnosis.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W29.1: Contact With Electric Knife

Turkey carving looks easy in Norman Rockwell paintings but can be much more dangerous in reality. Be ready with this code for the inevitable "oops" while paring the poultry. You'll also need to add specificity (ie, initial/subsequent encounter, sequela) to make it a billable code.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

X10.2: Contact With Fats and Cooking Oils

It has become popular to deep-fry turkey, so many of your patients may try it too. Have this code handy in case an explosion or grease fire occurs. Like most other codes, you'll need some more specificity (ie, initial encounter, subsequent encounter, sequela) for reimbursement. You'll probably also need additional codes that are specific to injuries.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W21: Struck by Sports Equipment

This category code is popular with pediatricians during the school year, and the injury can even plague armchair athletes this time of year. In addition to specificity, you'll have to document the type of equipment. Footballs (W21.01), soccer balls (W21.02), and even lacrosse sticks and racquets (W21.1) will be flying this fall, so if one strikes your patient, use this code.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

S76.312A: Muscle Strain (Hamstring)

When it comes to backyard football games, everyone thinks they are Tom Brady or Brett Favre. But as they soon discover, that misperception comes with a price. Here's how to code a pulled hamstring, get your patient back in the game, and get reimbursed. Most injuries to the hip and thigh are found in S70-S79 of the ICD-10 code set.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W00.9 Fall Due to Ice and Snow

As autumn creeps into winter, it's not uncommon for temperatures to drop and ice and snow to cover the landscape. Slippery surfaces can cause injuries, and if they do, use this code to indicate the circumstances that led to your patient getting hurt. To bill, you'll have to indicate initial (XA), subsequent (XD), or sequela (XS) encounter.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

W29: Contact With Powered Hand Tool/Household Machinery

In the Northeast, 'tis the season for leaf blowing…and for the occasional yardwork-related injury. Be prepared for any situation that results. Much like "contact with electric knife" (W29.1), you'll need to be specific as to the cause of the injury. You'll also need to indicate whether the instrument is a "powered garden and outdoor hand tool and machinery" (W29.3XX) or "other" such tool (W29.8XX).

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

V84.6: Passenger of Special Agricultural Vehicle Injured in Nontraffic Accident

What could possibly happen on a hay ride? Hay isn't meant to replace seatbelts—or actual seats—so, should that bucolic trip to the farm result in injury, be prepared to use this code to indicate the category, then add specificity to make it billable. You'll also have to document related injuries.

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20 Unique--But Useful--Codes You Might Use Around Thanksgiving

Keith L. Martin | November 11, 2019 | Contributor Information

Z72.820: Sleep Deprivation

Parades! Pies! Worrying about serving raw turkey… The various sources of excitement or dread that accompany Thanksgiving might keep your patients awake. If so, use this aptly named "Z" code to indicate lack of adequate sleep. Although this code is billable, be sure not to confuse it with insomnia (G47.0X).

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