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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019
| Contributor Information
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Image from iStock
Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
W21.11 – Struck by baseball bat
From Little League to the pros, summertime baseball is a likely activity for many. Should a Louisville Slugger find its way from the field to the stands, be sure to use this code to document the injury. Add specificity to bill properly. And it's not just bats that could be the culprit this summer, so keep these other summer "struck by" codes handy: baseball (W21.03), golf ball (W21.04), soccer ball (W21.02), and volleyball (W21.06).
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
W39 – Discharge of firework
Despite numerous warnings on packages and from many state law enforcement officials, backyard firework accidents happen each year. Should one of your patients get a little more bang for their buck than anticipated, use this billable code to indicate an initial encounter, subsequent encounter, or sequela.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
T63.621 – Toxic effect of contact with other jellyfish, accidental
Many things lurk in the ocean waters; among them, jellyfish who mean no harm but whose sting can cause some serious pain. Should your patient come in contact with this gelatinous creature of the sea, use this code to indicate the toxic effect of the sting, which commonly causes red marks, itching, numbness, and, in some cases, difficulty breathing or swallowing. To bill for such an incident, be sure to add specificity: initial encounter (T63.621A), subsequent encounter (T63.621D), or sequela (T63.621S).
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Y92.832 – Beach as the place of occurrence of the external cause
The beach is the ideal place to rest and relax in the summer, but it can also be fraught with liability. So whether it's a rogue beach umbrella, foot laceration from a sharp seashell, or any other such injury, use this billable code. There's also the billable code Y93.68 to indicate injury during a beach volleyball game, should that go awry.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Y93.41 – Activity, dancing
You've all seen the videos from summer weddings or simply in the backyard where someone is busting a move one minute…and busting something else the next. Should your patient incur injury while executing the Electric Slide or any other dance move, use this billable code. And then watch the video.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Y92.146 – Swimming pool of prison as the place of occurrence of the external cause
Even inmates need to beat the heat when the temps rise in the summertime. Use this billable code to indicate where an injury took place. And yes, prisons do have pools, including Alderson Federal Prison Camp in West Virginia, where Martha Stewart spent a little time in 2004.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Y93.G2 – Activity, grilling and smoking food
Nothing says summer like standing over the grill and surveying the landscape of tasty treats cooking by charcoal or propane. But sometimes your patients may stand too close or suffer another injury while flipping burgers or turning hot dogs. This billable code will indicate what your patient was doing at the time of injury. Be sure to also code the injury itself.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
L55 – Sunburn
Perhaps summer's most notorious injury is the sunburn, whether from sitting on the beach, riding on a boat, or simply spending too much time outside without proper SPF protection. Use L55 to indicate your patient's sunburn and add some specificity for first-degree (L55.0), second-degree (L55.1), or third-degree (L55.2) burn.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Y92.241 – Hurt at the library
Whether your patient is perusing for a beach read, hunting down their child's summer reading list, or simply looking for a little air conditioning, libraries can be dangerous. Use this billable code to indicate where the incident took place... and perhaps recommend Amazon next time.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
V97.33 – Sucked into jet engine
Yes, it is possible to get sucked into a jet engine and live to tell the tale, hence the ICD-10 code that exists to document the encounter. Hopefully, your patients' air travels won't necessitate its use, and hopefully, you won't have to document its being a subsequent encounter (XD) or sequela (XS) for the same patient.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Y93.I1 – Activity, roller coaster riding
From the Arkansas Twister in Hot Springs to the Zydeco Scream in New Orleans, the United States is no stranger to roller coasters of every shape, size, and speed. But should the "vomit comet" live up to its name or your patient suffer another injury while riding the rails, use this billable code.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
X52 – Prolonged stay in weightless environment
Space Camp may be a popular destination for young astronauts-to-be, but beware zero-gravity rooms. Should an injury occur while floating around, use this category code and add specificity to get paid. There are actually several other ICD-10 codes you might use regarding spacecraft, including accident injuring occupant (V95.4), crash (V95.40), and collision (V95.43).
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
W56.22 – Struck by orca
Fun fact: There is no documented episode of an orca, aka killer whale, eating a human being. But that doesn't mean they won't charge when they feel threatened, so in the rare case that an orca does attack, keep this category code handy. Like other such codes, more specificity is needed (initial encounter, subsequent encounter, sequela) for billing.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
W56.41 – Bitten by shark
Unlike orcas, sharks do bite, and frequency of such incidents seems to rise in the summer. Should one of your patients have an unfortunate encounter, use this category code and then add specificity to get paid for your treatment. Ditto for similar encounters with other ocean inhabitants, such as the sea lion (W56.11), dolphin (W56.01), or "other fish" (W56.59).
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
What goes up must eventually come down, and sometimes people get hurt. Yes, the movie Up! made them seem ideal for transportation, but hot air balloons can be dangerous. Should an injury occur upon landing or even while in the air, be sure to use this category code and add specificity to get paid.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
V91.35 – Hit or struck by falling object due to accident by canoe or kayak
While paddling down the rapids, many of your patients will keep their eyes straight ahead. However, should something drop from above while they are in a canoe or kayak, you'll have a way to document the encounter. This is a nonbillable code that requires specificity. And there is also a code (V91.05) should their canoe or kayak catch fire and cause a burn.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
V00.01 – Pedestrian on foot injured in collision with roller skater
Strolling along the boardwalk can be very relaxing for your patients… until someone comes rolling along and crashes into them. Use this category code to document the incident, but to bill, you'll have to indicate whether it was an initial encounter (XA), subsequent encounter (XD), or sequela (XS).
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
R45.83 – Excessive crying
Kids are out of school, beaches are crowded, amusement parks loud and often expensive—all the perfect setup for some serious summer sobbing. Should you encounter an upset patient (child, adolescent, or adult) who can't stop crying, be sure to use this billable code.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
V94.810 – Civilian watercraft involved in water transport accident with military watercraft
You might see this more in San Diego or Hawaii, but should one of your patients have a run-in with a naval or other military watercraft, there's a code to document the injury. And while hopefully this is an initial encounter (A), you'll need that specificity to bill a payer.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
Y93.6A – Activity, physical games
This billable code is generally associated with school recess or summer camp for children. So whether it's capture-the-flag, dodgeball, four square, or kickball, should an injury occur, you'll be ready to help a child in need.
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
V91.07 – Burn due to water skis on fire
One of the most mocked ICD-10 codes, V91.07 proves that there is truly a code for everything. However, should this unique—and super-specific—injury present to your office or hospital, you'll be prepared. To get paid, be sure to add specificity: initial encounter (XA), subsequent encounter (XD), or sequela (XS).
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Silly and Serious ICD-10 Codes for Summer
Keith L. Martin | June 24, 2019 | Contributor Information
A05.1 – Botulism food poisoning
Whether it's that potato salad that's been sitting outside for a bit too long or some undercooked treat from the grill, the summer is prime time for food poisoning. Should your patient come in complaining of an upset stomach and related symptoms, use this billable code to indicate their illness.
The fall season brings a host of interesting and unusual ailments presenting themselves to physicians. Here's a list of less-common ICD-10 codes you might have to use in the coming months.Medscape Features Slideshows, November 2018
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Keith L. Martin
Editorial Director, Medscape Business of Medicine
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