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Procedure
Practice 01/15/00 - Feature
Article 01/15/00
Procedure Practice 01/15/00:
Coding Recommendations
Listed below are the ICD-9-CM diagnosis and procedure codes
as well as the CPT-4 procedure codes that we think properly
classify the treatment described. Please note that modifiers,
used only for physician billing purposes, have not been assigned
to the CPT-4 codes. If you disagree with our suggestions or
have other comments, please send an e-mail to codingedge@lagunamedsys.com.
Suggested
Codes and Rationale
Diagnosis
Codes
This patient was admitted for
fractures of the transverse processes of the L1, L2, L3, and
L4 vertebrae, a fracture of rib 11, renal contusion and hematoma,
head contusion with concussion, and brief loss of consciousness.
In the discharge diagnosis statement, the physician indicates
that the vertebral fractures were the most significant injury;
therefore, coding and sequencing of the diagnoses is as follows:
| ICD-9-CM
Code(s) |
Tabular List Narrative |
Alphabetic Index Heading |
| 805.4 |
Fracture
of vertebral column without mention of spinal cord
injury, lumbar, closed |
Fracture, vertebra,
vertebral, lumbar (closed) |
| 807.01 |
Fracture
of rib(s), sternum, larynx and trachea, rib(s), closed,
one rib |
Fraction, rib(s),
closed, one rib |
| 866.01 |
Injury
to kidney without mention of open wound into cavity;
hematoma without rupture of capsule |
Contusion,
kidney |
| 850.1 |
Concussion
with brief loss of consciousness |
Concussion
(current), with, loss of consciousness, brief (less
than 1 hour) |
| E917.0 |
Striking
against or struck accidentally by objects or persons;
in sports |
Striking against,
object, in, sports |
| E849.4 |
Place of
occurrence, place for recreation and sport |
Accident, occurring
(at) (in), place, recreational, NEC |
Procedure
Practice 01/15/00 - Feature
Article 01/15/00
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Bibliography - References:
ICD-9-CM Coding
Clinic, Nov-Dec 1987, 2nd qtr 1990, 3rd qtr 1990, 2nd qtr
1991; American Hospital Association, Chicago, IL
St. Anthony's Illustrated ICD-9-CM Code Book,
© 1999, St. Anthony Publishing, Reston, VA |
Notice: This
part of our web site was prepared to assist in understanding
and maintaining good coding skills. For proper use of this feature,
reference must be made to official coding guidelines when necessary.
The information here presented is only to be used as a supplement
to those guidelines. Laguna Medical Systems, Inc., makes no
representations or guarantees as to amounts that will be paid
by Medicare or other third party payers. |
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Please
be aware that the Coding Edge® Archive pages are
NOT retroactively updated
to reflect possible coding rules and regulation changes made
after the publishing date.
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