AHA Coding Clinic® for ICD-9 - 2009 Issue 3; Ask the Editor

Hierarchy for Assigning Overexertion E-Codes

Is there a "hierarchy" for the E codes in category E927, Overexertion and strenuous and repetitive movements or loads, when more than one might apply? For example, if a cumulative trauma resulted from an activity that was both a repetitive motion and a repetitive impact (e.g., chopping wood), which code would take precedence, E927.3, Cumulative trauma from repetitive motion, or E927.4, Cumulative trauma from repetitive impact? ...

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