AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor

Injury due to Traumatic Endotracheal Intubation

A patient was emergently intubated for airway protection. Post intubation, the patient was noted to have bleeding from the oral cavity/oropharynx. The endotracheal tube (ETT) had pierced through the soft palate with a thin segment of circumferential tissue around the tube. The provider’s impression states, “Traumatic intubation resulted in soft palate injury involving ETT.” The thin cuff of soft palate tissue was released at bedside and the mouth was packed. What are the appropriate diagnosis codes for this case? Is it appropriate to assign an injury code, for the pierced soft palate due to traumatic ETT intubation? ...

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