AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 1; Ask the Editor

Rib Fractures due to Cardiopulmonary Resuscitation

An 89-year-old female patient who was admitted to the hospital for cardiac workup became hypotensive and unresponsive following a cardiac catheterization procedure. The patient’s pulse was nonpalpable and cardiopulmonary resuscitation (CPR) was initiated. Subsequently, the patient suffered several fractured ribs secondary to the chest compressions. Per the Official Guidelines for Coding and Reporting and advice previously published in Coding Clinic, Second Quarter 2019, page 24, traumatic injury codes should not be assigned for injuries that occur during, or as a result of, a medical intervention. How should a rib fracture, occurring due to CPR be captured since a traumatic fracture code cannot be assigned? ...

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