tci ED Coding & Reimbursement Alert - 2023 Issue Q2

You Be the Coder: Don’t Let Payer Poke Holes in Your Puncture Wound Dx

Question: Encounter notes indicate the ED physician treated a patient with a puncture wound in their cheek/ temporomandibular area. How should I choose an ICD-10 code for this injury? Texas Subscriber Answer: You’ll need to find out whether the wound contained a foreign body and, if possible, the laterality of the injury. Go back to the notes and check on both of these elements. Then, choose from the following ICD-10 codes for your claim: S01.431A (Puncture wound without foreign body of right cheek and temporomandibular area, initial encounter) S01.432A (Puncture wound without foreign body of left...

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