tci ED Coding & Reimbursement Alert - 2007 Issue 4

Reader Question: Follow 'Rule Of Nines' For Burn Diagnosis Coding

Question: I have not been coding in the ED very long, and I have a question about burn diagnosis coding. What exactly is the -Rule of Nines- and how should I use it?Kentucky SubscriberAnswer: The -Rule of Nines,- which you-ll apply to your burn diagnosis coding, is a breakdown of the patient's total body surface area (TBSA). Physicians use the Rule of Nines to determine what percentage of the patient's body suffered burns, for reporting purposes. Coders use this information to arrive at the appropriate fourth digit for codes from the 948.xx series (Burns classified according...

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