tci ED Coding & Reimbursement Alert - 2008 Issue 11

Reader Questions: Remember E Code on Gunshot Treatment

Question: Our ED recently treated a patient for a gunshot wound from a pistol to the jaw; the ED physician had to remove the bullet from the patient's facial tissue. How should we report this service, especially the diagnosis? Montana Subscriber Answer: If the only procedure the physician performed was the bullet removal, you should choose 41805 (Removal of embedded foreign body from dentoalveolar structures; soft tissue) or 41806 (... bone), depending on the injury's specifics . Report ICD-9 code 873.54 (Other open wound of head; face, complicated; jaw) as the primary diagnosis. In addition, you should list E985...

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