tci ED Coding & Reimbursement Alert - 2008 Issue 6

Reader Questions: Remember E Code on Suicide Attempt

Question: I am having trouble deciding on diagnosis codes for the following encounter: ED physician treats patient who attempted to hang herself. The notes indicate the patient suffered a sprained neck and several abrasions to her larynx and trachea. What ICD-9 codes should I include for this claim? West Virginia SubscriberAnswer: You-ll have to code separately for the attempt itself, the patient's mental state, and any injuries incurred during the suicide attempt. On the claim, include the following diagnosis codes: - 300.9 (Unspecified nonpsychotic mental disorder) to represent the patient's suicidal tendencies - E953.0 (Suicide and self-inflicted...

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