E-Codes No More Coding Example Answers

34.02.14

Example 1:

Scenario: Driver of car collided with a pickup truck on the interstate highway. The driver confessed to using his cell phone to send a text message to his girlfriend. (ICD-9: E812.0, E849.5, E011.1)

Answer:

 V43.53XA- In alphabetic index go to accident, transport, car occupant, driver, collision, and then to pickup truck (traffic). This points to V43.53. Go to V43.53 in the tabular to verify. V43.43XA is the code for car driver injured in collision with pickup truck in traffic accident.

Y02.411- In alphabetic index go to place of occurrence, street and highway, and then interstate highway. This points to Y92.411. Go to the tabular to verify. A seventh digit is not needed on place of occurrence codes. Note: You could also go to highway (interstate) to arrive at Y92.411. You will not find an alphabetic index listing under interstate.

Y93.C2- In alphabetic index go to activity, cellular, and then telephone. This points to Y93.C2. Go to the tabular to verify. There are no activity codes that require a sixth or seventh character.

 

 

Example 2:

Scenario: The patient was bitten by a dog while attempting to rescue it from an abandoned barn while performing his job at animal control. (ICD-9: E906.0, E849.1, E019.9, E000.0)

Answer:

W54.0XXA- In alphabetic index go to bite and then dog. This points to W54.0 Go to the tabular to verify. W54.0XXA is the code for bitten by dog.

Y92.71- In alphabetic index go to place of occurrence and then barn. This points to Y92.71. Go to the tabular to verify. A sixth or seventh digit is not needed for this code. Note: You could also go to farm and then barn to arrive at Y92.71.

Y93.K9- In alphabetic index go to activity and then animal care. This points to Y93.K9. Go to the tabular to verify. A sixth or seventh character is not needed.

Y99.0- In alphabetic index go to status of external cause and then civilian activity done for income or pay. This points to Y99.0. Go to the tabular to verify. A fifth, sixth, or seventh digit is not needed for any status code.

 

 

Example 3:

Scenario: The patient, working on his home improvement project, fell from ladder outside of his single family home. (ICD-9: E881.0, E849.0, E016.9, E000.8)

Answer:

W11.XXXA- In alphabetic index go to fall, falling, from, and then ladder. This points to W11. Go to the tabular to verify. W11.XXXA is the code for fall from ladder.

Y92.018- In alphabetic index go to place of occurrence, residence (non-institutional) (private), and then house-single family. This points to Y92.019. Go to the tabular to verify. You now have to make a decision between Y92.018 (specified) or Y92.019 (unspecified). The AHIMA ICD-10CM training recommends using Y92.018 because we know the patient was outside of the house. However, the scenario provided does not specifically say yard, which would be Y92.017.

Y93.H9- In the alphabetic index go to activity, maintenance, and the property. This points to Y93.H9. Go to the tabular to verify. A sixth or seventh character is not needed.

Y99.8- In the alphabetic index go to status of external cause and then specified NEC. This points to Y99.8. Go to the tabular to verify. A fifth, sixth, or seventh digit is not needed.

 

 

Example 4:

Scenario: Patient is seen for continued elbow pain related to her elbow fracture. Six weeks ago she fell while roller skating at the local roller rink. The physician found a nonunion of the previous fracture and has scheduled surgery. (ICD-9: E885.1)

Answer:

V00.121D- In the alphabetic index go to accident, transport, pedestrian, conveyance, roller skates, and then fall. This points to V00.121. Go to the tabular to verify. V00.121D is the code for fall from non-in-line roller skate, subsequent encounter.