• This forum is currently in Read-Only mode and will not accept new threads, posts or responses.

    To Sign Up for the New Forum, click here: https://www.cco.us/cco-forum/

Case Puncture wound

Alicia Scott

Moderator, CCO Instructor
Staff member
Administrator
Moderator
Blitzer
PBC Student (CPC®)
CCO Club Member
CCO Support Staff
MTA Student
ICD-10-CM Student
PPM Student (CPPM®)
FBC Student (CPC-H®)
This is another excellent example of a unique case to code. Is a puncture wound coded differently then say a laceration? What E Codes can you pull out of this case from the information you are given? How about trying to crosswalk your ICD-9-CM to ICD-10-CM? Can you code to a higher specificity with ICD-10-CM maybe?
 

Luna

Well-Known Member
Blitzer
PBC Student (CPC®)
CCO Club Member
FBC Student (CPC-H®)
This caused me to chuckle. Several years back, a computer tech came to the home to replace the mother board on our computer. I was watching him for a while. He had a utility knife and was trying to cut the box open to get the mother board out. The knife was sticking and he dropped it several times, cussing when he did. I wondered if I was making him nervous so I stepped out of the room and did not return.

Quite some time later he tells me its complete but that it will take time to boot up. I thanked him but did not return to the computer room. Instead, I was busy being a good little patient, and minding my doctors orders at the time to be elevating my leg as much as possible. See, I had just days earlier been told I had thrombosis and was put on rest, elevation and blood thinners.

Well, later my husband returns home and asks about the computer. We went in together to check on it. I sat down at it and followed the rest of the instructions for set up. Computer was working fantastically. I got up to allow my husband the seat and I felt my foot kind of catch on the carpet. I thought, "wow, the skin of my feet must be really dry." I looked down at my foot and had to blink twice to clear my brain of what I thought I was seeing. No. Vision was clear. There was indeed a utility blade sticking out of the top of my foot. It had entered through the bottom of my foot and the tip was lifting the skin on the top of my foot and barely poking through. The whole blade was inside my foot and here I was on blood thinners.

So, I let out a gasp and that startled my husband. Then when he looked down at what I was looking at he too had to blink a few times. Then he panics!! Our son, who was 8 years old at the time, comes running to see what's going on. He meets me hopping down the hallway to get to the couch so I can throw my foot up. My husband is almost hyperventilating and shouting "What do I do? What do I do?"

Thank Jah for 8 year-olds! Our son gets the phone and hands it to his dad and says, "you need to call 911 and give them this address" he instructs as he points to an "emergency board" we made for him. Then he comes over to me and says while patting my hand: "Mom, don't pay attention to dad. You're going to be OK." (I sometimes wonder if he was saying that as much to reassure himself as to reassure me.)
 

Lori Woods

Well-Known Member
Staff member
Administrator
Moderator
Blitzer
PBC Student (CPC®)
CCO Club Member
CCO Support Staff
MTA Student
ICD-10-CM Student
PPM Student (CPPM®)
FBC Student (CPC-H®)
CCO Practicoder
PBB Student (CPB™)
ICD-9 Student
PBMA Student (CPMA®)
ICD-10-PCS Student
HCC Student
Oh I can't even hardly watch it because I had a toothpick in the same spot break off into my shattered heel once. It took two weeks before it came out because they couldn't see it in the x-ray. Talk about a long two weeks hobbling around. Alicia do coders have to watch videos or listen to recordings of patient visits to code as well as EHRs and/or medical reports?
 

susan sayers

trying to bloom in life 2.0
Blitzer
PBC Student (CPC®)
CCO Club Member
CCO Practicoder
I couldn't watch. Alicia, PLEASE tell me we code off written reports and not videos.!!
 

CarmenCoder

Member
Blitzer
Great video. His voice was very soothing, too. :D So would that be CPT code 10120 for the foreign body removal and would there be a simple wound repair code? I think he'd just stick a Band-Aid on it or would that be considered an adhesive strip and it's also coded 12001. Okay. Answered my own question- I think. 892.0, E001.0, 10120 and 12001.
 
C

crank

Guest
Wow... Superb video!! I don't have Complete knowledge on medical coding to help you. :)
 
Top