ICD 10 code for Person injured in unspecified motor-vehicle accident. Verify code selection in the Tabular List. Winged Darryl Noveschosch Villain Darryl. At the beginning of chapter 15, under the notes, there is a reference to use additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy." Look in the Alphabetic Index for Pregnancy/weeks of gestation/21 weeks guiding you to code Z3A.21. A modified rule of nines is applied for infants, to account for their relatively larger. The rule of nines, for adult patients, assigns 1 of TBSA to the genitalia, and multiples of 9 to other body areas (9 head, 9 per arm, 18 per leg, etc.). Z34.92 is for supervision of a normal pregnancy, which is not the case in this scenario with vaginal bleeding. ICD-10 code T20.1 for Burn of first degree of head, face, and neck. Code T31 to report a burn and T32 to report corrosion, based on the classic rule of nines. The spontaneous abortion code O03.9 is not reported because it is documented as a rule out. Code Z33.1 is only reported when the provider documents the medical condition is not related to the pregnancy. Further review of the codes in this category show that 5 th character 2 indicates second trimester, resulting in code O46.92. Notes at the beginning of chapter 15 indicate that 21 weeks lies in the 2 nd trimester. The 5 th character 0 is for an unspecified antepartum hemorrhage, unspecified trimester. O46.92, Z3A.21 look for Hemorrhage, hemorrhagic/antepartum (with), guiding you to code O46.90. The patient did not have an acute laceration with a foreign body in an open wound therefore, code S01.82XA is not reported. There is no mention of whether the metal is magnetic or not. Verify code selection in the Tabular List. In the Alphabetic Index, look for Retained/foreign body fragments (type of)/metal directing you to Z18.10. Look for Foreign Body/retained (old) (nonmagnetic) (in)/fragments and you are directed to see Retained, foreign body fragments (type of). The 6th character is X and the 7th character is S for the sequela. Look for Laceration/forehead/foreign body referring you S01.82. In the ICD-10-CM Alphabetic Index look for Foreign body/in/soft tissue (residual) referring you to M79.5. ICD-10-CM Code for Burn of first degree of head, face, and neck T20.1 ICD-10 code T20. Coding sequela generally requires two-codes sequenced in the following order: the condition or nature of the sequela is sequenced first. M79.5, S01.82XS, Z18.10 ICD-10-CM Coding Guideline I.B.10 indicates: A sequela is the residual effect (condition produced) after the acute phase of an illness or injury has been terminated. Always code to the greatest degree of specificity supported by the documentation.
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