Tuesday, April 14, 2020

Gardening Gaffes

by Dianna Foley, RHIA, CHPS, CCS 

Test your ICD-10-CM coding skills with this Klutz family experience.

Each spring, the Klutz children and their parents plant a vegetable garden behind their single-family home.  While planting over the weekend, each child sustained a bite injury.  Read on to see what happened and practice assigning ICD-10-CM diagnosis and external cause codes for the injuries.

Janine incurred the first bite injury when an aggressive squirrel bit her on the index finger of her left hand while she holding seeds to plant.  Raymond, who was barefoot, was standing nearby using the hoe when a tiny mouse bit his great toe.  Luckily, the bite was just superficial on his right foot.  A spider bit Peter on the back of his right hand as he was planting lettuce.  It was good fortune that the spider was of the nonvenomous variety.  Egon was bitten on his right ankle as he walked through some overgrowth to pull out dead plants from last year.  He was able to catch a glimpse of a Northern black racer snake slithering away.  He recalled from Boy Scouts that this snake was nonvenomous, thank goodness.  It appeared that little Dana might be spared a bite injury, but no such luck.  She developed a particularly itchy rash that was the result of being bitten by chiggers.  Mr. and Mrs. Klutz made sure that each child’s bite was tended to appropriately, and were happy the injuries hadn’t been more severe…this time!    

Click HERE for the answers.

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