by Dianna Foley, RHIA, CHPS, CCS, CDIP
Test your ICD-10-CM coding skills with this Klutz family experience.
This March, each of the Klutz children was playing basketball in the school tournament. As was inevitable, each of the children experienced an injury while playing in the high school gymnasium. Read on to find out the injury each child suffered. Then, try your hand at coding the ICD-10-CM diagnosis and external cause codes, along with any relevant procedural CPT codes for each child’s injury/treatment.
The youngest Klutz, little Dana, tripped while running down the court, and ended up with a dislocated little finger. With her left finger bent at an awkward angle, a trip to the ER was made, where the distal interphalangeal dislocation was reduced without anesthesia.
Raymond’s team played next in the tournament and his injury came when he was running up and down the court repetitively, and twisted his ankle. Although he had to leave the game, it was a mild sprain, and his mother felt comfortable treating the right ankle at home with ice and rest.
Peter’s team took to the hardwood next. All was well until another player accidentally stepped on Peter’s foot, dislocating his big toe on the right. An ER visit was made, with the physician performing a reduction of the interphalangeal dislocation with no need for anesthesia.
Janine’s team played a hard fought game against their opponent. Her injury was sustained when a teammate passed her the ball. The ball struck her hand with a great deal of force, bending her left wrist back causing a sprain. Again, Mrs. Klutz felt ice and rest would heal the injury.
Egon’s neck contusion occurred as he was struck by the elbow of a much taller opponent as they were vying for the ball after a foul shot. Mrs. Klutz knew that ice followed by heat would be the best treatment, so an ER visit was avoided.
With the tournament over, the Klutz family returned home, thankful that the injuries were mostly minor…at least this year.
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