by Dianna Foley, RHIA, CHPS, CCS, CDIP
Test your ICD-10-CM external cause coding skills with this short scenario. Try coding any ICD-10-PCS and CPT codes as appropriate.
On a sweltering summer day, each of the Klutz children went to a pool for a refreshing swim. Knowing them as we do by now, the children each encountered some type of injury. Let’s see what happened.
Egon was showing off for his friends at the public pool while doing a dive. As he jumped off the diving board, his foot struck the board and he ended up with an interphalangeal dislocation of his great toe. A trip to the local ER was in order and a closed reduction without anesthesia was performed on the left toe.
Little Dana happened to be with her best friend at the same public pool as Egon. She was running around the kiddie pool when she slipped on a puddle of water and fell ending up with abrasions on both elbows. Luckily, band-aids were produced and the children were able to continue playing at the pool.
Peter, at the same pool as Egon and little Dana, ended up with an abrasion on his right hand after participating in a race. As he was finishing his backstroke lap, he misjudged where the pool wall was and struck it hard. He felt lucky to have only a large abrasion and no other serious injury.
Janine had stayed at home (single-family) to swim. When she jumped feet first into the shallow end of the pool, she struck the bottom hard, and ended up with a bruise on her left foot.
Last but not least was Raymond. He was on the deck of the next-door neighbor’s pool (single-family residence) when he lost his balance and fell into the water. He had turned his head awkwardly and ended up with a neck sprain.
All in all, not the worst day of injuries for the Klutz children…a blessing their parents appreciated for now!
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