Monday, May 18, 2026

Springtime Slip-Ups

by Dianna Foley, RHIA, CHPS, CCS, CDIP


Test your ICD-10-CM injury and external cause knowledge by coding the scenarios below.


Spring has arrived and the Klutz family is thrilled to be outdoors again after a long winter. Flowers are blooming, the weather is warming up, and the children are eager to enjoy all the activities that come with the season. Of course, as we’ve come to expect any outdoor activities that the Klutz children participate in are likely to end with at least a few mishaps. Let’s see what befalls them this spring.

Little Dana was helping her mother plant flowers in the backyard garden. While digging in the soil with a small hand shovel, she accidentally jabbed the shovel into her left palm causing a small puncture wound. Luckily, Mrs. Klutz had a first aid kit nearby and quickly cleaned and bandaged the wound.

Raymond was flying a kite at the park during a breezy spring afternoon. While running backward to get the kite airborne, he tripped over a tree root and fell, landing on his right knee. A bruise quickly developed, but after a few minutes of rest he was back to watching the kite soar.

Peter decided to climb the family’s apple tree in the back yard to see if any blossoms were forming. While reaching out on a branch for a better look, he slipped and fell from the tree, landing on his left wrist. After a visit to urgent care, it was confirmed that Peter had a sprained wrist.

Janine volunteered to mow the lawn for the first time that season. While pushing the mower across the yard, a small stone was kicked up from beneath the mower and struck her on the right shin, leaving a painful contusion.

Egon was determined to wash the family car as part of his spring chores. As he stepped on the wet driveway while rinsing the car, he slipped and fell, landing on his tailbone. Although sore, Egon was relieved to learn that nothing was broken.

Thankfully, none of the Klutz children suffered major injuries this spring—though their parents suspect it’s only a matter of time before the next adventure results in another visit to the clinic!


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