tci ED Coding & Reimbursement Alert - 2021 Issue Q1

Reader Questions: You’ll Need Multiple Dx Codes for Multiple Injuries

Question: Encounter notes indicate that the ED provider treated a patient for “laceration, peroneal muscle group, L lower leg” and “tendon strain, peroneal muscle group, L lower leg.” What is the correct coding for these diagnoses? Should I use one ICD-10 code or two? Or more? Texas Subscriber Answer: You should report a pair of ICD-10 codes to represent this patient’s injuries. First, report S86.322 (Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg) to represent the laceration; then, report S86.312 (Strain of muscle(s) and tendon(s) of...

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