Melissa Posted Mon 16th of January, 2012 17:26:47 PM
PT HAD AN INDUSTIRAL ACCIDENT AND HIS HAND WAS CRUSHED WHEN IT WAS CAUGHT IN A CONVEYER BET. I FOUND THE CRUSH INJURY TO THE HAND BUT AM TORN ON THE E CODE I WAS GOING TO GO WITH E919.8. E918 DOES SAY CRUSHED BUT THE DOCTOR DID SPEICIFY IT WAS INDUSTRIAL AND E919 DOES SAY MACHINERY .
SuperCoder Answered Tue 17th of January, 2012 01:47:21 AM
I woud go with the E919.8 code to specify it was a machinery accident. I found the following guidance that might be helpful:
a. To code an accident caused by machinery in operation, look in the Index under
”Accident, caused by . . . “ or “Accident, machine”, then choose a term describing the
specific type of machine involved.
b. To code an accident caused by machinery not in operation, identify the cause of
injury and locate this term in the Index. For example, to code a pinched hand in a
printing machine, look under “Caught in, object.” A machine not in operation is
considered an “object”.
c. Distinguish between injuries due to woodworking machines (E919.4) (band saw,
circular saw, radial saw, bench saw) and injuries due to powered hand tools (hand
saw) or unpowered hand tools (unpowered saw).
d. Nail guns should be considered a powered hand tool (E920.1)
Leesa A. Israel, BA, CPC, CUC, CMBS
Executive Editor, The Coding Institute
Manager, TCI Consulting & Revenue Cycle Solutions
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