Question

Think Critically drnare thefnd in the Consider the following reak world seenario and drafe a response Review the ICD-9 codes in the first column, and compare them to the l in the second column. Identify what documentation you would have e to find in hat was not required for ICD-9; also i patient record to code with ICD-10 that was not required for ICD.9 list all information needed to support the assignment of the ICD-10 code. Suhnsid in a table with columns for the ICD-9 codes, one for the ICD-10 codes, and a where you think you would find that information (by type of reoti column where you identify the needed information as shown below. Use a medicl dictionary if you need the definition of a term. Additional Documentation Required ICD-9 Codes ICD-10 Codes 943.31 Full thickness T22.311 A Burn of third skin loss due to burn degree of right forearm, third degree NOS (not initial encounter otherwise specified) of forearm 453.41 Venous embo- 182.411 Embolism lism and thrombosis of and thrombosis of right deep vessels of proxi- femoral vein mal lower extremity 813.45 Torus fracture of radius alone S52.521A Torus fracture of lower end of right radius, initial encounter for closed fracture

Answer 1

The documentation for burn with ICD 10 code T22.311 are as follows :

• Type of burn eg corrosion, thermal, electric
• Site of burn
• Depth of burn - first, second or third degree burn
• Extend of body surface involved in the burn
• Cause and intend (intentional or unintensional) of burn
• Initial encounters : where was the patient when he got burnt
• Episode of care

Documents required for thrombosis and embolism of right emoral vein :

• Specificity of the vein
• Laterality or the actual side of the body : left or right

Documentation required for icd 10 of torus fracture of lower end of right radius, initial encounter for closed fracture :

• Site of fracture
• Laterality or side of body affected
• Type of fracture
• Healing of fracture (encounter)