ShannonH_42838
Member
Hi all,
Seeking guidance on Chpt 13 guidelines. Cab anyone assist with the following 2 questions please?
1. Patient complains of low back pain for one week after experiencing a ground level fall.
Assessment/Plan #acute low back pain, rest and OTC pain reliever prn.
Would this be coded to pain (M54.5- low back pain) with external cause (W18.30-same level fall) or injury (S39.92XA-unspecified injury of lower back, initial encounter) with external cause (W18.30-same level fall)?
2. How would you code #T10 fracture (no other details) when note does not specify if pathological or traumatic?
Thank you in advance CCO!
Seeking guidance on Chpt 13 guidelines. Cab anyone assist with the following 2 questions please?
1. Patient complains of low back pain for one week after experiencing a ground level fall.
Assessment/Plan #acute low back pain, rest and OTC pain reliever prn.
Would this be coded to pain (M54.5- low back pain) with external cause (W18.30-same level fall) or injury (S39.92XA-unspecified injury of lower back, initial encounter) with external cause (W18.30-same level fall)?
2. How would you code #T10 fracture (no other details) when note does not specify if pathological or traumatic?
Thank you in advance CCO!