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Chapter 6

Chapter 6. Burns and Fractures. Chapter 12 in ICD-9. Multiple codes often necessary Example: Cellulitis due to Staph Cellulitis 682.9 Staph 041.1X. Section I.C.17.c. Burns. Sequence highest degree burn first Current burns (940-948) classified by Depth (severity) Extent (% body surface)

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Chapter 6

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  1. Chapter 6 Burns and Fractures

  2. Chapter 12 in ICD-9 • Multiple codes often necessary • Example: Cellulitis due to Staph • Cellulitis 682.9 • Staph 041.1X

  3. Section I.C.17.c. Burns • Sequence highest degree burn first • Current burns (940-948) classified by • Depth (severity) • Extent (% body surface) • Site • And if necessary, agent (Cont’d…)

  4. Section I.C.17.c. Burns (…Cont’d) • Depth of burn is classified as • First degree: Erythema • Second degree: Blistering • Third degree:Full-thickness involvement

  5. IMPORTANT… • Bruce Bugtrotter suffered second degree burns on his knees after tripping and landing on a bonfire on his farm • What was burned?? second degree burns on knees 945.25 • What is the percentage?? Both knees = >10% 948.00 • How did it happen? ? (E-Code) AKA accidents caused by fire and flames E897 • Where did it happen?? (E-Code) AKA Place of occurrence E849.1

  6. Rule of Nines (…Cont’d) Figure: 6.6

  7. Section I.C.17.d. Debridement of Wounds, Infection, or Burn • Excisionaldebridement (86.22) • Cut away • Performed by physician • Nonexcisional procedure (86.28) • Shaved or scraped (includes water scalpel [jet]) • Performed by physician or • Nonphysician

  8. Section I.C.17.b.2. Multiple Fractures • Same coding principles as multiple injuries • Code multiple fractures, by site • Sequenced by severity • Codes describe accidents, injury, open wounds, etc. (Cont’d…)

  9. Fractures • Not indicated as closed or open = Ask the physician • Same bone fractured AND dislocated • Code fracture ONLY (highest level of injury)

  10. Chapter 6 Conclusion – Burns and Fractures

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