The patient was admitted for observation for internal injury after an accident at work.The patient,who does construction work,fell into a pit but was quickly rescued by coworkers.CT scan and X-rays were taken to evaluate for internal injury.No respiratory issues were noted.On the following morning,the patient had no complaints and was discharged to home.
Discharge Diagnosis: Contusion on forehead.
A)Z04.1,S00.83xA,W17.4xxA,Y92.69,Y99.1
B)Z04.2,S00.83xA,W17.2xxA,Y92.69,Y99.0
C)Z04.3,S00.83xS,W17.0xxA,Y92.69,Y99.0
D)S00.83xA,W17.2xxA,Y92.69,Y99.8

Question

Quizplus · Accepted Answer

The ICD-10 codes assigned should accurately reflect the patient's condition and reason for admission. In this case, the patient was admitted for observation of internal injury but was discharged with a diagnosis of a contusion on the forehead. Therefore, the most appropriate codes would be:
- Z04.2 Encounter for examination and observation for other specified reasons 
- S00.83xA Contusion of forehead 
- W17.2xxA Fall from one level to another, initial encounter 
- Y92.69 Other specified places of occurrence of external cause 
- Y99.0 Other external cause status

Z04.2 accurately reflects the reason for admission, S00.83xA describes the forehead contusion, W17.2xxA indicates the patient's fall from one level to another, Y92.69 accounts for the location where the accident occurred, and Y99.0 describes the external cause status. The other answer options include incorrect codes or do not accurately reflect the patient's condition.

The Patient Was Admitted for Observation for Internal Injury After