Once Bitten Twice Shy - Coding Complexities of Dog Bites-Handout: Once Bitten, Twice Shy

Handout: Once Bitten, Twice Shy - Coding Complexities of Dog Bites

Pdf Summary

The document discusses a panel discussion on the coding complexities of dog bites. The panelists have over 80 years of coding experience and aim to differentiate between penetrating and blunt trauma, practice coding procedures for complex dog bites, and identify ICD-10 codes associated with these cases.<br /><br />The scenario presented is a 10-year-old child brought to the emergency department with a dog bite to the neck and a left ear avulsion. The panelists discuss trauma types for dog injuries and the different procedures that may be performed in these cases, such as fluid bolus, intubation, and nasal feeding tube insertion.<br /><br />They also discuss the steps to building procedure codes and the importance of being consistent with current data dictionaries and audit filters. They provide examples of procedure codes for various interventions.<br /><br />The panelists address questions from the audience regarding coding procedures like CT scans and laryngoscopy. They discuss the coding of injuries resulting from the dog bite, such as lacerations, avulsion, and carotid artery dissection.<br /><br />Throughout the discussion, they emphasize the importance of accurate and consistent coding practices, staying updated on coding rules and resources, and utilizing the data dictionary. They also provide tips for tackling difficult cases and suggest ways to reduce wasted time and increase productivity in coding.<br /><br />The document includes references to sources such as the AIS (Abbreviated Injury Scale) manual, the Merck Veterinary Manual, and ICD-10-PCS (Procedure Coding System) guidelines. It also mentions recorded webinars available on the panel's website for further education and training.

Keywords

panel discussion

coding complexities

dog bites

penetrating trauma

blunt trauma

coding procedures

ICD-10 codes

10-year-old child

emergency department

neck injury