Reader Questions:
Use V Codes for OSHA-Required Tests
Published on Mon Sep 27, 2004
Question: After performing a blood draw, a nurse in our private surgical practice accidentally stuck herself with the needle. Based on our OSHA guidelines, she and the patient will need to be tested for AIDS and other infectious diseases. How should I report this?
Indiana Subscriber Answer: To report the accidental stick with the sharp (needle), you should use 998.2 (Accidental puncture or laceration during a procedure) as the primary ICD-9 code. You should also report V15.85 (Exposure to potentially hazardous body fluids) as a supplementary code to further describe the circumstances of the accidental stick.
Code V15.85 is one of several specific codes for describing exposure to such substances as lead, asbestos, and body fluids that have not yet caused illness:
V15.8x - Other specified personal history presenting hazards to health
V15.84 - Exposure to asbestos
V15.85 - Exposure to potentially hazardous body fluids
V15.86 - Exposure to lead. Report E920.5 (Accidents caused by cutting and piercing instruments or objects; contaminated needle or needle stick) as an additional supplementary code to describe the accident. - Technical and coding advice for You Be the Coder and Reader Questions provided by Marcella Bucknam, CPC, CCS, CPC-H, CCS-P, HIM program coordinator at Clarkson College in Omaha, Neb.