Wiki Need help with an E-code

[grothrock]

The HPI document states:right hand pain. Onset: 1 Day(s) ago. Severity level is 6. It occurs constantly and is worsening. Location: right hand. Hand Dominance: right. Punched wall last PM in anger with RT hand.

Assessment=Hand pain, right (729.5)

Punched wall Last PM in Anger

Advised Ice and elevate

XARY referral may awit 2-3 days if not improving need XRAY

Mom not interested in films today

RTC not improved 1 week (XRAY should be completed after 3 days not improved)

I am thinking E917.4(striking other stationary object w/o fall)? Any other ideas?

 

[btadlock1]

The HPI document states:right hand pain. Onset: 1 Day(s) ago. Severity level is 6. It occurs constantly and is worsening. Location: right hand. Hand Dominance: right. Punched wall last PM in anger with RT hand.

Assessment=Hand pain, right (729.5)

Punched wall Last PM in Anger

Advised Ice and elevate

XARY referral may awit 2-3 days if not improving need XRAY

Mom not interested in films today

RTC not improved 1 week (XRAY should be completed after 3 days not improved)

I am thinking E917.4(striking other stationary object w/o fall)? Any other ideas?

That one falls under a category of "Accidental" - he didn't accidentally hit the wall, so I'd go with either E029.2 (rough housing or horseplay) or E029.9 (other activity). There's really not a code for punching walls, although I think it happens often enough to justify one. Silly, silly boys...

 

[btadlock1]

Oooh...

Or you could go with E958.8 (Self-inflicted injury by other and unspecified means, Other Specified means). I actually think that one's better than the other 2 I mentioned.

 

[grothrock]

Thank you so much, I looked at that one also and the link with the suicide threw me off.