I am on board with the superficial injury, by site + E906.4, but it did get me to thinking...
Why is this a non-venomous arthropod when they have antivenom for tick bites?
Wikipedia: Tick paralysis=Tick paralysis is the only tick-borne disease that is not caused by an infectious organism. The illness is caused by a neurotoxin produced in the tick's salivary gland. After prolonged attachment, the engorged tick transmits the toxin to its host. The incidence of tick paralysis is unknown.
If it CAN cause tick paralysis, even though that's not the usual case that we see, I'm trying to justify using a non-venomous code for the tick bite. The toxin from a tick doesn't cause symptoms immediately, so if we are removing the tick or they just got bitten very recently, how would we know until the patient returns if it's going to react? Also, am I remembering wrong that you only code the E code for the patient's first visit with this "injury"?
Does anyone have documentation that explicitly says that ticks are non-venomous arthropods? Amended to add that OxfordMedicine.com states: "Most medically important arthropods are insects (including mosquitoes, midges, other flies, bedbugs and other true bugs, lice, fleas, and cockroaches) or arachnids (spiders, ticks, mites, scorpions)."
Thanks!!