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A patient is admitted with neck pain following a collision with another softball player at a community baseball field. The diagnosis at the time of discharge is right internal carotid artery dissection likely secondary to trauma. The diagnosis coded for this injury are:

a. I77.71, W51.XXXA, Y93.64, Y92.320
b. I77.71
c. I72.0, W51.XXXA, Y93.64, Y92.320
d. I77.71, W51.XXXA, Y93.64, Y92.328

1 Answer

3 votes

Final answer:

The correct diagnosis codes for the patient with a carotid artery dissection due to trauma are I77.71, W51.XXXA, Y93.64, and Y92.320, which capture the nature of the injury, the cause, the activity, and the location.

Step-by-step explanation:

The diagnosis coded for a patient admitted with neck pain following a collision at a baseball field and subsequently diagnosed with right internal carotid artery dissection likely secondary to trauma is I77.71, W51.XXXA, Y93.64, and Y92.320. Code I77.71 denotes dissection of the carotid artery, W51.XXXA refers to accidental striking against or bumped into by another person, Y93.64 indicates the activity of playing softball, and Y92.320 identifies the location as a sports and athletics area. It's essential to record all relevant codes to capture the full context of the injury, from the nature of the injury to the circumstances and location where the injury occurred.

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