CHILD ATHLETE ABUSE ORBITAL FLOOR FRACTURE ICD-9 CODE

USE OF 2015 ICD-10 CODE EXAMPLE

If the Coach strikes a Child Athlete in the left eye with his fist during sport participation and fractures the left orbaital floor. The Medical Emergency Department Chart is tendered with:
• Impression (Initial Diagnosis):
1. Left Orbital Floor Fractures
2. Child Physical Abuse (CPA) by Coach

The Insurance Claim to 3rd Party Payor or Medical Insurance is billed with the following codes:
• 2015 ICD-10 Code
1. Closed fracture of orbital floor (blow out) Diagnosis ICD-10-CM S02.3XXA
2, 2015 ICD-10 Code for Child Physical Abuse (CPA) Modifier Codes
2015/16 ICD-10-CM Code T74.12XA Child physical abuse, confirmed, initial encounter
2015/16 ICD-10-CM Code T74.12XD Child physical abuse, confirmed, subsequent encounter
2015/16 ICD-10-CM Code T74.12XS Child physical abuse, confirmed, sequela
3. Perpetrator Modifier Codes YO7.53 The Child Abuse Coach Perpetrator is Known

Disposition recorded in ED Medical Record:
• Admit to Hospital
• Call OR / Schedule Surgery
• Additional Lab Work
• File Report to Authorities, County Attorney and Child Protective Services

Leave a Reply

Your email address will not be published. Required fields are marked *