Curses of the Sea
Pirate Scurvy Scotty was lacking vitamin C, leaving him with bleeding gums and old wounds that tore open once more.
What ICD-10 CM code has an inclusion term for this devastating deficiency?
What is E54 - Ascorbic acid deficiency?
(Inclusion term: Scurvy)
Captain Smoky Bear was on a treasure hunt that ended when he fell into a pit.
What is the ICD-10-CM code to capture his fall?
What is W17.2XXA - Fall into hole, initial encounter?
Timber Tom was impaled by a wooden spear is his neck, leaving a deeply embedded splinter lodged in soft tissue. His wound was explored with foreign body removal of this penetrating wound.
What CPT should be reported for the removal?
What is CPT 20103 - Exploration of penetrating wound, (separate procedure); neck
In the ship's medical chest were scalpels and lancets used to make incisions or drain infections.
In modern practice, what CPT code describes simple I&D of an abscess?
What is 10060 - Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single?
Pirate Barnacle Ben drank foul water and ate spoiled hardtack for weeks at sea, leaving him with severe abdominal pain and infectious diarrhea.
Which ICD-10 CM code best describes the pirates miserable curse?
What is A09 - Infectious gastroenteritis and colitis, unspecified?
Salty Sarah fired a cannon, striking Hula Lula Rue in the abdomen.
What ICD-10 CM code best describes the cause of her injuries?
What is X94.8XXA - Assault by other larger firearm discharge, initial encounter
Pirate Pete's left leg was crushed by a cannonball, requiring a below the knee guillotine amputation. Which CPT code should be reported for this procedure?
What is 27882 -Amputation, leg, through tibia and fibula; open, circular (guillotine)
Captain Jack relies on a strong dose of rum to dull extreme pain while the ships surgeon works, closely monitoring him for 10 minutes while they repair his injuries.
Which CPT code captures monitored moderate sedation for this reported amount of time?
What is CPT 99152 - Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older.
While plundering in tropical ports, Captain Calico was bitten by swarms of mosquitos. Weeks later, he was diagnosed with this condition after suffering chills, fevers, headache, with extreme muscle aches and fatigue.
Which ICD-10-CM code identifies this condition?
What is B54 - Unspecified Malaria
Pirate Olly was injured by a cutlass during hand-to-hand combat.
Which ICD-10 CM code should be reported for the cause of this injury?
What is X99.2XXA -Assault by sword or dagger, initial encounter
Pirate Ernie Extraction lost several teeth when the ship rocked violently. Using a tooth key, he wrenched out multiple teeth.
What CDT code represents extraction of an erupted tooth?
What is D7140 - Extraction, erupted tooth or exposed root (elevation and/or forceps removal)?
Pirates sometimes soaked rags in vinegar and hung them about the area, believing it cleansed the air and created a sterile field during procedures.
How is this type of surgical field preparation reported?
What is not separately reportable, as it is considered included in the surgical package of the procedure performed?
Captain Hook suffered a wound that went foul, leading to this deadly tissue infection that forced the loss of his right hand.
What is the ICD-10 CM code that captures this blackened curse?
What is I96 - Gangrene, not elsewhere classified?
After being forced to walk the plank, this pirate fell from the plank and vanished into the sea.
Which ICD-10 CM code did this pirate suffer from?
What is X92.9XXA - Assault by drowning and submersion, initial encounter?
Captain Ian Intracranial took a heavy blow to left side of his head, leading to increased intracranial pressure.
Using a trepan, a burr hole was drilled into his skull to relieve the pressure while being given shots of rum as an anesthesia.
What CPT code would appropriately capture this scenario?
What is CPT 61253 Burr hole(s) or trephine, infratentorial, unilateral, or bilateral.
Among the loot lay silk thread, prized for suturing wounds after battle.
In what section of CPT is simple repair of superficial wounds located?
What is CPT 12001 - 12021- Surgery, Integumentary System, Repair, Simple