Surf, Sand, and Searing Pain

Test Your ICD-10 Knowledge with this Beach-Themed Case Scenario

An excursion to the beach usually sounds like the epitome of a fun-filled, relaxing day. But the dangers of hidden broken glass, hell-bent sea creatures, and sports-related injuries can quickly make the day take a turn for the worse.

The following tells the story of three hapless friends who headed to the San Diego sea shore for a carefree day of surf and sand—but got more than they bargained for. Eventually their case ended up in front of an inpatient hospital coder. Decode the story with your ICD-10-CM/PCS knowledge, and double check your answers below.

Decipher the ICD-10 Code Meanings

Tim, Jane, and Lisa eagerly jumped out of the car as Jane turned off the engine. “You guys go ahead,” Jane said as she stopped to untie her surfboard from the roof of the car. Watching Tim and Lisa heading off in opposite directions, Jane carried her board to the water’s edge and paddled out to catch her first wave. Hang-10! As she got ready to head out for her second wave, a T63.621A caused a sharp pain on her leg. Wincing, Jane immediately headed to the lifeguard first aid tent.

Tim walked along the beach, trying to decide between Y93.11, Y93.12, or joining the Y93.13 game that was starting. Deciding he wasn’t in the mood for competition, he headed out to the pier to practice his form for Y93.12. Suddenly, he felt a sharp pain in his left foot—a X99.0XXA had caused a S91.312A. A lifeguard came over to help Tim hop to the first aid tent as he grumbled about people not cleaning up their bottles when they leave the beach.

Deciding that her typical activity of Y93.14 didn’t sound as exciting as usual, Lisa decided to join a game of beach volleyball. More out of practice than she realized, it didn’t take long before she was W21.06XA. “It feels like I was W56.22XA!” she exclaimed, as a fellow teammate helped her over the first aid tent.

“This has not gone according to plan!” Jane exclaimed when she saw her other friends in the tent.

“I think it’s time to head home and watch a movie about the beach instead,” Tim sighed as he stared at his bandaged foot.

Jane and Lisa agreed. “At least we didn’t get L55.9,” Lisa said. They said that next time they wanted to spend the day outdoors, Y93.31 seemed like a safer option.


T63.621A Toxic effect of contact with other jellyfish, accidental (unintentional), initial encounter

Y93.11 Activity, swimming

Y93.12 Activity, springboard and platform diving

Y93.13 Activity, water polo

X99.0XXA Assault by sharp glass, initial encounter

S91.312A Laceration without foreign body, left foot, initial encounter

Y93.14 Activity, water aerobics and water exercise

W21.06XA Struck by volleyball, initial encounter

W56.22XA Struck by an orca, initial encounter

L55.9 Sunburn, unspecified

Y93.31 Activity, mountain climbing, rock climbing and wall climbing

Catch up on the news and get insights from AHIMA’s 86th annual Convention and Exhibit held September 27-October 2 in San Diego, CA. For a complete list of event coverage on the Journal of AHIMA website, click here.

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