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NEISS Coding Manual January 2021

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NEISS Coding Manual January 2021 NEISS Coding Manual January 2021 NEISS – National Electronic Injury Surveillance System January 2021 Table of Contents About the Consumer Product Safety Commission ................................................................ 1 About the National Electronic Injury Surveillance System ................................................... 1 NEISS Changes and Enhancements ....................................................................................... 1 About this NEISS Coding Manual ........................................................................................... 2 Important Definitions ............................................................................................................... 2 Consumer Product.................................................................................................................. 2 External Cause ....................................................................................................................... 2 Injury ...................................................................................................................................... 2 NEISS Data Reporting Process ............................................................................................... 3 Reviewing Hospital Records ................................................................................................... 3 Determining Reportable Cases ............................................................................................... 4 Do Report ............................................................................................................................... 4 Do Not Report ........................................................................................................................ 5 Coding Instructions by Variable ............................................................................................. 6 Treatment Date ......................................................................................................................... 6 Case Number ............................................................................................................................ 6 Collection Date ......................................................................................................................... 7 Comment .................................................................................................................................. 7 Patient Age and Sex in Comment ........................................................................................... 8 Use of Abbreviations .............................................................................................................. 8 Quote Information Verbatim from the Medical Record ............................................................ 8 Description of the Incident ...................................................................................................... 8 Product Description and Brand Names ................................................................................... 9 Personally Identifiable Information (PII) .................................................................................. 9 Date of Birth ............................................................................................................................. 9 Age ............................................................................................................................................ 9 Sex ...........................................................................................................................................10 Hispanic? .................................................................................................................................11 Race .........................................................................................................................................11 Diagnosis 1 and 2 ...................................................................................................................12 Finding the Diagnosis in the ED Record ................................................................................13 Diagnosis Coding Priority ......................................................................................................14 When Diagnoses Should Not Be Coded ................................................................................15 Discussion of Selected Diagnoses in Alphabetical Order .......................................................15 Anoxia ...................................................................................................................................15 Aspirated Foreign Object .......................................................................................................15 Avulsions, Contusions/Abrasions, and Lacerations ...............................................................16 Burn Injuries ..........................................................................................................................16 Choking .................................................................................................................................16 U.S. Consumer Product Safety Commission i www.cpsc.gov NEISS – National Electronic Injury Surveillance System January 2021 Dermatitis and Conjunctivitis .................................................................................................17 Foreign Body .........................................................................................................................17 Head Injuries .........................................................................................................................17 Infections due to Injuries ........................................................................................................17 Ingested Foreign Object ........................................................................................................18 Internal Organ Injuries ...........................................................................................................18 Poisoning ..............................................................................................................................18 Submersion (including Drowning or Near Drowning) .............................................................18 Other .....................................................................................................................................19 Probable/Possible/Rule Out/Differential Diagnosis ................................................................19 When No Diagnosis is Available ............................................................................................19 Body Part 1 and 2 ....................................................................................................................20 Discussion of Body Part Affected for Selected Injuries ..........................................................21 Back Injuries ..........................................................................................................................21 Burn Injuries ..........................................................................................................................21 Extremity Injuries ...................................................................................................................21 Eye Injuries ...........................................................................................................................22 Throat ....................................................................................................................................22 Injury Diagnoses Affecting the Entire Body ............................................................................22 Disposition ..............................................................................................................................23 Product Involved (Product 1, Product, Product 3) ................................................................23 Need for Specific Product Information ...................................................................................24 Assignment of Product Code .................................................................................................25 Specific Product Codes .........................................................................................................25 “Other” or “Not Elsewhere Classified” Products in a Category ...............................................26 “Not Specified” Product in a Category ...................................................................................26 Product Categories Listed as “Also consider” ........................................................................27 Products Included in a Code ..................................................................................................27 Products Excluded from a Code ............................................................................................27 Product Parts .........................................................................................................................28 Toys ......................................................................................................................................28 Sports, Recreational Activities and Games ............................................................................29 Poisoning or Chemical Burns to Children Less than 5 Years of Age ......................................29
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