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Icd 10 for past history of needle stick?

Provider documented only: "During her career, she has had needlestick injury. Unsure if she had had Hep B vaccine. Has not been tested for hepatitis C." Provider ordered labs, incl Hep B,C, RPR, and HIV.

No documentation that she’d ever actually been exposed to bodily fluids. Tatoos don’t count as high-risk behavior. No other signs/symptoms, except fatigue.

Any ideas?

Thanks!

Medical Billing and Coding Forum