The health specialist assigns and ICD-9 CM code E000.0 - E999.1 for classification of external causes of injury and poisoning. Since the patient suffered a fractured tibia while on a ski trip, it doesn't mean that he was injured while skiing. The health specialist will need to find the main cause of his fractured tibia, and in that, will be given ICD-9 code E000.0 - E999.1.
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Conception also known as fertilization, is when the nucleus of a sperm cell fuses with the nucleus of an egg cell in the uterus thus creating a fertilized egg or zygote that will grow to become an embryo and eventually a fetus. Conception is the fusing of the two cells to create one fertilized ovum.