ICD coding for child or adult abuse

When coding for services required for a patient who is being continually treated for a condition as a result of physical abuse, would it be appropriate to assign as primary the 995.5X or 995.8X code each time the patient is treated, followed by the associated injury codes (or, for instance, specifically pain) or should the 995 codes only be assigned for the initial treatment date and the injury codes only be used for subsequent treatment dates? If the 995 codes are to be used each time, would the E codes also be used each time in order to identify the nature of abuse as well as the perpertrator? (I know that E codes are generally only used for the initial visit but am not sure if this would be an exception). Thank you!

abuse

An E-code is to be reported on the record for the first episode of care during which the injury, poisoning, and/or adverse effect was diagnosed and/or treated. Not required on subsequent encounters. Use additional codes (secondary codes) to identify any associated injuries. Your first-listed code is reason for encounter, example: 995.5x followed by code for resulting condition. These codes focus on child.

icd coding for child/adult abuse

Thank you for your response! Would I still use the 995.5x code as the first listed diagnosis code followed by the injury code each time the child was treated or merely list the injury that was being treated for the subsequent treatment charges?

995.5

Example: 995.55 Shaken infant syndrome
Use additional code(s) to identify any associated injuries. If you are treating for shaken infant syndrome--the 995.55 is first-listed on initial or subsequent encounters. It is coded this way because the etiology of the injury would be unknown if 995.5 is not listed on subsequent encounters and statistics gathering.