External cause codes were extensively reworked for ICD-10-CM. The guidelines state that these codes are most often reported secondarily to codes from nearby chapter 19, Injury, poisoning, and certain other consequences of external causes (S00-T88).
Unless a provider is subject to a state-based external cause code reporting mandate or these codes are required by a particular payer, reporting of ICD-10-CM codes in Chapter 20 of the ICD-10-CM, External Causes of Morbidity isn’t required.
Consider what activity was the patient engaged in when the accident happened External cause code status: indicate whether the accident or injury happened during a paid or volunteer activity (Y99.0-Y99.99) Here is an example of an accident case coded with ICD-10-CM.
External cause code for length of treatment: for each encounter where the condition is being treated. Use the full range of external cause codes: cause, intent, place of occurrence, activity and status for all injuries and other health conditions related to an external cause.
External cause codes identify the cause of an injury or health condition, the intent (accidental or intentional), the place where the incident occurred, the activity of the patient at the time of the incident, and the patient's status (such as civilian or military).
External cause status codes are found in category Y99. A code from category Y99 should be assigned with another external cause code except for codes signifying poisoning, adverse effect, misadventure or late effect.
External Causes of Morbidity: External cause codes are intended to provide data for injury research and injury prevention strategies.
Codes from category Y92, Place of occurrence of the external cause, are secondary codes for use after other external cause codes to identify the location of the patient at the time of the injury or other condition. A place of occurrence code is used only once, at the initial encounter for treatment.
External-cause definition A cause for an effect in a system that is not a constituent of that system, especially causes of personal health problems or death, such as poison, weapon wounds, or accident. noun.
An external cause status code should be assigned whenever an external cause code is assigned. Only one status code may be reported at the initial encounter and, just like the Activity and Place of Occurrence codes, Y99. 9 Unspecified External Cause status should not be reported if it is not stated within the record.
"Other external cause status" code Y99. 8 includes leisure activity. Whenever patients are treated for injuries, adverse effects, or complications from procedures, coders abstract information related to the external cause of the condition.
External cause codes for transport accidents take priority over all other external cause codes except cataclysmic events, child and adult abuse and terrorism. Activity and external cause status codes are assigned following all causal (intent) external cause codes.
External cause codes may be used in any healthcare setting and with any diagnostic code. a. often used in ED, family practice, orthopedics, and ophthalmology b/c physicians specialize in circumstances or body systems frequently affected by external causes.
Factors influencing health status and contact with health services ICD-10-CM Code range Z00-Z99Z00-Z13. Persons encountering health services for examinations.Z14-Z15. Genetic carrier and genetic susceptibility to disease.Z16-Z16.39. Resistance to antimicrobial drugs.Z17-Z17.1. ... Z18-Z18.9. ... Z19-Z19.2. ... Z20-Z29. ... Z30-Z3A.More items...
T14.90XAICD-10 Code for Injury, unspecified, initial encounter- T14. 90XA- Codify by AAPC.
Y99. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Use the full range of external cause codes: cause, intent, place of occurrence, activity and status for all injuries and other health conditions related to an external cause. Chapter 20 a4.
Only 1 place code, 1 activity code, and 1 status code per encounter. If the reporting format limits the number of external cause codes than can be used in reporting clinical data, report the code for the cause/intent most related to the principal diagnosis.
Chapter 20 f. Multiple external cause coding: 1)External cause codes for child and adult abuse take priority over all other external cause codes. 2) External cause codes for terrorism events take priority over all other external cause codes except child and adult abuse. 3)External cause codes for cataclysmic events take priority over all other ...
Primary injury with damage to nerves/blood vessels: When a primary injury results in minor damage to peripheral nerves or blood vessels, the primary injury is sequenced first with additional codes for injuries to nerves and spinal cord and/ or injury to blood vessels.
Initial encounter is used while the patient is receiving active treatment for the injury. Subsesquent encounter is used for encounters after the patient has received active treatment of the injury and is receving routine care for the injury during the healing or recovery phase.
Activity code: Assign a code from Y93 to describe the activity of the patient at the time the injury or other health condition occurred. An activity code is only used once at initial encounter. Activity codes are not applicable to poisionings, adverse effects, misadventures or late effects.