These codes capture how theinjury or health condition happened (cause); the intent (accidental or intentional); the place where the event occurred or the activity of the patient at the time of the event, and the person's status (eg military/civilian.) External Cause Coding Guidelines: used with any code in the range of A00.0-T88.9, Z00-Z99.
When coding injuries assign separate codes for each injury unless a combination code is provided in which case the combination code is assigned. T07 Unspecified multiple injuries should not be assigned unless information for a more specific code is not available. Traumatic injury codes are not to be used for surgical wounds.
At some point in the near future, all claims for healthcare services in the United States will have to use ICD-10-CM diagnosis codes. ICD-9-CM has been the standard since 1979, but has outlived its usefulness. Because of its structure, ICD-10-CM provides better data for research and statistical analysis than ICD-9-CM.
External causes of morbidity ICD-10-CM Code range V00-Y99V00-X58. Accidents.X71-X83. Intentional self-harm.X92-Y09. Assault.Y21-Y33. Event of undetermined intent.Y35-Y38. Legal intervention, operations of war, military operations, and terrorism.Y62-Y84. Complications of medical and surgical care.Y90-Y99.
The external cause-of-injury codes are the ICD codes used to classify injury events by mechanism and intent of injury. Intent of injury categories include unintentional, homicide/assault, suicide/intentional self-harm, legal intervention or war operations, and undetermined intent.
When applicable, place of occurrence, activity and external cause status codes are sequenced after the main external cause code(s). Regardless of the number of external cause codes assigned, there should be only one place of occurrence code, one activity code and one external cause status code assigned to an encounter.
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).
You only need to report external cause codes for the initial encounter (most of the time). Typically, you would only report place of occurrence, activity, and external cause status codes during your initial evaluation of the patient.
1:1410:25External Causes Guide ICD-10-CM for Beginner Medical Coders - YouTubeYouTubeStart of suggested clipEnd of suggested clipSo external cause codes are never used as a primary or principal diagnosis they always should followMoreSo external cause codes are never used as a primary or principal diagnosis they always should follow something else what they do is help explain kind of the circumstances. Surrounding an accident or
An external cause status code is used only once, at the initial encounter for treatment. Only one code from Y99 should be recorded on a medical record. Do not assign code Y99. 9, Unspecified external cause status, if the status is not stated.
Place of Occurrence, Activity, and Status Codes Used with other External Cause Code: When applicable, place of occurrence, activity and external cause status codes are sequenced after the main external cause codes. Only 1 place code, 1 activity code, and 1 status code per encounter.
External cause codes are used to report injuries, poisonings, and other external causes. (They are also valid for diseases that have an external source and health conditions such as a heart attack that occurred while exercising.)
In medicine, an external cause is a reason for the existence of a medical condition which can be associated with a specific object or acute process that was caused by something outside the body.
4 different typesThere are 4 different types of external cause codes.
"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.
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.
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.
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.
Sequela is used for complications or conditions that arise as a direct result of an injury such as scar formation after a burn. It is necessary to use both the injury code that precipitated the sequela and the code for the sequela itself. The "S" is added to the injury code.