• Use the full range of external cause codes to completely describe the cause, the intent, the place of occurrence and if applicable, the activity of the patient at the time of the event, and the patients status, for all injuries and other health conditions due to an external cause.
External cause codes are intended to provide data for injury research and evaluation of injury prevention strategies.
Sequelae (Late Effects) of External Cause Guidelines
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.
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.)
V00-Y99External causes of morbidity ICD-10-CM Code range V00-Y99 The ICD-10 code range for External causes of morbidity V00-Y99 is medical classification list by the World Health Organization (WHO).
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.
You can assign as many external cause codes as necessary to explain the patient's condition to the fullest extent possible. For example, let's say your primary diagnosis code is S86. 011A, Strain of right Achilles tendon, initial encounter.
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 is used only once, at the initial encounter for treatment. Only one code from Y99 should be recorded on a medical record.
Sequencing of External Causes of Morbidity Codes Codes for cataclysmic events, such as a hurricane, take priority over all other external cause codes except child and adult abuse and terrorism and should be sequenced before other external cause of injury codes.
Use the full range of external cause codes to completely describe the cause, the intent, the place of occurrence, and if applicable, the activity of the patient at the time of the event, and the patient's status, for all injuries, and other health conditions due to an external cause.
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.
In the absence of a mandatory reporting requirement, providers are encouraged to voluntarily report external cause codes, as they provide valuable data for injury research and evaluation of injury prevention strategies.
* External causes of death include intentional and unintentional injury, poisoning (including drug overdose), and complication of medical or surgical care and are identified with International Classification of Diseases, Tenth Revision codes V01–Y89 and U01–U03.
These codes permit the classification of environmental events, circumstances, and conditions as the cause of injury and other adverse effects, and are to be used in addition to codes that report the actual injury.
E813.1 Motor vehicle traffic accident involving collision with other vehicle injuring passenger in motor vehicle other than motorcycle. Some providers already use these codes voluntarily or when required on auto insurance claims; however, many billers are unfamiliar with external cause codes.
The Y codes contain two important categories: Y92 for place of occurrence of the external cause and Y93, which is an activity code. The guidelines state these codes are to be used with one another, and are only reported on the initial encounter.
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. Although there is no national mandate to report them, external cause codes provide a unique opportunity to report significant detail not available in ICD-9-CM.
External cause code reporting is voluntary (but is encouraged) when ICD-10-CM is implemented. It provides the opportunity to report enhanced detail, and could streamline the process of claims submission and payment adjudication. It may also improve the process of data collection for researchers and policy makers. Physicians and coders, however, must take the time to get familiar with coding guidelines and conventions to take advantage of this opportunity provided by ICD-10 .#N#Sources:#N#Medicare Learning Network, ICN 902143, April 2013#N#Complete and Easy ICD-10-CM Coding for Chiropractic, 2nd edition, The ChiroCode Institute, 2013.#N#“ICD-10-CM. It’s closer than it seems,” CMS News Updates. May 17, 2013.#N#Evan M. Gwilliam, DC, MBA, CPC, CCPC, CPC-I, CCCPC, CPMA, NCICS, MCS-P, is the director of education for FindACode, and is the only chiropractic physician who is also an AAPC certified ICD-10-CM trainer. He spends most of his time teaching chiropractic physicians and other health professionals how to get ready for ICD-10-CM. If you are looking for a speaker or ICD-10-CM resources, he can be reached at [email protected]. Gwilliam is a member of the Provo, Utah, local chapter.
Other trade areas as the place of occurrence of the external cause 1 Y92.59 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Oth trade areas as place 3 The 2021 edition of ICD-10-CM Y92.59 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Y92.59 - other international versions of ICD-10 Y92.59 may differ.
Hotel as the place of occurrence of the external cause. Radio or television station as the place of occurrence of the external cause. Shopping mall as the place of occurrence of the external cause. Warehouse as the place of occurrence of the external cause.
Y92.59 describes the circumstance causing an injury, not the nature of the injury. This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter ...