THE WHOLE STORY You can use external cause codes to add more detail to your claims to accurately describe patient injuries. H idden within the elaborate ICD-10-CM coding system is a system of numerical shorthand that lets your coders tell the story behind a patient's injury or health condition.
2019 ICD-10-CM Diagnosis Code X50.1 Overexertion from prolonged static or awkward postures 2017 - New Code Non-Billable/Non-Specific Code ICD-10-CM Coding Rules X50.1 describes the circumstance causing an injury, not the nature of the injury.
H idden within the elaborate ICD-10-CM coding system is a system of numerical shorthand that lets your coders tell the story behind a patient's injury or health condition. These add-on codes let you assign as many external cause codes as necessary to explain the patient's condition to the fullest extent possible.
Keep in mind that you may report multiple external cause codes. After you assign the initial action code, you can then add place of occurrence codes, activity codes and external cause status codes that further describe the injury. These should only be used if they are described in the physician's notes and when applicable.
Y99. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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.
Y99.8ICD-10-CM Code for Other external cause status Y99. 8.
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. More than one external cause code is required to fully describe the external cause of an illness or injury.
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.
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.
The use of external cause of morbidity codes is supplemental to the application of ICD- 10-CM codes. External cause of morbidity codes are never to be recorded as a principal diagnosis (first-listed in non-inpatient settings). The appropriate injury code should be sequenced before any external cause codes.
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.
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.
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.)
Diagnosis Codes Never to be Used as Primary Diagnosis With the adoption of ICD-10, CMS designated that certain Supplementary Classification of External Causes of Injury, Poisoning, Morbidity (E000-E999 in the ICD-9 code set) and Manifestation ICD-10 Diagnosis codes cannot be used as the primary diagnosis on claims.
"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.