• 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.
Y99.8ICD-10 code Y99. 8 for Other external cause status is a medical classification as listed by WHO under the range - External causes of morbidity .
Activity codes are found in category Y93. They are used to describe the patient's activity at the time of the injury. External cause status codes are found in category Y99.
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. Such causes are classified as "E codes" in ICD 9.
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 other words, if the physician were to select a code such as S13. 4xxA Sprain of ligaments of cervical spine, initial encounter, it's also appropriate to report the external cause of the injury. The S code would act as the primary diagnosis; external cause codes can never be reported first.
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.
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 of injury codes are used to define environmental events, circumstances and conditions such as the cause of injury, poisoning, and other adverse effects related to injury morbidity and mortality.
External Causes means any of the following: Acts of God, war, civil commotion, fire, flood or other casualty, strikes or other extraordinary labor difficulties, shortages of labor or materials or equipment in the ordinary course of trade, government order or regulations or other cause not reasonably within the control ...
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.
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.
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Y99.8. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A single code from category Y99 should be used in conjunction with the external cause code (s) assigned to a record to indicate the status of the person at the time the event occurred. Voluntary use of free time for activities outside the daily routine.
Activity of child or other family member assisting in compensated work of other family member. A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Y99.8.
Unspecified external cause status 1 Y99.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Y99.9 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Y99.9 - other international versions of ICD-10 Y99.9 may differ.
A single code from category Y99 should be used in conjunction with the external cause code (s) assigned to a record to indicate the status of the person at the time the event occurred.
A single code from category Y99 should be used in conjunction with the external cause code (s) assigned to a record to indicate the status of the person at the time the event occurred . External cause status. Present On Admission. POA Help.