V89.2XXAPerson injured in unspecified motor-vehicle accident, traffic, initial encounter. V89. 2XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
S52.222APer ICD-10 guidelines, you would again report S52. 222A for an initial encounter.Apr 1, 2014
Valid for SubmissionICD-10:V49.50XAShort Description:Passenger injured in collision w unsp mv in traf, initLong Description:Passenger injured in collision with unspecified motor vehicles in traffic accident, initial encounter
2XXA - Person injured in unspecified motor-vehicle accident, traffic [initial encounter]
Example 1: An initial encounter (character “A”) describes an episode of care during which the patient is receiving active treatment for the condition. Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and continuing treatment by the same or a different physician.Dec 1, 2015
Initial is interpreted as active treatment. When the visit is for the purpose of deciding what treatment is required to repair the fracture, it is an initial encounter. Likewise, when the visit results in a changed active plan of care, it is an initial encounter.May 1, 2017
ICD-10 | Unspecified abdominal pain (R10. 9)
There are three general guidelines to follow for reporting signs and symptoms in ICD-10: When no diagnosis has been established for an encounter, code the condition or conditions to the highest degree of certainty, such as symptoms, signs, abnormal test results, or other reason for the visit.
ICD-10 | Pain in right shoulder (M25. 511)
ICD-9 codes for MVA services For the primary diagnosis, submit the ICD-9 code that reflects the injury(ies) you are diagnosing and treating as a result of the accident. For the secondary diagnosis, submit the appropriate ICD-9 “E” code for motor-vehicle traffic and nontraffic accidents (E810–E825).
Injuries are coded from Chapter 19 of ICD-10 titled “Injury, Poisoning, and Certain Other Consequences of External Causes” (codes S00-T88). These codes make up over 50% of all ICD-10 codes.May 24, 2018
ICD-Code R07. 9 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Chest Pain, Unspecified.
V49.40XA is a billable diagnosis code used to specify a medical diagnosis of driver injured in collision with unspecified motor vehicles in traffic accident, initial encounter. The code V49.40XA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Diagnosis was not present at time of inpatient admission. Documentation insufficient to determine if the condition was present at the time of inpatient admission. Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
V49.40XA is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
ICD-10-CM says the seventh character S is “for use for complications or conditions that arise as a direct result of an injury, such as scar formation after a burn. The scars are sequelae of the burn.” In other words, sequela are the late effects of an injury.#N#Perhaps the most common sequela is pain. Many patients receive treatment long after an injury has healed as a result of pain. Some patients might never have been treated for the injury at all. As time passes, the pain becomes intolerable and the patient seeks a pain remedy.#N#A late effect can occur only after the acute phase of the injury or illness has passed; therefore, you cannot report a code for the acute illness and a code for the late effect at the same encounter, for the same patient. The only exception occurs if both conditions exist (for example, the patient has a current cerebrovascular condition and deficits from an old cerebrovascular condition).#N#When reporting sequela (e), you usually will need to report two codes. The first describes the condition or nature of the sequela (e) and second the second describes the sequela (e) or “late effect.” For example, you may report M81.8 Other osteoporosis without current pathological fracture with E64.8 Sequelae of other nutritional deficiencies (calcium deficiency).#N#If a late effect code describes all of the relevant details, you should report that one code, only (e.g., I69.191 Dysphagia following nontraumatic intracerebral hemorrhage ).#N#For example: A patient suffers a low back injury that heals on its own. The patient isn’t seeking intervention for the initial injury, but for the pain that persists long after. The chronic pain is sequela of the injury. Such a visit may be reported as G89.21 Chronic pain due to trauma and S39.002S Unspecified injury of muscle, fascia and tendon of lower back, sequela.
ICD-10-CM defines subsequent encounters as “encounters after the patient has received active treatment of the injury and is receiving routine care for the injury during the healing or recovery phase. Examples of subsequent care are: cast change or removal, removal of external or internal fixation device, medication adjustment, other aftercare and follow up visits following injury treatment.”#N#A seventh character “D” is appropriate during the recovery phase, no matter how many times he has seen the provider for this problem, previously.#N#Note that ICD-10-CM guidelines do not definitively establish when “active treatment” becomes “routine care.” Active treatment occurs when the provider sees the patient and develops a plan of care. When the patient is following the plan, that is subsequent. If the provider needs to adjust the plan of care—for example, if the patient has a setback or must returns to the OR—the care becomes active, again.