Nonaccidental trauma (NAT) should code to “child abuse, suspected or confirmed.” The challenges of coding “child abuse, suspected or confirmed” is becoming a source of increased interest for me.
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.
Injury, poisoning and certain other consequences of external causes S00-T88 1 birth trauma ( P10-P15#N#ICD-10-CM Range P10-P15#N#Birth trauma#N#P10 Intracranial laceration and hemorrhage d...#N#P11 Other... 2 obstetric trauma (#N#ICD-10-CM Diagnosis Code O70#N#Perineal laceration during delivery#N#2016 2017 2018 2019 2020 2021... More ...
My work as a clinical documentation improvement specialist (CDIS) at a level 1 pediatric trauma center includes reviewing pediatric ICU records, which is where the critical trauma patients are admitted. A certain percentage of those trauma patients are identified as “non-accidental traumas,” known by the acronym NAT.
81.
Encounter for other specified aftercareICD-10 code Z51. 89 for Encounter for other specified aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10-CM Code for Parent-child conflict Z62. 82.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
ICD-10 code Z51. 11 for Encounter for antineoplastic chemotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
General Guidelines ➢ Z codes can be used in any healthcare setting ➢ Z codes may be used as either a principal or fist‐listed diagnosis or a secondary diagnosis, depending on the circumstances of the encounter. ➢ Z codes indicate the reason for the encounter.
ICD-10-CM Code for Other stressful life events affecting family and household Z63. 79.
The DSM-5 Steering Committee subsequently approved the inclusion of this category, and its corresponding ICD-10-CM code, Z03. 89 "No diagnosis or condition," is available for immediate use.
Z03. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
11 or Z51. 12 is the only diagnosis on the line, then the procedure or service will be denied because this diagnosis should be assigned as a secondary diagnosis. When the Primary, First-Listed, Principal or Only diagnosis code is a Sequela diagnosis code, then the claim line will be denied.