Prolonged stay in weightless environment, initial encounter 1 X52.XXXA 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 X52.XXXA became effective on October 1, 2020. 3 This is the American ICD-10-CM version of X52.XXXA - other international versions of ICD-10 X52.XXXA may differ.
The 2022 edition of ICD-10-CM X52.XXXA became effective on October 1, 2021.
X52.XXXA describes the circumstance causing an injury, not the nature of the injury.
X52.XXXA is a billable diagnosis code used to specify a medical diagnosis of prolonged stay in weightless environment, initial encounter. The code X52.XXXA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code X52.XXXA might also be used to specify conditions or terms like prolonged stay in weightless environment. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#X52.XXXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like prolonged stay in weightless environment. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
The 2022 edition of ICD-10-CM Y92.23 became effective on October 1, 2021.
Y92.23 describes the circumstance causing an injury, not the nature of the injury.
school dormitory as the place of occurrence of the external cause ( Y92.16-) sports and athletics area of schools as the place of occurrence of the external cause ( Y92.3-) School, other institution and public administrative area as the place of occurrence of the external cause . Code History.
The 2022 edition of ICD-10-CM Z75.1 became effective on October 1, 2021.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
The 2022 edition of ICD-10-CM Z74.09 became effective on October 1, 2021.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
Depending on the place of service, 99354 or 99356 is used to report the first hour of prolonged service on a given date. Either of these codes is used only once, per date of service (first hour). To report either of these codes, the service must go at least 30 minutes beyond the normal time of the E/M code.
Depending on the place of service, 99355 or 99357 is used to report each additional 30 minutes beyond the first hour. To report either of these codes, the prolonged service must go at least 15 minutes beyond the first hour of prolonged service. Do not bill separately prolonged services of less than 15 minutes beyond the first hour.
Documentation is not required to accompany the bill for prolonged services unless the physician has been selected for medical review. Documentation is required in the medical record about the duration and content of the medically necessary evaluation and management service and prolonged services billed.
Prolonged service codes don’t require modifiers, but they should be documented meticulously. The provider should document why that prolonged time was necessary. The documentation need not be lengthy, but you do need to be sure it’s detailed enough to convey how and why the prolonged time was necessary.