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.
917.0 - Abrasion or friction burn of foot and toe(s), without mention of infection | ICD-10-CM.
ICD-10 code Y99. 8 for Other external cause status is a medical classification as listed by WHO under the range - External causes of morbidity .
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.
911.0 - Abrasion or friction burn of trunk, without mention of infection.
A rub burn or a friction burn is a wound caused by the skin coming into contact with an abrasive surface when either the person or the surface is moving at high speed, resulting in rubbed raw, burned, blistered or deeply wounded skin.
External Causes of Morbidity: External cause codes are intended to provide data for injury research and injury prevention strategies.
External cause codes are never reported as primary, that is they cannot be assigned as a principal diagnosis. They never reported alone. They can be reported with any condition due to an external cause and are not limited to injuries or poisonings.
T14.90ICD-10 Code for Injury, unspecified- T14. 90- Codify by AAPC.
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. noun.
Physicians of any specialty may use external cause codes, but they are often used in the emergency department, family practice, orthopedics, and ophthalmology because these physicians specialize in circumstances or body systems frequently affected by external causes.
This section contains the index to the codes which classify environmental events, circumstances, and other conditions as the cause of injury and other adverse effects.
Civilian activity done for income or pay 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Y99. 0 became effective on October 1, 2021. This is the American ICD-10-CM version of Y99.
9 – Acute Bronchitis, Unspecified. Code J20. 9 is the diagnosis code used for Acute Bronchitis, Unspecified.
X50.9 describes the circumstance causing an injury, not the nature of the injury.
The 2022 edition of ICD-10-CM X50.9 became effective on October 1, 2021.
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 DrG@FindACode.com. Gwilliam is a member of the Provo, Utah, local chapter.