icd 10 code for unspecified external cause status

by Virginia Gerlach 5 min read

Y99.9

What is the ICD 10 code for unspecified external cause?

Unspecified external cause status. 2016 2017 2018 2019 Billable/Specific Code POA Exempt. Y99.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Y99.9 became effective on October 1, 2018.

Can I report multiple external cause codes for an injury?

Keep in mind that you may report multiple external cause codes. After you assign the initial action code, you can then add place of occurrence codes, activity codes and external cause status codes that further describe the injury. These should only be used if they are described in the physician's notes and when applicable.

What is the ICD 10 code for present on admission?

This "Present On Admission" (POA) indicator is recorded on CMS form 4010A. Y99.9 is a billable ICD code used to specify a diagnosis of unspecified external cause status. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

How do I use external causes in my claims?

If you're having trouble coding external causes, or need to provide enhanced claims for your payers or state regulators, here is your primer on how to use them. You can add an external cause code to any diagnosis in the range of A00.0 through T88.9 in ICD-10, but they are primarily applicable to acute injuries from Chapter 19 (S00 to T88).

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What is an external cause status code in ICD-10?

External cause codes identify the cause of an injury or health condition, the intent (accidental or intentional), the place where the incident occurred, the activity of the patient at the time of the incident, and the patient's status (such as civilian or military).

What is external cause status?

➢ External cause status, category Y99 ➢ Indicates the work status of the person at the time the event occurred, such as: Military or civilian, at work or not, a student or volunteer, etc. ➢ Code one time only at the initial encounter ➢ Not applicable to poisonings, adverse effects, misadventures or late effects.

What is an example of an external cause code?

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.

What is the rule of coding external cause codes?

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.

Why are external cause codes used?

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.)

What order should the external cause codes be on the claim?

The use of external cause of morbidity codes is supplemental to the application of ICD- 10-CM codes. External cause of morbidity codes are never to be recorded as a principal diagnosis (first-listed in non-inpatient settings). The appropriate injury code should be sequenced before any external cause codes.

When would an external cause code be reported?

You only need to report external cause codes for the initial encounter (most of the time). Typically, you would only report place of occurrence, activity, and external cause status codes during your initial evaluation of the patient.

Which external cause codes are assigned on the initial encounter?

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.

What is the ICD 10 code for unspecified cause of injury?

Y99. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are sequenced as the final external cause code?

Place of Occurrence, Activity, and Status Codes Used with other External Cause Code: When applicable, place of occurrence, activity and external cause status codes are sequenced after the main external cause codes. Only 1 place code, 1 activity code, and 1 status code per encounter.

What external cause status code is assigned to describe that the patient was participating in a leisure activity?

"Other external cause status" code Y99. 8 includes leisure activity. Whenever patients are treated for injuries, adverse effects, or complications from procedures, coders abstract information related to the external cause of the condition.

ICD-10-CM External Cause Index References for 'Y99.9 - Unspecified external cause status'

The ICD-10-CM External Cause Index links the below-listed medical terms to the ICD code Y99.9. Click on any term below to browse the external cause index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code E000.9 was previously used, Y99.9 is the appropriate modern ICD10 code.

What does "type 1 excludes" mean?

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.

What is Y99 code?

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.

What does "exclude note" mean?

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.

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