E849.9 – Unspecified place (Do not report E849.9 if the place of occurrence is not stated) Note that place of occurrence codes describe the place where the event occurred, not the patient’s activity at the time of the event. John Verhovshek, MA, CPC, is a contributing editor at AAPC.
Injury and poisoning locations are key components of many insurance claims, and especially for workers’ compensation. In ICD-9-CM, use the following codes with the appropriate fourth digit subcategories to identify where accidents occurred:
E849.9 – Unspecified place (Do not report E849.9 if the place of occurrence is not stated) Note that place of occurrence codes describe the place where the event occurred, not the patient’s activity at the time of the event.
In ICD-9-CM, use the following codes with the appropriate fourth digit subcategories to identify where accidents occurred: Note that place of occurrence codes describe the place where the event occurred, not the patient’s activity at the time of the event. John Verhovshek, MA, CPC, is a contributing editor at AAPC.
ICD-10 code Y92 for Place of occurrence of the external cause is a medical classification as listed by WHO under the range - External causes of morbidity .
Other specified industrial and construction area as the place of occurrence of the external cause. Y92. 69 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 Y92.
V codes, described in the ICD-9-CM chapter "Supplementary Classification of Factors Influencing Health Status and Contact with Health Services," are designed for occasions when circumstances other than a disease or injury result in an encounter or are recorded by providers as problems or factors that influence care.
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).
Generally, a place of occurrence code is assigned only once, at the initial encounter for treatment. However, in the rare instance that a new injury occurs during hospitalization, an additional place of occurrence code may be assigned. No 7th characters are used for Y92.
Encounter for full-term uncomplicated deliveryICD-10 code O80 for Encounter for full-term uncomplicated delivery is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
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.
The Z codes (Z00-Z99) provide descriptions for when the symptoms a patient displays do not point to a specific disorder but still warrant treatment. The Z codes serve as a replacement for V codes in the ICD-10 and are 3-6 characters long.
In simple language, Status codes indicates that the patient is either a carrier of a disease or has the sequelae or residual of a past disease or condition. A status code is informative, because the status may affect the course of treatment and its outcome. A status code is distinct from a history code.
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.)
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.
Wiktionary. external causenoun. 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.
ICD-10-CM Official Guidelines for Coding and Reporting FY 2021 (October 1, 2020 - September 30, 2021):#N#Place of Occurrence Guideline Codes from category Y92, Place of occurrence of the external cause, are secondary codes for use after other external cause codes to identify the location of the patient at the time of injury or other condition. Generally, a place of occurrence code is assigned only once, at the initial encounter for treatment. However, in the rare instance that a new injury occurs during hospitalization, an additional place of occurrence code may be assigned. No 7th characters are used for Y92. Do not use place of occurrence code Y92.9 if the place is not stated or is not applicable
The guidelines actually explicitly say that this is not error unless the organization has internal guidelines requiring the assignment of these codes. Per the ICD-10 Chapter 20 guidelines for code range V00-Y99:#N#" There is no national requirement for mandatory ICD-10-CM external cause code reporting. Unless a provider is subject to a state-based external cause code reporting mandate or these codes are required by a particular payer, reporting of ICD-10-CM codes in Chapter 20, External Causes of Morbidity, is not required."#N#So I agree with Orthocoderpgu, I would not have assigned an error unless the provider or facility had instructed me that their coding policies require it.