Transcript ICD-10 CM Training

ICD-10 CM Training
Pediatrics
ICD-10-CM Compliance Dates
• ICD-10-CM will be valid for dates of service on or
after October 1, 2015
– Outpatient dates of service of October 1, 2015 and
beyond.
– Inpatient hospital service claims, is effective for dates of
discharge after September 30, 2015
Covered and Non-Covered Entities
• Covered Entities
– Everyone covered by the Health Insurance Portability
Accountability Act (HIPAA)
• Non-Covered Entities
– Worker’s Compensation
– Auto Insurance
– Non covered HIPAA entities are exempt but are
encouraged to adapt the new code set
ICD-10 Code Structure
• 21 Chapters
• Alpha-numeric codes; not case-sensitive
– Codes begin with Alpha letter, A-Z, excluding U
– Common errors
• I verses 1
• O verses 0
• “x” Placeholder
• 3 to 7 characters
– Decimal following 3rd character
ICD-10 Code Structure
• Placeholder “x”
– Used for future expansion of a code
– Fills in empty characters when a 6th and/or 7th character
apply
– The placeholder may be used in different scenarios but
should never serve as the final character.
Example: W19.XXXA Unspecified fall, Initial Encounter
ICD-10 Code Structure
• 7th Character
– Provides specified information regarding the clinical visit
– Is required for certain categories and must be reported in
the seventh position
– May be alpha or numeric
– Has different meanings depending on the coding category
ICD-10 Code Structure
• Laterality
– Some ICD-10-CM codes indicate laterality, specifying
whether the condition occurs on the left, right or is
bilateral.
– If no bilateral code is provided and the condition is
bilateral, assign separate codes for both the left and right
side.
– If the side is not identified in the medical record, assign the
code for the unspecified side.
OGCR section 1.B.13
ICD-10 Code Structure
• “Other” Codes
– Codes titled “other” or “other specified” are for use when
the information in the medical record provides detail for
which a specific code does not exist.
• “Unspecified” Codes
– Codes titled “unspecified” are for use when the
information in the medical record is insufficient to assign a
more specific code.
OGCR section 1.A.9.a.b
ICD-10 Structure
• Excludes Notes
– Excludes1
•
•
•
•
A type 1 Excludes note is a pure excludes note
It means “NOT CODED HERE”
The code excluded should never be used at the same time
When two conditions cannot occur together
– Excludes2
• Represents “Not included here”
• The condition excluded is not part of the condition represented by
the code
• It is acceptable to use both the code and the excluded code
together, when appropriate
OGCR section 1.A.12.a.b
ICD-10 Code Structure
• “Code First” and “Use Additional Code”
– ICD-10 has a coding convention that requires the
underlying condition be sequenced first followed
by the manifestation.
– These instructional notes indicate the proper
sequencing order of the codes.
OGCR section 1.A.13
• The “-” indicates there are additional reporting
options
ICD-9-CM to ICD-10-CM Conversion Utility (GEMs) in eCW
From top tool bar
• Billing
• ICD
• ICD-9-CM to ICD-10-CM
Conversion Utility (GEMs)
ICD-9-CM to ICD-10-CM Conversion Utility (GEMs) in eCW
• Type in ICD-9-CM Code
• Select- Map to ICD-10-CM
• ICD-10-CM Code will appear
– IF code is not a one-to-to
conversion, modifier selections
will appear to narrow search.
IMO/Smart Search
IMO is a registered trademark for Intelligent Medical
Objects.
• Integrates software in the practice management systems
to allow for a quick search of medical terms and codes.
• Allows for a search using physician verbiage, partial terms
or ICD codes.
• System integrates with eCW
Smart Search is the result of IMO functionality within a
practice management system.
• Is available at no cost
• Is found in the assessment section of the progress note
• Allows easier search of codes (ICD-9 to ICD-10)
Most Common Diagnosis Codes
Routine Infant or Child Health Examination
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
V20.2
Z00.129
Encounter for routine
child health
examination without
abnormal findings
• Encounter for
routine child health
examination NOS
• Encounter for
development testing
of infant or child
• Health check
(routine) for child
over 28 days old
•
Health check for
child under 29
days old (Z00.11-)
Health supervision
of foundling or
other health infant
or child (Z76.1Z76.2)
Newborn health
examination
(Z00.11-)
N/A
Encounter for routine
child health
examination with
abnormal findings
• Use additional code
to identify abnormal
findings
•
Health check for
child under 29
days old (Z00.11-)
Health supervision
of foundling or
other health infant
or child (Z76.1Z76.2)
Newborn health
examination
(Z00.11-)
N/A
V20.2
Z00.121
•
•
•
•
Well Examination Documentation Tips
• Identify routine health check
– Adult
– Child
– Newborn
• Under 8 days old
• 8-28 days old
• Identify presence/absence of abnormal findings
– With abnormal findings
– Without abnormal findings
• Use an additional code for any abnormal findings
Encounter for examination of ears and hearing
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
V72.19
Z01.10
Encounter for examination
of ears and hearing without
abnormal findings
•
N/A
•
•
•
encounter for examination for
administrative purposes (Z02.-)
encounter for examination for
suspected conditions, proven
not to exist (Z03.-)
encounter for laboratory and
radiologic examinations as a
component of general medical
examinations(Z00.0-)
encounter for laboratory,
radiologic and imaging
examinations for sign(s) and
symptom(s) - code to thesign(s)
or symptom(s)
There are more specific code choice selections below:
Z01.110
Encounter for hearing examination following failed hearing
screening
Z01.118
Encounter for examination of ears and hearing with other
abnormal findings
Use additional code to identify abnormal findings
Examination of ears and hearing
Documentation Tips
• Identify presence/absence of abnormal findings
– With abnormal findings
– Without abnormal findings
• Use an additional code for any abnormal findings
• Identify previous failed hearing screening
• Z01 codes are not to be used if the examination is for
diagnosis of a suspected condition or for treatment
purposes.
• During a routine exam, should a diagnosis or condition be
discovered, it should be coded as an additional code.
• Pre-existing and chronic conditions and history codes may
also be included as additional codes as long as the
examination is for administrative purposes and not focused
on any particular condition.
Encounter for examination of eyes and vision
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
V72.0
Z01.00
Encounter for
examination of eyes
and vision without
abnormal findings
•
•
Encounter for
examination of eyes
and vision NOS
•
•
•
Z01.01
Encounter for
examination of eyes
and vision with
abnormal findings
Use additional code to
identify abnormal
findings
encounter for examination
for administrative
purposes (Z02.-)
encounter for examination
for suspected conditions,
proven not to exist (Z03.-)
encounter for laboratory
and radiologic
examinations as a
component of general
medical
examinations(Z00.0-)
encounter for laboratory,
radiologic and imaging
examinations for sign(s)
and symptom(s) - code to
the sign(s) or symptom(s)
screening
examinations
(Z11-Z13)
Examination of eye
Documentation Tips
• Identify presence/absence of abnormal findings
– With abnormal findings
– Without abnormal findings
•
•
•
•
Use an additional code for any abnormal findings
Identify high risk medication
Identify diabetes and diabetes retinopathy
Z01 codes are not to be used if the examination is for diagnosis of
a suspected condition or for treatment purposes.
• During a routine exam, should a diagnosis or condition be
discovered, it should be coded as an additional code.
• Pre-existing and chronic conditions and history codes may also be
included as additional codes as long as the examination is for
administrative purposes and not focused on any particular
condition.
Asthma
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
493.00, 493.10
J45.20
Mild intermittent
asthma, uncomplicated
or NOS
•
• cystic fibrosis (E84.-)
493.01, 493.11
J45.22
Mild intermittent
asthma with status
asthmaticus
N/A
N/A
493.02, 493.12
J45.21
Mild intermittent
asthma with (acute)
exacerbation
N/A
N/A
493.82
J45.991
Cough variant asthma
N/A
N/A
493.90
J45.909
J45.998
Unspecified asthma,
uncomplicated
Other asthma
N/A
N/A
493.91
J45.902
Unspecified asthma
with status asthmaticus
•
bronchitis due to
chemicals, gases,
fumes and vapors
(J68.0)
• cystic fibrosis (E84.-)
493.92
J45.901
Unspecified asthma
with (acute)
exacerbation
•
bronchitis due to
chemicals, gases,
fumes and vapors
(J68.0)
cystic fibrosis (E84.-)
bronchitis due to
chemicals, gases,
fumes and vapors
(J68.0)
Asthma Severity Chart
INTERMITTENT
MILD
PERSISTENT
MODERATE
PERSISTENT
SEVERE
PERSISTENT
SYMPTOMS
2 or less days
per week
More than 2
days per
week
Daily
Throughout
the day
NIGHTIME
AWAKENINGS
2 x’s per
month or less
3 – 4 x’s per
month
More than
once per
week but not
nightly
Nightly
RESCUE INHALER
USE
2 or less days
per week
More than 2
days per
week, but not
daily
Daily
Several times
per day
INTERFERENCE
WITH NORMAL
ACTIVITY
None
Minor
limitation
Some
limitation
Extremely
limited
LUNG FUNCTION
FEVI>80%
predicted and
normal between
exacerbations
FEV1>80%
predicted
FEV1 60 –
80%
predicted
FEV1 less
than 60%
predicted
Asthma Documentation Tips
•
Identify
–
Severity
• Mild intermittent
• Mild persistent
• Moderate persistent
• Severe persistent
• Unspecified
–
Complication
• With acute exacerbation
• With status asthmaticus
• Uncomplicated
–
Due to
• Allergies
• Fumes
•
When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower
anatomic site (e.g. tracheobronchitis to bronchitis in J40).
Use additional code, where applicable, to identify:
–
exposure to environmental tobacco smoke (Z77.22)
–
exposure to tobacco smoke in the perinatal period (P96.81)
–
history of tobacco use (Z87.891)
–
occupational exposure to environmental tobacco smoke (Z57.31)
–
tobacco dependence (F17.-)
–
tobacco use (Z72.0)
•
Undiagnosed Cardiac Murmurs
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
785.2
R01.1
Cardiac murmur,
unspecified
•
N/A
Applicable to:
• Cardiac bruit NOS
• Heart murmur NOS
cardiac murmurs
and sounds
originating in the
perinatal period
(P29.8)
There are more specific code choice selections
R01.0
Benign and innocent cardiac murmurs
Functional cardiac murmur
R01.2
Other cardiac sounds
Cardiac dullness, increased or decreased
Precordial friction
IMO Smart Search
Documentation Tips
• R00-R99 codes that describe symptoms and signs are acceptable for
reporting purposes when a related definitive diagnosis has not been
established (confirmed) by the provider.
• R00-R99 codes for signs and symptoms may be reported in addition to a
related definitive diagnosis when the sign or symptom is not routinely
associated with that diagnosis, such as the various signs and symptoms
associated with complex syndromes. The definitive diagnosis code should
be sequenced before the symptom code.
• R01.0 – undiagnosed cardiac murmur
Acute upper respiratory infection, unspecified
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
465.9
J06.9
Acute upper
respiratory infection,
unspecified
•
N/A
•
acute respiratory
infection NOS (J22)
streptococcal
pharyngitis (J02.0)
Applicable To:
•
Upper
respiratory
disease, acute
•
Upper
respiratory
infection NOS
Use additional code, where applicable, to identify:
•
exposure to environmental tobacco smoke (Z77.22)
•
exposure to tobacco smoke in the perinatal period (P96.81)
•
history of tobacco use (Z87.891)
•
occupational exposure to environmental tobacco smoke (Z57.31)
•
tobacco dependence (F17.-)
•
tobacco use (Z72.0)
Otitis media, unspecified
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
382.9
H66.90
Otitis media,
unspecified,
unspecified ear
• Otitis media
NOS
• Acute otitis
media NOS
• Chronic otitis
media NOS
N/A
N/A
Use additional
code for any
associated
perforated
tympanic
membrane (H72.-)
There are more specific code choice selections
382.9
H66.91
Otitis media, unspecified, right ear
382.9
H66.92
Otitis media, unspecified, left ear
382.9
H66.93
Otitis media, unspecified, bilateral
Documentation Tips
•
•
•
Otitis Media Type
– Laterality
– Chronicity
– Recurrence
– Spontaneous tympanic membrane rupture
– Suppurative otitis media location
Use an external cause code following the code for the ear condition, if applicable, to identify
the cause of the ear condition
Use additional code to identify:
– exposure to environmental tobacco smoke (Z77.22)
– exposure to tobacco smoke in the perinatal period (P96.81)
– history of tobacco use (Z87.891)
– occupational exposure to environmental tobacco smoke (Z57.31)
– tobacco dependence (F17.-)
– tobacco use (Z72.0)
Acute pharyngitis, unspecified
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
462
J02.9
Acute pharyngitis, unspecified
•
•
Applicable To:
•
Gangrenous pharyngitis
(acute)
•
Infective pharyngitis
(acute) NOS
•
Pharyngitis (acute) NOS
•
Sore throat (acute) NOS
•
Suppurative pharyngitis
(acute)
•
Ulcerative pharyngitis
(acute)
•
•
•
acute
laryngopharyngitis
(J06.0)
peritonsillar abscess
(J36)
pharyngeal abscess
(J39.1)
retropharyngeal abscess
(J39.0)
There are more code choices below:
J02.0
Streptococcal pharyngitis
J02.8
Acute pharyngitis due to other specified organism
• Use additional code (B95-B97) to identify infectious agent
Use additional code, where applicable, to identify:
•
exposure to environmental tobacco smoke (Z77.22)
•
exposure to tobacco smoke in the perinatal period (P96.81)
•
history of tobacco use (Z87.891)
•
occupational exposure to environmental tobacco smoke (Z57.31)
•
tobacco dependence (F17.-)
•
tobacco use (Z72.0
chronic pharyngitis
(J31.2)
Acute pharyngitis, unspecified
Documentation Tips
• Type of pharyngitis
• Identify infectious agent
– Streptococcus
– Other organism
• Identify acute or chronic. Chronic pharyngitis code J31.2
• When a respiratory condition is described as occurring in
more than one site and is not specifically indexed, it
should be classified to the lower anatomic site (e.g.
tracheobronchitis to bronchitis in J40).
Cystic fibrosis
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
277.00
E84.9
Cystic fibrosis, unspecified
N/A
N/A
Includes:
mucoviscidosis
There are more specific code choice selections below:
E84.0
Cystic fibrosis with pulmonary manifestations
Use additional code to identify any infectious organism present,
such as: Pseudomonas (B96.5)
E84.11
Meconium ileus in cystic fibrosis
Excludes1: meconium ileus not due to cystic fibrosis (P76.0)
E84.19
Cystic fibrosis with other intestinal manifestations
Distal intestinal obstruction syndrome
E84.8
Cystic fibrosis with other manifestations
Documentation Tips
Identify:
• Anatomical site
• Manifestations (e.g. bronchopneumonia)
Acute lymphoblastic leukemia not having achieved remission
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
204.00
C91.00
Acute lymphoblastic
leukemia not having
achieved remission
•
N/A
personal history of
leukemia (Z85.6)
Applicable to:
• Acute lymphoblastic
leukemia with failed
remission
• Acute lymphoblastic
leukemia NOS
There are more specific code choice selections below:
C91.01
Acute lymphoblastic leukemia, in remission
C91.02
Acute lymphoblastic leukemia, in relapse
Documentation Tips
• Code C91.0 should only be used for T-cell and B-cell
precursor leukemia
• Identify:
– In remission
– In relapse
– Achieved remission
Type 1 diabetes mellitus without complications
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
250.01
E10.9
Type 1 diabetes mellitus
without complications
•
N/A
•
Applicable to:
• brittle diabetes
(mellitus)
• diabetes (mellitus) due
to autoimmune process
• diabetes (mellitus) due
to immune mediated
pancreatic islet betacell destruction
• idiopathic diabetes
(mellitus)
• juvenile onset diabetes
(mellitus)
• ketosis-prone diabetes
(mellitus)
•
•
•
•
•
•
•
diabetes mellitus due to
underlying condition (E08.-)
drug or chemical induced
diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
hyperglycemia NOS (R73.9)
neonatal diabetes mellitus
(P70.2)
postpancreatectomy diabetes
mellitus (E13.-)
postprocedural diabetes
mellitus (E13.-)
secondary diabetes mellitus
NEC (E13.-)
type 2 diabetes mellitus (E11.-)
Diabetes Documentation Tips
Diabetes is a chronic condition that requires multi-specialty
management.
• The documentation should indicate relevant details regarding the
management of each case as it relates to the services rendered or
actions taken to coordinate the patients care.
• The HPI, at a minimal, should include some indication of the
historical timeline or duration of the illness, levels as it relates to
the date of service, manifestations or impairments associated with
the condition and effectiveness of current medication regimen.
• The examination should notate any physical signs related to the
diabetic conditions. (Ulcers, nails, edema, discoloration, sensitivity
to touch)
Diabetes Documentation Tips
• Indicate Type
• Indicate additional conditions, manifestations, or
complications
•
•
•
•
Cataract
Circulatory complication
Foot ulcer
Gastroparesis
• Notate causal relationships (due to, with, secondary)
• State due to drugs or chemicals
Malignant neoplasm of adrenal gland
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
194.0
C74.90
Malignant neoplasm of
adrenal gland
N/A
N/A
There are more specific code choice selections below:
C74.00
Malignant neoplasm of cortex of unspecified adrenal gland
C74.01
Malignant neoplasm of cortex of right adrenal gland
C74.02
Malignant neoplasm of cortex of left adrenal gland
C74.10
Malignant neoplasm of medulla of unspecified adrenal gland
C74.11
Malignant neoplasm of medulla of right adrenal gland
C74.12
Malignant neoplasm of medulla of left adrenal gland
C74.91
Malignant neoplasm of unspecified part of right adrenal gland
C74.92
Malignant neoplasm of unspecified part of left adrenal gland
Documentation Tips
• Identify:
– Laterality
– Type
• Symptoms, signs, and ill-defined conditions listed in Chapter 18 (R00-R99)
characteristic of, or associated with, an existing primary or secondary site
malignancy cannot be used to replace the malignancy as principal or firstlisted diagnosis, regardless of the number of admissions or encounters for
treatment and care of the neoplasm.
Encounter for screening for respiratory tuberculosis
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
V74.1
Z11.1
Encounter for screening for
respiratory tuberculosis
•
N/A
examinations
related to
pregnancy and
reproduction (Z30Z36, Z39.-)
Documentation Tips
• The testing of a person to rule out or confirm a
suspected diagnosis because the patient has some
sing or symptom is a diagnostic examination, NOT A
SCREENING.
• Should a condition be discovered during a screening
then the code for the condition may be assigned as
an additional diagnosis.
• Nonspecific abnormal findings disclosed at the time
of these examinations are classified to categories
R70-R94.
Cough
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
786.2
R05
Cough
•
N/A
•
Cough with
hemorrhage
(R04.2)
Smoker’s Cough
(J41.0)
Cough Documentation Tips
• Symptom Codes
– Codes that describe symptoms and signs are acceptable for reporting
purposes when a related definitive diagnosis has not been established
(confirmed) by the provider.
• Use of a symptom code with a definitive diagnosis code
– Codes for signs and symptoms may be reported in addition to a
related definitive diagnosis when the sign or symptom is not routinely
associated with that diagnosis code.
• Signs or symptoms that are associated routinely with a
disease process should not be assigned as additional codes,
unless otherwise instructed by the classification.
Contact with and (suspected) exposure to tuberculosis
ICD-9 Code
ICD-10 Code
Description
Excludes1
Excludes2
V01.1
R01.1
Contact with and
(suspected) exposure to
tuberculosis
•
•
•
carrier of infectious
disease (Z22.-)
diagnosed current
infectious or
parasitic disease see Alphabetic
Index
personal history of
infectious and
parasitic diseases
(Z86.1-)
Documentation Tips
• Category Z20 indicates contact with, and suspected exposure to,
communicable diseases. These codes are for patients who do not show
any sign or symptom of a disease but are suspected to have been exposed
to it by close personal contact with an infected individual or are in an area
where a disease is epidemic.
• Contact/exposure codes may be used as a first-listed code to explain an
encounter for testing, or, more commonly, as a secondary code to identify
a potential risk.
Clearinghouse Testing
• GroupOne will submit ICD-10 CM test batch to
Clearinghouse prior to October 1, 2015
• Update all eCW ICD-10 settings to be effective on
October 1, 2015
Monitor Claims
On October 01, 2015 we will monitor claims for date of
service rules
• Outpatient claims cannot have crossover dates
• Outpatient claims will be coded according to date of
service
• Inpatient facility claims will be coded per date of discharge
We will monitor claims to resolve any unanticipated
problems with the submission process
Claim Denial and Management
• We will monitor for claim denials
• We will monitor editing trends for ICD-10 Coding
guidelines
• We will provide feedback to the physicians regarding
supporting documentation requirements
• We will monitor WC or Liability carriers for published
rules on use of ICD-9 or ICD-10 code sets
Client Responsibilities
• Client will need to update in eCW
–
–
–
–
Templates
Order Sets
Superbills
Favorites
• Future Orders in eCW
– Remove ICD-9 code add ICD-10 code
https://my.eclinicalworks.com/eCRM/jsp/index.jsp
•
•
•
•
Knowledge
Documents & Videos
ICD-10 Information
ICD-10 Videos
– View videos
• ICD-10-01 Overview and Setup
• ICD-10 -02 Assessment Search
• ICD-10-03 Order Sets and
Templates
• ICD-10-04 ICD and CPT
Associations and ICD Groups
• ICD-10-05 Lab Req Forms and
Superbills
• ICD-10-06 Future Labs and
Standing Orders
Documentation – Start Now
All Conditions treated or assessed must be documented in the medical
record. In addition to the documentation tips reviewed, below are more
areas to document that will ensure proper ICD-10-CM code selection.
•
•
Site specificity
Document notation of qualifiers
–
–
–
–
–
•
•
Indicate acute or chronic
Indicate underlying or external cause factors
–
–
–
–
•
Exacerbation
Manifestations
Relapse
Status
Stages
Medication
Smoke
Accidents
Mechanical failure
Laterality
– Bilateral
– Right
– Left
Documentation – Start Now
• Episode of Care for injuries, poisoning, external
causes and other conditions
– Initial Encounter
• Use while the patient is receiving active treatment of the condition
– Active treatment includes surgical treatment, an emergency
encounter, and evaluation and treatment by a new physician
– Subsequent Encounter
• Used on encounter after the patient has received active treatment
of the condition and is receiving routine care for the condition
during the healing or recovery phase.
– Medication adjustments, aftercare, device adjustments, cast change
– Sequela
• Used for complications or conditions that arise as a direct result of
a condition, late effect
Documentation – Start Now
• Combination codes that capture
– Etiology and manifestation
– Related conditions
– Disease, injury or other medical condition and
complications
– Disease or other medical conditions and common signs or
symptoms
Official Guidelines for Coding and Reporting
Underdosing
Underdosing refers to taking less of a medication than is prescribed by a provider or a
manufacturer’s instruction. For underdosing, assign the code from categories T36-T50
(fifth or sixth character “6”).
Codes for underdosing should never be assigned as principal or first-listed codes. If a
patient has a relapse or exacerbation of the medical condition for which the drug is
prescribed because of the reduction in dose, then the medical condition itself should
be coded.
Noncompliance (Z91.12-, Z91.13-) or complication of care (Y63.6-Y63.9) codes are to be
used with an underdosing code to indicate intent, if known.
OGCR Section 1.C.19.e.5.c
V00- Z99 Codes
External Causes of Morbidity
• V-codes
– Transport Accidents
• W00-X58 codes
– Other External Causes of Accidental Injury
• X71-X99.9 codes
– Intentional Self-Harm
• Y00-Y99.9 Other External Causes of Morbidity
• Z00-Z99 Factors influencing health status and
contact with health services
V00-V99 Codes
Other External Causes of Accidental Injury
Code Range
Description
V00-V09
Pedestrian injured
V10-V19
Pedal cycle injured in transport accident
V20-V29
Motorcycle rider injured in
V30-V39
Occupant of three-wheeled motor vehicle injured in transport accident
V40-V49
Car occupant injured in transport accident
V50-V59
Occupant of pick-up truck or van injured in transport accident
V60-V69
Occupant of heavy transport vehicle injured in transport accident
V70-V79
Bus occupant injured in transport accident
V80-V89
Other land transport accidents
V90-V94
Water transport accidents
V95-V97
Air and space transport accidents
V98
Other and unspecified transport accidents
V99
Unspecified transport accidents
W00-W99 Codes
Other External Causes of Accidental Injury
Code Range
Description
W00-W19
Slipping, Tripping, Stumbling, and Falls
W20-W49
Exposure to Inanimate Mechanical Forces
• Struck by object due to collapse of building
W50-W64
Exposure to Animate Mechanical Forces
• Struck by another person
W65-W74
Accidental non-transport drowning and submersion
W85-W99
Exposure to Electric Current, Radiation and Extreme Ambient Air
Temperature and Pressure
X00-X99 Codes
Other External Causes of Accidental Injury
Code Range
Description
X00-X08
Exposure to Smoke, Fire and Flames
X10-X19
Contact with Heat and Hot Substances
X30-X39
Exposure to Forces of Nature
X52, X59
Accidental Exposure to Other Specified Factors
X71-X83
Intentional Self-Harm
X92-Y09
Assault
Y00-Y99.9 Codes
Other External Causes of Morbidity
Code Range
Description
Y00-Y09
Assault
• Maltreatment and neglect
Y21-Y33
Event of undetermined intent
Y35-Y38
Legal Intervention, Operations of War, Military Operations, and Terrorism
Y62-Y69
Misadventures to Patients During Surgical and Medical Care
Y70-Y82
Medical Devices Associated with Adverse Incidents in Diagnostic and
Therapeutic Use
Y83-Y84
Surgical and other Medical Procedures as the Cause of Abnormal Reaction
Y92
Place of occurrence of the external cause
Y93
Activity codes
Y95
Nosocomial condition
Y99
External cause status
Z00-Z99 Factors influencing health
status and contact with health services
Code Range
Description
Z00-Z13
Persons encountering health services for examination and investigation
Z14-Z15
Genetic carrier and genetic susceptibility to disease
Z16
Infection with drug-resistant microorganisms
Z17
Estrogen receptor status
Z18
Retained foreign body fragments
Z20-Z28
Persons with potential health hazards related to communicable disease
Z30-Z39
Persons encountering health services in circumstances related to
reproduction
Z40-Z53
Persons encountering health services for specific procedures and health
care
Z00-Z99 (Continue)
Code Range
Description
Z40-Z53
Persons encountering health services for specific procedures and health
care
Z55-Z65
Persons with potential health hazards related to socioeconomic and
psychosocial circumstance
Z66
Do Not Resuscitate (DNR) status
Z67
Blood type
Z68
Body mass index (BMI)
Z69-Z76
Persons encountering health services in other circumstances
Z79-Z99
Persons with potential health hazards related to family and personal
history and certain conditions influencing health status
Questions
[email protected]
Centers for Disease Control and Prevention (ICD-10-CM)
http://www.cdc.gov/nchs/icd/icd10cm.htm