Activity and external cause status codes are assigned following all causal

Activity and external cause status codes are assigned

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Activity and external cause status codes are assigned following all causal (intent) external cause codes. The first-listed external cause code should correspond to the cause of the most serious diagnosis due to an assault, accident, or self-harm, following the order of hierarchy listed above.. g. Child and adult abuse guideline Adult and child abuse, neglect and maltreatment are classified as assault. Any of the assault codes may be used to indicate the external cause of any injury resulting from the confirmed abuse. For confirmed cases of abuse, neglect and maltreatment, when the perpetrator is known, a code from Y07, Perpetrator of maltreatment and neglect, should accompany any other assault codes. See Section I.C.19. Adult and child abuse, neglect and other maltreatment h. Unknown or undetermined intent guideline If the intent (accident, self-harm, assault) of the cause of an injury or other condition is unknown or unspecified, code the intent as accidental intent. All transport accident categories assume accidental intent. 1) Use of undetermined intent External cause codes for events of undetermined intent are only for use if the documentation in the record specifies that the intent cannot be determined. i. Sequelae (late effects) of external cause guidelines 1) Sequelae external cause codes Sequela are reported using the external cause code with the 7th character “S” for sequela. These codes should be used with any report of a late effect or sequela resulting from a previous injury. See Section I.B.10 Sequela (Late Effects) 2) Sequela external cause code with a related current injury A sequela external cause code should never be used with a related current nature of injury code. 3) Use of sequela external cause codes for subsequent visits Use a late effect external cause code for subsequent visits when a late effect of the initial injury is being treated. Do not use a late effect external cause code for subsequent visits for follow-up care (e.g., to assess healing, to receive rehabilitative therapy) of the injury when no late effect of the injury has been documented. j. Terrorism guidelines 1) Cause of injury identified by the Federal Government (FBI) as terrorism When the cause of an injury is identified by the Federal Government (FBI) as terrorism, the first-listed external cause code should be a code from category Y38, Terrorism. The definition of terrorism employed by the FBI is found at the inclusion note at the beginning of category Y38. Use additional code for place of occurrence (Y92.-). More than one Y38 code may be assigned if the injury is the result of more than one mechanism of terrorism. 2) Cause of an injury is suspected to be the result of terrorism When the cause of an injury is suspected to be the result of terrorism a code from category Y38 should not be assigned. Suspected cases should be classified as assault.
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