Assignwith otherexternal causecodes,suchastransportaccidentsandfalls•Notapplicabletopoisonings,adverseeffects,misadventures,l tfftCategory Y99or late effects•Donotassignacodefromcategory Y99ifnootherexternalcausecodes(cause,activity)areapplicablefortheencounterDtidY99 9•Do not assign code Y99.9,Unspecified external causestatus, if status is not stated241
C diSiCoding ScenarioAn18‐year‐olddriverofacarcollidedwithapickuptruckontheinterstatehighway.Thedriverconfessedtousinghiscellphonetosendatextmessage.(Assign only external cause codes for this(Assign only external cause codes for thiscase)242
V43.53XAIndex to External Causes, Accident, car –seeAccident, transport, car t Aidt ttoccupant. Accident, transport, car occupant, driver, collision (with) pickup truck (traffic)Y92.411Index to External Causes, Place of occurrence, highway (interstate)Y93 C2Index to External Causes ActivityY93.C2Index to External Causes, Activity (involving) (of victim at time of event), cellular, telephone 243
Rationale: The transport accident codes have been greatly expanded in ICD-10-CM with much more detailgreatly expanded in ICD 10 CM with much more detail. It takes experience to get used to the Index to External Causes and Tabular sections. Just getting familiar with b th ih ltdithdititlAboth is a help to coding these conditions correctly. An appropriate seventh character is to be added to each code from category V43. If the code does not contain six characters, the X is used before placing the seventh character. No Status code was selected because this information was not documentedinformation was not documented. 244
Factors Influencing Health Status and Contact with Health ServicesCHAPTER 21Factors Influencing Health Status and Contact with Health Services(Z00‐Z99)CHAPTER 21245
Oiid ClifiiOrganization and Classification•Somecategorieshaverephrasedtitles•SomeconditionsnolongerhavethespecificitytheydidinICD‐9‐CM246
ZCodesWhen person who may or may not besick encounters health services forCorrespondings Reasosick encounters health services forsome specific purpose i.e. to receivelimited care or service for currentCorrespondingprocedure codemuston Enccondition, donate an organ or tissue,receive prophylactic vaccination,discuss problemaccompany Zcode ifprocedure iscounteWhensomecircumstanceorproblemispresent which influences person’s healthperformederpresent which influences person s healthstatusbutisnotacurrentillnessorinjury247
Uf Z C dUse of Z Codes•Canbeusedinanyhealthcaresetting•May beusedaseither primary orsecondarycode,dependingonthecircumstances•CertainZcodesmayonlybeusedasprimaryprimary•Correspondingprocedurecodemustaccompany the Z codeaccompany the Z code248
Aftercare•Whentheinitialtreatmenthasbeenperformedandpatientrequirescareduringthehealingorrecoveryphase,orforthelong‐termconsequencesofthedisease•Generally, first‐listed (primary) code•NOTforinjuries•Not to be confused with follow up care•Not to be confused with follow‐up care249
C diSiCoding ScenarioMedicalexaminationofafour‐year‐oldchildpriortoadmissiontopreschool.Thechildishealthy withnocomplaints.
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- Fall '16
- Professor M. Vargas