Assignwith otherexternal cause accidentsandfalls

Assignwith otherexternal cause accidentsandfalls

This preview shows page 241 - 251 out of 253 pages.

Assignwith otherexternal causecodes,suchastransportaccidentsandfallsNotapplicabletopoisonings,adverseeffects,misadventures,l tfftCategory Y99or late effectsDonotassignacodefromcategory Y99ifnootherexternalcausecodes(cause,activity)areapplicablefortheencounterDtidY99 9Do not assign code Y99.9,Unspecified external causestatus, if status is not stated241
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C diSiCoding ScenarioAn18‐year‐olddriverofacarcollidedwithapickuptruckontheinterstatehighway.Thedriverconfessedtousinghiscellphonetosendatextmessage.(Assign only external cause codes for this(Assign only external cause codes for thiscase)242
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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
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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
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Factors Influencing Health Status and Contact with Health ServicesCHAPTER 21Factors Influencing Health Status and Contact with Health Services(Z00‐Z99)CHAPTER 21245
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Oiid ClifiiOrganization and ClassificationSomecategorieshaverephrasedtitlesSomeconditionsnolongerhavethespecificitytheydidinICD‐9‐CM246
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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
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Uf Z C dUse of Z CodesCanbeusedinanyhealthcaresettingMay beusedaseither primary orsecondarycode,dependingonthecircumstancesCertainZcodesmayonlybeusedasprimaryprimaryCorrespondingprocedurecodemustaccompany the Z codeaccompany the Z code248
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AftercareWhentheinitialtreatmenthasbeenperformedandpatientrequirescareduringthehealingorrecoveryphase,orforthelong‐termconsequencesofthediseaseGenerally, first‐listed (primary) codeNOTforinjuriesNot to be confused with follow up careNot to be confused with follow‐up care249
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C diSiCoding ScenarioMedicalexaminationofafour‐year‐oldchildpriortoadmissiontopreschool.Thechildishealthy withnocomplaints.
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