AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES
Choking Game
Code Y93.8, has been expanded to uniquely identify the choking game (Y93.85). Prior to this change, code Y93.8, Activities, other specified, was assigned for the choking game. The “choking game,” also known as passout game, blackout game, fainting game, knockout, flat line and other terms, is a strangulation activity to achieve a brief euphoria or high-like sensation related to hypoxia. The game involves some children and adolescents choking themselves or each other, by cutting off circulation to the carotid artery with their hands or a noose, which may be an article of clothing, a...
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Article Overview
This article covers an ICD-10-CM coding update related to the choking game, including the addition of a more specific activity code and background on the behavior, associated risks, and documentation considerations. It is intended for coding professionals and clinical documentation staff who need to understand how the topic is referenced in medical records and how the updated classification affects recordkeeping. The article also includes a brief case-based discussion that places the topic in an emergency department context without broadly reviewing other coding systems.
Why This Topic Matters
Accurate identification of this type of documentation affects data quality, surveillance, and reporting of injuries and symptoms associated with risky activities among children and adolescents.
What You Will Learn
- How the article frames an ICD-10-CM update related to the choking game
- Why more specific activity documentation matters for tracking cases
- What general clinical and documentation context may appear in records involving this behavior
- How the article uses a case scenario to illustrate the topic in an emergency department setting
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement professionals
- Emergency department coding staff
Codes Discussed
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