HCPro, JustCoding Inpatient - 2015 Issue 17 (May)
Resolve seventh character questions before ICD-10 implementation
May 6th, 2015
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Article Overview
This article discusses common questions about ICD-10-CM seventh characters and highlights the general guidance available in official coding resources. It is aimed at coders preparing for ICD-10-CM implementation and focuses on broad categories of encounters, chapter-based seventh character use, and the kinds of references that support correct selection.
Why This Topic Matters
Seventh character selection affects how certain ICD-10-CM diagnoses and external cause codes are reported, so understanding the scope of the guidance helps coders review the right chapter-specific rules before implementation.
Article Sections
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Overview and reference sources
Introduces the seventh character concept and points readers to official ICD-10-CM guidance and coding references discussed in the article.
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Pregnancy seventh characters
Covers chapter-based pregnancy coding topics related to multiple gestation, fetal specificity, and examples of pregnancy-related encounters.
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Injury seventh characters
Discusses seventh character use for injuries and poisonings, including encounter phases and broad categories of follow-up care.
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External cause seventh characters
Summarizes seventh character considerations for external cause reporting and the relationship to associated injury coding.
What You Will Learn
- Which ICD-10-CM chapters use seventh characters
- How the article frames pregnancy-related seventh character issues
- How the article frames injury and poisoning encounter categories
- How external cause coding is discussed in relation to the injury encounter
- Which official resources are referenced for additional guidance
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation staff
- ICD-10-CM implementation teams
- Coding educators
Codes Discussed
Code Ranges Discussed
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