Resolve seventh character questions before ICD-10 implementation

May 6th, 2015

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

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

  1. 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.

  2. Pregnancy seventh characters

    Covers chapter-based pregnancy coding topics related to multiple gestation, fetal specificity, and examples of pregnancy-related encounters.

  3. Injury seventh characters

    Discusses seventh character use for injuries and poisonings, including encounter phases and broad categories of follow-up care.

  4. 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

  • ICD-10-CM: O31
  • ICD-10-CM: O32
  • ICD-10-CM: O33
  • ICD-10-CM: O35
  • ICD-10-CM: O36
  • ICD-10-CM: O40
  • ICD-10-CM: O41
  • ICD-10-CM: O60.1
  • ICD-10-CM: O60.2
  • ICD-10-CM: O64
  • ICD-10-CM: O69
  • ICD-10-CM: O32.1XX1
  • ICD-10-CM: O35.0XX2
  • ICD-10-CM: O30
  • ICD-10-CM: S82.234A
  • ICD-10-CM: W03.XXXA
  • ICD-10-CM: Y92.328
  • ICD-10-CM: Y93.65
  • ICD-10-CM: Y99.8
  • ICD-10-CM: S82.234D
  • ICD-10-CM: S82.201D

Code Ranges Discussed

  • ICD-10-CM: O33.3-O33.6

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