tci ED Coding & Reimbursement Alert - 2017 Issue 6

You Be the Coder: Know the Rules for "External Cause" Diagnoses

Question: Can you share an example of when I might use the "External cause" codes in ICD-10? Insurers keep rejecting claims that contain the codes. Supercoder.com Subscriber Answer: Correct coding requires you to report these codes, which describe the causes of injuries, diseases and other issues. These codes are part of the ICD-10 system, which instructs you to code an encounter to the highest specificity possible. Coding example: A five-year-old girl falls from the jungle gym on the school playground and suffers a2.0-cm cut on her right eyelid. The emergency department physician performs a simple repair. You...

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