ICD-10-CM Day 1 2015 - Kentucky RHIO

[Pages:95]ICD-10-CM Day 1 2015

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PREPARATION IS THE KEY TO SUCCESS

ICD-10-CM

INJURY, POISONING, AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES

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PREPARATION IS THE KEY TO SUCCESS

Injuries grouped by body part rather than category of injury

Head ?(S00-S09) Neck ?(S10-S19) Thorax ?(S20-S29)

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? Encompasses 2 alpha characters oS

? Injuries related to body region

oT

? Injuries to unspecified region ? Poisonings, external causes

? Note: Use secondary code(s) from Chapter 20 to indicate cause of injury

? Codes within T section that include the external cause do not require an additional external cause code

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? Greater specificity

Fractures

o Type of fracture

o Specific anatomical site

o Displaced vs nondisplaced

o Laterality

o Routine vs delayed healing

o Nonunion

o Malunion

o Type of encounter

? Initial

? Subsequent

? Sequela

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Fracture Seventh Character

PREPARATION IS THE KEY TO SUCCESS

A ? Initial closed

B ? Initial open

D ? Subsequent

routine

K ? Subsequent nonunion

G ? Subsequent

delayed

P ? Subsequent malunion

S - Sequela

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Fractures

? Some fracture categories provide for seventh characters to designate the specific type of open fracture based on the Gustilo open fracture classification

? A fracture not indicated as displaced or nondisplaced should be coded to displaced

? A fracture not designated as open or closed should be coded to closed

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PREPARATION IS THE KEY TO SUCCESS

? Initial encounter

o The patient is receiving active treatment for the condition

? Surgical treatment

? Emergency department encounter

? Evaluation and continuing (ongoing) treatment by the same or different physician

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