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ICD 9 to ICD 10 Changes Sept 2017

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ICD 9 to ICD 10 Changes Sept 2017 Question: ICD-9-CM External Cause of Injury Codes (E-Codes) are no longer used. What ICD- 10-CM codes have replaced them? Answer: Previously, if a patient had an ICD-9-CM Injury code (800- 904.9 or 910-995.89 EXCEPT 995.60-995.69) an E-Code would be used to describe the cause, intent and activity associated with the injury or poisoning. In ICD-10-CM, the S-Codes and T-Codes are used for coding injuries and poisonings and V-Codes, W-Codes, X-Codes and Y-Codes are used for cause. ICD-10-CM Injury and Poisoning Codes ICD-10-CM Cause of Injury Codes •S00-S09 Injuries to the head •V00-V09 Pedestrian injured in transport accident •S10-S19 Injuries to the neck •V10-V19 Pedal cycle rider injured in transport accident •S20-S29 Injuries to the thorax •V20-V29 Motorcycle rider injured in transport accident •S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis •V30-V39 Occupant of three-wheeled motor vehicle injured in transport accident and external genitals •V40-V49 Car occupant injured in transport accident •S40-S49 Injuries to the shoulder and upper arm •V50-V59 Occupant of pick-up truck or van injured in transport accident •S50-S59 Injuries to the elbow and forearm •V60-V69 Occupant of heavy transport vehicle injured in transport accident •S60-S69 Injuries to the wrist, hand and fingers •V70-V79 Bus occupant injured in transport accident •S70-S79 Injuries to the hip and thigh •V80-V89 Other land transport accidents •S80-S89 Injuries to the knee and lower leg •V90-V94 Water transport accidents •S90-S99 Injuries to the ankle and foot •V95-V97 Air and space transport accidents •T07-T07 Injuries involving multiple body regions •V98-V99 Other and unspecified transport accidents •T14-T14 Injury of unspecified body region •W00-W19 Slipping, tripping, stumbling and falls •T15-T19 Effects of foreign body entering through natural orifice •W20-W49 Exposure to inanimate mechanical forces •T20-T25 Burns and corrosions of external body surface, specified •W50-W64 Exposure to animate mechanical forces by site •W65-W74 Accidental non-transport drowning and submersion •T26-T28 Burns and corrosions confined to eye and internal organs •W85-W99 Exposure to electric current, radiation and extreme ambient air temperature and •T30-T32 Burns and corrosions of multiple and unspecified body pressure regions •X00-X08 Exposure to smoke, fire and flames •T33-T34 Frostbite •X10-X19 Contact with heat and hot substances •T36-T50 Poisoning by, adverse effect of and underdosing of drugs, •X30-X39 Exposure to forces of nature medicaments and biological substances •X50-X50 Overexertion and strenuous or repetitive movements •T51-T65 Toxic effects of substances chiefly nonmedicinal as to •X52-X58 Accidental exposure to other specified factors source •X71-X83 Intentional self-harm •T66-T78 Other and unspecified effects of external causes •X92-Y09 Assault •T79-T79 Certain early complications of trauma •Y21-Y33 Event of undetermined intent •T80-T88 Complications of surgical and medical care, not elsewhere •Y35-Y38 Legal intervention, operations of war, military operations, and terrorism classified •Y62-Y69 Misadventures to patients during surgical and medical care •Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use •Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure •Y90-Y99 Supplementary factors related to causes of morbidity classified elsewhere Comparison of ICD-9-CM to ICD-10-CM Increase in Diagnosis Codes by ICD-10-CM Major Diagnosis Chapters 18,821 ICD-9-CM Codes 94,042 ICD-10-CM Codes Supplementary classification of factors… 1,358 Factors influencing health status and contact… 1,597 Supplementary classification of external… 1,465 External causes of morbidity (V00-Y99) 9,677 Injury and poisoning (800-999) 3,557 Injury, poisoning and certain other consequences… 53,659 Symptoms, signs, and ill-defined… 472 Symptoms, signs and abnormal clinical and… 878 Congenital anomalies (740-759) 501 Congenital malformations, deformations and… 966 Certain conditions originating in the… 351 Certain conditions originating in the perinatal… 506 59% of ICD-10-CM Complications of pregnancy, childbirth,… 1,480 Pregnancy, childbirth and the puerperium (O00-… 2,759 codes are in Diseases of the genitourinary system… 495 Diseases of the genitourinary system (N00-N99) 792 the Injury/ Diseases of the musculoskeletal system… 1,037 Diseases of the musculoskeletal system and… 8,450 poisoning chapter Diseases of the skin and subcutaneous… 280 Diseases of the skin and subcutaneous tissue… 957 Diseases of the digestive system (520-579) 840 Diseases of the digestive system (K00-K95) 990 Diseases of the respiratory system (460-… 452 Diseases of the respiratory system (J00-J99) 443 Diseases of the circulatory system (390-… 711 Diseases of the circulatory system (I00-I99) 1,674 Diseases of the ear and mastoid process Diseases of the ear and mastoid process (H60-… 875 New Major Diagnosis Categories Diseases of the eye and adnexa Diseases of the eye and adnexa (H00-H59) 3,252 Diseases of the nervous system and… 1,776 Diseases of the nervous system (G00-G99) 815 Mental disorders (290-319) 609 Mental, Behavioral and Neurodevelopmental… 940 Diseases of the blood and blood-forming… 148 Diseases of the blood and blood-forming organs… 309 Endocrine, nutrional and metabolic… 432 Endocrine, nutritional and metabolic diseases… 1,171 Neoplasms (140-239) 1,219 Neoplasms (C00-D49) 2,039 Infectious and parasitic diseases (001-139) 1,638 Certain infectious and parasitic diseases (A00-B99) 1,293 Link to the CMS ICD-9 to ICD-10 equivalency documentation. • https://www.cms.gov/Medicare/Coding/ICD 10/2015-ICD-10-CM-and-GEMs.html .
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