AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 1

Applying the 7th Characters for Injury, Poisoning and Certain Other Consequences of External Causes

The following information is being provided in response to many requests for assistance in applying ICD-10-CM’s 7th characters. The ICD-10-CM provides a 7th character in Chapter 15, Pregnancy, Childbirth and the Puerperium, Chapter 19, Injury, Poisoning and Certain Other Consequences of External Causes (includes complications of surgical and medical care), and Chapter 20, External Causes of Morbidity. In the injury and external cause sections, the 7th character is used to provide specific information about the episode of care (e.g., initial encounter, subsequent encounter, and sequelae). The 7th character is also applied to fracture codes to provide additional...

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