tci ED Coding & Reimbursement Alert - 2021 Issue Q1

Reader Questions: Consider Whether External Cause Codes Fit the Bill

Question: One of our ED physicians recently performed a reduction of a traumatic fracture for a 7-year-old patient. I want to bill an E/M service with the reduction code using the fracture diagnosis code, but should I also include an external cause code? If so, should I attach it to the E/M or the reduction procedure code? Florida Subscriber Answer: ICD-10 guidelines for the Chapter 20: External Causes of Morbidity (V00-Y99) codes tell you that “there is no national requirement for mandatory ICD-10-CM external cause code reporting.” However, the guidelines go on to tell you that &ldquo...

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