CQW Panacea-re-brand-rev3

For the Week of June 29, 2015


Under ICD-10, will external-cause-of-injury codes be required?


Similar to ICD-9-CM, there is no national requirement for mandatory reporting of an ICD-10-CM code for external cause of injury, according to the Centers for Medicare & Medicaid Services (CMS) in MLN Matters Number SE1815.

“Unless you are subject to a State-based external cause code reporting mandate or these codes are required by a particular payer, you are not required to report ICD-10-CM codes found in Chapter 20 of the ICD-10-CM, External Causes of Morbidity,” explains CMS. If a new state- or payer-based requirement about the reporting of these codes is instituted, it would be independent of ICD-10-CM implementation.

“In the absence of a mandatory reporting requirement, you are encouraged to voluntarily report external cause codes, as they provide valuable data for injury research and evaluation of injury prevention strategies,” reports CMS.


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