This course provides an overview of ICD-10-CM Chapter 20, “External causes of morbidity,” and
Chapter 21, “Factors Influencing Health Status and Contact with Health Services,” and the circumstances in which codes from these chapters are assigned. It also addresses the proper selection and use of codes that provide data for research and evaluation of injury prevention strategies. These codes classify environmental events and circumstances that are the cause of injury and other adverse effects.
After completing this course, you will also understand how and when it is appropriate to assign codes for factors influencing health from Chapter 21.
Before beginning this course, you should have access to the most recent version of the ICD-10-CM index and tabular listing, External Cause of Injuries Index, Table of Drugs and Chemicals, and Table of Neoplasms. Refer to the resources tab to download the necessary documents.
This course provides an overview of ICD-10-CM Chapter 20, “External causes of morbidity,” and After completing this course, you will also understand how and when it is appropriate to assign codes for factors influencing health from Chapter 21. Before beginning this course, you should have access to the most recent version of the ICD-10-CM index and tabular listing, External Cause of Injuries Index, Table of Drugs and Chemicals, and Table of Neoplasms. Refer to the resources tab to download the necessary documents.
Chapter 21, “Factors Influencing Health Status and Contact with Health Services,” and the circumstances in which codes from these chapters are assigned. It also addresses the proper selection and use of codes that provide data for research and evaluation of injury prevention strategies. These codes classify environmental events and circumstances that are the cause of injury and other adverse effects.
“This program has been approved for 1.0000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: External Causes of Morbidity
Overview: External Causes of Morbidity
External Causes of Morbidity: General Guidelines
Selection of the Appropriate External Cause Code
External Causes of Morbidity: T Codes
Review
Summary
Section 3: Categories of External Cause Codes
Place of Occurrence Code: Y92
Activity Code: Y93
Sequencing Multiple External Cause Codes
Late Effects of External Cause Guidelines
External Cause Status Y99
Review
Summary
Section 4: Factors Influencing Health Status and Contact with Health Services
Overview: Chapter 21, Z Codes
Section 1: Introduction
About This Course
Learning Objectives
Section 2: External Causes of Morbidity
Overview: External Causes of Morbidity
External Causes of Morbidity: General Guidelines
Selection of the Appropriate External Cause Code
External Causes of Morbidity: T Codes
Review
Summary
Section 3: Categories of External Cause Codes
Place of Occurrence Code: Y92
Activity Code: Y93
Sequencing Multiple External Cause Codes
Late Effects of External Cause Guidelines
External Cause Status Y99
Review
Summary
Section 4: Factors Influencing Health Status and Contact with Health Services
Overview: Chapter 21, Z Codes
Seeking Health Services in the Inpatient or Outpatient Setting
Circumstances or Problems Influencing Health Status
Review
Summary
Section 5: Categories of Z Codes
Social Determinants of Health (Z55-Z65)
Contact/Exposure (Z20-Z22)
Exposure (Z77)
Inoculations and Vaccinations (Z23)
Status
History
Screening: Z11-Z13, Z36
Observation: Z03, Z04, and Z05
Aftercare and Follow-up
Donors of Organs and Tissues (Z52)
Obstetrical and Reproductive Services (Z33, Z37)
Prophylactic Organ Removal and Encounter for Reconstructive Surgery
Other Z Code Categories Common to Inpatient Admissions
Review
Summary
Section 6: Conclusion
Course Summary
References
Writer: Catrena Lewis, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-IShawn Billings is an External Subject Matter Expert at Relias in the revenue cycle and coding area. She holds a Bachelor's degree in Health Information Management and is certified as a Registered Health Information Administrator and Coding Specialist. Shawn has ten years of medical coding experience and is credentialled by the nationally-recognized certifying body for health information and informatics professionals in the United States, AHIMA.
Disclosure: Shawn Billings, RHIA, CCS has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
Catrena "Cate" is Curriculum Designer at Relias. Her primary responsibility lies in the Revenue Cycle and Coding area. She holds a Juris Master with a concentration in Healthcare Regulations from Florida State University’s College of Law. She has over twenty years of revenue cycle and coding experience and is credentialled by both nationally recognized certifying bodies for health information and informatics professionals in the United States, AHIMA and AAPC.
Disclosure: Catrena Lewis, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-I has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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