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ICD-9-CM E-codes
The basics <ul><li>External cause of injury codes (E codes) provide data for injury research and evaluation of prevention ...
Look Up <ul><li>Alphabetic Index </li></ul><ul><ul><li>Separate index that follows Table of Drugs and Chemicals </li></ul>...
The Particulars <ul><li>Use of E codes is optional. </li></ul><ul><li>Place of occurrence:  </li></ul><ul><ul><li>Code E84...
Late Effect E-codes  <ul><li>The E codes for external causes of late effects are: </li></ul><ul><ul><li>E929 Late effects ...
Guidelines for E Codes <ul><li>E codes may be used as additional codes with any code in the categories 001 – V84 to indica...
Guidelines for E Codes (continued) <ul><li>Assign as many E code as necessary to fully explain each external cause. </li><...
E Codes for Child and Adult Abuse <ul><li>When the cause of an injury is intentional child or adult abuse (995.50 – 995.59...
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Coding E Codes

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Coding E Codes

  1. 1. ICD-9-CM E-codes
  2. 2. The basics <ul><li>External cause of injury codes (E codes) provide data for injury research and evaluation of prevention strategies. </li></ul><ul><li>E codes describe the injury or poisoning by how it happened, the intent (intentional or accidental) and the place where the event occurred. </li></ul><ul><li>Includes broad categories such as transport accidents, accidental poisonings, suicide attempts, fires, hurricanes, and tornados. </li></ul><ul><li>E codes are never used as a principal diagnosis and never used alone. </li></ul><ul><li>Use as additional codes with diagnoses and injuries </li></ul>
  3. 3. Look Up <ul><li>Alphabetic Index </li></ul><ul><ul><li>Separate index that follows Table of Drugs and Chemicals </li></ul></ul><ul><ul><li>Organized by main terms describing the accident, circumstance, event, or specific agent that caused the injury or adverse effect </li></ul></ul>
  4. 4. The Particulars <ul><li>Use of E codes is optional. </li></ul><ul><li>Place of occurrence: </li></ul><ul><ul><li>Code E849 is used to identify the place where the event happened. </li></ul></ul><ul><ul><li>It is never the only E code used. </li></ul></ul><ul><ul><li>Located in the Alphabetic Index to External Causes under “Accident (to), occurring (at) (in)” </li></ul></ul><ul><li>E codes for late effects: </li></ul><ul><ul><li>When the condition being coded is a late effect of an illness or injury, the E code for the late effect must be assigned rather than a current E code. </li></ul></ul>
  5. 5. Late Effect E-codes <ul><li>The E codes for external causes of late effects are: </li></ul><ul><ul><li>E929 Late effects of accidental injury </li></ul></ul><ul><ul><li>E959 Late effects of self-inflicted injury </li></ul></ul><ul><ul><li>E969 Late effects of injury purposely inflicted by another person </li></ul></ul><ul><ul><li>E977 Late effects of injuries due to legal intervention </li></ul></ul><ul><ul><li>E989 Late effects of injury, undetermined whether accidentally or purposely inflicted </li></ul></ul><ul><ul><li>E999, Late effects of injury due to war operations and terrorism </li></ul></ul><ul><li>Late effect E codes are found in the Index to External Causes under ‘Late effect of.” </li></ul>
  6. 6. Guidelines for E Codes <ul><li>E codes may be used as additional codes with any code in the categories 001 – V84 to indicate the injury, poisoning, or adverse effect due to external cause. </li></ul><ul><li>Assign the appropriate E code for all initial treatments of an injury, poisoning, or adverse effect of drugs. </li></ul><ul><li>Use a late effect E code for subsequent visits when a late effect of the initial injury or poisoning is being treated. </li></ul><ul><li>Use the full range of E codes to completely describe the cause, intent, and place of occurrence for all injuries, poisonings, and adverse effects of drugs. </li></ul>
  7. 7. Guidelines for E Codes (continued) <ul><li>Assign as many E code as necessary to fully explain each external cause. </li></ul><ul><li>If only one E code can be recorded, assign the one most related to the principal diagnosis. </li></ul><ul><li>Select the appropriate E code by referring to the Alphabetic Index to External Causes and the Tabular List’s inclusion and exclusion notes. </li></ul>
  8. 8. E Codes for Child and Adult Abuse <ul><li>When the cause of an injury is intentional child or adult abuse (995.50 – 995.59, 995.80 – 995.85), the first-listed E code should be assigned from categories E960 – E968, Homicide or injury purposely inflicted by other persons. </li></ul><ul><li>An additional E code should be used to identify the perpetrator of the abuse. </li></ul>

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