ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
C. Chapter-Specific Coding for the ICD-9-CM C. Chapter-Specific Coding for the ICD-10-CM
In addition to general coding guidelines, there are guidelines for
specific diagnoses and/or conditions in the classification. Unless
otherwise indicated, these guidelines apply to all health care
settings. Please refer to Section II for guidelines on the selection
of principal diagnosis.
In addition to general coding guidelines, there are guidelines for specific
diagnoses and/or conditions in the classification. Unless otherwise indicated,
these guidelines apply to all health care settings. Please refer to Section II for
guidelines on the selection of principal diagnosis.
19. Supplemental Classification of External Causes of Injur
and !oisoning "E-codes# E$00-E999%
Introduction: These guidelines are provided for those who are
currently collecting E codes in order that there will be
standardiation in the process. If your institution plans to begin
collecting E codes, these guidelines are to be applied. The use of
E codes is supple!ental to the application of I"#$%$"&
diagnosis codes.
E'ternal causes of in(ury and poisoning codes )categories E***
and E+**$E%%%, are intended to provide data for in(ury research
and evaluation of in(ury prevention strategies. -ctivity codes
)categories E**.$E*/*, are intended to be used to describe the
activity of a person see0ing care for in(uries as well as other
health conditions, when the in(ury or other health condition
resulted fro! an activity or the activity contributed to a condition.
E codes capture how the in(ury, poisoning, or adverse effect
happened )cause,, the intent )unintentional or accidental1 or
intentional, such as suicide or assault,, the person2s status )e.g.
civilian, !ilitary,, the associated activity and the place where the
event occurred.
So!e !a(or categories of E codes include:
&0. Chapter &0' External Causes of Mor(idit ")00-*99%
The e'ternal causes of !orbidity codes should never be se3uenced as the
first$listed or principal diagnosis.
E'ternal cause codes are intended to provide data for in(ury research and
evaluation of in(ury prevention strategies. These codes capture how the in(ury
or health condition happened )cause,, the intent )unintentional or accidental1
or intentional, such as suicide or assault,, the place where the event occurred
the activity of the patient at the ti!e of the event, and the person2s status )e.g.,
civilian, !ilitary,.
There is no national re3uire!ent for !andatory I"#$.*$"& e'ternal cause
code reporting. Unless a provider is sub(ect to a state$based e'ternal cause
code reporting !andate or these codes are re3uired by a particular payer,
reporting of I"#$.*$"& codes in "hapter 4*, E'ternal "auses of &orbidity, is
not re3uired. In the absence of a !andatory reporting re3uire!ent, providers
are encouraged to voluntarily report e'ternal cause codes, as they provide
valuable data for in(ury research and evaluation of in(ury prevention strategies.
.
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
transport accidents
poisoning and adverse effects of drugs, !edicinal
substances and biologicals
accidental falls
accidents caused by fire and fla!es
accidents due to natural and environ!ental factors
late effects of accidents, assaults or self$in(ury
assaults or purposely inflicted in(ury
suicide or self$inflicted in(ury
These guidelines apply for the coding and collection of E codes
fro! records in hospitals, outpatient clinics, e!ergency
depart!ents, other a!bulatory care settings and provider offices,
and nonacute care settings, e'cept when other specific
guidelines apply.
a. +eneral E Code Coding +uidelines a. +eneral External Cause Coding +uidelines
1% ,sed -ith an code in the range of 001-)91
-n E code fro! categories E+**$E%%% !ay be used with any
code in the range of **.$9%., which indicates an in(ury,
poisoning, or adverse effect due to an e'ternal cause.
-n activity E code )categories E**.$E*/*, !ay be used with any
code in the range of **.$9%. that indicates an in(ury, or other
health condition that resulted fro! an activity, or the activity
contributed to a condition.
1% ,sed -ith an code in the range of .00.0-/$$.9# 000-099
-n e'ternal cause code !ay be used with any code in the range of -**.*$
T++.%, :**$:%%, classification that is a health condition due to an e'ternal
cause. Though they are !ost applicable to in(uries, they are also valid for use
with such things as infections or diseases due to an e'ternal source, and other
health conditions, such as a heart attac0 that occurs during strenuous physical
activity.
&% .ssign the appropriate E code for all initial treatments
-ssign the appropriate E code for the initial encounter of an
in(ury, poisoning, or adverse effect of drugs, not for subse3uent
4
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
treat!ent.
E'ternal cause of in(ury codes )E$codes, !ay be assigned while
the acute fracture codes are still applicable.
See Section I.C.17.b.1 for coding of acute fractures.
&% External cause code used for length of treatment
-ssign the e'ternal cause code, with the appropriate ;th character )initial
encounter, subse3uent encounter or se3uela, for each encounter for which
the in(ury or condition is being treated.
1% ,se the full range of E codes
Use the full range of E codes )E+** < E%%%, to co!pletely
describe the cause, the intent and the place of occurrence, if
applicable, for all in(uries, poisonings, and adverse effects of
drugs.
See a.1.), j.), and k.) in this section for information on the use of
status and activity E codes.
1% ,se the full range of external cause codes
Use the full range of e'ternal cause codes to co!pletely describe the cause,
the intent, the place of occurrence, and if applicable, the activity of the patient
at the ti!e of the event, and the patient2s status, for all in(uries, and other
health conditions due to an e'ternal cause.
2% .ssign as man E codes as necessar
-ssign as !any E codes as necessary to fully e'plain each
cause.
2% .ssign as man external cause codes as necessar
-ssign as !any e'ternal cause codes as necessary to fully e'plain each
cause. If only one e'ternal code can be recorded, assign the code !ost
related to the principal diagnosis.
3% /he selection of the appropriate E code
The selection of the appropriate E code is guided by the Inde' to
E'ternal "auses, which is located after the alphabetical inde' to
diseases and by Inclusion and E'clusion notes in the Tabular
3% /he selection of the appropriate external cause code
The selection of the appropriate e'ternal cause code is guided by the
-lphabetic Inde' of E'ternal "auses and by Inclusion and E'clusion notes in
the Tabular 5ist.
/
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
5ist.
4% E code can ne5er (e a principal diagnosis
-n E code can never be a principal )first listed, diagnosis.
External cause code"s% -ith sstemic inflammator
response sndrome "SI6S%
-n e'ternal cause code is not appropriate with a code fro!
subcategory %%=.%, unless the patient also has another condition
for which an E code would be appropriate )such as an in(ury,
poisoning, or adverse effect of drugs.
4% External cause code can ne5er (e a principal diagnosis
-n e'ternal cause code can never be a principal )first$listed, diagnosis.
7% Multiple Cause E Code Coding +uidelines
&ore than one E$code is re3uired to fully describe the e'ternal
cause of an illness, in(ury or poisoning. The assign!ent of E$
codes should be se3uenced in the following priority:
If two or !ore events cause separate in(uries, an E code should
be assigned for each cause. The first listed E code will be
selected in the following order:
E codes for child and adult abuse ta0e priority over all other E
codes.
See Section I.C.19.e., Chid and !dut abuse guideines.
E codes for terroris! events ta0e priority over all other E codes
e'cept child and adult abuse.
E codes for cataclys!ic events ta0e priority over all other E
codes e'cept child and adult abuse and terroris!.
E codes for transport accidents ta0e priority over all other E
codes e'cept cataclys!ic events, child and adult abuse and
terroris!.
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-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
-ctivity and e'ternal cause status codes are assigned following
all causal )intent, E codes.
The first$listed E code should correspond to the cause of the
!ost serious diagnosis due to an assault, accident, or self$har!,
following the order of hierarchy listed above.
$% If the reporting format limits the num(er of E codes
If the reporting for!at li!its the nu!ber of E codes that can be
used in reporting clinical data, report the code for the
cause/intent !ost related to the principal diagnosis. If the for!at
per!its capture of additional E codes, the cause/intent, including
!edical !isadventures, of the additional events should be
reported rather than the codes for place, activity or e'ternal
status.
7% Com(ination external cause codes
"ertain of the e'ternal cause codes are co!bination codes that identify
se3uential events that result in an in(ury, such as a fall which results in stri0ing
against an ob(ect. The in(ury !ay be due to either event or both. The
co!bination e'ternal cause code used should correspond to the se3uence of
events regardless of which caused the !ost serious in(ury.
$% 8o external cause code needed in certain circumstances
8o e'ternal cause code fro! "hapter 4* is needed if the e'ternal cause and
intent are included in a code fro! another chapter )e.g. T/?.*@.$ Poisoning
by penicillins, accidental )unintentional,,.
(. !lace of 9ccurrence +uideline (. !lace of 9ccurrence +uideline
=
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
Use an additional code fro! category E+>% to indicate the Place
of Accurrence. The Place of Accurrence describes the place
where the event occurred and not the patient2s activity at the ti!e
of the event.
#o not use E+>%.% if the place of occurrence is not stated.
"odes fro! category B%4, Place of occurrence of the e'ternal cause, are
secondary codes for use after other e'ternal cause codes to identify the
location of the patient at the ti!e of in(ury or other condition.
- place of occurrence code is used only once, at the initial encounter for
treat!ent. 8o ;th characters are used for B%4. Anly one code fro! B%4
should be recorded on a !edical record.
#o not use place of occurrence code B%4.% if the place is not stated or is not
applicable.
c. .d5erse Effects of Drugs# Medicinal and :iological
Su(stances +uidelines
1% Do not code directl from the /a(le of Drugs
#o not code directly fro! the Table of #rugs and "he!icals.
-lways refer bac0 to the Tabular 5ist.
&% ,se as man codes as necessar to descri(e
Use as !any codes as necessary to describe co!pletely all
drugs, !edicinal or biological substances.
If the reporting for!at li!its the nu!ber of E codes, and there
are different fourth digit codes in the sa!e three digit category,
use the code for CAther specifiedD of that category of drugs,
!edicinal or biological substances. If there is no CAther
specifiedD code in that category, use the appropriate
CUnspecifiedD code in that category.
If the reporting for!at li!its the nu!ber of E codes, and the
codes are in different three digit categories, assign the
appropriate E code for other !ultiple drugs and !edicinal
substances.
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-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
1% If the same E code -ould descri(e the causati5e agent
If the sa!e E code would describe the causative agent for !ore
than one adverse reaction, assign the code only once.
2% If t-o or more drugs# medicinal or (iological su(stances
If two or !ore drugs, !edicinal or biological substances are
reported, code each individually unless the co!bination code is
listed in the Table of #rugs and "he!icals. In that case, assign
the E code for the co!bination.
3% ;hen a reaction results from the interaction of a drug"s%
Ehen a reaction results fro! the interaction of a drug)s, and
alcohol, use poisoning codes and E codes for both.
4% Codes from the E910-E929 series
"odes fro! the E%/*$E%>% series !ust be used to identify the
causative substance for an adverse effect of drug, !edicinal and
biological substances, correctly prescribed and properly
ad!inistered. The effect, such as tachycardia, deliriu!,
gastrointestinal he!orrhaging, vo!iting, hypo0ale!ia, hepatitis,
renal failure, or respiratory failure, is coded and followed by the
appropriate code fro! the E%/*$E%>% series.
;
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ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
c. .cti5it Code
-ssign a code fro! category B%/, -ctivity code, to describe the activity of the
patient at the ti!e the in(ury or other health condition occurred.
-n activity code is used only once, at the initial encounter for treat!ent. Anly
one code fro! B%/ should be recorded on a !edical record.
The activity codes are not applicable to poisonings, adverse effects,
!isadventures or se3uela .
#o not assign B%/.%, Unspecified activity, if the activity is not stated.
- code fro! category B%/ is appropriate for use with e'ternal cause and
intent codes if identifying the activity provides additional infor!ation about the
event.
d. !lace of 9ccurrence# .cti5it# and Status Codes ,sed -ith other
External Cause Code
Ehen applicable, place of occurrence, activity, and e'ternal cause status
codes are se3uenced after the !ain e'ternal cause code)s,. 6egardless of
the nu!ber of e'ternal cause codes assigned, there should be only one place
of occurrence code, one activity code, and one e'ternal cause status code
assigned to an encounter.
e. If the 6eporting <ormat =imits the 8um(er of External Cause Codes
If the reporting for!at li!its the nu!ber of e'ternal cause codes that can be
used in reporting clinical data, report the code for the cause/intent !ost
related to the principal diagnosis. If the for!at per!its capture of additional
e'ternal cause codes, the cause/intent, including !edical !isadventures, of
the additional events should be reported rather than the codes for place,
activity, or e'ternal status.
f. Multiple External Cause Coding +uidelines
&ore than one e'ternal cause code is re3uired to fully describe the e'ternal
+
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
cause of an illness or in(ury. The assign!ent of e'ternal cause codes should
be se3uenced in the following priority:
If two or !ore events cause separate in(uries, an e'ternal cause code should
be assigned for each cause. The first$listed e'ternal cause code will be
selected in the following order:
E'ternal codes for child and adult abuse ta0e priority over all other e'ternal
cause codes.
See Section I.C.19., Chid and !dut abuse guideines.
E'ternal cause codes for terroris! events ta0e priority over all other e'ternal
cause codes e'cept child and adult abuse.
E'ternal cause codes for cataclys!ic events ta0e priority over all other
e'ternal cause codes e'cept child and adult abuse and terroris!.
E'ternal cause codes for transport accidents ta0e priority over all other
e'ternal cause codes e'cept cataclys!ic events, child and adult abuse and
terroris!.
-ctivity and e'ternal cause status codes are assigned following all causal
)intent, e'ternal cause codes.
The first$listed e'ternal cause code should correspond to the cause of the
!ost serious diagnosis due to an assault, accident, or self$har!, following the
order of hierarchy listed above.
d. Child and .dult .(use +uideline g. Child and .dult .(use +uideline
-dult and child abuse, neglect and !altreat!ent are classified as assault. -ny
of the assault codes !ay be used to indicate the e'ternal cause of any in(ury
resulting fro! the confir!ed abuse.
For confir!ed cases of abuse, neglect and !altreat!ent, when the
%
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
perpetrator is 0nown, a code fro! B*;, Perpetrator of !altreat!ent and
neglect, should acco!pany any other assault codes.
See Section I.C.19. !dut and chid abuse, negect and other matreatment
1% Intentional injur
Ehen the cause of an in(ury or neglect is intentional child or adult
abuse, the first listed E code should be assigned fro! categories
E%?*$E%?+, 7o!icide and in(ury purposely inflicted by other
persons, )e'cept category E%?;,. -n E code fro! category
E%?;, "hild and adult battering and other !altreat!ent, should
be added as an additional code to identify the perpetrator, if
0nown.
&% .ccidental intent
In cases of neglect when the intent is deter!ined to be
accidental E code E%*>.*, -bandon!ent or neglect of infant and
helpless person, should be the first listed E code.
e. ,n>no-n or Suspected Intent +uideline h. ,n>no-n or ,ndetermined Intent +uideline
If the intent )accident, self$har!, assault, of the cause of an in(ury or other
condition is un0nown or unspecified, code the intent as accidental intent. -ll
transport accident categories assu!e accidental intent.
1% If the intent "accident# self-harm# assault% of the cause of
an injur or poisoning is un>no-n
If the intent )accident, self$har!, assault, of the cause of an
in(ury or poisoning is un0nown or unspecified, code the intent as
undeter!ined E%+*$E%+%.
.*
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
&% If the intent "accident# self-harm# assault% of the cause of
an injur or poisoning is ?uestiona(le
If the intent )accident, self$har!, assault, of the cause of an
in(ury or poisoning is 3uestionable, probable or suspected, code
the intent as undeter!ined E%+*$E%+%.
f. ,ndetermined Cause
Ehen the intent of an in(ury or poisoning is 0nown, but the cause
is un0nown, use codes: E%4+.%, Unspecified accident, E%=+.%,
Suicide and self$inflicted in(ury by unspecified !eans, and
E%?+.%, -ssault by unspecified !eans.
These E codes should rarely be used, as the docu!entation in
the !edical record, in both the inpatient outpatient and other
settings, should nor!ally provide sufficient detail to deter!ine
the cause of the in(ury.
1% ,se of undetermined intent
E'ternal cause codes for events of undeter!ined intent are only for use if the
docu!entation in the record specifies that the intent cannot be deter!ined.
g. =ate Effects of External Cause +uidelines i. Se?uelae "=ate Effects% of External Cause +uidelines
1% =ate effect E codes
5ate effect E codes e'ist for in(uries and poisonings but not for
adverse effects of drugs, !isadventures and surgical
co!plications.
1% Se?uelae external cause codes
Se3uela are reported using the e'ternal cause code with the ;th character CSD
for se3uela. These codes should be used with any report of a late effect or
se3uela resulting fro! a previous in(ury.
&% =ate effect E codes "E9&9# E939# E949# E977# E9$9# or
E999.1%
- late effect E code )E%4%, E%=%, E%?%, E%;;, E%+%, or E%%%..,
should be used with any report of a late effect or se3uela
resulting fro! a previous in(ury or poisoning )%*=$%*%,.
1% =ate effect E code -ith a related current injur
- late effect E code should never be used with a related current
&% Se?uela external cause code -ith a related current injur
- se3uela e'ternal cause code should never be used with a related
..
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
nature of in(ury code. current nature of in(ury code.
2% ,se of late effect E codes for su(se?uent 5isits
Use a late effect E code for subse3uent visits when a late effect
of the initial in(ury or poisoning is being treated. There is no late
effect E code for adverse effects of drugs.
#o not use a late effect E code for subse3uent visits for follow$up
care )e.g., to assess healing, to receive rehabilitative therapy, of
the in(ury or poisoning when no late effect of the in(ury has been
docu!ented.
1% ,se of se?uela external cause codes for su(se?uent 5isits
Use a late effect e'ternal cause code for subse3uent visits when a late effect
of the initial in(ury is being treated. #o not use a late effect e'ternal cause
code for subse3uent visits for follow$up care )e.g., to assess healing, to
receive rehabilitative therapy, of the in(ury when no late effect of the in(ury has
been docu!ented.
h. Misad5entures and Complications of Care +uidelines
1% Code range E$70-E$74
-ssign a code in the range of E+;*$E+;? if !isadventures are
stated by the provider. Ehen applying the E code guidelines
pertaining to se3uencing, these E codes are considered causal
codes.
&% Code range E$7$-E$79
-ssign a code in the range of E+;+$E+;% if the provider
attributes an abnor!al reaction or later co!plication to a surgical
or !edical procedure, but does not !ention !isadventure at the
ti!e of the procedure as the cause of the reaction.
i. /errorism +uidelines j. /errorism +uidelines
1% Cause of injur identified ( the <ederal +o5ernment 1% Cause of injur identified ( the <ederal +o5ernment "<:I% as
.4
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
"<:I% as terrorism
Ehen the cause of an in(ury is identified by the Federal
Govern!ent )FHI, as terroris!, the first$listed E$code should be
a code fro! category E%;%, Terroris!. The definition of terroris!
e!ployed by the FHI is found at the inclusion note at E%;%. The
terroris! E$code is the only E$code that should be assigned.
-dditional E codes fro! the assault categories should not be
assigned.
terrorism
Ehen the cause of an in(ury is identified by the Federal Govern!ent )FHI, as
terroris!, the first$listed e'ternal cause code should be a code fro! category
B/+, Terroris!. The definition of terroris! e!ployed by the FHI is found at the
inclusion note at the beginning of category B/+. Use additional code for place
of occurrence )B%4.$,. &ore than one B/+ code !ay be assigned if the in(ury
is the result of !ore than one !echanis! of terroris!.
&% Cause of an injur is suspected to (e the result of
terrorism
Ehen the cause of an in(ury is suspected to be the result of
terroris! a code fro! category E%;% should not be assigned.
-ssign a code in the range of E codes based circu!stances on
the docu!entation of intent and !echanis!.
&% Cause of an injur is suspected to (e the result of terrorism
Ehen the cause of an in(ury is suspected to be the result of terroris! a code
fro! category B/+ should not be assigned. Suspected cases should be
classified as assault.
1% Code E979.9# /errorism# secondar effects
-ssign code E%;%.%, Terroris!, secondary effects, for conditions
occurring subse3uent to the terrorist event. This code should not
be assigned for conditions that are due to the initial terrorist act.
1% Code *1$.9# /errorism# secondar effects
-ssign code B/+.%, Terroris!, secondary effects, for conditions occurring
subse3uent to the terrorist event. This code should not be assigned for
conditions that are due to the initial terrorist act.
It is acceptable to assign code B/+.% with another code fro! B/+ if there is an
in(ury due to the initial terrorist event and an in(ury that is a subse3uent result
of the terrorist event.
2% Statistical ta(ulation of terrorism codes
For statistical purposes these codes will be tabulated within the
category for assault, e'panding the current category fro! E%?*$
E%?% to include E%;% and E%%%...
j. .cti5it Code +uidelines
-ssign a code fro! category E**.$E*/* to describe the activity
that caused or contributed to the in(ury or other health condition.
./
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
ICD-9 and ICD-10 Chapter Guideline Comparison Table- Chapter 20 External Causes of Morbidity
Unli0e other E codes, activity E codes !ay be assigned to
indicate a health condition )not (ust in(uries, resulted fro! an
activity, or the activity contributed to the condition.
The activity codes are not applicable to poisonings, adverse
effects, !isadventures or late effects.
#o not assign E*/*, Unspecified activity, if the activity is not
stated.
>. External cause status
- code fro! category E***, E'ternal cause status, should be
assigned whenever any other E code is assigned for an
encounter, including an -ctivity E code, e'cept for the events
noted below. -ssign a code fro! category E***, E'ternal cause
status, to indicate the wor0 status of the person at the ti!e the
event occurred. The status code indicates whether the event
occurred during !ilitary activity, whether a non$!ilitary person
was at wor0, whether an individual including a student or
volunteer was involved in a non$wor0 activity at the ti!e of the
causal event.
- code fro! E***, E'ternal cause status, should be assigned,
when applicable, with other e'ternal cause codes, such as
transport accidents and falls. The e'ternal cause status codes
are not applicable to poisonings, adverse effects, !isadventures
or late effects.
#o not assign a code fro! category E*** if no other E codes
)cause, activity, are applicable for the encounter.
#o not assign code E***.%, Unspecified e'ternal cause status, if
the status is not stated.
>. External cause status
- code fro! category B%%, E'ternal cause status, should be assigned
whenever any other e'ternal cause code is assigned for an encounter,
including an -ctivity code, e'cept for the events noted below. -ssign a code
fro! category B%%, E'ternal cause status, to indicate the wor0 status of the
person at the ti!e the event occurred. The status code indicates whether the
event occurred during !ilitary activity, whether a non$!ilitary person was at
wor0, whether an individual including a student or volunteer was involved in a
non$wor0 activity at the ti!e of the causal event.
- code fro! B%%, E'ternal cause status, should be assigned, when
applicable, with other e'ternal cause codes, such as transport accidents and
falls. The e'ternal cause status codes are not applicable to poisonings,
adverse effects, !isadventures or late effects.
#o not assign a code fro! category B%% if no other e'ternal cause codes
)cause, activity, are applicable for the encounter.
-n e'ternal cause status code is used only once, at the initial encounter for
treat!ent. Anly one code fro! B%% should be recorded on a !edical record.
#o not assign code B%%.%, Unspecified e'ternal cause status, if the status is
not stated.
.>
-!anda 5owery, 67IT "oding Supervisor 8oland 7ealth Services
