The Healthy People 2010 states that more than 400 Americans die each day due primarily to motor vehicle crashes, firearms, poisonings, suffocation, falls, fires, and drowning. The cost of injury and violence in the United States is estimated at more than $224 billion per year. National objectives have been set to measure progress on injury and violence prevention and control. However, monitoring the progress on achieving these objectives will not be possible without external cause of injury codes.
External cause of injury coding provides a framework for systematically collecting population-based information needed to fully describe and document how and where an injury occurred (mechanism, activity and place of occurrence). External cause of injury codes are important for injury surveillance and for designing, implementing and monitoring injury prevention and control programs, i.e., domestic violence, workplace injury, motor vehicle crashes, etc. and public health research. External cause of injury codes can also be used by the health care insurance industry for health care cost containment purposes.
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The PHDSC has collaborated with the National Uniform Billing Committee (NUBC) representatives in the preparation of a Data Maintenance (DM) request to American National Standards Institute Accredited Standards Committee X12 (ANSI ASC X12), asking that ICD-10-CM (clinical modification) and ICD-10-PCS (procedure coding system) be added as sources for external cause of injury (codes) information.
The October 2003 version (5010) of the ANSI ASC X12 837 implementation guides has been approved as a standard. These 5010 guides support the reporting of ICD-10-CM and ICD-10-PCS codes. Other highlights of the support provided in the 5010 version are additional slots to capture External Cause of Injury codes as well as slots to report Present on Admission Indicators associated with the Principal Diagnosis code, the Other Diagnoses codes, and the External Cause of Injury Codes.