BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI01-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI01-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
HI02-01 1270 Code List Qualifier Code M ID 1/3 Required 1
Code Name
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI02-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI02-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
5010X837IA2.ecs 67 For internal use only OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI03-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI03-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding
HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI04-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI05-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI05-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
5010X837IA2.ecs 69 For internal use only HI06-01 1270 Code List Qualifier Code M ID 1/3 Required 1
Code Name
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI06-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
under the law, OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI07-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI07-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding
HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI08-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
5010X837IA2.ecs 71 For internal use only Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI08-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI09-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI09-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding
HI data elements have been used to report other causes of injury. If not required by this implementation
HI10-01 1270 Code List Qualifier Code M ID 1/3 Required 1
Code Name
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI10-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI10-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
5010X837IA2.ecs 73 For internal use only If a new rule names the ICD-10-CM as an allowable code set under HIPAA,
OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI11-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI11-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when an additional External Cause of Injury must be sent and the preceding
HI data elements have been used to report other causes of injury. If not required by this implementation guide, do not send.
BN International Classification of Diseases Clinical Modification (ICD-9-CM) External Cause of Injury Code (E-codes)
CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABN International Classification of Diseases Clinical Modification (ICD-10-CM) External Cause of Injury Code
This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI12-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI12-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Code Name
N No
U Unknown
W Not Applicable
Y Yes
Situational Rule:
Required when a diagnosis is needed to describe an injury, poisoning, or adverse effect. If not required by this implementation guide, do not send.
TR3 Notes:
1. Do not transmit the decimal point in a diagnosis code. The decimal point is assumed.
2. In order to fully describe an injury using ICD-10-CM, it will be necessary to report a series of 3 external cause of injury codes.
TR3 Example:
HI*BN:E8660~
HI*ABN:T560X1~
5010X837IA2.ecs 75 For internal use only