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ICD-10-CM Coding for Trauma: Injuries are Gonna Hurt!

ICD-10-CM Coding for Trauma: Injuries are Gonna Hurt!

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Speaker: Betsy Nicoletti

Length 60-minutes

Betsy NicolettiThis one-hour recorded webinar will provide an overview of coding for trauma, including how the chapter is organized, key search terms in the index, and the seventh character extender. 

Many specialties treat patients with accidents or injuries including ED, Surgeons, Walk-in Centers and Primary Care. This webinar will introduce coders and providers to the key concepts that will allow them to code for injuries.

The largest chapter in ICD-10, the one with the greatest expansion is Chapter 19, Injury, Poisoning and Certain Other Consequences of External Causes. (S00—T88)  The chapter lists all things you don’t want to happen to you.  But, our medical professionals are there to help and then they and the coders have to select an ICD-10 code from this greatly expanded section.  Add to the explosion in injury codes the vast increase in external cause codes, and you can see why “injures are gonna hurt.” (We’ll cover the S codes, not the T codes in this webinar.)

This chapter has everything from insect bites to penetrating trauma, from contusions and bites and to open fractures.  It is going to present a challenge to coders.

ICD-10 has a new concept in the 7th character extender.  In chapter 7, this extender is added to codes to indicate if the visit is the initial or subsequent encounter, or for treatment of sequela due to the injury.  There are more specific extenders for fracture care codes.  Learn how to use these 7th characters to avoid denials and payment delays.   Do you have questions about placeholder code, X in ICD-10?  This placeholder is used in many chapters, but is found frequently in Chapter 19 and in the external cause chapter.  Many of the codes

Many groups routinely use E codes in ICD-9 to describe the cause of an accident or injury.  These are greatly expanded in ICD-10, along with a new set of occurrence codes.  This webinar will introduce Chapter 20, External Causes of Morbidity (V00-Y99).

This 60-minute overview will be relevant to providers and coders who will need to code for trauma.  It is a first step in coding for injuries and accidents.

After this session, participants will be able to:

  • Describe when and how to use a 7th character extender.
  • Apply external cause codes, and determine if they are required.
  • Identify documentation gaps in current records to improve before the October 1 implementation date.

Meet Our Expert Speaker:

Betsy Nicoletti, MS, CPC, is the co-founder of, devoted to physician reimbursement. She is also the author of The Field Guide to Physician Coding 3rd Edition and Auditing Physician Services, 2nd Edition, both published by Greenbranch Publishing. As a certified coder, Betsy simplifies complex coding rules for practitioners and engages physicians in a positive and respectful way, which encourages attention and accuracy in their coding. Besides doing auditing and compliance work, she is a speaker, writer and consultant in coding education, billing and accounts receivable management.

She holds a Masters of Science in Organization and Management from Antioch, New England, and has worked in and around physician offices for over 25 years. She became a certified coder in 1999. Betsy is a member of the National Speakers Association, the Medical Group Management Association and the Healthcare Financial Management Edition.

You may have heard her speak at conferences sponsored by MGMA, DecisionHealth, ACHE, HFMA, AMBA, The Coding Institute, The Journal of Medical Practice Management and the World Research Group.

Betsy was awarded the 2010 QuantiaMD Community Choice Award for Excellence in Knowledge and Sharing Information. She was the only person to win the award who was not an MD, showing the tremendous value the physician community places on her!