• Submitting injury claim exams


    Question: When submitting injury-claim exams, do we need to report where and how the injury occurred in addition to the injury itself?

    Answer: Probably not. Unless a particular payer required it with ICD-9 E codes, it will not be required in ICD-10 despite what the ICD-10 book instructions indicate. Remember, too, that Workers' Compensation does not even have to transition to ICD-10. The largest payer, CMS, stated the use of external cause codes in ICD-10 will not be mandatory.