"CPT copyright 2016 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association."

Wednesday, July 1, 2015

C Codes - Effective July 1st 2015

Note: Refer to the July 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) or the July 2015 Update of the Ambulatory Surgical Center (ASC) Payment System change request (CR) documents for payment and other information about these HCPCS C-code(s).  These documents can be found at: http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2015-Transmittals.html
HCPCS  Code Short Description Long Description Added Date Termination Date Comments
C2613 Lung bx plug w/del sys Lung biopsy plug with delivery system 7/1/2015   New OPPS pass-through device code effective July 1, 2015.
C9349 PuraPly, PuraPly Antimic PuraPly, and PuraPly Antimicrobial, any type, per square centimeter 01/01/2015   This code was effective Jan 1, 2015.  The trade name for the product has been changed from "Fortaderm" to "PuraPly" effective July 1, 2015.
C9448 Oral netupitant palonosetron Netupitant 300mg and palonosetron 0.5 mg, oral 4/1/2015 6/30/2015 HCPCS code C9448 will be deleted on June 30, 2015, and replaced with HCPCS code Q9978(Netupitant 300 mg and Palonosetron 0.5 mg, oral) effective July 1, 2015.
C9453 Injection, nivolumab Injection, nivolumab, 1 mg 7/1/2015   New OPPS pass-through drug code effective July 1, 2015.
C9454 Inj, pasireotide long acting  Injection, pasireotide long acting, 1 mg 7/1/2015   New OPPS pass-through drug code effective July 1, 2015.
C9455 Injection, siltuximab Injection, siltuximab, 10 mg 7/1/2015   New OPPS pass-through drug code effective July 1, 2015.
C9737 Lap esoph augmentation Laparoscopy, surgical, esophageal sphincter augmentation with device (eg, magnetic band) 01/01/2014 6/30/2015 HCPCS code C9737 will be deleted on June 30, 2015, and replaced with Category III CPT code 0392T (Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band)) effective July 1, 2015.

Sunday, June 28, 2015

Obstetric and Gynecology Care Coding / Billing Guidelines

Obstetric and Gynecology Care Coding / Billing Guidelines

Obstetrics and Gynecology Care / Maternity care services are, 

1. Antepartum care
2. Delivery services
3. Postpartum care

There are 2 type of OB coding/billing guidelines are given below,

1. Global OB Care
2. Non-global OB care or partial services

Global OB Care

The total obstetric care package includes the provision of antepartum care, delivery services and postpartum care.

When the same group physician and/or other health care professional provides all components of the OB package, report the Global OB package code.

The CPT for Global OB codes are,

59400 – Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care

59510 – Routine obstetric care including antepartum care, cesarean delivery, and postpartum care

59610 – Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery

59618 – Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery

Billing Guidelines

The global maternity allowance is a complete, one-time billing which includes all professional services for routine antepartum care, delivery services, and postpartum care.

The fee is reimbursed for all of the member’s obstetric care to one provider.

If the member is seen four or more times prior to delivery for prenatal care and the provider performs the delivery, and performs the postpartum care then the provider must bill the Global OB code.

Global maternity billing ends with release of care within 42 days after delivery. Global OB care should be billed after the delivery date/on delivery date.

Services Included In Global Obstetrical Package,
  • Routine prenatal visits until delivery, after the first three antepartum visits
  • Recording of weight, blood pressures and fetal heart tones
  • Admission to the hospital including history and physical
  • Inpatient Evaluation and Management (E/M) service provided within 24 hours of delivery
  • Management of uncomplicated labor
  • Vaginal or cesarean section delivery
  • Delivery of placenta (CPT code 59414)
  • Administration/induction of intravenous oxytocin (CPT code 96365-96367)
  • Insertion of cervical dilator on same date as delivery (CPT code 59200)
  • Repair of first or second degree lacerations
  • Simple removal of cerclage (not under anesthesia)
  • Uncomplicated inpatient visits following delivery
  • Routine outpatient E/M services provided within 42 days following delivery
  • Postpartum care after vaginal or cesarean section delivery (CPT code 59430)
The above mentioned services are not separately reimbursed when reported separately from the global OB code.

As per ACOG (American College of Obstetricians and Gynecologists) coding guidelines, reporting of third and fourth degree lacerations should be identified by appending modifier 22 to the global OB code (CPT codes 59400 and 59610) or delivery only code (CPT codes 59409, 59410, 59612 and 59614)

Claims submitted with modifier 22 must include medical record documentation that supports the use of modifier.

Services Excluded from the Global Obstetrical Package,

The following services are excluded from the global OB package (CPT codes 59400, 59510, 59610, 59618) and may be reported separately.
  • First three antepartum E&M visits
  • Laboratory tests
  • Maternal or fetal echography procedures (CPT codes 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815, 76816, 76817, 76820, 76821, 76825, 76826, 76827 and 76828)
  • Amniocentesis, any method (CPT codes 59000 or 59001)
  • Amniofusion (CPT code 59070)
  • Chorionic villus sampling (CPT code 59015)
  • Fetal contraction stress test (CPT code 59020)
  • Fetal non-stress test (CPT code 59025)
  • External cephalic version (CPT code 59412)
  • Insertion of cervical dilator (CPT code 59200) more than 24 hr before delivery
  • E&M services which is unrelated to the pregnancy (e.g. UTI, Asthma) during antepartum or postpartum care.
  • Additional E/M visits for complications or high risk monitoring resulting in greater than the typical 13 antepartum visits. However these E/M services should not be reported until after the patient delivers. Append modifier 25 to identify these visits as separately identifiable from routine antepartum visits.
  • Inpatient E/M services provided more than 24 hrs before delivery
  • Management of surgical problems arising during pregnancy (e.g. Cholecystectomy, appendicitis, ruptured uterus)

Non-global OB care, or partial services

Non-global OB care, or partial services, refers to maternity care not managed by a single provider or group practice.

Billing for non-global OB or Partial care may occur if,
  • A patient transfers into or out of a physician or group practice
  • A patient is referred to another physician during her pregnancy
  • A patient has the delivery performed by another physician or other health care professional not associated with her physician or group practice
  • A patient terminates or miscarries her pregnancy
  • A patient changes insurers during her pregnancy

The physician provide only partial services instead of global OB care, T bill for that portion of maternity care only.

Use the codes below for billing antepartum-only, postpartum-only, delivery-only, or delivery and postpartum only services.

Only one of the following options should be used, not a combination.

A. Antepartum care only
  • For 1 to 3 visits: Use E/M office visit codes.
  • For 4 to 6 visits: Use CPT 59425, This code must not be billed by the same provider in conjunction with one to three office visits, or in conjunction with code 59426.
  • For 7 or more visits: Use CPT 59426 – Complete antepartum care is limited to one beneficiary pregnancy per provider.
Billing Guidelines

If the patient is treated for antepartum services only, the physician should use CPT code 59426 if 7 or more visits are provided, CPT code 59427 if 4-6 visits are provided, or each E/M visit if only providing 1-3 visits.

As per ACOG and AMA guidelines, The antepartum care only codes 59425 or 59426 should be reported as described below,
  • A single claim submission of CPT code 59425 or 59426 for the antepartum care only, excluding the confirmatory visit that may be reported and separately reimbursed when the antepartum record has not been initiated.
  • The units reported should be one.
  • The dates reported should be the range of time covered,
E.g. If the patient had a total of 4-6 antepartum visits then the physician should report CPT code 59425 with the from and to dates for which the services occurred.
  • CPT 59425 and 59426 – These codes must not be billed together by the same provider for the same beneficiary, during the same pregnancy.
  • Pregnancy related E/M office visits must not be billed in conjunction with code 59425 or 59426 by the same provider for the same beneficiary, during the same pregnancy.
B. Delivery services only

The following are the delivery CPT codes,

CPT 59409 – Vaginal delivery only (with or without episiotomy and/or forceps)

CPT 59514 – Cesarean delivery only

CPT 59612 – Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps)

CPT 59620 – Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery

The delivery only codes should be reported by the same group physician for a single gestation when,
  • The total OB package is not provided to the patient by the same physician or group practice.
  • Only the delivery component of the maternity care is provided and the postpartum care is performed by another physician or group of physicians.
Services included in the delivery services

      As CPT and ACOG guidelines the following services are included in the delivery services codes and shouldn’t be reported separately.
  • Admission to the hospital,
  • The admission history and physical examination,
  • Management of uncomplicated labor, vaginal delivery (with or without episiotomy, with or without forceps), or cesarean delivery, external and internal fetal monitoring provided by the attending physician
  • Intravenous induction of labor via oxytocin (CPT code 96365-96367)
  • Delivery of the placenta, any method
  • Repair of first or second degree lacerations
Insertion of cervical dilator (CPT 59200) to be included if performed on the same date of delivery.

Reporting of third and fourth degree lacerations should be identified by appending modifier 22 to the global OB code (CPT codes 59400 and 59610) or delivery only code (CPT codes 59409, 59410, 59612 and 59614)

Claims submitted with modifier 22 must include medical record documentation which supports the use of modifier.

C. Delivery only including postpartum care

If the same individual or Same group physician provided the delivery care and postpartum care, in these instances few CPT code has encompass both of these services, The following are CPT defined delivery and postpartum care.

CPT 59410 – Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care

CPT 59515 – Cesarean delivery only; including postpartum care 

CPT 59614 – Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care

CPT 59622 – Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care

Services included in the delivery only including postpartum care services
  • Hospital visits related to the delivery during the delivery confinement
  • Uncomplicated outpatient visits related to the pregnancy
  • Discussion of contraception
D. Postpartum Care Only

The following is the CPT defined postpartum care only,

CPT 59430 – Postpartum care only (separate procedure)

Services included in the postpartum care
  • Uncomplicated outpatient visits related to the pregnancy
  • Discussion of contraception
Services Excluded in the postpartum care
  • E/M of problems or complications related to the pregnancy

Billing Guidelines

The postpartum care only should be reported by the same group physician provides the patient with services of postpartum care only.

If a physician provides any component of antepartum along with postpartum care, but does not perform the delivery, then the services should be itemized by using the appropriate counterpart care code and postpartum care code.


REFERENCES:

http://www.uhccommunityplan.com/content/dam/communityplan/healthcareprofessionals/reimbursementpolicies/R0064-ObstetricalServicesPolicy.pdf

http://www.acog.org/Resources-And-Publications

https://www.pacificsource.com/searchresults.aspx?searchtext=59400

https://www.oxhp.com/secure/policy/obstetrical_policy.pdf

Saturday, June 27, 2015

ICD 10 CM (Y Series)


Y900 Blood alcohol level of less than 20 mg/100 ml








Y901 Blood alcohol level of 20-39 mg/100 ml








Y902 Blood alcohol level of 40-59 mg/100 ml








Y903 Blood alcohol level of 60-79 mg/100 ml








Y904 Blood alcohol level of 80-99 mg/100 ml








Y905 Blood alcohol level of 100-119 mg/100 ml








Y906 Blood alcohol level of 120-199 mg/100 ml








Y907 Blood alcohol level of 200-239 mg/100 ml








Y908 Blood alcohol level of 240 mg/100 ml or more








Y909 Presence of alcohol in blood, level not specified








Y92 Place of occurrence of the external cause








Y920 Non-institutional (private) residence as the place of occurrence of the external cause





Y9200 Unspecified non-institutional (private) residence as the place of occurrence of the external cause




Y92000 Kitchen of unspecified non-institutional (private) residence as  the place of occurrence of the external cause



Y92001 Dining room of unspecified non-institutional (private) residence as the place of occurrence of the external cause


Y92002 Bathroom of unspecified non-institutional (private) residence single-family (private) house as the place of occurrence of the external cause
Y92003 Bedroom of unspecified non-institutional (private) residence as the place of occurrence of the external cause



Y92007 Garden or yard of unspecified non-institutional (private) residence as the place of occurrence of the external cause


Y92008 Other place in unspecified non-institutional (private) residence as the place of occurrence of the external cause


Y92009 Unspecified place in unspecified non-institutional (private) residence as the place of occurrence of the external cause


Y9201 Single-family non-institutional (private) house as the place of occurrence of the external cause




Y92010 Kitchen of single-family (private) house as the place of occurrence of the external cause





Y92011 Dining room of single-family (private) house as the place of occurrence of the external cause




Y92012 Bathroom of single-family (private) house as the place of occurrence of the external cause




Y92013 Bedroom of single-family (private) house as the place of occurrence of the external cause




Y92014 Private driveway to single-family (private) house as the place of occurrence of the external cause




Y92015 Private garage of single-family (private) house as the place of occurrence of the external cause




Y92016 Swimming-pool in single-family (private) house or garden as the place of occurrence of the external cause



Y92017 Garden or yard in single-family (private) house as the place of occurrence of the external cause




Y92018 Other place in single-family (private) house as the place of occurrence of the external cause




Y92019 Unspecified place in single-family (private) house as the place of occurrence of the external cause




Y9202 Mobile home as the place of occurrence of the external cause







Y92020 Kitchen in mobile home as the place of occurrence of the external cause






Y92021 Dining room in mobile home as the place of occurrence of the external cause






Y92022 Bathroom in mobile home as the place of occurrence of the external cause






Y92023 Bedroom in mobile home as the place of occurrence of the external cause






Y92024 Driveway of mobile home as the place of occurrence of the external cause






Y92025 Garage of mobile home as the place of occurrence of the external cause






Y92026 Swimming-pool of mobile home as the place of occurrence of the external cause





Y92027 Garden or yard of mobile home as the place of occurrence of the external cause





Y92028 Other place in mobile home as the place of occurrence of the external cause






Y92029 Unspecified place in mobile home as the place of occurrence of the external cause





Y9203 Apartment as the place of occurrence of the external cause







Y92030 Kitchen in apartment as the place of occurrence of the external cause






Y92031 Bathroom in apartment as the place of occurrence of the external cause






Y92032 Bedroom in apartment as the place of occurrence of the external cause






Y92038 Other place in apartment as the place of occurrence of the external cause






Y92039 Unspecified place in apartment as the place of occurrence of the external cause





Y9204 Boarding-house as the place of occurrence of the external cause







Y92040 Kitchen in boarding-house as the place of occurrence of the external cause






Y92041 Bathroom in boarding-house as the place of occurrence of the external cause






Y92042 Bedroom in boarding-house as the place of occurrence of the external cause






Y92043 Driveway of boarding-house as the place of occurrence of the external cause






Y92044 Garage of boarding-house as the place of occurrence of the external cause






Y92045 Swimming-pool of boarding-house as the place of occurrence of the external cause





Y92046 Garden or yard of boarding-house as the place of occurrence of the external cause





Y92048 Other place in boarding-house as the place of occurrence of the external cause






Y92049 Unspecified place in boarding-house as the place of occurrence of the external cause





Y9209 Other non-institutional residence as the place of occurrence of the external cause





Y92090 Kitchen in other non-institutional residence as the place of occurrence of the external cause




Y92091 Bathroom in other non-institutional residence as the place of occurrence of the external cause




Y92092 Bedroom in other non-institutional residence as the place of occurrence of the external cause




Y92093 Driveway of other non-institutional residence as the place of occurrence of the external cause




Y92094 Garage of other non-institutional residence as the place of occurrence of the external cause




Y92095 Swimming-pool of other non-institutional residence as the place of occurrence of the external cause



Y92096 Garden or yard of other non-institutional residence as the place of occurrence of the external cause




Y92098 Other place in other non-institutional residence as the place of occurrence of the external cause




Y92099 Unspecified place in other non-institutional residence as the place of occurrence of the external cause



Y921 Institutional (nonprivate) residence as the place of occurrence of the external cause





Y9210 Unspecified residential institution as the place of occurrence of the external cause





Y9211 Children's home and orphanage as the place of occurrence of the external cause





Y92110 Kitchen in children's home and orphanage as the place of occurrence of the external cause




Y92111 Bathroom in children's home and orphanage as the place of occurrence of the external cause




Y92112 Bedroom in children's home and orphanage as the place of occurrence of the external cause




Y92113 Driveway of children's home and orphanage as the place of occurrence of the external cause




Y92114 Garage of children's home and orphanage as the place of occurrence of the external cause




Y92115 Swimming-pool of children's home and orphanage as the place of occurrence of the external cause




Y92116 Garden or yard of children's home and orphanage as the place of occurrence of the external cause




Y92118 Other place in children's home and orphanage as the place of occurrence of the external cause




Y92119 Unspecified place in children's home and orphanage as the place of occurrence of the external cause



Y9212 Nursing home as the place of occurrence of the external cause







Y92120 Kitchen in nursing home as the place of occurrence of the external cause






Y92121 Bathroom in nursing home as the place of occurrence of the external cause






Y92122 Bedroom in nursing home as the place of occurrence of the external cause






Y92123 Driveway of nursing home as the place of occurrence of the external cause






Y92124 Garage of nursing home as the place of occurrence of the external cause






Y92125 Swimming-pool of nursing home as the place of occurrence of the external cause





Y92126 Garden or yard of nursing home as the place of occurrence of the external cause





Y92128 Other place in nursing home as the place of occurrence of the external cause






Y92129 Unspecified place in nursing home as the place of occurrence of the external cause





Y9213 Military base as the place of occurrence of the external cause







Y92130 Kitchen on military base as the place of occurrence of the external cause






Y92131 Mess hall on military base as the place of occurrence of the external cause






Y92133 Barracks on military base as the place of occurrence of the external cause






Y92135 Garage on military base as the place of occurrence of the external cause






Y92136 Swimming-pool on military base as the place of occurrence of the external cause





Y92137 Garden or yard on military base as the place of occurrence of the external cause





Y92138 Other place on military base as the place of occurrence of the external cause






Y92139 Unspecified place military base as the place of occurrence of the external cause





Y9214 Prison as the place of occurrence of the external cause








Y92140 Kitchen in prison as the place of occurrence of the external cause







Y92141 Dining room in prison as the place of occurrence of the external cause






Y92142 Bathroom in prison as the place of occurrence of the external cause







Y92143 Cell of prison as the place of occurrence of the external cause







Y92146 Swimming-pool of prison as the place of occurrence of the external cause






Y92147 Courtyard of prison as the place of occurrence of the external cause







Y92148 Other place in prison as the place of occurrence of the external cause






Y92149 Unspecified place in prison as the place of occurrence of the external cause






Y9215 Reform school as the place of occurrence of the external cause







Y92150 Kitchen in reform school as the place of occurrence of the external cause






Y92151 Dining room in reform school as the place of occurrence of the external cause






Y92152 Bathroom in reform school as the place of occurrence of the external cause






Y92153 Bedroom in reform school as the place of occurrence of the external cause






Y92154 Driveway of reform school as the place of occurrence of the external cause






Y92155 Garage of reform school as the place of occurrence of the external cause






Y92156 Swimming-pool of reform school as the place of occurrence of the external cause





Y92157 Garden or yard of reform school as the place of occurrence of the external cause





Y92158 Other place in reform school as the place of occurrence of the external cause






Y92159 Unspecified place in reform school as the place of occurrence of the external cause





Y9216 School dormitory as the place of occurrence of the external cause







Y92160 Kitchen in school dormitory as the place of occurrence of the external cause






Y92161 Dining room in school dormitory as the place of occurrence of the external cause





Y92162 Bathroom in school dormitory as the place of occurrence of the external cause






Y92163 Bedroom in school dormitory as the place of occurrence of the external cause






Y92168 Other place in school dormitory as the place of occurrence of the external cause





Y92169 Unspecified place in school dormitory as the place of occurrence of the external cause





Y9219 Other specified residential institution as the place of occurrence of the external cause





Y92190 Kitchen in other specified residential institution as the place of occurrence of the external cause




Y92191 Dining room in other specified residential institution as the place of occurrence of the external cause



Y92192 Bathroom in other specified residential institution as the place of occurrence of the external cause




Y92193 Bedroom in other specified residential institution as the place of occurrence of the external cause




Y92194 Driveway of other specified residential institution as the place of occurrence of the external cause




Y92195 Garage of other specified residential institution as the place of occurrence of the external cause




Y92196 Pool of other specified residential institution as the place of occurrence of the external cause




Y92197 Garden or yard of other specified residential institution as the place of occurrence of the external cause



Y92198 Other place in other specified residential institution as the place of occurrence of the external cause



Y92199 Unspecified place in other specified residential institution as the place of occurrence of the external cause



Y922 School, other institution and public administrative area as the place of occurrence of the external cause



Y9221 School (private) (public) (state) as the place of occurrence of the external cause





Y92210 Daycare center as the place of occurrence of the external cause







Y92211 Elementary school as the place of occurrence of the external cause







Y92212 Middle school as the place of occurrence of the external cause







Y92213 High school as the place of occurrence of the external cause







Y92214 College as the place of occurrence of the external cause








Y92215 Trade school as the place of occurrence of the external cause







Y92218 Other school as the place of occurrence of the external cause







Y92219 Unspecified school as the place of occurrence of the external cause







Y9222 Religious institution as the place of occurrence of the external cause







Y9223 Hospital as the place of occurrence of the external cause








Y92230 Patient room in hospital as the place of occurrence of the external cause






Y92231 Patient bathroom in hospital as the place of occurrence of the external cause






Y92232 Corridor of hospital as the place of occurrence of the external cause







Y92233 Cafeteria of hospital as the place of occurrence of the external cause






Y92234 Operating room of hospital as the place of occurrence of the external cause






Y92238 Other place in hospital as the place of occurrence of the external cause






Y92239 Unspecified place in hospital as the place of occurrence of the external cause






Y9224 Public administrative building as the place of occurrence of the external cause






Y92240 Courthouse as the place of occurrence of the external cause







Y92241 Library as the place of occurrence of the external cause








Y92242 Post office as the place of occurrence of the external cause







Y92243 City hall as the place of occurrence of the external cause








Y92248 Other public administrative building as the place of occurrence of the external cause





Y9225 Cultural building as the place of occurrence of the external cause







Y92250 Art Gallery as the place of occurrence of the external cause







Y92251 Museum as the place of occurrence of the external cause








Y92252 Music hall as the place of occurrence of the external cause







Y92253 Opera house as the place of occurrence of the external cause







Y92254 Theater (live) as the place of occurrence of the external cause







Y92258 Other cultural public building as the place of occurrence of the external cause






Y9226 Movie house or cinema as the place of occurrence of the external cause






Y9229 Other specified public building as the place of occurrence of the external cause





Y923 Sports and athletics area as the place of occurrence of the external cause






Y9231 Athletic court as the place of occurrence of the external cause







Y92310 Basketball court as the place of occurrence of the external cause







Y92311 Squash court as the place of occurrence of the external cause







Y92312 Tennis court as the place of occurrence of the external cause







Y92318 Other athletic court as the place of occurrence of the external cause







Y9232 Athletic field as the place of occurrence of the external cause







Y92320 Baseball field as the place of occurrence of the external cause







Y92321 Football field as the place of occurrence of the external cause







Y92322 Soccer field as the place of occurrence of the external cause







Y92328 Other athletic field as the place of occurrence of the external cause







Y9233 Skating rink as the place of occurrence of the external cause







Y92330 Ice skating rink (indoor) (outdoor) as the place of occurrence of the external cause





Y92331 Roller skating rink as the place of occurrence of the external cause







Y9234 Swimming pool (public) as the place of occurrence of the external cause






Y9239 Other specified sports and athletic area as the place of occurrence of the external cause





Y924 Street , highway and other paved roadways as the place of occurrence of the external cause




Y9241 Street and highway as the place of occurrence of the external cause







Y92410 Unspecified street and highway as the place of occurrence of the external cause





Y92411 Interstate highway as the place of occurrence of the external cause







Y92412 Parkway as the place of occurrence of the external cause








Y92413 State road as the place of occurrence of the external cause







Y92414 Local residential or business street as the place of occurrence of the external cause





Y92415 Exit ramp or entrance ramp of street or highway as the place of occurrence of the external cause




Y9248 Other paved roadways as the place of occurrence of the external cause






Y92480 Sidewalk as the place of occurrence of the external cause








Y92481 Parking lot as the place of occurrence of the external cause







Y92482 Bike path as the place of occurrence of the external cause








Y92488 Other paved roadways as the place of occurrence of the external cause






Y925 Trade and service area as the place of occurrence of the external cause






Y9251 Private commercial establishments as the place of occurrence of the external cause





Y92510 Bank as the place of occurrence of the external cause








Y92511 Restaurant or cafe as the place of occurrence of the external cause







Y92512 Supermarket, store or market as the place of occurrence of the external cause






Y92513 Shop (commercial) as the place of occurrence of the external cause







Y9252 Service areas as the place of occurrence of the external cause







Y92520 Airport as the place of occurrence of the external cause








Y92521 Bus station as the place of occurrence of the external cause







Y92522 Railway station as the place of occurrence of the external cause







Y92523 Highway rest stop as the place of occurrence of the external cause







Y92524 Gas station as the place of occurrence of the external cause







Y9253 Ambulatory health services establishments as the place of occurrence of the external cause




Y92530 Ambulatory surgery center as the place of occurrence of the external cause






Y92531 Health care provider office as the place of occurrence of the external cause






Y92532 Urgent care center as the place of occurrence of the external cause







Y92538 Other ambulatory health services establishments as the place of occurrence of the external cause




Y9259 Other trade areas as the place of occurrence of the external cause







Y926 Industrial and construction area as the place of occurrence of the external cause





Y9261 Building [any] under construction as the place of occurrence of the external cause





Y9262 Dock or shipyard as the place of occurrence of the external cause







Y9263 Factory as the place of occurrence of the external cause








Y9264 Mine or pit as the place of occurrence of the external cause







Y9265 Oil rig as the place of occurrence of the external cause








Y9269 Other specified industrial and construction area as the place of occurrence of the external cause




Y927 Farm as the place of occurrence of the external cause








Y9271 Barn as the place of occurrence of the external cause








Y9272 Chicken coop as the place of occurrence of the external cause







Y9273 Farm field as the place of occurrence of the external cause







Y9274 Orchard as the place of occurrence of the external cause








Y9279 Other farm location as the place of occurrence of the external cause







Y928 Other places as the place of occurrence of the external cause







Y9281 Transport vehicle as the place of occurrence of the external cause







Y92810 Car as the place of occurrence of the external cause








Y92811 Bus as the place of occurrence of the external cause








Y92812 Truck as the place of occurrence of the external cause








Y92813 Airplane as the place of occurrence of the external cause








Y92814 Boat as the place of occurrence of the external cause








Y92815 Train as the place of occurrence of the external cause








Y92816 Subway car as the place of occurrence of the external cause







Y92818 Other transport vehicle as the place of occurrence of the external cause






Y9282 Wilderness area








Y92820 Desert as the place of occurrence of the external cause








Y92821 Forest as the place of occurrence of the external cause








Y92828 Other wilderness area as the place of occurrence of the external cause






Y9283 Recreation area as the place of occurrence of the external cause







Y92830 Public park as the place of occurrence of the external cause







Y92831 Amusement park as the place of occurrence of the external cause







Y92832 Beach as the place of occurrence of the external cause








Y92833 Campsite as the place of occurrence of the external cause








Y92834 Zoological garden (Zoo) as the place of occurrence of the external cause






Y92838 Other recreation area as the place of occurrence of the external cause






Y9284 Military training ground as the place of occurrence of the external cause






Y9285 Railroad track as the place of occurrence of the external cause







Y9286 Slaughter house as the place of occurrence of the external cause







Y9289 Other specified places as the place of occurrence of the external cause






Y929 Unspecified place or not applicable








Y93 Activity codes








Y930 Activities involving walking and running








Y9301 Activity, walking, marching and hiking








Y9302 Activity, running








Y931 Activities involving water and water craft








Y9311 Activity, swimming








Y9312 Activity, springboard and platform diving








Y9313 Activity, water polo








Y9314 Activity, water aerobics and water exercise








Y9315 Activity, underwater diving and snorkeling








Y9316 Activity, rowing, canoeing, kayaking, rafting and tubing








Y9317 Activity, water skiing and wake boarding








Y9318 Activity, surfing, windsurfing and boogie boarding








Y9319 Activity, other involving water and watercraft








Y932 Activities involving ice and snow








Y9321 Activity, ice skating








Y9322 Activity, ice hockey








Y9323 Activity, snow (alpine) (downhill) skiing, snow boarding, sledding, tobogganing and snow tubing




Y9324 Activity, cross country skiing








Y9329 Activity, other involving ice and snow








Y933 Activities involving climbing, rappelling and jumping off








Y9331 Activity, mountain climbing, rock climbing and wall climbing







Y9332 Activity, rappelling








Y9333 Activity, BASE jumping








Y9334 Activity, bungee jumping








Y9335 Activity, hang gliding








Y9339 Activity, other involving climbing, rappelling and jumping off







Y934 Activities involving dancing and other rhythmic movement







Y9341 Activity, dancing








Y9342 Activity, yoga








Y9343 Activity, gymnastics








Y9344 Activity, trampolining








Y9345 Activity, cheerleading








Y9349 Activity, other involving dancing and other rhythmic movements







Y935 Activities involving other sports and athletics played individually







Y9351 Activity, roller skating (inline) and skateboarding








Y9352 Activity, horseback riding








Y9353 Activity, golf








Y9354 Activity, bowling








Y9355 Activity, bike riding








Y9356 Activity, jumping rope








Y9357 Activity, non-running track and field events








Y9359 Activity, other involving other sports and athletics played individually






Y936 Activities involving other sports and athletics played as a team or group






Y9361 Activity, american tackle football








Y9362 Activity, american flag or touch football








Y9363 Activity, rugby








Y9364 Activity, baseball








Y9365 Activity, lacrosse and field hockey








Y9366 Activity, soccer








Y9367 Activity, basketball








Y9368 Activity, volleyball (beach) (court)








Y936A Activity, physical games generally associated with school recess, summer camp and children




Y9369 Activity, other involving other sports and athletics played as a team or group






Y937 Activities involving other specified sports and athletics








Y9371 Activity, boxing








Y9372 Activity, wrestling








Y9373 Activity, racquet and hand sports








Y9374 Activity, frisbee








Y9375 Activity, martial arts








Y9379 Activity, other specified sports and athletics








Y93A Activities involving other cardiorespiratory exercise








Y93A1 Activity, exercise machines primarily for cardiorespiratory conditioning






Y93A2 Activity, calisthenics








Y93A3 Activity, aerobic and step exercise








Y93A4 Activity, circuit training








Y93A5 Activity, obstacle course








Y93A6 Activity, grass drills








Y93A9 Activity, other involving cardiorespiratory exercise








Y93B Activities involving other muscle strengthening exercises








Y93B1 Activity, exercise machines primarily for muscle strengthening







Y93B2 Activity, push-ups, pull-ups, sit-ups








Y93B3 Activity, free weights








Y93B4 Activity, pilates








Y93B9 Activity, other involving muscle strengthening exercises








Y93C Activities involving computer technology and electronic devices







Y93C1 Activity, computer keyboarding








Y93C2 Activity, hand held interactive electronic device








Y93C9 Activity, other involving computer technology and electronic devices






Y93D Activities involving arts and handcrafts








Y93D1 Activity, knitting and crocheting








Y93D2 Activity, sewing








Y93D3 Activity, furniture building and finishing








Y93D9 Activity, other involving arts and handcrafts








Y93E Activities involving personal hygiene and interior property and clothing maintenance





Y93E1 Activity, personal bathing and showering








Y93E2 Activity, laundry








Y93E3 Activity, vacuuming








Y93E4 Activity, ironing








Y93E5 Activity, floor mopping and cleaning








Y93E6 Activity, residential relocation








Y93E8 Activity, other personal hygiene








Y93E9 Activity, other interior property and clothing maintenance







Y93F Activities involving caregiving








Y93F1 Activity, caregiving, bathing








Y93F2 Activity, caregiving, lifting








Y93F9 Activity, other caregiving








Y93G Activities involving food preparation, cooking and grilling








Y93G1 Activity, food preparation and clean up








Y93G2 Activity, grilling and smoking food








Y93G3 Activity, cooking and baking








Y93G9 Activity, other involving cooking and grilling








Y93H Activities involving exterior property and land maintenance, building and construction





Y93H1 Activity, digging, shoveling and raking








Y93H2 Activity, gardening and landscaping








Y93H3 Activity, building and construction








Y93H9 Activity, other involving exterior property and land maintenance, building and construction




Y93I Activities involving roller coasters and other types of external motion






Y93I1 Activity, roller coaster riding








Y93I9 Activity, other involving external motion








Y93J Activities involving playing musical instrument








Y93J1 Activity, piano playing








Y93J2 Activity, drum and other percussion instrument playing








Y93J3 Activity, string instrument playing








Y93J4 Activity, winds and brass instrument playing








Y93K Activities involving animal care








Y93K1 Activity, walking an animal








Y93K2 Activity, milking an animal








Y93K3 Activity, grooming and shearing an animal








Y93K9 Activity, other involving animal care








Y938 Activities, other specified








Y9381 Activity, refereeing a sports activity








Y9382 Activity, spectator at an event








Y9383 Activity, rough housing and horseplay








Y9384 Activity, sleeping








Y9389 Activity, other specified








Y939 Activity, unspecified








Y95 Nosocomial condition








Y99 External cause status








Y990 Civilian activity done for income or pay








Y991 Military activity








Y992 Volunteer activity








Y998 Other external cause status








Y999 Unspecified external cause status








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