# Presentation: 154989

## Classification of Death and Injury Resulting from Terrorism 

**Modifications to ICD-9-CM and ICD-10**

## Classification of Death and Injury Resulting from Terrorism in ICD-9-CM

- First time emergency procedures to 		implement new diagnosis codes used 	since creation of HIV codes in 1986
- Consultation with:
- 	Dept. of Justice’s Bureau of Justice 			Statistics
- 	FBI
- 	Heads of the WHO Collaborating 			Centers for the Family of International 		Classifications
- 	National Association of Medical Examiners

## Classification of Death and Injury Resulting from Terrorism in ICD-9-CM 

- FBI definition of terrorism used
- Structure similar to Operations of War in ICD-10

## Classification of Death and Injury Resulting from Terrorism in ICD-9-CM 

- E979	  Terrorism
- 	E979.0	Terrorism involving explosion of 			marine weapons
- 	E979.1	Terrorism involving destruction 			of aircraft
- 	E979.2	Terrorism involving other 				explosions 	and fragments
- 	E979.3	Terrorism involving fires, 				conflagration, and hot 					substances
- 	E979.4	Terrorism involving firearms

## Classification of Death and Injury Resulting from Terrorism in ICD-9-CM 

- 	E979.5	Terrorism involving nuclear 				weapons
- 	E979.6	Terrorism involving biological 			weapons
- 	E979.7	Terrorism involving chemical 			weapons
- 	E979.8	Terrorism involving other 				means
- 	E979.9	Terrorism, secondary effects

## Classification of Death and Injury Resulting from Terrorism in ICD-9-CM 

- E999	  Late effect of injury due to war 			operations and terrorism
- 	E999.0	Late effect of injury due to war 			operations
- 	E999.1	Late effect of injury due to 				terrorism

## Classification of Death and Injury Resulting from Terrorism in ICD-9-CM

- Information currently available on NCHS website
- Federal Register Notice announcing new External Cause of Injury codes (including terrorism codes) will be published
- ICD-9-CM codes become effective Oct. 1, 2002

## Classification of Death and Injury Resulting from Terrorism in ICD-10

- U01  Terrorism
- 	U01.0	Terrorism involving explosion of 			marine weapons
- 	U01.1	Terrorism involving destruction 			of aircraft
- 	U01.2	Terrorism involving other 				explosions 	and fragments
- 	U01.3	Terrorism involving fires, 				conflagration, and hot 					substances
- 	U01.4	Terrorism involving firearms

## Classification of Death and Injury Resulting from Terrorism in ICD-10

- 	U01.5	Terrorism involving nuclear 				weapons
- 	U01.6	Terrorism involving biological 			weapons
- 	U01.7	Terrorism involving chemical 			weapons
- 	U01.8	Terrorism involving other 				means
- 	U01.9	Terrorism, unspecified

## Classification of Death and Injury Resulting from Terrorism in ICD-10

- U03	Intentional self-harm (suicide)
- 	U03.0	Terrorism involving explosions 			and fragments
- 	U03.9	Terrorism by other and 				unspecified means

## Revised Format for the Official Coding and Reporting Guidelines for ICD-9-CM 

## Revision of Format for the Official Coding and Reporting Guidelines for ICD-9-CM 

**Section 1 - ICD-9-CM Conventions, General Coding Guidelines and Chapter Specific Guidelines**
**ICD-9-CM Conventions**
**General Coding Guidelines**
**Chapter-Specific Guidelines**
**Section 2 - Selection of Principal Diagnosis for Inpatient, Short-term, Acute Care Hospitals Records**
**Section 3 - Reporting Additional Diagnoses**
**Sections 4 - Diagnostic Coding and Reporting Guidelines for Outpatient Services**

## Revision of Format for the Official Coding and Reporting Guidelines for ICD-9-CM 

- No content changes to guidelines
- Facilitate consistent use of guidelines
- Incorporate conventions of ICD into guidelines
- Follows the format of ICD-9-CM
- Identifies general guidelines from those specific to the inpatient setting only
- Facilitate future expansion of guidelines

## Revision of Format for the Official Coding and Reporting Guidelines for ICD-9-CM 

- Availability of revised format:
- NCHS website
- Will be published Second Quarter 2002 *Coding Clinic for ICD-9-CM*

## Web Site

_**Terrorism**_
**What’s New **
**     ****http://www.cdc.gov/nchs**
_**Terrorism and reformatted guidelines**_
**ICD-9-CM, ICD-10, ICD-10-CM, and ICF**
**     ****http://www.cdc.gov/nchs/icd9.htm**
**      **