In the scenarios provided, a pediatrician sees a child on 2 different dates in follow-up for an injury initially treated in the emergency department (ED) by another physician. The care provided is subsequent care of an injury after active treatment (suturing) has been completed (ie, sub-sequent encounter). Although the injury was initiated by a fall from a chair, the forehead laceration resulted from striking against the table, making this the first-listed external cause of injury code. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes for the first encounter are

These codes apply to both encounters. Code Z48.02 (encounter for suture removal) is not reported because the ICD-10-CM index indicates that an encounter for aftercare following injury is not reported as post-procedural aftercare (category Z48). No place of occurrence, activity, or status code is required after the initial encounter for treatment, which occurred in the...

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