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Last modified: May 4, 2021
When claims for a UnitedHealthcare Community Plan member include a trauma diagnosis code, you must include an appropriate external cause of injury (ECI) diagnosis code in box 72 of the UB-04 form.
Claims with a diagnosis code that falls within these ICD-10 trauma diagnosis code ranges must include an ECI diagnosis code that begins with V, W, X or Y in box 72.
This applies to inpatient, outpatient and home health claims billed on a UB-04 form using an ICD-10 trauma diagnosis code within the following ranges:
Failure to include an appropriate ECI diagnosis code may lead to claim denials or recoupments.
Call Provider Services at 866-331-2243.