Per the ICD-10 official guidelines, external cause codes are not required - unless your state or payer mandates them, reporting is voluntary. In my previous practice, I would not query the provider or otherwise go looking for this information if it was missing from the documentation. I never encountered any issues with denials or rejects for not having these codes on the claim. Usually if the payer needs specific information about an accident, they'll request it in writing rather than require it in the coding.
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