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Background: Accurate coding of external cause in injury diagnoses is crucial to ensure the validity of medical records, support health policy decisions, and maintain the quality of morbidity reporting.  Objective: To determine the factors that influence the inaccuracy of external cause codes in injury diagnosis at Thalia Irham General Hospital, Panciro, Gowa Regency. Method: This study employed a descriptive qualitative approach using observation and in-depth interviews with outpatient coders handling injury cases. Result: The study found that only 36% of the medical record documents were coded accurately, 26% were inaccurately coded, and 36% lacked any external cause code. The main causes of inaccuracy included incomplete anamnesis, limited time, absence of specific standard operating procedures (SOPs), and the belief that external cause codes do not impact BPJS claims. Conclusion: The low level accuracy of external cause coding is caused by the lack of understanding of officers regarding the ICD-10 Chapter XX classification, the absence of a specific SOP for coding injuries, and the perception that external cause codes do not affect the claims system.

This study aims to assess the distribution, causes, risk factors and prevention strategies of injuries caused by external factors through a literature review. Injuries are a significant health problem and can occur in different age groups and in different geographical locations. The review showed that children and the elderly are the most vulnerable groups to injury, with significant variation in incidence by geographic region. The main causes of injury identified include traffic accidents, falls, physical violence and occupational accidents. Each cause has specific risk factors, such as risky behaviour, unsafe environmental conditions and lack of safety regulations. Effective prevention strategies include education, policy and regulation, engineering and technology, and health interventions. The findings emphasise the importance of a holistic and integrated approach to injury prevention. Recommendations for future research include long-term evaluations, multidisciplinary approaches and improved data access. By understanding the distribution, causes and risk factors of injuries, and implementing effective prevention strategies, we can reduce injury rates and improve the overall quality of life in society.