ICD 10 || Tabular list of inclusions and four-character subcategories || CHAPTER XIX Injury, poisoning and certain other consequences of external causes (S00–T98)
CHAPTER XIX
Injury, poisoning and certain other consequences of external causes (S00–T98)
Excl.: birth trauma (P10–P15)
obstetric trauma (O70–O71) malunion of fracture (M84.0)
nonunion of fracture [pseudarthrosis] (M84.1) pathological fracture (M84.4)
pathological fracture with osteoporosis (M80.-) stress fracture (M84.3)
This chapter contains the following blocks:
S00–S09 Injuries to the head S10–S19 Injuries to the neck S20–S29 Injuries to the thorax
S30–S39 Injuries to the abdomen, lower back, lumbar spine and pelvis S40–S49 Injuries to the shoulder and upper arm
S50–S59 Injuries to the elbow and forearm S60–S69 Injuries to the wrist and hand S70–S79 Injuries to the hip and thigh S80–S89 Injuries to the knee and lower leg S90–S99 Injuries to the ankle and foot
T00–T07 Injuries involving multiple body regions
T08–T14 Injuries to unspecified part of trunk, limb or body region T15–T19 Effects of foreign body entering through natural orifice T20–T32 Burns and corrosions
T20–T25 Burns and corrosions of external body surface, specified by site T26–T28 Burns and corrosions confined to eye and internal organs T29–T32 Burns and corrosions of multiple and unspecified body regions
T33–T35 Frostbite
T36–T50 Poisoning by drugs, medicaments and biological substances T51–T65 Toxic effects of substances chiefly nonmedicinal as to source T66–T78 Other and unspecified effects of external causes
T79 Certain early complications of trauma
T80–T88 Complications of surgical and medical care, not elsewhere classified T90–T98 Sequelae of injuries, of poisoning and of other consequences of
external causes
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to multiple or unspecified body regions, as well as poisoning and certain other consequences of external causes.
Where multiple sites of injury are specified in the titles, the word ‘with’ indicates involvement of both sites, and the word ‘and’ indicates involvement of either or both sites.
The principle of multiple coding of injuries should be followed wherever possible. Combination categories for multiple injuries are provided for use when there is insufficient detail as to the nature of the individual conditions, or for primary tabulation purposes when it is more convenient to record a single code; otherwise, the component injuries should be coded separately. Reference should also be made to the morbidity or mortality coding rules and guidelines in Volume 2.
The blocks of the S-section as well as T00–T14 and T90–T98 contain injuries at the three-character level classified by type as follows:
Superficial injury including:
• abrasion
• blister (nonthermal)
• contusion, including bruise and haematoma
• injury from superficial foreign body (splinter) without major open wound
• insect bite (nonvenomous)
Open wound including:
• animal bite
• cut
• laceration
• puncture wound:
– NOS
– with (penetrating) foreign body
Fracture including: fracture
closed:
• comminuted
• depressed
• elevated
• fissured
• greenstick
• impacted
• linear
• simple
• slipped epiphysis
• spiral
with or without delayed healing
• dislocated
• displaced fracture open:
• compound
• infected
• missile
• puncture
• with foreign body
Excl.: fracture:
with or without delayed healing
• pathological (M84.4)
• with osteoporosis (M80.-)
• stress (M84.3)
malunion of fracture (M84.0)
nonunion of fracture [pseudoarthrosis] (M84.1)
Dislocation, sprain and strain including:
avulsion laceration sprain strain traumatic:
• haemarthrosis
• rupture
• subluxation
• tear
of
cartilage
joint (capsule) ligament
Injury to nerves and spinal cord including:
complete or incomplete lesion of spinal cord lesion in continuity of nerves and spinal cord traumatic:
• division of nerve
• haematomyelia
• paralysis(transient)
• paraplegia
• quadriplegia
Injury to blood vessels including:
avulsion cut laceration traumatic:
• aneurysm or fistula (arteriovenous)
• arterial haematoma
• rupture
of blood vessels
Injury to muscle, fascia and tendon including:
avulsion cut laceration strain
traumatic rupture
of muscle, fascia and tendon
Crushing injury Traumatic amputation
Injury to internal organs including:
• blast injuries
• bruise
• concussion injuries
• crushing
• laceration
• traumatic:
– haematoma
– puncture
– rupture
– tear
of internal organs
Other and unspecified injuries
Injuries to the head (S00–S09)
Incl.: injuries of:
• ear
• eye
• face [any part]
• gum
• jaw
• temporomandibular joint area
• oral cavity
• palate
• periocular area
• scalp
• tongue
• tooth
Excl.: burns and corrosions (T20–T32) effects of foreign body:
• in:
– ear (T16)
– larynx (T17.3)
– mouth (T18.0)
– nose (T17.0–T17.1)
– pharynx (T17.2)
• on external eye (T15.-) frostbite (T33–T35)
insect bite or sting, venomous (T63.4)
S00 Superficial injury of head
Excl.: cerebral contusion (diffuse) (S06.2)
• focal (S06.3)
injury of eye and orbit (S05.-)
S00.0 Superficial injury of scalp
S00.1 Contusion of eyelid and periocular area
Black eye
Excl.: contusion of eyeball and orbital tissues (S05.1)
S00.2 Other superficial injuries of eyelid and periocular area
Excl.: superficial injury of conjunctiva and cornea (S05.0)
S00.3 Superficial injury of nose S00.4 Superficial injury of ear
S00.5 Superficial injury of lip and oral cavity S00.7 Multiple superficial injuries of head S00.8 Superficial injury of other parts of head
S00.9 Superficial injury of head, part unspecified
S01 Open wound of head
Excl.: decapitation (S18)
injury of eye and orbit (S05.-)
traumatic amputation of part of head (S08.-)
S01.0 Open wound of scalp
Excl.: avulsion of scalp (S08.0)
S01.1 Open wound of eyelid and periocular area
Open wound of eyelid and periocular area with or without involvement of lacrimal passages
S01.2 Open wound of nose S01.3 Open wound of ear
S01.4 Open wound of cheek and temporomandibular area
S01.5 Open wound of lip and oral cavity
Excl.: tooth:
• dislocation (S03.2)
• fracture (S02.5)
S01.7 Multiple open wounds of head S01.8 Open wound of other parts of head
S01.9 Open wound of head, part unspecified
S02 Fracture of skull and facial bones
Note: For primary coding of fracture of skull and facial bones with associated intracranial injury, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S02.0 Fracture of vault of skull
Frontal bone Parietal bone
S02.1 Fracture of base of skull
Fossa:
• anterior
• middle
• posterior Occiput Orbital roof Sinus:
• ethmoid
• frontal Sphenoid Temporal bone
Excl.: orbit NOS (S02.8) orbital floor (S02.3)
S02.2 Fracture of nasal bones S02.3 Fracture of orbital floor
Excl.: orbit NOS (S02.8) orbital roof (S02.1)
S02.4 Fracture of malar and maxillary bones
Superior maxilla Upper jaw (bone) Zygoma
S02.5 Fracture of tooth
Broken tooth
S02.6 Fracture of mandible
Lower jaw (bone)
S02.7 Multiple fractures involving skull and facial bones S02.8 Fractures of other skull and facial bones
Alveolus Orbit NOS Palate
Excl.: orbital:
• floor (S02.3)
• roof (S02.1)
S02.9 Fracture of skull and facial bones, part unspecified
S03 Dislocation, sprain and strain of joints and ligaments of head
S03.0 Dislocation of jaw
Jaw (cartilage)(meniscus) Mandible Temporomandibular (joint)
S03.1 Dislocation of septal cartilage of nose
S03.2 Dislocation of tooth
S03.3 Dislocation of other and unspecified parts of head S03.4 Sprain and strain of jaw
Temporomandibular (joint)(ligament)
S03.5 Sprain and strain of joints and ligaments of other and unspecified parts of head
S04 Injury of cranial nerves
S04.0 Injury of optic nerve and pathways
Optic chiasm 2nd cranial nerve Visual cortex
S04.1 Injury of oculomotor nerve
3rd cranial nerve
S04.2 Injury of trochlear nerve
4th cranial nerve
S04.3 Injury of trigeminal nerve
5th cranial nerve
S04.4 Injury of abducent nerve
6th cranial nerve
S04.5 Injury of facial nerve
7th cranial nerve
S04.6 Injury of acoustic nerve
Auditory nerve 8th cranial nerve
S04.7 Injury of accessory nerve
11th cranial nerve
S04.8 Injury of other cranial nerves Glossopharyngeal [9th] nerve Hypoglossal [12th] nerve Olfactory [1st] nerve
Vagus [10th] nerve
S04.9 Injury of unspecified cranial nerve
S05 Injury of eye and orbit
Excl.: injury of:
• oculomotor [3rd] nerve (S04.1)
• optic [2nd] nerve (S04.0)
open wound of eyelid and periocular area (S01.1) orbital bone fracture (S02.1, S02.3, S02.8) superficial injury of eyelid (S00.1–S00.2)
S05.0 Injury of conjunctiva and corneal abrasion without mention of foreign body
Excl.: foreign body in:
• conjunctival sac (T15.1)
• cornea (T15.0)
S05.1 Contusion of eyeball and orbital tissues
Traumatic hyphaema
Excl.: black eye (S00.1)
contusion of eyelid and periocular area (S00.1)
S05.2 Ocular laceration and rupture with prolapse or loss of intraocular tissue
S05.3 Ocular laceration without prolapse or loss of intraocular tissue
Laceration of eye NOS
S05.4 Penetrating wound of orbit with or without foreign body
Excl.: retained (old) foreign body following penetrating wound of orbit (H05.5)
S05.5 Penetrating wound of eyeball with foreign body
Excl.: retained (old) intraocular foreign body (H44.6–H44.7)
S05.6 Penetrating wound of eyeball without foreign body
Ocular penetration NOS
S05.7 Avulsion of eye
Traumatic enucleation
S05.8 Other injuries of eye and orbit
Lacrimal duct injury
S05.9 Injury of eye and orbit, unspecified
Injury of eye NOS
S06 Intracranial injury
Note: For primary coding of intracranial injuries with associated fractures, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify intracranial injury and open wound:
0 without open intracranial wound
1 with open intracranial wound
S06.0 Concussion
Commotio cerebri
S06.1 Traumatic cerebral oedema
S06.2 Diffuse brain injury
Cerebral:
• contusion NOS
• laceration NOS
Traumatic compression of brain NOS
S06.3 Focal brain injury
Focal:
• cerebral:
– contusion
– laceration
• traumatic intracerebral haemorrhage
S06.4 Epidural haemorrhage
Extradural haemorrhage (traumatic)
S06.5 Traumatic subdural haemorrhage S06.6 Traumatic subarachnoid haemorrhage
S06.7 Intracranial injury with prolonged coma
S06.8 Other intracranial injuries
Traumatic haemorrhage:
• cerebellar
• intracranial NOS
S06.9 Intracranial injury, unspecified
Brain injury NOS
Excl.: head injury NOS (S09.9)
S07 Crushing injury of head S07.0 Crushing injury of face S07.1 Crushing injury of skull
S07.8 Crushing injury of other parts of head S07.9 Crushing injury of head, part unspecified
S08 Traumatic amputation of part of head
S08.0 Avulsion of scalp
S08.1 Traumatic amputation of ear
S08.8 Traumatic amputation of other parts of head S08.9 Traumatic amputation of unspecified part of head
Excl.: decapitation (S18)
S09 Other and unspecified injuries of head
S09.0 Injury of blood vessels of head, not elsewhere classified
Excl.: injury of:
• cerebral blood vessels (S06.-)
• precerebral blood vessels (S15.-) S09.1 Injury of muscle and tendon of head S09.2 Traumatic rupture of ear drum
S09.7 Multiple injuries of head
Injuries classifiable to more than one of the categories S00-S09.2
S09.8 Other specified injuries of head S09.9 Unspecified injury of head
Injury of:
• face NOS
• ear NOS
• nose NOS
Injuries to the neck (S10–S19)
Incl.: injuries of:
• nape
• supraclavicular region
• throat
Excl.: burns and corrosions (T20–T32) effects of foreign body in:
• larynx (T17.3)
• oesophagus (T18.1)
• pharynx (T17.2)
• trachea (T17.4)
fracture of spine NOS (T08) frostbite (T33–T35)
injury of:
• spinal cord NOS (T09.3)
• trunk NOS (T09.-)
insect bite or sting, venomous (T63.4)
S10 Superficial injury of neck
S10.0 Contusion of throat
Cervical oesophagus Larynx
Pharynx Trachea
S10.1 Other and unspecified superficial injuries of throat S10.7 Multiple superficial injuries of neck
S10.8 Superficial injury of other parts of neck S10.9 Superficial injury of neck, part unspecified
S11 Open wound of neck
Excl.: decapitation (S18)
S11.0 Open wound involving larynx and trachea
Trachea:
• NOS
• cervical
Excl.: thoracic trachea (S27.5)
S11.1 Open wound involving thyroid gland
S11.2 Open wound involving pharynx and cervical oesophagus
Excl.: oesophagus NOS (S27.8)
S11.7 Multiple open wounds of neck S11.8 Open wound of other parts of neck
S11.9 Open wound of neck, part unspecified
S12 Fracture of neck
Incl.: cervical:
• neural arch
• spine
• spinous process
• transverse process
• vertebra
• vertebral arch
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S12.0 Fracture of first cervical vertebra
Atlas
S12.1 Fracture of second cervical vertebra
Axis
S12.2 Fracture of other specified cervical vertebra
Excl.: multiple fractures of cervical spine (S12.7)
S12.7 Multiple fractures of cervical spine S12.8 Fracture of other parts of neck
Hyoid bone Larynx
Thyroid cartilage Trachea
S12.9 Fracture of neck, part unspecified
Fracture of cervical:
• spine NOS
• vertebra NOS
S13 Dislocation, sprain and strain of joints and ligaments at neck level
Excl.: rupture or displacement (nontraumatic) of cervical intervertebral disc (M50.-)
S13.0 Traumatic rupture of cervical intervertebral disc S13.1 Dislocation of cervical vertebra
Cervical spine NOS
S13.2 Dislocation of other and unspecified parts of neck S13.3 Multiple dislocations of neck
S13.4 Sprain and strain of cervical spine Anterior longitudinal (ligament), cervical Atlanto-axial (joints)
Atlanto-occipital (joints) Whiplash injury
S13.5 Sprain and strain of thyroid region Cricoarytenoid (joint)(ligament) Cricothyroid (joint)(ligament)
Thyroid cartilage
S13.6 Sprain and strain of joints and ligaments of other and unspecified parts of neck
S14 Injury of nerves and spinal cord at neck level S14.0 Concussion and oedema of cervical spinal cord S14.1 Other and unspecified injuries of cervical spinal cord
Injury of cervical spinal cord NOS
S14.2 Injury of nerve root of cervical spine S14.3 Injury of brachial plexus
S14.4 Injury of peripheral nerves of neck S14.5 Injury of cervical sympathetic nerves
S14.6 Injury of other and unspecified nerves of neck
S15 Injury of blood vessels at neck level
S15.0 Injury of carotid artery
Carotid artery (common) (external) (internal)
S15.1 Injury of vertebral artery S15.2 Injury of external jugular vein S15.3 Injury of internal jugular vein
S15.7 Injury of multiple blood vessels at neck level S15.8 Injury of other blood vessels at neck level S15.9 Injury of unspecified blood vessel at neck level
S16 Injury of muscle and tendon at neck level
S17 Crushing injury of neck
S17.0 Crushing injury of larynx and trachea S17.8 Crushing injury of other parts of neck S17.9 Crushing injury of neck, part unspecified
S18 Traumatic amputation at neck level
Incl.: decapitation
S19 Other and unspecified injuries of neck
S19.7 Multiple injuries of neck
Injuries classifiable to more than one of the categories S10–S18
S19.8 Other specified injuries of neck S19.9 Unspecified injury of neck
Injuries to the thorax (S20–S29)
Incl.: injuries of:
• breast
• chest (wall)
• interscapular area
Excl.: burns and corrosions (T20–T32) effects of foreign body in:
• bronchus (T17.5)
• lung (T17.8)
• oesophagus (T18.1)
• trachea (T17.4)
fracture of spine NOS (T08) frostbite (T33–T35)
injuries of:
• axilla (S40–S49)
• clavicle (S40–S49)
• scapular region (S40–S49)
• shoulder (S40–S49)
• spinal cord NOS (T09.3)
• trunk NOS (T09.-)
insect bite or sting, venomous (T63.4)
S20 Superficial injury of thorax
S20.0 Contusion of breast
S20.1 Other and unspecified superficial injuries of breast S20.2 Contusion of thorax
S20.3 Other superficial injuries of front wall of thorax S20.4 Other superficial injuries of back wall of thorax S20.7 Multiple superficial injuries of thorax
S20.8 Superficial injury of other and unspecified parts of thorax
Thoracic wall NOS
S21 Open wound of thorax
Excl.: traumatic:
• haemopneumothorax (S27.2)
• haemothorax (S27.1)
• pneumothorax (S27.0)
S21.0 Open wound of breast
S21.1 Open wound of front wall of thorax S21.2 Open wound of back wall of thorax S21.7 Multiple open wounds of thoracic wall S21.8 Open wound of other parts of thorax S21.9 Open wound of thorax, part unspecified
Thoracic wall NOS
S22 Fracture of rib(s), sternum and thoracic spine
Incl.: thoracic:
• neural arch
• spinous process
• transverse process
• vertebra
• vertebral arch
Excl.: fracture of:
• clavicle (S42.0)
• scapula (S42.1)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S22.0 Fracture of thoracic vertebra
Fracture of thoracic spine NOS
S22.1 Multiple fractures of thoracic spine S22.2 Fracture of sternum
S22.3 Fracture of rib
S22.4 Multiple fractures of ribs S22.5 Flail chest
S22.8 Fracture of other parts of bony thorax S22.9 Fracture of bony thorax, part unspecified
S23 Dislocation, sprain and strain of joints and ligaments of thorax
Excl.: dislocation, sprain and strain of sterno-clavicular joint (S43.2, S43.6)
rupture or displacement (nontraumatic) of thoracic intervertebral disc (M51.-)
S23.0 Traumatic rupture of thoracic intervertebral disc S23.1 Dislocation of thoracic vertebra
Thoracic spine NOS
S23.2 Dislocation of other and unspecified parts of thorax S23.3 Sprain and strain of thoracic spine
S23.4 Sprain and strain of ribs and sternum
S23.5 Sprain and strain of other and unspecified parts of thorax
S24 Injury of nerves and spinal cord at thorax level
Excl.: injury of brachial plexus (S14.3)
S24.0 Concussion and oedema of thoracic spinal cord S24.1 Other and unspecified injuries of thoracic spinal cord S24.2 Injury of nerve root of thoracic spine
S24.3 Injury of peripheral nerves of thorax
S24.4 Injury of thoracic sympathetic nerves
Cardiac plexus Oesophageal plexus Pulmonary plexus Stellate ganglion
Thoracic sympathetic ganglion
S24.5 Injury of other nerves of thorax S24.6 Injury of unspecified nerve of thorax
S25 Injury of blood vessels of thorax
S25.0 Injury of thoracic aorta
Aorta NOS
S25.1 Injury of innominate or subclavian artery S25.2 Injury of superior vena cava
Vena cava NOS
S25.3 Injury of innominate or subclavian vein S25.4 Injury of pulmonary blood vessels S25.5 Injury of intercostal blood vessels
S25.7 Injury of multiple blood vessels of thorax
S25.8 Injury of other blood vessels of thorax
Azygos vein
Mammary artery or vein
S25.9 Injury of unspecified blood vessel of thorax
S26 Injury of heart
Incl.: contusion
laceration puncture traumatic rupture
of heart
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:
0 without open wound into thoracic cavity
1 with open wound into thoracic cavity S26.0 Injury of heart with haemopericardium S26.8 Other injuries of heart
S26.9 Injury of heart, unspecified
S27 Injury of other and unspecified intrathoracic organs
Excl.: injury of:
• cervical oesophagus (S10–S19)
• trachea (cervical) (S10–S19)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:
0 without open wound into thoracic cavity
1 with open wound into thoracic cavity
S27.0 Traumatic pneumothorax S27.1 Traumatic haemothorax
S27.2 Traumatic haemopneumothorax S27.3 Other injuries of lung
S27.4 Injury of bronchus
S27.5 Injury of thoracic trachea S27.6 Injury of pleura
S27.7 Multiple injuries of intrathoracic organs
S27.8 Injury of other specified intrathoracic organs
Diaphragm
Lymphatic thoracic duct Oesophagus (thoracic part) Thymus gland
S27.9 Injury of unspecified intrathoracic organ
S28 Crushing injury of thorax and traumatic amputation of part of thorax
S28.0 Crushed chest
Excl.: flail chest (S22.5)
S28.1 Traumatic amputation of part of thorax
Excl.: transection of thorax (T05.8)
S29 Other and unspecified injuries of thorax S29.0 Injury of muscle and tendon at thorax level S29.7 Multiple injuries of thorax
Injuries classifiable to more than one of the categories S20–S29.0
S29.8 Other specified injuries of thorax S29.9 Unspecified injury of thorax
Injuries to the abdomen, lower back, lumbar spine and pelvis
(S30–S39)
Incl.: abdominal wall anus
buttock
external genitalia flank
groin
Excl.: burns and corrosions (T20–T32) effects of foreign body in:
• anus and rectum (T18.5)
• genitourinary tract (T19.-)
• stomach, small intestine and colon (T18.2–T18.4) fracture of spine NOS (T08)
frostbite (T33–T35) injuries of:
• back NOS (T09.-)
• spinal cord NOS (T09.3)
• trunk NOS (T09.-)
insect bite or sting, venomous (T63.4)
S30 Superficial injury of abdomen, lower back and pelvis
Excl.: superficial injury of hip (S70.-)
S30.0 Contusion of lower back and pelvis
Buttock
S30.1 Contusion of abdominal wall
Flank Groin
S30.2 Contusion of external genital organs
Labium (majus)(minus) Penis
Perineum Scrotum Testis Vagina Vulva
S30.7 Multiple superficial injuries of abdomen, lower back and pelvis S30.8 Other superficial injuries of abdomen, lower back and pelvis S30.9 Superficial injury of abdomen, lower back and pelvis, part
unspecified
S31 Open wound of abdomen, lower back and pelvis
Excl.: open wound of hip (S71.0)
traumatic amputation of part of abdomen, lower back and pelvis (S38.2–S38.3)
S31.0 Open wound of lower back and pelvis
Buttock
S31.1 Open wound of abdominal wall
Flank Groin
S31.2 Open wound of penis
S31.3 Open wound of scrotum and testes S31.4 Open wound of vagina and vulva
S31.5 Open wound of other and unspecified external genital organs
Excl.: traumatic amputation of external genital organs (S38.2) S31.7 Multiple open wounds of abdomen, lower back and pelvis S31.8 Open wound of other and unspecified parts of abdomen
S32 Fracture of lumbar spine and pelvis
Incl.: lumbosacral:
• neural arch
• spinous process
• transverse process
• vertebra
• vertebral arch
Excl.: fracture of hip NOS (S72.0)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S32.0 Fracture of lumbar vertebra
Fracture of lumbar spine S32.1 Fracture of sacrum S32.2 Fracture of coccyx S32.3 Fracture of ilium
S32.4 Fracture of acetabulum S32.5 Fracture of pubis
S32.7 Multiple fractures of lumbar spine and pelvis
S32.8 Fracture of other and unspecified parts of lumbar spine and pelvis
Fracture of:
• ischium
• lumbosacral spine NOS
• pelvis NOS
S33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis
Excl.: dislocation, sprain and strain of joint and ligaments of hip (S73.-) obstetric damage to pelvic joints and ligaments (O71.6)
rupture or displacement (nontraumatic) of lumbar intervertebral disc (M51.-)
S33.0 Traumatic rupture of lumbar intervertebral disc S33.1 Dislocation of lumbar vertebra
Dislocation of lumbar spine NOS
S33.2 Dislocation of sacroiliac and sacrococcygeal joint
S33.3 Dislocation of other and unspecified parts of lumbar spine and pelvis
S33.4 Traumatic rupture of symphysis pubis S33.5 Sprain and strain of lumbar spine S33.6 Sprain and strain of sacroiliac joint
S33.7 Sprain and strain of other and unspecified parts of lumbar spine and pelvis
S34 Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level
S34.0 Concussion and oedema of lumbar spinal cord S34.1 Other injury of lumbar spinal cord
S34.2 Injury of nerve root of lumbar and sacral spine S34.3 Injury of cauda equina
S34.4 Injury of lumbosacral plexus
S34.5 Injury of lumbar, sacral and pelvic sympathetic nerves
Coeliac ganglion or plexus Hypogastric plexus
Mesenteric plexus (inferior)(superior) Splanchnic nerve
S34.6 Injury of peripheral nerve(s) of abdomen, lower back and pelvis S34.8 Injury of other and unspecified nerves at abdomen, lower back
and pelvis level
S35 Injury of blood vessels at abdomen, lower back and pelvis level
S35.0 Injury of abdominal aorta
Excl.: aorta NOS (S25.0)
S35.1 Injury of inferior vena cava
Hepatic vein
Excl.: vena cava NOS (S25.2)
S35.2 Injury of coeliac or mesenteric artery
Gastric artery Gastroduodenal artery Hepatic artery
Mesenteric artery (inferior)(superior) Splenic artery
S35.3 Injury of portal or splenic vein
Mesenteric vein (inferior)(superior)
S35.4 Injury of renal blood vessels
Renal artery or vein
S35.5 Injury of iliac blood vessels
Hypogastric artery or vein Iliac artery or vein Uterine artery or vein
S35.7 Injury of multiple blood vessels at abdomen, lower back and pelvis level
S35.8 Injury of other blood vessels at abdomen, lower back and pelvis level
Ovarian artery or vein
S35.9 Injury of unspecified blood vessel at abdomen, lower back and pelvis level
S36 Injury of intra-abdominal organs
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:
0 without open wound into cavity
1 with open wound into cavity
S36.0 Injury of spleen
S36.1 Injury of liver or gallbladder
Bile duct
S36.2 Injury of pancreas S36.3 Injury of stomach S36.4 Injury of small intestine S36.5 Injury of colon
S36.6 Injury of rectum
S36.7 Injury of multiple intra-abdominal organs S36.8 Injury of other intra-abdominal organs
Peritoneum Retroperitoneum
S36.9 Injury of unspecified intra-abdominal organ
S37 Injury of urinary and pelvic organs
Excl.: peritoneum and retroperitoneum (S36.8)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:
0 without open wound into cavity
1 with open wound into cavity
S37.0 Injury of kidney S37.1 Injury of ureter S37.2 Injury of bladder S37.3 Injury of urethra S37.4 Injury of ovary
S37.5 Injury of fallopian tube S37.6 Injury of uterus
S37.7 Injury of multiple pelvic organs
S37.8 Injury of other pelvic organs
Adrenal gland Prostate Seminal vesicle Vas deferens
Excl.: open wound of other and unspecified external genital organs (S31.5)
S37.9 Injury of unspecified pelvic organ
S38 Crushing injury and traumatic amputation of part of abdomen, lower back and pelvis
S38.0 Crushing injury of external genital organs
S38.1 Crushing injury of other and unspecified parts of abdomen, lower back and pelvis
S38.2 Traumatic amputation of external genital organs
Labium (majus)(minus) Penis
Scrotum Testis Vulva
S38.3 Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis
Excl.: transection of abdomen (T05.8)
S39 Other and unspecified injuries of abdomen, lower back and pelvis
S39.0 Injury of muscle and tendon of abdomen, lower back and pelvis S39.6 Injury of intra-abdominal organ(s) with pelvic organ(s)
S39.7 Other multiple injuries of abdomen, lower back and pelvis
Injuries classifiable to more than one of the categories S30–S39.6
Excl.: injuries in S36.- with injuries in S37.- (S39.6)
S39.8 Other specified injuries of abdomen, lower back and pelvis S39.9 Unspecified injury of abdomen, lower back and pelvis
Injuries to the shoulder and upper arm (S40–S49)
Incl.: injuries of:
• axilla
• scapular region
Excl.: bilateral involvement of shoulder and upper arm (T00–T07) burns and corrosions (T20–T32)
frostbite (T33–T35) injuries of:
• arm, level unspecified (T10–T11)
• elbow (S50–S59)
insect bite or sting, venomous (T63.4)
S40 Superficial injury of shoulder and upper arm
S40.0 Contusion of shoulder and upper arm
S40.7 Multiple superficial injuries of shoulder and upper arm S40.8 Other superficial injuries of shoulder and upper arm S40.9 Superficial injury of shoulder and upper arm, unspecified
S41 Open wound of shoulder and upper arm
Excl.: traumatic amputation of shoulder and upper arm (S48.-)
S41.0 Open wound of shoulder S41.1 Open wound of upper arm
S41.7 Multiple open wounds of shoulder and upper arm
S41.8 Open wound of other and unspecified parts of shoulder girdle
S42 Fracture of shoulder and upper arm
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S42.0 Fracture of clavicle
Clavicle:
• acromial end
• shaft Collar bone
S42.1 Fracture of scapula
Acromial process Acromion (process)
Scapula (body)(glenoid cavity)(neck) Shoulder blade
S42.2 Fracture of upper end of humerus
Anatomical neck Great tuberosity Proximal end Surgical neck Upper epiphysis
S42.3 Fracture of shaft of humerus
Humerus NOS Upper arm NOS
S42.4 Fracture of lower end of humerus
Articular process Distal end External condyle Intercondylar
Internal epicondyle Lower epiphysis Supracondylar
Excl.: fracture of elbow NOS (S52.0)
S42.7 Multiple fractures of clavicle, scapula and humerus S42.8 Fracture of other parts of shoulder and upper arm S42.9 Fracture of shoulder girdle, part unspecified
Fracture of shoulder NOS
S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle
S43.0 Dislocation of shoulder joint
Glenohumeral joint
S43.1 Dislocation of acromioclavicular joint S43.2 Dislocation of sternoclavicular joint
S43.3 Dislocation of other and unspecified parts of shoulder girdle
Dislocation of shoulder girdle NOS
S43.4 Sprain and strain of shoulder joint
Coracohumeral (ligament) Rotator cuff capsule
S43.5 Sprain and strain of acromioclavicular joint
Acromioclavicular ligament
S43.6 Sprain and strain of sternoclavicular joint
S43.7 Sprain and strain of other and unspecified parts of shoulder girdle
Sprain and strain of shoulder girdle NOS
S44 Injury of nerves at shoulder and upper arm level
Excl.: injury of brachial plexus (S14.3)
S44.0 Injury of ulnar nerve at upper arm level
Excl.: ulnar nerve NOS (S54.0)
S44.1 Injury of median nerve at upper arm level
Excl.: median nerve NOS (S54.1)
S44.2 Injury of radial nerve at upper arm level
Excl.: radial nerve NOS (S54.2)
S44.3 Injury of axillary nerve
S44.4 Injury of musculocutaneous nerve
S44.5 Injury of cutaneous sensory nerve at shoulder and upper arm level
S44.7 Injury of multiple nerves at shoulder and upper arm level S44.8 Injury of other nerves at shoulder and upper arm level S44.9 Injury of unspecified nerve at shoulder and upper arm level
S45 Injury of blood vessels at shoulder and upper arm level
Excl.: injury of subclavian:
• artery (S25.1)
• vein (S25.3) S45.0 Injury of axillary artery S45.1 Injury of brachial artery
S45.2 Injury of axillary or brachial vein
S45.3 Injury of superficial vein at shoulder and upper arm level S45.7 Injury of multiple blood vessels at shoulder and upper arm level S45.8 Injury of other blood vessels at shoulder and upper arm level S45.9 Injury of unspecified blood vessel at shoulder and
upper arm level
S46 Injury of muscle and tendon at shoulder and upper arm level
Excl.: injury of muscle and tendon at or below elbow (S56.-)
S46.0 Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder S46.1 Injury of muscle and tendon of long head of biceps
S46.2 Injury of muscle and tendon of other parts of biceps S46.3 Injury of muscle and tendon of triceps
S46.7 Injury of multiple muscles and tendons at shoulder and upper arm level
S46.8 Injury of other muscles and tendons at shoulder and upper arm level
S46.9 Injury of unspecified muscle and tendon at shoulder and upper arm level
S47 Crushing injury of shoulder and upper arm
Excl.: crushing injury of elbow (S57.0)
S48 Traumatic amputation of shoulder and upper arm
Excl.: traumatic amputation:
• at elbow level (S58.0)
• of arm, level unspecified (T11.6)
S48.0 Traumatic amputation at shoulder joint
S48.1 Traumatic amputation at level between shoulder and elbow S48.9 Traumatic amputation of shoulder and upper arm, level
unspecified
S49 Other and unspecified injuries of shoulder and upper arm
S49.7 Multiple injuries of shoulder and upper arm
Injuries classifiable to more than one of the categories S40–S48 S49.8 Other specified injuries of shoulder and upper arm S49.9 Unspecified injury of shoulder and upper arm
Injuries to the elbow and forearm (S50–S59)
Excl.: bilateral involvement of elbow and forearm (T00–T07) burns and corrosions (T20–T32)
frostbite (T33–T35) injuries of:
• arm, level unspecified (T10–T11)
• wrist and hand (S60–S69)
insect bite or sting, venomous (T63.4)
S50 Superficial injury of forearm
Excl.: superficial injury of wrist and hand (S60.-)
S50.0 Contusion of elbow
S50.1 Contusion of other and unspecified parts of forearm S50.7 Multiple superficial injuries of forearm
S50.8 Other superficial injuries of forearm
S50.9 Superficial injury of forearm, unspecified
Superficial injury of elbow NOS
S51 Open wound of forearm
Excl.: open wound of wrist and hand (S61.-) traumatic amputation of forearm (S58.-)
S51.0 Open wound of elbow
S51.7 Multiple open wounds of forearm S51.8 Open wound of other parts of forearm
S51.9 Open wound of forearm, part unspecified
S52 Fracture of forearm
Excl.: fracture at wrist and hand level (S62.-)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S52.0 Fracture of upper end of ulna
Coronoid process Elbow NOS
Monteggia fracture-dislocation Olecranon process
Proximal end
S52.1 Fracture of upper end of radius
Head Neck
Proximal end
S52.2 Fracture of shaft of ulna S52.3 Fracture of shaft of radius
S52.4 Fracture of shafts of both ulna and radius
S52.5 Fracture of lower end of radius
Colles fracture Smith fracture
S52.6 Fracture of lower end of both ulna and radius S52.7 Multiple fractures of forearm
Excl.: fractures of both ulna and radius:
• lower end (S52.6)
• shafts (S52.4)
S52.8 Fracture of other parts of forearm
Lower end of ulna Head of ulna
S52.9 Fracture of forearm, part unspecified
S53 Dislocation, sprain and strain of joints and ligaments of elbow
S53.0 Dislocation of radial head
Radiohumeral joint
Excl.: Monteggia fracture-dislocation (S52.0)
S53.1 Dislocation of elbow, unspecified
Ulnohumeral joint
Excl.: dislocation of radial head alone (S53.0)
S53.2 Traumatic rupture of radial collateral ligament S53.3 Traumatic rupture of ulnar collateral ligament S53.4 Sprain and strain of elbow
S54 Injury of nerves at forearm level
Excl.: injury of nerves at wrist and hand level (S64.-)
S54.0 Injury of ulnar nerve at forearm level
Ulnar nerve NOS
S54.1 Injury of median nerve at forearm level
Median nerve NOS
S54.2 Injury of radial nerve at forearm level
Radial nerve NOS
S54.3 Injury of cutaneous sensory nerve at forearm level S54.7 Injury of multiple nerves at forearm level
S54.8 Injury of other nerves at forearm level S54.9 Injury of unspecified nerve at forearm level
S55 Injury of blood vessels at forearm level
Excl.: injury of:
• blood vessels at wrist and hand level (S65.-)
• brachial vessels (S45.1–S45.2) S55.0 Injury of ulnar artery at forearm level S55.1 Injury of radial artery at forearm level S55.2 Injury of vein at forearm level
S55.7 Injury of multiple blood vessels at forearm level S55.8 Injury of other blood vessels at forearm level S55.9 Injury of unspecified blood vessel at forearm level
S56 Injury of muscle and tendon at forearm level
Excl.: injury of muscle and tendon at or below wrist (S66.-)
S56.0 Injury of flexor muscle and tendon of thumb at forearm level S56.1 Injury of long flexor muscle and tendon of other finger(s) at
forearm level
S56.2 Injury of other flexor muscle and tendon at forearm level S56.3 Injury of extensor or abductor muscles and tendons of thumb
at forearm level
S56.4 Injury of extensor muscle and tendon of other finger(s) at forearm level
S56.5 Injury of other extensor muscle and tendon at forearm level S56.7 Injury of multiple muscles and tendons at forearm level S56.8 Injury of other and unspecified muscles and tendons at
forearm level
S57 Crushing injury of forearm
Excl.: crushing injury of wrist and hand (S67.-)
S57.0 Crushing injury of elbow
S57.8 Crushing injury of other parts of forearm S57.9 Crushing injury of forearm, part unspecified
S58 Traumatic amputation of forearm
Excl.: traumatic amputation of wrist and hand (S68.-)
S58.0 Traumatic amputation at elbow level
S58.1 Traumatic amputation at level between elbow and wrist S58.9 Traumatic amputation of forearm, level unspecified
S59 Other and unspecified injuries of forearm
Excl.: other and unspecified injuries of wrist and hand (S69.-)
S59.7 Multiple injuries of forearm
Injuries classifiable to more than one of the categories S50-S58
S59.8 Other specified injuries of forearm S59.9 Unspecified injury of forearm
Injuries to the wrist and hand (S60–S69)
Excl.: bilateral involvement of wrist and hand (T00–T07) burns and corrosions (T20–T32)
frostbite (T33–T35)
injuries of arm, level unspecified (T10–T11) insect bite or sting, venomous (T63.4)
S60 Superficial injury of wrist and hand
S60.0 Contusion of finger(s) without damage to nail
Contusion of finger(s) NOS
Excl.: contusion involving nail (matrix) (S60.1) S60.1 Contusion of finger(s) with damage to nail S60.2 Contusion of other parts of wrist and hand S60.7 Multiple superficial injuries of wrist and hand S60.8 Other superficial injuries of wrist and hand
S60.9 Superficial injury of wrist and hand, unspecified
S61 Open wound of wrist and hand
Excl.: traumatic amputation of wrist and hand (S68.-)
S61.0 Open wound of finger(s) without damage to nail
Open wound of finger(s) NOS
Excl.: open wound involving nail (matrix) (S61.1)
S61.1 Open wound of finger(s) with damage to nail
S61.7 Multiple open wounds of wrist and hand S61.8 Open wound of other parts of wrist and hand
S61.9 Open wound of wrist and hand, part unspecified
S62 Fracture at wrist and hand level
Excl.: fracture of distal parts of ulna and radius (S52.-)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S62.0 Fracture of navicular [scaphoid] bone of hand S62.1 Fracture of other carpal bone(s)
Capitate [os magnum] Hamate [unciform] Lunate [semilunar] Pisiform
Trapezium [greater multangular] Trapezoid [lesser multangular] Triquetrum [cuneiform of carpus]
S62.2 Fracture of first metacarpal bone
Bennett’s fracture
S62.3 Fracture of other metacarpal bone S62.4 Multiple fractures of metacarpal bones S62.5 Fracture of thumb
S62.6 Fracture of other finger S62.7 Multiple fractures of fingers
S62.8 Fracture of other and unspecified parts of wrist and hand
S63 Dislocation, sprain and strain of joints and ligaments at wrist and hand level
S63.0 Dislocation of wrist
Carpal (bone) Carpometacarpal (joint)
Metacarpal (bone), proximal end Midcarpal (joint)
Radiocarpal (joint) Radioulnar (joint), distal Radius, distal end
Ulna, distal end
S63.1 Dislocation of finger
Interphalangeal (joint), hand Metacarpal (bone), distal end Metacarpophalangeal (joint) Phalanx, hand
Thumb
S63.2 Multiple dislocations of fingers
S63.3 Traumatic rupture of ligament of wrist and carpus
Collateral, wrist Radiocarpal (ligament) Ulnocarpal (palmar)
S63.4 Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) Collateral
Palmar Volar plate
S63.5 Sprain and strain of wrist
Carpal (joint)
Radiocarpal (joint) (ligament)
S63.6 Sprain and strain of finger(s) Interphalangeal (joint), hand Metacarpophalangeal (joint) Phalanx, hand
Thumb
S63.7 Sprain and strain of other and unspecified parts of hand
S64 Injury of nerves at wrist and hand level S64.0 Injury of ulnar nerve at wrist and hand level S64.1 Injury of median nerve at wrist and hand level S64.2 Injury of radial nerve at wrist and hand level S64.3 Injury of digital nerve of thumb
S64.4 Injury of digital nerve of other finger
S64.7 Injury of multiple nerves at wrist and hand level S64.8 Injury of other nerves at wrist and hand level S64.9 Injury of unspecified nerve at wrist and hand level
S65 Injury of blood vessels at wrist and hand level
S65.0 Injury of ulnar artery at wrist and hand level S65.1 Injury of radial artery at wrist and hand level S65.2 Injury of superficial palmar arch
S65.3 Injury of deep palmar arch
S65.4 Injury of blood vessel(s) of thumb S65.5 Injury of blood vessel(s) of other finger
S65.7 Injury of multiple blood vessels at wrist and hand level S65.8 Injury of other blood vessels at wrist and hand level S65.9 Injury of unspecified blood vessel at wrist and hand level
S66 Injury of muscle and tendon at wrist and hand level
S66.0 Injury of long flexor muscle and tendon of thumb at wrist and hand level
S66.1 Injury of flexor muscle and tendon of other finger at wrist and hand level
S66.2 Injury of extensor muscle and tendon of thumb at wrist and hand level
S66.3 Injury of extensor muscle and tendon of other finger at wrist and hand level
S66.4 Injury of intrinsic muscle and tendon of thumb at wrist and hand level
S66.5 Injury of intrinsic muscle and tendon of other finger at wrist and hand level
S66.6 Injury of multiple flexor muscles and tendons at wrist and hand level
S66.7 Injury of multiple extensor muscles and tendons at wrist and hand level
S66.8 Injury of other muscles and tendons at wrist and hand level S66.9 Injury of unspecified muscle and tendon at wrist and hand level
S67 Crushing injury of wrist and hand
S67.0 Crushing injury of thumb and other finger(s)
S67.8 Crushing injury of other and unspecified parts of wrist and hand
S68 Traumatic amputation of wrist and hand
S68.0 Traumatic amputation of thumb (complete)(partial)
S68.1 Traumatic amputation of other single finger (complete)(partial)
S68.2 Traumatic amputation of two or more fingers alone (complete)(partial)
S68.3 Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand
S68.4 Traumatic amputation of hand at wrist level
S68.8 Traumatic amputation of other parts of wrist and hand S68.9 Traumatic amputation of wrist and hand, level unspecified
S69 Other and unspecified injuries of wrist and hand
S69.7 Multiple injuries of wrist and hand
Injuries classifiable to more than one of the categories S60–S68
S69.8 Other specified injuries of wrist and hand S69.9 Unspecified injury of wrist and hand
Injuries to the hip and thigh (S70–S79)
Excl.: bilateral involvement of hip and thigh (T00–T07) burns and corrosions (T20–T32)
frostbite (T33–T35)
injuries of leg, level unspecified (T12–T13) insect bite or sting, venomous (T63.4)
S70 Superficial injury of hip and thigh
S70.0 Contusion of hip S70.1 Contusion of thigh
S70.7 Multiple superficial injuries of hip and thigh S70.8 Other superficial injuries of hip and thigh S70.9 Superficial injury of hip and thigh, unspecified
S71 Open wound of hip and thigh
Excl.: traumatic amputation of hip and thigh (S78.-)
S71.0 Open wound of hip S71.1 Open wound of thigh
S71.7 Multiple open wounds of hip and thigh
S71.8 Open wound of other and unspecified parts of pelvic girdle
S72 Fracture of femur
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S72.0 Fracture of neck of femur
Fracture of hip NOS
S72.1 Pertrochanteric fracture
Intertrochanteric fracture Trochanteric fracture
S72.2 Subtrochanteric fracture S72.3 Fracture of shaft of femur S72.4 Fracture of lower end of femur S72.7 Multiple fractures of femur
S72.8 Fractures of other parts of femur S72.9 Fracture of femur, part unspecified
S73 Dislocation, sprain and strain of joint and ligaments of hip
S73.0 Dislocation of hip S73.1 Sprain and strain of hip
S74 Injury of nerves at hip and thigh level S74.0 Injury of sciatic nerve at hip and thigh level S74.1 Injury of femoral nerve at hip and thigh level
S74.2 Injury of cutaneous sensory nerve at hip and thigh level S74.7 Injury of multiple nerves at hip and thigh level
S74.8 Injury of other nerves at hip and thigh level S74.9 Injury of unspecified nerve at hip and thigh level
S75 Injury of blood vessels at hip and thigh level
Excl.: popliteal artery (S85.0)
S75.0 Injury of femoral artery
S75.1 Injury of femoral vein at hip and thigh level
S75.2 Injury of greater saphenous vein at hip and thigh level
Excl.: greater saphenous vein NOS (S85.3)
S75.7 Injury of multiple blood vessels at hip and thigh level S75.8 Injury of other blood vessels at hip and thigh level S75.9 Injury of unspecified blood vessel at hip and thigh level
S76 Injury of muscle and tendon at hip and thigh level
S76.0 Injury of muscle and tendon of hip S76.1 Injury of quadriceps muscle and tendon
Patellar ligament (tendon)
S76.2 Injury of adductor muscle and tendon of thigh
S76.3 Injury of muscle and tendon of the posterior muscle group at thigh level
S76.4 Injury of other and unspecified muscles and tendons at thigh level
S76.7 Injury of multiple muscles and tendons at hip and thigh level
S77 Crushing injury of hip and thigh
S77.0 Crushing injury of hip S77.1 Crushing injury of thigh
S77.2 Crushing injury of hip with thigh
S78 Traumatic amputation of hip and thigh
Excl.: traumatic amputation of lower limb, level unspecified (T13.6)
S78.0 Traumatic amputation at hip joint
S78.1 Traumatic amputation at level between hip and knee S78.9 Traumatic amputation of hip and thigh, level unspecified
S79 Other and unspecified injuries of hip and thigh
S79.7 Multiple injuries of hip and thigh
Injuries classifiable to more than one of the categories S70-S78
S79.8 Other specified injuries of hip and thigh S79.9 Unspecified injury of hip and thigh
Injuries to the knee and lower leg (S80–S89)
Incl.: fracture of ankle and malleolus
Excl.: bilateral involvement of knee and lower leg (T00–T07) burns and corrosions (T20–T32)
frostbite (T33–T35) injuries of:
• ankle and foot, except fracture of ankle and malleolus (S90–S99)
• leg, level unspecified (T12–T13) insect bite or sting, venomous (T63.4)
S80 Superficial injury of lower leg
Excl.: superficial injury of ankle and foot (S90.-)
S80.0 Contusion of knee
S80.1 Contusion of other and unspecified parts of lower leg S80.7 Multiple superficial injuries of lower leg
S80.8 Other superficial injuries of lower leg S80.9 Superficial injury of lower leg, unspecified
S81 Open wound of lower leg
Excl.: open wound of ankle and foot (S91.-) traumatic amputation of lower leg (S88.-)
S81.0 Open wound of knee
S81.7 Multiple open wounds of lower leg S81.8 Open wound of other parts of lower leg
S81.9 Open wound of lower leg, part unspecified
S82 Fracture of lower leg, including ankle
Incl.: malleolus
Excl.: fracture of foot, except ankle (S92.-)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S82.0 Fracture of patella
Knee cap
S82.1
S82.2 Fracture of shaft of tibia
With or without mention of fracture of fibula
S82.3 Fracture of lower end of tibia
With or without mention of fracture of fibula
Excl.: medial malleolus (S82.5)
S82.4 Fracture of fibula alone
Excl.: lateral malleolus (S82.6)
S82.5 Fracture of medial malleolus
Tibia involving:
• ankle
• malleolus
S82.6 Fracture of lateral malleolus
Fibula involving:
• ankle
• malleolus
S82.7 Multiple fractures of lower leg
Excl.: fractures of both tibia and fibula:
• lower end (S82.3)
• shafts (S82.2)
• upper end (S82.1)
S82.8 Fractures of other parts of lower leg
Fracture (of):
• ankle NOS
• bimalleolar
• trimalleolar
S82.9 Fracture of lower leg, part unspecified
S83 Dislocation, sprain and strain of joints and ligaments of knee
Excl.: derangement of:
• knee, internal (M23.-)
• patella (M22.0–M22.3) dislocation of knee:
• old (M24.3)
• pathological (M24.3)
• recurrent (M24.4)
S83.0 Dislocation of patella S83.1 Dislocation of knee
Tibiofibular (joint)
S83.2 Tear of meniscus, current
Bucket-handle tear (of):
• NOS
• lateral meniscus
• medial meniscus
Excl.: old bucket-handle tear (M23.2)
S83.3 Tear of articular cartilage of knee, current
S83.4 Sprain and strain involving (fibular)(tibial) collateral ligament of knee
S83.5 Sprain and strain involving (anterior)(posterior) cruciate ligament of knee
S83.6 Sprain and strain of other and unspecified parts of knee
Tibiofibular joint and ligament, superior
Excl.: sprain of patellar ligament (S76.1)
S83.7 Injury to multiple structures of knee
Injury to (lateral)(medial) meniscus in combination with (collateral) (cruciate) ligaments
S84 Injury of nerves at lower leg level
Excl.: injury of nerves at ankle and foot level (S94.-)
S84.0 Injury of tibial nerve at lower leg level S84.1 Injury of peroneal nerve at lower leg level
S84.2 Injury of cutaneous sensory nerve at lower leg level S84.7 Injury of multiple nerves at lower leg level
S84.8 Injury of other nerves at lower leg level S84.9 Injury of unspecified nerve at lower leg level
S85 Injury of blood vessels at lower leg level
Excl.: injury of blood vessels at ankle and foot level (S95.-)
S85.0 Injury of popliteal artery
S85.1 Injury of (anterior)(posterior) tibial artery S85.2 Injury of peroneal artery
S85.3 Injury of greater saphenous vein at lower leg level
Greater saphenous vein NOS
S85.4 Injury of lesser saphenous vein at lower leg level S85.5 Injury of popliteal vein
S85.7 Injury of multiple blood vessels at lower leg level S85.8 Injury of other blood vessels at lower leg level S85.9 Injury of unspecified blood vessel at lower leg level
S86 Injury of muscle and tendon at lower leg level
Excl.: injury of:
• muscle and tendon at or below ankle (S96.-)
• patellar ligament (tendon) (S76.1)
S86.0 Injury of Achilles tendon
S86.1 Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level
S86.2 Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level
S86.3 Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
S86.7 Injury of multiple muscles and tendons at lower leg level S86.8 Injury of other muscles and tendons at lower leg level S86.9 Injury of unspecified muscle and tendon at lower leg level
S87 Crushing injury of lower leg
Excl.: crushing injury of ankle and foot (S97.-)
S87.0 Crushing injury of knee
S87.8 Crushing injury of other and unspecified parts of lower leg
S88 Traumatic amputation of lower leg
Excl.: traumatic amputation of:
• ankle and foot (S98.-)
• leg, level unspecified (T13.6)
S88.0 Traumatic amputation at knee level
S88.1 Traumatic amputation at level between knee and ankle S88.9 Traumatic amputation of lower leg, level unspecified
S89 Other and unspecified injuries of lower leg
Excl.: other and unspecified injuries of ankle and foot (S99.-)
S89.7 Multiple injuries of lower leg
Injuries classifiable to more than one of the categories S80–S88
S89.8 Other specified injuries of lower leg S89.9 Unspecified injury of lower leg
Injuries to the ankle and foot (S90–S99)
Excl.: bilateral involvement of ankle and foot (T00–T07) burns and corrosions (T20–T32)
fracture of ankle and malleolus (S82.-) frostbite (T33–T35)
injuries of leg, level unspecified (T12–T13) insect bite or sting, venomous (T63.4)
S90 Superficial injury of ankle and foot
S90.0 Contusion of ankle
S90.1 Contusion of toe(s) without damage to nail
Contusion of toe(s) NOS
S90.2 Contusion of toe(s) with damage to nail
S90.3 Contusion of other and unspecified parts of foot S90.7 Multiple superficial injuries of ankle and foot S90.8 Other superficial injuries of ankle and foot S90.9 Superficial injury of ankle and foot, unspecified
S91 Open wound of ankle and foot
Excl.: traumatic amputation of ankle and foot (S98.-)
S91.0 Open wound of ankle
S91.1 Open wound of toe(s) without damage to nail
Open wound of toe(s) NOS
S91.2 Open wound of toe(s) with damage to nail S91.3 Open wound of other parts of foot
Open wound of foot NOS
S91.7 Multiple open wounds of ankle and foot
S92 Fracture of foot, except ankle
Excl.: ankle (S82.-)
malleolus (S82.-)
The followig subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
S92.0 Fracture of calcaneus
Heel bone Os calcis
S92.1 Fracture of talus
Astragalus
S92.2 Fracture of other tarsal bone(s)
Cuboid
Cuneiform, foot (intermediate)(lateral)(medial) Navicular, foot
S92.3 Fracture of metatarsal bone S92.4 Fracture of great toe
S92.5 Fracture of other toe S92.7 Multiple fractures of foot
S92.9 Fracture of foot, unspecified
S93 Dislocation, sprain and strain of joints and ligaments at ankle and foot level
S93.0 Dislocation of ankle joint
Astragalus Fibula, lower end Talus
Tibia, lower end
S93.1 Dislocation of toe(s)
Interphalangeal (joint(s)) Metatarsophalangeal (joint(s))
S93.2 Rupture of ligaments at ankle and foot level S93.3 Dislocation of other and unspecified parts of foot
Navicular, foot Tarsal (joint(s))
Tarsometatarsal (joint(s))
S93.4 Sprain and strain of ankle Calcaneofibular (ligament) Deltoid (ligament)
Internal collateral (ligament) Talofibular (ligament) Tibiofibular (ligament), distal
Excl.: injury of Achilles tendon (S86.0)
S93.5 Sprain and strain of toe(s) Interphalangeal (joint(s)) Metatarsophalangeal (joint(s))
S93.6 Sprain and strain of other and unspecified parts of foot
Tarsal (ligament) Tarsometatarsal (ligament)
S94 Injury of nerves at ankle and foot level
S94.0 Injury of lateral plantar nerve S94.1 Injury of medial plantar nerve
S94.2 Injury of deep peroneal nerve at ankle and foot level
Terminal, lateral branch of deep peroneal nerve
S94.3 Injury of cutaneous sensory nerve at ankle and foot level S94.7 Injury of multiple nerves at ankle and foot level
S94.8 Injury of other nerves at ankle and foot level S94.9 Injury of unspecified nerve at ankle and foot level
S95 Injury of blood vessels at ankle and foot level
Excl.: injury of posterior tibial artery and vein (S85.-)
S95.0 Injury of dorsal artery of foot S95.1 Injury of plantar artery of foot S95.2 Injury of dorsal vein of foot
S95.7 Injury of multiple blood vessels at ankle and foot level S95.8 Injury of other blood vessels at ankle and foot level S95.9 Injury of unspecified blood vessel at ankle and foot level
S96 Injury of muscle and tendon at ankle and foot level
Excl.: injury of Achilles tendon (S86.0)
S96.0 Injury of muscle and tendon of long flexor muscle of toe at ankle and foot level
S96.1 Injury of muscle and tendon of long extensor muscle of toe at ankle and foot level
S96.2 Injury of intrinsic muscle and tendon at ankle and foot level S96.7 Injury of multiple muscles and tendons at ankle and foot level S96.8 Injury of other muscles and tendons at ankle and foot level S96.9 Injury of unspecified muscle and tendon at ankle and foot level
S97 Crushing injury of ankle and foot
S97.0 Crushing injury of ankle S97.1 Crushing injury of toe(s)
S97.8 Crushing injury of other parts of ankle and foot
Crushing injury of foot NOS
S98 Traumatic amputation of ankle and foot S98.0 Traumatic amputation of foot at ankle level S98.1 Traumatic amputation of one toe
S98.2 Traumatic amputation of two or more toes
S98.3 Traumatic amputation of other parts of foot
Combined traumatic amputation of toe(s) and other parts of foot
S98.4 Traumatic amputation of foot, level unspecified
S99 Other and unspecified injuries of ankle and foot
S99.7 Multiple injuries of ankle and foot
Injuries classifiable to more than one of the categories S90-S98
S99.8 Other specified injuries of ankle and foot S99.9 Unspecified injury of ankle and foot
Injuries involving multiple body regions (T00–T07)
Incl.: bilateral involvement of limbs of the same body region.
injuries by type involving two or more body regions classifiable within S00–S99
Excl.: burns and corrosions (T20–T32) frostbite (T33–T35)
insect bite or sting, venomous (T63.4)
multiple injuries involving only one body region – see S-section sunburn (L55.-)
T00 Superficial injuries involving multiple body regions
T00.0 Superficial injuries involving head with neck
Superficial injuries of sites classifiable to S00.- and S10.-
Excl.: with involvement of other body region(s) (T00.8)
T00.1 Superficial injuries involving thorax with abdomen, lower back and pelvis
Superficial injuries of sites classifiable to S20.-, S30.- and T09.0
Excl.: with involvement of other body region(s) (T00.8)
T00.2 Superficial injuries involving multiple regions of upper limb(s)
Superficial injuries of sites classifiable to S40.-, S50.-, S60.- and T11.0
Excl.: with involvement of:
• lower limb(s) (T00.6)
• thorax, abdomen, lower back and pelvis (T00.8)
T00.3 Superficial injuries involving multiple regions of lower limb(s)
Superficial injuries of sites classifiable to S70.-, S80.-, S90.- and T13.0
Excl.: with involvement of:
• thorax, abdomen, lower back and pelvis (T00.8)
• upper limb(s) (T00.6)
T00.6 Superficial injuries involving multiple regions of upper limb(s) with lower limb(s)
Superficial injuries of sites classifiable to T00.2 and T00.3
Excl.: with involvement of thorax, abdomen, lower back and pelvis (T00.8)
T00.8 Superficial injuries involving other combinations of body regions
T00.9 Multiple superficial injuries, unspecified
Multiple:
• abrasions
• blisters (nonthermal)
• bruises
• contusions
• haematomas
• insect bites (nonvenomous)
NOS
T01 Open wounds involving multiple body regions
Excl.: traumatic amputations involving multiple body regions (T05.-)
T01.0 Open wounds involving head with neck
Open wounds of sites classifiable to S01.- and S11.-
Excl.: with involvement of other body region(s) (T01.8)
T01.1 Open wounds involving thorax with abdomen, lower back and pelvis
Open wounds of sites classifiable to S21.-, S31.- and T09.1
Excl.: with involvement of other body region(s) (T01.8)
T01.2 Open wounds involving multiple regions of upper limb(s)
Open wounds of sites classifiable to S41.-, S51.-, S61.- and T11.1
Excl.: with involvement of:
• lower limb(s) (T01.6)
• thorax, abdomen, lower back and pelvis (T01.8)
T01.3 Open wounds involving multiple regions of lower limb(s)
Open wounds of sites classifiable to S71.-, S81.-, S91.- and T13.1
Excl.: with involvement of:
• thorax, abdomen, lower back and pelvis (T01.8)
• upper limb(s) (T01.6)
T01.6 Open wounds involving multiple regions of upper limb(s) with lower limb(s)
Open wounds of sites classifiable to T01.2 and T01.3
Excl.: with involvement of thorax, abdomen, lower back and pelvis (T01.8)
T01.8 Open wounds involving other combinations of body regions T01.9 Multiple open wounds, unspecified
T02 Fractures involving multiple body regions
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
T02.0 Fractures involving head with neck
Fractures of sites classifiable to S02.- and S12.-
Excl.: with involvement of other body region(s) (T02.8)
T02.1 Fractures involving thorax with lower back and pelvis
Fractures of sites classifiable to S22.-, S32.- and T08
Excl.: when combined with fractures of:
• limb(s) (T02.7)
• other body region(s) (T02.8)
T02.2 Fractures involving multiple regions of one upper limb
Fractures of sites classifiable to S42.-, S52.-, S62.- and T10 of one upper limb
Excl.: when combined with fractures of:
• lower limb(s) (T02.6)
• other upper limb (T02.4)
• thorax, lower back and pelvis (T02.7)
T02.3 Fractures involving multiple regions of one lower limb Fractures of sites classifiable to S72.-, S82.-, S92.- and T12 of one lower limb
Excl.: when combined with fractures of:
• other lower limb (T02.5)
• thorax, lower back and pelvis (T02.7)
• upper limb(s) (T02.6)
T02.4 Fractures involving multiple regions of both upper limbs Fractures of sites classifiable to S42.-, S52.-, S62.- and T10 specified as bilateral
Excl.: when combined with fractures of:
• lower limb(s) (T02.6)
• thorax, lower back and pelvis (T02.7)
T02.5 Fractures involving multiple regions of both lower limbs Fractures of sites classifiable to S72.-, S82.-, S92.- and T12 specified as bilateral
Excl.: when combined with fractures of:
• thorax, lower back and pelvis (T02.7)
• upper limb(s) (T02.6)
T02.6 Fractures involving multiple regions of upper limb(s) with lower limb(s)
Excl.: when combined with fractures of thorax, lower back and pelvis (T02.7)
T02.7 Fractures involving thorax with lower back and pelvis with limb(s)
T02.8 Fractures involving other combinations of body regions T02.9 Multiple fractures, unspecified
T03 Dislocations, sprains and strains involving multiple body regions
T03.0 Dislocations, sprains and strains involving head with neck
Dislocations, sprains and strains of sites classifiable to S03.- and S13.-
Excl.: when combined with dislocations, sprains and strains of other body region(s) (T03.8)
T03.1 Dislocations, sprains and strains involving thorax with lower back and pelvis
Dislocations, sprains and strains of sites classifiable to S23.-, S33.- and T09.2
Excl.: when combined with dislocations, sprains and strains of other body region(s) (T03.8)
T03.2 Dislocations, sprains and strains involving multiple regions of upper limb(s)
Dislocations, sprains and strains of sites classifiable to S43.-, S53.-, S63.- and T11.2
Excl.: when combined with dislocations, sprains and strains of:
• lower limb(s) (T03.4)
• thorax, lower back and pelvis (T03.8)
T03.3 Dislocations, sprains and strains involving multiple regions of lower limb(s)
Dislocations, sprains and strains of sites classifiable to S73.-, S83.-, S93.- and T13.2
Excl.: when combined with dislocations, sprains and strains of:
• thorax, lower back and pelvis (T03.8)
• upper limb(s) (T03.4)
T03.4 Dislocations, sprains and strains involving multiple regions of upper limb(s) with lower limb(s)
Excl.: when combined with dislocations, sprains and strains of thorax, lower back and pelvis (T03.8)
T03.8 Dislocations, sprains and strains involving other combinations of body regions
T03.9 Multiple dislocations, sprains and strains, unspecified
T04 Crushing injuries involving multiple body regions
T04.0 Crushing injuries involving head with neck
Crushing injuries of sites classifiable to S07.- and S17.-
Excl.: with involvement of other body region(s) (T04.8)
T04.1 Crushing injuries involving thorax with abdomen, lower back and pelvis
Crushing injury of:
• sites classifiable to S28.- and S38.-
• trunk NOS
Excl.: with involvement of:
• limbs (T04.7)
• other body regions (T04.8)
T04.2 Crushing injuries involving multiple regions of upper limb(s)
Crushing injury of:
• sites classifiable to S47.-, S57.- and S67.-
• upper limb NOS
Excl.: with involvement of:
• lower limb(s) (T04.4)
• thorax, abdomen, lower back and pelvis (T04.7)
T04.3 Crushing injuries involving multiple regions of lower limb(s)
Crushing injury of:
• lower limb NOS
• sites classifiable to S77.-, S87.- and S97.-
Excl.: with involvement of:
• thorax, abdomen, lower back and pelvis (T04.7)
• upper limb(s) (T04.4)
T04.4 Crushing injuries involving multiple regions of upper limb(s) with lower limb(s)
Excl.: with involvement of thorax, abdomen, lower back and pelvis (T04.7)
T04.7 Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s)
T04.8 Crushing injuries involving other combinations of body regions T04.9 Multiple crushing injuries, unspecified
T05 Traumatic amputations involving multiple body regions
Incl.: avulsion involving multiple body regions
Excl.: decapitation (S18)
open wounds involving multiple body regions (T01.-) traumatic amputation of:
• arm NOS (T11.6)
• leg NOS (T13.6)
• trunk NOS (T09.6)
T05.0 Traumatic amputation of both hands
T05.1 Traumatic amputation of one hand and other arm [any level, except hand]
T05.2 Traumatic amputation of both arms [any level] T05.3 Traumatic amputation of both feet
T05.4 Traumatic amputation of one foot and other leg [any level, except foot]
T05.5 Traumatic amputation of both legs [any level]
T05.6 Traumatic amputation of upper and lower limbs, any combination [any level]
T05.8 Traumatic amputations involving other combinations of body regions
Transection of:
• abdomen
• thorax
T05.9 Multiple traumatic amputations, unspecified
T06 Other injuries involving multiple body regions, not elsewhere classified
T06.0 Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck level
Injuries classifiable to S04.- and S06.- with injuries classifiable to S14.-
T06.1 Injuries of nerves and spinal cord involving other multiple body regions
T06.2 Injuries of nerves involving multiple body regions
Multiple injuries of nerves NOS
Excl.: with spinal cord involvement (T06.0–T06.1)
T06.3 Injuries of blood vessels involving multiple body regions T06.4 Injuries of muscles and tendons involving multiple body regions T06.5 Injuries of intrathoracic organs with intra-abdominal and
pelvic organs
T06.8 Other specified injuries involving multiple body regions
T07 Unspecified multiple injuries
Excl.: injury NOS (T14.9)
Injuries to unspecified part of trunk, limb or body region (T08–T14)
Excl.: burns and corrosions (T20–T32) frostbite (T33–T35)
injuries involving multiple body regions (T00–T07) insect bite or sting, venomous (T63.4)
T08 Fracture of spine, level unspecified
Excl.: multiple fractures of spine, level unspecified (T02.1)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
T09 Other injuries of spine and trunk, level unspecified
Excl.: crushing injury of trunk NOS (T04.1) multiple injuries of trunk (T00–T06) transection of trunk (T05.8)
T09.0 Superficial injury of trunk, level unspecified T09.1 Open wound of trunk, level unspecified
T09.2 Dislocation, sprain and strain of unspecified joint and ligament of trunk
T09.3 Injury of spinal cord, level unspecified
T09.4 Injury of unspecified nerve, spinal nerve root and plexus of trunk T09.5 Injury of unspecified muscle and tendon of trunk
T09.6 Traumatic amputation of trunk, level unspecified T09.8 Other specified injuries of trunk, level unspecified T09.9 Unspecified injury of trunk, level unspecified
T10 Fracture of upper limb, level unspecified
Incl.: broken arm NOS
fracture of arm NOS
Excl.: multiple fractures of upper limb, level unspecified (T02.-)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
T11 Other injuries of upper limb, level unspecified
Excl.: crushing injury of upper limb NOS (T04.2) fracture of upper limb, level unspecified (T10)
injuries involving multiple body regions (T00–T06)
T11.0 Superficial injury of upper limb, level unspecified T11.1 Open wound of upper limb, level unspecified
T11.2 Dislocation, sprain and strain of unspecified joint and ligament of upper limb, level unspecified
T11.3 Injury of unspecified nerve of upper limb, level unspecified T11.4 Injury of unspecified blood vessel of upper limb, level
unspecified
T11.5 Injury of unspecified muscle and tendon of upper limb, level unspecified
T11.6 Traumatic amputation of upper limb, level unspecified
Traumatic amputation of arm NOS
T11.8 Other specified injuries of upper limb, level unspecified T11.9 Unspecified injury of upper limb, level unspecified
Injury of arm NOS
T12 Fracture of lower limb, level unspecified
Incl.: broken leg NOS
fracture of leg NOS
Excl.: multiple fractures of leg, level unspecified (T02.-)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
T13 Other injuries of lower limb, level unspecified
Excl.: crushing injury of lower limb NOS (T04.3) fracture of lower limb, level unspecified (T12)
injuries involving multiple body regions (T00–T06)
T13.0 Superficial injury of lower limb, level unspecified T13.1 Open wound of lower limb, level unspecified
T13.2 Dislocation, sprain and strain of unspecified joint and ligament of lower limb, level unspecified
T13.3 Injury of unspecified nerve of lower limb, level unspecified T13.4 Injury of unspecified blood vessel of lower limb, level
unspecified
T13.5 Injury of unspecified muscle and tendon of lower limb, level unspecified
T13.6 Traumatic amputation of lower limb, level unspecified
Traumatic amputation of leg NOS
T13.8 Other specified injuries of lower limb, level unspecified T13.9 Unspecified injury of lower limb, level unspecified
Injury of leg NOS
T14 Injury of unspecified body region
Excl.: injuries involving multiple body regions (T00–T07)
T14.0 Superficial injury of unspecified body region
Abrasion
Blister (nonthermal) Bruise
Contusion Haematoma
Injury from superficial foreign body (splinter) without major open wound
Insect bite (nonvenomous) Superficial injury
NOS
Excl.: multiple superficial injuries NOS (T00.9)
T14.1 Open wound of unspecified body region
Animal bite
Cut Laceration Open wound
Puncture wound with (penetrating) foreign body
NOS
Excl.: multiple:
• open wounds NOS (T01.9)
• traumatic amputations NOS (T05.9) traumatic amputation NOS (T14.7)
T14.2 Fracture of unspecified body region
Fracture:
• NOS
• closed NOS
• dislocated NOS
• displaced NOS
• open NOS
Excl.: multiple fractures NOS (T02.9)
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed:
0 closed
1 open
T14.3 d body region
Excl.: multiple dislocations, sprains and strains NOS (T03.9)
T14.4 Injury of nerve(s) of unspecified body region
Injury of nerve
Traumatic:
• division of nerve
• haematomyelia
• paralysis (transient)
NOS
Excl.: multiple injuries of nerves NOS (T06.2)
T14.5 Injury of blood vessel(s) of unspecified body region
Avulsion
Cut Injury
Laceration Traumatic:
• aneurysm or fistula (arteriovenous)
• arterial haematoma
• rupture
of blood vessel(s) NOS
Excl.: multiple injuries of blood vessels NOS (T06.3)
T14.6 Injury of muscles and tendons of unspecified body region
Avulsion
Cut Injury
Laceration Sprain Strain
Traumatic rupture
of muscle(s) NOS and tendon(s) NOS
Excl.: multiple injuries of tendons and muscles NOS (T06.4)
T14.7 Crushing injury and traumatic amputation of unspecified body region
Crushing injury NOS Traumatic amputation NOS
Excl.: multiple:
• crushing injuries NOS (T04.9)
• traumatic amputations NOS (T05.9)
T14.8 Other injuries of unspecified body region T14.9 Injury, unspecified
Excl.: multiple injuries NOS (T07)
Effects of foreign body entering through natural orifice (T15–T19)
Excl.: foreign body:
• accidentally left in operation wound (T81.5)
• in puncture wound – see open wound by body region
• residual, in soft tissue (M79.5)
splinter, without major open wound – see superficial injury by body region
T15 Foreign body on external eye
Excl.: foreign body in penetrating wound of:
• orbit and eyeball (S05.4–S05.5)
• orbit and eyeball:
– retained (old) (H05.5, H44.6–H44.7) retained foreign body in eyelid (H02.8)
T15.0 Foreign body in cornea
T15.1 Foreign body in conjunctival sac
T15.8 Foreign body in other and multiple parts of external eye
Foreign body in lacrimal punctum
T15.9 Foreign body on external eye, part unspecified
T16 Foreign body in ear
Incl.: auditory canal
T17 Foreign body in respiratory tract
Incl.: asphyxia due to foreign body choked on:
• food (regurgitated)
• phlegm
inhalation of liquid or vomitus NOS
T17.0 Foreign body in nasal sinus T17.1 Foreign body in nostril
Nose NOS
T17.2 Foreign body in pharynx
Nasopharynx Throat NOS
T17.3 Foreign body in larynx T17.4 Foreign body in trachea T17.5 Foreign body in bronchus
T17.8 Foreign body in other and multiple parts of respiratory tract
Bronchioles Lung
T17.9 Foreign body in respiratory tract, part unspecified
T18 Foreign body in alimentary tract
Excl.: foreign body in pharynx (T17.2)
T18.0 Foreign body in mouth
T18.1 Foreign body in oesophagus T18.2 Foreign body in stomach T18.3 Foreign body in small intestine T18.4 Foreign body in colon
T18.5 Foreign body in anus and rectum
Rectosigmoid (junction)
T18.8 Foreign body in other and multiple parts of alimentary tract T18.9 Foreign body in alimentary tract, part unspecified
Digestive system NOS Swallowed foreign body NOS
T19 Foreign body in genitourinary tract
Excl.: contraceptive device (intrauterine)(vaginal):
• mechanical complication of (T83.3)
• presence of (Z97.5) T19.0 Foreign body in urethra T19.1 Foreign body in bladder
T19.2 Foreign body in vulva and vagina T19.3 Foreign body in uterus [any part]
T19.8 Foreign body in other and multiple parts of genitourinary tract T19.9 Foreign body in genitourinary tract, part unspecified
Burns and corrosions (T20–T32)
Incl.: burns (thermal) from:
• electrical heating appliances
• electricity
• flame
• friction
• hot air and hot gases
• hot objects
• lightning
• radiation
chemical burns [corrosions] (external)(internal) scalds
Excl.: erythema [dermatitis] ab igne (L59.0)
radiation-related disorders of the skin and subcutaneous tissue (L55–L59) sunburn (L55.-)
Burns and corrosions of external body surface, specified by site
(T20–T25)
Incl.: burns and corrosions of:
• first degree [erythema]
• second degree [blisters][epidermal loss]
• third degree [deep necrosis of underlying tissue][full-thickness skin loss]
T20 Burn and corrosion of head and neck
Incl.: ear [any part]
eye with other parts of face, head and neck lip
nose (septum) scalp [any part] temple (region)
Excl.: burn and corrosion (of):
• confined to eye and adnexa (T26.-)
• mouth and pharynx (T28.-)
T20.0 Burn of unspecified degree of head and neck T20.1 Burn of first degree of head and neck
T20.2 Burn of second degree of head and neck T20.3 Burn of third degree of head and neck
T20.4 Corrosion of unspecified degree of head and neck T20.5 Corrosion of first degree of head and neck
T20.6 Corrosion of second degree of head and neck T20.7 Corrosion of third degree of head and neck
T21 Burn and corrosion of trunk
Incl.: abdominal wall
anus
back [any part] breast
buttock chest wall flank groin
interscapular region labium (majus)(minus) penis
perineum scrotum testis vulva
Excl.: burn and corrosion of:
• axilla (T22.-)
• scapular region (T22.-)
T21.0 Burn of unspecified degree of trunk T21.1 Burn of first degree of trunk
T21.2 Burn of second degree of trunk T21.3 Burn of third degree of trunk
T21.4 Corrosion of unspecified degree of trunk T21.5 Corrosion of first degree of trunk
T21.6 Corrosion of second degree of trunk T21.7 Corrosion of third degree of trunk
T22 Burn and corrosion of shoulder and upper limb, except wrist and hand
Incl.: arm [any part, except wrist and hand alone] axilla
scapular region
Excl.: burn and corrosion of:
• interscapular region (T21.-)
• wrist and hand alone (T23.-)
T22.0 Burn of unspecified degree of shoulder and upper limb, except wrist and hand
T22.1 Burn of first degree of shoulder and upper limb, except wrist and hand
T22.2 Burn of second degree of shoulder and upper limb, except wrist and hand
T22.3 Burn of third degree of shoulder and upper limb, except wrist and hand
T22.4 Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand
T22.5 Corrosion of first degree of shoulder and upper limb, except wrist and hand
T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and hand
T22.7 Corrosion of third degree of shoulder and upper limb, except wrist and hand
T23 Burn and corrosion of wrist and hand
Incl.: finger (nail) palm
thumb (nail)
T23.0 Burn of unspecified degree of wrist and hand T23.1 Burn of first degree of wrist and hand
T23.2 Burn of second degree of wrist and hand T23.3 Burn of third degree of wrist and hand
T23.4 Corrosion of unspecified degree of wrist and hand T23.5 Corrosion of first degree of wrist and hand
T23.6 Corrosion of second degree of wrist and hand T23.7 Corrosion of third degree of wrist and hand
T24 Burn and corrosion of hip and lower limb, except ankle and foot
Incl.: leg [any part, except ankle and foot alone]
Excl.: burn and corrosion of ankle and foot alone (T25.-)
T24.0 Burn of unspecified degree of hip and lower limb, except ankle and foot
T24.1 Burn of first degree of hip and lower limb, except ankle and foot T24.2 Burn of second degree of hip and lower limb, except ankle
and foot
T24.3 Burn of third degree of hip and lower limb, except ankle and foot T24.4 Corrosion of unspecified degree of hip and lower limb, except
ankle and foot
T24.5 Corrosion of first degree of hip and lower limb, except ankle and foot
T24.6 Corrosion of second degree of hip and lower limb, except ankle and foot
T24.7 Corrosion of third degree of hip and lower limb, except ankle and foot
T25 Burn and corrosion of ankle and foot
Incl.: toe(s)
T25.0 Burn of unspecified degree of ankle and foot T25.1 Burn of first degree of ankle and foot
T25.2 Burn of second degree of ankle and foot T25.3 Burn of third degree of ankle and foot
T25.4 Corrosion of unspecified degree of ankle and foot T25.5 Corrosion of first degree of ankle and foot
T25.6 Corrosion of second degree of ankle and foot T25.7 Corrosion of third degree of ankle and foot
Burns and corrosions confined to eye and internal organs
(T26–T28)
T26 Burn and corrosion confined to eye and adnexa
T26.0 Burn of eyelid and periocular area T26.1 Burn of cornea and conjunctival sac
T26.2 Burn with resulting rupture and destruction of eyeball T26.3 Burn of other parts of eye and adnexa
T26.4 Burn of eye and adnexa, part unspecified T26.5 Corrosion of eyelid and periocular area T26.6 Corrosion of cornea and conjunctival sac
T26.7 Corrosion with resulting rupture and destruction of eyeball T26.8 Corrosion of other parts of eye and adnexa
T26.9 Corrosion of eye and adnexa, part unspecified
T27 Burn and corrosion of respiratory tract
T27.0 Burn of larynx and trachea
T27.1 Burn involving larynx and trachea with lung
Excl.: blast injury syndrome (T70.8)
T27.2 Burn of other parts of respiratory tract
Thoracic cavity
T27.3 Burn of respiratory tract, part unspecified T27.4 Corrosion of larynx and trachea
T27.5 Corrosion involving larynx and trachea with lung T27.6 Corrosion of other parts of respiratory tract T27.7 Corrosion of respiratory tract, part unspecified
T28 Burn and corrosion of other internal organs
T28.0 Burn of mouth and pharynx T28.1 Burn of oesophagus
T28.2 Burn of other parts of alimentary tract T28.3 Burn of internal genitourinary organs
T28.4 Burn of other and unspecified internal organs T28.5 Corrosion of mouth and pharynx
T28.6 Corrosion of oesophagus
T28.7 Corrosion of other parts of alimentary tract T28.8 Corrosion of internal genitourinary organs
T28.9 Corrosion of other and unspecified internal organs
Burns and corrosions of multiple and unspecified body regions
(T29–T32)
T29 Burns and corrosions of multiple body regions
Incl.: burns and corrosions classifiable to more than one of the categories T20–T28
T29.0 Burns of multiple regions, unspecified degree
Multiple burns NOS
T29.1 Burns of multiple regions, no more than first-degree burns mentioned
T29.2 Burns of multiple regions, no more than second-degree burns mentioned
T29.3 Burns of multiple regions, at least one burn of third degree mentioned
T29.4 Corrosions of multiple regions, unspecified degree
Multiple corrosions NOS
T29.5 Corrosions of multiple regions, no more than first-degree corrosions mentioned
T29.6 Corrosions of multiple regions, no more than second-degree corrosions mentioned
T29.7 Corrosions of multiple regions, at least one corrosion of third degree mentioned
T30 Burn and corrosion, body region unspecified
Excl.: burn and corrosion with statement of the extent of body surface involved (T31–T32)
T30.0 Burn of unspecified body region, unspecified degree
Burn NOS
T30.1 Burn of first degree, body region unspecified
First-degree burn NOS
T30.2 Burn of second degree, body region unspecified
Second-degree burn NOS
T30.3 Burn of third degree, body region unspecified
Third-degree burn NOS
T30.4 Corrosion of unspecified body region, unspecified degree
Corrosion NOS
T30.5 Corrosion of first degree, body region unspecified
First-degree corrosion NOS
T30.6 Corrosion of second degree, body region unspecified
Second-degree corrosion NOS
T30.7 Corrosion of third degree, body region unspecified
Third-degree corrosion NOS
T31 Burns classified according to extent of body surface involved
Note: This category is to be used as the primary code only when the site of the burn is unspecified. It may be used as a supplementary code, if desired, with categories T20–T25 or T29 when the site is specified.
T31.0 Burns involving less than 10% of body surface T31.1 Burns involving 10–19% of body surface
T31.2 Burns involving 20–29% of body surface T31.3 Burns involving 30–39% of body surface
T31.4 Burns involving 40–49% of body surface T31.5 Burns involving 50–59% of body surface T31.6 Burns involving 60–69% of body surface T31.7 Burns involving 70–79% of body surface T31.8 Burns involving 80–89% of body surface T31.9 Burns involving 90% or more of body surface
T32 Corrosions classified according to extent of body surface involved
Note: This category is to be used as the primary code only when the site of the corrosion is unspecified. It may be used as a supplementary code, if desired, with categories T20–T25 or T29 when the site is specified.
T32.0 Corrosions involving less than 10% of body surface T32.1 Corrosions involving 10–19% of body surface
T32.2 Corrosions involving 20–29% of body surface T32.3 Corrosions involving 30–39% of body surface T32.4 Corrosions involving 40–49% of body surface T32.5 Corrosions involving 50–59% of body surface T32.6 Corrosions involving 60–69% of body surface T32.7 Corrosions involving 70–79% of body surface T32.8 Corrosions involving 80–89% of body surface T32.9 Corrosions involving 90% or more of body surface
Frostbite (T33–T35)
Excl.: hypothermia and other effects of reduced temperature (T68–T69)
T33 Superficial frostbite
Incl.: frostbite with partial-thickness skin loss
Excl.: superficial frostbite involving multiple body regions (T35.0)
T33.0 Superficial frostbite of head T33.1 Superficial frostbite of neck T33.2 Superficial frostbite of thorax
T33.3 Superficial frostbite of abdominal wall, lower back and pelvis
T33.4 Superficial frostbite of arm
Excl.: superficial frostbite of wrist and hand alone (T33.5)
T33.5 Superficial frostbite of wrist and hand T33.6 Superficial frostbite of hip and thigh T33.7 Superficial frostbite of knee and lower leg
Excl.: superficial frostbite of ankle and foot alone (T33.8)
T33.8 Superficial frostbite of ankle and foot
T33.9 Superficial frostbite of other and unspecified sites
Superficial frostbite (of):
• NOS
• leg NOS
• trunk NOS
T34 Frostbite with tissue necrosis
Excl.: frostbite with tissue necrosis involving multiple body regions (T35.1)
T34.0 Frostbite with tissue necrosis of head T34.1 Frostbite with tissue necrosis of neck T34.2 Frostbite with tissue necrosis of thorax
T34.3 Frostbite with tissue necrosis of abdominal wall, lower back and pelvis
T34.4 Frostbite with tissue necrosis of arm
Excl.: frostbite with tissue necrosis of wrist and hand alone (T34.5)
T34.5 Frostbite with tissue necrosis of wrist and hand T34.6 Frostbite with tissue necrosis of hip and thigh T34.7 Frostbite with tissue necrosis of knee and lower leg
Excl.: frostbite with tissue necrosis of ankle and foot alone (T34.8)
T34.8 Frostbite with tissue necrosis of ankle and foot
T34.9 Frostbite with tissue necrosis of other and unspecified sites
Frostbite with tissue necrosis (of):
• NOS
• leg NOS
• trunk NOS
T35 Frostbite involving multiple body regions and unspecified frostbite
T35.0 Superficial frostbite involving multiple body regions
Multiple superficial frostbite NOS
T35.1 Frostbite with tissue necrosis involving multiple body regions
Multiple frostbite with tissue necrosis NOS
T35.2 Unspecified frostbite of head and neck
T35.3 Unspecified frostbite of thorax, abdomen, lower back and pelvis
Frostbite of trunk NOS
T35.4 Unspecified frostbite of upper limb T35.5 Unspecified frostbite of lower limb
T35.6 Unspecified frostbite involving multiple body regions
Multiple frostbite NOS
T35.7 Unspecified frostbite of unspecified site
Frostbite NOS
Poisoning by drugs, medicaments and biological substances
(T36–T50)
Incl.: overdose of these substances
wrong substance given or taken in error
Excl.: abuse of non-dependence-producing substances (F55)
adverse effects [‘hypersensitivity’, ‘reaction’, etc.] of correct substance properly administered; such cases are to be classified according to the nature of the adverse effect, such as:
• aspirin gastritis (K29.-)
• blood disorders (D50–D76)
• dermatitis:
– contact (L23–L25)
– due to substances taken internally (L27.-)
• nephropathy (N14.0–N14.2)
• unspecified adverse effect of drug (T88.7) intoxication meaning inebriation (F10–F19)
drug reaction and poisoning affecting the fetus and newborn (P00–P96) pathological drug intoxication (F10–F19)
T36 Poisoning by systemic antibiotics
Excl.: antibiotics:
• antineoplastic (T45.1)
• locally applied NEC (T49.0)
• topically used for:
– ear, nose and throat (T49.6)
– eye (T49.5)
T36.0 Penicillins
T36.1 Cefalosporins and other beta-lactam antibiotics T36.2 Chloramphenicol group
T36.3 Macrolides
T36.4 Tetracyclines T36.5 Aminoglycosides
Streptomycin
T36.6 Rifamycins
T36.7 Antifungal antibiotics, systemically used T36.8 Other systemic antibiotics
T36.9 Systemic antibiotic, unspecified
T37 Poisoning by other systemic anti-infectives and antiparasitics
Excl.: anti-infectives:
• locally applied NEC (T49.0)
• topically used (for):
– ear, nose and throat (T49.6)
– eye (T49.5)
T37.0 Sulfonamides
T37.1 Antimycobacterial drugs
Excl.: rifamycins (T36.6) streptomycin (T36.5)
T37.2 Antimalarials and drugs acting on other blood protozoa
Excl.: hydroxyquinoline derivatives (T37.8)
T37.3 Other antiprotozoal drugs T37.4 Anthelminthics
T37.5 Antiviral drugs
Excl.: amantadine (T42.8) cytarabine (T45.1)
T37.8 Other specified systemic anti-infectives and antiparasitics
Hydroxyquinoline derivatives
Excl.: antimalarial drugs (T37.2)
T37.9 Systemic anti-infective and antiparasitic, unspecified
T38 Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere classified
Excl.: mineralocorticoids and their antagonists (T50.0) oxytocic hormones (T48.0)
parathyroid hormones and derivatives (T50.9)
T38.0 Glucocorticoids and synthetic analogues
Excl.: glucocorticoids, topically used (T49.-)
T38.1 Thyroid hormones and substitutes T38.2 Antithyroid drugs
T38.3 Insulin and oral hypoglycaemic [antidiabetic] drugs
T38.4 Oral contraceptives
Multiple- and single-ingredient preparations
T38.5 Other estrogens and progestogens
Mixtures and substitutes
T38.6 Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified
Tamoxifen
T38.7 Androgens and anabolic congeners
T38.8 Other and unspecified hormones and their synthetic substitutes
Anterior pituitary [adenohypophyseal] hormones
T38.9 Other and unspecified hormone antagonists
T39 Poisoning by nonopioid analgesics, antipyretics and antirheumatics
T39.0 Salicylates
T39.1 4-Aminophenol derivatives T39.2 Pyrazolone derivatives
T39.3 Other nonsteroidal anti-inflammatory drugs [NSAID]
T39.4 Antirheumatics, not elsewhere classified
Excl.: glucocorticoids (T38.0) salicylates (T39.0)
T39.8 Other nonopioid analgesics and antipyretics, not elsewhere classified
T39.9 Nonopioid analgesic, antipyretic and antirheumatic, unspecified
T40 Poisoning by narcotics and psychodysleptics [hallucinogens]
Excl.: intoxication meaning inebriation (F10–F19)
T40.0 Opium
T40.1 Heroin
T40.2 Other opioids Codeine Morphine
T40.3 Methadone
T40.4 Other synthetic narcotics
Pethidine
T40.5 Cocaine
T40.6 Other and unspecified narcotics T40.7 Cannabis (derivatives)
T40.8 Lysergide [LSD]
T40.9 Other and unspecified psychodysleptics [hallucinogens]
Mescaline Psilocin Psilocybine
T41 Poisoning by anaesthetics and therapeutic gases
Excl.: benzodiazepines (T42.4) cocaine (T40.5)
opioids (T40.0–T40.2)
T41.0 Inhaled anaesthetics
Excl.: oxygen (T41.5)
T41.1 Intravenous anaesthetics
Thiobarbiturates
T41.2 Other and unspecified general anaesthetics T41.3 Local anaesthetics
T41.4 Anaesthetic, unspecified
T41.5 Therapeutic gases
Carbon dioxide Oxygen
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
Excl.: intoxication meaning inebriation (F10–F19)
T42.0 Hydantoin derivatives T42.1 Iminostilbenes
Carbamazepine
T42.2 Succinimides and oxazolidinediones T42.3 Barbiturates
Excl.: thiobarbiturates (T41.1)
T42.4 Benzodiazepines
T42.5 Mixed antiepileptics, not elsewhere classified
T42.6 Other antiepileptic and sedative-hypnotic drugs
Methaqualone Valproic acid
Excl.: carbamazepine (T42.1)
T42.7 Antiepileptic and sedative-hypnotic drugs, unspecified
Sleeping:
• draught
• drug
• tablet
NOS
T42.8 Antiparkinsonism drugs and other central muscle-tone depressants
Amantadine
T43 Poisoning by psychotropic drugs, not elsewhere classified
Excl.: appetite depressants (T50.5) barbiturates (T42.3) benzodiazepines (T42.4)
intoxication meaning inebriation (F10–F19) methaqualone (T42.6)
psychodysleptics [hallucinogens] (T40.7–T40.9)
T43.0 Tricyclic and tetracyclic antidepressants T43.1 Monoamine-oxidase-inhibitor antidepressants T43.2 Other and unspecified antidepressants
T43.3 Phenothiazine antipsychotics and neuroleptics T43.4 Butyrophenone and thioxanthene neuroleptics
T43.5 Other and unspecified antipsychotics and neuroleptics
Excl.: rauwolfia (T46.5)
T43.6 Psychostimulants with abuse potential
Excl.: cocaine (T40.5)
T43.8 Other psychotropic drugs, not elsewhere classified T43.9 Psychotropic drug, unspecified
T44 Poisoning by drugs primarily affecting the autonomic nervous system
T44.0 Anticholinesterase agents
T44.1 Other parasympathomimetics [cholinergics]
T44.2 Ganglionic blocking drugs, not elsewhere classified
T44.3 Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified Papaverine
T44.4 Predominantly alpha-adrenoreceptor agonists, not elsewhere classified
Metaraminol
T44.5 Predominantly beta-adrenoreceptor agonists, not elsewhere classified
Excl.: beta-adrenoreceptor agonists used in asthma therapy (T48.6)
T44.6 Alpha-adrenoreceptor antagonists, not elsewhere classified
Excl.: ergot alkaloids (T48.0)
T44.7 Beta-adrenoreceptor antagonists, not elsewhere classified T44.8 Centrally acting and adrenergic-neuron-blocking agents, not
elsewhere classified
Excl.: clonidine (T46.5) guanethidine (T46.5)
T44.9 Other and unspecified drugs primarily affecting the autonomic nervous system
Drug stimulating both alpha- and beta-adrenoreceptors
T45 Poisoning by primarily systemic and haematological agents, not elsewhere classified
T45.0 Antiallergic and antiemetic drugs
Excl.: phenothiazine-based neuroleptics (T43.3)
T45.1 Antineoplastic and immunosuppressive drugs
Antineoplastic antibiotics Cytarabine
Excl.: tamoxifen (T38.6)
T45.2 Vitamins, not elsewhere classified
Excl.: nicotinic acid (derivatives) (T46.7) vitamin K (T45.7)
T45.3 Enzymes, not elsewhere classified T45.4 Iron and its compounds
T45.5 Anticoagulants
T45.6 Fibrinolysis-affecting drugs
T45.7 Anticoagulant antagonists, vitamin K and other coagulants
T45.8 Other primarily systemic and haematological agents
Liver preparations and other antianaemic agents Natural blood and blood products
Plasma substitute
Excl.: immunoglobulin (T50.9) iron (T45.4)
T45.9 Primarily systemic and haematological agent, unspecified
T46 Poisoning by agents primarily affecting the cardiovascular system
Excl.: metaraminol (T44.4)
T46.0 Cardiac-stimulant glycosides and drugs of similar action T46.1 Calcium-channel blockers
T46.2 Other antidysrhythmic drugs, not elsewhere classified
Excl.: beta-adrenoreceptor antagonists (T44.7)
T46.3 Coronary vasodilators, not elsewhere classified
Dipyridamole
Excl.: beta-adrenoreceptor antagonists (T44.7) calcium-channel blockers (T46.1)
T46.4 Angiotensin-converting-enzyme inhibitors
T46.5 Other antihypertensive drugs, not elsewhere classified
Clonidine Guanethidine Rauwolfia
Excl.: beta-adrenoreceptor antagonists (T44.7) calcium-channel blockers (T46.1) diuretics (T50.0–T50.2)
T46.6 Antihyperlipidaemic and antiarteriosclerotic drugs T46.7 Peripheral vasodilators
Nicotinic acid (derivatives)
Excl.: papaverine (T44.3)
T46.8 Antivaricose drugs, including sclerosing agents T46.9 Other and unspecified agents primarily affecting the
cardiovascular system
T47 Poisoning by agents primarily affecting the gastrointestinal system
T47.0 Histamine H2-receptor antagonists
T47.1 Other antacids and anti-gastric-secretion drugs
T47.2 Stimulant laxatives
T47.3 Saline and osmotic laxatives T47.4 Other laxatives
Intestinal atonia drugs
T47.5 Digestants
T47.6 Antidiarrhoeal drugs
Excl.: systemic antibiotics and other anti-infectives (T36–T37)
T47.7 Emetics
T47.8 Other agents primarily affecting the gastrointestinal system T47.9 Agent primarily affecting the gastrointestinal system,
unspecified
T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system
T48.0 Oxytocic drugs
Excl.: estrogens, progestogens and antagonists (T38.4–T38.6)
T48.1 Skeletal muscle relaxants [neuromuscular blocking agents] T48.2 Other and unspecified agents primarily acting on muscles T48.3 Antitussives
T48.4 Expectorants
T48.5 Anti-common-cold drugs
T48.6 Antiasthmatics, not elsewhere classified Beta-adrenoreceptor agonists used in asthma therapy Salbutamol
Excl.: beta-adrenoreceptor agonists not used in asthma therapy (T44.5) anterior pituitary [adenohypophyseal] hormones (T38.8)
T48.7 Other and unspecified agents primarily acting on the respiratory system
T49 Poisoning by topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinolaryngological and dental drugs
Incl.: glucocorticoids, topically used
T49.0 Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified
T49.1 Antipruritics
T49.2 Local astringents and local detergents
T49.3 Emollients, demulcents and protectants
T49.4 Keratolytics, keratoplastics and other hair treatment drugs and preparations
T49.5 Ophthalmological drugs and preparations
Eye anti-infectives
T49.6 Otorhinolaryngological drugs and preparations
Ear, nose and throat anti-infectives
T49.7 Dental drugs, topically applied T49.8 Other topical agents
Spermicides
T49.9 Topical agent, unspecified
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
T50.0 Mineralocorticoids and their antagonists T50.1 Loop [high-ceiling] diuretics
T50.2 Carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics
Acetazolamide
T50.3 Electrolytic, caloric and water-balance agents
Oral rehydration salts
T50.4 Drugs affecting uric acid metabolism T50.5 Appetite depressants
T50.6 Antidotes and chelating agents, not elsewhere classified
Alcohol deterrents
T50.7 Analeptics and opioid receptor antagonists T50.8 Diagnostic agents
T50.9 Other and unspecified drugs, medicaments and biological substances
Acidifying agents Alkalizing agents Immunoglobulin Immunologicals Lipotropic drugs
Parathyroid hormones and derivatives
Toxic effects of substances chiefly nonmedicinal as to source
(T51–T65)
Excl.: corrosions (T20–T32)
localized toxic effects classified elsewhere (A00–R99) respiratory conditions due to external agents (J60–J70)
T51 Toxic effect of alcohol
T51.0 Ethanol
Ethyl alcohol
Excl.: acute alcohol intoxication or ‘hangover’ effects (F10.0) drunkenness (F10.0)
pathological alcohol intoxication (F10.0)
T51.1 Methanol
Methyl alcohol
T51.2 2-Propanol
Isopropyl alcohol
T51.3 Fusel oil
Alcohol:
• amyl
• butyl [1-butanol]
• propyl [1-propanol]
T51.8 Other alcohols T51.9 Alcohol, unspecified
T52 Toxic effect of organic solvents
Excl.: halogen derivatives of aliphatic and aromatic hydrocarbons (T53.-)
T52.0 Petroleum products
Gasoline [petrol] Kerosine [paraffin oil] Paraffin wax Petroleum:
• ether
• naphtha
• spirits
T52.1 Benzene
Excl.: homologues of benzene (T52.2)
nitroderivatives and aminoderivatives of benzene and its homologues (T65.3)
T52.2 Homologues of benzene
Toluene [methylbenzene] Xylene [dimethylbenzene]
T52.3 Glycols
T52.4 Ketones
T52.8 Other organic solvents T52.9 Organic solvent, unspecified
T53 Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons
T53.0 Carbon tetrachloride
Tetrachloromethane
T53.1 Chloroform
Trichloromethane
T53.2 Trichloroethylene
Trichloroethene
T53.3 Tetrachloroethylene
Perchloroethylene Tetrachloroethene
T53.4 Dichloromethane
Methylene chloride
T53.5 Chlorofluorocarbons
T53.6 Other halogen derivatives of aliphatic hydrocarbons T53.7 Other halogen derivatives of aromatic hydrocarbons
T53.9 Halogen derivative of aliphatic and aromatic hydrocarbons, unspecified
T54 Toxic effect of corrosive substances
T54.0 Phenol and phenol homologues T54.1 Other corrosive organic compounds
T54.2 Corrosive acids and acid-like substances
Acid:
• hydrochloric
• sulfuric
T54.3 Corrosive alkalis and alkali-like substances
Potassium hydroxide Sodium hydroxide
T54.9 Corrosive substance, unspecified
T55 Toxic effect of soaps and detergents
T56 Toxic effect of metals
Incl.: fumes and vapours of metals
metals from all sources, except medicinal substances
Excl.: arsenic and its compounds (T57.0) manganese and its compounds (T57.2)
T56.0 Lead and its compounds T56.1 Mercury and its compounds T56.2 Chromium and its compounds T56.3 Cadmium and its compounds T56.4 Copper and its compounds T56.5 Zinc and its compounds
T56.6 Tin and its compounds
T56.7 Beryllium and its compounds T56.8 Other metals
Thallium
T56.9 Metal, unspecified
T57 Toxic effect of other inorganic substances
T57.0 Arsenic and its compounds T57.1 Phosphorus and its compounds
Excl.: organophosphate insecticides (T60.0)
T57.2 Manganese and its compounds T57.3 Hydrogen cyanide
T57.8 Other specified inorganic substances T57.9 Inorganic substance, unspecified
T58 Toxic effect of carbon monoxide
Incl.: from all sources
T59 Toxic effect of other gases, fumes and vapours
Incl.: aerosol propellants
Excl.: chlorofluorocarbons (T53.5)
T59.0 Nitrogen oxides
T59.1 Sulfur dioxide
T59.2 Formaldehyde
T59.3 Lacrimogenic gas
Tear gas
T59.4 Chlorine gas
T59.5 Fluorine gas and hydrogen fluoride T59.6 Hydrogen sulfide
T59.7 Carbon dioxide
T59.8 Other specified gases, fumes and vapours T59.9 Gases, fumes and vapours, unspecified
T60 Toxic effect of pesticides
Incl.: wood preservatives
T60.0 Organophosphate and carbamate insecticides T60.1 Halogenated insecticides
Excl.: chlorinated hydrocarbons (T53.-)
T60.2 Other insecticides
T60.3 Herbicides and fungicides T60.4 Rodenticides
Excl.: strychnine and its salts (T65.1)
T60.8 Other pesticides T60.9 Pesticide, unspecified
T61 Toxic effect of noxious substances eaten as seafood
Excl.: allergic reaction to food, such as:
• anaphylactic shock due to adverse food reaction (T78.0)
• dermatitis (L23.6, L25.4, L27.2)
• gastroenteritis (noninfective) (K52.-) bacterial foodborne intoxications (A05.-) toxic effect of food contaminants, such as:
• aflatoxin and other mycotoxins (T64)
• cyanides (T65.0)
• hydrogen cyanide (T57.3)
• mercury (T56.1)
T61.0 Ciguatera fish poisoning T61.1 Scombroid fish poisoning
Histamine-like syndrome
T61.2 Other fish and shellfish poisoning T61.8 Toxic effect of other seafoods T61.9 Toxic effect of unspecified seafood
T62 Toxic effect of other noxious substances eaten as food
Excl.: allergic reaction to food, such as:
• anaphylactic shock due to adverse food reaction (T78.0)
• dermatitis (L23.6, L25.4, L27.2)
• gastroenteritis (noninfective) (K52.-) bacterial foodborne intoxications (A05.-) toxic effect of food contaminants, such as:
• aflatoxin and other mycotoxins (T64)
• cyanides (T65.0)
• hydrogen cyanide (T57.3)
• mercury (T56.1) T62.0 Ingested mushrooms T62.1 Ingested berries
T62.2 Other ingested (parts of) plant(s)
T62.8 Other specified noxious substances eaten as food T62.9 Noxious substance eaten as food, unspecified
T63 Toxic effect of contact with venomous animals
T63.0 Snake venom
Sea-snake venom
T63.1 Venom of other reptiles
Lizard venom
T63.2 Venom of scorpion T63.3 Venom of spider
T63.4 Venom of other arthropods
Insect bite or sting, venomous
T63.5 Toxic effect of contact with fish
Excl.: poisoning by ingestion of fish (T61.0–T61.2)
T63.6 Toxic effect of contact with other marine animals
Jellyfish
Sea anemone Shellfish Starfish
Excl.: poisoning by ingestion of shellfish (T61.2) sea-snake venom (T63.0)
T63.8 Toxic effect of contact with other venomous animals
Venom of amphibian
T63.9 Toxic effect of contact with unspecified venomous animal
T64 Toxic effect of aflatoxin and other mycotoxin food contaminants
T65 Toxic effect of other and unspecified substances
T65.0 Cyanides
Excl.: hydrogen cyanide (T57.3) T65.1 Strychnine and its salts T65.2 Tobacco and nicotine
T65.3 Nitroderivatives and aminoderivatives of benzene and its homologues
Aniline [benzenamine] Nitrobenzene Trinitrotoluene
T65.4 Carbon disulfide
T65.5 Nitroglycerin and other nitric acids and esters
1,2,3-Propanetriol trinitrate
T65.6 Paints and dyes, not elsewhere classified T65.8 Toxic effect of other specified substances T65.9 Toxic effect of unspecified substance
Poisoning NOS
Other and unspecified effects of external causes (T66–T78)
T66 Unspecified effects of radiation
Incl.: radiation sickness
Excl.: specified adverse effects of radiation, such as:
• burns (T20–T31)
• leukaemia (C91–C95)
• radiation:
– gastroenteritis and colitis (K52.0)
– pneumonitis (J70.0)
– related disorders of the skin and subcutaneous tissue (L55–L59)
• sunburn (L55.-)
T67 Effects of heat and light
Excl.: burns (T20–T31)
erythema [dermatitis] ab igne (L59.0)
malignant hyperthermia due to anaesthesia (T88.3)
radiation-related disorders of the skin and subcutaneous tissue (L55–L59)
sunburn (L55.-)
sweat disorders due to heat (L74–L75)
T67.0 Heatstroke and sunstroke
Heat:
• apoplexy
• pyrexia Siriasis Thermoplegia
T67.1 Heat syncope
Heat collapse
T67.2 Heat cramp
T67.3 Heat exhaustion, anhydrotic
Heat prostration due to water depletion
Excl.: heat exhaustion due to salt depletion (T67.4)
T67.4 Heat exhaustion due to salt depletion
Heat prostration due to salt (and water) depletion
T67.5 Heat exhaustion, unspecified
Heat prostration NOS T67.6 Heat fatigue, transient T67.7 Heat oedema
T67.8 Other effects of heat and light T67.9 Effect of heat and light, unspecified
T68 Hypothermia
Incl.: accidental hypothermia
Excl.: frostbite (T33–T35) hypothermia (of):
• following anaesthesia (T88.5)
• newborn (P80.-)
• not associated with low environmental temperature (R68.0)
T69 Other effects of reduced temperature
Excl.: frostbite (T33–T35)
T69.0 Immersion hand and foot
Trench foot
T69.1 Chilblains
T69.8 Other specified effects of reduced temperature T69.9 Effect of reduced temperature, unspecified
T70 Effects of air pressure and water pressure
T70.0 Otitic barotrauma
Aero-otitis media
Effects of change in ambient atmospheric pressure or water pressure on ears
T70.1 Sinus barotrauma
Aerosinusitis
Effects of change in ambient atmospheric pressure on sinuses
T70.2 Other and unspecified effects of high altitude
Alpine sickness
Anoxia due to high altitude Barotrauma NOS Hypobaropathy
Mountain sickness
Excl.: polycythaemia due to high altitude (D75.1)
T70.3 Caisson disease [decompression sickness]
Compressed-air disease Diver’s palsy or paralysis
T70.4 Effects of high-pressure fluids
Traumatic jet injection (industrial)
T70.8 Other effects of air pressure and water pressure
Blast injury syndrome
T70.9 Effect of air pressure and water pressure, unspecified
T71 Asphyxiation
Incl.: suffocation (by strangulation) systemic oxygen deficiency due to:
• low oxygen content in ambient air
• mechanical threat to breathing
Excl.: anoxia due to high altitude (T70.2) asphyxia from:
• carbon monoxide (T58)
• inhalation of food or foreign body (T17.-)
• other gases, fumes and vapours (T59.-) respiratory distress:
• syndrome in adult (J80)
• in newborn (P22.-)
T73 Effects of other deprivation
T73.0 Effects of hunger
Deprivation of food Starvation
T73.1 Effects of thirst
Deprivation of water
T73.2 Exhaustion due to exposure
T73.3 Exhaustion due to excessive exertion
Overexertion
T73.8 Other effects of deprivation T73.9 Effect of deprivation, unspecified
T74 Maltreatment syndromes
Use additional code, if desired, to identify current injury.
T74.0 Neglect or abandonment T74.1 Physical abuse
Battered:
• baby or child syndrome NOS
• spouse syndrome NOS
T74.2 Sexual abuse
T74.3 Psychological abuse
T74.8 Other maltreatment syndromes
Mixed forms
T74.9 Maltreatment syndrome, unspecified
Effects of:
• abuse of adult NOS
• child abuse NOS
T75 Effects of other external causes
Excl.: adverse effects NEC (T78.-) burns (electric) (T20–T31)
T75.0 Effects of lightning
Shock from lightning Struck by lightning NOS
T75.1 Drowning and nonfatal submersion
Immersion Swimmer’s cramp
T75.2 Effects of vibration
Pneumatic hammer syndrome Traumatic vasospastic syndrome Vertigo from infrasound
T75.3 Motion sickness
Airsickness Seasickness Travel sickness
T75.4 Effects of electric current
Electrocution
Shock from electric current
T75.8 Other specified effects of external causes
Effects of:
• abnormal gravitation [G] forces
• weightlessness
T78 Adverse effects, not elsewhere classified
Note: This category is to be used as the primary code, to identify the effects, not elsewhere classifiable, of unknown, undetermined or ill-defined causes. For multiple coding purposes, this category may be used as an additional code to identify the effects of conditions classified elsewhere.
Excl.: complications of surgical and medical care NEC (T80–T88)
T78.0 Anaphylactic shock due to adverse food reaction T78.1 Other adverse food reactions, not elsewhere classified
Excl.: bacterial foodborne intoxications (A05.-) dermatitis due to food (L27.2)
dermatitis due to food:
• in contact with the skin (L23.6, L24.6, L25.4)
T78.2 Anaphylactic shock, unspecified
Allergic shock
Anaphylactic reaction Anaphylaxis
NOS
Excl.: anaphylactic shock due to:
• adverse effect of correct medicinal substance properly administered (T88.6)
• adverse food reaction (T78.0)
• serum (T80.5)
T78.3 Angioneurotic oedema
Giant urticaria Quincke oedema
Excl.: urticaria (L50.-) urticaria:
• serum (T80.6)
T78.4 Allergy, unspecified
Allergic reaction NOS Hypersensitivity NOS Idiosyncracy NOS
Excl.: allergic reaction NOS to correct medicinal substance properly administered (T88.7)
specified types of allergic reaction such as:
• allergic gastroenteritis and colitis (K52.2)
• dermatitis (L23–L25, L27.-)
• hay fever (J30.1)
T78.8 Other adverse effects, not elsewhere classified T78.9 Adverse effect, unspecified
Excl.: adverse effect of surgical and medical care NOS (T88.9)
Certain early complications of trauma (T79)
T79 Certain early complications of trauma, not elsewhere classified
Excl.: complications of surgical and medical care NEC (T80–T88) respiratory distress:
• syndrome of adult (J80)
• in newborn (P22.-)
when occurring during or following medical procedures (T80–T88)
T79.0 Air embolism (traumatic)
Excl.: air embolism complicating:
• abortion or ectopic or molar pregnancy (O00–O07, O08.2)
• pregnancy, childbirth and the puerperium (O88.0)
T79.1 Fat embolism (traumatic)
Excl.: fat embolism complicating:
• abortion or ectopic or molar pregnancy (O00–O07, O08.2)
• pregnancy, childbirth and the puerperium (O88.8)
T79.2 Traumatic secondary and recurrent haemorrhage
T79.3 Post-traumatic wound infection, not elsewhere classified
Use additional code (B95–B98), if desired, to identify infectious agent.
T79.4 Traumatic shock
Shock (immediate)(delayed) following injury
Excl.: shock:
• anaesthetic (T88.2)
• anaphylactic:
– NOS (T78.2)
– due to:
– adverse food reaction (T78.0)
– correct medicinal substance properly administered (T88.6)
– serum (T80.5)
• complicating abortion or ectopic or molar pregnancy (O00–O07, O08.3)
• electric (T75.4)
• lightning (T75.0)
• nontraumatic NEC (R57.-)
• obstetric (O75.1)
• postoperative (T81.1)
T79.5 Traumatic anuria
Crush syndrome
Renal failure following crushing
T79.6 Traumatic ischaemia of muscle
Compartment syndrome Volkmann ischaemic contracture
Excl.: anterior tibial syndrome (M76.8)
T79.7 Traumatic subcutaneous emphysema
Excl.: emphysema (subcutaneous) resulting from a procedure (T81.8)
T79.8 Other early complications of trauma T79.9 Unspecified early complication of trauma
Complications of surgical and medical care, not elsewhere classified
(T80–T88)
Use additional external cause code (Chapter XX), if desired, to identify devices involved and details of circumstances.
Use additional code (B95–B98), if desired, to identify infectious agent.
Excl.: adverse effects of drugs and medicaments (A00–R99, T78.-)
any encounters with medical care for postoperative conditions in which no complications are present, such as:
• artificial opening status (Z93.-)
• closure of external stoma (Z43.-)
• fitting and adjustment of external prosthetic device (Z44.-)
burns and corrosions from local applications and irradiation (T20–T32) complications of surgical procedures during pregnancy, childbirth and the puerperium (O00–O99)
poisoning and toxic effects of drugs and chemicals (T36–T65) specified complications classified elsewhere, such as:
• cerebrospinal fluid leak from spinal puncture (G97.0)
• colostomy malfunction (K91.4)
• disorders of fluid and electrolyte balance (E86–E87)
• functional disturbances following cardiac surgery (I97.0–I97.1)
• postgastric surgery syndromes (K91.1)
• postlaminectomy syndrome NEC (M96.1)
• postmastectomy lymphoedema syndrome (I97.2)
• postsurgical blind-loop syndrome (K91.2)
T80 Complications following infusion, transfusion and therapeutic injection
Incl.: perfusion
Excl.: bone-marrow transplant rejection (T86.0)
T80.0 Air embolism following infusion, transfusion and therapeutic injection
T80.1 Vascular complications following infusion, transfusion and therapeutic injection
Phlebitis
Thromboembolism Thrombophlebitis following infusion, transfusion and therapeutic injection
Excl.: the listed conditions when specified as:
• due to prosthetic devices, implants and grafts (T82.8, T83.8, T84.8, T85.8)
• postprocedural (T81.7)
T80.2 Infections following infusion, transfusion and therapeutic injection
Infection
Sepsis following infusion, transfusion and therapeutic injection
Use additional code (R57.2), if desired, to identify septic shock
Excl.: hepatitis, post-transfusion (B16–B19) the listed conditions when specified as:
• due to prosthetic devices, implants and grafts (T82.6–T82.7, T83.5–T83.6, T84.5–T84.7, T85.7)
• postprocedural (T81.4)
T80.3 ABO incompatibility reaction
Incompatible blood transfusion
Reaction to blood-group incompatibility in infusion or transfusion
T80.4 Rh incompatibility reaction
Reaction due to Rh factor in infusion or transfusion
T80.5 Anaphylactic shock due to serum
Excl.: shock:
• allergic NOS (T78.2)
• anaphylactic:
– NOS (T78.2)
– due to adverse effect of correct medicinal substance properly administered (T88.6)
T80.6 Other serum reactions
Intoxication by serum Protein sickness Serum:
• rash
• sickness
• urticaria
Excl.: serum hepatitis (B16–B19)
T80.8 Other complications following infusion, transfusion and therapeutic injection
T80.9 Unspecified complication following infusion, transfusion and therapeutic injection
Transfusion reaction NOS
T81 Complications of procedures, not elsewhere classified
Excl.: adverse effect of drug NOS (T88.7) complication following:
• immunization (T88.0–T88.1)
• infusion, transfusion and therapeutic injection (T80.-) specified complications classified elsewhere, such as:
• complications of prosthetic devices, implants and grafts (T82–T85)
• dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0–L27.1)
• failure and rejection of transplanted organs and tissues (T86.-)
• poisoning and toxic effects of drugs and chemicals (T36–T65)
T81.0 Haemorrhage and haematoma complicating a procedure, not elsewhere classified
Haemorrhage at any site resulting from a procedure
Excl.: haematoma of obstetric wound (O90.2)
haemorrhage due to prosthetic devices, implants and grafts (T82.8, T83.8, T84.8, T85.8)
T81.1 Shock during or resulting from a procedure, not elsewhere classified
Collapse NOS
Shock (endotoxic) (hypovolaemic)
during or following a procedure
Postoperative shock NOS
Use additional code (R57.2) , if desired, to identify septic shock
Excl.: shock:
• anaesthetic (T88.2)
• anaphylactic:
– NOS (T78.2)
– due to:
– correct medicinal substance properly administered (T88.6)
– serum (T80.5)
• electric (T75.4)
• following abortion or ectopic or molar pregnancy (O00–O07, O08.3)
• obstetric (O75.1)
• traumatic (T79.4)
T81.2 Accidental puncture and laceration during a procedure, not elsewhere classified
Accidental
perforation of:
• blood vessel
• nerve
• organ
by catheter endoscope instrument probe
during a procedure
Excl.: damage from instruments during delivery (O70–O71) perforation, puncture or laceration caused by device or implant intentionally left in operation wound (T82–T85)
specified complications classified elsewhere, such as broad ligament laceration syndrome [Allen–Masters] (N83.8)
T81.3 Disruption of operation wound, not elsewhere classified
Dehiscence
Rupture of operation wound
Excl.: disruption of:
• caesarean-section wound (O90.0)
• perineal obstetric wound (O90.1)
T81.4 Infection following a procedure, not elsewhere classified
Abscess:
• intra-abdominal
• stitch
• subphrenic
• wound
Sepsis
postprocedural
Use additional code, if desired, to identify other manifestations of infection, such as sepsis or abscess.
Excl.: infection due to:
• infusion, transfusion and therapeutic injection (T80.2)
• prosthetic devices, implants and grafts (T82.6–T82.7, T83.5– T83.6, T84.5–T84.7, T85.7)
obstetric surgical wound infection (O86.0)
T81.5 Foreign body accidentally left in body cavity or operation wound following a procedure
Adhesions
Obstruction Perforation due to foreign body accidentally left in operation wound or body cavity
Excl.: obstruction or perforation due to prosthetic devices and implants intentionally left in body (T82.0–T82.5, T83.0–T83.4, T84.0– T84.4, T85.0–T85.6)
T81.6 Acute reaction to foreign substance accidentally left during a procedure
Peritonitis:
• aseptic
• chemical
T81.7 Vascular complications following a procedure, not elsewhere classified
Air embolism following procedure NEC
Excl.: embolism:
• complicating:
– abortion or ectopic or molar pregnancy (O00–O07, O08.2)
– pregnancy, childbirth and the puerperium (O88.-)
• due to prosthetic devices, implants and grafts (T82.8, T83.8, T84.8, T85.8)
• following infusion, transfusion and therapeutic injection (T80.0)
• traumatic (T79.0)
T81.8 Other complications of procedures, not elsewhere classified
Complication of inhalation therapy
Emphysema (subcutaneous) resulting from a procedure Persistent postoperative fistula
Excl.: hypothermia following anaesthesia (T88.5) malignant hyperthermia due to anaesthesia (T88.3)
T81.9 Unspecified complication of procedure
T82 Complications of cardiac and vascular prosthetic devices, implants and grafts
Excl.: failure and rejection of transplanted organs and tissues (T86.-)
T82.0 Mechanical complication of heart valve prosthesis
Breakdown (mechanical)
Displacement Leakage Malposition
Obstruction, mechanical Perforation
Protrusion
due to heart valve prosthesis
T82.1 Mechanical complication of cardiac electronic device
Conditions listed in T82.0 due to:
• electrodes
• pulse generator (battery)
T82.2 Mechanical complication of coronary artery bypass and valve grafts
Conditions listed in T82.0 due to coronary artery bypass and valve grafts
T82.3 Mechanical complication of other vascular grafts
Conditions listed in T82.0 due to:
• aortic (bifurcation) graft (replacement)
• arterial (carotid) (femoral) graft (bypass)
T82.4 Mechanical complication of vascular dialysis catheter
Conditions listed in T82.0 due to vascular dialysis catheter
Excl.: mechanical complication of intraperitoneal dialysis catheter (T85.6)
T82.5 Mechanical complication of other cardiac and vascular devices and implants
Conditions listed in T82.0 due to:
• arteriovenous:
– fistula, surgically created
– shunt, surgically created
• artificial heart
• balloon (counterpulsation) device
• infusion catheter
• umbrella device
Excl.: mechanical complication of epidural and subdural infusion catheter (T85.6)
T82.6 Infection and inflammatory reaction due to cardiac valve prosthesis
T82.7 Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts
T82.8 Other specified complications of cardiac and vascular prosthetic devices, implants and grafts
Embolism
Fibrosis Haemorrhage Pain
Stenosis Thrombosis
due to cardiac and vascular prosthetic devices, implants and grafts
T82.9 Unspecified complication of cardiac and vascular prosthetic device, implant and graft
T83 Complications of genitourinary prosthetic devices, implants and grafts
Excl.: failure and rejection of transplanted organs and tissues (T86.-)
T83.0 Mechanical complication of urinary (indwelling) catheter
Conditions listed in T82.0 due to:
• catheter:
– cystostomy
– urethral, indwelling
T83.1 Mechanical complication of other urinary devices and implants
Conditions listed in T82.0 due to:
• urinary:
– electronic stimulator device
– sphincter implant
– stent
T83.2 Mechanical complication of graft of urinary organ
Conditions listed in T82.0 due to graft of urinary organ
T83.3 Mechanical complication of intrauterine contraceptive device
Conditions listed in T82.0 due to intrauterine contraceptive device
T83.4 Mechanical complication of other prosthetic devices, implants and grafts in genital tract
Conditions listed in T82.0 due to (implanted) penile prosthesis
T83.5 Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system
T83.6 Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract
T83.8 Other complications of genitourinary prosthetic devices, implants and grafts
Conditions listed in T82.8 due to genitourinary prosthetic devices, implants and grafts
T83.9 Unspecified complication of genitourinary prosthetic device, implant and graft
T84 Complications of internal orthopaedic prosthetic devices, implants and grafts
Excl.: failure and rejection of transplanted organs and tissues (T86.-) fracture of bone following insertion of orthopaedic implant, joint prosthesis or bone plate (M96.6)
T84.0 Mechanical complication of internal joint prosthesis
Conditions listed in T82.0 due to joint prosthesis
T84.1 Mechanical complication of internal fixation device of bones of limb
Conditions listed in T82.0 due to internal fixation device of bones of limb
T84.2 Mechanical complication of internal fixation device of other bones
Conditions listed in T82.0 due to internal fixation device of other bones
T84.3 Mechanical complication of other bone devices, implants and grafts
Conditions listed in T82.0 due to:
• bone graft
• electronic bone stimulator
T84.4 Mechanical complication of other internal orthopaedic devices, implants and grafts
Conditions listed in T82.0 due to muscle and tendon graft
T84.5 Infection and inflammatory reaction due to internal joint prosthesis
T84.6 Infection and inflammatory reaction due to internal fixation device [any site]
T84.7 Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts
T84.8 Other complications of internal orthopaedic prosthetic devices, implants and grafts
Conditions listed in T82.8 due to internal orthopaedic prosthetic devices, implants and grafts
T84.9 Unspecified complication of internal orthopaedic prosthetic device, implant and graft
T85 Complications of other internal prosthetic devices, implants and grafts
Excl.: failure and rejection of transplanted organs and tissues (T86.-)
T85.0 Mechanical complication of ventricular intracranial (communicating) shunt
Conditions listed in T82.0 due to ventricular intracranial (communicating) shunt
T85.1 Mechanical complication of implanted electronic stimulator of nervous system
Conditions listed in T82.0 due to electronic neurostimulator (electrode) of:
• brain
• peripheral nerve
• spinal cord
T85.2 Mechanical complication of intraocular lens
Conditions listed in T82.0 due to intraocular lens
T85.3 Mechanical complication of other ocular prosthetic devices, implants and grafts
Conditions listed in T82.0 due to:
• corneal graft
• prosthetic orbit of eye
T85.4 Mechanical complication of breast prosthesis and implant
Conditions listed in T82.0 due to breast prosthesis and implant
T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and grafts
Conditions listed in T82.0 due to:
• bile-duct prosthesis
• oesophageal anti-reflux device
T85.6 Mechanical complication of other specified internal prosthetic devices, implants and grafts
Conditions listed in T82.0 due to:
• epidural and subdural infusion catheter
• intraperitoneal dialysis catheter
• nonabsorbable surgical material NOS
• permanent sutures
Excl.: mechanical complication of permanent (wire) suture used in bone repair (T84.1–T84.2)
T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
T85.8 Other complications of internal prosthetic devices, implants and grafts, not elsewhere classified
Conditions listed in T82.8 due to internal prosthetic devices, implants and grafts NEC
T85.9 Unspecified complication of internal prosthetic device, implant and graft
Complication of internal prosthetic device, implant and graft NOS
T86 Failure and rejection of transplanted organs and tissues
T86.0 Bone-marrow transplant rejection
Graft-versus-host reaction or disease
T86.1 Kidney transplant failure and rejection T86.2 Heart transplant failure and rejection
Excl.: complication of:
• artificial heart device (T82.5)
• heart-lung transplant (T86.3)
T86.3 Heart-lung transplant failure and rejection T86.4 Liver transplant failure and rejection
T86.8 Failure and rejection of other transplanted organs and tissues
Transplant failure or rejection of:
• bone
• intestine
• lung
• pancreas
• skin (allograft) (autograft)
T86.9 Failure and rejection of unspecified transplanted organ and tissue
T87 Complications peculiar to reattachment and amputation
T87.0 Complications of reattached (part of) upper extremity T87.1 Complications of reattached (part of) lower extremity T87.2 Complications of other reattached body part
T87.3 Neuroma of amputation stump T87.4 Infection of amputation stump T87.5 Necrosis of amputation stump
T87.6 Other and unspecified complications of amputation stump
Amputation stump:
• contracture (flexion)(of next proximal joint)
• haematoma
• oedema
Excl.: phantom limb syndrome (G54.6–G54.7)
T88 Other complications of surgical and medical care, not elsewhere classified
Excl.: accidental puncture or laceration during a procedure (T81.2) complications following:
• infusion, transfusion and therapeutic injection (T80.-)
• procedure NEC (T81.-)
specified complications classified elsewhere, such as:
• complications of:
– anaesthesia in:
– labour and delivery (O74.-)
– pregnancy (O29.-)
– puerperium (O89.-)
• devices, implants and grafts (T82–T85)
• obstetric surgery and procedures (O75.4)
• dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0–L27.1)
• poisoning and toxic effects of drugs and chemicals (T36–T65)
T88.0 Infection following immunization
Sepsis following immunization
T88.1 Other complications following immunization, not elsewhere classified
Rash following immunization
Excl.: anaphylactic shock due to serum (T80.5) other serum reactions (T80.6) postimmunization:
• arthropathy (M02.2)
• encephalitis (G04.0)
T88.2 Shock due to anaesthesia
Shock due to anaesthesia in which the correct substance was properly administered
Excl.: complications of anaesthesia (in):
• from overdose or wrong substance given (T36–T50)
• labour and delivery (O74.-)
• pregnancy (O29.-)
• puerperium (O89.-) postoperative shock NOS (T81.1)
T88.3 Malignant hyperthermia due to anaesthesia T88.4 Failed or difficult intubation
T88.5 Other complications of anaesthesia
Hypothermia following anaesthesia
T88.6 Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
Excl.: anaphylactic shock due to serum (T80.5)
T88.7 Unspecified adverse effect of drug or medicament
Adverse effect of
Allergic reaction to Hypersensitivity to Idiosyncracy to
correct drug or medicament properly administered
Drug:
• hypersensitivity NOS
• reaction NOS
Excl.: specified adverse effects of drugs and medicaments (A00–R99, T80–T88.6, T88.8)
T88.8 Other specified complications of surgical and medical care, not elsewhere classified
T88.9 Complication of surgical and medical care, unspecified
Excl.: adverse effect NOS (T78.9)
Sequelae of injuries, of poisoning and of other consequences of external causes
(T90–T98)
Note: Categories T90–T98 are to be used to indicate conditions in S00–S99 and T00–T88 as the cause of late effects, which are themselves classified elsewhere. The ‘sequelae’ include those specified as such, or as late effects, and those present one year or more after the acute injury.
Not to be used for chronic poisoning and harmful exposure. Code these to current poisoning and harmful exposure.
T90 Sequelae of injuries of head
T90.0 Sequelae of superficial injury of head
Sequelae of injury classified to S00.-
T90.1 Sequelae of open wound of head
Sequelae of injury classifiable to S01.-
T90.2 Sequelae of fracture of skull and facial bones
Sequelae of injury classifiable to S02.-
T90.3 Sequelae of injury of cranial nerves
Sequelae of injury classifiable to S04.-
T90.4 Sequelae of injury of eye and orbit
Sequelae of injury classifiable to S05.-
T90.5 Sequelae of intracranial injury
Sequelae of injury classifiable to S06.-
T90.8 Sequelae of other specified injuries of head
Sequelae of injury classifiable to S03.-, S07–S08 and S09.0–S09.8
T90.9 Sequelae of unspecified injury of head
Sequelae of injury classifiable to S09.9
T91 Sequelae of injuries of neck and trunk
T91.0 Sequelae of superficial injury and open wound of neck and trunk
Sequelae of injury classifiable to S10–S11, S20–S21, S30–S31 and T09.0–T09.1
T91.1 Sequelae of fracture of spine
Sequelae of injury classifiable to S12.-, S22.0–S22.1, S32.0, S32.7 and T08
T91.2 Sequelae of other fracture of thorax and pelvis
Sequelae of injury classifiable to S22.2–S22.9, S32.1–S32.5 and S32.8
T91.3 Sequelae of injury of spinal cord
Sequelae of injury classifiable to S14.0–S14.1, S24.0–S24.1, S34.0–S34.1 and T09.3
T91.4 Sequelae of injury of intrathoracic organs
Sequelae of injury classifiable to S26–S27
T91.5 Sequelae of injury of intra-abdominal and pelvic organs
Sequelae of injury classifiable to S36–S37
T91.8 Sequelae of other specified injuries of neck and trunk Sequelae of injury classifiable to S13.-, S14.2–S14.6, S15–S18, S19.7– S19.8, S23.-, S24.2–S24.6, S25.-, S28.-, S29.0–S29.8, S33.-, S34.2– S34.8, S35.-, S38.-, S39.0–S39.8, T09.2 and T09.4–T09.8
T91.9 Sequelae of unspecified injury of neck and trunk
Sequelae of injury classifiable to S19.9, S29.9, S39.9 and T09.9
T92 Sequelae of injuries of upper limb
T92.0 Sequelae of open wound of upper limb
Sequelae of injury classifiable to S41.-, S51.-, S61.- and T11.1
T92.1 Sequelae of fracture of arm
Sequelae of injury classifiable to S42.-, S52.- and T10
T92.2 Sequelae of fracture at wrist and hand level
Sequelae of injury classifiable to S62.-
T92.3 Sequelae of dislocation, sprain and strain of upper limb
Sequelae of injury classifiable to S43.-, S53.-, S63.- and T11.2
T92.4 Sequelae of injury of nerve of upper limb
Sequelae of injury classifiable to S44.-, S54.-, S64.- and T11.3
T92.5 Sequelae of injury of muscle and tendon of upper limb
Sequelae of injury classifiable to S46.-, S56.-, S66.- and T11.5
T92.6 Sequelae of crushing injury and traumatic amputation of upper limb
Sequelae of injury classifiable to S47–S48, S57–S58, S67–S68 and T11.6
T92.8 Sequelae of other specified injuries of upper limb
Sequelae of injury classifiable to S40.-, S45.-, S49.7–S49.8, S50.-, S55.-, S59.7–S59.8, S60.-, S65.-, S69.7–S69.8, T11.0, T11.4 and T11.8
T92.9 Sequelae of unspecified injury of upper limb
Sequelae of injury classifiable to S49.9, S59.9, S69.9 and T11.9
T93 Sequelae of injuries of lower limb
T93.0 Sequelae of open wound of lower limb
Sequelae of injury classifiable to S71.-, S81.-, S91.- and T13.1
T93.1 Sequelae of fracture of femur
Sequelae of injury classifiable to S72.-
T93.2 Sequelae of other fractures of lower limb
Sequelae of injury classifiable to S82.-, S92.- and T12
T93.3 Sequelae of dislocation, sprain and strain of lower limb
Sequelae of injury classifiable to S73.-, S83.-, S93.- and T13.2
T93.4 Sequelae of injury of nerve of lower limb
Sequelae of injury classifiable to S74.-, S84.-, S94.- and T13.3
T93.5 Sequelae of injury of muscle and tendon of lower limb
Sequelae of injury classifiable to S76.-, S86.-, S96.- and T13.5
T93.6 Sequelae of crushing injury and traumatic amputation of lower limb
Sequelae of injury classifiable to S77–S78, S87–S88, S97–S98 and T13.6
T93.8 Sequelae of other specified injuries of lower limb
Sequelae of injury classifiable to S70.-, S75.-, S79.7–S79.8, S80.-, S85.-, S89.7–S89.8, S90.-, S95.-, S99.7–S99.8, T13.0, T13.4 and T13.8
T93.9 Sequelae of unspecified injury of lower limb
Sequelae of injury classifiable to S79.9, S89.9, S99.9 and T13.9
T94 Sequelae of injuries involving multiple and unspecified body regions
T94.0 Sequelae of injuries involving multiple body regions
Sequelae of injury classifiable to T00–T07
T94.1 Sequelae of injuries, not specified by body region
Sequelae of injury classifiable to T14.-
T95 Sequelae of burns, corrosions and frostbite
T95.0 Sequelae of burn, corrosion and frostbite of head and neck Sequelae of injury classifiable to T20.-, T33.0–T33.1, T34.0–T34.1 and T35.2
T95.1 Sequelae of burn, corrosion and frostbite of trunk Sequelae of injury classifiable to T21.-, T33.2–T33.3, T34.2–T34.3 and T35.3
T95.2 Sequelae of burn, corrosion and frostbite of upper limb Sequelae of injury classifiable to T22–T23, T33.4–T33.5, T34.4–T34.5 and T35.4
T95.3 Sequelae of burn, corrosion and frostbite of lower limb Sequelae of injury classifiable to T24–T25, T33.6–T33.8, T34.6–T34.8 and T35.5
T95.4 Sequelae of burn and corrosion classifiable only according to extent of body surface involved
Sequelae of injury classifiable to T31–T32
T95.8 Sequelae of other specified burn, corrosion and frostbite
Sequelae of injury classifiable T26–T29, T35.0–T35.1 and T35.6
T95.9 Sequelae of unspecified burn, corrosion and frostbite
Sequelae of injury classifiable to T30.-, T33.9, T34.9 and T35.7
T96 Sequelae of poisoning by drugs, medicaments and biological substances
Incl.: sequelae of poisoning classifiable to T36–T50
T97 Sequelae of toxic effects of substances chiefly nonmedicinal as to source
Incl.: sequelae of toxic effects classifiable to T51–T65
T98 Sequelae of other and unspecified effects of external causes
T98.0 Sequelae of effects of foreign body entering through natural orifice
Sequelae of effects classifiable to T15–T19
T98.1 Sequelae of other and unspecified effects of external causes
Sequelae of effects classifiable to T66–T78
T98.2 Sequelae of certain early complications of trauma
Sequelae of complications classifiable to T79.-
T98.3 Sequelae of complications of surgical and medical care, not elsewhere classified
Sequelae of complications classifiable to T80–T88
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