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Chapter XIX

Injury, poisoning and certain other consequences of external causes - S00-T98


Excludes:

  • birth trauma ( P10-P15 )
  • obstetric trauma (O70-O71)

    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 parts of trunk, limb or body region
    • T15-T19 Effects of foreign body entering through natural orifice
      • T20-T25 Burns and corrosions of external body surface, specified by site
      • T20-T32 Burns and corrosions
      • 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 (with or without delayed healing ):
      - comminuted
      - depressed
      - elevated
      - fissured
      - greenstick
      - impacted
      - linear
      - march
      - simple
      - slipped epiphysis
      - spiral
    • dislocated
    • displaced
    Fracture:
    • open (with or without delayed healing):
      - compound
      - infected
      - missile
      - puncture
      - with foreign body
    Excludes:
    • fracture:
      - 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

    (of cartilage, joint (capsule), ligament)
    • avulsion
    • laceration
    • sprain
    • strain
    • traumatic:
      - haemarthrosis
      - rupture
      - subluxation
      - tear
    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:

    (of blood vessels)
    • avulsion
    • cut
    • laceration
    • traumatic:
      - aneurysm or fistula (arteriovenous)
      - arterial haematoma
      - rupture
    Injury to muscle, fascia and tendon including:

    (of muscle, fascia and tendon )
    • avulsion
    • cut
    • laceration
    • traumatic rupture
    Crushing injury

    Traumatic amputation

    Injury to internal organs including:

    (of internal organs )
    • blast injuries
    • bruise
    • concussion injuries
    • crushing
    • laceration
    • traumatic:
      - haematoma
      - puncture
      - rupture
    Other and unspecified injuries







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