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Chapter XX

External causes of morbidity and mortality - V01-Y98


This chapter, which in previous revisions of ICD constituted a supplementary classification, permits the classification of environmental events and circumstances as the cause of injury, poisoning and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used in addition to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter XIX, Injury, poisoning and certain other consequences of external causes (S00-T98). Causes of death should preferably be tabulated according to both Chapter XIX and Chapter XX, but if only one code is tabulated then the code from Chapter XX should be used in preference. Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter XX should be used to provide additional information for multiple-condition analysis only.

Categories for sequelae of external causes of morbidity and mortality are included at Y85-Y89.

This chapter contains the following blocks:
  • V01-V09 Pedestrian injured in transport accident
    • V01-V99 Transport accidents
      • V01-X59 Accidents
      • V10-V19 Pedal cyclist injured in transport accident
      • V20-V29 Motorcycle rider injured in transport accident
      • V30-V39 Occupant of three-wheeled motor vehicle injured in transport accident
      • V40-V49 Car occupant injured in transport accident
      • V50-V59 Occupant of pick-up truck or van injured in transport accident
      • V60-V69 Occupant of heavy transport vehicle injured in transport accident
      • V70-V79 Bus occupant injured in transport accident
      • V80-V89 Other land transport accidents
      • V90-V94 Water transport accidents
      • V95-V97 Air and space transport accidents
      • V98-V99 Other and unspecified transport accidents
    • W00-X59 Other external causes of accidental injury
      • W00-W19 Falls
      • W20-W49 Exposure to inanimate mechanical forces
      • W50-W64 Exposure to animate mechanical forces
      • W65-W74 Accidental drowning and submersion
      • W75-W84 Other accidental threats to breathing
      • W85-W99 Exposure to electric current, radiation and extreme ambient air temperature and pressure
      • X00-X09 Exposure to smoke, fire and flames
      • X10-X19 Contact with heat and hot substances
      • X20-X29 Contact with venomous animals and plants
      • X30-X39 Exposure to forces of nature
      • X40-X49 Accidental poisoning by and exposure to noxious substances
      • X50-X57 Overexertion, travel and privation
      • X58-X59 Accidental exposure to other and unspecified factors
  • X60-X84 Intentional self-harm
  • X85-Y09 Assault
  • Y10-Y34 Event of undetermined intent
  • Y35-Y36 Legal intervention and operations of war
  • Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use
    • Y40-Y84 Complications of medical and surgical care
    • Y60-Y69 Misadventures to patients during surgical and medical care
    • Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use
    • Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
  • Y85-Y89 Sequelae of external causes of morbidity and mortality
  • Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere
Place of occurrence code

The following fourth-character subdivisions are for use with categories W00-Y34 except Y06.-and Y07.- to identify the place of occurrence of the external cause where relevant:
  1. Home
    • Apartment
    • Boarding-house
    • Caravan [trailer] park, residential
    • Farmhouse
    • Home premises
    • House (residential)
    • Noninstitutional place of residence
    • Private:
      - driveway to home
      - garage
      - garden to home
      - yard to home
    • Swimming-pool in private house or garden

    Excludes:
    • abandoned or derelict house (8.)
    • home under construction but not yet occupied (6.)
    • institutional place of residence (1.)

  2. Residential institution
    • Children's home
    • Dormitory
    • Home for the sick
    • Hospice
    • Military camp
    • Nursing home
    • Old people's home
    • Orphanage
    • Pensioner's home
    • Prison
    • Reform school

  3. School, other institution and public administrative area
    • Building (including adjacent grounds) used by the general public or by a particular group of the public such as:
      - assembly hall
      - campus
      - church
      - cinema
      - clubhouse
      - college
      - court-house
      - dancehall
      - day nursery
      - gallery
      - hospital
      - institute for higher education
      - kindergarten
      - library
      - movie-house
      - museum
      - music-hall
      - opera-house
      - post office
      - public hall
      - school (private)(public)(state)
      - theatre
      - university
      - youth centre

    Excludes:
    • building under construction (6.)
    • residential institution (1.)
    • sports and athletics area (3.)

  4. Sports and athletics area
    • Baseball field
    • Basketball-court
    • Cricket ground
    • Football field
    • Golf-course
    • Gymnasium
    • Hockey field
    • Riding-school
    • Skating-rink
    • Squash-court
    • Stadium
    • Swimming-pool, public
    • Tennis-court

    Excludes:
    • swimming-pool or tennis-court in private home or garden (0.)

  5. Street and highway
    • Freeway
    • Motorway
    • Pavement
    • Road
    • Sidewalk

  6. Trade and service area
    • Airport
    • Bank
    • Cafe
    • Casino
    • Garage (commercial)
    • Gas station
    • Hotel
    • Market
    • Office building
    • Petrol station
    • Radio or television station
    • Restaurant
    • Service station
    • Shop (commercial)
    • Shopping mall
    • Station (bus)(railway)
    • Store
    • Supermarket
    • Warehouse

    Excludes:
    • garage in private home (0.)

  7. Industrial and construction area
    • Building [any] under construction
    • Dockyard
    • Dry dock
    • Factory:
      - building
    • - premises
    • Gasworks
    • Industrial yard
    • Mine
    • Oil rig and other offshore installations
    • Pit (coal)(gravel)(sand)
    • Power-station (coal)(nuclear)(oil)
    • Shipyard
    • Tunnel under construction
    • Workshop

  8. Farm
    • Farm:
      - buildings
      - land under cultivation
    • Ranch

    Excludes:
    • farmhouse and home premises of farm (0.)

  9. Other specified places
    • Beach
    • Campsite
    • Canal
    • Caravan site NOS
    • Derelict house
    • Desert
    • Dock NOS
    • Forest
    • Harbour
    • Hill
    • Lake
    • Marsh
    • Military training ground
    • Mountain
    • Park (amusement) (public)
    • Parking-lot and parking-place
    • Pond or pool
    • Prairie
    • Public place NOS
    • Railway line
    • River
    • Sea
    • Seashore
    • Stream
    • Swamp
    • Water reservoir
    • Zoo

  10. Unspecified place
Activity code

The following subclassification is provided for optional use in a supplementary character position with categories V01-Y34 to indicate the activity of the injured person at the time the event occurred. This subclassification should not be confused with, or be used instead of, the recommended fourth-character subdivisions provided to indicate the place of occurrence of events classifiable to W00-Y34.
  1. While engaged in sports activity
    • Physical exercise with a described functional element such as: - golf
      - jogging
      - riding
      - school athletics
      - skiing
      - swimming
      - trekking
      - water-skiing

  2. While engaged in leisure activity
    • Hobby activities
    • Leisure-time activities with an entertainment element such as going to the cinema, to a dance or to a party
    • Participation in sessions and activities of voluntary organizations

    Excludes:
    • sports activities (0)

  3. While working for income
    • Paid work (manual)(professional)
    • Transportation (time) to and from such activities
    • Work for salary, bonus and other types of income

  4. While engaged in other types of work
    • Domestic duties such as:
      - caring for children and relatives
      - cleaning
      - cooking
      - gardening
      - household maintenance
    • Duties for which one would not normally gain an income
    • Learning activities, e.g. attending school session or lesson
    • Undergoing education

  5. While resting, sleeping, eating or engaging in other vital activities
    • Personal hygiene

  6. While engaged in other specified activities
  7. During unspecified activity






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