ICD-10

From parent levels

ChapterXIXInjury, poisoning and certain other consequences of external causesOpen

Introduction

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

with or without delayed healing

Excl.: 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:

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

Exclusions

  • 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)
BlockS80-S89Injuries to the knee and lower legOpen

Inclusions

  • fracture of ankle and malleolus

Exclusions

  • 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)
  • injuries of: leg, level unspecified (T12, T13)
  • insect bite or sting, venomous (T63.4)
CategoryS85Injury of blood vessels at lower leg levelOpen

Exclusions

  • injury of blood vessels at ankle and foot level (S95.-)

S85.9

CategoryResidualBlock S80-S89Chapter XIX

Injury of unspecified blood vessel at lower leg level

Parent: S85 Injury of blood vessels at lower leg level