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:
| with or without delayed healing |
-
dislocated
-
displaced
Fracture:
| open:
| 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:
| 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:
| 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:
| of internal organs |
Other and unspecified injuries
BlockT36-T50Poisoning by drugs, medicaments and biological substancesOpen
Inclusions
- overdose of these substances
- wrong substance given or taken in error
Exclusions
- 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.-)
- 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: blood disorders (D50-D76)
- 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: dermatitis: contact (L23, L24, L25)
- 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: dermatitis: due to substances taken internally (L27.-)
- 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: nephropathy (N14.0, N14.1, N14.2)
- 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: 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)
CategoryT50Poisoning by diuretics and other and unspecified drugs, medicaments and biological substancesOpen
Poisoning: Diagnostic agents