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
BlockT80-T88Complications of surgical and medical care, not elsewhere classifiedOpen
Coding note
Exclusions
- 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.-)
- any encounters with medical care for postoperative conditions in which no complications are present, such as: closure of external stoma (Z43.-)
- any encounters with medical care for postoperative conditions in which no complications are present, such as: 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)
- specified complications classified elsewhere, such as: colostomy malfunction (K91.4)
- specified complications classified elsewhere, such as: disorders of fluid and electrolyte balance (E86, E87)
- specified complications classified elsewhere, such as: functional disturbances following cardiac surgery (I97.0, I97.1)
- specified complications classified elsewhere, such as: postgastric surgery syndromes (K91.1)
- specified complications classified elsewhere, such as: postlaminectomy syndrome NEC (M96.1)
- specified complications classified elsewhere, such as: postmastectomy lymphoedema syndrome (I97.2)
- specified complications classified elsewhere, such as: postsurgical blind-loop syndrome (K91.2)
CategoryT81Complications of procedures, not elsewhere classifiedOpen
Exclusions
- adverse effect of drug NOS (T88.7)
- complication following: immunization (T88.0, T88.1)
- complication following: infusion, transfusion and therapeutic injection (T80.-)
- specified complications classified elsewhere, such as: complications of prosthetic devices, implants and grafts (T82, T83, T84, T85)
- specified complications classified elsewhere, such as: dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0, L27.1)
- specified complications classified elsewhere, such as: failure and rejection of transplanted organs and tissues (T86.-)
- specified complications classified elsewhere, such as: poisoning and toxic effects of drugs and chemicals (T36-T65)
Other complications of procedures, not elsewhere classified
Inclusions
- Complication of inhalation therapy
- Emphysema (subcutaneous) resulting from a procedure
- Persistent postoperative fistula