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)
BlockT80-T88Complications of surgical and medical care, not elsewhere classifiedOpen

Coding note

Use additional external cause code (Chapter XX), if desired, to identify devices involved and details of circumstances.
Use additional code (B95-B98), if desired, to identify infectious agent.

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)
CategoryT85Complications of other internal prosthetic devices, implants and graftsOpen

Exclusions

  • failure and rejection of transplanted organs and tissues (T86.-)

T85.2

CategoryBlock T80-T88Chapter XIX

Mechanical complication of intraocular lens

Inclusions

  • Conditions listed in T82.0 due to intraocular lens
Parent: T85 Complications of other internal prosthetic devices, implants and grafts