From parent levels
ChapterXXExternal causes of morbidity and mortalityOpen
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.
Modifiers
- Place of occurrence
- .0 Home
- Apartment
- Boarding-house
- Caravan [trailer] park, residential
- Farmhouse
- Home premises
- House (residential)
- Noninstitutional place of residence
- Private: driveway to home
- Private: garage
- Private: garden to home
- Private: yard to home
- Swimming-pool in private house or garden
- abandoned or derelict house8
- home under construction but not yet occupied6
- institutional place of residence1
- .1 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
- .2 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
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: campus
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: church
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: cinema
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: clubhouse
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: college
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: court-house
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: dancehall
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: day nursery
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: gallery
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: hospital
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: institute for higher education
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: kindergarten
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: library
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: movie-house
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: museum
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: music-hall
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: opera-house
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: post office
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: public hall
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: school (private)(public)(state)
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: theatre
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: university
- Building (including adjacent grounds) used by the general public or by a particular group of the public such as: youth centre
- building under construction 6
- residential institution 1
- sports and athletics area 3
- .3 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
- swimming-pool or tennis-court in private home or garden0
- .4 Street and highway
- Freeway
- Motorway
- Pavement
- Road
- Sidewalk
- .5 Trade and service area
- Airport
- Bank
- Café
- 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
- garage in private home0
- .6 Industrial and construction area
- Building [any] under construction
- Dockyard
- Dry dock
- Factory: building
- Factory: 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
- .7 Farm
- Farm: buildings
- Farm: land under cultivation
- Ranch
- farmhouse and home premises of farm0
- .8 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
- .9 Unspecified place
- Activity
- .0 While engaged in sports activity
- Physical exercise with a described functional element such as: golf
- Physical exercise with a described functional element such as: jogging
- Physical exercise with a described functional element such as: riding
- Physical exercise with a described functional element such as: school athletics
- Physical exercise with a described functional element such as: skiing
- Physical exercise with a described functional element such as: swimming
- Physical exercise with a described functional element such as: trekking
- Physical exercise with a described functional element such as: water-skiing
- .1 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
- sports activities0
- .2 While working for income
- Paid work (manual)(professional)
- Transportation (time) to and from such activities
- Work for salary, bonus and other types of income
- .3 While engaged in other types of work
- Domestic duties such as: caring for children and relatives
- Domestic duties such as: cleaning
- Domestic duties such as: cooking
- Domestic duties such as: gardening
- Domestic duties such as: household maintenance
- Duties for which one would not normally gain an income
- Learning activities, e.g. attending school session or lesson
- Undergoing education
- .4 While resting, sleeping, eating or engaging in other vital activities
- Personal hygiene
- .8 While engaged in other specified activities
- .9 During unspecified activity
BlockV01-X59AccidentsOpen
BlockW00-X59Other external causes of accidental injuryOpen
BlockX40-X49Accidental poisoning by and exposure to noxious substancesOpen
Note
For list of specific drugs and other substances classified under the three-character categories, see Table of drugs and chemicals in Alphabetical Index. Evidence of alcohol involvement in combination with substances specified below may be identified by using the supplementary codes Y90, Y91. See at the beginning of this chapter for the classification of the place of occurrence and activity
Inclusions
- accidental overdose of drug, wrong drug given or taken in error, and drug taken inadvertently
- accidents in the use of drugs, medicaments and biological substances in medical and surgical procedures
- (self-inflicted) poisoning, when not specified whether accidental or with intent to harm. Follow legal rulings when available (see note at Y10-Y34).
Exclusions
- administration with suicidal or homicidal intent, or intent to harm, or in other circumstances classifiable to X60, X61, X62, X63, X64, X65, X66, X67, X68, X69, X85, X86, X87, X88, X89, X90, Y10, Y11, Y12, Y13, Y14, Y15, Y16, Y17, Y18, Y19
- correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect (Y40-Y59)
Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system
Inclusions
- parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics
- parasympathomimetics [cholinergics]
- sympatholytics [antiadrenergics]
- sympathomimetics [adrenergics]