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

The following categories are provided to to be used as separate variables in addition to ICD categories W00-Y34 to identify the place of occurrence of the external cause where relevant:

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
BlockY40-Y84Complications of medical and surgical careOpen

Inclusions

  • complications of medical devices
  • correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect
  • misadventures to patients during surgical and medical care
  • surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Exclusions

  • accidental overdose of drug or wrong drug given or taken in error (X40, X41, X42, X43, X44)
BlockY40-Y59Drugs, medicaments and biological substances causing adverse effects in therapeutic useOpen

Note

For list of specific drugs classified under the fourth-character subdivisions, see Table of drugs and chemicals in Alphabetical Index.

Exclusions

  • accidents in the technique of administration of drugs, medicaments and biological substances in medical and surgical procedures (Y60-Y69)
CategoryY59Other and unspecified vaccines and biological substancesOpen

Immunoglobulin

Parent: Y59 Other and unspecified vaccines and biological substances