XVII. INJURY AND POISONING Note: 1. 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. 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 word "finger" includes thumb. 2. Categories for "late effect" of injuries are to be found at 905-909. 3. The codes in Chapter XVII are not used to classify the underlying cause of death. FRACTURES (800-829) Excludes: malunion (733.8) nonunion (733.8) pathologic or spontaneous fracture (733.1) The terms "condyle," "coronoid process," "ramus," and "symphysis" indicate the portion of the bone fractured, not the name of the bone involved. FRACTURE OF SKULL (800-804) 800 Fracture of vault of skull Frontal bone Parietal bone 801 Fracture of base of skull Fossa: Sinus: anterior ethmoid middle frontal posterior Sphenoid bone Occiput bone Temporal bone Orbital roof 802 Fracture of face bones Nasal bones Orbital floor (blow-out) Mandible Alveolus Inferior maxilla Orbit: Lower jaw (bone) NOS Malar and maxillary bones part other than roof or floor Superior maxilla Palate Upper jaw (bone) Zygoma 803 Other and unqualified skull fractures Skull NOS Skull multiple NOS FRACTURE OF NECK AND TRUNK (805-809) 805 Fracture of vertebral column without mention of spinal cord lesion Neural arch Transverse process Spine Vertebra Spinous process 806 Fracture of vertebral column with spinal cord lesion Any condition in 805 with: Complete or incomplete transverse lesion (of cord) Hematomyelia Injury to: cauda equina nerve Paralysis Paraplegia Quadriplegia Spinal concussion 807 Fracture of rib(s), sternum, larynx, and trachea 808 Fracture of pelvis Acetabulum Ischium Ilium Pelvic rim Innominate bone 809 Ill-defined fractures of bones of trunk Bones of trunk with other bones except those of skull and face Multiple bones of trunk Excludes: multiple fractures of: pelvic bones alone (808) ribs alone (807) ribs or sternum with limb bones (819, 828) FRACTURE OF UPPER LIMB (810-819) 810 Fracture of clavicle Clavicle: Clavicle shaft acromial end Collar bone interligamentous 811 Fracture of scapula Acromial process Scapula, glenoid (cavity) Acromion (process) Shoulder blade Scapula (body) (neck) 812 Fracture of humerus 813 Fracture of radius and ulna 814 Fracture of carpal bone(s) Cuneiform, wrist Trapezium Navicular, wrist Trapezoid bone Os magnum Unciform Scaphoid, wrist Wrist Pisiform bone 815 Fracture of metacarpal bone(s) Bennett's fracture Metacarpus Hand [except finger] Stave fractures 816 Fracture of one or more phalanges of hand Finger(s) Thumb 817 Multiple fractures of hand bones Metacarpal bone(s) with phalanx or phalanges of same hand 818 Ill-defined fractures of upper limb Arm NOS Multiple bones of same upper limb Excludes: multiple fractures of: metacarpal bone(s) with phalanx or phalanges (817) phalanges of hand alone (816) radius with ulna (813) 819 Multiple fractures involving both upper limbs, and upper limb with rib(s) and sternum Arm(s) with rib(s) or sternum Both arms [any bones] FRACTURE OF LOWER LIMB (820-829) 820 Fracture of neck of femur Transcervical fracture Base of neck Cervicotrochanteric section Epiphysis (separation) (upper) Head of femur Intracapsular section Midcervical section Subcapital Transepiphyseal Pertrochanteric fracture, closed Subtrochanteric section Trochanteric section, unspecified Trochanter: NOS greater lesser 821 Fracture of other and unspecified parts of femur 822 Fracture of patella Knee cap 823 Fracture of tibia and fibula Excludes: Dupuytren's fracture (824) ankle (824) radius (813) Pott's fracture (824) 824 Fracture of ankle Medial malleolus Tibia involving: ankle malleolus Lateral malleolus Fibula involving: ankle malleolus Bimalleolar Dupuytren's fracture, fibula Pott's fracture Lateral and medial malleolus with anterior or posterior lip of tibia 825 Fracture of one or more tarsal and metatarsal bones Fracture of calcaneus Heel bone Os calcis Fracture of other tarsal and metatarsal bones Astragalus Cuboid Cuneiform, foot Foot [except toe] Instep Navicular, foot Scaphoid, foot Talus Tarsal with metatarsal bone(s) only 826 Fracture of one or more phalanges of foot Toe(s) 827 Other, multiple and ill-defined fractures of lower limb Leg NOS Multiple bones of same lower limb Excludes: multiple fractures of: ankle bones alone (824) phalanges of foot alone (826) tarsal with metatarsal bones (825) tibia with fibula (823) 828 Multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum Arm(s) with leg(s) [any bones] Both legs [any bones] Leg(s) with rib(s) or sternum 829 Fracture of unspecified bones DISLOCATION (830-839) Includes: displacement subluxation Excludes: congenital dislocation (754-755) pathological dislocation (718.2) recurrent dislocation (718.3) 830 Dislocation of jaw Jaw (cartilage) (meniscus) Maxilla (inferior) Mandible Temporomandibular (joint) 831 Dislocation of shoulder Acromioclavicular (joint) Scapula Excludes: sternoclavicular joint (839) sternum (839) 832 Dislocation of elbow 833 Dislocation of wrist Carpal (bone) Carpometacarpal (joint) Metacarpal (bone), proximal end Midcarpal (joint) Radiocarpal (joint) Radio-ulnar (joint), distal Radius, distal end Ulna, distal end 834 Dislocation of finger Finger(s) Metacarpophalangeal (joint) Interphalangeal (joint), hand Phalanx, of hand Metacarpal (bone), distal end Thumb 835 Dislocation of hip 836 Dislocation of knee Excludes: dislocation of knee: old (718.2) pathological (718.2) recurrent (718.3) internal derangement of knee joint (717.-) old tear of cartilage or meniscus of knee (717.-) Tear of medial cartilage or meniscus of knee, current Bucket handle tear: } NOS } current injury medial meniscus } Tear of lateral cartilage or meniscus of knee, current Other tear of cartilage or meniscus of knee, current Tear of: } not specified cartilage (semilunar) } as medial meniscus } or lateral Dislocation of patella 837 Dislocation of ankle Astragalus Scaphoid, foot Fibula, distal end Tibia, distal end Navicular, foot 838 Dislocation of foot Interphalangeal (joint), foot Phalanx, of foot Metatarsal (bone) Tarsal (bone) (joint) Metatarsophalangeal (joint) Tarsometatarsal (joint) Midtarsal (joint) Toe(s) 839 Other, multiple, and ill-defined dislocations Cervical vertebra Other location Cervical spine Pelvis Neck Sternoclavicular joint Thoracic and lumbar vertebra Sternum Dorsal [thoracic] vertebra Multiple and ill-defined Other vertebra Arm Coccyx Back Sacroiliac (joint) Hand Sacrum Multiple locations, except fingers or Spine NOS toes alone Vertebra NOS Other ill-defined locations Unspecified location SPRAINS AND STRAINS OF JOINTS AND ADJACENT MUSCLES (840-848) Includes: avulsion } hemarthrosis } of: laceration } joint capsule rupture } ligament } sprain } muscle } (attachment) (insertion) strain } tendon } tear } Excludes: laceration of tendon in open wounds (880-884, 890-894) 840 Sprains and strains of shoulder and upper arm Acromioclavicular (joint) (ligament) Coracoclavicular (ligament) Coracohumeral (ligament) Infraspinatus (muscle) (tendon) Rotator cuff (capsule) Subscapularis (muscle) Supraspinatus (muscle) (tendon) Shoulder NOS 841 Sprains and strains of elbow and forearm Radial collateral ligament Ulnohumeral (joint) Ulnar collateral ligament Elbow NOS Radiohumeral (joint) 842 Sprains and strains of wrist and hand Wrist Wrist Carpal (joint) Radiocarpal (joint) (ligament) Hand Hand Carpometacarpal (joint) Metacarpophalangeal (joint) Interphalangeal (joint) Midcarpal (joint) 843 Sprains and strains of hip and thigh Iliofemoral (ligament) Ischiocapsular (ligament) Hip NOS Thigh NOS 844 Sprains and strains of knee and leg Excludes: current tear of cartilage or meniscus of knee (836) old tear of cartilage or meniscus of knee (717.-) Lateral collateral ligament of knee Medial collateral ligament of knee Cruciate ligament of knee Tibiofibular (joint) (ligament), superior Knee NOS Leg NOS 845 Sprains and strains of ankle and foot Ankle Achilles tendon Calcaneofibular (ligament) Deltoid (ligament), ankle Internal collateral (ligament), ankle Tibiofibular (ligament), distal Foot Interphalangeal (joint), toe Metatarsophalangeal (joint) Tarsometatarsal (joint) (ligament) 846 Sprains and strains of sacroiliac region Lumbosacral (joint) (ligament) Sacrospinatus (ligament) Sacroiliac (ligament) Sacrotuberous (ligament) 847 Sprains and strains of other and unspecified parts of back Excludes: lumbosacral (846) Neck Anterior longitudinal (ligament), cervical Atlanto-axial (joints) Atlanto-occipital (joints) Whiplash injury Thoracic Lumbar Sacrum Sacrococcygeal (ligament) Coccyx Back NOS 848 Other and ill-defined sprains and strains Septal cartilage of nose Jaw Temporomandibular (joint) (ligament) Thyroid region Cricoarytenoid (joint) (ligament) Cricothyroid (joint) (ligament) Thyroid cartilage Ribs Chondrocostal (joint) } without mention of Costal cartilage } injury to sternum Sternum Chondrosternal (joint) Sternoclavicular (ligament) Xiphoid cartilage Pelvis Symphysis pubis Excludes: in childbirth (665.6) INTRACRANIAL INJURY, EXCLUDING THOSE WITH SKULL FRACTURE (850-854) Excludes: intracranial injury with skull fracture (800-801, 803-804) nerve injury (950, 951) open wound of head without intracranial injury (870-873) skull fracture alone (800-801, 803-804) 850 Concussion Commotio cerebri 851 Cerebral laceration and contusion Brain [any part] Cerebellum cortex Cortex (cerebral) membrane 852 Subarachnoid, subdural, and extradural hemorrhage, following injury Middle meningeal hemorrhage } following Subdural hematoma } injury 853 Other and unspecified intracranial hemorrhage following injury Cerebral compression due to injury Traumatic cerebral hemorrhage 854 Intracranial injury of other and unspecified nature Brain injury NOS Head injury NOS INTERNAL INJURY OF CHEST, ABDOMEN, AND PELVIS (860-869) Includes: blast injuries } bruise } concussion injuries (except cerebral) } of crushing } internal hematoma } organs laceration } puncture } tear } traumatic rupture } Excludes: concussion NOS (850) foreign body entering through orifice (930-939) injury to blood vessels (901-902) 860 Traumatic pneumothorax and hemothorax 861 Injury to heart and lung 862 Injury to other and unspecified intrathoracic organs Other specified intrathoracic organs Bronchus Esophagus Pleura Thymus gland Multiple and unspecified intrathoracic organs without mention of open wound into cavity Crushed chest Multiple intrathoracic organs 863 Injury to gastrointestinal tract Includes: Stomach Other and unspecified sites Small intestine Gastrointestinal tract NOS Colon or rectum Intestine NOS Pancreas tail Excludes: anal sphincter laceration during delivery (664.2) bile duct (868) gallbladder (868) Other and unspecified sites Gastrointestinal tract NOS Intestine NOS Pancreas tail 864 Injury to liver 865 Injury to spleen 866 Injury to kidney 867 Injury to pelvic organs Excludes: injury during delivery (664-665) Bladder and urethra Ureter Uterus Other pelvic organ Fallopian tube Ovary Prostate Seminal vesicle Vas deferens 868 Injury to other intra-abdominal organs Adrenal gland Peritoneum Bile duct Multiple intra-abdominal organs Gallbladder 869 Internal injury to unspecified or ill-defined organs Multiple extreme injury NOS Severe crushing of unspecified site OPEN WOUND (870-897) Includes: animal bite avulsion cut laceration puncture wound traumatic amputation Excludes: burn (940-949) crushing (925-929) puncture of internal organs (860-869) superficial injury (910-919) when incidental to: dislocation (830-839) fracture (800-829) internal injury (860-869) intracranial injury (851-854) OPEN WOUND OF HEAD, NECK, AND TRUNK (870-879) 870 Open wound of ocular adnexa Laceration of skin of eyelid and periocular area Laceration of eyelid, full-thickness Penetrating wound of orbit Excludes: retained (old) foreign body in orbit (376.6) 871 Open wound of eyeball Excludes: 2nd cranial nerve [optic] injury (950) 3rd cranial nerve [oculomotor] injury (951) Ocular laceration Rupture of eye Avulsion of eye Traumatic enucleation Penetration of eyeball Excludes: retained (old) magnetic foreign body in globe (360.5) Excludes: retained (old) (nonmagnetic) foreign body in globe (360.6) 872 Open wound of ear External ear External ear Auricle, ear Ear drum Auditory canal Ear NOS Pinna 873 Other open wound of head Excludes: with mention of intracranial injury (851-854) Scalp Internal structures of mouth Nose Gum Nasal septum Mouth NOS Nasal sinus Palate Face Tongue Cheek Tooth (broken) Eyebrow Head NOS Face: NOS multiple sites Forehead Lip Jaw 874 Open wound of neck Larynx and trachea Thyroid gland Pharynx Cervical esophagus Nape Supraclavicular region Throat NOS 875 Open wound of chest (wall) Excludes: open wound into thoracic cavity (860-862) 876 Open wound of back Loin Lumbar region 877 Open wound of buttock Sacroiliac region 878 Open wound of genital organs (external), including traumatic amputation Excludes: internal genital organs (867) Penis Vulva Scrotum and testes Labium (majus) (minus) Vagina 879 Open wound of other and unspecified sites, except limbs Breast Abdominal wall, lateral Abdominal wall, anterior Iliac (region) Abdominal wall NOS Inguinal region Epigastric region Pelvic region Hypogastric region Perineum Pubic region Trunk NOS Umbilical region Open wound(s) (multiple) of unspecified Abdominal wall, lateral site(s) Flank Multiple open wounds NOS Groin Open wound NOS Hypochondrium OPEN WOUND OF UPPER LIMB (880-887) 880 Open wound of shoulder and upper arm Axilla Scapular region 881 Open wound of elbow, forearm and wrist 882 Open wound of hand except finger(s) alone 883 Open wound of finger(s) Fingernail Thumb (nail) 884 Multiple and unspecified open wound of upper limb Arm NOS Upper limb NOS Multiple sites of one upper limb 885 Traumatic amputation of thumb (complete) (partial) Thumb(s) (with finger(s) of either hand) 886 Traumatic amputation of other finger(s) (complete) (partial) Finger(s) of one or both hands, without mention of thumb(s) 887 Traumatic amputation of arm and hand (complete) (partial) OPEN WOUND OF LOWER LIMB (890-897) 890 Open wound of hip and thigh 891 Open wound of knee, leg [except thigh] and ankle Leg NOS Multiple sites of leg, except thigh 892 Open wound of foot except toe(s) alone Heel 893 Open wound of toe(s) Toe (nail) 894 Multiple and unspecified open wound of lower limb Lower limb NOS Multiple sites of one lower limb, except as in 891 895 Traumatic amputation of toe(s) (complete) (partial) Toe(s) of one or both feet 896 Traumatic amputation of foot (complete) (partial) 897 Traumatic amputation of leg(s) (complete) (partial) INJURY TO BLOOD VESSELS (900-904) Includes: arterial hematoma } avulsion } of blood vessel, cut } secondary to other laceration } injuries, e.g., rupture } fracture or traumatic aneurysm or fistula } open wound (arteriovenous) } Excludes: accidental puncture or laceration during medical procedure (998.2) intracranial hemorrhage following injury (851-854) 900 Injury to blood vessels of head and neck Carotid artery, (common) (external) (internal) Internal jugular vein External jugular vein Multiple blood vessels of head and neck 901 Injury to blood vessels of thorax Excludes: traumatic hemothorax (860) Thoracic aorta Pulmonary blood vessels Innominate and subclavian Azygos vein arteries Intercostal artery or vein Superior vena cava Mammary artery or vein Innominate and subclavian veins Multiple blood vessels of thorax 902 Injury to blood vessels of abdomen and pelvis Abdominal aorta Renal blood vessels Inferior vena cava Renal artery or vein Hepatic veins Iliac blood vessels Celiac and mesenteric arteries Hypogastric artery or vein Gastric artery Iliac artery or vein Hepatic artery Uterine artery or vein Mesenteric artery Ovarian artery or vein inferior Multiple blood vessels of abdomen and superior pelvis Splenic artery Portal and splenic veins Mesenteric vein inferior superior 903 Injury to blood vessels of upper extremity Axillary Palmar artery Brachial Digital blood vessels Radial Multiple blood vessels of upper Ulnar extremity 904 Injury to blood vessels of lower extremity and unspecified sites Common femoral artery Popliteal blood vessels Femoral artery above Tibial blood vessels profunda origin Tibial artery or vein Superficial femoral artery anterior Femoral veins posterior Saphenous veins Deep plantar blood vessels greater Multiple blood vessels of lower lesser extremity Injury to blood vessel NOS LATE EFFECTS OF INJURIES, POISONINGS, TOXIC EFFECTS, AND OTHER EXTERNAL CAUSES (905-909) Note: These categories are to be used to indicate conditions in 800-999 as the cause of late effects, which are themselves classified elsewhere. The "late effects" include those specified as such, or as sequelae, or those which are present one year or more after the acute injury. 905 Late effects of musculoskeletal and connective tissue injuries 905.0 Late effect of fracture of skull and face bones Late effect of injury classifiable to 800-804 905.1 Late effect of fracture of spine and trunk without mention of spinal cord lesion Late effect of injury classifiable to 805, 807-809 905.2 Late effect of fracture of upper extremities Late effect of injury classifiable to 810-819 905.3 Late effect of fracture of neck of femur Late effect of injury classifiable to 820 905.4 Late effect of fracture of lower extremities Late effect of injury classifiable to 821-827 905.5 Late effect of fracture of multiple and unspecified bones Late effect of injury classifiable to 828-829 905.6 Late effect of dislocation Late effect of injury classifiable to 830-839 905.7 Late effect of sprain and strain without mention of tendon injury Late effect of injury classifiable to 840-848, except tendon injury 905.8 Late effect of tendon injury Late effect of tendon injury due to: open wound [injury classifiable to 880-884, 890-894] sprain and strain [injury classifiable to 840-848] 905.9 Late effect of traumatic amputation Late effect of injury classifiable to 885-887, 895-897 Excludes: late amputation stump complication (997.6) 906 Late effects of injuries to skin and subcutaneous tissues 906.0 Late effect of open wound of head, neck, and trunk Late effect of injury classifiable to 870-879 906.1 Late effect of open wound of extremities without mention of tendon injury Late effect of injury classifiable to 880-884, 890-894 906.2 Late effect of superficial injury Late effect of injury classifiable to 910-919 906.3 Late effect of contusion Late effect of injury classifiable to 920-924 906.4 Late effect of crushing Late effect of injury classifiable to 925-929 906.5 Late effect of burn of eye, face, head, and neck Late effect of injury classifiable to 940-941 906.6 Late effect of burn of wrist and hand Late effect of injury classifiable to 944 906.7 Late effect of burn of other extremities Late effect of injury classifiable to 943 or 945 906.8 Late effect of burns of other specified sites Late effect of injury classifiable to 942, 946-947 906.9 Late effect of burn of unspecified site Late effect of injury classifiable to 948-949 907 Late effects of injuries to the nervous system 907.0 Late effect of intracranial injury without mention of skull fracture Late effect of injury classifiable to 850-854 907.1 Late effect of injury to cranial nerve Late effect of injury classifiable to 950-951 907.2 Late effect of spinal cord injury Late effect of injury classifiable to 806, 952 907.3 Late effect of injury to nerve root(s), spinal plexus(es), and other nerves of trunk Late effect of injury classifiable to 953-954 907.4 Late effect of injury to peripheral nerve of shoulder girdle and upper limb Late effect of injury classifiable to 955 907.5 Late effect of injury to peripheral nerve of pelvic girdle and lower limb Late effect of injury classifiable to 956 907.9 Late effect of injury to other and unspecified nerve Late effect of injury classifiable to 957 908 Late effects of other and unspecified injuries 908.0 Late effect of internal injury to chest Late effect of injury classifiable to 860-862 908.1 Late effect of internal injury to intra-abdominal organs Late effect of injury classifiable to 863-866, 868 908.2 Late effect of internal injury to other internal organs Late effect of injury classifiable to 867 or 869 908.3 Late effect of injury to blood vessel of head, neck, and extremities Late effect of injury classifiable to 900, 903-904 908.4 Late effect of injury to blood vessel of thorax, abdomen, and pelvis Late effect of injury classifiable to 901-902 908.5 Late effect of foreign body in orifice Late effect of injury classifiable to 930-939 908.6 Late effect of certain complications of trauma Late effect of complications classifiable to 958 908.9 Late effect of unspecified injury Late effect of injury classifiable to 959 909 Late effects of other and unspecified external causes 909.0 Late effect of poisoning due to drug, medicament or biological substance Late effect of condition classifiable to 960-979 909.1 Late effect of toxic effects of nonmedical substances Late effect of condition classifiable to 980-989 909.2 Late effect of radiation Late effect of condition classifiable to 990 909.3 Late effect of complications of surgical and medical care Late effect of condition classifiable to 996-999 909.4 Late effect of certain other external causes Late effect of condition classifiable to 991-994 909.9 Late effect of other and unspecified external causes Late effect of condition classifiable to 995 SUPERFICIAL INJURY (910-919) Excludes: burn (blisters) (940-949) contusion (920-924) foreign body: granuloma (728.8) inadvertently left in operation wound (998.4) residual, in soft tissue (729.6) insect bite, venomous (989.5) open wound with incidental foreign body (870-897) 910 Superficial injury of face, neck, and scalp except eye Cheek Lip Ear Nose Gum Throat Excludes: eye and adnexa (918) 911 Superficial injury of trunk Abdominal wall Interscapular region Anus Labium (majus) (minus) Back Penis Breast Perineum Buttock Scrotum Chest wall Testis Flank Vagina Groin Vulva Excludes: scapular region (912) 912 Superficial injury of shoulder and upper arm Axilla Scapular region 913 Superficial injury of elbow, forearm, and wrist 914 Superficial injury of hand(s) except finger(s) alone 915 Superficial injury of finger(s) Fingernail Thumb (nail) 916 Superficial injury of hip, thigh, leg, and ankle 917 Superficial injury of foot and toe(s) Heel Toe (nail) 918 Superficial injury of eye and adnexa Excludes: foreign body on external eye (930) Eyelids and periocular area Conjunctiva Cornea Eye (ball) NOS 919 Superficial injury of other, multiple, and unspecified sites Excludes: multiple sites classifiable to the same three-digit category (910-918) CONTUSION WITH INTACT SKIN SURFACE (920-924) Includes: bruise without fracture or open wound hematoma without fracture or open wound Excludes: concussion (850) hemarthrosis (840-848) internal organs (860-869) that incidental to: crushing injury (925-929) dislocation (830-839) fracture (800-829) internal injury (860-869) intracranial injury (850-854) nerve injury (950-957) open wound (870-897) 920 Contusion of face, scalp, and neck except eye(s) Cheek Mandibular joint area Ear (auricle) Nose Gum Throat Lip 921 Contusion of eye and adnexa Black eye Contusion of eyelids and periocular area Contusion of orbital tissues Contusion of eyeball 922 Contusion of trunk Breast Chest wall Abdominal wall Flank Groin Back Buttock Interscapular region Excludes: scapular region (923) Genital organs Genital organs Labium (majus) (minus) Testis Penis Vagina Perineum Vulva Scrotum Trunk NOS 923 Contusion of upper limb Shoulder and upper arm Finger Axilla Finger (nail) Scapular region Thumb (nail) Elbow and forearm Arm NOS Wrist and hand(s) 924 Contusion of lower limb and of other and unspecified sites Hip and thigh Toe Knee and lower leg Toe (nail) Ankle and foot Leg NOS Heel CRUSHING INJURY (925-929) Excludes: concussion (850) internal organs (860-869) that incidental to: internal injury (860-869) intracranial injury (850-854) 925 Crushing injury of face, scalp, and neck Cheek Pharynx Ear Throat Larynx Excludes: head (800-803) nose (802) 926 Crushing injury of trunk Excludes: crush injury of internal organs (860-869) crushing of chest (862) External genitalia Labium (majus) (minus) Penis Scrotum Testis Vulva Back Breast Buttock Trunk NOS 927 Crushing injury of upper limb Shoulder and upper arm Axilla Scapular region Elbow and forearm Wrist and hand(s) Finger Arm NOS 928 Crushing injury of lower limb Hip and thigh Knee and lower leg Ankle and foot Heel Toe Leg NOS 929 Crushing injury of multiple and unspecified sites Excludes: multiple internal injury NOS (869) severe crushing injury of unspecified site (869) EFFECTS OF FOREIGN BODY ENTERING THROUGH ORIFICE (930-939) Excludes: foreign body: granuloma (728.8) inadvertently left in operation wound (998.4, 998.7) in open wound (800-839, 851-897) residual, in soft tissues (729.6) superficial without major open wound (910-919) 930 Foreign body on external eye Excludes: foreign body in penetrating wound of: eyeball (871) retained (old) (360.5, 360.6) ocular adnexa (870) retained (old) (376.6) Corneal foreign body Foreign body in lacrimal punctum Foreign body in conjunctival sac External eye NOS 931 Foreign body in ear Auditory canal Auricle 932 Foreign body in nose Nasal sinus Nostril 933 Foreign body in pharynx and larynx Nasopharynx Choked on: Throat NOS food (regurgitated) Asphyxia due to foreign body phlegm 934 Foreign body in trachea, bronchus, and lung Bronchioles Respiratory tree Lung Inhalation of liquid or vomitus NOS 935 Foreign body in mouth, esophagus, and stomach 936 Foreign body in intestine and colon 937 Foreign body in anus and rectum Rectosigmoid (junction) 938 Foreign body in digestive system, unspecified Alimentary tract NOS Swallowed foreign body 939 Foreign body in genitourinary tract Bladder and urethra Uterus, any part Excludes: intrauterine contraceptive device: complications from (996.3, 996.6) Vulva and vagina Penis BURNS (940-949) Includes: burns from: electrical heating appliance electricity flame hot object lightning radiation chemical burns external internal scalds Excludes: friction burns (910-919) sunburn (692.7) The following fourth-digit subdivisions are for use with categories 941-946, 949: .0 Unspecified degree .1 Erythema [first degree] .2 Blisters, epidermal loss [second degree] .3 Full-thickness skin loss [third degree NOS] .4 Deep necrosis of underlying tissues [deep third degree] 940 Burn confined to eye and adnexa 940.0 Chemical burn of eyelids and periocular area 940.1 Other burns of eyelids and periocular area 940.2 Alkaline chemical burn of cornea and conjunctival sac 940.3 Acid chemical burn of cornea and conjunctival sac 940.4 Other burn of cornea and conjunctival sac 940.5 Burn with resulting rupture and destruction of eyeball 940.9 Unspecified burn of eye and adnexa 941 Burn of face, head, and neck [See fourth-digit subdivisions listed prior to 940] Ear [any part] Eye with other parts of face, head, and neck Lip Nose (septum) Scalp [any part] Temple (region) Excludes: mouth (947.0) 942 Burn of trunk [See fourth-digit subdivisions listed prior to 940] Abdominal wall Interscapular region Anus Labium (majus) (minus) Back [any part] Penis Breast Perineum Buttock Scrotum Chest wall Testis Flank Vulva Groin Excludes: scapular region (943.-) 943 Burn of upper limb, except wrist and hand [See fourth-digit subdivisions listed prior to 940] Arm [any part except wrist or hand] Axilla Scapular region Shoulder 944 Burn of wrist(s) and hand(s) [See fourth-digit subdivisions listed prior to 940] Finger (nail) Palm Thumb (nail) 945 Burn of lower limb(s) [See fourth-digit subdivisions listed prior to 940] Foot [any part] Thigh [any part] Leg [any part] Toe (nail) 947 Burn of internal organs Includes: burns from ingested chemical agents 947.0 Mouth and pharynx Gum Tongue 947.1 Larynx, trachea, and lung 947.2 Esophagus 947.3 Gastrointestinal tract Colon Small intestine Rectum Stomach 947.4 Vagina and uterus 947.8 Other 947.9 Unspecified 948 Burns classified according to extent of body surface involved Note: This category is to be used as the primary code only when the site of the burn is unspecified; it may be used as a supplementary code, if desired, with categories 940-947 when the site is specified. 948.0 Less than 10 percent of body surface 948.1 10-19% 948.2 20-29% 948.3 30-39% 948.4 40-49% 948.5 50-59% 948.6 60-69% 948.7 70-79% 948.8 80-89% 948.9 90% or more 949 Burn, unspecified [See fourth-digit subdivisions listed prior to 940] Burn NOS Multiple burns NOS Excludes: burn of unspecified site but with statement of the extent of body surface involved (948.-) INJURY TO NERVES AND SPINAL CORD (950-957) Includes: division of nerve } lesion in continuity } (with open traumatic neuroma } wound) traumatic transient paralysis } Excludes: accidental puncture or laceration during medical procedure (998.2) 950 Injury to optic nerve and pathways Second cranial nerve Traumatic blindness NOS Optic chiasm Visual cortex 951 Injury to other cranial nerve(s) Oculomotor nerve Accessory nerve Third cranial nerve Eleventh cranial nerve Trochlear nerve Hypoglossal nerve Fourth cranial nerve Twelfth cranial nerve Trigeminal nerve Other specified cranial nerves Fifth cranial nerve Glossopharyngeal [9th cranial] nerve Abducent nerve Olfactory [1st cranial] nerve Sixth cranial nerve Pneumogastric [10th cranial] nerve Facial nerve Traumatic anosmia NOS Seventh cranial nerve Vagus [10th cranial] nerve Acoustic nerve Auditory nerve Eighth cranial nerve Traumatic deafness NOS 952 Spinal cord lesion without evidence of spinal bone injury Cervical Sacral Dorsal [thoracic] Cauda equina Lumbar 953 Injury to nerve roots and spinal plexus Cervical root Sacral root Dorsal root Brachial plexus Lumbar root Lumbosacral plexus 954 Injury to other nerve(s) of trunk excluding shoulder and pelvic girdles Cervical sympathetic Inferior mesenteric plexus Celiac ganglion or plexus Splanchnic nerve(s) Stellate ganglion 955 Injury to peripheral nerve(s) of shoulder girdle and upper limb Axillary nerve Musculocutaneous nerve Median nerve Cutaneous sensory nerve, upper limb Ulnar nerve Digital nerve Radial nerve 956 Injury to peripheral nerve(s) of pelvic girdle and lower limb Sciatic nerve Peroneal nerve Femoral nerve Cutaneous sensory nerve, lower limb Posterior tibial nerve 957 Injury to other and unspecified nerves Superficial nerves of head Multiple nerves in several parts and neck Multiple nerve injury NOS Other specified nerve(s) Nerve injury NOS CERTAIN TRAUMATIC COMPLICATIONS AND UNSPECIFIED INJURIES (958-959) 958 Certain early complications of trauma Excludes: adult respiratory distress syndrome (518.5) shock lung (518.5) when occurring during or following medical procedures (996-999) 958.0 Air embolism Pneumathemia Excludes: when complicating: abortion (634-638 with fourth digit .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.0) 958.1 Fat embolism Excludes: when complicating: abortion (634-638 with fourth digit .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.8) 958.2 Secondary and recurrent hemorrhage 958.3 Post-traumatic wound infection, not elsewhere classified 958.4 Traumatic shock Shock (immediate) (delayed) following injury Excludes: shock: anaphylactic (995.0) due to serum (999.4) anesthetic (995.4) electric (994.8) following abortion (639.5) lightning (994.0) nontraumatic NOS (785.5) obstetric (669.1) postoperative (998.0) 958.5 Traumatic anuria Crush syndrome Renal failure following crushing 958.6 Volkmann's ischemic contracture 958.7 Traumatic subcutaneous emphysema Excludes: subcutaneous emphysema resulting from a procedure (998.8) 958.8 Other early complications of trauma 959 Injury, other and unspecified Includes: injury NOS Excludes: injury NOS of: blood vessels (900-904) intracranial sites (850-854) eye (921) nerves (950, 951, 953-957) head (854) spinal cord (952) internal organs (860-869) 959.0 Face and neck Cheek Mouth Ear Nose Eyebrow Throat Lip 959.1 Trunk Abdominal wall External genital organs Back Flank Breast Groin Buttock Interscapular region Chest wall Perineum Excludes: scapular region (959.2) 959.2 Shoulder and upper arm Axilla Scapular region 959.3 Elbow, forearm, and wrist 959.4 Hand, except finger 959.5 Finger Finger (nail) Thumb (nail) 959.6 Hip and thigh Upper leg 959.7 Knee, leg, ankle, and foot 959.8 Other specified sites, including multiple Excludes: multiple sites classifiable to the same four-digit category (959.0-959.7) 959.9 Unspecified site POISONING BY DRUGS, MEDICAMENTS AND BIOLOGICAL SUBSTANCES (960-979) Includes: overdose of these substances wrong substance given or taken in error Excludes: 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: allergic lymphadenitis (289.3) aspirin gastritis (535.-) blood disorders (280-289) dermatitis: contact (692.-) due to ingestion (693.-) nephropathy (583.8) adverse effect NOS (995.2) The drug giving rise to the adverse effect may be identified by use of categories E930-E949. If the E code is not being used, categories 960-979 may be used as additional codes to identify the drug. For this reason categories 960-979 are more detailed than would otherwise be necessary. drug dependence (304.-) drug reaction and poisoning affecting the newborn (760-779) nondependent abuse of drugs (305.-) pathological drug intoxication (292.2) 960 Poisoning by antibiotics Excludes: antibiotics: ear, nose, and throat (976.6) eye (976.5) local (976.0) 960.0 Penicillins 960.1 Antifungal antibiotics Excludes: preparations intended for topical use (976.-) 960.2 Chloramphenicol group Chloramphenicol Thiamphenicol 960.3 Erythromycin and other macrolides 960.4 Tetracycline group 960.5 Cephalosporin group 960.6 Antimycobacterial antibiotics 960.7 Antineoplastic antibiotics 960.8 Other 960.9 Unspecified 961 Poisoning by other anti-infectives Excludes: anti-infectives: ear, nose, and throat (976.6) eye (976.5) local (976.0) 961.0 Sulfonamides 961.1 Arsenical anti-infectives 961.2 Heavy metal anti-infectives Excludes: mercurial diuretics (974.0) 961.3 Quinoline and hydroxyquinoline derivatives Excludes: antimalarial drugs (961.4) 961.4 Antimalarials and drugs acting on other blood protozoa Quinine 961.5 Other antiprotozoal drugs 961.6 Anthelmintics 961.7 Antiviral drugs 961.8 Other antimycobacterial drugs 961.9 Other and unspecified anti-infectives 962 Poisoning by hormones and synthetic substitutes Excludes: oxytocic hormones (975.0) 962.0 Adrenal cortical steroids 962.1 Androgens and anabolic congeners 962.2 Ovarian hormones and synthetic substitutes 962.3 Insulins and antidiabetic agents 962.4 Anterior pituitary hormones 962.5 Posterior pituitary hormones 962.6 Parathyroid and parathyroid derivatives 962.7 Thyroid and thyroid derivatives 962.8 Antithyroid agents 962.9 Other and unspecified hormones and synthetic substitutes 963 Poisoning by primarily systemic agents 963.0 Antiallergic and antiemetic drugs Chlorphenamine Thonzylamine Diphenhydramine Tripelennamine Diphenylpyraline Excludes: phenothiazine-based tranquilizers (969.1) 963.1 Antineoplastic and immunosuppressive drugs Excludes: antineoplastic antibiotics (960.7) 963.2 Acidifying agents 963.3 Alkalizing agents 963.4 Enzymes, not elsewhere classified 963.5 Vitamins, not elsewhere classified Excludes: nicotinic acid (972.2) vitamin K (964.3) 963.8 Other 963.9 Unspecified 964 Poisoning by agents primarily affecting blood constituents 964.0 Iron and its compounds 964.1 Liver preparations and other antianemic agents 964.2 Anticoagulants Coumarin Warfarin sodium Phenindione 964.3 Vitamin K [Phytomenadione] 964.4 Fibrinolysis-affecting drugs 964.5 Anticoagulant antagonists and other coagulants 964.6 Gamma globulin 964.7 Natural blood and blood products 964.8 Other 964.9 Unspecified 965 Poisoning by analgesics, antipyretics, and antirheumatics Excludes: drug dependence (304.-) nondependent abuse (305.-) 965.0 Opiates and related narcotics Codeine [methylmorphine] Methadone Heroin [diacetylmorphine] Morphine Pethidine [meperidine] Opium (alkaloids) 965.1 Salicylates Acetylsalicylic acid [aspirin] Salicylic acid salts 965.4 Aromatic analgesics, not elsewhere classified Acetanilid Phenacetin [acetophenetidin] Paracetamol [acetaminophen] 965.5 Pyrazole derivatives Aminophenazone [amidopyrine] Phenylbutazone 965.6 Antirheumatics [antiphlogistics] Gold salts Indomethacin Excludes: salicylates (965.1) steroids (962.-) 965.7 Other non-narcotic analgesics Pyrabital 965.8 Other Pentazocine 965.9 Unspecified 966 Poisoning by anticonvulsants and anti-Parkinsonism drugs 966.0 Oxazolidine derivatives Paramethadione Trimethadione 966.1 Hydantoin derivatives Phenytoin 966.2 Succinimides Ethosuximide Phensuximide 966.3 Other and unspecified anticonvulsants Excludes: sulfonamides (961.0) 966.4 Anti-Parkinsonism drugs Amantadine Levodopa 967 Poisoning by sedatives and hypnotics Excludes: drug dependence (304.-) nondependent abuse (305.-) 967.0 Barbiturates Amobarbital [amylobarbitone] Pentobarbital [pentobarbitone] Barbital [barbitone] Phenobarbital [phenobarbitone] Butobarbital [butobarbitone] Secobarbital [quinalbarbitone] Excludes: thiobarbiturates (968.3) 967.1 Chloral hydrate group 967.2 Paraldehyde 967.3 Bromine compounds Bromide Carbromal (derivatives) Carbamic esters 967.4 Methaqualone compounds 967.5 Glutethimide group 967.6 Mixed sedatives, not elsewhere classified 967.8 Other 967.9 Unspecified Sleeping: } draught } NOS drug } tablet } 968 Poisoning by other central nervous system depressants Excludes: drug dependence (304.-) nondependent abuse (305.-) 968.0 Central nervous system muscle-tone depressants 968.1 Halothane 968.2 Other gaseous anesthetics Ether Halogenated hydrocarbon derivatives, except halothane Nitrous oxide 968.3 Intravenous anesthetics Ketamine Methohexital [methohexitone] Thiobarbiturates, such as thiopental sodium 968.4 Other and unspecified general anesthetics 968.5 Surface [topical] and infiltration anesthetics Cocaine Procaine Lignocaine Tetracaine 968.6 Peripheral nerve- and plexus-blocking anesthetics 968.7 Spinal anesthetics 968.9 Other and unspecified local anesthetics 969 Poisoning by psychotropic agents Excludes: drug dependence (304.-) nondependent abuse (305.-) 969.0 Antidepressants Amitriptyline Monoamine oxidase [MAO] Imipramine inhibitors 969.1 Phenothiazine-based tranquillizers Chlorpromazine Prochlorperazine Fluphenazine Promazine 969.2 Butyrophenone-based tranquillizers Haloperidol Trifluperidol Spiperone 969.3 Other antipsychotics, neuroleptics, and major tranquilizers 969.4 Benzodiazepine-based tranquillizers Chlordiazepoxide Lorazepam Diazepam Medazepam Flurazepam Nitrazepam 969.5 Other tranquillizers Hydroxyzine Meprobamate 969.6 Psychodysleptics [hallucinogens] Cannabis (derivatives) Mescaline Lysergide [LSD] Psilocin Marihuana (derivatives) Psilocybin 969.7 Psychostimulants Amphetamine Caffeine Excludes: central appetite depressants (977.0) 969.8 Other psychotropic agents 969.9 Unspecified 970 Poisoning by central nervous system stimulants 970.0 Analeptics Lobeline Nikethamide 970.1 Opiate antagonists Levallorphan Naloxone Nalorphine 970.8 Other 970.9 Unspecified 971 Poisoning by drugs primarily affecting the autonomic nervous system 971.0 Parasympathomimetics [cholinergics] Acetylcholine Anticholinesterase: Pilocarpine organophosphorus reversible 971.1 Parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics Atropine Hyoscine [scopolamine] Homatropine Quaternary ammonium derivatives Excludes: papaverine (972.5) 971.2 Sympathomimetics [adrenergics] Epinephrine [adrenalin] Levarterenol [noradrenalin] 971.3 Sympatholytics [antiadrenergics] 971.9 Unspecified 972 Poisoning by agents primarily affecting the cardiovascular system 972.0 Cardiac rhythm regulators Practolol Propranolol Procainamide Quinidine 972.1 Cardiotonic glycosides and drugs of similar action Digitalis glycosides 972.2 Antilipemic and antiarteriosclerotic drugs Clofibrate Nicotinic acid derivatives 972.3 Ganglion-blocking agents Pentamethonium bromide 972.4 Coronary vasodilators 972.5 Other vasodilators Cyclandelate Papaverine 972.6 Other antihypertensive agents Guanethidine Reserpine Rauwolfia alkaloids 972.7 Antivaricose drugs, including sclerosing agents 972.8 Capillary-active drugs 972.9 Other and unspecified 973 Poisoning by agents primarily affecting the gastrointestinal system 973.0 Antacids and antigastric secretion drugs 973.1 Irritant cathartics 973.2 Emollient cathartics 973.3 Other cathartics, including intestinal atonia drugs 973.4 Digestants 973.5 Antidiarrheal drugs Excludes: anti-infectives (960-961) 973.6 Emetics 973.8 Other 973.9 Unspecified 974 Poisoning by water, mineral, and uric acid metabolism drugs 974.0 Mercurial diuretics 974.1 Purine derivative diuretics Excludes: aminophylline (975.7) 974.2 Carbonic acid anhydrase inhibitors 974.3 Saluretics 974.4 Other diuretics 974.5 Electrolytic, caloric and water-balance agents 974.6 Other mineral salts, not elsewhere classified 974.7 Uric acid metabolism drugs Colchicine 975 Poisoning by agents primarily acting on the smooth and skeletal muscles and respiratory system 975.0 Oxytocic agents 975.1 Smooth muscle relaxants Excludes: papaverine (972.5) 975.2 Skeletal muscle relaxants 975.3 Other and unspecified drugs acting on muscles 975.4 Antitussives 975.5 Expectorants 975.6 Anti-common cold drugs 975.7 Antiasthmatics 975.8 Other and unspecified respiratory drugs 976 Poisoning by agents primarily affecting skin and mucous membrane, ophthalmological, otorhinolaryngological and dental drugs 976.0 Local anti-infectives and anti-inflammatory drugs 976.1 Antipruritics 976.2 Local astringents and local detergents 976.3 Emollients, demulcents and protectants 976.4 Keratolytics, keratoplastics, other hair treatment drugs and preparations 976.5 Eye anti-infectives and other eye drugs Idoxuridine 976.6 Anti-infectives and other drugs and preparations for ear, nose and throat 976.7 Dental drugs topically applied 976.8 Other Spermicides 976.9 Unspecified 977 Poisoning by other and unspecified drugs and medicaments 977.0 Dietetics 977.1 Lipotropic drugs 977.2 Antidotes and chelating agents, not elsewhere classified 977.3 Alcohol deterrents 977.4 Pharmaceutical excipients 977.8 Other drugs and medicaments Contrast media used for diagnostic x-ray procedures Diagnostic agents and kits 977.9 Unspecified drug or medicament 978 Poisoning by bacterial vaccines 978.0 BCG 978.1 Typhoid and paratyphoid 978.2 Cholera 978.3 Plague 978.4 Tetanus 978.5 Diphtheria 978.6 Pertussis vaccine, including combinations with a pertussis component 978.8 Other and unspecified bacterial vaccines 978.9 Mixed bacterial vaccines, except combinations with a pertussis component 979 Poisoning by other vaccines and biological substances Excludes: gamma globulin (964.6) 979.0 Smallpox vaccine 979.1 Rabies vaccine 979.2 Typhus vaccine 979.3 Yellow fever vaccine 979.4 Measles vaccine 979.5 Poliomyelitis vaccine 979.6 Other and unspecified viral and rickettsial vaccines 979.7 Mixed viral-rickettsial and bacterial vaccines, except combinations with a pertussis component 979.9 Other and unspecified vaccines and biological substances TOXIC EFFECTS OF SUBSTANCES CHIEFLY NONMEDICINAL AS TO SOURCE (980-989) Excludes: burns from ingested chemical agents (947.-) respiratory conditions due to external agents(506-508) 980 Toxic effect of alcohol 980.0 Ethyl alcohol Excludes: acute alcohol intoxication or "hangover" effects (305.0) drunkenness (simple) (305.0) pathological (291.4) 980.1 Methyl alcohol 980.2 Isopropyl alcohol 980.3 Fusel oil Alcohol: amyl butyl propyl 980.8 Other 980.9 Unspecified 981 Toxic effect of petroleum products Benzine Petroleum: Gasoline or petrol ether Kerosene or paraffin oil naphtha Paraffin wax spirit 982 Toxic effect of solvents other than petroleum-based 982.0 Benzene and homologues 982.1 Carbon tetrachloride 982.2 Carbon disulfide 982.3 Other chlorinated hydrocarbon solvents Tetrachloroethylene Trichloroethylene Excludes: chlorinated hydrocarbon preparations other than solvents (989.2) 982.4 Nitroglycol 982.8 Other Acetone 983 Toxic effect of corrosive aromatics, acids and caustic alkalis 983.0 Corrosive aromatics Carbolic acid or phenol Cresol 983.1 Acids Acid: hydrochloric nitric sulfuric 983.2 Caustic alkalis Potassium hydroxide Sodium hydroxide 983.9 Caustic, unspecified 984 Toxic effect of lead and its compounds (including fumes) Includes: from all sources except medicinal substances 984.0 Inorganic lead compounds 984.1 Organic lead compounds 984.8 Other 984.9 Unspecified 985 Toxic effect of other metals Includes: from all sources except medicinal substances 985.0 Mercury and its compounds Minamata disease 985.1 Arsenic and its compounds 985.2 Manganese and its compounds 985.3 Beryllium and its compounds 985.4 Antimony and its compounds 985.5 Cadmium and its compounds 985.6 Chromium 985.8 Other 985.9 Unspecified 986 Toxic effect of carbon monoxide Includes: from all sources 987 Toxic effect of other gases, fumes, or vapors 987.0 Liquefied petroleum gases Butane Propane 987.1 Other hydrocarbon gas 987.2 Nitrogen oxides Nitrogen dioxide Nitrous fumes 987.3 Sulfur dioxide 987.4 Freon 987.5 Lacrimogenic gas Brombenzyl cyanide Ethyliodoacetate Chloroacetophenone 987.6 Chlorine gas 987.7 Hydrocyanic acid gas 987.8 Other Polyester fumes 987.9 Unspecified 988 Toxic effect of noxious substances eaten as food Excludes: allergic reaction to food, such as: gastroenteritis (558) rash (692.5, 693.1) food poisoning (bacterial) (005.-) toxic effects of food contaminants, such as: aflatoxin and other mycotoxin (989.7) mercury (985.0) 988.0 Fish and shellfish 988.1 Mushrooms 988.2 Berries and other plants 988.8 Other 988.9 Unspecified 989 Toxic effect of other substances, chiefly nonmedicinal as to source 989.0 Hydrocyanic acid and cyanides Potassium cyanide Sodium cyanide Excludes: gas and fumes (987.7) 989.1 Strychnine and salts 989.2 Chlorinated hydrocarbons Aldrin DDT Chlordane Dieldrin Excludes: chlorinated hydrocarbon solvents (982.-) 989.3 Organophosphate and carbamate Carbaryl Parathion Dichlorvos 989.4 Other pesticides, not elsewhere classified 989.5 Venom Tick paralysis 989.6 Soaps and detergents 989.7 Aflatoxin and other mycotoxin [food contaminants] 989.8 Other 989.9 Unspecified OTHER AND UNSPECIFIED EFFECTS OF EXTERNAL CAUSES (990-995) 990 Effects of radiation, unspecified Radiation sickness Excludes: sunburn (692.7) specified adverse effects of radiation. Such conditions are to be classified according to the nature of the adverse effect, such as: burns (940-949) dermatitis (692.7, 692.8) leukemia (204-208) pneumonia (508.0) The type of radiation giving rise to the adverse effect may be identified by use of the E codes. If the E code is not being used, category 990 may be used as an additional code to identify radiation as the cause. 991 Effects of reduced temperature 991.0 Frostbite of face 991.1 Frostbite of hand 991.2 Frostbite of foot 991.3 Frostbite of other and unspecified sites 991.4 Immersion foot Trench foot 991.5 Chilblains 991.6 Hypothermia Hypothermia (accidental) Excludes: hypothermia following anesthesia (995.8) hypothermia not associated with low environmental temperature (780.9) 991.8 Other 991.9 Unspecified Effects of freezing or excessive cold NOS 992 Effects of heat and light Excludes: burns (940-949) diseases of sweat glands due to heat (705.-) malignant hyperpyrexia following anesthesia (995.8) 992.0 Heat stroke and sunstroke Heat apoplexy Siriasis Heat pyrexia Thermoplegia Ictus solaris 992.1 Heat syncope Heat collapse 992.2 Heat cramps 992.3 Heat exhaustion, anhydrotic Heat prostration due to water depletion Excludes: when associated with salt depletion (992.4) 992.4 Heat exhaustion due to salt depletion Heat prostration due to salt (and water) depletion 992.5 Heat exhaustion, unspecified Heat prostration NOS 992.6 Heat fatigue, transient 992.7 Heat edema 992.8 Other heat effects 992.9 Unspecified 993 Effects of air pressure 993.0 Barotrauma, otitic Aero-otitis media Effects of high altitude on ears 993.1 Barotrauma, sinus Aerosinusitis Effects of high altitude on sinuses 993.2 Other and unspecified effects of high altitude Alpine sickness Hypobaropathy Andes disease Mountain sickness Anoxia due to high altitude 993.3 Caisson disease Compressed-air disease Divers' palsy or paralysis Decompression sickness 993.4 Effects of air pressure caused by explosion 993.8 Other 993.9 Unspecified 994 Effects of other external causes Excludes: certain adverse effects not elsewhere classified (995.-) 994.0 Effects of lightning Shock from lightning Struck by lightning NOS Excludes: burns (940-949) 994.1 Drowning and nonfatal submersion Bathing cramp Immersion 994.2 Effects of hunger Deprivation of food Starvation 994.3 Effects of thirst Deprivation of water 994.4 Exhaustion due to exposure 994.5 Exhaustion due to excessive exertion Overexertion 994.6 Motion sickness Air sickness Travel sickness Seasickness 994.7 Asphyxiation and strangulation Suffocation (by): Suffocation (by): bedclothes plastic bag cave-in pressure constriction strangulation mechanical Excludes: asphyxia from: carbon monoxide (986) inhalation of food or foreign body (932-934) other gases, fumes, and vapors (987.-) 994.8 Electrocution and nonfatal effects of electric current Shock from electric current Excludes: electric burns (940-949) 994.9 Other Effects of: abnormal gravitational [G] forces or states weightlessness 995 Certain adverse effects not elsewhere classified Excludes: complications of surgical and medical care (996-999) Note: This category is to be used for single-cause coding to identify the effects not elsewhere classifiable of unknown, undetermined, or ill-defined causes. For multiple coding purposes, this category may be used as an additional code to identify the effects of conditions classified elsewhere. 995.0 Other anaphylactic shock Allergic shock } NOS or due to adverse effect of correct Anaphylactic reaction } medicinal substance properly administered Anaphylaxis } Excludes: anaphylactic reaction to serum (999.4) 995.1 Angioneurotic edema Giant urticaria Excludes: urticaria: due to serum (999.5) other specified (698.2, 708.-, 757.3) 995.2 Unspecified adverse effect of drug, medicament and biological Adverse effect } Allergic reaction } to correct medicinal substance properly administered Hypersensitivity } Idiosyncrasy } Drug: hypersensitivity NOS reaction NOS Excludes: pathological drug intoxication (292.2) 995.3 Allergy, unspecified Allergic reaction NOS Idiosyncrasy NOS Hypersensitivity NOS Excludes: specified types of allergic reaction, such as: allergic diarrhea (558) dermatitis (691.-, 692.-, 693.-) hay fever (477.-) allergic reaction NOS to correct medicinal substance properly administered (995.2) 995.4 Shock due to anesthesia Shock due to anesthesia in which the correct substance was properly administered Excludes: complications of anesthesia in labor or delivery (668.-) overdose or wrong substance given (968-969) postoperative shock NOS (998.0) specified adverse effects of anesthesia classified elsewhere, such as: anoxic brain damage (348.1) hepatitis (070.-), etc. unspecified adverse effect of anesthesia (995.2) 995.5 Child maltreatment syndrome Battered baby or child syndrome NOS Emotional and/or nutritional maltreatment of child 995.8 Other specified adverse effects not elsewhere classified Malignant hyperpyrexia or hypothermia due to anesthesia COMPLICATIONS OF SURGICAL AND MEDICAL CARE, NOT ELSEWHERE CLASSIFIED (996-999) Excludes: adverse effects of medicinal agents (001-799, 995.-) burns from local applications and irradiation (940-949) complications of: conditions for which the procedure was performed surgical procedures during abortion, labor, and delivery (630-676) poisoning and toxic effects of drugs and chemicals (960-989) specified complications classified elsewhere anesthetic shock (995.4) blind-loop syndrome (579.2) colostomy malfunction (569.6) electrolyte imbalance (276.-) functional cardiac disturbances due to cardiac surgery (429.4) postgastric surgery syndromes (564.2) postlaminectomy syndrome (722.8) postmastectomy lymphoedema syndrome (457.0) postoperative psychosis (293.-) 996 Complications peculiar to certain specified procedures Includes: complications, not elsewhere classified due to: anastomosis (internal) } graft (bypass) (patch) } implant } of natural source such as: bone, internal device: } blood vessel, etc. catheter } or artificial substitute, such as: electronic } Dacron, metal, Silastic, fixation } silicone, Teflon, etc. prosthetic } reimplant } transplant } Excludes: accidental puncture or laceration during procedure (998.2) complications of anastomosis, internal of: gastrointestinal tract (997.4) urinary tract (997.5) other specified complications classified elsewhere, such as: hemolytic anemia (283.1) functional cardiac disturbances (429.4) serum hepatitis (070.-) 996.0 Mechanical complication of cardiac device, implant, and graft Breakdown (mechanical) } Displacement } due to: Leakage } cardiac pacemaker (electrode) Obstruction, mechanical } coronary bypass graft Perforation } heart valve prosthesis Protrusion } 996.1 Mechanical complication of other vascular device, implant, and graft Conditions listed in 996.0 due to: aortic (bifurcation) graft (replacement) arteriovenous: } fistula } surgically created shunt } balloon (counterpulsation) device, intra-aortic carotid artery bypass graft dialysis catheter umbrella device, vena cava 996.2 Mechanical complication of nervous system device, implant, and graft Conditions listed in 996.0 due to: dorsal column stimulator electrodes implanted in brain [brain "pacemaker"] peripheral nerve graft ventricular (communicating) shunt 996.3 Mechanical complication of genitourinary device, implant, and graft Conditions listed in 996.0 due to: catheter cystostomy urethral, indwelling intrauterine contraceptive device prosthetic reconstruction of vas deferens repair (graft) of ureter without mention of resection Excludes: complications due to: external stoma of urinary tract (997.5) internal anastomosis of urinary tract (997.5) 996.4 Mechanical complication of internal orthopedic device, implant, and graft Conditions listed in 996.0 due to: grafts of bone, cartilage, muscle, or tendon internal (fixation) device such as nail, plate, rod, etc. Excludes: complications of external orthopedic device, such as: pressure ulcer due to cast (707.0) 996.5 Mechanical complication of other specified prosthetic device, implant, and graft Conditions listed in 996.0 due to: prosthetic implant in: bile duct breast chin orbit of eye nonabsorbable surgical material NOS other graft, implant, and internal device, not elsewhere classified 996.6 Infection and inflammatory reaction due to internal prosthetic device, implant, and graft Infection (causing obstruction) } due to (presence of) any device, implant, Inflammation } or graft listed in 996.0-996.5 996.7 Other complications of internal prosthetic device, implant, and graft Complication NOS } Embolism } Fibrosis } due to (presence of) any device, implant, and Hemorrhage } graft listed in 996.0-996.5 Pain } Stenosis } Thrombus } Excludes: transplant rejection (996.8) 996.8 Complications of transplanted organ Transplant failure or rejection 996.9 Complications of reattached extremity 997 Complications affecting specified body systems, not elsewhere classified Excludes: the listed conditions when specified as: causing shock (998.0) complications of: anesthesia: adverse effect (001-799, 995.-) in labor or delivery (668.-) poisoning (968-969) implanted device or graft (996.-) obstetrical procedures (669.4) reattached extremity (996.9) transplanted organ (996.8) 997.0 Central nervous system complications Anoxic brain damage during or resulting from a procedure Cerebral hypoxia during or resulting from a procedure 997.1 Cardiac complications Cardiac: } arrest } insufficiency } during or resulting from a procedure Cardiorespiratory failure} Heart failure } Excludes: the listed conditions as long-term effects of cardiac surgery or due to the presence of cardiac prosthetic device (429.4) 997.2 Peripheral vascular complications Phlebitis } of any site during or Thrombophlebitis } resulting from a procedure Excludes: the listed conditions due to: implant or catheter device (996.6) infusion, perfusion, or transfusion (999.2) complications affecting internal blood vessels, such as: mesenteric artery (997.4) renal artery (997.5) 997.3 Respiratory complications Mendelson's syndrome } resulting from a procedure Pneumonia (aspiration) } Excludes: Mendelson's syndrome in labor and delivery (668.0) specified complications classified elsewhere, such as: adult respiratory distress syndrome (518.5) pulmonary edema, postoperative (518.4) respiratory insufficiency, acute, postoperative (518.5) shock lung (518.5) tracheostomy complication (519.0) 997.4 Gastrointestinal complications Complications of: external stoma of gastrointestinal tract, not elsewhere classified intestinal (internal) anastomosis and bypass, not elsewhere classified, except that involving urinary tract Hepatic failure } Hepatorenal syndrome } specified as due to a procedure Intestinal obstruction NOS } Excludes: specified gastrointestinal complications classified elsewhere, such as: colostomy or enterostomy malfunction (569.6) gastrojejunal ulcer (534.-) postcholecystectomy syndrome (576.0) postgastric surgery syndromes (564.2) 997.5 Urinary complications Complications of: external stoma of urinary tract internal anastomosis and bypass of urinary tract, including that involving intestinal tract Oliguria or anuria } Renal: } failure (acute) } specified as due to a procedure insufficiency (acute)} Tubular necrosis (acute) } Excludes: specified complications classified elsewhere, such as: postoperative stricture of: ureter (593.3) urethra (598.2) 997.6 Late amputation stump complication 997.9 Complications affecting other specified body systems, not elsewhere classified Vitreous touch syndrome Excludes: specified complications classified elsewhere, such as: broad ligament laceration syndrome (620.6) post-artificial menopause syndrome (627.-) postoperative stricture of vagina (623.2) 998 Other complications of procedures, not elsewhere classified 998.0 Postoperative shock Collapse NOS } Shock (endotoxic) } during or resulting from (hypovolemic) } a surgical procedure (septic) } Excludes: shock: anaphylactic due to serum (999.4) anesthetic (995.4) electric (994.8) following abortion (639.5) obstetric (669.1) traumatic (958.4) 998.1 Hemorrhage or hematoma complicating a procedure Hemorrhage of any site resulting from a procedure Excludes: hemorrhage due to implanted device or graft (996.7) when complicating cesarean section, or perineal wound (674.3) 998.2 Accidental puncture or laceration during a procedure Accidental perforation } by: catheter } blood vessel } endoscope } during a procedure nerve } instrument } organ } probe } Excludes: puncture or laceration caused by implanted device intentionally left in operation wound (996.-) specified complications classified elsewhere, such as: broad ligament laceration syndrome (620.6) trauma from instruments during delivery (664.-, 665.-) 998.3 Disruption of operation wound Dehiscence of operation wound Rupture of operation wound Excludes: disruption of: cesarean wound (674.1) perineal wound, puerperal (674.2) 998.4 Foreign body accidentally left during a procedure Adhesions } due to foreign body accidentally Obstruction } left in operative wound or body Perforation } cavity during a procedure Excludes: obstruction or perforation caused by implanted device intentionally left in body (996.-) 998.5 Postoperative infection Abscess: } intra-abdominal } stitch } postoperative subphrenic } wound } Septicemia } Excludes: infection due to: implanted device (996.6) infusion, perfusion, or transfusion (999.3) postoperative obstetrical wound infection (674.3) 998.6 Persistent postoperative fistula 998.7 Acute reaction to foreign substance accidentally left during a procedure Peritonitis: aseptic chemical 998.8 Other specified complications of procedures, not elsewhere classified Emphysema (subcutaneous) (surgical) resulting from a procedure 998.9 Unspecified complication of procedure, not elsewhere classified Postoperative complication NOS Excludes: complication NOS of obstetrical surgery or procedure (669.4) 999 Complications of medical care, not elsewhere classified Includes: complications not elsewhere classified of: dialysis (hemodialysis) (peritoneal) (renal) extracorporeal circulation hyperalimentation therapy immunization infusion inhalation therapy injection inoculation perfusion transfusion vaccination ventilation therapy Excludes: specified complications classified elsewhere, such as: complications of implanted device (996.-) contact dermatitis due to drugs (692.3) dementia due to dialysis (293.-) dialysis disequilibrium syndrome (276.-) poisoning and toxic effects of drugs and chemicals (960-989) postvaccinal encephalitis (323.5) water and electrolyte imbalance (276.-) 999.0 Generalized vaccinia 999.1 Air embolism Air embolism to any site following infusion, perfusion, or transfusion Excludes: embolism specified as: complicating: abortion (634-638 with fourth digit .6, 639.6) ectopic or molar pregnancy (639.6) pregnancy, childbirth, or the puerperium (673.0) due to implanted device (996.7) traumatic (958.0) 999.2 Other vascular complications Phlebitis } Thromboembolism } following infusion, perfusion, or transfusion Thrombophlebitis } Excludes: the listed conditions when specified as: due to implanted device (996.7) postoperative NOS (997.2) 999.3 Other infection Infection } Sepsis } following infusion, injection, transfusion, Septicemia } or vaccination Excludes: the listed conditions when specified as: due to implanted device (996.6) postoperative NOS (998.5) 999.4 Anaphylactic shock due to serum Excludes: shock: allergic NOS (995.0) anaphylactic: NOS (995.0) due to drugs and chemicals (995.0) 999.5 Other serum reaction Intoxication by serum Serum rash Protein sickness Serum sickness Excludes: serum hepatitis (070.2, 070.3) 999.6 ABO incompatibility reaction Incompatible blood transfusion Reaction to blood group incompatibility in infusion or transfusion 999.7 Rh incompatibility reaction Reactions due to Rh factor in infusion or transfusion 999.8 Other transfusion reaction Septic shock due to transfusion Transfusion reaction NOS Excludes: postoperative shock (998.0) 999.9 Other and unspecified complications of medical care, not elsewhere classified Complications, not elsewhere classified, of: therapy: electroshock inhalation ultrasound ventilation Unspecified misadventure of medical care Excludes: unspecified complication of: phototherapy (990) radiation therapy (990)