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Injury, poisoning and certain other consequences of external causes
NOTES:
Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
USE ADDITIONAL:
code to identify any retained foreign body, if applicable (Z18.-)
EXCLUDES1:
birth trauma (P10-P15)
obstetric trauma (O70-O71)
Chapter: 19: Injury, poisoning and certain other consequences of external causes
S00-S09Injuries to the head
INCLUDES:
 injuries of ear
 injuries of eye
 injuries of face [any part]
 injuries of gum
 injuries of jaw
 injuries of oral cavity
 injuries of palate
 injuries of periocular area
 injuries of scalp
ALSO CODE:
 for any associated infection
EXCLUDES2:
 burns and corrosions (T20-T32)
 effects of foreign body in ear (T16)
 effects of foreign body in larynx (T17.3)
 effects of foreign body in mouth NOS (T18.0)
 effects of foreign body in nose (T17.0-T17.1) effects of foreign body in pharynx (T17.2)
 effects of foreign body on external eye (T15.-)
 frostbite (T33-T34)
 insect bite or sting, venomous (T63.4)
Injuries to the head
S10-S19Injuries to the neck
INCLUDES:
 injuries of nape
 injuries of supraclavicular region
 injuries of throat
EXCLUDES2:
 burns and corrosions (T20-T32)
 effects of foreign body in esophagus (T18.1)
 effects of foreign body in larynx (T17.3)
 effects of foreign body in pharynx (T17.2)
 effects of foreign body in trachea (T17.4) frostbite (T33-T34)
 insect bite or sting, venomous (T63.4)
Injuries to the neck
S20-S29Injuries to the thorax
INCLUDES:
 injuries of breast
 injuries of chest (wall)
 injuries of interscapular area
EXCLUDES2:
 burns and corrosions (T20-T32)
 effects of foreign body in bronchus (T17.5)
 effects of foreign body in esophagus (T18.1)
 effects of foreign body in lung (T17.8)
 effects of foreign body in trachea (T17.4) frostbite (T33-T34)
 injuries of axilla
 injuries of clavicle
 injuries of scapular region
Injuries to the thorax
S30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
INCLUDES:
 injuries to the abdominal wall
 injuries to the anus
 injuries to the buttock
 injuries to the external genitalia
 injuries to the flank
 injuries to the groin
EXCLUDES2:
 burns and corrosions (T20-T32)
 effects of foreign body in anus and rectum (T18.5)
 effects of foreign body in genitourinary tract (T19.-)
 effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
 frostbite (T33-T34) insect bite or sting, venomous (T63.4)
Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
S40-S49Injuries to the shoulder and upper arm
INCLUDES:
 injuries of axilla
 injuries of scapular region
EXCLUDES2:
 burns and corrosions (T20-T32)
 frostbite (T33-T34)
 injuries of elbow (S50-S59)
 insect bite or sting, venomous (T63.4)
Injuries to the shoulder and upper arm
S50-S59Injuries to the elbow and forearm
EXCLUDES2:
 burns and corrosions (T20-T32)
 frostbite (T33-T34)
 injuries of wrist and hand (S60-S69)
 insect bite or sting, venomous (T63.4)
Injuries to the elbow and forearm
S60-S69Injuries to the wrist, hand and fingers
EXCLUDES2:
 burns and corrosions (T20-T32)
 frostbite (T33-T34)
 insect bite or sting, venomous (T63.4)
Injuries to the wrist, hand and fingers
S70-S79Injuries to the hip and thigh
EXCLUDES2:
 burns and corrosions (T20-T32)
 frostbite (T33-T34)
 snake bite (T63.0-)
 venomous insect bite or sting (T63.4-)
Injuries to the hip and thigh
S80-S89Injuries to the knee and lower leg
EXCLUDES2:
 burns and corrosions (T20-T32)
 frostbite (T33-T34)
 injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
 insect bite or sting, venomous (T63.4)
Injuries to the knee and lower leg
S90-S99Injuries to the ankle and foot
EXCLUDES2:
 burns and corrosions (T20-T32)
 fracture of ankle and malleolus (S82.-)
 frostbite (T33-T34)
 insect bite or sting, venomous (T63.4)
Injuries to the ankle and foot
T07-T88Injury, poisoning and certain other consequences of external causes
EXCLUDES1:
 burns and corrosions (T20-T32)
 frostbite (T33-T34)
 insect bite or sting, venomous (T63.4)
 sunburn (L55.-)
Injury, poisoning and certain other consequences of external causes
T14Injury of unspecified body region
T15-T19Effects of foreign body entering through natural orifice
EXCLUDES2:
 foreign body accidentally left in operation wound (T81.5-)
 foreign body in penetrating wound - See open wound by body region
 residual foreign body in soft tissue (M79.5)
 splinter, without open wound - See superficial injury by body region
Effects of foreign body entering through natural orifice
T20-T32Burns and corrosions
INCLUDES:
 burns (thermal) from electrical heating appliances
 burns (thermal) from electricity
 burns (thermal) from flame
 burns (thermal) from friction
 burns (thermal) from hot air and hot gases
 burns (thermal) from hot objects
 burns (thermal) from lightning
 burns (thermal) from radiation
 chemical burn [corrosion] (external) (internal)
ALSO CODE:
 code from category T31 or T32 to identify extent of body surface involved
EXCLUDES2:
 |erythema [dermatitis] ab igne (L59.0)
 radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
 sunburn (L55.-)
Burns and corrosions
T26-T28Burns and corrosions confined to eye and internal organs
T30-T32Burns and corrosions of multiple and unspecified body regions
T33-T34Frostbite
EXCLUDES2:
 hypothermia and other effects of reduced temperature (T68, T69.-)
Frostbite
T36-T50Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances
NOTES:
 The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
INCLUDES:
 adverse effect of correct substance properly administered
 poisoning by overdose of substance
 poisoning by wrong substance given or taken in error
 underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
USE ADDITIONAL:
 code(s) to specify:
 manifestations of poisoning
 underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
 underdosing of medication regimen (Z91.12-, Z91.13-)
EXCLUDES1:
 toxic reaction to local anesthesia in pregnancy (O29.3-)
EXCLUDES2:
 abuse and dependence of psychoactive substances (F10-F19)
 abuse of non-dependence-producing substances (F55.-)
 drug reaction and poisoning affecting newborn (P00-P96)
 pathological drug intoxication (inebriation) (F10-F19)
Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances
T51-T65Toxic effects of substances chiefly nonmedicinal as to source
NOTES:
 When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
USE ADDITIONAL:
 code(s):
 for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
 personal history of foreign body fully removed (Z87.821)
 to identify any retained foreign body, if applicable (Z18.-)
EXCLUDES1:
 contact with and (suspected) exposure to toxic substances (Z77.-)
Toxic effects of substances chiefly nonmedicinal as to source
T66-T78Other and unspecified effects of external causes
T79Certain early complications of trauma
T80-T88Complications of surgical and medical care, not elsewhere classified
NOTES:
 code to identify devices involved and details of circumstances (Y62-Y82)
ALSO CODE:
 code(s) to identify the specified condition resulting from the complication
USE ADDITIONAL:
 code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
EXCLUDES2:
 ||any encounters with medical care for postprocedural conditions in which no complications are present, such as:
 artificial opening status (Z93.-)
 closure of external stoma (Z43.-)
 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-O9A)
 mechanical complication of respirator [ventilator] (J95.850)
 poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
 postprocedural fever (R50.82)
Complications of surgical and medical care, not elsewhere classified