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)