ICD-9-CM

Use additional code for retained foreign body, if applicable,(V90.01-V90.9)

Use E code(s) to identify the cause and intent of the injury or poisoning (E800-E999)

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.

FRACTURE OF SKULL (800-804) Includes: traumatic brain injury due to fracture of skull The following fifth-digit subclassification is for use with the appropriate codes in categories 800, 801, 803, and 804: 0 unspecified state of consciousness 1 with no loss of consciousness 2 with brief [less than one hour] loss of consciousness 3 with moderate [1-24 hours] loss of consciousness 4 with prolonged [more than 24 hours] loss of consciousness and return to pre-existing conscious level 5 with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level Use fifth-digit 5 to designate when a patient is unconscious and dies before regaining consciousness, regardless of the duration of the loss of consciousness 6 with loss of consciousness of unspecified duration 9 with concussion, unspecified
800: Fracture of vault of skull Requires fifth digit. see beginning of section 800-804 for codes and definitions. Includes: frontal bone parietal bone
801: Fracture of base of skull Requires fifth digit. see beginning of section 800-804 for codes and definitions. Includes: fossa: anterior middle posterior occiput bone orbital roof sinus: ethmoid frontal sphenoid bone temporal bone
802: Fracture of face bones
803: Other and unqualified skull fractures Requires fifth digit. see beginning of section 800-804 for codes and definitions. Includes: skull NOS skull multiple NOS
804: Multiple fractures involving skull or face with other bones Requires fifth digit. see beginning of section 800-804 for codes and definitions.

FRACTURE OF SKULL (800-804)

Includes:

traumatic brain injury due to fracture of skull

The following fifth-digit subclassification is for use with the appropriate codes in categories 800, 801, 803, and 804:

0 unspecified state of consciousness

1 with no loss of consciousness

2 with brief [less than one hour] loss of consciousness

3 with moderate [1-24 hours] loss of consciousness

4 with prolonged [more than 24 hours] loss of consciousness and return to pre-existing conscious level

5 with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level

Use fifth-digit 5 to designate when a patient is unconscious and dies before regaining consciousness, regardless of the duration of the loss of consciousness

6 with loss of consciousness of unspecified duration

9 with concussion, unspecified

800: Fracture of vault of skull

Requires fifth digit. see beginning of section 800-804 for codes and definitions.

Includes:

frontal bone

parietal bone

801: Fracture of base of skull

Requires fifth digit. see beginning of section 800-804 for codes and definitions.

Includes:

fossa:

middle

posterior

occiput bone

orbital roof

sinus:

ethmoid

frontal

sphenoid bone

temporal bone

803: Other and unqualified skull fractures

Requires fifth digit. see beginning of section 800-804 for codes and definitions.

Includes:

skull NOS

skull multiple NOS

804: Multiple fractures involving skull or face with other bones

Requires fifth digit. see beginning of section 800-804 for codes and definitions.