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.

INTRACRANIAL INJURY, EXCLUDING THOSE WITH SKULL FRACTURE (850-854) Includes: traumatic brain injury without skull fracture Excludes: intracranial injury with skull fracture (800-801) and (803-804), except .0 and .5 open wound of head without intracranial injury (870.0-873.9) skull fracture alone (800-801) and (803-804) with .0, .5 Note: The description "with open intracranial wound," used in the fourth-digit subdivisions, includes those specified as open or with mention of infection or foreign body. The following fifth-digit subclassification is for use with categories 851-854: 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
850: Concussion Includes: commotio cerebri Excludes: concussion with: cerebral laceration or contusion (851.0-851.9) cerebral hemorrhage (852-853) head injury NOS (959.01)
851: Cerebral laceration and contusion Requires fifth digit. see beginning of section 850-854 for codes and definitions.
852: Subarachnoid, subdural, and extradural hemorrhage, following injury Requires fifth digit. see beginning of section 850-854 for codes and definitions. Excludes: cerebral contusion or laceration (with hemorrhage) (851.0-851.9)
853: Other and unspecified intracranial hemorrhage following injury Requires fifth digit. see beginning of section 850-854 for codes and definitions.
854: Intracranial injury of other and unspecified nature Requires fifth digit. see beginning of section 850-854 for codes and definitions. Includes: injury: brain NOS cavernous sinus intracranial traumatic brain NOS Excludes: any condition classifiable to 850-853 head injury NOS (959.01)

INTRACRANIAL INJURY, EXCLUDING THOSE WITH SKULL FRACTURE (850-854)

Includes:

traumatic brain injury without skull fracture

Excludes:

intracranial injury with skull fracture (800-801) and (803-804), except .0 and .5

open wound of head without intracranial injury (870.0-873.9)

skull fracture alone (800-801) and (803-804) with .0, .5

Note:

The description "with open intracranial wound," used in the fourth-digit subdivisions, includes those specified as open or with mention of infection or foreign body.

The following fifth-digit subclassification is for use with categories 851-854:

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

850: Concussion

Includes:

commotio cerebri

Excludes:

concussion with:

cerebral laceration or contusion (851.0-851.9)

cerebral hemorrhage (852-853)

head injury NOS (959.01)

851: Cerebral laceration and contusion

Requires fifth digit. see beginning of section 850-854 for codes and definitions.