17. INJURY AND POISONING (800-999)
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.
INTERNAL INJURY OF THORAX, ABDOMEN, AND PELVIS (860-869)
Includes:
blast injuries of internal organs
blunt trauma of internal organs
bruise of internal organs
concussion injuries (except cerebral) of internal organs
crushing of internal organs
hematoma of internal organs
laceration of internal organs
puncture of internal organs
tear of internal organs
traumatic rupture of internal organs
Excludes:
concussion NOS (850.0-850.9)
flail chest (807.4)
foreign body entering through orifice (930.0-939.9)
injury to blood vessels (901.0-902.9)
Note:
The description "with open wound," used in the fourth-digit subdivisions, includes those with mention of infection or foreign body.
860: Traumatic pneumothorax and hemothorax
861: Injury to heart and lung
Excludes:
injury to blood vessels of thorax (901.0-901.9)
862: Injury to other and unspecified intrathoracic organs
Excludes:
injury to blood vessels of thorax (901.0-901.9)
863: Injury to gastrointestinal tract
Excludes:
anal sphincter laceration during delivery (664.2)
bile duct (868.0-868.1 with fifth-digit 2)
gallbladder (868.0-868.1 with fifth-digit 2)
864: Injury to liver
The following fifth-digit subclassification is for use with category 864:
0 unspecified injury
1 hematoma and contusion
2 laceration, minor
Laceration involving capsule only, or without significant involvement of hepatic parenchyma [i.e., less than 1 cm deep]
3 laceration, moderate
Laceration involving parenchyma but without major disruption of parenchyma [i.e., less than 10 cm long and less than 3 cm deep]
4 laceration, major
Laceration with significant disruption of hepatic parenchyma [i.e., 10 cm long and 3 cm deep]
Multiple moderate lacerations, with or without hematoma
Stellate lacerations of liver
5 laceration, unspecified
9 other
865: Injury to spleen
The following fifth-digit subclassification is for use with category 865:
0 unspecified injury
1 hematoma without rupture of capsule
2 capsular tears, without major disruption of parenchyma
3 laceration extending into parenchyma
4 massive parenchymal disruption
9 other
866: Injury to kidney
The following fifth-digit subclassification is for use with category 866:
0 unspecified injury
1 hematoma without rupture of capsule
2 laceration
3 complete disruption of kidney parenchyma
Excludes:
acute kidney injury (nontraumatic) (584.9)
867: Injury to pelvic organs
Excludes:
injury during delivery (664.0-665.9)
868: Injury to other intra-abdominal organs
The following fifth-digit subclassification is for use with category 868:
0 unspecified intra-abdominal organ
1 adrenal gland
2 bile duct and gallbladder
3 peritoneum
4 retroperitoneum
9 other and multiple intra-abdominal organs
869: Internal injury to unspecified or ill-defined organs
Includes:
internal injury NOS
multiple internal injury NOS

Home