Classification of diseases and injuries



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NONSPECIFIC ABNORMAL FINDINGS (790-796)

790 Nonspecific findings on examination of blood

Excludes: abnormality of:

platelets (287.0-287.9)

thrombocytes (287.0-287.9)

white blood cells (288.00-288.9)

790.0 Abnormality of red blood cells

Excludes: anemia:

congenital (776.5)

newborn, due to isoimmunization (773.0-773.2, 773.5)

of premature infant (776.6)

other specified types (280.0-285.9)

hemoglobin disorders (282.5-282.7)

polycythemia:

familial (289.6)

neonatorum (776.4)

secondary (289.0)

vera (238.4)

790.01 Precipitous drop in hematocrit

Drop in hematocrit

Drop in hemoglobin

790.09 Other abnormality of red blood cells

Abnormal red cell morphology NOS

Abnormal red cell volume NOS

Anisocytosis

Poikilocytosis

790.1 Elevated sedimentation rate

790.2 Abnormal glucose

Excludes: diabetes mellitus (249.00-249.91, 250.00-250.93)

dysmetabolic syndrome X (277.7)

gestational diabetes (648.8)

glycosuria (791.5)

hypoglycemia (251.2)

that complicating pregnancy, childbirth, or the puerperium (648.8)

790.21 Impaired fasting glucose

Elevated fasting glucose

790.22 Impaired glucose tolerance test (oral)

Elevated glucose tolerance test

790.29 Other abnormal glucose

Abnormal glucose NOS

Abnormal non-fasting glucose

Hyperglycemia NOS

Pre-diabetes NOS

790.3 Excessive blood level of alcohol

Elevated blood-alcohol

790.4 Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH]

790.5 Other nonspecific abnormal serum enzyme levels

Abnormal serum level of:

acid phosphatase

alkaline phosphatase

amylase

lipase


Excludes: deficiency of circulating enzymes (277.6)

790.6 Other abnormal blood chemistry

Abnormal blood levels of:

cobalt


copper

iron


lead

lithium


magnesium

mineral


zinc

Excludes: abnormality of electrolyte or acid-base balance (276.0-276.9)

hypoglycemia NOS (251.2)

lead poisoning (984.0-984.9)

specific finding indicating abnormality of:

amino-acid transport and metabolism (270.0-270.9)

carbohydrate transport and metabolism (271.0-271.9)

lipid metabolism (272.0-272.9)

uremia NOS (586)

790.7 Bacteremia

Excludes: bacteremia of newborn (771.83)

septicemia (038)

Use additional code to identify organism (041)

790.8 Viremia, unspecified

790.9 Other nonspecific findings on examination of blood

790.91 Abnormal arterial blood gases

790.92 Abnormal coagulation profile

Abnormal or prolonged:

bleeding time

coagulation time

partial thromboplastin time [PTT]

prothrombin time [PT]

Excludes: coagulation (hemorrhagic) disorders (286.0-286.9)

790.93 Elevated prostate specific antigen [PSA]

790.94 Euthyroid sick syndrome

790.95 Elevated C-reactive protein (CRP)

790.99 Other

791 Nonspecific findings on examination of urine

Excludes: hematuria NOS (599.70-599.72)

specific findings indicating abnormality of:

amino-acid transport and metabolism (270.0-270.9)

carbohydrate transport and metabolism (271.0-271.9)

791.0 Proteinuria

Albuminuria

Bence-Jones proteinuria

Excludes: postural proteinuria (593.6)

that arising during pregnancy or the puerperium (642.0-642.9, 646.2)

791.1 Chyluria

Excludes: filarial (125.0-125.9)

791.2 Hemoglobinuria

791.3 Myoglobinuria

791.4 Biliuria

791.5 Glycosuria

Excludes: renal glycosuria (271.4)

791.6 Acetonuria

Ketonuria

791.7 Other cells and casts in urine

791.9 Other nonspecific findings on examination of urine

Crystalluria

Elevated urine levels of:

17-ketosteroids

catecholamines

indolacetic acid

vanillylmandelic acid [VMA]

Melanuria

792 Nonspecific abnormal findings in other body substances

Excludes: that in chromosomal analysis (795.2)

792.0 Cerebrospinal fluid

792.1 Stool contents

Abnormal stool color

Fat in stool

Mucus in stool

Occult blood

Pus in stool

Excludes: blood in stool [melena] (578.1)

newborn (772.4, 777.3)

792.2 Semen

Abnormal spermatozoa

Excludes: azoospermia (606.0)

oligospermia (606.1)

792.3 Amniotic fluid

792.4 Saliva

Excludes: that in chromosomal analysis (795.2)

792.5 Cloudy (hemodialysis) (peritoneal) dialysis effluent

792.9 Other nonspecific abnormal findings in body substances

Peritoneal fluid

Pleural fluid

Synovial fluid

Vaginal fluids

793 Nonspecific (abnormal) findings on radiological and other examination of body structure

Includes: nonspecific abnormal findings of:

thermography

ultrasound examination [echogram]

x-ray examination

Excludes: abnormal results of function studies and radioisotope scans (794.0-794.9)

793.0 Skull and head

Excludes: nonspecific abnormal echoencephalogram (794.01)

793.1 Lung field

793.11 Solitary pulmonary nodule

Coin lesion lung

Solitary pulmonary nodule, subsegmental branch of the bronchial tree

793.19 Other nonspecific abnormal finding of lung field

Pulmonary infiltrate NOS

Shadow, lung

793.2 Other intrathoracic organ

Abnormal:

echocardiogram

heart shadow

ultrasound cardiogram

Mediastinal shift

793.3 Biliary tract

Nonvisualization of gallbladder

793.4 Gastrointestinal tract

793.5 Genitourinary organs

Filling defect:

bladder


kidney

ureter


793.6 Abdominal area, including retroperitoneum

793.7 Musculoskeletal system

793.8 Breast

793.80 Abnormal mammogram, unspecified

793.81 Mammographic microcalcification

Excludes: mammographic calcification (793.89)

mammographic calculus (793.89)

793.82 Inconclusive mammogram

Dense breasts NOS

Inconclusive mammogram NEC

Inconclusive mammography due to dense breasts

Inconclusive mammography NEC

793.89 Other (abnormal) findings on radiological examination of breast

Mammographic calcification

Mammographic calculus

793.9 Other

Excludes: abnormal finding by radioisotope localization of placenta (794.9)

793.91 Image test inconclusive due to excess body fat

Use additional code to identify Body Mass Index (BMI), if known (V85.0-V85.54)

793.99 Other nonspecific (abnormal) findings on radiological and other examinations of body structure

Abnormal:

placental finding by x-ray or ultrasound method

radiological findings in skin and subcutaneous tissue

794 Nonspecific abnormal results of function studies

Includes: radioisotope:

scans


uptake studies

scintiphotography

794.0 Brain and central nervous system

794.00 Abnormal function study, unspecified

794.01 Abnormal echoencephalogram

794.02 Abnormal electroencephalogram [EEG]

794.09 Other

Abnormal brain scan

794.1 Peripheral nervous system and special senses

794.10 Abnormal response to nerve stimulation, unspecified

794.11 Abnormal retinal function studies

Abnormal electroretinogram [ERG]

794.12 Abnormal electro-oculogram [EOG]

794.13 Abnormal visually evoked potential

794.14 Abnormal oculomotor studies

794.15 Abnormal auditory function studies

794.16 Abnormal vestibular function studies

794.17 Abnormal electromyogram [EMG]

Excludes: that of eye (794.14)

794.19 Other

794.2 Pulmonary

Abnormal lung scan

Reduced:

ventilatory capacity

vital capacity

794.3 Cardiovascular

794.30 Abnormal function study, unspecified

794.31 Abnormal electrocardiogram [ECG] [EKG]

Excludes: long QT syndrome (426.82)

794.39 Other

Abnormal:

ballistocardiogram

phonocardiogram

vectorcardiogram

794.4 Kidney

Abnormal renal function test

794.5 Thyroid

Abnormal thyroid:

scan

uptake


794.6 Other endocrine function study

794.7 Basal metabolism

Abnormal basal metabolic rate [BMR]

794.8 Liver

Abnormal liver scan

794.9 Other

Bladder

Pancreas


Placenta

Spleen


795 Other and nonspecific abnormal cytological, histological, immunological and DNA test findings

Excludes: abnormal cytologic smear of anus and anal HPV (796.70-796.79)

nonspecific abnormalities of red blood cells (790.01-790.09)

795.0 Abnormal Papanicolaou smear of cervix and cervical HPV

Abnormal thin preparation smear of cervix

Abnormal cervical cytology

Excludes: abnormal cytologic smear of vagina and vaginal HPV (795.10-795.19)

carcinoma in situ of cervix (233.1)

cervical intraepithelial neoplasia I (CIN I) (622.11)

cervical intraepithelial neoplasia II (CIN II) (622.12)

cervical intraepithelial neoplasia III (CIN III) (233.1)

dysplasia (histologically confirmed) of cervix (uteri) NOS (622.10)

mild cervical dysplasia (histologically confirmed) (622.11)

moderate cervical dysplasia (histologically confirmed) (622.12)

severe cervical dysplasia (histologically confirmed) (233.1)

795.00 Abnormal glandular Papanicolaou smear of cervix

Atypical endocervical cells NOS

Atypical endometrial cells NOS

Atypical cervical glandular cells NOS

795.01 Papanicolaou smear of cervix with atypical squamous cells of undetermined significance (ASC-US)

795.02 Papanicolaou smear of cervix with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H)

795.03 Papanicolaou smear of cervix with low grade squamous intraepithelial lesion (LGSIL)

795.04 Papanicolaou smear of cervix with high grade squamous intraepithelial lesion (HGSIL)

795.05 Cervical high risk human papillomavirus (HPV) DNA test positive

795.06 Papanicolaou smear of cervix with cytologic evidence of malignancy

795.07 Satisfactory cervical smear but lacking transformation zone

795.08 Unsatisfactorycervical cytology smear

Inadequatecervical cytology sample

795.09 Other abnormal Papanicolaou smear of cervix and cervical HPV

Cervical low risk human papillomavirus (HPV) DNA test positive

Use additional code for associated human papillomavirus (079.4)

Excludes: encounter for Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smear (V72.32)

795.1 Abnormal Papanicolaou smear of vagina and vaginal HPV

Abnormal thin preparation smear of vagina NOS

Abnormal vaginal cytology NOS

Use additional code to identify acquired absence of uterus and cervix, if applicable (V88.01-V88.03)

Excludes: abnormal cytologic smear of cervix and cervical HPV (795.00-795.09)

carcinoma in situ of vagina (233.31)

carcinoma in situ of vulva (233.32)

dysplasia (histologically confirmed) of vagina NOS (623.0, 233.31)

dysplasia (histologically confirmed) of vulva NOS (624.01, 624.02, 233.32)

mild vaginal dysplasia (histologically confirmed) (623.0)

mild vulvar dysplasia (histologically confirmed) (624.01)

moderate vaginal dysplasia (histologically confirmed) (623.0)

moderate vulvar dysplasia (histologically confirmed) (624.02)

severe vaginal dysplasia (histologically confirmed) (233.31)

severe vulvar dysplasia (histologically confirmed) (233.32)

vaginal intraepithelial neoplasia I (VAIN I) (623.0)

vaginal intraepithelial neoplasia II (VAIN II) (623.0)

vaginal intraepithelial neoplasia III (VAIN III) (233.31)

vulvar intraepithelial neoplasia I (VIN I) (624.01)

vulvar intraepithelial neoplasia II (VIN II) (624.02)

vulvar intraepithelial neoplasia III (VIN III) (233.32)

795.10 Abnormal glandular Papanicolaou smear of vagina

Atypical vaginal glandular cells NOS

795.11 Papanicolaou smear of vagina with atypical squamous cells of undetermined significance (ASC-US)

795.12 Papanicolaou smear of vagina with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H)

795.13 Papanicolaou smear of vagina with low grade squamous intraepithelial lesion (LGSIL)

795.14 Papanicolaou smear of vagina with high grade squamous intraepithelial lesion (HGSIL)

795.15 Vaginal high risk human papillomavirus (HPV) DNA test positive

Excludes: condyloma acuminatum (078.11)

genital warts (078.11)

795.16 Papanicolaou smear of vagina with cytologic evidence of malignancy

795.18 Unsatisfactory vaginal cytology smear

Inadequate vaginal cytology sample

795.19 Other abnormal Papanicolaou smear of vagina and vaginal HPV

Vaginal low risk human papillomavirus (HPV) DNA test positive

Use additional code for associated human papillomavirus (079.4)

795.2 Nonspecific abnormal findings on chromosomal analysis

Abnormal karyotype

795.3 Nonspecific positive culture findings

Positive culture findings in:

nose

sputum


throat

wound


Excludes: that of:

blood (790.7-790.8)

urine (791.9)

795.31 Nonspecific positive findings for anthrax

Positive findings by nasal swab

795.39 Other nonspecific positive culture findings

Excludes: colonization status (V02.0-V02.9)

795.4 Other nonspecific abnormal histological findings

795.5 Nonspecific reaction to test for tuberculosis

795.51 Nonspecific reaction to tuberculin skin test without active tuberculosis

Abnormal result of Mantoux test

PPD positive

Tuberculin (skin test) positive

Tuberculin (skin test) reactor

Excludes: nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis (795.52)

795.52 Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis

Nonspecific reaction to QuantiFERON-TB test (QFT) without active tuberculosis

Excludes: nonspecific reaction to tuberculin skin test without active tuberculosis (795.51)

positive tuberculin skin test (795.51)

795.6 False positive serological test for syphilis

False positive Wassermann reaction

795.7 Other nonspecific immunological findings

Excludes: abnormal tumor markers (795.81-795.89)

elevated prostate specific antigen [PSA] (790.93)

elevated tumor associated antigens (795.81-795.89)

isoimmunization, in pregnancy (656.1-656.2)

affecting fetus or newborn (773.0-773.2)

795.71 Nonspecific serologic evidence of human immunodeficiency virus [HIV]

Inconclusive human immunodeficiency virus [HIV] test (adult) (infant)

Note: This code is ONLY to be used when a test finding is reported as nonspecific. Asymptomatic positive findings are coded to V08. If any HIV infection symptom or condition is present, see code 042. Negative findings are not coded.

Excludes: acquired immunodeficiency syndrome [AIDS] (042)

asymptomatic human immunodeficiency virus, [HIV] infection status (V08)

HIV infection, symptomatic (042)

human immunodeficiency virus [HIV] disease (042)

positive (status) NOS (V08)

795.79 Other and unspecified nonspecific immunological findings

Raised antibody titer

Raised level of immunoglobulins

795.8 Abnormal tumor markers

Elevated tumor associated antigens [TAA]

Elevated tumor specific antigens [TSA]

Excludes: elevated prostate specific antigen [PSA] (790.93)

795.81 Elevated carcinoembryonic antigen [CEA]

795.82 Elevated cancer antigen 125 [CA 125]

795.89 Other abnormal tumor markers

796 Other nonspecific abnormal findings

796.0 Nonspecific abnormal toxicological findings

Abnormal levels of heavy metals or drugs in blood, urine, or other tissue

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

Excludes: excessive blood level of alcohol (790.3)

796.1 Abnormal reflex

796.2 Elevated blood pressure reading without diagnosis of hypertension

Note: This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an incidental finding.

796.3 Nonspecific low blood pressure reading

796.4 Other abnormal clinical findings

796.5 Abnormal finding on antenatal screening

796.6 Abnormal findings on neonatal screening

Excludes: nonspecific serologic evidence of human immunodeficiency virus [HIV] (795.71)

796.7 Abnormal cytologic smear of anus and anal HPV

Excludes: abnormal cytologic smear of cervix and cervical HPV (795.00-795.09)

abnormal cytologic smear of vagina and vaginal HPV (795.10-795.19)

anal intraepithelial neoplasia I (AIN I) (569.44)

anal intraepithelial neoplasia II (AIN II) (569.44)

anal intraepithelial neoplasia III (AIN III) (230.5, 230.6)

carcinoma in situ of anus (230.5, 230.6)

dysplasia (histologically confirmed) of anus NOS (569.44)

mild anal dysplasia (histologically confirmed) (569.44)

moderate anal dysplasia (histologically confirmed) (569.44)

severe anal dysplasia (histologically confirmed) (230.5, 230.6)

796.70 Abnormal glandular Papanicolaou smear of anus

Atypical anal glandular cells NOS

796.71 Papanicolaou smear of anus with atypical squamous cells of undetermined significance (ASC-US)

796.72 Papanicolaou smear of anus with atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H)

796.73 Papanicolaou smear of anus with low grade squamous intraepithelial lesion (LGSIL)

796.74 Papanicolaou smear of anus with high grade squamous intraepithelial lesion (HGSIL)

796.75 Anal high risk human papillomavirus (HPV) DNA test positive

796.76 Papanicolaou smear of anus with cytologic evidence of malignancy

796.77 Satisfactory anal smear but lacking transformation zone

796.78 Unsatisfactory anal cytology smear

Inadequate anal cytology sample

796.79 Other abnormal Papanicolaou smear of anus and anal HPV

Anal low risk human papillomavirus (HPV) DNA test positive

Use additional code for associated human papillomavirus (079.4)

796.9 Other



ILL-DEFINED AND UNKNOWN CAUSES OF MORBIDITY AND MORTALITY (797-799)

797 Senility without mention of psychosis

Frailty

Old age


Senescence

Senile asthenia

Senile:

debility


exhaustion

Excludes: senile psychoses (290.0-290.9)

798 Sudden death, cause unknown

798.0 Sudden infant death syndrome

Cot death

Crib death

Sudden death of nonspecific cause in infancy

798.1 Instantaneous death

798.2 Death occurring in less than 24 hours from onset of symptoms, not otherwise explained

Death known not to be violent or instantaneous, for which no cause could be discovered

Died without sign of disease

798.9 Unattended death

Death in circumstances where the body of the deceased was found and no cause could be discovered

Found dead

799 Other ill-defined and unknown causes of morbidity and mortality

799.0 Asphyxia and hypoxemia

Excludes: asphyxia and hypoxemia (due to):

carbon monoxide (986)

hypercapnia (786.09)

inhalation of food or foreign body (932-934.9)

newborn (768.0-768.9)

traumatic (994.7)

799.01 Asphyxia

799.02 Hypoxemia

799.1 Respiratory arrest

Cardiorespiratory failure

Excludes: cardiac arrest (427.5)

failure of peripheral circulation (785.50)

respiratory distress:

NOS (786.09)

acute (518.82)

following trauma or surgery (518.52)

newborn (770.89)

syndrome (newborn) (769)

adult (following trauma or surgery) (518.52)

other (518.82)

respiratory failure (518.81, 518.83-518.84)

newborn (770.84)

respiratory insufficiency (786.09)

acute (518.82)

799.2 Signs and symptoms involving emotional state

Excludes: anxiety (293.84, 300.00-300.09)

depression (311)

799.21 Nervousness

Nerves

799.22 Irritability



Irritable

799.23 Impulsiveness

Impulsive

Excludes: impulsive neurosis (300.3)

799.24 Emotional lability

799.25 Demoralization and apathy

Apathetic

799.29 Other signs and symptoms involving emotional state

799.3 Debility, unspecified

Excludes: asthenia (780.79)

nervous debility (300.5)

neurasthenia (300.5)

senile asthenia (797)

799.4 Cachexia

Wasting disease

Code first underlying condition, if known

799.5 Signs and symptoms involving cognition

Excludes: amnesia (780.93)

amnestic syndrome (294.0)

attention deficit disorder (314.00-314.01)

late effects of cerebrovascular disease (438)

memory loss (780.93)

mild cognitive impairment, so stated (331.83)

specific problems in developmental delay (315.00-315.9)

transient global amnesia (437.7)

visuospatial neglect (781.8)

799.51 Attention or concentration deficit

799.52 Cognitive communication deficit

799.53 Visuospatial deficit

799.54 Psychomotor deficit

799.55 Frontal lobe and executive function deficit

799.59 Other signs and symptoms involving cognition

799.8 Other ill-defined conditions

799.81 Decreased libido

Decreased sexual desire

Excludes: psychosexual dysfunction with inhibited sexual desire (302.71)

799.82 Apparent life threatening event in infant

ALTE


Apparent life threatening event in newborn and infant

Code first confirmed diagnosis, if known

Use additional code(s) for associated signs and symptoms if no confirmed diagnosis established, or if signs and symptoms are not associated routinely with confirmed diagnosis, or provide additional information for cause of ALTE

799.89 Other ill-defined conditions

799.9 Other unknown and unspecified cause

Undiagnosed disease, not specified as to site or system involved



Unknown cause of morbidity or mortality

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.

FRACTURES (800-829)

Excludes: malunion (733.81)

nonunion (733.82)

pathologic or spontaneous fracture (733.10-733.19)

stress fracture (733.93-733.95)

The terms "condyle," "coronoid process," "ramus," and "symphysis" indicate the portion of the bone fractured, not the name of the bone involved.

The descriptions "closed" and "open" used in the fourth-digit subdivisions include the following terms:

closed (with or without delayed healing):

comminuted

depressed

elevated

fissured

fracture NOS

greenstick

impacted

linear

simple

slipped epiphysis

spiral

open (with or without delayed healing):

compound

infected

missile

puncture

with foreign body

Note: A fracture not indicated as closed or open should be classified as closed.

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

800.0 Closed without mention of intracranial injury

[0-6,9]

800.1 Closed with cerebral laceration and contusion



[0-6,9]

800.2 Closed wtih subarachnoid, subdural, and extradural hemorrhage

[0-6,9]

800.3 Closed with other and unspecified intracranial hemorrhage



[0-6,9]

800.4 Closed with intracranialinjury of other and unspecified nature

[0-6,9]

800.5 Open without mention of intracranial injury



[0-6,9]

800.6 Open with cerebral laceration and contusion

[0-6,9]

800.7 Open with subarachnoid, subdural, and extradural hemorrhage



[0-6,9]

800.8 Open with other and unspecified intracranial hemorrhage

[0-6,9]

800.9 Open with intracranial injury of other and unspecified nature



[0-6,9]

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

801.0 Closed without mention of intracranial injury

[0-6,9]


801.1 Closed with cerebral laceration and contusion

[0-6,9]


801.2 Closed with subarachnoid, subdural, and extradural hemorrhage

[0-6,9]


801.3 Closed with other and unspecified intracranial hemorrhage

[0-6,9]


801.4 Closed with intracranial injury of other and unspecified nature

[0-6,9]


801.5 Open without mention of intracranial injury

[0-6,9]


801.6 Open with cerebral laceration and contusion

[0-6,9]


801.7 Open with subarachnoid, subdural, and extradural hemorrhage

[0-6,9]


801.8 Open with other and unspecified intracranial hemorrhage

[0-6,9]


801.9 Open with intracranial injury of other and unspecified nature

[0-6,9]


802 Fracture of face bones

802.0 Nasal bones, closed

802.1 Nasal bones, open

802.2 Mandible, closed

Inferior maxilla

Lower jaw (bone)

802.20 Unspecified site

802.21 Condylar process

802.22 Subcondylar

802.23 Coronoid process

802.24 Ramus, unspecified

802.25 Angle of jaw

802.26 Symphysis of body

802.27 Alveolar border of body

802.28 Body, other and unspecified

802.29 Multiple sites

802.3 Mandible, open

802.30 Unspecified site

802.31 Condylar process

802.32 Subcondylar

802.33 Coronoid process

802.34 Ramus, unspecified

802.35 Angle of jaw

802.36 Symphysis of body

802.37 Alveolar border of body

802.38 Body, other and unspecified

802.39 Multiple sites

802.4 Malar and maxillary bones, closed

Superior maxilla

Upper jaw (bone)

Zygoma

Zygomatic arch



802.5 Malar and maxillary bones, open

802.6 Orbital floor (blow-out), closed

802.7 Orbital floor (blow-out), open

802.8 Other facial bones, closed

Alveolus

Orbit:


NOS

part other than roof or floor

Palate

Excludes: orbital:



floor (802.6)

roof (801.0-801.9)

802.9 Other facial bones, open

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

803.0 Closed without mention of intracranial injury

[0-6,9]

803.1 Closed with cerebral laceration and contusion



[0-6,9]

803.2 Closed with subarachnoid, subdural, and extradural hemorrhage

[0-6,9]

803.3 Closed with other and unspecified intracranial hemorrhage



[0-6,9]

803.4 Closed with intracranial injury of other and unspecified nature

[0-6,9]

803.5 Open without mention of intracranial injury



[0-6,9]

803.6 Open with cerebral laceration and contusion

[0-6,9]

803.7 Open with subarachnoid, subdural, and extradural hemorrhage



[0-6,9]

803.8 Open with other and unspecified intracranial hemorrhage

[0-6,9]

803.9 Open with intracranial injury of other and unspecified nature



[0-6,9]

804 Multiple fractures involving skull or face with other bones

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

804.0 Closed without mention of intracranial injury

[0-6,9]

804.1 Closed with cerebral laceration and contusion



[0-6,9]

804.2 Closed with subarachnoid, subdural, and extradural hemorrhage

[0-6,9]

804.3 Closed with other and unspecified intracranial hemorrhage



[0-6,9]

804.4 Closed with intracranialinjury of other and unspecified nature

[0-6,9]

804.5 Open without mention of intracranial injury



[0-6,9]

804.6 Open with cerebral laceration and contusion

[0-6,9]

804.7 Open with subarachnoid, subdural, and extradural hemorrhage



[0-6,9]

804.8 Open with other and unspecified intracranial hemorrhage

[0-6,9]

804.9 Open with intracranial injury of other and unspecified nature



[0-6,9]

FRACTURE OF NECK AND TRUNK (805-809)

805 Fracture of vertebral column without mention of spinal cord injury

Includes: neural arch

spine


spinous process

transverse process

vertebra

The following fifth-digit subclassification is for use with codes 805.0-805.1:

0 cervical vertebra, unspecified level

1 first cervical vertebra

2 second cervical vertebra

3 third cervical vertebra

4 fourth cervical vertebra

5 fifth cervical vertebra

6 sixth cervical vertebra

7 seventh cervical vertebra

8 multiple cervical vertebrae

805.0 Cervical, closed

[0-8]

Atlas


Axis

805.1 Cervical, open

[0-8]

805.2 Dorsal [thoracic], closed



805.3 Dorsal [thoracic], open

805.4 Lumbar, closed

805.5 Lumbar, open

805.6 Sacrum and coccyx, closed

805.7 Sacrum and coccyx, open

805.8 Unspecified, closed

805.9 Unspecified, open

806 Fracture of vertebral column with spinal cord injury

Includes: any condition classifiable to 805 with:

complete or incomplete transverse lesion (of cord)

hematomyelia

injury to:

cauda equina

nerve


paralysis

paraplegia

quadriplegia

spinal concussion

806.0 Cervical, closed

806.00 C1-C4 level with unspecified spinal cord injury

Cervical region NOS with spinal cord injury NOS

806.01 C1-C4 level with complete lesion of cord

806.02 C1-C4 level with anterior cord syndrome

806.03 C1-C4 level with central cord syndrome

806.04 C1-C4 level with other specified spinal cord injury

C1-C4 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.05 C5-C7 level with unspecified spinal cord injury

806.06 C5-C7 level with complete lesion of cord

806.07 C5-C7 level with anterior cord syndrome

806.08 C5-C7 level with central cord syndrome

806.09 C5-C7 level with other specified spinal cord injury

C5-C7 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.1 Cervical, open

806.10 C1-C4 level with unspecified spinal cord injury

806.11 C1-C4 level with complete lesion of cord

806.12 C1-C4 level with anterior cord syndrome

806.13 C1-C4 level with central cord syndrome

806.14 C1-C4 level with other specified spinal cord injury

C1-C4 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.15 C5-C7 level with unspecified spinal cord injury

806.16 C5-C7 level with complete lesion of cord

806.17 C5-C7 level with anterior cord syndrome

806.18 C5-C7 level with central cord syndrome

806.19 C5-C7 level with other specified spinal cord injury

C5-C7 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.2 Dorsal [thoracic], closed

806.20 T1-T6 level with unspecified spinal cord injury

Thoracic region NOS with spinal cord injury NOS

806.21 T1-T6 level with complete lesion of cord

806.22 T1-T6 level with anterior cord syndrome

806.23 T1-T6 level with central cord syndrome

806.24 T1-T6 level with other specified spinal cord injury

T1-T6 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.25 T7-T12 level with unspecified spinal cord injury

806.26 T7-T12 level with complete lesion of cord

806.27 T7-T12 level with anterior cord syndrome

806.28 T7-T12 level with central cord syndrome

806.29 T7-T12 level with other specified spinal cord injury

T7-T12 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.3 Dorsal [thoracic], open

806.30 T1-T6 level with unspecified spinal cord injury

806.31 T1-T6 level with complete lesion of cord

806.32 T1-T6 level with anterior cord syndrome

806.33 T1-T6 level with central cord syndrome

806.34 T1-T6 level with other specified spinal cord injury

T1-T6 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.35 T7-T12 level with unspecified spinal cord injury

806.36 T7-T12 level with complete lesion of cord

806.37 T7-T12 level with anterior cord syndrome

806.38 T7-T12 level with central cord syndrome

806.39 T7-T12 level with other specified spinal cord injury

T7-T12 level with:

incomplete spinal cord lesion NOS

posterior cord syndrome

806.4 Lumbar, closed

806.5 Lumbar, open

806.6 Sacrum and coccyx, closed

806.60 With unspecified spinal cord injury

806.61 With complete cauda equina lesion

806.62 With other cauda equina injury

806.69 With other spinal cord injury

806.7 Sacrum and coccyx, open

806.70 With unspecified spinal cord injury

806.71 With complete cauda equina lesion

806.72 With other cauda equina injury

806.79 With other spinal cord injury

806.8 Unspecified, closed

806.9 Unspecified, open

807 Fracture of rib(s), sternum, larynx, and trachea

The following fifth-digit subclassification is for use with codes 807.0-807.1:

0 rib(s), unspecified

1 one rib

2 two ribs

3 three ribs

4 four ribs

5 five ribs

6 six ribs

7 seven ribs

8 eight or more ribs

9 multiple ribs, unspecified

807.0 Rib(s), closed

[0-9]


807.1 Rib(s), open

[0-9]


807.2 Sternum, closed

807.3 Sternum, open

807.4 Flail chest

807.5 Larynx and trachea, closed

Hyoid bone

Thyroid cartilage

Trachea

807.6 Larynx and trachea, open



808 Fracture of pelvis

808.0 Acetabulum, closed

808.1 Acetabulum, open

808.2 Pubis, closed

808.3 Pubis, open

808.4 Other specified part, closed

808.41 Ilium

808.42 Ischium

808.43 Multiple closed pelvic fractures with disruption of pelvic circle

Multiple closed pelvic fractures with disruption of pelvic ring

808.44 Multiple closed pelvic fractures without disruption of pelvic circle

Multiple closed pelvic fractures without disruption of pelvic ring

808.49 Other

Innominate bone

Pelvic rim

808.5 Other specified part, open

808.51 Ilium

808.52 Ischium

808.53 Multiple open pelvic fractures with disruption of pelvic circle

Multiple open pelvic fractures with disruption of pelvic ring

808.54 Multiple open pelvic fractures without disruption of pelvic circle

Multiple open pelvic fractures without disruption of pelvic ring

808.59 Other

808.8 Unspecified, closed

808.9 Unspecified, open

809 Ill-defined fractures of bones of trunk

Includes: bones of trunk with other bones except those of skull and face

multiple bones of trunk

Excludes: multiple fractures of:

pelvic bones alone (808.0-808.9)

ribs alone (807.0-807.1, 807.4)

ribs or sternum with limb bones (819.0-819.1, 828.0-828.1)

skull or face with other bones (804.0-804.9)

809.0 Fracture of bones of trunk, closed

809.1 Fracture of bones of trunk, open

FRACTURE OF UPPER LIMB (810-819)

810 Fracture of clavicle

Includes: collar bone

interligamentous part of clavicle

The following fifth-digit subclassification is for use with category 810:

0 unspecified part

Clavicle NOS

1 sternal end of clavicle

2 shaft of clavicle

3 acromial end of clavicle

810.0 Closed

[0-3]


810.1 Open

[0-3]


811 Fracture of scapula

Includes: shoulder blade

The following fifth-digit subclassification is for use with category 811:

0 unspecified part

1 acromial process

Acromion (process)

2 coracoid process

3 glenoid cavity and neck of scapula

9 other

811.0 Closed



[0-3,9]

811.1 Open

[0-3,9]

812 Fracture of humerus



812.0 Upper end, closed

812.00 Upper end, unspecified part

Proximal end

Shoulder


812.01 Surgical neck

Neck of humerus NOS

812.02 Anatomical neck

812.03 Greater tuberosity

812.09 Other

Head


Upper epiphysis

812.1 Upper end, open

812.10 Upper end, unspecified part

812.11 Surgical neck

812.12 Anatomical neck

812.13 Greater tuberosity

812.19 Other

812.2 Shaft or unspecified part, closed

812.20 Unspecified part of humerus

Humerus NOS

Upper arm NOS

812.21 Shaft of humerus

812.3 Shaft or unspecified part, open

812.30 Unspecified part of humerus

812.31 Shaft of humerus

812.4 Lower end, closed

Distal end of humerus

Elbow


812.40 Lower end, unspecified part

812.41 Supracondylar fracture of humerus

812.42 Lateral condyle

External condyle

812.43 Medial condyle

Internal epicondyle

812.44 Condyle(s), unspecified

Articular process NOS

Lower epiphysis

812.49 Other

Multiple fractures of lower end

Trochlea


812.5 Lower end, open

812.50 Lower end, unspecified part

812.51 Supracondylar fracture of humerus

812.52 Lateral condyle

812.53 Medial condyle

812.54 Condyle(s), unspecified

812.59 Other

813 Fracture of radius and ulna

813.0 Upper end, closed

Proximal end

813.00 Upper end of forearm, unspecified

813.01 Olecranon process of ulna

813.02 Coronoid process of ulna

813.03 Monteggia's fracture

813.04 Other and unspecified fractures of proximal end of ulna (alone)

Multiple fractures of ulna, upper end

813.05 Head of radius

813.06 Neck of radius

813.07 Other and unspecified fractures of proximal end of radius (alone)

Multiple fractures of radius, upper end

813.08 Radius with ulna, upper end [any part]

813.1 Upper end, open

813.10 Upper end of forearm, unspecified

813.11 Olecranon process of ulna

813.12 Coronoid process of ulna

813.13 Monteggia's fracture

813.14 Other and unspecified fractures of proximal end of ulna (alone)

813.15 Head of radius

813.16 Neck of radius

813.17 Other and unspecified fractures of proximal end of radius (alone)

813.18 Radius with ulna, upper end [any part]

813.2 Shaft, closed

813.20 Shaft, unspecified

813.21 Radius (alone)

813.22 Ulna (alone)

813.23 Radius with ulna

813.3 Shaft, open

813.30 Shaft, unspecified

813.31 Radius (alone)

813.32 Ulna (alone)

813.33 Radius with ulna

813.4 Lower end, closed

Distal end

813.40 Lower end of forearm, unspecified

813.41 Colles' fracture

Smith's fracture

813.42 Other fractures of distal end of radius (alone)

Dupuytren's fracture, radius

Radius, lower end

813.43 Distal end of ulna (alone)

Ulna:

head


lower end

lower epiphysis

styloid process

813.44 Radius with ulna, lower end

813.45 Torus fracture of radius (alone)

Excludes: Torus fracture of radius and ulna (813.47)

813.46 Torus fracture of ulna (alone)

Excludes: Torus fracture of radius and ulna (813.47)

813.47 Torus fracture of radius and ulna

813.5 Lower end, open

813.50 Lower end of forearm, unspecified

813.51 Colles' fracture

813.52 Other fractures of distal end of radius (alone)

813.53 Distal end of ulna (alone)

813.54 Radius with ulna, lower end

813.8 Unspecified part, closed

813.80 Forearm, unspecified

813.81 Radius (alone)

813.82 Ulna (alone)

813.83 Radius with ulna

813.9 Unspecified part, open

813.90 Forearm, unspecified

813.91 Radius (alone)

813.92 Ulna (alone)

813.93 Radius with ulna

814 Fracture of carpal bone(s)

The following fifth-digit subclassification is for use with category 814:

0 carpal bone, unspecified

Wrist NOS

1 navicular [scaphoid] of wrist

2 lunate [semilunar] bone of wrist

3 triquetral [cuneiform] bone of wrist

4 pisiform

5 trapezium bone [larger multangular]

6 trapezoid bone [smaller multangular]

7 capitate bone [os magnum]

8 hamate [unciform] bone

9 other


814.0 Closed

[0-9]


814.1 Open

[0-9]


815 Fracture of metacarpal bone(s)

Includes: hand [except finger]

metacarpus

The following fifth-digit subclassification is for use with category 815:

0 metacarpal bone(s), site unspecified

1 base of thumb [first] metacarpal

Bennett's fracture

2 base of other metacarpal bone(s)

3 shaft of metacarpal bone(s)

4 neck of metacarpal bone(s)

9 multiple sites of metacarpus

815.0 Closed

[0-4,9]

815.1 Open



[0-4,9]

816 Fracture of one or more phalanges of hand

Includes: finger(s)

thumb


The following fifth-digit subclassification is for use with category 816:

0 phalanx or phalanges, unspecified

1 middle or proximal phalanx or phalanges

2 distal phalanx or phalanges

3 multiple sites

816.0 Closed

[0-3]

816.1 Open



[0-3]

817 Multiple fractures of hand bones

Includes: metacarpal bone(s) with phalanx or phalanges of same hand

817.0 Closed

817.1 Open

818 Ill-defined fractures of upper limb

Includes: arm NOS

multiple bones of same upper limb

Excludes: multiple fractures of:

metacarpal bone(s) with phalanx or phalanges (817.0-817.1)

phalanges of hand alone (816.0-816.1)

radius with ulna (813.0-813.9)

818.0 Closed

818.1 Open

819 Multiple fractures involving both upper limbs, and upper limb with rib(s) and sternum

Includes: arm(s) with rib(s) or sternum

both arms [any bones]

819.0 Closed

819.1 Open

FRACTURE OF LOWER LIMB (820-829)

820 Fracture of neck of femur

820.0 Transcervical fracture, closed

820.00 Intracapsular section, unspecified

820.01 Epiphysis (separation) (upper)

Transepiphyseal

820.02 Midcervical section

Transcervical NOS

820.03 Base of neck

Cervicotrochanteric section

820.09 Other

Head of femur

Subcapital

820.1 Transcervical fracture, open

820.10 Intracapsular section, unspecified

820.11 Epiphysis (separation) (upper)

820.12 Midcervical section

820.13 Base of neck

820.19 Other

820.2 Pertrochanteric fracture, closed

820.20 Trochanteric section, unspecified

Trochanter:

NOS

greater


lesser

820.21 Intertrochanteric section

820.22 Subtrochanteric section

820.3 Pertrochanteric fracture, open

820.30 Trochanteric section, unspecified

820.31 Intertrochanteric section

820.32 Subtrochanteric section

820.8 Unspecified part of neck of femur, closed

Hip NOS

Neck of femur NOS



820.9 Unspecified part of neck of femur, open

821 Fracture of other and unspecified parts of femur

821.0 Shaft or unspecified part, closed

821.00 Unspecified part of femur

Thigh

Upper leg



Excludes: hip NOS (820.8)

821.01 Shaft

821.1 Shaft or unspecified part, open

821.10 Unspecified part of femur

821.11 Shaft

821.2 Lower end, closed

Distal end

821.20 Lower end, unspecified part

821.21 Condyle, femoral

821.22 Epiphysis, lower (separation)

821.23 Supracondylar fracture of femur

821.29 Other

Multiple fractures of lower end

821.3 Lower end, open

821.30 Lower end, unspecified part

821.31 Condyle, femoral

821.32 Epiphysis, lower (separation)

821.33 Supracondylar fracture of femur

821.39 Other

822 Fracture of patella

822.0 Closed

822.1 Open

823 Fracture of tibia and fibula

Excludes: Dupuytren's fracture (824.4-824.5)

ankle (824.4-824.5)

radius (813.42, 813.52)

Pott's fracture (824.4-824.5)

that involving ankle (824.0-824.9)

The following fifth-digit subclassification is for use with category 823:

0 tibia alone

1 fibula alone

2 fibula with tibia

823.0 Upper end, closed

[0-2]


Head

Proximal end

Tibia:

condyles


tuberosity

823.1 Upper end, open

[0-2]

823.2 Shaft, closed



[0-2]

823.3 Shaft, open

[0-2]

823.4 Torus fracture



[0-2]

823.8 Unspecified part, closed

[0-2]

Lower leg NOS



823.9 Unspecified part, open

[0-2]


824 Fracture of ankle

824.0 Medial malleolus, closed

Tibia involving:

ankle


malleolus

824.1 Medial malleolus, open

824.2 Lateral malleolus, closed

Fibula involving:

ankle

malleolus



824.3 Lateral malleolus, open

824.4 Bimalleolar, closed

Dupuytren's fracture, fibula

Pott's fracture

824.5 Bimalleolar, open

824.6 Trimalleolar, closed

Lateral and medial malleolus with anterior or posterior lip of tibia

824.7 Trimalleolar, open

824.8 Unspecified, closed

Ankle NOS

824.9 Unspecified, open

825 Fracture of one or more tarsal and metatarsal bones

825.0 Fracture of calcaneus, closed

Heel bone

Os calcis

825.1 Fracture of calcaneus, open

825.2 Fracture of other tarsal and metatarsal bones, closed

825.20 Unspecified bone(s) of foot [except toes]

Instep

825.21 Astragalus



Talus

825.22 Navicular [scaphoid], foot

825.23 Cuboid

825.24 Cuneiform, foot

825.25 Metatarsal bone(s)

825.29 Other

Tarsal with metatarsal bone(s) only

Excludes: calcaneus (825.0)

825.3 Fracture of other tarsal and metatarsal bones, open

825.30 Unspecified bone(s) of foot [except toes]

825.31 Astragalus

825.32 Navicular [scaphoid], foot

825.33 Cuboid

825.34 Cuneiform, foot

825.35 Metatarsal bone(s)

825.39 Other

826 Fracture of one or more phalanges of foot

Includes: toe(s)

826.0 Closed

826.1 Open

827 Other, multiple, and ill-defined fractures of lower limb

Includes: leg NOS

multiple bones of same lower limb

Excludes: multiple fractures of:

ankle bones alone (824.4-824.9)

phalanges of foot alone (826.0-826.1)

tarsal with metatarsal bones (825.29, 825.39)

tibia with fibula (823.0-823.9 with fifth-digit 2)

827.0 Closed

827.1 Open

828 Multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum

Includes: arm(s) with leg(s) [any bones]

both legs [any bones]

leg(s) with rib(s) or sternum

828.0 Closed

828.1 Open

829 Fracture of unspecified bones

829.0 Unspecified bone, closed

829.1 Unspecified bone, open

DISLOCATION (830-839)

Includes: displacement

subluxation

Excludes: congenital dislocation (754.0-755.8)

pathological dislocation (718.2)

recurrent dislocation (718.3)

The descriptions "closed" and "open," used in the fourth-digit subdivisions, include the following terms:

closed:

complete

dislocation NOS

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