Classification of diseases and injuries



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partial

simple

uncomplicated

open:

compound

infected

with foreign body

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

830 Dislocation of jaw

Includes: jaw (cartilage) (meniscus)

mandible


maxilla (inferior)

temporomandibular (joint)

830.0 Closed dislocation

830.1 Open dislocation

831 Dislocation of shoulder

Excludes: sternoclavicular joint (839.61, 839.71)

sternum (839.61, 839.71)

The following fifth-digit subclassification is for use with category 831:

0 shoulder, unspecified

Humerus NOS

1 anterior dislocation of humerus

2 posterior dislocation of humerus

3 inferior dislocation of humerus

4 acromioclavicular (joint)

Clavicle

9 other


Scapula

831.0 Closed dislocation

[0-4,9]

831.1 Open dislocation



[0-4,9]

832 Dislocation of elbow

The following fifth-digit subclassification is for use with subcategories 832.0 and 832.1:

0 elbow unspecified

1 anterior dislocation of elbow

2 posterior dislocation of elbow

3 medial dislocation of elbow

4 lateral dislocation of elbow

9 other

832.0 Closed dislocation



[0-4,9]

832.1 Open dislocation

[0-4,9]

832.2 Nursemaid's elbow



Subluxation of radial head

833 Dislocation of wrist

The following fifth-digit subclassification is for use with category 833:

0 wrist, unspecified part

Carpal (bone)

Radius, distal end

1 radioulnar (joint), distal

2 radiocarpal (joint)

3 midcarpal (joint)

4 carpometacarpal (joint)

5 metacarpal (bone), proximal end

9 other


Ulna, distal end

833.0 Closed dislocation

[0-5,9]

833.1 Open dislocation



[0-5,9]

834 Dislocation of finger

Includes: finger(s)

phalanx of hand

thumb

The following fifth-digit subclassification is for use with category 834:



0 finger, unspecified part

1 metacarpophalangeal (joint)

Metacarpal (bone), distal end

2 interphalangeal (joint), hand

834.0 Closed dislocation

[0-2]


834.1 Open dislocation

[0-2]


835 Dislocation of hip

The following fifth-digit subclassification is for use with category 835:

0 dislocation of hip, unspecified

1 posterior dislocation

2 obturator dislocation

3 other anterior dislocation

835.0 Closed dislocation

[0-3]


835.1 Open dislocation

[0-3]


836 Dislocation of knee

Excludes: dislocation of knee:

old or pathological (718.2)

recurrent (718.3)

internal derangement of knee joint (717.0-717.5, 717.8-717.9)

old tear of cartilage or meniscus of knee (717.0-717.5, 717.8-717.9)

836.0 Tear of medial cartilage or meniscus of knee, current

Bucket handle tear:

NOS current injury

medial meniscus current injury

836.1 Tear of lateral cartilage or meniscus of knee, current

836.2 Other tear of cartilage or meniscus of knee, current

Tear of:

cartilage (semilunar) current injury, not specified as medial or lateral

meniscus current injury, not specified as medial or lateral

836.3 Dislocation of patella, closed

836.4 Dislocation of patella, open

836.5 Other dislocation of knee, closed

836.50 Dislocation of knee, unspecified

836.51 Anterior dislocation of tibia, proximal end

Posterior dislocation of femur, distal end, closed

836.52 Posterior dislocation of tibia, proximal end

Anterior dislocation of femur, distal end, closed

836.53 Medial dislocation of tibia, proximal end

836.54 Lateral dislocation of tibia, proximal end

836.59 Other

836.6 Other dislocation of knee, open

836.60 Dislocation of knee, unspecified

836.61 Anterior dislocation of tibia, proximal end

Posterior dislocation of femur, distal end, open

836.62 Posterior dislocation of tibia, proximal end

Anterior dislocation of femur, distal end, open

836.63 Medial dislocation of tibia, proximal end

836.64 Lateral dislocation of tibia, proximal end

836.69 Other

837 Dislocation of ankle

Includes: astragalus

fibula, distal end

navicular, foot

scaphoid, foot

tibia, distal end

837.0 Closed dislocation

837.1 Open dislocation

838 Dislocation of foot

The following fifth-digit subclassification is for use with category 838:

0 foot, unspecified

1 tarsal (bone), joint unspecified

2 midtarsal (joint)

3 tarsometatarsal (joint)

4 metatarsal (bone), joint unspecified

5 metatarsophalangeal (joint)

6 interphalangeal (joint), foot

9 other

Phalanx of foot



Toe(s)

838.0 Closed dislocation

[0-6,9]

838.1 Open dislocation



[0-6,9]

839 Other, multiple, and ill-defined dislocations

839.0 Cervical vertebra, closed

Cervical spine

Neck

839.00 Cervical vertebra, unspecified



839.01 First cervical vertebra

839.02 Second cervical vertebra

839.03 Third cervical vertebra

839.04 Fourth cervical vertebra

839.05 Fifth cervical vertebra

839.06 Sixth cervical vertebra

839.07 Seventh cervical vertebra

839.08 Multiple cervical vertebrae

839.1 Cervical vertebra, open

839.10 Cervical vertebra, unspecified

839.11 First cervical vertebra

839.12 Second cervical vertebra

839.13 Third cervical vertebra

839.14 Fourth cervical vertebra

839.15 Fifth cervical vertebra

839.16 Sixth cervical vertebra

839.17 Seventh cervical vertebra

839.18 Multiple cervical vertebrae

839.2 Thoracic and lumbar vertebra, closed

839.20 Lumbar vertebra

839.21 Thoracic vertebra

Dorsal [thoracic] vertebra

839.3 Thoracic and lumbar vertebra, open

839.30 Lumbar vertebra

839.31 Thoracic vertebra

839.4 Other vertebra, closed

839.40 Vertebra, unspecified site

Spine NOS

839.41 Coccyx

839.42 Sacrum

Sacroiliac (joint)

839.49 Other

839.5 Other vertebra, open

839.50 Vertebra, unspecified site

839.51 Coccyx

839.52 Sacrum

839.59 Other

839.6 Other location, closed

839.61 Sternum

Sternoclavicular joint

839.69 Other

Pelvis


839.7 Other location, open

839.71 Sternum

839.79 Other

839.8 Multiple and ill-defined, closed

Arm

Back


Hand

Multiple locations, except fingers or toes alone

Other ill-defined locations

Unspecified location

839.9 Multiple and ill-defined, open

SPRAINS AND STRAINS OF JOINTS AND ADJACENT MUSCLES (840-848)

Includes: avulsion of joint capsule, ligament, muscle, tendon

hemarthrosis of joint capsule, ligament, muscle, tendon

laceration of joint capsule, ligament, muscle, tendon

rupture of joint capsule, ligament, muscle, tendon

sprain of joint capsule, ligament, muscle, tendon

strain of joint capsule, ligament, muscle, tendon

tear of joint capsule, ligament, muscle, tendon

Excludes: laceration of tendon in open wounds (880-884 and 890-894 with.2)

840 Sprains and strains of shoulder and upper arm

840.0 Acromioclavicular (joint) (ligament)

840.1 Coracoclavicular (ligament)

840.2 Coracohumeral (ligament)

840.3 Infraspinatus (muscle) (tendon)

840.4 Rotator cuff (capsule)

Excludes: complete rupture of rotator cuff, nontraumatic (727.61)

840.5 Subscapularis (muscle)

840.6 Supraspinatus (muscle) (tendon)

840.7 Superior glenoid labrum lesion

SLAP lesion

840.8 Other specified sites of shoulder and upper arm

840.9 Unspecified site of shoulder and upper arm

Arm NOS

Shoulder NOS



841 Sprains and strains of elbow and forearm

841.0 Radial collateral ligament

841.1 Ulnar collateral ligament

841.2 Radiohumeral (joint)

841.3 Ulnohumeral (joint)

841.8 Other specified sites of elbow and forearm

841.9 Unspecified site of elbow and forearm

Elbow NOS

842 Sprains and strains of wrist and hand

842.0 Wrist

842.00 Unspecified site

842.01 Carpal (joint)

842.02 Radiocarpal (joint) (ligament)

842.09 Other

Radioulnar joint, distal

842.1 Hand

842.10 Unspecified site

842.11 Carpometacarpal (joint)

842.12 Metacarpophalangeal (joint)

842.13 Interphalangeal (joint)

842.19 Other

Midcarpal (joint)

843 Sprains and strains of hip and thigh

843.0 Iliofemoral (ligament)

843.1 Ischiocapsular (ligament)

843.8 Other specified sites of hip and thigh

843.9 Unspecified site of hip and thigh

Hip NOS


Thigh NOS

844 Sprains and strains of knee and leg

844.0 Lateral collateral ligament of knee

844.1 Medial collateral ligament of knee

844.2 Cruciate ligament of knee

844.3 Tibiofibular (joint) (ligament), superior

844.8 Other specified sites of knee and leg

844.9 Unspecified site of knee and leg

Knee NOS

Leg NOS


845 Sprains and strains of ankle and foot

845.0 Ankle

845.00 Unspecified site

845.01 Deltoid (ligament), ankle

Internal collateral (ligament), ankle

845.02 Calcaneofibular (ligament)

845.03 Tibiofibular (ligament), distal

845.09 Other

Achilles tendon

845.1 Foot

845.10 Unspecified site

845.11 Tarsometatarsal (joint) (ligament)

845.12 Metatarsophalangeal (joint)

845.13 Interphalangeal (joint), toe

845.19 Other

846 Sprains and strains of sacroiliac region

846.0 Lumbosacral (joint) (ligament)

846.1 Sacroiliac ligament

846.2 Sacrospinatus (ligament)

846.3 Sacrotuberous (ligament)

846.8 Other specified sites of sacroiliac region

846.9 Unspecified site of sacroiliac region

847 Sprains and strains of other and unspecified parts of back

Excludes: lumbosacral (846.0)

847.0 Neck

Anterior longitudinal (ligament), cervical

Atlanto-axial (joints)

Atlanto-occipital (joints)

Whiplash injury

Excludes: neck injury NOS (959.09)

thyroid region (848.2)

847.1 Thoracic

847.2 Lumbar

847.3 Sacrum

Sacrococcygeal (ligament)

847.4 Coccyx

847.9 Unspecified site of back

Back NOS


848 Other and ill-defined sprains and strains

848.0 Septal cartilage of nose

848.1 Jaw

Temporomandibular (joint) (ligament)

848.2 Thyroid region

Cricoarytenoid (joint) (ligament)

Cricothyroid (joint) (ligament)

Thyroid cartilage

848.3 Ribs

Chondrocostal (joint) without mention of injury to sternum

Costal cartilage without mention of injury to sternum

848.4 Sternum

848.40 Unspecified site

848.41 Sternoclavicular (joint) (ligament)

848.42 Chondrosternal (joint)

848.49 Other

Xiphoid cartilage

848.5 Pelvis

Symphysis pubis

Excludes: that in childbirth (665.6)

848.8 Other specified sites of sprains and strains

848.9 Unspecified site of sprain and strain

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)

850.0 With no loss of consciousness

Concussion with mental confusion or disorientation, without loss of consciousness

850.1 With brief loss of consciousness

Loss of consciousness for less than one hour

850.11 With loss of consciousness of 30 minutes or less

850.12 With loss of consciousness from 31 to 59 minutes

850.2 With moderate loss of consciousness

Loss of consciousness for 1-24 hours

850.3 With prolonged loss of consciousness and return to pre-existing conscious level

Loss of consciousness for more than 24 hours with complete recovery

850.4 With prolonged loss of consciousness, without return to pre-existing conscious level

850.5 With loss of consciousness of unspecified duration

850.9 Concussion, unspecified

851 Cerebral laceration and contusion

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

851.0 Cortex (cerebral) contusion without mention of open intracranial wound

[0-6,9]


851.1 Cortex (cerebral) contusion with open intracranial wound

[0-6,9]


851.2 Cortex (cerebral) laceration without mention of open intracranial wound

[0-6,9]


851.3 Cortex (cerebral) laceration with open intracranial wound

[0-6,9]


851.4 Cerebellar or brain stem contusion without mention of open intracranial wound

[0-6,9]


851.5 Cerebellar or brain stem contusion with open intracranial wound

[0-6,9]


851.6 Cerebellar or brain stem laceration without mention of open intracranial wound

[0-6,9]


851.7 Cerebellar or brain stem laceration with open intracranial wound

[0-6,9]


851.8 Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound

[0-6,9]


Brain (membrane) NOS

851.9 Other and unspecified cerebral laceration and contusion, with open intracranial wound

[0-6,9]

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)

852.0 Subarachnoid hemorrhage following injury without mention of open intracranial wound

[0-6,9]


Middle meningeal hemorrhage following injury

852.1 Subarachnoid hemorrhage following injury with open intracranial wound

[0-6,9]

852.2 Subdural hemorrhage following injury without mention of open intracranial wound



[0-6,9]

852.3 Subdural hemorrhage following injury with open intracranial wound

[0-6,9]

852.4 Extradural hemorrhage following injury without mention of open intracranial wound



[0-6,9]

Epidural hematoma following injury

852.5 Extradural hemorrhage following injury with open intracranial wound

[0-6,9]


853 Other and unspecified intracranial hemorrhage following injury

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

853.0 Without mention of open intracranial wound

[0-6,9]


Cerebral compression due to injury

Intracranial hematoma following injury

Traumatic cerebral hemorrhage

853.1 With open intracranial wound

[0-6,9]

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)

854.0 Without mention of open intracranial wound

[0-6,9]


854.1 With open intracranial wound

[0-6,9]


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

860.0 Pneumothorax without mention of open wound into thorax

860.1 Pneumothorax with open wound into thorax

860.2 Hemothorax without mention of open wound into thorax

860.3 Hemothorax with open wound into thorax

860.4 Pneumohemothorax without mention of open wound into thorax

860.5 Pneumohemothorax with open wound into thorax

861 Injury to heart and lung

Excludes: injury to blood vessels of thorax (901.0-901.9)

861.0 Heart, without mention of open wound into thorax

861.00 Unspecified injury

861.01 Contusion

Cardiac contusion

Myocardial contusion

861.02 Laceration without penetration of heart chambers

861.03 Laceration with penetration of heart chambers

861.1 Heart, with open wound into thorax

861.10 Unspecified injury

861.11 Contusion

861.12 Laceration without penetration of heart chambers

861.13 Laceration with penetration of heart chambers

861.2 Lung, without mention of open wound into thorax

861.20 Unspecified injury

861.21 Contusion

861.22 Laceration

861.3 Lung, with open wound into thorax

861.30 Unspecified injury

861.31 Contusion

861.32 Laceration

862 Injury to other and unspecified intrathoracic organs

Excludes: injury to blood vessels of thorax (901.0-901.9)

862.0 Diaphragm, without mention of open wound into cavity

862.1 Diaphragm, with open wound into cavity

862.2 Other specified intrathoracic organs, without mention of open wound into cavity

862.21 Bronchus

862.22 Esophagus

862.29 Other

Pleura

Thymus gland



862.3 Other specified intrathoracic organs, with open wound into cavity

862.31 Bronchus

862.32 Esophagus

862.39 Other

862.8 Multiple and unspecified intrathoracic organs, without mention of open wound into cavity

Crushed chest

Multiple intrathoracic organs

862.9 Multiple and unspecified intrathoracic organs, with open wound into cavity

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)

863.0 Stomach, without mention of open wound into cavity

863.1 Stomach, with open wound into cavity

863.2 Small intestine, without mention of open wound into cavity

863.20 Small intestine, unspecified site

863.21 Duodenum

863.29 Other

863.3 Small intestine, with open wound into cavity

863.30 Small intestine, unspecified site

863.31 Duodenum

863.39 Other

863.4 Colon or rectum, without mention of open wound into cavity

863.40 Colon, unspecified site

863.41 Ascending [right] colon

863.42 Transverse colon

863.43 Descending [left] colon

863.44 Sigmoid colon

863.45 Rectum

863.46 Multiple sites in colon and rectum

863.49 Other

863.5 Colon or rectum, with open wound into cavity

863.50 Colon, unspecified site

863.51 Ascending [right] colon

863.52 Transverse colon

863.53 Descending [left] colon

863.54 Sigmoid colon

863.55 Rectum

863.56 Multiple sites in colon and rectum

863.59 Other

863.8 Other and unspecified gastrointestinal sites, without mention of open wound into cavity

863.80 Gastrointestinal tract, unspecified site

863.81 Pancreas, head

863.82 Pancreas, body

863.83 Pancreas, tail

863.84 Pancreas, multiple and unspecified sites

863.85 Appendix

863.89 Other

Intestine NOS

863.9 Other and unspecified gastrointestinal sites, with open wound into cavity

863.90 Gastrointestinal tract, unspecified site

863.91 Pancreas, head

863.92 Pancreas, body

863.93 Pancreas, tail

863.94 Pancreas, multiple and unspecified sites

863.95 Appendix

863.99 Other

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

864.0 Without mention of open wound into cavity



[0-5,9]

864.1 With open wound into cavity

[0-5,9]

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

865.0 Without mention of open wound into cavity



[0-4,9]

865.1 With open wound into cavity

[0-4,9]

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)

866.0 Without mention of open wound into cavity

[0-3]


866.1 With open wound into cavity

[0-3]


867 Injury to pelvic organs

Excludes: injury during delivery (664.0-665.9)

867.0 Bladder and urethra, without mention of open wound into cavity

867.1 Bladder and urethra, with open wound into cavity

867.2 Ureter, without mention of open wound into cavity

867.3 Ureter, with open wound into cavity

867.4 Uterus, without mention of open wound into cavity

867.5 Uterus, with open wound into cavity

867.6 Other specified pelvic organs, without mention of open wound into cavity

Fallopian tube

Ovary

Prostate


Seminal vesicle

Vas deferens

867.7 Other specified pelvic organs, with open wound into cavity

867.8 Unspecified pelvic organ, without mention of open wound into cavity

867.9 Unspecified pelvic organ, with open wound into cavity

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

868.0 Without mention of open wound into cavity

[0-4,9]

868.1 With open wound into cavity



[0-4,9]

869 Internal injury to unspecified or ill-defined organs

Includes: internal injury NOS

multiple internal injury NOS

869.0 Without mention of open wound into cavity

869.1 With open wound into cavity


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