Classification of diseases and injuries



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MULTIPLE GESTATION PLACENTA STATUS (V91)

V91 Multiple gestation placenta status

Code first multiple gestation (651.0-651.9)

V91.0 Twin gestation placenta status

V91.00 Twin gestation, unspecified number of placenta, unspecified number of amniotic sacs

V91.01 Twin gestation, monochorionic/monoamniotic (one placenta, one amniotic sac)

V91.02 Twin gestation, monochorionic/diamniotic (one placenta, two amniotic sacs)

V91.03 Twin gestation, dichorionic/diamniotic (two placentae, two amniotic sacs)

V91.09 Twin gestation, unable to determine number of placenta and number of amniotic sacs

V91.1 Triplet gestation placenta status

V91.10 Triplet gestation, unspecified number of placenta and unspecified number of amniotic sacs

V91.11 Triplet gestation, with two or more monochorionic fetuses

V91.12 Triplet gestation, with two or more monoamniotic fetuses

V91.19 Triplet gestation, unable to determine number of placenta and number of amniotic sacs

V91.2 Quadruplet gestation placenta status

V91.20 Quadruplet gestation, unspecified number of placenta and unspecified number of amniotic sacs

V91.21 Quadruplet gestation, with two or more monochorionic fetuses

V91.22 Quadruplet gestation, with two or more monoamniotic fetuses

V91.29 Quadruplet gestation, unable to determine number of placenta and number of amniotic sacs

V91.9 Other specified multiple gestation placenta status

Placenta status for multiple gestations greater than quadruplets

V91.90 Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs

V91.91 Other specified multiple gestation, with two or more monochorionic fetuses

V91.92 Other specified multiple gestation, with two or more monoamniotic fetuses

V91.99 Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs

SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING (E000-E999)

This section is provided to permit the classification of environmental events, circumstances, and conditions as the cause of injury, poisoning, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used in addition to a code from one of the main chapters of ICD-9-CM, indicating the nature of the condition. Certain other conditions which may be stated to be due to external causes are classified in Chapters 1 to 16 of ICD-9-CM. For these, the "E" code classification should be used as an additional code for more detailed analysis.

Machinery accidents [other than those connected with transport] are classifiable to category E919, in which the fourth digit allows a broad classification of the type of machinery involved.

Categories for "late effects" of accidents and other external causes are to be found at E929, E959, E969, E977, E989, and E999.

EXTERNAL CAUSE STATUS (E000)

Note: A code from category E000 should be used in conjunction with the external cause code(s) assigned to a record to indicate the status of the person at the time the event occurred. A single code from category E000 should be assigned for an encounter.

E000 External cause status

E000.0 Civilian activity done for income or pay

Civilian activity done for financial or other compensation

Excludes: military activity (E000.1)

E000.1 Military activity

Excludes: activity of off duty military personnel (E000.8)

E000.2 Volunteer activity

Excludes: activity of child or other family member assisting in compensated work of other family member (E000.8)

E000.8 Other external cause status

Activity NEC

Activity of child or other family member assisting in compensated work of other family member

Hobby not done for income

Leisure activity

Off-duty activity of military personnel

Recreation or sport not for income or while a student

Student activity

Excludes: civilian activity done for income or compensation (E000.0)

military activity (E000.1)

E000.9 Unspecified external cause status



ACTIVITY (E001-E030)

Note: Categories E001 to E030 are provided for use to indicate the activity of the person seeking healthcare for an injury or health condition, such as a heart attack while shoveling snow, which resulted from, or was contributed to, by the activity. These codes are appropriate for use for both acute injuries, such as those from chapter 17, and conditions that are due to the long-term, cumulative effects of an activity, such as those from chapter 13. They are also appropriate for use with external cause codes for cause and intent if identifying the activity provides additional information on the event.
These codes should be used in conjunction with other external cause codes for external cause status (E000) and place of occurrence (E849).

This section contains the following broad activity categories:

E001 Activities involving walking and running

E002 Activities involving water and water craft

E003 Activities involving ice and snow

E004 Activities involving climbing, rappelling, and jumping off

E005 Activities involving dancing and other rhythmic movement

E006 Activities involving other sports and athletics played individually

E007 Activities involving other sports and athletics played as a team or group

E008 Activities involving other specified sports and athletics

E009 Activity involving other cardiorespiratory exercise

E010 Activity involving other muscle strengthening exercises

E011 Activities involving computer technology and electronic devices

E012 Activities involving arts and handcrafts

E013 Activities involving personal hygiene and household maintenance

E014 Activities involving person providing caregiving

E015 Activities involving food preparation, cooking and grilling

E016 Activities involving property and land maintenance, building and construction

E017 Activities involving roller coasters and other types of external motion

E018 Activities involving playing musical instrument

E019 Activities involving animal care

E029 Other activity

E030 Unspecified activity

E001 Activities involving walking and running

Excludes: walking an animal (E019.0)

walking or running on a treadmill (E009.0)

E001.0 Walking, marching and hiking

Walking, marching and hiking on level or elevated terrain

Excludes: mountain climbing (E004.0)

E001.1 Running

E002 Activities involving water and water craft

Excludes: activities involving ice (E003.0-E003.9)

boating and other watercraft transport accidents (E830-E838)

E002.0 Swimming

E002.1 Springboard and platform diving

E002.2 Water polo

E002.3 Water aerobics and water exercise

E002.4 Underwater diving and snorkeling

SCUBA diving

E002.5 Rowing, canoeing, kayaking, rafting and tubing

Canoeing, kayaking, rafting and tubing in calm and turbulent water

E002.6 Water skiing and wake boarding

E002.7 Surfing, windsurfing and boogie boarding

E002.8 Water sliding

E002.9 Other activity involving water and watercraft

Activity involving water NOS

Parasailing

Water survival training and testing

E003 Activities involving ice and snow

Excludes: shoveling ice and snow (E016.0)

E003.0 Ice skating

Figure skating (singles) (pairs)

Ice dancing

Excludes: ice hockey (E003.1)

E003.1 Ice hockey

E003.2 Snow (alpine) (downhill) skiing, snow boarding, sledding, tobogganing and snow tubing

Excludes: cross country skiing (E003.3)

E003.3 Cross country skiing

Nordic skiing

E003.9 Other activity involving ice and snow

Activity involving ice and snow NOS

E004 Activities involving climbing, rappelling and jumping off

Excludes: hiking on level or elevated terrain (E001.0)

jumping rope (E006.5)

sky diving (E840-E844)

trampoline jumping (E005.3)

E004.0 Mountain climbing, rock climbing and wall climbing

E004.1 Rappelling

E004.2 BASE jumping

Building, Antenna, Span, Earth jumping

E004.3 Bungee jumping

E004.4 Hang gliding

E004.9 Other activity involving climbing, rappelling and jumping off

E005 Activities involving dancing and other rhythmic movement

Excludes: martial arts (E008.4)

E005.0 Dancing

E005.1 Yoga

E005.2 Gymnastics

Rhythmic gymnastics

Excludes: trampoline (E005.3)

E005.3 Trampoline

E005.4 Cheerleading

E005.9 Other activity involving dancing and other rhythmic movements

E006 Activities involving other sports and athletics played individually

Excludes: dancing (E005.0)

gymnastic (E005.2)

trampoline (E005.3)

yoga (E005.1)

E006.0 Roller skating (inline) and skateboarding

E006.1 Horseback riding

E006.2 Golf

E006.3 Bowling

E006.4 Bike riding

Excludes: transport accident involving bike riding (E800-E829)

E006.5 Jumping rope

E006.6 Non-running track and field events

Excludes: running (any form) (E001.1)

E006.9 Other activity involving other sports and athletics played individually

Excludes: activities involving climbing, rappelling, and jumping (E004.0-E004.9)

activities involving ice and snow (E003.0-E003.9)

activities involving walking and running (E001.0-E001.9)

activities involving water and watercraft (E002.0-E002.9)

E007 Activities involving other sports and athletics played as a team or group

Excludes: ice hockey (E003.1)

water polo (E0402.2)

E007.0 American tackle football

Football NOS

E007.1 American flag or touch football

E007.2 Rugby

E007.3 Baseball

Softball

E007.4 Lacrosse and field hockey

E007.5 Soccer

E007.6 Basketball

E007.7 Volleyball (beach) (court)

E007.8 Physical games generally associated with school recess, summer camp and children

Capture the flag

Dodge ball

Four square

Kickball


E007.9 Other activity involving other sports and athletics played as a team or group

Cricket


E008 Activities involving other specified sports and athletics

E008.0 Boxing

E008.1 Wrestling

E008.2 Racquet and hand sports

Handball

Racquetball

Squash

Tennis


E008.3 Frisbee

Ultimate frisbee

E008.4 Martial arts

Combatives

E008.9 Other specified sports and athletics activity

Excludes: sports and athletics activities specified in categories E001-E007

E009 Activity involving other cardiorespiratory exercise

Activity involving physical training

E009.0 Exercise machines primarily for cardiorespiratory conditioning

Elliptical and stepper machines

Stationary bike

Treadmill

E009.1 Calisthenics

Jumping jacks

Warm up and cool down

E009.2 Aerobic and step exercise

E009.3 Circuit training

E009.4 Obstacle course

Challenge course

Confidence course

E009.5 Grass drills

Guerilla drills

E009.9 Other activity involving other cardiorespiratory exercise

Excludes: activities involving cardiorespiratory exercise specified in categories E001-E008

E010 Activity involving other muscle strengthening exercises

E010.0 Exercise machines primarily for muscle strengthening

E010.1 Push-ups, pull-ups, sit-ups

E010.2 Free weights

Barbells

Dumbbells

E010.3 Pilates

E010.9 Other activity involving other muscle strengthening exercises

Excludes: activities involving muscle strengthening specified in categories E001-E009

E011 Activities involving computer technology and electronic devices

Excludes: electronic musical keyboard or instruments (E018.0)

E011.0 Computer keyboarding

Electronic game playing using keyboard or other stationary device

E011.1 Hand held interactive electronic device

Cellular telephone and communication device

Electronic game playing using interactive device

Excludes: electronic game playing using keyboard or other stationary device (E011.0)

E011.9 Other activity involving computer technology and electronic devices

E012 Activities involving arts and handcrafts

Excludes: activities involving playing musical instrument (E018.0-E018.3)

E012.0 Knitting and crocheting

E012.1 Sewing

E012.2 Furniture building and finishing

Furniture repair

E012.9 Activity involving other arts and handcrafts

E013 Activities involving personal hygiene and household maintenance

Excludes: activities involving cooking and grilling (E015.0-E015.9)

activities involving property and land maintenance, building and construction (E016.0-E016.9)

activity involving persons providing caregiving (E014.0-E014.9)

dishwashing (E015.0)

food preparation (E015.0)

gardening (E016.1)

E013.0 Personal bathing and showering

E013.1 Laundry

E013.2 Vacuuming

E013.3 Ironing

E013.4 Floor mopping and cleaning

E013.5 Residential relocation

Packing up and unpacking involved in moving to a new residence

E013.8 Other personal hygiene activity

E013.9 Other household maintenance

E014 Activities involving person providing caregiving

E014.0 Caregiving involving bathing

E014.1 Caregiving involving lifting

E014.9 Other activity involving person providing caregiving

E015 Activities involving food preparation, cooking and grilling

E015.0 Food preparation and clean up

Dishwashing

E015.1 Grilling and smoking food

E015.2 Cooking and baking

Use of stove, oven and microwave oven

E015.9 Other activity involving cooking and grilling

E016 Activities involving property and land maintenance, building and construction

E016.0 Digging, shoveling and raking

Dirt digging

Raking leaves

Snow shoveling

E016.1 Gardening and landscaping

Pruning, trimming shrubs, weeding

E016.2 Building and construction

E016.9 Other activity involving property and land maintenance, building and construction

E017 Activities involving roller coasters and other types of external motion

E017.0 Roller coaster riding

E017.9 Other activity involving external motion

E018 Activities involving playing musical instrument

Activity involving playing electric musical instrument

E018.0 Piano playing

Musical keyboard (electronic) playing

E018.1 Drum and other percussion instrument playing

E018.2 String instrument playing

E018.3 Wind and brass instrument playing

E019 Activities involving animal care

Excludes: horseback riding (E006.1)

E019.0 Walking an animal

E019.1 Milking an animal

E019.2 Grooming and shearing an animal

E019.9 Other activity involving animal care

E029 Other activity

E029.0 Refereeing a sports activity

E029.1 Spectator at an event

E029.2 Rough housing and horseplay

E029.9 Other activity

E030 Unspecified activity

TRANSPORT ACCIDENTS (E800-E848)

Definitions and examples related to transport accidents

(a) A transport accident (E800-E848) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

Includes: accidents involving:

aircraft and spacecraft (E840-E845)

watercraft (E830-E838)

motor vehicle (E810-E825)

railway (E800-E807)

other road vehicles (E826-E829)

In classifying accidents which involve more than one kind of transport, the above order of precedence of transport accidents should be used.

Accidents involving agricultural and construction machines, such as tractors, cranes, and bulldozers, are regarded as transport accidents only when these vehicles are under their own power on a highway [otherwise the vehicles are regarded as machinery]. Vehicles which can travel on land or water, such as hovercraft and other amphibious vehicles, are regarded as watercraft when on the water, as motor vehicles when on the highway, and as off-road motor vehicles when on land, but off the highway.

Excludes: accidents:

in sports which involve the use of transport but where the transport vehicle itself was not involved in the accident

involving vehicles which are part of industrial equipment used entirely on industrial premises

occurring during transportation but unrelated to the hazards associated with the means of transportation [e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm such as an earthquake]

to persons engaged in the maintenance or repair of transport equipment or vehicle not in motion, unless injured by another vehicle in motion

(b) A railway accident is a transport accident involving a railway train or other railway vehicle operated on rails, whether in motion or not.

Excludes: accidents:

in repair shops

in roundhouse or on turntable

on railway premises but not involving a train or other railway vehicle

(c) A railway train or railway vehicle is any device with or without cars coupled to it, designed for traffic on a railway.

Includes: interurban:

electric car (operated chiefly on its own right-of-way, not open to other traffic)

streetcar (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]

funicular

monorail or two-rail

subterranean or elevated

other vehicle designed to run on a railway track

Excludes: interurban electric cars [streetcars] specified to be operating on a right-of-way that forms part of the public street or highway [definition (n)]

(d) A railway or railroad is a right-of-way designed for traffic on rails, which is used by carriages or wagons transporting passengers or freight, and by other rolling stock, and which is not open to other public vehicular traffic

(e) A motor vehicle accident is a transport accident involving a motor vehicle. It is defined as a motor vehicle traffic accident or as a motor vehicle nontraffic accident according to whether the accident occurs on a public highway or elsewhere.

Excludes: injury or damage due to cataclysm

injury or damage while a motor vehicle, not under its own power, is being loaded on, or unloaded from, another conveyance

(f) A motor vehicle traffic accident is any motor vehicle accident occurring on a public highway [i.e., originating, terminating, or involving a vehicle partially on the highway]. A motor vehicle accident is assumed to have occurred on the highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles which are classified as nontraffic accidents unless the contrary is stated.

(g) A motor vehicle nontraffic accident is any motor vehicle accident which occurs entirely in any place other than a public highway.

(h) A public highway [trafficway] or street is the entire width between property lines [or other boundary lines] of every way or place, of which any part is open to the use of the public for purposes of vehicular traffic as a matter of right or custom. A roadway is that part of the public highway designed, improved, and ordinarily used, for vehicular travel.

Includes: approaches (public) to:

docks


public building

station


Excludes: driveway (private)

parking lot

ramp

roads in:



airfield

farm


industrial premises

mine


private grounds

quarry


(i) A motor vehicle is any mechanically or electrically powered device, not operated on rails, upon which any person or property may be transported or drawn upon a highway. Any object such as a trailer, coaster, sled, or wagon being towed by a motor vehicle is considered a part of the motor vehicle.

Includes: automobile [any type]

bus

construction machinery, farm and industrial machinery, steam roller, tractor, army tank, highway grader, or similar vehicle on wheels or treads, while in transport under own power



fire engine (motorized)

motorcycle

motorized bicycle [moped] or scooter

trolley bus not operating on rails

truck

van


Excludes: devices used solely to move persons or materials within the confines of a building and its premises, such as:

building elevator

coal car in mine

electric baggage or mail truck used solely within a railroad station

electric truck used solely within an industrial plant

moving overhead crane

(j) A motorcycle is a two-wheeled motor vehicle having one or two riding saddles and sometimes having a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Includes: motorized:

bicycle [moped]

scooter


tricycle

(k) An off-road motor vehicle is a motor vehicle of special design, to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tires, driven by treads, or support on a cushion of air.

Includes: all terrain vehicle [ATV]

army tank

hovercraft, on land or swamp

snowmobile

(l) A driver of a motor vehicle is the occupant of the motor vehicle operating it or intending to operate it. A motorcyclist is the driver of a motorcycle. Other authorized occupants of a motor vehicle are passengers.

(m) An other road vehicle is any device, except a motor vehicle, in, on, or by which any person or property may be transported on a highway.

Includes: animal carrying a person or goods

animal-drawn vehicle

animal harnessed to conveyance

bicycle [pedal cycle]

streetcar

tricycle (pedal)

Excludes: pedestrian conveyance [definition (q)]

(n) A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the traffic way. A trailer being towed by a streetcar is considered a part of the streetcar.

Includes: interurban or intraurban electric or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(o) A pedal cycle is any road transport vehicle operated solely by pedals.

Includes: bicycle

pedal cycle

tricycle

Excludes: motorized bicycle [definition (i)]

(p) A pedal cyclist is any person riding on a pedal cycle or in a sidecar attached to such a vehicle.

(q) A pedestrian conveyance is any human powered device by which a pedestrian may move other than by walking or by which a walking person may move another pedestrian.

Includes: baby carriage

coaster wagon

heelies, wheelies

ice skates

motorized mobility scooter

perambulator

pushcart

pushchair

roller skates

scooter


skateboard

skis


sled

wheelchair (electric)

(r) A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railroad train, streetcar, animal-drawn or other vehicle, or on a bicycle or animal.

Includes: person:

changing tire of vehicle

in or operating a pedestrian conveyance

making adjustment to motor of vehicle

on foot


(s) A watercraft is any device for transporting passengers or goods on the water.

(t) A small boat is any watercraft propelled by paddle, oars, or small motor, with a passenger capacity of less than ten.

Includes: boat NOS

canoe


coble

dinghy


punt

raft


rowboat

rowing shell

scull

skiff


small motorboat

Excludes: barge

lifeboat (used after abandoning ship)

raft (anchored) being used as a diving platform

yacht

(u) An aircraft is any device for transporting passengers or goods in the air.



Includes: airplane [any type]

balloon


bomber

dirigible

glider (hang)

military aircraft

parachute

(v) A commercial transport aircraft is any device for collective passenger or freight transportation by air, whether run on commercial lines for profit or by government authorities, with the exception of military craft.


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