Lupus

Thursday, July 12, 2012

Diagnostic codes


    Getting frequent blood tests are a normal part of having lupus.  On the top of the blood test order sheet are diagnostic codes.  They are generally used for insurance purposes but also to track and report health "trends", mortality and morbidity for the CDC and WHO. They are also used in determining who gets government research dollars.

Diseases and Injuries Tabular Index




















For us that have lupus:
13. DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE (710-739)
Use additional external cause code, if applicable, to identify the cause of the musculoskeletal condition
The following fifth-digit subclassification is for use with categories 711-712, 715-716, 718-719, and 730:
0 site unspecified
1 shoulder region
Acromioclavicular joint(s)
Glenohumeral joint(s)
Sternoclavicular joint(s)
Clavicle
Scapula
2 upper arm
Elbow joint
Humerus
3 forearm
Radius
Ulna
Wrist joint
4 hand
Carpus
Metacarpus
Phalanges [fingers]
5 pelvic region and thigh
Buttock
Femur
Hip (joint)
6 lower leg
Fibula
Knee joint
Patella
Tibia
7 ankle and foot
Ankle joint
Digits [toes]
Metatarsus
Phalanges, foot
Tarsus
Other joints in foot
8 other specified sites
Head
Neck
Ribs
Skull
Trunk
Vertebral column
9 multiple sites
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Excludes:
disorders of spine (720.0-724.9)
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Excludes:
curvature of spine (737.0-737.9)
osteochondrosis of spine (juvenile) (732.0) adult (732.8)
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Includes:
disorders of muscles and tendons and their attachments, and of other soft tissues
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For all other conditions and illnesses:
1. INFECTIOUS AND PARASITIC DISEASES (001-139)
Note: Categories for "late effects" of infectious and parasitic diseases are to be found at 137-139.
Includes:
diseases generally recognized as communicable or transmissible as well as a few diseases of unknown but possibly infectious origin
Excludes:
acute respiratory infections (460-466)
carrier or suspected carrier of infectious organism (V02.0-V02.9)
certain localized infections
influenza (487.0-487.8, 488)
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Excludes:
helminthiases (120.0-129)
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Includes:
infection by Mycobacterium tuberculosis (human) (bovine)
Excludes:
congenital tuberculosis (771.2)
late effects of tuberculosis (137.0-137.4)
The following fifth-digit subclassification is for use with categories 010-018:
0 unspecified
1 bacteriological or histological examination not done
2 bacteriological or histological examination unknown (at present)
3 tubercle bacilli found (in sputum) by microscopy
4 tubercle bacilli not found (in sputum) by microscopy, but found by bacterial culture
5 tubercle bacilli not found by bacteriological examination, but tuberculosis confirmed histologically
6 tubercle bacilli not found by bacteriological or histological examination, but tuberculosis confirmed by other methods [inoculation of animals]
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Excludes:
bacterial venereal diseases (098.0-099.9)
bartonellosis (088.0)
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Excludes:
arthropod-borne viral diseases (060.0-066.9)
Boston exanthem (048)
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Use additional code to identify any associated meningitis (321.2)
Excludes:
late effects of viral encephalitis (139.0)
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Excludes:
arthropod-borne viral diseases (060.0-066.9)
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Excludes:
nonvenereal endemic syphilis (104.0)
urogenital trichomoniasis (131.0)
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Use additional code to identify manifestation, as:
arthropathy (711.6)
meningitis (321.0-321.1)
otitis externa (380.15)
Excludes:
infection by Actinomycetales, such as species of Actinomyces, Actinomadura, Nocardia, Streptomyces (039.0-039.9)
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2. NEOPLASMS (140-239)
1. Content:
This chapter contains the following broad groups:
140-195 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphatic and hematopoietic tissue
196-198 Malignant neoplasms, stated or presumed to be secondary, of specified sites
199 Malignant neoplasms, without specification of site
200-208 Malignant neoplasms, stated or presumed to be primary, of lymphatic and hematopoietic tissue
209 Neuroendocrine tumors
210-229 Benign neoplasms
230-234 Carcinoma in situ
235-238 Neoplasms of uncertain behavior [see Note, at beginning of section 235-238]
239 Neoplasms of unspecified nature
2. Functional activity
All neoplasms are classified in this chapter, whether or not functionally active. An additional code from Chapter 3 may be used to identify such functional activity associated with any neoplasm, e.g.:
catecholamine-producing malignant pheochromocytoma of adrenal:
code 194.0, additional code 255.6
basophil adenoma of pituitary with Cushing's syndrome:
code 227.3, additional code 255.0
3. Morphology [Histology]
For those wishing to identify the histological type of neoplasms, a comprehensive coded nomenclature, which comprises the morphology rubrics of the ICD-Oncology, is given after the E-code chapter.
4. Malignant neoplasms overlapping site boundaries
Categories 140-195 are for the classification of primary malignant neoplasms according to their point of origin. A malignant neoplasm that overlaps two or more subcategories within a three-digit rubric and whose point of origin cannot be determined should be classified to the subcategory .8 "Other." For example, "carcinoma involving tip and ventral surface of tongue" should be assigned to 141.8. On the other hand, "carcinoma of tip of tongue, extending to involve the ventral surface" should be coded to 141.2, as the point of origin, the tip, is known. Three subcategories (149.8, 159.8, 165.8) have been provided for malignant neoplasms that overlap the boundaries of three-digit rubrics within certain systems. Overlapping malignant neoplasms that cannot be classified as indicated above should be assigned to the appropriate subdivision of category 195 (Malignant neoplasm of other and ill-defined sites).
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Excludes:
carcinoma in situ (230.0)
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Excludes:
carcinoma in situ (230.1-230.9)
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Excludes:
carcinoma in situ (231.0-231.9)
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Excludes:
carcinoma in situ:
breast (233.0)
skin (232.0-232.9)
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Excludes:
carcinoma in situ (233.1-233.9)
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Excludes:
carcinoma in situ (234.0-234.9)
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Excludes:
secondary neoplasm of:
bone marrow (198.5)
spleen (197.8)
secondary and unspecified neoplasm of lymph nodes (196.0-196.9)
The following fifth-digit subclassification is for use with categories 200-202:
0 unspecified site, extranodal and solid organ sites
1 lymph nodes of head, face, and neck
2 intrathoracic lymph nodes
3 intra-abdominal lymph nodes
4 lymph nodes of axilla and upper limb
5 lymph nodes of inguinal region and lower limb
6 intrapelvic lymph nodes
7 spleen
8 lymph nodes of multiple sites
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Includes:
Bowen's disease
erythroplasia
Queyrat's erythroplasia
Excludes:
leukoplakia?see Alphabetic Index
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Note: Categories 235-238 classify by site certain histo-morphologically well-defined neoplasms, the subsequent behavior of which cannot be predicted from the present appearance.
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3. ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND IMMUNITY DISORDERS (240-279)
Excludes:
endocrine and metabolic disturbances specific
to the fetus and newborn (775.0-775.9)
Note: All neoplasms, whether functionally active or not, are classified in Chapter 2. Codes in Chapter 3 (i.e., 242.8, 246.0, 251-253, 255-259) may be used to identify such functional activity associated with any neoplasm, or by ectopic endocrine tissue.
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Excludes:
deficiency anemias (280.0-281.9)
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Use additional code to identify any associated mental retardation

4. DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS (280-289)
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Includes:
anemia:
asiderotic
hypochromic-microcytic
sideropenic
Excludes:
familial microcytic anemia (282.49)
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Excludes:
hemorrhagic thrombocythemia (238.79)
purpura fulminans (286.6)
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Excludes:
leukemia (204.0-208.9)
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5. MENTAL DISORDERS (290-319)
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Excludes:
mental retardation (317-319)
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ORGANIC PSYCHOTIC CONDITIONS (290-294)
Includes:
psychotic organic brain syndrome
Excludes:
nonpsychotic syndromes of organic etiology (310.0-310.9)
psychoses classifiable to 295-298 and without impairment of orientation, comprehension, calculation, learning capacity, and judgement, but associated with physical disease, injury, or condition affecting the brain [e.g., following childbirth] (295.0-298.8)
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OTHER PSYCHOSES (295-299)
Use additional code to identify any associated physical disease, injury, or condition affecting the brain with psychoses classifiable to 295-298
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Use additional code(s) to identify any associated psychiatric or physical condition(s)

6. DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS (320-389)
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Excludes:
hepatolenticular degeneration (275.1)
multiple sclerosis (340)
other demyelinating diseases of central nervous system (341.0-341.9)
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Excludes:
diseases of:
acoustic [8th] nerve (388.5)
oculomotor [3rd, 4th, 6th] nerves (378.0-378.9)
optic [2nd] nerve (377.0-377.9)
peripheral autonomic nerves (337.0-337.9)
neuralgia NOS or "rheumatic" (729.2)
neuritis NOS or "rheumatic" (729.2)
radiculitis NOS or "rheumatic" (729.2)
peripheral neuritis in pregnancy (646.4)
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Use additional external cause code, if applicable, to identify the cause of the eye condition
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Use additional external cause code, if applicable, to identify the cause of the ear condition

7. DISEASES OF THE CIRCULATORY SYSTEM (390-459)
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Excludes:
that complicating pregnancy, childbirth, or the puerperium (642.0-642.9)
that involving coronary vessels (410.00-414.9)
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Includes:
that with mention of hypertension
Use additional code to identify presence of hypertension (401.0-405.9)
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Includes:
with mention of hypertension (conditions classifiable to 401-405)
Use additional code to identify presence of hypertension
Excludes:
any condition classifiable to 430-434, 436, 437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal (674.0)
iatrogenic cerebrovascular infarction or hemorrhage (997.02)
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7. DISEASES OF THE CIRCULATORY SYSTEM (390-459)
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Excludes:
that complicating pregnancy, childbirth, or the puerperium (642.0-642.9)
that involving coronary vessels (410.00-414.9)
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Includes:
that with mention of hypertension
Use additional code to identify presence of hypertension (401.0-405.9)
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Includes:
with mention of hypertension (conditions classifiable to 401-405)
Use additional code to identify presence of hypertension
Excludes:
any condition classifiable to 430-434, 436, 437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal (674.0)
iatrogenic cerebrovascular infarction or hemorrhage (997.02)
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DISEASES OF VEINS AND LYMPHATICS, AND OTHER DISEASES OF CIRCULATORY SYSTEM (451-459)
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Includes:
endophlebitis
inflammation, vein
periphlebitis
suppurative phlebitis
Use additional E code to identify drug if drug-induced
Excludes:
that complicating:
abortion (634-638 with .7, 639.8)
ectopic or molar pregnancy (639.8)
pregnancy, childbirth, or the puerperium (671.0-671.9)
that due to or following:
implant or catheter device (996.61-996.62)
infusion, perfusion, or transfusion (999.2)
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452 Portal vein thrombosis
Portal (vein) obstruction
Excludes:
hepatic vein thrombosis (453.0)
phlebitis of portal vein (572.1)
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Excludes:
that complicating:
abortion (634-638 with .7, 639.8)
ectopic or molar pregnancy (639.8)
pregnancy, childbirth, or the puerperium (671.0-671.9)
that with inflammation, phlebitis, and thrombophlebitis (451.0-451.9)
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Excludes:
that complicating pregnancy, childbirth, or the puerperium (671.0)
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Includes:
hemorrhoids (anus) (rectum)
piles
varicose veins, anus or rectum
Excludes:
that complicating pregnancy, childbirth, or the puerperium (671.8)
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Includes:
hypopiesis
Excludes:
cardiovascular collapse (785.50)
maternal hypotension syndrome (669.2)
shock (785.50-785.59)
Shy-Drager syndrome (333.0)
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8. DISEASES OF THE RESPIRATORY SYSTEM (460-519)
Use additional code to identify infectious organism
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Excludes:
pneumonia and influenza (480.0-488)
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Excludes:
pneumonia:
allergic or eosinophilic (518.3)
aspiration:
NOS (507.0)
newborn (770.18)
solids and liquids (507.0-507.8)
congenital (770.0)
lipoid (507.1)
passive (514)
rheumatic (390)
ventilator-associated (997.31)
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9. DISEASES OF THE DIGESTIVE SYSTEM (520-579)
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Includes:
hernia:
acquired
congenital, except diaphragmatic or hiatal
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10. DISEASES OF THE GENITOURINARY SYSTEM (580-629)
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Excludes:
hypertensive chronic kidney disease (403.00-403.91, 404.00-404.93)
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Use additional code to identify organism, such as Staphylococcus (041.1), or Streptococcus (041.0)
Excludes:
that associated with pregnancy, abortion, childbirth, or the puerperium (630-676.9)
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11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-679)
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Use additional code from category 639 to identify any complications
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The following fourth digit subdivisions are for use with categories 634-638:
0 Complicated by genital tract and pelvic infection
Endometritis
Salpingo-oophoritis
Sepsis NOS
Septicemia NOS
Any condition classifiable to 639.0, with condition classifiable to 634-638
Excludes urinary tract infection (634-638 with .7)
1 Complicated by delayed or excessive hemorrhage
Afibrinogenemia
Defibrination syndrome
Intravascular hemolysis
Any condition classifiable to 639.1, with condition classifiable to 634-638
2 Complicated by damage to pelvic organs and tissues
Laceration, perforation, or tear of:
bladder
uterus
Any condition classifiable to 639.2, with condition classifiable to 634-638
3 Complicated by renal failure
Oliguria
Uremia
Any condition classifiable to 639.3, with condition classifiable to 634-638
4 Complicated by metabolic disorder
Electrolyte imbalance with conditions classifiable to 634-638
5 Complicated by shock
Circulatory collapse
Shock (postoperative) (septic)
Any condition classifiable to 639.5, with condition classifiable to 634-638
6 Complicated by embolism
Embolism:
NOS
amniotic fluid
pulmonary
Any condition classifiable to 639.6, with condition classifiable to 634-638
7 With other specified complications
Cardiac arrest or failure
Urinary tract infection
Any condition classifiable to 639.8, with condition classifiable to 634-638
8 With unspecified complications
9 Without mention of complication
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Includes:
the listed conditions even if they arose or were present during labor, delivery, or the puerperium
The following fifth-digit subclassification is for use with categories 640-649 to denote the current episode of care:
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
Antepartum condition with delivery
Delivery NOS (with mention of antepartum complication during current episode of care)
Intrapartum
obstetric condition (with mention of antepartum complication during current episode of care)
Pregnancy, delivered (with mention of antepartum complication during current episode of care)
2 delivered, with mention of postpartum complication
Delivery with mention of puerperal complication during current episode of care
3 antepartum condition or complication
Antepartum obstetric condition, not delivered during the current episode of care
4 postpartum condition or complication
Postpartum or puerperal obstetric condition or complication following delivery that occurred:
during previous episode of care
outside hospital, with subsequent admission for observation or care
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The following fifth-digit subclassification is for use with categories 651-659 to denote the current episode of care:
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
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The following fifth-digit subclassification is for use with categories 660-669 to denote the current episode of care:
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
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Note: Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth.
The following fifth-digit subclassification is for use with categories 670-676 to denote the current episode of care:
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
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The following fifth-digit subclassification is for use with categories 678-679 to denote the current episode of care:
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
12. DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE (680-709)
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Excludes:
certain infections of skin classified under "Infectious and Parasitic Diseases," such as:
erysipelas (035)
erysipeloid of Rosenbach (027.1)
herpes:
simplex (054.0-054.9)
zoster (053.0-053.9)
molluscum contagiosum (078.0)
viral warts (078.1)
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Excludes:
panniculitis (729.30-729.39)
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Excludes:
conditions confined to eyelids (373.0-374.9)
congenital conditions of skin, hair, and nails (757.0-757.9)
14. CONGENITAL ANOMALIES (740-759)
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Excludes:
spina bifida occulta (756.17)
The following fifth-digit subclassification is for use with category 741:
0 unspecified region
1 cervical region
2 dorsal (thoracic) region
3 lumbar region
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Excludes:
congenital central alveolar hypoventilation syndrome (327.25)
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Excludes:
anomaly of:
cervical spine (754.2, 756.10-756.19)
larynx (748.2-748.3)
nose (748.0-748.1)
parathyroid gland (759.2)
thyroid gland (759.2)
cleft lip (749.10-749.25)
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Excludes:
endocardial fibroelastosis (425.3)
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Excludes:
congenital central alveolar hypoventilation syndrome (327.25)
congenital defect of diaphragm (756.6)
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Excludes:
dentofacial anomalies (524.0-524.9)
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Includes:
nonteratogenic deformities which are considered to be due to intrauterine malposition and pressure
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Excludes:
those deformities classifiable to 754.0-754.8
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Excludes:
congenital myotonic chondrodystrophy (359.23)
those deformities classifiable to 754.0-754.8
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Includes:
anomalies of skin, subcutaneous tissue, hair, nails, and breast
Excludes:
hemangioma (228.00-228.09)
pigmented nevus (216.0-216.9)
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Includes:
syndromes associated with anomalies in the number and form of chromosomes
Use additional codes for conditions associated with the chromosomal anomalies
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15. CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (760-779)
Includes:
conditions which have their origin in the perinatal period, before birth through the first 28 days after birth, even though death or morbidity occurs later
Use additional code(s) to further specify condition
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The following fifth-digit subclassification is for use with category 764 and codes 765.0 and 765.1 to denote birthweight:
0 unspecified [weight]
1 less than 500 grams
2 500-749 grams
3 750-999 grams
4 1,000-1,249 grams
5 1,250-1,499 grams
6 1,500-1,749 grams
7 1,750-1,999 grams
8 2,000-2,499 grams
9 2,500 grams and over
16. SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS (780-799)
This section includes symptoms, signs, abnormal results of laboratory or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis are assigned to some category in the preceding part of the classification. In general, categories 780-796 include the more ill-defined conditions and symptoms that point with perhaps equal suspicion to two or more diseases or to two or more systems of the body, and without the necessary study of the case to make a final diagnosis. Practically all categories in this group could be designated as "not otherwise specified," or as "unknown etiology," or as "transient." The Alphabetic Index should be consulted to determine which symptoms and signs are to be allocated here and which to more specific sections of the classification; the residual subcategories numbered .9 are provided for other relevant symptoms which cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories 780-796 consist of: (a) cases for which no more specific diagnosis can be made even after all facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnoses in a patient who failed to return for further investigation or care; (d) cases referred elsewhere for investigation or treatment before the diagnosis was made; (e) cases in which a more precise diagnosis was not available for any other reason; (f) certain symptoms which represent important problems in medical care and which it might be desired to classify in addition to a known cause.
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17. INJURY AND POISONING (800-999)
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.
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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.
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FRACTURE OF SKULL (800-804)
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
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FRACTURE OF NECK AND TRUNK (805-809)
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FRACTURE OF UPPER LIMB (810-819)
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FRACTURE OF LOWER LIMB (820-829)
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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
partial
simple
uncomplicated
open:
compound
infected
with foreign body
Note: A dislocation not indicated as closed or open should be classified as closed.
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Includes:
avulsion of joint capsule, legament, muscle, tendon
hemarthrosis of joint capsule, legament, muscle, tendon
laceration of joint capsule, legament, muscle, tendon
rupture of joint capsule, legament, muscle, tendon
sprain of joint capsule, legament, muscle, tendon
strain of joint capsule, legament, muscle, tendon
tear of joint capsule, legament, muscle, tendon
Excludes:
laceration of tendon in open wounds (880-884 and 890-894 with .2)
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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
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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.
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Includes:
animal bite
avulsion
cut
laceration
puncture wound
traumatic amputation
Excludes:
burn (940.0-949.5)
crushing (925-929.9)
puncture of internal organs (860.0-869.1)
superficial injury (910.0-919.9)
that incidental to:
dislocation (830.0-839.9)
fracture (800.0-829.1)
internal injury (860.0-869.1)
intracranial injury (851.0-854.1)
Note: The description "complicated" used in the fourth-digit subdivisions includes those with mention of delayed healing, delayed treatment, foreign body, or infection.
Use additional code to identify infection
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OPEN WOUND OF HEAD, NECK, AND TRUNK (870-879)
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OPEN WOUND OF UPPER LIMB (880-887)
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OPEN WOUND OF LOWER LIMB (890-897)
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Includes:
arterial hematoma of blood vessel, secondary to other injuries, e.g., fracture or open wound
avulsion of blood vessel, secondary to other injuries, e.g., fracture or open wound
cut of blood vessel, secondary to other injuries, e.g., fracture or open wound
laceration of blood vessel, secondary to other injuries, e.g., fracture or open wound
rupture of blood vessel, secondary to other injuries, e.g., fracture or open wound
traumatic aneurysm or fistula (arteriovenous) of blood vessel, secondary to other injuries, e.g., fracture or open wound
Excludes:
accidental puncture or laceration during medical procedure (998.2)
intracranial hemorrhage following injury (851.0-854.1)
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Note: These categories are to be used to indicate conditions classifiable to 800-999 as the cause of late effects, which are themselves classified elsewhere. The "late effects" include those specified as such, or as sequelae, which may occur at any time after the acute injury.
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Includes:
cheek
ear
gum
lip
nose
throat
Excludes:
eye and adnexa (918.0-918.9)
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Includes:
abdominal wall
anus
back
breast
buttock
chest wall
flank
groin
interscapular region
labium (majus) (minus)
penis
perineum
scrotum
testis
vagina
vulva
Excludes:
hip (916.0-916.9)
scapular region (912.0-912.9)
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Includes:
axilla
scapular region
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Includes:
fingernail
thumb (nail)
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Includes:
heel
toenail
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Excludes:
burn (940.0-940.9)
foreign body on external eye (930.0-930.9)
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Excludes:
multiple sites classifiable to the same three-digit category (910.0-918.9)
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Includes:
bruise without fracture or open wound
hematoma without fracture or open wound
Excludes:
concussion (850.0-850.9)
hemarthrosis (840.0-848.9)
internal organs (860.0-869.1)
that incidental to:
crushing injury (925-929.9)
dislocation (830.0-839.9)
fracture (800.0-829.1)
internal injury (860.0-869.1)
intracranial injury (850.0-854.1)
nerve injury (950.0-957.9)
open wound (870.0-897.7)
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Use additional code to identify any associated injuries, such as:
fractures (800-829)
internal injuries (860.0-869.1)
intracranial injury (850.0-854.1)
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Excludes:
foreign body:
granuloma (728.82)
inadvertently left in operative wound (998.4, 998.7)
in open wound (800-839, 851-897)
residual, in soft tissues (729.6)
superficial without major open wound (910-919 with .6 or .7)
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Includes:
burns from:
electrical heating appliance
electricity
flame
hot object
lightning
radiation
chemical burns (external) (internal)
scalds
Excludes:
friction burns (910-919 with .0, .1)
sunburn (692.71, 692.76-692.77)
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Includes:
division of nerve
lesion in continuity (with open wound)
traumatic neuroma (with open wound)
traumatic transient paralysis (with open wound)
Excludes:
accidental puncture or laceration during medical procedure (998.2)
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Includes:
overdose of these substances
wrong substance given or taken in error
Excludes:
adverse effects ["hypersensitivity," "reaction," etc.] of correct substance properly administered. Such cases are to be classified according to the nature of the adverse effect, such as:
adverse effect NOS (995.20)
allergic lymphadenitis (289.3)
aspirin gastritis (535.4)
blood disorders (280.0-289.9)
dermatitis:
contact (692.0-692.9)
due to ingestion (693.0-693.9)
nephropathy (583.9)
[The drug giving rise to the adverse effect may be identified by use of categories E930-E949.]
drug dependence (304.0-304.9)
drug reaction and poisoning affecting the newborn (760.0-779.9)
nondependent abuse of drugs (305.0-305.9)
pathological drug intoxication (292.2)
Use additional code to specify the effects of the poisoning
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Excludes:
burns from chemical agents (ingested) (947.0-947.9)
localized toxic effects indexed elsewhere (001.0-799.9)
respiratory conditions due to external agents (506.0-508.9)
Use additional code to specify the nature of the toxic effect
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Excludes:
adverse effects of medicinal agents (001.0-799.9, 995.0-995.8)
burns from local applications and irradiation (940.0-949.5)
complications of:
conditions for which the procedure was performed
surgical procedures during abortion, labor, and delivery (630-676.9)
poisoning and toxic effects of drugs and chemicals (960.0-989.9)
postoperative conditions in which no complications are present, such as:
artificial opening status (V44.0-V44.9)
closure of external stoma (V55.0-V55.9)
fitting of prosthetic device (V52.0-V52.9)
specified complications classified elsewhere
anesthetic shock (995.4)
electrolyte imbalance (276.0-276.9)
postlaminectomy syndrome (722.80-722.83)
postmastectomy lymphedema syndrome (457.0)
postoperative psychosis (293.0-293.9)
any other condition classified elsewhere in the Alphabetic Index when described as due to a procedure

SUPPLEMENTARY CLASSIFICATION OF FACTORS INFLUENCING HEALTH STATUS AND CONTACT WITH HEALTH SERVICES (V01-V89)
This classification is provided to deal with occasions when circumstances other than a disease or injury classifiable to categories 001-999 (the main part of ICD) are recorded as "diagnoses" or "problems." This can arise mainly in three ways:
a) When a person who is not currently sick encounters the health services for some specific purpose, such as to act as a donor of an organ or tissue, to receive prophylactic vaccination, or to discuss a problem which is in itself not a disease or injury. This will be a fairly rare occurrence among hospital inpatients, but will be relatively more common among hospital outpatients and patients of family practitioners, health clinics, etc.
b) When a person with a known disease or injury, whether it is current or resolving, encounters the health care system for a specific treatment of that disease or injury (e.g., dialysis for renal disease; chemotherapy for malignancy; cast change).
c) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some current illness or injury classifiable to categories 001-999.
In the latter circumstances the V code should be used only as a supplementary code and should not be the one selected for use in primary, single cause tabulations. Examples of these circumstances are a personal history of certain diseases, or a person with an artificial heart valve in situ.
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Excludes:
family history of infectious and parasitic diseases (V18.8)
personal history of infectious and parasitic diseases (V12.0)
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Excludes:
obstetric patients where the possibility that the fetus might be affected is the reason for observation or management during pregnancy (655.0-655.9)
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Note: These categories are intended for the coding of liveborn infants who are consuming health care [e.g., crib or bassinet occupancy].
The following fourth-digit subdivisions are for use with categories V30-V39:
0 Born in hospital
1 Born before admission to hospital
2 Born outside hospital and not hospitalized
The following two fifths-digits are for use with the fourth-digit .0, Born in hospital:
0 delivered without mention of cesarean delivery
1 delivered by cesarean delivery
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Note: These categories are intended for use when these conditions are recorded as "diagnoses" or "problems."
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Note: Categories V51-V58 are intended for use to indicate a reason for care in patients who may have already been treated for some disease or injury not now present, or who are receiving care to consolidate the treatment, to deal with residual states, or to prevent recurrence.
Excludes:
follow-up examination for medical surveillance following treatment (V67.0-V67.9)
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Note: Nonspecific abnormal findings disclosed at the time of these examinations are classifiable to categories 790-796.
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SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING (E800-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. If a more detailed classification of type of machinery is required, it is suggested that the "Classification of Industrial Accidents according to Agency," prepared by the International Labor Office, be used in addition; it is included in this publication.
Categories for "late effects" of accidents and other external causes are to be found at E929, E959, E969, E977, E989, and E999.
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
perambulator
pushcart
pushchair
roller skates
scooter
skateboard
skis
sled
wheelchair
(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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Note: For definitions of railway accident and related terms see definitions (a) to (d).
Excludes:
accidents involving railway train and:
aircraft (E840.0-E845.9)
motor vehicle (E810.0-E825.9)
watercraft (E830.0-E838.9)
The following fourth-digit subdivisions are for use with categories E800-E807 to identify the injured person:
0 Railway employee
Any person who by virtue of his employment in connection with a railway, whether by the railway company or not, is at increased risk of involvement in a railway accident, such as:
catering staff of train
driver
guard
porter
postal staff on train
railway fireman
shunter
sleeping car attendant
1 Passenger on railway
Any authorized person traveling on a train, except a railway employee.
Excludes:
intending passenger waiting at station (8)
unauthorized rider on railway vehicle (8)
2 Pedestrian
See definition (r)
3 Pedal cyclist
See definition (p)
8 Other specified person
Intending passenger or bystander waiting at station
Unauthorized rider on railway vehicle
9 Unspecified person
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Note: For definitions of motor vehicle traffic accident, and related terms, see definitions (e) to (k).
Excludes:
accidents involving motor vehicle and aircraft (E840.0-E845.9)
The following fourth-digit subdivisions are for use with categories E810-E819 to identify the injured person:
0 Driver of motor vehicle other than motorcycle
See definition (l)
1 Passenger in motor vehicle other than motorcycle
See definition (l)
2 Motorcyclist
See definition (l)
3 Passenger on motorcycle
See definition (l)
4 Occupant of streetcar
5 Rider of animal; occupant of animal-drawn vehicle
6 Pedal cyclist
See definition (p)
7 Pedestrian
See definition (r)
8 Other specified person
Occupant of vehicle other than above
Person in railway train involved in accident
Unauthorized rider of motor vehicle
9 Unspecified person
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Note: For definitions of motor vehicle nontraffic accident and related terms see definition (a) to (k).
Includes:
accidents involving motor vehicles being used in recreational or sporting activities off the highway
collision and noncollision motor vehicle accidents occurring entirely off the highway
Excludes:
accidents involving motor vehicle and:
aircraft (E840.0-E845.9)
watercraft (E830.0-E838.9)
accidents, not on the public highway, involving agricultural and construction machinery but not involving another motor vehicle (E919.0, E919.2, E919.7)
The following fourth-digit subdivisions are for use with categories E820-E825 to identify the injured person:
0 Driver of motor vehicle other than motorcycle
See definition (l)
1 Passenger in motor vehicle other than motorcycle
See definition (l)
2 Motorcyclist
See definition (l)
3 Passenger on motorcycle
See definition (l)
4 Occupant of streetcar
5 Rider of animal; occupant of animal-drawn vehicle
6 Pedal cyclist
See definition (p)
7 Pedestrian
See definition (r)
8 Other specified person
Occupant of vehicle other than above
Person on railway train involved in accident
Unauthorized rider of motor vehicle
9 Unspecified person
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Note: Other road vehicle accidents are transport accidents involving road vehicles other than motor vehicles. For definitions of other road vehicle and related terms see definitions (m) to (o).
Includes:
accidents involving other road vehicles being used in recreational or sporting activities
Excludes:
collision of other road vehicle [any] with:
aircraft (E840.0-E845.9)
motor vehicle (E813.0-E813.9, E820.0-E822.9)
railway train (E801.0-E801.9)
The following fourth-digit subdivisions are for use with categories E826-E829 to identify the injured person:
0 Pedestrian
See definition (r)
1 Pedal cyclist
See definition (p)
2 Rider of animal
3 Occupant of animal-drawn vehicle
4 Occupant of streetcar
8 Other specified person
9 Unspecified person
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Note: For definitions of water transport accident and related terms see definitions (a), (s), and (t).
Includes:
watercraft accidents in the course of recreational activities
Excludes:
accidents involving both aircraft, including objects set in motion by aircraft, and watercraft (E840.0-E845.9)
The following fourth-digit subdivisions are for use with categories E830-E838 to identify the injured person:
0 Occupant of small boat, unpowered
1 Occupant of small boat, powered
See definition (t)
Excludes:
water skier (4)
2 Occupant of other watercraft?crew
Persons:
engaged in operation of watercraft
providing passenger services [cabin attendants, ship's physician, catering personnel]
working on ship during voyage in other capacity [musician in band, operators of shops and beauty parlors]
3 Occupant of other watercraft -- other than crew
Passenger
Occupant of lifeboat, other than crew, after abandoning ship
4 Water skier
5 Swimmer
6 Dockers, stevedores
Longshoreman employed on the dock in loading and unloading ships
8 Other specified person
Immigration and custom officials on board ship
Person:
accompanying passenger or member of crew
visiting boat
Pilot (guiding ship into port)
9 Unspecified person
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Note: For definition of aircraft and related terms see definitions (u) and (v).
The following fourth-digit subdivisions are for use with categories E840-E845 to identify the injured person:
0 Occupant of spacecraft
1 Occupant of military aircraft, any
Crew in military aircraft [air force] [army] [national guard] [navy]
Passenger (civilian) (military) in military aircraft [air force] [army] [national guard] [navy]
Troops in military aircraft [air force] [army] [national guard] [navy]
Excludes:
occupants of aircraft operated under jurisdiction of police departments (5)
parachutist (7)
2 Crew of commercial aircraft (powered) in surface-to-surface transport
3 Other occupant of commercial aircraft (powered) in surface-to-surface transport
Flight personnel:
not part of crew
on familiarization flight
Passenger on aircraft (powered) NOS
4 Occupant of commercial aircraft (powered) in surface-to-air transport
Occupant [crew] [passenger] of aircraft (powered) engaged in activities, such as:
aerial spraying (crops) (fire retardants)
air drops of emergency supplies
air drops of parachutists, except from military craft
crop dusting
lowering of construction material [bridge or telephone pole]
sky writing
5 Occupant of other powered aircraft
Occupant [crew] [passenger] of aircraft [powered] engaged in activities, such as:
aerobatic flying
aircraft racing
rescue operation
storm surveillance
traffic surveillance
Occupant of private plane NOS
6 Occupant of unpowered aircraft, except parachutist
Occupant of aircraft classifiable to E842
7 Parachutist (military) (other)
Person making voluntary descent
Excludes:
person making descent after accident to aircraft (.1-.6)
8 Ground crew, airline employee
Persons employed at airfields (civil) (military) or launching pads, not occupants of aircraft
9 Other person
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PLACE OF OCCURENCE (E849)
Note: The following category is for use to denote the place where the injury or poisoning occurred.
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Includes:
accidental overdose of drug, wrong drug given or taken in error, and drug taken inadvertently
accidents in the use of drugs and biologicals in medical and surgical procedures
Excludes:
administration with suicidal or homicidal intent or intent to harm, or in circumstances classifiable to E980-E989 (E950.0-E950.5, E962.0, E980.0-E980.5)
correct drug properly administered in therapeutic or prophylactic dosage, as the cause of adverse effect (E930.0-E949.9)
Note: See Alphabetic Index for more complete list of specific drugs to be classified under the fourth-digit subdivisions. The American Hospital Formulary numbers can be used to classify new drugs listed by the American Hospital Formulary Service (AHFS). See appendix C.
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Note: Categories in this section are intended primarily to indicate the external cause of poisoning states classifiable to 980-989. They may also be used to indicate external causes of localized effects classifiable to 001-799.
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Excludes:
accidental overdose of drug and wrong drug given in error (E850.0-E858.9)
surgical and medical procedures as the cause of abnormal reaction by the patient, without mention of misadventure at the time of procedure (E878.0-E879.9)
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Includes:
procedures as the cause of abnormal reaction, such as:
displacement or malfunction of prosthetic device
hepatorenal failure, postoperative
malfunction of external stoma
postoperative intestinal obstruction
rejection of transplanted organ
Excludes:
anesthetic management properly carried out as the cause of adverse effect (E937.0-E938.9)
infusion and transfusion, without mention of misadventure in the technique of procedure (E930.0-E949.9)
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Excludes:
falls (in or from):
burning building (E890.8, E891.8)
into fire (E890.0-E899)
into water (with submersion or drowning) (E910.0-E910.9)
machinery (in operation) (E919.0-E919.9)
on edged, pointed, or sharp object (E920.0-E920.9)
transport vehicle (E800.0-E845.9)
vehicle not elsewhere classifiable (E846-E848)
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Includes:
asphyxia or poisoning due to conflagration or ignition
burning by fire
secondary fires resulting from explosion
Excludes:
arson (E968.0)
fire in or on:
machinery (in operation) (E919.0-E919.9)
transport vehicle other than stationary vehicle (E800.0-E845.9)
vehicle not elsewhere classifiable (E846-E848)
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Note: This category is to be used to indicate accidental injury as the cause of death or disability from late effects, which are themselves classifiable elsewhere. The "late effects" include conditions reported as such or as sequelae, which may occur at any time after the acute accidental injury.
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Includes:
correct drug properly administered in therapeutic or prophylactic dosage, as the cause of any adverse effect including allergic or hypersensitivity reactions
Excludes:
accidental overdose of drug and wrong drug given or taken in error (E850.0-E858.9)
accidents in the technique of administration of drug or biological substance such as accidental puncture during injection, or contamination of drug (E870.0-E876.9)
administration with suicidal or homicidal intent or intent to harm, or in circumstances classifiable to E980-E989 (E950.0-E950.5, E962.0, E980.0-E980.5)
See Alphabetic Index for more complete list of specific drugs to be classified under the fourth-digit subdivisions. The American Hospital Formulary numbers can be used to classify new drugs listed by the American Hospital Formulary Service (AHFS). See appendix C.
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Includes:
injuries in suicide and attempted suicide
self-inflicted injuries specified as intentional
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Includes:
injuries inflicted by another person with intent to injure or kill, by any means
Excludes:
injuries due to:
legal intervention (E970-E978)
operations of war (E990-E999)
terrorism (E979)
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Includes:
injuries inflicted by the police or other law-enforcing agents, including military on duty, in the course of arresting or attempting to arrest lawbreakers, suppressing disturbances, maintaining order, and other legal action
legal execution
Excludes:
injuries caused by civil insurrections (E990.0-E999)
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TERRORISM (E979)
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Note: Categories E980-E989 are for use when it is unspecified or it cannot be determined whether the injuries are accidental (unintentional), suicide (attempted), or assault.
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Includes:
injuries to military personnel and civilians caused by war and civil insurrections and occurring during the time of war and insurrection
Excludes:
accidents during training of military personnel, manufacture of war material and transport, unless attributable to enemy action
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