ICD 10 - International Classification of Diseases of the 10th Revision

INJURY, POISONING AND SOME OTHER CONSEQUENCES OF EXPOSURE TO EXTERNAL CAUSES (S00-T98)

Excluded:

  • birth trauma ( P10-P15 )
  • Obstetric Trauma (O70-O71)
  • fracture improperly fused ( M84.0 )
  • fracture uncombusted [false joint] ( M84.1 )
  • fracture pathological ( M84.4 )
  • fracture with osteoporosis ( M80.- )
  • fracture stress ( M84.3 )

This class contains the following blocks:

  • S00-S09 Head injuries
  • S10-S19 Injuries to the neck
  • S20-S29 Injuries to the chest
  • S30-S39 Injuries to the abdomen, lower back, lumbar spine and pelvis
  • S40-S49 Injuries to the shoulder and upper arm
  • S50-S59 Injuries to elbow and forearm
  • S60-S69 Injuries to the wrist and hand
  • S70-S79 Injuries of the hip and thigh area
  • S80-S89 Knee and Shin Injuries
  • S90-S99 Injuries to the ankle and foot area
  • T00-T07 Injuries involving multiple areas of the body
  • T08-T14 Injuries of unspecified part of trunk, limb or body region
  • T15-T19 Consequences of penetration of a foreign body through natural holes
  • T20-T32 Thermal and chemical burns
  • T33-T35 Frostbite
  • T36-T50 Poisoning with medicines, medicines and biological substances
  • T51-T65 Toxic effect of substances, mainly non-medical use
  • T66-T78 Other and unspecified effects of external causes
  • T79 Some early complications of trauma
  • T80-T88 Complications of surgical and therapeutic interventions, not elsewhere classified
  • T90-T98 Consequences of injuries, poisoning and other effects of external causes

In this class, the section marked with the letter S is used to encode various types of injuries related to a particular area of ​​the body, and a section with the letter T for encoding multiple injuries and injuries to certain unspecified parts of the body, as well as poisoning and some other effects external causes. In cases where the headline indicates the multiple nature of the injury, the "c" union means the simultaneous defeat of both of these areas of the body, and the "and" union of both the one and the both sites.

The principle of multiple coding of injuries should be applied as widely as possible. Combined headings for multiple injuries are given for use with insufficient detail of the nature of each individual injury or in primary statistical developments, when it is more convenient to register a single code; in other cases, each component of the injury should be coded separately. In addition, it is necessary to take into account the rules of coding morbidity and mortality, set out in Volume 2.

The blocks of section S, as well as the headings T00-T14 and T90-T98, include injuries which, at the level of three-digit rubrics, are classified by type as follows:

Superficial injury , including:

  • abrasion
  • water bubble (non-thermal)
  • bruise, including bruise, bruising and bruising
  • trauma from a superficial foreign body (splinter) without a large open wound
  • insect bite (non-poisonous)

Open wound , including:

  • bitten
  • cut
  • torn
  • chopped:
    • . BDU
    • . with a (penetrating) foreign body

Fracture , including:

closed:
  • comminuted
  • pitted
  • protruding
  • split
  • incomplete
  • nested
  • linear
  • march
  • plain
  • offset
  • epiphysis
  • helical
  • with a dislocation
  • offset
with or without delay of healing
open:
  • complicated
  • infected
  • gunshot
  • with a point wound
  • with foreign body
with or without delay of healing

Excluded: fracture:

  • fracture pathological ( M84.4 )
  • fracture with osteoporosis ( M80.- )
  • fracture stress ( M84.3 )

Dislocation, stretching and overstrain of the capsular-ligamentous apparatus of the joint, including:

  • separation
  • gap
  • stretching
  • overstrain
  • traumatic (s):
    • . hemarthrosis
    • . tear
    • . subluxation
    • . break}
  • of the joint
  • (capsules)
  • bundles

Trauma of nerves and spinal cord, including:

  • complete or incomplete spinal cord injury
  • violation of the integrity of nerves and spinal cord
  • traumatic (s):
    • . nerve intersection
    • . hematomia
    • . paralysis
    • . paraplegia
    • . quadriplegia

Damage to blood vessels, including:

  • separation
  • cutting
  • tear
  • traumatic (s):
    • . aneurysm or fistula (arteriovenous)
    • . arterial hematoma
    • . gap
blood vessels

Damage to the muscles, fascias and tendons includes:

  • separation
  • cutting
  • tear
  • traumatic rupture
muscles, fasciae and tendons

Crushing [crushing]

Traumatic amputation

Injury of internal organs, including:

  • from a blast wave
  • bruise
  • injury from concussion
  • crush
  • cutting
  • traumatic (s):
    • . hematoma
    • . puncture
    • . gap
    • . tear
internal organs

Other and unspecified injuries

S00-S09 INJURY OF THE HEAD

Included: injuries:

  • . ear
  • . eyes
  • . person (any part)
  • . gums
  • . jaws
  • . area of ​​the temporomandibular joint
  • . oral cavity
  • . sky
  • . oedidus
  • . the scalp
  • . language
  • . tooth

Excluded:

  • thermal and chemical burns ( T20-T32 )
  • consequences of foreign bodies entering into:
  • frostbite ( T33-T35 )
  • bite and sting of a poisonous insect ( T63.4 )

S10-S19 NEGLIGENCE OF THE NECK

Included: injuries:

  • . back of neck
  • . supraclavicular area
  • . throat

Excluded:

  • thermal and chemical burns ( T20-T32 )
  • consequences of foreign bodies entering into:
  • fracture of the vertebral column of the OBD ( T08 )
  • frostbite ( T33-T35 )
  • injury:
    • . of the spinal cord of the OBD ( T09.3 )
    • . trunk of the BDU ( T09.- )
  • bite or sting of a poisonous insect ( T63.4 )

S20- S29 INJURY TRAUMA

Included: injuries:

  • . of the breast
  • . breasts (walls)
  • . interblade area

Excluded:

  • thermal and chemical burns ( T20-T32 )
  • consequences of foreign bodies entering into:
  • fracture of the vertebral column of the OBD ( T08 )
  • frostbite ( T33-T35 )
  • injury:
  • bite or sting of a poisonous insect ( T63.4 )

S30- S39 INJURY INJURY, LOWER PART OF LINE, LUMBARIAN SPINE AND TAZA DEPARTMENT

Included: injuries:

  • . of the abdominal wall
  • . anus
  • . gluteal region
  • . external genitalia
  • . lateral abdomen
  • . inguinal area

Excluded:

  • thermal and chemical burns ( T20-T32 )
  • consequences of foreign body intrusion into:
    • . anus and rectum ( T18.5 )
    • . genitourinary tract ( T19.- )
    • . stomach, small and large intestine ( T18.2 - T18.4 )
  • fracture of the vertebral column of the OBD ( T08 )
  • frostbite ( T33-T35 )
  • injury:
    • . backs of the BDU ( T09.- )
    • . of the spinal cord of the OBD ( T09.3 )
    • . trunk of the BDU ( T09.- )
  • bite or sting of a poisonous insect ( T63.4 )

S40-S49 LEGS OF THE SHOULDER BELT AND SHOULDER

Included: injuries:

  • . axillary cavity
  • . blade area

Excluded:

  • bilateral shoulder and shoulder trauma ( T00-T07 )
  • thermal and chemical burns ( T20-T32 )
  • frostbite ( T33-T35 )
  • injury:
    • . hand (unspecified localization) (T10-T11)
    • . elbow ( S50-S59 )
  • bite or sting of a poisonous insect ( T63.4 )

S50-S59 TRACT OF THE LUNG AND THE FORTRESS

Excluded:

  • bilateral injury of the elbow and forearm ( T00-T07 )
  • thermal and chemical burns ( T20-T32 )
  • frostbite ( T33-T35 )
  • injury:
    • . hands on a level unspecified (T10-T11)
    • . wrist and hand ( S60-S69 )
  • bite or sting of a poisonous insect ( T63.4 )

S60-S69 INJURY AND STRESS INJURIES

Excluded:

  • bilateral wrist and hand injury ( T00-T07 )
  • thermal and chemical burns ( T20-T32 )
  • frostbite ( T33-T35 )
  • hand injuries at a level unspecified (T10-T11)
  • bite or sting of a poisonous insect ( T63.4 )

S70-S79 INJURY IN THE FIELD OF THE FOREQUARTERS AND THINS

Excluded:

  • bilateral trauma of the hip and thigh ( T00-T07 )
  • thermal and chemical burns ( T20-T32 )
  • frostbite ( T33-T35 )
  • leg injury at a level unspecified (T12-T13)
  • bite or sting of a poisonous insect ( T63.4 )

S80- S89 INJURY AND KIDNEY INJURY

Included: fracture of ankle and ankle

Excluded:

  • bilateral knee and lower leg injury ( T00-T07 )
  • thermal and chemical burns ( T20-T32 )
  • frostbite ( T33-T35 )
  • injury:
    • . ankle joint and foot, excluding fracture of the ankle and ankle ( S90-S99 )
    • . Feet at Unspecified Level (T12-T13)
  • bite or sting of a poisonous insect ( T63.4 )

S90-S99 INJURY HOSPITAL AND STOP

Excluded:

  • bilateral trauma of the ankle and foot area ( T00-T07 )
  • thermal and chemical burns and corrosion ( T20-T32 )
  • fracture of the ankle and ankle ( S82.- )
  • frostbite ( T33-T35 )
  • trauma of lower limb, level unspecified (T12-T13)
  • bite or sting of a poisonous insect ( T63.4 )

T00-T07 INJURY INCREASING SEVERAL BODY AREAS

Included:

  • bilateral injuries of limbs with equal levels of injury
  • exciting two or more areas of the body, classified under S00-S99

Excluded:

  • thermal and chemical burns ( T20-T32 )
  • frostbite ( T33-T35 )
  • bite or sting of a poisonous insect ( T63.4 )
  • Multiple injuries that capture only one area of ​​the body (see the S-heading)
  • sunburn ( L55.- )

T08-T14 INJURY INJURY, LIMBS OR BODY AREA

Excluded:

  • thermal and chemical burns ( T20-T32 )
  • frostbite ( T33-T35 )
  • injuries that affect several areas of the body ( T00-T07 )
  • bite or sting of a poisonous insect ( T63.4 )

T15-T19 CONSEQUENCES OF PENETRATION OF A FOREIGN BODY THROUGH NATURAL HOLES

Excluded:

  • foreign body:
    • . accidentally left in the operating wound ( T81.5 )
    • . in a stab wound - see an open wound in the areas of the body
    • . unsuccessful in soft tissues ( M79.5 )
  • splinter (fragment) without a large open wound - see a superficial wound through the areas of the body

T20-T32 THERMAL AND CHEMICAL BURNS

Included:

  • burns (thermal) caused by:
    • . electric heating appliances
    • . electric shock
    • . flames
    • . friction
    • . hot air and hot gases
    • . hot objects
    • . lightning
    • . radiation
  • chemical burns [corrosion] (external) (internal)
  • scalding

Excluded:

  • erythema [dermatitis] ab igne ( L59.0 )
  • caused by radiation changes in the skin and subcutaneous tissue ( L55-L59 )
  • sunburn ( L55.- )

T33-T35 FABRICATION

Excluded: hypothermia and other effects of low temperatures (T68-T69)

T36-T50 DOSAGE OF MEDICINES, MEDICINES AND BIOLOGICAL SUBSTANCES

Included are: cases:

  • . overdose of these substances
  • . incorrect delivery or reception by mistake of these substances

Excluded:

  • abuse of non-addictive drugs ( F55 )
  • adverse reactions ["hypersensitivity", "reaction", etc.] to properly administered and appropriate for the purpose of the substance; these cases are classified according to the nature of the adverse reaction, such as:
    • . gastritis caused by taking aspirin ( K29.- )
    • . changes in blood (D50-D76)
    • . dermatitis:
      • . pin (L23-L25)
      • . caused by substances taken internally ( L27.- )
    • . nephropathy ( N14.0 - N14.2 )
    • . Unspecified pathological response to drug ( T88.7 )
  • drug dependence and mental disorders and behavioral disorders due to the use of psychoactive substances ( F10-F19 )
  • drug reaction and poisoning affecting the fetus and the newborn ( P00-P96 )
  • pathological drug intoxication ( F10-F19 )

T51-T65 TOXICITY OF SUBSTANCES, NEMATICALLY PURPOSE

Excluded:

  • chemical burns ( T20-T32 )
  • local toxic effects classified elsewhere (A00-R99)
  • respiratory disorders due to external agents ( J60-J70 )

T66-T78 OTHER AND UNSPECIFIED EFFECTS OF EXPOSURE TO EXTERNAL CAUSES

T79 SOME EARLY COMPLICATIONS OF INJURIES

T80-T88 COMPLICATIONS OF SURGICAL AND THERAPEUTIC INTERVENTIONS NOT CLASSIFIED IN OTHER RUBRICS

If necessary, identify the device used and the details of the circumstances relevant to the particular case, use an additional code of external causes (class XX).

If necessary, an additional code is used to identify the infectious agent ( B95-B97 ).

Excluded:

  • adverse reactions to drugs and medicines (A00-R99, T78.- )
  • any requests for medical help for uncomplicated postoperative conditions, for example:
    • . in connection with the presence of an artificial hole ( Z93.- )
    • . closure of external stoma ( Z43.- )
    • . installation and adjustment of the external prosthetic device ( Z44.- )
    • . thermal and chemical burns caused by local applications and irradiation ( T20-T32 )
  • complications of surgical procedures during pregnancy, childbirth and the postpartum period ( O00-O99 )
  • poisoning and toxic effects of drugs and chemicals (T36-T65)
  • specified complications classified elsewhere, such as:
    • . the outflow of cerebrospinal fluid with spinal puncture ( G97.0 )
    • . dysfunction of colostomy ( K91.4 )
    • . violation of water and electrolyte balance (E86-E87)
    • . functional disorders after surgical intervention on the heart ( I97.0 - I97.1 )
    • . syndrome of operated stomach ( K91.1 )
    • . post-aminectomy syndrome of NCDR ( M96.1 )
    • . syndrome of lymphatic edema after removal of the mammary gland ( I97.2 )
    • . syndrome of the operated cecum ( K91.2 )

T90-T98 CONSEQUENCES OF INJURIES, POISONING AND OTHER IMPACT OF EXTERNAL CAUSES

Note. The following categories should be used to indicate the states indicated in S00-S99 and T00-T88 as the cause of the long-term consequences that are themselves classified elsewhere. The term "consequence" includes these conditions as such or as long-term effects persisting for a year or more after acute trauma.

Codes of this heading should not be used for chronic poisoning and harmful effects of substances. In such cases, the codes of poisoning and harmful effects of substances are used.

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In Russia, the International Classification of Diseases of the 10th revision ( ICD-10 ) was adopted as a single normative document to take into account the incidence, the reasons for the population to address medical facilities of all departments, the causes of death.

ICD-10 was introduced into the practice of health care throughout the RF in 1999 by the order of the Ministry of Health of Russia of 27.05.97. №170

The release of the new revision ( ICD-11 ) is planned in 2017.