Injury, poisoning and certain other consequences of external causes S00-T88 >

Note
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify any retained foreign body, if applicable (
    ICD-10-CM Diagnosis Code Z18
    • Z18 Retained foreign body fragments
      • Z18.0 Retained radioactive fragments
        • Z18.01 Retained depleted uranium fragments
        • Z18.09 Other retained radioactive fragments
      • Z18.1 Retained metal fragments
        • Z18.10 …… unspecified
        • Z18.11 Retained magnetic metal fragments
        • Z18.12 Retained nonmagnetic metal fragments
      • Z18.2 Retained plastic fragments
      • Z18.3 Retained organic fragments
        • Z18.31 Retained animal quills or spines
        • Z18.32 Retained tooth
        • Z18.33 Retained wood fragments
        • Z18.39 Other retained organic fragments
      • Z18.8 Other specified retained foreign body
        • Z18.81 Retained glass fragments
        • Z18.83 Retained stone or crystalline fragments
        • Z18.89 Other specified retained foreign body fragmen...
      • Z18.9 Retained foreign body fragments, unspecified ...
    Z18.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as S00-T88. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • birth trauma (P10-P15
    ICD-10-CM Range P10-P15

    Birth trauma

    • P10 Intracranial laceration and hemorrhage d...
    • P11 Other birth injuries to central nervous ...
    • P12 Birth injury to scalp
    • P13 Birth injury to skeleton
    • P14 Birth injury to peripheral nervous syste...
    • P15 Other birth injuries
    )
  • obstetric trauma (
    ICD-10-CM Diagnosis Code O70

    Perineal laceration during delivery

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • episiotomy extended by laceration
    Type 1 Excludes
    • obstetric high vaginal laceration alone (O71.4)
    O70
    -
    ICD-10-CM Diagnosis Code O71

    Other obstetric trauma

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • obstetric damage from instruments
    O71
    )
Codes
ICD-10-CM Range S00-S09

Injuries to the head

Code Also
  • for any associated infection
Includes
  • injuries of ear
  • injuries of eye
  • injuries of face [any part]
  • injuries of gum
  • injuries of jaw
  • injuries of oral cavity
  • injuries of palate
  • injuries of periocular area
  • injuries of scalp
  • injuries of temporomandibular joint area
  • injuries of tongue
  • injuries of tooth
Type 2 Excludes
  • burns and corrosions (T20-T32)
  • effects of foreign body in ear (T16)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in mouth NOS (T18.0)
  • effects of foreign body in nose (T17.0-T17.1)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body on external eye (T15.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
  • S00 Superficial injury of head
  • S01 Open wound of head
  • S02 Fracture of skull and facial bones
  • S03 Dislocation and sprain of joints and lig...
  • S04 Injury of cranial nerve
  • S05 Injury of eye and orbit
  • S06 Intracranial injury
  • S07 Crushing injury of head
  • S08 Avulsion and traumatic amputation of par...
  • S09 Other and unspecified injuries of head
ICD-10-CM Range S10-S19

Injuries to the neck

Includes
  • injuries of nape
  • injuries of supraclavicular region
  • injuries of throat
Type 2 Excludes
  • burns and corrosions (T20-T32)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in larynx (T17.3)
  • effects of foreign body in pharynx (T17.2)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
  • S10 Superficial injury of neck
  • S11 Open wound of neck
  • S12 Fracture of cervical vertebra and other ...
  • S13 Dislocation and sprain of joints and lig...
  • S14 Injury of nerves and spinal cord at neck...
  • S15 Injury of blood vessels at neck level
  • S16 Injury of muscle, fascia and tendon at n...
  • S17 Crushing injury of neck
  • S19 Other specified and unspecified injuries...
ICD-10-CM Range S20-S29

Injuries to the thorax

Includes
  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area
Type 2 Excludes
  • burns and corrosions (T20-T32)
  • effects of foreign body in bronchus (T17.5)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in lung (T17.8)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)
  • S20 Superficial injury of thorax
  • S21 Open wound of thorax
  • S22 Fracture of rib(s), sternum and thoracic...
  • S23 Dislocation and sprain of joints and lig...
  • S24 Injury of nerves and spinal cord at thor...
  • S25 Injury of blood vessels of thorax
  • S26 Injury of heart
  • S27 Injury of other and unspecified intratho...
  • S28 Crushing injury of thorax, and traumatic...
  • S29 Other and unspecified injuries of thorax
ICD-10-CM Range S30-S39

Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals

Includes
  • injuries to the abdominal wall
  • injuries to the anus
  • injuries to the buttock
  • injuries to the external genitalia
  • injuries to the flank
  • injuries to the groin
Type 2 Excludes
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
  • S30 Superficial injury of abdomen, lower bac...
  • S31 Open wound of abdomen, lower back, pelvi...
  • S32 Fracture of lumbar spine and pelvis
  • S33 Dislocation and sprain of joints and lig...
  • S34 Injury of lumbar and sacral spinal cord ...
  • S35 Injury of blood vessels at abdomen, lowe...
  • S36 Injury of intra-abdominal organs
  • S37 Injury of urinary and pelvic organs
  • S38 Crushing injury and traumatic amputation...
  • S39 Other and unspecified injuries of abdome...
ICD-10-CM Range S40-S49

Injuries to the shoulder and upper arm

Includes
  • injuries of axilla
  • injuries of scapular region
Type 2 Excludes
  • S40 Superficial injury of shoulder and upper...
  • S41 Open wound of shoulder and upper arm
  • S42 Fracture of shoulder and upper arm
  • S43 Dislocation and sprain of joints and lig...
  • S44 Injury of nerves at shoulder and upper a...
  • S45 Injury of blood vessels at shoulder and ...
  • S46 Injury of muscle, fascia and tendon at s...
  • S47 Crushing injury of shoulder and upper ar...
  • S48 Traumatic amputation of shoulder and upp...
  • S49 Other and unspecified injuries of should...
ICD-10-CM Range S50-S59

Injuries to the elbow and forearm

Type 2 Excludes
  • S50 Superficial injury of elbow and forearm
  • S51 Open wound of elbow and forearm
  • S52 Fracture of forearm
  • S53 Dislocation and sprain of joints and lig...
  • S54 Injury of nerves at forearm level
  • S55 Injury of blood vessels at forearm level
  • S56 Injury of muscle, fascia and tendon at f...
  • S57 Crushing injury of elbow and forearm
  • S58 Traumatic amputation of elbow and forear...
  • S59 Other and unspecified injuries of elbow ...
ICD-10-CM Range S60-S69

Injuries to the wrist, hand and fingers

Type 2 Excludes
  • S60 Superficial injury of wrist, hand and fi...
  • S61 Open wound of wrist, hand and fingers
  • S62 Fracture at wrist and hand level
  • S63 Dislocation and sprain of joints and lig...
  • S64 Injury of nerves at wrist and hand level
  • S65 Injury of blood vessels at wrist and han...
  • S66 Injury of muscle, fascia and tendon at w...
  • S67 Crushing injury of wrist, hand and finge...
  • S68 Traumatic amputation of wrist, hand and ...
  • S69 Other and unspecified injuries of wrist,...
ICD-10-CM Range S70-S79

Injuries to the hip and thigh

Type 2 Excludes
  • S70 Superficial injury of hip and thigh
  • S71 Open wound of hip and thigh
  • S72 Fracture of femur
  • S73 Dislocation and sprain of joint and liga...
  • S74 Injury of nerves at hip and thigh level
  • S75 Injury of blood vessels at hip and thigh...
  • S76 Injury of muscle, fascia and tendon at h...
  • S77 Crushing injury of hip and thigh
  • S78 Traumatic amputation of hip and thigh
  • S79 Other and unspecified injuries of hip an...
ICD-10-CM Range S80-S89

Injuries to the knee and lower leg

Type 2 Excludes
  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
  • insect bite or sting, venomous (T63.4)
  • S80 Superficial injury of knee and lower leg
  • S81 Open wound of knee and lower leg
  • S82 Fracture of lower leg, including ankle
  • S83 Dislocation and sprain of joints and lig...
  • S84 Injury of nerves at lower leg level
  • S85 Injury of blood vessels at lower leg lev...
  • S86 Injury of muscle, fascia and tendon at l...
  • S87 Crushing injury of lower leg
  • S88 Traumatic amputation of lower leg
  • S89 Other and unspecified injuries of lower ...
ICD-10-CM Range S90-S99

Injuries to the ankle and foot

Type 2 Excludes
  • burns and corrosions (T20-T32)
  • fracture of ankle and malleolus (S82.-)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
  • S90 Superficial injury of ankle, foot and to...
  • S91 Open wound of ankle, foot and toes
  • S92 Fracture of foot and toe, except ankle
  • S93 Dislocation and sprain of joints and lig...
  • S94 Injury of nerves at ankle and foot level
  • S95 Injury of blood vessels at ankle and foo...
  • S96 Injury of muscle and tendon at ankle and...
  • S97 Crushing injury of ankle and foot
  • S98 Traumatic amputation of ankle and foot
  • S99 Other and unspecified injuries of ankle ...
ICD-10-CM Range T07-T07

Injuries involving multiple body regions

Type 1 Excludes
  • T07 Unspecified multiple injuries
ICD-10-CM Range T14-T14

Injury of unspecified body region

  • T14 Injury of unspecified body region
ICD-10-CM Range T15-T19

Effects of foreign body entering through natural orifice

Type 2 Excludes
  • foreign body accidentally left in operation wound (T81.5-)
  • foreign body in penetrating wound - See open wound by body region
  • residual foreign body in soft tissue (M79.5)
  • splinter, without open wound - See superficial injury by body region
  • T15 Foreign body on external eye
  • T16 Foreign body in ear
  • T17 Foreign body in respiratory tract
  • T18 Foreign body in alimentary tract
  • T19 Foreign body in genitourinary tract
ICD-10-CM Range T20-T25

Burns and corrosions of external body surface, specified by site

Includes
  • burns and corrosions of first degree [erythema]
  • burns and corrosions of second degree [blisters][epidermal loss]
  • burns and corrosions of third degree [deep necrosis of underlying tissue] [full- thickness skin loss]
Use Additional
  • code from category T31 or T32 to identify extent of body surface involved
  • T20 Burn and corrosion of head, face, and ne...
  • T21 Burn and corrosion of trunk
  • T22 Burn and corrosion of shoulder and upper...
  • T23 Burn and corrosion of wrist and hand
  • T24 Burn and corrosion of lower limb, except...
  • T25 Burn and corrosion of ankle and foot
ICD-10-CM Range T26-T28

Burns and corrosions confined to eye and internal organs

  • T26 Burn and corrosion confined to eye and a...
  • T27 Burn and corrosion of respiratory tract
  • T28 Burn and corrosion of other internal org...
ICD-10-CM Range T30-T32

Burns and corrosions of multiple and unspecified body regions

  • T30 Burn and corrosion, body region unspecif...
  • T31 Burns classified according to extent of ...
  • T32 Corrosions classified according to exten...
ICD-10-CM Range T33-T34

Frostbite

Type 2 Excludes
  • hypothermia and other effects of reduced temperature (T68, T69.-)
  • T33 Superficial frostbite
  • T34 Frostbite with tissue necrosis
ICD-10-CM Range T36-T50

Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

Code First
  • , for adverse effects, the nature of the adverse effect, such as:
  • adverse effect NOS (T88.7 )
  • aspirin gastritis (K29.-)
  • blood disorders (D56-D76 )
  • contact dermatitis (L23-L25 )
  • dermatitis due to substances taken internally (L27.-)
  • nephropathy (N14.0-N14.2)
Includes
  • adverse effect of correct substance properly administered
  • poisoning by overdose of substance
  • poisoning by wrong substance given or taken in error
  • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
Note
  • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
Type 1 Excludes
  • toxic reaction to local anesthesia in pregnancy (O29.3-)
Type 2 Excludes
  • abuse and dependence of psychoactive substances (F10-F19)
  • abuse of non-dependence-producing substances (F55.-)
  • drug reaction and poisoning affecting newborn (P00-P96)
  • pathological drug intoxication (inebriation) (F10-F19)
Use Additional
  • code(s) to specify:
  • manifestations of poisoning
  • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
  • underdosing of medication regimen (Z91.12-, Z91.13-)
  • T36 Poisoning by, adverse effect of and unde...
  • T37 Poisoning by, adverse effect of and unde...
  • T38 Poisoning by, adverse effect of and unde...
  • T39 Poisoning by, adverse effect of and unde...
  • T40 Poisoning by, adverse effect of and unde...
  • T41 Poisoning by, adverse effect of and unde...
  • T42 Poisoning by, adverse effect of and unde...
  • T43 Poisoning by, adverse effect of and unde...
  • T44 Poisoning by, adverse effect of and unde...
  • T45 Poisoning by, adverse effect of and unde...
  • T46 Poisoning by, adverse effect of and unde...
  • T47 Poisoning by, adverse effect of and unde...
  • T48 Poisoning by, adverse effect of and unde...
  • T49 Poisoning by, adverse effect of and unde...
  • T50 Poisoning by, adverse effect of and unde...
ICD-10-CM Range T51-T65

Toxic effects of substances chiefly nonmedicinal as to source

Note
  • When no intent is indicated code to accidental. Undetermined intent is only for use when there is specific documentation in the record that the intent of the toxic effect cannot be determined.
Type 1 Excludes
  • contact with and (suspected) exposure to toxic substances (Z77.-)
Use Additional
  • code(s):
  • for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
  • personal history of foreign body fully removed (Z87.821)
  • to identify any retained foreign body, if applicable (Z18.-)
  • T51 Toxic effect of alcohol
  • T52 Toxic effect of organic solvents
  • T53 Toxic effect of halogen derivatives of a...
  • T54 Toxic effect of corrosive substances
  • T55 Toxic effect of soaps and detergents
  • T56 Toxic effect of metals
  • T57 Toxic effect of other inorganic substanc...
  • T58 Toxic effect of carbon monoxide
  • T59 Toxic effect of other gases, fumes and v...
  • T60 Toxic effect of pesticides
  • T61 Toxic effect of noxious substances eaten...
  • T62 Toxic effect of other noxious substances...
  • T63 Toxic effect of contact with venomous an...
  • T64 Toxic effect of aflatoxin and other myco...
  • T65 Toxic effect of other and unspecified su...
ICD-10-CM Range T66-T78

Other and unspecified effects of external causes

  • T66 Radiation sickness, unspecified
  • T67 Effects of heat and light
  • T68 Hypothermia
  • T69 Other effects of reduced temperature
  • T70 Effects of air pressure and water pressu...
  • T71 Asphyxiation
  • T73 Effects of other deprivation
  • T74 Adult and child abuse, neglect and other...
  • T75 Other and unspecified effects of other e...
  • T76 Adult and child abuse, neglect and other...
  • T78 Adverse effects, not elsewhere classifie...
ICD-10-CM Range T79-T79

Certain early complications of trauma

  • T79 Certain early complications of trauma, n...
ICD-10-CM Range T80-T88

Complications of surgical and medical care, not elsewhere classified

Type 2 Excludes
  • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
  • artificial opening status (Z93.-)
  • closure of external stoma (Z43.-)
  • fitting and adjustment of external prosthetic device (Z44.-)
  • burns and corrosions from local applications and irradiation (T20-T32)
  • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
  • mechanical complication of respirator [ventilator] (J95.850)
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
  • postprocedural fever (R50.82)
  • specified complications classified elsewhere, such as:
  • cerebrospinal fluid leak from spinal puncture (G97.0)
  • colostomy malfunction (K94.0-)
  • disorders of fluid and electrolyte imbalance (E86-E87)
  • functional disturbances following cardiac surgery (I97.0-I97.1)
  • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
  • ostomy complications (J95.0-, K94.-, N99.5-)
  • postgastric surgery syndromes (K91.1)
  • postlaminectomy syndrome NEC (M96.1)
  • postmastectomy lymphedema syndrome (I97.2)
  • postsurgical blind-loop syndrome (K91.2)
  • ventilator associated pneumonia (J95.851)
Use Additional
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • T80 Complications following infusion, transf...
  • T81 Complications of procedures, not elsewhe...
  • T82 Complications of cardiac and vascular pr...
  • T83 Complications of genitourinary prostheti...
  • T84 Complications of internal orthopedic pro...
  • T85 Complications of other internal prosthet...
  • T86 Complications of transplanted organs and...
  • T87 Complications peculiar to reattachment a...
  • T88 Other complications of surgical and medi...