ICD-10 DIAGNOSIS International Statistical Classification of Diseases and Related Health Problems 10th Revision For Orthopaedic and Traumatology Perhimpunan Dokter Spesialis Orthopaedi dan Traumatologi Indonesia (PABOI) 2012Table of Contents Table of Contents. CHAPTER I Certain Infectious and Parasitic Diseases (A00-B99) Tuberculosis (A15-A19) AI8 Tuberculosis of other organs CHAPTER II ‘Neoplasms (C00-D48) ‘Malignant Neoplasms of Bone and Articular Cartilage (C40-C41) C40 Malignant neoplasm of bone and articular cartilage of limbs C41 Malignant neoplasm of bone and articular cartilage of other and unspecified sites ‘Malignant Neoplasms of Mesothelial and Soft Tissue (C45-C49) C49 Malignant neoplasm of other connective and soft tissue CHAPTER IL Endocrine, Nutritional and Metabolic Diseases (E00-E90) Disorders of other endocrine glands (E20-E35) E20 Hypoparathyroidism E21 Hyperparathyroidism and other disorders of parathyroid gland E22 Hyperfunction of pituitary gland E23 Hypofunction and other disorders of pituitary gland E24 Cushing's syndrome. E25 Adrenogenital disorders E26 Hyperaldosteronism. E27 Other disorders of adrenal gland E28 Ovarian dysfunction E20 Testicular dysfunction. E30 Disorders of puberty, not elsewhere classified. E31 Polyglandular dysfunction E32 Diseases of thymus E34 Other endocrine disorders eer a hohe ee 10 10 10 ulE35* Disorders of endocrine glands in dis Other Nutritional Deficiencies (E50-E64) E54 Ascorbic acid deficiency E55 Vitamin D deficiency E58 Dietary calcium deficiency CHAPTER IV Diseases of The Nervous System (G00-G99). ‘Nerve, Nerve Root and Plexus Disorders (650-G59) G54 Nerve root and plemus disorders, G55* Nerve root and plexus compressions in diseases classified elsewhere G56 Mononeuropathies of upper limb G57 Mononeuropathies of lower limb Diseases of Myoneural Junction and Muscle (G70-G73) G71 Primary disorders of muscles G72 Other myopathies Cerebral Palsy and Other Paralytic Syndromes (G80-G83) G80 Cerebral palsy CHAPTER V Diseases of The Musculoskeletal System and Connective Tissue (MO0-M99) Axthropathies (M00-M25) ‘M00 Pyogenic arthritis, 14 14 14 15 15 15 16 16 7 18 18 20 20 20 ‘MO1* Direct infections of joint in infectious and parasitic diseases classified elsewhere ‘MO? Reactive arthropathies M03* Postinfective and reactive arthropathies in diseases classified elsewhere ‘MOS Seropositive rheumatoid arthritis ‘M06 Other rheumatoid arthritis ‘MO7* Psoriatic and enteropathicarthropathies ‘M08 Juvenile arthritis ‘M09* Juvenile arthritis in diseases classified elsewhere M10 Gout MII Other crystal arthropathiesMI? Other specific arthropathies M13 Other arthritis ‘MI4* Arthropathies in other diseases classified elsewhere MIS Polyarthrosis MIG Coxarthrosis [arthrosis of hip] MIT Gonarthrosis [arthrosis of knee] MIB Arthrosis of first carpometacarpal joint MIO Other arthrosis M20 Acquired deformities of fingers and toes ‘M21 Other acquired deformities of limbs M22 Disorders of patella M23 Internal derangement of knee. M24 Other specific joint derangements M25 Other joint disorders, not elsewhere classified, ‘Systemic Connective Tissue Disorders (M30-M36) M30 Polyarteritis nodosa and related conditions ‘M31 Other necrotizing vasculopathies ‘M32 Systemic lupus erythematosus M33 Dermatopolymyositis. M34 Systemic sclerosis. M35 Other systemic involvement of connective tissue 1M36* Systemic disorders of connective tissue in diseases classified elsewhere Dorsopathies (M40-MS54) M40 Kyphosis and lordosis Mal Scoliosis M4? Spinal osteochondrosis M43 Other deforming dorsopathies MAS Ankylosing spondylitis (M46 Other inflammatory spondylopathies MAT Spondylosis M48 Other spondylopathies 1M49* Spondylopathies in diseases classified elsewhere MSO Cervical disc disorders ‘M51 Other intervertebral disc disorders(M53 Other dorsopathies, not elsewhere classified M54 Dorsalgia Soft Tissue Disorders (M60-M79) M60 Myositis ‘M61 Calcification and ossification of muscle. M62 Other disorders of muscle 1M63* Disorders of muscle in di M65 Synovitis and tenosynovitis. (M66 Spontaneous rupture of synovium and tendon. ‘M67 Other disorders of synovium and tendon, ‘M68* Disorders of synovium and tendon in diseases classified elsewhere. s classified elsewhere M70 Soft tissue disorders related to use, overuse and pressure ‘M71 Other bursopathies M72 Fibroblastic disorders 1M73* Soft tissue disorders in diseases classified elsewhere M75 Shoulder lesions. M76 Enthesopathies of lower limb, excluding foot M77 Other enthesopathies M79 Other soft tissue disorders, not elsewhere classified Ostheopathies and Chondropathies (M80-M94) ‘M80 Osteoporosis with pathological fracture ‘MBI Osteoporosis without pathological fracture M82* Osteoporosis in diseases classified elsewhere (M83 Adult osteomalacia ‘M84 Disorders of continuity of bone M85 Other disorders of bone density and structure. M86 Osteomyelitis, ‘M87 Osteonecrosis ‘M88 Paget's disease of bone [osteitis deformans] ‘M89 Other disorders of bone. 1M90* Osteopathies in diseases classified elsewhere ‘MO1 Juvenile osteochondrosis of hip and pelvis. ‘M92 Other juvenile osteochondrosis (M93 Other osteachondropathies‘M04 Other disorders of cartilage. 60 Other Disorders of The Musculoskeletal System and Connective Tissue (M95-M99) ..... 60 ‘M95 Other acquired deformities of musculoskeletal system and connective tissue... 60 ‘M96 Postprocedural musculoskeletal disorders, not elsewhere classified. 61 ‘M99 Biomechanical lesions, not elsewhere classified. 61 CHAPTER VI Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) ... 63 Congenital Malformations and Deformations of The Musculoskeletal System (Q65-Q79) 63 (Q65 Congenital deformities of hip 63 (Q66 Congenital deformities of feet 63 (Q67 Congenital musculoskeletal deformities of head, face, spine and chest “4 (Q68 Other congenital musculoskeletal deformities. 65 (Q69 Polydactyly 66 70 Syndactyly 66 Q71 Reduction defects of upper limb 66 (Q72 Reduction defects of lower limb 67 Q73 Reduction defects of unspecified lim 67 (Q74 Other congenital malformations of limb(s) 67 Q75 Other congenital malformations of sicull and face bones 69 Q76 Congenital malformations of spine and bony thorax. 69 Q77 Osteochondrodysplasia with defects of growth of tubular bones and spine 70 QU8 Other osteochondrodysplasias am Q79 Congenital malformations of the musculosteeletal system, not elsewhere classified. n CHAPTER VII Injury, Poisoning and Certain Other Consequences of Extemal Causes (S00-T98) B Injuries to The Neck (S10-S19) B S10 Superficial injury of neck. B S11 Open wound of neck. B S12 Fracture of neck 4 $13 Dislocation, sprain and strain of joints and ligaments at neck level. 4S14 Injury of nerves and spinal cord at neck level ce S15 Injury of blood vessels at neck level ce S16 Injury of muscle and tendon at neck level 16 S17 Crushing injury of neck, 16 S18 Traumatic amputation at neck level 16 S19 Other and unspecified injuries of neck 16 Injuries to he thorax (S20-$29) 16 $20 Superficial injury of thorax 7 S21 Open wound of thorax. 7 $22 Fracture of ri(s), stemum and thoracic spine 7 $23 Dislocation, sprain and strain of joints and ligaments of thorax. B S24 Injury of nerves and spinal cord at thorax level B 825 Injury of blood vessels of thorax 2 S26 Injury of heart 2 S27 Injury of other and unspecified intrathoracic organs 80 S28 Crushing injury of thorax and traumatic amputation of part of thorax 80 $29 Other and unspecified injuries of thorax 81 Injuries to The Abdomen, Lower Back, Lumbar Spine and Pelvis (30-S39) 81 $30 Superficial injury of abdomen, lower back and pelvis. 81 $31 Open wound ofabdomen, lower back and pelvis 82 $32 Fracture of lumbar spine and pelvis, 82 $33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis... 83 S34 Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level. 83, $35 Injury of blood vessels at abdomen, lower back and pelvis level 84 $36 Injury of intra-abdominal organs 84 S37 Injury of urinary and pelvic organs 85 $38 Crushing injury and traumatic amputation of part of abdomen, lower back and pelvis, 86 $30 Other and unspecified injuries of abdomen, lower back and pelvis 86 Injuries to the shoulder and upper arm (S40-S49) 36 S40 Superficial injury of shoulder and upper arm. a7 S41 Open wound of shoulder and upper arm. 87 S42 Fracture of shoulder and upper arm 7 S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle 88S44 Injury of nerves at shoulder and upper arm level S45 Injury of blood vessels at shoulder and upper arm level. S46 Injury of muscle and tendon at shoulder and upper arm level, S47 Crushing injury of shoulder and upper arm. S43 Traumatic amputation of shoulder and upper arm. S49 Other and unspecified injuries of shoulder and upper am_ Injuries to The Elbow and Forearm ($50-S59) $50 Superficial injury of forearm S51 Open wound of forearm S52 Fracture of forearm. $53 Dislocation, sprain and strain of joints and ligaments of elbow. S54 Injury of nerves at forearm level S55 Injury of blood vessels at forearm Level S56 Injury of muscle and tendon at forearm level S57 Crushing injury of forearm. $58 Traumatic amputation of forearm. $59 Other and unspecified injuries of forearm, Injuries to The Wrist and Hand ($60-S69) 60 Superficial injury of wrist and hand. S61 Open wound of wrist and hand. S62 Fracture at wrist and hand Level. $63 Dislocation, sprain and strain of joints and ligaments at wrist and hand level S64 Injury of nerves at wrist and hand Level S65 Injury of blood vessels at wrist and hand level S66 Injury of muscle and tendon at wrist and hand level S67 Crushing injury of wrist and hand S68 Traumatic amputation of wrist and hand. S69 Other and unspecified injuries of wrist and hand Injuries to The Hip and Thigh (S70-S79) S70 Superficial injury of hip and thigh S71 Open wound of hip and thigh S72 Fracture of femur $73 Dislocation, sprain and strain of joint and ligaments of hip S74 Injury of nerves at hip and thigh levelS75 Injury of blood vessels at hip and thigh level S76 Injury of muscle and tendon at hip and thigh Level S77 Crushing injury of hip and thigh S78 Traumatic amputation of hip and thigh. S79 Other and specified injuries of hip and thigh Injuries to The Knee and Lower Leg (S80-S89) S80 Superficial injury of lower leg S81 Open wound of lower leg S82 Fracture of lower leg, including ankle $83 Dislocation, sprain and strain of joints and ligaments of knee. S84 Injury of nerves at lower leg level S85 Injury of blood vessels at lower leg level S86 Injury of muscle and tendon at lower leg level S87 Crushing injury of lower leg, S88 Traumatic amputation of lower leg $89 Other and unspecified injuries of lower leg Injuries to The Ankle and Foot (90-599) S90 Superficial injury of ankle and foot S91 Open wound of ankle and foot $02 Fracture of foot, except ankle $93 Dislocation, sprain and strain of joints and ligaments at ankle and foot level S04 Injury of nerves at ankle and foot level. S95 Injury of blood vessels at ankle and foot level S96 Injury of muscle and tendon at ankle and foot level S97 Crushing injury of ankle and foot $98 Traumatic amputation of ankle and foot $99 Other and unspecified injuries of ankle and foot Injuries Involving Multiple Body Regions (T00-T07) ‘TOO Superficial injuries involving multiple body regions TO1 Open wounds involving multiple body regions 702 Fractures involving multiple body regions 703 Dislocations, sprains and strains involving multiple body regions 704 Crushing injuries involving multiple body regions 705 Traumatic amputations involving multiple body regions 99 100 100 100 100 101 101 101 101 103 104 104 104 105 105 105 105 106 106 106 107 108 108 108 109 109 109 109 110 12 14 113 114 115706 Other injuries involving multiple body regions, not elsewhere classified 07 Unspecified multiple injuries Injuries to Unspecified Part of Trunk, Limb or Body Region (TO8-T14) 708 Fracture of spine, level unspecified 709 Other injuries of spine and trunk, level unspecified T10 Fracture of upper limb, level unspecified TII Other injuries of upper limb, level unspecified. T12 Fracture of lower limb, level unspecified 13 Other injuries of lower limb, level unspecified. T14 Injury of unspecified body region 116 116 116 7 47 47 118 ug ug 119CHAPTER I Certain Infectious and Parasitic Diseases (A00-B99) Tuberculosis (A1S-A19) Include infections due to Mycobacterium tuberculosis and Mycobacterium bovis, Exclude congenital tuberculosis (P37.0) ‘human immunodeficieny [HIV] disease resulting in tuberculosis (820.0) ‘pneumoconiosis associated with tuberculosis (J65) sequelae of tuberculosis (B90 _-) silicotuberculosis (165) AB Tuberculosis of other organs AlS.OF Tuberculosis of bones and joints Tuberculosis of + hip (MOLI) + mee (MOLI) + vertebral column (M49.0*) Tuberculous: + arthritis (MOLI*) + mastoiditis (H75.0*) ‘+ necrosis of bone (M90.0*) + osteitis (90.0°) + osteomyelitis @Vi90.0*) + synovitis (M68.0*) + tenosynovitis (M68.0*)CHAPTER II ‘Neoplasms (C00-D48) Malignant Neoplasms (C00-C97) Malignant Neoplasms of Bone and Articular Cartilage (C40-C41) Exclude : bone marrow NOS (C96.7), synovia (C49.-) cao c40.0 40.1 40.2 40.3 c40.8 c40.9 cat cao cat Malignant neoplasm of bone and articular cartilage of limbs Scapula and long bones of upper limb Short bones of upper limb Long bones of lower limb Short bones of lower limb Overlapping lesion of bone and articular cartilage of limbs Bone and articular cartilage of limb, unspecified Malignant neoplasm of bone and articular cartilage of other and unspecified sites Exclude ‘bones of limbs (C40.-) cartilage of : ear (C49.0), larynx (C32.3), limbs (C40.-), nose (30.0) Bones of stull and face ‘Maxilla (superior), Orbital bone Exclude carcinoma, any type except intraosseous or odontogenic of © maxillary sinus (C31.0) © upperjaw(C03.0) jaw bone (lower) (C41.1) Mandible Lower jaw bone Exclude carcinoma, any type except intraosseous or odontogenic of + jawNOS (C039) + jawNOS - lower (CO3.1)c41.2 413 414 ca c419 upper jaw bone (C410) Vertebral column Exclude : sacrum and cocoyx (C41.4) Ribs, stemum and clavicle Pelvic bones, sacrum and cocey Overlapping lesion of bone and articular cartilage ‘Malignant neoplasm of bone and articular cartilage whose point of origin cannot be classified to any one of the categories C40-C41.4 Bone and articular cartilage, unspecified Malignant Neoplasms of Mesothelial and Soft Tissue (C45-C49) cag 49.1 49.2 49.8 49.9 Malignant neoplasm of other connective and soft tissue Include : blood vessel, bursa, cartilage, fascia, fat ligament (except uterine), lymphatic, vessel, muscle, synovial, tendon (sheath) Exclude cartilage (of) + articular (C40-C41) + larynx (C323) + nose (C30.0) connective tissue of breast (C50.-) Kaposi's sarcoma (C46 -) mesothelioma (C45.-) peripheral nerves and autonomic nervous system (C47.-) peritoneum (C48.-) retroperitoneum (C48.0) Connective and soft tissue of upper limb, including shoulder Connective and soft tissue of lower limb, including hip Overlapping lesion of connective and soft tissue ‘Malignant neoplasm of connective and soft tissue whose point of origin cannot bbe classified to any one of the categories C47-C49.6 Connective and soft tissue, unspecifiedCHAPTER IL Endocrine, Nutritional and Metabolic Diseases (E00-E90) Disorders of other endocrine glands (E20-E35) Exclude: galactorthoea (N64.3), gynaecomastia (N62) E20 E200 E201 E208 E209 E21 E210 E211 E212 E13 E14 Hypoparathyroidism Exclude © Di George's syndrome 082.1) ‘© postprocedural hypoparathyroidism (E89_2) + tetany NOS (R29.0) ‘© transitory neonatal hypoparathyroidism (P71.4) Idiopathic hypoparathyroidism Pseudohypoparathyroidism Other hypoparathyroidism Hypoparathyroidism, unspecified Parathyroid tetany Hyperparathyroidism and other disorders of parathyroid gland Exclude Osteomalacia © adult (83) © infantile and juvenile (E55.0) Primary hyperparathyroidism Hyperplasia of parathyroid Osteitis fibrosa cystica generalisata [von Recklinghausen's disease of bone] Secondary hyperparathyroidism, not elsewhere classified Exclude: secondary hyperparathyroidism of renal origin (N25.8) Other hyperparathyroidlism Tertiary hyperparathryoidism Exclude: familial hypocalciuric hypercalcaemia (E83.5) Hyperparathyroidism, unspecified Other specified disorders of parathyroid glandE215 E22 E220 E21 8 8 E29 E23 E230 Disorder of parathyroid gland, unspecified Hyperfunction of pituitary gland Exclude Cushing's syndrome (E24.-) Nelson's syndrome (24.1) overproduction of + ACTH not associated with Cushing's disease (E27.0) © pituitary ACTH (E24.0) + thyroid-stimulating hormone (05.8) Acromegaly and pituitary gigantism Axthropathy associated with acromegaly+ (MI4.5*) Overproduction of growth hormone Exclude Constitutional © gigantism (E34.4) + tall stature E344) increased secretion from endocrine pancreas of growth hormone-releasing hormone (E168) Hyperprolactinaemia Use additional external cause code, if desired, to identify drug, if druginduced ‘Syndrome of inappropriate secretion of antidiuretic hormone Other hyperfunction of pituitary gland Central precocious puberty Hyperfunction of pituitary gland, unspecified Hypofunction and other disorders of pituitary gland Include : the listed conditions whether the disorder is in the pituitary or the hypothalamus Exclude postprocedural hypopituitarism E893) Hypopituitarism Fertile eunuch syndrome Hypogonadotropic hypogonadismE231 E232 E233 E236 E237 EM E240 E241 E242 E43 EM44 Eu8 Idiopathic growth hormone deficiency Isolated deficiency of + gonadotropin + growth hormone + pituitary hormone Kallmann's syndrome Lorain-Levi short stature Necrosis of pituitary gland (postpartum) Panhypopituitarism Pituitary + cachesia + insufficiency NOS + short stature Sheehan's syndrome ‘Simmonds' disease Drug induced hypopituitarism Use additional external cause code, if desired, to identify drug Diabetes insipidus Exclude - nephrogenic diabetes insipidus (N25.1) Hypothalamic dysfunction, not elsewhere classified Exclude : Prader-Willi syndrome (Q87_1), Russell-Silver syndrome (Q87_1) Other disorders of pituitary gland Abscess of pituitary, Adiposogenital dystrophy Disorder of pituitary gland, unspecified Cushing's syndrome Pituitary-dependent Cushing's disease Overproduction of pituitary ACTH, Pituitary-dependent hyperadrenocorticism Nelson's syndrome Drug:induced Cushing's syndrome Use additional external cause code, if desired, to identify drug Ectopic ACTH syndrome Alcohol-induced pseudo-Cushing's syndrome Other Cushing's syndromeE49 EIS E250 E58 E259 E26 E260 E261 E268 E269 Cushing's syndrome, unspecified Adrenogenital disorders Include adrenogenital syndromes, virilizing or feminizing, whether acquired or due to adrenal hyperplasia consequent on inbom enzyme defects in hormone synthesis female + adrenal pseudohermaphroditism + heterosexual precocious pseudopuberty male + isosexual precocious pseudopuberty + macrogenitosomia praecox + sexual precocity with adrenal hyperplasia virilization (female) Congenital adrenogenital disorders associated with enzyme deficiency Congenital adrenal hyperplasia, 21-Hydroxylase deficiency, Saltosing congenital adrenal hyperplasia Other adrenogenital disorders Idiopathic adrenogenital disorder Use additional extemal cause code, if desired, to identify drug, if drug-induced Adrenogenital disorder, unspecified Adrenogenital syndrome NOS Hyperaldosteronism Primary hyperaldosteronism, Conn's syndrome, Primary aldosteronism due to adrenal hyperplasia (bilateral) Secondary hyperaldosteronism Other hyperaldosteronism Bartter's syndrome Hyperaldosteronism, unspecifiedE27 E270 Eq7.1 E273 E274 E275 E278 E279 E28 Other disorders of adrenal gland Other adrenocortical overactivity Overproduction of ACTH, not associated with Cushing's disease Premature adrenarche Exclude : Cushing's syndrome (E24_-) Primary adrenocortical insufficiency Addison's disease, Autoimmune adrenalitis Exclude + amyloidosis (E85) + tuberculous Addison's disease (A18.7) + Waterhouse -Friderichsen syndrome (A39.1) Addisonian crisis Adrenal crisis, Adrenocortical crisis Drug:induced adrenocortical insufficiency Use additional extemal cause code, if desired, to identify drug Other and unspecified adrenocortical insufficiency Adrenal + haemorhage + infarction Adrenocortical insufficiency NOS Hypoaldosteronism Exclude + adrenoleukodystrophy [A ddison-Schilder] (E713) + Waterhouse -Friderichsen syndrome (A39.1) Adrenomedullary hyperfunction Adrenomedullary hyperplasia, Catecholamine hypersecretion Other specified disorders of adrenal gland Abnormality of cortisol-binding globulin Disorder of adrenal gland, unspecified Ovarian dysfunction Exclude isolated gonadotropin deficiency (E23.0) postprocedural ovarian failure (E89.4)E280 E281 E288 E289 E29 E29.0 E291 E298 E299 Estrogen excess Use additional external cause code, if desired, to identify drug, if drug-induced Androgen excess Hypersecretion of ovarian androgens Use additional extemal cause code, if desired, to identify drug, if drug-induced Polycystic ovarian syndrome Sclerocystic ovary syndrome, Stein-Leventhal syndrome Primary ovarian failure Decreased estrogen, Premature menopause NOS, Resistant ovary syndrome Exclude + menopausal and female climacteric states (N9S.1) + pure gonadal dysgenesis (Q99.1) + Tumer’s syndrome (Q96-) Other ovarian dysfunction Ovarian hyperfunction NOS Ovarian dysfunction, unspecified Testicular dysfunction Exclude + androgen resistance syndrome (E345) + azoospermia or oligospermia NOS (N46) + isolated gonadotropin deficiency (E23.0) + Klinefelter's syndrome (Q98.0-098.2, 998.4) + postprocedural testicular hypofunction (E89.5) + testicular feminization (syndrome) (E34.5) Testicular hyperfunction Hypersecretion of testicular hormones Testicular hypofunction 5-Alpha-reductase deficiency (with male pseudohermaphroditism) Defective biosynthesis of testicular androgen NOS Testicular hypogonadism NOS Use additional external cause code, if desired, to identify drug, if drug-induced Other testicular dysfunction Testicular dysfunction, unspecifiedE30 E300 E301 E308 E309 E31 E310 E31 E318 E319 E32 E320 Disorders of puberty, not elsewhere classified Delayed puberty Constitutional delay of puberty, Delayed sexual development Precocious puberty Precocious menstruation Exclude + Albright(-McCune)(-Stemberg) syndrome (Q78.1) + central precocious puberty (E22.8) + congenital adrenal hyperplasia (E25.0) + female heterosexual precocious pseudopuberty (E25.-) + male isosexual precocious pseudopuberty (E25.-) Other disorders of puberty Premature thelarche Disorder of puberty, unspecified Polyglandular dysfunction Exclude + ataxia telangiectasia [Louis-Bar] (G11.3) + dystrophia myotonica [Steinert] (G71.1) + pseudohypoparathyroidism (E201) Autoimmune polyglandular failure ‘Schmidt's syndrome Polyglandular hyperfunction Exclude : multiple endocrine adenomatosis (D44.8) Other polyglandular dysfunction Polyglandular dysfunction, unspecified Diseases of thymus Exclude : naplasia or hypoplasia with immunodeficiency (082.1), myasthenia gravis (70.0) Persistent hyperplasia of thymus Hypertrophy of thymus 20E321 E328 E329 E34 E340 EMI EM EM3 EM4 EMS Abscess of thymus Other diseases of thymus Disease of thymus, unspecified Other endocrine disorders Exclude : pseudohypoparathyroidism (E20.1) Carcinoid syndrome ‘May be used as an additional code, if desired, to identify functional activity associated with a carcinoid tumour. Other hypersecretion of intestinal hormones Ectopic hormone secretion, not elsewhere classified Short stature, not elsewhere classified Short stature + NOS + constitutional + Laron-type + psychosocial Exclude progeria (E34 8) Russell-Silver syndrome (Q87.1) short-limbed stature with immunodeficiency (D82.2) short stature + achontiroplastic (Q77.4) + hypochondroptastic (Q77.4) + in specific dys Alphabetical Index + nutritional (E45) + pituitary E23.) + renal (N25.0) Constitutional tall stature wrphic syndromes - code to syndrome - see Constitutional gigantism Androgen resistance syndrome ‘Male pseudohermaphroditism with androgen resistance Peripheral hormonal receptor disorder aEMS EMO E35* E35.0* E35.1* E35.8* Reifenstein's syndrome Testicular feminization (syndrome) Other specified endocrine disorders Pineal gland dysfunction, Progeria Endocrine disorder, unspecified Disturbance : endocrine NOS, hormone NOS Disorders of endocrine glands in diseases classified elsewhere Disorders of thyroid gland in diseases classified elsewhere Tuberculosis of thyroid gland (A18.8+) Disorders of adrenal glands in diseases classified elsewhere Tuberculous Addison's disease (A18.7+) Waterhouse-Friderichsen syndrome (meningococcal) (A30.1+) Disorders of other endocrine glands in diseases classified elsewhere Other Nutritional Deficiencies £50-E64) ES4 ESS E55.0 E559 Ascorbic acid deficiency Include : Deficiency of vitamin C, Scurvy Exclude: scorbutic anaemia (D53.2), sequelae of vitamin C deficiency (E64.2) Vitamin D deficiency Exclude adult osteomalacia (MS3_-), osteoporosis (M80-M81), sequelae of rickets (E64.3) Rickets, active Osteomalacia: infantile, juvenile Exclude Rickets: coeliac (K90.0), Crohn's (K50.), inactive (E64.3), vitamin-D- resistant (E83_3), renal (N25.0) Vitamin D deficiency, unspecified Avitaminosis D 2ESS Dietary calcium deficiency Exclude - disorder of calcium metabolism (E83.5), sequelae of calcium deficiency E64.8) 3BCHAPTER IV Diseases of The Nervous System (G00-G99) Nerve, Nerve Root and Plexus Disorders (GS0-G59) G54 Gs4.0 654.1 54.2 54.3 Gs4.4 54.5 654.6 654.7 654.8 Gs4.9 Nerve root and plexus disorders Exclude current traumatic nerve root and plexus disorders - see nerve injury by body region intervertebral disc disorders (MS0-MS51) neuralgia or neuritis NOS (79.2) neuritis or radiculitis + brachial NOS (54.1) + lumbar NOS (M541) + lumbosacral NOS (MS54.1) + thoracic NOS (54.1) radiculitis NOS (MS4.1) radiculopathy NOS (MS54.1) spondylosis (M47.-) Brachial plexus disorders Thoracic outlet syndrome Lumbosacral plexus disorders Cervical root disorders, not elsewhere classified Thoracic root disorders, not elsewhere classified Lumbosacral root disorders, not elsewhere classified Newralgic amyotrophy Parsonage-Aldren-Tumer syndrome Shoulder-girdle neunitis Phantom limb syndrome with pain Phantom limb syndrome without pain Phantom limb syndrome NOS Other nerve root and plemus disorders Nerve root and plexus disorder, unspecified 14Gss* G55.0* G55." 55.2" 55.3" G55.8* G56 656.0 656.1 656.2 656.3 656.4 656.8 656.9 G57 Gs7.0 Gort 97.2 697.3 Nerve root and plexus compressions in diseases classified elsewhere Nerve root and plexus compressions in neoplastic disease (CO0-D48+) Nerve root and plexus compressions in intervertebral disc disorders (MS0- 51+) Nerve root and plexus compressions in spondylosis (M47_-+) Nerve root and plexus compressions in other dorsopathies (M45-M46+, M48.- +, MS3.M544) Nerve root and plexus compressions in other diseases classified elsewhere Mononeuropathies of upper limb Exclude : current traumatic nerve disorder - see nerve injury by body region Carpal tunnel syndrome Other lesions of median nerve Lesion of ulnar nerve Tardy ulnar nerve palsy Lesion of radial nerve Causalgia Other mononeuropathies of upper limb Interdigital neuroma of upper limb ‘Mononeuropathy of upper limb, unspecified Mononeuropathies of lower limb Exclude : current traumatic nerve disorder - see nerve injury by body region Lesion of sciatic nerve Exclude sciatica + NOS (M543) + attributed to intervertebral disc disorder (MS51_1) ‘Meralgia paraesthetica Lateral cutaneous nerve of thigh syndrome Lesion of femoral nerve Lesion of lateral popliteal nerve Peroneal nerve palsy 15Gs74 Gs7.5 G57.6 Gs7.8 Gs7.9 Lesion of medial popliteal nerve Tarsal tunnel syndrome Lesion of plantar nerve Morton's metatarsalgia Other mononeuropathies of lower limb Interdigital neuroma of lower limb ‘Mononeuropathy of lower limb, unspecified Diseases of Myoneural Junction and Muscle (G70-G73) Gi 71.0 G7 Primary disorders of muscles Exclude - arthrogyposis multiplex congenita (Q74.3), metabolic disorders (E70-E90), myositis (M60) ‘Muscular dystrophy ‘Muscular dystrophy: + autosomal recessive, childhood type, resembling Duchenne or Becker + benign [Becker] + benign scapuloperoneal with early contractures [Emery Dreifuss] + distal + facioscapulohumeral + limb-girdle + ocular + oculopharyngeal + scapuloperoneal + severe [Duchenne] Exclude * congenital muscular dystrophy + NOS(G71.2) + with specific morphological abnonmalities of the muscle fibre (G71.2) Myotonic disorders Dystrophia myotonica [Steinert] ‘Myotonia 16G72 G13 G18 G79 Gn + chondrodystrophic + drug-induced + symptomatic ‘Myptonia congenita + Nos + dominant [Thomsen] + recessive [Becker] Neuromyotonia [Isaacs] Paramyotonia congenita Pseudomyotonia Use additional extemal cause code, if desired, to identify drug, if drug- induced Congenital myopathies Congenital muscular dystrophy. + Nos + with specific morphological abnormalities of the muscle fibre + central core + minicore + multicore Fibre-type disproportion ‘Myopathy: + myotubular (centronuctear) + nemaline Mitochondrial myopathy, not elsewhere classified Other primary disorders of muscles Primary disorder of muscle, unspecified Hereditary myopathy NOS Other meopathies Exclude arthrogryposis multiplex congenita (Q74.3) dermatopolymyositis (M33) v7G72.0 G71 672.2 672.3 G724 G72.8 G72.9 ischaemic infarction of muscle (M62.2) myositis (M60_-) polymyositis (M33.2) Dmug:induced myopathy Use additional external cause code, if desired, to identify drug Alcoholic myopathy Myopathy due to other toxic agents Use additional external cause code, if desired, to identify toxic agent Periodic paralysis Periodic paralysis (familial) + hyperkalaemic + hypotalaemic + myotonic + normokalaemic Inflammatory myopathy, not elsewhere classified Other specified myopathies Myopathy, unspecified Cerebral Palsy and Other Paralytic Syndromes (G80-G83) G80 Gso.0 Gso.1 Gs0.2 Gs0.3 Gao4 Cerebral palsy Exclude hereditary spastic paraplegia (G11.4) Spastic quadriplegic cerebral palsy Spastic tetraplegic cerebral palsy Spastic diplegic cerebral palsy Congenital spastic paralysis (cerebral) Spastic cerebral palsy NOS Spastic hemiplegic cerebral palsy Dyskinetic cerebral palsy Athetoid cerebral palsy Dystonic cerebral palsy Ataxic cerebral palsy 18Gans Gang Other cerebral palsy ‘Mixed cerebral palsy syndromes Cerebral palsy, unspecified Cerebral palsy NOS 1sCHAPTER V Diseases of The Musculoskeletal System and Connective Tissue (M00-M99) Arthropathies (M00-M25) Include : Disorders affecting predominantly peripheral (limb) joints Infectious Arthropathies (MI00-M03) This block comprises arthropathies due to microbiological agents. Distinction is made between the following types of etiological relationship 1. direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint, 2. indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfectivearthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking Moo Pyogenic arthritis Mo0.0 Staphylococcal arthritis and polyarthritis, M001 Pneumococcal arthritis and polyarthritis Mo0.2 Other streptococcal arthritis and polyarthritis, M008 Axthritis and polyarthritis due to other specified bacterial agents Use additional code (B95-B96), if desired, to identify bacterial agent Mo09 Pyogenic arthritis, unspecified Infective arthritis NOS MoI" Direct infections of joint in infectious and parasitic diseases classified elsewhere Exclude : arthropathy in sarcoidosis (M14.8*), postinfective and reactive arthropathy (M03) MO1.0* Meningococcal arthritis (A39.8+) Exclude : postmeningococcal arthritis (MO3.0*) MOL1* Tuberculous arthritis (A18.0+) Exclude of spine (M49.0*) 20MO1.2* MO1.3* MO14* MOL.S* MO1.6* MOL.8* Moz M02.0 M021 M022 M023 M028 M029 M03" M03.0* M03.1* M03.2* Arthritis in Lyme disease (A69.2+) Arthritis in other bacterial diseases classified elsewhere Aatritis in + leprosy [Hansen's disease] (A30.-+) + localized salmonella infection (A02.2+) + typhoid or paratyphoid fever (ADL-+) Gonococcal arthritis (A54.4+) Rubella arthritis (BO6.8+) Arthritis in other viral diseases classified elsewhere Aatritis in + mumps (B26.8+) + O'nyong-nyong fever (A92.1+) Arthritis in mycoses (B35-B49+) Arthritis in other infectious and parasitic diseases classified elsewhere Reactive arthropathies Exclude : Behget's disease (M35.2), rheumatic fever (100) Axthropathy following intestinal bypass Postdysentericarthropathy Postimmunizationarthropathy Reiter's disease Other reactive arthropathies Reactive arthropathy, unspecified Postinfective and reactive arthropathies in diseases classified elsewhere Exclude : direct infections of joint in infectious and parasitic diseases classified elsewhere (MOI-*) Postmeningococcal arthritis (A30.8+) Exclude * meningococcal arthritis (MOLO*) Postinfectivearthropathy in syphilis Clutton's joints (A50.5+) Exclude : Charcot's or tabeticarthropathy (M14.6*) Otherpostinfectiousarthropathies in diseases classified elsewhere Postinfectiousarthropathy in: aM03.6* + enteritis due to Yersiniaenterocolitica (A04.6+) + viral hepatitis (B15-B 19+) Exclude viral arthropathies (MO14-MO15*) Reactive arthropathy in other diseases classified elsewhere Axthropathy in infective endocarditis (133.0+) Inflammatory Polyarthropathies (M0S-M14) Mos 05.0 MO5.1+ M05.2 MO5.3+ 05.8 05.9 M06 06.0 M06.1 Seropositive rheumatoid arthritis Exclude sheumatic fever (100) sheumatoid arthritis (of) + juvenile (M08) + spine (M45) Falty's syndrome Rheumatoid arthyitis with splenoadenomegaly and leukopenia Rheumatoid lung disease (J99.0*) Rheumatoid vasculitis Rheumatoid arthritis with involvement of other organs and systems Rheumatoid: + carditis (152.8%) + endocarditis (139.-*) + myocarditis (141.8*) + myopathy (G73.7*) + pericarditis (132.8%) + polyneuropathy (G63.6*) Other seropositive rheumatoid arthritis Seropositive sheumatoid arthritis, unspecified Other rheumatoid arthritis ‘Seronegative rheumatoid arthritis, Acdult-onset Still's disease Exclude: Still's disease NOS (MO08.2) 2M06.2 M063 M064 M068 M069 Mor" M07.0* Mo7.1* M07.2* M07.3* Mo7.4* M07.5* M07.6* Mos 08.0 M08. 08.2 M08. 3 M034 03.8 03.9 Rheumatoid bursitis Rheumatoid nodule Inflammatory polyerthropathy Exclude polyarthritis NOS (M13.0) Other specified cheumatoid arthritis Rheumatoid arthnitis, unspecified Psoriatic and enteropathicarthropathies Exclude: juvenile psoriatic and enteropathi carthropathies (MO9_-*) Distal interphalangeal psoriatic arthropathy (L40.5+) Axthritis mutilans (L40.5+) Psoriatic spondylitis (L40.5+) Other psoriatic arthropathies (LA0.5+) Axthropathy in Crohn's disease [regional enteritis] (K50.+) Axthropathy in ulcerative colitis (K51.+) Otherenteropathicarthropathies Juvenile arthritis Include - arthritis in children, with onset before 16th birthday and lasting Jonger than 3 months Exclude : Felty's syndrome (M05 0), juvenile dermatomyositis (M33.0) Juvenile rheumatoid arthritis, Juvenile rheumatoid arthritis with or without rheumatoid factor Juvenile ankylosingspondylitis Exclude - ankylosingspondylitis in adults (M45) Juvenile arthnitis with systemic onset Still's disease NOS Exclude : adult-onset Still's disease (MO6.1) Juvenile polyarthritis (seronegative) Chronic juvenile polyarthritis Pauciarticular juvenile arthritis Other juvenile arthritis Juvenile arthnitis, unspecified 23Mog" Mo09.0* Mo9.1* M09.2* Mo9.8* MIO M100 MIO.1 M102 M103 M104 M109 MIL MILO MILI MIL2 MIL8 MIL M2 M120 M121 M122 M123 Juvenile arthritis in diseases classified elsewhere Exclude arthropathy in Whipple's disease (M14.8*) Juvenile arthnitis in psoriasis (L40.5+) Juvenile arthritis in Crohn's disease [regional enteritis] (K50_-+) Juvenile arthnitis in ulcerative colitis K51_+) Juvenile arthnitis in other diseases classified elsewhere Gout Idiopathic gout Gouty bursitis, Primary gout, Urate tophus of heart+ (143.8*) Lead-induced gout Drug:induced gout Use additional external cause code, if desired, to identify drug Gout due to impairment of renal function Use additional code, if desired, to identify impairment of kidney disease (N17- N19) Other secondary gout Gout, unspecified Other crystal arthropathies Hydroxyapatite deposition disease Familial chondrocalcinosis Other chondrocalcinosis ChondrocalcinosisNOS Other specified crystal arthropathies Crystal arthropathy, unspecified Other specific arthropathies Exclude arthropathy NOS (M139), arthrosis_ (MIS-MI9), cricoarytenoidarthropathy (138.7) Chronic postrheumaticarthropathy [Jaccoud] Kaschin-B eck disease Villonodularsynovitis (pigmented) Palindromic rheumatism 24M128 MI3 M130 MI3.1 MI38 M139 Mia* Mi4.0* Intermittent hydrarthrosis Traumatic arthropathy Exclude post-traumatic arthrosis (of) + NOS (M191) ‘+ firstcarpometacarpal joint (MI8.2-M18.3) + hip (M164-M165) + Imee (MI7.2-M17.3) + other single joints (M191) Other specific arthropathies, not elsewhere classified Transient arthropathy Other arthritis: Exclude arthrosis (M15-MI19) Polyarthritis, unspecified ‘Monoarthritis, not elsewhere classified Other specified arthritis Allergic arthritis Axthritis, unspecified AxthropathyNOS Arthropathies in other diseases classified elsewhere Exclude arthropathy in + haematological disorders (M36,2-M36.3*) + hypersensitivity reactions (M36.4*) + neoplastic disease (M36.1*) neuropathicspondylopathy (49.4) psoriatic and enteropathicarthropathies (MO7_-*) psoriatic and enteropathicarthropathies juvenile (MO9_-*) Gouty arthropathy due to enzyme defects and other inherited disorders Gouty arthropathy in + Lesch-Nyhan syndrome (E79.1+) + sickle-cell disorders (D57_-+) 25MI4.1* Crystal arthropathy in other metabolic disorders Crystal arthropathy in hyperparathyroidism (E21-+) MI4.2* Diabetic arthropathy (E10-E14 with common fourth character 6+) Exclude: diabetic neuropathic arthropathy (M14.6*) MI4.3* Lipoid dermatoarthritis (E78 8+) MI44* —_—_Arthropathy in amyloidosis E85_+) MI45* —_—_Arthropathies in other endocrine, nutritional and metabolic disorders Axthropathy in + acromegaly and pituitary gigantism (E22.0+) + haemochromatosis (E83.1+) + hypothyroidism (E00-£03+) + thyrotoxicosis [hyperthyroidism] (E05-+) MI4.6* Neuropathic arthropathy Charcot's or tabeticarthropathy (A52.1+) Diabetic neuropathic arthropathy (E10-E14 with common fourth character 6) MI4.8* —_—_Arthropathies in other specified diseases classified elsewhere Axthropathy in + erythema : multiforme (L51_-+), nodosum (L52+) + sarcoidosis (D86.8+) + Whipple's disease (K90.8+) Arthrosis (M1S-M19) In this block the term osteoarthritis is used as a synonym for arthrosis or osteoarthrosis. The term primary has been used with its customary clinical meaning of no underlying or determining contition identified. Exclude: osteoarthritis of spine (M47.-) MIS Polvarthrosis: Include ‘arthrosis with mention of more than one site Exclude: bilateral involvement of single joint (M16-M19) MISO Primary generalized (osteo)arthrosis MIS1 Heberden’s nodes (with arthropathy) MIS.2 Bouchard's nodes (with arthropathy) 26M153 M54 M158 MI5.9 MI6 M160 MI6.1 M162 M63 M64 Mi65 M166 M167 M169 MI7 MI7.0 MI7.1 M172 M173 MI74 MI7.5 M79 Secondary multiple arthrosis, Post-traumatic polyarthrosis Erosive (osteo)arthrosis Other polyarthrosis, Polyarthrosis, unspecified Generalized osteoarthritis NOS Coxarthrosis farthrosis of hip] Primary cozarthrosis, bilateral Other primary cozarthrosis Primary coxarthrosis : NOS, unilateral Coxarthrosis resulting from dysplasia, bilateral Other dysplasticcoxarthrosis Dysplasticcoxarthrosis - NOS, unilateral Post-traumatic coxarthrosis, bilateral Other post-traumatic cozarthrosis Post-traumatic cozarthrosis : NOS, unilateral Other secondary coxarthrosis, bilateral Other secondary coxarthrosis Secondary coxarthrosis : NOS, unilateral Coxarthrosis, unspecified Gonarthrosis [arthrosis of knee] Primary gonarthrosis, bilateral Other primary gonarthrosis Primary gonarthrosis - NOS, unilateral Post-traumatic gonarthrosis, bilateral Other post-traumatic gonarthrosis Post-traumatic gonarthrosis : NOS, unilateral Other secondary gonarthrosis, bilateral Other secondary gonarthrosis Secondary gonarthrosis : NOS, unilateral Gonarthrosis, unspecified 27MIs Arthrosis of first carpometacarpal joint MI8.0 Primary arthrosis of first carpometacarpal joints, bilateral MI81 Other primary arthrosis of first carpometacarpal joint Primary arthrosis of first carpometacarpalj int - NOS, unilateral MI8.2 Post-traumatic arthrosis of first carpometacarpal joints, bilateral MI8.3 Other post-traumatic arthrosis of first carpometacarpal joint Post-traumatic arthrosis of first carpometacarpaljoint : NOS, unilateral MI84 Other secondary arthrosis of first carpometacarpal joints, bilateral MI85 Other secondary arthrosis of first carpometacarpal joint Secondary arthrosis of first carpometacarpaljoint NOS, unilateral MI89 Axthrosis of first carpometacarpal joint, unspecified Mio Other arthrosis: Exclude = arthrosis of spine (M47_),halluarigidus (20.2), polyarthrosis, Mus.) MI9.0 Primary arthrosis of other joints Primary arthrosisNOS MI9.1 Post-traumatic arthrosis of other joints Post-traumatic arthrasisNOS MI9.2 Other secondary arthrosis, Secondary arthrosisNOS MI98 Other specified arthrosis MI99 Axthrosis, unspecified Other Joint Disorders (M20-M25) Exclude: joints of the spine (M40-MS54) M20 Acquired deformities of fingers and toes Exclude acquired absence of fingers and toes (Z89.-) Congenital + absence of fingers and toes (Q71.3, Q72.3) + deformities and malformations of fingers and toes (Q66.-, Q68-Q70, Q74.) 2820.0 M201 M20.2 M203 M204 M205 M206 M210 M211 M212 M213 M214 M215 M216 M217 Deformity of finger(s) Boutonniére and swan-neck deformities Exclude : clubbing of fingers (R68.3), palmarfascialfibromatosis [Dupuytren]} 172.0), trigger finger (M65.3) Halluzvalgus (acquired) Bunion Halluarigidus Other deformity of hall (acquired) Halluxvarus Other hammer toe(s) (acquired) Other deformities of toe(s) (acquired) Acquired deformity of toe(s), unspecified Other acquired deformities of limbs Exclude acquired absence of limb (Z89.-) acquired deformities of fingers or toes (M20_-) congenital: + absence of limbs (Q71-073) + deformities and malformations of limbs (Q65-Q66,068-074) coxaplana (91.2) Valgus deformity, not elsewhere classified Exclude : metatarsus valgus (Q66 6), talipescalcaneoval gus (Q66.4) ‘Varus deformity, not elsewhere classified Exclude : metatarsus varus (Q66.2), tibia vara (M925) Flexion deformity Wrist or foot drop (acquired) Flat foot [pesplanus] (acquired) Exclude * congenital pesplanus (Q66.5) Acquired clawhand, clubhand, clawfoot and clubfoot Exclude : clubfoot, not specified as acquired (Q66.8) Other acquired deformities of ankle and foot Exclude : deformities of toe (acquired) (M20.1-M20.6) ‘Unequal limb length (acquired) 29M218 M219 Other specified acquired deformities of limbs Acquired deformity of limb, unspecified Disorders of patella Exclude dislocation of patella ($83.0) Recurrent dislocation of patella Recurrent subluxation of patella Patellofemoral disorders Other derangements of patella Chondromalacia patellae Other disorders of patella Disorder of patella, unspecified Internal derangement of knee Exclude: ankylosis (M24.6) current injury - see injury to the knee and lower leg (S80-S89) deformity of knee (M21_-) disorders of patella (M22) osteochondritisdissecans (M93.2) recurrent dislocation or subluxation (M24 4) recurrent dislocation or subluxation + patella (M22.0-M22.1) The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate subcategories in M23 -; see also note at the beginning of this chapter. 0 Multiple sites 1 Anterior cruciate ligament or Anterior hom of medial meniscus Posterior cruciate ligament or Posterior hom of medial meniscus 3 Medial collateral ligament or Other and unspecified medial meniscus 4 Lateral collateral Ligament or Anterior hom of lateral meniscus 5. Posterior hom of lateral meniscus 6 Other and unspecified lateral meniscus 3023.0 M231 M23.2 M233 M234 M235 M236 M238 M239 24.0 M241 M243 7 Capsular ligament 9 Unspecified ligament or Unspecified meniscus Cystic meniscus Discoid meniscus (congenital) Derangement of meniscus due to old tear or injury Old bucket-handle tear Other meniscus derangements + Degenerate + Detached | meniscus + Retained Loose body in knee Chronic instability of nee Other spontaneous disruption of ligament(s) of mee Other intemal derangements of knee Laxity of ligament of knee, Snapping nee Intemal derangement of knee, unspecified Other specific joint derangements Exclude - current injury - see injury of joint by body region, ganglion (M67.4), snapping Imee (M238), temporomandibular joint disorders (KO7.6) Loose body in joint Exclude loose body in Imee (M23 4) Other articular cartilage disorders Exclude -chondrocalcinosis (MIL1-M112), intemal derangement of knee (QU23._-), metastatic calcification (E83.5), ochronosis (E70.2) Disorder of ligament Instability secondary to old ligament injury, Ligamentous laxity NOS Exclude familial ligamentous laxity (M35.7), lee (M23 5-M23.8) Pathological dislocation and subluxation of joint, not elsewhere classified Exclude dislocation or displacement of joint + congenital - see congenital malformations and deformations of the musculoskeletal system (Q65-Q79) BLM144 M245 M24.6 M247 M148 M249 25.0 M25.1 M25.2 M253 M254 + current injury - see injury of joints and ligaments by body region + recurrent (M244) Recurrent dislocation and subluxation of joint Exclude patella (M22.0-M22.1),vertebral subluxation (M43 3.M43.5) Contracture of joint Exclude : acquired deformities of limbs (M20-M21), contracture of tendon (sheath) without contracture of joint (M671), Dupuytren's contracture 72, Anniylosis of joint Exclude spine (M43.2), stiffness of joint without ankylosis (M25.6) Protrusioacetabuli Other specific joint derangements, not elsewhere classified Exclude: that involving iliotibial band syndrome (M76.3) Joint derangement, unspecified Other joint disorders, not elsewhere classified Exclude abnommality of gait and mobility (R26_-) calcification of + bursa (M714) + shoulder (joint) (75.3) + tendon (65.2) deformities classified to M20-M21 difficulty in walling (R26.2) Haemarthrosis Exclude * current injury - see injury of joint by body region Fistula of joint Flail joint Other instability of joint Exclude: instability of joint secondary to + old ligament injury 024.2) + removal of joint prosthesis (M96 8) Effusion of joint 32Exclude: hydrarthrosis of yaws (A66.6) M255 Pain in joint M256 Stiffness of joint, not elsewhere classified M257 Osteophyte M258 Other specified joint disorders M259 Joint disorder, unspecified Systemic Connective Tissue Disorders (M30-M36) Include: autoimmune disease: + Nos + Systemic collagen (vascular) disease + Nos + systemic Exclude : antiphospholipid syndrome (D68.6), autoimmune disease, single organ or single cell-type (code to relevant condition category) M30 Polyarteritis nodosa and related conditions M300 Polyarteritis nodosa M301 Polyarteritis with lung involvement [Churg-Strauss] Allergic granulomatous angiitis M302 Juvenile polyarteritis M303 ‘Mucocutaneous lymph node syndrome [Kawasaki] M308 Other conditions related to polyarteritis nodosa Polyangiitis overlap syndrome M31 Other necrotizing vasculopathies M310 Hypersensitivity angiitis Goodpasture's syndrome M311 ‘Thrombotic microangiopathy ‘Thrombotic thrombocytopenic purpura M312 Lethal midline granuloma M313 ‘Wegener's granulomatosis Necrotizing respiratory granulomatosis 33M314 MBLS M316 MBL7 MBL8 M319 M32 M32.0 M32.1+ M328 M329 M33 M33.0 M331 M33.2 M339 M34 Aortic arch syndrome [Takayasu] Giant cell arteritis with polymyalgia sheumatica Other giant cell arteritis Microscopic polyangiitis Microscopic polyarteritis Exclude: polyarteritis nodosa (M30.0) Other specified necrotizing vasculopathies Hypocomplementaemic vasculitis Necrotizing vasculopathy, unspecified Systemic lupus erythematosus Exclude: lupus erythematosus (discoid)(NOS) (L93.0) Drug.induced systemic lupus erythematosus Use additional external cause code, if desired, to identify drug ‘Systemic lupus erythematosus with organ or system involvement Libman-Sacks disease (139.-*) Lupus pericarditis (132.8*) Systemic lupus erythematosus with: + Kidney involvement (NO8.5*, N16.4*) + Tung involvement (J99.1*) Other forms of systemic lupus erythematosus Systemic lupus erythematosus, unspecified Dermuatopolynyositis Juvenile dermatomyositis Other dermatomyositis Polymyositis, Demmatopolymyositis, unspecified ‘Systemic sclerosis Include: scleroderma Exclude scleroderma: + circumscribed (L94.0) + neonatal (P83.8) 3434.0 M341 34.2 M348 34.9 M35 35.0 M35.1 M35.2 M353 M354 M355 M35.6 M357 Progressive systemic sclerosis CR@)ST syndrome Combination of calcinosis, Raynaud's phenomenon, (o)esophageal dysfunction, sclerodactyly, telangiectasia Systemic sclerosis induced by drugs and chemicals, Use additional external cause code, if desired, to identify cause Other forms of systemic sclerosis Systemic sclerosis with: + tung involvement+ (J99.1*) + myopathy+ (G73.7*) Systemic sclerosis, unspecified Other systemic invobvement of connective tissue Exclude : reactive perforating collagenosis (L87.1) Sicca syndrome [Sjogren] ‘Sjogren's syndrome with: + Keratoconjunctivitis+ (H19.3*) + tung involvement+ (J99.1*) + myopathy+ (G73.7*) + renal tubulo-intersttial disorderst (NI6.4*) Other overlap syndromes Mixed connective tissue disease Exclude : polyangiitis overlap syndrome (M30.8) Behget's disease Polymyalgia sheumatica Exclude : polymyalgia heumatica with giant cell arteritis (M31L5) Diffuse (eosinophilic) fascitis ‘Multifocal fibrosclerosis Relapsing panniculitis [Weber-Christian] Exclude : panniculitis: + NOS QM79.3) + lupus (L93.2) Hypemnobility syndrome Familial ligamentous laxity 35Exclude - Ehlers-Danlos syndrome (Q79.6), ligamentous laxity NOS (M24.2) M358 Other specified systemic involvement of connective tissue M359 ‘Systemic involvement of connective tissue, unspecified Autoimmune disease (systemic) NOS Collagen (vascular) disease NOS M36" Systemic disorders of connective tissue in diseases classified elsewhere Exclude arthropathies in diseases classified elsewhere (M14._-*) M36.0* —_—_Dermato(poly)myositis in neoplastic disease (COO-D48+) M36.1* _Arthropathy in neoplastic disease (COO-D48+) Axthropathy in: leukaemia (C91-C95+) , malignant histiocytosis (C96.8+), ‘multiple myeloma (C90.0+) M36.2* _Haemophilic arthropathy (D66-D68+) M36.3* ——_Arthropathy in other blood disorders (D50-D76+) Exclude arthropathy in Henoch(-Schdnlein) purpura (M36.4*) M364* ——_Arthropathy in hypersensitivity reactions classified elsewhere Axthropathy in Henoch(-Schonlein) purpura (D69.0+) M36.8* —_—_Systemic disorders of connective tissue in other diseases classified elsewhere Systemic disorders of connective tissue int + bypogammaglobulinaemia (80+) + ochronosis (E70.2+) Dorsopathies (M40-MS4) The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate categories in the block on dorsopathies, except categories M50 and M51; seealso note at the beginning of this chapter. O Multiple sites in spine 1 Occipito-atlanto-axial region 2 Cervical region 3 Cervicothoracic region 4 Thoracic region 5 Thoracolumbar region 366 Lumbar region 7 Lumbosacral region 8 Sacral and sacrococcygeal region 9 Site unspecified Deforming Dorsopathies (M40-M43) Mao M40.0 M401 M402 M403 M404 M405 Mal M410 MALL Eyphosis and lordosis Exclude kyphoscoliosis (A4L_-) kyphosis and lordosis + congenital (Q76.4) + postprocedural (M96-) Postural kyphosis Exclude osteochondrosis of spine (M42_-) Other secondary kyphosis Other and unspecified kyphosis Flatback syndrome Other lordosis Lordosis: acquired, postural Lordosis, unspecified Scoliosis Include : kyphoscoliosis Exclude congenital scoliosis: + NOS (Q67.5) + due to bony malformation (Q76.3) + postural (Q67.5) kyphoscoliotic heart disease (127.1) postprocedural (M96.-) Infantile idiopathic scoliosis, Juvenile idiopathic scoliosis 37M412 M413 M414 MALS M418 M419 Ma M42.0 M421 M429 Mas M43.0 M431 M43.2 Adolescent scoliosis Other idiopathic scoliosis ‘Thoracogenic scoliosis Neuromuscular scoliosis Scoliosis secondary to cerebral palsy, Friedreich's ataxia, poliomyelitis, and other neuromuscular disorders Other secondary scoliosis, Other forms of scoliosis Scoliosis, unspecified Spinal osteochondrosis Exclude: postural kyphosis (M40.0) Juvenile osteochondrosis of spine Calvé's disease ‘Scheuermann's disease Exclude: postural kyphosis (M40.0) Adult osteochondrosis of spine Spinal osteochondrosis, unspecified Other deforming dorsopathies Exclude congenital spondylolysis and spondylolisthesis (Q76.2) hemivertebra (Q76,3-Q76.4) Klippel-Feil syndrome (Q76.1) Iumbarization and sacralization (Q76.4) platyspondytisis (Q76.4) spina bifida occulta (Q76.0) spinal curvature in: + osteoporosis (MS0-MS1) + Paget's disease of bone [osteitis deformans] (M88.-) Spondylolysis, Spondylolisthesis Other fusion of spine Annkylosis of spinal joint 38M433 M434 M435 M436 M438 M439 Exclude : ankylosing spondylitis (M45), arthrodesis status (298.1), pseudoarthrosis after fusion or arthrodesis (M96.0) Recurrent atlantoasxial subluzation with myelopathy Other recurrent atlantoaxial subluxation Other recurrent vertebral subluxation Exclude : biomechanical lesions NEC (M99.-) Torticollis Exclude : Torticollis + congenital (stemomastoid) (Q68.0) + current injury - see injury of spine by body region + due to birth injury (P15.2) + psychogenic (F45.8) + spasmodic (24.3) Other specified deforming dorsopathies Exclude : kyphosis and lordosis (M40. scoliosis (M41_-) Deforming dorsopathy, unspecified Curvature of spine NOS Spondylopathies (M45-M49) Mas M46 M46.0 M461 M46.2 M463 M464 M465 Antylosing spondylitis, Include : Rheumatoid arthritis of spine Exclude : arthropathy in Reiter's disease (MO2.3), Behcet's disease (M35.2), juvenile (ankylosing) spondylitis (MO8.1) Other inflamumatory spondylopathies Spinal enthesopathy Disorder of ligamentous or muscular attachments of spine Sacroiliitis, not elsewhere classified Osteomyelitis of vertebra Infection of intervertebral disc (pyogenic) Use additional code (B95-B97), if desired, to identify infectious agent Discitis, unspecified Other infective spondylopathies 39M468 M469 Ma7.0+ Ma7.1 Ma7.2 M478 M479 Mas 48.0 M48.1 48.2 M483 M484 M485 M488 M48.9 Other specified inflammatory spondylopathies Inflammatory spondylopathy, unspecified Spondylosis Include : arthrosis or osteoarthritis of spine, degeneration of facet joints Anterior spinal and vertebral artery compression syndromes (G99.2*) Other spondylosis with myelopathy Spondylogenic compression of spinal cord+ (G99.2*) Exclude : vertebral subluxation (M43 3-M43.5) Other spondylosis with radiculopathy Other spondylosis, + Cervical spondylosis without myelopathy or + Lumbosacral spondylosis radiculopathy + Thoracic spondylosis Spondylosis, unspecified Other spondylopathies Spinal stenosis Caudal stenosis Ankylosing hyperostosis [Forestier] Diffuse idiopathic skeletal hyperostosis [DISH] Kissing spine ‘Traumatic spondylopathy Fatigue fracture of vertebra Stress fracture of vertebra Collapsed vertebra, not elsewhere classified Collapsed vertebra NOS, Wedging of vertebra NOS Exclude : collapsed vertebra in osteoporosis (M80.-) , current injury - see injury of spine by body region. Other specified spondylopathies Ossification of posterior longitudinal ligament Spondylopathy, unspecified 40mag* Spondylopathies in diseases classified elsewhere Exclude psoriatic and enteropathic arthropathies (MO7.-*, MO9_-*) M49.0* Tuberculosis of spine (A18.0+) Pott's curvature M49.1* Brucella spondylitis (A23+) M49.2* —_—_Enterobacterial spondylitis (AO1-A04+) M49.3* _—_-Spondylopathy in other infectious and parasitic diseases classified elsewhere Exclude - neuropathic spondylopathy in tabes dorsalis (M49.4*) M494" Neuropathic spondylopathy Neuropathic spondylopathy in: + syringomyelia and syringobulbia (G95 0+) + tabes dorsalis (A52.14) M49.5* Collapsed vertebra in diseases classified elsewhere Metastatic fracture of vertebra (C79.5+) M49.8* ——_Spondylopathy in other diseases classified elsewhere Other Dorsopathies (MS0-MS4) Exclude: current injury - see injury of spine by body region, discitis NOS (46.4) MSO Cervical disc disorders Include: cervical disc disorders with cervicalgia, cervicothoracic disc disorders M50.0+ Cervical disc disorder with myelopathy (G99.2*) MS50.1 Cervical disc disorder with radiculopathy Exclude: brachial radiculitis NOS (MS54.1) 50.2 Other cervical disc displacement 50.3 Other cervical disc degeneration M508 Other cervical disc disorders 50.9 Cervical disc disorder, unspecified MSI Other intervertebral disc disorders Include : thoracic, thoracolumbar and lumbosacral disc disorders MS1.0+ Lumbar and other intervertebral disc disorders with myelopathy (G99.2*) MS1.1+ Lumbar and other intervertebral disc disorders with radiculopathy (G55.1*) Sciatica due to intervertebral disc disorder aLM512 M513 M514 M518 M519 MS3 53.0 M531 M53.2 M533 M538 M539 Ms4 54.0 M541 Exclude : lumbar radiculitis NOS (54.1) Other specified intervertebral disc displacement Lumbago due to displacement of intervertebral disc Other specified intervertebral disc degeneration ‘Schmor!'s nodes Other specified intervertebral disc disorders Intervertebral disc disorder, unspecified Other dorsopathies, not elsewhere classified Cervicocranial syndrome Posterior cervical sympathetic syndrome Cervicobrachial syndrome Exclude: cervical disc disorder (MSO.-), thoracic outlet syndrome (G54.0) Spinal instabilities Sacrococcygeal disorders, not elsewhere classified Coceygodynia Other specified dorsopathies Dorsopathy, unspecified Dorsalgia Exclude : psychogenic dorsalgia (F45.4) Panniculitis affecting regions of neck and back Exclude panniculitis + Nos (M793) + Tupus (L93.2) + relapsing [\Weber-Christian] (M356) Radiculopathy Neuritis or radiculitis: + brachial NOS + lumbar NOS + lumbosacral NOS + thoracic NOS Radiculitis NOS Exclude 42neuralgia and neuritis NOS (M79.2) radiculopathy with: + cervical disc disorder (M501) + lumbar and other intervertebral disc disorder (M511) + spondylosis (47.2) 54.2 Cervicalgia Exclude: cervicalgia due to intervertebral cervical disc disorder (MS0.-) M543 Sciatica Exclude lesion of sciatic nerve (57.0) sciatica: + due to intervertebral disc disorder (M51_1) + with lumbago (M544) Ms44 Lumbago with sciatica Exclude that due to intervertebral disc disorder (M511) S45 Low back pain Loin pain Low back strain Lumbago NOS Exclude : lumbago ‘+ due to intervertebral disc displacement (MS51.2) + with sciatica (M544) M546 ain in thoracic spine Exclude pain due to intervertebral disc disorder (MSI_-) M548 Other dorsalgia M549 Dorsalgia, unspecified Backache NOS Soft Tissue Disorders (M60-M79) Disorders of muscles (M60-M63) Exclude : dermatopolymyositis (M33_-) muscular dystrophies and myopathies (G71-G72) myopathy in: 43M60 M60.0 M60.1 M60.2 M608 M609 M61 M61.0 M611 M61.2 M613 M614 M615 M619 Moz amyloidosis (E85_-) polyarteritis nodosa (M30.0) sheumatoid arthritis (M05 3) scleroderma (M34) ‘Sjogren's syndrome (M35.0) systemic lupus erythematosus (M32_-) Infective myositis Tropical pyomyositis Use additional code (B95-B97), if desired, to identify infectious agent Interstitial myositis Foreign body granuloma of soft tissue, not elsewhere classified Exclude : foreign body granuloma of skin and subcutaneous tissue (L92.3) Other myositis Myositis, unspecified Calcification and ossification of muscle ‘Myositis ossificans traumatica ‘Myositis ossificans progressiva Fibrodysplasia ossificans progressive Paralytic calcification and ossification of muscle ‘Mypsitis ossificans associated with quadriplegia or paraplegia Calcification and ossification of muscles associated with bums ‘Mypsitis ossificans associated with bums Other calcification of muscle Exclude calcific tendinitis (65.2), calcific tendinitis of shoulder (75.3) Other ossification of muscle Calcification and ossification of muscle, unspecified Other disorders of nuscle Exclude cramp and spasm (R25.2) myalgia (M791) 44M62.0 M62.1 M623 M624 M625 M62.6 M628 M629 M63" M63.0* M63.1* myopathy: + alcoholic (G72.1) + drug-induced (672.0) stiff-man syndrome (G25.8) Diastasis of muscle Other rupture of muscle (nontraumatic) Exclude: rupture of tendon (M66.-), traumatic rupture of muscle - see injury of muscle by body region Ischaemic infarction of muscle Compartment syndrome, non-traumatic Exclude : compartment syndrome, traumatic (179.6), traumatic ischaemia of muscle (79.6), Volkmann's ischaemic contracture (T79.6) Immobility syndrome (paraplegic) Contracture of muscle Exclude : contracture of joint (24.5) ‘Muscle wasting and atrophy, not elsewhere classified Disuse atrophy NEC Muscle strain Exclude : current injury - see injury of muscle by bady region Other specified disorders of muscle ‘Muscle (sheath) hemia Disorder of muscle, unspecified Disorders of nuscle in diseases classified elsewhere Exclude myopathy in + endocrine diseases (G73.5*) + metabolic diseases (G73.6*) ‘Myositis in bacterial diseases classified elsewhere Mypsitis in: Leprosy [Hansen's disease] (A30.-+) syphilis (ASI4+, A52.7+) ‘Myositis in protozoal and parasitic infections classified elsewhere Mypsitis in - cysticercosis (B69.8+), schistosomiasis [bilharziasis] (B65 -+), toxoplasmosis (B58.8+), trichinellosis (B75+) 45M63.2* M63.3* M63.8* ‘Mypsttis in other infectious diseases classified elsewhere ‘Mypsitis in mycosis (B35-B40+) ‘Myositis in sarcoidosis D86.8+) Other disorders of muscle in diseases classified elsewhere Disorders of Synovium and Tendon (M65-M68) M6S M65.0 M65.1 M65.2 M65.3 65.4 M658 65.9 M66 M66.0 M66.1 M66.2 M663 Synovitis and tenosynovitis Exclude * chronic crepitant synovitis of hand and wrist (M70.0), current injury - see injury of ligament or tendon by body region soft tissue disorders related to use, overuse and pressure (M70_-) Abscess of tendon sheath Use additional code (B95-B96), if desired, to identify bacterial agent Other infective (teno)synovitis Calcific tendinitis Exclude of shoulder (M75.3), specified tendinitis (MI75-M77) ‘Trigger finger Nodular tendinous disease Radial styloid tenosynovitis [de Quervain] Other synovitis and tenosynovitis, Initable hip ‘Synovitis and tenosynovitis, unspecified ‘Spontaneous rupture of synovitan and tendon Include : rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength Exclude : rotator cuff syndrome (IM75.1), rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region Rupture of popliteal cyst Rupture of synovium, Rupture of smnovial cyst Exclude : rupture of popliteal cyst (M66.0) Spontaneous rupture of extensor tendons ‘Spontaneous rupture of flexor tendons 45M664 M665 M67 M67.0 M67.1 M67.2 M673 M674 M678 M67.9 Mos" M68.0* M68 8* Spontaneous rupture of other tendons ‘Spontaneous rupture of unspecified tendon Rupture at musculotendinous junction, nontraumatic Other disorders of synovium and tendon Exclude : palmar fascial fibromatosis [Dupuytren] (M72.0), tendinitis NOS (M77), xanthomatosis localized to tendons (E78.2) Short Achilles tendon (acquired) Other contracture of tendon (sheath) Exclude : with contracture of joint (M24.5) ‘Synovial hypertrophy, not elsewhere classified Exclude: villonodular synovitis (pigmented) (M12.2) Transient synovitis Toxic synovitis, Exclude palindromic rheumatism (M12.3) Ganglion Ganglion of joint or tendon (sheath) Exclude cyst of + bursa (M71_2-M71.3) + synovium (M712-M713) ganglion in yews (A66.6) Other specified disorders of synovium and tendon Disorder of synovium and tendon, unspecified Disorders of synovium and tendon in diseases classified elsewhere ‘Synovitis and tenosynovitis in bacterial diseases classified elsewhere ‘Synovitis or tenosynovitis int + gonorrhoea (A544) + syphilis (A527#) + tuberculosis (A18.0+) Other disorders of synovium and tendon in diseases classified elsewhere 47Other Soft Tissue Disorders (M70-M79) M70 M70.0 M70.1 M70.2 M703 M704 M705 M70.6 M707 M708 M709 MIL M710 M71 M712 M713 M74 Soft tissue disorders related to use, overuse and pressure Include soft tissue disorders of occupational origin Exclude ‘bursitis (of) + NOS (MT71.9) + shoulder (75.5) decubitus ulcer and pressure area (L89_-) centhesopathies (M76-M77) Chronic crepitant synovitis of hand and wrist Bursitis ofhand Olecranon bursitis, Other bursitis of elbow Prepatellar bursitis Other bursitis of knee Trochanteric bursitis Trochanteric tendinitis Other bursitis of hip Ischial bursitis Other soft tissue disorders related to use, overuse and pressure Unspecified soft tissue disorder related to use, overuse and pressure Other bursopathies Exclude - bunion (M20_1),bursitis related to use, overuse and pressure (M70), centhesopathies (MI76-M77) Abscess of bursa Other infective bursitis ‘Synovial cyst of popliteal space [Baker] Exclude : with rupture (M66.0) Other bursal cyst ‘Synovial cyst NOS Exclude : synovial cyst with rupture (M66.1) Calcium deposit in bursa 48M715 M718 M719 M2 M72.0 M721 M722 M724 M726 M728 M729 Exclude: of shoulder (M75.3) Other bursitis, not elsewhere classified Exclude ‘bursitis (of) + NOS (MT71.9) + shoulder (75.5) + tibial collateral [Pellegrini-Stieda] (76.4) Other specified bursopathies Bursopathy, unspecified Bursitis NOS Fibroblastic disorders Exclude retroperitoneal fibromatosis (D48.3) Palmar fascial fibromatosis [Dupuytren] Knuckle pads Plantar fascial fibromatosis Plantar fasciitis Pseudosarcomatous fibromatosis Nodular fasciitis Necrotizing fascitis Use additional code, if desired, to identify infectious agent Other fibroblastic disorders Abscess of fascia Exclude fasciitis, + diffuse (eosinophilic) (M35 4) + necrotizing (M72.6) nodular (M724) + perirenal: © NOS@NI35) with infection (13.6) + plantar (72.2) Fibroblastic disorder, unspecified Fasciitis NOS, Fibromatosis NOS 49M73* M73.0* M73.1* M73.8* MIS M75.0 M75.1 M75.2 M753 M754 M755 M758 M759 M6 M76.0 M76.1 M76.2 M763 M764 M765 M766 Soft tissue disorders in diseases classified elsewhere Gonococcal bursitis (A54.4+) Syphilitic bursitis (A52.7+) Other soft tissue disorders in diseases classified elsewhere ‘Shoulder lesions Exclude: shoulder-hand syndrome (MS9.0) Adhesive capsulitis of shoulder Frozen shoulder, Periarthritis of shoulder Rotator cuff syndrome Rotator cuff or supraspinatus tear or rupture (complete) (incomplete), not specified as traumatic, Supraspinatus syndrome Bicipital tendinitis Calcific tendinitis of shoulder Calcified bursa of shoulder Impingement syndrome of shoulder Bursitis of shoulder Other shoulder lesions Shoulder lesion, unspecified Enthesopathies of lower limb, excluding foot The superficially specific terms bursitis, capsulitis and tendinitis tend to be used indiscriminately for various disorders of peripheral ligamentous or muscular attach-ments; most of these conditions have been brought together as enthesopathies which is the generic term for Lesions at these sites Exclude : bursitis due to use, overuse and pressure (M70_-) Gluteal tendinitis Psoas tendinitis Iliac crest spur iotibial band syndrome Tibial collateral bursitis [Pellegrini-Stieda] Patellar tendinitis Achilles tendinitis, Achilles bursitis 50M767 M768 M769 M77 M77.0 M771 M772 M773 M774 M775 M778 M779 M79 M79.0 M79.1 M79.2 Peroneal tendinitis Other enthesopathies of lower limb, excluding foot Anterior tibial syndrome, Posterior tibial tendinitis Enthesopathy of lower limb, unspecified Other enthesopathies Exclude bursitis: + NOS (MT71.9) + due to use, overuse and pressure (M70.-) osteophyte (M25.7) spinal enthesopathy M46.) ‘Medial epicondylitis Lateral epicondylitis Tennis elbow Periarthritis of wrist Calcaneal spur ‘Metatarsal gia Exclude : Morton's metatarsalgia (G57.6) Other enthesopathy of foot Other enthesopathies, not elsewhere classified Enthesopathy, unspecified Bone spur NOS, Capsulitis NOS, Periarthritis NOS, Tendinitis NOS Other soft tissue disorders, not elsewhere classified Exclude soft tissue pain, psychogenic (F454) Rheumatism, unspecified Exclude fibromyalgia (79.7), palindromic rheumatism (M12.3) Myalgia Exclude : myositis (M60_-) Neuralgia and neuritis, unspecified Exclude ‘mononeuropathies (G56-G58) radiculitis: 51M793 M79.4 M795 M79.6 M797 M798 M79.9 + NOS (M541) + brachial NOS (M541) + lumbosacral NOS (MS54.1) sciatica (M54 3-MS4.4) Panniculitis, unspecified Exclude panniculitis + lupus 493.2) + neck and back (MS54.0) + relapsing [\Weber-Christian] (M35.6) Hypertrophy of (infrapatellar) fat pad Residual foreign body in soft tissue Exclude foreign body granuloma of + skin and subcutaneous tissue (L92.3) + soft tissue (M602) Pain in limb Fibromyalgia Fibromyositis, Fibrositis, Myofibrositis Other specified soft tissue disorders Soft tissue disorder, unspecified Ostheopathies and Chondropathies (M80-M94) Disorders of Bone Density and Structure (M80-M85) M30 80.0 MB0.1 80.2 80.3 Osteoporosis with pathological fracture Include osteoporotic vertebral collapse and wedging Exclude - collapsed vertebra NOS (48.5), pathological fracture NOS (Qis4.4), wedging of vertebra NOS (M485) Postmenopausal osteoporosis with pathological fracture Postoophorectomy osteoporosis with pathological fracture Osteoporosis of disuse with pathological fracture Postsurgical malabsorption osteoporosis with pathological fracture 52M804 80.5 M808 80.9 MBI MB1.0 MB1.1 MB1.2 MB1.3 M814 MBLS MB1.6 MBL MB1.9 M32" M82.0* M82.1* M82.8* M83 Drug.induced osteoporosis with pathological fracture Use additional external cause code, if desired, to identify drug Idiopathic osteoporosis with pathological fracture Other osteoporosis with pathological fracture Unspecified osteoporosis with pathological fracture Osteoporosis without pathological fracture Exclude osteoporosis with pathological fracture (M80.-) Postmenopausal osteoporosis, Postoophorectomy osteoporosis Osteoporosis of disuse Exclude : Sudeck's atrophy (M890) Postsurgical malabsorption osteoporosis Drug.induced osteoporosis Use additional external cause code, if desired, to identify drug Idiopathic osteoporosis Localized osteoporosis [Lequesne] Exclude : Sudeck's atrophy (M890) Other osteoporosis Senile osteoporosis Osteoporosis, unspecified Osteoporosis in diseases classified elsewhere Osteoporosis in multiple myelomatosis (C90.0+) Osteoporosis in endocrine disorders (EO0-E34+) Osteoporosis in other diseases classified elsewhere Adult osteomalacia Exclude Osteomalacia + infantile and juvenile (E55.0) + vitamin-D-resistant (E833) renal osteodystrophy (25.0) 5383.0 M831 M832 M833 M834 M835 M838 M839 Ms4 84.0 M841 M842 M343 M344 M348 M34.9 rickets (active) (E55.0) rickets (active) + sequelae (E64.3) + vitamin-D-resistant (E833) rickets (active) (E55.0) rickets (active) + sequelae (E64.3) + vitamin-D-resistant (E833) Puerperal osteomalacia Senile osteomalacia Acdult osteomalacia due to malabsorption Postsurgical malabsorption osteomalacia in adults Adult osteomalacia due to malnutrition Aluminium bone disease Other drug-induced osteomalacia in adults Use additional external cause code, if desired, to identify drug Other adult osteomalacia Adult osteomalacia, unspecified Disorders of continuity of bone ‘Malunion of fracture Nonunion of fracture [pseudarthrosis] Exclude : pseudarthrosis after fusion or arthrodesis (MI96.0) Delayed union of fracture Stress fracture, not elsewhere classified Stress fracture NOS Exclude stress fracture of vertebra (M484) Pathological fracture, not elsewhere classified Pathological fracture NOS Exclude : collapsed vertebra NEC (M485), pathological facture in osteoporosis (MS80_-) Other disorders of continuity of bone Disorder of continuity of bone, unspecified 54Mss Other disorders of bone density and structure Exclude - osteogenesis imperfecta (Q78.0), osteopetrosis (Q78.2), osteopoildilosis (Q78.8), polyostotic fibrous dysplasia (Q78.1) 85.0 Fibrous dysplasia (monostotic) Exclude fibrous dysplasia of jaw (K10.8) M851 ‘Skeletal fluorosis 85.2 Hyperostosis of stall M853 Osteitis condensans Ms54 Solitary bone cyst Exclude solitary cyst of jaw (KO9 1-K09.2) M855 Aneurysmal bone cyst Exclude : aneurysmal cyst of jaw (KO9.2) M85.6 Other cyst of bone Exclude cyst of jaw NEC (K09.1-K09.2) osteitis fibrosa cystica generalisata [von Recklinghausen's disease of bone] 21H M858 Other specified disorders of bone density and structure Hyperostosis of bones (except slcull), Osteosclerosis (acquired) Exclude diffuse idiopathic skeletal hyperostosis [DISH] (M48.1) osteosclerosis: + congenita (Q77.4) + myelofibrosis (D75.8) M859 Disorder of bone density and structure, unspecified Other Osteopathies (M86-M90) Exclude: postprocedural osteopathies (M96-) M86 Osteomyelitis Use additional code (B95-B97), if desired, to identify infectious agent Exclude osteomyelitis (of) 5586.0 MB6.1 86.2 M863 M364 M865 M866 M868 M36.9 M37 87.0 MB7.1 M87.2 M873 M878 M879 M3 88.0 M88.8 88.9 M39 89.0 + due to salmonella (AO1-A02) + jawK10.d + vertebra (46.2) Acute haematogenous osteomyelitis Other acute osteomyelitis Subacute osteomyelitis, Chronic multifocal osteomyelitis Chronic osteomyelitis with draining sinus Other chronic haematogenous osteomyelitis Other chronic osteomyelitis, Other osteomyelitis Brodie's abscess Osteomyelitis, unspecified Infection of bone NOS Periostitis without mention of osteomyelitis Osteonecrosis Include : avascular necrosis of bone Exclude: osteochondropathies (M91-M93) Idiopathic aseptic necrosis of bone Osteonecrosis due to drugs Use additional external cause code, if desired, to identify drug Osteonecrosis due to previous trauma Other secondary osteonecrosis Other osteonecrosis Osteonecrosis, unspecified Paget's disease of bone [osteitis deformans] Paget's disease of stull Paget's disease of other bones Paget's disease of bone, unspecified Other disorders of bone Algoneurodystrophy 56M89.1 M89.2 89.3 M39.4 M89.5 M89.6 M39.8 39.9 M90" 90.0" M90.1* 90.2" M90.3* 904+ M90.5* M90.6* 90.7* M90.8* Shoulder-hand syndrome, Sudeck's atrophy, Sympathetic reflex dystrophy Epiphyseal arrest Other disorders of bone development and growth Hypertrophy of bone Other hypertrophic osteoarthropathy ‘Marie-Bamberger disease, Pachydemmoperiostosis Osteolysis Osteopathy after poliomyelitis, Use additional code (B91), if desired, to identify previous poliomyelitis Exclude postpolio syndrome (G14) Other specified disorders of tone Infantile cortical hyperostosis, Post-traumatic subperiosteal ossification Disorder of bone, unspecified Osteopathies in diseases classified elsewhere Tuberculosis of bone (A18.0+) Exclude tuberculosis of spine (M49.0*) Periostitis in other infectious diseases classified elsewhere Secondary syphilitic periostitis (A514) Osteopathy in other infectious diseases classified elsewhere Osteomyelitis + echinocaccal (B67.2+) + gonocaccal (A544) + salmonella (A02.2+) ‘Syphilitic osteopathy or osteochondropathy (A50.5+, A52.7+) Osteonecrosis in caisson disease (T70.3+) Osteonecrosis due to haemoglobinopathy (D50-D64+) Osteonecrosis in other diseases classified elsewhere Osteitis deformans in neoplastic disease (CO0-D48+) Osteitis deformans in malignant neoplasm of bone (C40-C41+) Fracture of bone in neoplastic disease (CO0-D48+) Exclude : collapse of vertebra in neoplastic disease (M49.5*) Osteopathy in other diseases classified elsewhere Osteopathy in renal osteodystrophy (N25.0+) 57Chondropathies (M91-M94) Exclude: postprocedural chondropathies (M96.-) M91 M91.0 M911 M912 M913 M918 M919 M92 92.0 M921 92.2 M923 M924 Juvenile osteochondrosis of hip and pelvis Exclude slipped upper femoral epiphysis (nontraumatic) (M93.0) Juvenile osteochondrosis of pelvis Osteochondrosis (juvenile) of + acetabulum, + iliac crest [Buchanan] + ischiopubic synchondrosis [van Neck] ‘+ symphisis pubis [Pierson] Juvenile osteochondrosis of head of femur [Legg-Calvé-Perthes] Coxa plana Hip deformity due to previous juvenile osteochondrosis gia Other juvenile osteochondrosis of hip and pelvis, Juvenile osteochondrosis after reduction of congenital dislocation of hip Pseudoc Juvenile osteochondrosis of hip and pelvis, unspecified Other juvenile osteochondrosis Juvenile osteochondrosis of humerus Osteochondrosis (juvenile) of + capitulum of humerus [Panner] + head of humerus [Haas] Juvenile osteochondrosis of radius and ulna Osteochondrosis (juvenile) of + lower ulna [Bums] + radial head [Brailsford] Juvenile osteochondrosis of hand Osteochondrosis (juvenile) of + carpal lunate [Kienbocle] + metacarpal heads [Mauclaire] Other juvenile osteochondrosis of upper limb Juvenile osteochondrosis of patella 58M925 92.6 M927 M928 92.9 M93 93.0 M931 93.2 M938 Osteochondrosis (juvenile) of + primary patellar centre [Kohler] + secondary patellar centre [Sinding Larsen] Juvenile osteochondrosis of tibia and fibula Osteochondrosis (juvenile) of + proximal tibia [Blount] + tibial tubercle [Osgood-Schlatter] Tibia vara Juvenile osteochondrosis of tarsus Osteochondrosis (juvenile) of + calcaneum [Sever] + os tibiale extemum [Haglund] + talus [Diaz] + tarsal navicular [Kohler] Juvenile osteochondrosis of metatarsus Osteochondrosis (juvenile) of + fifth metatarsus [Iselin] + second metatarsus [Freiberg] Other specified juvenile osteochondrosis, Calcaneal apophysitis Juvenile osteochondrosis, unspecified + Apophysitis + Epiphysitis + Osteochondritis + Osteochondrosis specified as juvenile, of unspecified site Other osteochondropathies Exclude osteochondrosis of spine (M42_-) Slipped upper femoral epiphysis (nontraumatic) Kienbock's disease of adults Acdult osteochondrosis of carpal lunate Osteochonditis dissecans Other specified osteochondropathies 59M939 Mo4 94.0 M94.1 94.2 M943 M948 94.9 Osteochondropathy, unspecified + Apophysitis + Epiphysitis not specified as adult or juvenile, of + Osteochondritis unspecified site + Osteochondrosis Other disorders of cartilage Chondrocostal junction syndrome [Tietze] Costochondritis Relapsing polychondritis Chondromalacia Exclude : chondromalacia patellae (M22.4) Chondrolysis, Other specified disorders of cartilage Disorder of cartilage, unspecified Other Disorders of The Musculoskeletal System and Connective Tissue (M95-M99) Mos 95.0 M95.1 M95.2 Other acquired deformities of musculoskeletal system and connective tissue Exclude Acquired + absence of limbs and organs (89-290) + deformities of limbs (20-M21) congenital malformations and deformations of the musculoskeletal system 165-079 deforming dorsopathies (M40-M43) dentofacial anomalies [including malocclusion] (KO7.-) postprocedural musculoskeletal disorders (M96-) Acquired deformity of nose Exclude : deviated nasal septum (134.2) Cauliflower ear Exclude other acquired deformities of ear (H611) Other acquired deformity of head 60M953 M954 95.5 M958 95.9 M96 96.0 96.1 96.2 M963 M964 M965 M966 M968 96.9 Acquired deformity of neck Acquired deformity of chest and rib Acquired deformity of pelvis Exclude : matemal care for known or suspected disproportion (033) Other specified acquired deformities of musculoskeletal system Acquired deformity of musculoskeletal system, unspecified Postprocedural nusculoskeletal disorders, not elsewhere classified Exclude - arthropathy following intestinal bypass (M20), disorders associated with osteoporosis (MB80-M81), presence of functional implants and other devices (295-297) Pseudarthrosis after fusion or arthrodesis, Postlaminectomy syndrome, not elsewhere classified Postradiation kyphosis Postlaminectomy kyphosis Postsurgical lordosis Postradiation scoliosis Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate Exclude © complication of intemal orthopaedic devices, implants or grafts rsd) Other postpracedural musculoskeletal disorders Instability of joint secondary to removal of joint prosthesis, Postprocedural musculoskeletal disorder, unspecified Biomechanical lesions, not elsewhere classified This category should not be used if the condition can be classified elsewhere ‘The following supplementary subclassification to indicate the site of lesions is provided for optional use with appropriate subcategories in M99. see also note at the beginning of this chapter. 0 Headregion occipitocervical 1 Cervical region 6199.0 M99.1 99.2 99.3 99.4 99.5 99.6 M997 99.8 99.9 cervicothoracic 2 Thoracic region thoracolumbar 3 Lumbar region lumbosacral 4 Sacral region sacrococcygeal sacroiliac 5 Pelvic region hip pubic 6 Lower extremity 7 Upper extremity acromioclavicular stemoclavicular 8 Rib cage costochondral costovertebral stemochondral 9 Abdomen and other ‘Segmental and somatic dysfunction Subluxation complex (vertebral) Subluzation stenosis of neural canal Osseous stenosis of neural canal Connective tissue stenosis of neural canal Intervertebral disc stenosis of neural canal Osseous and subluzation stenosis of intervertebral foramina Connective tissue and disc stenosis of intervertebral foramina Other biomechanical lesions Biomechanical lesion, unspecified 62CHAPTER VI Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) Congenital Malformations and Deformations of The Musculoskeletal System (Q65-Q79) Q65 65.0 Q65.1 65.2 65.3 65.4 65.5 65.6 65.8 65.9 266 66.0 66.1 66.2 66.3 66.4 66.5 Congenital deformities of hip Exclude : clicking hip (R294) Congenital dislocation of hip, unilateral Congenital dislocation of hip, bilateral Congenital dislocation of hip, unspecified Congenital subluxation of hip, unilateral Congenital subluxation of hip, bilateral Congenital subluxation of hip, unspecified Unstable hip Dislocatable hip, Subluzatable hip Other congenital deformities of hip Anteversion of femoral neck Congenital acetabular dysplasia Congenital coxa: valga, vara Congenital deformity of hip, unspecified Congenital deformities of feet Exclude -reduction defects of feet (Q72-), valgus deformities (acquired) (QM21.0), varus deformities (acquired) (M211) Talipes equinovarus Talipes calcaneovarus ‘Metatarsus varus, Other congenital varus deformities of feet Hallux varus, congenital Talipes calcaneoval gus, Congenital pes planus Flat foot + congenital 6366.6 66.7 66.8 66.9 067 67.0 67.1 67.2 67.3 Qe74 67.5 + rigid + spastic (everted) Other congenital valgus deformities of feet ‘Metatarsus valgus Pes cavus Other congenital deformities of feet Clubfoot NOS Hammer toe, congenital Talipes: + NOS + asymmetric Tarsal coalition Vertical talus Congenital deformity of feet, unspecified Congenital musculoskeletal deformities of head, face, spine and chest Exclude congenital malformation syndromes classified to Q87.-, Potter's syndrome (Q60.6) Facial asymmetry Compression facies Dolichocephaly Plagiocephaly Other congenital deformities of stull, face and jaw Depressions in siull, Deviation of nasal septum, congenital, Hemifacial atrophy or hypertrophy, Squashed or bent nose, congenital Exclude - dentofacial anomalies [including malocclusion] (KO7.-), syphilitic saddle nose (A50.5) Congenital deformity of spine Congenital scoliosis + NOS + postural Exclude : infantile idiopathic scoliosis (M410), scoliosis due to congenital ‘bony malformation (Q76.3) 6467.6 67.7 67.8 268 68.0 68.1 68.2 68.3 68.4 68.5 68.8 Pectus excavatum Congenital funnel chest Pectus carinatum Congenital pigeon chest Other congenital deformities of chest Congenital deformity of chest wall NOS Other congenital musculoskeletal deformities Exclude : reduction defects of limb(s) (Q71-Q73) Congenital deformity of stemocleidomastoid muscle Congenital (sternomastoid) torticollis Contracture of stemocleidomastoid (muscle) ‘Stemomastoid tumour (congenital) Congenital deformity of hand Congenital clubfinger Spade-like hand (congenital) Congenital deformity of nee Congenital + dislocation of knee + gemu recurvatum Congenital bowing of femur Exclude: anteversion of femur (neck) (Q65.8) Congenital bowing of tibia and fibula Congenital bowing of long bones of leg, unspecified Other specified congenital musculoskeletal deformities Congenital + deformity of © clavicle © elbow © forearm © scapula + dislocation of © elbow 65269 69.0 69.1 69.2 69.9 Q70 q70.0 Q70.1 Q70.2 Q70.3 q704 q709 on q7i.o qi qn. Qs qa qs Qn. shoulder Polydachyy Accessory finger(s) Accessory thumb(s) Accessory toe(s) Accessory hallux Polydactyly, unspecified Supemumerary digit(s) NOS Syndactyly Fused fingers Complex syndactyly of fingers with synostosis ‘Webbed fingers Simple syndactyly of fingers without synostosis Fused toes Complex syndactyly of toes with synostosis Webbed toes Simple syndactyly of toes without synostosis, Polysyndactyly Syndactyly, unspecified ‘Symphalangy NOS Reduction defects of upper limb Congenital complete absence of upper limb(s) Congenital absence of upper arm and forearm with hand present Congenital absence of both forearm and hand Congenital absence of hand and fingers) Longitudinal reduction defect of radius Clubhand (congenital), Radial clubhand Longitudinal reduction defect of ulna Lobster-claw hand 66qs qe Qn q72.0 qi q22 23 q4 qs Q2.6 27 28 qn Q73 q730 ql qs om Other reduction defects of upper limb(s) Congenital shortening of upper limb(s) Reduction defect of upper limb, unspecified Reduction defects of lower limb Congenital complete absence of lower limb(s) Congenital absence of thigh and lower leg with foot present Congenital absence of both lower leg and foot Congenital absence of foot and toe(s) Longitudinal reduction defect of femur Proximal femoral focal deficiency Longitudinal reduction defect of tibia Longitudinal reduction defect of fibula Split foot Other reduction defects of lower limb(s) Congenital shortening of lower limb(s) Reduction defect of lower limb, unspecified Reduction defects of unspecified limb Congenital absence of unspecified limb(s) Amelia NOS Phocomelia, unspecified limb(s) Phocomelia NOS Other reduction defects of unspecified limb(s) Longitudinal reduction deformity of unspecified limb(s) + Ectromelia NOS + Hemimelia NOS of limb(s) NOS + Reduction defect Other congenital malformations of ibs) Exclude : polydactyly (Q69), reduction defect of limb (Q71-Q73), syndactyly (Q70.-) 67qo at Qa Qs Qs qa Other congenital malformations of upper limb(s), including shoulder girdle Accessory carpal bones Cleidocranial dysostosis, Congenital pseudarthrosis of clavicle ‘Macrodactylia (fingers) ‘Madelung's deformity Radioulnar synostosis Sprenge!'s deformity Triphalangeal thumb Congenital malformation of knee Congenital: + absence of patella + dislocation of patella + genu © valgum © varum Rudimentary patella Exclude Congenital + dislocation of knee (Q68.2) + gemu recurvatum (Q68.2) nail patella syndrome (Q87.2) Other congenital malformations of lower limb(s), including pelvic girdle Congenital + fusion of sacroiliac joint + malformation (of) ankle (joint), sacroiliac (joint) Exclude: anteversion of femur (neck) (Q65.8) Axthrogryposis multiplex congenita Other specified congenital malformations of limb(s) ‘Unspecified congenital malformation of limb(s) Congenital anomaly of limb(s) NOS 68Q7s Q7s.0 Q75.1 Q75.2 Q75.3 qs4 Q7ss Qs Qo 076 Q76.0 Q76.1 Other congenital malformations of skull and face bones Exclude congenital mal formation of face NOS (Q18.-) congenital mal formation syndromes classified to Q87.- dentofacial anomalies [including malocclusion] (KO7.-) musculoskeletal deformities of head and face (Q67.0-067.4) skull defects associated with congenital anomalies of brain such as: + anencephaly (Q00.0) + encephalocele (Q01-) + hydrocephalus (Q03_-) + microcephaly (Q02) Craniosynostosis Acrocephaly, Imperfect fusion of sleull, Oxycephaly, Trigonocephaly Craniofacial dysostosis Crouzon's disease Hypertelorism Macrocephaly ‘Mandibulofacial dysostosis ‘Syndrome : Franceschetti, Treacher-Collins Oculomandibular dysostosis, Other specified congenital malformations of skull and face bones Absence of siull bone (congenital), Congenital deformity of forehead, Platybasia Congenital malformation of seull and face bones, unspecified Congenital anomaly of : face bones NOS, skull NOS Congenital malformations of spine and bony thorax Exclude : congenital musculoskeletal deformities of spine and chest (Q67.5- 967.8) Spina bifida occulta Exclude : meningocele (spinal) (Q05.-), spina bifida (aperta)(cystica) (Q05.-) Klippel-Feil syndrome Cervical fusion syndrome 69Q76.2 Q76.3 Q764 Q765 Q76.6 Q767 Q768 Q769 Q77 q7.0 Congenital spondylolisthesis Congenital spondylolysis Exclude : spondylolisthesis (acquired) (M43.1), spondylolysis (acquired) (43.0) Congenital scoliosis due to congenital bony malformation Hemivertebra fusion or failure of segmentation with scoliosis Other congenital malformations of spine, not associated with scoliosis + Congenital: © absence of vertebra © fusion of spine © kyphosis © lordosis © malformation of lumbosacral unspecified or not associated Goint) (region) with scoliosis + Hemivertebra + Malformation of spine + Platyspondylisis + Supemumerary vertebra Cervical nib ‘Supemumerary rib in cervical region Other congenital malformations of ribs Accessory rib Congenital : absence of nib, fusion of ribs, malformation of ribs NOS Exclude short rib syndrome (Q77.2) Congenital malformation of stemum Congenital absence of stemum, Stemum bifidum, Other congenital malformations of bony thorax Congenital malformation of bony thorax, unspecified Osteochondrodysplasia with defects of growth of tubular bones and spine Exclude: mucopolysaccharidosis (E76.0-E76.3) Achondrogenesis, Hypochondrogenesis 70qi q7.2 q73 qa qs q7.6 q7 qs qi ors q7s.0 Qs. Q73.2 Q73.3 Q734 Q73.s Q73.6 Qs ‘Thanatophoric short stature Short rib syndrome Asphyziating thoracic dysplasia [Jeune] Chondrodysplasia punctata Achondroplasia Hypochondroplasia, Osteosclerosis congenita Dystrophic dysplasia Chondroectodermal dysplasia Ellis-van Creveld syndrome Spondyloepiphyseal dysplasia Other osteochondrodysplasia with defects of growth of tubular bones and spine Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified Other osteochondrodysplasias Osteogenesis imperfecta Fragilitas ossium, Osteopsathyrosis Polyostotic fibrous dysplasia Albright(-McCune)(-Stemberg) syndrome Osteopetrosis Albers-Schonberg syndrome Progressive diaphyseal dysplasia Camurati-Engelmann syndrome Enchondromatosis Maffucci's syndrome, Ollier's disease ‘Metaphyseal dysplasia Pyle's syndrome ‘Multiple congenital exostoses Diaphyseal aclasis Other specified osteochondrodysplasias Osteopoikilosis nq73.9 979 79.0 Q79.1 Q79.2 79.3 Q79.4 79.5 Q79.6 Q79.8 79.9 Osteochondrodysplasia, unspecified Chondrodystrophy NOS, Osteodystrophy NOS Congenital malformations of the musculoskeletal system, not elsewhere classified Exclude * congenital (stemomastoid) torticollis (Q68.0) Congenital diaphragmatic hemia Exclude * congenital hiatus hemia (Q40.1) Other congenital malformations of diaphragm Absence of diaphragm, Congenital malformation of diaphragm NOS, Eventration of diaphragm Exomphalos Omphalocele Exclude - umbilical hemia (K42_-) Gastroschisis, Prune belly syndrome Other congenital malformations of abdominal wall Exclude - umbilical hemia (K42_-) Ehlers-Danlos syndrome Other congenital malformations of musculoskeletal system Absence of + muscle + tendon Accessory muscle Amyotrophia congenita Congenital: + constricting bands + shortening of tendon Poland's syndrome Congenital malformation of musculoskeletal system, unspecified © Congenital © Anomaly NOS of musculoskeletal system NOS © Deformity NOS nRCHAPTER VII Injury, Poisoning and Certain Other Consequences of External Causes (S00-T98) Injuries to The Neck (S10-S19) Include injuries of nape, supraclavicular region, throat Exclude bums and comosions (T20-T32) effects of foreign body in + larynx (17.3) + oesophagus (118.1) . pharynx (117.2) + trachea (117.4) fracture of spine NOS (08) frostbite (133-135) injury of + spinal cord NOS (09.3) + trunk NOS (TO9-) insect bite or sting, venomous (163.4) ‘S10 ‘Superficial injury of neck si00 Contusion of throat Cervical oesophagus, Larynx, Pharynx, Trachea si01 Other and unspecified superficial injuries of throat $107 ‘Multiple superficial injuries of neck S108 ‘Superficial injury of other parts of neck sio9 ‘Superficial injury of neck, part unspecified su Open wound of neck Exclude : decapitation (S18) slo (Open wound involving larynx and trachea Trachea : NOS, cervical Exclude: thoracic trachea ($27.5) BSIL sl2 su? S118 sug Ss $12.0 S121 $122 $127 S128 $129 S13 (Open wound involving thyroid gland (Open wound involving pharynx and cervical oesophagus Exclude : oesophagus NOS ($27.8) ‘Multiple open wounds of neck (Open wound of other parts of neck Open wound of neck, part unspecified Fracture of neck Include Cervical - neural arch, spine, spinous process, transverse process, vertebra, vertebral arch, ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed, Lopen Fracture of first cervical vertebra Atlas Fracture of second cervical vertebra Axis Fracture of other specified cervical vertebra Exclude : multiple fractures of cervical spine ($12.7) ‘Multiple fractures of cervical spine Fracture of other parts of neck Hypoid bone, Larynx, Thyroid cartilage, Trachea Fracture of neck, part unspecified Fracture of cervical : spine NOS, vertebra NOS Dislocation, sprain and strain of joints and ligaments at neck level Exclude : rupture or displacement (nontraumatic) of cervical intervertebral disc (M50, ™813.0 813.1 813.2 8133 S134 S135 813.6 smd 14.0 S141 $14.2 8143 S144 S145 814.6 SIS 815.0 S151 815.2 8153 S157 S158 ‘Traumatic rupture of cervical intervertebral disc Dislocation of cervical vertebra Cervical spine NOS Dislocation of other and unspecified parts of neck: ‘Multiple dislocations of neck Sprain and strain of cervical spine Anterior Longitudinal (ligament), cervical Atlanto-axial Goints) Atlanto-occipital Goints) Whiplash injury Sprain and strain of thyroid region Cricoarytenoid Gointy(ligament), Cricothyroid Goint)(ligament), Thyroid cartilage ‘Sprain and strain of joints and ligaments of other and unspecified parts of neck Injury of nerves and spinal cord at neck level Concussion and oedema of cervical spinal cord Other and unspecified injuries of cervical spinal cord Injury of cervical spinal cord NOS Injury of nerve root of cervical spine Injury of brachial plexus Injury of peripheral nerves of neck Injury of cervical sympathetic nerves Injury of other and unspecified nerves of neck. Injury of blood vessels at neck level Injury of carotid artery Carotid artery (common) (extemal) (internal) Injury of vertebral artery Injury of extemal jugular vein Injury of internal jugular vein Injury of multiple blood vessels at neck level Injury of other blood vessels at neck Level 88159 S16 S17 S170 S178 S179 S18 S19 819.7 S198 819.9 Injury of unspecified blood vessel at neck level Injury of muscle and tendon at neck level Crushing injury of neck Crushing injury of larynx and trachea Crushing injury of other parts of neck. Crushing injury of neck, part unspecified Traumatic amputation at neck level Include : Decapitation Other and unspecified is ‘Multiple injuries of neck nries of neck Injuries classifiable to more than one of the categories $10-S18 Other specified injuries of neck Unspecified injury of neck Injuries to he thorax (S20-S29) Include injuries of breast, chest (wall), interscapular area Exclude bums and corrosions (T20-T32) effects of foreign body in ‘bronctuus (T17.5) jung (717.8) esophagus (T18.1) trachea (T17.4) fracture of spine NOS (T08) frostbite (133-135) injuries of anil (S40-S49) clavicle ($40-$49) 76+ scapular region ($40-S49) + shoulder ($40-S49) + spinal cord NOS (09.3) + trunk NOS (TO9-) insect bite or sting, venomous (163.4) S20 ‘Superficial injury of thorax s200 Contusion of breast 201 Other and unspecified superficial injuries of breast $20.2 Contusion of thorax $203 Other superficial injuries of front wall of thorax s204 Other superficial injuries of back wall of thorax $207 ‘Multiple superficial injuries of thoraxx $208 ‘Superficial injury of other and unspecified parts of thorax Thoracic wall NOS ‘S21 Open wound of thorax Exclude Traumatic haemopneumothorax ($27.2), haemothorax ($27.1), pneumothorax ($27.0) S210 (Open wound of breast S211 Open wound of front wall of thorax s212 Open wound of back wall of thorax: S217 ‘Multiple open wounds of thoracic wall S218 (Open wound of other parts of thorax s219 Open wound of thorax, part unspecified Thoracic wall NOS S22 Fracture of rib(s), sternum and thoracic spine Include Thoracic: neural arch, spinous process, transverse process, vertebra, vertebral arch Exclude 7$23.0 $23.1 $23.2 $233 $234 $23.5 S24 $24.0 fracture of: clavicle ($42.0), scapula ($42.1) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed Lopen Fracture of thoracic vertebra Fracture of thoracic spine NOS ‘Multiple fractures of thoracic spine Fracture of stemum Fracture of rib ‘Multiple fractures of nibs Flail chest Fracture of other parts of bony thorax Fracture of bony thorax, part unspecified Dislocation, sprain and strain of joints and ligaments of thorax Exclude dislocation, sprain and strain of stemo-clavicular joint ($43.2, $43.6) ‘rupture or displacement (nontraumatic) of thoracic intervertebral disc (MSI_-) ‘Traumatic rupture of thoracic intervertebral disc Dislocation of thoracic vertebra Thoracic spine NOS Dislocation of other and unspecified parts of thorax Sprain and strain of thoracic spine Sprain and strain of ribs and sternum Sprain and strain of other and unspecified parts of thorax, Injury of nerves and spinal cord at thorax level Exclude: injury of brachial plexus (14.3) Concussion and oedema of thoracic spinal cord 78824.1 $24.2 $24.3 $244 $24.5 $24.6 S25 $25.0 825.1 $25.2 $253 $254 $25.5 $257 $25.8 $25.9 S26 Other and unspecified injuries of thoracic spinal cord Injury of nerve root of thoracic spine Injury of peripheral nerves of thorax Injury of thoracic sympathetic nerves Cardiac plems, Oesophageal plexus, Pulmonary plexus, Stellate ganglion, Thoracic sympathetic ganglion Injury of other nerves of thorax Injury of unspecified nerve of thorax Injury of blood vessels of thorax Injury of thoracic aorta Aorta NOS Injury of innominate or subclavian artery Injury of superior vena cava Vena cava NOS. Injury of innominate or subclavian vein Injury of pulmonary blood vessels Injury of intercostal blood vessels, Injury of multiple blood vessels of thorax Injury of other blood vessels of thorax Azygos vein, Mammary artery or vein Injury of unspecified blood vessel of thorax Injury of heart Include + contusion + laceration + puncture + traumatic rupture ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding 79$26.0 $26.8 $26.9 S27 $27.0 sa7.1 827.2 8273 so74 8075 $27.6 8077 S278 827.9 S28 $28.0 28.1 0 without open wound into thoracic cavity 1 with open wound into thoracic cavity Injury of heart with haemopericardium, Other injuries of heart Injury of heart, unspecified Injury of other and unspecified intrathoracic organs Exclude injury of : cervical oesophagus (S10-S19), trachea (cervical) (S10-S19) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding 0 without open wound into thoracic cavity 1 with open wound into thoracic cavity ‘Traumatic pneumothorax ‘Traumatic haemothorax ‘Traumatic haemopneumothorax Other injuries of lung Injury of bronchus Injury of thoracic trachea Injury of pleura ‘Multiple injuries of intrathoracic organs Injury of other specified intrathoracic organs Diaphragm, Lymphatic thoracic duct, Oesophagus (thoracic part), Thymus and Injury of unspecified intrathoracic organ Crushing injury of thorax and traxamatic amputation of part of thorax. Crushed chest Exclude flail chest (22.5) ‘Traumatic amputation of part of thorax Exclude: transection of thorax (705.8) 80S29 Other and unspecified injuries of thorax. 29.0 Injury of muscle and tendon at thorax level $297 ‘Multiple injuries of thorax Injuries classifiable to more than one of the categories $20-S29.0 $298 Other specified injuries of thorax s29.9 Unspecified injury of thorax Injuries to The Abdomen, Lower Back, Lumbar Spine and Pelvis (S30-S39) Include : abdominal wall, anus, buttock, extemal genitalia, flank, groin Exclude bums and corrosions (T20-T32) effects of foreign body in + anus and rectum (T18.5) + genitourinary tract (T19.-) + stomach, small intestine and colon (T18.2-T18.4) fracture of spine NOS (08) frostbite (133-135) injuries of + back NOS (T09_-) + spinal cord NOS (09.3) + trunk NOS (TO9-) insect bite or sting, venomous (T63.4) S30 ‘Superficial injury of abdomen, lower back and pelvis Exclude : superficial injury of hip ($70.-) $30.0 Contusion of lower back and pelvis Buttock $301 Contusion of abdominal wall Flank, Groin $30.2 Contusion of extemal genital organs Labium (majus)(minus), Penis, Perineum, Scrotum, Testis, Vagina, Vulva $307 ‘Multiple superficial injuries of abdomen, lower back and pelvis $308 Other superficial injuries of abdomen, lower back and pelvis a1$30.9 S31 $31.0 S311 $312 $313 S314 S315 S317 S318 832 $32.0 $32.1 ‘Superficial injury of abdomen, lower back and pelvis, part unspecified Open wound of abdomen, lower back and pebvis Exclude : open wound of hip (S71.0), traumatic amputation of part of abdomen, lower back and pelvis (S38.2-S38.3) (Open wound of lower back and pelvis Buttock Open wound of abdominal wall Flank, Groin Open wound of penis (Open wound of scrotum and testes (Open wound of vagina and vulva (Open wound of other and unspecified extemal genital organs Exclude traumatic amputation of extemal genital organs ($38.2) ‘Multiple open wounds of abdomen, lower back and pelvis, (Open wound of other and unspecified parts of abdomen Fracture of hanbar spine and pebvis Include Lumbosacral : neural arch, spinous process, transverse process, vertebra, vertebral arch, Exclude fracture of hip NOS ($72.0) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed 0 dosed 1 open Fracture of lumbar vertebra Fracture of lumbar spine Fracture of sacrum 82$32.2 $323 $32.4 $32.5 $32.7 $32.8 833 $33.0 $33.1 $33.2 $333 $334 $335 $33.6 $337 834 $34.0 $34.1 $34.2 $343 344 $345 Fracture of coccyst Fracture of lium Fracture of acetabulum Fracture of pubis ‘Multiple fractures of lumbar spine and pelvis Fracture of other and unspecified parts of lumbar spine and pelvis Fracture of ischium, lumbosacral spine NOS, pelvis NOS Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis Exclude dislocation, sprain and strain of joint and ligaments of hip (S73_-) obstetric damage to pelvic joints and ligaments (071.6) ‘rupture or displacement (nontraumatic) of lumbar intervertebral disc (MS1_-) ‘Traumatic rupture of lumbar intervertebral disc Dislocation of lumbar vertebra Dislocation of lumbar spine NOS Dislocation of sacroiliac and sacrococcygeal joint Dislocation of other and unspecified parts of lumbar spine and pelvis ‘Traumatic rupture of symphysis pubis, Sprain and strain of lumbar spine Sprain and strain of sacroiliac joint ‘Sprain and strain of other and unspecified parts of lumbar spine and pelvis Injury of nerves and hanbar spinal cord at abdomen, lower back and pebvis level Concussion and oedema of lumbar spinal cord Other injury of lumbar spinal cord Injury of nerve root of lumbar and sacral spine Injury of cauda equina Injury of lumbosacral plexus Injury of lumbar, sacral and pelvic sympathetic nerves 83$34.6 $34.8 835 $35.0 $35.1 $35.2 $353 $354 $35.5 $357 $358 $35.9 836 Coeliac ganglion or plexus, Hypogastric plexus, Mesenteric plexus (inferion)(superior), Splanchnic nerve Injury of peripheral nerve(s) of abdomen, lower back and pelvis Injury of other and unspecified nerves at abdomen, lower back and pelvis level Injury of blood vessels at abdomen, lower back and pebris level Injury of abdominal aorta Exclude: aorta NOS ($25.0) Injury of inferior vena cava Hepatic vein Exclude : vena cava NOS ($25.2) Injury of coeliac or mesenteric artery Gastric artery, Gastroduodenal artery, Hepatic artery, Mesenteric artery (inferion)(superior), Splenic artery Injury of portal or splenic vein ‘Mesenteric vein (inferior)(superior) Injury of renal blood vessels Renal artery or vein Injury ofiliac blood vessels, Hypogastricartery or vein, liac artery or vein, Uterine artery or vein Injury of multiple blood vessels at abdomen, lower back and pelvis level Injury of other blood vessels at abdomen, lower back and pelvis level Ovarian artery or vein Injury of unspecified blood vessel at abdomen, lower back and pelvis level Injury of intra-abdominal organs ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding O without open wound into cavity 1 with open wound into cavity 34$36.0 $36.1 $36.2 $36.3 $364 $36.5 $36.6 $36.7 $36.8 $36.9 S37 $37.0 S371 $37.2 $373 S374 S375 $37.6 8377 S378 $37.9 Injury of spleen. Injury of liver or gallbladder Bile duct Injury of pancreas Injury of stomach Injury of small intestine Injury of colon Injury of rectum Injury of multiple intra-abdominal organs Injury of other intra-abdominal organs Peritoneum, Retroperitoneum Injury of unspecified intra-abdominal organ Injury of urinary and pelvic organs Exclude : peritoneum and retroperitoneum ($36.8) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding 0 without open wound into cavity 1 with open wound into cavity Injury of kidney Injury of ureter Injury of bladder Injury of urethra Injury of ovary Injury of fallopian tube Injury of uterus Injury of multiple pelvic organs Injury of other pelvic organs Arenal gland, Prostate, Seminal vesicle, Vas deferens Exclude Open wound of other and unspecified extemal genital organs ($31.5) Injury of unspecified pelvic organ 85S38 Crushing injury and traumatic angputation of part of abdomen, lower back and pelvis, $38.0 Crushing injury of extemal genital organs S381 Crushing injury of other and unspecified parts of abdomen, lower back and pelvis $38.2 ‘Traumatic amputation of extemal genital organs Labium (majus)(minus), Penis, Scrotum, Testis, Vulva $383 ‘Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis Exclude: transection of abdomen (T05.8) 839 Other and unspecified injuries of abdomen, lower back and pebris $39.0 Injury of muscle and tendon of abdomen, lower baci and pelvis, $39.6 Injury of intra-abdominal organs) with pelvic organ(s) $397 Other multiple injuries of abdomen, lower back and pelvis, Injuries classifiable to more than one of the categories $30-S39.6 Exclude: injuries in $36.- with injuries in $37. - ($39.6) $308 Other specified injuries of abdomen, lower back and pelvis $39.9 Unspecified injury of abdomen, lower back and pelvis, Injuries to the shoulder and upper arm (S40-S49) Include injuries of axilla, scapular region Exclude bilateral involvement of shoulder and upper arm (TO0-T07) bums and corrosions (T20-T32) frostbite (133-135) injuries of + arm, level unspecified (T10-T11) + elbow ($50-S59) insect bite or sting, venomous (163.4) 86S40 $40.0 $40.7 $40.8 $40.9 S41 S410 S411 S417 S418 S42 $42.0 $42.1 $42.2 $423 Superficial injury of shoulder and upper arm Contusion of shoulder and upper arm ‘Multiple superficial injuries of shoulder and upper arm Other superficial injuries of shoulder and upper arm ‘Superficial injury of shoulder and upper arm, unspecified Open wound of shoulder and upper arm Exclude traumatic amputation of shoulder and upper arm ($48.-) (Open wound of shoulder (Open wound of upper arm ‘Multiple open wounds of shoulder and upper arm (Open wound of other and unspecified parts of shoulder girdle Fracture of shoulder and upper arm ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed Lopen Fracture of clavicle Clavicle : acromial end, shaft Collar bone Fracture of scapula Acromial process, Acromion (process), Scapula (body)(glenoid cavity\ineck), Shoulder blade Fracture of upper end of humerus Anatomical neck, Great tuberosity, Proximal end, Surgical neck, Upper epiphysis Fracture of shaft of humerus Humerus NOS, Upper am NOS 87$42.4 $42.7 $42.8 $42.9 S43 $43.0 $43.1 $43.2 $433 S434 $435 843.6 $437 ‘S44 $44.0 $44.1 $44.2 $44.3 Fracture of lower end of humerus Articular process, Distal end, Extemal condyle, Intercondylar, Intemal epicondyle, Lower epiphysis, Supracondylar Exclude fracture of elbow NOS ($52.0) ‘Multiple fractures of clavicle, scapula and humerus Fracture of other parts of shoulder and upper arm Fracture of shoulder girdle, part unspecified Fracture of shoulder NOS Dislocation, sprain and strain of joints and ligaments of shoulder girdle Dislocation of shoulder joint Glenohumeral joint Dislocation of acromioclavicular joint Dislocation of stemociavicular joint Dislocation of other and unspecified parts of shoulder girdle Dislocation of shoulder girdle NOS Sprain and strain of shoulder joint Coracohumeral (ligament), Rotator cuff capsule Sprain and strain of acromioclavicular joint Acromioclavicular ligament Sprain and strain of stemoclavicular joint ‘Sprain and strain of other and unspecified parts of shoulder girdle ‘Sprain and strain of shoulder girdle NOS Injury of nerves at shoulder and upper arm level Exclude: injury of brachial plexus (14.3) Injury of ulnar nerve at upper arm level Exclude ulnar nerve NOS ($54.0) Injury of median nerve at upper arm level Exclude : median nerve NOS ($54.1) Injury of radial nerve at upper am level Exclude: radial nerve NOS ($54.2) Injury of axillary nerve 88444 44.5 $44.7 $44.8 $44.9 SAS $45.0 $45.1 $45.2 $453 $457 S458 $45.9 S46 $46.0 $46.1 $46.2 846.3 $46.7 846.8 $46.9 S48 Injury of musculocutaneous nerve Injury of cutaneous sensory nerve at shoulder and upper arm level Injury of multiple nerves at shoulder and upper arm level, Injury of other nerves at shoulder and upper arm level Injury of unspecified nerve at shoulder and upper arm level Injury of blood vessels at shoulder and upper arm level Exclude injury of subclavian : artery ($25.1), vein ($25.3 Injury of axillary artery Injury of brachial artery Injury of axillary or brachial vein Injury of superficial vein at shoulder and upper arm level, Injury of multiple blood vessels at shoulder and upper am level Injury of other blood vessels at shoulder and upper arm level Injury of unspecified blood vessel at shoulder and upper arm level Injury of muscle and tendon at shoulder and upper arm level Exclude: injury of muscle and tendon at or below elbow (S56_-) Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder Injury of muscle and tendon of long head of biceps Injury of muscle and tendon of other parts of biceps Injury of muscle and tendon of triceps Injury of multiple muscles and tendons at shoulder and upper arm level Injury of other muscles and tendons at shoulder and upper arm level Injury of unspecified muscle and tendon at shoulder and upper arm level Crushing injury of shoulder and upper arm Exclude : crushing injury of elbow ($57.0) ‘Traumatic amputation of shoulder and upper arm Exclude traumatic amputation 89+ at elbowlevel ($58.0) + ofan, level unspecified (11.6) s48.0 ‘Traumatic amputation at shoulder joint S481 ‘Traumatic amputation at level between shoulder and elbow S439 ‘Traumatic amputation of shoulder and upper am, level unspecified S49 Other and unspecified injuries of shoulder and upper arm s497 ‘Multiple injuries of shoulder and upper arm Injuries classifiable to more than one of the categories S40-S48 S498 Other specified injuries of shoulder and upper arm s49.9 ‘Unspecified injury of shoulder and upper arm. Injuries to The Elbow and Forearm ($50-S59) Exclude bilateral involvement of elbow and forearm (T00-T07) bums and corrosions (T20-T32) frostbite (133-135) injuries of + arm, level unspecified (T10-T11) + wrist and hand ($60-S69) insect bite or sting, venomous (163.4) 850 ‘Superficial injury of forearm Exclude : superficial injury of wrist and hand (S60-) $50.0 Contusion of elbow S501 Contusion of other and unspecified parts of foream_ $507 ‘Multiple superficial injuries of forearm $508 Other superficial injuries of forearm s509 ‘Superficial injury of forearm, unspecified ‘Superficial injury of elbow NOS 90S51 $51.0 S517 S518 S519 S52 $52.0 $52.1 $52.2 $923 $52.4 $52.5 $52.6 $52.7 $52.8 Open wound of forearm Exclude : open wound of wrist and hand (S61_-), traumatic amputation of forearm ($58) Open wound of elbow ‘Multiple open wounds of forearm Open wound of other parts of forearm. Open wound of forearm, part unspecified Fracture of forearm Exclude: fracture at wrist and hand level (S62_-) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed 1 open Fracture of upper end of ulna Coronoid process, Elbow NOS, Monteggia's fracture-dislocation, Olecranon process, Proximal end Fracture of upper end of radius Head, Neck, Proximal end Fracture of shaft of ulna Fracture of shaft of radius Fracture of shafts of both ulna and radius Fracture of lower end of radius Colles' fracture, Smith's fracture Fracture of lower end of both ulna and radius ‘Multiple fractures of forearm Exclude Fractures of both ulna and radius : lower end (52.6), shafts (852.4) Fracture of other parts of forearm. Lower end of ulna, Head of ulna on$52.9 S53 $53.0 $93.1 $93.2 $933 $934 S54 $54.0 $54.1 $54.2 $54.3 $54.7 $54.8 $54.9 S55 Fracture of forearm, part unspecified Dislocation, sprain and strain of joints and ligaments of elbow Dislocation of radial head Radiohumeral joint Exclude: Mont a's fracture-dislocation ($52.0) Dislocation of elbow, unspecified Ulnohumeral joint Exclude dislocation of radial head alone ($53.0) ‘Traumatic rupture of radial collateral ligament ‘Traumatic rupture of ulnar collateral Ligament Sprain and strain of elbow Injury of nerves at forearm level Exclude injury of nerves at wrist and hand level (S64_-) Injury of ulnar nerve at forearm Level Ulnar nerve NOS Injury of median nerve at forearm Level ‘Median nerve NOS Injury of radial nerve at forearm level Radial nerve NOS Injury of cutaneous sensory nerve at forearm level Injury of multiple nerves at forearm level Injury of other nerves at forearm level Injury of unspecified nerve at forearm level Injury of blood vessels at forearm level Exclude injury of + blood vessels at wrist and hand level (S65.-) + brachial vessels ($45.1-$45.2) 92$55.0 $55.1 $55.2 $557 $558 $55.9 S56 $56.0 $56.1 $56.2 $56.3 $564 $56.5 $56.7 $56.8 S87 $57.0 S978 $57.9 S58 $58.0 $58.1 $58.9 859 Injury of ulnar artery at forearm level Injury of radial artery at forearm level Injury of vein at forearm level Injury of multiple blood vessels at forearm level Injury of other blood vessels at forearm level Injury of unspecified blood vessel at forearm level Injury of muscle and tendon at forearm level Exclude: injury of muscle and tendon at or below wrist (S66.-) Injury of flexor muscle and tendon of thumb at forearm level Injury of long flexor muscle and tendon of other finger(s) at forearm level Injury of other flexor muscle and tendon at forearm level Injury of extensor or abductor muscles and tendons of thumb at forearm level Injury of extensor muscle and tendon of other finger(s) at forearm Level Injury of other extensor muscle and tendon at forearm level Injury of multiple muscles and tendons at forearm level Injury of other and unspecified muscles and tendons at forearm level Crushing injury of forearm Exclude : crushing injury of wrist and hand (S67.-) Crushing injury of elbow Crushing injury of other parts of forearm Crushing injury of forearm, part unspecified ‘Traumatic amputation of forearm Exclude: traumatic amputation of wrist and hand (S68_-) ‘Traumatic amputation at elbow level ‘Traumatic amputation at level between elbow and wrist ‘Traumatic amputation of forearm, level unspecified Other and unspecified injuries of forearm Exclude other and unspecified injuries of wrist and hand (S69_-) 93$597 ‘Multiple injuries of forearm Injuries classifiable to more than one of the categories S50-S58 $598 Other specified injuries of forearm $59.9 Unspecified injury of forearm Injuries to The Wrist and Hand (S60-S69) Exclude: bilateral involvement of wrist and hand (TO0-T07) bums and corrosions (T20-T32) frostbite (133-135) injuries of arm, level unspecified (T10-T11) insect bite or sting, venomous (163.4) S60 Superficial injury of wrist and hand $60.0 Contusion of finger(s) without damage to nail Contusion of finger(s) NOS Exclude * contusion involving nail (matrix) ($60.1) S601 Contusion of finger(s) with damage to nail $60.2 Contusion of other parts of wrist and hand $607 ‘Multiple superficial injuries of wrist and hand S608 Other superficial injuries of wrist and hand S609 ‘Superficial injury of wrist and hand, unspecified ‘S61 Open wound of wrist and hand Exclude: traumatic amputation of wrist and hand (S68_-) $61.0 (Open wound of finger(s) without damage to nail (Open wound of finger(s) NOS Exclude : open wound involving nail (matrix) (S61.1) S611 (Open wound of finger(s) with damage to nail $617 ‘Multiple open wounds of wrist and hand S618 (Open wound of other parts of wrist and hand S619 (Open wound of wrist and hand part, part unspecified 94S62 362.0 $62.1 362.2 $62.3 862.4 $62.5 362.6 $62.7 $62.8 S63 $63.0 Fracture at wrist and hand level Exclude: fracture of distal parts of ulna and radius (S52_-) The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed Lopen Fracture of navicular [scaphoid] bone of hand Fracture of other carpal bone(s) Capitate [os magnum], Hamate [unciform], Lunate [semilunar], Pisiform, Trapecium [greater multangular], Trapezoid [lesser multangular), Triquetram [cuneiform of carpus] Fracture of first metacarpal bone Bennett's fracture Fracture of other metacarpal bone ‘Multiple fractures of metacarpal bones Fracture of thumb Fracture of other finger ‘Multiple fractures of fingers Fracture of other and unspecified parts of wrist and hand Dislocation, sprain and strain of joints and ligaments at wrist and hand level Dislocation of waist Carpal (bone) Carpometacarpal (joint) ‘Metacarpal (bone), proximal end Midcarpal (joint) Radiocarpal (joint) Radioulnar (joint), distal Radius, distal end Ulna, distal end 95863.1 $63.2 $63.3 863.4 $63.5 $63.6 863.7 S64 364.0 864.1 364.2 $64.3 864.4 864.7 864.8 $64.9 S65 865.0 Dislocation of finger Interphalangeal (joint), hand ‘Metacarpal (bone), distal end ‘Metacarpophalangeal (joint) Phalans, hand Thumb ‘Multiple dislocations of fingers ‘Traumatic rupture of ligament of wrist and carpus Collateral (wrist), Radiocarpal (Ligament), Ulnocarpal (palmar) Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) Collateral, Palmar, Volar plate Sprain and strain of wrist Carpal (joint), Radiocarpal (joint) (ligament) Sprain and strain of finger(s) Interphalangeal (joint), hand ‘Metacarpophalangeal (joint) Phalans, hand Thumb ‘Sprain and strain of other and unspecified parts of hand Injury of nerves at wrist and hand level Injury of ulnar nerve at wrist and hand Level Injury of median nerve at wrist and hand level Injury of radial nerve at wrist and hand level Injury of digital nerve of thumb Injury of digital nerve of other finger Injury of multiple nerves at wrist and hand level Injury of other nerves at wrist and hand level Injury of unspecified nerve at wrist and hand level Injury of blood vessels at wrist and hand level Injury of ulnar artery at wrist and hand level 96865.1 365.2 $65.3 865.4 $65.5 $65.7 865.8 $65.9 S66 $66.0 866.1 $66.2 $66.3 866.4 $66.5 $66.6 $66.7 $66.8 $66.9 S67 867.0 867.8 S68 $68.0 $68.1 $68.2 $68.3 $68.4 $68.8 Injury of radial artery at wrist and hand level Injury of superficial palmar arch Injury of deep palmar arch Injury of blood vessel(s) of thumb Injury of blood vessel(s) of other finger Injury of multiple blood vessels at wrist and hand level Injury of other blood vessels at wrist and hand level Injury of unspecified blood vessel at wrist and hand level, Injury of muscle and tendon at wrist and hand level Injury of long flexor muscle and tendon of thumb at wrist and hand level Injury of flexor muscle and tendon of other finger at wrist and hand level Injury of extensor muscle and tendon of thumb at wrist and hand level Injury of extensor muscle and tendon of other finger at wrist and hand level Injury of intrinsic muscle and tendon of thumb at wrist and hand level Injury of intrinsic muscle and tendon of other finger at wrist and hand level Injury of multiple flexor muscles and tendons at wrist and hand level Injury of multiple extensor muscles and tendons at wrist and hand Level Injury of other muscles and tendons at wrist and hand level Injury of unspecified muscle and tendon at wrist and hand level Crushing injury of wrist and hand Crushing injury of thumb and other finger(s) Crushing injury of other and unspecified parts of wrist and hand ‘Traumatic amputation of wrist and hand ‘Traumatic amputation of thumb (complete)(partial) ‘Traumatic amputation of other single finger (complete)(partial) ‘Traumatic amputation of two or more fingers alone (complete)(partial) Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand ‘Traumatic amputation of hand at wrist level ‘Traumatic amputation of other parts of wrist and hand 97$68.9 ‘Traumatic amputation of wrist and hand, level unspecified S69 Other and unspecified injuries of wrist and hand $697 ‘Multiple injuries of wrist and hand Injuries classifiable to more than one of the categories S60-S68 $69.8 Other specified injuries of wrist and hand $69.9 Unspecified injury of wrist and hand Injuries to The Hip and Thigh (S70-S79) Exclude bilateral involvement of hip and thigh (TO0-T07) bums and corrosions (T20-T32) frostbite (133-135) injuries of leg, level unspecified (T12-T13) insect bite or sting, venomous (T63.4) ‘S70 ‘Superficial injury of hip and thigh $70.0 Contusion of hip S701 Contusion of thigh $707 ‘Multiple superficial injuries of hip and thigh S708 Other superficial injuries of hip and thigh s709 ‘Superficial injury of hip and thigh, unspecified ‘S71 Open wound of hip and thigh Exclude: traumatic amputation of hip and thigh (S78.-) s71.0 Open wound of hip S71 Open wound of thigh S717 ‘Multiple open wounds of hip and thigh S718 (Open wound of other and unspecified parts of pelvic girdle S72 Fracture of femur ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding 98$72.0 872.1 $72.2 8723 s72.4 872.7 872.8 $72.9 S73 873.0 873.1 S74 $74.0 874.1 874.2 S747 S748 $74.9 S75 $75.0 875.1 to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed Lopen Fracture of neck of femur Fracture of hip NOS Pertrochanteric facture Intertrochanteric fracture, Trochanteric fracture ‘Subtrochanteric fracture Fracture of shaft of femur Fracture of lower end of femur ‘Multiple fractures of femur Fractures of other parts of femur Fracture of femur, part unspecified Dislocation, sprain and strain of joint and ligaments of hip Dislocation of hip Sprain and strain of hip Injury of nerves at hip and thigh level Injury of sciatic nerve at hip and thigh level Injury of femoral nerve at hip and thigh level Injury of cutaneous sensory nerve at hip and thigh level Injury of multiple nerves at hip and thigh level Injury of other nerves at hip and thigh level Injury of unspecified nerve at hip and thigh level Injury of blood vessels at hip and thigh level Exclude: popliteal artery ($85.0) Injury of femoral artery Injury of femoral vein at hip and thigh level 99875.2 S757 S758 S759 S76 $76.0 876.1 876.2 876.3 S764 S767 S77 S770 S771 S772 S78 $78.0 S78.1 S789 S79 879.7 $79.8 879.9 Injury of greater saphenous vein at hip and thigh level Exclude : greater saphenous vein NOS ($85.3) Injury of multiple blood vessels at hip and thigh level Injury of other blood vessels at hip and thigh level Injury of unspecified blood vessel at hip and thigh level Injury of muscle and tendon at hip and thigh level Injury of muscle and tendon of hip Injury of quadriceps muscle and tendon atellar ligament (tendon) Injury of adductor muscle and tendon of thigh Injury of muscle and tendon of the posterior muscle group at thigh level Injury of other and unspecified muscles and tendons at thigh Level Injury of multiple muscles and tendons at hip and thigh level Crushing injury of hip and thigh Crushing injury of hip Crushing injury of thigh Crushing injury of hip with thigh Traumatic amputation of hip and thigh Exclude: traumatic amputation of lower limb, level unspecified (T13.6) ‘Traumatic amputation at hip joint ‘Traumatic amputation at level between hip and knee ‘Traumatic amputation of hip and thigh, level unspecified Other and specified injuries of hip and thigh ‘Multiple injuries of hip and thigh Injuries classifiable to more than one of the categories S70-S78 Other specified injuries of hip and thigh ‘Unspecified injury of hip and thigh 100Injuries to The Knee and Lower Leg (S80-S89) Include: fracture of ankle and malleolus Exclude bilateral involvement of Imee and lower leg (T00-T07) bums and corrosions (T20-T32) frostbite (133-135) injuries of + ankle and foot, except fracture of ankle and malleolus (S90-S99) + leg, level unspecified (T12-T13) insect bite or sting, venomous (163.4) ‘S80 Superficial injury of lower leg Exclude : superficial injury of anide and foot (S90.-) $30.0 Contusion of Inee S801 Contusion of other and unspecified parts of lower leg $307 ‘Multiple superficial injuries of lower leg S308 Other superficial injuries of lower leg s309 ‘Superficial injury of lower leg, unspecified S81 Open wound of lower leg Exclude open wound of ankle and foot (S91), traumatic amputation of lower leg (S88) $81.0 (Open wound of nee S817 ‘Multiple open wounds of lower leg S818 (Open wound of other parts of lower leg S319 (Open wound of lower leg, part unspecified 882 Fracture of lower leg, including ankle Include: malleolus Exclude fracture of foot, except ankde (S92_-) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding 01$82.0 $82.1 $82.2 $82.3 824 $82.5 $82.6 $82.7 $82.8 to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed 1 open Fracture of patella Knee cap Fracture of upper end of tibia + Tibial: © condyles head with or without mention of fiacture of fibula © proximal end © tuberosity Fracture of shaft of tibia With or without mention of fracture of fibula Fracture of lower end of tibia With or without mention of fracture of fibula Exclude : medial malleolus ($82.5) Fracture of fibula alone Exclude: lateral malleolus ($82.6) Fracture of medial malleolus Tibia involving : ankle, malleolus Fracture of lateral malleolus Fibula involving : ankle, malleolus ‘Multiple fractures of lower leg Exclude fractures of both tibia and fibula + lower end ($82.3) + shafts ($82.2) + upper end ($82.1) Fractures of other parts of lower leg Fracture (of) + ankle NOS 102$82.9 S83 $83.0 $83.1 $83.2 $833 834 $83.5 $83.6 $837 + bimalleolar + trimalleolar Fracture of lower leg, part unspecified Dislocation, sprain and strain of joints and ligaments of knee Exclude derangement of + Ime, intemal (M23) + patella (M22.0-M22.3) dislocation of knee © old 024.3) + pathological (M24.3) + recurrent (M24.4) Dislocation of patella Dislocation of knee Tibiofibular Goint) Tear of meniscus, current Bucket-handle tear (of) + NOS + lateral meniscus + medial meniscus Exclude old bucket handle tear (M232) Tear of articular cartilage of knee, current Sprain and strain involving (fibular)tibial) collateral Ligament of Imee ‘Sprain and strain involving (anterior)posterior) cruciate ligament of lnee ‘Sprain and strain of other and unspecified parts of knee Tibiofibular joint and ligament, superior Exclude sprain of patellar ligament ($76.1) Injury to multiple structures of knee Injury to (lateral)(medial) meniscus in combination with (collateral)(cruciate) ligaments 103S84 $84.0 $84.1 $84.2 $84.7 $84.8 $34.9 S85 $85.0 $85.1 $85.2 $85.3 S354 $85.5 $857 $85.8 $35.9 S86 Injury of nerves at lower leg level Exclude injury of nerves at ankle and foot level (S94.-) Injury of tibial nerve at lower leg level Injury of peroneal nerve at lower leg level Injury of cutaneous sensory nerve at lower leg level Injury of multiple nerves at lower leg level Injury of other nerves at lower leg level Injury of unspecified nerve at lower leg level Injury of blood vessels at lower leg level Exclude: injury of blood vessels at ankle and foot level (S95.-) Injury of popliteal artery Injury of (anterior)(posterior) tibial artery Injury of peroneal artery Injury of greater saphenous vein at lower leg level Greater saphenous vein NOS Injury of lesser saphenous vein at lower leg level Injury of popliteal vein Injury of multiple blood vessels at lower leg level Injury of other blood vessels at lower leg level Injury of unspecified blood vessel at lower leg level Injury of muscle and tendon at lower leg level Exclude injury of + muscle and tendon at or belowanlkle (S96.-) + patellar ligament (tendon) ($76.1) 104$86.0 $86.1 $86.2 $86.3 $86.7 $86.8 $86.9 S87 $87.0 887.8 S88 $88.0 $88.1 $88.9 S39 $89.7 $39.8 $39.9 Injury of Achilles tendon. Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level Injury of multiple muscles and tendons at lower leg level Injury of other muscles and tendons at lower leg level Injury of unspecified muscle and tendon at lower leg level Crushing injury of lower leg Exclude : crushing injury of ankle and foot (S97_-) Crushing injury of nee Crushing injury of other and unspecified parts of lower leg Traumatic amputation of lower leg Exclude traumatic amputation of + ankle and foot (S98.-) + leg, level unspecified (113.6) ‘Traumatic amputation at knee level ‘Traumatic amputation at level between imee and ankle ‘Traumatic amputation of lower leg, level unspecified Other and unspecified injuries of lower leg Exclude other and unspecified injuries of ankle and foot ($99.-) ‘Multiple injuries of lower leg Injuries classifiable to more than one of the categories S80-S83 Other specified injuries of lower leg Unspecified injury of lower leg Injuries to The Ankle and Foot (S90-S99) Exclude bilateral involvement of ankde and foot (T00-T07) 105bums and corrosions (T20-T32) fracture of ankle and malleolus (S82) frostbite (133-135) injuries of leg, level unspecified (T12-T13) insect bite or sting, venomous (T63.4) 890 $90.0 $90.1 $90.2 90.3 $90.7 90.8 90.9 S91 s91.0 SOL S912 $913 So17 892 Superficial injury of ankle and foot Contusion of ankle Contusion of toe(s) without damage to nail Contusion of toe(s) NOS Contusion of toe(s) with damage to nail Contusion of other and unspecified parts of foot ‘Multiple superficial injuries of ankle and foot Other superficial injuries of ankle and foot ‘Superficial injury of ankle and foot, unspecified Open wound of ankle and foot Exclude: traumatic amputation of ankle and foot (S98.-) Open wound of ankle (Open wound of toe(s) without damage to nail Open wound of toe(s) NOS (Open wound of toe(s) with damage to nail (Open wound of other parts of foot (Open wound of foot NOS ‘Multiple open wounds of ankle and foot Fracture of foot, except ankle Exclude: ankde ($82.-), malleolus ($82.-) ‘The followig subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound, a fracture not indicated as closed or open should be classified as closed 105$92.0 $92.1 $92.2 $92.3 $92.4 $92.5 $92.7 $92.9 S93 $93.0 $93.1 $93.2 $93.3 $934 O closed 1 open Fracture of calcaneus Heel bone, Os calcis Fracture of talus Astragalus Fracture of other tarsal bone(s) Cuboid, Cuneiform, foot (intermediate)(lateral)(medial), Navicular (foot) Fracture of metatarsal bone Fracture of great toe Fracture of other toe ‘Multiple fractures of foot Fracture of foot, unspecified Dislocation, sprain and strain of joints and ligaments at ankle and foot level Dislocation of ankde joint Astragalus Fibula, lower end Talus Tibia, lower end Dislocation of toe(s) Interphalangeal (joint(s)), Metatarsophalangeal (joint(s)) Rupture of ligaments at ankle and foot level Dislocation of other and unspecified parts of foot Navicular (foot), Tarsal (joint(s)), Tarsometatarsal (joint(s)) Sprain and strain ofankle Calcaneofibular (ligament) Deltoid (ligament) Intemnal collateral (ligament) Talofibular (ligament) Tibiofibular (ligament), distal Exclude: injury of Achilles tendon ($86.0) 107893.5 593.6 S94 $94.0 $94.1 $94.2 $94.3 $94.7 $94.8 $94.9 S95 $95.0 $95.1 $95.2 $95.7 595.8 595.9 896 $96.0 $96.1 $96.2 Sprain and strain of toe(s) Interphalangeal (joint(s)), Metatarsophalangeal (joint(s)) ‘Sprain and strain of other and unspecified parts of foot Tarsal (ligament), Tarsometatarsal (ligament) Injury of nerves at ankle and foot level Injury of lateral plantar nerve Injury of medial plantar nerve Injury of deep peroneal nerve at ankle and foot level ‘Tenminal, lateral branch of deep peroneal nerve Injury of cutaneous sensory nerve at ankle and foot level Injury of multiple nerves at ankle and foot level Injury of other nerves at ankle and foot level Injury of unspecified nerve at ankle and foot level Injury of blood vessels at ankle and foot level Exclude: injury of posterior tibial artery and vein (S85.-) Injury of dorsal artery of foot Injury of plantar artery of foot Injury of dorsal vein of foot Injury of multiple blood vessels at ankle and foot level Injury of other blood vessels at ankle and foot level Injury of unspecified blood vessel at ankle and foot level Injury of muscle and tendon at ankle and foot level Exclude: injury of Achilles tendon ($86.0) Injury of muscle and tendon of long flexor muscle of toe at ankle and foot level Injury of muscle and tendon of long extensor muscle of toe at ankle and foot level Injury of intrinsic muscle and tendon at ankle and foot level 108$96.7 596.8 $96.9 S97 $97.0 S971 597.8 598 398.0 98.1 398.2 $98.3 $98.4 599 $99.7 $99.8 $99.9 Injury of multiple muscles and tendons at ankle and foot level Injury of other muscles and tendons at anide and foot level Injury of unspecified muscle and tendon at ankle and foot level Crushing injury of ankle and foot Crushing injury of ankle Crushing injury of toe(s) Crushing injury of other parts of anide and foot Crushing injury of foot NOS ‘Traumatic amputation of ankle and foot ‘Traumatic amputation of foot at anide level ‘Traumatic amputation of one toe ‘Traumatic amputation of two or more toes ‘Traumatic amputation of other parts of foot Combined traumatic amputation of toe(s) and other parts of foot ‘Traumatic amputation of foot, level unspecified Other and unspecified injuries of ankle and foot ‘Multiple injuries of ankle and foot Injuries classifiable to more than one of the categories S90-S98 Other specified injuries of ankde and foot Unspecified injury of ankle and foot Injuries Involving Multiple Body Regions (T00-T07) Include bilateral involvement of limbs of the same body region injuries by type involving two or more body regions classifiable within SO0-S99 Exclude bums and corrosions (T20-T32) frostbite (133-135) insect bite or sting, venomous (163.4) multiple injuries involving only one body region - see S-section 109sunbum (L55.-) 00 700.0 700.1 700.2 700.3 700.6 700.8 700.9 ‘Superficial injuries involving multiple body regions ‘Superficial injuries involving head with neck ‘Superficial injuries of sites classifiable to SO0.-and S10.- Exclude : with involvement of other body region(s) (700.8) ‘Superficial injuries involving thorax with abdomen, lower back and pelvis ‘Superficial injuries of sites classifiable to S20.-, $30.-and T09.0 Exclude : with involvement of other body region(s) (700.8) ‘Superficial injuries involving multiple regions of upper limb(s) ‘Superficial injuries of sites classifiable to $40.-, $50.-, S60.-and T11.0 Exclude with involvement of + lower limbs) (700.6) + thorax, abdomen, lower back and pelvis (00.8) ‘Superficial injuries involving multiple regions of lower limb(s) ‘Superficial injuries of sites classifiable to $70.-, $80.-, $90.-and T13.0 Exclude with involvement of + thorax, abdomen, lower back and pelvis (TO0.8) + upper limb(s) (00.6) Superficial injuries involving multiple regions of upper limb(s) with lower limbs) ‘Superficial injuries of sites classifiable to T00.2 and 700.3 Exclude: with involvement of thorax, abdomen, lower back and pelvis (00.8) ‘Superficial injuries involving other combinations of body regions ‘Multiple superficial injuries, unspecified a0ToL 701.0 TOLL 701.2 701.3 01.6 TOS O19 Multiple © abrasions © blisters (nonthermal) © bruises Nos © contusions haematomas © insect bites (nonvenomous) Open wounds involving multiple body regions Exclude : traumatic amputations involving multiple body regions (105 -) (Open wounds involving head with neck (Open wounds of sites classifiable to SD1.- and S11 - Exclude : with involvement of other body region(s) (T01.8) Open wounds involving thorax with abdomen, lower back and pelvis, (Open wounds of sites classifiable to S21 -, $31.-and TO9.1 Exclude : with involvement of other body region(s) (T01.8) (Open wounds involving multiple regions of upper limb(s) (Open wounds of sites classifiable to S41 -, $51.-, S61.-and T11.1 Exclude with involvement of + lower limb(s) (TO1.6) + thorax, abdomen, lower back and pelvis (TO1.8) (Open wounds involving multiple regions of lower limb(s) (Open wounds of sites classifiable to $71 -, S81.-, S91.-and T13.1 Exclude with involvement of + thorax, abdomen, lower back and pelvis (TO1.8) + upper limb(s) (T01.6) (Open wounds involving multiple regions of upper limb(s) with lower limb(s) (Open wounds of sites classifiable to TO1.2 and TO1 3 Exclude: with involvement of thorax, abdomen, lower back and pelvis (TO1.8) (Open wounds involving other combinations of body regions ‘Multiple open wounds, unspecified a02 702.0 702.1 702.2 702.3 Multiple © animal bites © cuts Nos © lacerations © puncture wounds Fractures involving multiple body regions ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed O closed Lopen Fractures involving head with neck Fractures of sites classifiable to SO2.- and S12.- Exclude : with involvement of other body region(s) (T02.8) Fractures involving thorax with lower back and pelvis Fractures of sites classifiable to S22.-, $32.-and TO8 Exclude ‘when combined with fractures of + limb(s) (102.2) + other body region(s) (T02.8) Fractures involving multiple regions of one upper limb Fractures of sites classifiable to S42.-, $52.-, S62.- and T1O of one upper limb Exclude ‘when combined with fractures of + lower limbs) (702.6) + other upper limb (702.4) + thorax, lower back and pelvis (T02.7) Fractures involving multiple regions of one lower limb Fractures of sites classifiable to S72.-, S82.-, $92.- and T12 of one lower limb Exclude 27024 702.5 702.6 7027 702.8 702.9 03 703.0 703.1 ‘when combined with fractures of + other lower limb (102.5) + thorax, lower back and pelvis (T02.7) + upper limb(s) (02.6) Fractures involving multiple regions of both upper limbs Fractures of sites classifiable to S42.-, $52, S62- and TIO specified as bilateral Exclude ‘when combined with fractures of + lower limbs) (702.6) + thorax, lower back and pelvis (T02.7) Fractures involving multiple regions of both lower limbs Fractures of sites classifiable to S72.-, S82, S92.- and T12 specified as bilateral Exclude ‘when combined with fractures of + thorax, lower back and pelvis (T02.7) + upper limb(s) (02.6) Fractures involving multiple regions of upper limb(s) with lower limb(s) Exclude : when combined with fractures of thorax, lower back and pelvis q02.) Fractures involving thorax with lower back and pelvis with limb(s) Fractures involving other combinations of body regions ‘Multiple fractures, unspecified Dislocations, sprains and strains involving multiple body regions Dislocations, sprains and strains involving head with neck. Dislocations, sprains and strains of sites classifiable to S03.-and $13. Exclude : when combined with dislocations, sprains and strains of other body region(s) (103.8) Dislocations, sprains and strains involving thorax with lower back and pelvis, Dislocations, sprains and strains of sites classifiable to $23.-, $33.-and T09.2 a3703.2 703.3 7034 703.8 703.9 04 704.0 704.1 Exclude : when combined with dislocations, sprains and strains of other body region(s) (103.8) Dislocations, sprains and strains involving multiple regions of upper limb(s) Dislocations, sprains and strains of sites classifiable to $43 -, $53.-, S63. and TH2 Exclude ‘when combined with dislocations, sprains and strains of + lower limb(s) (103.4) + thorax, lower back and pelvis (103.8) Dislocations, sprains and strains involving multiple regions of lower limb(s) Dislocations, sprains and strains of sites classifiable to S73, S83.-, $93.- and 13.2 Exclude ‘when combined with dislocations, sprains and strains of + thorax, lower back and pelvis (103.8) + upper limb(s) (03.4) Dislocations, sprains and strains involving multiple regions of upper limb(s) ‘with lower limb(s) Exclude © when combined with dislocations, sprains and strains of thorax, lower back and pelvis (103.8) Dislocations, sprains and strains involving other combinations of bady regions ‘Multiple dislocations, sprains and strains, unspecified Crushing injuries involving multiple body regions Crushing injuries involving head with neck. Crushing injuries of sites classifiable to S07 - and S17.- Exclude : with involvement of other body region(s) (704.8) Crushing injuries involving thorax with abdomen, lower back and pelvis, Crushing injury of + sites classifiable to S28.- and S38.- + trunk NOS Exclude with involvement of ua704.2 704.3 704.4 704.7 704.8 704.9 0s + limbs (704.7) + other body regions (704.8) Crushing injuries involving multiple regions of upper limb(s) Crushing injury of + sites classifiable to S47_-, $57.-and S67.- + upper limb NOS Exclude with involvement of + lower limb(s) (704.4) + thorax, abdomen, lower back and pelvis (T04.7) Crushing injuries involving multiple regions of lower limb(s) Crushing injury of + lower limb NOS + sites classifiable to S77_-, $87.-and S97.- Exclude with involvement of + thorax, abdomen, lower back and pelvis (T04.7) + upper limb(s) (04.4) Crushing injuries involving multiple regions of upper limb(s) with lower limbs) Exclude: with involvement of thorax, abdomen, lower back and pelvis (T04.7) Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s) Crushing injuries involving other combinations of body regions ‘Multiple crushing injuries, unspecified Traumatic amputations involving multiple body regions Include : avulsion involving multiple body regions Exclude decapitation (S18) open wounds involving multiple body regions (TO1.-) traumatic amputation of + armNOS (T1L.6) + legNOS (113.6) us705.0 705.1 705.2 705.3 705.4 705.5 705.6 705.8 705.9 106 706.0 706.1 706.2 706.3 7064 706.5 706.8 r07 + trunk NOS (09.6) ‘Traumatic amputation of both hands ‘Traumatic amputation of one hand and other arm [any level, except hand] ‘Traumatic amputation of both arms [any level] ‘Traumatic amputation of both feet ‘Traumatic amputation of one foot and other leg [any level, except foot] ‘Traumatic amputation of both legs [any level] ‘Traumatic amputation of upper and lower limbs, any combination [any level] ‘Traumatic amputations involving other combinations of body regions Transection of : abdomen, thorax ‘Multiple traumatic amputations, unspecified Other injuries involving multiple body regions, not elsewhere classified Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck level Injuries classifiable to S04.- and SO6.- with injuries classifiable to S14.- Injuries of nerves and spinal cord involving other multiple body regions Injuries of nerves involving multiple body regions ‘Multiple injuries of nerves NOS Exclude : with spinal cord involvement (706.0-T06.1) Injuries of blood vessels involving multiple body regions Injuries of muscles and tendons involving multiple body regions Injuries of intrathoracic organs with intra-abdominal and pelvic organs Other specified injuries involving multiple body regions Unspecified multiple injuries Exclude injury NOS (14.9) Injuries to Unspecified Part of Trunk, Limb or Body Region (T08-T14) Exclude bums and comosions (T20-T32) frostbite (133-135) injuries involving multiple body regions (T00-T07) usinsect bite or sting, venomous (163.4) 08 09 709.0 709.1 709.2 709.3 709.4 709.5 709.6 709.8 709.9 10 Fracture of spine, level unspecified Exclude : multiple fractures of spine, level unspecified (TO2.1) The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed 0 closed 1 open, Other injuries of spine and trunk, level unspecified Exclude : crushing injury of trunk NOS (704.1), multiple injuries of trunk (00-706), transection of trunk (05.8) ‘Superficial injury of trunk, level unspecified Open wound of trunk, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of trunk Injury of spinal cord, level unspecified Injury of unspecified nerve, spinal nerve root and plexus of trunk Injury of unspecified muscle and tendon of trunk ‘Traumatic amputation of trunk level unspecified Other specified injuries of trunk, level unspecified Unspecified injury of trunk, level unspecified Fracture of upper limb, level unspecified Include : Broken arm NOS, Fracture of arm NOS, Exclude : multiple fractures of upper limb, level unspecified (T02_-) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed 0 closed 1 open a7Tu T1L0 Tid T1112 Tu3 m4 TIS T1L6 TIS Tg ra TI Other injuries of upper limb, level unspecified Exclude crushing injury of upper limb NOS (T04.2) fracture of upper limb, level unspecified (T10) injuries involving multiple body regions (T00-T06) ‘Superficial injury of upper limb, level unspecified (Open wound of upper limb, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of upper limb, level unspecified Injury of unspecified nerve of upper limb, level unspecified Injury of unspecified blood vessel of upper limb, level unspecified Injury of unspecified muscle and tendon of upper limb, level unspecified ‘Traumatic amputation of upper limb, level unspecified ‘Traumatic amputation of arm NOS Other specified injuries of upper limb, level unspecified ‘Unspecified injury of upper limb, level unspecified Injury of arm NOS Fracture of lower limb, level unspecified Include : Broken leg NOS, Fracture of leg NOS Exclude : multiple fractures of leg, level unspecified (TO2-) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classifieds closed 0 open 1 closed Other injuries of lower limb, level unspecified Exclude ‘crushing injury of lower limb NOS (T04.3) fracture of lower limb, level unspecified (T12) injuries involving multiple body regions (T00-T06) us713.0 TI31 713.2 1133 134 7135 713.6 T138 T139 T14 7140 TI41 ‘Superficial injury of lower limb, level unspecified (Open wound of lower limb, level unspecified Dislocation, sprain and strain of unspecified joint and ligament of lower limb, level unspecified Injury of unspecified nerve of lower limb, level unspecified Injury of unspecified blood vessel of lower limb, level unspecified Injury of unspecified muscle and tendon of lower limb, level unspecified ‘Traumatic amputation of lower limb, level unspecified ‘Traumatic amputation of leg NOS Other specified injuries of lower limb, level unspecified ‘Unspecified injury of lower limb, level unspecified Injury of leg NOS Injury of unspecified body region Exclude: injuries involving multiple body regions (T00-T07) ‘Superficial injury of unspecified body region + Abrasion + Blister (nonthermal) + Bruise + Confusion + Haematoma Nos + Injury from superficial foreign body (splinter) without major open wound + Insect bite (nonvenomous) + Superficial injury Exclude : multiple superficial injuries NOS (T00.9) Open wound of unspecified body region + Animal bite + Cut + Laceration Nos + Open wound + Puncture wound with (penetrating) foreign body us714.2 7143 Exclude Multiple + open wounds NOS (TO1.9) + traumatic amputations NOS (705.9) traumatic amputation NOS (T14.7) Fracture of unspecified body region Fracture + NOS + dosed NOS + dislocated NOS + displaced NOS + open NOs Exclude : multiple fractures NOS (102.9) ‘The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed 0 open 1 closed Dislocation, sprain and strain of unspecified body region, Avulsion Laceration Sprain Strain Traumatic Of | joint (capsule) |] Nos haemarthrosis ligament rupture subluxation tear Exclude : multiple dislocations, sprains and strains NOS (03.9) 1207144 7145 714.6 147 Injury of nerve(s) of unspecified body region Injury of nerve Traumatic © division of nerve Nos haematomyelia © paralysis (transient) Exclude : multiple injuries of nerves NOS (106.2) Injury of blood vessel(s) of unspecified body region Avulsion Cut Injury Laceration Traumatic of blood vessel(s) NOS © aneurysm or fistula (arteriovenous) © arterial haematoma © rupture Exclude : multiple injuries of blood vessels NOS (106.3) Injury of muscles and tendons of unspecified body region Avulsion Cut Injury Laceration of muscle(s) NOS and tendon(s) NOS Sprain Strain Traumatic rupture Exclude : multiple injuries of tendons and muscles NOS (06.4) Crushing injury and traumatic amputation of unspecified body region Crushing injury NOS, Traumatic amputation NOS Exclude Multiple + crushing injuries NOS (T04.9) + traumatic amputations NOS (705.9) aaT1438 Other injuries of unspecified body region 149 Injury, unspecified Exclude : multiple injuries NOS (107) 122