Wounds of various locations. Incised wound of the hand S23 Dislocation, stretching and overstrain of the capsular-ligamentous apparatus of the chest

RCHR (Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan)
Version: Archive - Clinical protocols of the Ministry of Health of the Republic of Kazakhstan - 2007 (Order No. 764)

Open wounds involving multiple areas of the body (T01)

general information

Short description

Wound- damage to body tissues due to mechanical impact, accompanied by a violation of the integrity of the skin and mucous membranes.

Protocol code: H-S-026 "Wounds various localizations"

Profile: surgical

Stage: hospital

ICD-10 code(s):

T01 Open wounds involving multiple areas of the body

S21 Open wound chest

S31 Open wound of the abdomen, lower back and pelvis

S41 Open wound of the shoulder girdle and shoulder

S51 Open wound of the forearm

S61 Open wound of wrist and hand

S71 Open wound area hip joint and hips

S81 Open wound of the leg

S91 Open wound of the ankle and foot area

S16 Injury to muscles and tendons at the neck level

S19 Other and unspecified neck injuries

S19.7 Multiple neck injuries

S19.8 Other specified neck injuries

S19.9 Neck injury, unspecified

T01.0 Open wounds of the head and neck

T01.1 Open wounds of the chest, abdomen, lower back and pelvis

T01.2 Open wounds of several areas of the upper limb(s)

T01.3 Open wounds of several areas of the lower limb(s)

T01.6 Open wounds of several areas of the upper and lower extremities

T01.8 Other combinations of open wounds involving multiple areas of the body

T01.9 Multiple open wounds, unspecified

Classification

1. Stabbed - as a result of exposure to a sharp object.

2. Cut - as a result of exposure to a sharp long object, no less than 0.5 cm in size.

3. Bruised - as a result of exposure to an object of large mass or high speed.

4. Bitten - as a result of the bite of an animal, less often a person.

5. Scalped - detachment of the skin and subcutaneous tissue from the underlying tissue occurs.

6. Firearms - as a result of the action of a firearm.

Diagnostics

Diagnostic criteria:

Pain syndrome in the injured limb;

Forced position of the injured limb;

Limited or absent limb mobility;

Changes in soft tissue over the fracture site (swelling, hematoma, deformation, etc.);

Crepitation upon palpation of the suspected injured area of ​​the leg;

Associated neurological symptoms (lack of sensitivity, coldness, etc.);

Damage to the skin according to the above classification;

X-ray signs of injury to underlying tissues.

List of main diagnostic measures:

1. Determination of the type of injury in accordance with the given classification.

2. Determination of the degree of dysfunction of the injured organ (range of motion).

3. Clinical examination of the patient (see diagnostic criteria).

4. X-ray examination of the injured lower leg in 2 projections.

5. General analysis blood.

6. General urine analysis.

7. Coagulogram.

8. Biochemistry.

9. HIV, HbsAg, Anti-HCV.

List of additional diagnostic measures:

1. Determination of blood group and Rh factor.

2. Determination of sensitivity to antibiotics.

3. Determination of blood sugar.

Treatment

Treatment tactics

Treatment goals: timely diagnosis wounds taking into account their localization, determination of therapeutic tactics (conservative, surgical), prevention of possible complications.

Treatment: the need for anesthesia depends on the type of wound according to the classification. Taking into account the violation of the integrity of the skin, it is necessary to administer tetanus toxoid.

Conservative treatment:

1. Primary debridement wounds.

2. If the wound is not infected, antibiotic prophylaxis is not carried out.

Surgical treatment:

1. Application of primary sutures in the absence of signs of wound infection.

2. Antibiotic prophylaxis is carried out for 3-5 days for wounds received more than 8 hours ago with a high risk of infection:

Wounds moderate severity and heavy;

Wounds reaching a bone or joint;

Hand wounds;

Immunodeficiency state;

Wounds of the external genitalia;

Bite wounds.

3. Surgical treatment of wounds is indicated when damage to a nerve or vascular bundle is confirmed.

The results of multicenter studies have established that the use of antibiotic prophylaxis in patients with wounds reduces the risk of developing purulent-inflammatory complications.

Patients can be divided into 3 risk groups:

1. Injuries with damage to the skin and soft tissue less than 1 cm in length, the wound is clean.

2. Injuries with skin damage more than 1 cm in length in the absence of significant damage to the underlying tissues or significant displacements.

3. Any injuries with severe damage to underlying tissues or traumatic amputation.

Patients of risk groups 1-2 require a dose of antibiotics (as early as possible after injury), mainly with an effect on gram-positive microorganisms. For patients at risk group 3, antibiotics that act on gram-negative microorganisms are additionally prescribed.

Antibiotic prophylaxis regimens:

For patients of risk groups 1-2 - amoxicillin 500 thousand after 6 hours, 5-10 days per os;

Patients of the 3rd risk group - amoxicillin 500 thousand after 6 hours, 5-10 days per os + clavulanic acid 1 tablet 2 times.

List of essential medications:

1. *Amoxicillin tablet 500 mg, 1000 mg; capsule 250 mg, 500 mg

2. *Amoxicillin + clavulanic acid film-coated tablets 500 mg/125 mg, 875 mg/125 mg, powder for solution for intravenous administration in vials 500 mg/100 mg, 1000 mg/200 mg

3. *Cefuroxime powder for the preparation of solution for injection in a bottle 750 mg, 1.5 g

4. Ceftazidime - powder for the preparation of solution for injection in a bottle of 500 mg, 1 g, 2 g

5. Ticarcillin + clavulanic acid, lyophilized powder 3000 mg/200 mg for solution for intravenous infusion

6. *Nitrofural 20 mg tablet.

List of additional medications: no.

Indicators of treatment effectiveness: wound healing, restoration of functions of damaged organs.

* - drugs included in the list of essential (vital) medicines.

Hospitalization

Indications for hospitalization: emergency.

Information

Sources and literature

1. Protocols for diagnosis and treatment of diseases of the Ministry of Health of the Republic of Kazakhstan (Order No. 764 of December 28, 2007)
   1. 1. Evidence-based medicine. CLINICAL GUIDELINES for practicing doctors. - Moscow, Geotar-Med. - 2002. - p.523-524 2. Surgery. Guide for doctors and students. - Moscow, Geotar-Med. - 2002. - pp. 576-577 3. National Guideline Clearinghouse. Practice Managment for Prophylactic Antibiotic Use in Open Fracture: Eastern Association for the Surgery of Trauma.- 2000.- p.28 4. National Guideline Clearinghouse. Preoperative Test: the Use of Routine Preoperative Tests for Elective Surgery: Evidence, Methods&Guidance. London.-NICE.- 2003. 108p.

Information

List of developers: Ermanov E.Zh. Scientific Center of Surgery of the Ministry of Health of the Republic of Kazakhstan

Attached files

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Traumatic injuries to the body also have their own code in international classification diseases. In most cases, an incised wound of the hand according to ICD 10 will relate to one nosology, but there are exceptions, for example, superficial wounds.

Moreover, upon diagnosis it should be taken into account which structures were damaged: vessels, nerves, muscles, tendons or even bones. In the classification of open wounds of the hand, mechanical amputation is excluded.

Encoding Features

This nosology belongs to the class of traumatic injuries to the body, poisoning and some additional consequences of external influences.

According to ICD 10, a bite wound of the hand or any other open wound belongs to the wrist injury block. This is followed by a section of open wounds, which includes the following codes:

• S0 – damage without involving the nail plate;
• S1 – finger injury involving the nail;
• S7 – multiple wounds of the limb up to the level of the forearm;
• S8 – damage to other parts of the hand and wrist;
• S9 – injury to unspecified areas.

If the incised wound involves the forearm, then the coding will change, since several structures are involved in the process. The same goes for purulent complications mechanical damage.

Head - Caput

The victim was hit in the head with a heavy blunt object. In the area of ​​the bruise, in the frontoparietal region, there is a wound with uneven edges, 4 cm long, bleeding. There is crushed non-viable tissue around the wound. The bones of the skull are intact to the touch.

D.S. Contused wound of the frontoparietal region on the right.

Vulnus contusum regionis frontoparietalis dextrae.

Pain in the cheek area, aggravated by chewing. According to the victim, three days ago there was a large abrasion on his cheek. No primary processing no wounds were made. Redness with fuzzy contours and measuring 3 by 4 cm on the right cheek. The cheek is swollen, swollen, and hot to the touch. In the center of the purplish-red infiltrate there is a small wound under a crust, scanty discharge of a purulent nature.

D.S. Infected wound of the right cheek.

Vulnus infectum regionis buccalis dextrae.

Complaints of pain in the left earlobe. The victim's earring was torn out of her left ear. On the left earlobe there is a through laceration wound about 1 cm long with jagged edges, directed vertically downwards. There is some bleeding.

D.S. Lacerated wound of the left earlobe.

Vulnus laceratum lobuli auris sinistri.

Male 23 years old.
Complaints of pain, swelling, burning sensation in the left ear.

According to the patient, while sleeping, a playing dog bit his ear. The dog is homemade, well-groomed, all vaccinations were completed on time, documents for the dog and vaccinations are available. Before the arrival of the EMS team, he independently treated the wound with 3% hydrogen peroxide.
Upon examination, there is a bite wound on the inner surface of the left auricle, the edges are smooth, d = 0.2 x 0.5 cm, does not bleed; The ear wound is swollen and hyperemic. Painful on palpation. Hearing acuity is not impaired.

Ds. Bite wound on the left ear.

Vulnus morsum auriculae sinistrae.

Treatment of the wound with 3% hydrogen peroxide. Treating the edges of the wound with tincture of iodine. Adhesive bandage.

The victim fell while ice skating. In the fall I injured my lower lip. Upon external examination, the red border of the lower lip is cut in the middle of its length. The wound has a vertical direction with uneven edges, about 1 cm long, and bleeds moderately.

D.S. Bruised wound of the lower lip.

Vulnus contusum labii inferioris.

The victim was chopping a metal plate with a chisel. The left eyebrow was cut by a shrapnel. The wound has an oblique direction and is located closer to the bridge of the nose and bleeds moderately. The length of the wound is about 1.5 cm, the edges are uneven. The bone is intact to the touch.

D.S. Bruised wound on the left eyebrow.

Vulnus contusum supercilii sinistri .

The victim was chopping wood; a large sliver broke off and hit him in the forehead. I didn’t lose consciousness. There is a moderately bleeding wound on the forehead, about 3 cm long, with uneven edges. There is a zone of necrosis around the wound. The frontal bone is intact to the touch. General state the patient is satisfactory.

D.S. Bruised wound of the frontal area.

Vulnus contusum regionis frontalis.

While working on the machine, the victim's hair was twisted onto the rotating shaft of the machine, and the skin was torn off from the parietal-occipital region of the head. In the left parieto-occipital region, a detached skin flap measuring 5 by 8 cm, oval in shape with uneven edges, is retained only in the forehead area. The wound surface bleeds profusely. The victim is agitated and crying.

D.S. Scalped head wound.

Vulnus panniculatum capitis.

Male 47 years old. Complaints about headache, dizziness, chest pain when breathing and moving. Denies chronic diseases. According to the man, about an hour ago, he answered the bell front door, and was beaten at home by two unknown assailants. He can’t say for sure whether he lost consciousness or not. I have been drinking alcohol for the last three days. Urination and stool - b/o.

Consciousness is clear. 130/80 mm. Heart rate = 80 per minute. RR = 18 per minute. Skin of normal color. Breathing is vesicular, weakened. It spares the chest when breathing. Visually – swelling of the face, numerous hematomas, hematoma of the right paraorbital region. Deformation and swelling in the bridge of the nose, bridge of the nose, pain on palpation. Sharp pain on palpation of the 5th and 6th ribs on the left along the anterior axillary line. No crepitus is detected. Signs of alcohol intoxication: smell of alcohol on the breath, unsteadiness of gait.

Ds.CCI. Brain concussion? Bruises of the soft tissues of the head. Closed fracture nose bones? Closed fracture of the left 5-6 rib?

Trauma craniocerebrale clausum. Commotio cerebri? Contusiones textuum mollium capitis. Fractura ossium nasi clausa. Fractura costarum V-VI (quintae et sextae) sinistrarum?

Sol. Dolaci 3% - 1 ml i/v

Sol.Natrii chloridi 0.9% - 10 ml

Transportation to a trauma center.

Reported to local police department.

Neck - Collum

The victim was wounded with a knife in the right side of the neck. Pale skin, lying on the ground, lethargic. In the area of ​​the sternocleidomastoid muscle on the right (approximately in the middle of its length) there is a deep wound about 1.5 cm long, from which scarlet blood is rhythmically ejected. Pulse is frequent and weak. Breathing is shallow and frequent.

D.S. A stab wound on the side of the neck with injury to the carotid artery and bleeding.

Vulnus punctoincisivum faciei lateralis colli et laesio traumatica arteriae carotis cum haemorrhagia.

Complaints of pain in the upper half of the neck, difficulty swallowing and breathing. The victim (a young girl) made an unsuccessful suicide attempt. I tried to hang myself.

Upon external examination of the neck, a purplish-bluish bruise is visible - a mark from the rope. The neck is swollen, edematous, palpation of the injury site is painful. The patient is conscious. The pulse is frequent and weak, breathing is shallow and rapid.

D.S. Closed injury to the soft tissues of the neck. Suicide attempt.

Laesio traumatica textuum mollium colli clausa. Tentamen suicidii.

Complaints of pain when swallowing. The victim was hit in the neck with a sharp object (a wide screwdriver) in the fight. Upon external examination, on the front surface of the neck on the left behind the thyroid cartilage, there is an oval-shaped wound about 1 cm long with uneven edges. The wound bleeds moderately. When swallowing, saliva and food are released from the wound. Breathing is normal, through the nose. There is no subcutaneous emphysema.

D.S. Stab and laceration of the neck with damage to the esophagus.

Vulnus punctolaceratum colli cum laesione traumatica oesophagi.

Upper limb. Brush. Forearm. Shoulder. - Extremitas superior. Manus. Antebrachium. Brachium.

The victim complains of pain in the right hand. The injury occurred at work: a metal part fell on the back of the hand.

On the back surface of the right hand there is a subcutaneous purplish-bluish hematoma of a round shape measuring 4 by 5 cm. Due to swelling, he cannot completely clench his fingers into a fist. Skin the area of ​​injury is not damaged. Fluctuation is determined.

D.S. Contusion of the dorsum of the right hand.

Contusio faciei dorsalis manus dextrae.

The victim complains of pain in the left hand. The patient was hit hard on the palm with a heavy blunt object. Upon examination, the palmar surface of the left hand is swollen, painful when palpated, the fingers are in a bent position, and movements are limited. Cannot fully clench fingers into a fist. The skin of the hand is not damaged.

D.S. Contusion of the palmar surface of the left hand.

Contusio faciei anterioris manus sinistrae.

The victim complained of a feeling of pressure and pain in the fourth finger of the left hand. He asks to remove the ring from his finger, which causes great inconvenience.

A metal ring is tightly placed on the main phalanx of the fourth finger of the left hand. Below the ring, the finger is swollen and somewhat bluish. Due to swelling, movement is limited. Sensitivity is fully preserved.

D.S. Compression foreign object(ring) 4 fingers of the left hand.

Compressio digiti quarti manus sinistrae per corporem alienum (per anulum).

The victim was hammering a nail into the wall and hitting the nail phalanx of the second finger of his left hand with a hammer.

The nail phalanx of the second finger is swollen, painful when palpated. In the center of the nail plate there is a subungual hematoma of a purplish-bluish color, oval in shape, about 1 cm in size. The nail does not peel off.

D.S. Subungual hematoma of the second finger of the left hand.

Haematoma subunguinalis digiti secundi manus sinistrae.

A teenager hit a sports equipment with his right hand during a physical education class at school. There is a subcutaneous hematoma on the dorsal surface of the middle phalanx of the 3rd finger of the right hand. The finger is swollen and painful when touched. Flexion is limited. The skin is not damaged. The load along the axis of the finger is painless.

D.S.. Contusion of the middle phalanx IIIfinger of the right hand.

Contusio phalangis medialis digiti tertii manus dextrae.

The mechanic fixed it up workplace. Damaged my right hand with technical debris (shavings, small glass fragments). The skin of the right hand is stained with fuel oil and oil paint. There are many small abrasions and wounds on the palmar surface. Bleeding from them is insignificant.

D.S.. Multiple wounds and abrasions on the right hand.

Vulnera multiplices et excoriationes manus dextrae.

The victim was cut by a piece of broken window glass. On the dorsum of the right hand there is a shallow wound about 4 cm long with smooth edges, bleeding moderately. Sensitivity and motor function of the fingers of the injured hand are preserved.

D.S.. Incised wound on the dorsum of the right hand.

Vulnus incisivum faciei dorsalis manus dextrae.

The victim was stabbed in the fight. The dorsum of the left hand is damaged. Upon external examination, the dorsum of the hand in the area II On the metacarpal bone there is an incised wound about 1.5 cm long. In the depth of the wound, the peripheral end of the transected tendon is visible. The wound bleeds moderately. II the finger is bent. The patient cannot straighten it on his own.

D.S.. Extensor tendon injury IIfinger of the left hand.

Laesio tendinis musculi extensoris digiti secundi manus sinistrae.

The victim received a sharp blow from the opening door on the straightened, tense fingers of her left hand. As a result, the nail phalanx III the finger sharply bent and seemed to “hang”. On the back surface III finger of the left hand in the distal interphalangeal joint there is slight swelling, which is moderately painful on palpation. The nail phalanx is bent and does not straighten on its own. Passive movements are preserved.

D.S.. Extensor tendon rupture IIIfinger of the left hand.

Ruptura tendinis musculi extensoris digiti tertii manus sinistrae.

The young victim was working with a shovel without gloves in the garden. As a result of prolonged friction of the shovel handle on the palm surface, a callus formed on the right hand. On the palm, the surface layer of skin peeled off and underneath it formed a tense red bubble, about 2 cm in size, filled with liquid. The bladder is not opened, palpation is painful.

D.S.. Callus on the palmar surface of the right hand.

Clavus faciei palmaris manus dextrae.

The victim, defending himself from a knife attack, grabbed a knife right hand for the blade. The attacker forcibly pulled it out of the victim’s hand. As a result, a deep wound formed on the palmar surface of the right hand.

On the palmar surface there is a deep transverse wound 4 cm long with smooth edges and severe bleeding. In the depths of the wound, in the area III finger, the peripheral end of the tendon is visible, the central end is not in the wound. III the finger is extended and there is no active flexion of the terminal and middle phalanges. With passive flexion, the finger straightens again on its own. Sensitivity is preserved.

D.S.. Dissection of the superficial and deep flexor tendon IIIfinger of the right hand.

Dissecatio tendinum superficialis et profundae flexoris digiti tertii manus dextrae.

According to the mother, the child fell on his outstretched arm, while the hand turned inward. I am worried about pain in the left wrist joint. On external examination, swelling of the dorsal surface of the wrist joint and severe pain when flexing the wrist are noted. Loading along the axis of the forearm is painless. When palpating the wrist, the child feels pain.

D.S.. Sprain of the left wrist joint.

Distorsio articulationis radiocarpalis sinistrae.

The victim injured the back of his forearm with a shrapnel broken glass when I took out the window frame.

On the dorsal surface of the lower third of the left forearm there is a wound with smooth edges and moderate bleeding, 5 cm long. Sensitivity and motor function of the fingers are fully preserved.

D.S.. Incised wound on the dorsum of the left forearm.

Vulnus incisivum faciei dorsalis antebrachii sinistri.

An 18-year-old victim, for the purpose of suicide, inflicted a wound on herself with a blade on the flexor surface of her left forearm.

The condition is satisfactory, consciousness is clear. The skin is pale. Heart rate 85 per minute. The pulse is weak. Blood pressure 90/50 mm Hg. In the lower third of the left forearm there is a cut wound located transversely, about 4 cm long with smooth edges. The wound gapes wide, dark red blood slowly flows out of it in a continuous stream. There are several parallel shallow skin abrasions near the wound.

D.S.. Incised wound of the left forearm with venous bleeding, signs of acute anemia.

Vulnus incisivum antebrachii sinistri cum haemorrhagia venosa, signa anaemiae acutae.

While chopping wood, the victim's ax fell off its handle and wounded his left forearm with the tip. Upon external examination, on the front surface of the left forearm in the middle third there is a deep chopped wound directed across the forearm, about 4 cm long, with smooth edges. The wound gapes wide and bleeds profusely. The hand is in an extended position, there are no active flexion movements. In the depth of the wound, the ends of the dissected muscle are determined - the flexor carpi radialis.

D.S.. A chopped wound of the left forearm with damage to the carpi flexor muscle.

Vulnus scissum antebrachii sinistri cum laesione traumatica musculi flexoris carpi radialis.

The teenager, while roller skating behind a truck, fell on the asphalt with his left arm extended forward. The blow fell on the forearm. There is a large wound with jagged edges in the middle third of the left forearm. The skin on the palmar surface of the forearm is torn off. In some places, the skin flaps are separated from the underlying tissue and hang down, part of the skin is lost.

D.S.. Flap wound of the middle third of the left forearm.

Vulnus panniculatum tertiae medialis antebrachii sinistri.

A 14-year-old schoolboy tried to pet a stray dog, it bit him and ran away. When examining the right forearm, there are several deep, irregularly shaped wounds with teeth marks on the dorsal surface in the lower third. The wounds are contaminated with the animal's saliva and bleed moderately.

D.S.. Bite wound on the right forearm.

Vulnus morsum antebrachii dextri.

During a suicide attempt, a young woman stuck one blade of scissors into her left cubital fossa and closed the other blade. Thus, she cut the vessels in the ulnar fossa. Soon the neighbor communal apartment provided assistance to the victim: she placed a thick roller into the ulnar fossa and bent her arm as much as possible, calling an ambulance. In the left ulnar fossa there is a stab wound about 2 cm long, with smooth edges. Blood flows from the wound in a pulsating stream of bright red color. The patient is pale, covered in cold sweat, indifferent to her surroundings, complains of dizziness and dry mouth. The pulse is frequent, weak filling, blood pressure is below normal.

D.S.. Stab wound of the left ulnar fossa with arterial bleeding and acute anemia.

Vulnus punctoincisum fossae cubitalis cum haemorrhagia arteriale et anemia acuta.

An 18-year-old victim was bitten on the right forearm by a tick during field work. Objectively: on the anterior surface of the middle third of the right forearm, the head and thorax of the tick are tightly embedded in the skin, and the abdomen, filled with blood, protrudes outward. The skin around the tick is slightly hyperemic and the wound is slightly painful.

D.S.. Tick ​​bite on right forearm.

Punctum acari antebrachii dextri.

The man was shot from a pistol from a distance of about 20 meters. The right hand is damaged. Delivered to the hospital's trauma department. When examining the right hand, there is a through gunshot wound on the palmar surface. The entrance wound is funnel-shaped and concave and is located in the area of ​​the hypothenar; the exit wound is in the area of ​​the base of 1 finger, the edges are everted, uneven, and bleed moderately. The motor and sensory function of the 1st and 5th fingers is impaired. The bones are not damaged.

D.S.. A perforating gunshot wound to the soft tissues of the palmar surface of the right hand.

Vulnus sclopetarium bifore textuum mollium faciei palmaris manus dextrae.

The young man hit his left shoulder on a hard object during an accident. 1 hour after the injury, the victim went to the emergency room. Objectively: in the area of ​​the left deltoid muscle there is a wound with uneven, crushed edges, about 5 cm long. Moderate bleeding. Around the wound there is non-viable tissue - a zone of necrosis of a purplish-bluish color. The motor and sensory functions of the shoulder joint are fully preserved. The wound is heavily contaminated with soil and scraps of clothing.

D.S.. Bruised wound in the left shoulder joint.

Vulnus contusum regionis articulationis humeri sinistrae.

Thorax - Thorax

The teenager was hit in the chest with a heavy blunt object. I went to the emergency room. Upon external examination on the chest on the right in the area V, VI and VII of the ribs along the midclavicular line, swelling and a small subcutaneous hematoma are detected. Palpation of this area is painful, there is no crepitus. Raising the right arm and lateral bending of the torso are not painful. Taking a deep breath is painful, but possible.

D.S.. Contusion of the right side of the chest.

Contusio dimidii dextri thoracis.

The victim was sitting on the windowsill and was injured by a large piece of broken window glass. Objectively: on the back below the left shoulder blade there is a shallow wound about 5 cm long with smooth edges, bleeding moderately. The bottom of the wound is subcutaneous fat.

D.S.. Incised wound of the left subscapular region.

Vulnus incisivum regionis subscapularis sinistri.

A young man was taken to the hospital's trauma department with a gunshot wound to the right side of the chest. Objectively: on the anterior wall of the chest in the area of ​​6-7 ribs on the right along the midclavicular line there is an entrance hole of a gunshot wound with funnel-shaped retracted edges. On the back, slightly below the lower corner of the right shoulder blade, there is a second much larger wound (exit hole). The condition is serious. The wounded man is restless, pale, cyanotic. Complains of cough, chest pain. Breathing is frequent and shallow. Blood pressure is reduced, pulse is frequent. Bloody blisters are released through the wounds (entrance and exit). When you inhale, air passes through them with a characteristic whistling sound. Breathing on the injured side is not detected. The victim has severe respiratory failure.

D.S.. A through gunshot wound to the right half of the chest. Open pneumothorax.

Vulnus sclopetarium bifore dimidii dextri thoracis. Pneumothorax apertus.

The young man was stabbed in the chest. When examining the chest on the left along the anterior axillary line between the 5th and 6th ribs, there is a small stab wound about 1.5 cm long. Thanks to the retraction of the pectoral muscles, the external wound is closed. There is no further entry of air through the wound into the pleural cavity. The patient has shortness of breath and slight cyanosis. During auscultation, respiratory sounds on the left are significantly weakened; a tympanic sound is detected here by percussion.

D.S.. Penetrating wound to the left half of the chest. Closed pneumothorax.

Vulnus penetrans dimidii sinistri thoracis. Pneumothorax clausus.

While unloading scrap metal, he was hit in the side by a heavy metal blank. Complaints of pain at the site of injury, thirst, vomiting. Subcutaneous hemorrhages are visible in the area of ​​the right hypochondrium. Muscle defence in the upper abdomen on the right. The skin is pale, blood pressure is low. Breathing is frequent, shallow, tachycardia. The abdomen is distended, Shchetkin's sign is positive in the right hypochondrium. Percussion reveals an enlarged liver.

D.S. Blunt chest trauma with liver damage.

Trauma obtusum thoracis cum laesione traumatica hepatis.

A man was covered in sand in a quarry. I was under the rubble for about 30 minutes. The chest was compressed. Delivered to the thoracic surgery department. The patient is inhibited. Complains of chest pain, tinnitus, weakened vision and hearing. The skin of the upper half of the chest, head and neck is bright red with multiple pinpoint hemorrhages. On auscultation in the lungs it is determined a large number of wet rales.

D.S.. Chest compression. Traumatic asphyxia.

Compressio thoracis. Asphyxia traumatica.

The 20-year-old victim was stabbed in the back in a street fight.

Upon external examination in area IV thoracic vertebra a stab wound from which cerebrospinal fluid flows along with blood. There is spastic paralysis of the right lower limb with loss of deep and partly tactile sensitivity. On the left side, severe pain and temperature anesthesia developed below the level of the wound.

D.S. Stab wound thoracic spine with damage spinal cord.

Vulnus punctoincisivum partis thoracalis columnae vertebralis cum laesione medullae spinalis.

An elderly man was dismantling an old house when the ceiling collapsed on him. Large pieces of boards, bars, and earth fell onto the victim’s back and crushed him.

Upon external examination of the back, there is a subcutaneous hematoma located along the spinous processes of the 4th, 5th, 6th, 7th, 8th thoracic vertebrae. Palpation of the injury area is painful. There are no obvious signs of a spinal fracture. Neurological symptoms are missing. The patient was hospitalized for observation. By the end of the first day, my health gradually began to deteriorate. Girdle radicular pain appeared. Then conduction disorders began to develop (paresis turning into paralysis, hypoesthesia, anesthesia, urinary retention). Later, bedsores and ascending cystopyelonephritis and congestive pneumonia appeared.

D.S. Compression of the spinal cord by an epidural hematoma in the thoracic spine.

Compressio medullae spinalis haematomate epidurale in partem thoracicam columnae vertebralis.

Belly - Abdomen

The patient was brought to the clinic with an abdominal injury. Complaints of pain in the area of ​​injury and vomiting of blood. On external examination, there is a large wound in the epigastric region with prolapse of the loop small intestine, parts of the omentum and part of the damaged stomach wall.

D.S. Penetrating wound of the anterior abdominal wall with eventeration and injury to the stomach.

Vulnus parietis anterioris abdominis penetrans cum eventeratione et vulneratione traumatica ventriculi.

A 60-year-old man was brought to the abdominal surgery clinic, who, according to passers-by, fell from a third-floor balcony. The patient is unconscious, the skin is pale. The pulse is frequent, thread-like, blood pressure is 70/50 mm Hg. Art. Breathing is shallow and frequent. The number of red blood cells and the amount of hemoglobin are significantly reduced. In the operating room, the patient was transfused with 1000 ml of single-type blood. Blood pressure increased to 90/60 mm Hg. Art. The patient regained consciousness and began to complain of severe abdominal pain. After 20 minutes, blood pressure dropped again and the victim lost consciousness. The volume of the abdomen has noticeably increased. Fluctuation is determined between the palms placed on the lateral surfaces of the abdomen.

D.S.. Rupture of the spleen, rupture of the mesenteric vessels. Traumatic shock.

Raptura lienis, ruptura vasorum mesentericorum. Afflictus traumaticus.

Delivered to the abdominal surgery clinic after an accident. I have severe pain throughout my abdomen. Upon examination, a bruised wound was discovered on the anterior abdominal wall to the right of the navel. The patient lies motionless on his side with his knees pulled up to his stomach and does not allow him to touch the abdominal wall. Touch increases the pain, and light pressure causes a sharp tension in the abdominal muscles. On palpation, the abdomen is board-shaped tense. The Shchetkin-Blumberg symptom is positive. Peristalsis is not detected by auscultation. There is no stool, no gases are passed, little urine is produced. The patient suffers from frequent vomiting. He periodically loses consciousness, does not react to others, and is reluctant to answer questions. Breathing is frequent and shallow. The pulse is small and frequent. The tongue is dry, covered with a white coating. Body temperature 38.5 C.

D.S.. Penetrating abdominal wound. Rupture of the small intestine. Spilled peritonitis.

Vulnus abdominis penetrans.Ruptura intestini tenuae. Peritonitis diffusa.

The patient was taken to the clinic with a gunshot wound to the right hypochondrium. On the anterior wall of the abdomen in the area of ​​the right hypochondrium there is gunshot wound with uneven funnel-shaped retracted edges. Blood and bile are released profusely from the wound. Defence in the right hypochondrium and a positive Shchetkin-Blumberg sign are determined. The stomach is swollen. Blood pressure is low, the pulse is thready and frequent. Pale skin

D.S. Gunshot wound to the abdomen with damage to the liver and bile ducts.

Vulnus abdominis sclopetarium cum laesione hepatis et ductuum choledochorum.

A policeman was stabbed in the stomach while arresting a criminal. Upon examination, the abdomen participates in the act of breathing. On the anterior wall of the abdomen there is a stab wound about 2 cm long, 3 cm to the left of the umbilical ring. There is a slight swelling in the wound area; palpation of the abdomen is painful only at the site of injury. Tension of the abdominal muscles is determined only within the wound. There were no peritoneal symptoms, vomiting, flatulence, or increased heart rate. Body temperature is normal.

D.S.. Stab wound of the anterior abdominal wall.

Vulnus punctoincisivum parietis anterioris abdominis.

Lumbar - Regio lumbalis

The young man was taken to the urology department. According to the victim, he was kicked in the lumbar region. The injury resulted in severe pain in the lower back. Upon examination, there is swelling and subcutaneous bruising in the lumbar region on the right. Urine is intensely stained with blood (hematuria). Pulse and blood pressure are within normal limits. The patient underwent a survey radiography of the kidneys and excretory urography with intravenous administration of a radiocontrast agent.

D.S. Closed subcapsular rupture of the right kidney.

Ruptura renis dextri clausa subcapsularis.

The victim was stabbed in the lower back with a knife during the fight. I am worried about pain at the site of injury. In the lumbar region to the left of the spine, 5 cm below the 12th rib, there is a stab wound about 2 cm long. There is intense bleeding from the wound. Macrohematuria. IN bloody discharge there is no urine from the wound. General condition is satisfactory.

D.S. A stab wound in the lumbar region with damage to the left kidney.

Vulnus punctoincisivum regionis lumbalis cum laesione traumatica renis sinistri.

Genital organs - Organa genitalia

A 35-year-old woman was kicked in the pubic area by her husband. The victim went to the emergency room 2 days after the injury. Complains of pain at the site of the injury. Objectively: the pubic area and the right labia majora are swollen. A subcutaneous hematoma of a purplish-bluish color is determined. Blood fluctuates in the thickness of the bruised tissue. The pelvic bones are intact to the touch. Urination is normal, there is no blood in the urine. The function of the lower extremities is fully preserved.

D.S. Contusion of the external genitalia.

Contusio organorum genitaliorum externorum.

Hip- Femur

The young man received a stab wound to his right thigh. The victim lies on his right side, with a pool of blood underneath him. The face is pale, the pulse is frequent, weak filling. Consciousness is preserved. On the front surface of the right thigh, just below the inguinal fold, there is a stab wound, from which scarlet blood is ejected in pulsating impulses.

D.S. Stab wound of the right thigh with arterial bleeding.

Vulnus punctoincisivum femoris dextri cum haemorrhagia arteriale.

Male 47 years old. Complaints of pain in the wound area, heat in the body.

According to the patient, about a day ago he injured his leg on a wooden chair leg. I did not treat the wound. Today there was pain in the wound area and fever in the body. According to him, he drinks alcohol almost every day (except today). Suffers from epilepsy. He is not receiving treatment for epilepsy. The working blood pressure does not know. I have not been vaccinated against tetanus for 10 years. Vulnus infectiosum tertiae inferioris femoris sinistri. Knee, shin - Genu, crus

An elderly woman was injured in a fall knee joint. I am worried about pain in the knee joint. The right knee joint is increased in volume, its contours are smoothed. On palpation, fluid is detected; the patella ballasts when pressed. Movement of the right knee joint is somewhat limited and painful. The leg is in a half-bent position.

D.S. Bruise, hemarthrosis of the right knee joint.

Contusio, haemarthrosis articulationis genus dextrae.

A 20-year-old man was injured during freestyle wrestling training. The partner pressed his leg, straightened at the right knee joint, with his body. The blow hit the inner side of the joint. The victim went to the emergency room a day later with complaints of pain in the area of ​​injury and instability in the knee joint when walking.

Objectively. The right knee joint is swollen, its contours are smoothed, a bruise is visible on the inside, palpation of the inner femoral condyle is painful. When straightening the leg at the knee joint, there is an excessive outward deviation of the tibia and the volume of its external rotation is significantly increased. Flexion and extension of the knee joint is not limited.

D.S. Rupture of the medial collateral ligament of the right knee joint.

Ruptura ligamenti collateralis tibialis articulationis genus dextrae.

At a wrestling competition, a young man experienced a sharp “hyperextension” of his knee joint. As a result, something crunched in the knee joint, and severe pain appeared. The victim did not seek help; he bandaged his knee with an elastic bandage. After 5 days he went to the trauma department. I am concerned about instability in the left knee joint when walking. Difficulty climbing stairs. The patient cannot squat on his left leg. Examination of the left knee joint revealed excessive mobility of the tibia when it moves anteriorly in relation to the thigh (anterior drawer symptom). The leg was bent at a right angle at the knee joint and relaxed. The x-ray does not reveal a fracture.

D.S. Rupture of the anterior cruciate ligament of the left knee joint.

Ruptura ligamenti cruciati anterii articulationis genus sinistrae.

A man scrubbing the floor with a brush wearing a right leg, sharply turned his body with his shin fixed. After this, I felt a sharp pain in my right knee joint. I am worried about pain in the knee joint, which intensifies when going down the stairs. On examination, the right knee joint is swollen and hemarthrosis. Full extension of the knee joint is impossible, as pain appears in its depths. When palpating the joint, local pain is noted at the level of the joint space between the patellar ligaments and the medial lateral ligament of the knee joint. During flexion-extension movements, a clicking sound is heard in the damaged joint. An x-ray of the knee joint shows no bone damage. History of psoriasis for many years. Habitual blood pressure 130/80 mm

Objectively: The condition is satisfactory. Consciousness is clear. Blood pressure 140/80 mm. RT Art.

Heart rate = 90 per minute. On the left shin in the lower third there is a bandage soaked in blood, above the bandage there is a rubber tourniquet. The skin of the foot is bluish. On the skin of the limbs and torso there are psoriatic plaques from 0.5 to 1.5 cm, merging in places. After removing the tourniquet and bandage, dark blood flows out in a thin stream from a small wound on the inner surface of the leg.

Ds.Venous bleeding from the left leg.

Haemorrhagia venosa ex crure sinistro.

Help. An aseptic pressure bandage was applied. Transport to the surgical department.

Ankle joint, foot - Articulatio talocruralis, pes

While walking, the victim twisted her leg (a high heel got caught in a crevice, and her right foot turned inward). Pain appeared in the area of ​​the outer ankle. The victim went to the emergency room. When examining the right ankle joint, swelling is noted along the outer surface of the foot and below the outer malleolus. There is also pain on palpation. Movements in the ankle joint are preserved in full and are painful. Palpation of the outer ankle is painless.

D.S. Sprain of the lateral ligament of the right ankle joint.

Distorsio ligamenti talofibularis anterii dextri.

ICD 10. CLASS XIX. INJURIES, POISONING AND SOME OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-S99)

Excluded: birth trauma ( P10-P15)
obstetric trauma ( O70-O71)

This class contains the following blocks:
S00-S09 Head injuries
S10 -S19 Neck injuries
S20-S29 Chest injuries
S30-S39 Injuries to the abdomen, lower back, lumbar spine and pelvis
S40-S49 Shoulder and shoulder injuries
S50-S59 Elbow and forearm injuries
S60-S69 Wrist and hand injuries
S70-S79 Injuries to the hip and thigh area
S80-S89 Knee and leg injuries

S90-S99 Injuries to the ankle and foot area

In this class, the section designated S is used to code various types of injuries related to a specific area of ​​the body, and the section designated T is used to code multiple injuries and injuries to individual unspecified body parts, as well as poisoning and some other consequences of exposure external reasons.
In cases where the heading indicates the multiple nature of the injury, the conjunction “c” means simultaneous damage to both named areas of the body, and the conjunction “and” means both one and both areas. The principle of multiple coding of injuries should be applied as widely as possible. Combined categories for multiple injuries are given for use when the nature of each individual injury is insufficiently detailed or in primary statistical developments when
it is more convenient to register a single code; in other cases, each component of the injury should be coded separately. In addition, the morbidity and mortality coding rules outlined in T2 must be considered. Section S blocks, as well as headings T00-T14 And T90-T98 include injuries that, at the three-digit rubric level, are classified by type as follows:

Superficial trauma, including:
abrasion
water bubble (non-thermal)
contusion, including bruising, bruising and hematoma
injury from superficial foreign body(splinter) no big
open wound
insect bite (non-venomous)

Open wound, including:
bitten
sliced
torn
chopped:
NOS
with (penetrating) foreign body

Fracture, including:
closed:
splintered)
depressed)
speaker)
split)
incomplete)
impacted) with or without delayed healing
linear)
marching)
simple )
with offset)
pineal gland)
helical
with dislocation
with offset

Fracture:
open:
difficult )
infected)
gunshot) with or without delayed healing
with a puncture wound)
with a foreign body)

Excluded: fracture:
pathological ( M84.4)
with osteoporosis ( M80. -)
stressful ( M84.3)
incorrectly fused ( M84.0)
nonunion [false joint] ( M84.1)

Dislocations, sprains and overstrain of the capsular-ligamentous apparatus
joint, including:
separation)
gap)
stretch)
overvoltage)
traumatic: ) joint (capsule) ligament
hemarthrosis)
tear)
subluxation)
gap)

Nerve and spinal cord injury, including:
complete or incomplete spinal cord injury
disruption of the integrity of nerves and spinal cord
traumatic:
nerve transection
hematomyelia
paralysis (transient)
paraplegia
quadriplegia

Damage to blood vessels, including:
separation)
dissection)
tear)
traumatic: ) blood vessels
aneurysm or fistula (arteriovenous)
arterial hematoma)
gap)

Damage to muscles and tendons, including:
separation)
dissection)
tear) muscles and tendons
traumatic rupture)

Crushing [crushing]

Traumatic amputation

Injury internal organs, including:
from a blast wave)
bruise)
concussion injuries)
crushing)
dissection)
traumatic (s): ) internal organs
hematoma)
puncture)
gap)
tear)

Other and unspecified injuries

HEAD INJURIES (S00-S09)

Included: injuries:
ear
eyes
face (any part)
gums
jaws
temporomandibular joint area
oral cavity
sky
periocular area
scalp
language
tooth

Excluded: T20-T32)
consequences of foreign bodies entering:
ear ( T16)
larynx ( T17.3)
mouth ( T18.0)
nose ( T17.0-T17.1)
throat ( T17.2)
outer parts of the eye ( T15. -)
frostbite ( T33-T35)
bite and sting of a poisonous insect ( T63.4)

S00 Superficial head injury

Excluded: cerebral contusion (diffuse) ( S06.2)
focal ( S06.3)
injury to the eye and orbit ( S05. -)

S00.0 Superficial injury to the scalp
S00.1 Bruise of the eyelid and periorbital area. Bruise in the eye area
Excluded: bruise of the eyeball and orbital tissue ( S05.1)
S00.2 Other superficial injuries of the eyelid and periorbital region
Excludes: superficial injury to the conjunctiva and cornea ( S05.0)
S00.3 Superficial trauma to the nose
S00.4 Superficial ear injury
S00.5 Superficial trauma to the lip and oral cavity
S00.7 Multiple superficial head injuries
S00.8 Superficial trauma to other parts of the head
S00.9 Superficial head injury of unspecified location

S01 Open head wound

Excluded: decapitation ( S18)
injury to the eye and orbit ( S05. -)
traumatic amputation of part of the head ( S08. -)

S01.0 Open wound of the scalp
Excluded: scalp avulsion ( S08.0)
S01.1 Open wound of the eyelid and periorbital region
Open wound of the eyelid and periorbital region with or without involvement of the lacrimal ducts
S01.2 Open wound of the nose
S01.3 Open ear wound
S01.4 Open wound of the cheek and temporomandibular region
S01.5 Open wound of the lip and oral cavity
Excluded: tooth luxation ( S03.2)
tooth fracture ( S02.5)
S01.7 Multiple open head wounds
S01.8 Open wound to other areas of the head
S01.9 Open head wound of unspecified location

S02 Fracture of the skull and facial bones

Note During the initial statistical analysis of fractures of the skull and facial bones combined with intracranial trauma, one should be guided by the rules and instructions for coding morbidity
and mortality set out in part 2. The following subcategories (fifth character) are provided for optional use when additionally characterizing a condition when it is impossible or impractical to carry out multiple coding to identify a fracture or open wound; If the fracture is not characterized as open or closed, it should be
classify as closed:
0 - closed
1 - open

S02.0 Fracture of the cranial vault. Frontal bone. Parietal bone
S02.1 Fracture of the base of the skull
Pits:
front
average
rear
Occipital bone. The upper wall of the orbit. Sinuses:
ethmoid bone
frontal bone
Sphenoid bone
Temporal bone
Excludes: eye sockets NOS ( S02.8)
floor of the orbit ( S02.3)
S02.2 Fracture of the nasal bones
S02.3 Orbital floor fracture
Excludes: eye sockets NOS ( S02.8)
superior wall of the orbit ( S02.1)
S02.4 Fracture of the zygomatic bone and upper jaw. Upper jaw(bones). Zygomatic arch
S02.5 Tooth fracture. Broken tooth
S02.6 Fracture of the lower jaw. Lower jaw (bones)
S02.7 Multiple fractures of the skull and facial bones
S02.8 Fractures of other facial bones and skull bones. Alveolar process. Eye sockets NOS. Palatine bone
Excluded: eye sockets:
bottom ( S02.3)
upper wall ( S02.1)
S02.9 Fracture of unspecified part of skull and facial bones

S03 Dislocation, sprain and strain of joints and ligaments of the head

S03.0 Dislocation of the jaw. Jaw (cartilage) (meniscus). Lower jaw. Temporomandibular joint
S03.1 Dislocation of the cartilaginous nasal septum
S03.2 Tooth luxation
S03.3 Dislocation of other and unspecified areas of the head
S03.4 Sprain and strain of the joint (ligaments) of the jaw. Temporomandibular joint (ligament)
S03.5 Sprain and strain of joints and ligaments of other and unspecified parts of the head

S04 Cranial nerve injury

S04.0 Injury optic nerve and visual pathways
Visual crossroads. 2nd cranial nerve. Visual cortex
S04.1 Oculomotor nerve injury. 3rd cranial nerve
S04.2 Trochlear nerve injury. 4th cranial nerve
S04.3 Trigeminal nerve injury. 5th cranial nerve
S04.4 Abducens nerve injury. 6th cranial nerve
S04.5 Facial nerve injury. 7th cranial nerve
S04.6 Auditory nerve injury. 8th cranial nerve
S04.7 Accessory nerve injury. 11th cranial nerve
S04.8 Injury to other cranial nerves
Glossopharyngeal nerve
Hypoglossal nerve
Olfactory nerve
Vagus nerve
S04.9 Unspecified cranial nerve injury

S05 Injury to the eye and orbit

Excluded: injury:
oculomotor nerve ( S04.1)
optic nerve ( S04.0)
open wound of the eyelid and periorbital region ( S01.1)
fracture of the orbital bones ( S02.1, S02.3, S02.8)
superficial eyelid injury ( S00.1-S00.2)

S05.0 Conjunctival trauma and corneal abrasion without mention of a foreign body
Excluded: foreign body in:
conjunctival sac ( T15.1)
cornea ( T15.0)
S05.1 Contusion of the eyeball and orbital tissue. Traumatic hyphema
Excluded: bruise in the eye area ( S00.1)
bruise of the eyelid and periocular area ( S00.1)
S05.2 Laceration of the eye with prolapse or loss of intraocular tissue
S05.3 Laceration of the eye without prolapse or loss of intraocular tissue. Laceration of the eye NOS
S05.4 Penetrating wound of the orbit with or without the presence of a foreign body
Excluded: unremoved (long ago entered the orbit) foreign body due to a penetrating injury to the orbit ( H05.5)
S05.5 Penetrating wound of the eyeball with a foreign body
Excluded: unremoved (long ago entered the eyeball) foreign body ( H44.6-H44.7)
S05.6 Penetrating wound of the eyeball without a foreign body. Penetrating wound of the eye NOS
S05.7 Detachment of the eyeball. Traumatic enucleation
S05.8 Other injuries of the eye and orbit. Tear duct injury
S05.9 Injury to unspecified part of the eye and orbit. Eye injury NOS

S06 Intracranial injury

Note During the initial statistical analysis of intracranial injuries combined with fractures, one should
follow the rules and instructions for coding morbidity and mortality set out in part 2.
The following subcategories (fifth character) are provided for optional use in additional characterization of the condition when it is impossible or impractical to carry out multiple coding to identify intracranial injury and open wound:
0 - no open intracranial wound
1 - with an open intracranial wound

S06.0 Brain concussion. Commotio cerebri
S06.1 Traumatic cerebral edema
S06.2 Diffuse brain injury. Brain (contusion NOS, rupture NOS)
Traumatic compression of the brain NOS
S06.3 Focal brain injury
Focal:
cerebral
contusion
gap
traumatic intracerebral hemorrhage
S06.4 Epidural hemorrhage. Extradural hemorrhage (traumatic)
S06.5 Traumatic subdural hemorrhage
S06.6 Traumatic subarachnoid hemorrhage
S06.7 Intracranial injury with prolonged coma
S06.8 Other intracranial injuries
Traumatic hemorrhage:
cerebellar
intracranial NOS
S06.9 Unspecified intracranial injury. Brain injury NOS
Excludes: head injury NOS ( S09.9)

S07 Head crush

S07.0 Facial crush
S07.1 Skull crush
S07.8 Crushing of other parts of the head
S07.9 Crushing of an unspecified part of the head

S08 Traumatic amputation of part of the head

S08.0 Scalp avulsion
S08.1 Traumatic ear amputation
S08.8 Traumatic amputation of other parts of the head
S08.9 Traumatic amputation of unspecified part of head
Excluded: decapitation ( S18)

S09 Other and unspecified head injuries

S09.0 Injury to the blood vessels of the head, not elsewhere classified
Excluded: injury:
cerebral blood vessels ( S06. -)
precerebral blood vessels ( S15. -)
S09.1 Injury to the muscles and tendons of the head
S09.2 Traumatic rupture of the eardrum
S09.7 Multiple head injuries.
S00-S09.2
S09.8 Other specified head injuries
S09.9 Head injury, unspecified
Injury:
faces NOS
ear NOS
nose NOS

NECK INJURIES (S10-S19)

Included: injuries:
back of the neck
supraclavicular region
throat
T20-T32)
larynx ( T17.3)
esophagus ( T18.1)
throat ( T17.2)
trachea ( T17.4)
spine fracture NOS ( T08)
frostbite ( T33-T35)
injury:
spinal cord NOS ( T09.3)
torso NOS ( T09. -)
T63.4)

S10 Superficial neck injury

S10.0 Throat bruise. Cervical esophagus. Larynx. Throats. Trachea
S10.1 Other and unspecified superficial injuries of the throat
S10.7 Multiple superficial neck injuries
S10.8 Superficial injury to other parts of the neck
S10.9 Superficial injury to an unspecified part of the neck

S11 Open neck wound

Excluded: decapitation ( S18)

S11.0 Open wound involving the larynx and trachea
Open tracheal wound:
NOS
cervical spine
Excludes: thoracic trachea ( S27.5)
S11.1 Open wound involving the thyroid gland
S11.2 Open wound involving the pharynx and cervical esophagus
Excludes: esophagus NOS ( S27.8)
S11.7 Multiple open wounds of the neck
S11.8 Open wound to other parts of the neck
S11.9 Open wound of unspecified part of neck

S12 Cervical spine fracture

Included: cervical:
vertebral arches
spine
spinous process
transverse process
vertebra
0 - closed
1 - open

S12.0 Fracture of the first cervical vertebra. Atlas
S12.1 Fracture of the second cervical vertebra. Axis
S12.2 Fracture of other specified cervical vertebrae
Excluded: multiple fractures of the cervical vertebrae ( S12.7)
S12.7 Multiple fractures of the cervical vertebrae
S12.8 Fracture of other parts of the neck. Hyoid bone. Larynx. Thyroid cartilage. Trachea
S12.9 Neck fracture of unspecified location
Cervical fracture:
vertebra NOS
spine NOS

S13 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus at the neck level

Excluded: ruptures or displacement (non-traumatic) of the intervertebral disc in the cervical region ( M50. -)

S13.0 Traumatic rupture of the intervertebral disc at the neck level
S13.1 Dislocation of the cervical vertebra. Cervical spine NOS
S13.2 Dislocation of another and unspecified part of the neck
S13.3 Multiple dislocations at the neck level
S13.4 Stretching and overstrain of the ligamentous apparatus of the cervical spine
Anterior longitudinal ligament of the cervical spine. Atlantoaxial joint. Atlantooccipital joint
Whiplash injury
S13.5 Stretching and overstrain of the ligamentous apparatus in the thyroid gland
Cricoarytenoid (joint) (ligament). Cricothyroid (joint) (ligament). Thyroid cartilage
S13.6 Sprain and strain of joints and ligaments of other and unspecified parts of the neck

S14 Nerve and spinal cord injury at neck level

S14.0 Contusion and swelling of the cervical spinal cord
S14.1 Other and unspecified injuries of the cervical spinal cord. Cervical spinal cord injury NOS
S14.2 Nerve root injury of the cervical spine
S14.3 Brachial plexus injury

S14.4 Peripheral nerve injury of the neck
S14.5 Cervical sympathetic nerve injury
S14.6 Injury to other and unspecified nerves of the neck

S15 Injury to blood vessels at the neck level

S15.0 Carotid artery injury. Carotid artery (common) (external) (internal)
S15.1 Vertebral artery injury
S15.2 External jugular vein injury
S15.3 Internal jugular vein injury
S15.7 Injury to several blood vessels at the neck level
S15.8 Injury to other blood vessels at the neck level
S15.9 Unspecified injury blood vessel at neck level

S16 Injury to muscles and tendons at the neck level

S17 Neck crush

S17.0 Crushing of the larynx and trachea
S17.8 Crushing of other parts of the neck
S17.9 Crush of unspecified part of neck

S18 Traumatic amputation at the neck level. Decapitation

S19 Other and unspecified neck injuries
S19.7 Multiple neck injuries. Injuries classified in more than one category S10-S18
S19.8 Other specified neck injuries
S19.9 Neck injury, unspecified

CHEST INJURIES (S20-S29)

Included: injuries:
mammary gland
chest (walls)
interscapular region
Excluded: thermal and chemical burns (T20-T32)
consequences of penetration of foreign bodies into:
bronchi ( T17.5)
lungs ( T17.8)
esophagus ( T18.1)
trachea ( T17.4)
spine fracture NOS ( T08)
frostbite ( T33-T35)
injuries:
armpit)
collarbone)
scapular region) ( S40-S49)
shoulder joint)
spinal cord NOS ( T09.3)
torso NOS ( T09. -)
bite or sting of a poisonous insect ( T63.4)

S20 Superficial chest injury

S20.0 Breast contusion
S20.1 Other and unspecified superficial breast injuries
S20.2 Chest contusion
S20.3 Other superficial injuries of the anterior chest wall
S20.4 Other superficial injuries back wall chest
S20.7 Multiple superficial chest injuries
S20.8 Superficial injuries to another and unspecified part of the chest. Chest wall NOS

S21 Open chest wound

Excluded: traumatic:
hemopneumothorax ( S27.2)
hemothorax ( S27.1)
pneumothorax ( S27.0)

S21.0 Open breast wound
S21.1 Open wound of the anterior chest wall
S21.2 Open wound of the posterior chest wall
S21.7 Multiple open wounds of the chest wall
S21.8 Open wound of other parts of the chest
S21.9 Open wound of unspecified chest. Chest wall NOS

S22 Fracture of rib(s), sternum and thoracic spine

Included: thoracic:
vertebral arches
spinous process
transverse process
vertebra
The following subcategories (fifth character) are provided for optional use when additionally characterizing a condition when it is impossible or impractical to carry out multiple coding to identify a fracture or open wound; If a fracture is not classified as open or closed, it should be classified as closed:
0 - closed
1 - open
Excluded: fracture:
collarbone ( S42.0 )
shoulder blades ( S42.1 )

S22.0 Fracture of the thoracic vertebra. Fracture of the thoracic spine NOS
S22.1 Multiple fractures of the thoracic spine
S22.2 Sternum fracture
S22.3 Rib fracture
S22.4 Multiple rib fractures
S22.5 Sunken chest
S22.8 Fracture of other parts of the thoracic bone
S22.9 Fracture of unspecified part of the bony chest

S23 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus of the chest

Excluded: dislocation, sprain and strain of the sternoclavicular joint ( S43.2 , S43.6 )
rupture or displacement (non-traumatic) of the intervertebral disc in the thoracic region ( M51. -)

S23.0 Traumatic rupture of the intervertebral disc in the thoracic region
S23.1 Dislocation of the thoracic vertebra. Thoracic spine NOS
S23.2 Dislocation of another and unspecified part of the chest
S23.3 Sprain and overstrain of the ligamentous apparatus of the thoracic spine
S23.4 Stretching and overstrain of the ligamentous apparatus of the ribs and sternum
S23.5 Stretching and overstrain of the ligamentous apparatus of another and unspecified part of the chest

S24 Injury to nerves and spinal cord in the thoracic region

S14.3)

S24.0 Contusion and swelling of the thoracic spinal cord
S24.1 Other and unspecified thoracic spinal cord injuries
S24.2 Nerve root injury of the thoracic spine
S24.3 Peripheral nerve injury of the chest
S24.4 Trauma to the sympathetic nerves of the thoracic region. Cardiac plexus. Esophageal plexus. Pulmonary plexus. Star node. Thoracic sympathetic node
S24.5 Injury to other thoracic nerves
S24.6 Specified thoracic nerve injury

S25 Trauma to blood vessels of the thoracic region

S25.0 Trauma to the thoracic aorta. Aorta NOS
S25.1 Innominate or subclavian artery injury
S25.2 Injury of the superior vena cava. Vena cava NOS
S25.3 Innominate or subclavian vein injury
S25.4 Trauma to pulmonary blood vessels
S25.5 Trauma to intercostal blood vessels
S25.7 Injury to several blood vessels in the thoracic region
S25.8 Injury to other blood vessels of the thoracic region. Azygos vein. Arteries or veins of the breast
S25.9 Injury to unspecified thoracic blood vessel

S26 Heart injury

Included: bruise)
gap)
puncture) of the heart
traumatic perforation)
The following subcategories (fifth character) are provided for optional use when additionally characterizing a condition when it is impossible or impractical to carry out multiple coding to identify a fracture or open wound; If a fracture is not classified as open or closed, it should be classified as closed:

S26.0 Heart injury with hemorrhage into the cardiac sac [hemopericardium]
S26.8 Other heart injuries
S26.9 Heart injury, unspecified

S27 Injury to other and unspecified organs of the thoracic cavity

The following subcategories (fifth character) are provided for optional use when additionally characterizing a condition when it is impossible or impractical to carry out multiple coding to identify a fracture or open wound; If a fracture is not classified as open or closed, it should be classified as closed:
0 - no open wound in the chest cavity
1 - with an open wound in the chest cavity
Excluded: injury:
cervical esophagus ( S10-S19)
trachea (cervical spine) ( S10-S19)

S27.0 Traumatic pneumothorax
S27.1 Traumatic hemothorax
S27.2 Traumatic hemopneumothorax
S27.3 Other lung injuries
S27.4 Bronchial injury
S27.5 Injury to the thoracic trachea
S27.6 Pleural trauma
S27.7 Multiple injuries of the thoracic cavity
S27.8 Trauma to other specified organs of the thoracic cavity. Diaphragms. Lymphatic thoracic duct
Esophagus (thoracic region). Thymus gland
S27.9 Injury to an unspecified thoracic organ

S28 Crushing of the chest and traumatic amputation of part of the chest

S28.0 Crushed chest
Excluded: loose chest ( S22.5)
S28.1 Traumatic amputation of part of the chest
Excluded: cutting of the torso at the chest level ( T05.8)

S29 Other and unspecified chest injuries

S29.0 Muscle and tendon injury at chest level
S29.7 Multiple chest injuries. Injuries classified in more than one category S20-S29.0
S29.8 Other specified chest injuries
S29.9 Chest injury, unspecified

INJURIES OF THE ABDOMEN, LOW BACK, LUMBAR SPINE AND PELVIS (S30-S39)

Included: injuries:
abdominal wall
anus
gluteal region
external genitalia
lateral abdomen
groin area
Excluded: thermal and chemical burns ( T20-T32)
consequences of foreign body penetration into:
anus and rectum ( T18.5)
genitourinary tract ( T19. -)
stomach, small and large intestines ( T18.2-T18.4)
spine fracture NOS ( T08)
frostbite ( T33-T35)
injuries:
back NOS ( T09. -)
spinal cord NOS ( T09.3)
torso NOS ( T09. -)
bite or sting of a poisonous insect ( T63.4)

S30 Superficial injury to the abdomen, lower back and pelvis

Excludes: superficial injury of the hip area ( S70. -)

S30.0 Contusion of the lower back and pelvis. Gluteal region
S30.1 Bruise of the abdominal wall. Side of the abdomen. Groin area
S30.2 Contusion of the external genitalia. Labia (major) (minor)
Penis. Crotch. Scrotums. Testicles. Vaginas. Vulvas
S30.7 Multiple superficial injuries to the abdomen, lower back and pelvis
S30.8 Other superficial injuries to the abdomen, lower back and pelvis
S30.9 Superficial injury of the abdomen, lower back and pelvis, unspecified location

S31 Open wound of the abdomen, lower back and pelvis

Excluded: open wound of the hip joint ( S71.0)
traumatic amputation of part of the abdomen, lower back and pelvis ( S38.2-S38.3)

S31.0 Open wound of the lower back and pelvis. Gluteal region
S31.1 Open wound of the abdominal wall. Side of the abdomen. Groin area
S31.2 Open wound of the penis
S31.3 Open wound of the scrotum and testicles
S31.4 Open wound of the vagina and vulva
S31.5 Open wound of other and unspecified external genitalia
Excludes: traumatic amputation of the external genitalia ( S38.2)
S31.7 Multiple open wounds of the abdomen, lower back and pelvis
S31.8 Open wound to another and unspecified part of the abdomen

S32 Fracture of the lumbosacral spine and pelvic bones

Includes: fracture at the lumbosacral level:
vertebral arches
spinous process
transverse process
vertebra
The following subcategories (fifth character) are provided for optional use when additionally characterizing a condition when it is impossible or impractical to carry out multiple coding to identify a fracture or open wound; If a fracture is not classified as open or closed, it should be classified as closed:
0 - closed
1 - open
Excludes: fracture of the hip joint NOS ( S72.0)

S32.0 Fracture of the lumbar vertebra. Lumbar spine fracture
S32.1 Sacral fracture
S32.2 Coccyx fracture
S32.3 Fracture of the ilium
S32.4 Acetabular fracture
S32.5 Pubic bone fracture
S32.7 Multiple fractures of the lumbosacral spine and pelvic bones
S32.8 Fractures of other and unspecified parts of the lumbosacral spine and pelvic bones
Fracture:
ischium
lumbosacral spine NOS
pelvis NOS

S33 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus of the lumbar spine and pelvis

Excluded: dislocation, sprain and strain of the hip joint and ligaments ( S73. -)
obstetric trauma of the joints and ligaments of the pelvis ( O71.6)
ruptures or displacement (non-traumatic) of the intervertebral disc in the lumbar region ( M51. -)

S33.0 Traumatic rupture of the intervertebral disc in the lumbosacral region
S33.1 Dislocation of the lumbar vertebra. Dislocation of the lumbar spine NOS
S33.2 Dislocation of the sacroiliac joint and sacrococcygeal joint
S33.3 Dislocation of another and unspecified part of the lumbosacral spine and pelvis
S33.4 Traumatic rupture of the pubic symphysis [symphysis pubis]
S33.5 Stretching and overstrain of the capsular-ligamentous apparatus of the lumbar spine
S33.6 Stretching and overstrain of the capsular-ligamentous apparatus of the sacroiliac joint
S33.7 Stretching and overstrain of the capsular-ligamentous apparatus of another and unspecified part of the lumbosacral spine and pelvis

S34 Injury to nerves and lumbar spinal cord at the level of the abdomen, lower back and pelvis

S34.0 Concussion and swelling of the lumbar spinal cord
S34.1 Other lumbar spinal cord injury
S34.2 Nerve root injury of the lumbosacral spine
S34.3 Cauda equina injury
S34.4 Injury to the lumbosacral nerve plexus
S34.5 Injury to the lumbar, sacral and pelvic sympathetic nerves
Celiac node or plexus. Hypogastric plexus. Mesenteric plexus (inferior) (superior). Visceral nerve
S34.6 Injury to peripheral nerve(s) of the abdomen, lower back and pelvis
S34.8 Injury to other and unspecified nerves in the abdomen, lower back and pelvis

S35 Injury to blood vessels in the abdomen, lower back and pelvis

S35.0 Trauma to the abdominal aorta
Excludes: aortic injury NOS ( S25.0)
S35.1 Injury to the inferior vena cava. Hepatic vein
Excludes: vena cava injury NOS ( S25.2)
S35.2 Injury to the celiac or mesenteric artery. Gastric artery
Gastroduodenal artery. Hepatic artery. Mesenteric artery (inferior) (superior). Splenic artery
S35.3 Portal or splenic vein injury. Mesenteric vein (inferior) (superior)
S35.4 Injury to the blood vessels of the kidney. Renal artery or vein
S35.5 Trauma to the iliac blood vessels. Hypogastric artery or vein. Iliac artery or veins
Arteries or veins of the uterus
S35.7 Injury to multiple blood vessels in the abdomen, lower back, and pelvis
S35.8 Injury to other blood vessels in the abdomen, lower back and pelvis. Arteries or veins of the ovary
S35.9 Injury to an unspecified blood vessel in the abdomen, lower back, and pelvis

S36 Abdominal trauma

S36.0 Spleen injury
S36.1 Injury to the liver or gallbladder. Bile duct
S36.2 Pancreatic injury
S36.3 Stomach injury
S36.4 Small intestinal injury
S36.5 Colon trauma
S36.6 Rectal injury
S36.7 Trauma to multiple intra-abdominal organs
S36.8 Trauma to other intra-abdominal organs. Peritoneum. Retroperitoneal space
S36.9 Injury to unspecified intra-abdominal organ

S37 Trauma to the pelvic organs

The following subcategories are provided for optional use in additional characterization of a condition where multiple coding is impossible or impractical:
0 - no open wound in abdominal cavity
1 - with an open wound in the abdominal cavity
Excludes: trauma to the peritoneum and retroperitoneal space ( S36.8)

S37.0 Kidney injury
S37.1 Ureteral injury
S37.2 Bladder injury
S37.3 Trauma to the urethra
S37.4 Ovarian injury
S37.5 Fallopian tube injury
S37.6 Uterine trauma
S37.7 Multiple pelvic organ trauma
S37.8 Trauma to other pelvic organs. Adrenal gland. Prostate gland. Seminal vesicles
Vas deferens
S37.9 Injury to unspecified pelvic organ

S38 Crushing and traumatic amputation of part of the abdomen, lower back and pelvis

S38.0 Crushing of the external genitalia
S38.1 Crushing of other and unspecified parts of the abdomen, lower back and pelvis
S38.2 Traumatic amputation of the external genitalia
Labia (major) (minor). Penis. Scrotums. Testicles. Vulvas
S38.3 Traumatic amputation of another and unspecified part of the abdomen, lower back and pelvis
Excluded: cutting of the torso at the level of the abdomen ( T05.8)

S39 Other and unspecified injuries of the abdomen, lower back and pelvis

S39.0 Injury to the muscles and tendons of the abdomen, lower back and pelvis
S39.6 Combined injury of intra-abdominal (s) and pelvic organ(s)
S39.7 Other multiple injuries to the abdomen, lower back and pelvis
Injuries classified in more than one category S30-S39.6
Excluded: combination of injuries classified under
S36. — with injuries classified in the rubric S37 . — (S39.6 )
S39.8 Other specified injuries to the abdomen, lower back and pelvis
S39.9 Injury to the abdomen, lower back and pelvis, unspecified

INJURIES OF THE SHOULDER GIRLE AND SHOULDER (S40-S49)

Included: injuries:
armpit
scapular region
Excluded: bilateral injury to the shoulder girdle and shoulder ( T00-T07)
thermal and chemical burns ( T20-T32)
frostbite ( T33-T35)
injuries:
hands (unspecified location) ( T10-T11)
elbow ( S50 -S59 )
bite or sting of a poisonous insect ( T63.4)

S40 Superficial injury of the shoulder girdle and shoulder

S40.0 Bruise of the shoulder girdle and shoulder
S40.7 Multiple superficial injuries of the shoulder girdle and shoulder
S40.8 Other superficial injuries of the shoulder girdle and shoulder
S40.9 Superficial injury of the shoulder girdle and shoulder, unspecified

S41 Open wound of the shoulder girdle and shoulder

Excludes: traumatic amputation of the shoulder girdle and shoulder ( S48. -)

S41.0 Open wound of the shoulder girdle
S41.1 Open shoulder wound
S41.7 Multiple open wounds of the shoulder girdle and shoulder
S41.8 Open wound to another and unspecified part of the shoulder girdle

S42 Fracture at the level of the shoulder girdle and shoulder

0 - closed
1 - open

S42.0 Clavicle fracture
Clavicles:
acromial end
body
sternal end
S42.1 Fracture of the scapula. Acromial process. Acromion. Shoulder blades (body) (glenoid cavity) (neck)
Shoulder blade
S42.2 Fracture of the upper end of the humerus. Anatomical neck. Greater tubercle. Proximal end
Surgical neck. Upper epiphysis
S42.3 Fracture of the body [diaphysis] of the humerus. Humerus NOS. Shoulder NOS
S42.4 Fracture of the lower end of the humerus. Articular process. Distal end. External condyle
Internal condyle. Internal epicondyle. Lower epiphysis. Supracondylar region
Excluded: elbow fracture NOS ( S52.0)
S42.7 Multiple fractures of the clavicle, scapula and humerus
S42.8 Fracture of other parts of the shoulder girdle and shoulder
S42.9 Fracture of unspecified part of the shoulder girdle. Shoulder fracture NOS

S43 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus of the shoulder girdle

S43.0 Dislocation of the shoulder joint. Glenohumeral joint
S43.1 Dislocation of the acromioclavicular joint
S43.2 Dislocation of the sternoclavicular joint
S43.3 Dislocation of another and unspecified part of the shoulder girdle. Shoulder dislocation NOS
S43.4 Sprain and overstrain of the capsular-ligamentous apparatus of the shoulder joint
Coracobrachialis (ligaments). Rotator cuff (capsule)
S43.5 Stretching and overstrain of the capsular-ligamentous apparatus of the acromioclavicular joint
Acromioclavicular ligament
S43.6 Stretching and overstrain of the capsular-ligamentous apparatus of the sternoclavicular joint
S43.7 Stretching and overstrain of the capsular-ligamentous apparatus of another and unspecified part of the shoulder girdle
Sprain and overstrain of the capsular-ligamentous apparatus of the shoulder girdle NOS

S44 Nerve injury at the level of the shoulder girdle and shoulder

Excludes: brachial plexus injury ( S14.3)

S44.0 Ulnar nerve injury at shoulder level
Excludes: ulnar nerve NOS ( S54.0)
S44.1 Median nerve injury at shoulder level
Excludes: median nerve NOS ( S54.1)
S44.2 Radial nerve injury at shoulder level
Excludes: radial nerve NOS ( S54.2)
S44.3 Axillary nerve injury
S44.4 Musculocutaneous nerve injury
S44.5 Trauma to the cutaneous sensory nerve at the level of the shoulder girdle and shoulder
S44.7 Injury to multiple nerves at the level of the shoulder girdle and shoulder
S44.8 Injury to other nerves at the level of the shoulder girdle and shoulder
S44.9 Injury to unspecified nerve at the level of the shoulder girdle and shoulder

S45 Injury to blood vessels at the level of the shoulder girdle and shoulder

Excluded: subclavian injury:
arteries ( S25.1 )
veins ( S25.3 )

S45.0 Axillary artery injury
S45.1 Brachial artery injury
S45.2 Axillary or brachial vein injury
S45.3 Trauma to the superficial veins at the level of the shoulder girdle and shoulder
S45.7 Injury to several blood vessels at the level of the shoulder girdle and shoulder
S45.8 Injury to other blood vessels at the level of the shoulder girdle and shoulder
S45.9 Injury to an unspecified blood vessel at the level of the shoulder girdle and shoulder

S46 Injury to muscle and tendon at the level of the shoulder girdle and shoulder

Excluded: muscle and tendon injury at or below the elbow ( S56. -)

S46.0 Rotator cuff tendon injury
S46.1 Injury to the muscle and tendon of the long head of the biceps muscle
S46.2 Injury to the muscle and tendon of other parts of the biceps muscle
S46.3 Injury to the triceps muscle and tendon
S46.7 Injury to several muscles and tendons at the level of the shoulder girdle and shoulder
S46.8 Injury to other muscles and tendons at the level of the shoulder girdle and shoulder
S46.9 Injury to unspecified muscles and tendons at the level of the shoulder girdle and shoulder

S47 Crushing of the shoulder girdle and shoulder

Excluded: crushed elbow ( S57.0)

S48 Traumatic amputation of the shoulder girdle and shoulder

at elbow level ( S58.0)
upper limb at an unspecified level ( T11.6)

S48.0 Traumatic amputation at the level of the shoulder joint
S48.1 Traumatic amputation at the level between the shoulder and elbow joints
S48.9 Traumatic amputation of the shoulder girdle and shoulder at an unspecified level

S49 Other and unspecified injuries of the shoulder girdle and shoulder

S49.7 Multiple shoulder and shoulder injuries
Injuries classified in more than one category S40-S48
S49.8 Other specified injuries of the shoulder girdle and shoulder
S49.9 Injury to the shoulder girdle and shoulder, unspecified

ELBOW AND FOREARM INJURIES (S50-S59)

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

S50 Superficial forearm injury

Excludes: superficial injury of wrist and hand ( S60. -)

S50.0 Elbow bruise
S50.1 Contusion of another and unspecified part of the forearm
S50.7 Multiple superficial injuries of the forearm
S50.8 Other superficial forearm injuries
S50.9 Superficial injury of the forearm, unspecified. Superficial elbow injury NOS

S51 Open wound of the forearm

Excluded: open wound of wrist and hand ( S61. -)
traumatic amputation of the forearm ( S58. -)

S51.0 Open wound of the elbow
S51.7 Multiple open wounds of the forearm
S51.8 Open wound on other parts of the forearm
S51.9 Open wound of unspecified part of forearm

S52 Fracture of forearm bones

The following subcategories are provided for optional use to further characterize a condition where multiple coding for fracture and open wound is not possible or practical; If a fracture is not designated as closed or open, it should be classified as closed:
0 - closed
1 - open
Excluded: fracture at the level of the wrist and hand ( S62. -)

S52.0 Upper end fracture ulna. Coronoid process. Elbow NOS. Fracture-dislocation of Monteggia
Olecranon process. Proximal end
S52.1 Fracture of the upper end of the radius. Heads. Shakey. Proximal end
S52.2 Fracture of the body [diaphysis] of the ulna
S52.3 Fracture of the body [diaphysis] of the radius
S52.4 Combined fracture of the diaphysis of the ulna and radius
S52.5 Fracture of the lower end of the radius. Collis fracture. Smith's fracture
S52.6 Combined fracture of the lower ends of the ulna and radius bones
S52.7 Multiple fractures of the forearm bones
Excluded: combined fracture of the ulna and radius:
lower ends ( S52.6)
diaphysis ( S52.4)
S52.8 Fracture of other parts of the bones of the forearm. The lower end of the ulna. Heads of the ulna
S52.9 Fracture of unspecified part of forearm bones

S53 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus of the elbow joint

S53.0 Dislocation of the radial head. Humeral joint
Excluded: Monteggia fracture-dislocation ( S52.0)
S53.1 Unspecified dislocation of the elbow joint. Shoulder-elbow joint
Excluded: dislocation of the radial head only ( S53.0)
S53.2 Traumatic rupture of the radial collateral ligament
S53.3 Traumatic rupture of the ulnar collateral ligament
S53.4 Sprain and overstrain of the capsular-ligamentous apparatus of the elbow joint

S54 Nerve injury at forearm level

Excluded: nerve injury at the level of the wrist and hand ( S64. -)

S54.0 Trauma to the ulnar nerve at the level of the forearm. Ulnar nerve NOS
S54.1 Injury to the median nerve at the level of the forearm. Median nerve NOS
S54.2 Trauma to the radial nerve at the level of the forearm. Radial nerve NOS
S54.3 Trauma to the cutaneous sensory nerve at the level of the forearm
S54.7 Injury to multiple nerves at the forearm level
S54.8 Injury to other nerves at the level of the forearm
S54.9 Injury to an unspecified nerve at the level of the forearm

S55 Injury to blood vessels at the level of the forearm

Excluded: injury:
blood vessels at the level of the wrist and hand ( S65. -)
blood vessels at shoulder level ( S45.1-S45.2)

S55.0 Trauma to the ulnar artery at the level of the forearm
S55.1 Trauma to the radial artery at the level of the forearm
S55.2 Injury to a vein at the level of the forearm
S55.7 Injury to several blood vessels at the level of the forearm
S55.8 Injury to other blood vessels at the level of the forearm
S55.9 Injury to an unspecified blood vessel at the level of the forearm

S56 Injury to muscle and tendon at forearm level

Excluded: muscle and tendon injury at or below the wrist ( S66. -)

S56.0 Flexor injury thumb and its tendons at the level of the forearm
S56.1 Injury to the flexor of the other finger(s) and its tendon at the level of the forearm
S56.2 Injury to another flexor and its tendon at the level of the forearm
S56.3 Injury to the extensor or abductor muscles of the thumb and their tendons at the level of the forearm
S56.4 Injury to the extensor of the other finger(s) and its tendon at the level of the forearm
S56.5 Injury to another extensor and tendon at the level of the forearm
S56.7 Injury to several muscles and tendons at the forearm level
S56.8 Injury to other and unspecified muscles and tendons at the level of the forearm

S57 Crush of the forearm

Excluded: crushed wrist and hand ( S67. -)

S57.0 Elbow crush injury
S57.8 Crushing of other parts of the forearm
S57.9 Crush of unspecified part of forearm

S58 Traumatic amputation of the forearm

S68. -)

S58.0 Traumatic amputation at the elbow joint
S58.1 Traumatic amputation at the level between the elbow and radial carpal joints
S58.9 Traumatic amputation of the forearm at an unspecified level

S59 Other and unspecified injuries of the forearm

Excludes: other and unspecified injuries of the wrist and hand ( S69. -)

S59.7 Multiple forearm injuries. Injuries classified in more than one category S50-S58
S59.8 Other specified forearm injuries
S59.9 Forearm injury, unspecified

WRIST AND HAND INJURIES (S60-S69)

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

S60 Superficial injury of wrist and hand

S60.0 Bruised finger(s) of the hand without damage to the nail plate. Bruised finger(s) of the hand NOS
Excluded: bruise involving the nail plate ( S60.1)
S60.1 Bruised finger(s) of the hand with damage to the nail plate
S60.2 Contusion of other parts of the wrist and hand
S60.7 Multiple superficial injuries of the wrist and hand
S60.8 Other superficial injuries of the wrist and hand
S60.9 Superficial injury of wrist and hand, unspecified

S61 Open wound of wrist and hand

Excludes: traumatic amputation of the wrist and hand ( S68. -)

S61.0 Open wound of the finger(s) of the hand without damage to the nail plate
Open wound of finger(s) NOS
Excluded: open wound involving the nail plate ( S61.1)
S61.1 Open wound of the finger(s) of the hand with damage to the nail plate
S61.7 Multiple open wounds of the wrist and hand
S61.8 Open wound to other parts of the wrist and hand
S61.9 Open wound of unspecified part of wrist and hand

S62 Fracture at the level of the wrist and hand

The following subcategories are provided for optional use to further characterize a condition where multiple coding to identify fracture and open wound is not possible or practical; If a fracture is not designated as closed or open, it should be classified as closed:
0 - closed
1 - open
Excluded: fracture of the distal ends of the ulna and radius ( S52. -)

S62.0 Fracture of the scaphoid bone of the hand
S62.1 Fracture of other wrist bone(s). Capitate. Hook-shaped. Lunar. Pisiform
Trapezium [large polygonal]. Trapezoidal [small polygonal]. Triangular
S62.2 Fracture of the first metacarpal bone. Bennett's fracture
S62.3 Fracture of the other metacarpal bone
S62.4 Multiple metacarpal fractures
S62.5 Fracture of the thumb
S62.6 Fracture of another finger
S62.7 Multiple finger fractures
S62.8 Fracture of another and unspecified part of the wrist and hand

S63 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus at the level of the wrist and hand

S63.0 Sprained wrist. Wrists (bones). Carpometacarpal joint. Proximal end of the metacarpal bone
Midcarpal joint. Wrist joint. Distal radioulnar joint
Distal end of the radius. Distal end of the ulna
S63.1 Dislocated finger. Interphalangeal joint of the hand. Metacarpal bone distal end. Metacarpophalangeal joint
Phalanges of the hand. Thumb
S63.2 Multiple dislocations of fingers
S63.3 Traumatic rupture of the wrist and metacarpus ligament. Collateral ligament of the wrist
Radiocarpal ligament. Radiocarpal (palm) ligament
S63.4 Traumatic rupture of the finger ligament at the level of the metacarpophalangeal and interphalangeal joint(s)
Collateral. Palm. Palmar aponeurosis
S63.5 Stretching and overstrain of the capsular-ligamentous apparatus at the wrist level. Carpal (joint)
Wrist (joint) (ligament)
S63.6 Stretching and overstrain of the capsular-ligamentous apparatus at the level of the finger
Interphalangeal joint of the hand. Metacarpophalangeal joint. Phalanges of the hand. Thumb
S63.7 Stretching and overstrain of the capsular-ligamentous apparatus of another and unspecified part of the hand

S64 Nerve injury at wrist and hand level

S64.0 Ulnar nerve injury at the wrist and hand
S64.1 Median nerve injury at the wrist and hand
S64.2 Radial nerve injury at the wrist and hand
S64.3 Thumb nerve injury
S64.4 Nerve injury to another finger
S64.7 Injury to multiple nerves at the wrist and hand
S64.8 Injury to other nerves in the wrist and hand
S64.9 Injury to an unspecified nerve at the wrist and hand level

S65 Trauma to blood vessels at the level of the wrist and hand

S65.0 Trauma to the ulnar artery at the level of the wrist and hand
S65.1 Radial artery injury at the wrist and hand
S65.2 Superficial palmar arch injury
S65.3 Deep palmar arch injury
S65.4 Injury to the blood vessel(s) of the thumb
S65.5 Injury to the blood vessel(s) of another finger
S65.7 Injury to multiple blood vessels at the wrist and hand
S65.8 Injury to other blood vessels at the wrist and hand
S65.9 Injury to an unspecified blood vessel at the wrist and hand level

S66 Injury to muscle and tendon at wrist and hand level

S66.0 Injury of the flexor pollicis longus and its tendon at the level of the wrist and hand
S66.1 Injury to the flexor of the other finger and its tendon at the level of the wrist and hand
S66.2 Injury to the extensor pollicis and its tendon at the level of the wrist and hand
S66.3 Injury to the extensor muscle of the other finger and its tendon at the level of the wrist and hand
S66.4 Injury to the intrinsic muscle and tendon of the thumb at the level of the wrist and hand
S66.5 Injury to the intrinsic muscle and tendon of the other finger at the level of the wrist and hand
S66.6 Injury to multiple flexor muscles and tendons at the wrist and hand level
S66.7 Injury to multiple extensor muscles and tendons at the wrist and hand level
S66.8 Injury to other muscles and tendons at the wrist and hand level
S66.9 Injury to unspecified muscles and tendons at the wrist and hand level

S67 Crushed wrist and hand

S67.0 Crushing of the thumb and other finger(s) of the hand
S67.8 Crushing of another and unspecified part of the wrist and hand

S68 Traumatic amputation of wrist and hand

S68.0 Traumatic amputation of the thumb (complete) (partial)
S68.1 Traumatic amputation of one other finger of the hand (complete) (partial)
S68.2 Traumatic amputation of two or more fingers (complete) (partial)
S68.3 Combined traumatic amputation of (part of) the finger(s) and other parts of the wrist and hand
S68.4 Traumatic amputation of the hand at the wrist level
S68.8 Traumatic amputation of other parts of the wrist and hand
S68.9 Traumatic amputation of the wrist and hand at an unspecified level

S69 Other and unspecified injuries of wrist and hand

S69.7 Multiple injuries to the wrist and hand. Injuries classified in more than one category S60-S68
S69.8 Other specified injuries of the wrist and hand
S69.9 Wrist and hand injury, unspecified

INJURIES TO THE HIP AND THIGH AREA (S70-S79)

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

S70 Superficial injury of the hip joint and thigh

S70.0 Bruise of the hip area
S70.1 Bruised thigh
S70.7 Multiple superficial injuries of the hip joint and thigh
S70.8 Other superficial injuries of the hip and thigh area
S70.9 Superficial injury of the hip joint and thigh, unspecified

S71 Open wound of the hip joint and thigh

Excludes: traumatic amputation of the hip joint and thigh ( S78. -)

S71.0 Open wound of the hip joint area
S71.1 Open thigh wound
S71.7 Multiple open wounds of the hip and thigh area
S71.8 Open wound of another and unspecified part of the pelvic girdle

S72 Fracture of the femur

The following subcategories are provided for optional use to further characterize a condition where multiple coding to identify fracture and open wound is not possible or practical; If a fracture is not designated as closed or open, it should be classified as closed:
0 - closed
1 - open

S72.0 Femoral neck fracture. Fracture of the hip joint NOS
S72.1 Pertrochanteric fracture. Intertrochanteric fracture. Trochanteric fracture
S72.2 Subtrochanteric fracture
S72.3 Fracture of the body [diaphysis] of the femur
S72.4 Fracture of the lower end of the femur
S72.7 Multiple femur fractures
S72.8 Fractures of other parts of the femur

S72.9 Fracture of unspecified part of femur

S73 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus of the hip joint and pelvic girdle

S73.0 Hip dislocation
S73.1 Stretching and overstrain of the capsular-ligamentous apparatus of the hip joint

S74 Nerve injuries at the level of the hip joint of the thigh

S74.0 Injury to the sciatic nerve at the level of the hip joint and thigh
S74.1 Femoral nerve injury at the hip and thigh level
S74.2 Injury to the cutaneous sensory nerve at the level of the hip joint and thigh
S74.7 Injury to multiple nerves at the hip and thigh level
S74.8 Injury to other nerves at the hip and thigh level
S74.9 Injury to unspecified nerve at the level of the hip and thigh

S75 Trauma to blood vessels at the level of the hip joint and thigh

Excluded: popliteal artery injury ( S85.0)

S75.0 Femoral artery injury
S75.1 Femoral vein injury
S75.2 Injury of the great saphenous vein at the level of the hip joint and thigh
Excludes: saphenous vein injury NOS ( S85.3)
S75.7 Injury to several blood vessels at the level of the hip joint and thigh
S75.8 Injury to other blood vessels at the hip and thigh level
S75.9 Injury to an unspecified blood vessel at the level of the pelvis, femoral joint, and thigh

S76 Injury to muscle and tendon at the level of the hip joint and thigh

S76.0 Injury to the muscle and tendon of the hip joint
S76.1 Injury to the quadriceps muscle and its tendon
S76.2 Injury to the adductor muscle and tendon
S76.3 Injury to the muscle and tendon of the posterior muscle group at the hip level
S76.4 Injury to other and unspecified muscles and tendons at the hip level
S76.7 Injury to several muscles and tendons at the hip and thigh level

S77 Crush of the hip joint and thigh

S77.0 Crush area of ​​the hip joint
S77.1 Crush thigh
S77.2 Crushing of the hip and thigh area

S78 Traumatic amputation of the hip and thigh area

Excludes: traumatic amputation of the leg at an unspecified level ( T13.6)

S78.0 Traumatic amputation at the level of the hip joint
S78.1 Traumatic amputation at the level between the hip and knee joints
S78.9 Traumatic amputation of the hip and thigh area at an unspecified level

S79 Other and unspecified injuries of the hip and thigh area

S79.7 Multiple injuries to the hip and thigh area
Injuries classified in more than one category S70-S78
S79.8 Other specified injuries of the hip and thigh area
S79.9 Injury to the hip and thigh area, unspecified

KNEE AND SHIN INJURIES (S80-S89)

Included: ankle and ankle fracture
Excluded: bilateral knee and lower leg injuries ( T00-T07)
thermal and chemical burns ( T20-T32)
frostbite ( T33-T35)
injuries:
ankle and foot, excluding ankle and ankle fractures ( S90-S99)
legs at unspecified level ( T12-T13)
bite or sting of a poisonous insect ( T63.4)

S80 Superficial injury of the leg

Excludes: superficial injury of the ankle and foot ( S90. -)

S80.0 Knee contusion
S80.1 Contusion of another and unspecified part of the leg
S80.7 Multiple superficial injuries of the leg
S80.8 Other superficial leg injuries
S80.9 Superficial injury of the lower leg, unspecified

S81 Open wound of the leg

Excluded: open wound of the ankle and foot area ( S91. -)
traumatic amputation of the lower leg ( S88. -)

S81.0 Open wound of the knee joint
S81.7 Multiple open wounds of the leg
S81.8 Open wound of other parts of the leg
S81.9 Open wound of the lower leg, unspecified location

S82 Fracture of the leg, including the ankle joint

Included: ankle fracture
The following subcategories are provided for optional use to further characterize a condition where multiple coding to identify fracture and open wound is not possible or practical; If a fracture is not designated as closed or open, it should be classified as closed:
0 - closed
1 - open
Excluded: fracture of the foot, excluding the ankle joint ( S92. -)

S82.0 Patella fracture. Knee cup
S82.1 Proximal tibia fracture
Tibia:
condyles)
heads) with or without mention
proximal) mention of a fracture
tuberosity) of the fibula
S82.2 Fracture of the body [diaphysis] of the tibia
S82.3 Fracture of the distal tibia
With or without mention of fibula fracture
Excludes: medial malleolus ( S82.5)
S82.4 Fibula fracture only
Excludes: external [lateral] malleolus ( S82.6)
S82.5 Fracture of the medial malleolus
Tibia involving:
ankle joint
ankles
S82.6 Fracture of the outer [lateral] malleolus
Fibula involving:
ankle joint
ankles
S82.7 Multiple fractures of the leg
Excluded: combined fractures of the tibia and fibula:
lower end ( S82.3)
body [diaphysis] ( S82.2 )
upper end ( S82.1)
S82.8 Fractures of other parts of the leg
Fracture:
ankle NOS
bimalleolar
trimalleolar
S82.9 Fracture of unspecified leg

S83 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus of the knee joint

Excluded: defeat:
internal ligaments of the knee joint ( M23. -)
patella ( M22.0-M22.3)
dislocation of the knee joint:
old ( M24.3)
pathological ( M24.3)
repetitive [habitual] ( M24.4)

S83.0 Patella dislocation
S83.1 Dislocation of the knee joint. Tibiofibular joint
S83.2 Fresh meniscus tear
Breaking the horn like a bucket handle:
NOS
external [lateral] meniscus
internal [medial] meniscus
Excluded: old bucket-handle rupture of the meniscal horn ( M23.2)
S83.3 Fresh rupture of the articular cartilage of the knee joint
S83.4 Sprain, tear and strain of the (external) (internal) collateral ligament
S83.5 Sprain, tear and strain of the (anterior) (posterior) cruciate ligament of the knee joint
S83.6 Sprain, rupture and overstrain of other and unspecified elements of the knee joint
Common patellar ligament. Interfibular syndesmosis and superior ligament
S83.7 Injury to multiple structures of the knee joint
Injury of (external) (internal) meniscus in combination with injury of (lateral) (cruciate) ligaments

S84 Nerve injury at calf level

Excluded: nerve injury at the level of the ankle and foot ( S94. -)

S84.0 Tibial nerve injury at the level of the leg
S84.1 Injury to the peroneal nerve at the level of the leg
S84.2 Injury to the cutaneous sensory nerve at the level of the leg
S84.7 Injury to multiple nerves at the calf level
S84.8 Injury to other nerves at the calf level
S84.9 Injury to unspecified nerve at calf level

S85 Injury to blood vessels at the level of the leg

Excludes: injury to blood vessels at the level of the ankle and foot ( S95. -)

S85.0 Popliteal artery injury
S85.1 Tibial (anterior) (posterior) artery injury
S85.2 Peroneal artery injury
S85.3 Injury of the great saphenous vein at the level of the leg. Great saphenous vein NOS
S85.4 Injury of the small saphenous vein at the level of the leg
S85.5 Popliteal vein injury
S85.7 Injury to several blood vessels at the calf level
S85.8 Injury to other blood vessels at the calf level
S85.9 Injury to unspecified blood vessel at calf level

S86 Injury to muscle and tendon at shin level

Excludes: muscle and tendon injury at the ankle and foot level ( S96. -)

S86.0 Heel [Achilles] tendon injury
S86.1 Injury to other muscle(s) and tendon(s) of the posterior muscle group at the level of the lower leg
S86.2 Injury to the muscle(s) and tendon(s) of the anterior muscle group at the calf level
S86.3 Injury to the muscle(s) and tendon(s) of the peroneal muscle group at the level of the lower leg
S86.7 Injury to several muscles and tendons at the calf level
S86.8 Injury to other muscles and tendons at the calf level
S86.9 Injury to unspecified muscles and tendons at the calf level

S87 Crushed leg

Excluded: crushing of the ankle and foot ( S97. -)

S87.0 Knee crush injury
S87.8 Crush of another and unspecified part of the leg

S88 Traumatic amputation of the lower leg

Excluded: traumatic amputation:
ankle and foot ( S98. -)
lower limb at an unspecified level ( T13.6)

S88.0 Traumatic amputation at the level of the knee joint
S88.1 Traumatic amputation between the knee and ankle joints
S88.9 Traumatic amputation of the leg at an unspecified level

S89 Other and unspecified injuries of the leg

Excludes: other and unspecified ankle and foot injuries ( S99. -)

S89.7 Multiple lower leg injuries. Injuries classified in more than one category S80-S88
S89.8 Other specified lower leg injuries
S89.9 Unspecified lower leg injury

INJURIES TO THE ANKLE AND FOOT AREA (S90-S99)

Excluded: bilateral injury to the ankle and foot area ( T00-T07)
thermal and chemical burns and corrosion ( T20-T32)
fracture of the ankle and ankle ( S82. -)
frostbite ( T33-T35)
injuries of the lower extremity at an unspecified level ( T12-T13)
bite or sting of a poisonous insect ( T63.4)

S90 Superficial injury to the ankle and foot area

S90.0 Bruised ankle
S90.1 Bruised toe(s) without damage to the nail plate. Bruised toe(s) NOS
S90.2 Bruised toe(s) with damage to the nail plate
S90.3 Contusion of another and unspecified part of the foot
S90.7 Multiple superficial injuries of the ankle and foot
S90.8 Other superficial ankle and foot injuries
S90.9 Superficial injury of the ankle and foot, unspecified

S91 Open wound of the ankle and foot area

Excluded: traumatic amputation at the ankle and foot level ( S98. -)

S91.0 Open wound of the ankle area
S91.1 An open wound of the toe(s) without damage to the nail plate. Open wound of toe(s) NOS
S91.2 Open wound of the toe(s) with damage to the nail plate
S91.3 An open wound on other parts of the foot. Open foot wound NOS
S91.7 Multiple open wounds of the ankle and foot

S92 Fracture of the foot, excluding ankle fracture

The following subcategories are provided for optional use to further characterize a condition where multiple coding to identify fracture and open wound is not possible or practical; If a fracture is not designated as closed or open, it should be classified as closed:
0 - closed
1 - open
Excluded: fracture:
ankle joint ( S82. -)
ankles ( S82. -)

S92.0 Heel bone fracture. Calcaneus. Heels
S92.1 Fracture of the talus. Astragalus
S92.2 Fracture of other tarsal bones. Cuboid
Wedge-shaped (intermediate) (internal) (external). Navicular bone of the foot
S92.3 Metatarsus fracture
S92.4 Big toe fracture
S92.5 Fracture of the other toe
S92.7 Multiple foot fractures
S92.9 Unspecified foot fracture

S93 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus of the ankle and foot

S93.0 Dislocation of the ankle joint. Talus. Lower end of the fibula
The lower end of the tibia. In the subtalar joint
S93.1 Dislocation of toe(s). Interphalangeal joint(s) of the foot. Metatarsophalangeal joint(s)
S93.2 Ligament rupture at the ankle and foot level
S93.3 Dislocation of another and unspecified part of the foot. Navicular bone of the foot. Tarsus (joints) (joints)
Tarsometatarsal joint(s)
S93.4 Sprain and strain of the ankle ligaments. Calcaneofibular ligament
Deltoid ligament. Internal collateral ligament. Talofibular bone
Tibiofibular ligament (distal)
S86.0)
S93.5 Stretching and overstrain of the capsular-ligamentous apparatus of the joints of the toe(s)
Interphalangeal joint(s). Metatarsophalangeal joint(s)
S93.6 Stretching and overstrain of the capsular-ligamentous apparatus of other and unspecified joints of the foot
Tarsals (ligaments). Tarsometatarsal ligament

S94 Nerve injury at ankle and foot level

S94.0 External [lateral] plantar nerve injury
S94.1 Internal [medial] plantar nerve injury
S94.2 Trauma to the deep peroneal nerve at the ankle and foot level
Terminal lateral branch of the deep peroneal nerve
S94.3 Trauma to the cutaneous sensory nerve at the level of the ankle joint and foot
S94.7 Injury to multiple nerves at the ankle and foot level
S94.8 Injury to other nerves at the ankle and foot level
S94.9 Injury to unspecified nerve at ankle and foot level

S95 Injury to blood vessels at the level of the ankle and foot

Excluded: injury to the posterior tibial artery and vein ( S85. -)

S95.0 Trauma to the dorsal artery of the foot
S95.1 Trauma to the plantar artery of the foot
S95.2 Trauma to the dorsal vein of the foot
S95.7 Injury to several blood vessels at the ankle and foot level
S95.8 Injury to other blood vessels at the ankle and foot level
S95.9 Injury to unspecified blood vessel at ankle and foot level

S96 Injury to muscle and tendon at ankle and foot level

Excludes: calcaneal [Achilles] tendon injury ( S86.0)

S96.0 Injury to the flexor digitorum longus and its tendon at the level of the ankle and foot
S96.1 Injury to the extensor finger longus and its tendon at the level of the ankle and foot
S96.2 Injury to the intrinsic muscle and tendon at the level of the ankle joint and foot
S96.7 Injury to several muscles and tendons at the ankle and foot level
S96.8 Injury to another muscle and tendon at the ankle and foot level
S96.9 Injury to unspecified muscles and tendons at the ankle and foot level

S97 Crushing ankle and foot

S97.0 Ankle crush
S97.1 Crushed toe(s)
S97.8 Crushing of other parts of the ankle and foot. Crushed foot NOS

S98 Traumatic amputation of the ankle and foot

S98.0 Traumatic amputation of the foot at the level of the ankle joint
S98.1 Traumatic amputation of one toe
S98.2 Traumatic amputation of two or more toes
S98.3 Traumatic amputation of other parts of the foot. Combined traumatic amputation of toe(s) and other parts of the foot
S98.4 Traumatic amputation of the foot at an unspecified level

S99 Other and unspecified injuries of the ankle and foot

S99.7 Multiple ankle and foot injuries
Injuries classified in more than one category S90-S98
S99.8 Other specified ankle and foot injuries
S99.9 Unspecified ankle and foot injury