Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)

Rules Conventions GCS DCS.XVIII.4 DChS.XIX.1 DChS.XIX.2 DChS.XIX.3 DChS.XX.1

Injuries to the head
(S00-S09)

Incl.:
injuries of:
  • ear
  • eye
  • face [any part]
  • gum
  • jaw
  • temporomandibular joint area
  • oral cavity
  • palate
  • periocular area
  • scalp
  • tongue
  • tooth
Excl.:
burns and corrosions ( T20-T32)
effects of foreign body:
frostbite ( T33-T35)
insect bite or sting, venomous ( T63.4)

S00 Superficial injury of head

Excl.:
cerebral contusion (diffuse) ( S06.2)
• focal ( S06.3)
injury of eye and orbit ( S05.-)
S00.0 Superficial injury of scalp
S00.1 Contusion of eyelid and periocular area
Incl.:
Black eye
Excl.:
contusion of eyeball and orbital tissues ( S05.1)
S00.2 Other superficial injuries of eyelid and periocular area
Excl.:
superficial injury of conjunctiva and cornea ( S05.0)
S00.3 Superficial injury of nose
S00.4 Superficial injury of ear
S00.5 Superficial injury of lip and oral cavity
S00.7 Multiple superficial injuries of head
S00.8 Superficial injury of other parts of head
S00.9 Superficial injury of head, part unspecified

S01 Open wound of head

Excl.:
decapitation ( S18)
injury of eye and orbit ( S05.-)
traumatic amputation of part of head ( S08.-)
S01.0 Open wound of scalp
Excl.:
avulsion of scalp ( S08.0)
S01.1 Open wound of eyelid and periocular area
Incl.:
Open wound of eyelid and periocular area with or without involvement of lacrimal passages
S01.2 Open wound of nose
S01.3 Open wound of ear
S01.4 Open wound of cheek and temporomandibular area
S01.5 Open wound of lip and oral cavity
Excl.:
tooth:
S01.7 Multiple open wounds of head
S01.8 Open wound of other parts of head
S01.9 Open wound of head, part unspecified

S02 Fracture of skull and facial bones
DCS.XIX.1

Modifier-Hint
Note:

For primary coding of fracture of skull and facial bones with associated intracranial injury, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code Title
0
closed
1
open
S02.0 Fracture of vault of skull
Incl.:
Frontal bone
Parietal bone
S02.1 Fracture of base of skull
Incl.:
Fossa:
  • anterior
  • middle
  • posterior
Occiput
Orbital roof
Sinus:
  • ethmoid
  • frontal
Sphenoid
Temporal bone
Excl.:
orbit NOS ( S02.8)
orbital floor ( S02.3)
S02.2 Fracture of nasal bones
S02.3 Fracture of orbital floor
Excl.:
orbit NOS ( S02.8)
orbital roof ( S02.1)
S02.4 Fracture of malar and maxillary bones
Incl.:
Superior maxilla
Upper jaw (bone)
Zygoma
S02.5 Fracture of tooth
Incl.:
Broken tooth
S02.6 Fracture of mandible
Incl.:
Lower jaw (bone)
S02.7 Multiple fractures involving skull and facial bones
S02.8 Fractures of other skull and facial bones
Incl.:
Alveolus
Orbit NOS
Palate
Excl.:
orbital:
S02.9 Fracture of skull and facial bones, part unspecified

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

S03.0 Dislocation of jaw
Incl.:
Jaw (cartilage)(meniscus)
Mandible
Temporomandibular (joint)
S03.1 Dislocation of septal cartilage of nose
S03.2 Dislocation of tooth
S03.3 Dislocation of other and unspecified parts of head
S03.4 Sprain and strain of jaw
Incl.:
Temporomandibular (joint)(ligament)
S03.5 Sprain and strain of joints and ligaments of other and unspecified parts of head

S04 Injury of cranial nerves

S04.0 Injury of optic nerve and pathways
Incl.:
Optic chiasm
2nd cranial nerve
Visual cortex
S04.1 Injury of oculomotor nerve
Incl.:
3rd cranial nerve
S04.2 Injury of trochlear nerve
Incl.:
4th cranial nerve
S04.3 Injury of trigeminal nerve
Incl.:
5th cranial nerve
S04.4 Injury of abducent nerve
Incl.:
6th cranial nerve
S04.5 Injury of facial nerve
Incl.:
7th cranial nerve
S04.6 Injury of acoustic nerve
Incl.:
Auditory nerve
8th cranial nerve
S04.7 Injury of accessory nerve
Incl.:
11th cranial nerve
S04.8 Injury of other cranial nerves
Incl.:
Glossopharyngeal [9th] nerve
Hypoglossal [12th] nerve
Olfactory [1st] nerve
Vagus [10th] nerve
S04.9 Injury of unspecified cranial nerve

S05 Injury of eye and orbit

Excl.:
injury of:
  • oculomotor [3rd] nerve (S04.1)
  • optic [2nd] nerve (S04.0)
open wound of eyelid and periocular area ( S01.1)
orbital bone fracture ( S02.1, S02.3, S02.8)
superficial injury of eyelid ( S00.1-S00.2)
S05.0 Injury of conjunctiva and corneal abrasion without mention of foreign body
Excl.:
foreign body in:
S05.1 Contusion of eyeball and orbital tissues
Incl.:
Traumatic hyphaema
Excl.:
black eye ( S00.1)
contusion of eyelid and periocular area ( S00.1)
S05.2 Ocular laceration and rupture with prolapse or loss of intraocular tissue
S05.3 Ocular laceration without prolapse or loss of intraocular tissue
Incl.:
Laceration of eye NOS
S05.4 Penetrating wound of orbit with or without foreign body
Excl.:
retained (old) foreign body following penetrating wound of orbit ( H05.5)
S05.5 Penetrating wound of eyeball with foreign body
Excl.:
retained (old) intraocular foreign body ( H44.6-H44.7)
S05.6 Penetrating wound of eyeball without foreign body
Incl.:
Ocular penetration NOS
S05.7 Avulsion of eye
Incl.:
Traumatic enucleation
S05.8 Other injuries of eye and orbit
Incl.:
Lacrimal duct injury
S05.9 Injury of eye and orbit, unspecified
Incl.:
Injury of eye NOS

S06 Intracranial injury
DCS.XIX.1

Modifier-Hint
Note:

For primary coding of intracranial injuries with associated fractures, reference should be made to the morbidity or mortality coding rules and guidelines in Volume 2.

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify intracranial injury and open wound:

Code Title
0
without open intracranial wound
1
with open intracranial wound
S06.0 Concussion
Incl.:
Commotio cerebri
S06.1 Traumatic cerebral oedema
S06.2 Diffuse brain injury
Incl.:
Cerebral:
  • contusion NOS
  • laceration NOS
Traumatic compression of brain NOS
S06.3 Focal brain injury
Incl.:
Focal:
  • cerebral:
    • —  contusion
    • —  laceration
  • traumatic intracerebral haemorrhage
S06.4 Epidural haemorrhage
Incl.:
Extradural haemorrhage (traumatic)
S06.5 Traumatic subdural haemorrhage
S06.6 Traumatic subarachnoid haemorrhage
S06.7 Intracranial injury with prolonged coma
S06.8 Other intracranial injuries
Incl.:
Traumatic haemorrhage:
  • cerebellar
  • intracranial NOS
S06.9 Intracranial injury, unspecified
Incl.:
Brain injury NOS
Excl.:
head injury NOS ( S09.9)

S07 Crushing injury of head

S07.0 Crushing injury of face
S07.1 Crushing injury of skull
S07.8 Crushing injury of other parts of head
S07.9 Crushing injury of head, part unspecified

S08 Traumatic amputation of part of head

S08.0 Avulsion of scalp
S08.1 Traumatic amputation of ear
S08.8 Traumatic amputation of other parts of head
S08.9 Traumatic amputation of unspecified part of head
Excl.:
decapitation ( S18)

S09 Other and unspecified injuries of head

S09.0 Injury of blood vessels of head, not elsewhere classified
Excl.:
injury of:
  • cerebral blood vessels (S06.-)
  • precerebral blood vessels (S15.-)
S09.1 Injury of muscle and tendon of head
S09.2 Traumatic rupture of ear drum
S09.7 Multiple injuries of head
Incl.:
Injuries classifiable to more than one of the categories S00-S09.2
S09.8 Other specified injuries of head
S09.9 Unspecified injury of head
DCS.XIX.2
Incl.:
Injury of:
  • face NOS
  • ear NOS
  • nose NOS