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 abdomen, lower back, lumbar spine and pelvis
(S30-S39)

Incl.:
abdominal wall
anus
buttock
external genitalia
flank
groin
Excl.:
burns and corrosions ( T20-T32)
effects of foreign body in:
fracture of spine NOS ( T08)
frostbite ( T33-T35)
injuries of:
insect bite or sting, venomous ( T63.4)

S30 Superficial injury of abdomen, lower back and pelvis

Excl.:
superficial injury of hip ( S70.-)
S30.0 Contusion of lower back and pelvis
Incl.:
Buttock
S30.1 Contusion of abdominal wall
Incl.:
Flank
Groin
S30.2 Contusion of external genital organs
Incl.:
Labium (majus)(minus)
Penis
Perineum
Scrotum
Testis
Vagina
Vulva
S30.7 Multiple superficial injuries of abdomen, lower back and pelvis
S30.8 Other superficial injuries of abdomen, lower back and pelvis
S30.9 Superficial injury of abdomen, lower back and pelvis, part unspecified

S31 Open wound of abdomen, lower back and pelvis

Excl.:
open wound of hip ( S71.0)
traumatic amputation of part of abdomen, lower back and pelvis ( S38.2-S38.3)
S31.0 Open wound of lower back and pelvis
Incl.:
Buttock
S31.1 Open wound of abdominal wall
Incl.:
Flank
Groin
S31.2 Open wound of penis
S31.3 Open wound of scrotum and testes
S31.4 Open wound of vagina and vulva
S31.5 Open wound of other and unspecified external genital organs
Excl.:
traumatic amputation of external genital organs ( S38.2)
S31.7 Multiple open wounds of abdomen, lower back and pelvis
S31.8 Open wound of other and unspecified parts of abdomen

S32 Fracture of lumbar spine and pelvis

Modifier-Hint
Incl.:
lumbosacral:
  • neural arch
  • spinous process
  • transverse process
  • vertebra
  • vertebral arch
Excl.:
fracture of hip NOS ( S72.0)
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
S32.0 Fracture of lumbar vertebra
Incl.:
Fracture of lumbar spine
S32.1 Fracture of sacrum
S32.2 Fracture of coccyx
S32.3 Fracture of ilium
S32.4 Fracture of acetabulum
S32.5 Fracture of pubis
S32.7 Multiple fractures of lumbar spine and pelvis
S32.8 Fracture of other and unspecified parts of lumbar spine and pelvis
Incl.:
Fracture of:
  • ischium
  • lumbosacral spine NOS
  • pelvis NOS

S33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis

Excl.:
dislocation, sprain and strain of joint and ligaments of hip ( S73.-)
obstetric damage to pelvic joints and ligaments ( O71.6)
rupture or displacement (nontraumatic) of lumbar intervertebral disc ( M51.-)
S33.0 Traumatic rupture of lumbar intervertebral disc
S33.1 Dislocation of lumbar vertebra
Incl.:
Dislocation of lumbar spine NOS
S33.2 Dislocation of sacroiliac and sacrococcygeal joint
S33.3 Dislocation of other and unspecified parts of lumbar spine and pelvis
S33.4 Traumatic rupture of symphysis pubis
S33.5 Sprain and strain of lumbar spine
S33.6 Sprain and strain of sacroiliac joint
S33.7 Sprain and strain of other and unspecified parts of lumbar spine and pelvis

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

S34.0 Concussion and oedema of lumbar spinal cord
S34.1 Other injury of lumbar spinal cord
S34.2 Injury of nerve root of lumbar and sacral spine
S34.3 Injury of cauda equina
S34.4 Injury of lumbosacral plexus
S34.5 Injury of lumbar, sacral and pelvic sympathetic nerves
Incl.:
Coeliac ganglion or plexus
Hypogastric plexus
Mesenteric plexus (inferior)(superior)
Splanchnic nerve
S34.6 Injury of peripheral nerve(s) of abdomen, lower back and pelvis
S34.8 Injury of other and unspecified nerves at abdomen, lower back and pelvis level

S35 Injury of blood vessels at abdomen, lower back and pelvis level

S35.0 Injury of abdominal aorta
Excl.:
aorta NOS ( S25.0)
S35.1 Injury of inferior vena cava
Incl.:
Hepatic vein
Excl.:
vena cava NOS ( S25.2)
S35.2 Injury of coeliac or mesenteric artery
Incl.:
Gastric artery
Gastroduodenal artery
Hepatic artery
Mesenteric artery (inferior)(superior)
Splenic artery
S35.3 Injury of portal or splenic vein
Incl.:
Mesenteric vein (inferior)(superior)
S35.4 Injury of renal blood vessels
Incl.:
Renal artery or vein
S35.5 Injury of iliac blood vessels
Incl.:
Hypogastric artery or vein
Iliac artery or vein
Uterine artery or vein
S35.7 Injury of multiple blood vessels at abdomen, lower back and pelvis level
S35.8 Injury of other blood vessels at abdomen, lower back and pelvis level
Incl.:
Ovarian artery or vein
S35.9 Injury of unspecified blood vessel at abdomen, lower back and pelvis level

S36 Injury of intra-abdominal organs

Modifier-Hint
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:

Code Title
0
without open wound into cavity
1
with open wound into cavity
S36.0 Injury of spleen
S36.1 Injury of liver or gallbladder
Incl.:
Bile duct
S36.2 Injury of pancreas
S36.3 Injury of stomach
S36.4 Injury of small intestine
S36.5 Injury of colon
S36.6 Injury of rectum
S36.7 Injury of multiple intra-abdominal organs
S36.8 Injury of other intra-abdominal organs
Incl.:
Peritoneum
Retroperitoneum
S36.9 Injury of unspecified intra-abdominal organ

S37 Injury of urinary and pelvic organs

Modifier-Hint
Excl.:
peritoneum and retroperitoneum ( S36.8)
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:

Code Title
0
without open wound into cavity
1
with open wound into cavity
S37.0 Injury of kidney
Guidance
S37.1 Injury of ureter
S37.2 Injury of bladder
S37.3 Injury of urethra
S37.4 Injury of ovary
S37.5 Injury of fallopian tube
S37.6 Injury of uterus
S37.7 Injury of multiple pelvic organs
S37.8 Injury of other pelvic organs
Incl.:
Adrenal gland
Prostate
Seminal vesicle
Vas deferens
Excl.:
Open wound of other and unspecified external genital organs ( S31.5)
S37.9 Injury of unspecified pelvic organ

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

S38.0 Crushing injury of external genital organs
S38.1 Crushing injury of other and unspecified parts of abdomen, lower back and pelvis
S38.2 Traumatic amputation of external genital organs
Incl.:
Labium (majus)(minus)
Penis
Scrotum
Testis
Vulva
S38.3 Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis
Excl.:
transection of abdomen ( T05.8)

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

S39.0 Injury of muscle and tendon of abdomen, lower back and pelvis
S39.6 Injury of intra-abdominal organ(s) with pelvic organ(s)
S39.7 Other multiple injuries of abdomen, lower back and pelvis
Incl.:
Injuries classifiable to more than one of the categories S30-S39.6
Excl.:
injuries in S36.- with injuries in S37.- ( S39.6)
S39.8 Other specified injuries of abdomen, lower back and pelvis
S39.9 Unspecified injury of abdomen, lower back and pelvis