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

Injuries to the head
(S00-S09)

Includes:










#		 injuries of:
· ear
· eye
· face [any part]
· gum
· jaw
· temporomandibular joint area
· oral cavity
· palate
· periocular area
· scalp
  · temporomandibular joint area
· tongue
· tooth
Excludes: burns and corrosions ( T20-T32 )
effects of foreign body:
· in:
  · ear ( T16 )
  · larynx ( T17.3 )
  · mouth ( T18.0 )
  · nose ( T17.0-T17.1 )
  · pharynx ( T17.2 )
· on external eye ( T15.- )
frostbite ( T33-T35 )
insect bite or sting, venomous ( T63.4 )

S00 Superficial injury of head
Excludes: 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
Black eye
Excludes: contusion of eyeball and orbital tissues ( S05.1)
S00.2 Other superficial injuries of eyelid and periocular area
Excludes: 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
#S00.50 Superficial injury of internal cheek
#S00.51 Superficial injury of other parts of mouth, including tongue
#S00.52 Superficial injury of lip
#S00.53 Superficial injury of lip and oral cavity, unspecified
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
Excludes: decapitation ( S18)
injury of eye and orbit ( S05.-)
traumatic amputation of part of head ( S08.-)
S01.0 Open wound of scalp
Excludes: avulsion of scalp ( S08.0)
S01.1 Open wound of eyelid and periocular area
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
# S01.40 Open wound of cheek
# S01.41 Open wound of temporomandibular area
# S01.47 Open wound of cheek with open wound of temporomandibular area
S01.5 Open wound of lip and oral cavity
# Excludes: cheek (S01.40)
tooth:
· dislocation ( S03.2)
· fracture ( S02.5)
#S01.50 Open wound of oral cavity
Open wound of mouth
Includes:     tongue
#S01.51 Open wound of lip
#S01.57 Open wound of oral cavity with open wound of lip
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
# Note: For primary coding of fracture of skull and facial bones with associated intracranial injury, refernece should be made to the morbiity or mortality coding rules and guidelines.
S02.0 Fracture of vault of skull
Frontal bone
Parietal bone
#S02.00 Closed fracture of vault of skull
#S02.01 Open fracture of vault of skull
S02.1 Fracture of base of skull
Fossa:
· anterior
· middle
· posterior
Occiput
Orbital roof
Sinus:
· ethmoid
· frontal
Sphenoid
Temporal bone
Excludes: orbit NOS ( S02.8)
orbital floor ( S02.3)
#S02.10 Closed fracture of base of skull
#S02.11 Open fracture of base of skull
S02.2 Fracture of nasal bones
#S02.20 Closed fracture of nasal bones
#S02.21 Open fracture of nasal bones
S02.3 Fracture of orbital floor
Excludes: orbit NOS ( S02.8)
orbital roof ( S02.1)
#S02.30 Closed fracture of orbital floor
#S02.31 Open fracture of orbital floor
S02.4 Fracture of malar and maxillary bones
#S02.400 Closed fracture of maxillary alveolar process
#S02.401 Closed fracture of malar bone [zygoma]
#S02.402 Closed fracture of maxillary bones
#S02.407 Multiple closed fractures of malar and maxillary bones
#S02.410 Open fracture of maxillary alveolar process
#S02.411 Open fracture of malar bone [zygoma]
#S02.412 Open fracture of maxillary bones
#S02.417 Multiple open fractures of malar and maxillary bones
S02.5 Fracture of tooth

#		 Broken tooth
Includes:     primary (deciduous) and permanent teeth
#S02.500 Closed fracture of enamel of tooth only
Enamel chipping
#S02.501 Closed fracture of crown of tooth without pulpal involvement
#S02.502 Closed fracture of crown of tooth with pulpal involvement
#S02.503 Closed fracture of root of tooth
#S02.504 Closed fracture of crown with fracture of root of tooth
#S02.507 Mutiple closed fractures of teeth
#S02.509 Closed fracture of tooth, unspecified
#S02.510 Open fracture of enamel of tooth only
Enamel chipping
#S02.511 Open fracture of crown of tooth without pulpal involvement
#S02.512 Open fracture of crown of tooth with pulpal involvement
#S02.513 Open fracture of root of tooth
#S02.514 Open fracture of crown with fracture of root of tooth
#S02.517 Mutiple open fractures of teeth
#S02.519 Open fracture of tooth, unspecified
S02.6 Fracture of mandible
#S02.600 Closed fracture of alveolar process
#S02.601 Closed fracture of body of mandible
#S02.602 Closed fracture of condyle
#S02.603 Closed fracture of coronoid process
#S02.604 Closed fracture of ramus
#S02.605 Closed fracture of symphysis
#S02.606 Closed fracture of angle
#S02.607 Multiple closed fractures of mandible
#S02.609 Closed fracture of mandible, part unspecified
#S02.610 Open fracture of alveolar process
#S02.611 Open fracture of body of mandible
#S02.612 Open fracture of condyle
#S02.613 Open fracture of coronoid process
#S02.614 Open fracture of ramus
#S02.615 Open fracture of symphysis
#S02.616 Open fracture of angle
#S02.617 Multiple open fractures of mandible
#S02.619 Open fracture of mandible, part unspecified
S02.7 Multiple fractures involving skull and facial bones
#S02.70 Multiple closed fractures of skull and facial bones
#S02.71 Multiple open fractures of skull and facial bones
S02.8 Fractures of other skull and facial bones
Alveolus
Orbit NOS
Palate
Excludes: orbital:
· floor ( S02.3)
· roof ( S02.1)
#S02.80 Closed fracture of other skull and facial bones
#S02.81 Open fracture of other skull and facial bones
S02.9 Fracture of skull and facial bones, part unspecified
#S02.90 Closed fracture of skull and facial bones, part unspecified
#S02.91 Open fracture of skull and facial bones, part unspecified

S03 Dislocation, sprain and strain of joints and ligaments of head
S03.0 Dislocation of jaw



#		 Jaw (cartilage)(meniscus)
Mandible
Temporomandibular (joint)
Excludes:        recurrent dislocation and subluxation of temporomandibular joint (K07.62)
S03.1 Dislocation of septal cartilage of nose
S03.2 Dislocation of tooth
#S03.20 Luxation of tooth
#S03.21 Intrusion or extrusion of tooth
#S03.22 Avulsion of tooth [exarticulation]
#S03.29 Dislocation of tooth, unspecified
S03.3 Dislocation of other and unspecified parts of head
S03.4 Sprain and strain of jaw
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
Optic chiasm
2nd cranial nerve
Visual cortex
S04.1 Injury of oculomotor nerve
3rd cranial nerve
S04.2 Injury of trochlear nerve
4th cranial nerve
S04.3 Injury of trigeminal nerve
5th cranial nerve
S04.4 Injury of abducent nerve
6th cranial nerve
S04.5 Injury of facial nerve
7th cranial nerve
S04.6 Injury of acoustic nerve
Auditory nerve
8th cranial nerve
S04.7 Injury of accessory nerve
11th cranial nerve
S04.8 Injury of other cranial nerves
#S04.80 Injury of olfactory nerve
1st cranial nerve
#S04.81 Injury of glossopharyngeal nerve
9th cranial nerve
#S04.82 Injury of vagus nerve
Pneumogastric nerve
10th cranial nerve
#S04.83 Injury of hypoglossal nerve
12th cranial nerve
S04.9 Injury of unspecified cranial nerve

S05 Injury of eye and orbit
Excludes: 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
Excludes: foreign body in:
· conjunctival sac ( T15.1 )
· cornea ( T15.0 )
S05.1 Contusion of eyeball and orbital tissues
Traumatic hyphaema
Excludes: 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
Laceration of eye NOS
S05.4 Penetrating wound of orbit with or without foreign body
Excludes: retained (old) foreign body following penetrating wound of orbit ( H05.5 )
S05.5 Penetrating wound of eyeball with foreign body
Excludes: retained (old) intraocular foreign body ( H44.6-H44.7 )
S05.6 Penetrating wound of eyeball without foreign body
Ocular penetration NOS
S05.7 Avulsion of eye
Traumatic enucleation
S05.8 Other injuries of eye and orbit
Lacrimal duct injury
S05.9 Injury of eye and orbit, unspecified
Injury of eye NOS

S06 Intracranial injury
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.
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:
0 without open intracranial wound
1 with open intracranial wound
S06.0 Concussion
Commotio cerebri
#S06.00 Concussion without open intracranial wound
#S06.01 Concussion with open intracranial wound
S06.1 Traumatic cerebral oedema
#S06.10 Traumatic cerebral oedema without open intracranial wound
#S06.11 Traumatic cerebral oedema with open intracranial wound
S06.2 Diffuse brain injury
Cerebral:
· contusion NOS
· laceration NOS
Traumatic compression of brain NOS
#S06.20 Diffuse brain injury without open intracranial wound
#S06.21 Diffuse brain injury with open intracranial wound
S06.3 Focal brain injury
Focal:
· cerebral:
  · contusion
  · laceration
· traumatic intracerebral haemorrhage
#S06.30 Focal brain injury without open intracranial wound
#S06.31 Focal brain injury with open intracranial wound
S06.4 Epidural haemorrhage
Extradural haemorrhage (traumatic)
#S06.40 Epidural haemorrhage without open intracranial wound
#S06.41 Epidural haemorrhage with open intracranial wound
S06.5 Traumatic subdural haemorrhage
#S06.50 Traumatic subdural haemorrhage without open intracranial wound
#S06.51 Traumatic subdural haemorrhage with open intracranial wound
S06.6 Traumatic subarachnoid haemorrhage
#S06.60 Traumatic subarachnoid haemorrhage without open intracranial wound
#S06.61 Traumatic subarachnoid haemorrhage with open intracranial wound
S06.7 Intracranial injury with prolonged coma
#S06.70 Intracranial injury with prolonged coma without open intracranial wound
#S06.71 Intracranial injury with prolonged coma with open intracranial wound
S06.8 Other intracranial injuries
Traumatic haemorrhage:
· cerebellar
· intracranial NOS
#S06.80 Other intracranial injuries without open intracranial wound
#S06.81 Other intracranial injuries with open intracranial wound
S06.9 Intracranial injury, unspecified
Brain injury NOS
Excludes: head injury NOS ( S09.9)
#S06.90 Unspecified intracranial injury without open intracranial wound
#S06.91 Unspecified intracranial injury with open intracranial wound

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
Excludes: decapitation ( S18 )

S09 Other and unspecified injuries of head
S09.0 Injury of blood vessels of head, not elsewhere classified
# Traumatic C-C fistula
Excludes: 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
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
Injury of:
· face NOS
· ear NOS
· nose NOS