Chapter XIX



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

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

Includes: abdominal wall
anus
buttock
external genitalia
flank
groin
Excludes: burns and corrosions ( T20-T32 )
effects of foreign body in:
· anus and rectum ( T18.5 )
· genitourinary tract ( T19.- )
· stomach, small intestine and colon ( T18.2-T18.4 )
fracture of spine NOS ( T08 )
frostbite ( T33-T35 )
injuries of:
· back NOS ( T09.- )
· spinal cord NOS ( T09.3 )
· trunk NOS ( T09.- )
insect bite or sting, venomous ( T63.4 )

S30 Superficial injury of abdomen, lower back and pelvis
Excludes: superficial injury of hip ( S70.- )
S30.0 Contusion of lower back and pelvis
Buttock
S30.1 Contusion of abdominal wall
Flank
Groin
S30.2 Contusion of external genital organs
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
Excludes: 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
Buttock
S31.1 Open wound of abdominal wall
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
Excludes: 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
Includes: lumbosacral:
· neural arch
· spinous process
· transverse process
· vertebra
· vertebral arch
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.
0 closed
1 open
Excludes: fracture of hip NOS ( S72.0)
S32.0 Fracture of lumbar vertebra
Fracture of lumbar spine
#S32.000 Closed fracture of lumbar vertebra, compression type
#S32.001 Closed fracture of lumbar vertebra, burst type
#S32.002 Closed fracture of lumbar vertebra, seat-belt type
#S32.003 Closed fracture of lumbar vertebra, flexion-rotation type
#S32.004 Closed fracture of lumbar vertebra, shear type
#S32.005 Closed fracture of lumbar vertebra, flexion-distraction type
#S32.009 Closed fracture of lumbar vertebra, mechanism unspecified
#S32.010 Open fracture of lumbar vertebra, compression type
#S32.011 Open fracture of lumbar vertebra, burst type
#S32.012 Open fracture of lumbar vertebra, seat-belt type
#S32.013 Open fracture of lumbar vertebra, flexion-rotation type
#S32.014 Open fracture of lumbar vertebra, shear type
#S32.015 Open fracture of lumbar vertebra, flexion-distraction type
#S32.019 Open fracture of lumbar vertebra, mechanism unspecified
S32.1 Fracture of sacrum
#S32.10 Closed fracture of sacrum
#S32.11 Open fracture of sacrum
S32.2 Fracture of coccyx
#S32.20 Closed fracture of coccyx
#S32.21 Open fracture of coccyx
S32.3 Fracture of ilium
# S32.30 Closed fracture of ilium
# S32.31 Open fracture of ilium
S32.4 Fracture of acetabulum
#S32.40 Closed fracture of acetabulum
#S32.41 Open fracture of acetabulum
S32.5 Fracture of pubis
#S32.50 Closed fracture of pubis
#S32.51 Open fracture of pubis
S32.6 Fracture of pelvis
#S32.600 Closed fracture of pelvis, stable type
#S32.601 Closed fracture of pelvis, rotary unstable type
Closed AP compression fracture of pelvis
#S32.602 Closed fracture of pelvis, vertical shear type
Closed Malgaigne's fracture
#S32.608 Closed fracture of pelvis, other types
#S32.609 Closed fracture of pelvis, unspecified type
#S32.610 Open fracture of pelvis, stable type
#S32.611 Open fracture of pelvis, rotary unstable type
Open AP compression fracture of pelvis
#S32.612 Open fracture of pelvis, vertical shear type
Open Malgaigne's fracture
#S32.618 Open fracture of pelvis, other types
#S32.619 Open fracture of pelvis, unspecified type
S32.7 Multiple fractures of lumbar spine and pelvis
#S32.70 Multiple closed fractures of lumbar spine and pelvis
#S32.71 Multiple open fractures of lumbar spine and pelvis
S32.8 Fracture of other and unspecified parts of lumbar spine and pelvis
Fracture of:
· ischium
· lumbosacral spine NOS
· pelvis NOS
#S32.80 Closed fracture of other and unspecified parts of lumbar spine and pelvis
#S32.81 Open fracture of other and unspecified parts of lumbar spine and pelvis

S33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis
Excludes: 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
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
Diastasis of pubis symphysis
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
Diastasis of pubis symphysis
S34.3 Injury of cauda equina
S34.4 Injury of lumbosacral plexus
S34.5 Injury of lumbar, sacral and pelvic sympathetic nerves
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
Excludes: aorta NOS ( S25.0 )
S35.1 Injury of inferior vena cava
Hepatic vein
Excludes: vena cava NOS ( S25.2 )
S35.2 Injury of coeliac or mesenteric artery
Gastric artery
Gastroduodenal artery
Hepatic artery
Mesenteric artery (inferior)(superior)
Splenic artery
S35.3 Injury of portal or splenic vein
Mesenteric vein (inferior)(superior)
S35.4 Injury of renal blood vessels
Renal artery or vein
S35.5 Injury of iliac blood vessels
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
Ovarian artery or vein
S35.9 Injury of unspecified blood vessel at abdomen, lower back and pelvis level

S36 Injury of intra-abdominal organs
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:
0 without open wound into cavity
1 with open wound into cavity
S36.0 Injury of spleen
#S36.00 Injury of spleen without open wound into cavity
#S36.01 Injury of spleen with open wound into cavity
S36.1 Injury of liver or gallbladder
Bile duct
#S36.10 Injury of liver or gallbladder without open wound into cavity
#S36.11 Injury of liver or gallbladder with open wound into cavity
S36.2 Injury of pancreas
#S36.20 Injury of pancreas without open wound into cavity
#S36.21 Injury of pancreas with open wound into cavity
S36.3 Injury of stomach
#S36.30 Injury of stomach without open wound into cavity
#S36.31 Injury of stomach with open wound into cavity
S36.4 Injury of small intestine
#S36.40  
#S36.41  
S36.5 Injury of colon
#S36.50  
#S36.51  
S36.6 Injury of rectum
#S36.60  
#S36.61  
S36.7 Injury of multiple intra-abdominal organs
#S36.70  
#S36.71  
S36.8 Injury of other intra-abdominal organs
Peritoneum
Retroperitoneum
#S36.80 Injury of other intra-abdominal organs without open wound into cavity
#S36.81 Injury of other intra-abdominal organs with open wound into cavity
S36.9 Injury of unspecified intra-abdominal organ
#S36.90 Injury of unspecified intra-abdominal organ without open wound into cavity
#S36.91 Injury of multiple intra-abdominal organs with open wound into cavity

S37 Injury of urinary and pelvic organs
The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:
0 without open wound into cavity
1 with open wound into cavity
Excludes: peritoneum and retroperitoneum ( S36.8)
S37.0 Injury of kidney
#S37.00 Injury of kidney without open wound into cavity
#S37.01 Injury of kidney with open wound into cavity
S37.1 Injury of ureter
#S37.10 Injury of ureter without open wound into cavity
#S37.11 Injury of ureter with open wound into cavity
S37.2 Injury of bladder
#S37.20 Injury of bladder without open wound into cavity
#S37.21 Injury of bladder with open wound into cavity
S37.3 Injury of urethra
#S37.30 Injury of urethra without open wound into cavity
#S37.31 Injury of urethra with open wound into cavity
S37.4 Injury of ovary
#S37.40 Injury of ovary without open wound into cavity
#S37.41 Injury of ovary with open wound into cavity
S37.5 Injury of fallopian tube
#S37.50 Injury of fallopian tube without open wound into cavity
#S37.51 Injury of fallopian tube with open wound into cavity
S37.6 Injury of uterus
#S37.60 Injury of uterus without open wound into cavity
#S37.61 Injury of uterus with open wound into cavity
S37.7 Injury of multiple pelvic organs
#S37.70 Injury of multiple pelvic organs without open wound into cavity
#S37.71 Injury of multiple pelvic organs with open wound into cavity
S37.8 Injury of other pelvic organs
Adrenal gland
Prostate
Seminal vesicle
Vas deferens
#S37.80 Injury of other pelvic organs without open wound into cavity
#S37.81 Injury of other pelvic organs with open wound into cavity
S37.9 Injury of unspecified pelvic organ
#S37.90 Injury of unspecified pelvic organ without open wound into cavity
#S37.91 Injury of unspecified pelvic organ with open wound into cavity

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
Labium (majus)(minus)
Penis
Scrotum
Testis
Vulva
S38.3 Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis
Excludes: 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
Injuries classifiable to more than one of the categories S30-S39.6
Excludes: 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