Chapter XIX


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

Injuries to the thorax
(S20-S29)

Includes: injuries of:
· breast
· chest (wall)
· interscapular area
Excludes: burns and corrosions ( T20-T32 )
effects of foreign body in:
· bronchus ( T17.5 )
· lung ( T17.8 )
· oesophagus ( T18.1 )
· trachea ( T17.4 )
fracture of spine NOS ( T08 )
frostbite ( T33-T35 )
injuries of:
· axilla
· clavicle
· scapular region
· shoulder
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( S40-S49 )
· spinal cord NOS ( T09.3 )
· trunk NOS ( T09.- )
insect bite or sting, venomous ( T63.4 )

S20 Superficial injury of thorax
S20.0 Contusion of breast
S20.1 Other and unspecified superficial injuries of breast
S20.2 Contusion of thorax
S20.3 Other superficial injuries of front wall of thorax
S20.4 Other superficial injuries of back wall of thorax
S20.7 Multiple superficial injuries of thorax
S20.8 Superficial injury of other and unspecified parts of thorax
Thoracic wall NOS

S21 Open wound of thorax
Excludes: traumatic:
· haemopneumothorax ( S27.2 )
· haemothorax ( S27.1 )
· pneumothorax ( S27.0 )
S21.0 Open wound of breast
S21.1 Open wound of front wall of thorax
S21.2 Open wound of back wall of thorax
S21.7 Multiple open wounds of thoracic wall
S21.8 Open wound of other parts of thorax
S21.9 Open wound of thorax, part unspecified
Thoracic wall NOS

S22 Fracture of rib(s), sternum and thoracic spine
Includes: thoracic:
· 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:
· clavicle ( S42.0 )
· scapula ( S42.1 )
S22.0 Fracture of thoracic vertebra
Fracture of thoracic spine NOS
S22.1 Multiple fractures of thoracic spine
S22.2 Fracture of sternum
S22.3 Fracture of rib
S22.4 Multiple fractures of ribs
S22.5 Flail chest
S22.8 Fracture of other parts of bony thorax
S22.9 Fracture of bony thorax, part unspecified

S23 Dislocation, sprain and strain of joints and ligaments of thorax
Excludes: dislocation, sprain and strain of sterno-clavicular joint ( S43.2 , S43.6 )
rupture or displacement (nontraumatic) of thoracic intervertebral disc ( M51.- )
S23.0 Traumatic rupture of thoracic intervertebral disc
S23.1 Dislocation of thoracic vertebra
Thoracic spine NOS
S23.2 Dislocation of other and unspecified parts of thorax
S23.3 Sprain and strain of thoracic spine
S23.4 Sprain and strain of ribs and sternum
S23.5 Sprain and strain of other and unspecified parts of thorax

S24 Injury of nerves and spinal cord at thorax level
Excludes: injury of brachial plexus ( S14.3 )
S24.0 Concussion and oedema of thoracic spinal cord
S24.1 Other and unspecified injuries of thoracic spinal cord
S24.2 Injury of nerve root of thoracic spine
S24.3 Injury of peripheral nerves of thorax
S24.4 Injury of thoracic sympathetic nerves
Cardiac plexus
Oesophageal plexus
Pulmonary plexus
Stellate ganglion
Thoracic sympathetic ganglion
S24.5 Injury of other nerves of thorax
S24.6 Injury of unspecified nerve of thorax

S25 Injury of blood vessels of thorax
S25.0 Injury of thoracic aorta
Aorta NOS
S25.1 Injury of innominate or subclavian artery
S25.2 Injury of superior vena cava
Vena cava NOS
S25.3 Injury of innominate or subclavian vein
S25.4 Injury of pulmonary blood vessels
S25.5 Injury of intercostal blood vessels
S25.7 Injury of multiple blood vessels of thorax
S25.8 Injury of other blood vessels of thorax
Azygos vein
Mammary artery or vein
S25.9 Injury of unspecified blood vessel of thorax

S26 Injury of heart
Includes: contusion
laceration
puncture
traumatic rupture
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of heart
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 thoracic cavity
1 with open wound into thoracic cavity
S26.0 Injury of heart with haemopericardium
S26.8 Other injuries of heart
S26.9 Injury of heart, unspecified

S27 Injury of other and unspecified intrathoracic 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 thoracic cavity
1 with open wound into thoracic cavity
Excludes: injury of:
· cervical oesophagus ( S10-S19 )
· trachea (cervical) ( S10-S19 )
S27.0 Traumatic pneumothorax
S27.1 Traumatic haemothorax
S27.2 Traumatic haemopneumothorax
S27.3 Other injuries of lung
S27.4 Injury of bronchus
S27.5 Injury of thoracic trachea
S27.6 Injury of pleura
S27.7 Multiple injuries of intrathoracic organs
S27.8 Injury of other specified intrathoracic organs
Diaphragm
Lymphatic thoracic duct
Oesophagus (thoracic part)
Thymus gland
S27.9 Injury of unspecified intrathoracic organ

S28 Crushing injury of thorax and traumatic amputation of part of thorax
S28.0 Crushed chest
Excludes: flail chest ( S22.5 )
S28.1 Traumatic amputation of part of thorax
Excludes: transection of thorax ( T05.8 )

S29 Other and unspecified injuries of thorax
S29.0 Injury of muscle and tendon at thorax level
S29.7 Multiple injuries of thorax
Injuries classifiable to more than one of the categories S20-S29.0
S29.8 Other specified injuries of thorax
S29.9 Unspecified injury of thorax