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
S32.1		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
		Fracture of: · ischium · lumbosacral spine NOS · pelvis NOS


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
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
		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
S36.1		Injury of liver or gallbladder
		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
		Peritoneum Retroperitoneum
S36.9		Injury of unspecified intra-abdominal organ


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
S37.1		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
		Adrenal gland Prostate Seminal vesicle Vas deferens
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
		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