Comprehensive Guide on Injury, Poisoning, and External Causes
This detailed guide covers various aspects of injuries, poisonings, and other consequences from external causes. It includes information on ICD10 and ICD9 coding, recording and treatment details, vocabulary related to different types of injuries, body parts classification, and code structures for different injury types. The content also touches on dislocation, sprain, strain, muscle, fascia, tendon injuries, nerve injuries, and more.
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INJURY, POISONING & CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES .
KEYS RECORD & SIGN DETAILS & EVIDENCE TREATMENT ABOUT ICD10 AND ICD9
PRACTICE MECHANICAL OF INJURY ORGAN INJURY/BODY PART OPENED OR CLOSED DEPTH
Head S00 S09 Neck BODY PARTS S10 S19 Thorax S20 S29 Shoulder & Upper arm S40 S49 - - Multiple - - 4 7 - T Abdomen & Lower back S30 S39 Elbow & Forearm S50 S59 Wrist & Hand S60 S69 Hip & Thigh S70 S79 Knee & Leg S80 S89 Ankle & Foot S90 S99
VOCABULARY SUPERFICIAL INJURY ABRASION, BLISTER, CONTUSION, BRUISE, HEMATOMA, INSECT BITE(NON-VENOMOUS), SPLINTER OPEN WOUND ANIMAL BITE, CUT, LACERATION, FLAP, PUNCTURE FRACTURE OPENED FRACTURE, CLOSED FRACTURE [EXCLUDE PATHOLOGIC FRACTURE]
VOCABULARY DISLOCATION/SPRAIN/STRAIN SPRAIN, STRAIN, SUBLUXATION, DISLOCATION, OPEN JOINT, HEMATARTHROSIS CRUSH INJURY NERVE & SPINAL CORD INJURY COMPLETE OR INCOMPLETE LESION, NEURAPEXIA BLOOD VESSELS INJURY COMPLETE OR INCOMPLETE LESION, CONTUSSION
VOCABULARY MUSCLE, FASCIA & TENDON INJURY COMPLETE OR INCOMPLETE LESION TRAUMATIC AMPUTATION COMPLETE OR INCOMPLETE LESION INTERNAL ORGAN INJURY CONCUSSION, CONTUSION, LACERATION, RUPTURE, TEAR, HEMATOMA
CODE STRUCTURE 1 : S INJURY 2 : 1-9 BODY PART 3 0 : SUPERFICIAL INJURY 5 : BLOOD VESSELS (MOST) 1 : OPEN WOUND 6 : INTERNAL ORGAN(TRUNK), MUSCLE&TENDON(EXT.) 2 : FRACTURE 7 : CRUSH EXCEPT CHEST&ABD INTERNAL ORGAN 3 : DISLOCATION/SPRAIN/STRAIN 8 : AMPUTATION EXCEPT CHEST&ABD CRUSH 4 : NERVE INJURY 9 : OTHER AND UNSPECIFIED
CODE STRUCTURE 4 : BODY PART [7 MULTIPLE INJURY ( )] 5 : FRACTURE, INTRACRANIAL & INTERNAL ORGAN INJURY 0 : CLOSED 1 : OPENED
RECORDING OF INJURIES PRINCIPLE DIAGNOSIS VITAL ORGANS INTERNAL ORGANS VESSELS SPINAL CORD & NERVES BONES & JOINTS TENDONS MUSCLES SKIN & SUBCUTANEOUS
BEWARE TRAUMATIC INTRACRANIAL HEMORRHAGE : S06.3-S06.6 INTRACRANIAL HEMORRHAGE : I60-I62 TRAUMATIC PNEUMOTHORAX : S27.0 PNEUMOTHORAX : J93.- TRAUMATIC HEMOTHORAX : S27.1 TRAUMATIC HEMOPNEUMOTHORAX : S27.2 FRACTURE : S PATHOLOGIC FRACTURE : M84.4 STRESS FRACTURE : M84.3 Accidental injury : T81.-
SUPERFICIAL INJURY CLINICAL ABRASION BLISTER CONTUSION, BRUISE SPLINTER INSECT BITE : / / , ,
OPEN WOUND CLINICAL LACERATION CUT WOUND AVULSION PUNCTURE ANIMAL BITE
LACERATION ( ) SKIN AND SUBCUTANEOUS TISSUE Diagnosis ICD-10 Diagnosis ICD-10 Laceration Anterior aspect of thigh Medial aspect of thigh Thigh Laceration Quadiceps muscle Adductor muscle Muscle of thigh S71.1 S71.1 S71.1 S76.1 S76.2 S76.4 Procedure ICD-9 Procedure ICD-9 Suture skin 86.59 Suture muscle 83.65
OPEN WOUND 86.28 Nonexcisional debridement of wound, infection or burn Debridement NOS Maggot therapy Removal of devitalized tissue, necrosis and slough by such methods as: brushing irrigation (under pressure) scrubbing washing Water scalpel (jet) 86.22 Excisional debridement of wound, infection, or burn Removal by excision of: devitalized tissue necrosis slough Excludes: debridement of: abdominal wall (wound) (54.3) bone (77.60-77.69) muscle (83.45) of hand (82.36) nail (bed) (fold) (86.27) nonexcisional debridement of wound, infection, or burn (86.28) open fracture site (79.60-79.69) pedicle or flap graft (86.75)
EXCISIONAL DEBRIDEMENT : DRG
CRUSH INJURY COMPARTMENT SYNDROME CRUSH SYNDROME/TRAUMATIC ANURIA T79.6 TRAUMATIC COMPARTMENT SYNDROME T79.5 CRUSH SYNDROME/TRAUMATIC ANURIA
MUSCLE AND TENDON INJURY ( INJURY)
MUSCLE AND TENDON INJURY PROCEDURE DIAGNOSIS : SUTURE, GRAFT, MYOPLASTY, TENOPLASTY REPAIR ( INJURY) DEBRIDEMENT, SUTURE SKIN ( )
MUSCLE AND TENDON INJURY ICD-9 82.4- : SUTURE OF MUSCLE, TENDON, AND FASCIA OF HAND HAND 82.5- : TRANSPLANTATION OF MUSCLE AND TENDON OF HAND 82.7- : PLASTIC OPERATION ON HAND WITH GRAFT OR IMPLANT 82.8- : OTHER PLASTIC OPERATIONS ON HAND 83.6- : SUTURE OF MUSCLE, TENDON, AND FASCIA 83.7- : RECONSTRUCTION OF MUSCLE AND TENDON Without arthroplasty 83.8- : OTHER PLASTIC OPERATIONS ON MUSCLE, TENDON, AND FASCIA
TRAUMATIC AMPUTATION DIAGNOSIS PROCEDURE : CLOSED STUMP, AMPUTATION( ), REATTACHMENT : COMPLETE/INCOMPLETE
TRAUMATIC AMPUTATION 84.0- Amputation of upper limb Excludes: revision of amputation stump (84.3) 84.1- Amputation of lower limb Excludes: revision of amputation stump (84.3) 84.2 Reattachment of extremity 84.21 Thumb reattachment 84.22 Finger reattachment 84.23 Forearm, wrist, or hand reattachment 84.24 Upper arm reattachment Reattachment of arm NOS 84.25 Toe reattachment 84.26 Foot reattachment 84.27 Lower leg or ankle reattachment Reattachment of leg NOS 84.28 Thigh reattachment 84.29 Other reattachment 84.00 : Closed amputated stump of upper limb 84.10 : Closed amputated stump of lower limb
FINGERTIP INJURY DIAGNOSIS PROCEDURE SUTURE OF FINGER : LACERATION OF FINGER FLAP COVERAGE SUTURE OF NAIL BED : LACERATION OF NAIL BED DEBRIDEMENT OF FRACTURE : FRACTURE OF DISTAL PHALANX (CLOSED/OPENED) CRIF/ORIF : TRAUMATIC AMPUTATION OF FINGER CLOSURE STUMP (4 MM FROM BASE OF DISTAL PHALANX)
HEAD INJURY MILD HEAD INJURY SEVERE HEAD INJURY HEAD INJURY WITH MODERATE/HIGH RISK EXTRACRANIAL VS INTRACRANIAL
SKULL FRACTURE S02.0 Fracture of vault of skull Frontal bone Parietal bone S02.1 Fracture of base of skull Fossa: anterior middle posterior Occiput Orbital roof Sinus: ethmoid frontal Sphenoid Temporal bone VAULT OF SKULL BASE OF SKULL LINEAR FRACTURE DEPRESS FRACTURE DIASTATIC FRACTURE COMPOUND FRACTURE
INTRACRANIAL INJURY S06.0 S06.1 S06.2 S06.3 Concussion Traumatic cerebral oedema Diffuse brain injury Focal brain injury traumatic intracerebral haemorrhage Traumatic epidural haemorrhage Traumatic subdural haemorrhage Traumatic subarachnoid haemorrhage Intracranial injury with prolonged coma Other intracranial injuries Traumatic haemorrhage: cerebellar intracranial NOS S06.9 Intracranial injury, unspecified Brain injury NOS CEREBRAL CONCUSSION CT/MRI S06.4 S06.5 S06.6 S06.7 S06.8 CEREBRAL EDEMA DIFFUSE/FOCAL BRAIN INJURY INTRACRANIAL HEMORRHAGE Open vs Closed
POISONING ADVERSE EFFECT : RIGHT USE RIGHT DOSE TOXIC EFFECT/POISONING : ABUSE OVER DOSE BITE
ADVERSE EFFECT DRUG INDUCED DIAGNOSIS ADVERSE EFFECT OF DRUG( ) ALLERGIC REACTION TO DRUG( ) HYPERSENSITIVITY FROM DRUG( )
TOXIC EFFECT : ACCIDENTAL INGESTION : SUICIDAL ATTEMPT INTENTIONAL SELF-HARM : TOXIC EFFECT OF DRUG WITH ALCOHOL INGESTION : ASSAULT : UNINTENTIONAL INTENT
BITE NON-VENOMOUS : PDX ( LACERATION, ABRASION) CC VENOMOUS : PDX ( ) CC
DEFINITIONS BURNS CORROSIONS (CHEMICAL BURNS) : -
RECORD T29.- T30.- 2 3
RECORD CURRENT DIAGNOSIS : DEBRIDEMENT, GRAFT : NECROTIC BURN, NON HEALING : : ATTENTION TO SURGICAL DRESSING Z48.0 : FOLLOW-UP CARE INVOLVING PLASTIC SURGERY Z42.- T85.8 : AUTOGRAFT T86.8 : HOMOGRAFT
