Appendix A Partial Pick List of Injury and Sequelae Codes (ICD-10-CA)

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1 What are ICD-10 and ICD-10-CA? The International Statistical Classification of Diseases and Related Health Problems - Tenth Revision (ICD-10) is an international standard for reporting diseases, injuries, and causes of death developed by the World Health Organization (WHO). ICD-10-CA is an enhanced version of ICD-10 developed by CIHI and is the classification facilities use to record problems, diagnoses, symptoms and other conditions necessitating contact with health care providers. Where Can I Get a Complete List of ICD-10-CA Codes? Visit the CIHI website for more information. Providers and software vendors can purchase products and publications related to coding directly from CIHI at including: ICD-10-CA/CCI, 2010 (CD-ROM Single user). o This product is similar to CD-ROM encyclopaedias. The infobase automatically indexes every word and users may find information quickly using the software s search engine. Code Title Tables 2015 (for use with ICD-10-CA/CCI). o The code title tables include all the valid diagnosis and intervention codes and their descriptions. PDF versions of the 2015 ICD-10-CA and CCI will become available prior to June 1, Stakeholders will be notified as soon as these are available. ICD-10-CA and HCAI HCAI will only recognize valid ICD-10-CA codes. In many cases it will be important for users of HCAI to learn how to use the HCAI search code utility to locate valid ICD-10-CA codes. Without valid ICD-10-CA codes, HCAI users will be unable to submit forms to automobile insurers. ICD-10-CA Code Structure ICD Base (mandatory) ICD Sub-Category (Optional) Position 1 Position 2-3 Position 4-6 Series Category Sub-Category Series (position 1) The Series code represents a broad category of disease, condition, injury, disorder, or symptom. Codes are grouped within a series based on: body system or anatomy (e.g. respiratory, circulatory) cause or etiology (e.g. injuries, infections) circumstances (e.g. pregnancy) Category (position 2-3) The Category code provides general details to describe the injury, disease, disorder, symptom or condition. The meaning of each position within Category Code varies from series to series. Sub-Category (position 4-6) The Sub-Category code provides specific details related to the injury, disease, disorder, symptom or condition. Generally, this of detail is not required for automobile insurers. 1

2 Conversion to 2015 Version of ICD-10-Ca Periodically, HCAI will update the version of ICD-10-Ca and users should ensure they are using current code sets, which are available at Most Significant Injury/Sequelae Code The code(s) selected by health practitioners is intended to reflect 1. The problem, injury, diagnosis or condition directly related to the automobile accident; and 2. The problem, injury, diagnosis or condition directly related to the automobile accident which is being addressed in the treatment plan or invoice. When there is more than one injury/problem/sequelae list the most significant code first. Physical Injury Physical injury codes are primarily represented in Chapter XIX of the ICD-10-CA. The title of this chapter is Injury, poisoning and certain other consequences of external causes and the codes represented here include S00 to S99. These codes identify an injury involving one body part or region. Injuries Involving Multiple Body Regions Providers may wish to reference Chapter XIX of the ICD-10-CA when coding multiple injuries in a variety of body regions. The sub-section is called Injuries involving multiple body regions and the codes represented here include T00 to T07. Sequelae of Injuries, of Poisoning and of Certain Other Consequences Health providers may wish to refer to Chapter XIX of the ICD-10-CA to locate sequelae codes. The sub-section to locate is called Sequelae of injuries, of poisoning and of certain other consequences and the codes represented here include T90 to T98. Each sequelae grouping can be related back to the original physical injury that led to the sequelae. For example, if a claimant suffered an Injury to the Head as represented by the code for concussion (S06.0), the sequelae code for that injury can be found in the section called Sequelae of Injuries to the Head and the appropriate code for sequelae of concussion is T90.5. The ICD-10-CA specifically defines this code as representative of sequelae associated with the concussion code (S06.0). Prior Conditions or Old Injuries When coding injuries, problems and sequelae (Part 6 of the OCF 18, Part 5 of the OCF 23 and in the OCF 21), providers are asked to select a code that represents injuries and sequelae that are the direct result of the automobile accident. Pre-existing conditions are captured elsewhere in the OCF forms. The Canadian Coding Standards for Version offers guidance on selecting the appropriate code. Current injuries are captured in Chapter XIX Injury, Poisoning and Certain Other Consequences of External Causes [S00 T98]) while old injuries may be captured in the body system chapters, such as Chapter XIII Diseases of the Musculoskeletal System and Connective Tissue [M00 M99]). Example1 pg 329 ): Current Injury related to auto collision is tear of meniscus of knee. Code = S83.2 (Tear of meniscus, current). Nontraumatic (degenerative) tear of meniscus. Code = M23.3 (Other meniscus derangement including degenerate, detached or retained meniscus). CIHI asks users to exercise caution when coding conditions that are described as repetitive, degenerative and/or from 1 pg 332 overuse. These codes are unrelated to a traumatic event and should not be classified as traumatic injuries. 1 Canadian Coding Standards for Version 2015 ICD-10 and CCI. Canadian Institute for Health Information

3 Greatest Use of Resources The most significant injury/sequelae code is the one code that identifies the problem, injury, diagnosis or condition directly related to the automobile accident which is or will be responsible for the greatest use of resources during the provision of care to the claimant in a given treatment plan or invoice. In a case of multiple injuries, the most significant injury/sequelae is the injury requiring the most services. If no diagnosis was made, the main symptom, abnormal finding or problem should be selected as the most significant injury and reported first in the list of injuries/problems. 3

4 Appendix A Partial List of ICD-10-CA Codes Injuries Resulting from Automobile Collisions (external causes); Chapter XIX ICD-10-CA ICD-10 Code Description Strains & Sprains S034 Sprain and strain of jaw S091 Injury of muscle and tendon of head S1340 Whiplash associated disorder [WAD1] with complaint of neck pain, stiffness or tenderness only S1341 Whiplash associated disorder [WAD2] with complaint of neck pain with musculoskeletal signs S16 Injury of muscle and tendon at neck S233 Sprain and strain of thoracic spine S234 Sprain and strain of ribs and sternum S290 Injury of muscle and tendon at thorax S335 Sprain and strain of lumbar spine S336 Sprain and strain of sacroiliac joint S390 Injury of muscle and tendon of abdomen, lower back and pelvis S434 Sprain and strain of shoulder joint S435 Sprain and strain of acromioclavicular joint S436 Sprain and strain of sternoclavicular joint S4378 Sprain and strain of other parts of shoulder girdle S46 Injury of tendon at shoulder and upper arm S460 Injury of tendon of the rotator cuff of shoulder S461 Injury of muscle and tendon of long head of biceps S462 Injury of muscle and tendon of other parts of biceps S463 Injury of muscle and tendon of triceps S534 Sprain and strain of elbow S56 Injury of muscle and tendon at forearm S560 Injury of flexor muscle and tendon on thumb at forearm S561 Injury of long flexor muscle and tendon or other finger(s) at forearm S562 Injury of other flexor muscle and tendon at forearm S563 Injury of extensor or abductor muscles and tendons of thumb at forearm S564 Injury of extensor muscle and tendon of other finger(s) at forearm S635 Sprain and strain of wrist S636 Sprain and strain of finger(s) S6370 Sprain and strain of carpometacarpal (joint) of hand S6371 Sprain and strain of metacarpal (distal) (proximal) S6372 Midcarpal sprain and strain of hand S66 Injury of muscle and tendon at wrist and hand S660 Injury of long flexor muscle and tendon of thumb at wrist and hand S661 Injury of flexor muscle and tendon of other finger at wrist and hand S662 Injury of extensor muscle and tendon of thumb at wrist and hand S663 Injury of extensor muscle and tendon of other finger at wrist and hand S664 Injury of intrinsic muscle and tendon of thumb at wrist and hand S665 Injury of intrinsic muscle and tendon of other finger at wrist and hand 4

5 Skin Wounds & Non- Extensive Burns S731 S76 S760 S8340 S8341 S8350 S8351 S86 S860 S862 S868 S934 S935 S9350 S9351 S960 S961 S962 S968 S00 S000 S007 S01 S010 S017 S10 S100 S107 S11 S117 S20 S202 S207 S21 S217 S30 S300 S301 S307 S310 S311 S3113 S317 S40 S400 S407 S410 S411 Sprain and strain of hip Injury of muscle and tendon at hip and thigh Injury of muscle and tendon of hip Sprain and strain of lateral collateral ligament of knee Sprain and strain of medial collateral ligament of knee Sprain and strain of anterior cruicate ligament of knee Sprain and strain of posterior cruciate ligament of knee Injury of muscle and tendon at lower leg Injury of Achilles tendon Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg Injury of other muscles and tendons at lower leg Sprain and strain of ankle Sprain and strain of toe(s) Sprain and strain of metatarsophalangeal joint Sprain and strain of (interphalangeal) joint of toe Injury of muscle and tendon of long flexor muscle of toe at ankle and foot Injury of muscle and tendon on long extensor muscle of toe at ankle and foot Injury of intrinsic muscle and tendon at ankle and foot Injury of other muscles and tendons at ankle and foot Superficial injury of head Superficial injury of scalp Multiple superficial injuries of head Open wound of head Open wound of scalp Multiple open wounds of head Superficial injury of neck Contusion of throat Multiple superficial injuries of neck Open wound of neck Multiple open wounds of neck Superficial injury of thorax Contusion of thorax Multiple superficial injuries of thorax Open wound of thorax Multiple open wounds of thoracic wall Superficial injury of abdomen, lower back and pelvis Contusion of lower back and pelvis Contusion of abdominal wall Multiple superficial injuries of abdomen, lower back and pelvis Open wound of lower back and pelvis Open wound of abdominal wall Open wound of lower abdominal wall Multiple open wounds of abdomen, lower back and pelvis Superficial injury of shoulder and upper arm Contusion of shoulder and upper arm Multiple superficial injuries of shoulder and upper arm Open wound of shoulder Open wound of upper arm 5

6 S417 S50 S500 S507 S51 S510 S60 S602 S607 S61 S617 S70 S700 S701 S707 S710 S711 S717 S80 S800 S801 S807 S808 S809 S81 S810 S8100 S8101 S817 S90 S900 S903 S907 S910 S913 S917 T00 T01 T201 T205 T211 T215 T221 T225 T231 T235 T241 T245 T251 T255 Multiple open wounds of shoulder and upper arm Superficial injury of forearm Contusion of elbow Multiple superficial injuries of forearm Open wound of forearm Open wound of elbow Superficial injury of wrist and hand Contusion of other parts of wrist and hand Multiple superficial injuries of wrist and hand Open wound of wrist and hand Multiple open wounds of wrist and hand Superficial injury of hip and thigh Contusion of hip Contusion of thigh Multiple superficial injuries of hip and thigh Open wound of hip Open wound of thigh Multiple open wounds of hip and thigh Superficial injury of lower leg Contusion of knee Contusion of other and unspecified parts of lower leg Multiple superficial injuries of lower leg Other superficial injuries of lower leg Superficial injury of lower leg, unspecified Open wound of lower leg Open wound of knee Open wound of knee, uncomplicated Open wound of knee, complicated Multiple open wounds of lower leg Superficial injury of ankle and foot Contusion of ankle Contusion of other and unspecified parts of foot Multiple superficial injuries of ankle and foot Open wound of ankle Open wound of other parts of foot Multiple open wounds of ankle and foot Superficial injuries involving multiple body regions Open wounds involving multiple body regions Burn of first degree of head and neck Corrosion of first degree of head and neck Burn of first degree of trunk Corrosion of first degree of trunk Burn of first degree of shoulder and upper limb, except wrist and hand Corrosion of first degree of shoulder and upper limb, except wrist and hand Burn of first degree of wrist and hand Corrosion of first degree of wrist and hand Burn of first degree of hip and lower limb, except ankle and foot Corrosion of first degree of hip and lower limb, except ankle and foot Burn of first degree of ankle and foot Corrosion of first degree of ankle and foot 6

7 Fractures, Dislocations & Extensive T291 T295 T301 T305 S968 S02 S025 S025 S032 S026 S0262 S027 S030 S031 S032 S0910 S160 S222 S223 S224 S2900 S322 S323 S324 S325 S332 S334 S3900 S42 S420 S421 S422 S423 S424 S427 S430 S431 S432 S4600 S4670 S52 S520 S521 S5212 S522 S523 S524 S5250 S526 Burns of multiple regions, no more than first-degree burns mentioned Corrosions of multiple regions, no more than first-degree corrosions mentioned Burn of first degree, body region unspecified Corrosion of first degree, body region unspecified Injury of other muscles and tendons at ankle and foot Fracture of skull and facial bones Fracture of tooth Fracture of tooth; broken tooth Dislocation of tooth Fracture of mandible Fracture of temporomandibular joint Multiple fractures involving skull and facial bone Dislocation of jaw Dislocation of septal cartilage of nose Dislocation of tooth Laceration of muscle and tendon of head Laceration of muscle and tendon at neck Fracture of sternum Fracture of rib Multiple fractures of ribs Laceration of muscle of tendon at thorax Fracture of coccyx Fracture of ilium Fracture of acetabulum Fracture of pubis Dislocation of sacroiliac and sacrococcygeal joint Traumatic rupture of symphysis pubis Laceration of muscle and tendon of abdomen, lower back and pelvis Fracture of shoulder and upper arm Fracture of clavicle Fracture of scapula Fracture of upper end of humerus Fracture of shaft of humerus Fracture of lower end of humerus Multiple fractures of clavicle, scapula and humeru Dislocation of shoulder joint Dislocation of acromioclavicular joint Dislocation of sternoclavicular joint Laceration of tendon of the rotator cuff of shoulder Laceration of multiple muscles and tendons at shoulder and upper arm Fracture of forearm Fracture of upper end of ulna Fracture of upper end of radius Fracture of radius with ulna, upper end Fracture of shaft of ulna Fracture of shaft of radius Fracture of shafts of both ulna and radius Colles' fracture Fracture of lower end of both ulna and radius 7

8 S527 S530 S531 S5600 S5610 S5630 S5640 S5670 S62 S621 S622 S623 S624 S625 S626 S627 S630 S631 S632 S633 S6600 S6610 S6620 S6630 S6640 S6650 S6660 S6670 S720 S7210 S723 S724 S727 S730 S7600 S7670 S820 S821 S822 S823 S824 S827 S8280 S8281 Multiple fractures of forearm Dislocation of radial head Dislocation of elbow Laceration of flexor muscle and tendon of thumb at forearm Laceration of long flexor muscle and tendon of other finger(s) at forearm Laceration of extensor or abductor muscles and tendons of thumb at forearm Laceration of extensor muscle and tendon of other finger(s) at forearm Laceration of multiple muscles and tendons at forearm Fracture at wrist and hand Fracture of other carpal bone(s) Fracture of first metacarpal bone Fracture of other metacarpal bone Multiple fractures of metacarpal bones Fracture of thumb Fracture of other finger Multiple fractures of fingers Dislocation of wrist Dislocation of finger Multiple dislocations of fingers Traumatic rupture of ligament of wrist and carpus Laceration of long flexor muscle and tendon of thumb at wrist and hand Laceration of flexor muscle and tendon of other finger at wrist and hand Laceration of extensor muscle and tendon of thumb at wrist and hand Laceration of extensor muscle and tendon of other finger at wrist and hand Laceration of intrinsic muscle and tendon of thumb at wrist and hand Laceration of intrinsic muscle and tendon of other finger at wrist and hand Laceration of multiple flexor muscles and tendons at wrist and hand Laceration of multiple extensor muscles and tendons at wrist and hand Fracture of neck of femur Intertrochanteric fracture Fracture of shaft of femur Fracture of lower end of femur Multiple fractures of femur Dislocation of hip Laceration of muscle and tendon of hip Laceration of multiple muscles and tendons at hip and thigh Fracture of patella Fracture of upper end of tibia Fracture of shaft of tibia Fracture of lower end of tibia Fracture of fibula alone Multiple fractures of lower leg Bimalleolar fracture of ankle Trimalleolar fracture of ankle 8

9 S830 Dislocation of patella S831 Dislocation of knee S8320 Tear of medial meniscus of knee, current S8321 Tear of lateral meniscus of knee, current S83400 Sprain and strain of lateral collateral ligament of knee, rupture S83410 Sprain and strain of medial collateral ligament of knee, rupture S83500 Sprain and strain of anterior cruciate ligament of knee, rupture S83510 Sprain and strain of posterior cruciate ligament of knee, rupture S8600 Laceration of Achilles tendon S8670 Laceration of multiple muscles and tendons at lower leg S920 Fracture of calcaneus S921 Fracture of talus S9220 Fracture of navicular bone S9221 Fracture of cuboid bone S9222 Fracture of cuniform bone S923 Fracture of metatarsal bone S924 Fracture of great toe S925 Fracture of other toe S927 Multiple fractures of foot S930 Dislocation of ankle joint S931 Dislocation of toe(s) S932 Rupture of ligaments at ankle and foot S9330 Dislocation of tarsal (midtarsal) joint S9331 Dislocation of tarsometatarsal joint S9600 Laceration of long flexor muscle or tendon of toe at ankle and foot S9610 Laceration of long extensor muscle or tendon of toe at ankle and foot S9620 Laceration of intrinsic muscle or tendon of toe at ankle and foot S9670 Laceration of multiple types of muscle or tendon of toe at ankle and foot T02 Fractures involving multiple body regions T022 Fractures involving multiple regions of one upper limb T023 Fractures involving multiple regions of one lower limb T024 Fractures involving multiple regions of both upper limbs T025 Fractures involving multiple regions of both lower limbs T026 Fractures involving multiple regions of upper limb(s) T028 Fractures involving other combinations of body regions T032 Dislocations, sprains and strains involving multiple regions of upper limb(s) T033 Dislocations, sprains and strains involving multiple regions of lower limb(s) T034 Dislocations, sprains and strains involving multiple regions of upper limb(s) with lower limb(s) T038 Dislocations, sprains and strains involving other combinations of body regions T796 Traumatic ischaemia of muscle T064 Injuries of muscles and tendons involving multiple body regions Concussion S060 Concussion Peripheral Nerve Injuries S130 Traumatic rupture of cervical intervertebral disc S1342 S142 Whiplash associated disorder [WAD3] with complaint of neck pain with neurological signs Injury of nerve root of cervical spine 9

10 S1420 S143 S1430 S144 S1440 S145 S1450 S230 S242 S2420 S243 S2430 S244 S2440 S330 S342 S3420 S344 S3440 S345 S3450 S346 S3460 S440 S4400 S441 S4410 S442 S4420 S443 S4430 S447 S4470 S540 S5400 S541 S5410 S542 S5420 S547 S5470 S640 S6400 S641 S6410 S642 S6420 S643 S6430 S644 S6440 Laceration of nerve root of cervical spine Injury of brachial plexus Laceration of brachial plexus Injury of peripheral nerves of neck Laceration of peripheral nerves of neck Injury of cervical sympathetic nerves Laceration of cervical sympathetic nerves Traumatic rupture of thoracic intervertebral disc Injury of nerve root of thoracic spine Laceration of nerve root of thoracic spine Injury of peripheral nerves of thorax Laceration of peripheral nerves of thorax Injury of thoracic sympathetic nerves Laceration of thoracic sympathetic nerves Traumatic rupture of lumbar intervertebral disc Injury of nerve root of lumbar spinal cord Laceration of nerve root of lumbar and sacral spine Injury of lumbosacral plexus Laceration of lumbosacral plexus Injury of lumbar, sacral and pelvic sympathetic nerves Laceration of lumbar, sacral and pelvic sympathetic nerves Injury of peripheral nerve(s) of abdomen, lower back and pelvis Laceration of peripheral nerve(s) of abdomen, lower back and pelvis Injury of ulnar nerve at upper arm Laceration of ulnar nerve at upper arm Injury of median nerve at upper arm Laceration of median nerve at upper arm Injury of radial nerve at upper arm Laceration of radial nerve at upper arm Injury of axillary nerve Laceration of axillary nerve Injury of multiple nerves at shoulder and upper arm Laceration of multiple nerves at shoulder and upper arm Injury of ulnar nerve at forearm Laceration of ulnar nerve at forearm Injury of median nerve at forearm Laceration of median nerve at forearm Injury of radial nerve at forearm Laceration of radial nerve at forearm Injury of multiple nerves at forearm Laceration of multiple nerves at forearm Injury of ulnar nerve at wrist and hand Laceration of ulnar nerve at wrist and hand Injury of median nerve at wrist and hand Laceration of median nerve at wrist and hand Injury of radial nerve at wrist and hand Laceration of radial nerve at wrist and hand Injury of digital nerve of thumb Laceration of digital nerve of thumb Injury of digital nerve of other finger Laceration of digital nerve of other finger 10

11 Intracranial Injury & Cranial Nerve Injuries S647 S6470 S740 S7400 S741 S7410 S747 S7470 S840 S8400 S841 S8410 S847 S8470 S940 S9400 S941 S9410 S942 S9420 S947 S9470 T062 S048 Injury of multiple nerves at wrist and hand Laceration of multiple nerves at wrist and hand Injury of sciatic nerve at hip and thigh Laceration of sciatic nerve at hip and thigh Injury of femoral nerve at hip and thigh Laceration of femoral nerve at hip and thigh Injury of multiple nerves at hip and thigh Laceration of multiple nerves at hip and thigh Injury of (posterior) tibial nerve at lower leg Laceration of (posterior) tibial nerve at lower leg Injury of peroneal nerve at lower leg Laceration of peroneal nerve at lower leg Injury of multiple nerves at lower leg Laceration of multiple nerves at lower leg Injury of lateral plantar nerve Laceration of lateral plantar nerve Injury of medial plantar nerve Laceration of medial plantar nerve Injury of deep peroneal nerve at ankle and foot Laceration of deep peroneal nerve Injury of multiple nerves at ankle and foot Laceration of multiple nerves at ankle and foot Injuries of nerves involving multiple body regions Injury of other cranial nerves Spinal Fractures, Injury, Dislocations & SCI S0480 Laceration of other cranial nerves S06 Intracranial injury S06.0 Concussion S061 Traumatic cerebral oedema S062 Diffuse brain injury S0625 Diffuse brain injury without open intracranial wound S0626 Diffuse brain injury with open intracranial wound S063 Focal brain injury S0635 Focal brain injury without open intracranial wound S0636 Focal brain injury with open intracranial wound S064 Epidural haemorrhage S065 Traumatic subdural haemorrhage S066 Traumatic subarachnoid haemorrhage S068 Other intracranial injuries S069 Intracranial injury, unspecified S0685 Other intracranial injuries without open intracranial wound S0686 Other intracranial injuries with open intracranial wound S090 Injury of blood vessels of head, not elsewhere classified S097 Multiple injuries of head S120 Fracture of first cervical vertebra S121 S1220 S1221 Fracture of second cervical vertebra Fracture of C3 - C4 vertebra Fracture of C5 - C7 vertebra 11

12 Extensive & Internal Injuries S127 S131 S133 S14 S140 S1410 S1411 S1412 S1413 S22 S2200 S2201 S221 S231 S24 S240 S2410 S2411 S2412 S2413 S3200 S3201 S3202 S3203 S3204 S321 S327 S33 S331 S34 S340 S3410 S3411 S3412 S3413 S343 S3430 T020 T021 T027 T030 T031 T060 T061 S070 S071 S08 S270 Multiple fractures of cervical spine Dislocation of cervical vertebra Multiple dislocations of neck Injury of nerves and spinal cord at neck Concussion and oedema of cervical spinal cord Complete lesion of cervical spinal cord Central cord lesion of cervical spinal cord Anterior cord syndrome of cervical spinal cord Posterior cord syndrome of cervical spinal cord Fracture of rib(s), sternum and thoracic spine Fracture of thoracic vertebra T1 - T6 Fracture of thoracic vertebra T7- T12 Multiple fractures of thoracic spine Dislocation of thoracic vertebra Injury of nerves and spinal cord at thorax Concussion and oedema of thoracic spinal cord Complete lesion of thoracic spinal cord Central cord lesion of thoracic spinal cord Anterior cord syndrome of thoracic spinal cord Posterior cord syndrome of thoracic spinal cord Fracture of lumbar vertebra, L1 Fracture of lumbar vertebra, L2 Fracture of lumbar vertebra, L3 Fracture of lumbar vertebra, L4 Fracture of lumbar vertebra, L5 Fracture of sacrum Multiple fractures of lumbar spine and pelvis Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis Dislocation of lumbar vertebra Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis Concussion and oedema of lumbar spinal cord Complete lesion of lumbar spinal cord Central cord lesion of lumbar spinal cord Anterior cord syndrome of lumbar spinal cord Posterior cord syndrome of lumbar spinal cord Injury of cauda equina Laceration of cauda equina Fractures involving head with neck Fractures involving thorax with lower back and pelvis Fractures involving thorax with lower back and pelvis with limb(s) Dislocations, sprains and strains involving head with neck Dislocations, sprains and strains involving thorax with lower back and pelvis Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck Injuries of nerves and spinal cord involving other multiple body regions Crushing injury of face Crushing injury of skull Traumatic amputation of part of head Traumatic pneumothorax 12

13 S271 S272 S2730 S2731 S2760 S2761 S2770 S2771 S2780 S2781 S280 S281 S297 S367 S377 S38 S470 S471 S472 S473 S477 S480 S481 S497 S570 S580 S581 S597 S612 S67 S670 S680 S681 S682 S683 S684 S697 S770 S771 S772 S780 S781 S797 S837 S87 S870 S880 S881 S897 Traumatic haemothorax Traumatic haemopneumothorax Contusion and haematoma of lung Laceration and puncture of lung Contusion and haematoma of pleura Laceration and puncture of pleura Multiple contusions and haematomas of intrathoracic organs Multiple lacerations and punctures of intrathoracic organs Laceration of diaphragm Laceration of oesophagus Crushed chest Traumatic amputation of part of thorax Multiple injuries of thorax Injury of multiple intra-abdominal organs Injury of multiple pelvic organs Crushing injury and traumatic amputation of part of abdomen, lower back and pelvis Crushing injury of shoulder region Crushing injury of scapular region Crushing injury of axillary region Crushing injury of upper arm Crushing injury of multiple sites of shoulder & upper arm Traumatic amputation at shoulder joint Traumatic amputation at between shoulder and elbow Multiple injuries of shoulder and upper arm Crushing injury of elbow Traumatic amputation at elbow Traumatic amputation at between elbow and wrist Multiple injuries of forearm Avulsion, finger, hand, wrist Crushing injury of wrist and hand Crushing injury of thumb and other finger(s) Traumatic amputation of thumb (complete)(partial) Traumatic amputation of other single finger (complete)(partial) Traumatic amputation of two or more fingers alone (complete)(partial) Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand Traumatic amputation of hand at wrist Multiple injuries of wrist and hand Crushing injury of hip Crushing injury of thigh Crushing injury of hip with thigh Traumatic amputation at hip joint Traumatic amputation at between hip and knee Multiple injuries of hip and thigh Injury to multiple structures of knee Crushing injury of lower leg Crushing injury of knee Traumatic amputation at knee Traumatic amputation at between knee and ankle Multiple injuries of lower leg 13

14 S9172 S970 S971 S978 S980 S981 S982 S997 T04 T040 T05 Avulsion injury of ankle and foot (skin of) Crushing injury of ankle Crushing injury of toe(s) Crushing injury of other parts of ankle and foot Traumatic amputation of foot at ankle Traumatic amputation of one toe Traumatic amputation of two or more toes Multiple injuries of ankle and foot Crushing injuries involving multiple body regions Crushing injuries involving head with neck Traumatic amputations involving multiple body regions Mental and Behavioural Disorders; Chapter V ICD-10-CA F06 F067 F07 F072 F32 F33 F410 F411 F412 F430 F431 F432 F45 F51 F510 Diseases of the Nervous System; Chapter VI ICD-10-CA G43 Migraine G440 G442 G406 G407 G81 G82 G825 G443 G54 G90 Other mental disorders due to brain damage and dysfunction and to physical disease Mild cognitive disorder Personality and behavioural disorders due to brain disease, damage and dysfunction Postconcussional syndrome Depressive episode Recurrent depressive disorder Panic disorder [episodic paroxysmal anxiety] Generalized anxiety disorder Mixed anxiety and depressive disorder Acute stress reaction Post-traumatic stress disorder Adjustment disorders Somatoform disorders Nonorganic sleep disorders Nonorganic insomnia Cluster headache syndrome Tension-type headache Grand mal seizures, unspecified (with or without petit mal) Petit mal, unspecified, without grand mal seizures Hemiplegia Paraplegia and tetraplegia Quadriplegia, unspecified Chronic post-traumatic headache Nerve root and plexus disorders Disorders of autonomic nervous system Diseases of the Musculoskeletal System and Connective Tissue; Chapter XIII ICD-10-CA M23 Internal derangement of the knee M4830 M4831 M4832 M4833 M4834 M4835 Traumatic spondylopathy, multiple sites in spine Traumatic spondylopathy, occipito-atlanto-axial region Traumatic spondylopathy, cervical region Traumatic spondylopathy, cervicothoracic region Traumatic spondylopathy, thoracic region Traumatic spondylopathy, thoracolumbar region 14

15 M4836 M4837 M4838 M5320 M5321 M5322 M5323 M5324 M5325 M5326 M5327 M500 M501 M510 M511 M5410 M5412 M5328 M9910 M9911 M9912 M9913 M9914 M9915 M5413 M5414 M5415 M5416 M5417 M5418 M843 M255 M530 M531 M54 M540 M542 M543 M544 M545 M546 M791 M7910 M792 M7960 M7961 M797 M8900 M8901 M8902 Traumatic spondylopathy, lumbar region Traumatic spondylopathy, lumbosacral region Traumatic spondylopathy, sacral and sacrococcygeal region Spinal instabilities, multiple sites in spine Spinal instabilities, occipito-atlanto-axial region Spinal instabilities, cervical region Spinal instabilities, cervicothoracic region Spinal instabilities, thoracic region Spinal instabilities, thoracolumbar region Spinal instabilities, lumbar region Spinal instabilities, lumbosacral region Cervical disc disorder with myelopathy Cervical disc disorder with radiculopathy Lumbar and other intervertebral disc disorders with myelopathy Lumbar and other intervertebral disc disorders with radiculopathy Radiculopathy, multiple sites in spine Radiculopathy, cervical region Spinal instabilities, sacral and sacrococcygeal region Subluxation complex (vertebral), head region Subluxation complex (vertebral), cervical region Subluxation complex (vertebral), thoracic region Subluxation complex (vertebral), lumbar region Subluxation complex (vertebral), sacral region Subluxation complex (vertebral), pelvic region Radiculopathy, cervicothoracic region Radiculopathy, thoracic region Radiculopathy, thoracolumbar region Radiculopathy, lumbar region Radiculopathy, lumbosacral region Radiculopathy, sacral and sacrococcygeal region Stress fracture, not elsewhere classified Pain in joint Cervicocranial syndrome Cervicobrachial syndrome Dorsalgia Panniculitis (regional) Cervicalgia Sciatica Lumbago with sciatica Low back pain Pain in thoracic spine Myalgia Myalgia, multiple sites Neuralgia and neuritis, unspecified Pain in upper limb Pain in lower limb Fibromyalgia Complex Regional Pain Syndrome I [CRPS I], upper limb Complex Regional Pain Syndrome I [CRPS I], lower limb Complex Regional Pain Syndrome I [CRPS I], other and unspecified site 15

16 Symptoms, Signs and Abnormal Clinical and Laboratory Findings, not elsewhere classified ; Chapter XVIII ICD-10- CA R103 Pain localized to other parts of lower abdomen R450 R451 R453 R454 R457 R520 R521 R53 Nervousness Restlessness and agitation Demoralization and apathy Irritability and anger State of emotional shock and stress, unspecified Acute pain Chronic intractable pain Malaise and fatigue Diseases of the Ear and Mastoid Process; Chapter VII of ICD-10-CA H81 Disorders of vestibular function H814 Vertigo of central origin 16

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