97.06.25

( 800 ~ 999 )

(E-code) (Fracture)(Injury)(Late effect)(Poison of drug & chemical)(Complication)

(Fracture of skull) 800 ~ 804

(base) (Ethmoid bone)(Occiput bone) (Sphenoid bone) (Temporal bone)

(vault) (Frontal bone)(Parietal bone)

(851-854),(800-801803-804),851-854 800 ~ 801803~804

Ex: Temporal bone fracture with subarachnoid ()hemorrhage=> 801.2X fracture => skull=>base =>with=> subarachnoid

hemorrhage

(Consciousness)

-1 (Consciousness)ICD-9-CM

0Unspecified state of consciousness1With no loss of consciousness2(1)With brief(less than one hour)

loss of consciousness3(1~24)With moderate(1~24 hours)

loss of consciousness4(24)

With prolonged (more than 24 hours) loss of consciousness and return to pre-existing conscious level

-2

5(24)(Hopeless)With prolonged (more than 24 hours) loss of consciousness without return to pre-existing conscious level

6With loss of consciousness of unspecified duration

9With concussion, unspecified (Consciousness)

2005.11.22

coma scale

(Glasgow)ExVxMx

E(Eye) 1 ~ 4 V(Verbal) 1 ~ 5 M(Motor) 1 ~ 6 :ILOC=> Initial loss of consciousnessLOC=> loss of consciousness

Q:2005-11-22(Consciousness)AAD51

A:(Consciousness)AAD5

Q:SDH3SDH

A: 850-85455"5"

(Concussion) 850.x (Loss of

consciousness) ( Unconsciousness)

851.xx

852 ~ 853

(Head injury)

()

349.81

( Cerebrospinal fluid rhinorrhea ) 388.61

( Cerebrospinal fluid otorrhea ) 345.9x ( Epilepsy attack)

(Craniotomy)

(Craniectomy) (Osteoplasty)(Cranioplasty)Ex:skull bone defect (old CVA craniectomy)=>738.19+438.89+02.06

-1(Fracture of vertebral column)

(Spinal cord injury) 806

(Paraplegia) (Quadriplegia) (Paraparesis) (Quadriparesis)(Paralysis) (Spinal concussion) (Nerve injury) (Injury to cauda

equina) Ex:fracture of C5 with quadriplegia =>806.09+E-code

=>fracture =>vertebra=>with quadriplegia =>spinal cord injury=>cervical

-2(Fracture of vertebral column)

805

805.0x ~ 805.1xEx: fracture of C5-6 =>805.05+805.06+E-code

(Spinal cord injury) 952.xxEx:spinal coed injury of T8 =>952.15+E-code

(Compression fracture)

Fracture

Ex:Lumbar compression fracture due to fall from bed => 805.4+E884.4

733.1xEx: T12 compression fracture due to osteoporosis

=>733.13+733.00=>fracture =>pathologic=>vertebra

(fracture of ribs)

807.0x-807.1xEx: Fracture of 4~7ribs =>807.04

(Fracture)-1 (E- code)

(Close)(Open)

( )

(Fracture)-2

(1)Comminuted (2)Depressed (3)Elevated (4)Fissured (5)Fracture NOS (6)Green stich (7)Impacted (8)Linear (9)March (10)Simple

(11)Slipped epiphysis (12)Spiral

(Fracture)-3

(1) Compound (2) Infected (3) Missile (4) Puncture (5) With foreign body

http://www.vetmed.ufl.edu/sacs/notes/CROSS/FxClass7b.html

http://www.vetmed.ufl.edu/sacs/notes/CROSS/FxClass7c.html

http://www.vetmed.ufl.edu/sacs/notes/CROSS/FxClass7b.html

http://www.vetmed.ufl.edu/sacs/notes/CROSS/FxClass7c.html

http://www.vetmed.ufl.edu/sacs/notes/CROSS/FxClass5a.html

ex: Fracture of rt tibia , fracture- dislocation of left fibula =>823.80+823.81

1.Skull or face804.0 ~ 804.92.Pelvis or vertebral column809.0 ~ 809.13 .Both lower limbslower with upper limb and lower limb(s)

with rib(s) and sternum828.0 ~ 828.14 .Both upper limbsand upper limb with rib(s)

and sternum819.0 ~ 819.15.Trunk809.0 ~ 809.1

2.5

(Shaft)U/3( 1/3 )M/3(1/3)L/3(1/3)

(Upper end)(Proximal end)

(Lower end)(Distal end)

(close reduction)

(open reduction)

(internal fixation),platescrewK-wirepin (external fixation)(External Skeletal Fixation ,ESF),castsplintHoffmans external fixation

77.xx78.xx,79.xx

Fracture of clavicle 810.xx+ .9 Colles Fracture 813.41+ .2 Smiths Fracture 813.41+ .2 Pilon Fracture 824.8+ .6 Plateau of tibia Fracture 823.00+ .6 Tuberity Fracture 823.00+ .6 Lisfrancs Fracture 825.29+ .7

(Dislocation)-1 (Displacement)(Subluxation)

(Congenital dislocation)754.0-754.8 (Pathological dislocation)718.2 (Recurrent dislocation)718.3

(Dislocation)-2

(1) Complete (2) Simple (3) Partial (4) Dislocation NOS (5) Uncomplicated

(1) Compound (2) Infected (3) With foreign body

()

(Dislocation)-3

79.7~79.8

(Internal injury)

:860~869 open wound With open wound:()

infection foreign bodyWith open wound

,With open wound; stab() injury of liver=>864.10

Blunt trauma P.259

(Internal injury)

a.Blast injury open wound b.Blunt trauma open wound c.Contusion open wound d.Rupture e.Laceration

open wound

f.Hematoma g.Tear

(open wound ) 870~897 : wound open (Complication)

1 Complication (Delayed healing) (Delayed treatment) (Foreign body) (Major infection) Open wound by site with infection

Ex:open wound of back with infection =>876.1

(Coding of Injuries) 1.1

1.2(abrasion)(contusion)

1.3950-957()()900-904()

(Multiple Trauma) multiple injuriesmultiple injuries

()

(Multiple Trauma)

a.Head b.Neck c.Back d.Chest e.Abdomen Pelvis f.Legs Feet Toes g.Arms Wrist Hands

Laceration of forehead 873.42Multiple contusion of forearm 923.8Repair forehead laceration 86.59 873.42

Crushing injury

: Crushing injuryFracture(800-829),Internal injuries(860.0-869.1)Crushing injuryFracture(800-829) Internal injuries(860.0-869.1)

Coding Clinic, ICD-9-CM Addendum, 2003, p.20

(Injury to blood vessels) ()

900-904

950-957

Ex:open wound of the anterior abdominal wall with rupture

of the aorta =>902.0+879.2=>injury => blood vessel=>aorta=>abdomen

(Late effect)-1

(Late effect)-2

905 ~ 909(E-code)

137~139268.1326438

, hemiplegia due to old CVA

(Late effect)-3

Late Due to old Due to previous injury or illness Following previous injury or illness (Residual)

: (Residual)

(Coding of Burns)- () 910.0910.1692.71

941-945

(Coding of Burns)-2

940

947()

(Coding of Burns)-3.13.2()

3.3(non-healing)3.4 958.3()

3.5946()

3.6949()

(Coding of Burns)-3.794820%948

3.8948(Rule of Nines)

3.9()(906.5-906.9)(E-code)

3.10

948

948

0 20%,948

Burn => extent

9% 9% 18% 18% 18% 1%

(Coding of Debridement of Wound, Infection or Burn)

4.1(Brushing, Scrubbing, Washing)

4.2(Excisional Debridement)86.22(NonexcisionalDebridement)86.28

(Graft)

86.66

86.65

-1 Graft

Skin graft (FTSG) Full-thickness skin graft

(STSG) Split-thickness skin graft

-2

Flap (pedicle or flap graft)

(free flap) 86.7x

-3

Bone graft excision of bone for graft

Tendon graft Hand 82.79 Other site 83.81

Nerve graft 04.5 Vein graft 39.58

-1(Adverse Effect, Poisoning and Toxic Effect)

5.1(E930-E949)(tachycardia)(delirium)(gastrointestinal hemorrhaging)(vomiting)(hypokalemia)(hepatitis)(renal failure)(respiratory failure)

5.2960-979

-2(Adverse Effect, Poisoning and Toxic Effect)

5.3(960-979)

5.4

5.5()()

(..)

(Drug hypersensitivity )995.2;,,

796.0+,digoxindilantin

+Ex: drug eruption due to aspirin 693.0+E935.3

()Overdose, intoxication

,

+ + ()+

Ex:coma due to accident of valium() overdose =>969.4+780.0+E853.2

996-999 11

ex:tracheostomy complication 519.0

Postoperation() Due to surgery()

(Complication)996 ~ 999

Ex:colostomy malfunction =>569.69 001-799996 ~ 999()

990 Proctitis ()due to radiation =>569.49+990

=>effect, adverse => radiation Colitis due to radiation =>558.1

996-1 996

996.0 ~ 996.5

Breakdown(mechanical) Displacement Leakage Obstruction , mechanical Perforation Protrusion

996-2 996.6 ~ 996.7

996.6x infection and inflammatory 996.7X(Embolism) (Hemorrhage)(Infection) (Inflammation)(Occlusion) (Pain)(Stenosis) (Thrombus)

Ex: osteoarthritis of hip s/p THR infection => 969.66+E878.1

996.8 Transplant failure Rejection041079 Ex:rejection on liver transplant 996.82+E878.0

998 998

998.1

998.2

998.3 674.1x

674.2x

998 998

998.5 996.60 ~ 996.69 674.3x

998.6 998.7

-1 Closed fracture of vault of skull with subdural

hemorrhage ; 4hour loss of consciousness800.23

Closed fracture lateral condyle , left humerusopen reduction and internal fixation812.42 +79.31

Coma due to