Injury, poisoning and certain other consequences of external causes (S00-T88)

Note:
Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use additional
code to identify any retained foreign body, if applicable (Z18.-)
Excludes 1:
birth trauma (P10-P15)
obstetric trauma (O70-O71)

Injuries to the neck (S10-S19)

Includes:
injuries of nape
injuries of supraclavicular region
injuries of throat
Excludes 2:
burns and corrosions (T20-T32)
effects of foreign body in esophagus (T18.1)
effects of foreign body in larynx (T17.3)
effects of foreign body in pharynx (T17.2)
effects of foreign body in trachea (T17.4)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)
S10 Superficial injury of neck [+]
The appropriate 7th character is to be added to each code from category S10
A - initial encounter
D - subsequent encounter
S - sequela
S11 Open wound of neck [+]
Code also any associated:
spinal cord injury (S14.0, S14.1-)
wound infection
Excludes 2: open fracture of vertebra (S12.- with 7th character B)
The appropriate 7th character is to be added to each code from category S11
A - initial encounter
D - subsequent encounter
S - sequela
S12 Fracture of cervical vertebra and other parts of neck [+]
Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as open or closed should be coded to closed
Code first any associated cervical spinal cord injury (S14.0, S14.1-)
Includes: fracture of cervical neural arch
fracture of cervical spine
fracture of cervical spinous process
fracture of cervical transverse process
fracture of cervical vertebral arch
fracture of neck
The appropriate 7th character is to be added to all codes from subcategories S12.0-S12.6
A - initial encounter for closed fracture
B - initial encounter for open fracture
D - subsequent encounter for fracture with routine healing
G - subsequent encounter for fracture with delayed healing
K - subsequent encounter for fracture with nonunion
S - sequela
S13 Dislocation and sprain of joints and ligaments at neck level [+]
Includes: avulsion of joint or ligament at neck level
laceration of cartilage, joint or ligament at neck level
sprain of cartilage, joint or ligament at neck level
traumatic hemarthrosis of joint or ligament at neck level
traumatic rupture of joint or ligament at neck level
traumatic subluxation of joint or ligament at neck level
traumatic tear of joint or ligament at neck level
Code also any associated open wound
Excludes 2: strain of muscle or tendon at neck level (S16.1)
The appropriate 7th character is to be added to each code from category S13
A - initial encounter
D - subsequent encounter
S - sequela
S14 Injury of nerves and spinal cord at neck level [+]
Note: Code to highest level of cervical cord injury
Code also any associated:
fracture of cervical vertebra (S12.0--S12.6.-)
open wound of neck (S11.-)
transient paralysis (R29.5)
The appropriate 7th character is to be added to each code from category S14
A - initial encounter
D - subsequent encounter
S - sequela
S15 Injury of blood vessels at neck level [+]
Code also any associated open wound (S11.-)
The appropriate 7th character is to be added to each code from category S15
A - initial encounter
D - subsequent encounter
S - sequela
S16 Injury of muscle, fascia and tendon at neck level [+]
Code also any associated open wound (S11.-)
Excludes 2: sprain of joint or ligament at neck level (S13.9)
The appropriate 7th character is to be added to each code from category S16
A - initial encounter
D - subsequent encounter
S - sequela
S17 Crushing injury of neck [+]
Use additional code for all associated injuries, such as:
Use additional injury of blood vessels (S15.-)
Use additional open wound of neck (S11.-)
Use additional spinal cord injury (S14.0, S14.1-)
Use additional vertebral fracture (S12.0--S12.3-)
The appropriate 7th character is to be added to each code from category S17
A - initial encounter
D - subsequent encounter
S - sequela
S19 Other specified and unspecified injuries of neck [+]
The appropriate 7th character is to be added to each code from category S19
A - initial encounter
D - subsequent encounter
S - sequela

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