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 abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

Includes:
injuries to the abdominal wall
injuries to the anus
injuries to the buttock
injuries to the external genitalia
injuries to the flank
injuries to the groin
Excludes 2:
burns and corrosions (T20-T32)
effects of foreign body in anus and rectum (T18.5)
effects of foreign body in genitourinary tract (T19.-)
effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)
S30 Superficial injury of abdomen, lower back, pelvis and external genitals [+]
Excludes 2: superficial injury of hip (S70.-)
The appropriate 7th character is to be added to each code from category S30
A - initial encounter
D - subsequent encounter
S - sequela
S31 Open wound of abdomen, lower back, pelvis and external genitals [+]
Code also any associated:
spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)
wound infection
Excludes 1: traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)
Excludes 2: open wound of hip (S71.00-S71.02)
open fracture of pelvis (S32.1--S32.9 with 7th character B)
The appropriate 7th character is to be added to each code from category S31
A - initial encounter
D - subsequent encounter
S - sequela
S32 Fracture of lumbar spine and pelvis [+]
Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as opened or closed should be coded to closed
Code first any associated spinal cord and spinal nerve injury (S34.-)
Includes: fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch
Excludes 1: transection of abdomen (S38.3)
Excludes 2: fracture of hip NOS (S72.0-)
The appropriate 7th character is to be added to each code from category S32
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
S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis [+]
Includes: avulsion of joint or ligament of lumbar spine and pelvis
laceration of cartilage, joint or ligament of lumbar spine and pelvis
sprain of cartilage, joint or ligament of lumbar spine and pelvis
traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
traumatic rupture of joint or ligament of lumbar spine and pelvis
traumatic subluxation of joint or ligament of lumbar spine and pelvis
traumatic tear of joint or ligament of lumbar spine and pelvis
Code also any associated open wound
Excludes 1: nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)
obstetric damage to pelvic joints and ligaments (O71.6)
Excludes 2: dislocation and sprain of joints and ligaments of hip (S73.-)
strain of muscle of lower back and pelvis (S39.01-)
The appropriate 7th character is to be added to each code from category S33
A - initial encounter
D - subsequent encounter
S - sequela
S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level [+]
Note: Code to highest level of lumbar cord injury
Injuries to the spinal cord (S34.0 and S34.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.
Code also any associated:
fracture of vertebra (S22.0-, S32.0-)
open wound of abdomen, lower back and pelvis (S31.-)
transient paralysis (R29.5)
The appropriate 7th character is to be added to each code from category S34
A - initial encounter
D - subsequent encounter
S - sequela
S35 Injury of blood vessels at abdomen, lower back and pelvis level [+]
Code also any associated open wound (S31.-)
The appropriate 7th character is to be added to each code from category S35
A - initial encounter
D - subsequent encounter
S - sequela
S36 Injury of intra-abdominal organs [+]
Code also any associated open wound (S31.-)
The appropriate 7th character is to be added to each code from category S36
A - initial encounter
D - subsequent encounter
S - sequela
S37 Injury of urinary and pelvic organs [+]
Code also any associated open wound (S31.-)
Excludes 1: obstetric trauma to pelvic organs (O71.-)
Excludes 2: injury of peritoneum (S36.81)
injury of retroperitoneum (S36.89-)
The appropriate 7th character is to be added to each code from category S37
A - initial encounter
D - subsequent encounter
S - sequela
S38 Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals [+]
An amputation not identified as partial or complete should be coded to complete
The appropriate 7th character is to be added to each code from category S38
A - initial encounter
D - subsequent encounter
S - sequela
S39 Other and unspecified injuries of abdomen, lower back, pelvis and external genitals [+]
Code also any associated open wound (S31.-)
Excludes 2: sprain of joints and ligaments of lumbar spine and pelvis (S33.-)
The appropriate 7th character is to be added to each code from category S39
A - initial encounter
D - subsequent encounter
S - sequela

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