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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 wrist, hand and fingers (S60-S69)

Excludes 2:: burns and corrosions (T20-T32)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)

S60

Superficial injury of wrist, hand and fingers [+]

The appropriate 7th character is to be added to each code from category S60
A - initial encounter
D - subsequent encounter
S - sequela

S61

Open wound of wrist, hand and fingers [+]

Code also	any associated wound infection
Excludes 1:	open fracture of wrist, hand and finger (S62.- with 7th character B) traumatic amputation of wrist and hand (S68.-)
The appropriate 7th character is to be added to each code from category S61 A - initial encounter D - subsequent encounter S - sequela

S62

Fracture at wrist and hand level [+]

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

Excludes 1:	traumatic amputation of wrist and hand (S68.-)
Excludes 2:	fracture of distal parts of ulna and radius (S52.-)
The appropriate 7th character is to be added to each code from category S62 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 P - subsequent encounter for fracture with malunion S - sequela

S63

Dislocation and sprain of joints and ligaments at wrist and hand level [+]

Includes:	avulsion of joint or ligament at wrist and hand level laceration of cartilage, joint or ligament at wrist and hand level sprain of cartilage, joint or ligament at wrist and hand level traumatic hemarthrosis of joint or ligament at wrist and hand level traumatic rupture of joint or ligament at wrist and hand level traumatic subluxation of joint or ligament at wrist and hand level traumatic tear of joint or ligament at wrist and hand level
Code also	any associated open wound
Excludes 2:	strain of muscle, fascia and tendon of wrist and hand (S66.-)
The appropriate 7th character is to be added to each code from category S63 A - initial encounter D - subsequent encounter S - sequela

S64

Injury of nerves at wrist and hand level [+]

Code also	any associated open wound (S61.-)
The appropriate 7th character is to be added to each code from category S64 A - initial encounter D - subsequent encounter S - sequela

S65

Injury of blood vessels at wrist and hand level [+]

Code also	any associated open wound (S61.-)
The appropriate 7th character is to be added to each code from category S65 A - initial encounter D - subsequent encounter S - sequela

S66

Injury of muscle, fascia and tendon at wrist and hand level [+]

Code also	any associated open wound (S61.-)
Excludes 2:	sprain of joints and ligaments of wrist and hand (S63.-)
The appropriate 7th character is to be added to each code from category S66 A - initial encounter D - subsequent encounter S - sequela

S67

Crushing injury of wrist, hand and fingers [+]

Use additional	code for all associated injuries, such as:
Use additional	fracture of wrist and hand (S62.-)
Use additional	open wound of wrist and hand (S61.-)
The appropriate 7th character is to be added to each code from category S67 A - initial encounter D - subsequent encounter S - sequela

S68

Traumatic amputation of wrist, hand and fingers [+]
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 S68
A - initial encounter
D - subsequent encounter
S - sequela

S69

Other and unspecified injuries of wrist, hand and finger(s) [+]

The appropriate 7th character is to be added to each code from category S69
A - initial encounter
D - subsequent encounter
S - sequela