ICD11 MMS en 22

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

CHAPTER 22

Injury, poisoning or certain other consequences of
external causes

This chapter has 235 four-character categories.

Code range starts with NA00

Exclusions:

Stress fracture, not elsewhere classified (FB80.A)

Pathological fracture, not elsewhere classified (FB80.B)

Certain specified obstetric trauma (JB0A)

Malunion of fracture (FB80.7)

Birth injury (BlockL1‑KA4)

Nonunion of fracture (FB80.8)

This chapter contains the following top level blocks:



Injuries to the head



Injuries to the neck



Injuries to the thorax



Injuries to the abdomen, lower back, lumbar spine or pelvis



Injuries to the shoulder or upper arm



Injuries to the elbow or forearm



Injuries to the wrist or hand



Injuries to the hip or thigh



Injuries to the knee or lower leg



Injuries to the ankle or foot



Injuries involving multiple body regions



Injuries to unspecified part of trunk, limb or body region



Effects of foreign body entering through natural orifice



Burns



Frostbite



Harmful effects of substances



Injury or harm arising from surgical or medical care, not elsewhere classified



Other or unspecified effects of external causes

Injuries to the head (BlockL1‑NA0)

ICD-11 MMS – 09/2020

Coding Note:

This Block includes the following:

• injuries of face [any part]

• injuries of gum

• injuries of jaw

• injuries of oral cavity

• injuries of palate

• injuries of periocular area

• injuries of scalp

• injuries of temporomandibular joint area

• injuries of tongue

• injuries of tooth

Exclusions:

Foreign body in ear (ND71)

Foreign body in mouth (ND73.0)

Foreign body in larynx (ND72.3)

Foreign body in pharynx (ND72.2)

Foreign body in nostril (ND72.1)

Burns (BlockL1‑ND9)

Frostbite (BlockL1‑NE4)

Foreign body on external eye (ND70)

Coded Elsewhere:

Epilepsy due to injuries to the head (8A60.5)

NA00

Superficial injury of head

Damage inflicted on the surface or shallow tissues of the head as the direct or
indirect result of an external force, with or without disruption of structural continuity.

Exclusions:

Injury of eye or orbit (NA06)

cerebral contusion (diffuse) focal (NA07.4)

NA00.0

Superficial injury of scalp

Coded Elsewhere:

Birth injury to scalp (KA42)

NA00.00

Abrasion of scalp

NA00.01

Contusion of scalp

Coded Elsewhere:

Bruising of scalp due to birth injury (KA42.0)

NA00.02

Superficial foreign body in scalp

NA00.0Y

Other specified superficial injury of scalp

NA00.0Z

Superficial injury of scalp, type unspecified

NA00.1

Superficial injury of eyelid or periocular area

NA00.10

Abrasion of eyelid or periocular area

NA00.11

Contusion of eyelid or periocular area

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Inclusions:

black eye

Exclusions:

Contusion of eyeball or orbital tissues (NA06.9)

NA00.12

Other superficial injuries of eyelid or periocular area

Exclusions:

superficial injury of conjunctiva and cornea (NA06.4)

NA00.1Y

Other specified superficial injury of eyelid or periocular area

NA00.1Z

Superficial injury of eyelid or periocular area, unspecified

NA00.2

Superficial injury of ear
Damage inflicted on the surface or shallow tissues of the ear as the direct or
indirect result of an external force, with or without disruption of structural continuity.

NA00.3

Superficial injury of nose

NA00.4

Superficial injury of lip or oral cavity

NA00.5

Multiple superficial injuries of head

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA00.6

Abrasion of other or unspecified sites of head

NA00.7

Contusion of other or unspecified sites of head

NA00.Y

Superficial injury of other specified part of head

NA00.Z

Superficial injury of unspecified part of head

NA01

Open wound of head
Exclusions:

Decapitation (NA63)

Traumatic amputation of part of head (NA09)

Injury of eye or orbit (NA06)

Coded Elsewhere:

Open wound of eyelid or periocular area (NA06.04)

NA01.2

Laceration without foreign body of head

Inclusions:

laceration of skin of head

NA01.3

Laceration with foreign body of head

NA01.4

Puncture wound without foreign body of head

NA01.5

Puncture wound with foreign body of head

NA01.6

Open bite of head

NA01.7

Multiple open wounds of head

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA01.Y

Other specified open wound of head

ICD-11 MMS – 09/2020

NA01.Z

Open wound of head, unspecified

NA02

Fracture of skull or facial bones
Coded Elsewhere:

Fracture of skull due to birth injury (KA45.0)

Birth injury to facial bones (KA45.2)

NA02.0

Fracture of vault of skull

NA02.00

Fracture of squama of frontal bone of skull

NA02.01

Fracture of parietal bone of skull

NA02.02

Fracture of squama of temporal bone of skull

NA02.03

Fracture of squama of occipital bone of skull

NA02.1

Fracture of base of skull
Fractures which extend through the base of the skull, usually involving the petrous
bone.

Exclusions:

Fracture of orbital floor (NA02.21)

fracture of orbit NOS (NA02.2)

NA02.10

Fracture of anterior fossa of base of skull

NA02.11

Fracture of middle fossa of base of skull

NA02.12

Fracture of posterior fossa of base of skull

NA02.13

Fracture of sinus of ethmoid bone of skull

NA02.14

Fracture of frontal sinus of skull

NA02.15

Fracture of sphenoid bone of skull

NA02.16

Fracture of occipital condyle of skull, type I

NA02.17

Fracture of occipital condyle of skull, type II

NA02.18

Fracture of occipital condyle of skull, type III

NA02.19

Fracture of other part of occipital bone of skull

NA02.1A

Other fractures of base of skull

NA02.1Z

Fracture of base of skull, unspecified

NA02.2

Orbital fracture

NA02.20

Fracture of orbital roof

NA02.21

Fracture of orbital floor

Exclusions:

Fracture of orbital roof (NA02.20)

NA02.2Y

Other specified orbital fracture

NA02.2Z

Orbital fracture, unspecified

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA02.3

Fracture of nasal bones

NA02.4

Fracture of maxilla

NA02.40

Le Fort fracture type I

NA02.41

Le Fort fracture type II

NA02.42

Le Fort fracture type III

NA02.4Y

Other specified fracture of maxilla

NA02.4Z

Fracture of maxilla, unspecified

NA02.5

Fracture of zygoma

Inclusions:

Fracture of malar

NA02.6

Fracture of tooth

Inclusions:

Broken tooth

Exclusions:

Nontraumatic fracture of tooth (DA08.3)

NA02.7

Fracture of mandible
Fracture of the largest and strongest bone of the face constituting the lower jaw.

NA02.70

Fracture of condylar process of mandible
Condylar process fractures are defined as fractures running above or posterior to a
line confined by the sigmoid notch line and the masseteric notch line. The
mandibular condylar process comprises three fracture levels and is subdivided into
the head region, the condylar neck, and the condylar base. Fractures of the condylar
head show typical fracture lines either within the lateral pole zone, which may lead
to loss of vertical height, or medially to the pole zone, with the latter ones usually
not compromising the vertical condyle to disc and fossa relation. Fractures of the
condylar neck and base can be differentiated according to radiologically based rules
with regard to the proportion of the fracture line above and below the level of the
sigmoid notch, and are basically subdivided according to the presence or absence
of displacement or dislocation. Further parameters for definition are presence or
absence of fragmentation, sideward displacement (medially or laterally), angulation
of the superior main fragment and fracture-site geometry (e.g. straight or oblique,
interfragmentary interdigitation)

Exclusions:

Fracture of ramus of mandible (NA02.73)

Fracture of subcondylar process of mandible (NA02.71)

NA02.71

Fracture of subcondylar process of mandible

NA02.72

Fracture of coronoid process of mandible

NA02.73

Fracture of ramus of mandible

NA02.74

Fracture of angle of mandible

NA02.75

Fracture of alveolar margin of mandible

NA02.76

Fracture of symphysis of mandible

ICD-11 MMS – 09/2020

NA02.7Y

Other specified fracture of mandible

NA02.7Z

Fracture of mandible, unspecified

NA02.8

Multiple fractures involving skull or facial bones

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA02.Y

Fracture of other specified skull or facial bones

NA02.Z

Fracture of skull and facial bones, part unspecified

NA03

Dislocation or strain or sprain of joints or ligaments of head

NA03.0

Dislocation of jaw
Displacement of the mandible, the largest and strongest bone of the face
constituting the lower jaw. Dislocation of the temporomandibular joint is a painful
condition that occurs when the mandibular condyle becomes fixed in the
anterosuperior aspect of the articular eminence.

TMJ dislocation is due to either trauma or, more commonly, excessive opening of
the mandible. Spasm of the masseter, temporalis, and internal pterygoid muscles
results in trismus, preventing return of the condyle to the temporal fossa.

Exclusions:

disc displacement (internal derangement of the TMJ) (DA0E.8)

NA03.1

Dislocation of septal cartilage of nose

NA03.2

Dislocation of tooth

NA03.3

Strain or sprain of jaw
A collective term for muscle and ligament injuries of the tissues associated with the
mandible without dislocation or fracture; a joint injury in which some of the fibers of
a supporting ligament are ruptured but the continuity of the ligament remains intact.
A strain is an overstretching or overexertion of some part of the musculature.

NA03.Y

Dislocation or sprain of other specified joints or ligaments of head

NA03.Z

Dislocation or strain or sprain of joints or ligaments of head, unspecified

NA04

Injury of cranial nerves
Coded Elsewhere:

Birth injury to cranial nerves (KA44.0)

NA04.0

Injury of olfactory nerve

NA04.1

Injury of optic nerve or pathways

NA04.10

Injury of optic nerve, unilateral

Coded Elsewhere:

Traumatic optic neuropathy (9C40.7)

NA04.11

Injury of optic nerve, bilateral

Coded Elsewhere:

Traumatic optic neuropathy (9C40.7)

NA04.12

Injury of optic chiasm

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA04.13

Injury of optic tract or pathways, unilateral

NA04.14

Injury of optic tract or pathways, bilateral

NA04.15

Injury of visual cortex, unilateral

NA04.16

Injury of visual cortex, bilateral

NA04.1Y

Other specified injury of optic nerve or pathways

NA04.1Z

Injury of optic nerve or pathways, unspecified

NA04.2

Injury of oculomotor nerve

NA04.3

Injury of trochlear nerve

NA04.4

Injury of trigeminal nerve

NA04.5

Injury of abducent nerve

NA04.6

Injury of facial nerve

NA04.7

Injury of acoustic nerve

NA04.8

Injury of glossopharyngeal nerve

NA04.9

Injury of vagus nerve

NA04.A

Injury of accessory nerve

NA04.B

Injury of hypoglossal nerve

NA04.Z

Injury of cranial nerves, unspecified

NA05

Injury of blood vessels of head

NA05.0

Injury of intracranial vessels of head

NA05.1

Injury of extracranial vessels of head

NA05.Z

Injury of blood vessels of head, unspecified

NA06

Injury of eye or orbit
Exclusions:

Orbital fracture (NA02.2)

Injury of optic nerve, unilateral (NA04.10)

Injury of oculomotor nerve (NA04.2)

superficial injury of eyelid (NA00.12)

Coded Elsewhere:

Birth injury to eye (KA41)

NA06.0

Eyelid trauma

Coded Elsewhere:

Contusion of eyelid or periocular area (NA00.11)

Chemical burn of eyelid and periocular area (NE00)

NA06.00

Eyelid Avulsion
This an injury in which a body structure is forcibly detached from its normal point of

ICD-11 MMS – 09/2020

insertion by either trauma or surgery. The term most commonly refers to a surface
trauma where all layers of the skin have been torn away, exposing the underlying
structures (i.e.—subcutaneous tissue, muscle, tendons, or bone). This is similar to
an abrasion but more severe, where the eyelid can be partially or fully detached
from the body.

NA06.01

Haematoma of eyelid

NA06.02

Oedema of eyelid

NA06.03

Retained foreign body in eyelid

NA06.04

Open wound of eyelid or periocular area

NA06.0Y

Other specified eyelid trauma

NA06.0Z

Eyelid trauma, unspecified

NA06.1

Penetrating wound of orbit with or without foreign body

Exclusions:

Retained foreign body following penetrating wound of orbit

(NA06.2)

NA06.2

Retained foreign body following penetrating wound of orbit

Exclusions:

Penetrating wound of orbit with or without foreign body

(NA06.1)

Traumatic injury to eyeball (NA06.8)

NA06.3

Traumatic orbital haemorrhage
This is the loss of blood or blood escaping from the circulatory system, of the cavity
or socket of the skull in which the eye and its appendages are situated.

NA06.4

Injury of conjunctiva or corneal abrasion without mention of foreign body

Exclusions:

Foreign body in cornea (ND70.0)

Foreign body in conjunctival sac (ND70.1)

NA06.5

Trauma to the iris sphincter
This refers to trauma to the muscle in the part of the eye called the iris. It encircles
the pupil of the iris, appropriate to its function as a constrictor of the pupil.

NA06.6

Traumatic injuries of the retina
This refers to traumatic injuries of the light-sensitive layer of tissue, lining the inner
surface of the eye. The optics of the eye create an image of the visual world on the
retina, which serves much the same function as the film in a camera.

NA06.60

Traumatic macular hole

Exclusions:

Non-traumatic macular hole (9B75.1)

NA06.61

Choroidal rupture

NA06.62

Commotio Retina

NA06.63

Optic nerve avulsion

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA06.6Y

Other specified traumatic injuries of the retina

NA06.6Z

Traumatic injuries of the retina, unspecified

NA06.7

Traumatic retinal haemorrhage

NA06.8

Traumatic injury to eyeball

Coded Elsewhere:

Chemical burn with resulting rupture or destruction of eyeball

(NE00)

NA06.80

Retained intraocular magnetic foreign body, unilateral

Inclusions:

old magnetic foreign body in eyeball

NA06.81

Retained intraocular nonmagnetic foreign body, unilateral

NA06.82

Closed eyeball trauma, unilateral

NA06.83

Closed eyeball trauma, bilateral

NA06.84

Penetrating wound of eyeball without foreign body, unilateral

NA06.85

Avulsion of eye, unilateral

Inclusions:

Traumatic enucleation

NA06.86

Avulsion of eye, bilateral

NA06.87

Ocular laceration or rupture with prolapse or loss of intraocular tissue, unilateral
Forcible or traumatic tearing or breaking of the eyeball with protrusion or loss of the
tissues and fluids located within the eyeball.

NA06.88

Ocular laceration or rupture with prolapse or loss of intraocular tissue, bilateral

NA06.89

Penetrating injury of eyeball, bilateral

NA06.8A

Perforating injury of eyeball, bilateral

NA06.8B

Retained intraocular magnetic foreign body, bilateral

NA06.8C

Retained intraocular nonmagnetic foreign body, bilateral

NA06.8D

Ocular laceration without prolapse or loss of intraocular tissue, unilateral

NA06.8E

Ocular laceration without prolapse or loss of intraocular tissue, bilateral

NA06.8Y

Other specified traumatic injury to eyeball

NA06.8Z

Traumatic injury to eyeball, unspecified

NA06.9

Contusion of eyeball or orbital tissues
Injuries to the eyeball and surrounding tissue resulting in haemorrhage, usually
manifested in the skin.

Exclusions:

black eye (NA00.11)

Contusion of eyelid or periocular area (NA00.11)

ICD-11 MMS – 09/2020

NA06.A

Injury of lens

NA06.Y

Other specified injury of eye or orbit

NA06.Z

Injury of eye or orbit, unspecified

NA07

Intracranial injury

Damage inflicted on the tissues of the brain as the direct or indirect result of an
external force, with or without disruption of structural continuity.

Coded Elsewhere:

Intracranial laceration or haemorrhage due to birth injury

(KA40.0)

Epilepsy due to injuries to the head (8A60.5)

NA07.0

Concussion
Loss or diminution of consciousness due to injury.

Coding Note:

Code aslo the casusing condition

Inclusions:

Commotio cerebri

NA07.00

Incomplete loss of consciousness with amnesia

NA07.01

Incomplete loss of consciousness without amnesia

NA07.02

Loss of consciousness, short duration of less than 30 minutes

NA07.03

Loss of consciousness, short duration of 30 minutes to less than one hour

NA07.04

Loss of consciousness, short duration of one hour to less than 6 hours

NA07.05

Loss of consciousness, intermediate duration of 6 hours to less than 24 hours

NA07.06

Loss of consciousness, persisting longer than 24 hours or until discharge or latest

assessment

NA07.07

Loss of consciousness, persisting until death

NA07.08

Loss of consciousness, duration unspecified or unknown due to effects of therapy

NA07.09

Loss of consciousness, duration unspecified or unknown due to lack of information

NA07.0Y

Other specified concussion

Coding Note:

Code aslo the casusing condition

NA07.1

Traumatic intracerebral haemorrhage

Inclusions:

traumatic intracerebral haematoma

NA07.2

Traumatic cerebral oedema

Coded Elsewhere:

Cerebral oedema due to birth injury (KA40.1)

NA07.20

Diffuse traumatic oedema

NA07.21

Focal traumatic oedema

NA07.2Y

Other specified traumatic cerebral oedema

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Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA07.2Z

Traumatic cerebral oedema, unspecified

NA07.3

Diffuse brain injury

Coded Elsewhere:

Cerebral contusion due to birth injury (KA40.07)

NA07.30

Diffuse injury of cerebrum

NA07.31

Diffuse injury of cerebellum

Coded Elsewhere:

Cerebellar contusion due to birth injury (KA40.06)

NA07.32

Diffuse injury of brainstem

Coded Elsewhere:

Birth injury to brainstem (KA40.3)

NA07.33

Diffuse injury of multiple parts of brain

NA07.3Y

Other specified diffuse brain injury

NA07.3Z

Unspecified diffuse traumatic brain injury

NA07.4

Focal brain injury

NA07.40

Focal non-haemorrhagic contusion of cerebrum

NA07.41

Focal haemorrhagic contusion of cerebrum

NA07.42

Focal laceration of cerebrum

NA07.43

Multiple focal injuries of cerebrum

NA07.44

Focal non-haemorrhagic contusion of cerebellum

NA07.45

Focal haematoma or haemorrhage of cerebellum

NA07.46

Focal laceration of cerebellum

NA07.47

Multiple focal injuries of cerebellum

NA07.48

Focal non-haemorrhagic contusion of brainstem

NA07.49

Focal haematoma or haemorrhage of brainstem

NA07.4A

Contusion of temporal lobe

NA07.4B

Focal laceration of brainstem

NA07.4C

Focal brain contusion

NA07.4D

Focal brain laceration

NA07.4E

Contusion of parietal lobe

NA07.4F

Contusion of occipital lobe

NA07.4Z

Unspecified focal traumatic brain injury

NA07.5

Traumatic epidural haemorrhage

Coded Elsewhere:

Extradural or epidural haemorrhage due to birth injury

ICD-11 MMS – 09/2020

(KA40.08)

NA07.6

Traumatic subdural haemorrhage

Exclusions:

Nontraumatic subdural haemorrhage (8B02)

Coded Elsewhere:

Subdural haemorrhage due to birth injury (KA40.00)

NA07.7

Traumatic subarachnoid haemorrhage

Coded Elsewhere:

Subarachnoid haemorrhage due to birth injury (KA40.04)

NA07.8

Traumatic haemorrhage in brain tissue

NA07.80

Traumatic haemorrhage in cerebrum white matter

NA07.81

Traumatic haemorrhage in thalamus or basal ganglia

NA07.82

Traumatic haemorrhage in cerebellum

NA07.83

Traumatic haemorrhage in brainstem

NA07.84

Traumatic haemorrhage in brainstem, primary

NA07.85

Traumatic haemorrhage in brainstem, secondary

NA07.86

Multiple traumatic haemorrhages

NA07.8Y

Other specified traumatic haemorrhage in brain tissue

NA07.8Z

Traumatic haemorrhage in brain tissue, unspecified

NA07.Y

Other specified intracranial injury

NA07.Z

Intracranial injury, unspecified

NA08

Crushing injury of head

Damage inflicted on the tissues of the head as the direct or indirect result of an
crushing external force.

NA08.0

Crushing injury of brain

NA08.1

Crushing injury of face

NA08.2

Crushing injury of skull

Exclusions:

with crushing injury of brain (NA08.0)

NA08.3

Crushed scalp

NA08.Y

Other specified crushing injury of head

NA08.Z

Crushing injury of head, unspecified

NA09

Traumatic amputation of part of head
Exclusions:

Decapitation (NA63)

NA09.0

Avulsion of scalp

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA09.1

Traumatic amputation of ear

NA09.10

Traumatic amputation of ear, complete

NA09.11

Traumatic amputation of ear, partial

NA09.1Y

Other specified traumatic amputation of ear

NA09.1Z

Traumatic amputation of ear, unspecified

NA09.2

Traumatic amputation of nose

NA09.20

Traumatic amputation of nose, complete

NA09.21

Traumatic amputation of nose, partial

NA09.2Y

Other specified traumatic amputation of nose

NA09.2Z

Traumatic amputation of nose, unspecified

NA09.3

Traumatic amputation of lip

NA09.Y

Other specified traumatic amputation of part of head

NA09.Z

Traumatic amputation of part of head, unspecified

NA0A

Certain specified injuries of head
Coded Elsewhere:

Decapitation (NA63)

NA0A.0

Complex wounds to the head

Exclusions:

Decapitation (NA63)

NA0A.00

Complex wounds to the head with retained external material

NA0A.01

Complex wounds to the head with intracranial haemorrhage

NA0A.02

Complex wounds to the head with through and through perforation

NA0A.03

Complex wounds to the head with avulsive loss of part of skull and cranial contents

NA0A.0Y

Other specified complex wounds to the head

NA0A.0Z

Complex wounds to the head, unspecified

NA0A.1

Injury of muscle, fascia or tendon of head

NA0A.10

Strain or sprain of muscle, fascia or tendon of head

NA0A.11

Laceration of muscle, fascia or tendon of head

NA0A.1Y

Other specified injury of muscle, fascia or tendon of head

NA0A.1Z

Injury of muscle, fascia or tendon of head, unspecified

NA0A.2

Traumatic rupture of ear drum

NA0A.3

Multiple injuries of head

Coding Note:

Each injury should be coded separately. This code should be used only when the

ICD-11 MMS – 09/2020

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA0A.Y

Other specified injuries of head

NA0B

Injury of the auricle
Exclusions:

Haematoma of auricle (NA00.2)

Superficial injury of ear auricle (NA00.2)

NA0C

Injury of middle or inner ear

NA0Z

Injuries to the head, unspecified

Coding Note:

This Block includes the following:

• injuries of face [any part]

• injuries of gum

• injuries of jaw

• injuries of oral cavity

• injuries of palate

• injuries of periocular area

• injuries of scalp

• injuries of temporomandibular joint area

• injuries of tongue

• injuries of tooth

Injuries to the neck (BlockL1‑NA2)

Coding Note:

This Block includes the following:

• injuries of nape

• injuries of supraclavicular region

• injuries of throat

Exclusions:

injury of spinal cord NOS (ND51)

Frostbite (BlockL1‑NE4)

injury of trunk NOS (BlockL1‑ND5)

fracture of spine NOS (ND50)

effects of foreign body in: larynx (ND72.3)

effects of foreign body in: oesophagus (ND73.1)

effects of foreign body in: pharynx (ND72.2)

effects of foreign body in: trachea (ND72.4)

burns and corrosions (ND90)

NA20

Superficial injury of neck
Coded Elsewhere:

Sequelae of superficial injury or open wound of neck or trunk

(NF2Y)

NA20.0

Abrasion of throat

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA20.1

Contusion of throat

NA20.2

Other or unspecified superficial injuries of throat

NA20.3

Multiple superficial injuries of neck

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA20.Y

Other specified superficial injury of neck

NA20.Z

Superficial injury of neck, unspecified

NA21

Open wound of neck
Exclusions:

Decapitation (NA63)

NA21.0

Laceration without foreign body of neck

Inclusions:

laceration of skin of neck

NA21.1

Laceration with foreign body of neck

NA21.2

Puncture wound without foreign body of neck

NA21.3

Puncture wound with foreign body of neck

NA21.4

Open bite of neck

NA21.5

Multiple open wounds of neck

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA21.Y

Other specified open wound of neck

NA21.Z

Open wound of neck, unspecified

NA22

Fracture of neck
Inclusions:

fracture of cervical neural arch

fracture of cervical spine

fracture of cervical spinous process

fracture of cervical transverse process

fracture of cervical vertebra

fracture of cervical vertebral arch

NA22.0

Fracture of first cervical vertebra

NA22.00

Fracture of first cervical vertebra, burst fracture

NA22.01

Fracture of posterior arch of first cervical vertebra

NA22.02

Fracture of lateral mass of first cervical vertebra

NA22.03

Other fracture of first cervical vertebra

NA22.0Z

Fracture of first cervical vertebra, unspecified

ICD-11 MMS – 09/2020

NA22.1

Fracture of second cervical vertebra

NA22.10

Traumatic spondylolisthesis of second cervical vertebra, type III

NA22.11

Other traumatic spondylolisthesis of second cervical vertebra

NA22.12

Fracture of odontoid process

NA22.13

Other fracture of second cervical vertebra

NA22.1Z

Fracture of second cervical vertebra, unspecified

NA22.2

Fracture of other specified cervical vertebra

NA22.3

Multiple fractures of cervical spine

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA22.Z

Fracture of neck, unspecified

NA23

Dislocation or strain or sprain of joints or ligaments at neck level

NA23.0

Traumatic rupture of cervical intervertebral disc

NA23.1

Dislocation of cervical vertebra
Displacement of one or more bones of the cervical spine

NA23.10

Cranio-cervical dissociation

NA23.11

Atlanto-axial dislocation

NA23.12

Dislocation of other specified cervical vertebra

NA23.1Z

Dislocation of cervical vertebra, unspecified

NA23.2

Dislocation of other or unspecified parts of neck

NA23.3

Multiple dislocations of neck

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA23.4

Strain or sprain of cervical spine
A collective term for muscle and ligament injuries of the tissues associated with the
cervical spine without dislocation or fracture; a joint injury in which some of the
fibers of a supporting ligament are ruptured but the continuity of the ligament
remains intact. A strain is an overstretching or overexertion of some part of the
musculature.

Inclusions:

Whiplash injury

NA23.40

Acute whiplash associated disorder with complaint of neck pain, stiffness or

tenderness only

Exclusions:

Chronic whiplash injury associated pain (MG30.20)

NA23.41

Acute whiplash associated disorder with complaint of neck pain with

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

musculoskeletal signs

Exclusions:

Chronic whiplash injury associated pain (MG30.20)

NA23.42

Acute whiplash associated disorder with complaint of neck pain with neurological

signs

Exclusions:

Chronic whiplash injury associated pain (MG30.20)

NA23.4Y

Other specified strain or sprain of cervical spine

NA23.4Z

Strain or sprain of cervical spine, unspecified

NA23.5

Strain or sprain of thyroid region

NA23.Y

Other specified dislocation or strain or sprain of joints or ligaments at neck level

NA23.Z

Dislocation or strain or sprain of joints or ligaments at neck level, unspecified

Injury of nerves or spinal cord at neck level (BlockL2‑NA3)

Injury of spinal cord at neck level (BlockL3‑NA3)

NA30

Concussion or oedema of cervical spinal cord

NA31

Certain specified injuries of cervical spinal cord

NA31.0

Complete lesion of cervical spinal cord

NA31.1

Central cord syndrome of cervical spinal cord

NA31.2

Anterior cord syndrome of cervical spinal cord

NA31.3

Posterior cord syndrome of cervical spinal cord

NA31.4

Brown-Sequard syndrome of cervical spinal cord

NA31.5

Other incomplete cord syndrome of cervical spinal cord

NA3Z

Injury of cervical spinal cord, unspecified

Injury of nerves at neck level (BlockL3‑NA4)

NA40

Injury of nerve root of cervical spine

NA41

Injury of brachial plexus
Coded Elsewhere:

Brachial plexus palsy in newborn (KA44.1)

NA41.0

Injury of brachial plexus cord

NA41.1

Injury of brachial plexus division

NA41.2

Injury of brachial plexus trunk

NA41.Y

Other specified injury of brachial plexus

ICD-11 MMS – 09/2020

NA41.Z

Injury of brachial plexus, unspecified

NA42

Injury of peripheral nerves of neck

NA42.0

Injury of supraclavicular nerve

NA42.1

Injury to anterior cutaneous nerve of neck

NA42.Y

Injury of other specified peripheral nerves of neck

NA42.Z

Injury of peripheral nerves of neck, unspecified

NA43

Injury of cervical sympathetic nerves

NA44

Injury of phrenic nerve
Coded Elsewhere:

Phrenic nerve paralysis due to birth injury (KA44.2)

NA4Y

Injury of other specified nerves at neck level

NA4Z

Injury of nerves at neck level, unspecified

NA60

Injury of blood vessels at neck level

NA60.0

Injury of carotid artery

NA60.00

Laceration of carotid artery, minor

Inclusions:

incomplete transection of carotid artery

laceration of carotid artery NOS

superficial laceration of carotid artery

NA60.01

Laceration of carotid artery, major

Inclusions:

complete transection of carotid artery

traumatic rupture of carotid artery

NA60.0Y

Other specified injury of carotid artery

NA60.0Z

Injury of carotid artery, unspecified

NA60.1

Injury of vertebral artery

NA60.10

Laceration of vertebral artery, minor

Inclusions:

incomplete transection of vertebral artery

laceration of vertebral artery NOS

superficial laceration of vertebral artery

NA60.11

Laceration of vertebral artery, major

Inclusions:

complete transection of vertebral artery

traumatic rupture of vertebral artery

NA60.1Y

Other specified injury of vertebral artery

NA60.1Z

Injury of vertebral artery, unspecified

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA60.2

Injury of external jugular vein

NA60.20

Laceration of external jugular vein, minor

Inclusions:

incomplete transection of external jugular vein

laceration of external jugular vein NOS

superficial laceration of external jugular vein

NA60.21

Laceration of external jugular vein, major

Inclusions:

complete transection of external jugular vein

traumatic rupture of external jugular vein

NA60.2Y

Other specified injury of external jugular vein

NA60.2Z

Injury of external jugular vein, unspecified

NA60.3

Injury of internal jugular vein

NA60.30

Laceration of internal jugular vein, minor

Inclusions:

incomplete transection of internal jugular vein

laceration of internal jugular vein NOS

superficial laceration of internal jugular vein

NA60.31

Laceration of internal jugular vein, major

Inclusions:

complete transection of internal jugular vein

traumatic rupture of internal jugular vein

NA60.3Y

Other specified injury of internal jugular vein

NA60.3Z

Injury of internal jugular vein, unspecified

NA60.4

Injury of multiple blood vessels at neck level

Coding Note:

Assign additional codes for the specific injuries.

NA60.Y

Injury of other specified blood vessels at neck level

NA60.Z

Injury of blood vessels at neck level, unspecified

NA61

Injury of muscle, fascia or tendon at neck level

NA61.0

Strain or sprain of muscle, fascia or tendon at neck level

NA61.1

Laceration of muscle, fascia or tendon at neck level

NA61.Y

Other specified injury of muscle, fascia or tendon at neck level

NA61.Z

Injury of muscle, fascia or tendon at neck level, unspecified

NA62

Crushing injury of neck

NA62.0

Crushing injury of larynx or trachea

NA62.Y

Crushing injury of other specified site of neck

ICD-11 MMS – 09/2020

NA62.Z

Crushing injury of neck, unspecified

NA63

Traumatic amputation at neck level

NA64

Multiple injuries of neck

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA6Y

Other specified injuries to the neck

Coding Note:

This Block includes the following:

• injuries of nape

• injuries of supraclavicular region

• injuries of throat

NA6Z

Injuries to the neck, unspecified

Coding Note:

This Block includes the following:

• injuries of nape

• injuries of supraclavicular region

• injuries of throat

Injuries to the thorax (BlockL1‑NA8)

Exclusions:

injuries of spinal cord NOS (ND51)

injuries of shoulder (BlockL1‑NC1)

Injuries of trunk NOS (ND51)

insect bite or sting, venomous (NE61)

fracture of spine NOS (ND50)

injuries of clavicle (BlockL1‑NC1)

injuries of scapular region (BlockL1‑NC1)

Frostbite (BlockL1‑NE4)

injuries of axilla (BlockL1‑NC1)

effects of foreign body in lung (ND72)

effects of foreign body in bronchus (ND72.5)

Foreign body in trachea (ND72.4)

Foreign body in oesophagus (ND73.1)

Burns (BlockL1‑ND9)

Coded Elsewhere:

Birth injury of thorax (KA45.3)

NA80

Superficial injury of thorax

Damage inflicted on the surface or shallow tissues of the thorax as the direct or
indirect result of an external force, with or without disruption of structural continuity.

Coded Elsewhere:

Sequelae of superficial injury or open wound of neck or trunk

(NF2Y)

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NA80.0

Abrasion of breast

NA80.1

Contusion of breast

NA80.2

Other or unspecified superficial injuries of breast

NA80.3

Other superficial injuries of front wall of thorax

NA80.4

Other superficial injuries of back wall of thorax

NA80.5

Abrasion of thorax

NA80.6

Contusion of thorax

NA80.7

Multiple superficial injuries of thorax

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA80.Y

Other specified superficial injury of thorax

NA80.Z

Superficial injury of thorax, unspecified

NA81

Open wound of thorax
Inclusions:

open wound thoracic wall NOS

Exclusions:

Traumatic pneumothorax (NB32.0)

Traumatic haemothorax (NB32.1)

Traumatic haemopneumothorax (NB32.2)

NA81.0

Laceration without foreign body of thorax

Inclusions:

laceration of skin of thorax

NA81.1

Laceration with foreign body of thorax

NA81.2

Puncture wound without foreign body of thorax

NA81.3

Puncture wound with foreign body of thorax

NA81.4

Open bite of thorax

NA81.5

Multiple open wounds of thoracic wall

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA81.Y

Other specified open wound of thorax

NA81.Z

Open wound of thorax, unspecified

NA82

Fracture of rib, sternum or thoracic spine
Exclusions:

Fracture of scapula (NC12.1)

Fracture of clavicle (NC12.0)

NA82.0

Fracture of thoracic vertebra

ICD-11 MMS – 09/2020

NA82.1

Multiple fractures of thoracic spine

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA82.2

Fracture of sternum

NA82.3

Fracture of rib

NA82.30

Fracture of rib, posterior or posterior and lateral

NA82.3Y

Other specified fracture of rib

NA82.3Z

Fracture of rib, unspecified

NA82.4

Multiple fractures of ribs

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NA82.5

Flail chest

NA82.Y

Other specified fracture of rib, sternum or thoracic spine

NA82.Z

Fracture of rib, sternum or thoracic spine, unspecified

NA83

Dislocation or strain or sprain of joints or ligaments of thorax
Exclusions:

Intervertebral disc degeneration of thoracic spine with

prolapsed disc (FA80.5)

NA83.0

Traumatic rupture of thoracic intervertebral disc

NA83.1

Dislocation of thoracic vertebra

NA83.2

Dislocation of other or unspecified parts of thorax

NA83.3

Strain or sprain of ligaments of thoracic spine

NA83.4

Strain or sprain of ribs or sternum

NA83.40

Strain or sprain of sternum

NA83.41

Strain or sprain of sterno-clavicular joint or ligament

NA83.42

Strain or sprain of chondro-sternal joint
Aberrant biomechanical functions of the joints between the ribs and the sternum,
which may be as a result of local disease, systemic disease, postural strain or
trauma.

NA83.4Y

Strain or sprain of other specified site of ribs or sternum

NA83.4Z

Strain or sprain of ribs or sternum, unspecified

NA83.Y

Other specified dislocation or strain or sprain of joints or ligaments of thorax

NA83.Z

Dislocation or strain or sprain of joints or ligaments of thorax, unspecified

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Injury of nerves or spinal cord at thorax level (BlockL2‑NA9)

Exclusions:

Injury of brachial plexus (NA41)

Injury of spinal cord at thorax level (BlockL3‑NA9)

NA90

Concussion or oedema of thoracic spinal cord

NA91

Certain specified injuries of thoracic spinal cord

NA91.0

Complete lesion of thoracic spinal cord

NA91.1

Central cord syndrome of thoracic spinal cord

NA91.2

Anterior cord syndrome of thoracic spinal cord

NA91.3

Posterior cord syndrome of thoracic spinal cord

NA91.4

Brown-Sequard syndrome of thoracic spinal cord

NA91.5

Other incomplete cord syndrome of thoracic spinal cord

NA9Z

Injury of thoracic spinal cord, unspecified

Injury of nerves at thorax level (BlockL3‑NB0)

NB00

Injury of nerve root of thoracic spine

NB01

Injury of peripheral nerves of thorax

NB02

Injury of thoracic sympathetic nerves

NB0Y

Injury of other specified nerves at thorax level

NB2Y

Other specified injury of nerves or spinal cord at thorax level

NB2Z

Injury of nerves or spinal cord at thorax level, unspecified

NB30

Injury of blood vessels of thorax

NB30.0

Injury of thoracic aorta

NB30.00

Minor laceration of thoracic aorta

Inclusions:

incomplete transection of thoracic aorta

laceration of thoracic aorta NOS

superficial laceration of thoracic aorta

NB30.01

Major laceration of thoracic aorta

Inclusions:

complete transection of thoracic aorta

traumatic rupture of thoracic aorta

NB30.0Y

Other specified injury of thoracic aorta

ICD-11 MMS – 09/2020

NB30.0Z

Injury of thoracic aorta, unspecified

NB30.1

Injury of innominate or subclavian artery

NB30.10

Minor laceration of innominate or subclavian artery

Inclusions:

incomplete transection of innominate or subclavian artery

laceration of innominate or subclavian artery NOS

superficial laceration of innominate or subclavian artery

NB30.11

Major laceration of innominate or subclavian artery

Inclusions:

complete transection of innominate or subclavian artery

traumatic rupture of innominate or subclavian artery

NB30.1Y

Other specified injury of innominate or subclavian artery

NB30.1Z

Injury of innominate or subclavian artery, unspecified

NB30.2

Injury of superior vena cava

NB30.20

Minor laceration of superior vena cava

Inclusions:

incomplete transection of superior vena cava

laceration of superior vena cava NOS

superficial laceration of superior vena cava

NB30.21

Major laceration of superior vena cava

Inclusions:

complete transection of superior vena cava

traumatic rupture of superior vena cava

NB30.2Y

Other specified injury of superior vena cava

NB30.2Z

Injury of superior vena cava, unspecified

NB30.3

Injury of innominate or subclavian vein

NB30.30

Minor laceration of innominate or subclavian vein

Inclusions:

incomplete transection of innominate or subclavian vein

laceration of innominate or subclavian vein NOS

superficial laceration of innominate or subclavian vein

NB30.31

Major laceration of innominate or subclavian vein

Inclusions:

complete transection of innominate or subclavian vein

traumatic rupture of innominate or subclavian vein

NB30.3Y

Other specified injury of innominate or subclavian vein

NB30.3Z

Injury of innominate or subclavian vein, unspecified

NB30.4

Injury of pulmonary blood vessels

NB30.40

Minor laceration of pulmonary blood vessels

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Inclusions:

incomplete transection of pulmonary blood vessels

laceration of pulmonary blood vessels NOS

superficial laceration of pulmonary blood vessels

NB30.41

Major laceration of pulmonary blood vessels

Inclusions:

complete transection of pulmonary blood vessels

traumatic rupture of pulmonary blood vessels

NB30.4Y

Other specified injury of pulmonary blood vessels

NB30.4Z

Injury of pulmonary blood vessels, unspecified

NB30.5

Injury of intercostal blood vessels

NB30.50

Laceration of intercostal blood vessels

NB30.5Y

Other specified injury of intercostal blood vessels

NB30.5Z

Injury of intercostal blood vessels, unspecified

NB30.6

Injury of multiple blood vessels of thorax

Coding Note:

Assign additional codes for the specific injuries.

NB30.Y

Injury of other specified blood vessels of thorax

NB30.Z

Injury of blood vessels of thorax, unspecified

NB31

Injury of heart

NB31.0

Injury of heart with haemopericardium

NB31.00

Contusion of heart with haemopericardium

NB31.01

Minor laceration of heart with haemopericardium

Inclusions:

laceration of heart without penetration of heart chamber

NB31.02

Moderate laceration of heart with haemopericardium

Inclusions:

laceration of heart with penetration of heart chamber

NB31.03

Major laceration of heart with haemopericardium

Inclusions:

laceration of heart with penetration of multiple heart chambers

NB31.0Y

Other specified injury of heart with haemopericardium

NB31.0Z

Injury of heart with haemopericardium, unspecified

NB31.1

Injury of heart without haemopericardium

NB31.10

Contusion of heart without haemopericardium

NB31.11

Laceration of heart without haemopericardium

NB31.1Y

Other specified injury of heart without haemopericardium

NB31.1Z

Injury of heart without haemopericardium, unspecified

ICD-11 MMS – 09/2020

NB31.2

Injury of heart, unspecified without open wound into thoracic cavity

NB31.3

Injury of heart, unspecified with open wound into thoracic cavity

NB31.4

Injury of heart valve

NB31.40

Injury to mitral valve

NB31.4Y

Injury of other specified heart valve

NB31.4Z

Injury of heart valve, unspecified

NB31.Y

Other specified injury of heart

NB31.Z

Injury of heart, unspecified

NB32

Injury of other or unspecified intrathoracic organs
Exclusions:

injury of cervical oesophagus (BlockL1‑NA2)

injury of trachea (cervical) (BlockL1‑NA2)

NB32.0

Traumatic pneumothorax

NB32.1

Traumatic haemothorax

NB32.2

Traumatic haemopneumothorax

NB32.3

Certain injuries of lung

NB32.30

Contusion of lung

NB32.31

Laceration of lung

NB32.32

Inhalation injury of lung

NB32.33

Primary blast injury of lung

NB32.3Y

Other injury of lung

NB32.3Z

Injury of lung, unspecified

NB32.4

Injury of bronchus

NB32.40

Contusion of bronchus

NB32.41

Minor laceration of bronchus

Inclusions:

laceration of bronchus less than 1 cm

laceration of bronchus NOS

NB32.42

Moderate laceration of bronchus

Inclusions:

laceration of bronchus 1 to 3 cm

Exclusions:

Multiple moderate lacerations of bronchus (NB32.43)

NB32.43

Major laceration of bronchus

Inclusions:

laceration of bronchus greater than 3 cm

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

massive laceration of bronchus

multiple moderate lacerations of bronchus

stellate laceration of bronchus

NB32.4Y

Other specified injury of bronchus

NB32.4Z

Injury of bronchus, unspecified

NB32.5

Injury of thoracic trachea

NB32.50

Contusion of thoracic trachea

NB32.51

Minor laceration of thoracic trachea

Inclusions:

laceration of thoracic trachea less than 1 cm

laceration of thoracic trachea NOS

NB32.52

Moderate laceration of thoracic trachea

Inclusions:

laceration of thoracic trachea 1 to 3 cm

Exclusions:

Multiple moderate lacerations of thoracic trachea (NB32.53)

NB32.53

Major laceration of thoracic trachea

Inclusions:

laceration of thoracic trachea greater than 3 cm

massive laceration of thoracic trachea

multiple moderate lacerations of thoracic trachea

stellate laceration of thoracic trachea

NB32.5Y

Other specified injury of thoracic trachea

NB32.5Z

Injury of thoracic trachea, unspecified

NB32.6

Injury of pleura

NB32.60

Laceration of pleura

NB32.6Y

Other specified injury of pleura

NB32.6Z

Injury of pleura, unspecified

NB32.7

Multiple injuries of intrathoracic organs

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB32.8

Injury of other specified intrathoracic organs

Coded Elsewhere:

Oesophagitis due to external causes (DA24.2)

NB32.Y

Other specified injury of other or unspecified intrathoracic organs

NB32.Z

Injury of other or unspecified intrathoracic organs, unspecified

NB33

Crushing injury of thorax or traumatic amputation of part of thorax

NB33.0

Crushed chest

ICD-11 MMS – 09/2020

Exclusions:

Flail chest (NA82.5)

NB33.1

Traumatic amputation of breast

NB33.10

Traumatic amputation of part of breast

NB33.11

Traumatic amputation of entire breast

NB33.1Z

Traumatic amputation of breast, unspecified

NB33.2

Traumatic amputation of other part of thorax

Exclusions:

transection of thorax (ND35)

NB33.Y

Other specified crushing injury of thorax or traumatic amputation of part of thorax

NB33.Z

Crushing injury of thorax or traumatic amputation of part of thorax, unspecified

NB34

Injury of muscle, fascia or tendon at thorax level

NB34.0

Strain or sprain of muscle, fascia or tendon at thorax level

NB34.1

Laceration of muscle, fascia or tendon at thorax level

NB34.Y

Other specified injury of muscle, fascia or tendon at thorax level

NB34.Z

Injury of muscle, fascia or tendon at thorax level, unspecified

NB35

Multiple injuries of thorax

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB3Y

Other specified injuries to the thorax

NB3Z

Injuries to the thorax, unspecified

Injuries to the abdomen, lower back, lumbar spine or pelvis

(BlockL1‑NB5)

Exclusions:

insect bite or sting, venomous (NE61)

Foreign body in anus or rectum (ND73.5)

Foreign body in genitourinary tract (ND74)

Burns (BlockL1‑ND9)

Foreign body in colon (ND73.4)

Fracture of spine, level unspecified (ND50)

injuries of trunk NOS (ND51)

injuries of spinal cord NOS (ND51)

Frostbite (BlockL1‑NE4)

Foreign body in stomach (ND73.2)

Foreign body in small intestine (ND73.3)

NB50

Superficial injury of abdomen, lower back or pelvis

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Damage inflicted on the surface or shallow tissues of the abdomen, lower back and
pelvis as the direct or indirect result of an external force, with or without disruption
of structural continuity.

Exclusions:

superficial injury of hip (NC70)

Coded Elsewhere:

Sequelae of superficial injury or open wound of neck or trunk

(NF2Y)

NB50.0

Abrasion of lower back or pelvis

NB50.1

Contusion of lower back or pelvis

NB50.2

Abrasion of abdominal wall

NB50.3

Contusion of abdominal wall

NB50.4

Abrasion of external genital organs

NB50.5

Contusion of external genital organs

NB50.6

Multiple superficial injuries of abdomen, lower back or pelvis

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB50.Y

Other specified superficial injury of abdomen, lower back or pelvis

NB50.Z

Superficial injury of abdomen, lower back or pelvis, unspecified

NB51

Open wound of abdomen, lower back or pelvis
Exclusions:

open wound of hip (NC71)

traumatic amputation of part of abdomen, lower back and

pelvis (NB93)

NB51.0

Laceration without foreign body of abdomen, lower back or pelvis

Inclusions:

laceration of skin of abdomen, lower back or pelvis

NB51.1

Laceration with foreign body of abdomen, lower back or pelvis

NB51.2

Puncture wound without foreign body of abdomen, lower back or pelvis

NB51.3

Puncture wound with foreign body of abdomen, lower back or pelvis

NB51.4

Open bite of abdomen, lower back or pelvis

NB51.5

Multiple open wounds of abdomen, lower back or pelvis

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB51.Y

Other specified open wound of abdomen, lower back or pelvis

NB51.Z

Open wound of abdomen, lower back or pelvis, unspecified

NB52

Fracture of lumbar spine or pelvis

Broken bone in the lumbar spine or pelvis.

Exclusions:

fracture of hip NOS (NC72.2)

ICD-11 MMS – 09/2020

NB52.0

Fracture of lumbar vertebra

NB52.1

Fracture of pelvic bone without disruption of posterior arch of pelvic ring

NB52.10

Fracture of sacrum without disruption of pelvic ring

NB52.11

Fracture of coccyx

NB52.12

Fracture of ilium without disruption of pelvic ring

NB52.13

Fracture of acetabulum without disruption of pelvic ring

NB52.14

Fracture of pubis without disruption of pelvic ring

NB52.15

Fracture of ischium without disruption of pelvic ring

NB52.1Y

Fracture of other specified pelvic bone without disruption of posterior arch of pelvic

ring

NB52.1Z

Fracture of unspecified pelvic bone without disruption of posterior arch of pelvic

ring

NB52.2

Fracture of the pelvic ring with incomplete disruption of posterior arch

NB52.3

Fracture of pelvic ring with complete disruption of posterior arch

NB52.4

Multiple fractures of lumbar spine or pelvis

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB52.Y

Other specified fracture of lumbar spine or pelvis

NB52.Z

Fracture of lumbar spine or pelvis, unspecified

NB53

Dislocation or strain or sprain of joints or ligaments of lumbar spine or

pelvis
Exclusions:

Dislocation or strain or sprain of joint or ligaments of hip

(NC73)

Obstetric damage to pelvic joints or ligaments (JB0A.7)

NB53.0

Traumatic rupture of lumbar intervertebral disc

NB53.1

Dislocation of lumbar vertebra

NB53.2

Dislocation of sacroiliac or sacrococcygeal joint without disruption of pelvic ring

NB53.3

Dislocation of other or unspecified parts of lumbar spine or pelvis without

disruption of pelvic ring

NB53.4

Traumatic rupture of symphysis pubis without disruption of pelvic ring

NB53.5

Strain or sprain of lumbar spine
A collective term for muscle and ligament injuries of the tissues associated with the
lumbar spine without dislocation or fracture; a joint injury in which some of the
fibers of a supporting ligament are ruptured but the continuity of the ligament
remains intact. A strain is an overstretching or overexertion of some part of the

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

musculature.

NB53.6

Strain or sprain of sacroiliac joint
Aberrant biomechanical functions of the joints between the ilia and the sacrum,
which may be as a result of local disease, systemic disease, postural strain or
trauma.

NB53.Y

Other specified dislocation or strain or sprain of joints or ligaments of lumbar

spine or pelvis

NB53.Z

Dislocation or strain or sprain of joints or ligaments of lumbar spine or pelvis,

unspecified

Injury of nerves or lumbar spinal cord at abdomen, lower back or pelvis

level (BlockL2‑NB6)

Injury of spinal cord at abdomen, lower back or pelvis level (BlockL3‑NB6)

NB60

Concussion or oedema of lumbar spinal cord

NB61

Concussion or oedema of sacral spinal cord

NB62

Certain specified injuries of lumbar spinal cord

NB62.0

Complete lesion of lumbar spinal cord

NB62.1

Central cord syndrome of lumbar spinal cord

NB62.2

Anterior cord syndrome of lumbar spinal cord

NB62.3

Posterior cord syndrome of lumbar spinal cord

NB62.4

Brown-Sequard syndrome of lumbar spinal cord

NB62.5

Other incomplete cord syndrome of lumbar spinal cord

NB62.6

Puncture wound or laceration of dura mater of lumbar spinal cord

NB63

Certain specified injuries of sacral spinal cord

NB63.0

Complete injury of sacral spinal cord

NB63.1

Incomplete injury of sacral spinal cord

NB63.Z

Injury of sacral spinal cord, unspecified

NB6Z

Injury of spinal cord at abdomen, lower back or pelvis level, unspecified

Injury of nerves at abdomen, lower back or pelvis level (BlockL3‑NB7)

NB70

Injury of nerve root of lumbar spine

NB71

Injury of nerve root of sacral spine

ICD-11 MMS – 09/2020

NB72

Injury of cauda equina

NB73

Injury of lumbosacral plexus

NB74

Injury of lumbar, sacral or pelvic sympathetic nerves

NB75

Injury of peripheral nerve of abdomen, lower back or pelvis

NB7Y

Other specified injury of nerves at abdomen, lower back or pelvis level

NB7Z

Injury of nerves at abdomen, lower back or pelvis level, unspecified

NB90

Injury of blood vessels at abdomen, lower back or pelvis level

NB90.0

Injury of abdominal aorta

Exclusions:

injury aorta NOS (NB30.0)

NB90.00

Minor laceration of abdominal aorta

Inclusions:

incomplete transection of abdominal aorta

laceration of abdominal aorta NOS

superficial laceration of abdominal aorta

NB90.01

Major laceration of abdominal aorta

Inclusions:

complete transection of abdominal aorta

traumatic rupture of abdominal aorta

NB90.0Y

Other specified injury of abdominal aorta

NB90.0Z

Injury of abdominal aorta, unspecified

NB90.1

Injury of inferior vena cava

Exclusions:

injury vena cava NOS (NB30.2)

NB90.10

Minor laceration of inferior vena cava

Inclusions:

incomplete transection of inferior vena cava

laceration of inferior vena cava NOS

superficial laceration of inferior vena cava

NB90.11

Major laceration of inferior vena cava

Inclusions:

complete transection of inferior vena cava

traumatic rupture of inferior vena cava

NB90.1Y

Other specified injury of inferior vena cava

NB90.1Z

Injury of inferior vena cava, unspecified

NB90.2

Injury of coeliac artery

NB90.20

Minor laceration of coeliac artery

Inclusions:

incomplete transection of coeliac artery

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

laceration of coeliac artery NOS

superficial laceration of celiac artery

NB90.21

Major laceration of coeliac artery

Inclusions:

complete transection of coeliac artery

traumatic rupture of coeliac artery

NB90.2Y

Other specified injury of coeliac artery

NB90.2Z

Injury of coeliac artery, unspecified

NB90.3

Injury of mesenteric artery

NB90.30

Minor laceration mesenteric artery

Inclusions:

incomplete transection of mesenteric artery

laceration of mesenteric artery NOS

superficial laceration of mesenteric artery

NB90.31

Major laceration of mesenteric artery

Inclusions:

complete transection of mesenteric artery

traumatic rupture of mesenteric artery

NB90.3Y

Other specified injury of mesenteric artery

NB90.3Z

Injury of mesenteric artery, unspecified

NB90.4

Injury of portal or splenic vein

NB90.40

Minor laceration of portal or splenic vein

Inclusions:

incomplete transection of portal or splenic vein

laceration of portal or splenic vein NOS

superficial laceration of portal or splenic vein

NB90.41

Major laceration of portal or splenic vein

Inclusions:

complete transection of portal or splenic vein

traumatic rupture of portal or splenic vein

NB90.4Y

Other specified injury of portal or splenic vein

NB90.4Z

Injury of portal or splenic vein, unspecified

NB90.5

Injury of renal blood vessels

NB90.50

Minor laceration of renal blood vessels

Inclusions:

incomplete transection of renal blood vessels

superficial laceration of renal blood vessels

laceration of renal blood vessels NOS

NB90.51

Major laceration of renal blood vessels

Inclusions:

complete transection of renal blood vessels

ICD-11 MMS – 09/2020

traumatic rupture of renal blood vessels

NB90.5Y

Other specified injury of renal blood vessels

NB90.5Z

Injury of renal blood vessels, unspecified

NB90.6

Injury of iliac blood vessels

NB90.60

Minor laceration of iliac blood vessels

Inclusions:

incomplete transection of iliac blood vessels

laceration of iliac blood vessels NOS

superficial laceration of iliac blood vessels

NB90.61

Major laceration of iliac blood vessels

Inclusions:

complete transection of iliac blood vessels

traumatic rupture of iliac blood vessels

NB90.6Y

Other specified injury of iliac blood vessels

NB90.6Z

Injury of iliac blood vessels, unspecified

NB90.7

Injury of multiple blood vessels at abdomen, lower back or pelvis level

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB90.Y

Injury of other specified blood vessels at abdomen, lower back or pelvis level

NB90.Z

Injury of unspecified blood vessel at abdomen, lower back or pelvis level

NB91

Injury of intra-abdominal organs
Coded Elsewhere:

Adrenal haemorrhage due to birth injury (KA46.2)

NB91.0

Injury of spleen

Coded Elsewhere:

Birth injury to spleen (KA46.1)

NB91.00

Contusion of spleen, minor

Inclusions:

contusion of spleen less than 2 cm

NB91.01

Contusion of spleen, major

Inclusions:

contusion of spleen greater than 2 cm

NB91.02

Laceration of spleen, minor

Inclusions:

laceration of spleen less than 1 cm

NB91.03

Laceration of spleen, moderate

Inclusions:

laceration of spleen 1 to 3 cm

Exclusions:

Multiple moderate lacerations of spleen (NB91.04)

NB91.04

Laceration of spleen, major

Inclusions:

laceration of spleen greater than 3 cm

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

massive laceration of spleen

multiple moderate lacerations of spleen

stellate laceration of spleen

Exclusions:

Avulsion of spleen (NB91.05)

NB91.05

Avulsion of spleen

NB91.0Y

Other specified injury of spleen

NB91.0Z

Injury of spleen, unspecified

NB91.1

Injury of liver
Damage inflicted on the liver as the direct or indirect result of an external force, with
or without disruption of structural continuity.

Coded Elsewhere:

Birth injury to liver (KA46.0)

NB91.10

Contusion of liver

NB91.11

Laceration of liver, minor

Inclusions:

laceration of liver involving capsule only, or, without significant

involvement of hepatic parenchyma [i.e., less than 1 cm

deep]

NB91.12

Laceration of liver, moderate

Inclusions:

laceration of liver involving parenchyma but without major

disruption of parenchyma [i.e., less than 10 cm long and

less than 3 cm deep]

Exclusions:

Multiple moderate lacerations of liver, with or without

haematoma (NB91.13)

NB91.13

Laceration of liver, major

Inclusions:

laceration of liver with significant disruption of hepatic

parenchyma [i.e., greater than 10 cm long and 3 cm deep]

multiple moderate lacerations of liver, with or without

haematoma

stellate laceration of liver

NB91.14

Injury of hepatic duct

NB91.1Y

Other specified injury of liver

NB91.1Z

Injury of liver, unspecified

NB91.2

Injury of gallbladder

Coded Elsewhere:

Common bile duct trauma (NB91.3)

NB91.3

Injury of bile duct

NB91.4

Injury of pancreas

NB91.40

Contusion of pancreas

ICD-11 MMS – 09/2020

NB91.41

Laceration of pancreas, minor

Inclusions:

laceration of pancreas less than 1 cm

laceration of pancreas NOS

superficial capsular laceration of pancreas

NB91.42

Laceration of pancreas, moderate

Inclusions:

laceration of pancreas 1 to 3 cm

Exclusions:

Multiple moderate lacerations of pancreas (NB91.43)

NB91.43

Laceration of pancreas, major

Inclusions:

laceration of pancreas greater than 3 cm

multiple moderate lacerations of pancreas

massive laceration of pancreas

stellate laceration of pancreas

NB91.4Y

Other specified injury of pancreas

NB91.4Z

Injury of pancreas, unspecified

NB91.5

Injury of stomach

NB91.50

Contusion of stomach

NB91.51

Laceration of stomach without perforation

NB91.52

Laceration of stomach with perforation, avulsion or massive damage

NB91.53

Ingestion injury of stomach without perforation

Exclusions:

Chemical burn or corrosion of stomach (NE02)

NB91.54

Ingestion injury of stomach with perforation

Exclusions:

Chemical burn or corrosion of stomach (NE02)

NB91.5Y

Other specified injury of stomach

NB91.5Z

Injury of stomach, unspecified

NB91.6

Injury of duodenum

NB91.60

Contusion of duodenum

NB91.61

Laceration of duodenum

NB91.62

Primary blast injury of duodenum

NB91.63

Perforation of duodenum
Perforation of duodenum is a penetration of the wall of the duodenum, resulting in
luminal contents in duodenum flowing into the abdominal cavity or retroperitoneal
wall.

Inclusions:

Perforation of duodenum due to Injury

NB91.6Y

Other specified injury of duodenum

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NB91.6Z

Injury of duodenum, unspecified

NB91.7

Injury of small intestine

Inclusions:

Iatrogenic injury of small intestine

Exclusions:

Injury of duodenum (NB91.6)

NB91.70

Contusion of small intestine
An injury to small intestine resulting from a blow in which the subsurface tissue is
injured and often internally bled but the skin is not broken.

Exclusions:

Contusion of duodenum (NB91.60)

NB91.71

Laceration of small intestine
A tear or wound of small intestine.

Exclusions:

Laceration of duodenum (NB91.61)

NB91.72

Primary blast injury of small intestine
An injury to small intestine resulting from direct or indirect exposure to explosion.
Primary injuries are caused by high-order explosives or shock waves

Exclusions:

Primary blast injury of duodenum (NB91.62)

NB91.7Y

Other specified injury of small intestine

NB91.7Z

Injury of small intestine, unspecified

NB91.8

Injury of colon

NB91.80

Contusion of colon
An injury to large intestine resulting from a blow in which the subsurface tissue is
injured and often internally bled but the skin is not broken.

NB91.81

Laceration of colon
A tear or wound of large intestine.

NB91.82

Primary blast injury of colon
An injury to large intestine resulting from direct or indirect exposure to explosion.
Primary injuries are caused by high-order explosives or shock waves.

NB91.8Y

Other specified injury of colon

NB91.8Z

Injury of colon, unspecified

NB91.9

Injury of rectum

NB91.90

Contusion of rectum

NB91.91

Laceration of rectum

NB91.92

Primary blast injury of rectum

NB91.9Y

Other specified injury of rectum

NB91.9Z

Injury of rectum, unspecified

ICD-11 MMS – 09/2020

NB91.A

Injury of mesentery

NB91.B

Injury of multiple intra-abdominal organs

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB91.Y

Injury of other specified intra-abdominal organs

NB91.Z

Injury of intra-abdominal organs, unspecified

NB92

Injury of urinary or pelvic organs
Exclusions:

peritoneum and retroperitoneum (NB91)

Coded Elsewhere:

Female Genital Mutilation (GC51)

Birth injury to external genitalia (KA43.1)

Sequelae of injury of intra-abdominal or pelvic organs (NB91.Y)

NB92.0

Injury of kidney

NB92.00

Contusion of kidney, minor

Inclusions:

contusion of kidney less than 2 cm

contusion of kidney NOS

NB92.01

Contusion of kidney, major

Inclusions:

contusion of kidney greater than 2 cm

NB92.02

Laceration of kidney, minor

Inclusions:

laceration of kidney less than 1 cm

laceration of kidney NOS

NB92.03

Laceration of kidney, moderate

Inclusions:

laceration of kidney 1 to 3 cm

Exclusions:

Multiple moderate lacerations of kidney (NB92.04)

NB92.04

Laceration of kidney, major

Inclusions:

avulsion of kidney

laceration of kidney greater than 3 cm

massive laceration of kidney

stellate laceration of kidney

multiple moderate lacerations of kidney

NB92.0Y

Other specified injury of kidney

NB92.0Z

Injury of kidney, unspecified

NB92.1

Injury of ureter

NB92.10

Contusion of ureter

NB92.11

Laceration of ureter

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NB92.1Y

Other specified injury of ureter

NB92.1Z

Injury of ureter, unspecified

NB92.2

Injury of bladder

Exclusions:

Obstetric injury to bladder (JB0A.6)

NB92.20

Contusion of bladder

NB92.21

Laceration of bladder

NB92.2Y

Other specified injury of bladder

NB92.2Z

Injury of bladder, unspecified

NB92.3

Injury of urethra

NB92.30

Contusion of urethra

NB92.31

Laceration of urethra

NB92.3Y

Other specified injury of urethra

NB92.3Z

Injury of urethra, unspecified

NB92.4

Injury of ovary

NB92.40

Contusion of ovary

NB92.41

Laceration of ovary

NB92.4Y

Other specified injury of ovary

NB92.4Z

Injury of ovary, unspecified

NB92.5

Injury of fallopian tube

NB92.6

Injury of uterus

NB92.7

Injury of urinary tract

NB92.8

Injury of multiple pelvic organs

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NB92.Y

Injury of other specified pelvic organs

NB92.Z

Injury of urinary or pelvic organs, unspecified

NB93

Crushing injury or traumatic amputation of part of abdomen, lower back or

pelvis

NB93.0

Crushing injury of external genital organs

NB93.00

Crushing injury of penis

NB93.01

Crushing injury of testes or scrotum

ICD-11 MMS – 09/2020

NB93.02

Crushing injury of vulva

NB93.0Z

Crushing injury of external genital organs, unspecified

NB93.1

Crushing injury of other or unspecified parts of abdomen, lower back or pelvis

NB93.2

Traumatic amputation of external genital organs

NB93.20

Traumatic amputation of entire penis

Inclusions:

Traumatic amputation of penis

NB93.21

Traumatic amputation of part of penis

NB93.22

Traumatic amputation of entire testes or scrotum

NB93.23

Traumatic amputation of part of testes or scrotum

NB93.24

Traumatic amputation of entire vulva

Inclusions:

Traumatic amputation of vulva

Exclusions:

Female Genital Mutilation (GC51)

NB93.25

Traumatic amputation of part of vulva

Exclusions:

Female Genital Mutilation (GC51)

NB93.2Z

Traumatic amputation of external genital organs, unspecified

NB93.3

Traumatic amputation of other or unspecified parts of abdomen, lower back or

pelvis

Exclusions:

transection of abdomen (ND35)

NB94

Injury of muscle, fascia or tendon of abdomen, lower back or pelvis

NB94.0

Strain or sprain of muscle, fascia or tendon of abdomen

NB94.1

Strain or sprain of muscle, fascia or tendon of lower back

NB94.2

Strain or sprain of muscle, fascia or tendon of pelvis

NB94.3

Laceration of muscle, fascia or tendon of abdomen

NB94.4

Laceration of muscle, fascia or tendon of lower back

NB94.5

Laceration of muscle, fascia or tendon of pelvis

NB94.Y

Other specified injury of muscle, fascia or tendon of abdomen, lower back or

pelvis

NB94.Z

Injury of muscle, fascia or tendon of abdomen, lower back or pelvis, unspecified

NB95

Injury of intra-abdominal organ with pelvic organ
Coded Elsewhere:

Sequelae of injury of intra-abdominal or pelvic organs (NB91.Y)

NB96

Other multiple injuries of abdomen, lower back or pelvis

Coding Note:

Assign additional codes for the specific injuries.

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NB97

Certain specified injuries of abdomen, lower back or pelvis

NB97.0

Retroperitoneal haemorrhage or haematoma

NB97.1

Fractured penis

NB98

Injury to female genital organ without further specification
Exclusions:

Crushing injury of external genital organs (NB93.0)

NB99

Injury to male genital organ without further specification
Exclusions:

Crushing injury of external genital organs (NB93.0)

NB9Y

Other specified injuries to the abdomen, lower back, lumbar spine or pelvis

NB9Z

Injuries to the abdomen, lower back, lumbar spine or pelvis, unspecified

Injuries to the shoulder or upper arm (BlockL1‑NC1)

Exclusions:

Burns (BlockL1‑ND9)

Other injuries of arm, level unspecified (ND53)

Frostbite (BlockL1‑NE4)

Insect bite or sting, venomous (NE61)

Injuries to the elbow or forearm (BlockL1‑NC3)

NC10

Superficial injury of shoulder or upper arm

NC10.0

Abrasion of shoulder or upper arm

NC10.1

Contusion of shoulder or upper arm

NC10.2

Multiple superficial injuries of shoulder or upper arm

Coding Note:

Assign additional codes for the specific injuries.

NC10.Y

Other specified superficial injury of shoulder or upper arm

NC10.Z

Superficial injury of shoulder or upper arm, unspecified

NC11

Open wound of shoulder or upper arm
Exclusions:

Traumatic amputation of shoulder or upper arm (NC18)

NC11.0

Laceration without foreign body of shoulder or upper arm

Inclusions:

laceration of skin of shoulder or upper arm

NC11.1

Laceration with foreign body of shoulder or upper arm

NC11.2

Puncture wound without foreign body of shoulder or upper arm

NC11.3

Puncture wound with foreign body of shoulder or upper arm

NC11.4

Open bite of shoulder or upper arm

NC11.5

Multiple open wounds of shoulder or upper arm

ICD-11 MMS – 09/2020

Coding Note:

Assign additional codes for the specific injuries.

NC11.Y

Other specified open wound of shoulder or upper arm

NC11.Z

Open wound of shoulder or upper arm, unspecified

NC12

Fracture of shoulder or upper arm

NC12.0

Fracture of clavicle
A break in one or both of the clavicles.

Coded Elsewhere:

Fracture of clavicle due to birth injury (KA45.5)

NC12.00

Fracture of sternal end of clavicle

NC12.01

Fracture of shaft of clavicle

NC12.02

Fracture of acromial end of clavicle

NC12.03

Multiple fractures of clavicle, alone

NC12.0Y

Other specified fracture of clavicle

NC12.0Z

Fracture of clavicle, unspecified

NC12.1

Fracture of scapula
A break in one or both of the scapulae.

NC12.10

Multiple fractures of scapula

NC12.1Y

Other specified fracture of scapula

NC12.1Z

Fracture of scapula, unspecified

NC12.2

Fracture of upper end of humerus

NC12.20

Fracture of upper end of humerus, head

NC12.21

Fracture of surgical neck of humerus

NC12.22

Fracture of anatomical neck of humerus

NC12.23

Fracture of greater tuberosity of humerus

NC12.24

Fracture of lesser tuberosity of humerus

NC12.2Z

Fracture of upper end of humerus, unspecified site

NC12.3

Fracture of shaft of humerus

NC12.4

Fracture of lower end of humerus

Inclusions:

fracture of articular process of humerus

Exclusions:

fracture of elbow NOS (NC32.0)

NC12.40

Supracondylar fracture of humerus

NC12.41

Fracture of lateral epicondyle of humerus

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC12.42

Fracture of medial epicondyle of humerus

NC12.43

Fracture of lateral condyle of humerus

NC12.44

Fracture of medial condyle of humerus

NC12.4Y

Other specified fracture of lower end of humerus

NC12.4Z

Fracture of lower end of humerus, unspecified

NC12.5

Multiple fractures of clavicle, scapula or humerus

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC12.6

Fracture of other parts of shoulder or upper arm

NC12.7

Fracture of shoulder girdle, part unspecified

NC12.Z

Fracture of shoulder or upper arm, unspecified

NC13

Dislocation or strain or sprain of joints or ligaments of shoulder girdle

NC13.0

Dislocation of shoulder joint
Displacement of the humerus from the scapula.

NC13.1

Dislocation of acromioclavicular joint

NC13.2

Dislocation of sternoclavicular joint

NC13.3

Dislocation of scapula

NC13.4

Dislocation of other or unspecified parts of shoulder girdle

NC13.5

Strain or sprain of shoulder joint
A collective term for muscle and ligament injuries of the tissues associated with the
shoulder joint without dislocation or fracture; a joint injury in which some of the
fibers of a supporting ligament are ruptured but the continuity of the ligament
remains intact. A strain is an overstretching or overexertion of some part of the
musculature.

NC13.6

Strain or sprain of acromioclavicular joint

NC13.7

Strain or sprain of sternoclavicular joint
Aberrant biomechanical functions of the joints between the clavicle and the
sternum, which may be as a result of local disease, systemic disease or trauma.

NC13.8

Strain or sprain of other or unspecified parts of shoulder girdle

NC13.Y

Dislocation or sprain of other specified joints and ligaments of shoulder girdle

NC13.Z

Dislocation or strain or sprain of joints or ligaments of shoulder girdle, unspecified

NC14

Injury of nerves at shoulder or upper arm level
Exclusions:

Injury of brachial plexus (NA41)

ICD-11 MMS – 09/2020

NC14.0

Injury of ulnar nerve at upper arm level

Exclusions:

ulnar nerve NOS (NC34.0)

NC14.1

Injury of median nerve at upper arm level

Exclusions:

median nerve NOS (NC34.1)

NC14.2

Injury of radial nerve at upper arm level

Exclusions:

radial nerve NOS (NC34.2)

NC14.3

Injury of axillary nerve

NC14.4

Injury of musculocutaneous nerve

NC14.5

Injury of cutaneous sensory nerve at shoulder or upper arm level

NC14.6

Injury of multiple nerves at shoulder or upper arm level

Coding Note:

Assign additional codes for the specific injuries.

NC14.Y

Injury of other specified nerves at shoulder or upper arm level

NC14.Z

Injury of unspecified nerve at shoulder or upper arm level

NC15

Injury of blood vessels at shoulder or upper arm level
Exclusions:

injury of subclavian artery (NB30.1)

injury of subclavian vein (NB30.3)

NC15.0

Injury of axillary artery

NC15.00

Laceration of axillary artery

NC15.0Y

Other specified injury of axillary artery

NC15.0Z

Injury of axillary artery, unspecified

NC15.1

Injury of brachial artery

NC15.10

Laceration of brachial artery

NC15.1Y

Other specified injury of brachial artery

NC15.1Z

Injury of brachial artery, unspecified

NC15.2

Injury of axillary or brachial vein

NC15.20

Laceration of axillary or brachial vein

NC15.2Y

Other specified injury of axillary or brachial vein

NC15.2Z

Injury of axillary or brachial vein, unspecified

NC15.3

Injury of superficial vein at shoulder or upper arm level

NC15.30

Laceration of superficial vein at shoulder or upper arm level

NC15.3Y

Other specified injury of superficial vein at shoulder or upper arm level

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC15.3Z

Injury of superficial vein at shoulder or upper arm level, unspecified

NC15.4

Injury of multiple blood vessels at shoulder or upper arm level

Coding Note:

Assign additional codes for the specific injuries.

NC15.Y

Injury of other specified blood vessels at shoulder or upper arm level

NC15.Z

Injury of unspecified blood vessel at shoulder or upper arm level

NC16

Injury of muscle, fascia, tendon or bursa at shoulder or upper arm level
Exclusions:

injury of muscle and tendon at or below elbow (NC36)

NC16.0

Injury of muscle or tendon of the rotator cuff of shoulder

NC16.00

Strain or sprain of muscle or tendon of the rotator cuff of shoulder

NC16.01

Laceration of muscle or tendon of the rotator cuff of shoulder

NC16.0Y

Other specified injury of muscle or tendon of the rotator cuff of shoulder

NC16.0Z

Injury of muscle or tendon of the rotator cuff of shoulder, unspecified

NC16.1

Injury of muscle, fascia or tendon of long head of biceps

NC16.10

Strain or sprain of muscle, fascia or tendon of long head of biceps

NC16.11

Laceration of muscle, fascia or tendon of long head of biceps

NC16.1Y

Other specified injury of muscle, fascia or tendon of long head of biceps

NC16.1Z

Injury of muscle, fascia or tendon of long head of biceps, unspecified

NC16.2

Injury of muscle, fascia or tendon of other parts of biceps

NC16.20

Strain or sprain of muscle, fascia or tendon of other parts of biceps

NC16.21

Laceration of muscle, fascia or tendon of other parts of biceps

NC16.2Y

Other specified injury of muscle, fascia or tendon of other parts of biceps

NC16.2Z

Injury of muscle, fascia or tendon of other parts of biceps, unspecified

NC16.3

Injury of muscle, fascia or tendon of triceps

NC16.30

Strain or sprain of muscle, fascia or tendon of triceps

NC16.31

Laceration of muscle, fascia or tendon of triceps

NC16.3Y

Other specified injury of muscle, fascia or tendon of triceps

NC16.3Z

Injury of muscle, fascia or tendon of triceps, unspecified

NC16.4

Injury of multiple muscles or tendons at shoulder or upper arm level

Coding Note:

Assign additional codes for the specific injuries.

NC16.40

Strain or sprain of multiple muscles or tendons at shoulder or upper arm level

ICD-11 MMS – 09/2020

NC16.41

Laceration of multiple muscles or tendons at shoulder or upper arm level

NC16.4Y

Other specified injury of multiple muscles or tendons at shoulder or upper arm level

Coding Note:

Assign additional codes for the specific injuries.

NC16.4Z

Injury of multiple muscles or tendons at shoulder or upper arm level, unspecified

Coding Note:

Assign additional codes for the specific injuries.

NC16.5

Injury of bursa of shoulder

NC16.Y

Injury of other specified muscle, fascia, tendon or bursa at shoulder or upper arm

level

NC16.Z

Injury of unspecified muscle, fascia or tendon at shoulder or upper arm level

NC17

Crushing injury of shoulder or upper arm
Exclusions:

Crushing injury of elbow (NC37.0)

NC18

Traumatic amputation of shoulder or upper arm
Exclusions:

traumatic amputation of arm, level unspecified (ND53)

traumatic amputation at elbow level (NC38)

NC18.0

Traumatic amputation at right shoulder joint

NC18.1

Traumatic amputation at left shoulder joint

NC18.2

Traumatic amputation at shoulder joint, bilateral

NC18.3

Traumatic amputation at level between right shoulder and elbow

NC18.4

Traumatic amputation at level between left shoulder and elbow

NC18.5

Traumatic amputation at level between shoulder and elbow, bilateral

NC18.Z

Traumatic amputation of shoulder or upper arm, unspecified

NC19

Multiple injuries of shoulder or upper arm

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC1Y

Other specified injuries to the shoulder or upper arm

NC1Z

Injuries to the shoulder or upper arm, unspecified

Injuries to the elbow or forearm (BlockL1‑NC3)

Exclusions:

Injuries to the wrist or hand (BlockL1‑NC5)

Insect bite or sting, venomous (NE61)

Burns (BlockL1‑ND9)

Frostbite (BlockL1‑NE4)

Other injuries of arm, level unspecified (ND53)

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC30

Superficial injury of forearm
Exclusions:

Superficial injury of wrist or hand (NC51)

NC30.0

Abrasion of elbow

NC30.1

Contusion of elbow

NC30.2

Abrasion of other or unspecified parts of forearm

NC30.3

Contusion of other or unspecified parts of forearm

NC30.4

Multiple superficial injuries of forearm

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC30.Y

Other specified superficial injury of forearm

NC30.Z

Superficial injury of forearm, unspecified

NC31

Open wound of forearm
Exclusions:

Open wound of wrist or hand (NC52)

Traumatic amputation of forearm (NC38)

NC31.0

Laceration without foreign body of forearm

Inclusions:

laceration of skin of forearm

NC31.1

Laceration with foreign body of forearm

NC31.2

Puncture wound without foreign body of forearm

NC31.3

Puncture wound with foreign body of forearm

NC31.4

Open bite of forearm

NC31.5

Multiple open wounds of forearm

Coding Note:

Assign additional codes for the specific injuries.

NC31.Y

Other specified open wound of forearm

NC31.Z

Open wound of forearm, unspecified

NC32

Fracture of forearm

A break in one or both of the radius and/or ulna.

Exclusions:

Fracture at wrist or hand level (NC53)

NC32.0

Fracture of upper end of ulna

Exclusions:

supracondylar elbow fracture (NC12.4)

NC32.1

Fracture of upper end of radius

NC32.2

Fracture of shaft of ulna

NC32.3

Fracture of shaft of radius

ICD-11 MMS – 09/2020

NC32.4

Fracture of shafts of both ulna and radius

NC32.5

Fracture of lower end of radius

NC32.50

Fracture of lower end of radius, dorsal tilt

NC32.51

Fracture of lower end of radius, volar tilt

NC32.5Y

Other specified fracture of lower end of radius

NC32.5Z

Fracture of lower end of radius, unspecified

NC32.6

Fracture of lower end of both ulna and radius

NC32.7

Multiple fractures of forearm

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

Exclusions:

Fracture of shafts of both ulna and radius (NC32.4)

Fracture of lower end of both ulna and radius (NC32.6)

NC32.Y

Fracture of other specified parts of forearm

NC32.Z

Fracture of forearm, unspecified

NC33

Dislocation or strain or sprain of joints or ligaments of elbow

A collective term for muscle and ligament injuries of the tissues associated with, or
displacement of the bones of, the elbow.

NC33.0

Dislocation of radial head

Inclusions:

Radiohumeral joint

Exclusions:

Monteggia fracture-dislocation (NC32.0)

NC33.1

Dislocation of elbow

NC33.2

Traumatic rupture of radial collateral ligament

NC33.3

Traumatic rupture of ulnar collateral ligament

NC33.4

Strain or sprain of elbow
A collective term for muscle and ligament injuries of the tissues associated with the
elbow without dislocation or fracture; a joint injury in which some of the fibers of a
supporting ligament are ruptured but the continuity of the ligament remains intact.
A strain is an overstretching or overexertion of some part of the musculature.

NC33.Y

Dislocation or sprain of other specified joints or ligaments of elbow

NC33.Z

Dislocation or strain or sprain of joints or ligaments of elbow, unspecified

NC34

Injury of nerves at forearm level
Exclusions:

Injury of nerves at wrist or hand level (NC55)

NC34.0

Injury of ulnar nerve at forearm level

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC34.1

Injury of median nerve at forearm level

NC34.2

Injury of radial nerve at forearm level

NC34.3

Injury of cutaneous sensory nerve at forearm level

NC34.4

Injury of multiple nerves at forearm level

Coding Note:

Assign additional codes for the specific injuries.

NC34.Y

Injury of other specified nerves at forearm level

NC34.Z

Injury of unspecified nerve at forearm level

NC35

Injury of blood vessels at forearm level
Exclusions:

Injury of blood vessels at wrist or hand level (NC56)

injury of brachial vessels (NC15.2)

NC35.0

Injury of ulnar artery at forearm level

NC35.00

Laceration of ulnar artery at forearm level

NC35.0Y

Other specified injury of ulnar artery at forearm level

NC35.0Z

Injury of ulnar artery at forearm level, unspecified

NC35.1

Injury of radial artery at forearm level

NC35.10

Laceration of radial artery at forearm level

NC35.1Y

Other specified injury of radial artery at forearm level

NC35.1Z

Injury of radial artery at forearm level, unspecified

NC35.2

Injury of vein at forearm level

NC35.20

Laceration of vein at forearm level

NC35.2Y

Other specified injury of vein at forearm level

NC35.2Z

Injury of vein at forearm level, unspecified

NC35.3

Injury of multiple blood vessels at forearm level

Coding Note:

Assign additional codes for the specific injuries.

NC35.Y

Injury of other specified blood vessels at forearm level

NC35.Z

Injury of unspecified blood vessel at forearm level

NC36

Injury of muscle, fascia, tendon or bursa at forearm level
Exclusions:

injury of muscle and tendon at or below wrist (NC57)

NC36.0

Injury of flexor muscle, fascia or tendon of thumb at forearm level

NC36.00

Strain or sprain of flexor muscle, fascia or tendon of thumb at forearm level

NC36.01

Laceration of flexor muscle, fascia or tendon of thumb at forearm level

ICD-11 MMS – 09/2020

NC36.02

Injury of long flexor muscle of thumb, forearm level

NC36.0Y

Other specified injury of flexor muscle, fascia or tendon of thumb at forearm level

NC36.0Z

Injury of flexor muscle, fascia or tendon of thumb at forearm level, unspecified

NC36.1

Injury of long flexor muscle, fascia or tendon of other finger at forearm level

NC36.10

Strain or sprain of long flexor muscle, fascia or tendon of other finger at forearm

level

NC36.11

Laceration of long flexor muscle, fascia or tendon of other finger at forearm level

NC36.1Y

Other specified injury of long flexor muscle, fascia or tendon of other finger at

forearm level

NC36.1Z

Injury of long flexor muscle, fascia or tendon of other finger at forearm level,

unspecified

NC36.2

Injury of other flexor muscle, fascia or tendon at forearm level

NC36.20

Strain or sprain of other flexor muscle, fascia or tendon at forearm level

NC36.21

Laceration of other flexor muscle, fascia or tendon at forearm level

NC36.2Y

Other specified injury of other flexor muscle, fascia or tendon at forearm level

NC36.2Z

Injury of other flexor muscle, fascia or tendon at forearm level, unspecified

NC36.3

Injury of extensor or abductor muscles or tendons of thumb at forearm level

NC36.30

Strain or sprain of extensor or abductor muscles or tendons of thumb at forearm

level

NC36.31

Laceration of extensor or abductor muscles or tendons of thumb at forearm level

NC36.3Y

Other specified injury of extensor or abductor muscles or tendons of thumb at

forearm level

NC36.3Z

Injury of extensor or abductor muscles or tendons of thumb at forearm level,

unspecified

NC36.4

Injury of extensor muscle, fascia or tendon of other finger at forearm level

NC36.40

Strain or sprain of extensor muscle, fascia or tendon of other finger at forearm level

NC36.41

Laceration of extensor muscle, fascia or tendon of other finger at forearm level

NC36.4Y

Other specified injury of extensor muscle, fascia or tendon of other finger at

forearm level

NC36.4Z

Injury of extensor muscle, fascia or tendon of other finger at forearm level,

unspecified

NC36.5

Injury of other extensor muscle, fascia or tendon at forearm level

NC36.50

Strain or sprain of other extensor muscle, fascia or tendon at forearm level

NC36.51

Laceration of other extensor muscle, fascia or tendon at forearm level

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC36.5Y

Other specified injury of other extensor muscle, fascia or tendon at forearm level

NC36.5Z

Injury of other extensor muscle, fascia or tendon at forearm level, unspecified

NC36.6

Injury of multiple muscles or tendons at forearm level

Coding Note:

Assign additional codes for the specific injuries.

NC36.7

Injury of bursa of elbow

NC36.Y

Injury of other specified muscle, fascia, tendon or bursa at forearm level

NC36.Z

Injury of unspecified muscle, fascia, tendon or bursa at forearm level

NC37

Crushing injury of forearm
Exclusions:

Crushing injury of wrist or hand (NC58)

NC37.0

Crushing injury of elbow

NC37.Y

Crushing injury of other specified part of forearm

NC37.Z

Crushing injury of forearm, unspecified

NC38

Traumatic amputation of forearm
Exclusions:

Traumatic amputation of wrist or hand (NC59)

NC38.0

Traumatic amputation at right elbow level

NC38.1

Traumatic amputation at left elbow level

NC38.2

Traumatic amputation at elbow level, bilateral

NC38.3

Traumatic amputation at level between right elbow and wrist

NC38.4

Traumatic amputation at level between left elbow and wrist

NC38.5

Traumatic amputation between elbow and wrist, bilateral

NC38.Z

Traumatic amputation of forearm, unspecified

NC39

Multiple injuries of forearm

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC3Y

Other specified injuries to the elbow or forearm

NC3Z

Injuries to the elbow or forearm, unspecified

Injuries to the wrist or hand (BlockL1‑NC5)

Exclusions:

Burns (BlockL1‑ND9)

Frostbite (BlockL1‑NE4)

Other injuries of arm, level unspecified (ND53)

Insect bite or sting, venomous (NE61)

ICD-11 MMS – 09/2020

NC50

Injury to fingernail

NC51

Superficial injury of wrist or hand

NC51.0

Superficial injury of finger or thumb

NC51.00

Abrasion of finger or thumb

NC51.01

Contusion of finger or thumb

NC51.0Y

Other specified superficial injury of finger or thumb

NC51.0Z

Superficial injury of finger or thumb, unspecified

NC51.1

Superficial injury of other parts of wrist or hand

Exclusions:

Superficial injury of finger or thumb (NC51.0)

NC51.10

Contusion of other parts of wrist or hand

NC51.11

Nonvenomous insect bite of other parts of wrist or hand

NC51.1Y

Other specified superficial injury of other parts of wrist or hand

NC51.1Z

Superficial injury of other parts of wrist or hand, unspecified

NC51.2

Multiple superficial injuries of wrist or hand

Coding Note:

Assign additional codes for the specific injuries.

NC52

Open wound of wrist or hand
Exclusions:

Traumatic amputation of wrist or hand (NC59)

NC52.0

Open wound of finger or thumb

Exclusions:

Traumatic amputation of other single finger (NC59.1)

NC52.00

Laceration without foreign body of finger or thumb

NC52.01

Laceration with foreign body of finger or thumb

NC52.02

Puncture wound without foreign body of finger or thumb

NC52.03

Puncture wound with foreign body of finger or thumb

NC52.04

Open bite of finger or thumb

NC52.0Y

Other specified open wound of finger or thumb

NC52.0Z

Open wound of finger or thumb, unspecified

NC52.1

Open wound of other parts of wrist or hand

NC52.10

Laceration without foreign body of other parts of wrist or hand

Inclusions:

laceration of skin of wrist or hand

NC52.11

Laceration with foreign body of other parts of wrist or hand

NC52.12

Puncture wound with foreign body of other parts of wrist or hand

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC52.13

Puncture wound without foreign body of other parts of wrist or hand

NC52.14

Open bite of other parts of wrist or hand

NC52.1Y

Other specified open wound of other parts of wrist or hand

NC52.1Z

Open wound of other parts of wrist or hand, unspecified

NC52.2

Multiple open wounds of wrist or hand

Coding Note:

Assign additional codes for the specific injuries.

NC53

Fracture at wrist or hand level

A break in one of the bones of the wrist or hand.

Exclusions:

fracture of distal parts of ulna and radius (NC32.6)

NC53.0

Fracture of scaphoid bone of hand

NC53.1

Fracture of other carpal bone
A break in one or more of the carpal bones of the wrist

NC53.2

Fracture of first metacarpal bone
A break in the first metacarpal bone, that which is part of the thumb.

NC53.3

Fracture of other metacarpal bone

NC53.30

Fracture of shaft of other metacarpal bone

NC53.31

Fracture of neck of other metacarpal bone

NC53.3Y

Fracture of other specified part of other metacarpal bone

NC53.3Z

Fracture of other metacarpal bone, unspecified

NC53.4

Multiple fractures of metacarpal bones

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC53.5

Fracture of thumb bone

Exclusions:

Fracture of first metacarpal bone (NC53.2)

NC53.6

Fracture of other finger bone
A break in one or more of the phalanges

NC53.60

Fracture of index finger

NC53.61

Fracture of middle finger

NC53.62

Fracture of ring finger

NC53.63

Fracture of little finger

NC53.6Y

Other specified fracture of other finger bone

NC53.6Z

Fracture of other finger bone, unspecified

ICD-11 MMS – 09/2020

NC53.7

Multiple fractures of fingers

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC53.Y

Fracture at other specified part of wrist or hand level

NC53.Z

Fracture at wrist or hand level, unspecified

NC54

Dislocation or strain or sprain of joints or ligaments at wrist or hand level

NC54.0

Dislocation of wrist
Displacement of one or more of the bones of the wrist

NC54.00

Dislocation of distal radioulnar joint

NC54.01

Dislocation of radiocarpal joint

NC54.02

Dislocation of midcarpal joint

NC54.03

Dislocation of carpometacarpal joint of thumb

NC54.04

Dislocation of other carpometacarpal joint

NC54.05

Dislocation of metacarpal bone, proximal end

NC54.0Y

Dislocation of other specified part of wrist

NC54.0Z

Dislocation of wrist, unspecified

NC54.1

Dislocation of thumb

NC54.10

Dislocation of metacarpophalangeal joint of thumb

NC54.11

Dislocation of interphalangeal joint of thumb

NC54.1Y

Dislocation of other specified part of thumb

NC54.1Z

Dislocation of thumb, unspecified

NC54.2

Dislocation of finger
Displacement of one or more of the phalanges

Inclusions:

Dislocation of phalanx, hand

NC54.20

Dislocation of metacarpophalangeal joint of finger

NC54.21

Dislocation of interphalangeal joint of finger

NC54.2Y

Dislocation of other specified part of finger

NC54.2Z

Dislocation of finger, unspecified

NC54.3

Multiple dislocations of fingers

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC54.4

Traumatic rupture of ligament of wrist or carpus

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC54.40

Traumatic rupture of scapholunate ligament

NC54.41

Traumatic rupture of radiocarpal ligament

NC54.42

Traumatic rupture of ulnocarpal ligament

NC54.43

Traumatic rupture of lunotriquetral ligament

NC54.4Y

Traumatic rupture of other specified ligament of wrist or carpus

NC54.4Z

Traumatic rupture of ligament of wrist or carpus, unspecified

NC54.5

Traumatic rupture of ligament of finger at metacarpophalangeal or

interphalangeal joint

NC54.50

Traumatic rupture of collateral ligament of finger at metacarpophalangeal or

interphalangeal joint

NC54.51

Traumatic rupture of palmar ligament of finger at metacarpophalangeal or

interphalangeal joint

NC54.52

Traumatic rupture of volar plate of finger at metacarpophalangeal or

interphalangeal joint

NC54.53

Traumatic rupture of other ligament of finger at metacarpophalangeal or

interphalangeal joint

NC54.5Z

Traumatic rupture of ligament of finger at metacarpophalangeal or interphalangeal

joint, unspecified

NC54.6

Strain or sprain of wrist
A collective term for muscle and ligament injuries of the tissues associated with the
wrist without dislocation or fracture; a joint injury in which some of the fibers of a
supporting ligament are ruptured but the continuity of the ligament remains intact.
A strain is an overstretching or overexertion of some part of the musculature.

NC54.60

Strain or sprain of carpal joint

NC54.61

Strain or sprain of radiocarpal joint

NC54.62

Strain or sprain of carpometacarpal joint

NC54.6Y

Sprain of other specified part of wrist

NC54.6Z

Strain or sprain of wrist, unspecified

NC54.7

Strain or sprain of thumb

NC54.70

Strain or sprain of metacarpophalangeal joint of thumb

NC54.71

Strain or sprain of interphalangeal joint of thumb

NC54.7Y

Sprain of other specified part of thumb

NC54.7Z

Strain or sprain of thumb, unspecified

NC54.8

Strain or sprain of finger

ICD-11 MMS – 09/2020

NC54.80

Strain or sprain of metacarpophalangeal joint of finger

NC54.81

Strain or sprain of interphalangeal joint of finger

NC54.8Y

Sprain of other specified part of finger

NC54.8Z

Strain or sprain of finger, unspecified

NC54.Y

Dislocation or sprain of other specified joints or ligaments at wrist or hand level

NC54.Z

Dislocation or strain or sprain of joints or ligaments at wrist or hand level,

unspecified

NC55

Injury of nerves at wrist or hand level

NC55.0

Injury of ulnar nerve at wrist or hand level

NC55.1

Injury of median nerve at wrist or hand level

NC55.2

Injury of radial nerve at wrist or hand level

NC55.3

Injury of multiple nerves at wrist or hand level

Coding Note:

Assign additional codes for the specific injuries.

NC55.Y

Injury of other specified nerves at wrist or hand level

NC55.Z

Injury of unspecified nerve at wrist or hand level

NC56

Injury of blood vessels at wrist or hand level

NC56.0

Injury of ulnar artery at wrist or hand level

NC56.00

Laceration of ulnar artery at wrist or hand level

NC56.01

Contusion of ulnar artery at wrist or hand level

NC56.0Y

Other specified injury of ulnar artery at wrist or hand level

NC56.0Z

Injury of ulnar artery at wrist or hand level, unspecified

NC56.1

Injury of radial artery at wrist or hand level

NC56.10

Laceration of radial artery at wrist or hand level

NC56.11

Contusion of radial artery at wrist or hand level

NC56.1Y

Other specified injury of radial artery at wrist or hand level

NC56.1Z

Injury of radial artery at wrist or hand level, unspecified

NC56.2

Injury of superficial palmar arch

NC56.20

Laceration of superficial palmar arch

NC56.21

Contusion of superficial palmar arch

NC56.2Y

Other specified injury of superficial palmar arch

NC56.2Z

Injury of superficial palmar arch, unspecified

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC56.3

Injury of deep palmar arch

NC56.30

Laceration of deep palmar arch

NC56.31

Contusion of deep palmar arch

NC56.3Y

Other specified injury of deep palmar arch

NC56.3Z

Injury of deep palmar arch, unspecified

NC56.4

Injury of blood vessel of thumb

NC56.40

Laceration of blood vessel of thumb

NC56.41

Contusion of blood vessel of thumb

NC56.4Y

Other specified injury of blood vessel of thumb

NC56.4Z

Injury of blood vessel of thumb, unspecified

NC56.5

Injury of blood vessel of other finger

NC56.50

Laceration of blood vessel of other finger

NC56.51

Contusion of blood vessel of other finger

NC56.5Y

Other specified injury of blood vessel of other finger

NC56.5Z

Injury of blood vessel of other finger, unspecified

NC56.6

Injury of multiple blood vessels at wrist or hand level

Coding Note:

Assign additional codes for the specific injuries.

NC56.60

Laceration of multiple blood vessels at wrist or hand level

NC56.61

Contusion of multiple blood vessels at wrist or hand level

NC56.6Y

Other specified injury of multiple blood vessels at wrist or hand level

Coding Note:

Assign additional codes for the specific injuries.

NC56.6Z

Injury of multiple blood vessels at wrist or hand level, unspecified

Coding Note:

Assign additional codes for the specific injuries.

NC56.Y

Injury of other specified blood vessels at wrist and hand level

NC56.Z

Injury of unspecified blood vessel at wrist or hand level

NC57

Injury of muscle, fascia or tendon at wrist or hand level

NC57.0

Injury of long flexor muscle, fascia or tendon of thumb at wrist or hand level

NC57.00

Strain or sprain of long flexor muscle, fascia or tendon of thumb at wrist or hand

level

NC57.01

Laceration of long flexor muscle, fascia or tendon of thumb at wrist or hand level

NC57.0Y

Other specified injury of long flexor muscle, fascia or tendon of thumb at wrist or

ICD-11 MMS – 09/2020

hand level

NC57.0Z

Injury of long flexor muscle, fascia or tendon of thumb at wrist or hand level,

unspecified

NC57.1

Injury of flexor muscle, fascia or tendon of other finger at wrist or hand level

NC57.10

Strain or sprain of flexor muscle, fascia or tendon of other finger at wrist or hand

level

NC57.11

Laceration of flexor muscle, fascia or tendon of other finger at wrist or hand level

NC57.1Y

Other specified injury of flexor muscle, fascia or tendon of other finger at wrist or

hand level

NC57.1Z

Injury of flexor muscle, fascia or tendon of other finger at wrist or hand level,

unspecified

NC57.2

Injury of extensor muscle, fascia or tendon of thumb at wrist or hand level

NC57.20

Strain or sprain of extensor muscle, fascia or tendon of thumb at wrist or hand level

NC57.21

Laceration of extensor muscle, fascia or tendon of thumb at wrist or hand level

NC57.2Y

Other specified injury of extensor muscle, fascia or tendon of thumb at wrist or

hand level

NC57.2Z

Injury of extensor muscle, fascia or tendon of thumb at wrist or hand level,

unspecified

NC57.3

Injury of extensor muscle, fascia or tendon of other finger at wrist or hand level

NC57.30

Strain or sprain of extensor muscle, fascia or tendon of other finger at wrist or hand

level

NC57.31

Laceration of extensor muscle, fascia or tendon of other finger at wrist or hand level

NC57.3Y

Other specified injury of extensor muscle, fascia or tendon of other finger at wrist or

hand level

NC57.3Z

Injury of extensor muscle, fascia or tendon of other finger at wrist or hand level,

unspecified

NC57.4

Injury of intrinsic muscle, fascia or tendon of thumb at wrist or hand level

NC57.40

Strain or sprain of intrinsic muscle, fascia or tendon of thumb at wrist or hand level

NC57.41

Laceration of intrinsic muscle, fascia or tendon of thumb at wrist or hand level

NC57.4Y

Other specified injury of intrinsic muscle, fascia or tendon of thumb at wrist or hand

level

NC57.4Z

Injury of intrinsic muscle, fascia or tendon of thumb at wrist or hand level,

unspecified

NC57.5

Injury of intrinsic muscle, fascia or tendon of other finger at wrist or hand level

NC57.50

Strain or sprain of intrinsic muscle, fascia or tendon of other finger at wrist or hand

level

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC57.51

Laceration of intrinsic muscle, fascia or tendon of other finger at wrist or hand level

NC57.5Y

Other specified injury of intrinsic muscle, fascia or tendon of other finger at wrist or

hand level

NC57.5Z

Injury of intrinsic muscle, fascia or tendon of other finger at wrist or hand level,

unspecified

NC57.6

Injury of multiple flexor muscles or tendons at wrist or hand level

Coding Note:

Assign additional codes for the specific injuries.

NC57.7

Injury of multiple extensor muscles or tendons at wrist or hand level

Coding Note:

Assign additional codes for the specific injuries.

NC57.Y

Injury of other specified muscle, fascia or tendon at wrist or hand level

NC57.Z

Injury of unspecified muscle, fascia or tendon at wrist or hand level

NC58

Crushing injury of wrist or hand

NC58.0

Crushing injury of thumb

NC58.1

Crushing injury of other finger

NC58.2

Crushing injury of hand

NC58.3

Crushing injury of wrist

NC58.Y

Crushing injury of other specified part of wrist or hand

NC58.Z

Crushing injury of wrist or hand, unspecified

NC59

Traumatic amputation of wrist or hand

NC59.0

Traumatic amputation of thumb

Exclusions:

avulsion of fingernail (NC50)

NC59.00

Traumatic amputation at or near base of right thumb

NC59.01

Traumatic amputation at or near base of left thumb

NC59.02

Traumatic amputation at or near base of thumb, bilateral

NC59.0Y

Other specified traumatic amputation of thumb

NC59.0Z

Traumatic amputation of thumb, unspecified

NC59.1

Traumatic amputation of other single finger

Exclusions:

avulsion of fingernail (NC50)

NC59.2

Traumatic amputation of two or more fingers alone

Exclusions:

avulsion of fingernail (NC50)

NC59.20

Traumatic amputation of two or more fingers at or near base, right hand

NC59.21

Traumatic amputation of two or more fingers at or near base, left hand

ICD-11 MMS – 09/2020

NC59.22

Traumatic amputation of two or more fingers alone at or near base, bilateral

NC59.2Y

Other specified traumatic amputation of two or more fingers alone

NC59.2Z

Traumatic amputation of two or more fingers alone, unspecified

NC59.3

Combined traumatic amputation of finger with other parts of wrist or hand

NC59.4

Traumatic amputation of hand at metacarpal level

NC59.Z

Traumatic amputation of wrist or hand, unspecified

NC5A

Multiple injuries of wrist or hand

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC5A.0

Injury of multiple sites of hand

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC5A.1

Injury of multiple sites of wrist

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC5A.Y

Other specified multiple injuries of wrist or hand

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC5A.Z

Multiple injuries of wrist or hand, unspecified

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC5Y

Other specified injuries to the wrist or hand

NC5Z

Injuries to the wrist or hand, unspecified

Injuries to the hip or thigh (BlockL1‑NC7)

Exclusions:

Frostbite (BlockL1‑NE4)

Burns (BlockL1‑ND9)

Insect bite or sting, venomous (NE61)

Other injuries of leg, level unspecified (ND55)

NC70

Superficial injury of hip or thigh

NC70.0

Abrasion of hip

NC70.1

Contusion of hip

NC70.2

Abrasion of thigh

NC70.3

Contusion of thigh

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC70.4

Multiple superficial injuries of hip or thigh

Coding Note:

Assign additional codes for the specific injuries.

NC70.Y

Other specified superficial injury of hip or thigh

NC70.Z

Superficial injury of hip or thigh, unspecified

NC71

Open wound of hip or thigh
Exclusions:

Traumatic amputation of hip or thigh (NC78)

NC71.0

Laceration without foreign body of hip or thigh

Inclusions:

laceration of skin of hip or thigh

NC71.1

Laceration with foreign body of hip or thigh

NC71.2

Puncture wound without foreign body of hip or thigh

NC71.3

Puncture wound with foreign body of hip or thigh

NC71.4

Open bite of hip or thigh

NC71.5

Multiple open wounds of hip or thigh

Coding Note:

Assign additional codes for the specific injuries.

NC71.Y

Other specified open wound of hip or thigh

NC71.Z

Open wound of hip or thigh, unspecified

NC72

Fracture of femur

A break in the femur, longest and largest bone of the skeleton, situated between the
hip and the knee.

NC72.0

Fracture of head of femur

NC72.1

Fracture of upper epiphysis of femur

NC72.2

Fracture of neck of femur

NC72.20

Fracture of neck of femur, subcapital

NC72.21

Fracture of neck of femur, mid-cervical

NC72.22

Fracture of base of neck of femur

NC72.23

Intracapsular fracture of femur

NC72.2Y

Other specified fracture of neck of femur

NC72.2Z

Fracture of neck of femur, unspecified

NC72.3

Fracture of trochanteric section of femur

Inclusions:

Trochanteric fracture

NC72.30

Intertrochanteric fracture of femur

ICD-11 MMS – 09/2020

NC72.31

Pertrochanteric fracture of femur

NC72.3Y

Other specified fracture of trochanteric section of femur

NC72.3Z

Fracture of trochanteric section of femur, unspecified

NC72.4

Subtrochanteric fracture of femur

NC72.5

Fracture of shaft of femur

NC72.6

Fracture of lower end of femur

NC72.60

Fracture of lower end of femur not extending into joint, simple

NC72.61

Fracture of lower end of femur not extending into joint, wedge

NC72.62

Fracture of lower end of femur not extending into joint, complex

NC72.63

Fracture of lower end of femur extending into joint, lateral condyle

NC72.64

Fracture of lower end of femur extending into joint, medial condyle

NC72.65

Fracture of lower end of femur extending into joint, frontal

NC72.66

Fracture of lower end of femur extending into joint, complete articular

NC72.6Y

Other specified fracture of lower end of femur

NC72.6Z

Fracture of lower end of femur, unspecified

NC72.7

Multiple fractures of femur

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC72.8

Fractures of other parts of femur

NC72.Y

Other specified fracture of femur

NC72.Z

Fracture of femur, unspecified

NC73

Dislocation or strain or sprain of joint or ligaments of hip

A collective term for muscle and ligament injuries of the tissues associated with, or
displacement of the bones of, the hip.

NC73.0

Dislocation of hip

NC73.00

Posterior dislocation of hip

NC73.01

Obturator dislocation of hip

NC73.02

Other anterior dislocation of hip

NC73.03

Central dislocation of hip

NC73.0Y

Other specified dislocation of hip

NC73.0Z

Dislocation of hip, unspecified

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC73.1

Strain or sprain of hip
A collective term for muscle and ligament injuries of the tissues associated with the
hip without dislocation or fracture; a joint injury in which some of the fibers of a
supporting ligament are ruptured but the continuity of the ligament remains intact.
A strain is an overstretching or overexertion of some part of the musculature.

NC73.10

Iliofemoral ligament strain or sprain of hip

NC73.11

Ischiocapsular ligament strain or sprain of hip

NC73.1Y

Other specified strain or sprain of hip

NC73.1Z

Strain or sprain of hip, unspecified

NC74

Injury of nerves at hip or thigh level

NC74.0

Injury of sciatic nerve at hip or thigh level

NC74.1

Injury of femoral nerve at hip or thigh level

NC74.2

Injury of cutaneous sensory nerve at hip or thigh level

NC74.3

Injury of multiple nerves at hip or thigh level

Coding Note:

Assign additional codes for the specific injuries.

NC74.Y

Injury of other specified nerves at hip or thigh level

NC74.Z

Injury of unspecified nerve at hip or thigh level

NC75

Injury of blood vessels at hip or thigh level
Exclusions:

Injury of popliteal artery (NC95.0)

NC75.0

Injury of femoral artery

NC75.00

Laceration of femoral artery, minor

Inclusions:

incomplete transection of femoral artery

laceration of femoral artery NOS

superficial laceration of femoral artery

NC75.01

Laceration of femoral artery, major

Inclusions:

complete transection of femoral artery

traumatic rupture of femoral artery

NC75.0Y

Other specified injury of femoral artery

NC75.0Z

Injury of femoral artery, unspecified

NC75.1

Injury of femoral vein at hip or thigh level

NC75.10

Laceration of femoral vein at hip or thigh level, minor

Inclusions:

incomplete transection of femoral vein at hip or thigh level

laceration of femoral vein at hip or thigh level NOS

ICD-11 MMS – 09/2020

superficial laceration of femoral vein at hip or thigh level

NC75.11

Laceration of femoral vein at hip or thigh level, major

Inclusions:

complete transection of femoral vein at hip or thigh level

traumatic rupture of femoral vein at hip and thigh level

NC75.1Y

Other specified injury of femoral vein at hip or thigh level

NC75.1Z

Injury of femoral vein at hip or thigh level, unspecified

NC75.2

Injury of greater saphenous vein at hip or thigh level

Exclusions:

Injury of greater saphenous vein at lower leg level (NC95.4)

NC75.20

Laceration of greater saphenous vein at hip or thigh level, minor

Inclusions:

incomplete transection of greater saphenous vein at hip or

thigh level

laceration of greater saphenous vein at hip or thigh level NOS

superficial laceration of greater saphenous vein at hip or thigh

level

NC75.21

Laceration of greater saphenous vein at hip or thigh level, major

Inclusions:

complete transection of greater saphenous vein at hip or thigh

level

traumatic rupture of greater saphenous vein at hip or thigh

level

NC75.2Y

Other specified injury of greater saphenous vein at hip or thigh level

NC75.2Z

Injury of greater saphenous vein at hip or thigh level, unspecified

NC75.3

Injury of multiple blood vessels at hip or thigh level

Coding Note:

Assign additional codes for the specific injuries.

NC75.Y

Injury of other specified blood vessels at hip and thigh level

NC75.Z

Injury of unspecified blood vessel at hip or thigh level

NC76

Injury of muscle, fascia, tendon or bursa at hip or thigh level

NC76.0

Injury of muscle, fascia or tendon of hip

NC76.00

Strain or sprain of muscle, fascia or tendon of hip

NC76.01

Laceration of muscle, fascia or tendon of hip

NC76.0Y

Other specified injury of muscle, fascia or tendon of hip

NC76.0Z

Injury of muscle, fascia or tendon of hip, unspecified

NC76.1

Injury of quadriceps muscle or tendon

NC76.10

Strain or sprain of quadriceps muscle or tendon

NC76.11

Laceration of quadriceps muscle or tendon

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC76.1Y

Other specified injury of quadriceps muscle or tendon

NC76.1Z

Injury of quadriceps muscle or tendon, unspecified

NC76.2

Injury of adductor muscle, fascia or tendon of thigh

NC76.20

Strain or sprain of adductor muscle, fascia or tendon of thigh

NC76.21

Laceration of adductor muscle, fascia or tendon of thigh

NC76.2Y

Other specified injury of adductor muscle, fascia or tendon of thigh

NC76.2Z

Injury of adductor muscle, fascia or tendon of thigh, unspecified

NC76.3

Injury of muscle, fascia or tendon of the posterior muscle group at thigh level

NC76.30

Strain or sprain of muscle, fascia or tendon of the posterior muscle group at thigh

level

NC76.31

Laceration of muscle, fascia or tendon of the posterior muscle group at thigh level

NC76.3Y

Other specified injury of muscle, fascia or tendon of the posterior muscle group at

thigh level

NC76.3Z

Injury of muscle, fascia or tendon of the posterior muscle group at thigh level,

unspecified

NC76.4

Injury of multiple muscles or tendons at hip or thigh level

Coding Note:

Assign additional codes for the specific injuries.

NC76.40

Injury of bursa of hip

NC76.4Y

Other specified injury of multiple muscles or tendons at hip or thigh level

Coding Note:

Assign additional codes for the specific injuries.

NC76.4Z

Injury of multiple muscles or tendons at hip or thigh level, unspecified

Coding Note:

Assign additional codes for the specific injuries.

NC76.Y

Injury of other specified muscle, fascia, tendon or bursa at hip or thigh level

NC76.Z

Injury of unspecified muscle, fascia, tendon or bursa at hip or thigh level

NC77

Crushing injury of hip or thigh

NC77.0

Crushing injury of hip

NC77.1

Crushing injury of thigh

NC77.2

Crushing injury of hip with thigh

NC77.Z

Crushing injury of hip or thigh, unspecified

NC78

Traumatic amputation of hip or thigh
Exclusions:

traumatic amputation of leg, level unspecified (ND55)

NC78.0

Traumatic amputation at right hip joint

ICD-11 MMS – 09/2020

NC78.1

Traumatic amputation at left hip joint

NC78.2

Traumatic amputation at hip joint, bilateral

NC78.3

Traumatic amputation at level between right hip and knee

NC78.4

Traumatic amputation at level between left hip and knee

NC78.5

Traumatic amputation at level between hip and knee, bilateral

NC78.Z

Traumatic amputation of hip or thigh, unspecified

NC79

Multiple injuries of hip or thigh

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC7Y

Other specified injuries to the hip or thigh

NC7Z

Injuries to the hip or thigh, unspecified

Injuries to the knee or lower leg (BlockL1‑NC9)

Exclusions:

Burns (BlockL1‑ND9)

Frostbite (BlockL1‑NE4)

Insect bite or sting, venomous (NE61)

Other injuries of leg, level unspecified (ND55)

Injuries to the ankle or foot (BlockL1‑ND1)

NC90

Superficial injury of knee or lower leg
Exclusions:

Superficial injury of ankle or foot (ND11)

NC90.0

Abrasion of knee

NC90.1

Contusion of knee

NC90.2

Abrasion of other or unspecified parts of lower leg

NC90.3

Contusion of other or unspecified parts of lower leg

NC90.4

Multiple superficial injuries of lower leg

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC90.Y

Other specified superficial injury of knee or lower leg

NC90.Z

Superficial injury of knee or lower leg, unspecified

NC91

Open wound of knee or lower leg
Exclusions:

Traumatic amputation of lower leg (NC98)

Open wound of ankle or foot (ND12)

NC91.0

Laceration without foreign body of lower leg

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Inclusions:

laceration of skin of lower leg

NC91.1

Laceration with foreign body of lower leg

NC91.2

Puncture wound without foreign body of lower leg

NC91.3

Puncture wound with foreign body of lower leg

NC91.4

Open bite of lower leg

NC91.5

Multiple open wounds of lower leg

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC91.Y

Other specified open wound of knee or lower leg

NC91.Z

Open wound of knee or lower leg, unspecified

NC92

Fracture of lower leg, including ankle
Exclusions:

Fracture of foot, except ankle (ND13)

NC92.0

Fracture of patella
A break in the patellar bone (kneecap)

NC92.1

Fracture of upper end of tibia

NC92.10

Avulsion of cruciate ligament insertion

NC92.11

Avulsion of tibial tuberosity

NC92.12

Metaphyseal fracture of upper end of tibia

NC92.13

Fracture of upper end of tibia, lateral condyle

NC92.14

Fracture of upper end of tibia, medial condyle

NC92.1Y

Other specified fracture of upper end of tibia

NC92.1Z

Fracture of upper end of tibia, unspecified

NC92.2

Fracture of shaft of tibia

Inclusions:

Fracture of shaft of tibia with or without mention of fracture of

fibula

NC92.3

Fracture of lower end of tibia

Inclusions:

Fracture of lower end of tibia with or without mention of

fracture of fibula

Exclusions:

Fracture of medial malleolus (NC92.5)

NC92.4

Fracture of fibula alone

Exclusions:

Fracture of lateral malleolus (NC92.6)

NC92.40

Avulsion of fibular head

NC92.4Y

Other specified fracture of fibula alone

ICD-11 MMS – 09/2020

NC92.4Z

Fracture of fibula alone, unspecified

NC92.5

Fracture of medial malleolus
A fracture of the medial malleolus, the bony landmark located on the distal end of
the tibia

NC92.6

Fracture of lateral malleolus

NC92.7

Complex fractures of ankle

NC92.70

Fracture, avulsion or collateral ligament rupture of lateral malleolus below

syndesmosis with fracture, avulsion or collateral ligament rupture of medial

malleolus

NC92.71

Fracture, avulsion or collateral ligament rupture of lateral malleolus below

syndesmosis with fracture, avulsion or collateral ligament rupture of medial

malleolus and fracture of posterior margin of distal tibia

NC92.72

Fracture of lateral malleolus at syndesmosis with fracture, avulsion or collateral

ligament rupture of medial malleolus

NC92.73

Fracture of lateral malleolus at syndesmosis with fracture, avulsion or collateral

ligament rupture of medial malleolus and fracture of posterior margin of distal tibia

NC92.74

Fracture, avulsion or collateral ligament rupture of medial malleolus with fracture of

fibula above syndesmosis

NC92.75

Fracture, avulsion or collateral ligament rupture of medial malleolus with fracture of

fibula above syndesmosis and fracture of posterior margin of distal tibia

NC92.76

Bimalleolar fracture of ankle, not otherwise specified

NC92.77

Trimalleolar fracture of ankle, not otherwise specified

NC92.7Y

Other specified complex fractures of ankle

NC92.7Z

Complex fractures of ankle, unspecified

NC92.8

Multiple fractures of lower leg

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

Exclusions:

fractures of both tibia and fibula upper end (NC92.1)

fractures of both tibia and fibula shafts (NC92.2)

fractures of both tibia and fibula lower end (NC92.3)

NC92.Y

Fracture of other specified part of lower leg, including ankle

NC92.Z

Fracture of lower leg, including ankle, unspecified

NC93

Dislocation or strain or sprain of joints or ligaments of knee
Exclusions:

dislocation of knee recurrent (FA34.2)

Internal derangement of knee (FA33)

derangement of patella (FA32)

dislocation of knee old (FA34.2)

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC93.0

Acute internal damage of knee

NC93.1

Dislocation of patella
Displacement of the patella from the femoral groove.

NC93.10

Lateral dislocation of patella

NC93.1Y

Other specified dislocation of patella

NC93.1Z

Dislocation of patella, unspecified

NC93.2

Dislocation of knee

NC93.20

Anterior dislocation of proximal end of tibia

NC93.21

Posterior dislocation of proximal end of tibia

NC93.22

Medial dislocation of proximal end of tibia

NC93.23

Lateral dislocation of proximal end of tibia

NC93.2Y

Other specified dislocation of knee

NC93.2Z

Dislocation of knee, unspecified

NC93.3

Tear of meniscus, current

Exclusions:

old bucket-handle tear (FA33)

NC93.30

Tear of medial meniscus

NC93.31

Tear of lateral meniscus

NC93.3Y

Other specified tear of meniscus, current

NC93.3Z

Tear of meniscus, current, unspecified

NC93.4

Tear of articular cartilage of knee

NC93.5

Strain or sprain involving fibular or tibial collateral ligament of knee

NC93.50

Strain or sprain of medial collateral ligament of knee, excluding rupture

NC93.51

Strain or sprain of lateral collateral ligament of knee, excluding rupture

NC93.52

Rupture of medial collateral ligament of knee

NC93.53

Rupture of lateral collateral ligament of knee

NC93.5Y

Other specified strain or sprain involving fibular or tibial collateral ligament of knee

NC93.5Z

Strain or sprain involving fibular or tibial collateral ligament of knee, unspecified

NC93.6

Strain or sprain involving anterior or posterior cruciate ligament of knee

NC93.60

Strain or sprain of anterior cruciate ligament of knee, excluding rupture

NC93.61

Strain or sprain of posterior cruciate ligament of knee, excluding rupture

ICD-11 MMS – 09/2020

NC93.62

Rupture of anterior cruciate ligament

NC93.63

Rupture of posterior cruciate ligament

NC93.6Y

Other specified strain or sprain involving anterior or posterior cruciate ligament of

knee

NC93.6Z

Strain or sprain involving anterior or posterior cruciate ligament of knee, unspecified

NC93.7

Strain or sprain of other or unspecified parts of knee
A collective term for muscle and ligament injuries of other and unspecified tissues
associated with the knee without dislocation or fracture; a joint injury in which some
of the fibers of a supporting ligament are ruptured but the continuity of the ligament
remains intact. A strain is an overstretching or overexertion of some part of the
musculature.

Exclusions:

sprain of patellar ligament (NC76.1)

NC93.8

Injury to multiple structures of knee

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC93.Y

Other specified dislocation or strain or sprain of joints or ligaments of knee

NC93.Z

Dislocation or strain or sprain of joints or ligaments of knee, unspecified

NC94

Injury of nerves at lower leg level
Exclusions:

Injury of nerves at ankle or foot level (ND15)

NC94.0

Injury of tibial nerve at lower leg level

NC94.1

Injury of peroneal nerve at lower leg level

NC94.2

Injury of cutaneous sensory nerve at lower leg level

NC94.3

Injury of multiple nerves at lower leg level

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC94.Y

Injury of other specified nerves at lower leg level

NC94.Z

Injury of unspecified nerve at lower leg level

NC95

Injury of blood vessels at lower leg level
Exclusions:

Injury of blood vessels at ankle or foot level (ND16)

NC95.0

Injury of popliteal artery

NC95.00

Laceration of popliteal artery

NC95.0Y

Other specified injury of popliteal artery

NC95.0Z

Injury of popliteal artery, unspecified

NC95.1

Injury of anterior tibial artery

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC95.10

Laceration of anterior tibial artery

NC95.1Y

Other specified injury of anterior tibial artery

NC95.1Z

Injury of anterior tibial artery, unspecified

NC95.2

Injury of posterior tibial artery

NC95.20

Laceration of posterior tibial artery

NC95.2Y

Other specified injury of posterior tibial artery

NC95.2Z

Injury of posterior tibial artery, unspecified

NC95.3

Injury of peroneal artery

NC95.30

Laceration of peroneal artery

NC95.3Y

Other specified injury of peroneal artery

NC95.3Z

Injury of peroneal artery, unspecified

NC95.4

Injury of greater saphenous vein at lower leg level

NC95.40

Laceration of greater saphenous vein at lower leg level

NC95.4Y

Other specified injury of greater saphenous vein at lower leg level

NC95.4Z

Injury of greater saphenous vein at lower leg level, unspecified

NC95.5

Injury of lesser saphenous vein at lower leg level

NC95.50

Laceration of lesser saphenous vein at lower leg level

NC95.5Y

Other specified injury of lesser saphenous vein at lower leg level

NC95.5Z

Injury of lesser saphenous vein at lower leg level, unspecified

NC95.6

Injury of popliteal vein

NC95.60

Laceration of popliteal vein

NC95.6Y

Other specified injury of popliteal vein

NC95.6Z

Injury of popliteal vein, unspecified

NC95.7

Injury of multiple blood vessels at lower leg level

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC95.Y

Injury of other specified blood vessels at lower leg level

NC95.Z

Injury of unspecified blood vessel at lower leg level

NC96

Injury of muscle, fascia, tendon or bursa at lower leg level
Exclusions:

Injury of muscle, fascia or tendon at ankle or foot level (ND17)

injury of patellar ligament (tendon) (NC76.1)

ICD-11 MMS – 09/2020

NC96.0

Injury of Achilles tendon

NC96.00

Strain or sprain of Achilles tendon

NC96.01

Laceration of Achilles tendon

NC96.02

Rupture of Achilles tendon

NC96.0Y

Other specified injury of Achilles tendon

NC96.0Z

Injury of Achilles tendon, unspecified

NC96.1

Injury of other muscle, fascia or tendon of posterior muscle group at lower leg

level

NC96.10

Strain or sprain of other muscle, fascia or tendon of posterior muscle group at lower

leg level

NC96.11

Laceration of other muscle, fascia or tendon of posterior muscle group at lower leg

level

NC96.1Y

Other specified injury of other muscle, fascia or tendon of posterior muscle group at

lower leg level

NC96.1Z

Injury of other muscle, fascia or tendon of posterior muscle group at lower leg level,

unspecified

NC96.2

Injury of muscle, fascia or tendon of anterior muscle group at lower leg level

NC96.20

Strain or sprain of muscle, fascia or tendon of anterior muscle group at lower leg

level

NC96.21

Laceration of muscle, fascia or tendon of anterior muscle group at lower leg level

NC96.2Y

Other specified injury of muscle, fascia or tendon of anterior muscle group at lower

leg level

NC96.2Z

Injury of muscle, fascia or tendon of anterior muscle group at lower leg level,

unspecified

NC96.3

Injury of muscle, fascia or tendon of peroneal muscle group at lower leg level

NC96.30

Strain or sprain of muscle, fascia or tendon of peroneal muscle group at lower leg

level

NC96.31

Laceration of muscle, fascia or tendon of peroneal muscle group at lower leg level

NC96.3Y

Other specified injury of muscle, fascia or tendon of peroneal muscle group at lower

leg level

NC96.3Z

Injury of muscle, fascia or tendon of peroneal muscle group at lower leg level,

unspecified

NC96.4

Injury of multiple muscles, fasciae or tendons at lower leg level

Coding Note:

Assign additional codes for the specific injuries.

NC96.5

Injury of bursa of knee

NC96.Y

Injury of other specified muscle, fascia, tendon or bursa at lower leg level

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NC96.Z

Injury of unspecified muscle, fascia, tendon or bursa at lower leg level

NC97

Crushing injury of lower leg
Exclusions:

Crushing injury of ankle or foot (ND18)

NC97.0

Crushing injury of knee

NC97.Y

Crushing injury of other specified part of lower leg

NC97.Z

Crushing injury of lower leg, unspecified

NC98

Traumatic amputation of lower leg
Exclusions:

Traumatic amputation of ankle or foot (ND19)

traumatic amputation of leg, level unspecified (ND55)

NC98.0

Traumatic amputation of right lower leg at knee level

NC98.1

Traumatic amputation of left lower leg at knee level

NC98.2

Traumatic amputation at knee level, bilateral

NC98.3

Traumatic amputation at level between right knee and ankle

NC98.4

Traumatic amputation at level between left knee and ankle

NC98.5

Traumatic amputation at level between knee and ankle, bilateral

NC98.Y

Other specified traumatic amputation of lower leg

NC98.Z

Traumatic amputation of lower leg, unspecified

NC99

Multiple injuries of lower leg

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NC9Y

Other specified injuries to the knee or lower leg

NC9Z

Injuries to the knee or lower leg, unspecified

Injuries to the ankle or foot (BlockL1‑ND1)

Exclusions:

fracture of ankle and malleolus (NC92.5)

Other injuries of leg, level unspecified (ND55)

Frostbite (BlockL1‑NE4)

Burns (BlockL1‑ND9)

Insect bite or sting, venomous (NE61)

ND10

Injury to toenail

ND11

Superficial injury of ankle or foot

ND11.0

Abrasion of ankle

ICD-11 MMS – 09/2020

ND11.1

Contusion of ankle

ND11.2

Nonthermal blister of ankle

ND11.3

Nonvenomous insect bite of ankle

ND11.4

Superficial foreign body in ankle

ND11.40

Splinter in ankle

ND11.4Y

Other specified superficial foreign body in ankle

ND11.4Z

Superficial foreign body in ankle, unspecified

ND11.5

Abrasion of toe

ND11.6

Contusion of toe

ND11.7

Abrasion of other or unspecified parts of foot

ND11.8

Contusion of other or unspecified parts of foot

ND11.9

Nonthermal blister of other or unspecified parts of foot

ND11.A

Nonvenomous insect bite of other or unspecified parts of foot

ND11.B

Superficial foreign body in other or unspecified parts of foot

ND11.B0

Splinter in other or unspecified parts of foot

ND11.BY

Other specified superficial foreign body in other or unspecified parts of foot

ND11.BZ

Superficial foreign body in other or unspecified parts of foot, unspecified

ND11.C

Multiple superficial injuries of ankle or foot

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND11.Y

Other specified superficial injury of ankle or foot

ND11.Z

Superficial injury of ankle or foot, unspecified

ND12

Open wound of ankle or foot
Exclusions:

Traumatic amputation of ankle or foot (ND19)

ND12.0

Laceration without foreign body of ankle or foot

Inclusions:

laceration of skin of ankle or foot

ND12.1

Laceration with foreign body of ankle or foot

ND12.2

Puncture wound with foreign body of ankle or foot

ND12.3

Puncture wound without foreign body of ankle or foot

ND12.4

Open bite of ankle or foot

ND12.5

Multiple open wounds of ankle or foot

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND12.6

Open wound of toe

ND12.60

Laceration without foreign body of toe

Exclusions:

Injury to toenail (ND10)

ND12.61

Laceration with foreign body of toe

ND12.62

Puncture wound without foreign body of toe

ND12.63

Puncture wound with foreign body of toe

ND12.64

Open bite of toe

ND12.6Y

Other specified open wound of toe

ND12.6Z

Open wound of toe, unspecified

ND12.Y

Other specified open wound of ankle or foot

ND12.Z

Open wound of ankle or foot, unspecified

ND13

Fracture of foot, except ankle
Exclusions:

Fracture of medial malleolus (NC92.5)

Fracture of lower leg, including ankle (NC92)

Fracture of lateral malleolus (NC92.6)

ND13.0

Fracture of calcaneus

ND13.1

Fracture of talus

Inclusions:

Fracture of astragalus

ND13.2

Fracture of unspecified tarsal bone

ND13.3

Fracture of metatarsal bone
A break in one or more of the metatarsal bones of the foot

Exclusions:

march fracture (FB80.A)

ND13.4

Fracture of great toe

ND13.5

Fracture of other toe

ND13.6

Multiple fractures of foot

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND13.7

Fracture of cuboid bone

ND13.8

Fracture of lateral cuneiform

ND13.9

Fracture of intermediate cuneiform

ND13.A

Fracture of medial cuneiform

ICD-11 MMS – 09/2020

ND13.B

Fracture of navicular of foot

ND13.Y

Fracture of other specified part of foot, except ankle

ND13.Z

Fracture of foot, except ankle, unspecified

ND14

Dislocation or strain or sprain of joints or ligaments at ankle or foot level

ND14.0

Dislocation of ankle joint
Displacement of one or more bones of the ankle, including the tarsals

Inclusions:

Dislocation of astragalus

Dislocation of talus

ND14.1

Dislocation of great toe

ND14.10

Dislocation of metatarsophalangeal joint of great toe

ND14.11

Dislocation of interphalangeal joint of great toe

ND14.1Z

Dislocation of great toe, unspecified

ND14.2

Dislocation of other toe

ND14.20

Dislocation of metatarsophalangeal joint of lesser toe

ND14.21

Dislocation of interphalangeal joints of lesser toe

ND14.2Y

Dislocation of other specified toe

ND14.2Z

Dislocation of other toe, unspecified

ND14.3

Dislocation of tarsal joint

ND14.4

Dislocation of tarsometatarsal joint

ND14.5

Rupture of ligaments at ankle or foot level

ND14.6

Dislocation of other or unspecified parts of foot

ND14.7

Strain or sprain of ankle

Exclusions:

Injury of Achilles tendon (NC96.0)

ND14.70

Strain or sprain of calcaneofibular ligament

ND14.71

Strain or sprain of deltoid ligament

ND14.72

Strain or sprain of tibiofibular ligament

ND14.73

Strain or sprain of other ligament of ankle

ND14.7Z

Strain or sprain of ankle, unspecified

ND14.8

Strain or sprain of toe

Exclusions:

Strain or sprain of great toe (ND14.9)

ND14.9

Strain or sprain of great toe

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

ND14.90

Strain or sprain of metatarsophalangeal joint of great toe

ND14.91

Strain or sprain of interphalangeal joint of great toe

ND14.9Z

Strain or sprain of great toe, unspecified

ND14.A

Strain or sprain of other or unspecified parts of foot

ND14.A0

Strain or sprain of metatarsophalangeal joint of lesser toe

ND14.A1

Strain or sprain of interphalangeal joints of lesser toe

ND14.AY

Sprain of other specified parts of foot

ND14.AZ

Sprain of unspecified parts of foot

ND14.Y

Other specified dislocation or strain or sprain of joints or ligaments at ankle or

foot level

ND14.Z

Dislocation or strain or sprain of joints or ligaments at ankle or foot level,

unspecified

ND15

Injury of nerves at ankle or foot level

ND15.0

Injury of lateral plantar nerve

ND15.1

Injury of medial plantar nerve

ND15.2

Injury of deep peroneal nerve at ankle or foot level

ND15.3

Injury of cutaneous sensory nerve at ankle or foot level

ND15.4

Injury of multiple nerves at ankle or foot level

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND15.Y

Injury of other specified nerves at ankle and foot level

ND15.Z

Injury of unspecified nerve at ankle or foot level

ND16

Injury of blood vessels at ankle or foot level
Exclusions:

Injury of posterior tibial artery (NC95.2)

ND16.0

Injury of dorsal artery of foot

ND16.00

Laceration of dorsal artery of foot

ND16.0Y

Other specified injury of dorsal artery of foot

ND16.0Z

Injury of dorsal artery of foot, unspecified

ND16.1

Injury of plantar artery of foot

ND16.10

Laceration of plantar artery of foot

ND16.1Y

Other specified injury of plantar artery of foot

ND16.1Z

Injury of plantar artery of foot, unspecified

ICD-11 MMS – 09/2020

ND16.2

Injury of dorsal vein of foot

ND16.20

Laceration of dorsal vein of foot

ND16.2Y

Other specified injury of dorsal vein of foot

ND16.2Z

Injury of dorsal vein of foot, unspecified

ND16.3

Injury of multiple blood vessels at ankle or foot level

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND16.Y

Injury of other specified blood vessels at ankle and foot level

ND16.Z

Injury of unspecified blood vessel at ankle or foot level

ND17

Injury of muscle, fascia or tendon at ankle or foot level

Damage inflicted on the muscular or tendinous tissues of the ankle or foot as the
direct or indirect result of an external force, with or without disruption of structural
continuity.

Exclusions:

Injury of Achilles tendon (NC96.0)

ND17.0

Injury of muscle, fascia or tendon of long flexor muscle of toe at ankle or foot level

ND17.00

Strain or sprain of muscle, fascia or tendon of long flexor muscle of toe at ankle or

foot level

ND17.01

Laceration of muscle, fascia or tendon of long flexor muscle of toe at ankle or foot

level

ND17.0Y

Other specified injury of muscle, fascia or tendon of long flexor muscle of toe at

ankle or foot level

ND17.0Z

Injury of muscle, fascia or tendon of long flexor muscle of toe at ankle or foot level,

unspecified

ND17.1

Injury of muscle, fascia or tendon of long extensor muscle of toe at ankle or foot

level

ND17.10

Strain or sprain of muscle, fascia or tendon of long extensor muscle of toe at ankle

or foot level

ND17.11

Laceration of muscle, fascia or tendon of long extensor muscle of toe at ankle or

foot level

ND17.1Y

Other specified injury of muscle, fascia or tendon of long extensor muscle of toe at

ankle or foot level

ND17.1Z

Injury of muscle, fascia or tendon of long extensor muscle of toe at ankle or foot

level, unspecified

ND17.2

Injury of intrinsic muscle, fascia or tendon at ankle or foot level

ND17.20

Strain or sprain of intrinsic muscle, fascia or tendon at ankle or foot level

ND17.21

Laceration of intrinsic muscle, fascia or tendon at ankle or foot level

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

ND17.2Y

Other specified injury of intrinsic muscle, fascia or tendon at ankle or foot level

ND17.2Z

Injury of intrinsic muscle, fascia or tendon at ankle or foot level, unspecified

ND17.3

Injury of multiple muscles or tendons at ankle or foot level

Coding Note:

Assign additional codes for the specific injuries.

ND17.Y

Injury of other specified muscle, fascia or tendon at ankle or foot level

ND17.Z

Injury of unspecified muscle, fascia or tendon at ankle or foot level

ND18

Crushing injury of ankle or foot

ND18.0

Crushing injury of ankle

ND18.1

Crushing injury of toe

ND18.2

Crushing injury of other parts of ankle or foot

ND18.Z

Crushing injury of ankle or foot, unspecified

ND19

Traumatic amputation of ankle or foot

ND19.0

Traumatic amputation of right foot at ankle level

ND19.1

Traumatic amputation of left foot at ankle level

ND19.2

Traumatic amputation of foot at ankle level, bilateral

ND19.3

Traumatic amputation of right foot at metatarsal level

ND19.4

Traumatic amputation of left foot at metatarsal level

ND19.5

Traumatic amputation of foot at metatarsal level, bilateral

ND19.6

Traumatic amputation of one toe

Exclusions:

avulsion of toenail (ND10)

ND19.7

Traumatic amputation of two or more toes

Exclusions:

avulsion of toenail (ND10)

ND19.8

Traumatic amputation of other parts of foot

Inclusions:

Combined traumatic amputation of toe(s) and other parts of

foot

ND19.Z

Traumatic amputation of ankle or foot, unspecified

ND1A

Multiple injuries of ankle or foot

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND1Y

Other specified injuries to the ankle or foot

ND1Z

Injuries to the ankle or foot, unspecified

ICD-11 MMS – 09/2020

Injuries involving multiple body regions (BlockL1‑ND3)

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

Exclusions:

Frostbite (BlockL1‑NE4)

Sunburn (EJ40)

Burns (BlockL1‑ND9)

ND30

Superficial injuries involving multiple body regions

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND31

Open wounds involving multiple body regions

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

Exclusions:

Traumatic amputations involving multiple body regions (ND35)

ND32

Fractures involving multiple body regions

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

Coded Elsewhere:

Fractures involving multiple body regions due to birth injury

(KA45.Y)

ND33

Dislocations, strains or sprains involving multiple body regions

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND34

Crushing injuries involving multiple body regions

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND35

Traumatic amputations involving multiple body regions

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

Inclusions:

avulsion involving multiple body regions

Exclusions:

traumatic amputation of leg NOS (ND55)

traumatic amputation of arm NOS (ND53)

Open wounds involving multiple body regions (ND31)

Decapitation (NA63)

traumatic amputation of: trunk NOS (NB33)

ND36

Other injuries involving multiple body regions, not elsewhere classified

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND37

Unspecified multiple injuries

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Exclusions:

injury NOS (ND56)

Injuries to unspecified part of trunk, limb or body region (BlockL1‑ND5)

Exclusions:

Injuries involving multiple body regions (BlockL1‑ND3)

Insect bite or sting, venomous (NE61)

Burns (BlockL1‑ND9)

Frostbite (BlockL1‑NE4)

ND50

Fracture of spine, level unspecified
Exclusions:

multiple fractures of spine, level unspecified (ND32)

ND51

Other injuries of spine or trunk, level unspecified

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

Exclusions:

multiple internal injuries of trunk (ND36)

crushing injury of trunk NOS (ND34)

transection of trunk (ND35)

ND51.0

Dislocation or strain or sprain of unspecified joint or ligament of trunk

ND51.1

Injury of unspecified nerve, spinal nerve root or plexus of trunk

ND51.2

Injury of spinal cord, level unspecified

Coded Elsewhere:

Birth injury to spine or spinal cord (KA40.2)

ND51.3

Injury of unspecified muscle, fascia or tendon of trunk

ND51.4

Crushing injury of spine or trunk, level unspecified

ND51.Y

Other specified injuries of spine or trunk, level unspecified

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND51.Z

Unspecified injuries of spine or trunk, level unspecified

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND52

Fracture of arm, level unspecified
Exclusions:

Fractures involving multiple regions of one arm (ND32)

ND53

Other injuries of arm, level unspecified
Exclusions:

crushing injury of arm NOS (ND34)

Fracture of arm, level unspecified (ND52)

Injuries involving multiple body regions (BlockL1‑ND3)

ND53.0

Crushing injury of arm, level unspecified

ND53.Y

Other specified injuries of arm, level unspecified

ICD-11 MMS – 09/2020

ND54

Fracture of leg, level unspecified
Exclusions:

Fractures involving multiple regions of one leg (ND32)

ND55

Other injuries of leg, level unspecified
Exclusions:

Fracture of leg, level unspecified (ND54)

Injuries involving multiple body regions (BlockL1‑ND3)

ND56

Injury of unspecified body region

Damage inflicted on the body in an unspecified area as the direct or indirect result
of an external force, with or without disruption of structural continuity.

Exclusions:

Injuries involving multiple body regions (BlockL1‑ND3)

multiple injuries NOS (ND37)

ND56.0

Superficial injury of unspecified body region

Exclusions:

multiple superficial injuries NOS (ND30)

Coded Elsewhere:

Haematoma of surgical wound of skin (NE81.00)

Superficial incisional site infection (NE81.20)

ND56.1

Open wound of unspecified body region

Exclusions:

Traumatic amputations involving multiple body regions (ND35)

Open wounds involving multiple body regions (ND31)

traumatic amputation NOS (ND56.8)

ND56.2

Fracture of unspecified body region

Exclusions:

multiple fractures NOS (ND32)

ND56.3

Dislocation or strain or sprain of unspecified body region

Exclusions:

multiple dislocations, sprains and strains NOS (ND33)

ND56.4

Injury of nerve of unspecified body region

Exclusions:

multiple injuries of nerves NOS (ND36)

ND56.5

Injury of blood vessel of unspecified body region

Exclusions:

multiple injuries of blood vessels NOS (ND36)

ND56.6

Injury of muscles or tendons of unspecified body region

Exclusions:

multiple injuries of tendons and muscles NOS (ND36)

ND56.7

Crushing injury of unspecified body region

ND56.8

Traumatic amputation of unspecified body region

Exclusions:

multiple: crushing injuries NOS (ND34)

multiple traumatic amputations NOS (ND35)

ND56.9

Injury complicating pregnancy

ND56.Y

Other specified injury of unspecified body region

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

ND56.Z

Unspecified injury to unspecified part of trunk, limb or body region

ND57

Secondary effect of trauma
Inclusions:

deformity NOS

scarring resulting from previous injury

old amputation

Exclusions:

Post traumatic stress disorder (6B40)

Post traumatic wound infection, not elsewhere classified

(NF0A.3)

ND5Y

Other specified injuries to unspecified part of trunk, limb or body region

ND5Z

Injuries to unspecified part of trunk, limb or body region, unspecified

Effects of foreign body entering through natural orifice (BlockL1‑ND7)

Exclusions:

foreign body accidentally left in operation wound (PL11.3)

Residual foreign body in soft tissue (FB56.1)

ND70

Foreign body on external eye
Exclusions:

Retained foreign body following penetrating wound of orbit

(NA06.2)

Retained foreign body in eyelid (NA06.03)

ND70.0

Foreign body in cornea

ND70.1

Foreign body in conjunctival sac

ND70.2

Foreign body in multiple parts of external eye

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND70.Y

Foreign body in other specified part of external eye

ND70.Z

Foreign body on external eye, unspecified

ND71

Foreign body in ear

Objects that inadvertently enter the ear from the environment.

ND72

Foreign body in respiratory tract

ND72.0

Foreign body in nasal sinus

ND72.1

Foreign body in nostril

ND72.2

Foreign body in pharynx
Objects that inadvertently enter the pharynx from the environment.

ND72.20

Asphyxia on mucous in nasopharynx

ND72.2Y

Other specified foreign body in pharynx

ICD-11 MMS – 09/2020

ND72.2Z

Foreign body in pharynx, unspecified

ND72.3

Foreign body in larynx

ND72.4

Foreign body in trachea

ND72.5

Foreign body in bronchus

ND72.6

Foreign body in multiple parts of respiratory tract

Coding Note:

Each injury should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

ND72.Y

Foreign body in other parts of respiratory tract

ND72.Z

Foreign body in unspecified part of respiratory tract

ND73

Foreign body in alimentary tract
Inclusions:

foreign body in digestive system NOS

Exclusions:

Foreign body in pharynx (ND72.2)

ND73.0

Foreign body in mouth

ND73.1

Foreign body in oesophagus
Mechanical impaction or retention of foreign body in the oesophagus

ND73.2

Foreign body in stomach
Mechanical impaction or retention of foreign body in the stomach.

ND73.20

Trichobezoar
A hair ball which is formed from ingested hairs in the stomach which may cause
bowel obstruction.

ND73.2Y

Other specified foreign body in stomach

ND73.2Z

Foreign body in stomach, unspecified

ND73.3

Foreign body in small intestine
Mechanical impaction or retention of foreign body in the small intestine.

ND73.4

Foreign body in colon

ND73.5

Foreign body in anus or rectum

ND73.Y

Foreign body in other specified part of alimentary tract

ND73.Z

Foreign body in alimentary tract, unspecified

ND74

Foreign body in genitourinary tract
Exclusions:

Presence of contraceptive device (QB51.C)

ND74.0

Foreign body in urethra

ND74.1

Foreign body in bladder

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

ND74.2

Foreign body in vulva or vagina

ND74.3

Foreign body in uterus, any part

ND74.Y

Foreign body in other specified part of genitourinary tract

ND74.Z

Foreign body in genitourinary tract, unspecified

ND7Z

Effects of foreign body entering through natural orifice, unspecified

Burns (BlockL1‑ND9)

A burn is an injury to the tissues caused by a pathological flux of energy which causes cellular
destruction and irreversible denaturation of proteins and is primarily caused by thermal or other acute
trauma.

Coding Note:

Code also the size of burn as the percentage of total body surface area burned to

any depth, and the percentage with full-thickness or deep full thickness burns.

Inclusions:

internal chemical burn or corrosion

external chemical burn or corrosion

burns from hot objects

burns from friction

burns from hot air and hot gases

burns from lightning

Exclusions:

Sunburn (EJ40)

Adverse cutaneous effects of therapeutic ionizing irradiation (BlockL2‑EL6)

Adverse effects of phototherapy (Chapter 14)

Photosensitivity due to drug (EH75)

Phototoxic reactions to skin contact with photoactive agents (BlockL2‑EK2)

Neonatal phototherapy burn (KC50)

Burns of external body surface, specified by site (BlockL2‑ND9)

Coding Note:

Code also the size of burn as the percentage of total body surface area burned to

any depth, and the percentage with full-thickness or deep full thickness burns.

ND90

Burn of head or neck except face

Injury to the tissues of the head and neck caused by contact with, for example, heat,
steam, chemicals, or electricity.

Exclusions:

Burn of eye or ocular adnexa (NE00)

Burn of mouth or pharynx (NE02)

ND90.0

Burn of head or neck except face, epidermal burn

ND90.1

Burn of head or neck except face, superficial partial thickness burn

ND90.2

Burn of head or neck except face, deep partial thickness burn

ICD-11 MMS – 09/2020

ND90.3

Burn of head and neck except face, full thickness burn

ND90.4

Burn of head or neck except face, deep full thickness or complex burn

ND90.Z

Burn of head and neck except face, depth of burn unspecified

ND91

Burn of face except eye or ocular adnexa

ND91.0

Burn of face except eye or ocular adnexa, epidermal burn

ND91.1

Burn of face except eye or ocular adnexa, superficial partial thickness burn

ND91.2

Burn of face except eye or ocular adnexa, deep partial thickness burn

ND91.3

Burn of face except eye or ocular adnexa, full thickness burn

ND91.4

Burn of face except eye or ocular adnexa, deep full thickness or complex burn

ND91.Z

Burn of face except eye, depth of burn unspecified

ND92

Burn of trunk except perineum or genitalia

Injury to the tissues of the trunk caused by contact with, for example, heat, steam,
chemicals, or electricity.

Exclusions:

burn and corrosion of scapular region (ND94)

burn and corrosion of axilla (ND94)

ND92.0

Burn of trunk except perineum or genitalia, epidermal burn

ND92.00

Burn of breast, epidermal burn

ND92.01

Burn of chest wall, epidermal burn

ND92.02

Burn of abdominal wall, epidermal burn

ND92.03

Burn of back, any part, epidermal burn

ND92.0Y

Other specified burn of trunk except perineum or genitalia, epidermal burn

ND92.0Z

Burn of trunk except perineum or genitalia, epidermal burn, unspecified

ND92.1

Burn of trunk except perineum or genitalia, superficial partial thickness burn

ND92.2

Burn of trunk except perineum or genitalia, deep partial thickness burn

ND92.3

Burn of trunk except perineum or genitalia, full thickness burn

ND92.4

Burn of trunk except perineum or genitalia, deep full thickness or complex burn

ND92.Z

Burn of trunk except perineum and genitalia, depth of burn unspecified

ND93

Burn of perineum or genitalia

ND93.0

Burn of perineum or genitalia, epidermal burn

ND93.1

Burn of perineum or genitalia, superficial partial thickness burn

ND93.2

Burn of perineum or genitalia, deep partial thickness burn

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

ND93.3

Burn of perineum or genitalia, full thickness burn

ND93.4

Burn of perineum or genitalia, deep full thickness or complex burn

ND93.Z

Burn of perineum and genitalia, depth of burn unspecified

ND94

Burn of shoulder or arm, except wrist or hand

Injury to the tissues of the shoulder and arm (except wrist and hand) caused by
contact with, for example, heat, steam, chemicals, or electricity.

Exclusions:

burn and corrosion of interscapular region (ND92)

Burn of wrist or hand (ND95)

Coded Elsewhere:

Sequelae of burn, corrosion, or frostbite of arm (NE2Z)

ND94.0

Burn of shoulder or arm, except wrist or hand, epidermal burn

ND94.1

Burn of shoulder or arm, except wrist or hand, superficial partial thickness burn

ND94.10

Burn of forearm and elbow, superficial partial thickness burn

ND94.1Y

Other specified burn of shoulder or arm, except wrist or hand, superficial partial

thickness burn

ND94.1Z

Burn of shoulder or arm, except wrist or hand, superficial partial thickness burn,

unspecified

ND94.2

Burn of shoulder or arm, except wrist or hand, deep partial thickness burn

ND94.20

Burn of forearm or elbow, deep partial thickness burn

ND94.2Y

Other specified burn of shoulder or arm, except wrist or hand, deep partial thickness

burn

ND94.2Z

Burn of shoulder or arm, except wrist or hand, deep partial thickness burn,

unspecified

ND94.3

Burn of shoulder or arm, except wrist or hand, full thickness burn

ND94.4

Burn of shoulder or arm, except wrist or hand, deep full thickness or complex burn

ND94.Z

Burn of shoulder and arm except wrist and hand, depth of burn unspecified

ND95

Burn of wrist or hand

Injury to the tissues of the wrist and hand caused by contact with, for example, heat,
steam, chemicals, or electricity.

Coded Elsewhere:

Sequelae of burn, corrosion, or frostbite of arm (NE2Z)

ND95.0

Burn of wrist or hand, epidermal burn

ND95.1

Burn of wrist or hand, superficial partial thickness burn

ND95.2

Burn of wrist or hand, deep partial thickness burn

ND95.3

Burn of wrist or hand, full thickness burn

ND95.4

Burn of wrist or hand, deep full thickness or complex burn

ICD-11 MMS – 09/2020

ND95.Z

Burn of wrist and hand, depth of burn unspecified

ND96

Burn of hip or leg, except ankle or foot

Injury to the tissues of the hip and leg (except ankle and foot) caused by contact
with, for example, heat, steam, chemicals, or electricity.

Exclusions:

Burn of ankle or foot (ND97)

Coded Elsewhere:

Sequelae of burn, corrosion, or frostbite of leg (NE2Z)

ND96.0

Burn of hip or leg, except ankle or foot, epidermal burn

ND96.1

Burn of hip or leg, except ankle or foot, superficial partial thickness burn

ND96.2

Burn of hip or leg, except ankle or foot, deep partial thickness burn

ND96.3

Burn of hip or leg, except ankle or foot, full thickness burn

ND96.4

Burn of hip or leg, except ankle or foot, deep full thickness or complex burn

ND96.Z

Burn of hip and leg except ankle and foot, depth of burn unspecified

ND97

Burn of ankle or foot

Injury to the tissues of the ankle and foot caused by contact with, for example, heat,
steam, chemicals, or electricity.

Coded Elsewhere:

Sequelae of burn, corrosion, or frostbite of leg (NE2Z)

ND97.0

Burn of ankle or foot, epidermal burn

ND97.1

Burn of ankle or foot, superficial partial thickness burn

ND97.2

Burn of ankle or foot, deep partial thickness burn

ND97.3

Burn of ankle or foot, full thickness burn

ND97.4

Burn of ankle or foot, deep full thickness or complex burn

ND97.Z

Burn of ankle and foot, depth of burn unspecified

ND98

Chemical burn due to skin contact with corrosive substance

A chemical skin burn is an acute, severe irritant reaction to skin contact with
corrosive or caustic substances sufficient to cause cell necrosis. The corrosive
potential of substances depends on their chemical properties, concentration and pH,
and on the duration and type of skin contact. Occlusion has an additive effect.

Coded Elsewhere:

Chemical burn due to occupational skin contact with corrosive

substance (EK5Y)

ND99

Acute skin injury due to skin contact with corrosive substance

ND9Y

Burns of external body surface, other specified site

Coding Note:

Code also the size of burn as the percentage of total body surface area burned to

any depth, and the percentage with full-thickness or deep full thickness burns.

ND9Z

Burns of external body surface, unspecified site

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Coding Note:

Code also the size of burn as the percentage of total body surface area burned to

any depth, and the percentage with full-thickness or deep full thickness burns.

Burns of eye or internal organs (BlockL2‑NE0)

Injury confined to the tissues of the eye and internal organs caused by contact with, for example, heat,
steam, chemicals, or electricity.

NE00

Burn of eye or ocular adnexa

Injury confined to the tissues of the eye and adnexa caused by contact with, for
example, heat, steam, chemicals, or electricity.

NE01

Burn of respiratory tract

Injury to the tissues of the respiratory tract caused by contact with, for example,
heat, steam, chemicals, or electricity.

NE02

Burn of other internal organs

Injury to other internal organs caused by contact with, for example, heat, steam,
chemicals, or electricity.

NE0Z

Burns of unspecified internal organ

Burns of multiple or unspecified body regions (BlockL2‑NE1)

Injury to the tissues of the multiple and unspecified body regions caused by contact with, for example,
heat, steam, chemicals, or electricity.

Coding Note:

Each burn should be coded separately. This code should be used only when the

detail of the specific injuries is unknown, or it is not possible to code each injury.

NE10

Burns of multiple body regions

Coding Note:

Each burn should be coded separately. This code should be used only when the

detail of the specific burn is unknown, or it is not possible to code each burn.

NE11

Burn of unspecified body region

NE2Z

Burns, unspecified

Coding Note:

Code also the size of burn as the percentage of total body surface area burned to

any depth, and the percentage with full-thickness or deep full thickness burns.

Frostbite (BlockL1‑NE4)

Frostbite is injury from ice formation within tissues resulting from contact with cold air, liquids or
metals. It is most commonly due to excessive exposure of skin to sub-zero environmental
temperatures. The risk of injury is exacerbated by wind. The most commonly affected sites are
fingers, toes, ears, nose, cheeks and chin with injury limited to skin and soft tissues. Full thickness
skin necrosis and injury to deeper structures including muscles and bone may occur with prolonged
exposure to cold.

ICD-11 MMS – 09/2020

Exclusions:

Hypothermia (NF02)

NE40

Superficial frostbite

Frostbite in which injury is confined to the skin, where there may be epidermal
blistering and sloughing but no significant tissue necrosis.

Inclusions:

frostbite with partial-thickness skin loss

Exclusions:

Superficial frostbite involving multiple body regions (NE42)

NE41

Frostbite with tissue necrosis

Frostbite with localised tissue necrosis of skin and deeper tissues

Exclusions:

Frostbite with tissue necrosis involving multiple body regions

(NE42)

NE42

Frostbite involving multiple body regions

Frostbite is damage to tissues as the result of exposure to low environmental
temperatures.

Coding Note:

Each frostbite injury should be coded separately. This code should be used only

when the detail of the specific injuries is unknown, or it is not possible to code each

injury.

NE4Z

Frostbite, unspecified

Harmful effects of substances (BlockL1‑NE6)

Coding Note:

When a specified harmful effect of a substance or substances is known, code to the

specific condition.

NE60

Harmful effects of drugs, medicaments or biological substances, not

elsewhere classified

Coding Note:

When a specified harmful effect of a substance or substances is known, code to the

specific condition.

Exclusions:

Alcohol intoxication (6C40.3)

drug reaction and poisoning affecting the fetus and newborn

(Chapter 19)

pathological drug intoxication (BlockL1‑6C4)

hypersensitivity reaction to correctly administered drug

(BlockL1‑4A8)

NE61

Harmful effects of or exposure to noxious substances, chiefly

nonmedicinal as to source, not elsewhere classified

Coding Note:

When a specified harmful effect of a substance or substances is known, code to the

specific condition.

Exclusions:

corrosions (BlockL1‑ND9)

Bacterial foodborne intoxications (BlockL2‑1A1)

NE6Z

Harmful effects of unspecified substance

Coding Note:

When a specified harmful effect of a substance or substances is known, code to the

specific condition.

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Injury or harm arising from surgical or medical care, not elsewhere

classified (BlockL1‑NE8)

Exclusions:

Attention to artificial openings (QB62)

adverse effects of drugs and medicaments (NE60)

Fitting or adjustment of external prosthetic device (QB31.0)

burns and corrosions from local applications and irradiation (BlockL1‑ND9)

poisoning and toxic effects of drugs and chemicals (NE60)

Colostomy malfunction (DE12.0)

Disorders of fluid, electrolyte or acid-base balance (BlockL2‑5C7)

Other functional disturbances following cardiac surgery (BE11)

Dumping syndrome (DE11)

Postmastectomy lymphoedema syndrome (BE1B.0)

Postsurgical blind-loop syndrome (DA96.0)

Coded Elsewhere:

Complications of intrauterine procedures, not elsewhere classified (KD39)

Complications of anaesthesia during pregnancy (JA67)

Complications of anaesthesia during labour or delivery (JB0C)

Complications of anaesthesia during the puerperium (JB43)

NE80

Injury or harm arising following infusion, transfusion or therapeutic

injection, not elsewhere classified
Exclusions:

bone-marrow transplant rejection (NE84)

toxic endophthalmitis (9C21)

NE80.0

Air embolism following infusion, transfusion or therapeutic injection

NE80.1

ABO incompatibility reaction

Inclusions:

Reaction to blood-group incompatibility in infusion or

transfusion

NE80.2

Rh incompatibility reaction

Inclusions:

Reaction due to Rh factor in infusion or transfusion

NE80.3

Other serum reactions

Exclusions:

serum hepatitis (1E50.1)

Coded Elsewhere:

Serum sickness vasculitis (4A44.Y)

Anaphylactic shock due to serum (4A84.Y)

NE80.Y

Other specified injury or harm arising following infusion, transfusion or therapeutic

injection, not elsewhere classified

NE80.Z

Injury or harm arising following infusion, transfusion or therapeutic injection, not

elsewhere classified, unspecified

NE81

Injury or harm arising from a procedure, not elsewhere classified

ICD-11 MMS – 09/2020

Any complication attributable to a medical, surgical or other clinical procedure
which cannot be more precisely coded elsewhere in the classification.

Exclusions:

Harmful effects of drugs, medicaments or biological

substances, not elsewhere classified (NE60)

Failure or rejection of transplanted organs or tissues (NE84)

Injury or harm arising following infusion, transfusion or

therapeutic injection, not elsewhere classified (NE80)

NE81.0

Haemorrhage or haematoma complicating a procedure, not elsewhere classified

Inclusions:

Haemorrhage at any site resulting from a procedure

Coded Elsewhere:

Haematoma of obstetric wound (JB44.2)

NE81.00

Haematoma of surgical wound of skin
Collection of blood within skin and soft tissues following surgical wound of skin
usually resulting from defective haemostasis

NE81.01

Haemorrhage and haematoma of eye or ocular adnexa complicating a procedure

NE81.0Z

Haemorrhage or haematoma of other or unspecified site complicating a procedure,

not elsewhere classified

NE81.1

Disruption of operation wound, not elsewhere classified

Inclusions:

Dehiscence of operation wound

Rupture of operation wound

Exclusions:

Postsurgical anastomosis leak (NE81.3)

Coded Elsewhere:

Disruption of caesarean section wound (JB44.0)

Disruption of perineal obstetric wound (JB44.1)

NE81.2

Surgical site infection

Coded Elsewhere:

Infection of obstetric surgical wound (JB40.1)

NE81.20

Superficial incisional site infection
A surgical site infection involving only skin and subcutaneous tissue of the incision.

Exclusions:

Streptococcal cellulitis of skin (1B70.1)

Staphylococcal cellulitis of skin (1B70.2)

NE81.21

Deep incisional site infection
A surgical site infection involving deep soft tissues of the incision (e.g. fascia and
muscle layers).

NE81.22

Organ or organ space surgical site infection
A surgical site infection that involves any part of the body deeper than the fascial or
muscle layers, that is opened or manipulated during the operative procedure.

NE81.2Y

Other specified surgical site infection

NE81.2Z

Surgical site infection, unspecified

NE81.3

Postsurgical leak

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Exclusions:

Complication of external stoma of digestive organs (DE12)

Tracheostomy malfunction (CB60)

NE81.Y

Other specified injury or harm arising from a procedure, not elsewhere classified

NE81.Z

Injury or harm arising from a procedure, not elsewhere classified, unspecified

NE82

Dysfunction or complication of pacemaker, pacemaker lead or implantable

cardioverter defibrillator, not elsewhere classified
Coded Elsewhere:

Pacemaker or implantable cardioverter defibrillator battery at

end of battery life (BC91)

NE82.0

Pacemaker or implantable cardioverter defibrillator complication
An event or occurrence related to a pacemaker or an implantable cardioverter
defibrillator (ICD) or one of its components that is associated with a healthcare
intervention, is a departure from the desired course of events, and may cause, or be
associated with, a suboptimal outcome.

NE82.00

Pacemaker or implantable cardioverter defibrillator pocket erosion
Any breakdown of the implant site or skin overlying pacemaker or an implantable
cardioverter defibrillator (ICD) pocket.

NE82.01

Pacemaker or implantable cardioverter defibrillator pocket muscle stimulation
Inappropriate muscular stimulation in or near a pacemaker or implantable
cardioverter defibrillator (ICD) generator pocket that cannot be managed with
device reprograming and results in patient discomfort or need for reoperation.

NE82.02

Pacemaker or implantable cardioverter defibrillator phrenic nerve stimulation

NE82.03

Pacemaker-induced cardiomyopathy
This is a pacemaker-induced, measurable deterioration of the function of the
myocardium (the heart muscle) for any reason, usually leading to heart failure;
common symptoms are dyspnoea (breathlessness) and peripheral oedema
(swelling of the legs).

NE82.0Y

Other specified pacemaker or implantable cardioverter defibrillator complication

NE82.0Z

Pacemaker or implantable cardioverter defibrillator complication, unspecified

NE82.1

Pacemaker or implantable cardioverter defibrillator dysfunction
Any abnormality of pacemaker or implantable cardioverter defibrillator (ICD) device
function.

NE82.10

Inappropriate implantable cardioverter defibrillator shock
One or more implantable cardioverter defibrillator (ICD) high energy discharges
delivered in response to an event other than an appropriately sensed ventricular
arrhythmia meeting criteria for therapy. Examples of such events include artefactual
sensing (e.g., T-wave oversensing or noise) or a supraventricular arrhythmias (e.g.,
atrial fibrillation or flutter, supraventricular tachycardia (SVT)) and sinus tachycardia.

NE82.11

Pacemaker syndrome

ICD-11 MMS – 09/2020

Cardiovascular signs or symptoms following pacemaker implantation due to
suboptimal atrioventricular synchrony, regardless of the pacing mode

NE82.12

Pacemaker generator dysfunction
Pacemaker pulse generator malfunction for any reason except routine battery
exhaustion.

NE82.1Y

Other specified pacemaker or implantable cardioverter defibrillator dysfunction

NE82.1Z

Pacemaker or implantable cardioverter defibrillator dysfunction, unspecified

NE82.2

Pacemaker or implantable cardioverter defibrillator lead complication

NE82.20

Pacemaker or implantable cardioverter defibrillator lead fracture

NE82.21

Pacemaker or implantable cardioverter defibrillator lead dislodgement

NE82.22

Pacemaker or implantable cardioverter defibrillator lead insulation break

NE82.2Y

Other specified pacemaker or implantable cardioverter defibrillator lead

complication

NE82.2Z

Pacemaker or implantable cardioverter defibrillator lead complication, unspecified

NE82.3

Pacemaker or implantable cardioverter defibrillator lead dysfunction

NE82.Y

Other specified dysfunction or complication of pacemaker, pacemaker lead or

implantable cardioverter defibrillator, not elsewhere classified

NE82.Z

Dysfunction or complication of pacemaker, pacemaker lead or implantable

cardioverter defibrillator, not elsewhere classified, unspecified

NE83

Injury or harm arising from other device, implant or graft, not elsewhere

classified
Coded Elsewhere:

Wear of articular bearing surface of joint prosthesis (FA35)

Postsurgical osteolysis (FC01.8)

NE83.0

Destruction or cartilage wear of joint with hemiarthroplasty

NE83.1

Infection arising from device, implant or graft, not elsewhere classified

Coding Note:

This code should not be used if the type of infection is specified

Coded Elsewhere:

Infection due to pacemaker or implantable cardioverter

defibrillator (NE82.0Y)

NE83.Y

Other specified injury or harm arising from other device, implant or graft, not

elsewhere classified

NE84

Failure or rejection of transplanted organs or tissues

NE85

Complications peculiar to reattachment or amputation

NE85.0

Complications of reattached upper extremity

NE85.1

Complications of reattached lower extremity

NE85.2

Complications of other reattached body part

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NE85.3

Neuroma of amputation stump

NE85.4

Infection of amputation stump

NE85.5

Necrosis of amputation stump

NE85.6

Other or unspecified complications of amputation stump

Exclusions:

Phantom limb syndrome (8E43.00)

NE86

Malignant hyperthermia due to anaesthesia

A condition caused by hypermetabolism in response to certain anaesthetic drugs.
This condition is characterised by hyperthermia, tachycardia, tachypnoea, increased
carbon dioxide production, increased oxygen consumption, acidosis, muscle rigidity,
and rhabdomyolysis. This condition may be associated with genetic mutation.

NE87

Failed or difficult intubation

Intubation complicated by patient anatomy or physiology which complicates,
prolongs or prevents intubation.

Complication is defined as saturations falling more than 20% below baseline,
significant damage to lips, teeth or tongue, or regurgitation and aspiration of gastric
contents. Prolongation is defined as either intubation using special techniques
(fibreoptic intubation) or three or more attempts at intubation using direct
laryngoscopy or videolaryngoscopy when performed by a fully trained and expert
anesthetist. Failure is defined as the abandonment of the attempt at intubation.

Exclusions:

Failed or difficult intubation during pregnancy (JA67.5)

Failed or difficult intubation during labour or delivery (JB0C.7)

Failed or difficult intubation during the puerperium (JB43.5)

NE88

Drug toxicity associated with harm in surgical or medical care, not

elsewhere classified

NE8Y

Other specified injury or harm arising from surgical or medical care, not

elsewhere classified

NE8Z

Injury or harm arising from surgical or medical care, not elsewhere

classified, unspecified

Other or unspecified effects of external causes (BlockL1‑NF0)

Coded Elsewhere:

Anaphylaxis (4A84)

NF00

Effects of radiation, not elsewhere classified
Exclusions:

Sunburn (EJ40)

Burns (BlockL1‑ND9)

specified adverse effects of radiation, such as leukaemia

(BlockL1‑2A2)

Radiation gastritis (DA42.81)

Acute pulmonary manifestations due to radiation (CA82.0)

ICD-11 MMS – 09/2020

Radiation duodenitis (DA51.53)

Radiation oesophagitis (DA24.22)

Radiation-induced colitis (DB33.41)

NF01

Effects of heat

Adverse effects resulting from a failure to maintain normal body core temperature
on exposure to excessive heat. Vigorous exercise, insulation by clothing (e.g.
protective clothing) or an inability to sweat normally (e.g. genetic hypohidrosis or
autonomic neuropathy) may be contributory factors.

Inclusions:

heat prostration NOS

Exclusions:

Sunburn (EJ40)

Burns (BlockL1‑ND9)

Malignant hyperthermia due to anaesthesia (NE86)

Dermatoses provoked by heat or electricity (BlockL2‑EJ1)

NF01.0

Heat stroke
Elevation of core body temperature above 40.6 degrees centigrade due to
environmental heat exposure and a failure of thermoregulation. This is a potentially
fatal disorder, particularly in infants and children.

Coded Elsewhere:

Environmental hyperthermia of newborn (KD10)

NF01.1

Heat syncope
Fainting attributable to exposure to heat

Inclusions:

Heat collapse

NF01.2

Heat exhaustion due to fluid depletion
A failure of thermoregulatory sweating on exposure to heat as a result of water
deprivation and/or inadequate replacement of fluids lost through sweating or by
other means (e.g. severe diarrhoea). If untreated this may progress to heat stroke.

Inclusions:

Heat prostration due to water depletion

NF01.3

Heat fatigue, transient

NF01.Y

Other specified effects of heat

NF01.Z

Effects of heat, unspecified

NF02

Hypothermia
Inclusions:

Accidental hypothermia

Exclusions:

Hypothermia, not associated with low environmental

temperature (MG28)

Frostbite (BlockL1‑NE4)

Coded Elsewhere:

Hypothermia of newborn (KD12)

NF03

Other effects of reduced temperature
Exclusions:

Frostbite (BlockL1‑NE4)

Hypothermia (NF02)

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

NF03.0

Chilblains
Chilblains are the result of cold-induced damage principally to the microvasculature
of acral skin in susceptible individuals. They are commonest in the winter months in
cold, damp climates. They present as itchy or painful red-purple macules, papules or
plaques, most commonly affecting the fingers and toes, though other body
extremities including the heels, nose and ears can be involved. Because of
insulation from core body temperature, other areas, especially the lateral thighs,
may be involved in areas where there is a thick layer of subcutaneous fat.

NF03.1

Immersion hand or foot
Injury to the skin and soft tissues of the feet and, less commonly, the hands due to
prolonged exposure to non-freezing cold and wet conditions. Originally reported in
soldiers as trench foot during World War I, it is now more commonly seen in the
homeless either because of vagrancy or as the result of conflict. Affected
extremities are initially cold, numb, swollen and pulseless; this is followed by a
period of intense hyperaemia and pain which then gives way to increased sweating
and cold sensitivity.

NF03.Y

Other specified effects of reduced temperature

NF03.Z

Unspecified effects of reduced temperature

NF04

Effects of air pressure or water pressure

NF04.0

Otitic barotrauma

Inclusions:

Aero-otitis media

NF04.1

Sinus barotrauma

Inclusions:

Aerosinusitis

Effects of change in ambient atmospheric pressure on sinuses

NF04.2

Caisson disease

Inclusions:

Compressed-air disease

Exclusions:

Osteonecrosis due to trauma (FB81.3)

NF04.3

Effects of high-pressure fluids

NF04.Y

Other specified effects of air pressure or water pressure

NF04.Z

Effects of air pressure or water pressure, unspecified

NF05

Asphyxiation
Exclusions:

Respiratory distress of newborn (KB23)

Adult acute respiratory distress syndrome (CB00)

asphyxia from carbon monoxide (NE61)

asphyxia from inhalation of food or foreign body (ND72)

NF06

Effects of strenuous physical exercise

NF06.0

Exertional heat stroke

ICD-11 MMS – 09/2020

NF06.1

Post exercise postural hypotension

NF06.2

Post exertional dehydration

NF06.3

Exercise muscle cramp

NF06.Y

Other specified effects of strenuous physical exercise

NF06.Z

Effects of strenuous physical exercise, unspecified

NF07

Effects of other deprivation

NF07.0

Effects of hunger

Inclusions:

Deprivation of food

Starvation

NF07.1

Effects of thirst

Inclusions:

Deprivation of water

NF07.2

Exhaustion due to exposure

NF07.Y

Other specified effects of deprivation

NF07.Z

Effects of other deprivation, unspecified

NF08

Effects of certain specified external causes
Exclusions:

electric burns (BlockL1‑ND9)

Adverse effects, not elsewhere classified (NF09)

NF08.0

Effects of lightning

NF08.1

Drowning or nonfatal submersion

Inclusions:

Immersion

NF08.2

Effects of vibration

Coded Elsewhere:

Vibratory angioedema (EB01.Y)

NF08.20

Hand and arm vibration syndrome
Hand Transmitted Vibration is mechanical vibration arising from powered
processes or tools which enters the body at the fingers or the palm of the hands. As
a consequence of this exposure some people develop a secondary Raynaud’s
phenomenon and / or peripheral sensory neuropathy affecting the hands.

Exclusions:

Carpal tunnel syndrome (8C10.0)

NF08.2Y

Other specified effects of vibration

NF08.2Z

Effects of vibration, unspecified

NF08.3

Motion sickness

NF08.4

Effects of electric current

NF09

Adverse effects, not elsewhere classified

INTERNATIONAL CLASSIFICATION OF DISEASES -

Mortality and Morbidity Statistics

ICD-11 MMS – 09/2020

Adverse effects which cannot be attributed to any more specific cause and thus
excluding but not limited to injury, allergy, hypersensitivity, toxic effects and
complications of surgical and medical care.

Exclusions:

Injury or harm arising from surgical or medical care, not

elsewhere classified (BlockL1‑NE8)

Anaphylaxis (4A84)

anaphylactic shock due to serum (NE80.3)

Allergic or hypersensitivity disorders involving skin or mucous

membranes (4A82)

Allergic or hypersensitivity disorders involving the

gastrointestinal tract (4A83)

Allergic or hypersensitivity disorders involving the respiratory

tract (4A80)

anaphylactic shock due to adverse food reaction (4A84.0)

Harmful effects of substances (BlockL1‑NE6)

NF0A

Certain early complications of trauma, not elsewhere classified
Exclusions:

Injury or harm arising from surgical or medical care, not

elsewhere classified (BlockL1‑NE8)

Respiratory distress of newborn (KB23)

Adult acute respiratory distress syndrome (CB00)

NF0A.0

Air embolism, traumatic, not elsewhere classified

Exclusions:

air embolism complicating abortion or ectopic or molar

pregnancy (JA05.2)

air embolism complicating pregnancy, childbirth and the

puerperium (JB42.0)

NF0A.1

Fat embolism, traumatic, not elsewhere classified

Exclusions:

fat embolism complicating abortion or ectopic or molar

pregnancy (JA05.2)

fat embolism complicating: pregnancy, childbirth and the

puerperium (JB42)

NF0A.2

Traumatic secondary or recurrent haemorrhage, not elsewhere classified

NF0A.3

Post traumatic wound infection, not elsewhere classified
Infection of skin and soft tissue secondary to trauma

NF0A.4

Traumatic shock, not elsewhere classified

Exclusions:

obstetric shock (JB0D.1)

nontraumatic shock NEC (MG40)

Shock following abortion, ectopic or molar pregnancy (JA05.3)

lightening shock (NF08.0)

electric shock (NF08.4)

anaphylactic shock NOS (4A84)

100

ICD-11 MMS – 09/2020

shock anaphylactic: due to: correct medicinal substance

properly administered (4A84.1)

shock: anaphylactic: due to adverse food reaction (4A84.0)

anaphylactic due to serum (NE80.3)

NF0A.5

Traumatic anuria, not elsewhere classified

Inclusions:

Crush syndrome

Renal failure following crushing

NF0A.6

Traumatic ischaemia of muscle, not elsewhere classified

Inclusions:

Traumatic compartment syndrome

Exclusions:

anterior tibial syndrome (FB54)

NF0A.7

Traumatic subcutaneous emphysema, not elsewhere classified

Exclusions:

emphysema (subcutaneous) resulting from a procedure (NE81)

NF0A.Y

Other early complication of trauma, not elsewhere classified

NF0Y

Other specified effects of external causes

NF0Z

Unspecified effects of external causes

NF2Y

Other specified injury, poisoning or certain other consequences of external

causes

NF2Z

Unspecified injury, poisoning or certain other consequences of external

causes

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ICD11 MMS en 12
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