types: fractures dislocation sprains, strains of joints and adjacent muscles intracranial...

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INJURY AND POISONING Types: Fractures Dislocation Sprains, strains of joints and adjacent muscles Intracranial Injury, excluding: those w/skull fx Internal injury of thorax, abdomen, pelvis Open wound Injury to blood vessels Late effects of injuries, poisonings, toxic effects, and other external causes

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Page 1: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

INJURY AND POISONING Types:

FracturesDislocationSprains, strains of joints and adjacent

muscles Intracranial Injury, excluding: those w/skull

fx Internal injury of thorax, abdomen, pelvisOpen wound Injury to blood vesselsLate effects of injuries, poisonings, toxic

effects, and other external causesSuperficial InjuryContusion with intact skin surface

Page 2: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

INJURY AND POISONING (CONT)

Crushing Injury Effects of Foreign body entering through orifice Burns Injury to nerves and spinal cord Certain traumatic complications and

unspecified injuries Poisoning by drugs, medicinal and biological

substances Toxic effects of substances chiefly

nonmedicinal as to source Other and unspecified effects of external

causes Complications of surgical and medical care, not

elsewhere classified

Page 3: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

Fractures:

sitesingle or multipleclosed

i.e. dpressed, greenstick, impacted, simple, spiral

open i.e. compound, puncture, infected, with foreign

body

Dislocation and SubluxationOpen

compound, infected, with foreign bodyClosed

complete, dislocation NOS, partial, simple, uncomplicated

Page 4: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

TYPES OF INJURIES Intracranial Contusions (severe, bleeding and

bruising of brain tissue Hematoma Laceration

openclosed

Open wound Crushing Burns

1st, 2nd and 3rd degreeCause

Page 5: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

DEBRIDEMENT Procedure associated with

burnswounds infections foreign body not by entering orifice

CodeLate effectsCauseEncounter site Debridement - procedure

Page 6: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

INJURY AND POISONING ADD-ONS Alphabetic Index

check here first, then Tabular list to verify Table of Drugs and Chemicals (inc. alcohol) Adverse Effects of Drugs

specified unspecified

Late Effects of Drugs or Chemicals Allergies Causes

accidental medical negligence suicide homicide unknown allergies unspecified

Page 7: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

E CODES E codes – External Cause of Injury or

Poisoning Accidental Surgical/medical Terrorism Late effects Other accidents Drugs Homicide Legal intervention War Abuse

Page 8: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

ADDITIONAL INFO FOR E CODES Death and Injury resulting from

terrorism Late effects Never events

wrong site surgery, wrong surgery, wrong patient

foreign body left in patient Fourth digit subdivisions:

Railway accidentsMotor vehicle traffic and nontraffic

accidentsOther road vehicle accidentsWater transport accidentsAir and Space Transport accidents

Page 9: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

EXTERNAL CAUSE STATUS Civilian activity done for income or pay

Military activity

Other external cause status

Unspecified external cause status

See activity codes, pg. 311

Military operations

Page 10: Types:  Fractures  Dislocation  Sprains, strains of joints and adjacent muscles  Intracranial Injury, excluding: those w/skull fx  Internal injury

LATE EFFECTS Late effect – a residual effect, or

condition produced and currently present, that remains after the acute phase of an illness or injury has terminatedex: scarring following a burn, arthritis

following a fracture Terminology:

residuals ofoldsequela of latedue to or following previous illness or injury