ICD-10 Chapter XX: External causes of morbidity and mortality

International Statistical Classification of Diseases and Related Health Problems 10th Revision
Chapter	Blocks	Title
I	A00–B99	Certain infectious and parasitic diseases
II	C00–D48	Neoplasms
III	D50–D89	Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
IV	E00–E90	Endocrine, nutritional and metabolic diseases
V	F00–F99	Mental and behavioural disorders
VI	G00–G99	Diseases of the nervous system
VII	H00–H59	Diseases of the eye and adnexa
VIII	H60–H95	Diseases of the ear and mastoid process
IX	I00–I99	Diseases of the circulatory system
X	J00–J99	Diseases of the respiratory system
XI	K00–K93	Diseases of the digestive system
XII	L00–L99	Diseases of the skin and subcutaneous tissue
XIII	M00–M99	Diseases of the musculoskeletal system and connective tissue
XIV	N00–N99	Diseases of the genitourinary system
XV	O00–O99	Pregnancy, childbirth and the puerperium
XVI	P00–P96	Certain conditions originating in the perinatal period
XVII	Q00–Q99	Congenital malformations, deformations and chromosomal abnormalities
XVIII	R00–R99	Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
XIX	S00–T98	Injury, poisoning and certain other consequences of external causes
XX	V01–Y98	External causes of morbidity and mortality
XXI	Z00–Z99	Factors influencing health status and contact with health services
XXII	U00–U99	Codes for special purposes

ICD-10 is an international statistical classification used in health care and related industries.

Produced by the World Health Organization, it is used in several countries around the world. Some have gone on to develop their own national enhancements, building off the international classification.

Chapter XX of ICD-10 captures external causes of morbidity and mortality. Codes from Chapter XX are not intended to be used in isolation; instead they are used to with codes from Chapters I to XIX.

V01–Y98 – External causes of morbidity and mortality

(V01–X59) Accidents

(V01) Unintentional: vehicle and traffic injuries
(W00) Unintentional: falls
(W20) Unintentional: struck by/against
- W20 Struck by thrown, projected or falling object
- W21 Striking against or struck by sports equipment
- W22 Striking against or struck by other objects
- W23 Caught, crushed, jammed or pinched in or between objects
- W24 Contact with lifting and transmission devices, not elsewhere classified
- W25 Contact with sharp glass
- W26 Contact with knife, sword or dagger
- W27 Contact with nonpowered hand tool
- W28 Contact with powered lawnmower
- W29 Contact with other powered hand tools and household machinery
- W30 Contact with agricultural machinery
- W31 Contact with other and unspecified machinery
- W32 Handgun discharge
- W33 Rifle, shotgun and larger firearm discharge
- W34 Discharge from other and unspecified firearms
  - gunshot wound NOS
- W35 Explosion and rupture of boiler
- W36 Explosion and rupture of gas cylinder
- W37 Explosion and rupture of pressurized Tire, pipe or hose
- W38 Explosion and rupture of other specified pressurized devices
- W39 Discharge of firework
- W40 Explosion of other materials
- W41 Exposure to high-pressure jet
- W42 Exposure to noise
- W43 Exposure to vibration
- W44 Foreign body entering into or through eye or natural orifice
- W45 Foreign body or object entering through skin
- W46 Contact with hypodermic needle
- W49 Exposure to other and unspecified inanimate mechanical forces
(W50) Unintentional: hit/struck/bitten by person or animal
- W50 Hit, struck, kicked, twisted, bitten or scratched by another person
- W51 Striking against or bumped into by another person
- W52 Crushed, pushed or stepped on by crowd or human stampede
- W53 Bitten by rat
- W54 Bitten or struck by dog
- W55 Bitten or struck by other mammals
- W56 Contact with marine animal
- W57 Bitten or stung by nonvenomous insect and other nonvenomous arthropods
- W58 Bitten or struck by crocodile or alligator
- W59 Bitten or crushed by other reptiles
- W60 Contact with plant thorns and spines and sharp leaves
- W64 Exposure to other and unspecified animate mechanical forces
(W65) Unintentional: drowning/suffocation
(W85) Unintentional: exposure to electric current or radiation
(X00) Unintentional: fire/flames/hot objects
(X20) Unintentional: nature/environmental
- X20 Contact with venomous snakes and lizards
- X21 Contact with venomous spiders
- X22 Contact with scorpions
- X23 Contact with hornets, wasps and bees
- X24 Contact with centipedes and venomous millipedes (tropical)
- X25 Contact with other venomous arthropods
- X26 Contact with venomous marine animals and plants
- X27 Contact with other specified venomous animals
- X28 Contact with other specified venomous plants
- X29 Contact with unspecified venomous animal or plant
(X40) Unintentional: poisoning
(X50) Unintentional: overexertion

(X60–X84) Intentional self-harm

(X60) Intentional: self-harm
- (X60) Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics
- (X61) Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified
- (X62) Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified
- (X63) Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system
- (X64) Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
- (X65) Intentional self-poisoning by and exposure to alcohol
- (X66) Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours
- (X67) Intentional self-poisoning by and exposure to other gases and vapours
- (X68) Intentional self-poisoning by and exposure to pesticides
- (X69) Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
- (X70) Intentional self-harm by hanging, strangulation and suffocation
- (X71) Intentional self-harm by drowning and submersion
- (X72) Intentional self-harm by handgun discharge
- (X73) Intentional self-harm by rifle, shotgun and larger firearm discharge
- (X74) Intentional self-harm by other and unspecified firearm discharge
- (X75) Intentional self-harm by explosive material
- (X76) Intentional self-harm by smoke, fire and flames
- (X77) Intentional self-harm by steam, hot vapours and hot objects
- (X78) Intentional self-harm by sharp object
- (X79) Intentional self-harm by blunt object
- (X80) Intentional self-harm by jumping from a high place
- (X81) Intentional self-harm by jumping or lying before moving object
- (X82) Intentional self-harm by crashing of motor vehicle
- (X83) Intentional self-harm by other specified means
- (X84) Intentional self-harm by unspecified means

(X85–Y09) Assault

(X85) Intentional: assault/homicide
- (X85) Assault by drugs, medicaments and biological substances
- (X86) Assault by corrosive substance
- (X87) Assault by pesticides
- (X88) Assault by gases and vapours
- (X89) Assault by other specified chemicals and noxious substances
- (X90) Assault by unspecified chemical or noxious substance
- (X91) Assault by hanging, strangulation and suffocation
- (X92) Assault by drowning and submersion
- (X93) Assault by handgun discharge
- (X94) Assault by rifle, shotgun and larger firearm discharge
- (X95) Assault by other and unspecified firearm discharge
- (X96) Assault by explosive material
- (X97) Assault by smoke, fire and flames
- (X98) Assault by steam, hot vapours and hot objects
- (X99) Assault by sharp object
- (Y00) Assault by blunt object
- (Y01) Assault by pushing from high place
- (Y02) Assault by pushing or placing victim before moving object
- (Y03) Assault by crashing of motor vehicle
- (Y04) Assault by bodily force
- (Y05) Sexual assault by bodily force
- (Y06) Neglect and abandonment
- (Y07) Other maltreatment syndromes
- (Y08) Assault by other specified means
- (Y09) Assault by unspecified means

(Y10–Y34) Event of undetermined intent

(Y10) Undetermined intent

(Y35–Y36) Legal intervention and operations of war

(Y35) Legal intervention/operations of war

(Y40–Y84) Complications of medical and surgical care

(Y40–Y59) Drugs, medicaments and biological substances causing adverse effects in therapeutic use

(Y40) Injury resulting from medical procedures/treatment
- (Y40) Systemic antibiotics
  - (Y40.0) Penicillins
- (Y41) Other systemic anti-infectives and antiparasitics
- (Y42) Hormones and their synthetic substitutes and antagonists, not elsewhere classified
- (Y43) Primarily systemic agents
  - (Y43.0) Antiallergic and antiemetic drugs
  - (Y43.1) Antineoplastic antimetabolites
  - (Y43.2) Antineoplastic natural products
  - (Y43.3) Other antineoplastic drugs
  - (Y43.4) Immunosuppressive agents
  - (Y43.5) Acidifying and alkalizing agents
  - (Y43.6) Enzymes, not elsewhere classified
  - (Y43.8) Other primarily systemic agents, not elsewhere classified
  - (Y43.9) Primarily systemic agent, unspecified
- (Y44) Agents primarily affecting blood constituents
  - (Y44.0) Iron preparations and other anti-hypochromic-anaemia preparations
  - (Y44.1) Vitamin B12, folic acid and other anti-megaloblastic-anaemia preparations
  - (Y44.2) Anticoagulants
  - (Y44.3) Anticoagulant antagonists, vitamin K and other coagulants
  - (Y44.4) Antithrombotic drugs
  - (Y44.5) Thrombolytic drugs
  - (Y44.6) Natural blood and blood products
  - (Y44.7) Plasma substitutes
- (Y45) Analgesics, antipyretics and anti-inflammatory drugs
- (Y46) Antiepileptics and antiparkinsonism drugs
- (Y47) Sedatives, hypnotics and antianxiety drugs
- (Y48) Anaesthetics and therapeutic gases
- (Y49) Psychotropic drugs, not elsewhere classified
- (Y50) Central nervous system stimulants, not elsewhere classified
- (Y51) Drugs primarily affecting the autonomic nervous system
- (Y52) Agents primarily affecting the cardiovascular system
- (Y53) Agents primarily affecting the gastrointestinal system
- (Y54) Agents primarily affecting water-balance and mineral and uric acid metabolism
- (Y55) Agents primarily acting on smooth and skeletal muscles and the respiratory system
- (Y56) Topical agents primarily affecting skin and mucous membrane and ophthalmological, otorhinolaryngological and dental drugs
- (Y57) Other and unspecified drugs and medicaments
- (Y58) Bacterial vaccines
- (Y59) Other and unspecified vaccines and biological substances

(Y85–Y89) Sequelae of external causes of morbidity and mortality

(Y85) Sequelae of specified injuries

(Y90–Y98) Supplementary factors related to causes of morbidity and mortality classified elsewhere

(Y90) Evidence of alcohol involvement determined by blood alcohol level
- (Y90.0) Blood alcohol level of less than 20 mg/100 ml
- (Y90.1) Blood alcohol level of 20–39 mg/100 ml
- (Y90.2) Blood alcohol level of 40–59 mg/100 ml
- (Y90.3) Blood alcohol level of 60–79 mg/100 ml
- (Y90.4) Blood alcohol level of 80–99 mg/100 ml
- (Y90.5) Blood alcohol level of 100–119 mg/100 ml
- (Y90.6) Blood alcohol level of 120–199 mg/100 ml
- (Y90.7) Blood alcohol level of 200–239 mg/100 ml
- (Y90.8) Blood alcohol level of 240 mg/100 ml or more
- (Y90.9) Presence of alcohol in blood, level not specified
(Y91) Evidence of alcohol involvement determined by level of intoxication
- (Y91.0) Mild alcohol intoxication
- (Y91.1) Moderate alcohol intoxication
- (Y91.2) Severe alcohol intoxication
- (Y91.3) Very severe alcohol intoxication
- (Y91.9) Alcohol involvement, not otherwise specified
(Y95) Nosocomial condition
(Y96) Work-related condition
(Y97) Environmental-pollution-related condition
(Y98) Lifestyle-related condition

Excludes

Agricultural vehicles in stationary use or maintenance (W31.-)
Assault by crashing or motor vehicle (Y03.-)
Automobile or motor cycle in stationary use or maintenance - code to type of accident
Crashing of motor vehicle, undetermined intent (Y32)
Intentional self-harm by crashing of motor vehicle (X82)
Transport accidents due to cataclysm (X34-X38)

References

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