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INTERNAL INJURY OF THORAX, ABDOMEN, AND PELVIS (860-869)
Includes:
blast injuries of internal organs
blunt trauma of internal organs
bruise of internal organs
concussion injuries (except cerebral) of internal organs
crushing of internal organs
hematoma of internal organs
laceration of internal organs
puncture of internal organs
tear of internal organs
traumatic rupture of internal organs
Excludes:
concussion NOS (850.0-850.9)
flail chest (807.4)
foreign body entering through orifice (930.0-939.9)
injury to blood vessels (901.0-902.9)
Note: The description "with open wound," used in the fourth-digit subdivisions, includes those with mention of infection or foreign body.
861 Injury to heart and lung
Excludes:
injury to blood vessels of thorax (901.0-901.9)
862 Injury to other and unspecified intrathoracic organs
Excludes:
injury to blood vessels of thorax (901.0-901.9)
863 Injury to gastrointestinal tract
Excludes:
anal sphincter laceration during delivery (664.2)
bile duct (868.0-868.1 with fifth-digit 2)
gallbladder (868.0-868.1 with fifth-digit 2)
864 Injury to liver
The following fifth-digit subclassification is for use with category 864:
0 unspecified injury
1 hematoma and contusion
2 laceration, minor
Laceration involving capsule only, or without significant involvement of hepatic parenchyma [i.e., less than 1 cm deep]
3 laceration, moderate
Laceration involving parenchyma but without major disruption of parenchyma [i.e., less than 10 cm long and less than 3 cm deep]
4 laceration, major
Laceration with significant disruption of hepatic parenchyma [i.e., 10 cm long and 3 cm deep]
Multiple moderate lacerations, with or without hematoma
Stellate lacerations of liver
5 laceration, unspecified
9 other
865 Injury to spleen
The following fifth-digit subclassification is for use with category 865:
0 unspecified injury
1 hematoma without rupture of capsule
2 capsular tears, without major disruption of parenchyma
3 laceration extending into parenchyma
4 massive parenchymal disruption
9 other
866 Injury to kidney
The following fifth-digit subclassification is for use with category 866:
0 unspecified injury
1 hematoma without rupture of capsule
2 laceration
3 complete disruption of kidney parenchyma
Excludes:
acute kidney injury (nontraumatic) (584.9)
867 Injury to pelvic organs
Excludes:
injury during delivery (664.0-665.9)
868 Injury to other intra-abdominal organs
The following fifth-digit subclassification is for use with category 868:
0 unspecified intra-abdominal organ
1 adrenal gland
2 bile duct and gallbladder
3 peritoneum
4 retroperitoneum
9 other and multiple intra-abdominal organs
869 Internal injury to unspecified or ill-defined organs
Includes:
internal injury NOS
multiple internal injury NOS
 
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