INTERNAL INJURY OF THORAX, ABDOMEN, AND PELVIS (860-869)

Traumatic pneumothorax and hemothorax
Injury to heart and lung
Injury to other and unspecified intrathoracic organs
Injury to gastrointestinal tract
Injury to liver
Injury to spleen
Injury to kidney
Injury to pelvic organs
Injury to other intra-abdominal organs
Internal injury to unspecified or ill-defined organs

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.

860 Traumatic pneumothorax and hemothorax

860.0 Pneumothorax without mention of open wound into thorax

860.1 Pneumothorax with open wound into thorax

860.2 Hemothorax without mention of open wound into thorax

860.3 Hemothorax with open wound into thorax

860.4 Pneumohemothorax without mention of open wound into thorax

860.5 Pneumohemothorax with open wound into thorax

861 Injury to heart and lung

Excludes: injury to blood vessels of thorax (901.0-901.9)

861.0 Heart, without mention of open wound into thorax

861.00 Unspecified injury
861.01 Contusion
Cardiac contusion
Myocardial contusion
861.02 Laceration without penetration of heart chambers
861.03 Laceration with penetration of heart chambers

861.1 Heart, with open wound into thorax

861.10 Unspecified injury
861.11 Contusion
861.12 Laceration without penetration of heart chambers
861.13 Laceration with penetration of heart chambers

861.2 Lung, without mention of open wound into thorax

861.20 Unspecified injury
861.21 Contusion
861.22 Laceration

861.3 Lung, with open wound into thorax

861.30 Unspecified injury
861.31 Contusion
861.32 Laceration

862 Injury to other and unspecified intrathoracic organs

Excludes: injury to blood vessels of thorax (901.0-901.9)

862.0 Diaphragm, without mention of open wound into cavity

862.1 Diaphragm, with open wound into cavity

862.2 Other specified intrathoracic organs, without mention of open wound into cavity

862.21 Bronchus
862.22 Esophagus
862.29 Other
Pleura
Thymus gland

862.3 Other specified intrathoracic organs, with open wound into cavity

862.31 Bronchus
862.32 Esophagus
862.39 Other

862.8 Multiple and unspecified intrathoracic organs, without mention of open wound into cavity

Crushed chest
Multiple intrathoracic organs

862.9 Multiple and unspecified intrathoracic organs, with open wound into cavity

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)

863.0 Stomach, without mention of open wound into cavity

863.1 Stomach, with open wound into cavity

863.2 Small intestine, without mention of open wound into cavity

863.20 Small intestine, unspecified site
863.21 Duodenum
863.29 Other

863.3 Small intestine, with open wound into cavity

863.30 Small intestine, unspecified site
863.31 Duodenum
863.39 Other

863.4 Colon or rectum, without mention of open wound into cavity

863.40 Colon, unspecified site
863.41 Ascending [right] colon
863.42 Transverse colon
863.43 Descending [left] colon
863.44 Sigmoid colon
863.45 Rectum
863.46 Multiple sites in colon and rectum
863.49 Other

863.5 Colon or rectum, with open wound into cavity

863.50 Colon, unspecified site
863.51 Ascending [right] colon
863.52 Transverse colon
863.53 Descending [left] colon
863.54 Sigmoid colon
863.55 Rectum
863.56 Multiple sites in colon and rectum
863.59 Other

863.8 Other and unspecified gastrointestinal sites, without mention of open wound into cavity

863.80 Gastrointestinal tract, unspecified site
863.81 Pancreas, head
863.82 Pancreas, body
863.83 Pancreas, tail
863.84 Pancreas, multiple and unspecified sites
863.85 Appendix
863.89 Other
Intestine NOS

863.9 Other and unspecified gastrointestinal sites, with open wound into cavity

863.90 Gastrointestinal tract, unspecified site
863.91 Pancreas, head
863.92 Pancreas, body
863.93 Pancreas, tail
863.94 Pancreas, multiple and unspecified sites
863.95 Appendix
863.99 Other

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

864.0 Without mention of open wound into cavity

864.1 With open wound into cavity

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

865.0 Without mention of open wound into cavity

865.1 With open wound into cavity

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

866.0 Without mention of open wound into cavity

866.1 With open wound into cavity

867 Injury to pelvic organs

Excludes: injury during delivery (664.0-665.9)

867.0 Bladder and urethra, without mention of open wound into cavity

867.1 Bladder and urethra, with open wound into cavity

867.2 Ureter, without mention of open wound into cavity

867.3 Ureter, with open wound into cavity

867.4 Uterus, without mention of open wound into cavity

867.5 Uterus, with open wound into cavity

867.6 Other specified pelvic organs, without mention of open wound into cavity

Fallopian tube
Ovary
Prostate
Seminal vesicle
Vas deferens

867.7 Other specified pelvic organs, with open wound into cavity

867.8 Unspecified pelvic organ, without mention of open wound into cavity

867.9 Unspecified pelvic organ, with open wound into cavity

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