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External causes of morbidity (V00-Y99)

The external causes of morbidity codes should never be sequenced as the firstlisted or principal diagnosis. External cause codes are intended to provide data for injury research and evaluation of injury prevention strategies. These codes capture how the injury or health condition happened (cause), the intent (unintentional or accidental; or intentional, such as suicide or assault), the place where the event occurred the activity of the patient at the time of the event, and the person’s status (e.g., civilian, military). There is no national requirement for mandatory ICD-10-CM external cause code reporting.

  • Notes:
    • This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapte

  • V00-X58 Accidents (V00-X58)
  • V00-V99 Transport accidents (V00-V99)
  • V00-V09 Pedestrian injured in transport accident (V00-V09)
  • V10-V19 Pedal cycle rider injured in transport accident (V10-V19)
  • V20-V29 Motorcycle rider injured in transport accident (V20-V29)
  • V30-V39 Occupant of three-wheeled motor vehicle injured in transport accident (V30-V39)
  • V40-V49 Car occupant injured in transport accident (V40-V49)
  • V50-V59 Occupant of pick-up truck or van injured in transport accident (V50-V59)
  • V60-V69 Occupant of heavy transport vehicle injured in transport accident (V60-V69)
  • V70-V79 Bus occupant injured in transport accident (V70-V79)
  • V80-V89 Other land transport accidents (V80-V89)
  • V90-V94 Water transport accidents (V90-V94)
  • V95-V97 Air and space transport accidents (V95-V97)
  • V98-V99 Other and unspecified transport accidents (V98-V99)
  • W00-X58 Other external causes of accidental injury (W00-X58)
  • W00-W19 Slipping, tripping, stumbling and falls (W00-W19)
  • W20-W49 Exposure to inanimate mechanical forces (W20-W49)
  • W50-W64 Exposure to animate mechanical forces (W50-W64)
  • W65-W74 Accidental non-transport drowning and submersion (W65-W74)
  • W85-W99 Exposure to electric current, radiation and extreme ambient air temperature and pressure (W85-W99)
  • X00-X08 Exposure to smoke, fire and flames (X00-X08)
  • X10-X19 Contact with heat and hot substances (X10-X19)
  • X30-X39 Exposure to forces of nature (X30-X39)
  • X50 Overexertion and strenuous or repetitive movements (X50)
  • X52-X58 Accidental exposure to other specified factors (X52-X58)
  • X71-X83 Intentional self-harm (X71-X83)
  • X92-Y09 Assault (X92-Y09)
  • Y21-Y33 Event of undetermined intent (Y21-Y33)
  • Y35-Y38 Legal intervention, operations of war, military operations, and terrorism (Y35-Y38)
  • Y62-Y84 Complications of medical and surgical care (Y62-Y84)
  • Y62-Y69 Misadventures to patients during surgical and medical care (Y62-Y69)
  • Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)
  • Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84)
  • Y90-Y99 Supplementary factors related to causes of morbidity classified elsewhere (Y90-Y99)

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Increases in external cause mortality due to high and low temperatures: evidence from northeastern Europe.

Orru H, Åström DO

The relationship between temperature and mortality is well established but has seldom been investigated in terms of external causes. In some Eastern European countries, external cause mortality is substantial. Deaths owing to external causes are the third largest cause of mortality in Estonia, after cardiovascular disease and cancer. Death rates owing to external causes may reflect behavioural changes among a population. The aim for the current study was to investigate if there is any association between temperature and external cause mortality, in Estonia. We collected daily information on deaths from external causes (ICD-10 diagnosis codes V00-Y99) and maximum temperatures over the period 1997-2013. The relationship between daily maximum temperature and mortality was investigated using Poisson regression, combined with a distributed lag non-linear model considering lag times of up to 10 days. We found significantly higher mortality owing to external causes on hot (the same and previous day) and cold days (with a lag of 1-3 days). The cumulative relative risks for heat (an increase in temperature from the 75th to 99th percentile) were 1.24 (95% confidence interval, 1.14-1.34) and for cold (a decrease from the 25th to 1st percentile) 1.19 (1.03-1.38). Deaths due to external causes might reflect changes in behaviour among a population during periods of extreme hot and cold temperatures and should therefore be investigated further, because such deaths have a severe impact on public health, especially in Eastern Europe where external mortality rates are high.
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