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FRACTURES (800-829)
Excludes:
malunion (733.81)
nonunion (733.82)
pathologic or spontaneous fracture (733.10-733.19)
stress fracture (733.93-733.95)
The terms "condyle," "coronoid process," "ramus," and "symphysis" indicate the portion of the bone fractured, not the name of the bone involved.
The descriptions "closed" and "open" used in the fourth-digit subdivisions include the following terms:
closed (with or without delayed healing):
comminuted
depressed
elevated
fissured
fracture NOS
greenstick
impacted
linear
simple
slipped epiphysis
spiral
open (with or without delayed healing):
compound
infected
missile
puncture
with foreign body
Note: A fracture not indicated as closed or open should be classified as closed.
800 Fracture of vault of skull
Requires fifth digit. See beginning of section 800-804 for codes and definitions.
Includes:
frontal bone
parietal bone
801 Fracture of base of skull
Requires fifth digit. See beginning of section 800-804 for codes and definitions.
Includes:
fossa:
anterior
middle
posterior
occiput bone
orbital roof
sinus:
ethmoid
frontal
sphenoid bone
temporal bone
803 Other and unqualified skull fractures
Requires fifth digit. See beginning of section 800-804 for codes and definitions.
Includes:
skull NOS
skull multiple NOS
804 Multiple fractures involving skull or face with other bones
Requires fifth digit. See beginning of section 800-804 for codes and definitions.
805 Fracture of vertebral column without mention of spinal cord injury
Includes:
neural arch
spine
spinous process
transverse process
vertebra
The following fifth-digit subclassification is for use with codes 805.0-805.1:
0 cervical vertebra, unspecified level
1 first cervical vertebra
2 second cervical vertebra
3 third cervical vertebra
4 fourth cervical vertebra
5 fifth cervical vertebra
6 sixth cervical vertebra
7 seventh cervical vertebra
8 multiple cervical vertebrae
806 Fracture of vertebral column with spinal cord injury
Includes:
any condition classifiable to 805 with:
complete or incomplete transverse lesion (of cord)
hematomyelia
injury to:
cauda equina
nerve
paralysis
paraplegia
quadriplegia
spinal concussion
807 Fracture of rib(s), sternum, larynx, and trachea
The following fifth-digit subclassification is for use with codes 807.0-807.1:
0 rib(s), unspecified
1 one rib
2 two ribs
3 three ribs
4 four ribs
5 five ribs
6 six ribs
7 seven ribs
8 eight or more ribs
9 multiple ribs, unspecified
809 Ill-defined fractures of bones of trunk
Includes:
bones of trunk with other bones except those of skull and face
multiple bones of trunk
Excludes:
multiple fractures of:
pelvic bones alone (808.0-808.9)
ribs alone (807.0-807.1, 807.4)
ribs or sternum with limb bones (819.0-819.1, 828.0-828.1)
skull or face with other bones (804.0-804.9)
810 Fracture of clavicle
Includes:
collar bone
interligamentous part of clavicle
The following fifth-digit subclassification is for use with category 810:
0 unspecified part
Clavicle NOS
1 sternal end of clavicle
2 shaft of clavicle
3 acromial end of clavicle
811 Fracture of scapula
Includes:
shoulder blade
The following fifth-digit subclassification is for use with category 811:
0 unspecified part
1 acromial process
Acromion (process)
2 coracoid process
3 glenoid cavity and neck of scapula
9 other
814 Fracture of carpal bone(s)
The following fifth-digit subclassification is for use with category 814:
0 carpal bone, unspecified
Wrist NOS
1 navicular [scaphoid] of wrist
2 lunate [semilunar] bone of wrist
3 triquetral [cuneiform] bone of wrist
4 pisiform
5 trapezium bone [larger multangular]
6 trapezoid bone [smaller multangular]
7 capitate bone [os magnum]
8 hamate [unciform] bone
9 other
815 Fracture of metacarpal bone(s)
Includes:
hand [except finger]
metacarpus
The following fifth-digit subclassification is for use with category 815:
0 metacarpal bone(s), site unspecified
1 base of thumb [first] metacarpal
Bennett's fracture
2 base of other metacarpal bone(s)
3 shaft of metacarpal bone(s)
4 neck of metacarpal bone(s)
9 multiple sites of metacarpus
816 Fracture of one or more phalanges of hand
Includes:
finger(s)
thumb
The following fifth-digit subclassification is for use with category 816:
0 phalanx or phalanges, unspecified
1 middle or proximal phalanx or phalanges
2 distal phalanx or phalanges
3 multiple sites
817 Multiple fractures of hand bones
Includes:
metacarpal bone(s) with phalanx or phalanges of same hand
818 Ill-defined fractures of upper limb
Includes:
arm NOS
multiple bones of same upper limb
Excludes:
multiple fractures of:
metacarpal bone(s) with phalanx or phalanges (817.0-817.1)
phalanges of hand alone (816.0-816.1)
radius with ulna (813.0-813.9)
819 Multiple fractures involving both upper limbs, and upper limb with rib(s) and sternum
Includes:
arm(s) with rib(s) or sternum
both arms [any bones]
823 Fracture of tibia and fibula
Excludes:
Dupuytren's fracture (824.4-824.5)
ankle (824.4-824.5)
radius (813.42, 813.52)
Pott's fracture (824.4-824.5)
that involving ankle (824.0-824.9)
The following fifth-digit subclassification is for use with category 823:
0 tibia alone
1 fibula alone
2 fibula with tibia
827 Other, multiple, and ill-defined fractures of lower limb
Includes:
leg NOS
multiple bones of same lower limb
Excludes:
multiple fractures of:
ankle bones alone (824.4-824.9)
phalanges of foot alone (826.0-826.1)
tarsal with metatarsal bones (825.29, 825.39)
tibia with fibula (823.0-823.9 with fifth-digit 2)
828 Multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum
Includes:
arm(s) with leg(s) [any bones]
both legs [any bones]
leg(s) with rib(s) or sternum
 
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