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

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ICD-10 chapters
Chapter Block 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

This is a shortened version of the twentieth chapter of the ICD-10: External causes of morbidity and mortality. It covers ICD codes V01 to Y98. All versions of the ICD-10, including the most recent one (2019), can be browsed freely on the website of the World Health Organisation (WHO). The ICD-10 can also be downloaded in PDF-form.

The codes from Chapter XX are not intended to be applied in isolation, and are supposed to be used in conjunction with the codes from Chapters I to XIX.

Accidents (V01–X59)[edit]

Transport accidents (V01–V99)[edit]

Pedestrian injured in transport accident (V01–V09)[edit]

  • V01 Pedestrian injured in collision with pedal cycle
  • V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle
  • V03 Pedestrian injured in collision with car, pick-up truck or van
  • V04 Pedestrian injured in collision with heavy transport vehicle or bus
  • V05 Pedestrian injured in collision with railway train or railway vehicle
  • V06 Pedestrian injured in collision with other nonmotor vehicle
  • V09 Pedestrian injured in other and unspecified transport accidents

Pedal cyclist injured in transport accident (V10-V19)[edit]

  • V10 Pedal cyclist injured in collision with pedestrian or animal
  • V11 Pedal cyclist injured in collision with other pedal cycle
  • V12 Pedal cyclist injured in collision with two- or three-wheeled motor vehicle
  • V13 Pedal cyclist injured in collision with car, pick-up truck or van
  • V14 Pedal cyclist injured in collision with heavy transport vehicle or bus
  • V15 Pedal cyclist injured in collision with railway train or railway vehicle
  • V16 Pedal cyclist injured in collision with other nonmotor vehicle
  • V17 Pedal cyclist injured in collision with fixed or stationary object
  • V18 Pedal cyclist injured in collision in noncollision transport accident
  • V19 Pedal cyclist injured in collision in other and unspecified transport accidents

Motorcycle rider injured in transport accident (V20-V29)[edit]

  • V20 Motorcycle rider injured in collision with pedestrian or animal
  • V21 Motorcycle rider injured in collision with other pedal cycle
  • V22 Motorcycle rider injured in collision with two- or three-wheeled motor vehicle
  • V23 Motorcycle rider injured in collision with car, pick-up truck or van
  • V24 Motorcycle rider injured in collision with heavy transport vehicle or bus
  • V25 Motorcycle rider injured in collision with railway train or railway vehicle
  • V26 Motorcycle rider injured in collision with other nonmotor vehicle
  • V27 Motorcycle rider injured in collision with fixed or stationary object
  • V28 Motorcycle rider injured in collision in noncollision transport accident
  • V29 Motorcycle rider injured in collision in other and unspecified transport accidents

Occupant of three-wheeled motor vehicle injured in transport accident (V30-V39)[edit]

  • V30 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal
  • V31 Occupant of three-wheeled motor vehicle injured in collision with other pedal cycle
  • V32 Occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle
  • V33 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van
  • V34 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus
  • V35 Occupant of three-wheeled motor vehicle injured in collision with railway train or railway vehicle
  • V36 Occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle
  • V37 Occupant of three-wheeled motor vehicle injured in collision with fixed or stationary object
  • V38 Occupant of three-wheeled motor vehicle injured in collision in noncollision transport accident
  • V39 Occupant of three-wheeled motor vehicle injured in collision in other and unspecified transport accidents

Car occupant injured in transport accident (V40-V49)[edit]

  • V40 Car occupant injured in collision with pedestrian or animal
  • V41 Car occupant injured in collision with other pedal cycle
  • V42 Car occupant injured in collision with two- or three-wheeled motor vehicle
  • V43 Car occupant injured in collision with car, pick-up truck or van
  • V44 Car occupant injured in collision with heavy transport vehicle or bus
  • V45 Car occupant injured in collision with railway train or railway vehicle
  • V46 Car occupant injured in collision with other nonmotor vehicle
  • V47 Car occupant injured in collision with fixed or stationary object
  • V48 Car occupant injured in collision in noncollision transport accident
  • V49 Car occupant injured in collision in other and unspecified transport accidents

Occupant of pick-up truck or van injured in transport accident (V50-V59)[edit]

  • V50 Occupant of pick-up truck or van injured in collision with pedestrian or animal
  • V51 Occupant of pick-up truck or van injured in collision with other pedal cycle
  • V52 Occupant of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle
  • V53 Occupant of pick-up truck or van injured in collision with car, pick-up truck or van
  • V54 Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus
  • V55 Occupant of pick-up truck or van injured in collision with railway train or railway vehicle
  • V56 Occupant of pick-up truck or van injured in collision with other nonmotor vehicle
  • V57 Occupant of pick-up truck or van injured in collision with fixed or stationary object
  • V58 Occupant of pick-up truck or van injured in collision in noncollision transport accident
  • V59 Occupant of pick-up truck or van injured in collision in other and unspecified transport accidents

Occupant of heavy transport vehicle injured in transport accident (V60-V69)[edit]

  • V60 Occupant of heavy transport vehicle injured in collision with pedestrian or animal
  • V61 Occupant of heavy transport vehicle injured in collision with other pedal cycle
  • V62 Occupant of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle
  • V63 Occupant of heavy transport vehicle injured in collision with car, pick-up truck or van
  • V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus
  • V65 Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle
  • V66 Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle
  • V67 Occupant of heavy transport vehicle injured in collision with fixed or stationary object
  • V68 Occupant of heavy transport vehicle injured in collision in noncollision transport accident
  • V69 Occupant of heavy transport vehicle injured in collision in other and unspecified transport accidents

Bus occupant injured in transport accident (V70-V79)[edit]

  • V70 Bus occupant injured in collision with pedestrian or animal
  • V71 Bus occupant injured in collision with other pedal cycle
  • V72 Bus occupant injured in collision with two- or three-wheeled motor vehicle
  • V73 Bus occupant injured in collision with car, pick-up truck or van
  • V74 Bus occupant injured in collision with heavy transport vehicle or bus
  • V75 Bus occupant injured in collision with railway train or railway vehicle
  • V76 Bus occupant injured in collision with other nonmotor vehicle
  • V77 Bus occupant injured in collision with fixed or stationary object
  • V78 Bus occupant injured in collision in noncollision transport accident
  • V79 Bus occupant injured in collision in other and unspecified transport accidents

Other land transport accidents (V80-V89)[edit]

  • V80 Animal-rider or occupant of animal-drawn vehicle injured in transport accident
  • V81 Occupant of railway train or railway vehicle injured in transport accident
  • V82 Occupant of streetcar injured in transport accident
  • V83 Occupant of special vehicle mainly used on industrial premises injured in transport accident
  • V84 Occupant of special vehicle mainly used on agricultural premises injured in transport accident
  • V85 Occupant of special construction vehicle injured in transport accident
  • V86 Occupant of all-terrain or other motor vehicle designed primarily for off-road use, injured in transport accident
  • V87 Traffic accident of specified type but victim's mode of transport unknown
  • V88 Nontraffic accident of specified type but victim's mode of transport unknown
  • V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified

Water transport accidents (V90-V94)[edit]

  • V90 Accident to watercraft causing drowning and submersion
  • V91 Accident to watercraft causing other injury
  • V92 Water-transport-related drowning and submersion without accident to watercraft
  • V93 Accident on board watercraft without accident to watercraft, not causing drowning and submersion
  • V94 Other and unspecified water transport accidents

Air and space transport accidents (V95-V97)[edit]

  • V95 Accident to powered aircraft causing injury to occupant
  • V96 Accident to nonpowered aircraft causing injury
  • V97 Other specified air transport accidents

Other and unspecified transport accidents (V98-V99)[edit]

  • V98 Other specified transport accidents
  • V99 Unspecified transport accidents

Other external causes of accidental injury (W00-X59)[edit]

Falls (W00-W19)[edit]

  • W00 Fall on same level involving ice and snow
  • W01 Fall on same level from slipping, tripping and stumbling
  • W02 Fall involving ice-skates, skis, roller-skates or skateboards
  • W03 Other fall on same level due to collision with, or pushing by, another person
  • W04 Fall while being carried or supported by other persons
  • W05 Fall involving wheelchair
  • W06 Fall involving bed
  • W07 Fall involving chair
  • W08 Fall involving other furniture
  • W09 Fall involving playground equipment
  • W10 Fall on and from stairs and steps
  • W11 Fall on and from ladder
  • W12 Fall on and from scaffolding
  • W13 Fall from, out of or through building or structure
  • W14 Fall from tree
  • W15 Fall from cliff
  • W16 Diving or jumping into water causing injury other than drowning or submersion
  • W17 Other fall from one level to another
  • W18 Other fall on same level
  • W19 Unspecified fall

Exposure to inanimate mechanical forces (W20-W49)[edit]

Exposure to animate mechanical forces (W50-W64)[edit]

  • 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

Accidental drowning and submersion (W65-W74)[edit]

  • W65 Drowning and submersion while in bath-tub
  • W66 Drowning and submersion following fall into bath-tub
  • W67 Drowning and submersion while in swimming-pool
  • W68 Drowning and submersion following fall into swimming-pool
  • W69 Drowning and submersion while in natural water
  • W70 Drowning and submersion following fall into natural water
  • W73 Other specified drowning and submersion
  • W74 Unspecified drowning and submersion

Other accidental threats to breathing (W75-W84)[edit]

Exposure to electric current, radiation and extreme ambient air temperature and pressure (W85-W99)[edit]

Exposure to smoke, fire and flames (X00-X09)[edit]

  • X00 Exposure to uncontrolled fire in building or structure
  • X01 Exposure to uncontrolled fire, not in building or structure
  • X02 Exposure to controlled fire in building or structure
  • X03 Exposure to controlled fire, not in building or structure
  • X04 Exposure to ignition of highly flammable material
  • X05 Exposure to ignition or melting of nightwear
  • X06 Exposure to ignition or melting of other clothing and apparel
  • X08 Exposure to other specified smoke, fire and flames
  • X09 Exposure to unspecified smoke, fire and flames

Contact with heat and hot substances (X10-X19)[edit]

  • X10 Contact with hot drinks, food, fats and cooking oils
  • X11 Contact with hot tap-water
  • X12 Contact with other hot fluids
  • X13 Contact with steam and hot vapours
  • X14 Contact with hot air and gases
  • X15 Contact with hot household appliances
  • X16 Contact with hot heating appliances, radiators and pipes
  • X17 Contact with hot engines, machinery and tools
  • X18 Contact with other hot metals
  • X19 Contact with other and unspecified heat and hot substances

Contact with venomous animals and plants (X20-X29)[edit]

Exposure to forces of nature (X30-X39)[edit]

Accidental poisoning by and exposure to noxious substances (X40-X49)[edit]

  • X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics
  • X41 Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified
  • X42 Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified
  • X43 Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system
  • X44 Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
  • X45 Accidental poisoning by and exposure to alcohol
  • X46 Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours
  • X47 Accidental poisoning by and exposure to other gases and vapours
  • X48 Accidental poisoning by and exposure to pesticides
  • X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances

Overexertion, travel and privation (X50-X57)[edit]

  • X50 Overexertion and strenuous or repetitive movements
  • X51 Travel and motion
  • X52 Prolonged stay in weightless environment
  • X53 Lack of food
  • X54 Lack of water
  • X57 Unspecified privation

Accidental exposure to other and unspecified factors (X58-X59)[edit]

  • X58 Exposure to other specified factors
  • X59 Exposure to unspecified factor

Intentional self-harm (X60-X84)[edit]

  • 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

Assault (X85-Y09)[edit]

  • 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
    • Y06.0 Neglect and abandonment by spouse or partner
    • Y06.1 Neglect and abandonment by parent
    • Y06.2 Neglect and abandonment by acquaintance or friend
    • Y06.8 Neglect and abandonment by other specified persons
    • Y06.9 Neglect and abandonment by unspecified person
  • Y07 Other maltreatment
    • Y07.0 Other maltreatment by spouse or partner
    • Y07.1 Other maltreatment by parent
    • Y07.2 Other maltreatment by acquaintance or friend
    • Y07.3 Other maltreatment by official authorities
    • Y07.8 Other maltreatment by other specified persons
    • Y07.9 Other maltreatment by unspecified person
  • Y08 Assault by other specified means
  • Y09 Assault by unspecified means

Event of undetermined intent (Y10-Y34)[edit]

  • Y10 Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent
  • Y11 Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent
  • Y12 Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent
  • Y13 Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent
  • Y14 Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent
  • Y15 Poisoning by and exposure to alcohol, undetermined intent
  • Y16 Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent
  • Y17 Poisoning by and exposure to other gases and vapours, undetermined intent
  • Y18 Poisoning by and exposure to pesticides, undetermined intent
  • Y19 Poisoning by and exposure to other and unspecified chemicals and noxious substances, undetermined intent
  • Y20 Hanging, strangulation and suffocation, undetermined intent
  • Y21 Drowning and submersion, undetermined intent
  • Y22 Handgun discharge, undetermined intent
  • Y23 Rifle, shotgun and larger firearm discharge, undetermined intent
  • Y24 Other and unspecified firearm discharge, undetermined intent
  • Y25 Contact with explosive material, undetermined intent
  • Y26 Exposure to smoke, fire and flames, undetermined intent
  • Y27 Contact with steam, hot vapours and hot objects, undetermined intent
  • Y28 Contact with sharp object, undetermined intent
  • Y29 Contact with blunt object, undetermined intent
  • Y30 Falling, jumping or pushed from a high place, undetermined intent
  • Y31 Falling, lying or running before or into moving object, undetermined intent
  • Y32 Crashing of motor vehicle, undetermined intent
  • Y33 Other specified events, undetermined intent
  • Y34 Unspecified event, undetermined intent

Legal intervention and operations of war (Y35-Y36)[edit]

  • Y35 Legal intervention
    • Y35.0 Legal intervention involving firearm discharge
    • Y35.1 Legal intervention involving explosives
    • Y35.2 Legal intervention involving gas
    • Y35.3 Legal intervention involving blunt objects
    • Y35.4 Legal intervention involving sharp objects
    • Y35.5 Legal execution
    • Y35.6 Legal intervention involving other specified means
    • Y35.7 Legal intervention, means unspecified
  • Y36 Operations of war

Complications of medical and surgical care (Y40-Y84)[edit]

Drugs, medicaments and biological substances causing adverse effects in therapeutic use (Y40-Y59)[edit]

  • Y40 Systemic antibiotics
  • Y41 Other systemic anti-infectives and antiparasitics
  • Y42 Hormones and their synthetic substitutes and antagonists, not elsewhere classified
  • Y43 Primarily systemic agents
  • Y44 Agents primarily affecting blood constituents
  • 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

Misadventures to patients during surgical and medical care (Y60-Y69)[edit]

  • Y60 Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care
  • Y61 Foreign object accidentally left in body during surgical and medical care
  • Y62 Failure of sterile precautions during surgical and medical care
  • Y63 Failure in dosage during surgical and medical care
  • Y64 Contaminated medical or biological substances
  • Y65 Other misadventures during surgical and medical care
  • Y66 Nonadministration of surgical and medical care
  • Y69 Unspecified misadventure during surgical and medical care

Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)[edit]

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)[edit]

Sequelae of external causes of morbidity and mortality (Y85-Y89)[edit]

  • Y85 Sequelae of transport accidents
  • Y86 Sequelae of other accidents
  • Y87 Sequelae of intentional self-harm, assault and events of undetermined intent
  • Y88 Sequelae with surgical and medical care as external cause
  • Y89 Sequelae of other external causes

Supplementary factors related to causes of morbidity and mortality classified elsewhere (Y90-Y98)[edit]

  • Y90 Evidence of alcohol involvement determined by blood alcohol level
  • Y91 Evidence of alcohol involvement determined by level of intoxication
  • Y95 Nosocomial condition
  • Y96 Work-related condition
  • Y97 Environmental-pollution-related condition
  • Y98 Lifestyle-related condition

See also[edit]


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