ICD 9 cm - International Classification of Diseases - 2008 - E800-E807 - RAILWAY ACCIDENTS for medical coding and billing

ICD-9-CM

SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING

Note

This section is provided to permit the classification of environmental events, circumstances, and conditions as the cause of injury, poisoning, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used in addition to a code from one of the main chapters of ICD-9-CM, indicating the nature of the condition. Certain other conditions which may be stated to be due to external causes are classified in Chapters 1 to 16 of ICD-9-CM. For these, the "E" code classification should be used as an additional code for more detailed analysis.

Machinery accidents [other than those connected with transport] are classifiable to category E919, in which the fourth digit allows a broad classification of the type of machinery involved. If a more detailed classification of type of machinery is required, it is suggested that the "Classification of Industrial Accidents according to Agency," prepared by the International Labor Office, be used in addition; it is included in this publication.

Categories for "late effects" of accidents and other external causes are to be found at E929, E959, E969, E977, E989, and E999.

Definitions and examples related to transport accidents

(a) A transport accident (E800-E848) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

Includes: accidents involving:

aircraft and spacecraft (E840-E845)

watercraft (E830-E838)

motor vehicle (E810-E825)

railway (E800-E807)

other road vehicles (E826-E829)

In classifying accidents which involve more than one kind of transport, the above order of precedence of transport accidents should be used.

Accidents involving agricultural and construction machines, such as tractors, cranes, and bulldozers, are regarded as transport accidents only when these vehicles are under their own power on a highway [otherwise the vehicles are regarded as machinery]. Vehicles which can travel on land or water, such as hovercraft and other amphibious vehicles, are regarded as watercraft when on the water, as motor vehicles when on the highway, and as off-road motor vehicles when on land, but off the highway.

Excludes: accidents:

in sports which involve the use of transport but where the transport vehicle itself was not involved in the accident

involving vehicles which are part of industrial equipment used entirely on industrial premises

occurring during transportation but unrelated to the hazards associated with the means of transportation [e.g., injuries received in a fight on board ship; transport vehicle involved in a cataclysm such as an earthquake]

to persons engaged in the maintenance or repair of transport equipment or vehicle not in motion, unless injured by another vehicle in motion

(b) A railway accident is a transport accident involving a railway train or other railway vehicle operated on rails, whether in motion or not.

Excludes: accidents:

in repair shops

in roundhouse or on turntable

on railway premises but not involving a train or other railway vehicle

(c) A railway train or railway vehicle is any device with or without cars coupled to it, designed for traffic on a railway.

Includes: interurban:

electric car (operated chiefly on its own right-of-way, not open to other traffic)

streetcar (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel] [electric] [steam]

funicular

monorail or two-rail

subterranean or elevated

other vehicle designed to run on a railway track

Excludes: interurban electric cars [streetcars] specified to be operating on a right-of-way that forms part of the public street or highway [definition (n)]

(d) A railway or railroad is a right-of-way designed for traffic on rails, which is used by carriages or wagons transporting passengers or freight, and by other rolling stock, and which is not open to other public vehicular traffic

(e) A motor vehicle accident is a transport accident involving a motor vehicle. It is defined as a motor vehicle traffic accident or as a motor vehicle nontraffic accident according to whether the accident occurs on a public highway or elsewhere.

Excludes: injury or damage due to cataclysm

injury or damage while a motor vehicle, not under its own power, is being loaded on, or unloaded from, another conveyance

(f) A motor vehicle traffic accident is any motor vehicle accident occurring on a public highway [i.e., originating, terminating, or involving a vehicle partially on the highway]. A motor vehicle accident is assumed to have occurred on the highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles which are classified as nontraffic accidents unless the contrary is stated.

(g) A motor vehicle nontraffic accident is any motor vehicle accident which occurs entirely in any place other than a public highway.

(h) A public highway [trafficway] or street is the entire width between property lines [or other boundary lines] of every way or place, of which any part is open to the use of the public for purposes of vehicular traffic as a matter of right or custom. A roadway is that part of the public highway designed, improved, and ordinarily used, for vehicular travel.

Includes: approaches (public) to:

docks

public building

station

Excludes: driveway (private)

parking lot

ramp

roads in:

airfield

farm

industrial premises

mine

private grounds

quarry

(i) A motor vehicle is any mechanically or electrically powered device, not operated on rails, upon which any person or property may be transported or drawn upon a highway. Any object such as a trailer, coaster, sled, or wagon being towed by a motor vehicle is considered a part of the motor vehicle.

Includes: automobile [any type]

bus

construction machinery, farm and industrial machinery, steam roller, tractor, army tank, highway grader, or similar vehicle on wheels or treads, while in transport under own power

fire engine (motorized)

motorcycle

motorized bicycle [moped] or scooter

trolley bus not operating on rails

truck

van

Excludes: devices used solely to move persons or materials within the confines of a building and its premises, such as:

building elevator

coal car in mine

electric baggage or mail truck used solely within a railroad station

electric truck used solely within an industrial plant

moving overhead crane

(j) A motorcycle is a two-wheeled motor vehicle having one or two riding saddles and sometimes having a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Includes: motorized:

bicycle [moped]

scooter

tricycle

(k) An off-road motor vehicle is a motor vehicle of special design, to enable it to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tires, driven by treads, or support on a cushion of air.

Includes: all terrain vehicle [ATV]

army tank

hovercraft, on land or swamp

snowmobile

(l) A driver of a motor vehicle is the occupant of the motor vehicle operating it or intending to operate it. A motorcyclist is the driver of a motorcycle. Other authorized occupants of a motor vehicle are passengers.

(m) An other road vehicle is any device, except a motor vehicle, in, on, or by which any person or property may be transported on a highway.

Includes: animal carrying a person or goods

animal-drawn vehicle

animal harnessed to conveyance

bicycle [pedal cycle]

streetcar

tricycle (pedal)

Excludes: pedestrian conveyance [definition (q)]

(n) A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the traffic way. A trailer being towed by a streetcar is considered a part of the streetcar.

Includes: interurban or intraurban electric or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(o) A pedal cycle is any road transport vehicle operated solely by pedals.

Includes: bicycle

pedal cycle

tricycle

Excludes: motorized bicycle [definition (i)]

(p) A pedal cyclist is any person riding on a pedal cycle or in a sidecar attached to such a vehicle.

(q) A pedestrian conveyance is any human powered device by which a pedestrian may move other than by walking or by which a walking person may move another pedestrian.

Includes: baby carriage

coaster wagon

ice skates

perambulator

pushcart

pushchair

roller skates

scooter

skateboard

skis

sled

wheelchair

(r) A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railroad train, streetcar, animal-drawn or other vehicle, or on a bicycle or animal.

Includes: person:

changing tire of vehicle

in or operating a pedestrian conveyance

making adjustment to motor of vehicle

on foot

(s) A watercraft is any device for transporting passengers or goods on the water.

(t) A small boat is any watercraft propelled by paddle, oars, or small motor, with a passenger capacity of less than ten.

Includes: boat NOS

canoe

coble

dinghy

punt

raft

rowboat

rowing shell

scull

skiff

small motorboat

Excludes: barge

lifeboat (used after abandoning ship)

raft (anchored) being used as a diving platform

yacht

(u) An aircraft is any device for transporting passengers or goods in the air.

Includes: airplane [any type]

balloon

bomber

dirigible

glider (hang)

military aircraft

parachute

(v) A commercial transport aircraft is any device for collective passenger or freight transportation by air, whether run on commercial lines for profit or by government authorities, with the exception of military craft.

E800-E807

RAILWAY ACCIDENTS

Note

Excludes

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

collision between railway trains or railway vehicles, any kind

collision NOS on railway

derailment with antecedent collision with rolling stock or NOS

Accident (to) , railway , involving , collision (see also collision, railway)

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire)

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , another railway train or vehicle

Derailment (accidental) , railway (rolling stock) (train) (vehicle) (with subsequent collision) , with , collision (antecedent) (see also Collision, railway)

Explosion (accidental) (in) (of) (on) , railway engine, locomotive, train (boiler) (with subsequent collision, derailment, fall) , with , collision (antecedent) (see also Collision, railway)

Fall, falling (accidental) , from, off , railway rolling stock, train, vehicle (while alighting, boarding) , with , collision (see also Collision, railway)

Fall, falling (accidental) , in, on , railway rolling stock, train, vehicle (while alighting, boarding) , with , collision (see also Collision, railway)

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

collision of railway train with:

buffers

fallen tree on railway

gates

platform

rock on railway

streetcar

other nonmotor vehicle

other object

collision with:

aircraft (E840.0-E842.9)

motor vehicle (E810.0-E810.9, E820.0-E822.9)

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , animal (carrying person) (herded) (unattended)

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , buffers

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , fallen tree on railway

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , farm machinery, nonmotor (in transport) (stationary)

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , gates

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , nonmotor vehicle

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , object (fallen) (fixed) (movable) (movable) (moving) not falling from, set in motion by, aircraft or motor vehicle NEC

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , pedal cycle

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , platform

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , rock on railway

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , street car

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

Accident (to) , railway , involving , derailment (see also Derailment, railway)

Accident (to) , railway , involving , overturning, railway rolling stock, train, vehicle (see also Derailment, railway)

Accident (to) , railway , involving , running off rails, railway (see also Derailment, railway)

Derailment (accidental) , railway (rolling stock) (train) (vehicle) (with subsequent collision)

Derailment (accidental) , railway (rolling stock) (train) (vehicle) (with subsequent collision) , with , explosion (subsequent) (without antecedent collision)

Derailment (accidental) , railway (rolling stock) (train) (vehicle) (with subsequent collision) , with , fall (without collision (antecedent))

Derailment (accidental) , railway (rolling stock) (train) (vehicle) (with subsequent collision) , with , fire (without collision (antecedent))

Explosion (accidental) (in) (of) (on) , railway engine, locomotive, train (boiler) (with subsequent collision, derailment, fall) , with , derailment (antecedent)

Fall, falling (accidental) , from, off , railway rolling stock, train, vehicle (while alighting, boarding) , with , derailment (see also Derailment, railway)

Fall, falling (accidental) , in, on , railway rolling stock, train, vehicle (while alighting, boarding) , with , derailment (see also Derailment, railway)

Overturning (accidental) , railway rolling stock, train, vehicle (see also Derailment, railway)

Running off, away , rails, railway (see also Derailment)

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

explosion or fire, with antecedent derailment (E802.0-E802.9)

explosion or fire, with mention of antecedent collision (E800.0-E801.9)

Accident (to) , railway , involving , burning by engine, locomotive, train (see also Explosion, railway engine)

Accident (to) , railway , involving , explosion (see also Explosion, railway engine)

Accident (to) , railway , involving , fire (see also Explosion, railway engine)

Burning, burns (accidental) (by) (from) (on) , railway engine, locomotive, train (see also Explosion, railway engine)

Explosion (accidental) (in) (of) (on) , railway engine, locomotive, train (boiler) (with subsequent collision, derailment, fall)

Explosion (accidental) (in) (of) (on) , railway engine, locomotive, train (boiler) (with subsequent collision, derailment, fall) , with , fire (without antecedent collision or derailment)

Fall, falling (accidental) , from, off , railway rolling stock, train, vehicle (while alighting, boarding) , with , explosion (see also Explosion, railway engine)

Fall, falling (accidental) , in, on , railway rolling stock, train, vehicle (while alighting, boarding) , with , explosion (see also Explosion, railway engine)

Fire (accidental) (caused by great heat from appliance (electrical), hot object or hot substance) (secondary, resulting from explosion) , in, of, on, starting in , railway rolling stock, train, vehicle (see also Explosion, railway engine)

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

fall while alighting from or boarding railway train

fall related to collision, derailment, or explosion of railway train (E800.0-E803.9)

Accident (to) , railway , involving , fall (see also Fall, from, railway rolling stock)

Fall, falling (accidental) , from, off , railway rolling stock, train, vehicle (while alighting, boarding)

Fall, falling (accidental) , in, on , railway rolling stock, train, vehicle (while alighting, boarding)

Fall, falling (accidental) , while alighting from, boarding, entering, leaving , railway train

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

crushed by railway train or part

injured by railway train or part

killed by railway train or part

knocked down by railway train or part

run over by railway train or part

pedestrian hit by object set in motion by railway train (E806.0-E806.9)

Accident (to) , railway , involving , hitting by, being struck by , rolling stock, train, vehicle

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , pedestrian (conveyance)

Collision (accidental) , railway (rolling stock) (train) (vehicle) (with (subsequent) derailment, explosion, fall or fire) , and , person (using pedestrian conveyance)

Crushed (accidentally) , by , railway rolling stock, train, vehicle (part of)

Hit, hitting (accidental) by , railway, rolling stock, train, vehicle (part of)

Injury, injured (accidental(ly)) NEC , by, caused by, from , railway rolling stock, train, vehicle (part of)

Run over (accidentally) (by) , railway train

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

hit by object falling in railway train

injured by door or window on railway train

nonmotor road vehicle or pedestrian hit by object set in motion by railway train

railway train hit by falling:

earth NOS

rock

tree

other object

railway accident due to cataclysm (E908-E909)

Accident (to) , railway , involving , hitting by, being struck by , object falling in, on, from, rolling stock, train, vehicle

Accident (to) , railway , involving , specified circumstances NEC

Accident (to) , railway , involving , train or vehicle hit by , falling object (earth, rock, tree)

Earth falling (on) (with asphyxia or suffocation (by pressure)) (see also Suffocation, due to, cave-in) , not due to cataclysmic action , railway rolling stock, train, vehicle

Hit, hitting (accidental) by , object , falling , from, in, on , railway rolling stock, train, vehicle

Injury, injured (accidental(ly)) NEC , by, caused by, from , being thrown against some part of, or object in , railway train

Injury, injured (accidental(ly)) NEC , by, caused by, from , railway rolling stock, train, vehicle (part of) , door or window

Object , falling , from, in, on, hitting , motor vehicle (in motion) (on public highway) , railway rolling stock, train, vehicle

Rock falling on or hitting (accidentally) , railway rolling stock, train, vehicle

Thrown (accidently) , against object in or part of vehicle , railway rolling stock, train, vehicle

Trapped (accidently) , by , door of , railway train (underground)

Trapped (accidently) , by , door of , subway train

Tree , falling on or hitting , railway rolling stock, train, vehicle

Requires fourth digit. See beginning of section E800-E845 for codes and definitions.

found dead on railway right-of-way NOS

injured on railway right-of-way NOS

railway accident NOS

Accident (to) , railway

Found dead, injured , on , railway right of way

Injury, injured (accidental(ly)) NEC , in, on , railway right of way

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