Case Definitions

   
Injury From All Mechanisms

Injury Hospitalization*: Principal diagnosis of S00-S99, T07-T34, T36-T50 with a 6th character of 1, 2, 3, or 4 (T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 with a 5th character of 1, 2, 3, or 4), T51-T65, T66-T76, T79, O9A.2-O9A.5, T84.04**, M97**

Injury Emergency Department (ED) Visits*: Any field with the following primary or secondary diagnosis of S00-S99, T07-T34, T36-T50 with a 6th character of 1, 2, 3, or 4 (T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 with a 5th character of 1, 2, 3, or 4), T51-T65, T66-T76, T79, O9A.2-O9A.5, T84.04**, M97** OR any field with external cause codes of V00-V99, W00-X58, X71-X83, X92-Y09, Y21-Y33, Y35-Y38

*For diagnosis codes, 7th character of A, B, C, or missing (reflects initial encounter, active treatment). T30-T32 do not have a 7th character. For external cause codes, 7th character of A or missing.

** T84.04 was retired and replaced by M97 in the FY2017 version of ICD-10-CM which went into effect on Oct 1, 2016.

Injury From Drowning/Submersion

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes T75.1, V90, V92, W16 with 6th character = 1 (5th character of 1 for W16.4 and W16.9), W22.041, W65-W74, X71, X92, Y21

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes T75.1, V90, V92, W16 with 6th character = 1 (5th character of 1 for W16.4 and W16.9), W22.041, W65-W74, X71, X92, Y21

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Drowning/Submersion, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes of V90, V92, W16 with 6th character of 1 (5th character of 1 for W16.4 and W16.9), W22.041, W65-W74

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes of V90, V92, W16 with 6th character of 1 (5th character of 1 for W16.4 and W16.9), W22.041, W65-W74

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Falls, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes of V00.11-V00.89 with 6th character of 1, W00-W15, W17, W19, W16 with 6th character of 2 (5th character of 2 for W16.4 and W16.9), W18.1, W18.2, W18.3

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes of V00.11-V00.89 with 6th character of 1, W00-W15, W17, W19, W16 with 6th character of 2 (5th character of 2 for W16.4 and W16.9), W18.1, W18.2, W18.3

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Fall-Related Hip Fracture (Aged 65 Years and Older)

Hospitalization*: Unintentional fall-related hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes V00.11-V00.89 with 6th character of 1, W00-W15, W17, W19, W16 with 6th character of 2 (5th character of 2 for W16.4 and W16.9), W18.1, W18.2, W18.3 with one of the following diagnosis codes of S72.0, S72.1, S72.2, T84.040**, T84.041**, M97.0**

Emergency Department (ED) Visits*: Unintentional fall-related ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes V00.11-V00.89 with 6th character of 1, W00-W15, W17, W19, W16 with 6th character of 2 (5th character of 2 for W16.4 and W16.9), W18.1, W18.2, W18.3 with one of the following diagnosis codes of S72.0, S72.1, S72.2, T84.040**, T84.041**, M97.0**

*7th character of A, B, C, or missing (reflects initial encounter, active treatment) for diagnosis. 7th character of A or missing (reflects initial encounter, active treatment) for external cause. ** T84.04 was retired and replaced by M97 in the FY2017 version of ICD-10-CM which went into effect on Oct 1, 2016.

Injury From Fire/Flame, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes X00-X08

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes X00-X08

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Firearms

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes W32.0, W32.1, W33.0, W33.1, W34.00, W34.09, W34.10, W34.19, X72, X73, X74.8, X74.9, X93, X94, X95.8, X95.9, Y38.4, Y22, Y23, Y24.8, Y24.9, Y35.00-Y35.03, Y35.09

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes W32.0, W32.1, W33.0, W33.1, W34.00, W34.09, W34.10, W34.19, X72, X73, X74.8, X74.9, X93, X94, X95.8, X95.9, Y38.4, Y22, Y23, Y24.8, Y24.9, Y35.00-Y35.03, Y35.09

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Motor Vehicle Traffic, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes V02.1, V02.9, V03.1, V03.9, V04.1, V04.9, V09.2, V09.3, V12-V14 (.3-.9), V19.4-V19.6, V20-V28 (.3-.9), V29.4-V29.9, V30-V79 (.4-.9), V83-V86 (.0-.3), V87.0-V87.8, V89.2, V80.3-V80.5, V81.1, V82.1

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes V02.1, V02.9, V03.1, V03.9, V04.1, V04.9, V09.2, V09.3, V12-V14 (.3-.9), V19.4-V19.6, V19.9, V20-V28 (.3-.9), V29.4-V29.9, V30-V79 (.4-.9), V83-V86 (.0-.3), V87.0-V87.8, V89.2, V80.3-V80.5, V81.1, V82.1

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Motor Vehicle Traffic to Motorcyclist, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes V20-V28 (.3-.9), V29.4-V29.9

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes V20-V28 (.3-.9), V29.4-V29.9

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Motor Vehicle Traffic to Motor Vehicle Occupant, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes V30-V79 (.4-.9), V83-V86 (.0-.3), V87.0-V87.8, V89.2

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes V30-V79 (.4-.9), V83-V86 (.0-.3), V87.0-V87.8, V89.2

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Motor Vehicle Traffic to Pedal Cyclist, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes V12-V14 (.3-.9), V19.4-V19.6, V19.9

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes V12-V14 (.3-.9), V19.4-V19.6, V19.9

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Motor Vehicle Traffic to Pedestrian, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM external cause of injury codes V02.1, V02.9, V03.1, V03.9, V04.1, V04.9, V09.2, V09.3

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM external cause of injury codes V02.1, V02.9, V03.1, V03.9, V04.1, V04.9, V09.2, V09.3

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Poisoning

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes T36-T50 with 6th character of 1 to 4 (5th characters of 1 to 4 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T53, T55-T62, T64, T54.0, T65.0-T65.81, T65.83, T65.89, T65.9, Y38.7, Y35.2

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes T36-T50 with 6th character of 1 to 4 (5th characters of 1 to 4 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T53, T55-T62, T64, T54.0, T65.0-T65.81, T65.83, T65.89, T65.9, Y38.7, Y35.2

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From Poisoning, Non-Drug

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes T51-T53, T55-T62, T64, T54.0, T65.0-T65.81, T65.83, T65.89, T65.9, Y38.7, Y35.2

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes T51-T53, T55-T62, T64, T54.0, T65.0-T65.81, T65.83, T65.89, T65.9, Y38.7, Y35.2

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From All Mechanisms, Unintentional

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes of V00-V99, W00-X58, T15-T19, T36-T50 with 6th character of 1 (5th character of 1 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, T49.9), T54.1, T54.2, T54.3 with 6th character of 1, T51-T65 with 6th character of 1 (5th character of 1 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, T65.9), T71.1 with 6th character of 1, T71.20, T71.21, T71.29, T71.9, T73 (.0 - .3, .8, .9), T75.0, T75.2, T75.3, T75.4

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes V00-V99, W00-X58, T15-T19, T36-T50 with 6th character of 1 (5th character of 1 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, T49.9), T54.1, T54.2, T54.3 with 6th character of 1, T51-T65 with 6th character of 1 (5th character of 1 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, T65.9), T71.1 with 6th character of 1, T71.20, T71.21, T71.29, T71.9, T73 (.0 - .3, .8, .9), T75.0, T75.2, T75.3, T75.4

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From All Mechanisms, Self-Harm

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes X71-X83, T36-T50 with 6th character of 2 (5th character of 2 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 2 (5th character of 2 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9), T71 with 6th character of 2, T14.91

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes X71-X83, T36-T50 with 6th character of 2 (5th character of 2 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 2 (5th character of 2 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9), T71 with 6th character of 2, T14.91

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From All Mechanisms, Assault

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes X92-Y09, T36-T50 with 6th character of 3 (5th character of 3 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 3 (5th character of 3 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9, T71 with 6th character of 3, T74, T76, Y38

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes X92-Y09, T36-T50 with 6th character of 3 (5th character of 3 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 3 (5th character of 3 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9, T71 with 6th character of 3, T74, T76, Y38

*7th character of A or missing (reflects initial encounter, active treatment)

Injury From All Mechanisms, Violence (Self-Harm, Assault, Legal Intervention)

Hospitalization*: Hospitalizations from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes X71-X83, T36-T50 with 6th character of 2 (5th character of 2 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 2 (5th character of 2 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9), T71 with 6th character of 2, T14.91, X92-Y09, T36-T50 with 6th character of 3 (5th character of 3 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 3 (5th character of 3 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9, T71 with 6th character of 3, T74, T76, Y38, Y35

Emergency Department (ED) Visits*: ED visits from the injury subset with any of the ICD-10-CM diagnosis or external cause of injury codes X71-X83, T36-T50 with 6th character of 2 (5th character of 2 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 2 (5th character of 2 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9), T71 with 6th character of 2, T14.91, X92-Y09, T36-T50 with 6th character of 3 (5th character of 3 for T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9), T51-T65 with 6th character of 3 (5th character of 3 for T51.9, T52.9, T53.9, T54.9, T56.9, T57.9, T58.0, T58.1, T58.9, T59.9, T60.9, T61.0, T61.1, T61.9, T62.9, T63.9, T64.0, T64.8, and T65.9, T71 with 6th character of 3, T74, T76, Y38, Y35

*7th character of A or missing (reflects initial encounter, active treatment)