SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING (E000-E999)
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.
Categories for "late effects" of accidents and other external causes are to be found at E929, E959, E969, E977, E989, and E999.
TRANSPORT ACCIDENTS (E800-E848)
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
heelies, wheelies
ice skates
motorized mobility scooter
perambulator
pushcart
pushchair
roller skates
scooter
skateboard
skis
sled
wheelchair (electric)
(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.

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