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.
RAILWAY ACCIDENTS (E800-E807)
Note:
For definitions of railway accident and related terms see definitions (a) to (d).
Excludes:
accidents involving railway train and:
aircraft (E840.0-E845.9)
motor vehicle (E810.0-E825.9)
watercraft (E830.0-E838.9)
The following fourth-digit subdivisions are for use with categories E800-E807 to identify the injured person:
0 Railway employee
Any person who by virtue of his employment in connection with a railway, whether by the railway company or not, is at increased risk of involvement in a railway accident, such as:
catering staff of train
driver
guard
porter
postal staff on train
railway fireman
shunter
sleeping car attendant
1 Passenger on railway
Any authorized person traveling on a train, except a railway employee.
Excludes:
intending passenger waiting at station (8)
unauthorized rider on railway vehicle (8)
2 Pedestrian
See definition (r)
3 Pedal cyclist
See definition (p)
8 Other specified person
Intending passenger or bystander waiting at station
Unauthorized rider on railway vehicle
9 Unspecified person
E800: Railway accident involving collision with rolling stock
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
Includes:
collision between railway trains or railway vehicles, any kind
collision NOS on railway
derailment with antecedent collision with rolling stock or NOS
E801: Railway accident involving collision with other object
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
Includes:
collision of railway train with:
buffers
fallen tree on railway
gates
platform
rock on railway
streetcar
other nonmotor vehicle
other object
Excludes:
collision with:
aircraft (E840.0-E842.9)
motor vehicle (E810.0-E810.9, E820.0-E822.9)
E802: Railway accident involving derailment without antecedent collision
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
E803: Railway accident involving explosion, fire, or burning
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
Excludes:
explosion or fire, with antecedent derailment (E802.0-E802.9)
explosion or fire, with mention of antecedent collision (E800.0-E801.9)
E804: Fall in, on, or from railway train
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
Includes:
fall while alighting from or boarding railway train
Excludes:
fall related to collision, derailment, or explosion of railway train (E800.0-E803.9)
E805: Hit by rolling stock
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
Includes:
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
Excludes:
pedestrian hit by object set in motion by railway train (E806.0-E806.9)
E806: Other specified railway accident
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
Includes:
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
Excludes:
railway accident due to cataclysm (E908-E909)
E807: Railway accident of unspecified nature
Requires fourth digit. see beginning of section E800-E845 for codes and definitions.
Includes:
found dead on railway right-of-way NOS
injured on railway right-of-way NOS
railway accident NOS

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