Who can lodge claims for different injuries

Depending on the type of health provider you are, you can only lodge claims for specific types of injuries on behalf of your patient.

On this page

    If an injury is listed under your provider type, you can provide initial treatment. Complete the ACC45 for that injury and lodge the claim on behalf of the patient.

    If an injury isn't listed under your provider type you can provide initial treatment and complete the ACC45. You'll need to refer your patient to a Medical Practitioner before we can determine cover.

    Acupuncturist

    If you’re an acupuncturist, refer your patient to a Medical Practitioner. They’ll need to diagnose the injury and lodge a claim before we can determine cover

    Audiologist

    Miscellaneous injuries

    Read code

    Description

    F542.

    Perforation eardrum tympanic membrane

    SG1..

    Foreign body ear

    Chiropractor A

    Fractures

    Read code

    Description

    S102.

    Fracture thoracic spine

    S105.

    Fracture lumbar spine

    S106.

    Fracture sacrum

    S108.

    Fracture coccyx

    S120.

    Fracture rib (closed)

    Sprains and strains

    Read code

    Description

    N131.

    Chronic/recurrent pain (cervical)

    N142.

    Low back pain, acute pain-lumbar, lumbago

    N143.

    Sciatica

    S460.

    Sprain meniscal tear (medial)

    S461.

    Sprain meniscal tear (lateral)

    S50.

    Sprain upper arm/shoulder

    S500.

    Sprain acromio – clavicular ligament

    S503.

    Sprain infraspinatus tendon

    S504.

    Sprain rotator cuff

    S507

    Sprain shoulder joint

    S508.

    Sprain biceps tendon

    S51.

    Sprain forearm

    S510.

    Sprain elbow

    S520.

    Sprain wrist

    S5204

    Sprain radial collateral ligament (thumb)

    S5210

    Sprain hand

    S522.

    Sprain thumb

    S523.

    Sprain finger

    S524.

    Sprain tendon wrist or hand

    S53..

    Sprain hip/thigh

    S533.

    Sprain quadriceps tendon

    S534.

    Sprain, patella tendon

    S535.

    Sprain hamstring tendon

    S54..

    Sprain knee/leg

    S540.

    Sprain lateral collateral ligament knee

    S541.

    Sprain medial collateral ligament knee

    S542.

    Sprain cruciate ligament knee

    S543.

    Sprain superior tibiofibular

    S54x1

    Sprain gastrocnemius

    S550.

    Sprain ankle

    S5502

    Sprain ankle joint lateral

    S5504

    Sprain achilles tendon

    S551.

    Sprain foot

    S5512

    Sprain metatarso- phalangeal joint

    S5513

    Sprain inter-phalangeal joint

    S560..

    Sprain lumbosacral ligament

    S561.

    Sacroiliac ligament sprain

    S570.

    Neck sprain

    S571.

    Sprain thoracic spine

    S572.

    Sprain lumbar spine

    S574.

    Sprain coccyx

    S5Q2.

    Rupture of supraspinatus

    S5Q4.

    Rupture of bicep tendon

    S5u1.

    Rupture,hamstring tendon

    S5y3.

    Sprain rib cage

    Back to chiropractor A

    Miscellaneous injuries

    Read code

    Description

    N12..

    Acute back pain – disc

    N12C0

    Cervical disc prolapse radiculopathy

    N12C1

    Thoracic Disc Prolapse Radiculopathy

    N12C2

    Lumbar disc prolapse radiculopathy

    N141.

    Acute back pain - thoracic

    N1472

    Coccydynia

    Back to chiropractor A

    Back to top

    Chiropractor B

    Fractures

    Read code

    Description

    S102.

    Fracture thoracic spine

    S105.

    Fracture lumbar spine

    S106.

    Fracture sacrum

    S108.

    Fracture coccyx

    S120.

    Fracture rib (closed)

    Sprains and strains

    Read code

    Description

    N131.

    Chronic/recurrent pain (cervical)

    N142.

    Low back pain, acute pain-lumbar, lumbago

    N143.

    Sciatica

    S560..

    Sprain lumbosacral ligament

    S561.

    Sacroiliac ligament sprain

    S570.

    Neck sprain

    S571.

    Sprain thoracic spine

    S572.

    Sprain lumbar spine

    S574.

    Sprain coccyx

    S5y3.

    Sprain rib cage

    Back to chiropractor B

    Miscellaneous injuries

    Read code

    Description

    N12..

    Acute back pain – disc

    N12C0

    Cervical disc prolapse radiculopathy

    N12C1

    Thoracic Disc Prolapse Radiculopathy

    N12C2

    Lumbar disc prolapse radiculopathy

    N141.

    Acute back pain - thoracic

    N1472

    Coccydynia

    Back to chiropractor B

    Back to top

    Dentist

    Lacerations and open wounds

    Read code

    Description

    S8344

    Open wound lip

    S8345

    Open wound jaw

    S836.

    Open wound mouth

    Contusions

    Read code

    Description

    SE03.

    Contusion lip

    Miscellaneous injuries

    Read code

    Description

    S8363

    Tooth fracture

    J0510

    Accidental loss of teeth

    SP047

    Breakage of a prosthesis (or denture)

    Back to top

    Nurse

    Fractures

    Read code

    Description

    S030.

    Fracture skull

    S044.

    Fracture facial bones

    S102.

    Fracture thoracic spine

    S105.

    Fracture lumbar spine

    S106.

    Fracture sacrum

    S108.

    Fracture coccyx

    S10B3

    Fracture ilium

    S10B4

    Fracture acetabulum

    S10B5

    Fracture pubis

    S120.

    Fracture rib (closed)

    S20..

    Fracture clavicle (closed non-displaced)

    S224.

    Fracture humerus (closed distal)

    S2240

    Fracture elbow

    S2241

    Fracture distal humerus, supra-condylar (closed)

    S226.

    Fracture humerus (closed proximal)

    S230.

    Fracture proximal radius/ulna (closed)

    S231.

    Fracture of proximal radius/ulna (open)

    S232.

    Fracture of shaft of radius/ulna (closed)

    S233.

    Fracture of shaft of radius/ulna (open)

    S234.

    Fracture of distal radius/ulna (closed)

    S2341

    Fracture colles

    S235.

    Fracture of distal radius/ulna (open)

    S2401

    Fracture scaphoid (closed)

    S24z.

    Fracture carpal bone

    S25..

    Fracture of meta-carpal bone

    S26..

    Fracture phalanx-hand

    S30..

    Fracture hip/femur

    S33..

    Fracture tibia /fibula

    S34..

    Fracture ankle

    S352.

    Fracture tarsal bones/metatarsals (closed)

    S36..

    Fracture phalanges (foot closed)

    S3z2.

    Stress fracture

    S4F..

    Fracture knee

    Back to nurse

    Dislocations

    Read code

    Description

    S42..

    Dislocation elbow

    S41..

    Dislocation/subluxation shoulder

    S4104

    Dislocation clavicle

    S43..

    Dislocation wrist/metacarpal

    S44..

    Dislocation/subluxation finger/thumb

    S45..

    Dislocation hip

    S463.

    Dislocation knee (patella)

    S465.

    Dislocation knee (not otherwise specified)

    S48..

    Dislocation phalanges (foot)

    S4801

    Dislocation tarsal bones

    S4804

    Dislocation meta-tarsals

    S490.

    Dislocation cervical spine

    S4920

    Dislocation lumbar spine

    S4942

    Dislocation sacrum

    S4G..

    Dislocation ankle

    S4J..

    Dislocation/subluxation other

    Back to nurse

    Burns

    Read code

    Description

    SH0..

    Burns eye/adnexa

    SH1..

    Burns head/neck

    SH2..

    Burns trunk

    SH3..

    Burns arm (excluding hand)

    SH4..

    Burns hand(s)/wrist

    SH5..

    Burns lower limb

    Back to nurse

    Strains and sprains

    Read code

    Description

    N131.

    Chronic/recurrent pain (cervical)

    N142.

    Low back pain, acute pain-lumbar, lumbago

    N143.

    Sciatica

    N2264

    Rupture hand -wrist flexor tendon

    S460.

    Sprain meniscal tear (medial)

    S461.

    Sprain meniscal tear (lateral)

    S50.

    Sprain upper arm/shoulder

    S500.

    Sprain acromio – clavicular ligament

    S503.

    Sprain infraspinatus tendon

    S504.

    Sprain rotator cuff

    S507

    Sprain shoulder joint

    S508.

    Sprain biceps tendon

    S51.

    Sprain forearm

    S510.

    Sprain elbow

    S520.

    Sprain wrist

    S5204

    Sprain radial collateral ligament (thumb)

    S5210

    Sprain hand

    S522.

    Sprain thumb

    S523.

    Sprain finger

    S524.

    Sprain tendon wrist or hand

    S53..

    Sprain hip/thigh

    S533.

    Sprain quadriceps tendon

    S534.

    Sprain, patella tendon

    S535.

    Sprain hamstring tendon

    S54..

    Sprain knee/leg

    S540.

    Sprain lateral collateral ligament knee

    S541.

    Sprain medial collateral ligament knee

    S542.

    Sprain cruciate ligament knee

    S543.

    Sprain superior tibiofibular

    S54x1

    Sprain gastrocnemius

    S550.

    Sprain ankle

    S5502

    Sprain ankle joint lateral

    S5504

    Sprain achilles tendon

    S551.

    Sprain foot

    S5512

    Sprain metatarso- phalangeal joint

    S5513

    Sprain inter-phalangeal joint

    S560..

    Sprain lumbosacral ligament

    S561.

    Sacroiliac ligament sprain

    S570.

    Neck sprain

    S571.

    Sprain thoracic spine

    S572.

    Sprain lumbar spine

    S574.

    Sprain coccyx

    S5Q2.

    Rupture of supraspinatus

    S5Q4.

    Rupture of bicep tendon

    S5u1.

    Rupture,hamstring tendon

    S5u2.

    Rupture, patella tendon

    S5v0.

    Rupture, achilles tendon

    S5y3.

    Sprain rib cage

    Back to nurse

    Lacerations and open wounds

    Read code

    Description

    7G321

    Avulsion of nail

    S7122

    Laceration lung

    S74z.

    Laceration liver (rupture)

    S75z.

    Laceration spleen (rupture)

    S7700

    Laceration bladder (rupture)

    S82..

    Open wound ear

    S830.

    Open wound scalp

    S832.

    Open wound nose

    S8341

    Open wound cheek

    S8342

    Open wound forehead

    S8343

    Open wound eyebrow

    S8344

    Open wound lip

    S8345

    Open wound jaw

    S836.

    Open wound mouth

    S85..

    Open wound chest wall

    S86..

    Open wound back

    S87..

    Open wound buttock

    S88..

    Open wound external genitalia

    S8z..

    Open wound head/neck/trunk (not otherwise specified)

    S90..

    Open wound shoulder/upper limb

    S91.

    Open wound elbow/forearm/wrist

    S92..

    Open wound hand

    S93..

    Open wound finger(s) thumb

    S935.

    Open wound fingernail

    SA100

    Open wound knee

    SA101

    Open wound leg

    SA2..

    Open wound foot

    SA3..

    Open wound toe(s)

    Back to nurse

    Abrasions and splinters

    Read code

    Description

    SD00.

    Abrasion head/neck

    SD000

    Abrasion face

    SD10.

    Abrasion trunk

    SD101

    Abrasion chest wall

    SD20.

    Abrasion upper arm (no infection)

    SD21.

    Abrasion upper arm (infection)

    SD30.

    Abrasion lower arm (no infection)

    SD31.

    Abrasion lower arm (infection)

    SDA..

    Multiple superficial injuries/abdomen, lower back and pelvis

    SD40.

    Abrasion hand (no infection)

    SD41.

    Abrasion hand (infection)

    SD46.

    Splinter hand (no infection)

    SD60.

    Abrasion leg

    SD602

    Abrasion knee

    SD700

    Abrasion foot (no infection)

    SD710

    Abrasion foot (infection)

    Back to nurse

    Contusions

    Read code

    Description

    SE0..

    Contusion head/neck

    SE00.

    Contusion forehead

    SE01.

    Contusion cheek

    SE02.

    Contusion nose

    SE03.

    Contusion lip

    SE05.

    Contusion ear

    SE09.

    Contusion scalp

    SE2..

    Contusion trunk

    SE20.

    Contusion breast

    SE21.

    Contusion chest wall

    SE23.

    Contusion back

    SE24.

    Contusion genital organs

    SE3..

    Contusion upper limb

    SE30.

    Contusion upper arm/shoulder

    SE31.

    Contusion elbow/forearm

    SE32.

    Contusion wrist/hand

    SE33.

    Contusion finger

    SE332.

    Contusion thumb/finger nail (haematoma)

    SE40.

    Contusion hip and thigh

    SE41.

    Contusion knee and lower leg

    SE42.

    Contusion ankle and foot

    SE43.

    Contusion toe

    SE44.

    Contusion lower limb (multiple sites)

    Back to nurse

    Crush injuries

    Read code

    Description

    SF110

    Crush injury back

    SF203

    Crush injury upper arm

    SF22.

    Crush injury wrist or hand

    SF23.

    Crush injury finger(s)

    SF231

    Crush injury thumb (closed)

    SF233

    Crush injury finger (open)

    SF322

    Crush injury foot (closed)

    Back to nurse

    Traumatic amputations

    Read code

    Description

    S906.

    Amputation at shoulder

    S96..

    Amputation finger

    S97..

    Traumatic amputation of arm and hand

    S97X.

    Traumatic amputation of forearm, level unspecified

    SA6..

    Amputation foot

    SA78.

    Amputation upper leg

    SA7X.

    Amputation lower leg

    Back to nurse

    Miscellaneous injuries

    Read code

    Description

    S60..

    Concussion

    F542.

    Perforation eardrum tympanic membrane

    S8363

    Tooth fracture

    J0510

    Accidental loss of teeth

    M07z.

    Local infection skin/subcut tissue NOS

    TE532

    Toxic reaction bee sting

    TE60.

    Bite (dog)

    U120.

    Hit struck kicked twistd bitten/scratchd by another person

    M12..

    Dermatitis (contact)

    N2124

    Shoulder impingement

    SD46

    Splinter hand (no infection)

    SD810

    Corneal abrasion

    SG00.

    Foreign body eye

    SG1..

    Foreign body ear

    SG2..

    Foreign body nose

    M2y5.

    Foreign body in skin or subcutaneous tissue

    SG52.

    Foreign body abdomen

    SGz..

    Foreign body other

    N12..

    Acute back pain – disc

    N12C0

    Cervical disc prolapse radiculopathy

    N12C1

    Thoracic Disc Prolapse Radiculopathy

    N12C2

    Lumbar disc prolapse radiculopathy

    N141.

    Acute back pain - thoracic

    N1472

    Coccydynia

    SN53.

    Allergic reaction unspecified

    SP047

    Breakage of a prosthesis (or denture)

    SP048

    Loosening of a prosthesis

    SP049

    Dislocation of a prosthesis

    Back to nurse

    Back to top

    Optometrist

    Burns

    Read code

    Description

    SH0..

    Burns eye/adnexa

    Abrasions and splinters

    Read code

    Description

    SD810

    Corneal abrasion

    Miscellaneous injuries

    Read code

    Description

    SG00.

    Foreign body eye

    Back to top

    Osteopath

    Fractures

    Read code

    Description

    S102.

    Fracture thoracic spine

    S105.

    Fracture lumbar spine

    S106.

    Fracture sacrum

    S108.

    Fracture coccyx

    S120.

    Fracture rib (closed)

    S25..

    Fracture of meta-carpal bone

    S26..

    Fracture phalanx-hand

    S3z2.

    Stress fracture

    Strains and sprains

    Read code

    Description

    N131.

    Chronic/recurrent pain (cervical)

    N142.

    Low back pain, acute pain-lumbar, lumbago

    N143.

    Sciatica

    S460.

    Sprain meniscal tear (medial)

    S461.

    Sprain meniscal tear (lateral)

    S50.

    Sprain upper arm/shoulder

    S500.

    Sprain acromio – clavicular ligament

    S503.

    Sprain infraspinatus tendon

    S504.

    Sprain rotator cuff

    S507

    Sprain shoulder joint

    S508.

    Sprain biceps tendon

    S51.

    Sprain forearm

    S510.

    Sprain elbow

    S520.

    Sprain wrist

    S5204

    Sprain radial collateral ligament (thumb)

    S5210

    Sprain hand

    S522.

    Sprain thumb

    S523.

    Sprain finger

    S524.

    Sprain tendon wrist or hand

    S53..

    Sprain hip/thigh

    S533.

    Sprain quadriceps tendon

    S534.

    Sprain, patella tendon

    S535.

    Sprain hamstring tendon

    S54..

    Sprain knee/leg

    S540.

    Sprain lateral collateral ligament knee

    S541.

    Sprain medial collateral ligament knee

    S542.

    Sprain cruciate ligament knee

    S543.

    Sprain superior tibiofibular

    S54x1

    Sprain gastrocnemius

    S550.

    Sprain ankle

    S5502

    Sprain ankle joint lateral

    S5504

    Sprain achilles tendon

    S551.

    Sprain foot

    S5512

    Sprain metatarso- phalangeal joint

    S5513

    Sprain inter-phalangeal joint

    S560..

    Sprain lumbosacral ligament

    S561.

    Sacroiliac ligament sprain

    S570.

    Neck sprain

    S571.

    Sprain thoracic spine

    S572.

    Sprain lumbar spine

    S574.

    Sprain coccyx

    S5Q2.

    Rupture of supraspinatus

    S5Q4.

    Rupture of bicep tendon

    S5u1.

    Rupture,hamstring tendon

    S5y3.

    Sprain rib cage

    Back to osteopath

    Contusions

    Read code

    Description

    SE0..

    Contusion head/neck

    SE00.

    Contusion forehead

    SE2..

    Contusion trunk

    SE21.

    Contusion chest wall

    SE23.

    Contusion back

    SE3..

    Contusion upper limb

    SE30.

    Contusion upper arm/shoulder

    SE31.

    Contusion elbow/forearm

    SE32.

    Contusion wrist/hand

    SE33.

    Contusion finger

    SE40.

    Contusion hip and thigh

    SE41.

    Contusion knee and lower leg

    SE42.

    Contusion ankle and foot

    SE43.

    Contusion toe

    SE44.

    Contusion lower limb (multiple sites)

    Back to osteopath

    Miscellaneous injuries

    Read code

    Description

    N2124

    Shoulder impingement

    N12..

    Acute back pain – disc

    N12C0

    Cervical disc prolapse radiculopathy

    N12C1

    Thoracic Disc Prolapse Radiculopathy

    N12C2

    Lumbar disc prolapse radiculopathy

    N141.

    Acute back pain - thoracic

    N1472

    Coccydynia

    Back to osteopath

    Back to top

    Physiotherapist

    Fractures

    Read code

    Description

    S102.

    Fracture thoracic spine

    S105.

    Fracture lumbar spine

    S106.

    Fracture sacrum

    S108.

    Fracture coccyx

    S120.

    Fracture rib (closed)

    S20..

    Fracture clavicle (closed non-displaced)

    S25..

    Fracture of meta-carpal bone

    S26..

    Fracture phalanx-hand

    S3z2.

    Stress fracture

    Strains and sprains

    Read code

    Description

    N131.

    Chronic/recurrent pain (cervical)

    N142.

    Low back pain, acute pain-lumbar, lumbago

    N143.

    Sciatica

    N2264

    Rupture hand -wrist flexor tendon

    S460.

    Sprain meniscal tear (medial)

    S461.

    Sprain meniscal tear (lateral)

    S50.

    Sprain upper arm/shoulder

    S500.

    Sprain acromio – clavicular ligament

    S503.

    Sprain infraspinatus tendon

    S504.

    Sprain rotator cuff

    S507

    Sprain shoulder joint

    S508.

    Sprain biceps tendon

    S51.

    Sprain forearm

    S510.

    Sprain elbow

    S520.

    Sprain wrist

    S5204

    Sprain radial collateral ligament (thumb)

    S5210

    Sprain hand

    S522.

    Sprain thumb

    S523.

    Sprain finger

    S524.

    Sprain tendon wrist or hand

    S53..

    Sprain hip/thigh

    S533.

    Sprain quadriceps tendon

    S534.

    Sprain, patella tendon

    S535.

    Sprain hamstring tendon

    S54..

    Sprain knee/leg

    S540.

    Sprain lateral collateral ligament knee

    S541.

    Sprain medial collateral ligament knee

    S542.

    Sprain cruciate ligament knee

    S543.

    Sprain superior tibiofibular

    S54x1

    Sprain gastrocnemius

    S550.

    Sprain ankle

    S5502

    Sprain ankle joint lateral

    S5504

    Sprain achilles tendon

    S551.

    Sprain foot

    S5512

    Sprain metatarso- phalangeal joint

    S5513

    Sprain inter-phalangeal joint

    S560..

    Sprain lumbosacral ligament

    S561.

    Sacroiliac ligament sprain

    S570.

    Neck sprain

    S571.

    Sprain thoracic spine

    S572.

    Sprain lumbar spine

    S574.

    Sprain coccyx

    S5Q2.

    Rupture of supraspinatus

    S5Q4.

    Rupture of bicep tendon

    S5u1.

    Rupture,hamstring tendon

    S5y3.

    Sprain rib cage

    Back to physiotherapist

    Contusions

    Read code

    Description

    SE0..

    Contusion head/neck

    SE00.

    Contusion forehead

    SE2..

    Contusion trunk

    SE21.

    Contusion chest wall

    SE23.

    Contusion back

    SE3..

    Contusion upper limb

    SE30.

    Contusion upper arm/shoulder

    SE31.

    Contusion elbow/forearm

    SE32.

    Contusion wrist/hand

    SE33.

    Contusion finger

    SE40.

    Contusion hip and thigh

    SE41.

    Contusion knee and lower leg

    SE42.

    Contusion ankle and foot

    SE43.

    Contusion toe

    SE44.

    Contusion lower limb (multiple sites)

    Back to physiotherapist

    Crush injuries

    Read code

    Description

    SF110

    Crush injury back

    SF203

    Crush injury upper arm

    SF22.

    Crush injury wrist or hand

    SF23.

    Crush injury finger(s)

    SF231

    Crush injury thumb (closed)

    SF233

    Crush injury finger (open)

    SF322

    Crush injury foot (closed)

    Back to physiotherapist

    Miscellaneous injuries

    Read code

    Description

    N2124

    Shoulder impingement

    N12..

    Acute back pain – disc

    N12C0

    Cervical disc prolapse radiculopathy

    N12C1

    Thoracic Disc Prolapse Radiculopathy

    N12C2

    Lumbar disc prolapse radiculopathy

    N141.

    Acute back pain - thoracic

    N1472

    Coccydynia

    Back to physiotherapist

    Back to top

    Podiatrist

    Fractures

    Read code

    Description

    S34..

    Fracture ankle

    S352.

    Fracture tarsal bones/metatarsals (closed)

    S36..

    Fracture phalanges (foot closed)

    S3z2.

    Stress fracture

    Burns

    Read code

    Description

    SH5..

    Burns lower limb

    Back to podiatrist

    Sprains and strains

    Read code

    Description

    S54x1

    Sprain gastrocnemius

    S550.

    Sprain ankle

    S5504

    Sprain achilles tendon

    S551.

    Sprain foot

    S5512

    Sprain metatarso- phalangeal joint

    S5513

    Sprain inter-phalangeal joint

    Lacerations and open wounds

    Read code

    Description

    7G321

    Avulsion of nail

    SA2..

    Open wound foot

    SA3..

    Open wound toe(s)

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    Abrasions and splinters

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    Description

    SD700

    Abrasion foot (no infection)

    SD710

    Abrasion foot (infection)

    Contusions

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    Description

    SE41.

    Contusion knee and lower leg

    SE42.

    Contusion ankle and foot

    SE43.

    Contusion toe

    SE44.

    Contusion lower limb (multiple sites)

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    Crush injuries

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    Description

    SF322

    Crush injury foot (closed)

    Traumatic amputations

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    Description

    SA6..

    Amputation foot

    Miscellaneous injuries

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    Description

    M07z.

    Local infection skin/subcut tissue NOS

    TE60.

    Bite (dog)

    U120.

    Hit struck kicked twistd bitten/scratchd by another person

    M12..

    Dermatitis (contact)

    M2y5.

    Foreign body in skin or subcutaneous tissue

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    Fractures

    Read code

    Description

    S030.

    Fracture skull

    S044.

    Fracture facial bones

    S102.

    Fracture thoracic spine

    S105.

    Fracture lumbar spine

    S106.

    Fracture sacrum

    S108.

    Fracture coccyx

    S10B3

    Fracture ilium

    S10B4

    Fracture acetabulum

    S10B5

    Fracture pubis

    S120.

    Fracture rib (closed)

    S20..

    Fracture clavicle (closed non-displaced)

    S224.

    Fracture humerus (closed distal)

    S2240

    Fracture elbow

    S2241

    Fracture distal humerus, supra-condylar (closed)

    S226.

    Fracture humerus (closed proximal)

    S230.

    Fracture proximal radius/ulna (closed)

    S231.

    Fracture of proximal radius/ulna (open)

    S232.

    Fracture of shaft of radius/ulna (closed)

    S233.

    Fracture of shaft of radius/ulna (open)

    S234.

    Fracture of distal radius/ulna (closed)

    S2341

    Fracture colles

    S235.

    Fracture of distal radius/ulna (open)

    S2401

    Fracture scaphoid (closed)

    S24z.

    Fracture carpal bone

    S25..

    Fracture of meta-carpal bone

    S26..

    Fracture phalanx-hand

    S30..

    Fracture hip/femur

    S33..

    Fracture tibia /fibula

    S34..

    Fracture ankle

    S352.

    Fracture tarsal bones/metatarsals (closed)

    S36..

    Fracture phalanges (foot closed)

    S3z2.

    Stress fracture

    S4F..

    Fracture knee

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    Dislocations

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    Description

    S42..

    Dislocation elbow

    S41..

    Dislocation/subluxation shoulder

    S4104

    Dislocation clavicle

    S43..

    Dislocation wrist/metacarpal

    S44..

    Dislocation/subluxation finger/thumb

    S45..

    Dislocation hip

    S463.

    Dislocation knee (patella)

    S465.

    Dislocation knee (not otherwise specified)

    S48..

    Dislocation phalanges (foot)

    S4801

    Dislocation tarsal bones

    S4804

    Dislocation meta-tarsals

    S490.

    Dislocation cervical spine

    S4920

    Dislocation lumbar spine

    S4942

    Dislocation sacrum

    S4G..

    Dislocation ankle

    S4J..

    Dislocation/subluxation other

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    Burns

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    Description

    SH0..

    Burns eye/adnexa

    SH1..

    Burns head/neck

    SH2..

    Burns trunk

    SH3..

    Burns arm (excluding hand)

    SH4..

    Burns hand(s)/wrist

    SH5..

    Burns lower limb

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    Gradual onset

    Read code

    Description

    F340.

    Carpal tunnel syndrome

    N211.

    Rotator cuff syndrome

    N2131

    Medial epicondylitis (elbow)

    N2132

    Lateral epicondylitis (elbow)

    N2165

    Prepatellar bursitis

    N2174

    Tendonitis achilles

    N21z2

    Tendonitis upper/lower limb

    N220.

    Teno-synovitis upper/lower limb

    N3371

    Sudek's atrophy

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    Strains and sprains

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    Description

    N131.

    Chronic/recurrent pain (cervical)

    N142.

    Low back pain, acute pain-lumbar, lumbago

    N143.

    Sciatica

    N2264

    Rupture hand -wrist flexor tendon

    S460.

    Sprain meniscal tear (medial)

    S461.

    Sprain meniscal tear (lateral)

    S50.

    Sprain upper arm/shoulder

    S500.

    Sprain acromio – clavicular ligament

    S503.

    Sprain infraspinatus tendon

    S504.

    Sprain rotator cuff

    S507

    Sprain shoulder joint

    S508.

    Sprain biceps tendon

    S51.

    Sprain forearm

    S510.

    Sprain elbow

    S520.

    Sprain wrist

    S5204

    Sprain radial collateral ligament (thumb)

    S5210

    Sprain hand

    S522.

    Sprain thumb

    S523.

    Sprain finger

    S524.

    Sprain tendon wrist or hand

    S53..

    Sprain hip/thigh

    S533.

    Sprain quadriceps tendon

    S534.

    Sprain, patella tendon

    S535.

    Sprain hamstring tendon

    S54..

    Sprain knee/leg

    S540.

    Sprain lateral collateral ligament knee

    S541.

    Sprain medial collateral ligament knee

    S542.

    Sprain cruciate ligament knee

    S543.

    Sprain superior tibiofibular

    S54x1

    Sprain gastrocnemius

    S550.

    Sprain ankle

    S5502

    Sprain ankle joint lateral

    S5504

    Sprain achilles tendon

    S551.

    Sprain foot

    S5512

    Sprain metatarso- phalangeal joint

    S5513

    Sprain inter-phalangeal joint

    S560..

    Sprain lumbosacral ligament

    S561.

    Sacroiliac ligament sprain

    S570.

    Neck sprain

    S571.

    Sprain thoracic spine

    S572.

    Sprain lumbar spine

    S574.

    Sprain coccyx

    S5Q2.

    Rupture of supraspinatus

    S5Q4.

    Rupture of bicep tendon

    S5u1.

    Rupture,hamstring tendon

    S5u2.

    Rupture, patella tendon

    S5v0.

    Rupture, achilles tendon

    S5y3.

    Sprain rib cage

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    Lacerations and open wounds

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    Description

    7G321

    Avulsion of nail

    S7122

    Laceration lung

    S74z.

    Laceration liver (rupture)

    S75z.

    Laceration spleen (rupture)

    S7700

    Laceration bladder (rupture)

    S82..

    Open wound ear

    S830.

    Open wound scalp

    S832.

    Open wound nose

    S8341

    Open wound cheek

    S8342

    Open wound forehead

    S8343

    Open wound eyebrow

    S8344

    Open wound lip

    S8345

    Open wound jaw

    S836.

    Open wound mouth

    S85..

    Open wound chest wall

    S86..

    Open wound back

    S87..

    Open wound buttock

    S88..

    Open wound external genitalia

    S8z..

    Open wound head/neck/trunk (not otherwise specified)

    S90..

    Open wound shoulder/upper limb

    S91.

    Open wound elbow/forearm/wrist

    S92..

    Open wound hand

    S93..

    Open wound finger(s) thumb

    S935.

    Open wound fingernail

    SA100

    Open wound knee

    SA101

    Open wound leg

    SA2..

    Open wound foot

    SA3..

    Open wound toe(s)

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    Abrasions and splinters

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    Description

    SD00.

    Abrasion head/neck

    SD000

    Abrasion face

    SD10.

    Abrasion trunk

    SD101

    Abrasion chest wall

    SD20.

    Abrasion upper arm (no infection)

    SD21.

    Abrasion upper arm (infection)

    SD30.

    Abrasion lower arm (no infection)

    SD31.

    Abrasion lower arm (infection)

    SDA..

    Multiple superficial injuries/abdomen, lower back and pelvis

    SD40.

    Abrasion hand (no infection)

    SD41.

    Abrasion hand (infection)

    SD46.

    Splinter hand (no infection)

    SD60.

    Abrasion leg

    SD602

    Abrasion knee

    SD700

    Abrasion foot (no infection)

    SD710

    Abrasion foot (infection)

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    Contusions

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    Description

    SE0..

    Contusion head/neck

    SE00.

    Contusion forehead

    SE01.

    Contusion cheek

    SE02.

    Contusion nose

    SE03.

    Contusion lip

    SE05.

    Contusion ear

    SE09.

    Contusion scalp

    SE2..

    Contusion trunk

    SE20.

    Contusion breast

    SE21.

    Contusion chest wall

    SE23.

    Contusion back

    SE24.

    Contusion genital organs

    SE3..

    Contusion upper limb

    SE30.

    Contusion upper arm/shoulder

    SE31.

    Contusion elbow/forearm

    SE32.

    Contusion wrist/hand

    SE33.

    Contusion finger

    SE332.

    Contusion thumb/finger nail (haematoma)

    SE40.

    Contusion hip and thigh

    SE41.

    Contusion knee and lower leg

    SE42.

    Contusion ankle and foot

    SE43.

    Contusion toe

    SE44.

    Contusion lower limb (multiple sites)

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    Crush injuries

    Read code

    Description

    SF110

    Crush injury back

    SF203

    Crush injury upper arm

    SF22.

    Crush injury wrist or hand

    SF23.

    Crush injury finger(s)

    SF231

    Crush injury thumb (closed)

    SF233

    Crush injury finger (open)

    SF322

    Crush injury foot (closed)

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    Traumatic amputations

    Read code

    Description

    S906.

    Amputation at shoulder

    S96..

    Amputation finger

    S97..

    Traumatic amputation of arm and hand

    S97X.

    Traumatic amputation of forearm, level unspecified

    SA6..

    Amputation foot

    SA78.

    Amputation upper leg

    SA7X.

    Amputation lower leg

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    Miscellaneous injuries

    Read code

    Description

    S60..

    Concussion

    E2A2.

    Post-concussion syndrome

    F542.

    Perforation eardrum tympanic membrane

    S8363

    Tooth fracture

    J0510

    Accidental loss of teeth

    M07z.

    Local infection skin/subcut tissue NOS

    TE532

    Toxic reaction bee sting

    TE60.

    Bite (dog)

    U120.

    Hit struck kicked twistd bitten/scratchd by another person

    M12..

    Dermatitis (contact)

    N2124

    Shoulder impingement

    SD46

    Splinter hand (no infection)

    SD810

    Corneal abrasion

    SG00.

    Foreign body eye

    SG1..

    Foreign body ear

    SG2..

    Foreign body nose

    M2y5.

    Foreign body in skin or subcutaneous tissue

    SG52.

    Foreign body abdomen

    SGz..

    Foreign body other

    N12..

    Acute back pain – disc

    N12C0

    Cervical disc prolapse radiculopathy

    N12C1

    Thoracic Disc Prolapse Radiculopathy

    N12C2

    Lumbar disc prolapse radiculopathy

    N141.

    Acute back pain - thoracic

    N1472

    Coccydynia

    J30..

    Hernia, inguinal

    J31..

    Hernia, femoral

    SN53.

    Allergic reaction unspecified

    SP047

    Breakage of a prosthesis (or denture)

    SP048

    Loosening of a prosthesis

    SP049

    Dislocation of a prosthesis

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    Last published: 23 November 2017