SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND POISONING 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 the International Classification of Diseases, Injuries and Causes of Death, indicating the nature of the condition. Most often, the nature of the condition will be classificable to Chapter XVII, Injuries, Poisoning and Violence, and for the classification of the underlying cause of death these will always require an "E" code in addition. Causes of death should preferably be tabulated according to both the Chapter XVII and the "E" codes, but if only one code is tabulated then the "E" code should be used in preference to the Chapter XVII code. Certain other conditions which may be stated to be due to external causes are classified in Chapters I to XVI of ICD, and for these the "E" code classification should be used as an additional code for multiple-condition analysis only. Machinery accidents [other than 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. 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-E848) 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 is not involved in the ICD-9/ECodes.TXT - pg. 1 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: railway train, any power [steam] [electric] [diesel] subterranean or elevated monorail or two-rail funicular interurban: electric car } (operated chiefly on its own right-of-way, streetcar ) not open to other traffic) 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 vehicle ICD-9/ECodes.TXT - pg. 2 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) roads in: parking lot industrial premises ramp mine roads in: private grounds airfield quarry farm (i) A motor vehicle is any mechanically or electrically powered devide, 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 ICD-9/ECodes.TXT - pg. 3 (j) A motorcycle is a two-wheeled motor vehicle having one or two riding saddles and sometimes having a third wheel for the suport of a sidecar. The sidecar is considered part of the motorcycle. Includes: motorized: bicycle 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, drive by tracks, or support on a cushion of air. Includes: 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 motor cycle. 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] street car 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 operating 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 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)] ICD-9/ECodes.TXT - pg. 4 (p) A pedal cyclist is any person riding on a pedal cycle or in a sidecar attached to such 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 roller skates coaster wagon scooter ice skates skateboard perambulator skis pushcart sled pushchair 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 row boat canoe rowing shell coble scull dinghy skiff punt small motorboat raft 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] glider balloon military aircraft bomber parachute dirigible (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. ICD-9/ECodes.TXT - pg. 5