ICD-10 category · Chapter XIX · T00-T07
T02 Fractures involving multiple body regions
31 codes under T02 in the South African Master Industry Table 2021, 20 valid for clinical use; 20 marked as a Prescribed Minimum Benefit.
| Code | Description | Use | Benefits |
|---|---|---|---|
| T02 | Fractures involving multiple body regions | Heading only | — |
| T02.0 | Fractures involving head with neck | Heading only | — |
| T02.00 | Fractures involving head with neck, closed | Valid · may be primary | PMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 49A Compound/ depressed fractures of skull · Craniotomy/ craniectomy |
| T02.01 | Fractures involving head with neck, open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.1 | Fractures involving thorax with lower back and pelvis | Heading only | — |
| T02.10 | Fractures involving thorax with lower back and pelvis, closed | Valid · may be primary | PMB 147H Crush injuries of trunk, upper limbs, lower limbs, including blood vessels · Surgical management; ventilation; acute renal dialysisPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.11 | Fractures involving thorax with lower back and pelvis, open | Valid · may be primary | PMB 147H Crush injuries of trunk, upper limbs, lower limbs, including blood vessels · Surgical management; ventilation; acute renal dialysisPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.2 | Fractures involving multiple regions of one upper limb | Heading only | — |
| T02.20 | Fractures involving multiple regions of one upper limb, closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.21 | Fractures involving multiple regions of one upper limb, open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.3 | Fractures involving multiple regions of one lower limb | Heading only | — |
| T02.30 | Fractures involving multiple regions of one lower limb, closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.31 | Fractures involving multiple regions of one lower limb, open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.4 | Fractures involving multiple regions of both upper limbs | Heading only | — |
| T02.40 | Fractures involving multiple regions of both upper limbs, closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.41 | Fractures involving multiple regions of both upper limbs, open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.5 | Fractures involving multiple regions of both lower limbs | Heading only | — |
| T02.50 | Fractures involving multiple regions of both lower limbs, closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.51 | Fractures involving multiple regions of both lower limbs, open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.6 | Fractures involving multiple regions of upper limb(s) with lower limb(s) | Heading only | — |
| T02.60 | Fractures involving multiple regions of upper limb(s) with lower limb(s), closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.61 | Fractures involving multiple regions of upper limb(s) with lower limb(s), open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.7 | Fractures involving thorax with lower back and pelvis with limb(s) | Heading only | — |
| T02.70 | Fractures involving thorax with lower back and pelvis with limb(s), closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.71 | Fractures involving thorax with lower back and pelvis with limb(s), open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.8 | Fractures involving other combinations of body regions | Heading only | — |
| T02.80 | Fractures involving other combinations of body regions, closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.81 | Fractures involving other combinations of body regions, open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
| T02.9 | Multiple fractures, unspecified | Heading only | — |
| T02.90 | Multiple fractures, unspecified, closed | Valid · may be primary | PMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation |
| T02.91 | Multiple fractures, unspecified, open | Valid · may be primary | PMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management |
Prescribed Minimum Benefits in T02. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.
Source and terms
Reproduced from the national table, unaltered.
The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page
Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.
ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.
Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.
Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.
This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.
In GreenNotes
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