Chapter 20: External causes of morbidity (V00–Y99)
This chapter records how an injury or health event happened — falls, transport accidents, accidental poisoning and other external causes. Its codes are used together with the injury codes in Chapter 19 rather than on their own.
Chapter 20 spans codes V00–Y99 in the FY2027 ICD-10-CM tabular list. This guide explains 12 of its most common codes — select a code for its official description, a plain-English explanation and a note on when the code is used.

Codes in this chapter
| Code | Official description | In plain words |
|---|---|---|
| V89.2XXA | Person injured in unspecified motor-vehicle accident, traffic, initial encounter | An external-cause code recording that a person was injured in a motor-vehicle accident (traffic), the vehicle and role not specified; first encounter. |
| W01.0XXA | Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter | An external-cause code recording a fall on the same level from slipping, tripping or stumbling, without striking an object; first encounter. |
| W10.9XXA | Fall (on) (from) unspecified stairs and steps, initial encounter | An external-cause code recording a fall on or from stairs or steps (not further specified); first encounter. |
| W19.XXXA | Unspecified fall, initial encounter | An external-cause code recording a fall whose circumstances are not specified; first encounter. |
| W54.0XXA | Bitten by dog, initial encounter | An external-cause code recording a bite by a dog; first encounter. Used alongside the injury code for the wound itself. |
| W55.01XA | Bitten by cat, initial encounter | An external-cause code recording a scratch by a cat; first encounter. |
| W57.XXXA | Bitten or stung by nonvenomous insect and other nonvenomous arthropods, initial encounter | An external-cause code recording a bite or sting by a nonvenomous insect or other nonvenomous arthropod, such as a tick or bedbug; first encounter. |
| X50.0XXA | Overexertion from strenuous movement or load, initial encounter | An external-cause code recording overexertion from strenuous movement or load, such as lifting something heavy; first encounter. |
| X58.XXXA | Exposure to other specified factors, initial encounter | An external-cause code recording exposure to other specified factors as the cause of an injury or condition; first encounter. |
| Y92.9 | Unspecified place or not applicable | An external-cause code recording that the place where an injury or exposure occurred is unspecified or not applicable. |
| Y93.9 | Activity, unspecified | An external-cause code recording that the activity being performed when an injury occurred is unspecified. |
| Y99.9 | Unspecified external cause status | An external-cause code recording that the person's status (such as civilian or military) at the time of injury is unspecified. |
This guide explains ICD-10-CM codes in plain language for patients, students and other readers. It is educational information only — not coding, billing or medical advice. The code recorded for any real encounter is assigned from the full clinical documentation by the treating team and qualified coders, and only they can decide which code fits a specific case.
Other chapters
- Chapter 1: Infectious & Parasitic Diseases
- Chapter 2: Neoplasms
- Chapter 3: Blood & Immune Disorders
- Chapter 4: Endocrine, Nutritional & Metabolic
- Chapter 5: Mental, Behavioral & Neurodevelopmental
- Chapter 6: Nervous System
- Chapter 7: Eye & Adnexa
- Chapter 8: Ear & Mastoid Process
- Chapter 9: Circulatory System
- Chapter 10: Respiratory System
- Chapter 11: Digestive System
- Chapter 12: Skin & Subcutaneous Tissue
- Chapter 13: Musculoskeletal & Connective Tissue
- Chapter 14: Genitourinary System
- Chapter 15: Pregnancy, Childbirth & Puerperium
- Chapter 16: Perinatal Period
- Chapter 17: Congenital & Genetic Disorders
- Chapter 18: Symptoms, Signs & Abnormal Findings
- Chapter 19: Injury & Poisoning
- Chapter 21: Factors Influencing Health Status
- Chapter 22: Codes for Special Purposes