Table 1 Explanation of information contained in the 3rd, 4th and 5th characters for major ICD-10-AM blocks
3rd character4th character5th character
External cause blocks
Transport eventsCounterpart involvedRole of patient and whether traffic/non-traffic event (except V90–V97 where 4th character signifies type of vehicle)Type of vehicle; assault only—perpetrator of assault (eg, spouse, parent)
FallsBroad product or surface involved (eg, bed, chair)Specific product or surface involved (eg, bunk bed, rocking chair)Assault only—perpetrator of assault (eg spouse, parent)
Drowning and submersionBroad body of water where it occurred (eg, bath, pool) and whether it occurred while in/falling into waterSpecific body of water where it occurred (eg, bath-tub, spa)Assault only—perpetrator of assault (eg, spouse, parent)
Other threats to breathingWhere or what caused threat (eg, while in bed, due to cave-in)Intentional self harm only—details regarding threat (eg, hanging, strangulation, suffocation)Assault only—perpetrator of assault (eg, spouse, parent)
Smoke, fire, flamesNature of fire (eg, controlled, ignition) and material involved (eg, building, flammable material)NAAssault only—perpetrator of assault (eg, spouse, parent)
Hot object or substanceBroad object or substance (eg, liquid, steam, appliance)Specific object or substance (eg, hot drink, radiator, kettle)Assault only—perpetrator of assault (eg, spouse, parent)
PoisoningSubstance involved (eg, analgesic, sedative, narcotic)Intentional self harm only—specific types of gas (eg, motor vehicle exhaust, LPG)Assault only—perpetrator of assault (eg, spouse, parent)
FirearmBroad type of firearm (eg, handgun)Intentional self harm/assault only—other types of firearm (eg, air rifle, shotgun)Assault only—perpetrator of assault (eg, spouse, parent)
Cutting, piercing objectBroad type of object (eg, glass, knife)Intentional self harm/assault only—specific type of object (eg, razor blade)Assault only—perpetrator of assault (eg, spouse, parent)
Animal relatedType of animal (eg, dog, rat) and nature of contact (eg, bitten, contact with)Other type of animal (eg, horse, cat)For animal-related transport events only—role of patient and type of animal (eg, rider of horse, occupant of animal drawn vehicle)
Machinery in operationBroad type of machinery (eg, agricultural, household)Specific type of machinery (eg, grinder, chainsaw)Specific subtype of machinery (eg, posthole digger, slasher)
ElectricitySource of current (eg, transmission lines)NANA
Hot and cold conditionsSource of condition (eg, sunlight)NANA
Struck by or collision personNature of collision (eg, hit by, striking against)NAAssault only—perpetrator of assault (eg, spouse, parent)
Struck by or collision objectNature of collision (eg, hit by, striking against) and broad type of object (eg sports equipment)Specific type of object (eg, bat, ball)Assault only—perpetrator of assault (eg, spouse, parent)
Other external cause*Not providedNot providedNot provided
Activity blocks
Sports and leisureBroad type of sport (eg, team ball sports, team bat sport)Specific type of sport (eg, football, hockey)Specific subtype of sport (eg, rugby league, ice hockey)
Working for an incomeSame 3-character code (U73) for all of these activitiesWorking for an income—single codeType of industry (eg, agriculture, mining)
Other types of workOther types of work—single codeNA
Resting, sleeping, eatingResting, sleeping, eating—single codeNA
Other specifiedOther specified—single codeNA
UnspecifiedUnspecified—single codeNA
Place blocks
HomeSame 3-character code (Y92) for all of these placesHome—single codeLocation in the home (eg, driveway)
Residential institutionResidential institution—single codeType of institution (eg, prison, military camp)
School/public admin areaSchool/public admin area—single codeType of institution (eg, school, health service)
Sports areaSports area—single codeType of sports area (eg, outdoor grounds, swimming centre)
Street and highwayStreet and highway—single codeType of street (eg, roadway, sidewalk)
Trade and service areaTrade and service area—single codeType of trade area (eg, shop, office)
Industrial/construction areaIndustrial/construction area—single codeType of industrial area (eg, construction area, demolition site)
FarmFarm—single codeNa
Other specific placeOther specific place—single codeOther places (eg, beach, forest)
Unspecified placeUnspecified place—single codeNa
  • *Heterogeneous group of codes unable to be compared at 3rd, 4th and 5th character level.

  • “NA” signifies that there are no characters at that particular level.