819 Multiple fractures involving both upper limbs and upper limb with rib(s) and sternum 
819.0 Multiple closed fractures involving both upper limbs, and upper limb with rib(s) and sternum convert 819.0 to ICD-10-CM
819.1 Multiple open fractures involving both upper limbs, and upper limb with rib(s) and sternum convert 819.1 to ICD-10-CM