2e - Volume 1

Tabular List, 2022

U.S. Department of Health and Human Services

Centers for Disease Control and Prevention

National Center for Health Statistics

INTRODUCTION

A classification of diseases may be defined as a system of categories to which morbid entities are assigned according to established criteria. There are many possible axes of classification and the one selected will depend upon the use to be made of the statistics to be compiled. A statistical classification of diseases must encompass the entire range of morbid conditions within a manageable number of categories.

The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems is the latest in a series that was formalized in 1893 as the Bertillon Classification or International List of Causes of Death. A complete review of the historical background to the classification is given in Part 2a Instruction Manual (NCHS). While the title has been amended to make clearer the content and purpose and to reflect the progressive extension of the scope of the classification beyond diseases and injuries, the familiar abbreviation "ICD" has been retained. In the updated classification, conditions have been grouped in a way that was felt to be most suitable for general epidemiological purposes and the evaluation of health care.

Work on the Tenth Revision of the ICD started in September 1983 when a Preparatory Meeting on ICD-10 was convened in Geneva. The programme of work was guided by regular meetings of Heads of WHO Collaborating Centres for Classification of Diseases. Policy guidance was provided by a number of special meetings including those of the Expert Committee on the International Classification of Disease -Tenth Revision, held in 1984 and 1987.

In addition to the technical contributions provided by many specialist groups and individual experts, a large number of comments and suggestions were received from WHO Member States and Regional Offices as a result of the global circulation of draft proposals for revision in 1984 and 1986. From the comments received, it was clear that many users wished the ICD to encompass types of data other than the "diagnostic information" (in the broadest sense of the term) that it has always covered. In order to accommodate the perceived needs of these users, the concept arose of a "family" of classifications centred on the traditional ICD with its familiar form and structure. The ICD itself would thus meet the requirement for diagnostic information for general purposes, while a variety of other classifications would be used in conjunction with it and would deal either with different approaches to the same information or with different information (notably medical and surgical procedures and disablement).

Following suggestions at the time of development of the Ninth Revision of the classification that a different basic structure might better serve the needs of the many and varied users, several alternative models were evaluated. It became clear, however, that the traditional single-variable-axis design of the classification, and other aspects of its structure that gave emphasis to conditions that were frequent, costly or otherwise of public health importance, had withstood the test of time and that many users would be unhappy with any of the models that had been proposed as a possible replacement.

Consequently, as study of the Tenth Revision will show, the traditional ICD structure has been retained but an alphanumeric coding scheme replaces the previous numeric one. This provides a larger coding frame and leaves room for future revision without disruption of the numbering system, as has occurred at previous revisions.

In order to make optimum use of the available space, certain disorders of the immune mechanism are included with diseases of the blood and blood-forming organs (Chapter III). New chapters have been created for diseases of the eye and adnexa and diseases of the ear and mastoid process. The former supplementary classifications of external causes and of factors influencing health status and contact with health services now form part of the main classification.

The dagger and asterisk system of dual classification for certain diagnostic statements, introduced in the Ninth Revision, has been retained and extended, with the asterisk axis being contained in homogeneous categories at the three-character level.

Content of the three volumes of ICD-10

The presentation of the classification has been changed and there are now three volumes:

Volume 1. Tabular List. This contains the report of the International Conference for the Tenth Revision, the classification itself at the three-and four-character levels, the classification of the morphology of neoplasms, special tabulation lists for mortality and morbidity, definitions, and the nomenclature regulations.

Part 2a. Instruction Manual. This brings together the notes on certification and classification formerly included in Volume 1 with a good deal of new background and instructional matter and guidance on the use of Volume 1, on tabulations, and on planning for the use of ICD, which was seen as lacking in earlier revisions. It also includes the historical material formerly presented in the introduction to Volume 1.

Volume 3. Alphabetical Index. This presents the index itself with an introduction and expanded instructions on its use.

                                                           * * *

The classification was approved by the International Conference for the Tenth Revision of the International Classification of Diseases in 1989 and adopted by the Forty-third World Health Assembly in the following resolution:

The Forty-third World Health Assembly,

Having considered the report of the International Conference for the Tenth Revision of the International Classification of Diseases;

1.   ADOPTS the following, recommended by the Conference:

(1)   the detailed list of three-character categories and optional four-character subcategories with the Short Tabulation Lists for Mortality and Morbidity, constituting the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems, due to come into effect on 1 January 1993;

(2)   the definitions, standards and reporting requirements related to maternal, fetal, perinatal, neonatal and infant mortality;

(3)   the rules and instructions for underlying cause coding for mortality and main condition coding for morbidity;

2.   REQUESTS the Director-General to issue the Manual of the International Statistical Classification of Diseases and Related Health Problems;

3.   ENDORSES the recommendations of the Conference concerning:

(1)   the concept and implementation of the family of disease and health-related classifications, with the International Statistical Classification of Diseases and Related Health Problems as the core classification surrounded by a number of related and supplementary classifications and the International Nomenclature of Diseases;

(2)   the establishment of an updating process within the ten-year revision cycle.

Acknowledgements

The periodic revision of the ICD has, since the Sixth Revision in 1948, been coordinated by the World Health Organization. As the use of the classification has increased, so, understandably, has the desire among its users to contribute to the revision process. The Tenth Revision is the product of a vast amount of international activity, cooperation and compromise. WHO acknowledges with gratitude the contributions of the international and national specialist groups and individuals in numerous many countries.

WHO Collaborating Centres for Classification of Diseases

Nine WHO Collaborating Centres for Classification of Diseases have been established to assist countries with problems encountered in the development and use of health-related classifications and, in particular, in the use of the ICD.

It is important that countries bring to the attention of the respective Centre any significant problems they might encounter in the use of the ICD and especially when a new disease for which the ICD does not provide a suitable classification is encountered frequently. Until now the ICD has not been updated between revisions but it has been proposed that, through the Centres, a mechanism will be introduced to provide suitable codes for new diseases where necessary.

In addition to the official WHO Collaborating Centres, there are a number of national reference centres and individual users should first consult these, or their appropriate national office, when they encounter problems.

There are three Centres for English-language users. Communications should be addressed to the Head, WHO Collaborating Centre for Classification of Diseases at:

          Australian Institute of Health

          GPO Box 570

          Canberra ACT 2601,

          Australia

          Office of Population and Censuses and Surveys

          St. Catherine's House

          Kingsway 10

          London WC2B 6JP

          England

          National Center for Health Statistics

          3311 Toledo Road

          Hyattsville, MD 27703

          United States of America

The other six centres, each based on an individual language or group of languages, are located in the following institutions:

          Peking Union Medical College Hospital

          Chinese Academy of Medical Sciences

          Beijing 100730

          China (for Chinese)

          INSERM

          44 Chemin de Ronde

          F-78110 Le Vesinet

          France (for French)

          Department of Social Medicine

          University Hospital

          S-751 85 Uppsala

          Sweden (for the Nordic countries)

          Faculdade de Saude Publica/Universidade de Sao Paulo

          Avenida Dr Arnaldo 715,

          01246-904 Sao Paulo, SP

          Brazil (for Portuguese)

          The N.A. Semasko Institute,

          U1. Obuha 12

          Moscow B-20

          Russian Federation Republic (for Russian)

          Centro Venezolano de Clasificacion de Enfermedades

          Edificio Sur, 9^o Piso

          M.S.A.S.,

          Centro Simon Bolivar,

          P.O. Box 6653

          Caracas

          Venezuela (for Spanish)

Report of the International Conference for the Tenth Revision of the International Classification of Diseases

The International Conference for the Tenth Revision of the International Classification of Diseases was convened by the World Health Organization at WHO headquarters in Geneva from 26 September to 2 October 1989. The Conference was attended by delegates from 43 Member States:

Angola                             Luxembourg

Australia                          Madagascar

Bahamas                            Mali

Belgium                            Malta

Brazil                             Mozambique

Bulgaria                           Netherlands

Burundi                            Niger

Canada                             Portugal

China                              Republic of Korea

Cuba                               Senegal

Cyprus                             Singapore

Denmark                            Spain

Finland                            Sweden

France                             Switzerland

German Democratic Republic         Thailand

Germany, Federal Republic of       Uganda

Hungary                            Union of Soviet Socialist Republics

India                              United Arab Emirates

Indonesia                          United Kingdom of Great Britain

Israel                                  and Northern Ireland

Japan                              United States of America

Kuwait                             Venezuela

The United Nations, the International Labour Organisation and the WHO Regional Offices sent representatives to participate in the Conference, as did the Council for International Organizations of Medical Sciences, and twelve other nongovernmental organizations concerned with cancer registration, the deaf, epidemiology, family medicine, gynaecology and obstetrics, hypertension, health records, preventive and social medicine, neurology, psychiatry, rehabilitation and sexually transmitted diseases.

The Conference was opened by Dr J.-P. Jardel, Assistant Director-General, on behalf of the Director-General. Dr Jardel spoke of the extensive consultations and preparatory work that had gone into the revision proposals and had necessitated a longer than usual interval between

revisions. He noted that the Tenth Revision would have a new title, International Statistical Classification of Diseases and Related Health Problems, to emphasize its statistical purpose and reflect the widening of its scope. The convenient abbreviation ICD would, however, be retained. He also mentioned the new alphanumeric coding scheme, which had made it possible to provide a better balance between the content of the chapters and to leave room for future additions and changes, as well as the intention to produce an ICD manual of three-character categories with an alphabetical index for use where the more complex detailed four-character version would be inappropriate.

The Conference elected the following officers:

Dr R.H.C. Wells, Australia (Chairman)

Dr H. Bay-Nielsen, Denmark (Vice-Chairman)

Dr R. Braun, German Democratic Republic (Vice-Chairman)

Mr R.A. Israel, United States of America (Vice-Chairman)

Dr R. Laurenti, Brazil (Vice-Chairman)

Dr P. Maguin, France (Rapporteur)

Ms E. Taylor, Canada (Rapporteur)

The secretariat of the Conference was as follows:

Dr J.-P. Jardel, Assistant Director-General, WHO, Geneva, Switzerland

Dr H.R. Hapsara, Director, Division of Epidemiological Surveillance and Health Situation and Trend Assessment, WHO, Geneva, Switzerland

Dr J.-C. Alary, Chief Medical Officer, Development of Epidemiological and Health Statistical Services, WHO, Geneva, Switzerland

Dr G.R. Bramer, Medical Officer, Development of Epidemiological and Health Statistical Services, WHO, Geneva, Switzerland (Secretary)

Mr A. L'Hours, Technical Officer, Development of Epidemiological and Health Statistical Services, WHO, Geneva, Switzerland

Professor W. Janisch, German Democratic Republic (Temporary Adviser)

Mr T. Kruse, Denmark (Temporary Adviser)

Dr K. Kupka, France (Temporary Adviser)

Dr J. Leowski, Poland (Temporary Adviser)

Ms R.M. Loy, United Kingdom of Great Britain and Northern Ireland (Temporary Adviser)

Mr R.H. Seeman, United States of America (Temporary Adviser)

The secretariat of the Conference was assisted by representatives of other relevant technical units of WHO headquarters.

The Conference adopted an agenda dealing with the proposed content of the chapters of the Tenth Revision, and material to be incorporated in the published manual; the process for its introduction; and the family of classifications and related matters.

1.   History and development of uses of the International Classification of Diseases (ICD)

The Conference was reminded of the impressive history of a statistical classification which dated back to the eighteenth century. While early revisions of the classification had been concerned only with causes of death, its scope had been extended at the Sixth Revision in 1948 to include non-fatal diseases. This extension had continued through the Ninth Revision, with certain innovations being made to meet the statistical needs of widely differing organizations. In addition, at the International Conference for the Ninth Revision (Geneva, 1975) (1), recommendations had been made and approved for the publication for trial purposes of supplementary classifications of procedures in medicine and of impairments, disabilities, and handicaps.

2.   Review of activities in the preparation of proposals for the Tenth Revision of the ICD

The proposals before the Conference were the product of a vast amount of activity at WHO headquarters and around the world. The programme of work had been guided by regular meetings of the heads of WHO Collaborating Centres for Classification of Diseases. Policy guidance had been provided by a number of special meetings and by the Expert Committee on the International Classification of Diseases - Tenth Revision, which met in 1984 (2) and 1987 (3) to make decisions on the direction the work should take and the form of the final proposals.

Extensive preparatory activity had been devoted to a radical review of the suitability of the structure of the ICD, essentially a statistical classification of diseases and other health problems, to serve a wide variety of needs for mortality and health-care data. Ways of stabilizing the coding system to minimize disruption at successive revisions had been investigated, as had the possibility of providing a better balance between the content of the different chapters of the ICD.

Even with a new structure, it was plain that one classification could not cope with the extremes of the requirements. The concept had therefore been developed of a "family" of classifications, with the main ICD as the core, covering the centre ground of needs for traditional mortality and morbidity statistics, while needs for more detailed, less detailed or different classifications and associated matters would be dealt with by other members of the family.

Several alternative models for the structure of the ICD had been investigated by the Collaborating Centres, but it had been found that each had unsatisfactory features and none had sufficient advantages over the existing structure to justify replacing it. Special meetings held to evaluate the Ninth Revision had confirmed that, although some potential users found the existing structure of the ICD unsuitable, there was a large body of satisfied users who considered it had many inherent strengths, whatever its apparent inconsistencies, and wished it to continue in its existing form.

Various schemes involving alphanumeric notation had been examined with a view to producing a coding frame that would give a better balance to the chapters and allow sufficient space for future additions and changes without disrupting the codes.

Decisions made on these matters had paved the way for the preparation of successive drafts of chapter proposals for the Tenth Revision. These had twice been circulated to Member States for comment as well as being reviewed by other interested bodies, meetings of Centre Heads, and the Expert Committee. A large number of international professional specialist associations, individual specialists and experts, other WHO headquarters units and regional offices had given advice and guidance to the WHO unit responsible for the ICD and to the Collaborating Centres on the preparation of the proposals and the associated material placed before the Conference. WHO gratefully acknowledged this assistance.

3.   General characteristics and content of the proposed Tenth Revision of the ICD

The main innovation in the proposals for the Tenth Revision was the use of an alphanumeric coding scheme of one letter followed by three numbers at the four-character level. This had the effect of more than doubling the size of the coding frame in comparison with the Ninth Revision and enabled the vast majority of chapters to be assigned a unique letter or group of letters, each capable of providing 100 three-character categories. Of the 26 available letters, 25 had been used, the letter U being left vacant for future additions and changes and for possible interim classifications to solve difficulties arising at the national and international level between revisions.

As a matter of policy, some three-character categories had been left vacant for future expansion and revision, the number varying according to the chapters: those with a primarily anatomical axis of classification had fewer vacant categories as it was considered that future changes in their content would be more limited in nature.

The Ninth Revision contained 17 chapters plus two supplementary classifications: the Supplementary Classification of External Causes of Injury and Poisoning (the E code) and the Supplementary Classification of Factors Influencing Health Status and Contact with Health Services (the V code). As recommended by the Preparatory Meeting on the Tenth Revision (Geneva, 1983) (4) and endorsed by subsequent meetings, these two chapters were no longer considered to be supplementary but were included as a part of the core classification.

The order of entry of chapters in the proposals for the Tenth Revision had originally been the same as in the Ninth Revision; however, to make effective use of the available space, disorders of the immune mechanism were later included with diseases of the blood and blood-forming organs, whereas in the Ninth Revision they had been included with endocrine, nutritional and metabolic diseases. The new chapter on "Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism" now followed the "Neoplasms" chapter, with which it shared the letter D.

During the elaboration of early drafts of the chapter on "Diseases of the nervous system and sense organs", it had soon become clear that it would not be possible to accommodate all the required detail under one letter in 100 three-character categories. It had been decided, therefore, to create three separate chapters - "Diseases of the nervous system" having the letter G, and the two chapters on "Diseases of the eye and adnexa" and on "Diseases of the ear and mastoid process" sharing the letter H.

Also, the chapters on "Diseases of the genitourinary system", on "Pregnancy, childbirth and the puerperium", on "Certain conditions originating in the perinatal period, and on "Congenital malformations, deformations and chromosomal abnormalities" had been brought together as contiguous chapters XIV to XVII.

With the inclusion of the former supplementary classifications as part of the core classification and the creation of two new chapters, the total number of chapters in the proposal for the Tenth Revision had become 21. The titles of some chapters had been amended to give a better indication of their content.

Where radical changes to the ICD had been proposed, field-testing had been appropriate. This had been the case for the following chapters:

V.       Mental and behavioural disorders

XIX.    Injury, poisoning and certain other consequences of external causes

XX.     External causes of morbidity and mortality

Chapter II, "Neoplasms", had also been subject to some field-testing, although the changes in its content had been of a minor nature.

Some new features of the proposals for the Tenth Revision were as follows:

•   The exclusion notes at the beginning of each chapter had been expanded to explain the relative hierarchy of chapters, and to make it clear that the "special group" chapters had priority of assignment over the organ or system chapters and that, among the special group chapters, those on "Pregnancy, childbirth and the puerperium" and on "Certain conditions originating in the perinatal period" had priority over the others.

•   Also, at the beginning of each chapter an overview was given of the blocks of three-character categories and, where relevant, the asterisk categories; this had been done to clarify the structure of the chapters and to facilitate the use of the asterisk categories.

•   The notes in the tabular list applied to all uses of the classification; if a note was appropriate only to morbidity or only to mortality, it was included in the special notes accompanying either the morbidity coding rules or the mortality coding rules.

•   The Ninth Revision had identified a certain number of conditions as being drug-induced; this approach had been continued in drawing up the proposals for the Tenth Revision and many such conditions were now separately identified.

An important innovation was the creation towards the end of certain chapters of categories for postprocedural disorders. These identified important conditions that constituted a medical care problem in their own right and included such examples as endocrine and metabolic diseases following ablation of an organ and other specific conditions such as postgastrectomy dumping syndrome. Postprocedural conditions that were not specific to a particular body system, including immediate complications such as air embolism and postoperative shock, continued to be classified in the chapter on "Injury, poisoning and certain other consequences of external causes".

Another change was that in the Ninth Revision, the four-digit titles had often had to be read in conjunction with the three-digit titles to ascertain the full meaning and intent of the subcategory, whereas in the draft presented to the Conference the titles were almost invariably complete and could stand alone.

The dual classification scheme for etiology and manifestation, known as the dagger and asterisk system, introduced in the Ninth Revision, had been the subject of a certain amount of criticism. This related mainly to the fact that the classification frequently contained a mixture of manifestation and other information at the three- and four-digit levels, with the same diagnostic labels sometimes appearing under both axes. Also, many considered the system to be

insufficiently comprehensive. To overcome these problems, in the draft for the Tenth Revision, the asterisk information was contained in 82 homogeneous three-character categories for optional use. This approach enabled those diagnostic statements containing information about both a generalized underlying disease process and a manifestation or complication in a particular organ or site to receive two codes, allowing retrieval or tabulation according to either axis.

These characteristics of the proposed Tenth Revision were accepted by the Conference.

Each of the chapters was introduced to the Conference with a presentation on changes introduced since the Ninth Revision and some background information about certain innovations. Some issues related to changes in chapter structure and content were discussed by the Conference and agreement reached on follow-up and modification by the secretariat.

4.   Standards and definitions related to maternal and child health

The Conference considered with interest the recommended definitions, standards and reporting requirements for the Tenth Revision with regard to maternal mortality and to fetal, perinatal, neonatal and infant mortality. These recommendations were the outcome of a series of special meetings and consultations and were directed towards improving the comparability of data.

The Conference agreed that it was desirable to retain the definitions of live birth and fetal death as they appeared in the Ninth Revision.

After some discussion, the Conference set up a working party on the subject of maternal mortality and, on the basis of its recommendations, also agreed to retain the definition of maternal death as it appeared in the Ninth Revision.

In order to improve the quality of maternal mortality data and provide alternative methods of collecting data on deaths during pregnancy or related to it, as well as to encourage the recording of deaths from obstetric causes occurring more than 42 days following termination of pregnancy, two additional definitions, for "pregnancy-related deaths" and "late maternal deaths", were formulated by the working party.

The Conference

RECOMMENDED that countries consider the inclusion on death certificates of questions regarding current pregnancy and pregnancy within one year preceding death.

The Conference agreed that, since the number of live births was more universally available than the number of total births (live births plus fetal deaths), it should be used as the denominator in the ratios related to maternal mortality [as contained in Part 2a Instruction Manual (NCHS)].

With respect to perinatal, neonatal and infant mortality, it was strongly advised that published rates based on birth cohorts should be so identified and differentiated.

The Conference confirmed the practice of expressing age in completed units of time and thus designating the first day of life as day zero.

The Conference

RECOMMENDED the inclusion, in the manual of the Tenth Revision of the ICD, of definitions, standards and reporting requirements related to maternal mortality and to fetal, perinatal, neonatal and infant mortality.

5. Coding and selection rules and tabulation lists

5.1 Coding and selection rules for mortality

The Conference was informed about a process for review of the selection and modification rules for underlying cause of death and the associated notes, as they appeared in the Ninth Revision, which had resulted in several recommended changes in the rules and extensive changes to the notes.

The Conference

RECOMMENDED that the rules for selection of cause of death for primary mortality tabulation, as they appear in the Ninth Revision, be replaced in the Tenth Revision [by those contained in Part 2a Instruction Manual (NCHS)].

The Conference was further informed that additional notes for use in underlying cause coding and the interpretation of entries of causes of death had been drafted and were being reviewed. As these notes were intended to improve consistency in coding, the Conference agreed that they would also be incorporated in the Tenth Revision.

The Conference noted the continued use of multiple-condition coding and analysis in relation to causes of death. It expressed encouragement for such activities, but did not recommend that the Tenth Revision should contain any particular rules or methods of analysis to be followed.

In considering the international form of medical certificate of cause of death, the Expert Committee had recognized that the situation of an aging population with a greater proportion of deaths involving multiple disease processes, and the effects of associated therapeutic interventions, tended to increase the number of possible statements between the underlying cause and the direct cause of death: this meant that an increasing number of conditions were being entered on death certificates in many countries. This led the Committee to recommend the inclusion of an additional line (d) in Part I of the certificate.

The Conference therefore

RECOMMENDED that, where a need has been identified, countries consider the possibility of including an additional line (d) in Part I of the medical certificate of cause of death.

5.2 Coding and selection rules for morbidity

For the first time, the Ninth Revision contained guidance on recording and coding for morbidity and specifically for the selection of a single condition for presentation of morbidity statistics. Experience gained in the use of the definitions and rules in the Ninth Revision had proved their usefulness and generated requests for their clarification, for further elaboration regarding the recording of diagnostic information by health care practitioners, and for more guidance on dealing with specific problem situations.

The Conference endorsed the recommendations of the 1975 Revision Conference about the condition to be selected for single-condition analysis of episodes of health care, and its view that, where practicable, multiple-condition coding and analysis should be undertaken to supplement routine statistics. It stressed that the Tenth Revision should make it clear that much of the guidance was applicable only when the tabulation of a "main condition" for an episode was appropriate and when the concept of an "episode" per se was relevant to the way in which data collection was organized.

The Conference accordingly

RECOMMENDED that additional guidance on the recording and coding of morbidity should be included in the Tenth Revision, and that the definitions of "main condition" and "other conditions" should be incorporated, together with the modified rules for dealing with obviously incorrectly reported "main condition". [These are included in Part 2a Instruction Manual (NCHS).]

The Conference also

RECOMMENDED that where the "main condition" is subject to the dual classification system provided in the ICD, both the dagger and asterisk codes should be recorded, to permit alternative tabulation by either.

The Conference agreed that extensive notes and examples should be added to provide further assistance.

5.3 Lists for tabulation of mortality and morbidity

The Conference was informed about difficulties that had arisen in the use of the Basic Tabulation List based on the Ninth Revision and about the activities that had been undertaken, particularly by WHO, to develop new lists for the tabulation and publication of mortality data. In this process it had become apparent that, in many countries, mortality up to the age of five was a more robust indicator than infant mortality, and that it would therefore be preferable to have a list that included infant deaths and deaths of children up to the age of five years, rather than a list for infants only.

Two versions of the general mortality list and of the infant and child mortality list had been prepared for consideration by the Conference, with the second version including chapter titles and residual items for chapters as necessary.

As some concerns were expressed regarding the mortality lists as presented, a small working party was convened to consider the possible inclusion of some additional items. The report of the working party was accepted by the Conference.

On the topic of lists for the tabulation of morbidity, the Conference reviewed both a proposed tabulation list and a model publication list based on chapter titles, with selected items included as examples under each title. Considerable concern was expressed about the applicability of such lists to all morbidity in the broadest sense. There was general agreement that the lists as presented were probably more suited to inpatient morbidity, and it was felt that further efforts should be made to develop lists suitable for other morbidity applications and also that both mortality and morbidity tabulation lists should be accompanied in the Tenth Revision by appropriate explanations and instructions on their use.

In the light of the concerns raised in the Conference and the conclusions of the working party, the Conference agreed that the tabulation and publication lists should appear in the Tenth Revision, while an effort should be made to establish clearer, more descriptive titles for these lists. It was also agreed that, to facilitate the alternative tabulation of asterisk categories, a second version of the morbidity tabulation list should be developed, which included the asterisk categories.

6. Family of classifications

6.1 Concept of the family of classifications

During the preparation of the Ninth Revision it had already been realized that the ICD alone could not cover all the information required and that only a "family" of disease and health-related classifications would meet the different requirements in public health. Since the late 1970s, therefore, various possible solutions had been envisaged, one of which called for a core classification (ICD) with a series of modules, some hierarchically related and others of a supplementary nature.

After studies and discussions in cooperation with the various Collaborating Centres, a concept of a family of classifications had been elaborated and subsequently revised by the Expert Committee in 1987, which had recommended the scheme shown opposite.

The Conference

RECOMMENDED that the concept of the family of disease and health-related classifications should be followed up by WHO.

In order to maintain the integrity of the ICD itself and this family concept, the Conference

RECOMMENDED that, in the interests of international comparability, no changes should be made to the content (as indicated by the titles) of the three-character categories and four-character sub-categories of the Tenth Revision in the preparation of translations or adaptations, except as authorized by WHO. The Secretariat of WHO is responsible for the ICD and acts as central clearing-house for any publication (except national statistical publications) or translation to be derived from it. WHO should be promptly notified about the intention to produce translations and adaptations or other ICD-related classifications.

Family of disease and health-related classifications

The Conference viewed with interest a presentation of the use and linkage of different members of the ICD family in the medicosocial and multidimensional assessment of the elderly in relation not only to health but also to activities of daily living as well as the social and physical environment. It was demonstrated that effective information could be obtained through use of the ICD and the International Classification of Impairments, Disabilities, and Handicaps (ICIDH), and especially through use of the codes from the proposed Chapter XXI of the Tenth Revision.

6.2 Specialty-based adaptations

The Conference was informed about plans for the development of adaptations of the Tenth Revision in the mental health programme area. Clinical guidelines would accompany a version intended for use by clinicians working in the field of psychiatry; research criteria would be proposed for use in investigations of mental health problems; and multi-axial presentations for use in dealing with childhood disorders and for the classification of adult problems would be developed as well as a version for use by general practitioners. Compilations of ICD codes relevant to psychiatry and to neurology would also be produced along the lines of previous publications on this subject.

The Conference also heard about the methods used to ensure that the basic structure and function of the ICD were preserved in the initial development of the application for medical specialists in dentistry and stomatology (ICD-DA) and was informed that a new revision of the ICD-DA linked to the Tenth Revision was in the final stages of preparation.

A presentation was given on the International Classification of Diseases for Oncology (ICD-O), Second Edition, a multi-axial classification including both the topography and morphology of neoplasms. The morphology codes of the ICD-O, which had evolved over a long period of time, had been revised and extensively field-tested. The topography codes of the second edition would be based on categories C00-C80 in the Tenth Revision and publication would, therefore, await World Health Assembly approval of the Tenth Revision.

There was agreement on the value of an adaptation in the area of general medical practice and the Conference was informed about the willingness of groups working in this area to collaborate with WHO. In respect of other specialty-based adaptations, which were likely to become more numerous, the recommended role of WHO as a clearing-house was considered to be extremely important.

6.3 Information support to primary health care

In accordance with the recommendations of the 1975 Revision Conference, a working group had been convened by the WHO Regional Office for South-East Asia in Delhi in 1976. It had drawn up a detailed list of symptom associations, and from this, two short lists were derived, one for causes of death and one for reasons for contact with health services. Field trials of this system had been carried out in countries of the Region and the results used to revise the list of symptom associations and the reporting forms. This revised version had been published by WHO in 1978 in the booklet Lay reporting of health information (5).

The Global Strategy for Health for All by the Year 2000, launched in 1978, had raised a number of challenges for the development of information systems in Member States. At the International Conference on Health Statistics for the Year 2000 (Bellagio, Italy, 1982) (6), the integration of "lay reporting" information with other information generated and used for health management purposes had been identified as a major problem inhibiting the wider implementation of lay reporting schemes. The Consultation on Primary Care Classifications (Geneva, 1985) (7) had stressed the need for an approach that could unify information support, health service management and community services through information based on lay reporting in the expanded sense of community-based information.

The Conference was informed about the experience of countries in developing and applying community-based health information that covered health problems and needs, related risk factors and resources. It supported the concept of developing non-conventional methods at the community level as a method of filling information gaps in individual countries and strengthening their information systems. It was stressed that, for both developed and developing countries, such methods or systems should be developed locally and that, because of factors such as morbidity patterns as well as language and cultural variations, transfer to other areas or countries should not be attempted.

6.4 Impairments, disabilities and handicaps

The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) (8) had been published by WHO in English in 1980 for trial purposes, in accordance with the recommendations of the 1975 Revision Conference and resolution WHA29.35 (9) of the 1976 World Health Assembly. Since that time, research and development on the classification had followed a number of paths.

The major definitions of the three elements - impairment, disability and handicap - had undoubtedly been instrumental in changing attitudes to disablement. The definition of impairment, an area where there was considerable overlap with the terms included in the ICD, had been widely accepted. The definition of disability broadly matched the field of action of rehabilitation professionals and groups, although there was felt to be a need for more attention in the associated code to the gradation of severity, which was often a predictor of handicap. There had also been increasing requests to revise the definition of handicap so as to put more emphasis on the effect of interaction with the environment.

The rapid evolution of ideas and practices in the management of disablement had ruled out the production of a revised ICIDH in time to be submitted to the Conference. It was stated that the publication of a new version was unlikely before implementation of the Tenth Revision.

6.5 Procedures in medicine

The International Classification of Procedures in Medicine (ICPM) (10) had been published by WHO in 1978 for trial purposes, in accordance with the recommendations of the 1975 Revision Conference and resolution WHA29.35 (9) of the 1976 World Health Assembly. The classification had been adopted by a few countries and was used as a basis for national classifications of surgical operations by a number of other countries.

The Heads of WHO Collaborating Centres for Classification of Diseases had recognized that the process of drafting proposals, obtaining comments, redrafting and soliciting further comments, which WHO necessarily had to go through before finalization and publication, was inappropriate in such a rapidly advancing field as that of procedures. The Centre Heads had therefore recommended that there should be no revision of the ICPM in conjunction with the Tenth Revision of ICD.

In 1987 the Expert Committee had asked that WHO consider updating for the Tenth Revision at least the outline of Chapter 5, “Surgical procedures", of the trial ICPM. In response to this request and the needs expressed by a number of countries, an attempt had been made by the Secretariat to prepare a tabulation list for procedures.

This list had been presented to the Centre Heads at their 1989 meeting and it had been agreed that it could serve as a guide for national presentation or publication of statistics on surgical procedures and could also facilitate intercountry comparisons. The aim of the list was to identify procedures and groups of procedures and define them as a basis for the development of national classifications, thereby improving the comparability of such classifications.

The Conference agreed that such a list was of value and that work should continue on its development, even though any publication would follow the implementation of the Tenth Revision.

6.6 International Nomenclature of Diseases

Since 1970 the Council for International Organizations of Medical Sciences (CIOMS) had been involved in the preparation of an International Nomenclature of Diseases (IND) which would serve as a complement to the ICD.

The main purpose of the IND was to provide a single recommended name for every disease entity. The main criteria for selection of that name were that it should be specific, unambiguous, as self-descriptive and simple as possible, and based on cause wherever feasible. Each disease or syndrome for which a name was recommended was defined as unambiguously, and yet briefly, as possible. A list of synonyms was appended to each definition.

At the time of the Conference, volumes had been published on diseases of the lower respiratory tract, infectious diseases (viral, bacterial and parasitic diseases and mycoses) and cardiac and vascular diseases, and work was under way on volumes for the digestive system, female genital system, urinary and male genital system, metabolic and endocrine diseases, blood and blood-forming organs, immunological system, musculoskeletal system and nervous system. Subjects proposed for future volumes included psychiatric diseases, as well as diseases of the skin, ear, nose and throat, and eye and adnexa.

The Conference recognized that an authoritative, up-to-date and international nomenclature of diseases was important in developing the ICD and improving the comparability of health information. The Conference therefore

RECOMMENDED that WHO and CIOMS be encouraged to explore cost-efficient ways to achieve the timely completion and maintenance of such a nomenclature.

7. Implementation of the Tenth Revision of the ICD

The Conference was informed of WHO's intention to publish the detailed four-character version of the Tenth Revision in three volumes: one containing the Tabular List, a second containing all related definitions, standards, rules and instructions, and a third containing the Alphabetical Index.

The Conference was further informed that a three-character version of the Tenth Revision would be published as a single volume which would contain, in the Tabular List, all inclusion and exclusion notes. It would also contain all related definitions, standards, rules and instructions and a shortened Alphabetical Index.

Member States intending to produce national language versions of the Tenth Revision should notify WHO of their intentions. Copies of the drafts of the ICD at the three- and four-character levels would be made available from WHO both in printed form and on electronic media.

With respect to the physical appearance of the pages and type formats for both the Tabular List and the Alphabetical Index, the Conference was assured that recommendations from the Centre Heads and complaints from coders would be considered, and every attempt made to improve those aspects as compared with the Ninth Revision.

As with the Ninth Revision, it was intended to develop materials for the reorientation of trained coders, with the help of the Collaborating Centres. The actual training courses would be the responsibility of the WHO regional offices and individual countries. They would be carried out from late 1991 to the end of 1992, to finish before the implementation of the Tenth Revision.

Materials for the basic training of new users of the ICD would also be developed by WHO; it was not, however, planned to begin courses before 1993.

As noted above, WHO would be prepared to provide the Tenth Revision (both the Tabular List and the Alphabetical Index) on electronic media. In future, with the assistance of the Collaborating Centres, other software might also be made available. A key for conversion from the Ninth to the Tenth Revision, and the reverse, should be available before the implementation of the Tenth Revision.

As the development activities that had been endorsed by the Expert Committee were on schedule, the Conference

RECOMMENDED that the Tenth Revision of the International Classification of Diseases should come into effect as from 1 January 1993.

8. Future revision of the ICD

The Conference discussed the difficulties experienced during the extended period of use of the Ninth Revision, related to the emergence of new diseases and the lack of an updating mechanism to accommodate them.

Various suggestions for mechanisms to overcome these difficulties and avoid similar problems with respect to the Tenth Revision were discussed. There was a clear feeling that there was a need for ongoing information exchange to standardize the use of the Tenth Revision between countries, but that any changes introduced during its "lifetime" should be considered very carefully in relation to their impact on analyses and trends. There was discussion on the type of forum in which such changes and the potential for use of the vacant letter "U" in new or temporary code assignments could be discussed. It was agreed that it would not be feasible to hold revision conferences more frequently than every 10 years.

On the basis of the needs expressed, and the fact that it would be inappropriate to attempt to determine or define the exact process to be used, the Conference

RECOMMENDED that the next International Revision Conference should take place in ten years' time, and that WHO should endorse the concept of an updating process between revisions and give consideration as to how an effective updating mechanism could be put in place.

9. Adoption of the Tenth Revision of the ICD

The Conference made the following recommendation:

Having considered the proposals prepared by the Organization on the basis of the recommendations of the Expert Committee on the International Classification of Diseases - Tenth Revision,

Recognizing the need for a few further minor modifications to reflect the comments on points of detail submitted by Member States during the Conference,

RECOMMENDED that the proposed revised chapters, with their three-character categories and four-character subcategories and the Short Tabulation Lists for Morbidity and Mortality, constitute the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems.

References

1.     International Classification of Diseases, 1975 Revision, Volume 1. Geneva, World           Health Organization, 1977, pp. xiii-xxiv.

2.     Report of the Expert Committee on the International Classification of Diseases-10^th Revision: First Meeting. Geneva, World Health Organization, 1984 (unpublished document DES/EC/ICD-10/84.34).

3.     Report of the Expert Committee on the International Classification of Diseases-10^th Revision: Second Meeting. Geneva, World Health Organization. 1987 (unpublished document WHO/DES/EC/ICD-10/87.38).

4.     Report of the Preparatory Meeting on ICD-10. Geneva, World Health Organization, 1983 (unpublished document DES/ICD-10/83.19).

5.     Lay reporting of health information. Geneva, World Health Organization, 1978.

6.     International Conference on Health Statistics for the Year 2000. Budapest, Statistical Publishing House, 1984.

7.     Report of the Consultation on Primary Care Classifications. Geneva, World Health Organization, 1985 (unpublished document DES/PHC/85.7).

8.     International Classification of Impairments, Disabilities, and Handicaps. Geneva, World Health Organization, 1980.

9.     WHO Official Records, No. 233, 1976, p. 18.

10.   International Classification of Procedures in Medicine. Geneva, World Health Organization, 1978.

LIST OF THREE-CHARACTER CATEGORIES

Chapter I - Certain infectious and parasitic diseases (A00-B99)

Intestinal infectious diseases (A00-A09)

A00    Cholera

A01    Typhoid and paratyphoid fevers

A02    Other salmonella infections

A03    Shigellosis

A04    Other bacterial intestinal infections

A05    Other bacterial foodborne intoxications

A06    Amoebiasis

A07    Other protozoal intestinal diseases

A08    Viral and other specified intestinal infections

A09    Other gastroenteritis and colitis of infectious and unspecified origin

Tuberculosis (A15-A19)

A15    Respiratory tuberculosis, bacteriologically and histologically confirmed

A16    Respiratory tuberculosis, not confirmed bacteriologically or histologically

A17†  Tuberculosis of nervous system

A18    Tuberculosis of other organs

A19    Miliary tuberculosis

Certain zoonotic bacterial diseases (A20-A28)

A20    Plague

A21    Tularaemia

A22    Anthrax

A23    Brucellosis

A24    Glanders and melioidosis

A25    Rat-bite fevers

A26    Erysipeloid

A27    Leptospirosis

A28    Other zoonotic bacterial diseases, not elsewhere classified

Other bacterial diseases (A30-A49)

A30    Leprosy [Hansen disease]

A31    Infection due to other mycobacteria

A32    Listeriosis

A33    Tetanus neonatorum

A34    Obstetrical tetanus

A35    Other tetanus

A36    Diphtheria

A37    Whooping cough

A38    Scarlet fever

A39    Meningococcal infection

A40    Streptococcal septicaemia

A41    Other septicaemia

A42    Actinomycosis

A43    Nocardiosis

A44    Bartonellosis

A46    Erysipelas

A48    Other bacterial diseases, not elsewhere classified

A49    Bacterial infection of unspecified site

Infections with a predominantly sexual mode of transmission (A50-A64)

A50    Congenital syphilis

A51    Early syphilis

A52    Late syphilis

A53    Other and unspecified syphilis

A54    Gonococcal infection

A55    Chlamydial lymphogranuloma (venereum)

A56    Other sexually transmitted chlamydial diseases

A57    Chancroid

A58    Granuloma inguinale

A59    Trichomoniasis

A60    Anogenital herpesviral [herpes simplex] infections

A63    Other predominantly sexually transmitted diseases, not elsewhere classified

A64    Unspecified sexually transmitted disease

Other spirochaetal diseases (A65-A69)

A65    Nonvenereal syphilis

A66    Yaws

A67    Pinta [carate]

A68    Relapsing fevers

A69    Other spirochaetal infections

Other diseases caused by chlamydiae (A70-A74)

A70    Chlamydia psittaci infection

A71    Trachoma

A74    Other diseases caused by chlamydiae

Rickettsioses (A75-A79)

A75    Typhus fever

A77    Spotted fever [tick-borne rickettsioses]

A78    Q fever

A79    Other rickettsioses

Viral infections of the central nervous system (A80-A89)

A80    Acute poliomyelitis

A81    Atypical virus infections of central nervous system

A82    Rabies

A83    Mosquito-borne viral encephalitis

A84    Tick-borne viral encephalitis

A85    Other viral encephalitis, not elsewhere classified

A86    Unspecified viral encephalitis

A87    Viral meningitis

A88    Other viral infections of the central nervous system, not elsewhere classified

A89    Unspecified viral infection of the central nervous system

Arthropod-borne viral fevers and viral haemorrhagic fevers (A90-A99)

A90    Dengue fever [classical dengue]

A91    Dengue haemorrhagic fever

A92    Other mosquito-borne viral fevers

A93    Other arthropod-borne viral fevers, not elsewhere classified

A94    Unspecified arthropod-borne viral fever

A95    Yellow fever

A96    Arenaviral haemorrhagic fever

A98    Other viral haemorrhagic fevers, not elsewhere classified

A99    Unspecified viral haemorrhagic fever

Viral infections characterized by skin and mucous membrane lesions (B00-B09)

B00    Herpesviral [herpes simplex] infections

B01    Varicella [chickenpox]

B02    Zoster [herpes zoster]

B03    Smallpox

B04    Monkeypox

B05    Measles

B06    Rubella [German measles]

B07    Viral warts

B08    Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified

B09    Unspecified viral infection characterized by skin and mucous membrane lesions

Viral hepatitis (B15-B19)

B15    Acute hepatitis A

B16    Acute hepatitis B

B17    Other acute viral hepatitis

B18    Chronic viral hepatitis

B19    Unspecified viral hepatitis

Human immunodeficiency virus [HIV] disease (B20-B24)

B20    Human immunodeficiency virus [HIV] disease with infectious and parasitic diseases

B21    Human immunodeficiency virus [HIV] disease with malignant neoplasms

B22    Human immunodeficiency virus [HIV] disease with other specified diseases

B23    Human immunodeficiency virus [HIV] disease with other conditions

B24    Unspecified human immunodeficiency virus [HIV] disease

Other viral diseases (B25-B34)

B25    Cytomegaloviral disease

B26    Mumps

B27    Infectious mononucleosis

B30    Viral conjunctivitis

B33    Other viral diseases, not elsewhere classified

B34    Viral infection of unspecified site

Mycoses (B35-B49)

B35    Dermatophytosis

B36    Other superficial mycoses

B37    Candidiasis

B38    Coccidioidomycosis

B39    Histoplasmosis

B40    Blastomycosis

B41    Paracoccidioidomycosis

B42    Sporotrichosis

B43    Chromomycosis and phaeomycotic abscess

B44    Aspergillosis

B45    Cryptococcosis

B46    Zygomycosis

B47    Mycetoma

B48    Other mycoses, not elsewhere classified

B49    Unspecified mycosis

Protozoal diseases (B50-B64)

B50    Plasmodium falciparum malaria

B51    Plasmodium vivax malaria

B52    Plasmodium malariae malaria

B53    Other parasitologically confirmed malaria

B54    Unspecified malaria

B55    Leishmaniasis

B56    African trypanosomiasis

B57    Chagas disease

B58    Toxoplasmosis

B59    Pneumocystosis

B60    Other protozoal diseases, not elsewhere classified

B64    Unspecified protozoal disease

Helminthiases (B65-B83)

B65    Schistosomiasis [bilharziasis]

B66    Other fluke infections

B67    Echinococcosis

B68    Taeniasis

B69    Cysticercosis

B70    Diphyllobothriasis and sparganosis

B71    Other cestode infections

B72    Dracunculiasis

B73    Onchocerciasis

B74    Filariasis

B75    Trichinellosis

B76    Hookworm diseases

B77    Ascariasis

B78    Strongyloidiasis

B79    Trichuriasis

B80    Enterobiasis

B81    Other intestinal helminthiases, not elsewhere classified

B82    Unspecified intestinal parasitism

B83    Other helminthiases

Pediculosis, acariasis and other infestations (B85-B89)

B85    Pediculosis and phthiriasis

B86    Scabies

B87    Myiasis

B88    Other infestations

B89    Unspecified parasitic disease

Sequelae of infectious and parasitic diseases (B90-B94)

B90    Sequelae of tuberculosis

B91    Sequelae of poliomyelitis

B92    Sequelae of leprosy

B94    Sequelae of other and unspecified infectious and parasitic diseases

Bacterial, viral and other infectious agents (B95-B97)

B95    Streptococcus and staphylococcus as the cause of diseases classified to other chapters

B96    Other specified bacterial agents as the cause of diseases classified to other chapters

B97    Viral agents as the cause of diseases classified to other chapters

Other infectious diseases (B99)

B99    Other and unspecified infectious diseases

Chapter II - Neoplasms (C00-D48)

Malignant neoplasms (C00-C97)

Malignant neoplasms of lip, oral cavity and pharynx (C00-C14)

C00    Malignant neoplasm of lip

C01    Malignant neoplasm of base of tongue

C02    Malignant neoplasm of other and unspecified parts of tongue

C03    Malignant neoplasm of gum

C04    Malignant neoplasm of floor of mouth

C05    Malignant neoplasm of palate

C06    Malignant neoplasm of other and unspecified parts of mouth

C07    Malignant neoplasm of parotid gland

C08    Malignant neoplasm of other and unspecified major salivary glands

C09    Malignant neoplasm of tonsil

C10    Malignant neoplasm of oropharynx

C11    Malignant neoplasm of nasopharynx

C12    Malignant neoplasm of pyriform sinus

C13    Malignant neoplasm of hypopharynx

C14    Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Malignant neoplasms of digestive organs (C15-C26)

C15    Malignant neoplasm of oesophagus

C16    Malignant neoplasm of stomach

C17    Malignant neoplasm of small intestine

C18    Malignant neoplasm of colon

C19    Malignant neoplasm of rectosigmoid junction

C20    Malignant neoplasm of rectum

C21    Malignant neoplasm of anus and anal canal

C22    Malignant neoplasm of liver and intrahepatic bile ducts

C23    Malignant neoplasm of gallbladder

C24    Malignant neoplasm of other and unspecified parts of biliary tract

C25    Malignant neoplasm of pancreas

C26    Malignant neoplasm of other and ill-defined digestive organs

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

C30    Malignant neoplasm of nasal cavity and middle ear

C31    Malignant neoplasm of accessory sinuses

C32    Malignant neoplasm of larynx

C33    Malignant neoplasm of trachea

C34    Malignant neoplasm of bronchus and lung

C37    Malignant neoplasm of thymus

C38    Malignant neoplasm of heart, mediastinum and pleura

C39    Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs

Malignant neoplasms of bone and articular cartilage (C40-C41)

C40    Malignant neoplasm of bone and articular cartilage of limbs

C41    Malignant neoplasm of bone and articular cartilage of other and unspecified sites

Melanoma and other malignant neoplasms of skin (C43-C44)

C43    Malignant melanoma of skin

C44    Other malignant neoplasms of skin

Malignant neoplasms of mesothelial and soft tissue (C45-C49)

C45    Mesothelioma

C46    Kaposi sarcoma

C47    Malignant neoplasm of peripheral nerves and autonomic nervous system

C48    Malignant neoplasm of retroperitoneum and peritoneum

C49    Malignant neoplasm of other connective and soft tissue

Malignant neoplasm of breast (C50)

C50    Malignant neoplasm of breast

Malignant neoplasms of female genital organs (C51-C58)

C51    Malignant neoplasm of vulva

C52    Malignant neoplasm of vagina

C53    Malignant neoplasm of cervix uteri

C54    Malignant neoplasm of corpus uteri

C55    Malignant neoplasm of uterus, part unspecified

C56    Malignant neoplasm of ovary

C57    Malignant neoplasm of other and unspecified female genital organs

C58    Malignant neoplasm of placenta

Malignant neoplasms of male genital organs (C60-C63)

C60    Malignant neoplasm of penis

C61    Malignant neoplasm of prostate

C62    Malignant neoplasm of testis

C63    Malignant neoplasm of other and unspecified male genital organs

Malignant neoplasms of urinary tract (C64-C68)

C64    Malignant neoplasm of kidney, except renal pelvis

C65    Malignant neoplasm of renal pelvis

C66    Malignant neoplasm of ureter

C67    Malignant neoplasm of bladder

C68    Malignant neoplasm of other and unspecified urinary organs

Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72)

C69    Malignant neoplasm of eye and adnexa

C70    Malignant neoplasm of meninges

C71    Malignant neoplasm of brain

C72    Malignant neoplasm of spinal cord, cranial nerves and other parts of central nervous system

Malignant neoplasms of thyroid and other endocrine glands (C73-C75)

C73    Malignant neoplasm of thyroid gland

C74    Malignant neoplasm of adrenal gland

C75    Malignant neoplasm of other endocrine glands and related structures

Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80)

C76    Malignant neoplasm of other and ill-defined sites

C77    Secondary and unspecified malignant neoplasm of lymph nodes

C78    Secondary malignant neoplasm of respiratory and digestive organs

C79    Secondary malignant neoplasm of other sites

C80 Malignant neoplasm without specification of site

Malignant neoplasms of lymphoid, haematopoietic and related tissue (C81-C96)

C81    Hodgkin disease

C82    Follicular [nodular] non-Hodgkin lymphoma

C83    Diffuse non-Hodgkin lymphoma

C84    Peripheral and cutaneous T-cell lymphomas

C85    Other and unspecified types of non-Hodgkin lymphoma

C88    Malignant immunoproliferative diseases

C90    Multiple myeloma and malignant plasma cell neoplasms

C91    Lymphoid leukaemia

C92    Myeloid leukaemia

C93    Monocytic leukaemia

C94    Other leukaemias of specified cell type

C95    Leukaemia of unspecified cell type

C96    Other and unspecified malignant neoplasms of lymphoid, haematopoietic and related tissue

Malignant neoplasms of independent (primary) multiple sites (C97)

C97    Malignant neoplasms of independent (primary) multiple sites

In situ neoplasms (D00-D09)

D00    Carcinoma in situ of oral cavity, oesophagus and stomach

D01    Carcinoma in situ of other and unspecified digestive organs

D02    Carcinoma in situ of middle ear and respiratory system

D03    Melanoma in situ

D04    Carcinoma in situ of skin

D05    Carcinoma in situ of breast

D06    Carcinoma in situ of cervix uteri

D07    Carcinoma in situ of other and unspecified genital organs

D09    Carcinoma in situ of other and unspecified sites

Benign neoplasms (D10-D36)

D10    Benign neoplasm of mouth and pharynx

D11    Benign neoplasm of major salivary glands

D12    Benign neoplasm of colon, rectum, anus and anal canal

D13    Benign neoplasm of other and ill-defined parts of digestive system

D14    Benign neoplasm of middle ear and respiratory system

D15    Benign neoplasm of other and unspecified intrathoracic organs

D16    Benign neoplasm of bone and articular cartilage

D17    Benign lipomatous neoplasm

D18    Haemangioma and lymphangioma, any site

D19    Benign neoplasm of mesothelial tissue

D20    Benign neoplasm of soft tissue of retroperitoneum and peritoneum

D21    Other benign neoplasms of connective and other soft tissue

D22    Melanocytic naevi

D23    Other benign neoplasms of skin

D24    Benign neoplasm of breast

D25    Leiomyoma of uterus

D26    Other benign neoplasms of uterus

D27    Benign neoplasm of ovary

D28    Benign neoplasm of other and unspecified female genital organs

D29    Benign neoplasm of male genital organs

D30    Benign neoplasm of urinary organs

D31    Benign neoplasm of eye and adnexa

D32    Benign neoplasm of meninges

D33    Benign neoplasm of brain and other parts of central nervous system

D34    Benign neoplasm of thyroid gland

D35    Benign neoplasm of other and unspecified endocrine glands

D36    Benign neoplasm of other and unspecified sites

Neoplasms of uncertain or unknown behaviour (D37-D48)

D37    Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs

D38    Neoplasm of uncertain or unknown behaviour of middle ear and respiratory and intrathoracic organs

D39    Neoplasm of uncertain or unknown behaviour of female genital organs

D40    Neoplasm of uncertain or unknown behaviour of male genital organs

D41    Neoplasm of uncertain or unknown behaviour of urinary organs

D42    Neoplasm of uncertain or unknown behaviour of meninges

D43    Neoplasm of uncertain or unknown behaviour of brain and central nervous system

D44    Neoplasm of uncertain or unknown behaviour of endocrine glands

D45    Polycythaemia vera

D46    Myelodysplastic syndromes

D47    Other neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue

D48    Neoplasm of uncertain or unknown behaviour of other and unspecified sites

Chapter III - Diseases of blood and blood-forming organs and certain disorders involving the immune mechanisms (D50-D89)

Nutritional anaemias (D50-D53)

D50    Iron deficiency anaemia

D51    Vitamin B₁₂ deficiency anaemia

D52    Folate deficiency anaemia

D53    Other nutritional anaemias

Haemolytic anaemias (D55-D59)

D55    Anaemia due to enzyme disorders

D56    Thalassaemia

D57    Sickle-cell disorders

D58    Other hereditary haemolytic anaemias

D59    Acquired haemolytic anaemia

Aplastic and other anaemias (D60-D64)

D60    Acquired pure red cell aplasia [erythroblastopenia]

D61    Other aplastic anaemias

D62    Acute posthaemorrhagic anaemia

D63*  Anaemia in chronic diseases classified elsewhere

D64    Other anaemias

Coagulation defects, purpura and other haemorrhagic conditions (D65-D69)

D65    Disseminated intravascular coagulation [defibrination syndrome]

D66    Hereditary factor VIII deficiency

D67    Hereditary factor IX deficiency

D68    Other coagulation defects

D69    Purpura and other haemorrhagic conditions

Other diseases of blood and blood-forming organs (D70-D77)

D70    Agranulocytosis

D71    Functional disorders of polymorphonuclear neutrophils

D72    Other disorders of white blood cells

D73    Diseases of spleen

D74    Methaemoglobinaemia

D75    Other diseases of blood and blood-forming organs

D76    Certain diseases involving lymphoreticular tissue and reticulohistiocytic system

D77*  Other disorders of blood and blood-forming organs in diseases classified elsewhere

Certain disorders involving the immune mechanism (D80-D89)

D80    Immunodeficiency with predominantly antibody defects

D81    Combined immunodeficiencies

D82    Immunodeficiency associated with other major defects

D83    Common variable immunodeficiency

D84    Other immunodeficiencies

D86    Sarcoidosis

D89    Other disorders involving the immune mechanism, not elsewhere classified

Chapter IV - Endocrine, nutritional and metabolic diseases (E00-E90)

Disorders of thyroid gland (E00-E07)

E00    Congenital iodine-deficiency syndrome

E01    Iodine-deficiency-related thyroid disorders and allied conditions

E02    Subclinical iodine-deficiency hypothyroidism

E03    Other hypothyroidism

E04    Other nontoxic goitre

E05    Thyrotoxicosis [hyperthyroidism]

E06    Thyroiditis

E07    Other disorders of thyroid

Diabetes mellitus (E10-E14)

E10    Type 1 diabetes mellitus

E11    Type 2 diabetes mellitus

E12    Malnutrition-related diabetes mellitus

E13    Other specified diabetes mellitus

E14    Unspecified diabetes mellitus

Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)

E15    Nondiabetic hypoglycaemic coma

E16    Other disorders of pancreatic internal secretion

Disorders of other endocrine glands (E20-E35)

E20    Hypoparathyroidism

E21    Hyperparathyroidism and other disorders of parathyroid gland

E22    Hyperfunction of pituitary gland

E23    Hypofunction and other disorders of pituitary gland

E24    Cushing syndrome

E25    Adrenogenital disorders

E26    Hyperaldosteronism

E27    Other disorders of adrenal gland

E28    Ovarian dysfunction

E29    Testicular dysfunction

E30    Disorders of puberty, not elsewhere classified

E31    Polyglandular dysfunction

E32    Diseases of thymus

E34    Other endocrine disorders

E35*  Disorders of endocrine glands in diseases classified elsewhere

Malnutrition (E40-E46)

E40    Kwashiorkor

E41    Nutritional marasmus

E42    Marasmic kwashiorkor

E43    Unspecified severe protein-energy malnutrition

E44    Protein-energy malnutrition of moderate and mild degree

E45    Retarded development following protein-energy malnutrition

E46    Unspecified protein-energy malnutrition

Other nutritional deficiencies (E50-E64)

E50    Vitamin A deficiency

E51    Thiamine deficiency

E52    Niacin deficiency [pellagra]

E53    Deficiency of other B group vitamins

E54    Ascorbic acid deficiency

E55    Vitamin D deficiency

E56    Other vitamin deficiencies

E58    Dietary calcium deficiency

E59    Dietary selenium deficiency

E60    Dietary zinc deficiency

E61    Deficiency of other nutrient elements

E63    Other nutritional deficiencies

E64    Sequelae of malnutrition and other nutritional deficiencies

Obesity and other hyperalimentation (E65-E68)

E65    Localized adiposity

E66    Obesity

E67    Other hyperalimentation

E68    Sequelae of hyperalimentation

Metabolic disorders (E70-E90)

E70    Disorders of aromatic amino-acid metabolism

E71    Disorders of branched-chain amino-acid metabolism and fatty-acid metabolism

E72    Other disorders of amino-acid metabolism

E73    Lactose intolerance

E74    Other disorders of carbohydrate metabolism

E75    Disorders of sphingolipid metabolism and other lipid storage disorders

E76    Disorders of glycosaminoglycan metabolism

E77    Disorders of glycoprotein metabolism

E78    Disorders of lipoprotein metabolism and other lipidaemias

E79    Disorders of purine and pyrimidine metabolism

E80    Disorders of porphyrin and bilirubin metabolism

E83    Disorders of mineral metabolism

E84    Cystic fibrosis

E85    Amyloidosis

E86    Volume depletion

E87    Other disorders of fluid, electrolyte and acid-base balance

E88    Other metabolic disorders

E89    Postprocedural endocrine and metabolic disorders, not elsewhere classified

E90*  Nutritional and metabolic disorders in diseases classified elsewhere

Chapter V - Mental, behavioural disorders (F00-F99)

Organic, including symptomatic, mental disorders (F00-F09)

F00*   Dementia in Alzheimer disease

F01    Vascular dementia

F02*   Dementia in other diseases classified elsewhere

F03    Unspecified dementia

F04    Organic amnesic syndrome, not induced by alcohol and other psychoactive substances

F05    Delirium, not induced by alcohol and other psychoactive substances

F06    Other mental disorders due to brain damage and dysfunction and to physical disease

F07    Personality and behavioural disorders due to brain disease, damage and dysfunction

F09    Unspecified organic or symptomatic mental disorder

Mental and behavioural disorders due to psychoactive substance use (F10-F19)

F10    Mental and behavioural disorders due to use of alcohol

F11    Mental and behavioural disorders due to use of opioids

F12    Mental and behavioural disorders due to use of cannabinoids

F13    Mental and behavioural disorders due to use of sedatives or hypnotics

F14    Mental and behavioural disorders due to use of cocaine

F15    Mental and behavioural disorders due to use of other stimulants, including caffeine

F16    Mental and behavioural disorders due to use of hallucinogens

F17    Mental and behavioural disorders due to use of tobacco

F18    Mental and behavioural disorders due to use of volatile solvents

F19    Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances

Schizophrenia, schizotypal and delusional disorders (F20-F29)

F20    Schizophrenia

F21    Schizotypal disorder

F22    Persistent delusional disorders

F23    Acute and transient psychotic disorders

F24    Induced delusional disorder

F25    Schizoaffective disorders

F28    Other nonorganic psychotic disorders

F29    Unspecified nonorganic psychosis

Mood [affective] disorders (F30-F39)

F30    Manic episode

F31    Bipolar affective disorder

F32    Depressive episodes

F33    Recurrent depressive disorder

F34    Persistent mood [affective] disorders

F38    Other mood [affective] disorders

F39    Unspecified mood [affective] disorder

Neurotic, stress-related and somatoform disorders (F40-F48)

F40    Phobic anxiety disorders

F41    Other anxiety disorders

F42    Obsessive-compulsive disorder

F43    Reaction to severe stress, and adjustment disorders

F44    Dissociative [conversion] disorders

F45    Somatoform disorders

F48    Other neurotic disorders

Behavioural syndromes associated with physiological disturbances and physical factors (F50-F59)

F50    Eating disorders

F51    Nonorganic sleep disorders

F52    Sexual dysfunction, not caused by organic disorder or disease

F53    Mental and behavioural disorders associated with the puerperium, not elsewhere classified

F54    Psychological and behavioural factors associated with disorders or diseases classified elsewhere

F55    Abuse of non-dependence-producing substances

F59    Unspecified behavioural syndromes associated with physiological disturbances and physical factors

Disorders of adult personality and behaviour (F60-F69)

F60    Specific personality disorders

F61    Mixed and other personality disorders

F62    Enduring personality changes, not attributable to brain damage and disease

F63    Habit and impulse disorders

F64    Gender identity disorders

F65    Disorders of sexual preference

F66    Psychological and behavioural disorders associated with sexual development and orientation

F68    Other disorders of adult personality and behaviour

F69    Unspecified disorder of adult personality and behaviour

Mental retardation (F70-F79)

F70    Mild mental retardation

F71    Moderate mental retardation

F72    Severe mental retardation

F73    Profound mental retardation

F78    Other mental retardation

F79    Unspecified mental retardation

Disorders of psychological development (F80-F89)

F80    Specific developmental disorders of speech and language

F81    Specific developmental disorders of scholastic skills

F82    Specific developmental disorder of motor function

F83    Mixed specific developmental disorders

F84    Pervasive developmental disorders

F88    Other disorders of psychological development

F89    Unspecified disorder of psychological development

Behavioural and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)

F90    Hyperkinetic disorders

F91    Conduct disorders

F92    Mixed disorders of conduct and emotions

F93    Emotional disorders with onset specific to childhood

F94    Disorders of social functioning with onset specific to childhood and adolescence

F95    Tic disorders

F98    Other behavioural and emotional disorders with onset usually occurring in childhood and adolescence

Unspecified mental disorder (F99)

F99    Mental disorder, not otherwise specified

Chapter VI - Diseases of the nervous system (G00-G99)

Inflammatory diseases of the central nervous system (G00-G09)

G00    Bacterial meningitis, not elsewhere classified

G01*  Meningitis in bacterial diseases classified elsewhere

G02*  Meningitis in other infectious and parasitic diseases classified elsewhere

G03    Meningitis due to other and unspecified causes

G04    Encephalitis, myelitis and encephalomyelitis

G05*  Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere

G06    Intracranial and intraspinal abscess and granuloma

G07*  Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere

G08    Intracranial and intraspinal phlebitis and thrombophlebitis

G09    Sequelae of inflammatory diseases of central nervous system

Systemic atrophies primarily affecting the central nervous system (G10-G14)

G10    Huntington disease

G11    Hereditary ataxia

G12    Spinal muscular atrophy and related syndromes

G13*  Systemic atrophies primarily affecting central nervous system in diseases classified elsewhere

G14    Postpolio syndrome

Extrapyramidal and movement disorders (G20-G26)

G20    Parkinson disease

G21    Secondary parkinsonism

G22*  Parkinsonism in diseases classified elsewhere

G23    Other degenerative diseases of the basal ganglia

G24    Dystonia

G25    Other extrapyramidal and movement disorders

G26*  Extrapyramidal and movement disorders in diseases classified elsewhere

Other degenerative diseases of the nervous system (G30-G32)

G30    Alzheimer disease

G31    Other degenerative diseases of nervous system, not elsewhere classified

G32*  Other degenerative disorders of nervous system in diseases classified elsewhere

Demyelinating diseases of the central nervous system (G35-G37)

G35    Multiple sclerosis

G36    Other acute disseminated demyelination

G37    Other demyelinating diseases of central nervous system

Episodic and paroxysmal disorders (G40-G47)

G40    Epilepsy

G41    Status epilepticus

G43    Migraine

G44    Other headache syndromes

G45    Transient cerebral ischaemic attacks and related syndromes

G46*  Vascular syndromes of brain in cerebrovascular diseases

G47    Sleep disorders

Nerve, nerve root and plexus disorders (G50-G59)

G50    Disorders of trigeminal nerve

G51    Facial nerve disorders

G52    Disorders of other cranial nerves

G53*  Cranial nerve disorders in diseases classified elsewhere

G54    Nerve root and plexus disorders

G55*  Nerve root and plexus compressions in diseases classified elsewhere

G56    Mononeuropathies of upper limb

G57    Mononeuropathies of lower limb

G58    Other mononeuropathies

G59*  Mononeuropathy in diseases classified elsewhere

Polyneuropathies and other disorders of the peripheral nervous system (G60-G64)

G60    Hereditary and idiopathic neuropathy

G61    Inflammatory polyneuropathy

G62    Other polyneuropathies

G63*  Polyneuropathy in diseases classified elsewhere

G64    Other disorders of peripheral nervous system

Diseases of myoneural junction and muscle (G70-G73)

G70    Myasthenia gravis and other myoneural disorders

G71    Primary disorders of muscles

G72    Other myopathies

G73*  Disorders of myoneural junction and muscle in diseases classified elsewhere

Cerebral palsy and other paralytic syndromes (G80-G83)

G80    Cerebral palsy

G81    Hemiplegia

G82    Paraplegia and tetraplegia

G83    Other paralytic syndromes

Other disorders of the nervous system (G90-G99)

G90    Disorders of autonomic nervous system

G91    Hydrocephalus

G92    Toxic encephalopathy

G93    Other disorders of brain

G94*  Other disorders of brain in diseases classified elsewhere

G95    Other diseases of spinal cord

G96    Other disorders of central nervous system

G97    Postprocedural disorders of nervous system, not elsewhere classified

G98    Other disorders of nervous system, not elsewhere classified

G99*  Other disorders of nervous system in diseases classified elsewhere

Chapter VII - Diseases of the eye and adnexa (H00-H59)

Disorders of eyelid, lacrimal system and orbit (H00-H06)

H00    Hordeolum and chalazion

H01    Other inflammation of eyelid

H02    Other disorders of eyelid

H03*  Disorders of eyelid in diseases classified elsewhere

H04    Disorders of lacrimal system

H05    Disorders of orbit

H06*  Disorders of lacrimal system and orbit in diseases classified elsewhere

Disorders of conjunctiva (H10-H13)

H10    Conjunctivitis

H11    Other disorders of conjunctiva

H13*  Disorders of conjunctiva in diseases classified elsewhere

Disorders of sclera, cornea, iris and ciliary body (H15-H22)

H15    Disorders of sclera

H16    Keratitis

H17    Corneal scars and opacities

H18    Other disorders of cornea

H19*  Disorders of sclera and cornea in diseases classified elsewhere

H20    Iridocyclitis

H21    Other disorders of iris and ciliary body

H22*  Disorders of iris and ciliary body in diseases classified elsewhere

Disorders of lens (H25-H28)

H25    Senile cataract

H26    Other cataract

H27    Other disorders of lens

H28*  Cataract and other disorders of lens in diseases classified elsewhere

Disorders of choroid and retina (H30-H36)

H30    Chorioretinal inflammation

H31    Other disorders of choroid

H32*  Chorioretinal disorders in diseases classified elsewhere

H33    Retinal detachments and breaks

H34    Retinal vascular occlusions

H35    Other retinal disorders

H36*  Retinal disorders in diseases classified elsewhere

Glaucoma (H40-H42)

H40    Glaucoma

H42*  Glaucoma in diseases classified elsewhere

Disorders of vitreous body and globe (H43-H45)

H43    Disorders of vitreous body

H44    Disorders of globe

H45*  Disorders of vitreous body and globe in diseases classified elsewhere

Disorders of optic nerve and visual pathways (H46-H48)

H46    Optic neuritis

H47    Other disorders of optic [2nd] nerve and visual pathways

H48*  Disorders of optic [2nd] nerve and visual pathways in diseases classified elsewhere

Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)

H49    Paralytic strabismus

H50    Other strabismus

H51    Other disorders of binocular movement

H52    Disorders of refraction and accommodation

Visual disturbances and blindness (H53-H54)

H53    Visual disturbances

H54    Visual impairment including blindness (binocular or monocular)

Other disorders of eye and adnexa (H55-H59)

H55    Nystagmus and other irregular eye movements

H57    Other disorders of eye and adnexa

H58*  Other disorders of eye and adnexa in diseases classified elsewhere

H59    Postprocedural disorders of eye and adnexa, not elsewhere classified

Chapter VIII - Diseases of the ear and mastoid process (H60-H95)

Diseases of external ear (H60-H62)

H60    Otitis externa

H61    Other disorders of external ear

H62*  Disorders of external ear in diseases classified elsewhere

Diseases of middle ear and mastoid (H65-H75)

H65    Nonsuppurative otitis media

H66    Suppurative and unspecified otitis media

H67*  Otitis media in diseases classified elsewhere

H68    Eustachian salpingitis and obstruction

H69    Other disorders of Eustachian tube

H70    Mastoiditis and related conditions

H71    Cholesteatoma of middle ear

H72    Perforation of tympanic membrane

H73    Other disorders of tympanic membrane

H74    Other disorders of middle ear and mastoid

H75*  Other disorders of middle ear and mastoid in diseases classified elsewhere

Diseases of inner ear (H80-H83)

H80    Otosclerosis

H81    Disorders of vestibular function

H82*  Vertiginous syndromes in diseases classified elsewhere

H83    Other diseases of inner ear

Other disorders of ear (H90-H95)

H90    Conductive and sensorineural hearing loss

H91    Other hearing loss

H92    Otalgia and effusion of ear

H93    Other disorders of ear, not elsewhere classified

H94*  Other disorders of ear in diseases classified elsewhere

H95    Postprocedural disorders of ear and mastoid process, not elsewhere classified

Chapter IX - Diseases of the circulatory system (I00-I99)

Acute rheumatic fever (I00-I02)

I00     Rheumatic fever without mention of heart involvement

I01     Rheumatic fever with heart involvement

I02     Rheumatic chorea

Chronic rheumatic heart diseases (I05-I09)

I05     Rheumatic mitral valve diseases

I06     Rheumatic aortic valve diseases

I07     Rheumatic tricuspid valve diseases

I08     Multiple valve diseases

I09     Other rheumatic heart diseases

Hypertensive diseases (I10-I15)

I10     Essential (primary) hypertension

I11     Hypertensive heart disease

I12     Hypertensive renal disease

I13     Hypertensive heart and renal disease

I15     Secondary hypertension

Ischaemic heart diseases (I20-I25)

I20     Angina pectoris

I21     Acute myocardial infarction

I22     Subsequent myocardial infarction

I23     Certain current complications following acute myocardial infarction

I24     Other acute ischaemic heart diseases

I25     Chronic ischaemic heart disease

Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)

I26     Pulmonary embolism

I27     Other pulmonary heart diseases

I28     Other diseases of pulmonary vessels

Other forms of heart disease (I30-I52)

I30     Acute pericarditis

I31     Other diseases of pericardium

I32*   Pericarditis in diseases classified elsewhere

I33     Acute and subacute endocarditis

I34     Nonrheumatic mitral valve disorders

I35     Nonrheumatic aortic valve disorders

I36     Nonrheumatic tricuspid valve disorders

I37     Pulmonary valve disorders

I38     Endocarditis, valve unspecified

I39*   Endocarditis and heart valve disorders in diseases classified elsewhere

I40     Acute myocarditis

I41*   Myocarditis in diseases classified elsewhere

I42     Cardiomyopathy

I43*   Cardiomyopathy in diseases classified elsewhere

I44     Atrioventricular and left bundle-branch block

I45     Other conduction disorders

I46     Cardiac arrest

I47     Paroxysmal tachycardia

I48     Atrial fibrillation and flutter

I49     Other cardiac arrhythmias

I50     Heart failure

I51     Complications and ill-defined descriptions of heart disease

I52*   Other heart disorders in diseases classified elsewhere

Cerebrovascular diseases (I60-I69)

I60     Subarachnoid haemorrhage

I61     Intracerebral haemorrhage

I62     Other nontraumatic intracranial haemorrhage

I63     Cerebral infarction

I64     Stroke, not specified as haemorrhage or infarction

I65     Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction

I66     Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction

I67     Other cerebrovascular diseases

I68*   Cerebrovascular disorders in diseases classified elsewhere

I69     Sequelae of cerebrovascular disease

Diseases of arteries, arterioles and capillaries (I70-I79)

I70     Atherosclerosis

I71     Aortic aneurysm and dissection

I72     Other aneurysm and dissection

I73     Other peripheral vascular diseases

I74     Arterial embolism and thrombosis

I77     Other disorders of arteries and arterioles

I78     Diseases of capillaries

I79*   Disorders of arteries, arterioles and capillaries in diseases classified elsewhere

Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)

I80     Phlebitis and thrombophlebitis

I81     Portal vein thrombosis

I82     Other venous embolism and thrombosis

I83     Varicose veins of lower extremities

I84     Haemorrhoids

I85     Oesophageal varices

I86     Varicose veins of other sites

I87     Other disorders of veins

I88     Nonspecific lymphadenitis

I89     Other noninfective disorders of lymphatic vessels and lymph nodes

Other and unspecified disorders of the circulatory system (I95-I99)

I95     Hypotension

I97     Postprocedural disorders of circulatory system, not elsewhere classified

I98*   Other disorders of circulatory system in diseases classified elsewhere

I99     Other and unspecified disorders of circulatory system

Chapter X - Diseases of the respiratory system (J00-J99)

Acute upper respiratory infections (J00-J06)

J00     Acute nasopharyngitis [common cold]

J01     Acute sinusitis

J02     Acute pharyngitis

J03     Acute tonsillitis

J04     Acute laryngitis and tracheitis

J05     Acute obstructive laryngitis [croup] and epiglottitis

J06     Acute upper respiratory infections of multiple or unspecified sites

Influenza and pneumonia (J09-J18)

J09     Influenza due to identified zoonotic or pandemic influenza virus

J10     Influenza due to identified seasonal influenza virus

J11     Influenza, virus not identified

J12     Viral pneumonia, not elsewhere classified

J13     Pneumonia due to Streptococcus pneumoniae

J14     Pneumonia due to Haemophilus influenzae

J15     Bacterial pneumonia, not elsewhere classified

J16     Pneumonia due to other infectious organisms, not elsewhere classified

J17*   Pneumonia in diseases classified elsewhere

J18     Pneumonia, organism unspecified

Other acute lower respiratory infections (J20-J22)

J20     Acute bronchitis

J21     Acute bronchiolitis

J22     Unspecified acute lower respiratory infection

Other diseases of upper respiratory tract (J30-J39)

J30     Vasomotor and allergic rhinitis

J31     Chronic rhinitis, nasopharyngitis and pharyngitis

J32     Chronic sinusitis

J33     Nasal polyp

J34     Other disorders of nose and nasal sinuses

J35     Chronic diseases of tonsils and adenoids

J36     Peritonsillar abscess

J37     Chronic laryngitis and laryngotracheitis

J38     Diseases of vocal cords and larynx, not elsewhere classified

J39     Other diseases of upper respiratory tract

Chronic lower respiratory diseases (J40-J47)

J40     Bronchitis, not specified as acute or chronic

J41     Simple and mucopurulent chronic bronchitis

J42     Unspecified chronic bronchitis

J43     Emphysema

J44     Other chronic obstructive pulmonary disease

J45     Asthma

J46     Status asthmaticus

J47     Bronchiectasis

Lung diseases due to external agents (J60-J70)

J60     Coalworker pneumoconiosis

J61     Pneumoconiosis due to asbestos and other mineral fibres

J62     Pneumoconiosis due to dust containing silica

J63     Pneumoconiosis due to other inorganic dusts

J64     Unspecified pneumoconiosis

J65     Pneumoconiosis associated with tuberculosis

J66     Airway disease due to specific organic dust

J67     Hypersensitivity pneumonitis due to organic dust

J68     Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours

J69     Pneumonitis due to solids and liquids

J70     Respiratory conditions due to other external agents

Other respiratory diseases principally affecting the interstitium (J80-J84)

J80     Adult respiratory distress syndrome

J81     Pulmonary oedema

J82     Pulmonary eosinophilia, not elsewhere classified

J84     Other interstitial pulmonary diseases

Suppurative and necrotic conditions of lower respiratory tract (J85-J86)

J85     Abscess of lung and mediastinum

J86     Pyothorax

Other diseases of pleura (J90-J94)

J90     Pleural effusion, not elsewhere classified

J91*   Pleural effusion in conditions classified elsewhere

J92     Pleural plaque

J93     Pneumothorax

J94     Other pleural conditions

Other diseases of the respiratory system (J95-J99)

J95     Postprocedural respiratory disorders, not elsewhere classified

J96     Respiratory failure, not elsewhere classified

J98     Other respiratory disorders

J99*   Respiratory disorders in diseases classified elsewhere

Chapter XI - Diseases of the digestive system (K00-K93)

Diseases of oral cavity, salivary glands and jaws (K00-K14)

K00    Disorders of tooth development and eruption

K01    Embedded and impacted teeth

K02    Dental caries

K03    Other diseases of hard tissues of teeth

K04    Diseases of pulp and periapical tissues

K05    Gingivitis and periodontal diseases

K06    Other disorders of gingiva and edentulous alveolar ridge

K07    Dentofacial anomalies [including malocclusion]

K08    Other disorders of teeth and supporting structures

K09    Cysts of oral region, not elsewhere classified

K10    Other diseases of jaws

K11    Diseases of salivary glands

K12    Stomatitis and related lesions

K13    Other diseases of lip and oral mucosa

K14    Diseases of tongue

Diseases of oesophagus, stomach and duodenum (K20-K31)

K20    Oesophagitis

K21    Gastro-oesophageal reflux disease

K22    Other diseases of oesophagus

K23*  Disorders of oesophagus in diseases classified elsewhere

K25    Gastric ulcer

K26    Duodenal ulcer

K27    Peptic ulcer, site unspecified

K28    Gastrojejunal ulcer

K29    Gastritis and duodenitis

K30    Functional dyspepsia

K31    Other diseases of stomach and duodenum

Diseases of appendix (K35-K38)

K35    Acute appendicitis

K36    Other appendicitis

K37    Unspecified appendicitis

K38    Other diseases of appendix

Hernia (K40-K46)

K40    Inguinal hernia

K41    Femoral hernia

K42    Umbilical hernia

K43    Ventral hernia

K44    Diaphragmatic hernia

K45    Other abdominal hernia

K46    Unspecified hernia of abdominal cavity

Noninfective enteritis and colitis (K50-K52)

K50    Crohn disease [regional enteritis]

K51    Ulcerative colitis

K52    Other noninfective gastroenteritis and colitis

Other diseases of intestines (K55-K63)

K55    Vascular disorders of intestine

K56    Paralytic ileus and intestinal obstruction without hernia

K57    Diverticular disease of intestine

K58    Irritable bowel syndrome

K59    Other functional intestinal disorders

K60    Fissure and fistula of anal and rectal regions

K61    Abscess of anal and rectal regions

K62    Other diseases of anus and rectum

K63    Other diseases of intestine

Diseases of peritoneum (K65-K67)

K65    Peritonitis

K66    Other disorders of peritoneum

K67*  Disorders of peritoneum in infectious diseases classified elsewhere

Diseases of liver (K70-K77)

K70    Alcoholic liver disease

K71    Toxic liver disease

K72    Hepatic failure, not elsewhere classified

K73    Chronic hepatitis, not elsewhere classified

K74    Fibrosis and cirrhosis of liver

K75    Other inflammatory liver diseases

K76    Other diseases of liver

K77*  Liver disorders in diseases classified elsewhere

Disorders of gallbladder, biliary tract and pancreas (K80-K87)

K80    Cholelithiasis

K81    Cholecystitis

K82    Other diseases of gallbladder

K83    Other diseases of biliary tract

K85    Acute pancreatitis

K86    Other diseases of pancreas

K87*  Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

Other diseases of the digestive system (K90-K93)

K90    Intestinal malabsorption

K91    Postprocedural disorders of digestive system, not elsewhere classified

K92    Other diseases of digestive system

K93*  Disorders of other digestive organs in diseases classified elsewhere

Chapter XII - Diseases of the skin and subcutaneous tissue (L00-L99)

Infections of the skin and subcutaneous tissue (L00-L08)

L00    Staphylococcal scalded skin syndrome

L01    Impetigo

L02    Cutaneous abscess, furuncle and carbuncle

L03    Cellulitis

L04    Acute lymphadenitis

L05    Pilonidal cyst

L08    Other local infections of skin and subcutaneous tissue

Bullous disorders (L10-L14)

L10    Pemphigus

L11    Other acantholytic disorders

L12    Pemphigoid

L13    Other bullous disorders

L14*   Bullous disorders in diseases classified elsewhere

Dermatitis and eczema (L20-L30)

L20    Atopic dermatitis

L21    Seborrhoeic dermatitis

L22    Diaper [napkin] dermatitis

L23    Allergic contact dermatitis

L24    Irritant contact dermatitis

L25    Unspecified contact dermatitis

L26    Exfoliative dermatitis

L27    Dermatitis due to substances taken internally

L28    Lichen simplex chronicus and prurigo

L29    Pruritus

L30    Other dermatitis

Papulosquamous disorders (L40-L45)

L40    Psoriasis

L41    Parapsoriasis

L42    Pityriasis rosea

L43    Lichen planus

L44    Other papulosquamous disorders

L45*   Papulosquamous disorders in diseases classified elsewhere

Urticaria and erythema (L50-L54)

L50    Urticaria

L51    Erythema multiforme

L52    Erythema nodosum

L53    Other erythematous conditions

L54*   Erythema in diseases classified elsewhere

Radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L55    Sunburn

L56    Other acute skin changes due to ultraviolet radiation

L57    Skin changes due to chronic exposure to nonionizing radiation

L58    Radiodermatitis

L59    Other disorders of skin and subcutaneous tissue related to radiation

Disorders of skin appendages (L60-L75)

L60    Nail disorders

L62*   Nail disorders in diseases classified elsewhere

L63    Alopecia areata

L64    Androgenic alopecia

L65    Other nonscarring hair loss

L66    Cicatricial alopecia [scarring hair loss]

L67    Hair colour and hair shaft abnormalities

L68    Hypertrichosis

L70    Acne

L71    Rosacea

L72    Follicular cysts of skin and subcutaneous tissue

L73    Other follicular disorders

L74    Eccrine sweat disorders

L75    Apocrine sweat disorders

Other disorders of the skin and subcutaneous tissue (L80-L99)

L80    Vitiligo

L81    Other disorders of pigmentation

L82    Seborrhoeic keratosis

L83    Acanthosis nigricans

L84    Corns and callosities

L85    Other epidermal thickening

L86*   Keratoderma in diseases classified elsewhere

L87    Transepidermal elimination disorders

L88    Pyoderma gangrenosum

L89    Decubitus ulcer and pressure area

L90    Atrophic disorders of skin

L91    Hypertrophic disorders of skin

L92    Granulomatous disorders of skin and subcutaneous tissue

L93    Lupus erythematosus

L94    Other localized connective tissue disorders

L95    Vasculitis limited to skin, not elsewhere classified

L97    Ulcer of lower limb, not elsewhere classified

L98    Other disorders of skin and subcutaneous tissue, not elsewhere classified

L99*   Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

Chapter XIII - Diseases of the musculoskeletal system and connective tissue (M00-M99)

Arthropathies (M00-M25)

Infectious arthropathies (M00-M03)

M00    Pyogenic arthritis

M01*  Direct infections of joint in infectious and parasitic diseases classified elsewhere

M02    Reactive arthropathies

M03*  Postinfective and reactive arthropathies in diseases classified elsewhere

Inflammatory polyarthropathies (M05-M14)

M05    Seropositive rheumatoid arthritis

M06    Other rheumatoid arthritis

M07*  Psoriatic and enteropathic arthropathies

M08    Juvenile arthritis

M09*  Juvenile arthritis in diseases classified elsewhere

M10    Gout

M11    Other crystal arthropathies

M12    Other specific arthropathies

M13    Other arthritis

M14*  Arthropathies in other diseases classified elsewhere

Arthrosis (M15-M19)

M15    Polyarthrosis

M16    Coxarthrosis [arthrosis of hip]

M17    Gonarthrosis [arthrosis of knee]

M18    Arthrosis of first carpometacarpal joint

M19    Other arthrosis

Other joint disorders (M20-M25)

M20    Acquired deformities of fingers and toes

M21    Other acquired deformities of limbs

M22    Disorders of patella

M23    Internal derangement of knee

M24    Other specific joint derangements

M25    Other joint disorders, not elsewhere classified

Systemic connective tissue disorders (M30-M36)

M30    Polyarteritis nodosa and related conditions

M31    Other necrotizing vasculopathies

M32    Systemic lupus erythematosus

M33    Dermatopolymyositis

M34    Systemic sclerosis

M35    Other systemic involvement of connective tissue

M36*  Systemic disorders of connective tissue in diseases classified elsewhere

Dorsopathies (M40-M54)

Deforming dorsopathies (M40-M43)

M40    Kyphosis and lordosis

M41    Scoliosis

M42    Spinal osteochondrosis

M43    Other deforming dorsopathies

Spondylopathies (M45-M49)

M45    Ankylosing spondylitis

M46    Other inflammatory spondylopathies

M47    Spondylosis

M48    Other spondylopathies

M49*  Spondylopathies in diseases classified elsewhere

Other dorsopathies (M50-M54)

M50    Cervical disc disorders

M51    Other intervertebral disc disorders

M53    Other dorsopathies, not elsewhere classified

M54    Dorsalgia

Soft tissue disorders (M60-M79)

Disorders of muscles (M60-M63)

M60    Myositis

M61    Calcification and ossification of muscle

M62    Other disorders of muscle

M63*  Disorders of muscle in diseases classified elsewhere

Disorders of synovium and tendon (M65-M68)

M65    Synovitis and tenosynovitis

M66    Spontaneous rupture of synovium and tendon

M67    Other disorders of synovium and tendon

M68*  Disorders of synovium and tendon in diseases classified elsewhere

Other soft tissue disorders (M70-M79)

M70    Soft tissue disorders related to use, overuse and pressure

M71    Other bursopathies

M72    Fibroblastic disorders

M73*  Soft tissue disorders in diseases classifed elsewhere

M75    Shoulder lesions

M76    Enthesopathies of lower limb, excluding foot

M77    Other enthesopathies

M79    Other soft tissue disorders, not elsewhere classified

Osteopathies and chondropathies (M80-M94)

Disorders of bone density and structure (M80-M85)

M80    Osteoporosis with pathological fracture

M81    Osteoporosis without pathological fracture

M82*  Osteoporosis in diseases classified elsewhere

M83    Adult osteomalacia

M84    Disorders of continuity of bone

M85    Other disorders of bone density and structure

Other osteopathies (M86-M90)

M86    Osteomyelitis

M87    Osteonecrosis

M88    Paget disease of bone [osteitis deformans]

M89    Other disorders of bone

M90*  Osteopathies in diseases classified elsewhere

Chondropathies (M91-M94)

M91    Juvenile osteochondrosis of hip and pelvis

M92    Other juvenile osteochondrosis

M93    Other osteochondropathies

M94    Other disorders of cartilage

Other disorders of the musculoskeletal system and connective tissue (M95-M99)

M95    Other acquired deformities of musculoskeletal system

M96    Postprocedural muscoloskeletal disorders, not elsewhere classified

M99    Biomechanical lesions, not elsewhere classified

Chapter XIV - Diseases of the genitourinary system (N00-N99)

Glomerular diseases (N00-N08)

N00    Acute nephritic syndrome

N01    Rapidly progressive nephritic syndrome

N02    Recurrent and persistent haematuria

N03    Chronic nephritic syndrome

N04    Nephrotic syndrome

N05    Unspecified nephritic syndrome

N06    Isolated proteinuria with specified morphological lesion

N07    Hereditary nephropathy, not elsewhere classified

N08*  Glomerular disorders in diseases classified elsewhere

Renal tubulo-interstitial diseases (N10-N16)

N10    Acute tubulo-interstitial nephritis

N11    Chronic tubulo-interstitial nephritis

N12    Tubulo-interstitial nephritis, not specified as acute or chronic

N13    Obstructive and reflux uropathy

N14    Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions

N15    Other renal tubulo-interstitial diseases

N16*  Renal tubulo-interstitial disorders in diseases classified elsewhere

Renal failure (N17-N19)

N17    Acute renal failure

N18    Chronic kidney disease

N19    Unspecified kidney failure

Urolithiasis (N20-N23)

N20    Calculus of kidney and ureter

N21    Calculus of lower urinary tract

N22*  Calculus of urinary tract in diseases classified elsewhere

N23    Unspecified renal colic

Other disorders of kidney and ureter (N25-N29)

N25    Disorders resulting from impaired renal tubular function

N26    Unspecified contracted kidney

N27    Small kidney of unknown cause

N28    Other disorders of kidney and ureter, not elsewhere classified

N29*  Other disorders of kidney and ureter in diseases classified elsewhere

Other diseases of urinary system (N30-N39)

N30    Cystitis

N31    Neuromuscular dysfunction of bladder, not elsewhere classified

N32    Other disorders of bladder

N33*  Bladder disorders in diseases classified elsewhere

N34    Urethritis and urethral syndrome

N35    Urethral stricture

N36    Other disorders of urethra

N37*  Urethral disorders in diseases classified elsewhere

N39    Other disorders of urinary system

Diseases of male genital organs (N40-N51)

N40    Hyperplasia of prostate

N41    Inflammatory diseases of prostate

N42    Other disorders of prostate

N43    Hydrocele and spermatocele

N44    Torsion of testis

N45    Orchitis and epididymitis

N46    Male infertility

N47    Redundant prepuce, phimosis and paraphimosis

N48    Other disorders of penis

N49    Inflammatory disorders of male genital organs, not elsewhere classified

N50    Other disorders of male genital organs

N51*  Disorders of male genital organs in diseases classified elsewhere

Disorders of breast (N60-N64)

N60    Benign mammary dysplasia

N61    Inflammatory disorders of breast

N62    Hypertrophy of breast

N63    Unspecified lump in breast

N64    Other disorders of breast

Inflammatory diseases of female pelvic organs (N70-N77)

N70    Salpingitis and oophoritis

N71    Inflammatory disease of uterus, except cervix

N72    Inflammatory disease of cervix uteri

N73    Other female pelvic inflammatory diseases

N74*  Female pelvic inflammatory disorders in diseases classified elsewhere

N75    Diseases of Bartholin gland

N76    Other inflammation of vagina and vulva

N77*  Vulvovaginal ulceration and inflammation in diseases classified elsewhere

Noninflammatory disorders of female genital tract (N80-N98)

N80    Endometriosis

N81    Female genital prolapse

N82    Fistulae involving female genital tract

N83    Noninflammatory disorders of ovary, fallopian tube and broad ligament

N84    Polyp of female genital tract

N85    Other noninflammatory disorders of uterus, except cervix

N86    Erosion and ectropion of cervix uteri

N87    Dysplasia of cervix uteri

N88    Other noninflammatory disorders of cervix uteri

N89    Other noninflammatory disorders of vagina

N90    Other noninflammatory disorders of vulva and perineum

N91    Absent, scanty and rare menstruation

N92    Excessive, frequent and irregular menstruation

N93    Other abnormal uterine and vaginal bleeding

N94    Pain and other conditions associated with female genital organs and menstrual cycle

N95    Menopausal and other perimenopausal disorders

N96    Habitual aborter

N97    Female infertility

N98    Complications associated with artificial fertilization

Other disorders of the genitourinary tract (N99)

N99    Postprocedural disorders of the genitourinary system, not elsewhere classified

Chapter XV - Pregnancy, childbirth and the puerperium (O00-O99)

Pregnancy with abortive outcome (O00-O08)

O00    Ectopic pregnancy

O01    Hydatidiform mole

O02    Other abnormal products of conception

O03    Spontaneous abortion

O04    Medical abortion

O05    Other abortion

O06    Unspecified abortion

O07    Failed attempted abortion

O08    Complications following abortion and ectopic and molar pregnancy

Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)

O10    Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

O11    Pre-existing hypertensive disorder with superimposed proteinuria

O12    Gestational [pregnancy-induced] oedema and proteinuria without hypertension

O13    Gestational [pregnancy-induced] hypertension without significant proteinuria

O14    Gestational [pregnancy-induced] hypertension with significant proteinuria

O15    Eclampsia

O16    Unspecified maternal hypertension

Other maternal disorders predominantly related to pregnancy (O20-O29)

O20    Haemorrhage in early pregnancy

O21    Excessive vomiting in pregnancy

O22    Venous complications in pregnancy

O23    Infections of genitourinary tract in pregnancy

O24    Diabetes mellitus in pregnancy

O25    Malnutrition in pregnancy

O26    Maternal care for other conditions predominantly related to pregnancy

O28    Abnormal findings on antenatal screening of mother

O29    Complications of anaesthesia during pregnancy

Maternal care related to fetus and amniotic cavity and possible delivery problems (O30-O48)

O30    Multiple gestation

O31    Complications specific to multiple gestation

O32    Maternal care for known or suspected malpresentation of fetus

O33    Maternal care for known or suspected disproportion

O34    Maternal care for known or suspected abnormality of pelvic organs

O35    Maternal care for known or suspected fetal abnormality and damage

O36    Maternal care for other known or suspected fetal problems

O40    Polyhydramnios

O41    Other disorders of amniotic fluid and membranes

O42    Premature rupture of membranes

O43    Placental disorders

O44    Placenta praevia

O45    Premature separation of placenta [abruptio placentae]

O46    Antepartum haemorrhage, not elsewhere classified

O47    False labour

O48    Prolonged pregnancy

Complications of labour and delivery (O60-O75)

O60    Preterm labour

O61    Failed induction of labour

O62    Abnormalities of forces of labour

O63    Long labour

O64    Obstructed labour due to malposition and malpresentation of fetus

O65    Obstructed labour due to maternal pelvic abnormality

O66    Other obstructed labour

O67    Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified

O68    Labour and delivery complicated by fetal stress [distress]

O69    Labour and delivery complicated by umbilical cord complications

O70    Perineal laceration during delivery

O71    Other obstetric trauma

O72    Postpartum haemorrhage

O73    Retained placenta and membranes, without haemorrhage

O74    Complications of anaesthesia during labour and delivery

O75    Other complications of labour and delivery, not elsewhere classified

Delivery (O80-O84)

O80    Single spontaneous delivery

O81    Single delivery by forceps and vacuum extractor

O82    Single delivery by caesarean section

O83    Other assisted single delivery

O84    Multiple delivery

Complications predominantly related to the puerperium (O85-O92)

O85    Puerperal sepsis

O86    Other puerperal infections

O87    Venous complications in the puerperium

O88    Obstetric embolism

O89    Complications of anaesthesia during the puerperium

O90    Complications of the puerperium, not elsewhere classified

O91    Infections of breast associated with childbirth

O92    Other disorders of breast and lactation associated with childbirth

Other obstetric conditions, not elsewhere classified (O94-O99)

O94    Sequelae of complication of pregnancy, childbirth and the puerperium

O95    Obstetric death of unspecified cause

O96    Death from any obstetric cause occurring more than 42 days but less than one year after delivery

O97    Death from sequelae of obstetric causes

O98    Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

O99    Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Chapter XVI - Certain conditions originating in the perinatal period (P00-P96)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

P00    Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy

P01    Fetus and newborn affected by maternal complications of pregnancy

P02    Fetus and newborn affected by complications of placenta, cord and membranes

P03    Fetus and newborn affected by other complications of labour and delivery

P04    Fetus and newborn affected by noxious influences transmitted via placenta or breast milk

Disorders related to length of gestation and fetal growth (P05-P08)

P05    Slow fetal growth and fetal malnutrition

P07    Disorders related to short gestation and low birth weight, not elsewhere classified

P08    Disorders related to long gestation and high birth weight

Birth trauma (P10-P15)

P10    Intracranial laceration and haemorrhage due to birth injury

P11    Other birth injuries to central nervous system

P12    Birth injury to scalp

P13    Birth injury to skeleton

P14    Birth injury to peripheral nervous system

P15    Other birth injuries

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

P20    Intrauterine hypoxia

P21    Birth asphyxia

P22    Respiratory distress of newborn

P23    Congenital pneumonia

P24    Neonatal aspiration syndromes

P25    Interstitial emphysema and related conditions originating in the perinatal period

P26    Pulmonary haemorrhage originating in the perinatal period

P27    Chronic respiratory disease originating in the perinatal period

P28    Other respiratory conditions originating in the perinatal period

P29    Cardiovascular disorders originating in the perinatal period

Infections specific to the perinatal period (P35-P39)

P35    Congenital viral diseases

P36    Bacterial sepsis of newborn

P37    Other congenital infectious and parasitic diseases

P38    Omphalitis of newborn with or without mild haemorrhage

P39    Other infections specific to the perinatal period

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

P50    Fetal blood loss

P51    Umbilical haemorrhage of newborn

P52    Intracranial nontraumatic haemorrhage of fetus and newborn

P53    Haemorrhagic disease of fetus and newborn

P54    Other neonatal haemorrhages

P55    Haemolytic disease of fetus and newborn

P56    Hydrops fetalis due to haemolytic disease

P57    Kernicterus

P58    Neonatal jaundice due to other excessive haemolysis

P59    Neonatal jaundice from other and unspecified causes

P60    Disseminated intravascular coagulation of fetus and newborn

P61    Other perinatal haematological disorders

Transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)

P70    Transitory disorders of carbohydrate metabolism specific to fetus and newborn

P71    Transitory neonatal disorders of calcium and magnesium metabolism

P72    Other transitory neonatal endocrine disorders

P74    Other transitory neonatal electrolyte and metabolic disturbances

Digestive system disorders of fetus and newborn (P75-P78)

P75*  Meconium ileus

P76    Other intestinal obstruction of newborn

P77    Necrotizing enterocolitis of fetus and newborn

P78    Other perinatal digestive system disorders

Conditions involving the integument and temperature regulation of fetus and newborn (P80-P83)

P80    Hypothermia of newborn

P81    Other disturbances of temperature regulation of newborn

P83    Other conditions of integument specific to fetus and newborn

Other disorders originating in the perinatal period (P90-P96)

P90    Convulsions of newborn

P91    Other disturbances of cerebral status of newborn

P92    Feeding problems of newborn

P93    Reactions and intoxications due to drugs administered to fetus and newborn

P94    Disorders of muscle tone of newborn

P95    Fetal death of unspecified cause

P96    Other conditions originating in the perinatal period

Chapter XVII - Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

Congenital malformations of the nervous system (Q00-Q07)

Q00    Anencephaly and similar malformations

Q01    Encephalocele

Q02    Microcephaly

Q03    Congenital hydrocephalus

Q04    Other congenital malformations of brain

Q05    Spina bifida

Q06    Other congenital malformations of spinal cord

Q07    Other congenital malformations of nervous system

Congenital malformations of eye, ear, face and neck (Q10-Q18)

Q10    Congenital malformations of eyelid, lacrimal apparatus and orbit

Q11    Anophthalmos, microphthalmos and macrophthalmos

Q12    Congenital lens malformations

Q13    Congenital malformations of anterior segment of eye

Q14    Congenital malformations of posterior segment of eye

Q15    Other congenital malformations of eye

Q16    Congenital malformations of ear causing impairment of hearing

Q17    Other congenital malformations of ear

Q18    Other congenital malformations of face and neck

Congenital malformations of the circulatory system (Q20-Q28)

Q20    Congenital malformations of cardiac chambers and connections

Q21    Congenital malformations of cardiac septa

Q22    Congenital malformations of pulmonary and tricuspid valves

Q23    Congenital malformations of aortic and mitral valves

Q24    Other congenital malformations of the heart

Q25    Congenital malformations of great arteries

Q26    Congenital malformations of great veins

Q27    Other congenital malformations of peripheral vascular system

Q28    Other congenital malformations of circulatory system

Congenital malformations of the respiratory system (Q30-Q34)

Q30    Congenital malformations of nose

Q31    Congenital malformations of larynx

Q32    Congenital malformations of trachea and bronchus

Q33    Congenital malformations of lung

Q34    Other congenital malformations of respiratory system

Cleft lip and cleft palate (Q35-Q37)

Q35    Cleft palate

Q36    Cleft lip

Q37    Cleft palate with cleft lip

Other congenital malformations of the digestive system (Q38-Q45)

Q38    Other congenital malformations of tongue, mouth and pharynx

Q39    Congenital malformations of oesophagus

Q40    Other congenital malformations of upper alimentary tract

Q41    Congenital absence, atresia and stenosis of small intestine

Q42    Congenital absence, atresia and stenosis of large intestine

Q43    Other congenital malformations of intestine

Q44    Congenital malformations of gallbladder, bile ducts and liver

Q45    Other congenital malformations of digestive system

Congenital malformations of genital organs (Q50-Q56)

Q50    Congenital malformations of ovaries, fallopian tubes and broad ligaments

Q51    Congenital malformations of uterus and cervix

Q52    Other congenital malformations of female genitalia

Q53    Undescended testicle

Q54    Hypospadias

Q55    Other congenital malformations of male genital organs

Q56    Indeterminate sex and pseudohermaphroditism

Congenital malformations of the urinary system (Q60-Q64)

Q60    Renal agenesis and other reduction defects of kidney

Q61    Cystic kidney disease

Q62    Congenital obstructive defects of renal pelvis and congenital malformations of ureter

Q63    Other congenital malformations of kidney

Q64    Other congenital malformations of urinary system

Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Q65    Congenital deformities of hip

Q66    Congenital deformities of feet

Q67    Congenital musculoskeletal deformities of head, face, spine and chest

Q68    Other congenital musculoskeletal deformities

Q69    Polydactyly

Q70    Syndactyly

Q71    Reduction defects of upper limb

Q72    Reduction defects of lower limb

Q73    Reduction defects of unspecified limb

Q74    Other congenital malformations of limb(s)

Q75    Other congenital malformations of skull and face bones

Q76    Congenital malformations of spine and bony thorax

Q77    Osteochondrodysplasia with defects of growth of tubular bones and spine

Q78    Other osteochondrodysplasias

Q79    Congenital malformations of the musculoskeletal system, not elsewhere classified

Other congenital malformations (Q80-Q89)

Q80    Congenital ichthyosis

Q81    Epidermolysis bullosa

Q82    Other congenital malformations of skin

Q83    Congenital malformations of breast

Q84    Other congenital malformations of integument

Q85    Phakomatoses, not elsewhere classified

Q86    Congenital malformation syndromes due to known exogenous causes, not elsewhere classified

Q87    Other specified congenital malformation syndromes affecting multiple systems

Q89    Other congenital malformations, not elsewhere classified

Chromosomal abnormalities, not elsewhere classified (Q90-Q99)

Q90    Down syndrome

Q91    Edward syndrome and Patau syndrome

Q92    Other trisomies and partial trisomies of the autosomes, not elsewhere classified

Q93    Monosomies and deletions from the autosomes, not elsewhere classified

Q95    Balanced rearrangements and structural markers, not elsewhere classified

Q96    Turner syndrome

Q97    Other sex chromosome abnormalities, female phenotype, not elsewhere classified

Q98    Other sex chromosome abnormalities, male phenotype, not elsewhere classified

Q99    Other chromosome abnormalities, not elsewhere classified

Chapter XVIII - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

R00    Abnormalities of heart beat

R01    Cardiac murmurs and other cardiac sounds

R02    Gangrene, not elsewhere classified

R03    Abnormal blood-pressure reading, without diagnosis

R04    Haemorrhage from respiratory passages

R05    Cough

R06    Abnormalities of breathing

R07    Pain in throat and chest

R09    Other symptoms and signs involving the circulatory and respiratory systems

Symptoms and signs involving the digestive system and abdomen (R10-R19)

R10    Abdominal and pelvic pain

R11    Nausea and vomiting

R12    Heartburn

R13    Dysphagia

R14    Flatulence and related conditions

R15    Faecal incontinence

R16    Hepatomegaly and splenomegaly, not elsewhere classified

R17    Unspecified jaundice

R18    Ascites

R19    Other symptoms and signs involving the digestive system and abdomen

Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)

R20    Disturbances of skin sensation

R21    Rash and other nonspecific skin eruption

R22    Localized swelling, mass and lump of skin and subcutaneous tissue

R23    Other skin changes

Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)

R25    Abnormal involuntary movements

R26    Abnormalities of gait and mobility

R27    Other lack of coordination

R29    Other symptoms and signs involving the nervous and musculoskeletal systems

Symptoms and signs involving the urinary system (R30-R39)

R30    Pain associated with micturition

R31    Unspecified haematuria

R32    Unspecified urinary incontinence

R33    Retention of urine

R34    Anuria and oliguria

R35    Polyuria

R36    Urethral discharge

R39    Other symptoms and signs involving the urinary system

Symptoms and signs involving cognition, perception, emotional state and behaviour (R40-R46)

R40    Somnolence, stupor and coma

R41    Other symptoms and signs involving cognitive functions and awareness

R42    Dizziness and giddiness

R43    Disturbances of smell and taste

R44    Other symptoms and signs involving general sensations and perceptions

R45    Symptoms and signs involving emotional state

R46    Symptoms and signs involving appearance and behaviour

Symptoms and signs involving speech and voice (R47-R49)

R47    Speech disturbances, not elsewhere classified

R48    Dyslexia and other symbolic dysfunctions, not elsewhere classified

R49    Voice disturbances

General symptoms and signs (R50-R69)

R50    Fever of other and unknown origin

R51    Headache

R52    Pain, not elsewhere classified

R53    Malaise and fatigue

R54    Senility

R55    Syncope and collapse

R56    Convulsions, not elsewhere classified

R57    Shock, not elsewhere classified

R58    Haemorrhage, not elsewhere classified

R59    Enlarged lymph nodes

R60    Oedema, not elsewhere classified

R61    Hyperhidrosis

R62    Lack of expected normal physiological development

R63    Symptoms and signs concerning food and fluid intake

R64    Cachexia

R68    Other general symptoms and signs

R69    Unknown and unspecified causes of morbidity

Abnormal findings on examination of blood, without diagnosis (R70-R79)

R70    Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity

R71    Abnormality of red blood cells

R72    Abnormality of white blood cells, not elsewhere classified

R73    Elevated blood glucose level

R74    Abnormal serum enzyme levels

R75    Laboratory evidence of human immunodeficiency virus [HIV]

R76    Other abnormal immunological findings in serum

R77    Other abnormalities of plasma proteins

R78    Findings of drugs and other substances, not normally found in blood

R79    Other abnormal findings of blood chemistry

Abnormal findings on examination of urine, without diagnosis (R80-R82)

R80    Isolated proteinuria

R81    Glycosuria

R82    Other abnormal findings in urine

Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)

R83    Abnormal findings in cerebrospinal fluid

R84    Abnormal findings in specimens from respiratory organs and thorax

R85    Abnormal findings in specimens from digestive organs and abdominal cavity

R86    Abnormal findings in specimens from male genital organs

R87    Abnormal findings in specimens from female genital organs

R89    Abnormal findings in specimens from other organs, systems and tissues

Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

R90    Abnormal findings on diagnostic imaging of central nervous system

R91    Abnormal findings on diagnostic imaging of lung

R92    Abnormal findings on diagnostic imaging of breast

R93    Abnormal findings on diagnostic imaging of other body structures

R94    Abnormal results of function studies

Ill-defined and unknown causes of mortality (R95-R99)

R95    Sudden infant death syndrome

R96    Other sudden death, cause unknown

R98    Unattended death

R99    Other ill-defined and unspecified causes of mortality

Chapter XIX - Injury, poisoning and certain other consequences of external causes (S00-T98)

Injuries to the head (S00-S09)

S00    Superficial injury of head

S01    Open wound of head

S02    Fracture of skull and facial bones

S03    Dislocation, sprain and strain of joints and ligaments of head

S04    Injury of cranial nerves

S05    Injury of eye and orbit

S06    Intracranial injury

S07    Crushing injury of head

S08    Traumatic amputation of part of head

S09    Other and unspecified injuries of head

Injuries to the neck (S10-S19)

S10    Superficial injury of neck

S11    Open wound of neck

S12    Fracture of neck

S13    Dislocation, sprain and strain of joints and ligaments at neck level

S14    Injury of nerves and spinal cord at neck level

S15    Injury of blood vessels at neck level

S16    Injury of muscle and tendon at neck level

S17    Crushing injury of neck

S18    Traumatic amputation at neck level

S19    Other and unspecified injuries of neck

Injuries to the thorax (S20-S29)

S20    Superficial injury of thorax

S21    Open wound of thorax

S22    Fracture of rib(s), sternum and thoracic spine

S23    Dislocation, sprain and strain of joints and ligaments of thorax

S24    Injury of nerves and spinal cord at thorax level

S25    Injury of blood vessels of thorax

S26    Injury of heart

S27    Injury of other and unspecified intrathoracic organs

S28    Crushing injury of thorax and traumatic amputation of part of thorax

S29    Other and unspecified injuries of thorax

Injuries to the abdomen, lower back, lumbar spine and pelvis (S30-S39)

S30    Superficial injury of abdomen, lower back and pelvis

S31    Open wound of abdomen, lower back and pelvis

S32    Fracture of lumbar spine and pelvis

S33    Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis

S34    Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level

S35    Injury of blood vessels at abdomen, lower back and pelvis level

S36    Injury of intra-abdominal organs

S37    Injury of urinary and pelvic organs

S38    Crushing injury and traumatic amputation of part of abdomen, lower back and pelvis

S39    Other and unspecified injuries of abdomen, lower back and pelvis

Injuries to the shoulder and upper arm (S40-S49)

S40    Superficial injury of shoulder and upper arm

S41    Open wound of shoulder and upper arm

S42    Fracture of shoulder and upper arm

S43    Dislocation, sprain and strain of joints and ligaments of shoulder girdle

S44    Injury of nerves at shoulder and upper arm level

S45    Injury of blood vessels at shoulder and upper arm level

S46    Injury of muscle and tendon at shoulder and upper arm level

S47    Crushing injury of shoulder and upper arm

S48    Traumatic amputation of shoulder and upper arm

S49    Other and unspecified injuries of shoulder and upper arm

Injuries to the elbow and forearm (S50-S59)

S50    Superficial injury of forearm

S51    Open wound of forearm

S52    Fracture of forearm

S53    Dislocation, sprain and strain of joints and ligaments of elbow

S54    Injury of nerves at forearm level

S55    Injury of blood vessels at forearm level

S56    Injury of muscle and tendon at forearm level

S57    Crushing injury of forearm

S58    Traumatic amputation of forearm

S59    Other and unspecified injuries of forearm

Injuries to the wrist and hand (S60-S69)

S60    Superficial injury of wrist and hand

S61    Open wound of wrist and hand

S62    Fracture at wrist and hand level

S63    Dislocation, sprain and strain of joints and ligaments at wrist and hand level

S64    Injury of nerves at wrist and hand level

S65    Injury of blood vessels at wrist and hand level

S66    Injury of muscle and tendon at wrist and hand level

S67    Crushing injury of wrist and hand

S68    Traumatic amputation of wrist and hand

S69    Other and unspecified injuries of wrist and hand

Injuries to the hip and thigh (S70-S79)

S70    Superficial injury of hip and thigh

S71    Open wound of hip and thigh

S72    Fracture of femur

S73    Dislocation, sprain and strain of joint and ligaments of hip

S74    Injury of nerves at hip and thigh level

S75    Injury of blood vessels at hip and thigh level

S76    Injury of muscle and tendon at hip and thigh level

S77    Crushing injury of hip and thigh

S78    Traumatic amputation of hip and thigh

S79    Other and unspecified injuries of hip and thigh

Injuries to the knee and lower leg (S80-S89)

S80    Superficial injury of lower leg

S81    Open wound of lower leg

S82    Fracture of lower leg, including ankle

S83    Dislocation, sprain and strain of joints and ligaments of knee

S84    Injury of nerves at lower leg level

S85    Injury of blood vessels at lower leg level

S86    Injury of muscle and tendon at lower leg level

S87    Crushing injury of lower leg

S88    Traumatic amputation of lower leg

S89    Other and unspecified injuries of lower leg

Injuries to the ankle and foot (S90-S99)

S90    Superficial injury of ankle and foot

S91    Open wound of ankle and foot

S92    Fracture of foot, except ankle

S93    Dislocation, sprain and strain of joints and ligaments at ankle and foot level

S94    Injury of nerves at ankle and foot level

S95    Injury of blood vessels at ankle and foot level

S96    Injury of muscle and tendon at ankle and foot level

S97    Crushing injuries of ankle and foot

S98    Traumatic amputation of ankle and foot

S99    Other and unspecified injuries of ankle and foot

Injuries involving multiple body regions (T00-T07)

T00    Superficial injuries involving multiple body regions

T01    Open wounds involving multiple body regions

T02    Fractures involving multiple body regions

T03    Dislocations, sprains and strains involving multiple body regions

T04    Crushing injuries involving multiple body regions

T05    Traumatic amputations involving multiple body regions

T06    Other injuries involving multiple body regions, not elsewhere classified

T07    Unspecified multiple injuries

Injuries to unspecified part of trunk, limb or body region (T08-T14)

T08    Fracture of spine, level unspecified

T09    Other injuries of spine and trunk, level unspecified

T10    Fracture of upper limb, level unspecified

T11    Other injuries of upper limb, level unspecified

T12    Fracture of lower limb, level unspecified

T13    Other injuries of lower limb, level unspecified

T14    Injury of unspecified of body

Effects of foreign body entering through natural orifice (T15-T19)

T15    Foreign body on external eye

T16    Foreign body in ear

T17    Foreign body in respiratory tract

T18    Foreign body in alimentary tract

T19    Foreign body in genitourinary tract

Burns and corrosions (T20-T32)

Burns and corrosions of external body surface, specified by site (T20-T25)

T20    Burn and corrosion of head and neck

T21    Burn and corrosion of trunk

T22    Burn and corrosion of shoulder and upper limb, except wrist and hand

T23    Burn and corrosion of wrist and hand

T24    Burn and corrosion of hip and lower limb, except ankle and foot

T25    Burn and corrosion of ankle and foot

Burns and corrosions confined to eye and internal organs (T26-T28)

T26    Burn and corrosion confined to eye and adnexa

T27    Burn and corrosion of respiratory tract

T28    Burn and corrosion of other internal organs

Burns and corrosions of multiple and unspecified body regions (T29-T32)

T29    Burns and corrosions of multiple body regions

T30    Burn and corrosion, body region unspecified

T31    Burns classified according to extent of body surface involved

T32    Corrosions classified according to extent of body surface involved

Frostbite (T33-T35)

T33    Superficial frostbite

T34    Frostbite with tissue necrosis

T35    Frostbite involving multiple body regions and unspecified frostbite

Poisoning by drugs, medicaments and biological substances (T36-T50)

T36    Poisoning by systemic antibiotics

T37    Poisoning by other systemic anti-infectives and antiparasitics

T38    Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere classified

T39    Poisoning by nonopioid analgesics, antipyretics and antirheumatics

T40    Poisoning by narcotics and psychodysleptics [hallucinogens]

T41    Poisoning by anaesthetics and therapeutic gases

T42    Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs

T43    Poisoning by psychotropic drugs, not elsewhere classified

T44    Poisoning by drugs primarily affecting the autonomic nervous system

T45    Poisoning by primarily systemic and haematological agents, not elsewhere classified

T46    Poisoning by agents primarily affecting the cardiovascular system

T47    Poisoning by agents primarily affecting the gastrointestinal system

T48    Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system

T49    Poisoning by topical agents primarily affecting skin and mucous membrane, and by ophthalmological, otorhinolaryngological and dental drugs

T50    Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances

Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

T51    Toxic effect of alcohol

T52    Toxic effect of organic solvents

T53    Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons

T54    Toxic effect of corrosive substances

T55    Toxic effect of soaps and detergents

T56    Toxic effect of metals

T57    Toxic effect of other inorganic substances

T58    Toxic effect of carbon monoxide

T59    Toxic effect of other gases, fumes and vapours

T60    Toxic effect of pesticides

T61    Toxic effect of noxious substances eaten as seafood

T62    Toxic effect of other noxious substances eaten as food

T63    Toxic effect of contact with venomous animals

T64    Toxic effect of aflatoxin and other mycotoxin food contaminants

T65    Toxic effect of other and unspecified substances

Other and unspecified effects of external causes (T66-T78)

T66    Unspecified effects of radiation

T67    Effects of heat and light

T68    Hypothermia

T69    Other effects of reduced temperature

T70    Effects of air pressure and water pressure

T71    Asphyxiation

T73    Effects of other deprivation

T74    Maltreatment syndromes

T75    Effects of other external causes

T78    Adverse effects, not elsewhere classified

Certain early complications of trauma (T79)

T79    Certain early complications of trauma, not elsewhere classified

Complications of surgical and medical care, not elsewhere classified (T80-T88)

T80    Complications following infusion, transfusion and therapeutic injection

T81    Complications of procedures, not elsewhere classified

T82    Complications of cardiac and vascular prosthetic devices, implants and grafts

T83    Complications of genitourinary devices, implants and grafts

T84    Complications of internal orthopaedic prosthetic devices, implants and grafts

T85    Complications of other internal prosthetic devices, implants and grafts

T86    Failure and rejection of transplanted organs and tissues

T87    Complications peculiar to reattachment and amputation

T88    Other complications of surgical and medical care, not elsewhere classified

Sequelae of injuries, of poisoning and of other consequences of external causes (T90-T98)

T90    Sequelae of injuries of head

T91    Sequelae of injuries of neck and trunk

T92    Sequelae of injuries of upper limb

T93    Sequelae of injuries of lower limb

T94    Sequelae of injuries involving multiple and unspecified body regions

T95    Sequelae of burns, corrosions and frostbite

T96    Sequelae of poisoning by drugs, medicaments and biological substances

T97    Sequelae of toxic effects of substances chiefly nonmedicinal as to source

T98    Sequelae of other and unspecified effects of external causes

Chapter XX - External causes of morbidity and mortality (V01-Y98)

Transport accidents (VO1-V99)

Pedestrian injured in transport accident (V01-V09)

V01    Pedestrian injured in collision with pedal cycle

V02    Pedestrian injured in collision with two- or three-wheeled motor vehicle

V03    Pedestrian injured in collision with car, pick-up truck or van

V04    Pedestrian injured in collision with heavy transport vehicle or bus

V05    Pedestrian injured in collision with railway train or railway vehicle

V06    Pedestrian injured in collision with other nonmotor vehicle

V09    Pedestrian injured in other and unspecified transport accidents

Pedal cyclist injured in transport accident (Vl0-Vl9)

V10    Pedal cyclist injured in collision with pedestrian or animal

V11    Pedal cyclist injured in collision with other pedal cycle

V12    Pedal cyclist injured in collision with two-or three-wheeled motor vehicle

V13    Pedal cyclist injured in collision with car, pick-up truck or van

V14    Pedal cyclist injured in collision with heavy transport vehicle or bus

V15    Pedal cyclist injured in collision with railway train or railway vehicle

V16    Pedal cyclist injured in collision with other nonmotor vehicle

V17    Pedal cyclist injured in collision with fixed or stationary object

V18    Pedal cyclist injured in noncollision transport accident

V19    Pedal cyclist injured in other and unspecified transport accidents

Motorcycle rider injured in transport accident (V20-V29)

V20    Motorcyle rider injured in collision with pedestrian or animal

V21    Motorcyle rider injured in collision with pedal cycle

V22    Motorcyle rider injured in collision with two-or three-wheeled motor vehicle

V23    Motorcyle rider injured in collision with car, pick-up truck or van

V24    Motorcyle rider injured in collision with heavy transport vehicle or bus

V25    Motorcyle rider injured in collision with railway train or railway vehicle

V26    Motorcyle rider injured in collision with other nonmotor vehicle

V27    Motorcyle rider injured in collision with fixed or stationary object

V28    Motorcyle rider injured in noncollision transport accident

V29    Motorcyle rider injured in other and unspecified transport accidents

Occupant of three-wheeled motor vehicle injured in transport accident (V30-V39)

V30    Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal

V31    Occupant of three-wheeled motor vehicle injured in collision with pedal cycle

V32    Occupant of three-wheeled motor vehicle injured in collision with two-or three-wheeled motor vehicle

V33    Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van

V34    Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus

V35    Occupant of three-wheeled motor vehicle injured in collision with railway train or railway vehicle

V36    Occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle

V37    Occupant of three-wheeled motor vehicle injured in collision with fixed or stationary object

V38    Occupant of three-wheeled motor vehicle injured in noncollision transport accident

V39    Occupant of three-wheeled motor vehicle injured in other and unspecified transport accidents

Car occupant injured in transport accident (V40-V49)

V40    Car occupant injured in collision with pedestrian or animal

V41    Car occupant injured in collision with pedal cycle

V42    Car occupant injured in collision with two-or three-wheeled motor vehicle

V43    Car occupant injured in collision with car, pick-up truck or van

V44    Car occupant injured in collision with heavy transport vehicle or bus

V45    Car occupant injured in collision with railway train or railway vehicle

V46    Car occupant injured in collision with other nonmotor vehicle

V47    Car occupant injured in collision with fixed or stationary object

V48    Car occupant injured in noncollision transport accident

V49    Car occupant injured in other and unspecified transport accidents

Occupant of pick-up truck or van injured in transport accident (V50-V59)

V50    Occupant of pick-up truck or van injured in collision with pedestrian or animal

V51    Occupant of pick-up truck or van injured in collision with pedal cycle

V52    Occupant of pick-up truck or van injured in collision with two-or three-wheeled motor vehicle

V53    Occupant of pick-up truck or van injured in collision with car, pick-up truck or van

V54    Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus

V55    Occupant of pick-up truck or van injured in collision with railway train or railway vehicle

V56    Occupant of pick-up truck or van injured in collision with other nonmotor vehicle

V57    Occupant of pick-up truck or van injured in collision with fixed or stationary object

V58    Occupant of pick-up truck or van injured in noncollision transport accident

V59    Occupant of pick-up truck or van injured in other and unspecified transport accidents

Occupant of heavy transport vehicle injured in transport accident (V60-V69)

V60    Occupant of heavy transport vehicle injured in collision with pedestrian or animal

V61    Occupant of heavy transport vehicle injured in collision with pedal cycle

V62    Occupant of heavy transport vehicle injured in collision with two-or three-wheeled motor vehicle

V63    Occupant of heavy transport vehicle injured in collision with car, pick-up truck or van

V64    Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus

V65    Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle

V66    Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle

V67    Occupant of heavy transport vehicle injured in collision with fixed or stationary object

V68    Occupant of heavy transport vehicle injured in noncollision transport accident

V69    Occupant of heavy transport vehicle injured in other and unspecified transport accidents

Bus occupant injured in transport accident (V70-V79)

V70    Bus occupant injured in collision with pedestrian or animal

V71    Bus occupant injured in collision with pedal cycle

V72    Bus occupant injured in collision with two-or three-wheeled motor vehicle

V73    Bus occupant injured in collision with car, pick-up truck or van

V74    Bus occupant injured in collision with heavy transport vehicle or bus

V75    Bus occupant injured in collision with railway train or railway vehicle

V76    Bus occupant injured in collision with other nonmotor vehicle

V77    Bus occupant injured in collision with fixed or stationary object

V78    Bus occupant injured in noncollision transport accident

V79    Bus occupant injured in other and unspecified transport accidents

Other land transport accidents (V80-V89)

V80    Animal-rider or occupant of animal-drawn vehicle injured in transport accident

V81    Occupant of railway train or railway vehicle injured in transport accident

V82    Occupant of streetcar injured in transport accident

V83    Occupant of special vehicle mainly used on industrial premises injured in transport accident

V84    Occupant of special vehicle mainly used in agriculture injured in transport accident

V85    Occupant of special construction vehicle injured in transport accident

V86    Occupant of special all-terrain or other motor vehicles designed primarily for off-road use, injured in transport accident

V87    Traffic accident of specified type but victim's mode of transport unknown

V88    Nontraffic accident of specified type but victim's mode of transport unknown

V89    Motor-or nonmotor-vehicle accident, type of vehicle unspecified

Water transport accidents (V90-V94)

V90    Accident to watercraft causing drowning and submersion

V91    Accident to watercraft causing other injury

V92    Water-transport-related drowning and submersion without accident to watercraft

V93    Accident on board watercraft without accident to watercraft, not causing drowning and submersion

V94    Other and unspecified water transport accidents

Air and space transport accidents (V95-V97)

V95    Accident to powered aircraft causing injury to occupant

V96    Accident to nonpowered aircraft causing injury to occupant

V97    Other specified air transport accidents

Other and unspecified transport accidents (V98-V99)

V98    Other specified transport accidents

V99    Unspecified transport accident

Other external causes of accidental injury (W00-X59)

Falls (W00-W19)

W00   Fall on same level involving ice and snow

W01   Fall on same level from slipping, tripping and stumbling

W02   Fall involving ice-skates, skis, roller-skates or skateboards

W03   Other fall on same level due to collision with, or pushing by, another person

W04   Fall while being carried or supported by other persons

W05   Fall involving wheelchair

W06   Fall involving bed

W07   Fall involving chair

W08   Fall involving other furniture

W09   Fall involving playground equipment

W10   Fall on and from stairs and steps

W11   Fall on and from ladder

W12   Fall on and from scaffolding

W13   Fall from, out of or through building or structure

W14   Fall from tree

W15   Fall from cliff

W16   Diving or jumping into water causing injury other than drowning or submersion

W17   Other fall from one level to another

W18   Other fall on same level

W19   Unspecified fall

Exposure to inanimate mechanical forces (W20-W49)

W20   Struck by thrown, projected or falling object

W21   Striking against or struck by sports equipment

W22   Striking against or struck by other objects

W23   Caught, crushed, jammed or pinched in or between objects

W24   Contact with lifting and transmission devices, not elsewhere classified

W25   Contact with sharp glass

W26   Contact with knife, sword or dagger

W27   Contact with nonpowered hand tool

W28   Contact with powered lawnmower

W29   Contact with other powered hand tools and household machinery

W30   Contact with agricultural machinery

W31   Contact with other and unspecified machinery

W32   Handgun discharge

W33   Rifle, shotgun and larger firearm discharge

W34   Discharge from other and unspecified firearms

W35   Explosion and rupture of boiler

W36   Explosion and rupture of gas cylinder

W37   Explosion and rupture of pressurized tire, pipe or hose

W38   Explosion and rupture of other specified pressurized devices

W39   Discharge of firework

W40   Explosion of other materials

W41   Exposure to high-pressure jet

W42   Exposure to noise

W43   Exposure to vibration

W44   Foreign body entering into or through eye or natural orifice

W45   Foreign body or object entering through skin

W46   Contact with hypodermic needle

W49   Exposure to other and unspecified inanimate mechanical forces

Exposure to animate mechanical forces (W50-W64)

W50   Hit, struck, kicked, twisted, bitten or scratched by another person

W51   Striking against or bumped into by another person

W52   Crushed, pushed and stepped on by crowd or human stampede

W53   Bitten by rat

W54   Bitten or struck by dog

W55   Bitten or struck by other mammals

W56   Contact with marine animal

W57   Bitten or stung by nonvenomous insects and other nonvenomous arthropods

W58   Bitten or struck by crocodile or alligator

W59   Bitten or crushed by other reptiles

W60   Contact with plant thorns and spines and sharp leaves

W64   Exposure to other and unspecified animate mechanical forces

Accidental drowning and submersion (W65-W74)

W65   Drowning and submersion while in bath-tub

W66   Drowning and submersion following fall into bath-tub

W67   Drowning and submersion while in swimming-pool

W68   Drowning and submersion following fall into swimming-pool

W69   Drowning and submersion while in natural water

W70   Drowning and submersion following fall into natural water

W73   Other specified drowning and submersion

W74   Unspecified drowning and submersion

Other accidental threats to breathing (W75-W84)

W75   Accidental suffocation and strangulation in bed

W76   Other accidental hanging and strangulation

W77   Threat to breathing due to cave-in, falling earth and other substances

W78   Inhalation of gastric contents

W79   Inhalation and ingestion of food causing obstruction of respiratory tract

W80   Inhalation and ingestion of other objects causing obstruction of respiratory tract

W81   Confined to or trapped in a low oxygen-environment

W83   Other specified threats to breathing

W84   Unspecified threat to breathing

Exposure to electric current, radiation and extreme ambient air temperature and pressure (W85-W99)

W85   Exposure to electric transmission lines

W86   Exposure to other specified electric current

W87   Exposure to unspecified electric current

W88   Exposure to ionizing radiation

W89   Exposure to man-made visible and ultraviolet light

W90   Exposure to other nonionizing radiation

W91   Exposure to unspecified type of radiation

W92   Exposure to excessive heat of man-made origin

W93   Exposure to excessive cold of man-made origin

W94   Exposure to high and low air pressure and changes in air pressure

W99   Exposure to other and unspecified man-made environmental factors

Exposure to smoke, fire and flames (X00-X09)

X00    Exposure to uncontrolled fire in building or structure

X01    Exposure to uncontrolled fire, not in building or structure

X02    Exposure to controlled fire in building or structure

X03    Exposure to controlled fire, not in building or structure

X04    Exposure to ignition of highly flammable material

X05    Exposure to ignition or melting of nightwear

X06    Exposure to ignition or melting of other clothing and apparel

X08    Exposure to other specified smoke, fire and flames

X09    Exposure to unspecified smoke, fire and flames

Contact with heat and hot substances (X10-X19)

X10    Contact with hot drinks, food, fats and cooking oils

X11    Contact with hot tap-water

X12    Contact with other hot fluids

X13    Contact with steam and hot vapours

X14    Contact with hot air and gases

X15    Contact with hot household appliances

X16    Contact with hot heating appliances, radiators and pipes

X17    Contact with hot engines, machinery and tools

X18    Contact with other hot metals

X19    Contact with other and unspecified heat and hot substances

Contact with venomous animals and plants (X20-X29)

X20    Contact with venomous snakes and lizards

X21    Contact with venomous spiders

X22    Contact with scorpions

X23    Contact with hornets, wasps and bees

X24    Contact with centipedes and venomous millipedes (tropical)

X25    Contact with other venomous arthropods

X26    Contact with venomous marine animals and plants

X27    Contact with other specified venomous animals

X28    Contact with other specified venomous plants

X29    Contact with unspecified venomous animal or plant

Exposure to forces of nature (X30-X39)

X30    Exposure to excessive natural heat

X31    Exposure to excessive natural cold

X32    Exposure to sunlight

X33    Victim of lightning

X34    Victim of earthquake

X35    Victim of volcanic eruption

X36    Victim of avalanche, landslide and other earth movements

X37    Victim of cataclysmic storm

X38    Victim of flood

X39    Exposure to other and unspecified forces of nature

Accidental poisoning by and exposure to noxious substances (X40-X49)

X40    Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

X41    Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

X42    Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

X43    Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system

X44    Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

X45    Accidental poisoning by and exposure to alcohol

X46    Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

X47    Accidental poisoning by and exposure to other gases and vapours

X48    Accidental poisoning by and exposure to pesticides

X49    Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances

Overexertion, travel and privation (X50-X57)

X50    Overexertion and strenuous or repetitive movements

X51    Travel and motion

X52    Prolonged stay in weightless environment

X53    Lack of food

X54    Lack of water

X57    Unspecified privation

Accidental exposure to other and unspecified factors (X58-X59)

X58    Exposure to other specified factors

X59    Exposure to unspecified factor

Intentional self-harm (X60-X84)

X60    Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

X61    Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

X62    Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

X63    Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system

X64    Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

X65    Intentional self-poisoning by and exposure to alcohol

X66    Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

X67    Intentional self-poisoning by and exposure to other gases and vapours

X68    Intentional self-poisoning by and exposure to pesticides

X69    Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances

X70    Intentional self-harm by hanging, strangulation and suffocation

X71    Intentional self-harm by drowning and submersion

X72    Intentional self-harm by handgun discharge

X73    Intentional self-harm by rifle, shotgun and larger firearm discharge

X74    Intentional self-harm by other and unspecified firearm discharge

X75    Intentional self-harm by explosive material

X76    Intentional self-harm by smoke, fire and flames

X77    Intentional self-harm by steam, hot vapours and hot objects

X78    Intentional self-harm by sharp object

X79    Intentional self-harm by blunt object

X80    Intentional self-harm by jumping from a high place

X81    Intentional self-harm by jumping or lying before moving object

X82    Intentional self-harm by crashing of motor vehicle

X83    Intentional self-harm by other specified means

X84    Intentional self-harm by unspecified means

Assault (X85-Y09)

X85    Assault by drugs, medicaments and biological substances

X86    Assault by corrosive substance

X87    Assault by pesticides

X88    Assault by gases and vapours

X89    Assault by other specified chemicals and noxious substances

X90    Assault by unspecified chemical or noxious substance

X91    Assault by hanging, strangulation and suffocation

X92    Assault by drowning and submersion

X93    Assault by handgun discharge

X94    Assault by rifle, shotgun and larger firearm discharge

X95    Assault by other and unspecified firearm discharge

X96    Assault by explosive material

X97    Assault by fire and flames

X98    Assault by steam, hot vapours and hot objects

X99    Assault by sharp object

Y00    Assault by blunt object

Y01    Assault by pushing from high place

Y02    Assault by pushing or placing victim before moving object

Y03    Assault by crashing of motor vehicle

Y04    Assault by bodily force

Y05    Sexual assault by bodily force

Y06    Neglect and abandonment

Y07    Other maltreatment syndromes

Y08    Assault by other specified means

Y09    Assault by unspecified means

Event of undetermined intent (Y10-Y34)

Y10    Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent

Y11    Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent

Y12    Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent

Y13    Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent

Y14    Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent

Y15    Poisoning by and exposure to alcohol, undetermined intent

Y16    Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent

Y17    Poisoning by and exposure to other gases and vapours, undetermined intent

Y18    Poisoning by and exposure to pesticides, undetermined intent

Y19    Poisoning by and exposure to other and unspecified chemicals and noxious substances, undetermined intent

Y20    Hanging, strangulation and suffocation, undetermined intent

Y21    Drowning and submersion, undetermined intent

Y22    Handgun discharge, undetermined intent

Y23    Rifle, shotgun and larger firearm discharge, undetermined intent

Y24    Other and unspecified firearm discharge, undetermined intent

Y25    Contact with explosive material, undetermined intent

Y26    Exposure to smoke, fire and flames, undetermined intent

Y27    Contact with steam, hot vapours and hot objects, undetermined intent

Y28    Contact with sharp object, undetermined intent

Y29    Contact with blunt object, undetermined intent

Y30    Falling, jumping or pushed from a high place, undetermined intent

Y31    Falling, lying or running before or into moving object, undetermined intent

Y32    Crashing of motor vehicle, undetermined intent

Y33    Other specified events, undetermined intent

Y34    Unspecified event, undetermined intent

Legal intervention and operations of war (Y35-Y36)

Y35    Legal intervention

Y36    Operations of war

Complications of medical and surgical care (Y40-Y84)

Drugs, medicaments and biological substances causing adverse effects in therapeutic use (Y40-Y59)

Y40    Systemic antibiotics

Y41    Other systemic anti-infectives and antiparasitics

Y42    Hormones, and their synthetic substitutes and antagonists, not elsewhere classified

Y43    Primarily systemic agents

Y44    Agents primarily affecting blood constituents

Y45    Analgesics, antipyretics and anti-inflammatory drugs

Y46    Antiepileptics and antiparkinsonism drugs

Y47    Sedatives, hypnotics and antianxiety drugs

Y48    Anaesthetics and therapeutic gases

Y49    Psychotropic drugs, not elsewhere classified

Y50    Central nervous system stimulants, not elsewhere classified

Y51    Drugs primarily affecting the autonomic nervous system

Y52    Agents primarily affecting the cardiovascular system

Y53    Agents primarily affecting the gastrointestinal system

Y54    Agents primarily affecting water-balance and mineral and uric acid metabolism

Y55    Agents primarily acting on smooth and skeletal muscles and the respiratory system

Y56    Topical agents primarily affecting skin and mucous membrane and ophthalmological, otorhinolaryngological and dental drugs

Y57    Other and unspecified drugs and medicaments

Y58    Bacterial vaccines

Y59    Other and unspecified vaccines and biological substances

Misadventures to patients during surgical and medical care (Y60-Y69)

Y60    Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care

Y61    Foreign object accidentally left in body during surgical and medical care

Y62    Failure of sterile precautions during surgical and medical care

Y63    Failure in dosage during surgical and medical care

Y64    Contaminated medical or biological substances

Y65    Other misadventures during surgical and medical care

Y66    Nonadministration of surgical and medical care

Y69    Unspecified misadventure during surgical and medical care

Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)

Y70    Anaesthesiology devices associated with adverse incidents

Y71    Cardiovascular devices associated with adverse incidents

Y72    Otorhinolaryngological devices associated with adverse incidents

Y73    Gastroenterology and urology devices associated with adverse incidents

Y74    General hospital and personal-use devices associated with adverse incidents

Y75    Neurological devices associated with adverse incidents

Y76    Obstetric and gynaecological devices associated with adverse incidents

Y77    Ophthalmic devices associated with adverse incidents

Y78    Radiological devices associated with adverse incidents

Y79    Orthopaedic devices associated with adverse incidents

Y80    Physical medicine devices associated with adverse incidents

Y81    General-and plastic-surgery devices associated with adverse incidents

Y82    Other and unspecified medical devices associated with adverse incidents

Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84)

Y83    Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of procedure

Y84    Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Sequelae of external causes of morbidity and mortality (Y85-Y89)

Y85    Sequelae of transport accidents

Y86    Sequelae of other accidents

Y87    Sequelae of intentional self-harm, assault and events of undetermined intent

Y88    Sequelae of surgical and medical care as external cause

Y89    Sequelae of other external causes

Supplementary factors related to causes of morbidity and mortality classified elsewhere (Y90-Y98)

Y90    Evidence of alcohol involvement determined by blood alcohol level

Y91    Evidence of alcohol involvement determined by level of intoxication

Y95    Nosocomial condition

Y96    Work-related condition

Y97    Environmental-pollution-related condition

Y98    Lifestyle-related condition

Chapter XXI - Factors influencing health status and contact with health services (Z00-Z99)

Persons encountering health services for examination and investigation (Z00-Z13)

^[i]Z00    General examination and investigation of persons without complaint and reported diagnosis

^[i]Z01   Other special examinations and investigations of persons without complaint and reported diagnosis

^[i]Z02   Examination and encounter for administrative purposes

^[i]Z03   Medical observation and evaluation for suspected diseases and conditions, ruled out

^[i]Z04   Examination and observation for other reasons

^[i]Z08   Follow-up examination after treatment for malignant neoplasms

^[i]Z09  Follow-up examination after treatment for conditions other than malignant neoplasms

^[i]Z10  Routine general health check-up of defined subpopulation

^[i]Z11   Special screening examination for infectious and parasitic diseases

^[i]Z12   Special screening examination for neoplasms

^[i]Z13   Special screening examination for other diseases and disorders

Persons with potential health hazards related to communicable diseases (Z20-Z29)

^[i]Z20  Contact with and exposure to communicable diseases

^[i]Z21  Asymptomatic human immunodeficiency virus [HIV] infection status

^[i]Z22  Carrier of infectious disease

^[i]Z23  Need for immunization against single bacterial diseases

^[i]Z24  Need for immunization against certain single viral diseases

^[i]Z25 Need for immunization against other single viral diseases

^[i]Z26 Need for immunization against other single infectious diseases

^[i]Z27  Need for immunization against combinations of infectious diseases

^[i]Z28  Immunization not carried out

^[i]Z29  Need for other prophylactic measures

Persons encountering health services in circumstances related to reproduction (Z30-Z39)

^[i]Z30 Contraceptive management

^[i]Z31 Procreative management

^[i]Z32 Pregnancy examination and test

^[i]Z33 Pregnant state, incidental

^[i]Z34 Supervision of normal pregnancy

^[i]Z35 Supervision of high-risk pregnancy

^[i]Z36          Antenatal screening

^[i]Z37 Outcome of delivery

^[i]Z38 Liveborn infants according to place of birth

^[i]Z39 Postpartum care and examination

Persons encountering health services for specific procedures and health care (Z40-Z54)

^[i]Z40 Prophylactic surgery

^[i]Z41          Procedures for purposes other than remedying health state

^[i]Z42         Follow-up care involving plastic surgery

^[i]Z43 Attention to artificial openings

^[i]Z44         Fitting and adjustment of external prosthetic device

^[i]Z45         Adjustment and management of implanted device

^[i]Z46         Fitting and adjustment of other devices

^[i]Z47         Other orthopaedic follow-up care

^[i]Z48   Other surgical follow-up care

^[i]Z49  Care involving dialysis

^[i]Z50  Care involving use of rehabilitation procedures

^[i]Z51  Other medical care

^[i]Z52 Donors of organs and tissues

^[i]Z53  Persons encountering health services for specific procedures, not carried out

^[i]Z54 Convalescence

Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)

^[i]Z55 Problems related to education and literacy

^[i]Z56 Problems related to employment and unemployment

^[i]Z57 Occupational exposure to risk-factors

^[i]Z58    Problems related to physical environment

^[i]Z59   Problems related to housing and economic circumstances

^[i]Z60   Problems related to social environment

^[i]Z61   Problems related to negative life events in childhood

^[i]Z62  Other problems related to upbringing

^[i]Z63   Other problems related to primary support group, including family circumstances

^[i]Z64  Problems related to certain psychosocial circumstances

^[i]Z65  Problems related to other psychosocial circumstances

Persons encountering health services in other circumstances (Z70-Z76)

^[i]Z70  Counselling related to sexual attitude, behaviour and orientation

^[i]Z71  Persons encountering health services for other counselling and medical advice, not elsewhere classified

^[i]Z72   Problems related to lifestyle

^[i]Z73  Problems related to life-management difficulty

^[i]Z74  Problems related to care-provider dependency

^[i]Z75  Problems related to medical facilities and other health care

^[i]Z76 Persons encountering health services in other circumstances

Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z80-Z99)

^[i]Z80  Family history of malignant neoplasm

^[i]Z81 Family history of mental and behavioural disorders

^[i]Z82 Family history of certain disabilities and chronic diseases leading to disablement

^[i]Z83 Family history of other specific disorders

^[i]Z84 Family history of other conditions

^[i]Z85  Personal history of malignant neoplasm

^[i]Z86 Personal history of certain other diseases

^[i]Z87 Personal history of other diseases and conditions

^[i]Z88 Personal history of allergy to drugs, medicaments and biological substances

^[i]Z89 Acquired absence of limb

^[i]Z90 Acquired absence of organs, not elsewhere classified

^[i]Z91 Personal history of risk-factors, not elsewhere classified

^[i]Z92          Personal history of medical treatment

^[i]Z93         Artificial opening status

^[i]Z94 Transplanted organ and tissue status

^[i]Z95 Presence of cardiac and vascular implants and grafts

^[i]Z96 Presence of other functional implants

^[i]Z97          Presence of other devices

^[i]Z98         Other postsurgical states

^[i]Z99         Dependence on enabling machines and devices, not elsewhere classified

TABULAR LIST OF INCLUSIONS AND FOUR-CHARACTER SUBCATEGORIES

CHAPTER I - Certain infectious and parasitic diseases (A00-B99)

Includes:    diseases generally recognized as communicable or transmissible

Excludes:    carrier or suspected carrier of infectious disease (^[i]Z22.-)

certain localized infections - see body system-related chapters

infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium [except obstetrical tetanus] (O98-)

infectious and parasitic diseases specific to the perinatal period [except tetanus neonatorum, whooping cough, congenital syphilis, perinatal gonococcal infection and perinatal human immunodeficiency virus [HIV] disease] (P35-P39)

influenza and other acute respiratory infections (J00-J22)

This chapter contains the following blocks:

A00-A09       Intestinal infectious diseases

A15-A19       Tuberculosis

A20-A28       Certain zoonotic bacterial diseases

A30-A49       Other bacterial diseases

A50-A64       Infections with a predominantly sexual mode of transmission

A65-A69       Other spirochaetal diseases

A70-A74       Other diseases caused by chlamydiae

A75-A79       Rickettsioses

A80-A89       Viral infections of the central nervous system

A90-A99       Arthropod-borne viral fevers and viral haemorrhagic fevers

B00-B09       Viral infections characterized by skin and mucous membrane lesions

B15-B19       Viral hepatitis

B20-B24       Human immunodeficiency virus [HIV] disease

B25-B34       Other viral diseases

B35-B49       Mycoses

B50-B64       Protozoal diseases

B65-B83       Helminthiases

B85-B89       Pediculosis, acariasis and other infestations

B90-B94       Sequelae of infectious and parasitic diseases

B95-B97       Bacterial, viral and other infectious agents

B99              Other infectious diseases

Intestinal infectious diseases (A00-A09)

A00  Cholera

A00.0   Cholera due to Vibrio cholerae 01, biovar cholerae

Classical cholera

A00.1   Cholera due to Vibrio cholerae 01, biovar eltor

Cholera eltor

A00.9   Cholera, unspecified

A01  Typhoid and paratyphoid fevers

A01.0   Typhoid fever

Infection due to Salmonella typhi

A01.1   Paratyphoid fever A

A01.2   Paratyphoid fever B

A01.3   Paratyphoid fever C

A01.4   Paratyphoid fever, unspecified

Infection due to Salmonella paratyphi NOS

A02  Other salmonella infections

Includes:    infection or foodborne intoxication due to any Salmonella species other than S. typhi and S. paratyphi

A02.0   Salmonella enteritis

Salmonellosis

A02.1   Salmonella septicaemia

A02.2   Localized salmonella infections

Salmonella:

• arthritis† (M01.3*)

• meningitis† (G01*)

• osteomyelitis† (M90.2*)

• pneumonia† (J17.0*)

• renal tubulo-interstitial disease† (N16.0*)

A02.8   Other specified salmonella infections

A02.9   Salmonella infection, unspecified

A03  Shigellosis

A03.0   Shigellosis due to Shigella dysenteriae

Group A shigellosis [Shiga-Kruse dysentery]

A03.1   Shigellosis due to Shigella flexneri

Group B shigellosis

A03.2   Shigellosis due to Shigella boydii

Group C shigellosis

A03.3   Shigellosis due to Shigella sonnei

Group D shigellosis

A03.8   Other shigellosis

A03.9   Shigellosis, unspecified

Bacillary dysentery NOS

A04  Other bacterial intestinal infections

Excludes:    foodborne intoxications, elsewhere classified tuberculous enteritis (A18.3)

A04.0   Enteropathogenic Escherichia coli infection

A04.1   Enterotoxigenic Escherichia coli infection

A04.2   Enteroinvasive Escherichia coli infection

A04.3   Enterohaemorrhagic Escherichia coli infection

A04.4   Other intestinal Escherichia coli infections

Escherichia coli enteritis NOS

A04.5   Campylobacter enteritis

A04.6   Enteritis due to Yersinia enterocolitica

Excludes:    extraintestinal yersiniosis (A28.2)

A04.7   Enterocolitis due to Clostridium difficile

Foodborne intoxication by Clostridium difficile

Pseudomembranous colitis

A04.8   Other specified bacterial intestinal infections

A04.9   Bacterial intestinal infection, unspecified

Bacterial enteritis NOS

A05  Other bacterial foodborne intoxications, not elsewhere classified

Excludes:    Clostridium difficile foodborne intoxication and infection (A04.7)

Escherichia coli infection (A04.0-A04.4)

listeriosis (A32-)

salmonella foodborne intoxication and infection (A02-)

toxic effect of noxious foodstuffs (T61-T62)

A05.0   Foodborne staphylococcal intoxication

A05.1   Botulism

Classical foodborne intoxication due to Clostridium botulinum

A05.2   Foodborne Clostridium perfringens [Clostridium welchii] intoxication

Enteritis necroticans

Pig-bel

A05.3   Foodborne Vibrio parahaemolyticus intoxication

A05.4   Foodborne Bacillus cereus intoxication

A05.8   Other specified bacterial foodborne intoxications

A05.9   Bacterial foodborne intoxication, unspecified

A06  Amoebiasis

Includes:    infection due to Entamoeba histolytica

Excludes:    other protozoal intestinal diseases (A07-)

A06.0   Acute amoebic dysentery

Acute amoebiasis

Intestinal amoebiasis NOS

A06.1   Chronic intestinal amoebiasis

A06.2   Amoebic nondysenteric colitis

A06.3   Amoeboma of intestine

Amoeboma NOS

A06.4   Amoebic liver abscess

Hepatic amoebiasis

A06.5† Amoebic lung abscess

Amoebic abscess of lung (and liver) (J99.8*)

Amoebic abscess of lung (and liver) with pneumonia (J17.3*)

A06.6† Amoebic brain abscess (G07*)

Amoebic abscess of brain (and liver)(and lung)

A06.7   Cutaneous amoebiasis

A06.8   Amoebic infection of other sites

Amoebic:

• appendicitis

• balanitis† (N51.2*)

A06.9   Amoebiasis, unspecified

A07  Other protozoal intestinal diseases

A07.0   Balantidiasis

Balantidial dysentery

A07.1   Giardiasis [lambliasis]

A07.2   Cryptosporidiosis

A07.3   Isosporiasis

Infection due to Isospora belli and Isospora hominis

Intestinal coccidiosis

Isosporosis

A07.8   Other specified protozoal intestinal diseases

Intestinal trichomoniasis

Sarcocystosis

Sarcosporidiosis

A07.9   Protozoal intestinal disease, unspecified

Flagellate diarrhoea

Protozoal:

• colitis

• diarrhoea

• dysentery

A08  Viral and other specified intestinal infections

Excludes:    influenza with involvement of gastrointestinal tract (J09, J10.8, J11.8)

A08.0   Rotaviral enteritis

A08.1   Acute gastroenteropathy due to Norovirus

Noroviral enteritis

Small round structured virus enteritis

A08.2   Adenoviral enteritis

A08.3   Other viral enteritis

A08.4   Viral intestinal infection, unspecified

Viral:

• enteritis NOS

• gastroenteritis NOS

• gastroenteropathy NOS

A08.5   Other specified intestinal infections

A09  Other gastroenteritis and colitis of infectious and unspecified origin

Excludes:    due to bacterial, protozoal, viral and other specified infectious agents (A00-A08)

noninfective (see noninfectious) diarrhoea (K52.9)

• neonatal (P78.3)

A09.0   Other and unspecified gastroenteritis and colitis of infectious origin

Catarrh, enteric or intestinal

Diarrhoea:

• acute bloody

• acute haemorrhagic

• acute watery

• dysenteric

• epidemic

Infectious or septic:

• colitis           

• enteritis            NOS haemorrhagic

• gastroenteritis   

Infectious (neonatal) diarrhoea NOS

A09.9   Gastroenteritis and colitis of unspecified origin

Excludes:    indeterminate colitis (K52.3)

Tuberculosis (A15-A19)

Includes:    infections due to Mycobacterium tuberculosis and Mycobacterium bovis

Excludes:    congenital tuberculosis (P37.0)

human immunodeficiency [HIV] disease resulting in tuberculosis (B20.0)

pneumoconiosis associated with tuberculosis (J65)

sequelae of tuberculosis (B90-)

silicotuberculosis (J65)

A15  Respiratory tuberculosis, bacteriologically and histologically confirmed

A15.0   Tuberculosis of lung, confirmed by sputum microscopy with or without culture

Tuberculosis of lung, bacteriologically confirmed

Tuberculous:

• bronchiectasis     

• fibrosis of lung      confirmed bacteriologically with or

• pneumonia              without culture

• pneumothorax       

Excludes:    confirmed by culture only (A15.1)

A15.1   Tuberculosis of lung, confirmed by culture only

Conditions listed in A15.0, confirmed by culture only

A15.2   Tuberculosis of lung, confirmed histologically

Conditions listed in A15.0, confirmed histologically

A15.3   Tuberculosis of lung, confirmed by unspecified means

Conditions listed in A15.0, confirmed but unspecified whether bacteriologically or histologically

A15.4   Tuberculosis of intrathoracic lymph nodes, confirmed bacteriologically and histologically

Tuberculosis of lymph nodes:

• hilar              

• mediastinal           confirmed bacteriologically and

• tracheobronchial       histologically

Excludes:    specified as primary (A15.7)

A15.5   Tuberculosis of larynx, trachea and bronchus, confirmed bacteriologically and histologically

Tuberculosis of:

• bronchus   

• glottis       confirmed bacteriologically and

• larynx         histologically

• trachea    

A15.6   Tuberculous pleurisy, confirmed bacteriologically and histologically

  Tuberculosis of pleura    confirmed bacteriologically and

  Tuberculous empyema         histologically

Excludes:   in primary respiratory tuberculosis, confirmed bacteriologically and histologically (A15.7)

A15.7   Primary respiratory tuberculosis, confirmed bacteriologically and histologically

A15.8   Other respiratory tuberculosis, confirmed bacteriologically and histologically

  Mediastinal tuberculosis      

  Nasopharyngeal tuberculosis      confirmed bacteriologically and

  Tuberculosis of:                  histologically

• nose                        

• sinus [any nasal]           

A15.9   Respiratory tuberculosis unspecified, confirmed bacteriologically and histologically

A16  Respiratory tuberculosis, not confirmed bacteriologically or histologically

Includes:    5^TH DIGIT TO IDENTIFY TUBERCULOSIS NOT QUALIFIED AS RESPIRATORY OR PULMONARY

A16.0   Tuberculosis of lung, bacteriologically and histologically negative

Tuberculous:

• bronchiectasis     

• fibrosis of lung      bacteriologically and histologically

• pneumonia              negative

• pneumothorax       

A16.1   Tuberculosis of lung, bacteriological and histological examination not done

Conditions listed in A16.0, bacteriological and histological examination not done

A16.2   Tuberculosis of lung, without mention of bacteriological or histological confirmation

  Tuberculosis of lung   

  Tuberculous:           

• bronchiectasis          NOS (without mention of bacteriological

• fibrosis of lung         or histological confirmation)

• pneumonia            

• pneumothorax         

A16.3   Tuberculosis of intrathoracic lymph nodes, without mention of bacteriological or histological confirmation

Tuberculosis of lymph nodes:

• hilar              

• intrathoracic         NOS (without mention of bacteriological

• mediastinal            or histological confirmation)

• tracheobronchial   

Excludes:    when specified as primary (A16.7)

A16.4   Tuberculosis of larynx, trachea and bronchus, without mention of bacteriological or histological confirmation

Tuberculosis of:

• bronchus   

• glottis       NOS (without mention of bacteriological

• larynx         or histological confirmation)

• trachea    

A16.5   Tuberculous pleurisy, without mention of bacteriological or histological confirmation

  Tuberculosis of pleura   

  Tuberculous:                NOS (without mention of bacteriological

• empyema                    or histological confirmation)

• pleurisy               

Excludes:    in primary respiratory tuberculosis (A16.7)

A16.7   Primary respiratory tuberculosis without mention of bacteriological or histological confirmation

Primary:

• respiratory tuberculosis NOS

• tuberculous complex

A16.8   Other respiratory tuberculosis, without mention of bacteriological or histological confirmation

  Mediastinal tuberculosis      

  Nasopharyngeal tuberculosis      NOS (without mention of bacteriological

  Tuberculosis of:                  or histological confirmation)

• nose                        

• sinus [any nasal]           

A16.9   Respiratory tuberculosis unspecified, without mention of bacteriological or histological confirmation

Respiratory tuberculosis NOS

Tuberculosis NOS

A16.90 Tuberculosis NOS

A17  Tuberculosis of nervous system

A17.0† Tuberculous meningitis (G01*)

Tuberculosis of meninges (cerebral) (spinal)

Tuberculous leptomeningitis

A17.1† Meningeal tuberculoma (G07*)

Tuberculoma of meninges

A17.8† Other tuberculosis of nervous system

Tuberculoma Tuberculosis

of

brain (G07*) spinal cord (G07*)

Tuberculous:

• abscess of brain (G07*)

• meningoencephalitis (G05.0*)

• myelitis (G05.0*)

• polyneuropathy (G63.0*)

A17.9† Tuberculosis of nervous system, unspecified (G99.8*)

A18  Tuberculosis of other organs

A18.0† Tuberculosis of bones and joints

Tuberculosis of:

• hip (M01.1*)

• knee (M01.1*)

• vertebral column (M49.0*)

Tuberculous:

• arthritis (M01.1*)

• mastoiditis (H75.0*)

• necrosis of bone (M90.0*)

• osteitis (M90.0*)

• osteomyelitis (M90.0*)

• synovitis (M68.0*)

• tenosynovitis (M68.0*)

A18.1   Tuberculosis of genitourinary system

Tuberculosis of:

• bladder† (N33.0*)

• cervix† (N74.0*)

• kidney† (N29.1*)

• male genital organs† (N51*)

• ureter† (N29.1*)

Tuberculous female pelvic inflammatory disease† (N74.1*)

A18.2   Tuberculous peripheral lymphadenopathy

Tuberculous adenitis

Excludes:    tuberculosis of lymph nodes:

• intrathoracic (A15.4, A16.3)

• mesenteric and retroperitoneal (A18.3)

tuberculous tracheobronchial adenopathy (A15.4, A16.3)

A18.3   Tuberculosis of intestines, peritoneum and mesenteric glands

Tuberculosis (of):

• anus and rectum† (K93.0*)

• intestine (large) (small)† (K93.0*)

• retroperitoneal (lymph nodes)

Tuberculous:

• ascites

• enteritis† (K93.0*)

• peritonitis† (K67.3*)

A18.4   Tuberculosis of skin and subcutaneous tissue

Erythema induratum, tuberculous

Lupus:

• exedens

• vulgaris

• NOS

• of eyelid† (H03.1*)

Scrofuloderma

Excludes:    lupus erythematosus (L93-)

• systemic (M32-)

A18.5   Tuberculosis of eye

Tuberculous:

• chorioretinitis† (H32.0*)

• episcleritis† (H19.0*)

• interstitial keratitis† (H19.2*)

• iridocyclitis† (H22.0*)

• keratoconjunctivitis (interstitial) (phlyctenular)† (H19.2*)

Excludes:    lupus vulgaris of eyelid (A18.4)

A18.6   Tuberculosis of ear

Tuberculous otitis media† (H67.0*)

Excludes:    tuberculous mastoiditis (A18.0†)

A18.7† Tuberculosis of adrenal glands (E35.1*)

Addison disease, tuberculous

A18.8   Tuberculosis of other specified organs

Tuberculosis of:

• endocardium† (I39.8*)

• myocardium† (I41.0*)

• oesophagus† (K23.0*)

• pericardium† (I32.0*)

• thyroid gland† (E35.0*)

Tuberculous cerebral arteritis† (I68.1*)

A19  Miliary tuberculosis

Includes:    tuberculosis:

• disseminated

• generalized

tuberculous polyserositis

A19.0   Acute miliary tuberculosis of a single specified site

A19.1   Acute miliary tuberculosis of multiple sites

A19.2   Acute miliary tuberculosis, unspecified

A19.8   Other miliary tuberculosis

A19.9   Miliary tuberculosis, unspecified

Certain zoonotic bacterial diseases (A20-A28)

A20  Plague

Includes:    infection due to Yersinia pestis

A20.0   Bubonic plague

A20.1   Cellulocutaneous plague

A20.2   Pneumonic plague

A20.3   Plague meningitis

A20.7   Septicaemic plague

A20.8   Other forms of plague

Abortive plague

Asymptomatic plague

Pestis minor

A20.9   Plague, unspecified

A21  Tularaemia

Includes:    deer-fly fever

infection due to Francisella tularensis

rabbit fever

A21.0   Ulceroglandular tularaemia

A21.1   Oculoglandular tularaemia

Ophthalmic tularaemia

A21.2   Pulmonary tularaemia

A21.3   Gastrointestinal tularaemia

Abdominal tularaemia

A21.7   Generalized tularaemia

A21.8   Other forms of tularaemia

A21.9   Tularaemia, unspecified

A22  Anthrax

Includes:    infection due to Bacillus anthracis

A22.0   Cutaneous anthrax

Malignant:

• carbuncle

• pustule

A22.1   Pulmonary anthrax

Inhalation anthrax

Ragpicker disease

Woolsorter disease

A22.2   Gastrointestinal anthrax

A22.7   Anthrax septicaemia

A22.8   Other forms of anthrax

Anthrax meningitis† (G01*)

A22.9   Anthrax, unspecified

A23  Brucellosis

Includes:    fever:

• Malta

• Mediterranean

• Undulant

A23.0   Brucellosis due to Brucella melitensis

A23.1   Brucellosis due to Brucella abortus

A23.2   Brucellosis due to Brucella suis

A23.3   Brucellosis due to Brucella canis

A23.8   Other brucellosis

A23.9   Brucellosis, unspecified

A24  Glanders and melioidosis

A24.0   Glanders

Infection due to Burkholderia mallei

Infection due to Pseudomonas mallei

Malleus

A24.1   Acute and fulminating melioidosis

Melioidosis:

• pneumonia

• sepsis

• septicaemia

A24.2   Subacute and chronic melioidosis

A24.3   Other melioidosis

A24.4   Melioidosis, unspecified

Infection due to Burkholderia pseudomallei NOS

Infection due to Pseudomonas pseudomallei NOS

Whitmore disease

A25  Rat-bite fevers

A25.0   Spirillosis

Sodoku

A25.1   Streptobacillosis

Epidemic arthritic erythema

Haverhill fever

Streptobacillary rat-bite fever

A25.9   Rat-bite fever, unspecified

A26  Erysipeloid

A26.0   Cutaneous erysipeloid

Erythema migrans

A26.7   Erysipelothrix septicaemia

A26.8   Other forms of erysipeloid

A26.9   Erysipeloid, unspecified

A27  Leptospirosis

A27.0   Leptospirosis icterohaemorrhagica

Leptospirosis due to Leptospira interrogans serovar icterohaemorrhagiae

A27.8   Other forms of leptospirosis

A27.9   Leptospirosis, unspecified

A28  Other zoonotic bacterial diseases, not elsewhere classified

A28.0   Pasteurellosis

A28.1   Cat-scratch disease

Cat-scratch fever

A28.2   Extraintestinal yersiniosis

Excludes:    enteritis due to Yersinia enterocolitica (A04.6)

plague (A20-)

A28.8   Other specified zoonotic bacterial diseases, not elsewhere classified

A28.9   Zoonotic bacterial disease, unspecified

Other bacterial diseases (A30-A49)

A30  Leprosy [Hansen disease]

Includes:    infection due to Mycobacterium leprae

Excludes:    sequelae of leprosy (B92)

A30.0   Indeterminate leprosy

I leprosy

A30.1   Tuberculoid leprosy

TT leprosy

A30.2   Borderline tuberculoid leprosy

BT leprosy

A30.3   Borderline leprosy

BB leprosy

A30.4   Borderline lepromatous leprosy

BL leprosy

A30.5   Lepromatous leprosy

LL leprosy

A30.8   Other forms of leprosy

A30.9   Leprosy, unspecified

A31  Infection due to other mycobacteria

Excludes:    leprosy (A30-)

tuberculosis (A15-A19)

A31.0   Pulmonary mycobacterial infection

Infection due to Mycobacterium:

• avium

• intracellulare [Battey bacillus]

• kansasii

A31.1   Cutaneous mycobacterial infection

Buruli ulcer

Infection due to Mycobacterium:

• marinum

• ulcerans

A31.8   Other mycobacterial infections

A31.9   Mycobacterial infection, unspecified

Atypical mycobacterium infection NOS

Mycobacteriosis NOS

A32  Listeriosis

Includes:    listerial foodborne infection

Excludes:    neonatal (disseminated) listeriosis (P37.2)

A32.0   Cutaneous listeriosis

A32.1† Listerial meningitis and meningoencephalitis

Listerial:

• meningitis (G01*)

• meningoencephalitis (G05.0*)

A32.7   Listerial septicaemia

A32.8   Other forms of listeriosis

Listerial:

• cerebral arteritis† (I68.1*)

• endocarditis† (I39.8*)

Oculoglandular listeriosis

A32.9   Listeriosis, unspecified

A33  Tetanus neonatorum

A34  Obstetrical tetanus

A35  Other tetanus

Tetanus NOS

Excludes:    tetanus:

• neonatorum (A33)

• obstetrical (A34)

A36  Diphtheria

A36.0   Pharyngeal diphtheria

Diphtheritic membranous angina

Tonsillar diphtheria

A36.1   Nasopharyngeal diphtheria

A36.2   Laryngeal diphtheria

Diphtheritic laryngotracheitis

A36.3   Cutaneous diphtheria

Excludes:    erythrasma (L08.1)

A36.8   Other diphtheria

Diphtheritic:

• conjunctivitis† (H13.1*)

• myocarditis† (I41.0*)

• polyneuritis† (G63.0*)

A36.9   Diphtheria, unspecified

A37  Whooping cough

A37.0   Whooping cough due to Bordetella pertussis

A37.1   Whooping cough due to Bordetella parapertussis

A37.8   Whooping cough due to other Bordetella species

A37.9   Whooping cough, unspecified

A38  Scarlet fever

Scarlatina

Excludes:    streptococcal sore throat (J02.0)

A39  Meningococcal infection

A39.0† Meningococcal meningitis (G01*)

A39.1† Waterhouse-Friderichsen syndrome (E35.1*)

Meningococcal haemorrhagic adrenalitis

Meningococcic adrenal syndrome

A39.2   Acute meningococcaemia

A39.3   Chronic meningococcaemia

A39.4   Meningococcaemia, unspecified

Meningococcal bacteraemia NOS

A39.5† Meningococcal heart disease

Meningococcal:

• carditis NOS (I52.0*)

• endocarditis (I39.8*)

• myocarditis (I41.0*)

• pericarditis (I32.0*)

A39.8   Other meningococcal infections

Meningococcal:

• arthritis† (M01.0*)

• conjunctivitis† (H13.1*)

• encephalitis† (G05.0*)

• retrobulbar neuritis† (H48.1*)

Postmeningococcal arthritis† (M03.0*)

A39.9   Meningococcal infection, unspecified

Meningococcal disease NOS

A40  Streptococcal septicaemia

Excludes:    during labour (O75.3)

following:

• abortion or ectopic or molar pregnancy (O03-O07, O08.0)

• immunization (T88.0)

• infusion, transfusion or therapeutic injection (T80.2)

neonatal (P36.0-P36.1)

postprocedural (T81.4)

puerperal (O85)

A40.0   Septicaemia due to streptococcus, group A

A40.1   Septicaemia due to streptococcus, group B

A40.2   Septicaemia due to streptococcus, group D and enterococcus

A40.3   Septicaemia due to Streptococcus pneumoniae

Pneumococcal septicaemia

A40.8   Other streptococcal septicaemia

A40.9   Streptococcal septicaemia, unspecified

A41  Other septicaemia

Excludes:    bacteraemia NOS (A49.9)

during labour (O75.3)

following:

• abortion or ectopic or molar pregnancy (O03-O07, O08.0)

• immunization (T88.0)

• infusion, transfusion or therapeutic injection (T80.2)

septicaemia (due to) (in):

• actinomycotic (A42.7)

• anthrax (A22.7)

• candidal (B37.7)

• Erysipelothrix (A26.7)

• extraintestinal yersiniosis (A28.2)

• gonococcal (A54.8)

• herpesviral (B00.7)

• listerial (A32.7)

• meningococcal (A39.2-A39.4)

• neonatal (P36-)

• postprocedural (T81.4)

• puerperal (O85)

• streptococcal (A40-)

• tularaemia (A21.7)

septicaemic:

• melioidosis (A24.1)

• plague (A20.7)

toxic shock syndrome (A48.3)

A41.0   Septicaemia due to Staphylococcus aureus

A41.1   Septicaemia due to other specified staphylococcus

Septicaemia due to coagulase-negative staphylococcus

A41.2   Septicaemia due to unspecified staphylococcus

A41.3   Septicaemia due to Haemophilus influenzae

A41.4   Septicaemia due to anaerobes

Excludes:    gas gangrene (A48.0)

A41.5   Septicaemia due to other Gram-negative organisms

Gram-negative septicaemia NOS

A41.8   Other specified septicaemia

A41.9   Septicaemia, unspecified

Septic shock

A42  Actinomycosis

Excludes:    actinomycetoma (B47.1)

A42.0   Pulmonary actinomycosis

A42.1   Abdominal actinomycosis

A42.2   Cervicofacial actinomycosis

A42.7   Actinomycotic septicaemia

A42.8   Other forms of actinomycosis

A42.9   Actinomycosis, unspecified

A43  Nocardiosis

A43.0   Pulmonary nocardiosis

A43.1   Cutaneous nocardiosis

A43.8   Other forms of nocardiosis

A43.9   Nocardiosis, unspecified

A44  Bartonellosis

A44.0   Systemic bartonellosis

Oroya fever

A44.1   Cutaneous and mucocutaneous bartonellosis

Verruga peruana

A44.8   Other forms of bartonellosis

A44.9   Bartonellosis, unspecified

A46  Erysipelas

Excludes:    postpartum or puerperal erysipelas (O86.8)

A48  Other bacterial diseases, not elsewhere classified

Excludes:    actinomycetoma (B47.1)

A48.0   Gas gangrene

Clostridial:

• cellulitis

• myonecrosis

A48.1   Legionnaires disease

A48.2   Nonpneumonic Legionnaires disease [Pontiac fever]

A48.3   Toxic shock syndrome

Excludes:    endotoxic shock NOS (R57.8)

septicaemia NOS (A41.9)

A48.4   Brazilian purpuric fever

Systemic Haemophilus aegyptius infection

A48.8   Other specified bacterial diseases

A49  Bacterial infection of unspecified site

Excludes:    bacterial agents as the cause of diseases classified to other chapters (B95-B96)

chlamydial infection NOS (A74.9)

meningococcal infection NOS (A39.9)

rickettsial infection NOS (A79.9)

spirochaetal infection NOS (A69.9)

A49.0   Staphylococcal infection, unspecified site

A49.1   Streptococcal infection, unspecified site

A49.2   Haemophilus influenzae infection, unspecified site

A49.3   Mycoplasma infection, unspecified site

A49.8   Other bacterial infections of unspecified site

A49.9   Bacterial infection, unspecified

Bacteraemia NOS

Infections with a predominantly sexual mode of transmission (A50-A64)

Excludes:    human immunodeficiency virus [HIV] disease (B20-B24)

nonspecific and nongonococcal urethritis (N34.1)

Reiter disease (M02.3)

A50  Congenital syphilis

A50.0   Early congenital syphilis, symptomatic

Any congenital syphilitic condition specified as early or manifest less than two years after birth.

Early congenital syphilis:

• cutaneous

• mucocutaneous

• visceral

Early congenital syphilitic:

• laryngitis

• oculopathy

• osteochondropathy

• pharyngitis

• pneumonia

• rhinitis

A50.1   Early congenital syphilis, latent

Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after birth.

A50.2   Early congenital syphilis, unspecified

Congenital syphilis NOS less than two years after birth.

A50.3   Late congenital syphilitic oculopathy

Late congenital syphilitic interstitial keratitis† (H19.2*)

Late congenital syphilitic oculopathy NEC† (H58.8*)

Excludes:    Hutchinson triad (A50.5)

A50.4   Late congenital neurosyphilis [juvenile neurosyphilis]

Dementia paralytica juvenilis

Juvenile:

• general paresis

• tabes dorsalis

• taboparetic neurosyphilis

Late congenital syphilitic:

• encephalitis† (G05.0*)

• meningitis† (G01*)

• polyneuropathy† (G63.0*)

Use additional code, if desired, to identify any associated mental disorder.

Excludes:    Hutchinson triad (A50.5)

A50.5   Other late congenital syphilis, symptomatic

Any congenital syphilitic condition specified as late or manifest two years or more after birth.

Clutton joints† (M03.1*)

Hutchinson:

• teeth

• triad

Late congenital:

• cardiovascular syphilis† (I98.0*)

• syphilitic:

• arthropathy† (M03.1*)

• osteochondropathy† (M90.2*)

Syphilitic saddle nose

A50.6   Late congenital syphilis, latent

Congenital syphilis without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after birth.

A50.7   Late congenital syphilis, unspecified

Congenital syphilis NOS two years or more after birth.

A50.9   Congenital syphilis, unspecified

A51  Early syphilis

A51.0   Primary genital syphilis

Syphilitic chancre NOS

A51.1   Primary anal syphilis

A51.2   Primary syphilis of other sites

A51.3   Secondary syphilis of skin and mucous membranes

Condyloma latum

Syphilitic:

• alopecia† (L99.8*)

• leukoderma† (L99.8*)

• mucous patch

A51.4   Other secondary syphilis

Secondary syphilitic:

• female pelvic inflammatory disease† (N74.2*)

• iridocyclitis† (H22.0*)

• lymphadenopathy

• meningitis† (G01*)

• myositis† (M63.0*)

• oculopathy NEC† (H58.8*)

• periostitis† (M90.1*)

A51.5   Early syphilis, latent

Syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, less than two years after infection.

A51.9   Early syphilis, unspecified

A52  Late syphilis

A52.0† Cardiovascular syphilis

Cardiovascular syphilis NOS (I98.0*)

Syphilitic:

• aneurysm of aorta (I79.0*)

• aortic incompetence (I39.1*)

• aortitis (I79.1*)

• arteritis, cerebral (I68.1*)

• endocarditis NOS (I39.8*)

• myocarditis (I41.0*)

• pericarditis (I32.0*)

• pulmonary regurgitation (I39.3*)

A52.1   Symptomatic neurosyphilis

Charcot arthropathy† (M14.6*)

Late syphilitic:

• acoustic neuritis† (H94.0*)

• encephalitis† (G05.0*)

• meningitis† (G01*)

• optic atrophy† (H48.0*)

• polyneuropathy† (G63.0*)

• retrobulbar neuritis† (H48.1*)

Syphilitic parkinsonism† (G22*)

Tabes dorsalis

A52.2   Asymptomatic neurosyphilis

A52.3   Neurosyphilis, unspecified

  Gumma (syphilitic)   

  Syphilis (late)         of central nervous system NOS

  Syphiloma            

A52.7   Other symptomatic late syphilis

Glomerular disease in syphilis† (N08.0*)

Gumma (syphilitic)any sites, except those late or tertiary syphilis classified to A52.0-A52.3

Late syphilitic:

• bursitis† (M73.1*)

• chorioretinitis† (H32.0*)

• episcleritis† (H19.0*)

• female pelvic inflammatory disease† (N74.2*)

• leukoderma† (L99.8*)

• oculopathy NEC† (H58.8*)

• peritonitis† (K67.2*)

Syphilis [stage unspecified] of:

• bone† (M90.2*)

• liver† (K77.0*)

• lung† (J99.8*)

• muscle† (M63.0*)

• synovium† (M68.0*)

A52.8   Late syphilis, latent

Syphilis (acquired) without clinical manifestations, with positive serological reaction and negative spinal fluid test, two years or more after infection.

A52.9   Late syphilis, unspecified

A53  Other and unspecified syphilis

A53.0   Latent syphilis, unspecified as early or late

Latent syphilis NOS

Positive serological reaction for syphilis

A53.9   Syphilis, unspecified

Infection due to Treponema pallidum NOS

Syphilis (acquired) NOS

Excludes:    syphilis NOS causing death under two years of age (A50.2)

A54  Gonococcal infection

A54.0   Gonococcal infection of lower genitourinary tract without periurethral or accessory gland abscess

Gonococcal:

• cervicitis NOS

• cystitis NOS

• urethritis NOS

• vulvovaginitis NOS

Excludes:    with:

• genitourinary gland abscess (A54.1)

• periurethral abscess (A54.1)

A54.1   Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess

Gonococcal Bartholin gland abscess

A54.2   Gonococcal pelviperitonitis and other gonococcal genitourinary infections

Gonococcal:

• epididymitis† (N51.1*)

• female pelvic inflammatory disease† (N74.3*)

• orchitis† (N51.1*)

• prostatitis† (N51.0*)

Excludes:    gonococcal peritonitis (A54.8)

A54.3   Gonococcal infection of eye

Gonococcal:

• conjunctivitis† (H13.1*)

• iridocyclitis† (H22.0*)

Ophthalmia neonatorum due to gonococcus

A54.4† Gonococcal infection of musculoskeletal system

Gonococcal:

• arthritis (M01.3*)

• bursitis (M73.0*)

• osteomyelitis (M90.2*)

• synovitis (M68.0*)

• tenosynovitis (M68.0*)

A54.5   Gonococcal pharyngitis

A54.6   Gonococcal infection of anus and rectum

A54.8   Other gonococcal infections

Gonococcal:

• brain abscess† (G07*)

• endocarditis† (I39.8*)

• meningitis† (G01*)

• myocarditis† (I41.0*)

• pericarditis† (I32.0*)

• peritonitis† (K67.1*)

• pneumonia† (J17.0*)

• septicaemia

• skin lesions

Excludes:    gonococcal pelviperitonitis (A54.2)

A54.9   Gonococcal infection, unspecified

A55  Chlamydial lymphogranuloma (venereum)

Climatic or tropical bubo

Durand-Nicolas-Favre disease

Esthiomene

Lymphogranuloma inguinale

A56  Other sexually transmitted chlamydial diseases

Includes:    sexually transmitted diseases due to Chlamydia trachomatis

Excludes:    chlamydial:

• lymphogranuloma (A55)

• neonatal:

• conjunctivitis (P39.1)

• pneumonia (P23.1)

conditions classified to A74-

A56.0   Chlamydial infection of lower genitourinary tract

Chlamydial:

• cervicitis

• cystitis

• urethritis

• vulvovaginitis

A56.1   Chlamydial infection of pelviperitoneum and other genitourinary organs

Chlamydial:

• epididymitis† (N51.1*)

• female pelvic inflammatory disease† (N74.4*)

• orchitis† (N51.1*)

A56.2   Chlamydial infection of genitourinary tract, unspecified

A56.3   Chlamydial infection of anus and rectum

A56.4   Chlamydial infection of pharynx

A56.8   Sexually transmitted chlamydial infection of other sites

A57  Chancroid

Ulcus molle

A58  Granuloma inguinale

Donovanosis

A59  Trichomoniasis

Excludes:    intestinal trichomoniasis (A07.8)

A59.0   Urogenital trichomoniasis

  Leukorrhoea (vaginalis)      Leukorrhoea (vaginalis)

  Prostatitis† (N51.0*)        Prostatitis† (N51.0*)

A59.8   Trichomoniasis of other sites

A59.9   Trichomoniasis, unspecified

A60  Anogenital herpesviral [herpes simplex] infection

A60.0   Herpesviral infection of genitalia and urogenital tract

Herpesviral infection of genital tract:

• female† (N77.0-N77.1*)

• male† (N51*)

A60.1   Herpesviral infection of perianal skin and rectum

A60.9   Anogenital herpesviral infection, unspecified

A63  Other predominantly sexually transmitted diseases, not elsewhere classified

Excludes:    molluscum contagiosum (B08.1)

papilloma of cervix (D26.0)

A63.0   Anogenital (venereal) warts

A63.8   Other specified predominantly sexually transmitted diseases

A64  Unspecified sexually transmitted disease

Venereal disease NOS

Other spirochaetal diseases (A65-A69)

Excludes:    leptospirosis (A27-)

syphilis (A50-A53)

A65  Nonvenereal syphilis

Bejel

Endemic syphilis

Njovera

A66  Yaws

Includes:    bouba

framboesia (tropica)

pian

A66.0   Initial lesions of yaws

Chancre of yaws

Framboesia, initial or primary

Initial framboesial ulcer

Mother yaw

A66.1   Multiple papillomata and wet crab yaws

Framboesioma

Pianoma

Plantar or palmar papilloma of yaws

A66.2   Other early skin lesions of yaws

Cutaneous yaws, less than five years after infection

Early yaws (cutaneous) (macular) (maculopapular) (micropapular) (papular)

Framboeside of early yaws

A66.3   Hyperkeratosis of yaws

Ghoul hand

Hyperkeratosis, palmar or plantar (early)(late) due to yaws

Worm-eaten soles

A66.4   Gummata and ulcers of yaws

Gummatous framboeside

Nodular late yaws (ulcerated)

A66.5   Gangosa

Rhinopharyngitis mutilans

A66.6   Bone and joint lesions of yaws

  Ganglion                     

  Hydrarthrosis                

  Osteitis                        of yaws (early) (late)

  Periostitis (hypertrophic)   

Goundou                             

Gumma, bone                            of yaws (late)

Gummatous osteitis or periostitis   

A66.7   Other manifestations of yaws

Juxta-articular nodules of yaws

Mucosal yaws

A66.8   Latent yaws

Yaws without clinical manifestations, with positive serology

A66.9   Yaws, unspecified

A67  Pinta [carate]

A67.0   Primary lesions of pinta

  Chancre (primary)   

  Papule (primary)       of pinta [carate]

A67.1   Intermediate lesions of pinta

  Erythematous plaques   

  Hyperchromic lesions   

  Hyperkeratosis            of pinta [carate]

  Pintids                

A67.2   Late lesions of pinta

  Cardiovascular lesions† (I98.1*)   

  Skin lesions:                      

• achromic                            of pinta [carate]

• cicatricial                      

• dyschromic                       

A67.3   Mixed lesions of pinta

Achromic with hyperchromic skin lesions of pinta [carate]

A67.9   Pinta, unspecified

A68  Relapsing fevers

Includes:    recurrent fever

Excludes:    Lyme disease (A69.2)

A68.0   Louse-borne relapsing fever

Relapsing fever due to Borrelia recurrentis

A68.1   Tick-borne relapsing fever

Relapsing fever due to any Borrelia species other than Borrelia recurrentis

A68.9   Relapsing fever, unspecified

A69  Other spirochaetal infections

A69.0   Necrotizing ulcerative stomatitis

Cancrum oris

Fusospirochaetal gangrene

Noma

Stomatitis gangrenosa

A69.1   Other Vincent infections

Fusospirochaetal pharyngitis

Necrotizing ulcerative (acute):

• gingivitis

• gingivostomatitis

Spirochaetal stomatitis

Trench mouth

Vincent:

• angina

• gingivitis

A69.2   Lyme disease

Erythema chronicum migrans due to Borrelia burgdorferi

A69.8   Other specified spirochaetal infections

A69.9   Spirochaetal infection, unspecified

Other diseases caused by chlamydiae (A70-A74)

A70  Chlamydia psittaci

Ornithosis

Parrot fever

Psittacosis

A71  Trachoma

Excludes:    sequelae of trachoma (B94.0)

A71.0   Initial stage of trachoma

Trachoma dubium

A71.1   Active stage of trachoma

Granular conjunctivitis (trachomatous)

Trachomatous:

• follicular conjunctivitis

• pannus

A71.9   Trachoma, unspecified

A74  Other diseases caused by chlamydiae

Excludes:    chlamydial pneumonia (J16.0)

neonatal chlamydial:

• conjunctivitis (P39.1)

• pneumonia (P23.1)

sexually transmitted chlamydial diseases (A55-A56)

A74.0† Chlamydial conjunctivitis (H13.1*)

Paratrachoma

A74.8   Other chlamydial diseases

Chlamydial peritonitis† (K67.0*)

A74.9   Chlamydial infection, unspecified

Chlamydiosis NOS

Rickettsioses (A75-A79)

A75  Typhus fever

Excludes:    rickettsiosis due to Neorickettsia sennetsu [Ehrlichia sennetsu](A79.8)

A75.0   Epidemic louse-borne typhus fever due to Rickettsia prowazekii

Classical typhus (fever)

Epidemic (louse-borne) typhus

A75.1   Recrudescent typhus [Brill disease]

Brill-Zinsser disease

A75.2   Typhus fever due to Rickettsia typhi

Murine (flea-borne) typhus

A75.3   Typhus fever due to Rickettsia tsutsugamushi

Scrub (mite-borne) typhus

Tsutsugamushi fever

A75.9   Typhus fever, unspecified

Typhus (fever) NOS

A77  Spotted fever [tick-borne rickettsioses]

A77.0   Spotted fever due to Rickettsia rickettsii

Rocky Mountain spotted fever

Sao Paulo fever

A77.1   Spotted fever due to Rickettsia conorii

African tick typhus

Boutonneuse fever

India tick typhus

Kenya tick typhus

Marseilles fever

Mediterranean tick fever

A77.2   Spotted fever due to Rickettsia sibirica

North Asian tick fever

Siberian tick typhus

A77.3   Spotted fever due to Rickettsia australis

Queensland tick typhus

A77.8   Other spotted fevers

A77.9   Spotted fever, unspecified

Tick-borne typhus NOS

A78  Q fever

Infection due to Coxiella burnetii

Nine Mile fever

Quadrilateral fever

A79  Other rickettsioses

A79.0   Trench fever

Quintan fever

Wolhynian fever

A79.1   Rickettsialpox due to Rickettsia akari

Kew Garden fever

Vesicular rickettsiosis

A79.8   Other specified rickettsioses

Rickettsiosis due to Neorickettsia sennetsu [Ehrlichia sennetsu]

A79.9   Rickettsiosis, unspecified

Rickettsial infection NOS

Viral infections of the central nervous system (A80-A89)

Excludes:    sequelae of:

• poliomyelitis (B91)

• viral encephalitis (B94.1)

A80  Acute poliomyelitis

A80.0   Acute paralytic poliomyelitis, vaccine-associated

A80.1   Acute paralytic poliomyelitis, wild virus, imported

A80.2   Acute paralytic poliomyelitis, wild virus, indigenous

A80.3   Acute paralytic poliomyelitis, other and unspecified

A80.4   Acute nonparalytic poliomyelitis

A80.9   Acute poliomyelitis, unspecified

A81  Atypical virus infections of central nervous system

Includes:    prion diseases of the central nervous system

A81.0   Creutzfeldt-Jakob disease

Subacute spongiform encephalopathy

A81.1   Subacute sclerosing panencephalitis

Dawson inclusion body encephalitis

Van Bogaert sclerosing leukoencephalopathy

A81.2   Progressive multifocal leukoencephalopathy

Multifocal leukoencephalopathy NOS

A81.8   Other atypical virus infections of central nervous system

Kuru

A81.9   Atypical virus infection of central nervous system, unspecified

Prion disease of central nervous system NOS

A82  Rabies

A82.0   Sylvatic rabies

A82.1   Urban rabies

A82.9   Rabies, unspecified

A83  Mosquito-borne viral encephalitis

Includes:    mosquito-borne viral meningoencephalitis

Excludes:    Venezuelan equine encephalitis (A92.2)

A83.0   Japanese encephalitis

A83.1   Western equine encephalitis

A83.2   Eastern equine encephalitis

A83.3   St Louis encephalitis

A83.4   Australian encephalitis

Kunjin virus disease

A83.5   California encephalitis

California meningoencephalitis

La Crosse encephalitis

A83.6   Rocio virus disease

A83.8   Other mosquito-borne viral encephalitis

A83.9   Mosquito-borne viral encephalitis, unspecified

A84  Tick-borne viral encephalitis

Includes:    tick-borne viral meningoencephalitis

A84.0   Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]

A84.1   Central European tick-borne encephalitis

A84.8   Other tick-borne viral encephalitis

Louping ill

Powassan virus disease

A84.9   Tick-borne viral encephalitis, unspecified

A85  Other viral encephalitis, not elsewhere classified

Includes:    specified viral:

• encephalomyelitis NEC

• meningoencephalitis NEC

Excludes:    myalgic encephalomyelitis (G93.3)

encephalitis due to:

• herpesvirus [herpes simplex] (B00.4)

• measles virus (B05.0)

• mumps virus (B26.2)

• poliomyelitis virus (A80-)

• zoster (B02.0)

lymphocytic choriomeningitis (A87.2)

A85.0† Enteroviral encephalitis (G05.1*)

Enteroviral encephalomyelitis

A85.1† Adenoviral encephalitis (G05.1*)

Adenoviral meningoencephalitis

A85.2   Arthropod-borne viral encephalitis, unspecified

A85.8   Other specified viral encephalitis

Encephalitis lethargica

Von Economo-Cruchet disease

A86  Unspecified viral encephalitis

Viral:

• encephalomyelitis NOS

• meningoencephalitis NOS

A87  Viral meningitis

Excludes:    meningitis due to:

• herpesvirus [herpes simplex] (B00.3)

• measles virus (B05.1)

• mumps virus (B26.1)

• poliomyelitis virus (A80-)

• zoster (B02.1)

A87.0† Enteroviral meningitis (G02.0*)

Coxsackievirus meningitis

Echovirus meningitis

A87.1† Adenoviral meningitis (G02.0*)

A87.2   Lymphocytic choriomeningitis

Lymphocytic meningoencephalitis

A87.8   Other viral meningitis

A87.9   Viral meningitis, unspecified

A88  Other viral infections of central nervous system, not elsewhere classified

Excludes:    viral:

• encephalitis NOS (A86)

• meningitis NOS (A87.9)

A88.0   Enteroviral exanthematous fever [Boston exanthem]

A88.1   Epidemic vertigo

A88.8   Other specified viral infections of central nervous system

A89  Unspecified viral infection of central nervous system

Arthropod-borne viral fevers and viral haemorrhagic fevers (A90-A99)

A90  Dengue fever [classical dengue]

Excludes:    dengue haemorrhagic fever (A91)

A91  Dengue haemorrhagic fever

A92  Other mosquito-borne viral fevers

Excludes:    Ross River disease (B33.1)

A92.0   Chikungunya virus disease

Chikungunya (haemorrhagic) fever

A92.1   O'nyong-nyong fever

A92.2   Venezuelan equine fever

Venezuelan equine:

• encephalitis

• encephalomyelitis virus disease

A92.3   West Nile virus infection

West Nile fever

A92.4   Rift Valley fever

A92.8   Other specified mosquito-borne viral fevers

A92.9   Mosquito-borne viral fever, unspecified

A93  Other arthropod-borne viral fevers, not elsewhere classified

A93.0   Oropouche virus disease

Oropouche fever

A93.1   Sandfly fever

Pappataci fever

Phlebotomus fever

A93.2   Colorado tick fever

A93.8   Other specified arthropod-borne viral fevers

Piry virus disease

Vesicular stomatitis virus disease [Indiana fever]

A94  Unspecified arthropod-borne viral fever

Arboviral fever NOS

Arbovirus infection NOS

A95  Yellow fever

A95.0   Sylvatic yellow fever

Jungle yellow fever

A95.1   Urban yellow fever

A95.9   Yellow fever, unspecified

A96  Arenaviral haemorrhagic fever

A96.0   Junin haemorrhagic fever

Argentinian haemorrhagic fever

A96.1   Machupo haemorrhagic fever

Bolivian haemorrhagic fever

A96.2   Lassa fever

A96.8   Other arenaviral haemorrhagic fevers

A96.9   Arenaviral haemorrhagic fever, unspecified

A98  Other viral haemorrhagic fevers, not elsewhere classified

Excludes:    chikungunya haemorrhagic fever (A92.0)

dengue haemorrhagic fever (A91)

A98.0   Crimean-Congo haemorrhagic fever

Central Asian haemorrhagic fever

A98.1   Omsk haemorrhagic fever

A98.2   Kyasanur Forest disease

A98.3   Marburg virus disease

A98.4   Ebola virus disease

A98.5   Haemorrhagic fever with renal syndrome

Haemorrhagic fever:

• epidemic

• Korean

• Russian

Hantaan virus disease

Hantavirus disease with renal manifestations

Nephropathia epidemica

Excludes:    hantavirus (cardio)-pulmonary syndrome (B33.4† J17.1*)

A98.8   Other specified viral haemorrhagic fevers

A99  Unspecified viral haemorrhagic fever

Viral infections characterized by skin and mucous membrane lesions (B00-B09)

B00  Herpesviral [herpes simplex] infections

Excludes:    anogenital herpesviral infection (A60-)

congenital herpesviral infection (P35.2)

gammaherpesviral mononucleosis (B27.0)

herpangina (B08.5)

B00.0   Eczema herpeticum

Kaposi varicelliform eruption

B00.1   Herpesviral vesicular dermatitis

Herpes simplex:

• facialis

• labialis

Vesicular dermatitis of:

• ear      • ear

• lip      • lip

B00.2   Herpesviral gingivostomatitis and pharyngotonsillitis

Herpesviral pharyngitis

B00.3† Herpesviral meningitis (G02.0*)

B00.4† Herpesviral encephalitis (G05.1*)

Herpesviral meningoencephalitis

Simian B disease

B00.5   Herpesviral ocular disease

Herpesviral:

• conjunctivitis† (H13.1*)

• dermatitis of eyelid† (H03.1*)

• iridocyclitis† (H22.0*)

• iritis† (H22.0*)

• keratitis† (H19.1*)

• keratoconjunctivitis† (H19.1*)

• uveitis, anterior† (H22.0*)

B00.7   Disseminated herpesviral disease

Herpesviral septicaemia

B00.8   Other forms of herpesviral infection

Herpesviral:

• hepatitis† (K77.0*)

• whitlow† (L99.8*)

B00.9   Herpesviral infection, unspecified

Herpes simplex infection NOS

B01  Varicella [chickenpox]

B01.0† Varicella meningitis (G02.0*)

B01.1† Varicella encephalitis (G05.1*)

Postchickenpox encephalitis

Varicella encephalomyelitis

B01.2† Varicella pneumonia (J17.1*)

B01.8   Varicella with other complications

B01.9   Varicella without complication

Varicella NOS

B02  Zoster [herpes zoster]

Includes:    shingles

zona

B02.0† Zoster encephalitis (G05.1*)

Zoster meningoencephalitis

B02.1† Zoster meningitis (G02.0*)

B02.2† Zoster with other nervous system involvement

Postherpetic:

• geniculate ganglionitis (G53.0*)

• polyneuropathy (G63.0*)

• trigeminal neuralgia (G53.0*)

B02.3   Zoster ocular disease

Zoster:

• blepharitis† (H03.1*)

• conjunctivitis† (H13.1*)

• iridocyclitis† (H22.0*)

• iritis† (H22.0*)

• keratitis† (H19.2*)

• keratoconjunctivitis† (H19.2*)

• scleritis† (H19.0*)

B02.7   Disseminated zoster

B02.8   Zoster with other complications

B02.9   Zoster without complication

Zoster NOS

B03  Smallpox

B04  Monkeypox

B05  Measles

Includes:    morbilli

Excludes:    subacute sclerosing panencephalitis (A81.1)

B05.0† Measles complicated by encephalitis (G05.1*)

Postmeasles encephalitis

B05.1† Measles complicated by meningitis (G02.0*)

Postmeasles meningitis

B05.2† Measles complicated by pneumonia (J17.1*)

Postmeasles pneumonia

B05.3† Measles complicated by otitis media (H67.1*)

Postmeasles otitis media

B05.4   Measles with intestinal complications

B05.8   Measles with other complications

Measles keratitis and keratoconjunctivitis† (H19.2*)

B05.9   Measles without complication

B06  Rubella [German measles]

Excludes:    congenital rubella (P35.0)

B06.0† Rubella with neurological complications

Rubella:

• encephalitis (G05.1*)

• meningitis (G02.0*)

• meningoencephalitis (G05.1*)

B06.8   Rubella with other complications

Rubella:

• arthritis† (M01.4*)

• pneumonia† (J17.1*)

B06.9   Rubella without complication

Rubella NOS

B07  Viral warts

Verruca:

• simplex

• vulgaris

Excludes:    anogenital (venereal) warts (A63.0)

papilloma of:

• bladder (D41.4)

• cervix (D26.0)

• larynx (D14.1)

B08  Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified

Excludes:    vesicular stomatitis virus disease (A93.8)

B08.0   Other orthopoxvirus infections

Cowpox

Orf virus disease

Pseudocowpox [milker node]

Vaccinia

Excludes:    monkeypox (B04)

B08.1   Molluscum contagiosum

B08.2   Exanthema subitum [sixth disease]

B08.3   Erythema infectiosum [fifth disease]

B08.4   Enteroviral vesicular stomatitis with exanthem

Hand, foot and mouth disease

B08.5   Enteroviral vesicular pharyngitis

Herpangina

B08.8   Other specified viral infections characterized by skin and mucous membrane lesions

Enteroviral lymphonodular pharyngitis

Foot-and-mouth disease

Tanapox virus disease

Yaba pox virus disease

B09  Unspecified viral infection characterized by skin and mucous membrane lesions

Viral:

• enanthema NOS

• exanthema NOS

Viral hepatitis (B15-B19)

Excludes:    cytomegaloviral hepatitis (B25.1)

herpesviral [herpes simplex] hepatitis (B00.8)

sequelae of viral hepatitis (B94.2)

Use additional code (Chapter XX), if desired, to identify drug, if post-transfusion hepatitis.

B15  Acute hepatitis A

B15.0   Hepatitis A with hepatic coma

B15.9   Hepatitis A without hepatic coma

Hepatitis A (acute)(viral) NOS

B16  Acute hepatitis B

B16.0   Acute hepatitis B with delta-agent (coinfection) with hepatic coma

B16.1   Acute hepatitis B with delta-agent (coinfection) without hepatic coma

B16.2   Acute hepatitis B without delta-agent with hepatic coma

B16.9   Acute hepatitis B without delta-agent and without hepatic coma

Hepatitis B (acute)(viral) NOS

B17  Other acute viral hepatitis

B17.0   Acute delta-(super) infection of hepatitis B carrier

B17.1   Acute hepatitis C

B17.2   Acute hepatitis E

B17.8   Other specified acute viral hepatitis

Hepatitis non-A non-B (acute)(viral) NEC

B17.9   Acute viral hepatitis, unspecified

Acute hepatitis NOS

Acute infectious hepatitis NOS

B18  Chronic viral hepatitis

B18.0   Chronic viral hepatitis B with delta-agent

B18.1   Chronic viral hepatitis B without delta-agent

Chronic (viral) hepatitis B

B18.2   Chronic viral hepatitis C

B18.8   Other chronic viral hepatitis

B18.9   Chronic viral hepatitis, unspecified

B19  Unspecified viral hepatitis

B19.0   Unspecified viral hepatitis with hepatic coma

B19.9   Unspecified viral hepatitis without hepatic coma

Viral hepatitis NOS

Human immunodeficiency virus [HIV] disease (B20-B24)

Excludes:    asymptomatic human immunodeficiency virus [HIV] infection status (^[i]Z21)

complicating pregnancy, childbirth and the puerperium (O98.7)

B20  Human immunodeficiency virus [HIV] disease with infectious and parasitic diseases

Excludes:    acute HIV infection syndrome (B23.0)

B20.0   HIV disease with mycobacterial infection

HIV disease with tuberculosis

B20.1   HIV disease with other bacterial infections

B20.2   HIV disease with cytomegaloviral disease

B20.3   HIV disease with other viral infections

B20.4   HIV disease with candidiasis

B20.5   HIV disease with other mycoses

B20.6   HIV disease with Pneumocystis jirovecii pneumonia

HIV disease resulting in Pneumocystis carinii pneumonia

B20.7   HIV disease with multiple infections

B20.8   HIV disease with other infectious and parasitic diseases

B20.9   HIV disease with unspecified infectious or parasitic disease

HIV disease with infection NOS

B21  Human immunodeficiency virus [HIV] disease with malignant neoplasms

B21.0   HIV disease with Kaposi sarcoma

B21.1   HIV disease with Burkitt lymphoma

B21.2   HIV disease with other types of non-Hodgkin lymphoma

B21.3   HIV disease with other malignant neoplasms of lymphoid, haematopoietic and related tissue

B21.7   HIV disease with multiple malignant neoplasms

B21.8   HIV disease with other malignant neoplasms

B21.9   HIV disease with unspecified malignant neoplasm

B22  Human immunodeficiency virus [HIV] disease with other specified diseases

B22.0   HIV disease with encephalopathy

HIV dementia

B22.1   HIV disease with lymphoid interstitial pneumonitis

B22.2   HIV disease with wasting syndrome

HIV disease with failure to thrive

Slim disease

B22.7   HIV disease with multiple diseases classified elsewhere

Note:          For use of this category, reference should be made to the morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

B23  Human immunodeficiency virus [HIV] disease with other conditions

B23.0   Acute HIV infection syndrome

B23.1   HIV disease with (persistent) generalized lymphadenopathy

B23.2   HIV disease with haematological and immunological abnormalities, not elsewhere classified

B23.8   HIV disease with other specified conditions

B24  Unspecified human immunodeficiency virus [HIV] disease

Acquired immunodeficiency syndrome [AIDS] NOS

AIDS-related complex [ARC] NOS

Other viral diseases (B25-B34)

B25  Cytomegaloviral disease

Excludes:    congenital cytomegalovirus infection (P35.1)

cytomegaloviral mononucleosis (B27.1)

B25.0† Cytomegaloviral pneumonitis (J17.1*)

B25.1† Cytomegaloviral hepatitis (K77.0*)

B25.2† Cytomegaloviral pancreatitis (K87.1*)

B25.8   Other cytomegaloviral diseases

B25.9   Cytomegaloviral disease, unspecified

B26  Mumps

Includes:    parotitis:

• epidemic

• infectious

B26.0† Mumps orchitis (N51.1*)

B26.1† Mumps meningitis (G02.0*)

B26.2† Mumps encephalitis (G05.1*)

B26.3† Mumps pancreatitis (K87.1*)

B26.8   Mumps with other complications

Mumps:

• arthritis† (M01.5*)

• myocarditis† (I41.1*)

• nephritis† (N08.0*)

• polyneuropathy† (G63.0*)

B26.9   Mumps without complication

Mumps:

• NOS

• parotitis NOS

B27  Infectious mononucleosis

Includes:    glandular fever

monocytic angina

Pfeiffer disease

B27.0   Gammaherpesviral mononucleosis

Mononucleosis due to Epstein-Barr virus

B27.1   Cytomegaloviral mononucleosis

B27.8   Other infectious mononucleosis

B27.9   Infectious mononucleosis, unspecified

B30  Viral conjunctivitis

Excludes:    ocular disease:

• herpesviral [herpes simplex] (B00.5)

• zoster (B02.3)

B30.0† Keratoconjunctivitis due to adenovirus (H19.2*)

Epidemic keratoconjunctivitis

Shipyard eye

B30.1† Conjunctivitis due to adenovirus (H13.1*)

Acute adenoviral follicular conjunctivitis

Swimming-pool conjunctivitis

B30.2   Viral pharyngoconjunctivitis

B30.3† Acute epidemic haemorrhagic conjunctivitis (enteroviral) (H13.1*)

Conjunctivitis due to:

• coxsackievirus 24

• enterovirus 70

Haemorrhagic conjunctivitis (acute)(epidemic)

B30.8† Other viral conjunctivitis (H13.1*)

Newcastle conjunctivitis

B30.9   Viral conjunctivitis, unspecified

B33  Other viral diseases, not elsewhere classified

B33.0   Epidemic myalgia

Bornholm disease

B33.1   Ross River disease

Epidemic polyarthritis and exanthema

Ross River fever

B33.2   Viral carditis

B33.3   Retrovirus infections, not elsewhere classified

Retrovirus infection NOS

B33.4†    Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS] (J17.1*)

Hantavirus disease with pulmonary manifestations

Sin Nombre virus disease

Use additional code (N17.9), if desired, to identify any renal failure associated with HPS caused by the Andes, Bayou and Black Creek Canal hantavirus aetiologies.

Excludes:    haemorrhagic fever with renal manifestations (A98.5† N08.0*)

B33.8   Other specified viral diseases

B34  Viral infection of unspecified site

Excludes:    cytomegaloviral disease NOS (B25.9)

herpesvirus [herpes simplex] infection NOS (B00.9)

retrovirus infection NOS (B33.3)

viral agents as the cause of diseases classified to other chapters (B97-)

B34.0   Adenovirus infection, unspecified site

B34.1   Enterovirus infection, unspecified site

Coxsackievirus infection NOS

Echovirus infection NOS

B34.2   Coronavirus infection, unspecified site

B34.3   Parvovirus infection, unspecified site

B34.4   Papovavirus infection, unspecified site

B34.8   Other viral infections of unspecified site

B34.9   Viral infection, unspecified

Viraemia NOS

Mycoses (B35-B49)

Excludes:    hypersensitivity pneumonitis due to organic dust (J67-)

mycosis fungoides (C84.0)

B35  Dermatophytosis

Includes:    favus

infections due to species of Epidermophyton, Microsporum and Trichophyton

tinea, any type except those in B36-

B35.0   Tinea barbae and tinea capitis

Beard ringworm

Kerion

Scalp ringworm

Sycosis, mycotic

B35.1   Tinea unguium

Dermatophytic onychia

Dermatophytosis of nail

Onychomycosis

Ringworm of nails

B35.2   Tinea manuum

Dermatophytosis of hand

Hand ringworm

B35.3   Tinea pedis

Athlete foot

Dermatophytosis of foot

Foot ringworm

B35.4   Tinea corporis

Ringworm of the body

B35.5   Tinea imbricata

Tokelau

B35.6   Tinea inguinalis [Tinea cruris]

Dhobi itch

Groin ringworm

Jock itch

B35.8   Other dermatophytoses

Dermatophytosis:

• disseminated

• granulomatous

B35.9   Dermatophytosis, unspecified

Ringworm NOS

B36  Other superficial mycoses

B36.0   Pityriasis versicolor

Tinea:

• flava

• versicolor

B36.1   Tinea nigra

Keratomycosis nigricans palmaris

Microsporosis nigra

Pityriasis nigra

B36.2   White piedra

Tinea blanca

B36.3   Black piedra

B36.8   Other specified superficial mycoses

B36.9   Superficial mycosis, unspecified

B37  Candidiasis

Includes:    candidosis

moniliasis

Excludes:    neonatal candidiasis (P37.5)

B37.0   Candidal stomatitis

Oral thrush

B37.1   Pulmonary candidiasis

B37.2   Candidiasis of skin and nail

Candidal:

• onychia

• paronychia

Excludes:    diaper [napkin] dermatitis (L22)

B37.3† Candidiasis of vulva and vagina (N77.1*)

Candidal vulvovaginitis

Monilial vulvovaginitis

Vaginal thrush

B37.4   Candidiasis of other urogenital sites

Candidal:

• balanitis† (N51.2*)

• urethritis† (N37.0*)

B37.5† Candidal meningitis (G02.1*)

B37.6† Candidal endocarditis (I39.8*)

B37.7   Candidal septicaemia

B37.8   Candidiasis of other sites

Candidal:

• cheilitis

• enteritis

B37.9   Candidiasis, unspecified

Thrush NOS

B38  Coccidioidomycosis

B38.0   Acute pulmonary coccidioidomycosis

B38.1   Chronic pulmonary coccidioidomycosis

B38.2   Pulmonary coccidioidomycosis, unspecified

B38.3   Cutaneous coccidioidomycosis

B38.4† Coccidioidomycosis meningitis (G02.1*)

B38.7   Disseminated coccidioidomycosis

Generalized coccidioidomycosis

B38.8   Other forms of coccidioidomycosis

B38.9   Coccidioidomycosis, unspecified

B39  Histoplasmosis

B39.0   Acute pulmonary histoplasmosis capsulati

B39.1   Chronic pulmonary histoplasmosis capsulati

B39.2   Pulmonary histoplasmosis capsulati, unspecified

B39.3   Disseminated histoplasmosis capsulati

Generalized histoplasmosis capsulati

B39.4   Histoplasmosis capsulati, unspecified

American histoplasmosis

B39.5   Histoplasmosis duboisii

African histoplasmosis

B39.9   Histoplasmosis, unspecified

B40  Blastomycosis

Excludes:    Brazilian blastomycosis (B41-)

keloidal blastomycosis (B48.0)

B40.0   Acute pulmonary blastomycosis

B40.1   Chronic pulmonary blastomycosis

B40.2   Pulmonary blastomycosis, unspecified

B40.3   Cutaneous blastomycosis

B40.7   Disseminated blastomycosis

Generalized blastomycosis

B40.8   Other forms of blastomycosis

B40.9   Blastomycosis, unspecified

B41  Paracoccidioidomycosis

Includes:    Brazilian blastomycosis

Lutz disease

B41.0   Pulmonary paracoccidioidomycosis

B41.7   Disseminated paracoccidioidomycosis

Generalized paracoccidioidomycosis

B41.8   Other forms of paracoccidioidomycosis

B41.9   Paracoccidioidomycosis, unspecified

B42  Sporotrichosis

B42.0† Pulmonary sporotrichosis (J99.8*)

B42.1   Lymphocutaneous sporotrichosis

B42.7   Disseminated sporotrichosis

Generalized sporotrichosis

B42.8   Other forms of sporotrichosis

B42.9   Sporotrichosis, unspecified

B43  Chromomycosis and phaeomycotic abscess

B43.0   Cutaneous chromomycosis

Dermatitis verrucosa

B43.1   Phaeomycotic brain abscess

Cerebral chromomycosis

B43.2   Subcutaneous phaeomycotic abscess and cyst

B43.8   Other forms of chromomycosis

B43.9   Chromomycosis, unspecified

B44  Aspergillosis

Includes:    aspergilloma

B44.0   Invasive pulmonary aspergillosis

B44.1   Other pulmonary aspergillosis

B44.2   Tonsillar aspergillosis

B44.7   Disseminated aspergillosis

Generalized aspergillosis

B44.8   Other forms of aspergillosis

B44.9   Aspergillosis, unspecified

B45  Cryptococcosis

B45.0   Pulmonary cryptococcosis

B45.1   Cerebral cryptococcosis

Cryptococcal meningitis† (G02.1*)

Cryptococcosis meningocerebralis

B45.2   Cutaneous cryptococcosis

B45.3   Osseous cryptococcosis

B45.7   Disseminated cryptococcosis

Generalized cryptococcosis

B45.8   Other forms of cryptococcosis

B45.9   Cryptococcosis, unspecified

B46  Zygomycosis

B46.0   Pulmonary mucormycosis

B46.1   Rhinocerebral mucormycosis

B46.2   Gastrointestinal mucormycosis

B46.3   Cutaneous mucormycosis

Subcutaneous mucormycosis

B46.4   Disseminated mucormycosis

Generalized mucormycosis

B46.5   Mucormycosis, unspecified

B46.8   Other zygomycoses

Entomophthoromycosis

B46.9   Zygomycosis, unspecified

Phycomycosis NOS

B47  Mycetoma

B47.0   Eumycetoma

Madura foot, mycotic

Maduromycosis

B47.1   Actinomycetoma

B47.9   Mycetoma, unspecified

Madura foot NOS

B48  Other mycoses, not elsewhere classified

B48.0   Lobomycosis

Keloidal blastomycosis

Lobo disease

B48.1   Rhinosporidiosis

B48.2   Allescheriasis

Infection due to Pseudallescheria boydii

Excludes:    eumycetoma (B47.0)

B48.3   Geotrichosis

Geotrichum stomatitis

B48.4   Penicillosis

B48.7   Opportunistic mycoses

Mycoses caused by fungi of low virulence that can establish an infection only as a consequence of factors such as the presence of debilitating disease or the administration of immunosuppressive and other therapeutic agents or radiation therapy. Most of the causal fungi are normally saprophytic in soil and decaying vegetation.

B48.8   Other specified mycoses

Adiaspiromycosis

B49  Unspecified mycosis

Fungaemia NOS

Protozoal diseases (B50-B64)

Excludes:    amoebiasis (A06-)

other protozoal intestinal diseases (A07-)

B50  Plasmodium falciparum

Includes:    mixed infections of Plasmodium falciparum with any other Pasmodium species

B50.0   Plasmodium falciparum malaria with cerebral complications

Cerebral malaria NOS

B50.8   Other severe and complicated Plasmodium falciparum malaria

Severe or complicated Plasmodium falciparum malaria NOS

B50.9   Plasmodium falciparum malaria, unspecified

B51  Plasmodium vivax

Includes:    mixed infections of Plasmodium vivax with other Plasmodium species, except Plasmodium falciparum

Excludes:    mixed with Plasmodium falciparum (B50-)

B51.0   Plasmodium vivax malaria with rupture of spleen

B51.8   Plasmodium vivax malaria with other complications

B51.9   Plasmodium vivax malaria without complication

Plasmodium vivax malaria NOS

B52  Plasmodium malariae

Includes:    mixed infections of Plasmodium malariae with other Plasmodium species, except Plasmodium falciparum and Plasmodium vivax

Excludes:    when mixed with Plasmodium:

• falciparum (B50-)

• vivax (B51-)

B52.0   Plasmodium malariae malaria with nephropathy

B52.8   Plasmodium malariae malaria with other complications

B52.9   Plasmodium malariae malaria without complication

Plasmodium malariae malaria NOS

B53  Other parasitologically confirmed malaria

B53.0   Plasmodium ovale malaria

Excludes:    when mixed with Plasmodium:

• falciparum (B50-)

• malariae (B52-)

• vivax (B51-)

B53.1   Malaria due to simian plasmodia

Excludes:    when mixed with Plasmodium:

• falciparum (B50-)

• malariae (B52-)

• ovale (B53.0)

• vivax (B51-)

B53.8   Other parasitologically confirmed malaria, not elsewhere classified

Parasitologically confirmed malaria NOS

B54  Unspecified malaria

Clinically diagnosed malaria without parasitological confirmation

B55  Leishmaniasis

B55.0   Visceral leishmaniasis

Kala-azar

Post-kala-azar dermal leishmaniasis

B55.1   Cutaneous leishmaniasis

B55.2   Mucocutaneous leishmaniasis

B55.9   Leishmaniasis, unspecified

B56  African trypanosomiasis

B56.0   Gambiense trypanosomiasis

Infection due to Trypanosoma brucei gambiense

West African sleeping sickness

B56.1   Rhodesiense trypanosomiasis

East African sleeping sickness

Infection due to Trypanosoma brucei rhodesiense

B56.9   African trypanosomiasis, unspecified

Sleeping sickness NOS

Trypanosomiasis NOS, in places where African trypanosomiasis is prevalent

B57  Chagas disease

Includes:    American trypanosomiasis

infection due to Trypanosoma cruzi

B57.0† Acute Chagas disease with heart involvement (I41.2*, I98.1*)

Acute Chagas disease with:

• cardiovascular involvement NEC (I98.1*)

• myocarditis (I41.2*)

B57.1   Acute Chagas disease without heart involvement

Acute Chagas disease NOS

B57.2   Chagas disease (chronic) with heart involvement

American trypanosomiasis NOS

Chagas disease (chronic) (with):

• NOS

• cardiovascular involvement NEC† (I98.1*)

• myocarditis† (I41.2*)

Trypanosomiasis NOS, in places where Chagas disease is prevalent

B57.3   Chagas disease (chronic) with digestive system involvement

B57.4   Chagas disease (chronic) with nervous system involvement

B57.5   Chagas disease (chronic) with other organ involvement

B58  Toxoplasmosis

Includes:    infection due to Toxoplasma gondii

Excludes:    congenital toxoplasmosis (P37.1)

B58.0† Toxoplasma oculopathy

Toxoplasma chorioretinitis (H32.0*)

B58.1† Toxoplasma hepatitis (K77.0*)

B58.2† Toxoplasma meningoencephalitis (G05.2*)

B58.3† Pulmonary toxoplasmosis (J17.3*)

B58.8   Toxoplasmosis with other organ involvement

Toxoplasma:

• myocarditis† (I41.2*)

• myositis† (M63.1*)

B58.9   Toxoplasmosis, unspecified

B59  Pneumocystosis (J17.3*)

Pneumonia due to:

• Pneumocystis carinii

• Pneumocystis jirovecii

B60  Other protozoal diseases, not elsewhere classified

Excludes:    cryptosporidiosis (A07.2)

intestinal microsporidiosis (A07.8)

isosporiasis (A07.3)

B60.0   Babesiosis

Piroplasmosis

B60.1   Acanthamoebiasis

Conjunctivitis due to Acanthamoeba† (H13.1*)

Keratoconjunctivitis due to Acanthamoeba† (H19.2*)

B60.2   Naegleriasis

Primary amoebic meningoencephalitis† (G05.2*)

B60.8   Other specified protozoal diseases

Microsporidiosis

B64  Unspecified protozoal disease

Helminthiases (B65-B83)

B65  Schistosomiasis [bilharziasis]

Includes:    snail fever

B65.0   Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]

B65.1   Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]

B65.2   Schistosomiasis due to Schistosoma japonicum

Asiatic schistosomiasis

B65.3   Cercarial dermatitis

Swimmer itch

B65.8   Other schistosomiases

Infection due to Schistosoma:

• intercalatum

• mattheei

• mekongi

B65.9   Schistosomiasis, unspecified

B66  Other fluke infections

B66.0   Opisthorchiasis

Infection due to:

• cat liver fluke

• Opisthorchis (felineus) (viverrini)

B66.1   Clonorchiasis

Chinese liver fluke disease

Infection due to Clonorchis sinensis

Oriental liver fluke disease

B66.2   Dicrocoeliasis

Infection due to Dicrocoelium dendriticum

Lancet fluke infection

B66.3   Fascioliasis

Infection due to Fasciola:

• gigantica

• hepatica

• indica

Sheep liver fluke disease

B66.4   Paragonimiasis

Infection due to Paragonimus species

Lung fluke disease

Pulmonary distomiasis

B66.5   Fasciolopsiasis

Infection due to Fasciolopsis buski

Intestinal distomiasis

B66.8   Other specified fluke infections

Echinostomiasis

Heterophyiasis

Metagonimiasis

Nanophyetiasis

Watsoniasis

B66.9   Fluke infection, unspecified

B67  Echinococcosis

Includes:    hydatidosis

B67.0   Echinococcus granulosus infection of liver

B67.1   Echinococcus granulosus infection of lung

B67.2   Echinococcus granulosus infection of bone

B67.3   Echinococcus granulosus infection, other and multiple sites

B67.4   Echinococcus granulosus infection, unspecified

Dog tapeworm (infection)

B67.5   Echinococcus multilocularis infection of liver

B67.6   Echinococcus multilocularis infection, other and multiple sites

B67.7   Echinococcus multilocularis infection, unspecified

B67.8   Echinococcosis, unspecified, of liver

B67.9   Echinococcosis, other and unspecified

Echinococcosis NOS

B68  Taeniasis

Excludes:    cysticercosis (B69-)

B68.0   Taenia solium taeniasis

Pork tapeworm (infection)

B68.1   Taenia saginata taeniasis

Beef tapeworm (infection)

Infection due to adult tapeworm Taenia saginata

B68.9   Taeniasis, unspecified

B69  Cysticercosis

Includes:    cysticerciasis infection due to larval form of Taenia solium

B69.0   Cysticercosis of central nervous system

B69.1   Cysticercosis of eye

B69.8   Cysticercosis of other sites

B69.9   Cysticercosis, unspecified

B70  Diphyllobothriasis and sparganosis

B70.0   Diphyllobothriasis

Diphyllobothrium (adult) (latum) (pacificum) infection

Fish tapeworm (infection)

Excludes:    larval diphyllobothriasis (B70.1)

B70.1   Sparganosis

Infection due to:

• Sparganum (mansoni) (proliferum)

• Spirometra larvae

Larval diphyllobothriasis

Spirometrosis

B71  Other cestode infections

B71.0   Hymenolepiasis

Dwarf tapeworm (infection)

Rat tapeworm (infection)

B71.1   Dipylidiasis

B71.8   Other specified cestode infections

Coenurosis

B71.9   Cestode infection, unspecified

Tapeworm (infection) NOS

B72  Dracunculiasis

Guinea worm infection

Infection due to Dracunculus medinensis

B73  Onchocerciasis

Onchocerca volvulus infection

Onchocercosis

River blindness

B74  Filariasis

Excludes:    onchocerciasis (B73)

tropical (pulmonary) eosinophilia NOS (J82)

B74.0   Filariasis due to Wuchereria bancrofti

Bancroftian:

• elephantiasis

• filariasis

B74.1   Filariasis due to Brugia malayi

B74.2   Filariasis due to Brugia timori

B74.3   Loiasis

Calabar swelling

Eyeworm disease of Africa

Loa loa infection

B74.4   Mansonelliasis

Infection due to Mansonella:

• ozzardi

• perstans

• streptocerca

B74.8   Other filariases

Dirofilariasis

B74.9   Filariasis, unspecified

B75  Trichinellosis

Infection due to Trichinella species

Trichiniasis

B76  Hookworm diseases

Includes:    uncinariasis

B76.0   Ancylostomiasis

Infection due to Ancylostoma species

B76.1   Necatoriasis

Infection due to Necator americanus

B76.8   Other hookworm diseases

B76.9   Hookworm disease, unspecified

Cutaneous larva migrans NOS

B77  Ascariasis

Includes:    ascaridiasis

roundworm infection

B77.0   Ascariasis with intestinal complications

B77.8   Ascariasis with other complications

B77.9   Ascariasis, unspecified

B78  Strongyloidiasis

Excludes:    trichostrongyliasis (B81.2)

B78.0   Intestinal strongyloidiasis

B78.1   Cutaneous strongyloidiasis

B78.7   Disseminated strongyloidiasis

B78.9   Strongyloidiasis, unspecified

B79  Trichuriasis

Trichocephaliasis

Whipworm (disease) (infection)

B80  Enterobiasis

Oxyuriasis

Pinworm infection

Threadworm infection

B81  Other intestinal helminthiases, not elsewhere classified

Excludes:    angiostrongyliasis due to:

• Angiostrongylus cantonensis (B83.2)

• Parastrongylus cantonensis (B83.2)

B81.0   Anisakiasis

Infection due to Anisakis larvae

B81.1   Intestinal capillariasis

Capillariasis NOS

Infection due to Capillaria philippinensis

Excludes:    hepatic capillariasis (B83.8)

B81.2   Trichostrongyliasis

B81.3   Intestinal angiostrongyliasis

Angiostrongyliasis due to:

• Angiostrongylus costaricensis

• Parastrongylus costaricensis

B81.4   Mixed intestinal helminthiases

Infection due to intestinal helminths classifiable to more than one of the categories B65.0-B81.3 and B81.8

Mixed helminthiasis NOS

B81.8   Other specified intestinal helminthiases

Infection due to:

• Oesophagostomum species [oesophagostomiasis]

• Ternidens deminutus [ternidensiasis]

• Ternidens diminutus [ternidensiasis]

B82  Unspecified intestinal parasitism

B82.0   Intestinal helminthiasis, unspecified

B82.9   Intestinal parasitism, unspecified

B83  Other helminthiases

Excludes:    capillariasis:

• NOS (B81.1)

• intestinal (B81.1)

B83.0   Visceral larva migrans

Toxocariasis

B83.1   Gnathostomiasis

Wandering swelling

B83.2   Angiostrongyliasis due to Parastrongylus cantonensis

Angiostrongyliasis due to Angiostrongylus cantonensis

Eosinophilic meningoencephalitis† (G05.2*)

Excludes:    intestinal angiostrongyliasis (B81.3)

B83.3   Syngamiasis

Syngamosis

B83.4   Internal hirudiniasis

Excludes:    external hirudiniasis (B88.3)

B83.8   Other specified helminthiases

Acanthocephaliasis

Gongylonemiasis

Hepatic capillariasis

Metastrongyliasis

Thelaziasis

B83.9   Helminthiasis, unspecified

Worms NOS

Excludes:    intestinal helminthiasis NOS (B82.0)

Pediculosis, acariasis and other infestations (B85-B89)

B85  Pediculosis and phthiriasis

B85.0   Pediculosis due to Pediculus humanus capitis

Head-louse infestation

B85.1   Pediculosis due to Pediculus humanus corporis

Body-louse infestation

B85.2   Pediculosis, unspecified

B85.3   Phthiriasis

Infestation by:

• crab-louse

• Phthirus pubis

B85.4   Mixed pediculosis and phthiriasis

Infestation classifiable to more than one of the categories B85.0-B85.3

B86  Scabies

Sarcoptic itch

B87  Myiasis

Includes:    infestation by larvae of flies

B87.0   Cutaneous myiasis

Creeping myiasis

B87.1   Wound myiasis

Traumatic myiasis

B87.2   Ocular myiasis

B87.3   Nasopharyngeal myiasis

Laryngeal myiasis

B87.4   Aural myiasis

B87.8   Myiasis of other sites

Genitourinary myiasis

Intestinal myiasis

B87.9   Myiasis, unspecified

B88  Other infestations

B88.0   Other acariasis

Acarine dermatitis

Dermatitis due to:

• Demodex species

• Dermanyssus gallinae

• Liponyssoides sanguineus

Trombiculosis

Excludes:    scabies (B86)

B88.1   Tungiasis [sandflea infestation]

B88.2   Other arthropod infestations

Scarabiasis

B88.3   External hirudiniasis

Leech infestation NOS

Excludes:    internal hirudiniasis (B83.4)

B88.8   Other specified infestations

Ichthyoparasitism due to Vandellia cirrhosa

Linguatulosis

Porocephaliasis

B88.9   Infestation, unspecified

Infestation (skin) NOS

Infestation by mites NOS

Skin parasites NOS

B89  Unspecified parasitic disease

Sequelae of infectious and parasitic diseases (B90-B94)

Note:          Categories B90-B94 are to be used to indicate conditions in categories A00-B89 as the cause of sequelae, which are themselves classified elsewhere. The "sequelae" include conditions specified as such; they also include late effects of diseases classifiable to the above categories if there is evidence that the disease itself is no longer present. For use of these categories, reference should be made to the morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

Not to be used for chronic infections. Code current infections to chronic or active infectious disease as appropriate.

B90  Sequelae of tuberculosis

B90.0   Sequelae of central nervous system tuberculosis

B90.1   Sequelae of genitourinary tuberculosis

B90.2   Sequelae of tuberculosis of bones and joints

B90.8   Sequelae of tuberculosis of other organs

B90.9   Sequelae of respiratory and unspecified tuberculosis

Sequelae of tuberculosis NOS

B91  Sequelae of poliomyelitis

Excludes:    postpolio syndrome (G14)

B92  Sequelae of leprosy

B94  Sequelae of other and unspecified infectious and parasitic diseases

B94.0   Sequelae of trachoma

B94.1   Sequelae of viral encephalitis

B94.2   Sequelae of viral hepatitis

B94.8   Sequelae of other specified infectious and parasitic diseases

B94.9   Sequelae of unspecified infectious or parasitic disease

Bacterial, viral and other infectious agents (B95-B97)

Note:          These categories should never be used in primary coding. They are provided for use as supplementary or additional codes when it is desired to identify the infectious agent(s) in diseases classified elsewhere.

B95  Streptococcus and staphylococcus as the cause of diseases classified to other chapters

B95.0   Streptococcus, group A, as the cause of diseases classified to other chapters

B95.1   Streptococcus, group B, as the cause of diseases classified to other chapters

B95.2   Streptococcus, group D, as the cause of diseases classified to other chapters

B95.3   Streptococcus pneumoniae as the cause of diseases classified to other chapters

B95.4   Other streptococcus as the cause of diseases classified to other chapters

B95.5   Unspecified streptococcus as the cause of diseases classified to other chapters

B95.6   Staphylococcus aureus as the cause of diseases classified to other chapters

B95.7   Other staphylococcus as the cause of diseases classified to other chapters

B95.8   Unspecified staphylococcus as the cause of diseases classified to other chapters

B96  Other specified bacterial agents as the cause of diseases classified to other chapters

B96.0   Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified to other chapters

Pleuro-pneumonia-like-organism [PPLO]

B96.1   Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified to other chapters

B96.2   Escherichia coli [E. coli] as the cause of diseases classified to other chapters

B96.3   Haemophilus influenzae [H. influenzae] as the cause of diseases classified to other chapters

B96.4   Proteus (mirabilis) (morganii) as the cause of diseases classified to other chapters

B96.5   Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified to other chapters

B96.6   Bacillus fragilis [B. fragilis] as the cause of diseases classified to other chapters

B96.7   Clostridium perfringens [C. perfringens] as the cause of diseases classified to other chapters

B96.8   Other specified bacterial agents as the cause of diseases classified to other chapters

B97  Viral agents as the cause of diseases classified to other chapters

B97.0   Adenovirus as the cause of diseases classified to other chapters

B97.1   Enterovirus as the cause of diseases classified to other chapters

Coxsackievirus

Echovirus

B97.2   Coronavirus as the cause of diseases classified to other chapters

B97.3   Retrovirus as the cause of diseases classified to other chapters

Lentivirus

Oncovirus

B97.4   Respiratory syncytial virus as the cause of diseases classified to other chapters

B97.5   Reovirus as the cause of diseases classified to other chapters

B97.6   Parvovirus as the cause of diseases classified to other chapters

B97.7   Papillomavirus as the cause of diseases classified to other chapters

B97.8   Other viral agents as the cause of diseases classified to other chapters

Human metapneumovirus

Other infectious diseases (B99)

B99  Other and unspecified infectious diseases

CHAPTER II - Neoplasms (C00-D48)

This chapter contains the following broad groups of neoplasms:

C00-C97       Malignant neoplasms

C00-C75       Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haematopoietic and related tissue

C00-C14       Lip, oral cavity and pharynx

C15-C26       Digestive organs

C30-C39       Respiratory and intrathoracic organs

C40-C41       Bone and articular cartilage

C43-C44       Skin

C45-C49       Mesothelial and soft tissue

C50              Breast

C51-C58       Female genital organs

C60-C63       Male genital organs

C64-C68       Urinary tract

C69-C72       Eye, brain and other parts of central nervous system

C73-C75       Thyroid and other endocrine glands

C76-C80       Malignant neoplasms of ill-defined, secondary and unspecified sites

C81-C96       Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue

C97              Malignant neoplasms of independent (primary) multiple sites

D00-D09      In situ neoplasms

D10-D36      Benign neoplasms

D37-D48      Neoplasms of uncertain or unknown behaviour [see note preceding D37 category]

Notes

1.  Primary, ill-defined, secondary and unspecified sites of malignant neoplasms

Categories C76-C80 include malignant neoplasms for which there is no clear indication of the original site of the cancer or the cancer is stated to be "disseminated", "scattered" or "spread" without mention of the primary site. In both cases the primary site is considered to be unknown.

2.       Functional activity

All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter IV may be used, if desired, to identify functional activity associated with any neoplasm. For example, catecholamine-producing malignant phaeochromocytoma of adrenal gland should be coded to C74 with additional code E27.5; basophil adenoma of pituitary gland with Cushing syndrome should be coded to D35.2 with additional code E24.0.

3.       Morphology

There are a number of major morphological (histological) groups of malignant neoplasms: carcinomas including squamous (cell) and adeno-carcinomas; sarcomas; other soft tissue tumours including mesotheliomas; lymphomas (Hodgkin and non-Hodgkin); leukaemia; other specified and site-specific types; and unspecified cancers. Cancer is a generic term and may be used for any of the above groups, although it is rarely applied to the malignant neoplasms of lymphatic, haematopoietic and related tissue. "Carcinoma" is sometimes used incorrectly as a synonym for "cancer".

In Chapter II neoplasms are classified predominantly by site within broad groupings for behaviour. In a few exceptional cases morphology is indicated in the category and subcategory titles.

For those wishing to identify the histological type of neoplasm, comprehensive separate morphology codes are provided within the Morphology chapter. These morphology codes are derived from the second edition of International Classification of Diseases for Oncology (ICD-O), which is a dual-axis classification providing independent coding systems for topography and morphology. Morphology codes have six digits: the first four digits identify the histological type; the fifth digit is the behaviour code (malignant primary, malignant secondary (metastatic), in situ, benign, uncertain whether malignant or benign); and the sixth digit is a grading code (differentiation) for solid tumours, and is also used as a special code for lymphomas and leukaemias.

4.       Use of subcategories in Chapter II

Attention is drawn to the special use of subcategory .8 in this chapter [see note 5]. Where it has been necessary to provide subcategories for "other", these have generally been designated as subcategory .7.

5.  Malignant neoplasms overlapping site boundaries and the use of subcategory .8 (overlapping lesion)

Categories C00-C75 classify primary malignant neoplasms according to their point of origin. Many three-character categories are further divided into named parts or subcategories of the organ in question. A neoplasm that overlaps two or more contiguous sites within a three-character category and whose point of origin cannot be determined should be classified to the subcategory .8 ("overlapping lesion"), unless the combination is specifically indexed elsewhere.

For example, carcinoma of oesophagus and stomach is specifically indexed to C16.0 (cardia), while carcinoma of the tip and ventral surface of the tongue should be assigned to C02.8. On the other hand, carcinoma of the tip of the tongue extending to involve the ventral surface should be coded to C02.1 as the point of origin, the tip, is known. "Over-lapping" implies that the sites involved are contiguous (next to each other). Numerically consecutive subcategories are frequently anatomically contiguous, but this is not invariably so (e.g. bladder C67-) and the coder may need to consult anatomical texts to determine the topographical relationships.

Sometimes a neoplasm overlaps the boundaries of three-character categories within certain systems. To take care of this the following subcategories have been designated:

     C02.8      Overlapping lesion of tongue

     C08.8      Overlapping lesion of major salivary glands

     C14.8      Overlapping lesion of lip, oral cavity and pharynx

     C21.8      Overlapping lesion of rectum, anus and anal canal

     C24.8      Overlapping lesion of biliary tract

     C26.8      Overlapping lesion of digestive system

     C39.8      Overlapping lesion of respiratory and intrathoracic organs

     C41.8      Overlapping lesion of bone and articular cartilage

     C49.8      Overlapping lesion of connective and soft tissue

     C57.8      Overlapping lesion of female genital organs

     C63.8      Overlapping lesion of male genital organs

     C68.8      Overlapping lesion of urinary organs

     C72.8      Overlapping lesion of central nervous system

An example of this is a carcinoma of the stomach and small intestine, which should be coded to C26.8 (Overlapping lesion of digestive system).

6.       Malignant neoplasms of ectopic tissue

Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g. ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

7.       Use of the Alphabetical Index in coding neoplasms

In addition to site, morphology and behaviour must also be taken into consideration when coding neoplasms, and reference should always be made first to the Alphabetical Index entry for the morphological description.

The introductory pages of Volume 3 include general instructions about the correct use of the Alphabetical Index. The specific instructions and examples pertaining to neoplasms should be consulted to ensure correct use of the categories and subcategories in Chapter II.

8.  Use of the second edition of International Classification of Diseases for Oncology (ICD-O)

For certain morphological types, Chapter II provides a rather restricted topographical classification, or none at all. The topography codes of ICD-O use for all neoplasms essentially the same three- and four-character categories that Chapter II uses for malignant neoplasms (C00-C77, C80), thus providing increased specificity of site for other neoplasms (malignant secondary (metastatic), benign, in situ and uncertain or unknown).

It is therefore recommended that agencies interested in identifying both the site and morphology of tumours, e.g. cancer registries, cancer hospitals, pathology departments and other agencies specializing in cancer, use ICD-O.

Malignant neoplasms (C00-C97)

Malignant neoplasms of lip, oral cavity and pharynx (C00-C14)

C00  Malignant neoplasm of lip

Excludes:    skin of lip (C43.0, C44.0)

C00.0   External upper lip

Upper lip:

• NOS

• lipstick area

• vermilion border

C00.1   External lower lip

Lower lip:

• NOS

• lipstick area

• vermilion border

C00.2   External lip, unspecified

Vermilion border NOS

C00.3   Upper lip, inner aspect

Upper lip:

• buccal aspect

• frenulum

• mucosa

• oral aspect

C00.4   Lower lip, inner aspect

Lower lip:

• buccal aspect

• frenulum

• mucosa

• oral aspect

C00.5   Lip, unspecified, inner aspect

Lip, not specified whether upper or lower:

• buccal aspect

• frenulum

• mucosa

• oral aspect

C00.6   Commissure of lip

C00.8   Overlapping lesion of lip

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C00.9   Lip, unspecified

C01  Malignant neoplasm of base of tongue

Dorsal surface of base of tongue

Fixed part of tongue NOS

Posterior third of tongue

C02  Malignant neoplasm of other and unspecified parts of tongue

C02.0   Dorsal surface of tongue

Anterior two-thirds of tongue, dorsal surface

Excludes:    dorsal surface of base of tongue (C01)

C02.1   Border of tongue

Tip of tongue

C02.2   Ventral surface of tongue

Anterior two-thirds of tongue, ventral surface

Frenulum linguae

C02.3   Anterior two-thirds of tongue, part unspecified

Middle third of tongue NOS

Mobile part of tongue NOS

C02.4   Lingual tonsil

Excludes:    tonsil NOS (C09.9)

C02.8   Overlapping lesion of tongue

[See note 5 preceding Malignant Neoplasms (C00-C97)]

Malignant neoplasm of tongue whose point of origin cannot be classified to any one of the categories C01-C02.4

C02.9   Tongue, unspecified

C03  Malignant neoplasm of gum

Includes:    alveolar (ridge) mucosa

gingiva

Excludes:    malignant odontogenic neoplasms (C41.0-C41.1)

C03.0   Upper gum

C03.1   Lower gum

C03.9   Gum, unspecified

C04  Malignant neoplasm of floor of mouth

C04.0   Anterior floor of mouth

Anterior to the premolar-canine junction

C04.1   Lateral floor of mouth

C04.8   Overlapping lesion of floor of mouth

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C04.9   Floor of mouth, unspecified

C05  Malignant neoplasm of palate

C05.0   Hard palate

C05.1   Soft palate

Excludes:    nasopharyngeal surface of soft palate (C11.3)

C05.2   Uvula

C05.8   Overlapping lesion of palate

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C05.9   Palate, unspecified

Roof of mouth

C06  Malignant neoplasm of other and unspecified parts of mouth

C06.0   Cheek mucosa

Buccal mucosa NOS

Internal cheek

C06.1   Vestibule of mouth

Buccal sulcus (upper)(lower)

Labial sulcus (upper)(lower)

C06.2   Retromolar area

C06.8   Overlapping lesion of other and unspecified parts of mouth

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C06.9   Mouth, unspecified

Minor salivary gland, unspecified site

Oral cavity NOS

C07  Malignant neoplasm of parotid gland

C08  Malignant neoplasm of other and unspecified major salivary glands

Excludes:    malignant neoplasms of specified minor salivary which are classified according to their anatomical location

malignant neoplasms of minor salivary glands NOS (C06.9)

parotid gland (C07)

C08.0   Submandibular gland

Submaxillary gland

C08.1   Sublingual gland

C08.8   Overlapping lesion of major salivary glands

[See note 5 preceding Malignant Neoplasms (C00-C97)]

Malignant neoplasm of major salivary glands whose point of origin cannot be classified to any one of the categories C07-C08.1

C08.9   Major salivary gland, unspecified

Salivary gland (major) NOS

C09  Malignant neoplasm of tonsil

Excludes:    lingual tonsil (C02.4)

pharyngeal tonsil (C11.1)

C09.0   Tonsillar fossa

C09.1   Tonsillar pillar (anterior)(posterior)

C09.8   Overlapping lesion of tonsil

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C09.9   Tonsil, unspecified

Tonsil:

• NOS

• faucial

• palatine

C10  Malignant neoplasm of oropharynx

Excludes:    tonsil (C09-)

C10.0   Vallecula

C10.1   Anterior surface of epiglottis

Epiglottis, free border [margin]

Glossoepiglottic fold(s)

Excludes:    epiglottis (suprahyoid portion) NOS (C32.1)

C10.2   Lateral wall of oropharynx

C10.3   Posterior wall of oropharynx

C10.4   Branchial cleft

Branchial cyst [site of neoplasm]

C10.8   Overlapping lesion of oropharynx

[See note 5 preceding Malignant Neoplasms (C00-C97)]

Junctional region of oropharynx

C10.9   Oropharynx, unspecified

C11  Malignant neoplasm of nasopharynx

C11.0   Superior wall of nasopharynx

Roof of nasopharynx

C11.1   Posterior wall of nasopharynx

Adenoid

Pharyngeal tonsil

C11.2   Lateral wall of nasopharynx

Fossa of Rosenmuller

Opening of auditory tube

Pharyngeal recess

C11.3   Anterior wall of nasopharynx

Floor of nasopharynx

Nasopharyngeal (anterior) (posterior) surface of soft palate

Posterior margin of nasal:

• choana

• septum

C11.8   Overlapping lesion of nasopharynx

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C11.9   Nasopharynx, unspecified

Nasopharyngeal wall NOS

C12  Malignant neoplasm of pyriform sinus

Pyriform fossa

C13  Malignant neoplasm of hypopharynx

Excludes:    pyriform sinus (C12)

C13.0   Postcricoid region

C13.1   Aryepiglottic fold, hypopharyngeal aspect

Aryepiglottic fold:

• NOS

• marginal zone

Excludes:    aryepiglottic fold, laryngeal aspect (C32.1)

C13.2   Posterior wall of hypopharynx

C13.8   Overlapping lesion of hypopharynx

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C13.9   Hypopharynx, unspecified

Hypopharyngeal wall NOS

C14  Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Excludes:    oral cavity NOS (C06.9)

C14.0   Pharynx, unspecified

C14.2   Waldeyer ring

C14.8   Overlapping lesion of lip, oral cavity and pharynx

[See note 5 preceding Malignant Neoplasms (C00-C97)]

Malignant neoplasm of lip, oral cavity and pharynx whose point of origin cannot be classified to any one of the categories C00-C14.2

Malignant neoplasms of digestive organs (C15-C26)

C15  Malignant neoplasm of oesophagus

Note:          Two alternative subclassifications are given:

.0-.2 by anatomical description

.3-.5 by thirds

This departure from the principle that categories should be mutually exclusive is deliberate, since both forms of terminology are in use but the resulting anatomical divisions are not analogous.

C15.0   Cervical part of oesophagus

C15.1   Thoracic part of oesophagus

C15.2   Abdominal part of oesophagus

C15.3   Upper third of oesophagus

C15.4   Middle third of oesophagus

C15.5   Lower third of oesophagus

C15.8   Overlapping lesion of oesophagus

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C15.9   Oesophagus, unspecified

C16  Malignant neoplasm of stomach

C16.0   Cardia

Cardiac orifice

Cardio-oesophageal junction

Gastro-oesophageal junction

Oesophagus and stomach

C16.1   Fundus of stomach

C16.2   Body of stomach

C16.3   Pyloric antrum

Gastric antrum

C16.4   Pylorus

Prepylorus

Pyloric canal

C16.5   Lesser curvature of stomach, unspecified

Lesser curvature of stomach, not classifiable to C16.1-C16.4

C16.6   Greater curvature of stomach, unspecified

Greater curvature of stomach, not classifiable to C16.0-C16.4

C16.8   Overlapping lesion of stomach

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C16.9   Stomach, unspecified

Gastric cancer NOS

C17  Malignant neoplasm of small intestine

C17.0   Duodenum

C17.1   Jejunum

C17.2   Ileum

Excludes:    ileocaecal valve (C18.0)

C17.3   Meckel diverticulum

C17.8   Overlapping lesion of small intestine

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C17.9   Small intestine, unspecified

C18  Malignant neoplasm of colon

C18.0   Caecum

Ileocaecal valve

C18.1   Appendix

C18.2   Ascending colon

C18.3   Hepatic flexure

C18.4   Transverse colon

C18.5   Splenic flexure

C18.6   Descending colon

C18.7   Sigmoid colon

Sigmoid (flexure)

Excludes:    rectosigmoid junction (C19)

C18.8   Overlapping lesion of colon

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C18.9   Colon, unspecified

Large intestine NOS

C19  Malignant neoplasm of rectosigmoid junction

Colon with rectum

Rectosigmoid (colon)

C20  Malignant neoplasm of rectum

Rectal ampulla

C21  Malignant neoplasm of anus and anal canal

C21.0   Anus, unspecified

Excludes:    anal:

• margin (C43.5, C44.5)

• skin (C43.5, C44.5)

perianal skin (C43.5, C44.5)

C21.1   Anal canal

Anal sphincter

C21.2   Cloacogenic zone

C21.8   Overlapping lesion of rectum, anus and anal canal

[See note 5 preceding Malignant Neoplasms (C00-C97)]

Anorectal junction

Anorectum

Malignant neoplasm of rectum, anus and anal canal whose point of origin cannot be classified to any one of the categories C20-C21.2

C22  Malignant neoplasm of liver and intrahepatic bile ducts

Excludes:    biliary tract NOS (C24.9)

secondary malignant neoplasm of liver (C78.7)

C22.0   Liver cell carcinoma

Hepatocellular carcinoma

Hepatoma

C22.1   Intrahepatic bile duct carcinoma

Cholangiocarcinoma

C22.2   Hepatoblastoma

C22.3   Angiosarcoma of liver

Kupffer cell sarcoma

C22.4   Other sarcomas of liver

C22.7   Other specified carcinomas of liver

C22.9   Liver, unspecified

C23  Malignant neoplasm of gallbladder

C24  Malignant neoplasm of other and unspecified parts of biliary tract

Excludes:    intrahepatic bile duct (C22.1)

C24.0   Extrahepatic bile duct

Biliary duct or passage NOS

Common bile duct

Cystic duct

Hepatic duct

C24.1   Ampulla of Vater

C24.8   Overlapping lesion of biliary tract

[See note 5 preceding Malignant Neoplasms (C00-C97)]

Malignant neoplasm involving both intrahepatic and extrahepatic bile ducts

Malignant neoplasm of biliary tract whose point of origin cannot be classified to any one of the categories C22.0-C24.1

C24.9   Biliary tract, unspecified

C25  Malignant neoplasm of pancreas

C25.0   Head of pancreas

C25.1   Body of pancreas

C25.2   Tail of pancreas

C25.3   Pancreatic duct

C25.4   Endocrine pancreas

Islets of Langerhans

C25.7   Other parts of pancreas

Neck of pancreas

C25.8   Overlapping lesion of pancreas

[See note 5 preceding Malignant Neoplasms (C00-C97)]

C25.9   Pancreas, unspecified

C26  Malignant neoplasm of other and ill-defined digestive organs

Excludes:    peritoneum and retroperitoneum (C48-)

C26.0   Intestinal tract, part unspecified

Intestine NOS

C26.1   Spleen

Excludes:    Hodgkin disease (C81-)

non-Hodgkin lymphoma (C82-C85)

C26.8   Overlapping lesion of digestive system

[See note 5 preceding Malignant Neoplasms (C00-C97)]

Malignant neoplasm of digestive organs whose point of origin cannot be classified to any one of the categories C15-C26.1

Excludes:    cardio-oesophageal junction (C16.0)

C26.9   Ill-defined sites within the digestive system

Alimentary canal or tract NOS

Gastrointestinal tract NOS

Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

Includes:    middle ear

Excludes:    mesothelioma (C45-)

C30  Malignant neoplasm of nasal cavity and middle ear

C30.0   Nasal cavity

Cartilage of nose

Concha, nasal

Internal nose

Septum of nose

Vestibule of nose

Excludes:    nasal bone (C41.0)

nose NOS (C76.0)

olfactory bulb (C72.2)

posterior margin of nasal septum and choana (C11.3)

skin of nose (C43.3, C44.3)

C30.1   Middle ear

Eustachian tube

Inner ear

Mastoid air cells

Excludes:    auricular canal (external) (C43.2, C44.2)

bone of ear (meatus) (C41.0)

cartilage of ear (C49.0)

skin of (external) ear (C43.2, C44.2)

C31  Malignant neoplasm of accessory sinuses

C31.0   Maxillary sinus

Antrum (Highmore) (maxillary)

C31.1   Ethmoidal sinus

C31.2   Frontal sinus

C31.3   Sphenoidal sinus

C31.8   Overlapping lesion of accessory sinuses

[See note 5 preceding Malignant Neoplasms C00-C97]

C31.9   Accessory sinus, unspecified

C32  Malignant neoplasm of larynx

C32.0   Glottis

Intrinsic larynx

Vocal cord (true) NOS

C32.1   Supraglottis

Aryepiglottic fold, laryngeal aspect

Epiglottis (suprahyoid portion) NOS

Extrinsic larynx

False vocal cord

Posterior (laryngeal) surface of epiglottis

Ventricular bands

Excludes:    anterior surface of epiglottis (C10.1)

aryepiglottic fold:

• NOS (C13.1)

• hypopharyngeal aspect (C13.1)

• marginal zone (C13.1)

C32.2   Subglottis

C32.3   Laryngeal cartilage

C32.8   Overlapping lesion of larynx

[See note 5 preceding Malignant Neoplasms C00-C97]

C32.9   Larynx, unspecified

C33  Malignant neoplasm of trachea

C34  Malignant neoplasm of bronchus and lung

C34.0   Main bronchus

Carina

Hilus (of lung)

C34.1   Upper lobe, bronchus or lung

C34.2   Middle lobe, bronchus or lung

C34.3   Lower lobe, bronchus or lung

C34.8   Overlapping lesion of bronchus and lung

[See note 5 preceding Malignant Neoplasms C00-C97]

C34.9   Bronchus or lung, unspecified

C37  Malignant neoplasm of thymus

C38  Malignant neoplasm of heart, mediastinum and pleura

Excludes:    mesothelioma (C45-)

C38.0   Heart

Pericardium

Excludes:    great vessels (C49.3)

C38.1   Anterior mediastinum

C38.2   Posterior mediastinum

C38.3   Mediastinum, part unspecified

C38.4   Pleura

C38.8   Overlapping lesion of heart, mediastinum and pleura

[See note 5 preceding Malignant Neoplasms C00-C97]

C39  Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs

Excludes:    intrathoracic NOS (C76.1)

thoracic NOS (C76.1)

C39.0   Upper respiratory tract, part unspecified

C39.8   Overlapping lesion of respiratory and intrathoracic organs

[See note 5 preceding Malignant Neoplasms C00-C97]

Malignant neoplasm of respiratory and intrathoracic organs whose point of origin cannot be classified to any one of the categories C30-C39.0

C39.9   Ill-defined sites within the respiratory system

Respiratory tract NOS

Malignant neoplasms of bone and articular cartilage (C40-C41)

Excludes:    bone marrow NOS (C96.7)

synovia (C49-)

C40  Malignant neoplasm of bone and articular cartilage of limbs

C40.0   Scapula and long bones of upper limb

C40.1   Short bones of upper limb

C40.2   Long bones of lower limb

C40.3   Short bones of lower limb

C40.8   Overlapping lesion of bone and articular cartilage of limbs

[See note 5 preceding Malignant Neoplasms C00-C97]

C40.9   Bone and articular cartilage of limb, unspecified

C41  Malignant neoplasm of bone and articular cartilage of other and unspecified sites

Excludes:    bones of limbs (C40-)

cartilage of:

• ear (C49.0)

• larynx (C32.3)

• limbs (C40-)

• nose (C30.0)

C41.0   Bones of skull and face

Maxilla (superior)

Orbital bone

Excludes:    carcinoma, any type except intraosseous or odontogenic of:

• maxillary sinus (C31.0)

• upper jaw (C03.0)

jaw bone (lower) (C41.1)

C41.1   Mandible

Lower jaw bone

Excludes:    carcinoma, any type except intraosseous or odontogenic of:

• jaw NOS (C03.9)

• lower (C03.1)

upper jaw bone (C41.0)

C41.2   Vertebral column

Excludes:    sacrum and coccyx (C41.4)

C41.3   Ribs, sternum and clavicle

C41.4   Pelvic bones, sacrum and coccyx

C41.8   Overlapping lesion of bone and articular cartilage

[See note 5 preceding Malignant Neoplasms C00-C97]

Malignant neoplasm of bone and articular cartilage whose point of origin cannot be classified to any one of the categories C40-C41.4

C41.9   Bone and articular cartilage, unspecified

Melanoma and other malignant neoplasms of skin (C43-C44)

C43  Malignant melanoma of skin

Includes:    morphology codes M872-M879 with behaviour code /3

Excludes:    malignant melanoma of skin of genital organs (C51-C52, C60-, C63-)

C43.0   Malignant melanoma of lip

Excludes:    vermilion border of lip (C00.0-C00.2)

C43.1   Malignant melanoma of eyelid, including canthus

C43.2   Malignant melanoma of ear and external auricular canal

C43.3   Malignant melanoma of other and unspecified parts of face

C43.4   Malignant melanoma of scalp and neck

C43.5   Malignant melanoma of trunk

Anal:

• margin

• skin

Perianal skin

Skin of breast

Excludes:    anus NOS (C21.0)

C43.6   Malignant melanoma of upper limb, including shoulder

C43.7   Malignant melanoma of lower limb, including hip

C43.8   Overlapping malignant melanoma of skin

[See note 5 preceding Malignant Neoplasms C00-C97]

C43.9   Malignant melanoma of skin, unspecified

Melanoma (malignant) NOS

C44  Other malignant neoplasms of skin

Includes:    malignant neoplasm of:

• sebaceous glands

• sweat glands

Excludes:    Kaposi sarcoma (C46-)

malignant melanoma of skin (C43-)

skin of genital organs (C51-C52, C60-, C63-)

C44.0   Skin of lip

Basal cell carcinoma of lip

Excludes:    malignant neoplasm of lip (C00-)

C44.1   Skin of eyelid, including canthus

Excludes:    connective tissue of eyelid (C49.0)

C44.2   Skin of ear and external auricular canal

Excludes:    connective tissue of ear (C49.0)

C44.3   Skin of other and unspecified parts of face

C44.4   Skin of scalp and neck

C44.5   Skin of trunk

Anal:

• margin

• skin

Perianal skin

Skin of breast

Excludes:    anus NOS (C21.0)

C44.6   Skin of upper limb, including shoulder

C44.7   Skin of lower limb, including hip

C44.8   Overlapping lesion of skin

[See note 5 preceding Malignant Neoplasms C00-C97]

C44.9   Malignant neoplasm of skin, unspecified

Malignant neoplasms of mesothelial and soft tissue (C45-C49)

C45  Mesothelioma

Includes:    morphology code M905 with behaviour code /3

C45.0   Mesothelioma of pleura

Excludes:    other malignant neoplasms of pleura (C38.4)

C45.1   Mesothelioma of peritoneum

Mesentery

Mesocolon

Omentum

Peritoneum (parietal) (pelvic)

Excludes:    other malignant neoplasms of peritoneum (C48-)

C45.2   Mesothelioma of pericardium

Excludes:    other malignant neoplasms of pericardium (C38.0)

C45.7   Mesothelioma of other sites

C45.9   Mesothelioma, unspecified

C46  Kaposi sarcoma

Includes:    morphology code M9140 with behaviour code /3

C46.0   Kaposi sarcoma of skin

C46.1   Kaposi sarcoma of soft tissue

C46.2   Kaposi sarcoma of palate

C46.3   Kaposi sarcoma of lymph nodes

C46.7   Kaposi sarcoma of other sites

C46.8   Kaposi sarcoma of multiple organs

C46.9   Kaposi sarcoma, unspecified

C47  Malignant neoplasm of peripheral nerves and autonomic nervous system

Includes:    sympathetic and parasympathetic nerves and ganglia

C47.0   Peripheral nerves of head, face and neck

Excludes:    peripheral nerves of orbit (C69.6)

C47.1   Peripheral nerves of upper limb, including shoulder

C47.2   Peripheral nerves of lower limb, including hip

C47.3   Peripheral nerves of thorax

C47.4   Peripheral nerves of abdomen

C47.5   Peripheral nerves of pelvis

C47.6   Peripheral nerves of trunk, unspecified

C47.8   Overlapping lesion of peripheral nerves and autonomic nervous system

[See note 5 preceding Malignant Neoplasms C00-C97]

C47.9   Peripheral nerves and autonomic nervous system, unspecified

C48  Malignant neoplasm of retroperitoneum and peritoneum

Excludes:    Kaposi sarcoma (C46.1)

mesothelioma (C45-)

C48.0   Retroperitoneum

C48.1   Specified parts of peritoneum

Mesentery

Mesocolon

Omentum

Peritoneum:

• parietal

• pelvic

C48.2   Peritoneum, unspecified

C48.8   Overlapping lesion of retroperitoneum and peritoneum

[See note 5 preceding Malignant Neoplasms C00-C97]

C49  Malignant neoplasm of other connective and soft tissue

Includes:    blood vessel

bursa

cartilage

fascia

fat

ligament, except uterine

lymphatic vessel

muscle

synovia

tendon (sheath)

Excludes:    cartilage (of):

• articular (C40-C41)

• larynx (C32.3)

• nose (C30.0)

connective tissue of breast (C50-)

Kaposi sarcoma (C46-)

mesothelioma (C45-)

peripheral nerves and autonomic nervous system (C47-)

peritoneum (C48-)

retroperitoneum (C48.0)

C49.0   Connective and soft tissue of head, face and neck

Connective tissue of:

• ear

• eyelid

Excludes:    connective tissue of orbit (C69.6)

C49.1   Connective and soft tissue of upper limb, including shoulder

C49.2   Connective and soft tissue of lower limb, including hip

C49.3   Connective and soft tissue of thorax

Axilla

Diaphragm

Great vessels

Excludes:    breast (C50-)

heart (C38.0)

mediastinum (C38.1-C38.3)

thymus (C37)

C49.4   Connective and soft tissue of abdomen

Abdominal wall

Hypochondrium

C49.5   Connective and soft tissue of pelvis

Buttock

Groin

Perineum

C49.6   Connective and soft tissue of trunk, unspecified

Back NOS

C49.8   Overlapping lesion of connective and soft tissue

[See note 5 preceding Malignant Neoplasms C00-C97]

Malignant neoplasm of connective and soft tissue whose point of origin cannot be classified to any one of the categories C47-C49.6

C49.9   Connective and soft tissue, unspecified

Malignant neoplasm of breast (C50)

C50  Malignant neoplasm of breast

Includes:    connective tissue of breast

Excludes:    skin of breast (C43.5, C44.5)

C50.0   Nipple and areola

C50.1   Central portion of breast

C50.2   Upper-inner quadrant of breast

C50.3   Lower-inner quadrant of breast

C50.4   Upper-outer quadrant of breast

C50.5   Lower-outer quadrant of breast

C50.6   Axillary tail of breast

C50.8   Overlapping lesion of breast

[See note 5 preceding Malignant Neoplasms C00-C97]

C50.9   Breast, unspecified

Malignant neoplasms of female genital organs (C51-C58)

Includes:    skin of female genital organs

C51  Malignant neoplasm of vulva

C51.0   Labium majus

Bartholin [greater vestibular] gland

C51.1   Labium minus

C51.2   Clitoris

C51.8   Overlapping lesion of vulva

[See note 5 preceding Malignant Neoplasms C00-C97]

C51.9   Vulva, unspecified

External female genitalia NOS

Pudendum

C52  Malignant neoplasm of vagina

C53  Malignant neoplasm of cervix uteri

C53.0   Endocervix

C53.1   Exocervix

C53.8   Overlapping lesion of cervix uteri

[See note 5 preceding Malignant Neoplasms C00-C97]

C53.9   Cervix uteri, unspecified

C54  Malignant neoplasm of corpus uteri

C54.0   Isthmus uteri

Lower uterine segment

C54.1   Endometrium

C54.2   Myometrium

C54.3   Fundus uteri

C54.8   Overlapping lesion of corpus uteri

[See note 5 preceding Malignant Neoplasms C00-C97]

C54.9   Corpus uteri, unspecified

C55  Malignant neoplasm of uterus, part unspecified

C56  Malignant neoplasm of ovary

C57  Malignant neoplasm of other and unspecified female genital organs

C57.0   Fallopian tube

Oviduct

Uterine tube

C57.1   Broad ligament

C57.2   Round ligament

C57.3   Parametrium

Uterine ligament NOS

C57.4   Uterine adnexa, unspecified

C57.7   Other specified female genital organs

Wolffian body or duct

C57.8   Overlapping lesion of female genital organs

[See note 5 preceding Malignant Neoplasms C00-C97]

Malignant neoplasm of female genital organs whose point of origin cannot be classified to any one of the categories C51-C57.7, C58

Tubo-ovarian

Utero-ovarian

C57.9   Female genital organ, unspecified

Female genitourinary tract NOS

C58  Malignant neoplasm of placenta

Choriocarcinoma NOS

Chorionepithelioma NOS

Excludes:    chorioadenoma (destruens) (D39.2)

hydatidiform mole:

• NOS (O01.9)

• invasive (D39.2)

• malignant (D39.2)

Malignant neoplasms of male genital organs (C60-C63)

Includes:    skin of male genital organs

C60  Malignant neoplasm of penis

C60.0   Prepuce

Foreskin

C60.1   Glans penis

C60.2   Body of penis

Corpus cavernosum

C60.8   Overlapping lesion of penis

[See note 5 preceding Malignant Neoplasms C00-C97]

C60.9   Penis, unspecified

Skin of penis NOS

C61  Malignant neoplasm of prostate

C62  Malignant neoplasm of testis

C62.0   Undescended testis

Ectopic testis [site of neoplasm]

Retained testis [site of neoplasm]

C62.1   Descended testis

Scrotal testis

C62.9   Testis, unspecified

C63  Malignant neoplasm of other and unspecified male genital organs

C63.0   Epididymis

C63.1   Spermatic cord

C63.2   Scrotum

Skin of scrotum

C63.7   Other specified male genital organs

Seminal vesicle

Tunica vaginalis

C63.8   Overlapping lesion of male genital organs

[See note 5 preceding Malignant Neoplasms C00-C97]

Malignant neoplasm of male genital organs whose point of origin cannot be classified to any one of the categories C60-C63.7

C63.9   Male genital organ, unspecified

Male genitourinary tract NOS

Malignant neoplasms of urinary tract (C64-C68)

C64  Malignant neoplasm of kidney, except renal pelvis

Excludes:    renal:

• calyces (C65)

• pelvis (C65)

C65  Malignant neoplasm of renal pelvis

Pelviureteric junction

Renal calyces

C66  Malignant neoplasm of ureter

Excludes:    ureteric orifice of bladder (C67.6)

C67  Malignant neoplasm of bladder

C67.0   Trigone of bladder

C67.1   Dome of bladder

C67.2   Lateral wall of bladder

C67.3   Anterior wall of bladder

C67.4   Posterior wall of bladder

C67.5   Bladder neck

Internal urethral orifice

C67.6   Ureteric orifice

C67.7   Urachus

C67.8   Overlapping lesion of bladder

[See note 5 preceding Malignant Neoplasms C00-C97]

C67.9   Bladder, unspecified

C68  Malignant neoplasm of other and unspecified urinary organs

Excludes:    genitourinary tract NOS:

• female (C57.9)

• male (C63.9)

C68.0   Urethra

Excludes:    urethral orifice of bladder (C67.5)

C68.1   Paraurethral gland

C68.8   Overlapping lesion of urinary organs

[See note 5 preceding Malignant Neoplasms C00-C97

Malignant neoplasm of urinary organs whose point of origin cannot be classified to any one of the categories C64-C68.1

C68.9   Urinary organ, unspecified

Urinary system NOS

Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72)

C69  Malignant neoplasm of eye and adnexa

Excludes:    connective tissue of eyelid (C49.0)

eyelid (skin) (C43.1, C44.1)

optic nerve (C72.3)

C69.0   Conjunctiva

C69.1   Cornea

C69.2   Retina

C69.3   Choroid

C69.4   Ciliary body

C69.5   Lacrimal gland and duct

Lacrimal sac

Nasolacrimal duct

C69.6   Orbit

Connective tissue of orbit

Extraocular muscle

Peripheral nerves of orbit

Retrobulbar tissue

Retro-ocular tissue

Excludes:    orbital bone (C41.0)

C69.8   Overlapping lesion of eye and adnexa

[See note 5 preceding Malignant Neoplasms C00-C97]

C69.9   Eye, unspecified

Eyeball

C70  Malignant neoplasm of meninges

C70.0   Cerebral meninges

C70.1   Spinal meninges

C70.9   Meninges, unspecified

C71  Malignant neoplasm of brain

Excludes:    cranial nerves (C72.2-C72.5)

retrobulbar tissue (C69.6)

C71.0   Cerebrum, except lobes and ventricles

Supratentorial NOS

C71.1   Frontal lobe

C71.2   Temporal lobe

C71.3   Parietal lobe

C71.4   Occipital lobe

C71.5   Cerebral ventricle

Excludes:    fourth ventricle (C71.7)

C71.6   Cerebellum

C71.7   Brain stem

Fourth ventricle

Infratentorial NOS

C71.8   Overlapping lesion of brain

[See note 5 preceding Malignant Neoplasms C00-C97]

C71.9   Brain, unspecified

C72  Malignant neoplasm of spinal cord, cranial nerves and other parts of central nervous system

Excludes:    meninges (C70-)

peripheral nerves and autonomic nervous system (C47-)

C72.0   Spinal cord

C72.1   Cauda equina

C72.2   Olfactory nerve

Olfactory bulb

C72.3   Optic nerve

C72.4   Acoustic nerve

C72.5   Other and unspecified cranial nerves

Cranial nerve NOS

C72.8   Overlapping lesion of brain and other parts of central nervous system

[See note 5 preceding Malignant Neoplasms C00-C97]

Malignant neoplasm of brain and other parts of central nervous system whose point of origin cannot be classified to any one of the categories C70-C72.5

C72.9   Central nervous system, unspecified

Nervous system NOS

Malignant neoplasms of thyroid and other endocrine glands (C73-C75)

C73  Malignant neoplasm of thyroid gland

C74  Malignant neoplasm of adrenal gland

C74.0   Cortex of adrenal gland

C74.1   Medulla of adrenal gland

C74.9   Adrenal gland, unspecified

C75  Malignant neoplasm of other endocrine glands and related structures

Excludes:    adrenal gland (C74-)

endocrine pancreas (C25.4)

ovary (C56)

testis (C62-)

thymus (C37)

thyroid gland (C73)

C75.0   Parathyroid gland

C75.1   Pituitary gland

C75.2   Craniopharyngeal duct

C75.3   Pineal gland

C75.4   Carotid body

C75.5   Aortic body and other paraganglia

C75.8   Pluriglandular involvement, unspecified

Note:          If the sites of multiple involvement are known, they should be coded separately.

C75.9   Endocrine gland, unspecified

Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80)

C76  Malignant neoplasm of other and ill-defined sites

Excludes:    malignant neoplasm of:

• genitourinary tract NOS:

• female (C57.9)

• male (C63.9)

• lymphoid, haematopoietic and related tissue (C81-C96)

• unspecified site (C80)

C76.0   Head, face and neck

Cheek NOS

Nose

C76.1   Thorax

Axilla NOS

Intrathoracic NOS

Thoracic NOS

C76.2   Abdomen

C76.3   Pelvis

Groin NOS

Sites overlapping systems within the pelvis, such as:

• rectovaginal (septum)

• rectovesical (septum)

C76.4   Upper limb

C76.5   Lower limb

C76.7   Other ill-defined sites

C76.8   Overlapping lesion of other and ill-defined sites

[See note 5 preceding Malignant Neoplasms C00-C97]

C77  Secondary and unspecified malignant neoplasm of lymph nodes

Excludes:    malignant neoplasm of lymph nodes, specified as primary (C81-C87, C96-)

C77.0   Lymph nodes of head, face and neck

Supraclavicular lymph nodes

C77.1   Intrathoracic lymph nodes

C77.2   Intra-abdominal lymph nodes

C77.3   Axillary and upper limb lymph nodes

Pectoral lymph nodes

C77.4   Inguinal and lower limb lymph nodes

C77.5   Intrapelvic lymph nodes

C77.8   Lymph nodes of multiple regions

C77.9   Lymph node, unspecified

C78  Secondary malignant neoplasm of respiratory and digestive organs

C78.0   Secondary malignant neoplasm of lung

C78.1   Secondary malignant neoplasm of mediastinum

C78.2   Secondary malignant neoplasm of pleura

Malignant pleural effusion NOS

C78.3   Secondary malignant neoplasm of other and unspecified respiratory organs

C78.4   Secondary malignant neoplasm of small intestine

C78.5   Secondary malignant neoplasm of large intestine and rectum

C78.6   Secondary malignant neoplasm of retroperitoneum and peritoneum

Malignant ascites NOS

C78.7   Secondary malignant neoplasm of liver

C78.8   Secondary malignant neoplasm of other and unspecified digestive organs

C79  Secondary malignant neoplasm of other sites

C79.0   Secondary malignant neoplasm of kidney and renal pelvis

C79.1   Secondary malignant neoplasm of bladder and other and unspecified urinary organs

C79.2   Secondary malignant neoplasm of skin

C79.3   Secondary malignant neoplasm of brain and cerebral meninges

C79.4   Secondary malignant neoplasm of other and unspecified parts of nervous system

C79.5   Secondary malignant neoplasm of bone and bone marrow

C79.6   Secondary malignant neoplasm of ovary

C79.7   Secondary malignant neoplasm of adrenal gland

C79.8   Secondary malignant neoplasm of other specified sites

C80  Malignant neoplasm without specification of site

Cancer            

Carcinoma         

Carcinomatosis    

Generalized:      

• cancer             unspecified site (primary) (secondary)

• malignancy      

Malignancy        

Multiple cancer   

Malignant neoplasms of lymphoid, haematopoietic and related tissue (C81-C96)

Note:          The terms used in categories C82-C85 for non-Hodgkin lymphomas are those of the Working Formulation, which attempted to find common ground among several major classification schemes. The terms used in these schemes are not given in the Tabular List but appear in the Alphabetical Index; exact equivalence with the terms appearing in the Tabular List is not always possible.

Includes:    morphology codes M959-M994 with behaviour code /3

Excludes:    secondary and unspecified neoplasm of lymph nodes (C77-)

C81  Hodgkin disease

Includes:    morphology codes M965-M966 with behaviour code /3

C81.0   Lymphocytic predominance

Lymphocytic-histiocytic predominance

C81.1   Nodular sclerosis

C81.2   Mixed cellularity

C81.3   Lymphocytic depletion

C81.7   Other Hodgkin disease

C81.9   Hodgkin disease, unspecified

C82  Follicular [nodular] non-Hodgkin lymphoma

Includes:    follicular non-Hodgkin lymphoma with or without diffuse areas

morphology code M969 with behaviour code /3

C82.0   Small cleaved cell, follicular

C82.1   Mixed small cleaved and large cell, follicular

C82.2   Large cell, follicular

C82.7   Other types of follicular non-Hodgkin lymphoma

C82.9   Follicular non-Hodgkin lymphoma, unspecified

Nodular non-Hodgkin lymphoma NOS

C83  Diffuse non-Hodgkin lymphoma

Includes:    morphology codes M9593, M9595, M967-M968 with behaviour code /3

C83.0   Small cell (diffuse)

C83.1   Small cleaved cell (diffuse)

C83.2   Mixed small and large cell (diffuse)

C83.3   Large cell (diffuse)

Reticulum cell sarcoma

C83.4   Immunoblastic (diffuse)

C83.5   Lymphoblastic (diffuse)

C83.6   Undifferentiated (diffuse)

C83.7   Burkitt tumour

C83.8   Other types of diffuse non-Hodgkin lymphoma

C83.9   Diffuse non-Hodgkin lymphoma, unspecified

C84  Peripheral and cutaneous T-cell lymphomas

Includes:    morphology code M970 with behaviour code /3

C84.0   Mycosis fungoides

C84.1   Sezary disease

C84.2   T-zone lymphoma

C84.3   Lymphoepithelioid lymphoma

Lennert lymphoma

C84.4   Peripheral T-cell lymphoma

C84.5   Other and unspecified T-cell lymphomas

Note:          If T-cell lineage or involvement is mentioned in conjunction with a specific lymphoma, code to the more specific description.

C85  Other and unspecified types of non-Hodgkin lymphoma

Includes:    morphology codes M9590-M9592, M9594, M971 with behaviour code /3

C85.0   Lymphosarcoma

C85.1   B-cell lymphoma, unspecified

Note:          If B-cell lineage or involvement is mentioned in conjunction with a specific lymphoma, code to the more specific description.

C85.7   Other specified types of non-Hodgkin lymphoma

Malignant:

• reticuloendotheliosis

• reticulosis

Microglioma

C85.9   Non-Hodgkin lymphoma, unspecified type

Lymphoma NOS

Malignant lymphoma NOS

Non-Hodgkin lymphoma NOS

C88  Malignant immunoproliferative diseases

Includes:    morphology code M976 with behaviour code /3

C88.0   Waldenstrom macroglobulinaemia

C88.1   Alpha heavy chain disease

C88.2   Gamma heavy chain disease

Franklin disease

C88.3   Immunoproliferative small intestinal disease

Mediterranean disease

C88.7   Other malignant immunoproliferative diseases

C88.9   Malignant immunoproliferative disease, unspecified

Immunoproliferative disease NOS

C90  Multiple myeloma and malignant plasma cell neoplasms

Includes:    morphology codes M973, M9830 with behaviour code /3

C90.0   Multiple myeloma

Kahler disease

Myelomatosis

Excludes:    solitary myeloma (C90.2)

C90.1   Plasma cell leukaemia

C90.2   Plasmacytoma, extramedullary

Malignant plasma cell tumour NOS

Plasmacytoma NOS

Solitary myeloma

C91  Lymphoid leukaemia

Includes:    morphology codes M982, M9940-M9941 with behaviour code /3

C91.0   Acute lymphoblastic leukaemia

Excludes:    acute exacerbation of chronic lymphocytic leukaemia (C91.1)

C91.1   Chronic lymphocytic leukaemia

C91.2   Subacute lymphocytic leukaemia

C91.3   Prolymphocytic leukaemia

C91.4   Hairy-cell leukaemia

Leukaemic reticuloendotheliosis

C91.5   Adult T-cell leukaemia

C91.7   Other lymphoid leukaemia

C91.9   Lymphoid leukaemia, unspecified

C92  Myeloid leukaemia

Includes:    leukaemia:

• granulocytic

• myelogenous

morphology codes M986-M988, M9930 with behaviour code /3

C92.0   Acute myeloid leukaemia

Excludes:    acute exacerbation of chronic myeloid leukaemia (C92.1)

C92.1   Chronic myeloid leukaemia

C92.2   Subacute myeloid leukaemia

C92.3   Myeloid sarcoma

Chloroma

Granulocytic sarcoma

C92.4   Acute promyelocytic leukaemia

C92.5   Acute myelomonocytic leukaemia

C92.7   Other myeloid leukaemia

C92.9   Myeloid leukaemia, unspecified

C93  Monocytic leukaemia

Includes:    monocytoid leukaemia

morphology code M989 with behaviour code /3

C93.0   Acute monocytic leukaemia

Excludes:    acute exacerbation of chronic monocytic leukaemia (C93.1)

C93.1   Chronic monocytic leukaemia

C93.2   Subacute monocytic leukaemia

C93.7   Other monocytic leukaemia

C93.9   Monocytic leukaemia, unspecified

C94  Other leukaemias of specified cell type

Includes:    morphology codes M984, M9850, M9900, M9910, M9931-M9932 with behaviour code /3

Excludes:    leukaemic reticuloendotheliosis (C91.4)

plasma cell leukaemia (C90.1)

C94.0   Acute erythraemia and erythroleukaemia

Acute erythraemic myelosis

Di Guglielmo disease

C94.1   Chronic erythraemia

Heilmeyer-Schoner disease

C94.2   Acute megakaryoblastic leukaemia

Leukaemia:

• megakaryoblastic (acute)

• megakaryocytic (acute)

C94.3   Mast cell leukaemia

C94.4   Acute panmyelosis

C94.5   Acute myelofibrosis

C94.7   Other specified leukaemias

Lymphosarcoma cell leukaemia

C95  Leukaemia of unspecified cell type

Includes:    morphology code M980 with behaviour code /3

C95.0   Acute leukaemia of unspecified cell type

Blast cell leukaemia

Stem cell leukaemia

Excludes:    acute exacerbation of unspecified chronic leukaemia (C95.1)

C95.1   Chronic leukaemia of unspecified cell type

C95.2   Subacute leukaemia of unspecified cell type

C95.7   Other leukaemia of unspecified cell type

C95.9   Leukaemia, unspecified

C96  Other and unspecified malignant neoplasms of lymphoid, haematopoietic and related tissue

Includes:    morphology codes M972, M974 with behaviour code /3

C96.0   Letterer-Siwe disease

Nonlipid:

• reticuloendotheliosis

• reticulosis

C96.1   Malignant histiocytosis

Histiocytic medullary reticulosis

C96.2   Malignant mast cell tumour

Malignant:

• mastocytoma

• mastocytosis

Mast cell sarcoma

Excludes:    mast cell leukaemia (C94.3)

mastocytosis (cutaneous) (Q82.2)

C96.3   True histiocytic lymphoma

C96.7   Other specified malignant neoplasms of lymphoid, haematopoietic and related tissue

C96.9   Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified

Malignant neoplasms of independent (primary) multiple sites (C97)

C97  Malignant neoplasms of independent (primary) multiple sites

Note:          For use of this category, reference should be made to the mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

In situ neoplasms (D00-D09)

Note:          Many in situ neoplasms are regarded as being located within a continuum of morphological change between dysplasia and invasive cancer. For example, for cervical intraepithelial neoplasia (CIN) three grades are recognized, the third of which (CIN III) includes both severe dysplasia and carcinoma in situ. This system of grading has been extended to other organs, such as vulva and vagina. Descriptions of grade III intraepithelial neoplasia, with or without mention of severe dysplasia, are assigned to this section; grades I and II are classified as dysplasia of the organ system involved and should be coded to the relevant body system chapter.

Includes:    Bowen disease

erythroplasia

morphology codes with behaviour code /2

Queyrat erythroplasia

D00  Carcinoma in situ of oral cavity, oesophagus and stomach

Excludes:    melanoma in situ (D03-)

D00.0   Lip, oral cavity and pharynx

Aryepiglottic fold:

• NOS

• hypopharyngeal aspect

• marginal zone

Vermilion border of lip

Excludes:    aryepiglottic fold, laryngeal aspect (D02.0)

epiglottis:

• NOS (D02.0)

• suprahyoid portion (D02.0)

skin of lip (D03.0, D04.0)

D00.1   Oesophagus

D00.2   Stomach

D01  Carcinoma in situ of other and unspecified digestive organs

Excludes:    melanoma in situ (D03-)

D01.0   Colon

Excludes:    rectosigmoid junction (D01.1)

D01.1   Rectosigmoid junction

D01.2   Rectum

D01.3   Anus and anal canal

Excludes:    anal:

• margin (D03.5, D04.5)

• skin (D03.5, D04.5)

perianal skin (D03.5, D04.5)

D01.4   Other and unspecified parts of intestine

Excludes:    ampulla of Vater (D01.5)

D01.5   Liver, gallbladder and bile ducts

Ampulla of Vater

D01.7   Other specified digestive organs

Pancreas

D01.9   Digestive organ, unspecified

D02  Carcinoma in situ of middle ear and respiratory system

Excludes:    melanoma in situ (D03-)

D02.0   Larynx

Aryepiglottic fold, laryngeal aspect

Epiglottis (suprahyoid portion)

Excludes:    aryepiglottic fold:

• NOS (D00.0)

• hypopharyngeal aspect (D00.0)

• marginal zone (D00.0)

D02.1   Trachea

D02.2   Bronchus and lung

D02.3   Other parts of respiratory system

Accessory sinuses

Middle ear

Nasal cavities

Excludes:    ear (external)(skin) (D03.2, D04.2)

nose:

• NOS (D09.7)

• skin (D03.3, D04.3)

D02.4   Respiratory system, unspecified

D03  Melanoma in situ

Includes:    morphology codes M872-M879 with behaviour code /2

D03.0   Melanoma in situ of lip

D03.1   Melanoma in situ of eyelid, including canthus

D03.2   Melanoma in situ of ear and external auricular canal

D03.3   Melanoma in situ of other and unspecified parts of face

D03.4   Melanoma in situ of scalp and neck

D03.5   Melanoma in situ of trunk

Anal:

• margin

• skin

Breast (skin)(soft tissue)

Perianal skin

D03.6   Melanoma in situ of upper limb, including shoulder

D03.7   Melanoma in situ of lower limb, including hip

D03.8   Melanoma in situ of other sites

D03.9   Melanoma in situ, unspecified

D04  Carcinoma in situ of skin

Excludes:    erythroplasia of Queyrat (penis) NOS (D07.4)

melanoma in situ (D03-)

D04.0   Skin of lip

Excludes:    vermilion border of lip (D00.0)

D04.1   Skin of eyelid, including canthus

D04.2   Skin of ear and external auricular canal

D04.3   Skin of other and unspecified parts of face

D04.4   Skin of scalp and neck

D04.5   Skin of trunk

Anal:

• margin

• skin

Perianal skin

Skin of breast

Excludes:    anus NOS (D01.3)

skin of genital organs (D07-)

D04.6   Skin of upper limb, including shoulder

D04.7   Skin of lower limb, including hip

D04.8   Skin of other sites

D04.9   Skin, unspecified

D05  Carcinoma in situ of breast

Excludes:    carcinoma in situ of skin of breast (D04.5)

melanoma in situ of breast (skin) (D03.5)

D05.0   Lobular carcinoma in situ

D05.1   Intraductal carcinoma in situ

D05.7   Other carcinoma in situ of breast

D05.9   Carcinoma in situ of breast, unspecified

D06  Carcinoma in situ of cervix uteri

Includes:    cervical intraepithelial neoplasia [CIN], grade III, with or without mention of severe dysplasia

Excludes:    melanoma in situ of cervix (D03.5)

severe dysplasia of cervix NOS (N87.2)

D06.0   Endocervix

D06.1   Exocervix

D06.7   Other parts of cervix

D06.9   Cervix, unspecified

D07  Carcinoma in situ of other and unspecified genital organs

Excludes:    melanoma in situ (D03.5)

D07.0   Endometrium

D07.1   Vulva

Vulvar intraepithelial neoplasia [VIN], grade III, with or without mention of severe dysplasia

Excludes:    severe dysplasia of vulva NOS (N90.2)

D07.2   Vagina

Vaginal intraepithelial neoplasia [VAIN], grade III, with or without mention of severe dysplasia

Excludes:    severe dysplasia of vagina NOS (N89.2)

D07.3   Other and unspecified female genital organs

D07.4   Penis

Erythroplasia of Queyrat NOS

D07.5   Prostate

Excludes:    low grade dysplasia of prostate (N42.3)

D07.6   Other and unspecified male genital organs

D09  Carcinoma in situ of other and unspecified sites

Excludes:    melanoma in situ (D03-)

D09.0   Bladder

D09.1   Other and unspecified urinary organs

D09.2   Eye

Excludes:    skin of eyelid (D04.1)

D09.3   Thyroid and other endocrine glands

Excludes:    endocrine pancreas (D01.7)

ovary (D07.3)

testis (D07.6)

D09.7   Carcinoma in situ of other specified sites

D09.9   Carcinoma in situ, unspecified

Benign neoplasms (D10-D36)

Includes:    morphology codes with behaviour code /0

D10  Benign neoplasm of mouth and pharynx

D10.0   Lip

Lip (frenulum) (inner aspect) (mucosa) (vermilion border)

Excludes:    skin of lip (D22.0, D23.0)

D10.1   Tongue

Lingual tonsil

D10.2   Floor of mouth

D10.3   Other and unspecified parts of mouth

Minor salivary gland NOS

Excludes:    benign odontogenic neoplasms (D16.4-D16.5)

mucosa of lip (D10.0)

nasopharyngeal surface of soft palate (D10.6)

D10.4   Tonsil

Tonsil (faucial) (palatine)

Excludes:    lingual tonsil (D10.1)

pharyngeal tonsil (D10.6)

tonsillar:

• fossa (D10.5)

• pillars (D10.5)

D10.5   Other parts of oropharynx

Epiglottis, anterior aspect

Tonsillar:

• fossa

• pillars

Vallecula

Excludes:    epiglottis:

• NOS (D14.1)

• suprahyoid portion (D14.1)

D10.6   Nasopharynx

Pharyngeal tonsil

Posterior margin of septum and choanae

D10.7   Hypopharynx

D10.9   Pharynx, unspecified

D11  Benign neoplasm of major salivary glands

Excludes:    benign neoplasms of specified minor salivary glands which are classified according to their anatomical location

benign neoplasms of minor salivary glands NOS (D10.3)

D11.0   Parotid gland

D11.7   Other major salivary glands

Gland:

• sublingual

• submandibular

D11.9   Major salivary gland, unspecified

D12  Benign neoplasm of colon, rectum, anus and anal canal

D12.0   Caecum

Ileocaecal valve

D12.1   Appendix

D12.2   Ascending colon

D12.3   Transverse colon

Hepatic flexure

Splenic flexure

D12.4   Descending colon

D12.5   Sigmoid colon

D12.6   Colon, unspecified

Adenomatosis of colon

Large intestine NOS

Polyposis (hereditary) of colon

D12.7   Rectosigmoid junction

D12.8   Rectum

D12.9   Anus and anal canal

Excludes:    anal:

• margin (D22.5, D23.5)

• skin (D22.5, D23.5)

perianal skin (D22.5, D23.5)

D13  Benign neoplasm of other and ill-defined parts of digestive system

D13.0   Oesophagus

D13.1   Stomach

D13.2   Duodenum

D13.3   Other and unspecified parts of small intestine

D13.4   Liver

Intrahepatic bile ducts

D13.5   Extrahepatic bile ducts

D13.6   Pancreas

Excludes:    endocrine pancreas (D13.7)

D13.7   Endocrine pancreas

Islet cell tumour

Islets of Langerhans

D13.9   Ill-defined sites within the digestive system

Digestive system NOS

Intestine NOS

Spleen

D14  Benign neoplasm of middle ear and respiratory system

D14.0   Middle ear, nasal cavity and accessory sinuses

Cartilage of nose

Excludes:    auricular canal (external) (D22.2, D23.2)

bone of:

• ear (D16.4)

• nose (D16.4)

cartilage of ear (D21.0)

ear (external)(skin) (D22.2, D23.2)

nose:

• NOS (D36.7)

• skin (D22.3, D23.3)

olfactory bulb (D33.3)

polyp (of):

• accessory sinus (J33.8)

• ear (middle) (H74.4)

• nasal (cavity) (J33-)

posterior margin of septum and choanae (D10.6)

D14.1   Larynx

Epiglottis (suprahyoid portion)

Excludes:    epiglottis, anterior aspect (D10.5)

polyp of vocal cord and larynx (J38.1)

D14.2   Trachea

D14.3   Bronchus and lung

D14.4   Respiratory system, unspecified

D15  Benign neoplasm of other and unspecified intrathoracic organs

Excludes:    mesothelial tissue (D19-)

D15.0   Thymus

D15.1   Heart

Excludes:    great vessels (D21.3)

D15.2   Mediastinum

D15.7   Other specified intrathoracic organs

D15.9   Intrathoracic organ, unspecified

D16  Benign neoplasm of bone and articular cartilage

Excludes:    connective tissue of:

• ear (D21.0)

• eyelid (D21.0)

• larynx (D14.1)

• nose (D14.0)

synovia (D21-)

D16.0   Scapula and long bones of upper limb

D16.1   Short bones of upper limb

D16.2   Long bones of lower limb

D16.3   Short bones of lower limb

D16.4   Bones of skull and face

Maxilla (superior)

Orbital bone

Excludes:    lower jaw bone (D16.5)

D16.5   Lower jaw bone

D16.6   Vertebral column

Excludes:    sacrum and coccyx (D16.8)

D16.7   Ribs, sternum and clavicle

D16.8   Pelvic bones, sacrum and coccyx

D16.9   Bone and articular cartilage, unspecified

D17  Benign lipomatous neoplasm

Includes:    morphology codes M885-M888 with behaviour code /0

D17.0   Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck

D17.1   Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk

D17.2   Benign lipomatous neoplasm of skin and subcutaneous tissue of limbs

D17.3   Benign lipomatous neoplasm of skin and subcutaneous tissue of other and unspecified sites

D17.4   Benign lipomatous neoplasm of intrathoracic organs

D17.5   Benign lipomatous neoplasm of intra-abdominal organs

Excludes:    peritoneum and retroperitoneum (D17.7)

D17.6   Benign lipomatous neoplasm of spermatic cord

D17.7   Benign lipomatous neoplasm of other sites

Peritoneum

Retroperitoneum

D17.9   Benign lipomatous neoplasm, unspecified

Lipoma NOS

D18  Haemangioma and lymphangioma, any site

Includes:    morphology codes M912-M917 with behaviour code /0

Excludes:    blue or pigmented naevus (D22-)

D18.0   Haemangioma, any site

Angioma NOS

D18.1   Lymphangioma, any site

D19  Benign neoplasm of mesothelial tissue

Includes:    morphology code M905 with behaviour code /0

D19.0   Mesothelial tissue of pleura

D19.1   Mesothelial tissue of peritoneum

D19.7   Mesothelial tissue of other sites

D19.9   Mesothelial tissue, unspecified

Benign mesothelioma NOS

D20  Benign neoplasm of soft tissue of retroperitoneum and peritoneum

Excludes:    benign lipomatous neoplasm of peritoneum and retroperitoneum (D17.7)

mesothelial tissue (D19-)

D20.0   Retroperitoneum

D20.1   Peritoneum

D21  Other benign neoplasms of connective and other soft tissue

Includes:    blood vessel

bursa

cartilage

fascia

fat

ligament, except uterine

lymphatic channel

muscle

synovia

tendon (sheath)

Excludes:    cartilage:

• articular (D16-)

• larynx (D14.1)

• nose (D14.0)

connective tissue of breast (D24)

haemangioma (D18.0)

lipomatous neoplasm (D17-)

lymphangioma (D18.1)

peripheral nerves and autonomic nervous system (D36.1)

peritoneum (D20.1)

retroperitoneum (D20.0)

uterine:

• leiomyoma (D25-)

• ligament, any (D28.2)

vascular tissue (D18-)

D21.0   Connective and other soft tissue of head, face and neck

Connective tissue of:

• ear

• eyelid

Excludes:    connective tissue of orbit (D31.6)

D21.1   Connective and other soft tissue of upper limb, including shoulder

D21.2   Connective and other soft tissue of lower limb, including hip

D21.3   Connective and other soft tissue of thorax

Axilla

Diaphragm

Great vessels

Excludes:    heart (D15.1)

mediastinum (D15.2)

thymus (D15.0)

D21.4   Connective and other soft tissue of abdomen

D21.5   Connective and other soft tissue of pelvis

Excludes:    uterine:

• leiomyoma (D25-)

• ligament, any (D28.2)

D21.6   Connective and other soft tissue of trunk, unspecified

Back NOS

D21.9   Connective and other soft tissue, unspecified

D22  Melanocytic naevi

Includes:    morphology codes M872-M879 with behaviour code /0

naevus:

• NOS

• blue

• hairy

• pigmented

D22.0   Melanocytic naevi of lip

D22.1   Melanocytic naevi of eyelid, including canthus

D22.2   Melanocytic naevi of ear and external auricular canal

D22.3   Melanocytic naevi of other and unspecified parts of face

D22.4   Melanocytic naevi of scalp and neck

D22.5   Melanocytic naevi of trunk

Anal:

• margin

• skin

Perianal skin

Skin of breast

D22.6   Melanocytic naevi of upper limb, including shoulder

D22.7   Melanocytic naevi of lower limb, including hip

D22.9   Melanocytic naevi, unspecified

D23  Other benign neoplasms of skin

Includes:    benign neoplasm of:

• hair follicles

• sebaceous glands

• sweat glands

Excludes:    benign lipomatous neoplasms (D17.0-D17.3)

melanocytic naevi (D22-)

D23.0   Skin of lip

Excludes:    vermilion border of lip (D10.0)

D23.1   Skin of eyelid, including canthus

D23.2   Skin of ear and external auricular canal

D23.3   Skin of other and unspecified parts of face

D23.4   Skin of scalp and neck

D23.5   Skin of trunk

Anal:

• margin

• skin

Perianal skin

Skin of breast

Excludes:    anus NOS (D12.9)

skin of genital organs (D28-D29)

D23.6   Skin of upper limb, including shoulder

D23.7   Skin of lower limb, including hip

D23.9   Skin, unspecified

D24  Benign neoplasm of breast

Breast:

• connective tissue

• soft parts

Excludes:    benign mammary dysplasia (N60-)

skin of breast (D22.5, D23.5)

D25  Leiomyoma of uterus

Includes:    benign neoplasms of uterus with morphology code M889 and behaviour code /0

fibromyoma of uterus

D25.0   Submucous leiomyoma of uterus

D25.1   Intramural leiomyoma of uterus

D25.2   Subserosal leiomyoma of uterus

D25.9   Leiomyoma of uterus, unspecified

D26  Other benign neoplasms of uterus

D26.0   Cervix uteri

D26.1   Corpus uteri

D26.7   Other parts of uterus

D26.9   Uterus, unspecified

D27  Benign neoplasm of ovary

D28  Benign neoplasm of other and unspecified female genital organs

Includes:    adenomatous polyp

skin of female genital organs

D28.0   Vulva

D28.1   Vagina

D28.2   Uterine tubes and ligaments

Fallopian tube

Uterine ligament (broad)(round)

D28.7   Other specified female genital organs

D28.9   Female genital organ, unspecified

D29  Benign neoplasm of male genital organs

Includes:    skin of male genital organs

D29.0   Penis

D29.1   Prostate

Excludes:    hyperplasia of prostate (adenomatous) (N40)

prostatic:

• enlargement (N40)

• hypertrophy (N40)

D29.2   Testis

D29.3   Epididymis

D29.4   Scrotum

Skin of scrotum

D29.7   Other male genital organs

Seminal vesicle

Spermatic cord

Tunica vaginalis

D29.9   Male genital organ, unspecified

D30  Benign neoplasm of urinary organs

D30.0   Kidney

Excludes:    renal:

• calyces (D30.1)

• pelvis (D30.1)

D30.1   Renal pelvis

D30.2   Ureter

Excludes:    ureteric orifice of bladder (D30.3)

D30.3   Bladder

Orifice of bladder:

• urethral

• ureteric

D30.4   Urethra

Excludes:    urethral orifice of bladder (D30.3)

D30.7   Other urinary organs

Paraurethral glands

D30.9   Urinary organ, unspecified

Urinary system NOS

D31  Benign neoplasm of eye and adnexa

Excludes:    connective tissue of eyelid (D21.0)

optic nerve (D33.3)

skin of eyelid (D22.1, D23.1)

D31.0   Conjunctiva

D31.1   Cornea

D31.2   Retina

D31.3   Choroid

D31.4   Ciliary body

D31.5   Lacrimal gland and duct

Lacrimal sac

Nasolacrimal duct

D31.6   Orbit, unspecified

Connective tissue of orbit

Extraocular muscle

Peripheral nerves of orbit

Retrobulbar tissue

Retro-ocular tissue

Excludes:    orbital bone (D16.4)

D31.9   Eye, unspecified

Eyeball

D32  Benign neoplasm of meninges

D32.0   Cerebral meninges

D32.1   Spinal meninges

D32.9   Meninges, unspecified

Meningioma NOS

D33  Benign neoplasm of brain and other parts of central nervous system

Excludes:    angioma (D18.0)

meninges (D32-)

peripheral nerves and autonomic nervous system (D36.1)

retro-ocular tissue (D31.6)

D33.0   Brain, supratentorial

Cerebral ventricle

Cerebrum

Frontal     

Occipital   

Parietal       lobe

Temporal    

Excludes:    fourth ventricle (D33.1)

D33.1   Brain, infratentorial

Brain stem

Cerebellum

Fourth ventricle

D33.2   Brain, unspecified

D33.3   Cranial nerves

Olfactory bulb

D33.4   Spinal cord

D33.7   Other specified parts of central nervous system

D33.9   Central nervous system, unspecified

Nervous system (central) NOS

D34  Benign neoplasm of thyroid gland

D35  Benign neoplasm of other and unspecified endocrine glands

Excludes:    endocrine pancreas (D13.7)

ovary (D27)

testis (D29.2)

thymus (D15.0)

D35.0   Adrenal gland

D35.1   Parathyroid gland

D35.2   Pituitary gland

D35.3   Craniopharyngeal duct

D35.4   Pineal gland

D35.5   Carotid body

D35.6   Aortic body and other paraganglia

D35.7   Other specified endocrine glands

D35.8   Pluriglandular involvement

D35.9   Endocrine gland, unspecified

D36  Benign neoplasm of other and unspecified sites

D36.0   Lymph nodes

D36.1   Peripheral nerves and autonomic nervous system

Excludes:    peripheral nerves of orbit (D31.6)

D36.7   Other specified sites

Nose NOS

D36.9   Benign neoplasm of unspecified site

Neoplasms of uncertain or unknown behaviour (D37-D48)

Note:          Categories D37-D48 classify by site neoplasms of uncertain or unknown behaviour, i.e., there is doubt whether the neoplasm is malignant or benign. Such neoplasms are assigned behaviour code /1 in the classification of the morphology of neoplasms.

D37  Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs

D37.0   Lip, oral cavity and pharynx

Aryepiglottic fold:

• NOS

• hypopharyngeal aspect

• marginal zone

Major and minor salivary glands

Vermilion border of lip

Excludes:    aryepiglottic fold, laryngeal aspect (D38.0)

epiglottis:

• NOS (D38.0)

• suprahyoid portion (D38.0)

skin of lip (D48.5)

D37.1   Stomach

D37.2   Small intestine

D37.3   Appendix

D37.4   Colon

D37.5   Rectum

Rectosigmoid junction

D37.6   Liver, gallbladder and bile ducts

Ampulla of Vater

D37.7   Other digestive organs

Anal:

• canal

• sphincter

Anus NOS

Intestine NOS

Oesophagus

Pancreas

Excludes:    anal:

• margin (D48.5)

• skin (D48.5)

perianal skin (D48.5)

D37.9   Digestive organ, unspecified

D38  Neoplasm of uncertain or unknown behaviour of middle ear and respiratory and intrathoracic organs

Excludes:    heart (D48.7)

D38.0   Larynx

Aryepiglottic fold, laryngeal aspect

Epiglottis (suprahyoid portion)

Excludes:    aryepiglottic fold:

• NOS (D37.0)

• hypopharyngeal aspect (D37.0)

• marginal zone (D37.0)

D38.1   Trachea, bronchus and lung

D38.2   Pleura

D38.3   Mediastinum

D38.4   Thymus

D38.5   Other respiratory organs

Accessory sinuses

Cartilage of nose

Middle ear

Nasal cavities

Excludes:    ear (external)(skin) (D48.5)

nose:

• NOS (D48.7)

• skin (D48.5)

D38.6   Respiratory organ, unspecified

D39  Neoplasm of uncertain or unknown behaviour of female genital organs

D39.0   Uterus

D39.1   Ovary

D39.2   Placenta

Chorioadenoma destruens

Hydatidiform mole:

• invasive

• malignant

Excludes:    hydatidiform mole NOS (O01.9)

D39.7   Other female genital organs

Skin of female genital organs

D39.9   Female genital organ, unspecified

D40  Neoplasm of uncertain or unknown behaviour of male genital organs

D40.0   Prostate

D40.1   Testis

D40.7   Other male genital organs

Skin of male genital organs

D40.9   Male genital organ, unspecified

D41  Neoplasm of uncertain or unknown behaviour of urinary organs

D41.0   Kidney

Excludes:    renal pelvis (D41.1)

D41.1   Renal pelvis

D41.2   Ureter

D41.3   Urethra

D41.4   Bladder

D41.7   Other urinary organs

D41.9   Urinary organ, unspecified

D42  Neoplasm of uncertain or unknown behaviour of meninges

D42.0   Cerebral meninges

D42.1   Spinal meninges

D42.9   Meninges, unspecified

D43  Neoplasm of uncertain or unknown behaviour of brain and central nervous system

Excludes:    peripheral nerves and autonomic nervous system (D48.2)

D43.0   Brain, supratentorial

Cerebral ventricle

Cerebrum

Frontal     

Occipital   

Parietal       lobe

Temporal    

Excludes:    fourth ventricle (D43.1)

D43.1   Brain, infratentorial

Brain stem

Cerebellum

Fourth ventricle

D43.2   Brain, unspecified

D43.3   Cranial nerves

D43.4   Spinal cord

D43.7   Other parts of central nervous system

D43.9   Central nervous system, unspecified

Nervous system (central) NOS

D44  Neoplasm of uncertain or unknown behaviour of endocrine glands

Excludes:    endocrine pancreas (D37.7)

ovary (D39.1)

testis (D40.1)

thymus (D38.4)

D44.0   Thyroid gland

D44.1   Adrenal gland

D44.2   Parathyroid gland

D44.3   Pituitary gland

D44.4   Craniopharyngeal duct

D44.5   Pineal gland

D44.6   Carotid body

D44.7   Aortic body and other paraganglia

D44.8   Pluriglandular involvement

Multiple endocrine adenomatosis

D44.9   Endocrine gland, unspecified

D45  Polycythaemia vera

Morphology code M9950 with behaviour code /1

D46  Myelodysplastic syndromes

Includes:    morphology code M998 with behaviour code /1

D46.0   Refractory anaemia without sideroblasts, so stated

D46.1   Refractory anaemia with sideroblasts

D46.2   Refractory anaemia with excess of blasts

D46.3   Refractory anaemia with excess of blasts with transformation

D46.4   Refractory anaemia, unspecified

D46.7   Other myelodysplastic syndromes

D46.9   Myelodysplastic syndrome, unspecified

Myelodysplasia NOS

Preleukaemia (syndrome) NOS

D47  Other neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue

Includes:    morphology codes M974, M976, M996-M997 with behaviour code /1

D47.0   Histiocytic and mast cell tumours of uncertain and unknown behaviour

Mast cell tumour NOS

Mastocytoma NOS

Excludes:    mastocytosis (cutaneous) (Q82.2)

D47.1   Chronic myeloproliferative disease

Myelofibrosis (with myeloid metaplasia)

Myeloproliferative disease, unspecified

Myelosclerosis (megakaryocytic) with myeloid metaplasia

D47.2   Monoclonal gammopathy (of undetermined significance (MGUS))

D47.3   Essential (haemorrhagic) thrombocythaemia

Idiopathic haemorrhagic thrombocythaemia

D47.7   Other specified neoplasms of uncertain or unknown behaviour of lymphoid,

haematopoietic and related tissue

D47.9   Neoplasm of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue, unspecified

Lymphoproliferative disease NOS

D48  Neoplasm of uncertain or unknown behaviour of other and unspecified sites

Excludes:    neurofibromatosis (nonmalignant) (Q85.0)

D48.0   Bone and articular cartilage

Excludes:    cartilage of:

• ear (D48.1)

• larynx (D38.0)

• nose (D38.5)

connective tissue of eyelid (D48.1)

synovia (D48.1)

D48.1   Connective and other soft tissue

Connective tissue of:

• ear

• eyelid

Excludes:    cartilage (of):

• articular (D48.0)

• larynx (D38.0)

• nose (D38.5)

connective tissue of breast (D48.6)

D48.2   Peripheral nerves and autonomic nervous system

Excludes:    peripheral nerves of orbit (D48.7)

D48.3   Retroperitoneum

D48.4   Peritoneum

D48.5   Skin

Anal:

• margin

• skin

Perianal skin

Skin of breast

Excludes:    anus NOS (D37.7)

skin of genital organs (D39.7, ^[ii]D40.7)

vermilion border of lip (D37.0)

D48.6   Breast

Connective tissue of breast

Cystosarcoma phyllodes

Excludes:    skin of breast (D48.5)

D48.7   Other specified sites

Eye

Heart

Peripheral nerves of orbit

Excludes:    connective tissue (D48.1)

skin of eyelid (D48.5)

D48.9   Neoplasm of uncertain or unknown behaviour, unspecified

"Growth" NOS

Neoplasm NOS

New growth NOS

Tumour NOS

CHAPTER III - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)

Excludes:    autoimmune disease (systemic) NOS (M35.9)

certain conditions originating in the perinatal period (P00-P96)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

human immunodeficiency virus [HIV] disease (B20-B24)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

D50-D53      Nutritional anaemias

D55-D59      Haemolytic anaemias

D60-D64      Aplastic and other anaemias

D65-D69      Coagulation defects, purpura and other haemorrhagic conditions

D70-D77      Other diseases of blood and blood-forming organs

D80-D89      Certain disorders involving the immune mechanism

Asterisk categories for this chapter are provided as follows:

D63*       Anaemia in chronic diseases classified elsewhere

D77*       Other disorders of blood and blood-forming organs in diseases classified elsewhere

Nutritional anaemias (D50-D53)

D50  Iron deficiency anaemia

Includes:    anaemia:

• asiderotic

• hypochromic

D50.0   Iron deficiency anaemia secondary to blood loss (chronic)

Posthaemorrhagic anaemia (chronic)

Excludes:    acute posthaemorrhagic anaemia (D62)

congenital anaemia from fetal blood loss (P61.3)

D50.1   Sideropenic dysphagia

Kelly-Paterson syndrome

Plummer-Vinson syndrome

D50.8   Other iron deficiency anaemias

D50.9   Iron deficiency anaemia, unspecified

D51  Vitamin B

Excludes:    vitamin B₁₂ deficiency (E53.8)

D51.0   Vitamin B₁₂ deficiency anaemia due to intrinsic factor deficiency

Anaemia:

• Addison

• Biermer

• pernicious (congenital)

Congenital intrinsic factor deficiency

D51.1   Vitamin B₁₂ deficiency anaemia due to selective vitamin B₁₂ malabsorption with proteinuria

Imerslund(-Grasbeck) syndrome

Megaloblastic hereditary anaemia

D51.2   Transcobalamin II deficiency

D51.3   Other dietary vitamin B₁₂ deficiency anaemia

Vegan anaemia

D51.8   Other vitamin B₁₂ deficiency anaemias

D51.9   Vitamin B₁₂ deficiency anaemia, unspecified

D52  Folate deficiency anaemia

D52.0   Dietary folate deficiency anaemia

Nutritional megaloblastic anaemia

D52.1   Drug-induced folate deficiency anaemia

Use additional external cause code (Chapter XX), if desired, to identify drug.

D52.8   Other folate deficiency anaemias

D52.9   Folate deficiency anaemia, unspecified

Folic acid deficiency anaemia NOS

D53  Other nutritional anaemias

Includes:    megaloblastic anaemia unresponsive to vitamin B₁₂ or folate therapy

D53.0   Protein deficiency anaemia

Amino-acid deficiency anaemia

Orotaciduric anaemia

Excludes:    Lesch-Nyhan syndrome (E79.1)

D53.1   Other megaloblastic anaemias, not elsewhere classified

Megaloblastic anaemia NOS

Excludes:    Di Guglielmo disease (C94.0)

D53.2   Scorbutic anaemia

Excludes:    scurvy (E54)

D53.8   Other specified nutritional anaemias

Anaemia associated with deficiency of:

• copper

• molybdenum

• zinc

Excludes:   nutritional deficiencies without mention of anaemia, such as:

• copper deficiency (E61.0)

• molybdenum deficiency (E61.5)

• zinc deficiency (E60)

D53.9   Nutritional anaemia, unspecified

Simple chronic anaemia

Excludes:    anaemia NOS (D64.9)

Haemolytic anaemias (D55-D59)

D55  Anaemia due to enzyme disorders

Excludes:    drug-induced enzyme deficiency anaemia (D59.2)

D55.0   Anaemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency

Favism

G6PD deficiency anaemia

D55.1   Anaemia due to other disorders of glutathione metabolism

Anaemia (due to):

• enzyme deficiencies, except G6PD, related to the hexose monophosphate [HMP] shunt pathway

• haemolytic nonspherocytic (hereditary), type I

D55.2   Anaemia due to disorders of glycolytic enzymes

Anaemia:

• haemolytic nonspherocytic (hereditary), type II

• hexokinase deficiency

• pyruvate kinase [PK] deficiency

• triose-phosphate isomerase deficiency

D55.3   Anaemia due to disorders of nucleotide metabolism

D55.8   Other anaemias due to enzyme disorders

D55.9   Anaemia due to enzyme disorder, unspecified

D56  Thalassaemia

D56.0   Alpha thalassaemia

Excludes:    hydrops fetalis due to haemolytic disease (P56-)

D56.1   Beta thalassaemia

Cooley anaemia

Severe beta thalassaemia

Thalassaemia:

• intermedia

• major

D56.2   Delta-beta thalassaemia

D56.3   Thalassaemia trait

D56.4   Hereditary persistence of fetal haemoglobin [HPFH]

D56.8   Other thalassaemias

D56.9   Thalassaemia, unspecified

Mediterranean anaemia (with other haemoglobinopathy)

Thalassaemia (minor)(mixed)(with other haemoglobinopathy)

D57  Sickle-cell disorders

Excludes:    other haemoglobinopathies (D58-)

D57.0   Sickle-cell anaemia with crisis

Hb-SS disease with crisis

D57.1   Sickle-cell anaemia without crisis

Sickle-cell:

• anaemia    

• disease       NOS

• disorder   

D57.2   Double heterozygous sickling disorders

Disease:

• Hb-SC

• Hb-SD

• Hb-SE

• sickle-cell thalassaemia

D57.3   Sickle-cell trait

Hb-S trait

Heterozygous haemoglobin S [HbAS]

D57.8   Other sickle-cell disorders

D58  Other hereditary haemolytic anaemias

D58.0   Hereditary spherocytosis

Acholuric (familial) jaundice

Congenital (spherocytic) haemolytic icterus

Minkowski-Chauffard syndrome

D58.1   Hereditary elliptocytosis

Elliptocytosis (congenital)

Ovalocytosis (congenital)(hereditary)

D58.2   Other haemoglobinopathies

Abnormal haemoglobin NOS

Congenital Heinz body anaemia

Disease:

• Hb-C

• Hb-D

• Hb-E

Haemoglobinopathy NOS

Unstable haemoglobin haemolytic disease

Excludes:    familial polycythaemia (D75.0)

Hb-M disease (D74.0)

hereditary persistence of fetal haemoglobin [HPFH] (D56.4)

high-altitude polycythaemia (D75.1)

methaemoglobinaemia (D74-)

D58.8   Other specified hereditary haemolytic anaemias

Stomatocytosis

D58.9   Hereditary haemolytic anaemia, unspecified

D59  Acquired haemolytic anaemia

D59.0   Drug-induced autoimmune haemolytic anaemia

Use additional external cause code (Chapter XX), if desired, to identify drug.

D59.1   Other autoimmune haemolytic anaemias

Autoimmune haemolytic disease (cold type)(warm type)

Chronic cold haemagglutinin disease

Cold agglutinin:

• disease

• haemoglobinuria

Haemolytic anaemia:

• cold type (secondary)(symptomatic)

• warm type (secondary)(symptomatic)

Excludes:    Evans syndrome (D69.3)

haemolytic disease of fetus and newborn (P55-)

paroxysmal cold haemoglobinuria (D59.6)

D59.2   Drug-induced nonautoimmune haemolytic anaemia

Drug-induced enzyme deficiency anaemia

Use additional external cause code (Chapter XX), if desired, to identify drug.

D59.3   Haemolytic-uraemic syndrome

D59.4   Other nonautoimmune haemolytic anaemias

Haemolytic anaemia:

• mechanical

• microangiopathic

• toxic

Use additional external cause code (Chapter XX), if desired, to identify cause.

D59.5   Paroxysmal nocturnal haemoglobinuria [Marchiafava-Micheli]

Excludes:    haemoglobinuria NOS (R82.3)

D59.6   Haemoglobinuria due to haemolysis from other external causes

Haemoglobinuria:

• from exertion

• march

• paroxysmal cold

Use additional external cause code (Chapter XX), if desired, to identify cause.

Excludes:    haemoglobinuria NOS (R82.3)

D59.8   Other acquired haemolytic anaemias

D59.9   Acquired haemolytic anaemia, unspecified

Idiopathic haemolytic anaemia, chronic

Aplastic and other anaemias (D60-D64)

D60  Acquired pure red cell aplasia [erythroblastopenia]

Includes:    red cell aplasia (acquired)(adult)(with thymoma)

D60.0   Chronic acquired pure red cell aplasia

D60.1   Transient acquired pure red cell aplasia

D60.8   Other acquired pure red cell aplasias

D60.9   Acquired pure red cell aplasia, unspecified

D61  Other aplastic anaemias

Excludes:    agranulocytosis (D70)

D61.0   Constitutional aplastic anaemia

Aplasia, (pure) red cell (of):

• congenital

• infants

• primary

Blackfan-Diamond syndrome

Familial hypoplastic anaemia

Fanconi anaemia

Pancytopenia with malformations

D61.1   Drug-induced aplastic anaemia

Use additional external cause code (Chapter XX), if desired, to identify drug.

D61.2   Aplastic anaemia due to other external agents

Use additional external cause code (Chapter XX), if desired, to identify cause.

D61.3   Idiopathic aplastic anaemia

D61.8   Other specified aplastic anaemias

D61.9   Aplastic anaemia, unspecified

Hypoplastic anaemia NOS

Medullary hypoplasia

Panmyelophthisis

D62  Acute posthaemorrhagic anaemia

Excludes:    congenital anaemia from fetal blood loss (P61.3)

D63  Anaemia in chronic diseases classified elsewhere

D63.0* Anaemia in neoplastic disease (C00-D48†)

D63.8* Anaemia in other chronic diseases classified elsewhere

Anaemia in chronic kidney disease > stage 3 (N18.3-N18.5†)

D64  Other anaemias

Excludes:    refractory anaemia:

• NOS (D46.4)

• with excess of blasts (D46.2)

• with transformation (D46.3)

• with sideroblasts (D46.1)

• without sideroblasts (D46.0)

D64.0   Hereditary sideroblastic anaemia

Sex-linked hypochromic sideroblastic anaemia

D64.1   Secondary sideroblastic anaemia due to disease

Use additional code, if desired, to identify disease.

D64.2   Secondary sideroblastic anaemia due to drugs and toxins

Use additional external cause code (Chapter XX), if desired, to identify cause.

D64.3   Other sideroblastic anaemias

Sideroblastic anaemia:

• NOS

• pyridoxine-responsive NEC

D64.4   Congenital dyserythropoietic anaemia

Dyshaematopoietic anaemia (congenital)

Excludes:    Blackfan-Diamond syndrome (D61.0)

Di Guglielmo disease (C94.0)

D64.8   Other specified anaemias

Infantile pseudoleukaemia

Leukoerythroblastic anaemia

D64.9   Anaemia, unspecified

Coagulation defects, purpura and other haemorrhagic conditions (D65-D69)

D65  Disseminated intravascular coagulation [defibrination syndrome]

Afibrinogenaemia, acquired

Consumption coagulopathy

Diffuse or disseminated intravascular coagulation [DIC]

Fibrinolytic haemorrhage, acquired

Purpura:

• fibrinolytic

• fulminans

Excludes:    that (complicating):

• abortion or ectopic or molar pregnancy (O00-O07, O08.1)

• in newborn (P60)

• pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

D66  Hereditary factor VIII deficiency

Deficiency factor VIII (with functional defect)

Haemophilia:

• NOS

• A

• classical

Excludes:    factor VIII deficiency with vascular defect (D68.0)

D67  Hereditary factor IX deficiency

Christmas disease

Deficiency:

• factor IX (with functional defect)

• plasma thromboplastin component [PTC]

Haemophilia B

D68  Other coagulation defects

Excludes:    those complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.1)

• pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)

D68.0   Von Willebrand disease

Angiohaemophilia

Factor VIII deficiency with vascular defect

Vascular haemophilia

Excludes:    capillary fragility (hereditary) (D69.8)

factor VIII deficiency:

• NOS (D66)

• with functional defect (D66)

D68.1   Hereditary factor XI deficiency

Haemophilia C

Plasma thromoplastin antecedent [PTA] deficiency

D68.2   Hereditary deficiency of other clotting factors

Congenital afibrinogenaemia

Deficiency:

• AC globulin

• proaccelerin

Deficiency of factor:

• I [fibrinogen]

• II [prothrombin]

• V [labile]

• VII [stable]

• X [Stuart-Prower]

• XII [Hageman]

• XIII [fibrin-stabilizing]

Dysfibrinogenaemia (congenital)

Hypoproconvertinaemia

Owren disease

D68.3   Haemorrhagic disorder due to circulating anticoagulants

Haemorrhage during long term use of anticoagulants

Hyperheparinaemia

Increase in:

• antithrombin

• anti-VIIIa

• anti-IXa

• anti-Xa

• anti-XIa

Use additional external cause code (Chapter XX), if desired, to identify any administered anticoagulant.

Excludes:    long term use of anticoagulants without haemorrhage (^[i]Z92.1)

D68.4   Acquired coagulation factor deficiency

Deficiency of coagulation factor due to:

• liver disease

• vitamin K deficiency

Excludes:    vitamin K deficiency of newborn (P53)

D68.5   Primary thrombophilia

Activated protein C resistance [factor V Leiden mutation]

Deficiency:

• antithrombin

• protein C

• protein S

Prothrombin gene mutation

D68.6   Other thrombophilia

Anticardiolipin syndrome

Antiphospholipid syndrome

Presence of the lupus anticoagulant

Excludes:   disseminated intravascular coagulation (D65)

hyperhomocysteinemia (E72.1)

D68.8   Other specified coagulation defects

D68.9   Coagulation defect, unspecified

D69  Purpura and other haemorrhagic conditions

Excludes:    benign hypergammaglobulinaemic purpura (D89.0)

cryoglobulinaemic purpura (D89.1)

essential (haemorrhagic) thrombocythaemia (D47.3)

purpura fulminans (D65)

thrombotic thrombocytopenic purpura (M31.1)

D69.0   Allergic purpura

Purpura:

• anaphylactoid

• Henoch(-Schonlein)

• nonthrombocytopenic:

• haemorrhagic

• idiopathic

• vascular

Vasculitis, allergic

D69.1   Qualitative platelet defects

Bernard-Soulier [giant platelet] syndrome

Glanzmann disease

Grey platelet syndrome

Thromboasthenia (haemorrhagic)(hereditary)

Thrombocytopathy

Excludes:    von Willebrand disease (D68.0)

D69.2   Other nonthrombocytopenic purpura

Purpura:

• NOS

• senile

• simplex

D69.3   Idiopathic thrombocytopenic purpura

Evans syndrome

D69.4   Other primary thrombocytopenia

Excludes:    thrombocytopenia with absent radius (Q87.2)

transient neonatal thrombocytopenia (P61.0)

Wiskott-Aldrich syndrome (D82.0)

D69.5   Secondary thrombocytopenia

Use additional external cause code (Chapter XX), if desired, to identify cause.

D69.6   Thrombocytopenia, unspecified

D69.8   Other specified haemorrhagic conditions

Capillary fragility (hereditary)

Vascular pseudohaemophilia

D69.9   Haemorrhagic condition, unspecified

Other diseases of blood and blood-forming organs (D70-D77)

D70  Agranulocytosis

Agranulocytic angina

Infantile genetic agranulocytosis

Kostmann disease

Neutropenia:

• NOS

• congenital

• cyclic

• drug-induced

• periodic

• splenic (primary)

• toxic

Neutropenic splenomegaly

Werner-Schultz disease

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    transient neonatal neutropenia (P61.5)

D71  Functional disorders of polymorphonuclear neutrophils

Cell membrane receptor complex [CR3] defect

Chronic (childhood) granulomatous disease

Congenital dysphagocytosis

Progressive septic granulomatosis

D72  Other disorders of white blood cells

Excludes:    abnormal white blood cells (count)(R72)

basophilia (D75.8)

immunity disorders (D80-D89)

neutropenia (D70)

preleukaemia (syndrome) (D46.9)

D72.0   Genetic anomalies of leukocytes

Anomaly (granulation)(granulocyte) or syndrome:

• Alder

• May-Hegglin

• Pelger-Huet

Hereditary:

• leukocytic:

• hypersegmentation

• hyposegmentation

• leukomelanopathy

Excludes:    Chediak(-Steinbrinck)-Higashi syndrome (E70.3)

D72.1   Eosinophilia

Eosinophilia:

• allergic

• hereditary

D72.8   Other specified disorders of white blood cells

Leukaemoid reaction:

• lymphocytic

• monocytic

• myelocytic

Leukocytosis

Lymphocytosis (symptomatic)

Lymphopenia

Monocytosis (symptomatic)

Plasmacytosis

D72.9   Disorder of white blood cells, unspecified

D73  Diseases of spleen

D73.0   Hyposplenism

Asplenia, postsurgical

Atrophy of spleen

Excludes:    asplenia (congenital) (Q89.0)

D73.1   Hypersplenism

Excludes:    splenomegaly:

• NOS (R16.1)

• congenital (Q89.0)

D73.2   Chronic congestive splenomegaly

D73.3   Abscess of spleen

D73.4   Cyst of spleen

D73.5   Infarction of spleen

Splenic rupture, nontraumatic

Torsion of spleen

Excludes:    traumatic rupture of spleen (S36.0)

D73.8   Other diseases of spleen

Fibrosis of spleen NOS

Perisplenitis

Splenitis NOS

D73.9   Disease of spleen, unspecified

D74  Methaemoglobinaemia

D74.0   Congenital methaemoglobinaemia

Congenital NADH-methaemoglobin reductase deficiency

Haemoglobin-M [Hb-M] disease

Methaemoglobinaemia, hereditary

D74.8   Other methaemoglobinaemias

Acquired methaemoglobinaemia (with sulfhaemoglobinaemia)

Toxic methaemoglobinaemia

Use additional external cause code (Chapter XX), if desired, to identify cause.

D74.9   Methaemoglobinaemia, unspecified

D75  Other diseases of blood and blood-forming organs

Excludes:    enlarged lymph nodes (R59-)

hypergammaglobulinaemia NOS (D89.2)

lymphadenitis:

• NOS (I88.9)

• acute (L04-)

• chronic (I88.1)

• mesenteric (acute)(chronic) (I88.0)

D75.0   Familial erythrocytosis

Polycythaemia:

• benign

• familial

Excludes:    hereditary ovalocytosis (D58.1)

D75.1   Secondary polycythaemia

Erythrocytosis NOS

Polycythaemia:

• acquired

• due to:

• erythropoietin

• fall in plasma volume

• high altitude

• stress

• emotional

• hypoxaemic

• nephrogenous

• relative

Excludes:   polycythaemia:

• neonatorum (P61.1)

• vera (D45)

D75.2   Essential thrombocytosis

Excludes:    essential (haemorrhagic) thrombocythaemia (D47.3)

D75.8   Other specified diseases of blood and blood-forming organs

Basophilia

D75.9   Disease of blood and blood-forming organs, unspecified

D76  Certain diseases involving lymphoreticular tissue and reticulohistiocytic system

Excludes:    Letterer-Siwe disease (C96.0)

malignant histiocytosis (C96.1)

reticuloendotheliosis or reticulosis:

• histiocytic medullary (C96.1)

• leukaemic (C91.4)

• lipomelanotic (I89.8)

• malignant (C85.7)

• nonlipid (C96.0)

D76.0   Langerhans cell histiocytosis, not elsewhere classified

Eosinophilic granuloma

Hand-Schuller-Christian disease

Histiocytosis X (chronic)

D76.1   Haemophagocytic lymphohistiocytosis

Familial haemophagocytic reticulosis

Histiocytoses of mononuclear phagocytes other than Langerhans cells NOS

D76.2   Haemophagocytic syndrome, infection-associated

Use additional code, if desired, to identify infectious agent or disease.

D76.3   Other histiocytosis syndromes

Reticulohistiocytoma (giant-cell)

Sinus histiocytosis with massive lymphadenopathy

Xanthogranuloma

D77  Other disorders of blood and blood-forming organs in diseases classified elsewhere

Fibrosis of spleen in schistosomiasis [bilharziasis] (B65†)

Certain disorders involving the immune mechanism (D80-D89)

Includes:    defects in the complement system

immunodeficiency disorders, except human immunodeficiency virus [HIV] disease

sarcoidosis

Excludes:    autoimmune disease (systemic) NOS (M35.9)

functional disorders of polymorphonuclear neutrophils (D71)

human immunodeficiency virus [HIV] disease (B20-B24)

human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7)

D80  Immunodeficiency with predominantly antibody defects

D80.0   Hereditary hypogammaglobulinaemia

Autosomal recessive agammaglobulinaemia (Swiss type)

X-linked agammaglobulinaemia [Bruton] (with growth hormone deficiency)

D80.1   Nonfamilial hypogammaglobulinaemia

Agammaglobulinaemia with immunoglobulin-bearing B-lymphocytes

Common variable agammaglobulinaemia [CVAgamma]

Hypogammaglobulinaemia NOS

D80.2   Selective deficiency of immunoglobulin A [IgA]

D80.3   Selective deficiency of immunoglobulin G [IgG] subclasses

D80.4   Selective deficiency of immunoglobulin M [IgM]

D80.5   Immunodeficiency with increased immunoglobulin M [IgM]

D80.6   Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinaemia

D80.7   Transient hypogammaglobulinaemia of infancy

D80.8   Other immunodeficiencies with predominantly antibody defects

Kappa light chain deficiency

D80.9   Immunodeficiency with predominantly antibody defects, unspecified

D81  Combined immunodeficiencies

Excludes:    autosomal recessive agammaglobulinaemia (Swiss type) (D80.0)

D81.0   Severe combined immunodeficiency [SCID] with reticular dysgenesis

D81.1   Severe combined immunodeficiency [SCID] with low T- and B-cell numbers

D81.2   Severe combined immunodeficiency [SCID] with low or normal B-cell numbers

D81.3   Adenosine deaminase [ADA] deficiency

D81.4   Nezelof syndrome

D81.5   Purine nucleoside phosphorylase [PNP] deficiency

D81.6   Major histocompatibility complex class I deficiency

Bare lymphocyte syndrome

D81.7   Major histocompatibility complex class II deficiency

D81.8   Other combined immunodeficiencies

Biotin-dependent carboxylase deficiency

D81.9   Combined immunodeficiency, unspecified

Severe combined immunodeficiency disorder [SCID] NOS

D82  Immunodeficiency associated with other major defects

Excludes:    ataxia telangiectasia [Louis-Bar] (G11.3)

D82.0   Wiskott-Aldrich syndrome

Immunodeficiency with thrombocytopenia and eczema

D82.1   Di George syndrome

Pharyngeal pouch syndrome

Thymic:

• alymphoplasia

• aplasia or hypoplasia with immunodeficiency

D82.2   Immunodeficiency with short-limbed stature

D82.3   Immunodeficiency following hereditary defective response to Epstein-Barr virus

X-linked lymphoproliferative disease

D82.4   Hyperimmunoglobulin E [IgE] syndrome

D82.8   Immunodeficiency associated with other specified major defects

D82.9   Immunodeficiency associated with major defect, unspecified

D83  Common variable immunodeficiency

D83.0   Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function

D83.1   Common variable immunodeficiency with predominant immunoregulatory T-cell disorders

D83.2   Common variable immunodeficiency with autoantibodies to B- or T-cells

D83.8   Other common variable immunodeficiencies

D83.9   Common variable immunodeficiency, unspecified

D84  Other immunodeficiencies

D84.0   Lymphocyte function antigen-1 [LFA-1] defect

D84.1   Defects in the complement system

C1 esterase inhibitor [C1-INH] deficiency

D84.8   Other specified immunodeficiencies

D84.9   Immunodeficiency, unspecified

D86  Sarcoidosis

D86.0   Sarcoidosis of lung

D86.1   Sarcoidosis of lymph nodes

D86.2   Sarcoidosis of lung with sarcoidosis of lymph nodes

D86.3   Sarcoidosis of skin

D86.8   Sarcoidosis of other and combined sites

Iridocyclitis in sarcoidosis† (H22.1*)

Multiple cranial nerve palsies in sarcoidosis† (G53.2*)

Sarcoid:

• arthropathy† (M14.8*)

• myocarditis† (I41.8*)

• myositis† (M63.3*)

Uveoparotid fever [Heerfordt]

D86.9   Sarcoidosis, unspecified

D89  Other disorders involving the immune mechanism, not elsewhere classified

Excludes:    hyperglobulinaemia NOS (R77.1)

monoclonal gammopathy (D47.2)

transplant failure and rejection (T86-)

D89.0   Polyclonal hypergammaglobulinaemia

Benign hypergammaglobulinaemic purpura

Polyclonal gammopathy NOS

D89.1   Cryoglobulinaemia

Cryoglobulinaemia:

• essential

• idiopathic

• mixed

• primary

• secondary

Cryoglobulinaemic:

• purpura

• vasculitis

D89.2   Hypergammaglobulinaemia, unspecified

D89.3   Immune reconstitution syndrome      

Immune reconstitution inflammatory syndrome [IRIS]

D89.8   Other specified disorders involving the immune mechanism, not elsewhere classified

D89.9   Disorder involving the immune mechanism, unspecified

Immune disease NOS

CHAPTER IV - Endocrine, nutritional and metabolic diseases (E00-E90)

Note:          All neoplasms, whether functionally active or not, are classified in Chapter II. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34-) may be used, if desired, as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

Excludes:    complications of pregnancy, childbirth and the puerperium (O00-O99)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)

This chapter contains the following blocks:

E00-E07       Disorders of thyroid gland

E10-E14       Diabetes mellitus

E15-E16       Other disorders of glucose regulation and pancreatic internal secretion

E20-E35       Disorders of other endocrine glands

E40-E46       Malnutrition

E50-E64       Other nutritional deficiencies

E65-E68       Obesity and other hyperalimentation

E70-E90       Metabolic disorders

Asterisk categories for this chapter are provided as follows:

E35*            Disorders of endocrine glands in diseases classified elsewhere

E90*            Nutritional and metabolic disorders in diseases classified elsewhere

Disorders of thyroid gland (E00-E07)

E00   Congenital iodine-deficiency syndrome

Includes:    endemic conditions associated with environmental iodine deficiency either directly or as a consequence of maternal iodine deficiency. Some of the conditions have no current hypothyroidism but are the consequence of inadequate thyroid hormone secretion in the developing fetus. Environmental goitrogens may be associated.

Use additional code (F70-F79), if desired, to identify associated mental retardation.

Excludes:    subclinical iodine-deficiency hypothyroidism (E02)

E00.0   Congenital iodine-deficiency syndrome, neurological type

Endemic cretinism, neurological type

E00.1   Congenital iodine-deficiency syndrome, myxoedematous type

Endemic cretinism:

• hypothyroid

• myxoedematous type

E00.2   Congenital iodine-deficiency syndrome, mixed type

Endemic cretinism, mixed type

E00.9   Congenital iodine-deficiency syndrome, unspecified

Congenital iodine-deficiency hypothyroidism NOS

Endemic cretinism NOS

E01   Iodine-deficiency-related thyroid disorders and allied conditions

Excludes:    congenital iodine-deficiency syndrome (E00-)

subclinical iodine-deficiency hypothyroidism (E02)

E01.0   Iodine-deficiency-related diffuse (endemic) goitre

E01.1   Iodine-deficiency-related multinodular (endemic) goitre

Iodine-deficiency-related nodular goitre

E01.2   Iodine-deficiency-related (endemic) goitre, unspecified

Endemic goitre NOS

E01.8   Other iodine-deficiency-related thyroid disorders and allied conditions

Acquired iodine-deficiency hypothyroidism NOS

E02   Subclinical iodine-deficiency hypothyroidism

E03   Other hypothyroidism

Excludes:    iodine-deficiency-related hypothyroidism (E00-E02)

postprocedural hypothyroidism (E89.0)

E03.0   Congenital hypothyroidism with diffuse goitre

Goitre (nontoxic) congenital:

• NOS

• parenchymatous

Excludes:    transitory congenital goitre with normal function (P72.0)

E03.1   Congenital hypothyroidism without goitre

Aplasia of thyroid (with myxoedema)

Congenital:

• atrophy of thyroid

• hypothyroidism NOS

E03.2   Hypothyroidism due to medicaments and other exogenous substances

Use additional external cause code (Chapter XX), if desired, to identify cause.

E03.3   Postinfectious hypothyroidism

E03.4   Atrophy of thyroid (acquired)

Excludes:    congenital atrophy of thyroid (E03.1)

E03.5   Myxoedema coma

E03.8   Other specified hypothyroidism

E03.9   Hypothyroidism, unspecified

Myxoedema NOS

E03.90 Advanced hypothyroidism

Grave hypothyroidism

Severe hypothyroidism

E04   Other nontoxic goitre

Excludes:    congenital goitre:

• NOS              

• diffuse             (E03.0)

• parenchymatous   

 • iodine-deficiency-related goitre (E00-E02)

E04.0   Nontoxic diffuse goitre

Goitre, nontoxic:

• diffuse (colloid)

• simple

E04.1   Nontoxic single thyroid nodule

Colloid nodule (cystic)(thyroid)

Nontoxic uninodular goitre

Thyroid (cystic) nodule NOS

E04.2   Nontoxic multinodular goitre

Cystic goitre NOS

Multinodular (cystic) goitre NOS

E04.8   Other specified nontoxic goitre

E04.9   Nontoxic goitre, unspecified

Goitre NOS

Nodular goitre (nontoxic) NOS

E05   Thyrotoxicosis [hyperthyroidism]

Excludes:    chronic thyroiditis with transient thyrotoxicosis (E06.2)

neonatal thyrotoxicosis (P72.1)

E05.0   Thyrotoxicosis with diffuse goitre

Exophthalmic or toxic goitre NOS

Graves disease

Toxic diffuse goitre

E05.1   Thyrotoxicosis with toxic single thyroid nodule

Thyrotoxicosis with toxic uninodular goitre

E05.2   Thyrotoxicosis with toxic multinodular goitre

Toxic nodular goitre NOS

E05.3   Thyrotoxicosis from ectopic thyroid tissue

E05.4   Thyrotoxicosis factitia

E05.5   Thyroid crisis or storm

E05.8   Other thyrotoxicosis

Overproduction of thyroid-stimulating hormone

Use additional external cause code (Chapter XX), if desired, to identify cause.

E05.9   Thyrotoxicosis, unspecified

Hyperthyroidism NOS

Thyrotoxic heart disease† (I43.8*)

E06   Thyroiditis

Excludes:    postpartum thyroiditis (O90.5)

E06.0   Acute thyroiditis

Abscess of thyroid

Thyroiditis:

• pyogenic

• suppurative

Use additional code (B95-B97), if desired, to identify infectious agent.

E06.1   Subacute thyroiditis

Thyroiditis:

• de Quervain

• giant-cell

• granulomatous

• nonsuppurative

Excludes:    autoimmune thyroiditis (E06.3)

E06.2   Chronic thyroiditis with transient thyrotoxicosis

Excludes:    autoimmune thyroiditis (E06.3)

E06.3   Autoimmune thyroiditis

Hashimoto thyroiditis

Hashitoxicosis (transient)

Lymphadenoid goitre

Lymphocytic thyroiditis

Struma lymphomatosa

E06.4   Drug-induced thyroiditis

Use additional external cause code (Chapter XX), if desired, to identify drug.

E06.5   Other chronic thyroiditis

Thyroiditis:

• chronic:

• NOS

• fibrous

• ligneous

• Riedel

E06.9   Thyroiditis, unspecified

E07   Other disorders of thyroid

E07.0   Hypersecretion of calcitonin

C-cell hyperplasia of thyroid

Hypersecretion of thyrocalcitonin

E07.1   Dyshormogenetic goitre

Familial dyshormogenetic goitre

Pendred syndrome

Excludes:    transitory congenital goitre with normal function (P72.0)

E07.8   Other specified disorders of thyroid

Abnormality of thyroid-binding globulin

     Haemorrhage   

     Infarction       of thyroid

Sick-euthyroid syndrome

E07.9   Disorder of thyroid, unspecified

Diabetes mellitus (E10-E14)

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

The following fourth-character subdivisions are for use with categories E10-E14:

.0       With coma

Diabetic:

• coma with or without ketoacidosis

• hyperosmolar coma

• hypoglycaemic coma

Hyperglycaemic coma NOS

.1       With ketoacidosis

Diabetic:

• acididosis    

• ketoacidoss      without mention of coma

.2†     With renal complications

Diabetic nephropathy (N08.3*)

Intracapillary glomerulonephrosis (N08.3*)

Kimmelstiel-Wilson syndrome (N08.3*)

.3†     With ophthalmic complications

Diabetic:

• cataract (H28.0*)

• retinopathy (H36.0*)

.4†     With neurological complications

Diabetic:

• amyotrophy (G73.0*)

• autonomic neuropathy (G99.0*)

• mononeuropathy (G59.0*)

• polyneuropathy (G63.2*)

• autonomic (G99.0*)

.5       With peripheral circulatory complications

Diabetic:

• gangrene

• peripheral angiopathy† (I79.2*)

• ulcer

.6       With other specified complications

Diabetic arthropathy† (M14.2*)

• neuropathic† (M14.6*)

.7       With multiple complications

.8       With unspecified complications

.9       Without complications

E10   Type 1 diabetes mellitus

[See before E10 for subdivisions]

Includes:    diabetes (mellitus):

• brittle

• juvenile-onset

• ketosis-prone

Excludes:    diabetes mellitus (in):

• malnutrition-related (E12-)

• neonatal (P70.2)

• pregnancy, childbirth and the puerperium (O24-)

glycosuria:

• NOS (R81)

• renal (E74.8)

impaired glucose tolerance (R73.0)

postsurgical hypoinsulinaemia (E89.1)

E11   Type 2 diabetes mellitus

[See before E10 for subdivisions]

Includes:    diabetes (mellitus)(nonobese)(obese):

• adult-onset

• maturity-onset

• nonketotic

• stable

Excludes:    diabetes mellitus (in):

• malnutrition-related (E12-)

• neonatal (P70.2)

• pregnancy, childbirth and the puerperium (O24-)

glycosuria:

• NOS (R81)

• renal (E74.8)

impaired glucose tolerance (R73.0)

postsurgical hypoinsulinaemia (E89.1)

E12   Malnutrition-related diabetes mellitus

[See before E10 for subdivisions]

Includes:    malnutrition-related diabetes mellitus:

• type 1

• type 2

Excludes:    diabetes mellitus in pregnancy, childbirth and the puerperium (O24-)

glycosuria:

• NOS (R81)

• renal (E74.8)

impaired glucose tolerance (R73.0)

neonatal diabetes mellitus (P70.2)

postsurgical hypoinsulinaemia (E89.1)

E13   Other specified diabetes mellitus

[See before E10 for subdivisions]

Excludes:    diabetes mellitus (in):

• malnutrition-related (E12-)

• neonatal (P70.2)

• pregnancy, childbirth and the puerperium (O24-)

• type 1 (E10-)

• type 2 (E11-)

glycosuria:

• NOS (R81)

• renal (E74.8)

impaired glucose tolerance (R73.0)

postsurgical hypoinsulinaemia (E89.1)

E14   Unspecified diabetes mellitus

[See before E10 for subdivisions]

Includes:    diabetes NOS

Excludes:    diabetes mellitus (in):

• malnutrition-related (E12-)

• neonatal (P70.2)

• pregnancy, childbirth and the puerperium (O24-)

• type 1 (E10-)

• type 2 (E11-)

glycosuria:

• NOS (R81)

• renal (E74.8)

impaired glucose tolerance (R73.0)

postsurgical hypoinsulinaemia (E89.1)

Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)

E15   Nondiabetic hypoglycaemic coma

Drug-induced insulin coma in nondiabetic

Hyperinsulinism with hypoglycaemic coma

Hypoglycaemic coma NOS

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E16   Other disorders of pancreatic internal secretion

E16.0   Drug-induced hypoglycaemia without coma

Use additional external cause code (Chapter XX), if desired, to identify drug.

E16.1   Other hypoglycaemia

Functional nonhyperinsulinaemic hypoglycaemia

Hyperinsulinism:

• NOS

• functional

Hyperplasia of pancreatic islet beta cells NOS

Posthypoglycaemic coma encephalopathy

E16.2   Hypoglycaemia, unspecified

E16.3   Increased secretion of glucagon

Hyperplasia of pancreatic endocrine cells with glucagon excess

E16.4   Abnormal secretion of gastrin

Hypergastrinaemia

Zollinger-Ellison syndrome

E16.8   Other specified disorders of pancreatic internal secretion

Increased secretion from endocrine pancreas of:

• growth hormone-releasing hormone

• pancreatic polypeptide

• somatostatin

• vasoactive-intestinal polypeptide

E16.9   Disorder of pancreatic internal secretion, unspecified

Islet-cell hyperplasia NOS

Pancreatic endocrine cell hyperplasia NOS

Disorders of other endocrine glands (E20-E35)

Excludes:    galactorrhoea (N64.3)

gynaecomastia (N62)

E20   Hypoparathyroidism

Excludes:    Di George syndrome (D82.1)

postprocedural hypoparathyroidism (E89.2)

tetany NOS (R29.0 )

transitory neonatal hypoparathyroidism (P71.4)

E20.0   Idiopathic hypoparathyroidism

E20.1   Pseudohypoparathyroidism

E20.8   Other hypoparathyroidism

E20.9   Hypoparathyroidism, unspecified

Parathyroid tetany

E21   Hyperparathyroidism and other disorders of parathyroid gland

Excludes:    osteomalacia:

• adult (M83-)

• infantile and juvenile (E55.0)

E21.0   Primary hyperparathyroidism

Hyperplasia of parathyroid

Osteitis fibrosa cystica generalisata [von Recklinghausen disease of bone]

E21.1   Secondary hyperparathyroidism, not elsewhere classified

Excludes:    secondary hyperparathyroidism of renal origin (N25.8)

E21.2   Other hyperparathyroidism

Tertiary hyperparathyroidism

Excludes:    familial hypocalciuric hypercalcaemia (E83.5)

E21.3   Hyperparathyroidism, unspecified

E21.4   Other specified disorders of parathyroid gland

E21.5   Disorder of parathyroid gland, unspecified

E22   Hyperfunction of pituitary gland

Excludes:    Cushing syndrome (E24-)

Nelson syndrome (E24.1)

overproduction of:

• ACTH not associated with Cushing disease (E27.0)

• pituitary ACTH (E24.0)

• thyroid-stimulating hormone (E05.8)

E22.0   Acromegaly and pituitary gigantism

Arthropathy associated with acromegaly† (M14.5*)

Overproduction of growth hormone

Excludes:    constitutional:

• gigantism (E34.4)

• tall stature (E34.4)

increased secretion from endocrine pancreas of growth hormone-releasing hormone (E16.8)

E22.1   Hyperprolactinaemia

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E22.2   Syndrome of inappropriate secretion of antidiuretic hormone

E22.8   Other hyperfunction of pituitary gland

Central precocious puberty

E22.9   Hyperfunction of pituitary gland, unspecified

E23   Hypofunction and other disorders of pituitary gland

Includes:    the listed conditions whether the disorder is in the pituitary or the hypothalamus

Excludes:    postprocedural hypopituitarism (E89.3)

E23.0   Hypopituitarism

Fertile eunuch syndrome

Hypogonadotropic hypogonadism

Idiopathic growth hormone deficiency

Isolated deficiency of:

• gonadotropin

• growth hormone

• pituitary hormone

Kallmann syndrome

Lorain-Levi short stature

Necrosis of pituitary gland (postpartum)

Panhypopituitarism

Pituitary:

• cachexia

• insufficiency NOS

• short stature

Sheehan syndrome

Simmonds disease

E23.1   Drug-induced hypopituitarism

Use additional external cause code (Chapter XX), if desired, to identify drug.

E23.2   Diabetes insipidus

Excludes:    nephrogenic diabetes insipidus (N25.1)

E23.3   Hypothalamic dysfunction, not elsewhere classified

Excludes:    Prader-Willi syndrome (Q87.1)

Russell-Silver syndrome (Q87.1)

E23.6   Other disorders of pituitary gland

Abscess of pituitary

Adiposogenital dystrophy

E23.7   Disorder of pituitary gland, unspecified

E24   Cushing syndrome

E24.0   Pituitary-dependent Cushing disease

Overproduction of pituitary ACTH

Pituitary-dependent hyperadrenocorticism

E24.1   Nelson syndrome

E24.2   Drug-induced Cushing syndrome

Use additional external cause code (Chapter XX), if desired, to identify drug.

E24.3   Ectopic ACTH syndrome

E24.4   Alcohol-induced pseudo-Cushing syndrome

E24.8   Other Cushing syndrome

E24.9   Cushing syndrome, unspecified

E25   Adrenogenital disorders

Includes:    adrenogenital syndromes, virilizing or feminizing, whether acquired or due to adrenal hyperplasia consequent on inborn enzyme defects in hormone synthesis

female:

• adrenal pseudohermaphroditism

• heterosexual precocious pseudopuberty

male:

• isosexual precocious pseudopuberty

• macrogenitosomia praecox

• sexual precocity with adrenal hyperplasia

virilization (female)

E25.0   Congenital adrenogenital disorders associated with enzyme deficiency

Congenital adrenal hyperplasia

21-Hydroxylase deficiency

Salt-losing congenital adrenal hyperplasia

E25.8   Other adrenogenital disorders

Idiopathic adrenogenital disorder

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E25.9   Adrenogenital disorder, unspecified

Adrenogenital syndrome NOS

E26   Hyperaldosteronism

E26.0   Primary hyperaldosteronism

Conn syndrome

Primary aldosteronism due to adrenal hyperplasia (bilateral)

E26.1   Secondary hyperaldosteronism

E26.8   Other hyperaldosteronism

Bartter syndrome

E26.9   Hyperaldosteronism, unspecified

E27   Other disorders of adrenal gland

E27.0   Other adrenocortical overactivity

Overproduction of ACTH, not associated with Cushing disease

Premature adrenarche

Excludes:    Cushing syndrome (E24-)

E27.1   Primary adrenocortical insufficiency

Addison disease

Autoimmune adrenalitis

Excludes:    amyloidosis (E85-)

tuberculous Addison disease (A18.7)

Waterhouse-Friderichsen syndrome (A39.1)

E27.2   Addisonian crisis

Adrenal crisis

Adrenocortical crisis

E27.3   Drug-induced adrenocortical insufficiency

Use additional external cause code (Chapter XX), if desired, to identify drug.

E27.4   Other and unspecified adrenocortical insufficiency

Adrenal:

• haemorrhage

• infarction

Adrenocortical insufficiency NOS

Hypoaldosteronism

Excludes:    adrenoleukodystrophy [Addison-Schilder] (E71.3)

Waterhouse-Friderichsen syndrome (A39.1)

E27.5   Adrenomedullary hyperfunction

Adrenomedullary hyperplasia

Catecholamine hypersecretion

E27.8   Other specified disorders of adrenal gland

Abnormality of cortisol-binding globulin

E27.9   Disorder of adrenal gland, unspecified

E28   Ovarian dysfunction

Excludes:    isolated gonadotropin deficiency (E23.0)

postprocedural ovarian failure (E89.4)

E28.0   Estrogen excess

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E28.1   Androgen excess

Hypersecretion of ovarian androgens

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E28.2   Polycystic ovarian syndrome

Sclerocystic ovary syndrome

Stein-Leventhal syndrome

E28.3   Primary ovarian failure

Decreased estrogen

Premature menopause NOS

Resistant ovary syndrome

Excludes:    menopausal and female climacteric states (N95.1)

pure gonadal dysgenesis (Q99.1)

Turner syndrome (Q96-)

E28.8   Other ovarian dysfunction

Ovarian hyperfunction NOS

E28.9   Ovarian dysfunction, unspecified

E29   Testicular dysfunction

Excludes:    androgen resistance syndrome (E34.5)

azoospermia or oligospermia NOS (N46)

isolated gonadotropin deficiency (E23.0)

Klinefelter syndrome (Q98.0-Q98.2, Q98.4)

postprocedural testicular hypofunction (E89.5)

testicular feminization (syndrome) (E34.5)

E29.0   Testicular hyperfunction

Hypersecretion of testicular hormones

E29.1   Testicular hypofunction

Defective biosynthesis of testicular androgen NOS

5-α-Reductase deficiency (with male pseudohermaphroditism)

Testicular hypogonadism NOS

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E29.8   Other testicular dysfunction

E29.9   Testicular dysfunction, unspecified

E30   Disorders of puberty, not elsewhere classified

E30.0   Delayed puberty

Constitutional delay of puberty

Delayed sexual development

E30.1   Precocious puberty

Precocious menstruation

Excludes:    Albright(-McCune)(-Sternberg) syndrome (Q78.1)

central precocious puberty (E22.8)

congenital adrenal hyperplasia (E25.0)

female heterosexual precocious pseudopuberty (E25-)

male isosexual precocious pseudopuberty (E25-)

E30.8   Other disorders of puberty

Premature thelarche

E30.9   Disorder of puberty, unspecified

E31   Polyglandular dysfunction

Excludes:    ataxia telangiectasia [Louis-Bar] (G11.3)

dystrophia myotonica [Steinert] (G71.1)

pseudohypoparathyroidism (E20.1)

E31.0   Autoimmune polyglandular failure

Schmidt syndrome

E31.1   Polyglandular hyperfunction

Excludes:    multiple endocrine adenomatosis (D44.8)

E31.8   Other polyglandular dysfunction

E31.9   Polyglandular dysfunction, unspecified

E32   Diseases of thymus

Excludes:    aplasia or hypoplasia with immunodeficiency (D82.1)

myasthenia gravis (G70.0)

E32.0   Persistent hyperplasia of thymus

Hypertrophy of thymus

E32.1   Abscess of thymus

E32.8   Other diseases of thymus

E32.9   Disease of thymus, unspecified

E34   Other endocrine disorders

Excludes:    pseudohypoparathyroidism (E20.1)

E34.0   Carcinoid syndrome

Note:          May be used as an additional code, if desired, to identify functional activity associated with a carcinoid tumour.

E34.1   Other hypersecretion of intestinal hormones

E34.2   Ectopic hormone secretion, not elsewhere classified

E34.3   Short stature, not elsewhere classified

Short stature:

• NOS

• constitutional

• Laron-type

• psychosocial

Excludes:    progeria (E34.8)

Russell-Silver syndrome (Q87.1)

short-limbed stature with immunodeficiency (D82.2)

short stature:

• achondroplastic (Q77.4)

• hypochondroplastic (Q77.4)

• in specific dysmorphic syndromes - code to syndrome - see Alphabetical Index

• nutritional (E45)

• pituitary (E23.0)

• renal (N25.0)

E34.4   Constitutional tall stature

Constitutional gigantism

E34.5   Androgen resistance syndrome

Male pseudohermaphroditism with androgen resistance

Peripheral hormonal receptor disorder

Reifenstein syndrome

Testicular feminization (syndrome)

E34.8   Other specified endocrine disorders

Pineal gland dysfunction

Progeria

E34.9   Endocrine disorder, unspecified

Disturbance:

• endocrine NOS

• hormone NOS

E35   Disorders of endocrine glands in diseases classified elsewhere

E35.0* Disorders of thyroid gland in diseases classified elsewhere

Tuberculosis of thyroid gland (A18.8†)

E35.1* Disorders of adrenal glands in diseases classified elsewhere

Tuberculous Addison disease (A18.7†)

Waterhouse-Friderichsen syndrome (meningococcal) (A39.1†)

E35.8* Disorders of other endocrine glands in diseases classified elsewhere

Malnutrition (E40-E46)

Note:          The degree of malnutrition is usually measured in terms of weight, expressed in standard deviations from the mean of the relevant reference population. When one or more previous measurements are available, lack of weight gain in children, or evidence of weight loss in children or adults, is usually indicative of malnutrition. When only one measurement is available, the diagnosis is based on probabilities and is not definitive without other clinical or laboratory tests. In the exceptional circumstances that no measurement of weight is available, reliance should be placed on clinical evidence.

If an observed weight is below the mean value of the reference population, there is a high probability of severe malnutrition if there is an observed value situated 3 or more standard deviations below the mean value of the reference population; a high probability of moderate malnutrition for an observed value located between 2 and less than 3 standard deviations below this mean; and a high probability of mild malnutrition for an observed value located between 1 and less than 2 standard deviations below this mean.

Excludes:    intestinal malabsorption (K90-)

nutritional anaemias (D50-D53)

sequelae of protein-energy malnutrition (E64.0)

slim disease (B22.2)

starvation (T73.0)

E40   Kwashiorkor

Severe malnutrition with nutritional oedema with dyspigmentation of skin and hair.

Excludes:    marasmic kwashiorkor (E42)

E41   Nutritional marasmus

Severe malnutrition with marasmus

Excludes:    marasmic kwashiorkor (E42)

E42   Marasmic kwashiorkor

Severe protein-energy malnutrition [as in E43]:

• intermediate form

• with signs of both kwashiorkor and marasmus

E43   Unspecified severe protein-energy malnutrition

Severe loss of weight [wasting] in children or adults, or lack of weight gain in children leading to an observed weight that is at least 3 standard deviations below the mean value for the reference population (or a similar loss expressed through other statistical approaches). When only one measurement is available, there is a high probability of severe wasting when the observed weight is 3 or more standard deviations below the mean of the reference population.

Starvation oedema

E44   Protein-energy malnutrition of moderate and mild degree

E44.0   Moderate protein-energy malnutrition

Weight loss in children or adults, or lack of weight gain in children leading to an observed weight that is 2 or more but less than 3 standard deviations below the mean value for the reference population (or a similar loss expressed through other statistical approaches). When only one measurement is available, there is a high probability of moderate protein-energy malnutrition when the observed weight is 2 or more but less than 3 standard deviations below the mean of the reference population.

E44.1   Mild protein-energy malnutrition

Weight loss in children or adults, or lack of weight gain in children leading to an observed weight that is 1 or more but less than 2 standard deviations below the mean value for the reference population (or a similar loss expressed through other statistical approaches). When only one measurement is available, there is a high probability of mild protein-energy malnutrition when the observed weight is 1 or more but less than 2 standard deviations below the mean of the reference population.

E45   Retarded development following protein-energy malnutrition

Nutritional:

• short stature

• stunting

Physical retardation due to malnutrition

E46   Unspecified protein-energy malnutrition

Malnutrition NOS

Protein-energy imbalance NOS

Other nutritional deficiencies (E50-E64)

Excludes:    nutritional anaemias (D50-D53)

E50   Vitamin A deficiency

Excludes:    sequelae of vitamin A deficiency (E64.1)

E50.0   Vitamin A deficiency with conjunctival xerosis

E50.1   Vitamin A deficiency with Bitot spot and conjunctival xerosis

Bitot spot in the young child

E50.2   Vitamin A deficiency with corneal xerosis

E50.3   Vitamin A deficiency with corneal ulceration and xerosis

E50.4   Vitamin A deficiency with keratomalacia

E50.5   Vitamin A deficiency with night blindness

E50.6   Vitamin A deficiency with xerophthalmic scars of cornea

E50.7   Other ocular manifestations of vitamin A deficiency

Xerophthalmia NOS

E50.8   Other manifestations of vitamin A deficiency

  Follicular keratosis      Follicular keratosis

  Xeroderma                 Xeroderma

E50.9   Vitamin A deficiency, unspecified

Hypovitaminosis A NOS

E51   Thiamine deficiency

Excludes:    sequelae of thiamine deficiency (E64.8)

E51.1   Beriberi

Beriberi:

• dry

• wet† (I98.8*)

E51.2   Wernicke encephalopathy

E51.8   Other manifestations of thiamine deficiency

E51.9   Thiamine deficiency, unspecified

E52   Niacin deficiency [pellagra]

Deficiency:

• niacin(-tryptophan)

• nicotinamide

Pellagra (alcoholic)

Excludes:    sequelae of niacin deficiency (E64.8)

E53   Deficiency of other B group vitamins

Excludes:    sequelae of vitamin B deficiency (E64.8)

vitamin B₁₂ deficiency anaemia (D51-)

E53.0   Riboflavin deficiency

Ariboflavinosis

E53.1   Pyridoxine deficiency

Vitamin B₆ deficiency

Excludes:    pyridoxine-responsive sideroblastic anaemia (D64.3)

E53.8   Deficiency of other specified B group vitamins

Deficiency:

• biotin

• cyanocobalamin

• folate

• folic acid

• pantothenic acid

• vitamin B₁₂

E53.9   Vitamin B deficiency, unspecified

E54   Ascorbic acid deficiency

Deficiency of vitamin C

Scurvy

Excludes:    scorbutic anaemia (D53.2)

sequelae of vitamin C deficiency (E64.2)

E55   Vitamin D deficiency

Excludes:    adult osteomalacia (M83-)

osteoporosis (M80-M81)

sequelae of rickets (E64.3)

E55.0   Rickets, active

Osteomalacia:

• infantile

• juvenile

Excludes:    rickets:

• coeliac (K90.0)

• Crohn (K50-)

• inactive (E64.3)

• renal (N25.0)

• vitamin-D-resistant (E83.3)

E55.9   Vitamin D deficiency, unspecified

Avitaminosis D

E56   Other vitamin deficiencies

Excludes:    sequelae of other vitamin deficiencies (E64.8)

E56.0   Deficiency of vitamin E

E56.1   Deficiency of vitamin K

Excludes:    deficiency of coagulation factor due to vitamin K deficiency (D68.4)

vitamin K deficiency of newborn (P53)

E56.8   Deficiency of other vitamins

E56.9   Vitamin deficiency, unspecified

E58   Dietary calcium deficiency

Excludes:    disorder of calcium metabolism (E83.5)

sequelae of calcium deficiency (E64.8)

E59   Dietary selenium deficiency

Keshan disease

Excludes:    sequelae of selenium deficiency (E64.8)

E60   Dietary zinc deficiency

E61   Deficiency of other nutrient elements

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    disorders of mineral metabolism (E83-)

iodine-deficiency-related thyroid disorders (E00-E02)

sequelae of malnutrition and other nutritional deficiencies (E64-)

E61.0   Copper deficiency

E61.1   Iron deficiency

Excludes:    iron deficiency anaemia (D50-)

E61.2   Magnesium deficiency

E61.3   Manganese deficiency

E61.4   Chromium deficiency

E61.5   Molybdenum deficiency

E61.6   Vanadium deficiency

E61.7   Deficiency of multiple nutrient elements

E61.8   Deficiency of other specified nutrient elements

E61.9   Deficiency of nutrient element, unspecified

E63   Other nutritional deficiencies

Excludes:    dehydration (E86)

failure to thrive (R62.8)

feeding problems in newborn (P92-)

sequelae of malnutrition and other nutritional deficiencies (E64-)

E63.0   Essential fatty acid [EFA] deficiency

E63.1   Imbalance of constituents of food intake

E63.8   Other specified nutritional deficiencies

E63.9   Nutritional deficiency, unspecified

Nutritional cardiomyopathy NOS† (I43.2*)

E64   Sequelae of malnutrition and other nutritional deficiencies

Note:          Not to be used for chronic malnutrition or nutritional deficiency. Code these to current malnutrition or nutritional deficiency.

E64.0   Sequelae of protein-energy malnutrition

Excludes:    retarded development following protein-energy malnutrition (E45)

E64.1   Sequelae of vitamin A deficiency

E64.2   Sequelae of vitamin C deficiency

E64.3   Sequelae of rickets

Use additional code (M40.1, M41.5) if desired, to identify spinal deformity.

E64.8   Sequelae of other nutritional deficiencies

E64.9   Sequelae of unspecified nutritional deficiency

Obesity and other hyperalimentation (E65-E68)

E65   Localized adiposity

Fat pad

E66   Obesity

Excludes:    adiposogenital dystrophy (E23.6)

lipomatosis:

• NOS (E88.2)

• dolorosa [Dercum] (E88.2)

Prader-Willi syndrome (Q87.1)

E66.0   Obesity due to excess calories

E66.1   Drug-induced obesity

Use additional external cause code (Chapter XX), if desired, to identify drug.

E66.2   Extreme obesity with alveolar hypoventilation

Obesity hypoventilation syndrome (OHS)

Pickwickian syndrome

E66.8   Other obesity

Morbid obesity

E66.9   Obesity, unspecified

Simple obesity NOS

E67   Other hyperalimentation

Excludes:    hyperalimentation NOS (R63.2)

sequelae of hyperalimentation (E68)

E67.0   Hypervitaminosis A

E67.1   Hypercarotenaemia

E67.2   Megavitamin-B₆ syndrome

E67.3   Hypervitaminosis D

E67.8   Other specified hyperalimentation

E68   Sequelae of hyperalimentation

Note:          Not to be used for chronic hyperalimentation. Code these to current hyperalimentation.

Metabolic disorders (E70-E90)

Excludes:    androgen resistance syndrome (E34.5)

congenital adrenal hyperplasia (E25.0)

Ehlers-Danlos syndrome (Q79.6)

haemolytic anaemias due to enzyme disorders (D55-)

Marfan syndrome (Q87.4)

5-α-reductase deficiency (E29.1)

E70   Disorders of aromatic amino-acid metabolism

E70.0   Classical phenylketonuria

E70.1   Other hyperphenylalaninaemias

E70.2   Disorders of tyrosine metabolism

Alkaptonuria

Hypertyrosinaemia

Ochronosis

Tyrosinaemia

Tyrosinosis

E70.3   Albinism

Albinism:

• ocular

• oculocutaneous

Syndrome:

• Chediak(-Steinbrinck)-Higashi

• Cross

• Hermansky-Pudlak

E70.8   Other disorders of aromatic amino-acid metabolism

Disorders of:

• histidine metabolism

• tryptophan metabolism

E70.9   Disorder of aromatic amino-acid metabolism, unspecified

E71   Disorders of branched-chain amino-acid metabolism and fatty-acid metabolism

E71.0   Maple-syrup-urine disease

E71.1   Other disorders of branched-chain amino-acid metabolism

Hyperleucine-isoleucinaemia

Hypervalinaemia

Isovaleric acidaemia

Methylmalonic acidaemia

Propionic acidaemia

E71.2   Disorder of branched-chain amino-acid metabolism, unspecified

E71.3   Disorders of fatty-acid metabolism

Adrenoleukodystrophy [Addison-Schilder]

Muscle carnitine palmityltransferase deficiency

Very long chain acyl-CoA dehydrogenase (VLCAD) deficiency

Excludes:    Schilder disease (G37.0)

E72   Other disorders of amino-acid metabolism

Excludes:    abnormal findings without manifest disease (R70-R89)

disorders of:

• aromatic amino-acid metabolism (E70-)

• branched-chain amino-acid metabolism (E71.0-E71.2)

• fatty-acid metabolism (E71.3)

• purine and pyrimidine metabolism (E79-)

gout (M10-)

E72.0   Disorders of amino-acid transport

Cystine storage disease† (N29.8*)

Cystinosis

Cystinuria

Fanconi(-de Toni)(-Debre) syndrome

Hartnup disease

Lowe syndrome

Excludes:    disorders of tryptophan metabolism (E70.8)

E72.1   Disorders of sulfur-bearing amino-acid metabolism

Cystathioninuria

Homocystinuria

Methioninaemia

Sulfite oxidase deficiency

Excludes:    transcobalamin II deficiency (D51.2)

E72.2   Disorders of urea cycle metabolism

Argininaemia

Argininosuccinic aciduria

Citrullinaemia

Hyperammonaemia

Excludes:    disorders of ornithine metabolism (E72.4)

E72.3   Disorders of lysine and hydroxylysine metabolism

Glutaric aciduria

Hydroxylysinaemia

Hyperlysinaemia

Excludes:    Refsum disease (G60.1)

Zellweger syndrome (Q87.8)

E72.4   Disorders of ornithine metabolism

Ornithinaemia (types I, II)

E72.5   Disorders of glycine metabolism

Hyperhydroxyprolinaemia

Hyperprolinaemia (types I, II)

Non-ketotic hyperglycinaemia

Sarcosinaemia

E72.8   Other specified disorders of amino-acid metabolism

Disorders of:

• β-amino-acid metabolism

• γ-glutamyl cycle

E72.9   Disorder of amino-acid metabolism, unspecified

E73   Lactose intolerance

E73.0   Congenital lactase deficiency

E73.1   Secondary lactase deficiency

E73.8   Other lactose intolerance

E73.9   Lactose intolerance, unspecified

E74   Other disorders of carbohydrate metabolism

Excludes:    increased secretion of glucagon (E16.3)

diabetes mellitus (E10-E14)

hypoglycaemia NOS (E16.2)

mucopolysaccharidosis (E76.0-E76.3)

E74.0   Glycogen storage disease

Cardiac glycogenosis

Disease:

• Andersen

• Cori

• Forbes

• Hers

• McArdle

• Pompe

• Tarui

• Tauri

• von Gierke

Liver phosphorylase deficiency

E74.1   Disorders of fructose metabolism

Essential fructosuria

Fructose-1,6-diphosphatase deficiency

Hereditary fructose intolerance

E74.2   Disorders of galactose metabolism

Galactokinase deficiency

Galactosaemia

E74.3   Other disorders of intestinal carbohydrate absorption

Glucose-galactose malabsorption

Sucrase deficiency

Excludes:    lactose intolerance (E73-)

E74.4   Disorders of pyruvate metabolism and gluconeogenesis

Deficiency of:

• phosphoenolpyruvate carboxykinase

• pyruvate:

• carboxylase

• dehydrogenase

Excludes:    with anaemia (D55-)

E74.8   Other specified disorders of carbohydrate metabolism

Essential pentosuria

Oxalosis

Oxaluria

Renal glycosuria

E74.9   Disorder of carbohydrate metabolism, unspecified

E75   Disorders of sphingolipid metabolism and other lipid storage disorders

Excludes:    mucolipidosis, types I-III (E77.0-E77.1)

Refsum disease (G60.1)

E75.0   GM₂ gangliosidosis

Disease:

• Sandhoff

• Tay-Sachs

GM₂ gangliosidosis:

• NOS    

• adult

• juvenile

E75.1   Other gangliosidosis

Gangliosidosis:

• NOS

• GM₁

• GM₃

Mucolipidosis IV

E75.2   Other sphingolipidosis

Disease:

• Fabry(-Anderson)

• Gaucher

• Krabbe

• Niemann-Pick

Farber's syndrome

Metachromatic leukodystrophy

Sulfatase deficiency

Excludes:    adrenoleukodystrophy [Addison-Schilder] (E71.3)

E75.3   Sphingolipidosis, unspecified

E75.4   Neuronal ceroid lipofuscinosis

Disease:

• Batten

• Bielschowsky-Jansky

• Kufs

• Spielmeyer-Vogt

E75.5   Other lipid storage disorders

Cerebrotendinous cholesterosis [van Bogaert-Scherer-Epstein]

Wolman disease

E75.6   Lipid storage disorder, unspecified

E76   Disorders of glycosaminoglycan metabolism

E76.0   Mucopolysaccharidosis, type I

Syndrome:

• Hurler

• Hurler-Scheie

• Scheie

E76.1   Mucopolysaccharidosis, type II

Hunter syndrome

E76.2   Other mucopolysaccharidoses

β-Glucuronidase deficiency

Mucopolysaccharidosis, types III, IV, VI, VII

Syndrome:

• Maroteaux-Lamy (mild) (severe)

• Morquio(-like) (classic)

• Sanfilippo (type B) (type C) (type D)

E76.3   Mucopolysaccharidosis, unspecified

E76.8   Other disorders of glucosaminoglycan metabolism

E76.9   Disorder of glucosaminoglycan metabolism, unspecified

E77   Disorders of glycoprotein metabolism

E77.0   Defects in post-translational modification of lysosomal enzymes

Mucolipidosis II [I-cell disease]

Mucolipidosis III [pseudo-Hurler polydystrophy]

E77.1   Defects in glycoprotein degradation

Aspartylglucosaminuria

Fucosidosis

Mannosidosis

Sialidosis [mucolipidosis I]

E77.8   Other disorders of glycoprotein metabolism

E77.9   Disorder of glycoprotein metabolism, unspecified

E78   Disorders of lipoprotein metabolism and other lipidaemias

Excludes:    sphingolipidosis (E75.0-E75.3)

E78.0   Pure hypercholesterolaemia

Familial hypercholesterolaemia

Fredrickson hyperlipoproteinaemia, type IIa

Hyperbetalipoproteinaemia

Hyperlipidaemia, group A

Low-density-lipoprotein-type [LDL] hyperlipoproteinaemia

E78.1   Pure hyperglyceridaemia

Endogenous hyperglyceridaemia

Fredrickson hyperlipoproteinaemia, type IV

Hyperlipidaemia, group B

Hyperprebetalipoproteinaemia

Very-low-density-lipoprotein-type [VLDL] hyperlipoproteinaemia

E78.2   Mixed hyperlipidaemia

Broad- or floating-betalipoproteinaemia

Fredrickson hyperlipoproteinaemia, type IIb or III

Hyperbetalipoproteinaemia with prebetalipoproteinaemia

Hypercholesterolaemia with endogenous hyperglyceridaemia

Hyperlipidaemia, group C

Tubero-eruptive xanthoma

Xanthoma tuberosum

Excludes:    cerebrotendinous cholesterosis [van Bogaert-Scherer-Epstein] (E75.5)

E78.3   Hyperchylomicronaemia

Fredrickson hyperlipoproteinaemia, type I or V

Hyperlipidaemia, group D

Mixed hyperglyceridaemia

E78.4   Other hyperlipidaemia

Familial combined hyperlipidaemia

E78.5   Hyperlipidaemia, unspecified

E78.6   Lipoprotein deficiency

Abetalipoproteinaemia

High-density lipoprotein deficiency

Hypoalphalipoproteinaemia

Hypobetalipoproteinaemia (familial)

Lecithin cholesterol acyltransferase deficiency

Tangier disease

E78.8   Other disorders of lipoprotein metabolism

E78.9   Disorder of lipoprotein metabolism, unspecified

E79   Disorders of purine and pyrimidine metabolism

Excludes:    calculus of kidney (N20.0)

combined immunodeficiency disorders (D81-)

gout (M10-)

orotaciduric anaemia (D53.0)

xeroderma pigmentosum (Q82.1)

E79.0   Hyperuricaemia without signs of inflammatory arthritis and tophaceous disease

Asymptomatic hyperuricaemia

E79.1   Lesch-Nyhan syndrome

E79.8   Other disorders of purine and pyrimidine metabolism

Hereditary xanthinuria

E79.9   Disorder of purine and pyrimidine metabolism, unspecified

E80   Disorders of porphyrin and bilirubin metabolism

Includes:    defects of catalase and peroxidase

E80.0   Hereditary erythropoietic porphyria

Congenital erythropoietic porphyria

Erythropoietic protoporphyria

E80.1   Porphyria cutanea tarda

E80.2   Other porphyria

Hereditary coproporphyria

Porphyria:

• NOS

• acute intermittent (hepatic)

Use additional external cause code (Chapter XX), if desired, to identify cause.

E80.3   Defects of catalase and peroxidase

Acatalasia [Takahara]

E80.4   Gilbert syndrome

E80.5   Crigler-Najjar syndrome

E80.6   Other disorders of bilirubin metabolism

Dubin-Johnson syndrome

Rotor syndrome

E80.7   Disorder of bilirubin metabolism, unspecified

E83   Disorders of mineral metabolism

Excludes:    dietary mineral deficiency (E58-E61)

parathyroid disorders (E20-E21)

vitamin D deficiency (E55-)

E83.0   Disorders of copper metabolism

Menkes (kinky hair)(steely hair) disease

Wilson disease

E83.1   Disorders of iron metabolism

Haemochromatosis

Excludes:    anaemia:

• iron deficiency (D50-)

• sideroblastic (D64.0-D64.3)

E83.2   Disorders of zinc metabolism

Acrodermatitis enteropathica

E83.3   Disorders of phosphorus metabolism and phosphatases

Acid phosphatase deficiency

Familial hypophosphataemia

Hypophosphatasia

Vitamin-D-resistant:

• osteomalacia

• rickets

Excludes:    adult osteomalacia (M83-)

osteoporosis (M80-M81)

E83.4   Disorders of magnesium metabolism

Hypermagnesaemia

Hypomagnesaemia

E83.5   Disorders of calcium metabolism

Familial hypocalciuric hypercalcaemia

Idiopathic hypercalciuria

Excludes:    chondrocalcinosis (M11.1-M11.2)

hyperparathyroidism (E21.0-E21.3)

E83.8   Other disorders of mineral metabolism

E83.9   Disorder of mineral metabolism, unspecified

E84   Cystic fibrosis

Includes:    mucoviscidosis

E84.0   Cystic fibrosis with pulmonary manifestations

E84.1   Cystic fibrosis with intestinal manifestations

Distal intestinal obstruction syndrome

Meconium ileus (P75*)

Excludes:    meconium obstruction in cases where cystic fibrosis is known not to be present (P76.0)

E84.8   Cystic fibrosis with other manifestations

Cystic fibrosis with combined manifestations

E84.9   Cystic fibrosis, unspecified

E85   Amyloidosis

Excludes:    Alzheimer disease (G30-)

E85.0   Non-neuropathic heredofamilial amyloidosis

Familial Mediterranean fever

Hereditary amyloid nephropathy

E85.1   Neuropathic heredofamilial amyloidosis

Amyloid polyneuropathy (Portuguese)

E85.2   Heredofamilial amyloidosis, unspecified

E85.3   Secondary systemic amyloidosis

Haemodialysis-associated amyloidosis

E85.4   Organ-limited amyloidosis

Localized amyloidosis

E85.8   Other amyloidosis

E85.9   Amyloidosis, unspecified

E86   Volume depletion

Dehydration

Depletion of volume of plasma or extracellular fluid

Hypovolaemia

Excludes:    dehydration of newborn (P74.1)

hypovolaemic shock:

• NOS (R57.1)

• postoperative (T81.1)

• traumatic (T79.4)

E87   Other disorders of fluid, electrolyte and acid-base balance

E87.0   Hyperosmolality and hypernatraemia

Sodium [Na] excess

Sodium [Na] overload

E87.1   Hypo-osmolality and hyponatraemia

Sodium [Na] deficiency

Excludes:    Syndrome of inappropriate secretion of antidiuretic hormone (E22.2)

E87.2   Acidosis

Acidosis:

• NOS

• lactic

• metabolic

• respiratory

Excludes:    diabetic acidosis (E10-E14 with common fourth character .1)

E87.3   Alkalosis

Alkalosis:

• NOS

• metabolic

• respiratory

E87.4   Mixed disorder of acid-base balance

E87.5   Hyperkalaemia

Potassium [K] excess

Potassium [K] overload

E87.6   Hypokalaemia

Potassium [K] deficiency

E87.7   Fluid overload

Excludes:    oedema (R60-)

E87.8   Other disorders of electrolyte and fluid balance, not elsewhere classified

Electrolyte imbalance NOS

Hyperchloraemia

Hypochloraemia

E88   Other metabolic disorders

Excludes:    histiocytosis X (chronic) (D76.0)

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

E88.0   Disorders of plasma-protein metabolism, not elsewhere classified

α-1-Antitrypsin deficiency

Alpha-1 antitrypsin deficiency

Bisalbuminaemia

Excludes:    disorder of lipoprotein metabolism (E78-)

monoclonal gammopathy (D47.2)

polyclonal hypergammaglobulinaemia (D89.0)

Waldenstrom macroglobulinaemia (C88.0)

E88.1   Lipodystrophy, not elsewhere classified

Lipodystrophy NOS

Excludes:    Whipple disease (K90.8)

E88.2   Lipomatosis, not elsewhere classified

Lipomatosis:

• NOS

• dolorosa [Dercum]

E88.3   Tumour lysis syndrome

Tumour lysis (following antineoplastic drug therapy) (spontaneous)

E88.8   Other specified metabolic disorders

Launois-Bensaude adenolipomatosis

Trimethylaminuria

E88.9   Metabolic disorder, unspecified

E89   Postprocedural endocrine and metabolic disorders, not elsewhere classified

E89.0   Postprocedural hypothyroidism

Postirradiation hypothyroidism

Postsurgical hypothyroidism

E89.1   Postprocedural hypoinsulinaemia

Postpancreatectomy hyperglycaemia

Postsurgical hypoinsulinaemia

E89.2   Postprocedural hypoparathyroidism

Parathyroprival tetany

E89.3   Postprocedural hypopituitarism

Postirradiation hypopituitarism

E89.4   Postprocedural ovarian failure

E89.5   Postprocedural testicular hypofunction

E89.6   Postprocedural adrenocortical(-medullary) hypofunction

E89.8   Other postprocedural endocrine and metabolic disorders

E89.9   Postprocedural endocrine and metabolic disorder, unspecified

E90   Nutritional and metabolic disorders in diseases classified elsewhere

CHAPTER V - Mental and behavioural disorders (F00-F99)

Includes:    disorders of psychological development

Excludes:    symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

F00-F09        Organic, including symptomatic, mental disorders

F10-F19        Mental and behavioural disorders due to psychoactive substance use

F20-F29        Schizophrenia, schizotypal and delusional disorders

F30-F39        Mood [affective] disorders

F40-F48        Neurotic, stress-related and somatoform disorders

F50-F59        Behavioural syndromes associated with physiological disturbances and physical factors

F60-F69        Disorders of adult personality and behaviour

F70-F79        Mental retardation

F80-F89        Disorders of psychological development

F90-F98        Behavioural and emotional disorders with onset usually occurring in childhood and adolescence

F99              Unspecified mental disorder

Asterisk categories for this chapter are provided as follows:

F00*            Dementia in Alzheimer disease

F02*            Dementia in other diseases classified elsewhere

Organic, including symptomatic, mental disorders (F00-F09)

This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.

Dementia (F00-F03) is a syndrome due to disease of the brain, usually of a chronic or progressive nature, in which there is disturbance of multiple higher cortical functions, including memory, thinking, orientation, comprehension, calculation, learning capacity, language, and judgement. Consciousness is not clouded. The impairments of cognitive function are commonly accompanied, and occasionally preceded, by deterioration in emotional control, social behaviour, or motivation. This syndrome occurs in Alzheimer disease, in cerebrovascular disease, and in other conditions primarily or secondarily affecting the brain.

Use additional code, if desired, to identify the underlying disease.

F00   Dementia in Alzheimer disease (G30.-†)

Alzheimer disease is a primary degenerative cerebral disease of unknown etiology with characteristic neuropathological and neurochemical features. The disorder is usually insidious in onset and develops slowly but steadily over a period of several years.

F00.0* Dementia in Alzheimer disease with early onset (G30.0†)

Dementia in Alzheimer disease with onset before the age of 65, with a relatively rapid deteriorating course and with marked multiple disorders of the higher cortical functions.

Alzheimer disease, type 2

Presenile dementia, Alzheimer type

Primary degenerative dementia of the Alzheimer type, presenile onset

F00.1* Dementia in Alzheimer disease with late onset (G30.1†)

Dementia in Alzheimer disease with onset after the age of 65, usually in the late 70s or thereafter, with a slow progression, and with memory impairment as the principal feature.

Alzheimer disease, type 1

Primary degenerative dementia of the Alzheimer type, senile onset

Senile dementia, Alzheimer type

F00.2* Dementia in Alzheimer disease, atypical or mixed type (G30.8†)

Atypical dementia, Alzheimer type

F00.9* Dementia in Alzheimer disease, unspecified (G30.9†)

F01   Vascular dementia

Vascular dementia is the result of infarction of the brain due to vascular disease, including hypertensive cerebrovascular disease. The infarcts are usually small but cumulative in their effect. Onset is usually in later life.

Includes:    arteriosclerotic dementia

F01.0   Vascular dementia of acute onset

Usually develops rapidly after a succession of strokes from cerebrovascular thrombosis, embolism or haemorrhage. In rare cases, a single large infarction may be the cause.

F01.1   Multi-infarct dementia

Gradual in onset, following a number of transient ischaemic episodes which produce an accumulation of infarcts in the cerebral parenchyma.

Predominantly cortical dementia

F01.2   Subcortical vascular dementia

Includes cases with a history of hypertension and foci of ischaemic destruction in the deep white matter of the cerebral hemispheres. The cerebral cortex is usually preserved and this contrasts with the clinical picture which may closely resemble that of dementia in Alzheimer disease.

F01.3   Mixed cortical and subcortical vascular dementia

F01.8   Other vascular dementia

F01.9   Vascular dementia, unspecified

F02   Dementia in other diseases classified elsewhere

Cases of dementia due, or presumed to be due, to causes other than Alzheimer disease or cerebrovascular disease. Onset may be at any time in life, though rarely in old age.

F02.0* Dementia in Pick disease (G31.0†)

A progressive dementia, commencing in middle age, characterized by early, slowly progressing changes of character and social deterioration, followed by impairment of intellect, memory, and language functions, with apathy, euphoria and, occasionally, extrapyramidal phenomena.

F02.1* Dementia in Creutzfeldt-Jakob disease (A81.0†)

A progressive dementia with extensive neurological signs, due to specific neuropathological changes that are presumed to be caused by a transmissible agent. Onset is usually in middle or later life, but may be at any adult age. The course is subacute, leading to death within one to two years.

F02.2* Dementia in Huntington disease (G10†)

A dementia occurring as part of a widespread degeneration of the brain. The disorder is transmitted by a single autosomal dominant gene. Symptoms typically emerge in the third and fourth decade. Progression is slow, leading to death usually within 10 to 15 years.

Dementia in Huntington chorea

F02.3* Dementia in Parkinson disease (G20†)

A dementia developing in the course of established Parkinson disease. No particular distinguishing clinical features have yet been demonstrated.

Dementia in:

• paralysis agitans

• parkinsonism

F02.4* Dementia in human immunodeficiency virus [HIV] disease (B22.0†)

Dementia developing in the course of HIV disease, in the absence of a concurrent illness or condition other than HIV infection that could explain the clinical features.

F02.8* Dementia in other specified diseases classified elsewhere

Dementia (in):

• cerebral lipidosis (E75†)

• epilepsy (G40†)

• hepatolenticular degeneration (E83.0†)

• hypercalcaemia (E83.5†)

• hypothyroidism, acquired (E01†, E03†)

• intoxications (T36-T65†)

• Lewy body(ies)(disease) (G31.8†)

• multiple sclerosis (G35†)

• neurosyphilis (A52.1†)

• niacin deficiency [pellagra] (E52†)

• polyarteritis nodosa (M30.0†)

• systemic lupus erythematosus (M32†)

• trypanosomiasis (B56†, B57†)

• uraemia (N18.5†)

• vitamin B₁₂ deficiency (E53.8†)

F03   Unspecified dementia

Includes:    Presenile:

• dementia NOS

• psychosis NOS

Senile:

• dementia:

• NOS

• depressed or paranoid type

• psychosis NOS

Excludes:    senile dementia with delirium or acute confusional state (F05.1)

senility NOS (R54)

F04   Organic amnesic syndrome, not induced by alcohol and other psychoactive substances

A syndrome of prominent impairment of recent and remote memory while immediate recall is preserved, with reduced ability to learn new material and disorientation in time. Confabulation may be a marked feature, but perception and other cognitive functions, including the intellect, are usually intact. The prognosis depends on the course of the underlying lesion.

Korsakov psychosis or syndrome, nonalcoholic

Excludes:    amnesia:

• NOS (R41.3)

• anterograde (R41.1)

• dissociative (F44.0)

• retrograde (R41.2)

Korsakov syndrome:

• alcohol-induced or unspecified (F10.6)

• induced by other psychoactive substances (F11-F19 with common fourth character .6)

F05   Delirium, not induced by alcohol and other psychoactive substances

An etiologically nonspecific organic cerebral syndrome characterized by concurrent disturbances of consciousness and attention, perception, thinking, memory, psychomotor behaviour, emotion, and the sleep-wake schedule. The duration is variable and the degree of severity ranges from mild to very severe.

Includes:    acute or subacute:

• brain syndrome

• confusional state (nonalcoholic)

• infective psychosis

• organic reaction

• psycho-organic syndrome

Excludes:    delirium tremens, alcohol-induced or unspecified (F10.4)

F05.0   Delirium not superimposed on dementia, so described

F05.1   Delirium superimposed on dementia

Conditions meeting the above criteria but developing in the course of a dementia (F00-F03)

F05.8   Other delirium

Delirium of mixed origin

F05.9   Delirium, unspecified

F06   Other mental disorders due to brain damage and dysfunction and to physical disease

Includes miscellaneous conditions causally related to brain disorder due to primary cerebral disease, to systemic disease affecting the brain secondarily, to exogenous toxic substances or hormones, to endocrine disorders, or to other somatic illnesses.

Excludes:    associated with:

• delirium (F05-)

• dementia as classified in F00-F03

resulting from use of alcohol and other psychoactive substances (F10-F19)

F06.0   Organic hallucinosis

A disorder of persistent or recurrent hallucinations, usually visual or auditory, that occur in clear consciousness and may or may not be recognized by the subject as such. Delusional elaboration of the hallucinations may occur, but delusions do not dominate the clinical picture; insight may be preserved.

Organic hallucinatory state (nonalcoholic)

Excludes:    alcoholic hallucinosis (F10.5)

schizophrenia (F20-)

F06.1   Organic catatonic disorder

A disorder of diminished (stupor) or increased (excitement) psychomotor activity associated with catatonic symptoms. The extremes of psychomotor disturbance may alternate.

Excludes:    catatonic schizophrenia (F20.2)

stupor:

• NOS (R40.1)

• dissociative (F44.2)

F06.2   Organic delusional [schizophrenia-like] disorder

A disorder in which persistent or recurrent delusions dominate the clinical picture. The delusions may be accompanied by hallucinations. Some features suggestive of schizophrenia, such as bizarre hallucinations or thought disorder, may be present.

Paranoid and paranoid-hallucinatory organic states

Schizophrenia-like psychosis in epilepsy

Excludes:    disorder:

• acute and transient psychotic (F23-)

• persistent delusional (F22-)

• psychotic drug-induced (F11-F19 with common fourth character .5) schizophrenia (F20-)

F06.3   Organic mood [affective] disorders

Disorders characterized by a change in mood or affect, usually accompanied by a change in the overall level of activity, depressive, hypomanic, manic or bipolar (see F30-F38), but arising as a consequence of an organic disorder.

Excludes:    mood disorders, nonorganic or unspecified (F30-F39)

F06.4   Organic anxiety disorder

A disorder characterized by the essential descriptive features of a generalized anxiety disorder (F41.1), a panic disorder (F41.0), or a combination of both, but arising as a consequence of an organic disorder.

Excludes:    anxiety disorders, nonorganic or unspecified (F41-)

F06.5   Organic dissociative disorder

A disorder characterized by a partial or complete loss of the normal integration between memories of the past, awareness of identity and immediate sensations, and control of bodily movements (see F44-), but arising as a consequence of an organic disorder.

Excludes:    dissociative [conversion] disorders, nonorganic or unspecified (F44-)

F06.6   Organic emotionally labile [asthenic] disorder

A disorder characterized by emotional incontinence or lability, fatigability, and a variety of unpleasant physical sensations (e.g. dizziness) and pains, but arising as a consequence of an organic disorder.

Excludes:    somatoform disorders, nonorganic or unspecified (F45-)

F06.7   Mild cognitive disorder

A disorder characterized by impairment of memory, learning difficulties, and reduced ability to concentrate on a task for more than brief periods. There is often a marked feeling of mental fatigue when mental tasks are attempted, and new learning is found to be subjectively difficult even when objectively successful. None of these symptoms is so severe that a diagnosis of either dementia (F00-F03) or delirium (F05-) can be made. This diagnosis should be made only in association with a specified physical disorder, and should not be made in the presence of any of the mental or behavioural disorders classified to F10-F99. The disorder may precede, accompany, or follow a wide variety of infections and physical disorders, both cerebral and systemic, but direct evidence of cerebral involvement is not necessarily present. It can be differentiated from postencephalitic syndrome (F07.1) and postconcussional syndrome (F07.2) by its different etiology, more restricted range of generally milder symptoms, and usually shorter duration.

F06.8   Other specified mental disorders due to brain damage and dysfunction and to physical disease

Epileptic psychosis NOS

F06.9   Unspecified mental disorder due to brain damage and dysfunction and to physical disease

Organic:

• brain syndrome NOS

• mental disorder NOS

F07   Personality and behavioural disorders due to brain disease, damage and dysfunction

Alteration of personality and behaviour can be a residual or concomitant disorder of brain disease, damage or dysfunction.

F07.0   Organic personality disorder

A disorder characterized by a significant alteration of the habitual patterns of behaviour displayed by the subject premorbidly, involving the expression of emotions, needs and impulses. Impairment of cognitive and thought functions, and altered sexuality may also be part of the clinical picture.

Organic:

• pseudopsychopathic personality

• pseudoretarded personality

Syndrome:

• frontal lobe

• limbic epilepsy personality

• lobotomy

• postleucotomy

Excludes:    enduring personality change after:

• catastrophic experience (F62.0)

• psychiatric illness (F62.1)

postconcussional syndrome (F07.2)

postencephalitic syndrome (F07.1)

specific personality disorder (F60-)

F07.1   Postencephalitic syndrome

Residual nonspecific and variable behavioural change following recovery from either viral or bacterial encephalitis. The principal difference between this disorder and the organic personality disorders is that it is reversible.

Excludes:    organic personality disorder (F07.0)

F07.2   Postconcussional syndrome

A syndrome that occurs following head trauma (usually sufficiently severe to result in loss of consciousness) and includes a number of disparate symptoms such as headache, dizziness, fatigue, irritability, difficulty in concentration and performing mental tasks, impairment of memory, insomnia, and reduced tolerance to stress, emotional excitement, or alcohol.

Postcontusional syndrome (encephalopathy)

Post-traumatic brain syndrome, nonpsychotic

Excludes:    current concussion, brain (S06.0)

F07.8   Other organic personality and behavioural disorders due to brain disease, damage and dysfunction

Right hemispheric organic affective disorder

F07.9   Unspecified organic personality and behavioural disorder due to brain disease, damage and dysfunction

Organic psychosyndrome

F09   Unspecified organic or symptomatic mental disorder

Psychosis:

• organic NOS

• symptomatic NOS

Excludes:    psychosis NOS (F29)

Mental and behavioural disorders due to psychoactive substance use (F10-F19)

This block contains a wide variety of disorders that differ in severity and clinical form but that are all attributable to the use of one or more psychoactive substances, which may or may not have been medically prescribed. The third character of the code identifies the substance involved, and the fourth character specifies the clinical state. The codes should be used, as required, for each substance specified, but it should be noted that not all fourth-character codes are applicable to all substances.

Identification of the psychoactive substance should be based on as many sources of information as possible. These include self-report data, analysis of blood and other body fluids, characteristic physical and psychological symptoms, clinical signs and behaviour, and other evidence such as a drug being in the patient's possession or reports from informed third parties. Many drug users take more than one type of psychoactive substance. The main diagnosis should be classified, whenever possible, according to the substance or class of substances that has caused or contributed most to the presenting clinical syndrome. Other diagnoses should be coded when other psychoactive substances have been taken in intoxicating amounts (common fourth character .0) or to the extent of causing harm (common fourth character .1), dependence (common fourth character .2) or other disorders (common fourth character .3-.9).

Only in cases in which patterns of psychoactive substance-taking are chaotic and indiscriminate, or in which the contributions of different psychoactive substances are inextricably mixed, should the diagnosis of disorders resulting from multiple drug use (F19-) be used.

Excludes:    abuse of non-dependence-producing substances (F55)

The following fourth-character subdivisions are for use with categories F10-F19:

.0       Acute intoxication

A condition that follows the administration of a psychoactive substance resulting in disturbances in level of consciousness, cognition, perception, affect or behaviour, or other psycho-physiological functions and responses. The disturbances are directly related to the acute pharmacological effects of the substance and resolve with time, with complete recovery, except where tissue damage or other complications have arisen. Complications may include trauma, inhalation of vomitus, delirium, coma, convulsions, and other medical complications. The nature of these complications depends on the pharmacological class of substance and mode of administration.

"Bad trips" (drugs)

Trance and possession disorders in psychoactive substance intoxication

Excludes:    intoxication meaning poisoning (T36-T50)

.1       Harmful use

A pattern of psychoactive substance use that is causing damage to health. The damage may be physical (as in cases of hepatitis from the self-administration of injected psychoactive substances) or mental (e.g. episodes of depressive disorder secondary to heavy consumption of alcohol).

Abuse

Acute drunkenness (in alcoholism)

Chronic use

Drunkenness NOS

DUI

Excess, excessive

Hangover

Heavy intake

Inebriated

Influence of (alcohol)

Intemperence

Misuse

Over indulgence

Problem

Psychoactive substance abuse

.2       Dependence syndrome

A cluster of behavioural, cognitive, and physiological phenomena that develop after repeated substance use and that typically include a strong desire to take the drug, difficulties in controlling its use, persisting in its use despite harmful consequences, a higher priority given to drug use than to other activities and obligations, increased tolerance, and sometimes a physical withdrawal state.

The dependence syndrome may be present for a specific psychoactive substance (e.g. tobacco, alcohol, or diazepam), for a class of substances (e.g. opioid drugs), or for a wider range of pharmacologically different psychoactive substances.

Absinthemia

Absinthism

Addiction

Alcoholism

Chronic alcoholism

Chronic drunkenness

Continual excessive drinking

Dependence

Dipsomania

Drug addiction

Habit

Narcotism

Smokers syndrome

Tobaccoism

.3       Withdrawal state

A group of symptoms of variable clustering and severity occurring on absolute or relative withdrawal of a psychoactive substance after persistent use of that substance. The onset and course of the withdrawal state are time-limited and are related to the type of psychoactive substance and dose being used immediately before cessation or reduction of use. The withdrawal state may be complicated by convulsions.

.4       Withdrawal state with delirium

A condition where the withdrawal state as defined in the common fourth character .3 is complicated by delirium as defined in F05-. Convulsions may also occur. When organic factors are also considered to play a role in the etiology, the condition should be classified to F05.8.

Delirium tremens (alcohol-induced)

.5       Psychotic disorder

A cluster of psychotic phenomena that occur during or following psychoactive substance use but that are not explained on the basis of acute intoxication alone and do not form part of a withdrawal state. The disorder is characterized by hallucinations (typically auditory, but often in more than one sensory modality), perceptual distortions, delusions (often of a paranoid or persecutory nature), psychomotor disturbances (excitement or stupor), and an abnormal affect, which may range from intense fear to ecstasy. The sensorium is usually clear but some degree of clouding of consciousness, though not severe confusion, may be present.

Alcoholic:

• hallucinosis

• jealousy

• paranoia

• psychosis NOS

Excludes:    alcohol- or other psychoactive substance-induced residual and late-onset psychotic disorder (F10-F19 with common fourth character .7)

.6       Amnesic syndrome

A syndrome associated with chronic prominent impairment of recent and remote memory. Immediate recall is usually preserved and recent memory is characteristically more disturbed than remote memory. Disturbances of time sense and ordering of events are usually evident, as are difficulties in learning new material. Confabulation may be marked but is not invariably present. Other cognitive functions are usually relatively well preserved and amnesic defects are out of proportion to other disturbances.

Amnestic disorder, alcohol- or drug-induced

Korsakov psychosis or syndrome, alcohol- or other psychoactive substance-induced or unspecified

Excludes:    nonalcoholic Korsakov psychosis or syndrome (F04)

.7       Residual and late-onset psychotic disorder

A disorder in which alcohol- or psychoactive substance-induced changes of cognition, affect, personality, or behaviour persist beyond the period during which a direct psychoactive substance-related effect might reasonably be assumed to be operating. Onset of the disorder should be directly related to the use of the psychoactive substance. Cases in which initial onset of the state occurs later than episode(s) of such substance use should be coded here only where clear and strong evidence is available to attribute the state to the residual effect of the psychoactive substance. Flashbacks may be distinguished from psychotic state partly by their episodic nature, frequently of very short duration, and by their duplication of previous alcohol- or other psychoactive substance-related experiences.

Alcoholic dementia NOS

Chronic alcoholic brain syndrome

Dementia and other milder forms of persisting impairment of cognitive functions

Flashbacks

Late-onset psychoactive substance-induced psychotic disorder

Posthallucinogen perception disorder

Residual:

• affective disorder

• disorder of personality and behaviour

Excludes:    alcohol- or psychoactive substance-induced:

• Korsakov syndrome (F10-F19 with common fourth character .6)

• psychotic state (F10-F19 with common fourth character .5)

.8       Other mental and behavioural disorders

.9       Unspecified mental and behavioural disorder

Consumption

Drinking NOS

Ingested, Ingestion

Intake

Smoking (chain)(former)(life long)(packs per day)

Use, user, usage

F10.- Mental and behavioural disorders due to use of alcohol

[See before F10 for subdivisions]

F11.- Mental and behavioural disorders due to use of opioids

[See before F10 for subdivisions]

F12.- Mental and behavioural disorders due to use of cannabinoids

[See before F10 for subdivisions]

F13.- Mental and behavioural disorders due to use of sedatives or hypnotics

[See before F10 for subdivisions]

F14.- Mental and behavioural disorders due to use of cocaine

[See before F10 for subdivisions]

F15.- Mental and behavioural disorders due to use of other stimulants, including caffeine

[See before F10 for subdivisions]

F16.- Mental and behavioural disorders due to use of hallucinogens

[See before F10 for subdivisions]

F17.- Mental and behavioural disorders due to use of tobacco

[See before F10 for subdivisions]

F18.- Mental and behavioural disorders due to use of volatile solvents

[See before F10 for subdivisions]

F19.- Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances

[See before F10 for subdivisions]

This category should be used when two or more psychoactive substances are known to be involved, but it is impossible to assess which substance is contributing most to the disorders. It should also be used when the exact identity of some or even all the psychoactive substances being used is uncertain or unknown, since many multiple drug users themselves often do not know the details of what they are taking.

Includes:    misuse of drugs NOS

Schizophrenia, schizotypal and delusional disorders (F20-F29)

This block brings together schizophrenia, as the most important member of the group, schizotypal disorder, persistent delusional disorders, and a larger group of acute and transient psychotic disorders. Schizoaffective disorders have been retained here in spite of their controversial nature.

F20   Schizophrenia

The schizophrenic disorders are characterized in general by fundamental and characteristic distortions of thinking and perception, and affects that are inappropriate or blunted. Clear consciousness and intellectual capacity are usually maintained although certain cognitive deficits may evolve in the course of time. The most important psychopathological phenomena include thought echo; thought insertion or withdrawal; thought broadcasting; delusional perception and delusions of control; influence or passivity; hallucinatory voices commenting or discussing the patient in the third person; thought disorders and negative symptoms.

The course of schizophrenic disorders can be either continuous, or episodic with progressive or stable deficit, or there can be one or more episodes with complete or incomplete remission. The diagnosis of schizophrenia should not be made in the presence of extensive depressive or manic symptoms unless it is clear that schizophrenic symptoms antedate the affective disturbance. Nor should schizophrenia be diagnosed in the presence of overt brain disease or during states of drug intoxication or withdrawal. Similar disorders developing in the presence of epilepsy or other brain disease should be classified under F06.2, and those induced by psychoactive substances under F10-F19 with common fourth character .5.

Excludes:    schizophrenia:

• acute (undifferentiated) (F23.2)

• cyclic (F25.2)

schizophrenic reaction (F23.2)

schizotypal disorder (F21)

F20.0   Paranoid schizophrenia

Paranoid schizophrenia is dominated by relatively stable, often paranoid delusions, usually accompanied by hallucinations, particularly of the auditory variety, and perceptual disturbances. Disturbances of affect, volition and speech, and catatonic symptoms, are either absent or relatively inconspicuous.

Paraphrenic schizophrenia

Excludes:    involutional paranoid state (F22.8)

paranoia (F22.0)

F20.1   Hebephrenic schizophrenia

A form of schizophrenia in which affective changes are prominent, delusions and hallucinations fleeting and fragmentary, behaviour irresponsible and unpredictable, and mannerisms common. The mood is shallow and inappropriate, thought is disorganized, and speech is incoherent. There is a tendency to social isolation. Usually the prognosis is poor because of the rapid development of "negative" symptoms, particularly flattening of affect and loss of volition. Hebephrenia should normally be diagnosed only in adolescents or young adults.

Disorganized schizophrenia

Hebephrenia

F20.2   Catatonic schizophrenia

Catatonic schizophrenia is dominated by prominent psychomotor disturbances that may alternate between extremes such as hyperkinesis and stupor, or automatic obedience and negativism. Constrained attitudes and postures may be maintained for long periods. Episodes of violent excitement may be a striking feature of the condition. The catatonic phenomena may be combined with a dream-like (oneiroid) state with vivid scenic hallucinations.

Catatonic stupor

Schizophrenic:

• catalepsy

• catatonia

• flexibilitas cerea

F20.3   Undifferentiated schizophrenia

Psychotic conditions meeting the general diagnostic criteria for schizophrenia but not conforming to any of the subtypes in F20.0-F20.2, or exhibiting the features of more than one of them without a clear predominance of a particular set of diagnostic characteristics.

Atypical schizophrenia

Excludes:    acute schizophrenia-like psychotic disorder (F23.2)

chronic undifferentiated schizophrenia (F20.5)

post-schizophrenic depression (F20.4)

F20.4   Post-schizophrenic depression

A depressive episode, which may be prolonged, arising in the aftermath of a schizophrenic illness. Some schizophrenic symptoms, either "positive" or "negative", must still be present but they no longer dominate the clinical picture. These depressive states are associated with an increased risk of suicide. If the patient no longer has any schizophrenic symptoms, a depressive episode should be diagnosed (F32-). If schizophrenic symptoms are still florid and prominent, the diagnosis should remain that of the appropriate schizophrenic subtype (F20.0-F20.3).

F20.5   Residual schizophrenia

A chronic stage in the development of a schizophrenic illness in which there has been a clear progression from an early stage to a later stage characterized by long-term, though not necessarily irreversible, "negative" symptoms, e.g. psychomotor slowing; underactivity; blunting of affect; passivity and lack of initiative; poverty of quantity or content of speech; poor nonverbal communication by facial expression, eye contact, voice modulation and posture; poor self-care and social performance.

Chronic undifferentiated schizophrenia

Restzustand (schizophrenic)

Schizophrenic residual state

F20.6   Simple schizophrenia

A disorder in which there is an insidious but progressive development of oddities of conduct, inability to meet the demands of society, and decline in total performance. The characteristic negative features of residual schizophrenia (e.g. blunting of affect and loss of volition) develop without being preceded by any overt psychotic symptoms.

F20.8   Other schizophrenia

Cenesthopathic schizophrenia

Schizophreniform:

• disorder NOS

• psychosis NOS

Excludes:    brief schizophreniform disorders (F23.2)

F20.9   Schizophrenia, unspecified

F21   Schizotypal disorder

A disorder characterized by eccentric behaviour and anomalies of thinking and affect which resemble those seen in schizophrenia, though no definite and characteristic schizophrenic anomalies occur at any stage. The symptoms may include a cold or inappropriate affect; anhedonia; odd or eccentric behaviour; a tendency to social withdrawal; paranoid or bizarre ideas not amounting to true delusions; obsessive ruminations; thought disorder and perceptual disturbances; occasional transient quasi-psychotic episodes with intense illusions, auditory or other hallucinations, and delusion-like ideas, usually occurring without external provocation. There is no definite onset and evolution and course are usually those of a personality disorder.

Latent schizophrenic reaction

Schizophrenia:

• borderline

• latent

• prepsychotic

• prodromal

• pseudoneurotic

• pseudopsychopathic

Schizotypal personality disorder

Excludes:    Asperger syndrome (F84.5)

schizoid personality disorder (F60.1)

F22   Persistent delusional disorders

Includes a variety of disorders in which long-standing delusions constitute the only, or the most conspicuous, clinical characteristic and which cannot be classified as organic, schizophrenic or affective. Delusional disorders that have lasted for less than a few months should be classified, at least temporarily, under F23-.

F22.0   Delusional disorder

A disorder characterized by the development either of a single delusion or of a set of related delusions that are usually persistent and sometimes lifelong. The content of the delusion or delusions is very variable. Clear and persistent auditory hallucinations (voices), schizophrenic symptoms such as delusions of control and marked blunting of affect, and definite evidence of brain disease are all incompatible with this diagnosis. However, the presence of occasional or transitory auditory hallucinations, particularly in elderly patients, does not rule out this diagnosis, provided that they are not typically schizophrenic and form only a small part of the overall clinical picture.

Paranoia

Paranoid:

• psychosis

• state

Paraphrenia (late)

Sensitiver Beziehungswahn

Excludes:    paranoid:

• personality disorder (F60.0)

• psychosis, psychogenic (F23.3)

• reaction (F23.3)

• schizophrenia (F20.0)

F22.8   Other persistent delusional disorders

Disorders in which the delusion or delusions are accompanied by persistent hallucinatory voices or by schizophrenic symptoms that do not justify a diagnosis of schizophrenia (F20-).

Delusional dysmorphophobia

Involutional paranoid state

Paranoia querulans

F22.9   Persistent delusional disorder, unspecified

F23   Acute and transient psychotic disorders

A heterogeneous group of disorders characterized by the acute onset of psychotic symptoms such as delusions, hallucinations, and perceptual disturbances, and by the severe disruption of ordinary behaviour. Acute onset is defined as a crescendo development of a clearly abnormal clinical picture in about two weeks or less. For these disorders there is no evidence of organic causation. Perplexity and puzzlement are often present but disorientation for time, place and person is not persistent or severe enough to justify a diagnosis of organically caused delirium (F05-). Complete recovery usually occurs within a few months, often within a few weeks or even days. If the disorder persists, a change in classification will be necessary. The disorder may or may not be associated with acute stress, defined as usually stressful events preceding the onset by one to two weeks.

F23.0   Acute polymorphic psychotic disorder without symptoms of schizophrenia

An acute psychotic disorder in which hallucinations, delusions or perceptual disturbances are obvious but markedly variable, changing from day to day or even from hour to hour. Emotional turmoil with intense transient feelings of happiness or ecstasy, or anxiety and irritability, is also frequently present. The polymorphism and instability are characteristic for the overall clinical picture and the psychotic features do not justify a diagnosis of schizophrenia (F20-). These disorders often have an abrupt onset, developing rapidly within a few days, and they frequently show a rapid resolution of symptoms with no recurrence. If the symptoms persist the diagnosis should be changed to persistent delusional disorder (F22-).

Bouffee delirante without symptoms of schizophrenia or unspecified

Cycloid psychosis without symptoms of schizophrenia or unspecified

F23.1   Acute polymorphic psychotic disorder with symptoms of schizophrenia

An acute psychotic disorder in which the polymorphic and unstable clinical picture is present, as described in F23.0; despite this instability, however, some symptoms typical of schizophrenia are also in evidence for the majority of the time. If the schizophrenic symptoms persist the diagnosis should be changed to schizophrenia (F20-).

Bouffee delirante with symptoms of schizophrenia

Cycloid psychosis with symptoms of schizophrenia

F23.2   Acute schizophrenia-like psychotic disorder

An acute psychotic disorder in which the psychotic symptoms are comparatively stable and justify a diagnosis of schizophrenia, but have lasted for less than about one month; the polymorphic unstable features, as described in F23.0, are absent. If the schizophrenic symptoms persist the diagnosis should be changed to schizophrenia (F20-).

Acute (undifferentiated) schizophrenia

Brief schizophreniform:

• disorder

• psychosis

Oneirophrenia

Schizophrenic reaction

Excludes:    organic delusional [schizophrenia-like] disorder (F06.2)

schizophreniform disorders NOS (F20.8)

F23.3   Other acute predominantly delusional psychotic disorders

Acute psychotic disorders in which comparatively stable delusions or hallucinations are the main clinical features, but do not justify a diagnosis of schizophrenia (F20-). If the delusions persist the diagnosis should be changed to persistent delusional disorder (F22-).

Paranoid reaction

Psychogenic paranoid psychosis

F23.8   Other acute and transient psychotic disorders

Any other specified acute psychotic disorders for which there is no evidence of organic causation and which do not justify classification to F23.0-F23.3.

F23.9   Acute and transient psychotic disorder, unspecified

Brief reactive psychosis NOS

Reactive psychosis

F24   Induced delusional disorder

A delusional disorder shared by two or more people with close emotional links. Only one of the people suffers from a genuine psychotic disorder; the delusions are induced in the other(s) and usually disappear when the people are separated.

Folie a deux

Induced:

• paranoid disorder

• psychotic disorder

F25   Schizoaffective disorders

Episodic disorders in which both affective and schizophrenic symptoms are prominent but which do not justify a diagnosis of either schizophrenia or depressive or manic episodes. Other conditions in which affective symptoms are superimposed on a pre-existing schizophrenic illness, or co-exist or alternate with persistent delusional disorders of other kinds, are classified under F20-F29. Mood-incongruent psychotic symptoms in affective disorders do not justify a diagnosis of schizoaffective disorder.

F25.0   Schizoaffective disorder, manic type

A disorder in which both schizophrenic and manic symptoms are prominent so that the episode of illness does not justify a diagnosis of either schizophrenia or a manic episode. This category should be used for both a single episode and a recurrent disorder in which the majority of episodes are schizoaffective, manic type.

Schizoaffective psychosis, manic type

Schizophreniform psychosis, manic type

F25.1   Schizoaffective disorder, depressive type

A disorder in which both schizophrenic and depressive symptoms are prominent so that the episode of illness does not justify a diagnosis of either schizophrenia or a depressive episode. This category should be used for both a single episode and a recurrent disorder in which the majority of episodes are schizoaffective, depressive type.

Schizoaffective psychosis, depressive type

Schizophreniform psychosis, depressive type

F25.2   Schizoaffective disorder, mixed type

Cyclic schizophrenia

Mixed schizophrenic and affective psychosis

F25.8   Other schizoaffective disorders

F25.9   Schizoaffective disorder, unspecified

Schizoaffective psychosis NOS

F28   Other nonorganic psychotic disorders

Delusional or hallucinatory disorders that do not justify a diagnosis of schizophrenia (F20-), persistent delusional disorders (F22-), acute and transient psychotic disorders (F23-), psychotic types of manic episode (F30.2), or severe depressive episode (F32.3).

Chronic hallucinatory psychosis

F29   Unspecified nonorganic psychosis

Psychosis NOS

Excludes:    mental disorder NOS (F99)

organic or symptomatic psychosis NOS (F09)

Mood [affective] disorders (F30-F39)

This block contains disorders in which the fundamental disturbance is a change in affect or mood to depression (with or without associated anxiety) or to elation. The mood change is usually accompanied by a change in the overall level of activity; most of the other symptoms are either secondary to, or easily understood in the context of, the change in mood and activity. Most of these disorders tend to be recurrent and the onset of individual episodes can often be related to stressful events or situations.

F30   Manic episode

All the subdivisions of this category should be used only for a single episode. Hypomanic or manic episodes in individuals who have had one or more previous affective episodes (depressive, hypomanic, manic, or mixed) should be coded as bipolar affective disorder (F31-).

Includes:    bipolar disorder, single manic episode

F30.0   Hypomania

A disorder characterized by a persistent mild elevation of mood, increased energy and activity, and usually marked feelings of well-being and both physical and mental efficiency. Increased sociability, talkativeness, over-familiarity, increased sexual energy, and a decreased need for sleep are often present but not to the extent that they lead to severe disruption of work or result in social rejection. Irritability, conceit, and boorish behaviour may take the place of the more usual euphoric sociability. The disturbances of mood and behaviour are not accompanied by hallucinations or delusions.

F30.1   Mania without psychotic symptoms

Mood is elevated out of keeping with the patient's circumstances and may vary from carefree joviality to almost uncontrollable excitement. Elation is accompanied by increased energy, resulting in overactivity, pressure of speech, and a decreased need for sleep. Attention cannot be sustained, and there is often marked distractibility. Self-esteem is often inflated with grandiose ideas and overconfidence. Loss of normal social inhibitions may result in behaviour that is reckless, foolhardy, or inappropriate to the circumstances, and out of character.

F30.2   Mania with psychotic symptoms

In addition to the clinical picture described in F30.1, delusions (usually grandiose) or hallucinations (usually of voices speaking directly to the patient) are present, or the excitement, excessive motor activity, and flight of ideas are so extreme that the subject is incomprehensible or inaccessible to ordinary communication.

Mania with:

• mood-congruent psychotic symptoms

• mood-incongruent psychotic symptoms

Manic stupor

F30.8   Other manic episodes

F30.9   Manic episode, unspecified

Mania NOS

F31   Bipolar affective disorder

A disorder characterized by two or more episodes in which the patient's mood and activity levels are significantly disturbed, this disturbance consisting on some occasions of an elevation of mood and increased energy and activity (hypomania or mania) and on others of a lowering of mood and decreased energy and activity (depression). Repeated episodes of hypomania or mania only are classified as bipolar.

Includes:    manic depression

manic-depressive:

• illness

• psychosis

• reaction

Excludes:    bipolar disorder, single manic episode (F30-)

cyclothymia (F34.0)

F31.0   Bipolar affective disorder, current episode hypomanic

The patient is currently hypomanic, and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past.

F31.1   Bipolar affective disorder, current episode manic without psychotic symptoms

The patient is currently manic, without psychotic symptoms (as in F30.1), and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past.

F31.2   Bipolar affective disorder, current episode manic with psychotic symptoms

The patient is currently manic, with psychotic symptoms (as in F30.2), and has had at least one other affective episode (hypomanic, manic, depressive, or mixed) in the past.

F31.3   Bipolar affective disorder, current episode mild or moderate depression

The patient is currently depressed, as in a depressive episode of either mild or moderate severity (F32.0 or F32.1), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past.

F31.4   Bipolar affective disorder, current episode severe depression without psychotic symptoms

The patient is currently depressed, as in severe depressive episode without psychotic symptoms (F32.2), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past.

F31.5   Bipolar affective disorder, current episode severe depression with psychotic symptoms

The patient is currently depressed, as in severe depressive episode with psychotic symptoms (F32.3), and has had at least one authenticated hypomanic, manic, or mixed affective episode in the past.

F31.6   Bipolar affective disorder, current episode mixed

The patient has had at least one authenticated hypomanic, manic, depressive, or mixed affective episode in the past, and currently exhibits either a mixture or a rapid alteration of manic and depressive symptoms.

Excludes:    single mixed affective episode (F38.0)

F31.7   Bipolar affective disorder, currently in remission

The patient has had at least one authenticated hypomanic, manic, or mixed affective episode in the past, and at least one other affective episode (hypomanic, manic, depressive, or mixed) in addition, but is not currently suffering from any significant mood disturbance, and has not done so for several months. Periods of remission during prophylactic treatment should be coded here.

F31.8   Other bipolar affective disorders

Bipolar II disorder

Recurrent manic episodes NOS

F31.9   Bipolar affective disorder, unspecified

Manic depression NOS

F32   Depressive episode

In typical mild, moderate, or severe depressive episodes, the patient suffers from lowering of mood, reduction of energy, and decrease in activity. Capacity for enjoyment, interest, and concentration is reduced, and marked tiredness after even minimum effort is common. Sleep is usually disturbed and appetite diminished. Self-esteem and self-confidence are almost always reduced and, even in the mild form, some ideas of guilt or worthlessness are often present. The lowered mood varies little from day to day, is unresponsive to circumstances and may be accompanied by so-called "somatic" symptoms, such as loss of interest and pleasurable feelings, waking in the morning several hours before the usual time, depression worst in the morning, marked psychomotor retardation, agitation, loss of appetite, weight loss, and loss of libido. Depending upon the number and severity of the symptoms, a depressive episode may be specified as mild, moderate or severe.

Includes:    single episodes of:

• depressive reaction

• psychogenic depression

• reactive depression

Excludes:    adjustment disorder (F43.2)

recurrent depressive disorder (F33-)

when associated with conduct disorders in F91- (F92.0)

F32.0   Mild depressive episode

Two or three of the above symptoms are usually present. The patient is usually distressed by these but will probably be able to continue with most activities.

F32.1   Moderate depressive episode

Four or more of the above symptoms are usually present and the patient is likely to have great difficulty in continuing with ordinary activities.

F32.2   Severe depressive episode without psychotic symptoms

An episode of depression in which several of the above symptoms are marked and distressing, typically loss of self-esteem and ideas of worthlessness or guilt. Suicidal thoughts and acts are common and a number of "somatic" symptoms are usually present.

     Agitated depression   

     Major depression         single episode without psychotic

     Vital depression          symptoms

F32.3   Severe depressive episode with psychotic symptoms

An episode of depression as described in F32.2, but with the presence of hallucinations, delusions, psychomotor retardation, or stupor so severe that ordinary social activities are impossible; there may be danger to life from suicide, dehydration, or starvation. The hallucinations and delusions may or may not be mood-congruent.

Single episodes of:

• major depression with psychotic symptoms

• psychogenic depressive psychosis

• psychotic depression

• reactive depressive psychosis

F32.8   Other depressive episodes

Atypical depression

Single episodes of "masked" depression NOS

F32.9   Depressive episode, unspecified

Depression NOS

Depressive disorder NOS

F33   Recurrent depressive disorder

A disorder characterized by repeated episodes of depression as described for depressive episode (F32-), without any history of independent episodes of mood elevation and increased energy (mania). There may, however, be brief episodes of mild mood elevation and overactivity (hypomania) immediately after a depressive episode, sometimes precipitated by antidepressant treatment. The more severe forms of recurrent depressive disorder (F33.2 and F33.3) have much in common with earlier concepts such as manic-depressive depression, melancholia, vital depression and endogenous depression. The first episode may occur at any age from childhood to old age, the onset may be either acute or insidious, and the duration varies from a few weeks to many months. The risk that a patient with recurrent depressive disorder will have an episode of mania never disappears completely, however many depressive episodes have been experienced. If such an episode does occur, the diagnosis should be changed to bipolar affective disorder (F31-).

Includes:    recurrent episodes of:

• depressive reaction

• psychogenic depression

• reactive depression

seasonal depressive disorder

Excludes:    recurrent brief depressive episodes (F38.1)

F33.0   Recurrent depressive disorder, current episode mild

A disorder characterized by repeated episodes of depression, the current episode being mild, as in F32.0, and without any history of mania.

F33.1   Recurrent depressive disorder, current episode moderate

A disorder characterized by repeated episodes of depression, the current episode being of moderate severity, as in F32.1, and without any history of mania.

F33.2   Recurrent depressive disorder, current episode severe without psychotic symptoms

A disorder characterized by repeated episodes of depression, the current episode being severe without psychotic symptoms, as in F32.2, and without any history of mania.

Endogenous depression without psychotic symptoms

Major depression, recurrent without psychotic symptoms

Manic-depressive psychosis, depressed type without psychotic symptoms

Vital depression, recurrent without psychotic symptoms

F33.3   Recurrent depressive disorder, current episode severe with psychotic symptoms

A disorder characterized by repeated episodes of depression, the current episode being severe with psychotic symptoms, as in F32.3, and with no previous episodes of mania.

Endogenous depression with psychotic symptoms

Manic-depressive psychosis, depressed type with psychotic symptoms

Recurrent severe episodes of:

• major depression with psychotic symptoms

• psychogenic depressive psychosis

• psychotic depression

• reactive depressive psychosis

F33.4   Recurrent depressive disorder, currently in remission

The patient has had two or more depressive episodes as described in F33.0-F33.3, in the past, but has been free from depressive symptoms for several months.

F33.8   Other recurrent depressive disorders

F33.9   Recurrent depressive disorder, unspecified

Monopolar depression NOS

F34   Persistent mood [affective] disorders

Persistent and usually fluctuating disorders of mood in which the majority of the individual episodes are not sufficiently severe to warrant being described as hypomanic or mild depressive episodes. Because they last for many years, and sometimes for the greater part of the patient's adult life, they involve considerable distress and disability. In some instances, recurrent or single manic or depressive episodes may become superimposed on a persistent affective disorder.

F34.0   Cyclothymia

A persistent instability of mood involving numerous periods of depression and mild elation, none of which is sufficiently severe or prolonged to justify a diagnosis of bipolar affective disorder (F31-) or recurrent depressive disorder (F33-). This disorder is frequently found in the relatives of patients with bipolar affective disorder. Some patients with cyclothymia eventually develop bipolar affective disorder.

Affective personality disorder

Cycloid personality

Cyclothymic personality

F34.1   Dysthymia

A chronic depression of mood, lasting at least several years, which is not sufficiently severe, or in which individual episodes are not sufficiently prolonged, to justify a diagnosis of severe, moderate, or mild recurrent depressive disorder (F33-).

Depressive:

• neurosis

• personality disorder

Neurotic depression

Persistent anxiety depression

Excludes:    anxiety depression (mild or not persistent) (F41.2)

F34.8   Other persistent mood [affective] disorders

F34.9   Persistent mood [affective] disorder, unspecified

F38   Other mood [affective] disorders

Any other mood disorders that do not justify classification to F30-F34, because they are not of sufficient severity or duration.

F38.0   Other single mood [affective] disorders

Mixed affective episode

F38.1   Other recurrent mood [affective] disorders

Recurrent brief depressive episodes

F38.8   Other specified mood [affective] disorders

F39   Unspecified mood [affective] disorder

Affective psychosis NOS

Neurotic, stress-related and somatoform disorders (F40-F48)

Excludes:    when associated with conduct disorder in F91- (F92.8)

F40   Phobic anxiety disorders

A group of disorders in which anxiety is evoked only, or predominantly, in certain well-defined situations that are not currently dangerous. As a result these situations are characteristically avoided or endured with dread. The patient's concern may be focused on individual symptoms like palpitations or feeling faint and is often associated with secondary fears of dying, losing control, or going mad. Contemplating entry to the phobic situation usually generates anticipatory anxiety. Phobic anxiety and depression often coexist. Whether two diagnoses, phobic anxiety and depressive episode, are needed, or only one, is determined by the time course of the two conditions and by therapeutic considerations at the time of consultation.

F40.0   Agoraphobia

A fairly well-defined cluster of phobias embracing fears of leaving home, entering shops, crowds and public places, or traveling alone in trains, buses or planes. Panic disorder is a frequent feature of both present and past episodes. Depressive and obsessional symptoms and social phobias are also commonly present as subsidiary features. Avoidance of the phobic situation is often prominent, and some agoraphobics experience little anxiety because they are able to avoid their phobic situations.

Agoraphobia without history of panic disorder

Panic disorder with agoraphobia

F40.1   Social phobias

Fear of scrutiny by other people leading to avoidance of social situations. More pervasive social phobias are usually associated with low self-esteem and fear of criticism. They may present as a complaint of blushing, hand tremor, nausea, or urgency of micturition, the patient sometimes being convinced that one of these secondary manifestations of their anxiety is the primary problem. Symptoms may progress to panic attacks.

Anthropophobia

Social neurosis

F40.2   Specific (isolated) phobias

Phobias restricted to highly specific situations such as proximity to particular animals, heights, thunder, darkness, flying, closed spaces, urinating or defecating in public toilets, eating certain foods, dentistry, or the sight of blood or injury. Though the triggering situation is discrete, contact with it can evoke panic as in agoraphobia or social phobia.

Acrophobia

Animal phobias

Claustrophobia

Simple phobia

Excludes:    dysmorphophobia (nondelusional) (F45.2)

nosophobia (F45.2)

F40.8   Other phobic anxiety disorders

F40.9   Phobic anxiety disorder, unspecified

Phobia NOS

Phobic state NOS

F41   Other anxiety disorders

Disorders in which manifestation of anxiety is the major symptom and is not restricted to any particular environmental situation. Depressive and obsessional symptoms, and even some elements of phobic anxiety, may also be present, provided that they are clearly secondary or less severe.

F41.0   Panic disorder [episodic paroxysmal anxiety]

The essential feature is recurrent attacks of severe anxiety (panic), which are not restricted to any particular situation or set of circumstances and are therefore unpredictable. As with other anxiety disorders, the dominant symptoms include sudden onset of palpitations, chest pain, choking sensations, dizziness, and feelings of unreality (depersonalization or derealization). There is often also a secondary fear of dying, losing control, or going mad. Panic disorder should not be given as the main diagnosis if the patient has a depressive disorder at the time the attacks start; in these circumstances the panic attacks are probably secondary to depression.

Panic:

• attack

• state

Excludes:    panic disorder with agoraphobia (F40.0)

F41.1   Generalized anxiety disorder

Anxiety that is generalized and persistent but not restricted to, or even strongly predominating in, any particular environmental circumstances (i.e. it is "free-floating"). The dominant symptoms are variable but include complaints of persistent nervousness, trembling, muscular tensions, sweating, lightheadedness, palpitations, dizziness, and epigastric discomfort. Fears that the patient or a relative will shortly become ill or have an accident are often expressed.

Anxiety:

• neurosis

• reaction

• state

Excludes:    neurasthenia (F48.0)

F41.2   Mixed anxiety and depressive disorder

This category should be used when symptoms of anxiety and depression are both present, but neither is clearly predominant, and neither type of symptom is present to the extent that justifies a diagnosis if considered separately. When both anxiety and depressive symptoms are present and severe enough to justify individual diagnoses, both diagnoses should be recorded and this category should not be used.

Anxiety depression (mild or not persistent)

F41.3   Other mixed anxiety disorders

Symptoms of anxiety mixed with features of other disorders in F42-F48. Neither type of symptom is severe enough to justify a diagnosis if considered separately.

F41.8   Other specified anxiety disorders

Anxiety hysteria

F41.9   Anxiety disorder, unspecified

Anxiety NOS

F42   Obsessive-compulsive disorder

The essential feature is recurrent obsessional thoughts or compulsive acts. Obsessional thoughts are ideas, images, or impulses that enter the patient's mind again and again in a stereotyped form. They are almost invariably distressing and the patient often tries, unsuccessfully, to resist them. They are, however, recognized as his or her own thoughts, even though they are involuntary and often repugnant. Compulsive acts or rituals are stereotyped behaviours that are repeated again and again. They are not inherently enjoyable, nor do they result in the completion of inherently useful tasks. Their function is to prevent some objectively unlikely event, often involving harm to or caused by the patient, which he or she fears might otherwise occur. Usually, this behaviour is recognized by the patient as pointless or ineffectual and repeated attempts are made to resist. Anxiety is almost invariably present. If compulsive acts are resisted the anxiety gets worse.

Includes:    anankastic neurosis

obsessive-compulsive neurosis

Excludes:    obsessive-compulsive personality (disorder) (F60.5)

F42.0   Predominantly obsessional thoughts or ruminations

These may take the form of ideas, mental images, or impulses to act, which are nearly always distressing to the subject. Sometimes the ideas are an indecisive, endless consideration of alternatives, associated with an inability to make trivial but necessary decisions in day-to-day living. The relationship between obsessional ruminations and depression is particularly close and a diagnosis of obsessive-compulsive disorder should be preferred only if ruminations arise or persist in the absence of a depressive episode.

F42.1   Predominantly compulsive acts [obsessional rituals]

The majority of compulsive acts are concerned with cleaning (particularly handwashing), repeated checking to ensure that a potentially dangerous situation has not been allowed to develop, or orderliness and tidiness. Underlying the overt behaviour is a fear, usually of danger either to or caused by the patient, and the ritual is an ineffectual or symbolic attempt to avert that danger.

F42.2   Mixed obsessional thoughts and acts

F42.8   Other obsessive-compulsive disorders

F42.9   Obsessive-compulsive disorder, unspecified

F43   Reaction to severe stress, and adjustment disorders

This category differs from others in that it includes disorders identifiable on the basis of not only symptoms and course but also the existence of one or other of two causative influences: an exceptionally stressful life event producing an acute stress reaction, or a significant life change leading to continued unpleasant circumstances that result in an adjustment disorder. Although less severe psychosocial stress ("life events") may precipitate the onset or contribute to the presentation of a very wide range of disorders classified elsewhere in this chapter, its etiological importance is not always clear and in each case will be found to depend on individual, often idiosyncratic, vulnerability, i.e. the life events are neither necessary nor sufficient to explain the occurrence and form of the disorder. In contrast, the disorders brought together here are thought to arise always as a direct consequence of acute severe stress or continued trauma. The stressful events or the continuing unpleasant circumstances are the primary and overriding causal factor and the disorder would not have occurred without their impact. The disorders in this section can thus be regarded as maladaptive responses to severe or continued stress, in that they interfere with successful coping mechanisms and therefore lead to problems of social functioning.

F43.0   Acute stress reaction

A transient disorder that develops in an individual without any other apparent mental disorder in response to exceptional physical and mental stress and that usually subsides within hours or days. Individual vulnerability and coping capacity play a role in the occurrence and severity of acute stress reactions. The symptoms show a typically mixed and changing picture and include an initial state of "daze" with some constriction of the field of consciousness and narrowing of attention, inability to comprehend stimuli, and disorientation. This state may be followed either by further withdrawal from the surrounding situation (to the extent of a dissociative stupor-F44.2), or by agitation and over-activity (flight reaction or fugue). Autonomic signs of panic anxiety (tachycardia, sweating, flushing) are commonly present. The symptoms usually appear within minutes of the impact of the stressful stimulus or event, and disappear within two to three days (often within hours). Partial or complete amnesia (F44.0) for the episode may be present. If the symptoms persist, a change in diagnosis should be considered.

Acute:

• crisis reaction

• reaction to stress

Combat fatigue

Crisis state

Psychic shock

F43.1   Post-traumatic stress disorder

Arises as a delayed or protracted response to a stressful event or situation (of either brief or long duration) of an exceptionally threatening or catastrophic nature, which is likely to cause pervasive distress in almost anyone. Predisposing factors, such as personality traits (e.g. compulsive, asthenic) or previous history of neurotic illness, may lower the threshold for the development of the syndrome or aggravate its course, but they are neither necessary nor sufficient to explain its occurrence. Typical features include episodes of repeated reliving of the trauma in intrusive memories ("flashbacks"), dreams or nightmares, occurring against the persisting background of a sense of "numbness" and emotional blunting, detachment from other people, unresponsiveness to surroundings, anhedonia, and avoidance of activities and situations reminiscent of the trauma. There is usually a state of autonomic hyperarousal with hypervigilance, an enhanced startle reaction, and insomnia. Anxiety and depression are commonly associated with the above symptoms and signs, and suicidal ideation is not infrequent. The onset follows the trauma with a latency period that may range from a few weeks to months. The course is fluctuating but recovery can be expected in the majority of cases. In a small proportion of cases the condition may follow a chronic course over many years, with eventual transition to an enduring personality change (F62.0).

Traumatic neurosis

F43.2   Adjustment disorders

States of subjective distress and emotional disturbance, usually interfering with social functioning and performance, arising in the period of adaptation to a significant life change or a stressful life event. The stressor may have affected the integrity of an individual's social network (bereavement, separation experiences) or the wider system of social supports and values (migration, refugee status), or represented a major developmental transition or crisis (going to school, becoming a parent, failure to attain a cherished personal goal, retirement). Individual predisposition or vulnerability plays an important role in the risk of occurrence and the shaping of the manifestations of adjustment disorders, but it is nevertheless assumed that the condition would not have arisen without the stressor. The manifestations vary and include depressed mood, anxiety or worry (or mixture of these), a feeling of inability to cope, plan ahead, or continue in the present situation, as well as some degree of disability in the performance of daily routine. Conduct disorders may be an associated feature, particularly in adolescents. The predominant feature may be a brief or prolonged depressive reaction, or a disturbance of other emotions and conduct.

Culture shock

Grief reaction

Hospitalism in children

Excludes:    separation anxiety disorder of childhood (F93.0)

F43.8   Other reactions to severe stress

F43.9   Reaction to severe stress, unspecified

F44   Dissociative [conversion] disorders

The common themes that are shared by dissociative or conversion disorders are a partial or complete loss of the normal integration between memories of the past, awareness of identity and immediate sensations, and control of bodily movements. All types of dissociative disorders tend to remit after a few weeks or months, particularly if their onset is associated with a traumatic life event. More chronic disorders, particularly paralyses and anaesthesias, may develop if the onset is associated with insoluble problems or interpersonal difficulties. These disorders have previously been classified as various types of "conversion hysteria". They are presumed to be psychogenic in origin, being associated closely in time with traumatic events, insoluble and intolerable problems, or disturbed relationships. The symptoms often represent the patient's concept of how a physical illness would be manifest. Medical examination and investigation do not reveal the presence of any known physical or neurological disorder. In addition, there is evidence that the loss of function is an expression of emotional conflicts or needs. The symptoms may develop in close relationship to psychological stress, and often appear suddenly. Only disorders of physical functions normally under voluntary control and loss of sensations are included here. Disorders involving pain and other complex physical sensations mediated by the autonomic nervous system are classified under somatization disorder (F45.0). The possibility of the later appearance of serious physical or psychiatric disorders should always be kept in mind.

Includes:    conversion:

• hysteria

• reaction

hysteria

hysterical psychosis

Excludes:    malingering [conscious simulation] (^[i]Z76.5)

F44.0   Dissociative amnesia

The main feature is loss of memory, usually of important recent events, that is not due to organic mental disorder, and is too great to be explained by ordinary forgetfulness or fatigue. The amnesia is usually centred on traumatic events, such as accidents or unexpected bereavements, and is usually partial and selective. Complete and generalized amnesia is rare, and is usually part of a fugue (F44.1). If this is the case, the disorder should be classified as such. The diagnosis should not be made in the presence of organic brain disorders, intoxication, or excessive fatigue.

Excludes:    alcohol- or other psychoactive substance-induced amnesic disorder (F10-F19 with common fourth character .6)

amnesia:

• NOS (R41.3)

• anterograde (R41.1)

• retrograde (R41.2)

nonalcoholic organic amnesic syndrome (F04)

postictal amnesia in epilepsy (G40-)

F44.1   Dissociative fugue

Dissociative fugue has all the features of dissociative amnesia, plus purposeful travel beyond the usual everyday range. Although there is amnesia for the period of the fugue, the patient's behaviour during this time may appear completely normal to independent observers.

Excludes:    postictal fugue in epilepsy (G40-)

F44.2   Dissociative stupor

Dissociative stupor is diagnosed on the basis of a profound diminution or absence of voluntary movement and normal responsiveness to external stimuli such as light, noise, and touch, but examination and investigation reveal no evidence of a physical cause. In addition, there is positive evidence of psychogenic causation in the form of recent stressful events or problems.

Excludes:    organic catatonic disorder (F06.1)

stupor:

• NOS (R40.1)

• catatonic (F20.2)

• depressive (F31-F33)

• manic (F30.2)

F44.3   Trance and possession disorders

Disorders in which there is a temporary loss of the sense of personal identity and full awareness of the surroundings. Include here only trance states that are involuntary or unwanted, occurring outside religious or culturally accepted situations.

Excludes:    states associated with:

• acute and transient psychotic disorders (F23-)

• organic personality disorder (F07.0)

• postconcussional syndrome (F07.2)

• psychoactive substance intoxication (F10-F19 with common fourth character .0)

• schizophrenia (F20-)

F44.4   Dissociative motor disorders

In the commonest varieties there is loss of ability to move the whole or a part of a limb or limbs. There may be close resemblance to almost any variety of ataxia, apraxia, akinesia, aphonia, dysarthria, dyskinesia, seizures, or paralysis.

Psychogenic:

• aphonia

• dysphonia

F44.5   Dissociative convulsions

Dissociative convulsions may mimic epileptic seizures very closely in terms of movements, but tongue-biting, bruising due to falling, and incontinence of urine are rare, and consciousness is maintained or replaced by a state of stupor or trance.

F44.6   Dissociative anaesthesia and sensory loss

Anaesthetic areas of skin often have boundaries that make it clear that they are associated with the patient's ideas about bodily functions, rather than medical knowledge. There may be differential loss between the sensory modalities which cannot be due to a neurological lesion. Sensory loss may be accompanied by complaints of paraesthesia. Loss of vision and hearing are rarely total in dissociative disorders.

Psychogenic deafness

F44.7   Mixed dissociative [conversion] disorders

Combination of disorders specified in F44.0-F44.6

F44.8   Other dissociative [conversion] disorders

Ganser syndrome

Multiple personality

Psychogenic:

• confusion

• twilight state

F44.9   Dissociative [conversion] disorder, unspecified

F45   Somatoform disorders

The main feature is repeated presentation of physical symptoms together with persistent requests for medical investigations, in spite of repeated negative findings and reassurances by doctors that the symptoms have no physical basis. If any physical disorders are present, they do not explain the nature and extent of the symptoms or the distress and preoccupation of the patient.

Excludes:    dissociative disorders (F44-)

hair-plucking (F98.4)

lalling (F80.0)

lisping (F80.8)

nail-biting (F98.8)

psychological or behavioural factors associated with disorders or diseases classified elsewhere (F54)

sexual dysfunction, not caused by organic disorder or disease (F52-)

thumb-sucking (F98.8)

tic disorders (in childhood and adolescence) (F95-)

Tourette syndrome (F95.2)

trichotillomania (F63.3)

F45.0   Somatization disorder

The main features are multiple, recurrent and frequently changing physical symptoms of at least two years' duration. Most patients have a long and complicated history of contact with both primary and specialist medical care services, during which many negative investigations or fruitless exploratory operations may have been carried out. Symptoms may be referred to any part or system of the body. The course of the disorder is chronic and fluctuating, and is often associated with disruption of social, interpersonal, and family behaviour. Short-lived (less than two years) and less striking symptom patterns should be classified under undifferentiated somatoform disorder (F45.1).

Briquet disorder

Multiple psychosomatic disorder

Excludes:    malingering [conscious simulation] (^[i]Z76.5)

F45.1   Undifferentiated somatoform disorder

When somatoform complaints are multiple, varying and persistent, but the complete and typical clinical picture of somatization disorder is not fulfilled, the diagnosis of undifferentiated somatoform disorder should be considered.

Undifferentiated psychosomatic disorder

F45.2   Hypochondriacal disorder

The essential feature is a persistent preoccupation with the possibility of having one or more serious and progressive physical disorders. Patients manifest persistent somatic complaints or a persistent preoccupation with their physical appearance. Normal or commonplace sensations and appearances are often interpreted by patients as abnormal and distressing, and attention is usually focused upon only one or two organs or systems of the body. Marked depression and anxiety are often present, and may justify additional diagnoses.

Body dysmorphic disorder

Dysmorphophobia (nondelusional)

Hypochondriacal neurosis

Hypochondriasis

Nosophobia

Excludes:    delusional dysmorphophobia (F22.8)

fixed delusions about bodily functions or shape (F22-)

F45.3   Somatoform autonomic dysfunction

Symptoms are presented by the patient as if they were due to a physical disorder of a system or organ that is largely or completely under autonomic innervation and control, i.e. the cardiovascular, gastrointestinal, respiratory and urogenital systems. The symptoms are usually of two types, neither of which indicates a physical disorder of the organ or system concerned. First, there are complaints based upon objective signs of autonomic arousal, such as palpitations, sweating, flushing, tremor, and expression of fear and distress about the possibility of a physical disorder. Second, there are subjective complaints of a nonspecific or changing nature such as fleeting aches and pains, sensations of burning, heaviness, tightness, and feelings of being bloated or distended, which are referred by the patient to a specific organ or system.

Cardiac neurosis

Da Costa syndrome

Gastric neurosis

Neurocirculatory asthenia

Psychogenic forms of:

• aerophagy

• cough

• diarrhoea

• dyspepsia

• dysuria

• flatulence

• hiccough

• hyperventilation

• increased frequency of micturition

• irritable bowel syndrome

• pylorospasm

Excludes:    psychological and behavioural factors associated with disorders or diseases classified elsewhere (F54)

F45.4   Persistent somatoform pain disorder

The predominant complaint is of persistent, severe, and distressing pain, which cannot be explained fully by a physiological process or a physical disorder, and which occurs in association with emotional conflict or psychosocial problems that are sufficient to allow the conclusion that they are the main causative influences. The result is usually a marked increase in support and attention, either personal or medical. Pain presumed to be of psychogenic origin occurring during the course of depressive disorders or schizophrenia should not be included here.

Psychalgia

Psychogenic:

• backache

• headache

Somatoform pain disorder

Excludes:    backache NOS (M54.9)

pain:

• NOS (R52.9)

• acute (R52.0)

• chronic (R52.2)

• intractable (R52.1)

tension headache (G44.2)

F45.8   Other somatoform disorders

Any other disorders of sensation, function and behaviour, not due to physical disorders, which are not mediated through the autonomic nervous system, which are limited to specific systems or parts of the body, and which are closely associated in time with stressful events or problems.

Psychogenic:

• dysmenorrhoea

• dysphagia, including "globus hystericus"

• pruritus

• torticollis

Teeth-grinding

F45.9   Somatoform disorder, unspecified

Psychosomatic disorder NOS

F48   Other neurotic disorders

F48.0   Neurasthenia

Considerable cultural variations occur in the presentation of this disorder, and two main types occur, with substantial overlap. In one type, the main feature is a complaint of increased fatigue after mental effort, often associated with some decrease in occupational performance or coping efficiency in daily tasks. The mental fatiguability is typically described as an unpleasant intrusion of distracting associations or recollections, difficulty in concentrating, and generally inefficient thinking. In the other type, the emphasis is on feelings of bodily or physical weakness and exhaustion after only minimal effort, accompanied by a feeling of muscular aches and pains and inability to relax. In both types a variety of other unpleasant physical feelings is common, such as dizziness, tension headaches, and feelings of general instability. Worry about decreasing mental and bodily well-being, irritability, anhedonia, and varying minor degrees of both depression and anxiety are all common. Sleep is often disturbed in its initial and middle phases but hypersomnia may also be prominent.

Fatigue syndrome

Use additional code, if desired, to identify previous physical illness.

Excludes:    asthenia NOS (R53)

burn-out (^[i]Z73.0)

malaise and fatigue (R53)

postviral fatigue syndrome (G93.3)

psychasthenia (F48.8)

F48.1   Depersonalization-derealization syndrome

A rare disorder in which the patient complains spontaneously that his or her mental activity, body, and surroundings are changed in their quality, so as to be unreal, remote, or automatized. Among the varied phenomena of the syndrome, patients complain most frequently of loss of emotions and feelings of estrangement or detachment from their thinking, their body, or the real world. In spite of the dramatic nature of the experience, the patient is aware of the unreality of the change. The sensorium is normal and the capacity for emotional expression intact. Depersonalization-derealization symptoms may occur as part of a diagnosable schizophrenic, depressive, phobic, or obsessive-compulsive disorder. In such cases the diagnosis should be that of the main disorder.

F48.8   Other specified neurotic disorders

Dhat syndrome

Occupational neurosis, including writer cramp

Psychasthenia

Psychasthenic neurosis

Psychogenic syncope

F48.9   Neurotic disorder, unspecified

Neurosis NOS

Behavioural syndromes associated with physiological disturbances and physical factors (F50-F59)

F50   Eating disorders

Excludes:    anorexia NOS (R63.0)

feeding:

• difficulties and mismanagement (R63.3)

• disorder of infancy or childhood (F98.2)

polyphagia (R63.2)

F50.0   Anorexia nervosa

A disorder characterized by deliberate weight loss, induced and sustained by the patient. It occurs most commonly in adolescent girls and young women, but adolescent boys and young men may also be affected, as may children approaching puberty and older women up to the menopause. The disorder is associated with a specific psychopathology whereby a dread of fatness and flabbiness of body contour persists as an intrusive overvalued idea, and the patients impose a low weight threshold on themselves. There is usually undernutrition of varying severity with secondary endocrine and metabolic changes and disturbances of bodily function. The symptoms include restricted dietary choice, excessive exercise, induced vomiting and purgation, and use of appetite suppressants and diuretics.

Excludes:    loss of appetite (R63.0)

• psychogenic (F50.8)

F50.1   Atypical anorexia nervosa

Disorders that fulfill some of the features of anorexia nervosa but in which the overall clinical picture does not justify that diagnosis. For instance, one of the key symptoms, such as amenorrhoea or marked dread of being fat, may be absent in the presence of marked weight loss and weight-reducing behaviour. This diagnosis should not be made in the presence of known physical disorders associated with weight loss.

F50.2   Bulimia nervosa

A syndrome characterized by repeated bouts of overeating and an excessive preoccupation with the control of body weight, leading to a pattern of overeating followed by vomiting or use of purgatives. This disorder shares many psychological features with anorexia nervosa, including an over concern with body shape and weight. Repeated vomiting is likely to give rise to disturbances of body electrolytes and physical complications. There is often, but not always, a history of an earlier episode of anorexia nervosa, the interval ranging from a few months to several years.

Bulimia NOS

Hyperorexia nervosa

F50.3   Atypical bulimia nervosa

Disorders that fulfill some of the features of bulimia nervosa, but in which the overall clinical picture does not justify that diagnosis. For instance, there may be recurrent bouts of overeating and overuse of purgatives without significant weight change, or the typical over concern about body shape and weight may be absent.

F50.4   Overeating associated with other psychological disturbances

Overeating due to stressful events, such as bereavement, accident, childbirth, etc.

Psychogenic overeating

Excludes:    obesity (E66-)

F50.5   Vomiting associated with other psychological disturbances

Repeated vomiting that occurs in dissociative disorders (F44-) and hypochondriacal disorder (F45.2), and that is not solely due to conditions classified outside this chapter.

Psychogenic vomiting

Use additional code (O21.-), if desired, to identify excess vomiting in pregnancy.

Excludes:    nausea (R11)

vomiting NOS (R11)

F50.8   Other eating disorders

Pica in adults

Psychogenic loss of appetite

Excludes:    pica of infancy and childhood (F98.3)

F50.9   Eating disorder, unspecified

F51   Nonorganic sleep disorders

In many cases, a disturbance of sleep is one of the symptoms of another disorder, either mental or physical. Whether a sleep disorder in a given patient is an independent condition or simply one of the features of another disorder classified elsewhere, either in this chapter or in others, should be determined on the basis of its clinical presentation and course as well as on the therapeutic considerations and priorities at the time of the consultation. Generally, if the sleep disorder is one of the major complaints and is perceived as a condition in itself, the present code should be used along with other pertinent diagnoses describing the psychopathology and pathophysiology involved in a given case. This category includes only those sleep disorders in which emotional causes are considered to be a primary factor, and which are not due to identifiable physical disorders classified elsewhere.

Excludes:    sleep disorders (organic) (G47-)

F51.0   Nonorganic insomnia

A condition of unsatisfactory quantity and/or quality of sleep, which persists for a considerable period of time, including difficulty falling asleep, difficulty staying asleep, or early final wakening. Insomnia is a common symptom of many mental and physical disorders, and should be classified here in addition to the basic disorder only if it dominates the clinical picture.

Excludes:    insomnia (organic) (G47.0)

F51.1   Nonorganic hypersomnia

Hypersomnia is defined as a condition of either excessive daytime sleepiness and sleep attacks (not accounted for by an inadequate amount of sleep) or prolonged transition to the fully aroused state upon awakening. In the absence of an organic factor for the occurrence of hypersomnia, this condition is usually associated with mental disorders.

Excludes:    hypersomnia (organic) (G47.1)

narcolepsy (G47.4)

F51.2   Nonorganic disorder of the sleep-wake schedule

A lack of synchrony between the sleep-wake schedule and the desired sleep-wake schedule for the individual's environment, resulting in a complaint of either insomnia or hypersomnia.

Psychogenic inversion of:

• circadian      

• nyctohemeral      rhythm

• sleep          

Excludes:    disorders of the sleep-wake schedule (organic) (G47.2)

F51.3   Sleepwalking [somnambulism]

A state of altered consciousness in which phenomena of sleep and wakefulness are combined. During a sleepwalking episode the individual arises from bed, usually during the first third of nocturnal sleep, and walks about, exhibiting low levels of awareness, reactivity, and motor skill. Upon awakening, there is usually no recall of the event.

F51.4   Sleep terrors [night terrors]

Nocturnal episodes of extreme terror and panic associated with intense vocalization, motility, and high levels of autonomic discharge. The individual sits up or gets up, usually during the first third of nocturnal sleep, with a panicky scream. Quite often he or she rushes to the door as if trying to escape, although very seldom leaves the room. Recall of the event, if any, is very limited (usually to one or two fragmentary mental images).

F51.5   Nightmares

Dream experiences loaded with anxiety or fear. There is very detailed recall of the dream content. The dream experience is very vivid and usually includes themes involving threats to survival, security, or self-esteem. Quite often there is a recurrence of the same or similar frightening nightmare themes. During a typical episode there is a degree of autonomic discharge but no appreciable vocalization or body motility. Upon awakening the individual rapidly becomes alert and oriented.

Dream anxiety disorder

F51.8   Other nonorganic sleep disorders

F51.9   Nonorganic sleep disorder, unspecified

Emotional sleep disorder NOS

F52   Sexual dysfunction, not caused by organic disorder or disease

Sexual dysfunction covers the various ways in which an individual is unable to participate in a sexual relationship as he or she would wish. Sexual response is a psychosomatic process and both psychological and somatic processes are usually involved in the causation of sexual dysfunction.

Excludes:    Dhat syndrome (F48.8)

F52.0   Lack or loss of sexual desire

Loss of sexual desire is the principal problem and is not secondary to other sexual difficulties, such as erectile failure or dyspareunia.

Frigidity

Hypoactive sexual desire disorder

F52.1   Sexual aversion and lack of sexual enjoyment

Either the prospect of sexual interaction produces sufficient fear or anxiety that sexual activity is avoided (sexual aversion) or sexual responses occur normally and orgasm is experienced but there is a lack of appropriate pleasure (lack of sexual enjoyment).

Anhedonia (sexual)

F52.2   Failure of genital response

The principal problem in men is erectile dysfunction (difficulty in developing or maintaining an erection suitable for satisfactory intercourse). In women, the principal problem is vaginal dryness or failure of lubrication.

Female sexual arousal disorder

Male erectile disorder

Psychogenic impotence

Excludes:    impotence of organic origin (N48.4)

F52.3   Orgasmic dysfunction

Orgasm either does not occur or is markedly delayed.

Inhibited orgasm (male)(female)

Psychogenic anorgasmy

F52.4   Premature ejaculation

The inability to control ejaculation sufficiently for both partners to enjoy sexual interaction.

F52.5   Nonorganic vaginismus

Spasm of the pelvic floor muscles that surround the vagina, causing occlusion of the vaginal opening. Penile entry is either impossible or painful.

Psychogenic vaginismus

Excludes:    vaginismus (organic) (N94.2)

F52.6   Nonorganic dyspareunia

Dyspareunia (or pain during sexual intercourse) occurs in both women and men. It can often be attributed to local pathology and should then properly be categorized under the pathological condition. This category is to be used only if there is no primary nonorganic sexual dysfunction (e.g. vaginismus or vaginal dryness).

Psychogenic dyspareunia

Excludes:    dyspareunia (organic) (N94.1)

F52.7   Excessive sexual drive

Nymphomania

Satyriasis

F52.8   Other sexual dysfunction, not caused by organic disorder or disease

F52.9   Unspecified sexual dysfunction, not caused by organic disorder or disease

F53   Mental and behavioural disorders associated with the puerperium, not elsewhere classified

This category includes only mental disorders associated with the puerperium (commencing within six weeks of delivery) that do not meet the criteria for disorders classified elsewhere in this chapter, either because insufficient information is available, or because it is considered that special additional clinical features are present that make their classification elsewhere inappropriate.

F53.0   Mild mental and behavioural disorders associated with the puerperium, not elsewhere classified

Depression:

• postnatal NOS

• postpartum NOS

F53.1   Severe mental and behavioural disorders associated with the puerperium, not elsewhere classified

Puerperal psychosis NOS

F53.8   Other mental and behavioural disorders associated with the puerperium, not elsewhere classified

F53.9   Puerperal mental disorder, unspecified

F54   Psychological and behavioural factors associated with disorders or diseases classified elsewhere

This category should be used to record the presence of psychological or behavioural influences thought to have played a major part in the etiology of physical disorders which can be classified to other chapters. Any resulting mental disturbances are usually mild, and often prolonged (such as worry, emotional conflict, apprehension) and do not of themselves justify the use of any of the categories in this chapter.

Psychological factors affecting physical conditions

Examples of the use of this category are:

• asthma F54 and J45-

• dermatitis F54 and L23-L25

• gastric ulcer F54 and K25-

• mucous colitis F54 and K58-

• ulcerative colitis F54 and K51-

• urticaria F54 and L50-

Use additional code, if desired, to identify the associated physical disorder.

Excludes:    tension-type headache (G44.2)

F55   Abuse of non-dependence-producing substances

A wide variety of medicaments and folk remedies may be involved, but the particularly important groups are: (a) psychotropic drugs that do not produce dependence, such as antidepressants, (b) laxatives, and (c) analgesics that may be purchased without medical prescription, such as aspirin and paracetamol.

Persistent use of these substances often involves unnecessary contacts with medical professionals or supporting staff, and is sometimes accompanied by harmful physical effects of the substances. Attempts to dissuade or forbid the use of the substance are often met with resistance; for laxatives and analgesics this may be in spite of warnings about (or even the development of) physical harm such as renal dysfunction or electrolyte disturbances. Although it is usually clear that the patient has a strong motivation to take the substance, dependence or withdrawal symptoms do not develop as in the case of the psychoactive substances specified in F10-F19.

Abuse of:

• antacids

• herbal or folk remedies

• steroids or hormones

• vitamins

Laxative habit

Excludes:    abuse of psychoactive substances (F10-F19)

F59   Unspecified behavioural syndromes associated with physiological disturbances and physical factors

Psychogenic physiological dysfunction NOS

Disorders of adult personality and behaviour (F60-F69)

This block includes a variety of conditions and behaviour patterns of clinical significance which tend to be persistent and appear to be the expression of the individual's characteristic lifestyle and mode of relating to himself or herself and others. Some of these conditions and patterns of behaviour emerge early in the course of individual development, as a result of both constitutional factors and social experience, while others are acquired later in life. Specific personality disorders (F60-), mixed and other personality disorders (F61-), and enduring personality changes (F62-) are deeply ingrained and enduring behaviour patterns, manifesting as inflexible responses to a broad range of personal and social situations. They represent extreme or significant deviations from the way in which the average individual in a given culture perceives, thinks, feels and, particularly, relates to others. Such behaviour patterns tend to be stable and to encompass multiple domains of behaviour and psychological functioning. They are frequently, but not always, associated with various degrees of subjective distress and problems of social performance.

F60   Specific personality disorders

These are severe disturbances in the personality and behavioural tendencies of the individual; not directly resulting from disease, damage, or other insult to the brain, or from another psychiatric disorder; usually involving several areas of the personality; nearly always associated with considerable personal distress and social disruption; and usually manifest since childhood or adolescence and continuing throughout adulthood.

F60.0   Paranoid personality disorder

Personality disorder characterized by excessive sensitivity to setbacks, unforgiveness of insults; suspiciousness and a tendency to distort experience by misconstruing the neutral or friendly actions of others as hostile or contemptuous; recurrent suspicions, without justification, regarding the sexual fidelity of the spouse or sexual partner; and a combative and tenacious sense of personal rights. There may be excessive self-importance, and there is often excessive self-reference.

Personality (disorder):

• expansive paranoid

• fanatic

• querulant

• paranoid

• sensitive paranoid

Excludes:    paranoia (F22.0)

• querulans (F22.8)

paranoid:

• psychosis (F22.0)

• schizophrenia (F20.0)

• state (F22.0)

F60.1   Schizoid personality disorder

Personality disorder characterized by withdrawal from affectional, social and other contacts with preference for fantasy, solitary activities, and introspection. There is a limited capacity to express feelings and to experience pleasure.

Excludes:    Asperger syndrome (F84.5)

delusional disorder (F22.0)

schizoid disorder of childhood (F84.5)

schizophrenia (F20-)

schizotypal disorder (F21)

F60.2   Dissocial personality disorder

Personality disorder characterized by disregard for social obligations, and callous unconcern for the feelings of others. There is gross disparity between behaviour and the prevailing social norms. Behaviour is not readily modifiable by adverse experience, including punishment. There is a low tolerance to frustration and a low threshold for discharge of aggression, including violence; there is a tendency to blame others, or to offer plausible rationalizations for the behaviour bringing the patient into conflict with society.

Personality (disorder):

• amoral

• antisocial

• asocial

• psychopathic

• sociopathic

Excludes:    conduct disorders (F91-)

emotionally unstable personality disorder (F60.3)

F60.3   Emotionally unstable personality disorder

Personality disorder characterized by a definite tendency to act impulsively and without consideration of the consequences; the mood is unpredictable and capricious. There is a liability to outbursts of emotion and an incapacity to control the behavioural explosions. There is a tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive acts are thwarted or censored. Two types may be distinguished: the impulsive type, characterized predominantly by emotional instability and lack of impulse control, and the borderline type, characterized in addition by disturbances in self-image, aims, and internal preferences, by chronic feelings of emptiness, by intense and unstable interpersonal relationships, and by a tendency to self-destructive behaviour, including suicide gestures and attempts.

Personality (disorder): 

• aggressive

• borderline

• explosive

Excludes:    dissocial personality disorder (F60.2)

F60.4   Histrionic personality disorder

Personality disorder characterized by shallow and labile affectivity, self-dramatization, theatricality, exaggerated expression of emotions, suggestibility, egocentricity, self-indulgence, lack of consideration for others, easily hurt feelings, and continuous seeking for appreciation, excitement and attention.

Personality (disorder):

• hysterical

• psychoinfantile

F60.5   Anankastic personality disorder

Personality disorder characterized by feelings of doubt, perfectionism, excessive conscientiousness, checking and preoccupation with details, stubbornness, caution, and rigidity. There may be insistent and unwelcome thoughts or impulses that do not attain the severity of an obsessive-compulsive disorder.

Personality (disorder):

• compulsive

• obsessional

• obsessive-compulsive

Excludes:    obsessive-compulsive disorder (F42-)

F60.6   Anxious [avoidant] personality disorder

Personality disorder characterized by feelings of tension and apprehension, insecurity and inferiority. There is a continuous yearning to be liked and accepted, a hypersensitivity to rejection and criticism with restricted personal attachments, and a tendency to avoid certain activities by habitual exaggeration of the potential dangers or risks in everyday situations.

F60.7   Dependent personality disorder

Personality disorder characterized by pervasive passive reliance on other people to make one's major and minor life decisions, great fear of abandonment, feelings of helplessness and incompetence, passive compliance with the wishes of elders and others, and a weak response to the demands of daily life. Lack of vigour may show itself in the intellectual or emotional spheres; there is often a tendency to transfer responsibility to others.

Personality (disorder):

• asthenic

• inadequate

• passive

• self-defeating

F60.8   Other specific personality disorders

Personality (disorder):

• eccentric

• "haltlose" type

• immature

• narcissistic

• passive-aggressive

• psychoneurotic

F60.9   Personality disorder, unspecified

Character neurosis NOS

Pathological personality NOS

F61   Mixed and other personality disorders

This category is intended for personality disorders that are often troublesome but do not demonstrate the specific pattern of symptoms that characterize the disorders described in F60-. As a result they are often more difficult to diagnose than the disorders in F60-.

Examples include:

• mixed personality disorders with features of several of the disorders in F60- but without a predominant set of symptoms that would allow a more specific diagnosis

• troublesome personality changes, not classifiable to F60- or F62-, and regarded

as secondary to a main diagnosis of a coexisting affective or anxiety disorder.

Excludes:    accentuated personality traits (^[i]Z73.1)

F62   Enduring personality changes, not attributable to brain damage and disease

Disorders of adult personality and behaviour that have developed in persons with no previous personality disorder following exposure to catastrophic or excessive prolonged stress, or following a severe psychiatric illness. These diagnoses should be made only when there is evidence of a definite and enduring change in a person's pattern of perceiving, relating to, or thinking about the environment and himself or herself. The personality change should be significant and be associated with inflexible and maladaptive behaviour not present before the pathogenic experience. The change should not be a direct manifestation of another mental disorder or a residual symptom of any antecedent mental disorder.

Excludes:    personality and behavioural disorder due to brain disease, damage and dysfunction (F07-)

F62.0   Enduring personality change after catastrophic experience

Enduring personality change, present for at least two years, following exposure to catastrophic stress. The stress must be so extreme that it is not necessary to consider personal vulnerability in order to explain its profound effect on the personality. The disorder is characterized by a hostile or distrustful attitude toward the world, social withdrawal, feelings of emptiness or hopelessness, a chronic feeling of "being on edge" as if constantly threatened, and estrangement. Post-traumatic stress disorder (F43.1) may precede this type of personality change.

Personality change after:

• concentration camp experiences

• disasters

• prolonged:

• captivity with an imminent possibility of being killed

• exposure to life-threatening situations such as being a victim of terrorism

• torture

Excludes:    post-traumatic stress disorder (F43.1)

F62.1   Enduring personality change after psychiatric illness

Personality change, persisting for at least two years, attributable to the traumatic experience of suffering from a severe psychiatric illness. The change cannot be explained by a previous personality disorder and should be differentiated from residual schizophrenia and other states of incomplete recovery from an antecedent mental disorder. This disorder is characterized by an excessive dependence on and a demanding attitude towards others; conviction of being changed or stigmatized by the illness, leading to an inability to form and maintain close and confiding personal relationships and to social isolation; passivity, reduced interests, and diminished involvement in leisure activities; persistent complaints of being ill, which may be associated with hypochondriacal claims and illness behaviour; dysphoric or labile mood, not due to the presence of a current mental disorder or antecedent mental disorder with residual affective symptoms; and longstanding problems in social and occupational functioning.

F62.8   Other enduring personality changes

Chronic pain personality syndrome

F62.9   Enduring personality change, unspecified

F63   Habit and impulse disorders

This category includes certain disorders of behaviour that are not classifiable under other categories. They are characterized by repeated acts that have no clear rational motivation, cannot be controlled, and generally harm the patient's own interests and those of other people. The patient reports that the behaviour is associated with impulses to action. The cause of these disorders is not understood and they are grouped together because of broad descriptive similarities, not because they are known to share any other important features.

Excludes:    habitual excessive use of alcohol or psychoactive substances (F10-F19)

impulse and habit disorders involving sexual behaviour (F65-)

F63.0   Pathological gambling

The disorder consists of frequent, repeated episodes of gambling that dominate the patient's life to the detriment of social, occupational, material, and family values and commitments.

Compulsive gambling

Excludes:    excessive gambling by manic patients (F30-)

gambling and betting NOS (^[i]Z72.6)

gambling in dissocial personality disorder (F60.2)

F63.1   Pathological fire-setting [pyromania]

Disorder characterized by multiple acts of, or attempts at, setting fire to property or other objects, without apparent motive, and by a persistent preoccupation with subjects related to fire and burning. This behaviour is often associated with feelings of increasing tension before the act, and intense excitement immediately afterwards.

Excludes:    fire-setting (by)(in):

• adult with dissocial personality disorder (F60.2)

• alcohol or psychoactive substance intoxication (F10-F19, with common fourth character .0)

• as the reason for observation for suspected mental disorder, ruled out (^[i]Z03.2)

• conduct disorders (F91-)

• organic mental disorders (F00-F09)

• schizophrenia (F20-)

F63.2   Pathological stealing [kleptomania]

Disorder characterized by repeated failure to resist impulses to steal objects that are not acquired for personal use or monetary gain. The objects may instead be discarded, given away, or hoarded. This behaviour is usually accompanied by an increasing sense of tension before, and a sense of gratification during and immediately after, the act.

Excludes:    depressive disorder with stealing (F31-F33)

organic mental disorders (F00-F09)

shoplifting as the reason for observation for suspected mental disorder, ruled out(^[i]Z03.2)

F63.3   Trichotillomania

A disorder characterized by noticeable hair-loss due to a recurrent failure to resist impulses to pull out hairs. The hair-pulling is usually preceded by mounting tension and is followed by a sense of relief or gratification. This diagnosis should not be made if there is a pre-existing inflammation of the skin, or if the hair-pulling is in response to a delusion or a hallucination.

Excludes:    stereotyped movement disorder with hair-plucking (F98.4)

F63.8   Other habit and impulse disorders

Other kinds of persistently repeated maladaptive behaviour that are not secondary to a recognized psychiatric syndrome, and in which it appears that the patient is repeatedly failing to resist impulses to carry out the behaviour. There is a prodromal period of tension with a feeling of release at the time of the act.

Intermittent explosive disorder

F63.9   Habit and impulse disorder, unspecified

F64   Gender identity disorders

F64.0   Transsexualism

A desire to live and be accepted as a member of the opposite sex, usually accompanied by a sense of discomfort with, or inappropriateness of, one's anatomic sex, and a wish to have surgery and hormonal treatment to make one's body as congruent as possible with one's preferred sex.

F64.1   Dual-role transvestism

The wearing of clothes of the opposite sex for part of the individual's existence in order to enjoy the temporary experience of membership of the opposite sex, but without any desire for a more permanent sex change or associated surgical reassignment, and without sexual excitement accompanying the cross-dressing.

Gender identity disorder of adolescence or adulthood, nontranssexual type

Excludes:    fetishistic transvestism (F65.1)

F64.2   Gender identity disorder of childhood

A disorder, usually first manifest during early childhood (and always well before puberty), characterized by a persistent and intense distress about assigned sex, together with a desire to be (or insistence that one is) of the other sex. There is a persistent preoccupation with the dress and activities of the opposite sex and repudiation of the individual's own sex. The diagnosis requires a profound disturbance of the normal gender identity; mere tomboyishness in girls or girlish behaviour in boys is not sufficient. Gender identity disorders in individuals who have reached or are entering puberty should not be classified here but in F66-.

Excludes:    egodystonic sexual orientation (F66.1)

sexual maturation disorder (F66.0)

F64.8   Other gender identity disorders

F64.9   Gender identity disorder, unspecified

Gender-role disorder NOS

F65   Disorders of sexual preference

Includes:    paraphilias

F65.0   Fetishism

Reliance on some non-living object as a stimulus for sexual arousal and sexual gratification. Many fetishes are extensions of the human body, such as articles of clothing or footwear. Other common examples are characterized by some particular texture such as rubber, plastic or leather. Fetish objects vary in their importance to the individual. In some cases they simply serve to enhance sexual excitement achieved in ordinary ways (e.g. having the partner wear a particular garment).

F65.1   Fetishistic transvestism

The wearing of clothes of the opposite sex principally to obtain sexual excitement and to create the appearance of a person of the opposite sex. Fetishistic transvestism is distinguished from transsexual transvestism by its clear association with sexual arousal and the strong desire to remove the clothing once orgasm occurs and sexual arousal declines. It can occur as an earlier phase in the development of transsexualism.

Transvestic fetishism

F65.2   Exhibitionism

A recurrent or persistent tendency to expose the genitalia to strangers (usually of the opposite sex) or to people in public places, without inviting or intending closer contact. There is usually, but not invariably, sexual excitement at the time of the exposure and the act is commonly followed by masturbation.

F65.3   Voyeurism

A recurrent or persistent tendency to look at people engaging in sexual or intimate behaviour such as undressing. This is carried out without the observed people being aware, and usually leads to sexual excitement and masturbation.

F65.4   Paedophilia

A sexual preference for children, boys or girls or both, usually of prepubertal or early pubertal age.

F65.5   Sadomasochism

A preference for sexual activity which involves the infliction of pain or humiliation, or bondage. If the subject prefers to be the recipient of such stimulation this is called masochism; if the provider, sadism. Often an individual obtains sexual excitement from both sadistic and masochistic activities.

Masochism

Sadism

F65.6   Multiple disorders of sexual preference

Sometimes more than one abnormal sexual preference occurs in one person and there is none of first rank. The most common combination is fetishism, transvestism and sadomasochism.

F65.8   Other disorders of sexual preference

A variety of other patterns of sexual preference and activity, including making obscene telephone calls, rubbing up against people for sexual stimulation in crowded public places, sexual activity with animals, and use of strangulation or anoxia for intensifying sexual excitement.

Frotteurism

Necrophilia

F65.9   Disorder of sexual preference, unspecified

Sexual deviation NOS

F66   Psychological and behavioural disorders associated with sexual development and orientation

Note:          Sexual orientation by itself is not to be regarded as a disorder.

F66.0   Sexual maturation disorder

The patient suffers from uncertainty about his or her gender identity or sexual orientation, which causes anxiety or depression. Most commonly this occurs in adolescents who are not certain whether they are homosexual, heterosexual or bisexual in orientation, or in individuals who, after a period of apparently stable sexual orientation (often within a longstanding relationship), find that their sexual orientation is changing.

F66.1   Egodystonic sexual orientation

The gender identity or sexual preference (heterosexual, homosexual, bisexual, or prepubertal) is not in doubt, but the individual wishes it were different because of associated psychological and behavioural disorders, and may seek treatment in order to change it.

F66.2   Sexual relationship disorder

The gender identity or sexual orientation (heterosexual, homosexual, or bisexual) is responsible for difficulties in forming or maintaining a relationship with a sexual partner.

F66.8   Other psychosexual development disorders

F66.9   Psychosexual development disorder, unspecified

F68   Other disorders of adult personality and behaviour

F68.0   Elaboration of physical symptoms for psychological reasons

Physical symptoms compatible with and originally due to a confirmed physical disorder, disease or disability become exaggerated or prolonged due to the psychological state of the patient. The patient is commonly distressed by this pain or disability, and is often preoccupied with worries, which may be justified, of the possibility of prolonged or progressive disability or pain.

Compensation neurosis

F68.1   Intentional production or feigning of symptoms or disabilities, either physical or psychological [factitious disorder]

The patient feigns symptoms repeatedly for no obvious reason and may even inflict self-harm in order to produce symptoms or signs. The motivation is obscure and presumably internal with the aim of adopting the sick role. The disorder is often combined with marked disorders of personality and relationships.

Hospital hopper syndrome

Munchhausen syndrome

Peregrinating patient

Excludes:    factitial dermatitis (L98.1)

person feigning illness (with obvious motivation) (^[i]Z76.5)

F68.8   Other specified disorders of adult personality and behaviour

Character disorder NOS

Relationship disorder NOS

F69   Unspecified disorder of adult personality and behaviour

Mental retardation (F70-F79)

A condition of arrested or incomplete development of the mind, which is especially characterized by impairment of skills manifested during the developmental period, skills which contribute to the overall level of intelligence, i.e. cognitive, language, motor, and social abilities. Retardation can occur with or without any other mental or physical condition.

Degrees of mental retardation are conventionally estimated by standardized intelligence tests. These can be supplemented by scales assessing social adaptation in a given environment. These measures provide an approximate indication of the degree of mental retardation. The diagnosis will also depend on the overall assessment of intellectual functioning by a skilled diagnostician.

Intellectual abilities and social adaptation may change over time, and, however poor, may improve as a result of training and rehabilitation. Diagnosis should be based on the current levels of functioning.

The following fourth-character subdivisions are for use with categories F70-F79 to identify the extent of impairment of behaviour:

.0       With the statement of no, or minimal, impairment of behaviour

.1       Significant impairment of behaviour requiring attention or treatment

.8       Other impairments of behaviour

.9       Without mention of impairment of behaviour

Use additional code, if desired, to identify associated conditions such as autism, other developmental disorders, epilepsy, conduct disorders, or severe physical handicap.

F70   Mild mental retardation

Approximate IQ range of 50 to 69 (in adults, mental age from 9 to under 12 years). Likely to result in some learning difficulties in school. Many adults will be able to work and maintain good social relationships and contribute to society.

Includes:    feeble-mindedness

mild mental subnormality

F71   Moderate mental retardation

Approximate IQ range of 35 to 49 (in adults, mental age from 6 to under 9 years). Likely to result in marked developmental delays in childhood but most can learn to develop some degree of independence in self-care and acquire adequate communication and academic skills. Adults will need varying degrees of support to live and work in the community.

Includes:    moderate mental subnormality

F72   Severe mental retardation

Approximate IQ range of 20 to 34 (in adults, mental age from 3 to under 6 years). Likely to result in continuous need of support.

Includes:    severe mental subnormality

F73   Profound mental retardation

IQ under 20 (in adults, mental age below 3 years). Results in severe limitation in self-care, continence, communication and mobility.

Includes:    profound mental subnormality

F78   Other mental retardation

F79   Unspecified mental retardation

Includes:    mental:

• deficiency NOS

• subnormality NOS

Disorders of psychological development (F80-F89)

The disorders included in this block have in common: (a) onset invariably during infancy or childhood; (b) impairment or delay in development of functions that are strongly related to biological maturation of the central nervous system; and (c) a steady course without remissions and relapses. In most cases, the functions affected include language, visuo-spatial skills, and motor coordination. Usually, the delay or impairment has been present from as early as it could be detected reliably and will diminish progressively as the child grows older, although milder deficits often remain in adult life.

F80   Specific developmental disorders of speech and language

Disorders in which normal patterns of language acquisition are disturbed from the early stages of development. The conditions are not directly attributable to neurological or speech mechanism abnormalities, sensory impairments, mental retardation, or environmental factors. Specific developmental disorders of speech and language are often followed by associated problems, such as difficulties in reading and spelling, abnormalities in interpersonal relationships, and emotional and behavioural disorders.

F80.0   Specific speech articulation disorder

A specific developmental disorder in which the child's use of speech sounds is below the appropriate level for its mental age, but in which there is a normal level of language skills.

Developmental:

• phonological disorder

• speech articulation disorder

Dyslalia

Functional speech articulation disorder

Lalling

Excludes:    speech articulation impairment (due to):

• aphasia NOS (R47.0)

• apraxia (R48.2)

• hearing loss (H90-H91)

• mental retardation (F70-F79)

• with language developmental disorder:

• expressive (F80.1)

• receptive (F80.2)

F80.1   Expressive language disorder

A specific developmental disorder in which the child's ability to use expressive spoken language is markedly below the appropriate level for its mental age, but in which language comprehension is within normal limits. There may or may not be abnormalities in articulation.

Developmental dysphasia or aphasia, expressive type

Excludes:    acquired aphasia with epilepsy [Landau-Kleffner] (F80.3)

dysphasia and aphasia:

• NOS (R47.0)

• developmental, receptive type (F80.2)

elective mutism (F94.0)

mental retardation (F70-F79)

pervasive developmental disorders (F84-)

F80.2   Receptive language disorder

A specific developmental disorder in which the child's understanding of language is below the appropriate level for its mental age. In virtually all cases expressive language will also be markedly affected and abnormalities in word-sound production are common.

Congenital auditory imperception

Developmental:

• dysphasia or aphasia, receptive type

• Wernicke aphasia

Word deafness

Excludes:    acquired aphasia with epilepsy [Landau-Kleffner] (F80.3)

autism (F84.0-F84.1)

dysphasia and aphasia:

• NOS (R47.0)

• developmental, expressive type (F80.1)

elective mutism (F94.0)

language delay due to deafness (H90-H91)

mental retardation (F70-F79)

F80.3   Acquired aphasia with epilepsy [Landau-Kleffner]

A disorder in which the child, having previously made normal progress in language development, loses both receptive and expressive language skills but retains general intelligence; the onset of the disorder is accompanied by paroxysmal abnormalities on the EEG, and in the majority of cases also by epileptic seizures. Usually the onset is between the ages of three and seven years, with skills being lost over days or weeks. The temporal association between the onset of seizures and loss of language is variable, with one preceding the other (either way round) by a few months to two years. An inflammatory encephalitic process has been suggested as a possible cause of this disorder. About two-thirds of patients are left with a more or less severe receptive language deficit.

Excludes:    aphasia (due to):

• NOS (R47.0)

• autism (F84.0-F84.1)

• disintegrative disorders of childhood (F84.2-F84.3)

F80.8   Other developmental disorders of speech and language

Lisping

F80.9   Developmental disorder of speech and language, unspecified

Language disorder NOS

F81   Specific developmental disorders of scholastic skills

Disorders in which the normal patterns of skill acquisition are disturbed from the early stages of development. This is not simply a consequence of a lack of opportunity to learn, it is not solely a result of mental retardation, and it is not due to any form of acquired brain trauma or disease.

F81.0   Specific reading disorder

The main feature is a specific and significant impairment in the development of reading skills that is not solely accounted for by mental age, visual acuity problems, or inadequate schooling. Reading comprehension skill, reading word recognition, oral reading skill, and performance of tasks requiring reading may all be affected. Spelling difficulties are frequently associated with specific reading disorder and often remain into adolescence even after some progress in reading has been made. Specific developmental disorders of reading are commonly preceded by a history of disorders in speech or language development. Associated emotional and behavioural disturbances are common during the school age period.

"Backward reading"

Developmental dyslexia

Specific reading retardation

Excludes:    alexia NOS (R48.0)

dyslexia NOS (R48.0)

reading difficulties secondary to emotional disorders (F93-)

F81.1   Specific spelling disorder

The main feature is a specific and significant impairment in the development of spelling skills in the absence of a history of specific reading disorder, which is not solely accounted for by low mental age, visual acuity problems, or inadequate schooling. The ability to spell orally and to write out words correctly are both affected.

Specific spelling retardation (without reading disorder)

Excludes:    agraphia NOS (R48.8)

spelling difficulties:

• associated with a reading disorder (F81.0)

• due to inadequate teaching (^[i]Z55.8)

F81.2   Specific disorder of arithmetical skills

Involves a specific impairment in arithmetical skills that is not solely explicable on the basis of general mental retardation or of inadequate schooling. The deficit concerns mastery of basic computational skills of addition, subtraction, multiplication, and division rather than of the more abstract mathematical skills involved in algebra, trigonometry, geometry, or calculus.

Developmental:

• acalculia

• arithmetical disorder

• Gerstmann syndrome

Excludes:    acalculia NOS (R48.8)

arithmetical difficulties:

• associated with a reading or spelling disorder (F81.3)

• due to inadequate teaching (^[i]Z55.8)

F81.3   Mixed disorder of scholastic skills

An ill-defined residual category of disorders in which both arithmetical and reading or spelling skills are significantly impaired, but in which the disorder is not solely explicable in terms of general mental retardation or of inadequate schooling. It should be used for disorders meeting the criteria for both F81.2 and either F81.0 or F81.1.

Excludes:    specific:

• disorder of arithmetical skills (F81.2)

• reading disorder (F81.0)

• spelling disorder (F81.1)

F81.8   Other developmental disorders of scholastic skills

Developmental expressive writing disorder

F81.9   Developmental disorder of scholastic skills, unspecified

Knowledge acquisition disability NOS

Learning:

• disability NOS

• disorder NOS

F82   Specific developmental disorder of motor function

A disorder in which the main feature is a serious impairment in the development of motor coordination that is not solely explicable in terms of general intellectual retardation or of any specific congenital or acquired neurological disorder. Nevertheless, in most cases a careful clinical examination shows marked neurodevelopmental immaturities such as choreiform movements of unsupported limbs or mirror movements and other associated motor features, as well as signs of impaired fine and gross motor coordination.

Clumsy child syndrome

Developmental:

• coordination disorder

• dyspraxia

Excludes:    abnormalities of gait and mobility (R26-)

lack of coordination (R27-)

• secondary to mental retardation (F70-F79)

F83   Mixed specific developmental disorders

A residual category for disorders in which there is some admixture of specific developmental disorders of speech and language, of scholastic skills, and of motor function, but in which none predominates sufficiently to constitute the prime diagnosis. This mixed category should be used only when there is a major overlap between each of these specific developmental disorders. The disorders are usually, but not always, associated with some degree of general impairment of cognitive functions. Thus, the category should be used when there are dysfunctions meeting the criteria for two or more of F80-, F81- and F82

F84   Pervasive developmental disorders

A group of disorders characterized by qualitative abnormalities in reciprocal social interactions and in patterns of communication, and by a restricted, stereotyped, repetitive repertoire of interests and activities. These qualitative abnormalities are a pervasive feature of the individual's functioning in all situations.

Use additional code, if desired, to identify any associated medical condition and mental retardation.

F84.0   Childhood autism

A type of pervasive developmental disorder that is defined by: (a) the presence of abnormal or impaired development that is manifest before the age of three years, and (b) the characteristic type of abnormal functioning in all the three areas of psychopathology: reciprocal social interaction, communication, and restricted, stereotyped, repetitive behaviour. In addition to these specific diagnostic features, a range of other nonspecific problems are common, such as phobias, sleeping and eating disturbances, temper tantrums, and (self-directed) aggression.

Autistic disorder

Infantile:

• autism

• psychosis

Kanner syndrome

Excludes:    autistic psychopathy (F84.5)

F84.1   Atypical autism

A type of pervasive developmental disorder that differs from childhood autism either in age of onset or in failing to fulfill all three sets of diagnostic criteria. This subcategory should be used when there is abnormal and impaired development that is present only after age three years, and a lack of sufficient demonstrable abnormalities in one or two of the three areas of psychopathology required for the diagnosis of autism (namely, reciprocal social interactions, communication, and restricted, stereotyped, repetitive behaviour) in spite of characteristic abnormalities in the other area(s). Atypical autism arises most often in profoundly retarded individuals and in individuals with a severe specific developmental disorder of receptive language.

Atypical childhood psychosis

Mental retardation with autistic features

Use additional code (F70-F79), if desired, to identify mental retardation.

F84.2   Rett syndrome

A condition, so far found only in girls, in which apparently normal early development is followed by partial or complete loss of speech and of skills in locomotion and use of hands, together with deceleration in head growth, usually with an onset between seven and 24 months of age. Loss of purposive hand movements, hand-wringing stereotypies, and hyperventilation are characteristic. Social and play development are arrested but social interest tends to be maintained. Trunk ataxia and apraxia start to develop by age four years and choreoathetoid movements frequently follow. Severe mental retardation almost invariably results.

F84.3   Other childhood disintegrative disorder

A type of pervasive developmental disorder that is defined by a period of entirely normal development before the onset of the disorder, followed by a definite loss of previously acquired skills in several areas of development over the course of a few months. Typically, this is accompanied by a general loss of interest in the environment, by stereotyped, repetitive motor mannerisms, and by autistic-like abnormalities in social interaction and communication. In some cases the disorder can be shown to be due to some associated encephalopathy but the diagnosis should be made on the behavioural features.

Dementia infantilis

Disintegrative psychosis

Heller syndrome

Symbiotic psychosis

Use additional code, if desired, to identify any associated neurological condition.

Excludes:    Rett syndrome (F84.2)

F84.4   Overactive disorder associated with mental retardation and stereotyped movements

An ill-defined disorder of uncertain nosological validity. The category is designed to include a group of children with severe mental retardation (IQ below 34) who show major problems in hyperactivity and in attention, as well as stereotyped behaviours. They tend not to benefit from stimulant drugs (unlike those with an IQ in the normal range) and may exhibit a severe dysphoric reaction (sometimes with psychomotor retardation) when given stimulants. In adolescence, the overactivity tends to be replaced by underactivity (a pattern that is not usual in hyperkinetic children with normal intelligence). This syndrome is also often associated with a variety of developmental delays, either specific or global. The extent to which the behavioural pattern is a function of low IQ or of organic brain damage is not known.

F84.5   Asperger syndrome

A disorder of uncertain nosological validity, characterized by the same type of qualitative abnormalities of reciprocal social interaction that typify autism, together with a restricted, stereotyped, repetitive repertoire of interests and activities. It differs from autism primarily in the fact that there is no general delay or retardation in language or in cognitive development. This disorder is often associated with marked clumsiness. There is a strong tendency for the abnormalities to persist into adolescence and adult life. Psychotic episodes occasionally occur in early adult life.

Autistic psychopathy

Schizoid disorder of childhood

F84.8   Other pervasive developmental disorders

F84.9   Pervasive developmental disorder, unspecified

F88   Other disorders of psychological development

Developmental agnosia

F89   Unspecified disorder of psychological development

Developmental disorder NOS

Behavioural and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)

F90   Hyperkinetic disorders

A group of disorders characterized by an early onset (usually in the first five years of life), lack of persistence in activities that require cognitive involvement, and a tendency to move from one activity to another without completing any one, together with disorganized, ill-regulated, and excessive activity. Several other abnormalities may be associated. Hyperkinetic children are often reckless and impulsive, prone to accidents, and find themselves in disciplinary trouble because of unthinking breaches of rules rather than deliberate defiance. Their relationships with adults are often socially disinhibited, with a lack of normal caution and reserve. They are unpopular with other children and may become isolated. Impairment of cognitive functions is common, and specific delays in motor and language development are disproportionately frequent. Secondary complications include dissocial behaviour and low self-esteem.

Excludes:    anxiety disorders (F41-)

mood [affective] disorders (F30-F39)

pervasive developmental disorders (F84-)

schizophrenia (F20-)

F90.0   Disturbance of activity and attention

Attention deficit:

• disorder with hyperactivity

• hyperactivity disorder

• syndrome with hyperactivity

Excludes:    hyperkinetic disorder associated with conduct disorder (F90.1)

F90.1   Hyperkinetic conduct disorder

Hyperkinetic disorder associated with conduct disorder

F90.8   Other hyperkinetic disorders

F90.9   Hyperkinetic disorder, unspecified

Hyperkinetic reaction of childhood or adolescence NOS

Hyperkinetic syndrome NOS

F91   Conduct disorders

Disorders characterized by a repetitive and persistent pattern of dissocial, aggressive, or defiant conduct. Such behaviour should amount to major violations of age-appropriate social expectations; it should therefore be more severe than ordinary childish mischief or adolescent rebelliousness and should imply an enduring pattern of behaviour (six months or longer). Features of conduct disorder can also be symptomatic of other psychiatric conditions, in which case the underlying diagnosis should be preferred.

Examples of the behaviours on which the diagnosis is based include excessive levels of fighting or bullying, cruelty to other people or animals, severe destructiveness to property, fire-setting, stealing, repeated lying, truancy from school and running away from home, unusually frequent and severe temper tantrums, and disobedience. Any one of these behaviours, if marked, is sufficient for the diagnosis, but isolated dissocial acts are not.

Excludes:    mood [affective] (F30-F39)

pervasive developmental disorders (F84-)

schizophrenia (F20-)

when associated with:

• emotional disorders (F92-)

• hyperkinetic disorders (F90.1)

F91.0   Conduct disorder confined to the family context

Conduct disorder involving dissocial or aggressive behaviour (and not merely oppositional, defiant, disruptive behaviour), in which the abnormal behaviour is entirely, or almost entirely, confined to the home and to interactions with members of the nuclear family or immediate household. The disorder requires that the overall criteria for F91- be met; even severely disturbed parent-child relationships are not of themselves sufficient for diagnosis.

F91.1   Unsocialized conduct disorder

Disorder characterized by the combination of persistent dissocial or aggressive behaviour (meeting the overall criteria for F91- and not merely comprising oppositional, defiant, disruptive behaviour) with significant pervasive abnormalities in the individual's relationships with other children.

Conduct disorder, solitary aggressive type

Unsocialized aggressive disorder

F91.2   Socialized conduct disorder

Disorder involving persistent dissocial or aggressive behaviour (meeting the overall criteria for F91- and not merely comprising oppositional, defiant, disruptive behaviour) occurring in individuals who are generally well integrated into their peer group.

Conduct disorder, group type

Group delinquency

Offences in the context of gang membership

Stealing in company with others

Truancy from school

F91.3   Oppositional defiant disorder

Conduct disorder, usually occurring in younger children, primarily characterized by markedly defiant, disobedient, disruptive behaviour that does not include delinquent acts or the more extreme forms of aggressive or dissocial behaviour. The disorder requires that the overall criteria for F91- be met; even severely mischievous or naughty behaviour is not in itself sufficient for diagnosis. Caution should be employed before using this category, especially with older children, because clinically significant conduct disorder will usually be accompanied by dissocial or aggressive behaviour that goes beyond mere defiance, disobedience, or disruptiveness.

F91.8   Other conduct disorders

F91.9   Conduct disorder, unspecified

Childhood:

• behavioural disorder NOS

• conduct disorder NOS

F92   Mixed disorders of conduct and emotions

A group of disorders characterized by the combination of persistently aggressive, dissocial or defiant behaviour with overt and marked symptoms of depression, anxiety or other emotional upsets. The criteria for both conduct disorders of childhood (F9l.-) and emotional disorders of childhood (F93-) or an adult-type neurotic diagnosis (F40-F48) or a mood disorder (F30-F39) must be met.

F92.0   Depressive conduct disorder

This category requires the combination of conduct disorder (F91-) with persistent and marked depression of mood (F32-), as demonstrated by symptoms such as excessive misery, loss of interest and pleasure in usual activities, self-blame, and hopelessness; disturbances of sleep or appetite may also be present.

Conduct disorder in F91- associated with depressive disorder in F32-

F92.8   Other mixed disorders of conduct and emotions

This category requires the combination of conduct disorder (F91-) with persistent and marked emotional symptoms such as anxiety, obsessions or compulsions, depersonalization or derealization, phobias, or hypochondriasis.

Conduct disorder in F91- associated with:

• emotional disorder in F93-

• neurotic disorder in F40-F48

F92.9   Mixed disorder of conduct and emotions, unspecified

F93   Emotional disorders with onset specific to childhood

Mainly exaggerations of normal developmental trends rather than phenomena that are qualitatively abnormal in themselves. Developmental appropriateness is used as the key diagnostic feature in defining the difference between these emotional disorders, with onset specific to childhood, and the neurotic disorders (F40-F48).

Excludes:    when associated with conduct disorder (F92-)

F93.0   Separation anxiety disorder of childhood

Should be diagnosed when fear of separation constitutes the focus of the anxiety and when such anxiety first arose during the early years of childhood. It is differentiated from normal separation anxiety when it is of a degree (severity) that is statistically unusual (including an abnormal persistence beyond the usual age period), and when it is associated with significant problems in social functioning.

Excludes:    mood [affective] disorders (F30-F39)

neurotic disorders (F40-F48)

phobic anxiety disorder of childhood (F93l)

social anxiety disorder of childhood (F93.2)

F93.1   Phobic anxiety disorder of childhood

Fears in childhood that show a marked developmental phase specificity and arise (to some extent) in a majority of children, but that are abnormal in degree. Other fears that arise in childhood but that are not a normal part of psychosocial development (for example agoraphobia) should be coded under the appropriate category in section F40-F48.

Excludes:    generalized anxiety disorder (F41.1)

F93.2   Social anxiety disorder of childhood

In this disorder there is a wariness of strangers and social apprehension or anxiety when encountering new, strange, or socially threatening situations. This category should be used only where such fears arise during the early years, and are both unusual in degree and accompanied by problems in social functioning.

Avoidant disorder of childhood or adolescence

F93.3   Sibling rivalry disorder

Some degree of emotional disturbance usually following the birth of an immediately younger sibling is shown by a majority of young children. A sibling rivalry disorder should be diagnosed only if the degree or persistence of the disturbance is both statistically unusual and associated with abnormalities of social interaction.

Sibling jealousy

F93.8   Other childhood emotional disorders

Identity disorder

Overanxious disorder

Excludes:    gender identity disorder of childhood (F64.2)

F93.9   Childhood emotional disorder, unspecified

F94   Disorders of social functioning with onset specific to childhood and adolescence

A somewhat heterogeneous group of disorders that have in common abnormalities in social functioning which begin during the developmental period, but which (unlike the pervasive developmental disorders) are not primarily characterized by an apparently constitutional social incapacity or deficit that pervades all areas of functioning. In many instances, serious environmental distortions or privations probably play a crucial role in etiology.

F94.0   Elective mutism

Characterized by a marked, emotionally determined selectivity in speaking, such that the child demonstrates a language competence in some situations but fails to speak in other (definable) situations. The disorder is usually associated with marked personality features involving social anxiety, withdrawal, sensitivity, or resistance.

Selective mutism

Excludes:    pervasive developmental disorders (F84-)

schizophrenia (F20-)

specific developmental disorders of speech and language (F80-)

transient mutism as part of separation anxiety in young children (F93.0)

F94.1   Reactive attachment disorder of childhood

Starts in the first five years of life and is characterized by persistent abnormalities in the child's pattern of social relationships that are associated with emotional disturbance and are reactive to changes in environmental circumstances (e.g. fearfulness and hypervigilance, poor social interaction with peers, aggression towards self and others, misery, and growth failure in some cases). The syndrome probably occurs as a direct result of severe parental neglect, abuse, or serious mishandling.

Use additional code, if desired, to identify any associated failure to thrive or growth retardation.

Excludes:    Asperger syndrome (F84.5)

disinhibited attachment disorder of childhood (F94.2)

maltreatment syndromes (T74-)

normal variation in pattern of selective attachment

sexual or physical abuse in childhood, resulting in psychosocial problems (^[i]Z61.4-Z61.6)

F94.2   Disinhibited attachment disorder of childhood

A particular pattern of abnormal social functioning that arises during the first five years of life and that tends to persist despite marked changes in environmental circumstances, e.g. diffuse, nonselectively focused attachment behaviour, attention-seeking and indiscriminately friendly behaviour, poorly modulated peer interactions; depending on circumstances there may also be associated emotional or behavioural disturbance.

Affectionless psychopathy

Institutional syndrome

Excludes:    Asperger syndrome (F84.5)

hospitalism in children (F43.2)

hyperkinetic disorders (F90-)

reactive attachment disorder of childhood (F94l)

F94.8   Other childhood disorders of social functioning

F94.9   Childhood disorder of social functioning, unspecified

F95   Tic disorders

Syndromes in which the predominant manifestation is some form of tic. A tic is an involuntary, rapid, recurrent, nonrhythmic motor movement (usually involving circumscribed muscle groups) or vocal production that is of sudden onset and that serves no apparent purpose. Tics tend to be experienced as irresistible but usually they can be suppressed for varying periods of time, are exacerbated by stress, and disappear during sleep. Common simple motor tics include only eye-blinking, neck-jerking, shoulder-shrugging, and facial grimacing. Common simple vocal tics include throat-clearing, barking, sniffing, and hissing. Common complex tics include hitting oneself, jumping, and hopping. Common complex vocal tics include the repetition of particular words, and sometimes the use of socially unacceptable (often obscene) words (coprolalia), and the repetition of one's own sounds or words (palilalia).

F95.0   Transient tic disorder

Meets the general criteria for a tic disorder but the tics do not persist longer than 12 months. The tics usually take the form of eye-blinking, facial grimacing, or head-jerking.

F95.1   Chronic motor or vocal tic disorder

Meets the general criteria for a tic disorder, in which there are motor or vocal tics (but not both), that may be either single or multiple (but usually multiple), and last for more than a year.

F95.2   Combined vocal and multiple motor tic disorder [de la Tourette]

A form of tic disorder in which there are, or have been, multiple motor tics and one or more vocal tics, although these need not have occurred concurrently. The disorder usually worsens during adolescence and tends to persist into adult life. The vocal tics are often multiple with explosive repetitive vocalizations, throat-clearing, and grunting, and there may be the use of obscene words or phrases. Sometimes there is associated gestural echopraxia which may also be of an obscene nature (copropraxia).

F95.8   Other tic disorders

F95.9   Tic disorder, unspecified

Tic NOS

F98   Other behavioural and emotional disorders with onset usually occurring in childhood and adolescence

A heterogeneous group of disorders that share the characteristic of an onset in childhood but otherwise differ in many respects. Some of the conditions represent well-defined syndromes but others are no more than symptom complexes that need inclusion because of their frequency and association with psychosocial problems, and because they cannot be incorporated into other syndromes.

Excludes:    breath-holding spells (R06.8)

gender identity disorder of childhood (F64.2)

Kleine-Levin syndrome (G47.8)

obsessive-compulsive disorder (F42-)

sleep disorders due to emotional causes (F51-)

F98.0   Nonorganic enuresis

A disorder characterized by involuntary voiding of urine, by day and by night, which is abnormal in relation to the individual's mental age, and which is not a consequence of a lack of bladder control due to any neurological disorder, to epileptic attacks, or to any structural abnormality of the urinary tract. The enuresis may have been present from birth or it may have arisen following a period of acquired bladder control. The enuresis may or may not be associated with a more widespread emotional or behavioural disorder.

Enuresis (primary)(secondary) of nonorganic origin

Functional enuresis

Psychogenic enuresis

Urinary incontinence of nonorganic origin

Excludes:    enuresis NOS (R32)

F98.1   Nonorganic encopresis

Repeated, voluntary or involuntary passage of faeces, usually of normal or near-normal consistency, in places not appropriate for that purpose in the individual's own sociocultural setting. The condition may represent an abnormal continuation of normal infantile incontinence, it may involve a loss of continence following the acquisition of bowel control, or it may involve the deliberate deposition of faeces in inappropriate places in spite of normal physiological bowel control. The condition may occur as a monosymptomatic disorder, or it may form part of a wider disorder, especially an emotional disorder (F93-) or a conduct disorder (F91-).

Functional encopresis

Incontinence of faeces of nonorganic origin

Psychogenic encopresis

Use additional code, if desired, to identify the cause of any coexisting constipation.

Excludes:    encopresis NOS (R15)

F98.2   Feeding disorder of infancy and childhood

A feeding disorder of varying manifestations usually specific to infancy and early childhood. It generally involves food refusal and extreme faddiness in the presence of an adequate food supply, a reasonably competent caregiver, and the absence of organic disease. There may or may not be associated rumination (repeated regurgitation without nausea or gastrointestinal illness).

Rumination disorder of infancy

Excludes:    anorexia nervosa and other eating disorders (F50-)

feeding:

• difficulties and mismanagement (R63.3)

• problems of newborn (P92-)

pica of infancy or childhood (F98.3)

F98.3   Pica of infancy and childhood

Persistent eating of non-nutritive substances (such as soil, paint chippings, etc.). It may occur as one of many symptoms that are part of a more widespread psychiatric disorder (such as autism), or as a relatively isolated psychopathological behaviour; only the latter is classified here. The phenomenon is most common in mentally retarded children and, if mental retardation is also present, F70-F79 should be selected as the main diagnosis.

F98.4   Stereotyped movement disorders

Voluntary, repetitive, stereotyped, nonfunctional (and often rhythmic) movements that do not form part of any recognized psychiatric or neurological condition. When such movements occur as symptoms of some other disorder, only the overall disorder should be recorded. The movements that are of a non self-injurious variety include: body-rocking, head-rocking, hair-plucking, hair-twisting, finger-flicking mannerisms, and hand-flapping. Stereotyped self-injurious behaviour includes repetitive head-banging, face-slapping, eye-poking, and biting of hands, lips or other body parts. All the stereotyped movement disorders occur most frequently in association with mental retardation (when this is the case, both should be recorded). If eye-poking occurs in a child with visual impairment, both should be coded: eye-poking under this category and the visual condition under the appropriate somatic disorder code.

Stereotype/habit disorder

Excludes:    abnormal involuntary movements (R25-)

movement disorders of organic origin (G20-G25)

nail-biting (F98.8)

nose-picking (F98.8)

stereotypies that are part of a broader psychiatric condition (F00-F95)

thumb-sucking (F98.8)

tic disorders (F95-)

trichotillomania (F63.3)

F98.5   Stuttering [stammering]

Speech that is characterized by frequent repetition or prolongation of sounds or syllables or words, or by frequent hesitations or pauses that disrupt the rhythmic flow of speech. It should be classified as a disorder only if its severity is such as to markedly disturb the fluency of speech.

Excludes:    cluttering (F98.6)

tic disorders (F95-)

F98.6   Cluttering

A rapid rate of speech with breakdown in fluency, but no repetitions or hesitations, of a severity to give rise to diminished speech intelligibility. Speech is erratic and dysrhythmic, with rapid jerky spurts that usually involve faulty phrasing patterns.

Excludes:    stuttering (F98.5)

tic disorders (F95-)

F98.8   Other specified behavioural and emotional disorders with onset usually occurring in childhood and adolescence

Attention deficit disorder without hyperactivity

Excessive masturbation

Nail-biting

Nose-picking

Thumb-sucking

F98.9   Unspecified behavioural and emotional disorders with onset usually occurring in childhood and adolescence

Unspecified mental disorder (F99)

F99   Mental disorder, not otherwise specified

Mental illness NOS

Excludes:    organic mental disorder NOS (F06.9)

CHAPTER VI - Diseases of the nervous system (G00-G99)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (000-099)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

G00-G09      Inflammatory diseases of the central nervous system

G10-G14      Systemic atrophies primarily affecting the central nervous system

G20-G26      Extrapyramidal and movement disorders

G30-G32      Other degenerative diseases of the nervous system

G35-G37      Demyelinating diseases of the central nervous system

G40-G47      Episodic and paroxysmal disorders

G50-G59      Nerve, nerve root and plexus disorders

G60-G64      Polyneuropathies and other disorders of the peripheral nervous system

G70-G73      Diseases of myoneural junction and muscle

G80-G83      Cerebral palsy and other paralytic syndromes

G90-G99      Other disorders of the nervous system

Asterisk categories for this chapter are provided as follows:

G01*            Meningitis in bacterial diseases classified elsewhere

G02*            Meningitis in other infectious and parasitic diseases classified elsewhere

G05*            Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere

G07*            Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere

G13*            Systemic atrophies primarily affecting central nervous system in diseases classified elsewhere

G22*            Parkinsonism in diseases classified elsewhere

G26*            Extrapyramidal and movement disorders in diseases classified elsewhere

G32*            Other degenerative disorders of nervous system in diseases classified elsewhere

G46*            Vascular syndromes of brain in cerebrovascular diseases

G53*            Cranial nerve disorders in diseases classified elsewhere

G55*            Nerve root and plexus compressions in diseases classified elsewhere

G59*            Mononeuropathy in diseases classified elsewhere

G63*            Polyneuropathy in diseases classified elsewhere

G73*            Disorders of myoneural junction and muscle in diseases classified elsewhere

G94*            Other disorders of brain in diseases classified elsewhere

G99*            Other disorders of nervous system in diseases classified elsewhere

Inflammatory diseases of the central nervous system (G00-G09)

G00  Bacterial meningitis, not elsewhere classified

Includes:

arachnoiditis leptomeningitis meningitis pachymeningitis

bacterial

Excludes:    bacterial:

• meningoencephalitis (G04.2)

• meningomyelitis (G04.2)

G00.0   Haemophilus meningitis

Meningitis due to Haemophilus influenzae

G00.1   Pneumococcal meningitis

G00.2   Streptococcal meningitis

G00.3   Staphylococcal meningitis

G00.8   Other bacterial meningitis

Meningitis due to:

• Escherichia coli

• Friedlander bacillus

• Klebsiella

G00.9   Bacterial meningitis, unspecified

Meningitis:

• purulent NOS

• pyogenic NOS

• suppurative NOS

G01  Meningitis in bacterial diseases classified elsewhere

Meningitis (in):

• anthrax (A22.8†)

• gonococcal (A54.8†)

• leptospirosis (A27†)

• listerial (A32.1†)

• Lyme disease (A69.2†)

• meningococcal (A39.0†)

• neurosyphilis (A52.1†)

• salmonella infection (A02.2†)

• syphilis:

• congenital (A50.4†)

• secondary (A51.4†)

• tuberculous (A17.0†)

• typhoid fever (A01.0†)

Excludes:    meningoencephalitis and meningomyelitis in bacterial diseases classified elsewhere (G05.0*)

G02  Meningitis in other infectious and parasitic diseases classified elsewhere

Excludes:    meningoencephalitis and meningomyelitis in other infectious and parasitic diseases classified elsewhere (G05.1-G05.2*)

G02.0* Meningitis in viral diseases classified elsewhere

Meningitis (due to):

• adenoviral (A87.1†)

• enteroviral (A87.0†)

• herpesviral [herpes simplex] (B00.3†)

• infectious mononucleosis (B27†)

• measles (B05.1†)

• mumps (B26.1†)

• rubella (B06.0†)

• varicella [chickenpox] (B01.0†)

• zoster (B02.1†)

G02.1* Meningitis in mycoses

Meningitis (in):

• candidal (B37.5†)

• coccidioidomycosis (B38.4†)

• cryptococcal (B45.1†)

G02.8* Meningitis in other specified infectious and parasitic diseases classified elsewhere

Meningitis due to:

• African trypanosomiasis (B56†)

• Chagas disease (chronic) (B57.4†)

G03  Meningitis due to other and unspecified causes

Includes:

arachnoiditis leptomeningitis meningitis pachymeningitis

due to other and unspecified causes

Excludes:    meningoencephalitis (G04-)

meningomyelitis (G04-)

G03.0   Nonpyogenic meningitis

Nonbacterial meningitis

G03.1   Chronic meningitis

G03.2   Benign recurrent meningitis [Mollaret]

G03.8   Meningitis due to other specified causes

G03.9   Meningitis, unspecified

Arachnoiditis (spinal) NOS

G04  Encephalitis, myelitis and encephalomyelitis

Includes:    acute ascending myelitis

meningoencephalitis

meningomyelitis

Excludes:    myalgic encephalomyelitis (G93.3)

encephalopathy:

• NOS (G93.4)

• alcoholic (G31.2)

• toxic (G92)

multiple sclerosis (G35)

myelitis:

• acute transverse (G37.3)

• subacute necrotizing (G37.4)

G04.0   Acute disseminated encephalitis

  Encephalitis        

  Encephalomyelitis      postimmunization

Use additional external cause code (Chapter XX), if desired, to identify vaccine.

G04.1   Tropical spastic paraplegia

G04.2   Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified

G04.8   Other encephalitis, myelitis and encephalomyelitis

Postinfectious encephalitis and encephalomyelitis NOS

G04.9   Encephalitis, myelitis and encephalomyelitis, unspecified

Ventriculitis (cerebral) NOS

G05  Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere

Includes:    meningoencephalitis and meningomyelitis in diseases classified elsewhere

G05.0* Encephalitis, myelitis and encephalomyelitis in bacterial diseases classified elsewhere

Encephalitis, myelitis or encephalomyelitis (in):

• listerial (A32.1†)

• meningococcal (A39.8†)

• syphilis:

• congenital (A50.4†)

• late (A52.1†)

• tuberculous (A17.8†)

G05.1* Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere

Encephalitis, myelitis or encephalomyelitis (in):

• adenoviral (A85.1†)

• cytomegaloviral (B25.8†)

• enteroviral (A85.0†)

• herpesviral [herpes simplex] (B00.4†)

• influenza:

     • seasonal virus identified (J10.8†)

     • virus not identified (J11.8†)

     • zoonotic or pandemic influenza virus identified (J09†)

• measles (B05.0†)

• mumps (B26.2†)

• postchickenpox (B01.1†)

• rubella (B06.0†)

• zoster (B02.0†)

G05.2* Encephalitis, myelitis and encephalomyelitis in other infectious and parasitic diseases classified elsewhere

Encephalitis, myelitis or encephalomyelitis in:

• African trypanosomiasis (B56†)

• Chagas disease (chronic) (B57.4†)

• naegleriasis (B60.2†)

• toxoplasmosis (B58.2†)

Eosinophilic meningoencephalitis (B83.2†)

G05.8* Encephalitis, myelitis and encephalomyelitis in other diseases classified elsewhere

Encephalitis in systemic lupus erythematosus (M32.1†)

G06  Intracranial and intraspinal abscess and granuloma

Use additional code (B95-B97), if desired, to identify infectious agent.

G06.0   Intracranial abscess and granuloma

Abscess (embolic)(of):

• brain [any part]

• cerebellar

• cerebral

• otogenic

Intracranial abscess or granuloma:

• epidural

• extradural

• subdural

G06.1   Intraspinal abscess and granuloma

Abscess (embolic) of spinal cord [any part]

Intraspinal abscess or granuloma:

• epidural

• extradural

• subdural

G06.2   Extradural and subdural abscess, unspecified

G07  Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere

Abscess of brain:

• amoebic (A06.6†)

• gonococcal (A54.8†)

• tuberculous (A17.8†)

Schistosomiasis granuloma of brain (B65†)

Tuberculoma of:

• brain (A17.8†)

• meninges (A17.1†)

G08  Intracranial and intraspinal phlebitis and thrombophlebitis

Septic:

• embolism           

• endophlebitis         of intracranial or intraspinal venous

• phlebitis              sinuses and veins

• thrombophlebitis   

• thrombosis         

Excludes:    intracranial phlebitis and thrombophlebitis:

• complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.7)

• pregnancy, childbirth and the puerperium (O22.5, O87.3)

• of nonpyogenic origin (I67.6)

nonpyogenic intraspinal phlebitis and thrombophlebitis (G95.1)

G09  Sequelae of inflammatory diseases of central nervous system

Note:          Category G09 is to be used to indicate conditions whose primary classification is to G00-G08 (i.e. excluding those marked with an asterisk (*)) as the cause of sequelae, themselves classifiable elsewhere. The "sequelae" include conditions specified as such or as late effects, or those present one year or more after onset of the causal condition. For use of this category reference should be made to the relevant morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

Not to be used for chronic inflammatory disease of the central nervous system. Code these to current inflammatory disease of the central nervous system.

Systemic atrophies primarily affecting the central nervous system (G10-G14)

G10  Huntington disease

Huntington chorea

G11  Hereditary ataxia

Excludes:    cerebral palsy (G80-)

hereditary and idiopathic neuropathy (G60-)

metabolic disorders (E70-E90)

G11.0   Congenital nonprogressive ataxia

G11.1   Early-onset cerebellar ataxia

Note:          Onset usually before the age of 20

Early-onset cerebellar ataxia with:

• essential tremor

• myoclonus [Hunt ataxia]

• retained tendon reflexes

Friedreich ataxia (autosomal recessive)

X-linked recessive spinocerebellar ataxia

G11.2   Late-onset cerebellar ataxia

Note:          Onset usually after the age of 20

G11.3   Cerebellar ataxia with defective DNA repair

Ataxia telangiectasia [Louis-Bar]

Excludes:    Cockayne syndrome (Q87.1)

xeroderma pigmentosum (Q82.1)

G11.4   Hereditary spastic paraplegia

G11.8   Other hereditary ataxias

G11.9   Hereditary ataxia, unspecified

Hereditary cerebellar:

• ataxia NOS

• degeneration

• disease

• syndrome

G12  Spinal muscular atrophy and related syndromes

G12.0   Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]

G12.1   Other inherited spinal muscular atrophy

Progressive bulbar palsy of childhood [Fazio-Londe]

Spinal muscular atrophy:

• adult form

• childhood form, type II

• distal

• juvenile form, type III [Kugelberg-Welander]

• scapuloperoneal form

G12.2   Motor neuron disease

Familial motor neuron disease

Kennedy disease

Lateral sclerosis:

• amyotrophic

• primary

Progressive:

• bulbar palsy

• spinal muscular atrophy

G12.20 Advanced motor neuron disease

Grave motor neuron disease

Severe motor neuron disease

G12.8   Other spinal muscular atrophies and related syndromes

G12.9   Spinal muscular atrophy, unspecified

G13  Systemic atrophies primarily affecting central nervous system in diseases classified elsewhere

G13.0* Paraneoplastic neuromyopathy and neuropathy

Carcinomatous neuromyopathy (C00-C97†)

Sensorial paraneoplastic neuropathy [Denny Brown] (C00-D48†)

G13.1* Other systemic atrophy primarily affecting central nervous system in neoplastic disease

Paraneoplastic limbic encephalopathy (C00-D48†)

G13.2* Systemic atrophy primarily affecting central nervous system in myxoedema (E00.1†, E03†)

G13.8* Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere

G14  Postpolio syndrome

Postpolio myelitic syndrome

Excludes:    sequelae of poliomyelitis (B91)

Extrapyramidal and movement disorders (G20-G26)

G20  Parkinson disease

Hemiparkinsonism

Paralysis agitans

Parkinsonism or Parkinson disease:

• NOS

• idiopathic

• primary

G20.00 Advanced Parkinson disease

Grave Parkinson disease

Severe Parkinson disease

G21  Secondary parkinsonism

G21.0   Malignant neuroleptic syndrome

Use additional external cause code (Chapter XX), if desired, to identify drug.

G21.1   Other drug- secondary parkinsonism

Use additional external cause code (Chapter XX), if desired, to identify drug.

G21.2   Secondary parkinsonism due to other external agents

Use additional external cause code (Chapter XX), if desired, to identify external agent.

G21.3   Postencephalitic parkinsonism

G21.4   Vascular parkinsonism

G21.8   Other secondary parkinsonism

G21.9   Secondary parkinsonism, unspecified

G22  Parkinsonism in diseases classified elsewhere

Syphilitic parkinsonism (A52.1†)

G23  Other degenerative diseases of basal ganglia

Excludes:    multi-system degeneration (G90.3)

G23.0   Hallervorden-Spatz disease

Pigmentary pallidal degeneration

G23.1   Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski]

G23.2   Striatonigral degeneration

G23.8   Other specified degenerative diseases of basal ganglia

Calcification of basal ganglia

G23.9   Degenerative disease of basal ganglia, unspecified

G24  Dystonia

Includes:    dyskinesia

Excludes:    athetoid cerebral palsy (G80.3)

G24.0   Drug-induced dystonia

Use additional external cause code (Chapter XX), if desired, to identify drug.

G24.1   Idiopathic familial dystonia

Idiopathic dystonia NOS

G24.2   Idiopathic nonfamilial dystonia

G24.3   Spasmodic torticollis

Excludes:    torticollis NOS (M43.6)

G24.4   Idiopathic orofacial dystonia

Orofacial dyskinesia

G24.5   Blepharospasm

G24.8   Other dystonia

G24.9   Dystonia, unspecified

Dyskinesia NOS

G25  Other extrapyramidal and movement disorders

G25.0   Essential tremor

Familial tremor

Excludes:    tremor NOS (R25.1)

G25.1   Drug-induced tremor

Use additional external cause code (Chapter XX), if desired, to identify drug.

G25.2   Other specified forms of tremor

Intention tremor

G25.3   Myoclonus

Drug-induced myoclonus

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    facial myokymia (G51.4)

myoclonic epilepsy (G40-)

G25.4   Drug-induced chorea

Use additional external cause code (Chapter XX), if desired, to identify drug.

G25.5   Other chorea

Chorea NOS

Excludes:    chorea NOS with heart involvement (I02.0)

Huntington chorea (G10)

rheumatic chorea (I02-)

Sydenham chorea (I02-)

G25.6   Drug-induced tics and other tics of organic origin

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    de la Tourette syndrome (F95.2)

tic NOS (F95.9)

G25.8   Other specified extrapyramidal and movement disorders

Restless legs syndrome

Stiff-person[man] syndrome

G25.9   Extrapyramidal and movement disorder, unspecified

G26  Extrapyramidal and movement disorders in diseases classified elsewhere

Other degenerative diseases of the nervous system (G30-G32)

G30  Alzheimer disease

Includes:    senile and presenile forms

Excludes:    senile:

• degeneration of brain NEC (G31.1)

• dementia NOS (F03)

senility NOS (R54)

G30.0   Alzheimer disease with early onset

Note:          Onset usually before the age of 65

G30.1   Alzheimer disease with late onset

Note:          Onset usually after the age of 65

G30.8   Other Alzheimer disease

G30.9   Alzheimer disease, unspecified

G31  Other degenerative diseases of nervous system, not elsewhere classified

Excludes:    Reye syndrome (G93.7)

G31.0   Circumscribed brain atrophy

Frontotemporal dementia (FTD)

Pick disease

Progressive isolated aphasia

G31.1   Senile degeneration of brain, not elsewhere classified

Excludes:    Alzheimer disease (G30-)

senility NOS (R54)

G31.2   Degeneration of nervous system due to alcohol

Alcoholic:

• cerebellar:

• ataxia

• degeneration

• cerebral degeneration

• encephalopathy

Dysfunction of autonomic nervous system due to alcohol

G31.8   Other specified degenerative diseases of nervous system

Grey-matter degeneration [Alpers]

Lewy body(ies) (dementia) (disease) (F02.8*)

Subacute necrotizing encephalopathy [Leigh]

G31.9   Degenerative disease of nervous system, unspecified

G32  Other degenerative disorders of nervous system in diseases classified elsewhere

G32.0* Subacute combined degeneration of spinal cord in diseases classified elsewhere

Subacute combined degeneration of spinal cord in vitamin B₁₂ deficiency (E53.8†)

G32.8* Other specified degenerative disorders of nervous system in diseases classified elsewhere

Demyelinating diseases of the central nervous system (G35-G37)

G35  Multiple sclerosis

Multiple sclerosis (of):

• NOS

• brain stem

• cord

• disseminated

• generalized

G36  Other acute disseminated demyelination

Excludes:    postinfectious encephalitis and encephalomyelitis NOS (G04.8)

G36.0   Neuromyelitis optica [Devic]

Demyelination in optic neuritis

Excludes:    optic neuritis NOS (H46)

G36.1   Acute and subacute haemorrhagic leukoencephalitis [Hurst]

G36.8   Other specified acute disseminated demyelination

G36.9   Acute disseminated demyelination, unspecified

G37  Other demyelinating diseases of central nervous system

G37.0   Diffuse sclerosis

Periaxial encephalitis

Schilder disease

Excludes:    adrenoleukodystrophy [Addison-Schilder] (E71.3)

G37.1   Central demyelination of corpus callosum

G37.2   Central pontine myelinolysis

G37.3   Acute transverse myelitis in demyelinating disease of central nervous system

Acute transverse myelitis NOS

Excludes:    multiple sclerosis (G35)

neuromyelitis optica [Devic] (G36.0)

G37.4   Subacute necrotizing myelitis

G37.5   Concentric sclerosis [Balo]

G37.8   Other specified demyelinating diseases of central nervous system

G37.9   Demyelinating disease of central nervous system, unspecified

Episodic and paroxysmal disorders (G40-G47)

G40  Epilepsy

Excludes:    Landau-Kleffner syndrome (F80.3)

seizure (convulsive) NOS (R56.8)

status epilepticus (G41-)

Todd paralysis (G83.8)

G40.0   Localization-related (focal)(partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset

Benign childhood epilepsy with centrotemporal EEG spikes

Childhood epilepsy with occipital EEG paroxysms

G40.1   Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures

Attacks without alteration of consciousness

Simple partial seizures developing into secondarily generalized seizures

G40.2   Localization-related (focal)(partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures

Attacks with alteration of consciousness, often with automatisms

Complex partial seizures developing into secondarily generalized seizures

G40.3   Generalized idiopathic epilepsy and epileptic syndromes

Benign:

• myoclonic epilepsy in infancy

• neonatal convulsions (familial)

Childhood absence epilepsy [pyknolepsy]

Epilepsy with grand mal seizures on awakening

Juvenile:

• absence epilepsy

• myoclonic epilepsy [impulsive petit mal]

Nonspecific epileptic seizures:

• atonic

• clonic

• myoclonic

• tonic

• tonic-clonic

G40.4   Other generalized epilepsy and epileptic syndromes

Epilepsy with:

• myoclonic absences

• myoclonic-astatic seizures

Infantile spasms

Lennox-Gastaut syndrome

Salaam attacks

Symptomatic early myoclonic encephalopathy

West syndrome

G40.5   Special epileptic syndromes

Epilepsia partialis continua [Kozhevnikof]

Epileptic seizures related to:

• alcohol

• drugs

• hormonal changes

• sleep deprivation

• stress

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

G40.6   Grand mal seizures, unspecified (with or without petit mal)

G40.7   Petit mal, unspecified, without grand mal seizures

G40.8   Other epilepsy

Epilepsies and epileptic syndromes undetermined as to whether they are focal or generalized

G40.9   Epilepsy, unspecified

Epileptic:

• convulsions NOS

• fits NOS

• seizures NOS

G41  Status epilepticus

G41.0   Grand mal status epilepticus

Tonic-clonic status epilepticus

Excludes:    epilepsia partialis continua [Kozhevnikof] (G40.5)

G41.1   Petit mal status epilepticus

Epileptic absence status

G41.2   Complex partial status epilepticus

G41.8   Other status epilepticus

G41.9   Status epilepticus, unspecified

G43  Migraine

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    headache NOS (R51)

G43.0   Migraine without aura [common migraine]

G43.1   Migraine with aura [classical migraine]

Migraine:

• aura without headache

• basilar

• equivalents

• familial hemiplegic

• with:

• acute-onset aura

• prolonged aura

• typical aura

G43.2   Status migrainosus

G43.3   Complicated migraine

G43.8   Other migraine

Ophthalmoplegic migraine

Retinal migraine

G43.9   Migraine, unspecified

G44  Other headache syndromes

Excludes:    atypical facial pain (G50.1)

headache NOS (R51)

trigeminal neuralgia (G50.0)

G44.0   Cluster headache syndrome

Chronic paroxysmal hemicrania

Cluster headache:

• chronic

• episodic

G44.1   Vascular headache, not elsewhere classified

Vascular headache NOS

G44.2   Tension-type headache

Chronic tension-type headache

Episodic tension headache

Tension headache NOS

G44.3   Chronic post-traumatic headache

G44.4   Drug-induced headache, not elsewhere classified

Use additional external cause code (Chapter XX), if desired, to identify drug.

G44.8   Other specified headache syndromes

G45  Transient cerebral ischaemic attacks and related syndromes

Excludes:    neonatal cerebral ischaemia (P91.0)

G45.0   Vertebro-basilar artery syndrome

G45.1   Carotid artery syndrome (hemispheric)

G45.2   Multiple and bilateral precerebral artery syndromes

G45.3   Amaurosis fugax

G45.4   Transient global amnesia

Excludes:    amnesia NOS (R41.3)

G45.8   Other transient cerebral ischaemic attacks and related syndromes

G45.9   Transient cerebral ischaemic attack, unspecified

Spasm of cerebral artery

Transient cerebral ischaemia NOS

G46  Vascular syndromes of brain in cerebrovascular diseases (I60-I67†)

G46.0* Middle cerebral artery syndrome (I66.0†)

G46.1* Anterior cerebral artery syndrome (I66.1†)

G46.2* Posterior cerebral artery syndrome (I66.2†)

G46.3* Brain stem stroke syndrome (I60-I67†)

Syndrome:

• Benedikt

• Claude

• Foville

• Millard-Gubler

• Wallenberg

• Weber

G46.4* Cerebellar stroke syndrome (I60-I67†)

G46.5* Pure motor lacunar syndrome (I60-I67†)

G46.6* Pure sensory lacunar syndrome (I60-I67†)

G46.7* Other lacunar syndromes (I60-I67†)

G46.8* Other vascular syndromes of brain in cerebrovascular diseases (I60-I67†)

G47  Sleep disorders

Excludes:    nightmares (F51.5)

nonorganic sleep disorders (F51-)

sleep terrors (F51.4)

sleepwalking (F51.3)

G47.0   Disorders of initiating and maintaining sleep [insomnias]

G47.1   Disorders of excessive somnolence [hypersomnias]

G47.2   Disorders of the sleep-wake schedule

Delayed sleep phase syndrome

Irregular sleep-wake pattern

G47.3   Sleep apnoea

Sleep apnoea:

• central

• obstructive

Excludes:    pickwickian syndrome (E66.2)

sleep apnoea of newborn (P28.3)

G47.4   Narcolepsy and cataplexy

G47.8   Other sleep disorders

Kleine-Levin syndrome

G47.9   Sleep disorder, unspecified

Nerve, nerve root and plexus disorders (G50-G59)

Excludes:    current traumatic nerve, nerve root and plexus disorders - see nerve injury by body region

neuralgia      neuralgia

neuritis       neuritis

peripheral neuritis in pregnancy (O26.8)

radiculitis NOS (M54.1)

G50  Disorders of trigeminal nerve

Includes:    disorders of 5th cranial nerve

G50.0   Trigeminal neuralgia

Syndrome of paroxysmal facial pain

Tic douloureux

G50.1   Atypical facial pain

G50.8   Other disorders of trigeminal nerve

G50.9   Disorder of trigeminal nerve, unspecified

G51  Facial nerve disorders

Includes:    disorders of 7th cranial nerve

G51.0   Bell palsy

Facial palsy

G51.1   Geniculate ganglionitis

Excludes:    postherpetic geniculate ganglionitis (B02.2)

G51.2   Melkersson syndrome

Melkersson-Rosenthal syndrome

G51.3   Clonic hemifacial spasm

G51.4   Facial myokymia

G51.8   Other disorders of facial nerve

G51.9   Disorder of facial nerve, unspecified

G52  Disorders of other cranial nerves

Excludes:    disorders of:

• acoustic [8th] nerve (H93.3)

• optic [2nd] nerve (H46, H47.0)

paralytic strabismus due to nerve palsy (H49.0-H49.2)

G52.0   Disorders of olfactory nerve

Disorder of 1st cranial nerve

G52.1   Disorders of glossopharyngeal nerve

Disorder of 9th cranial nerve

Glossopharyngeal neuralgia

G52.2   Disorders of vagus nerve

Disorder of pneumogastric [10th] nerve

G52.3   Disorders of hypoglossal nerve

Disorder of 12th cranial nerve

G52.7   Disorders of multiple cranial nerves

Polyneuritis cranialis

G52.8   Disorders of other specified cranial nerves

G52.9   Cranial nerve disorder, unspecified

G53  Cranial nerve disorders in diseases classified elsewhere

G53.0* Postzoster neuralgia (B02.2†)

Postherpetic:

• geniculate ganglionitis

• trigeminal neuralgia

G53.1* Multiple cranial nerve palsies in infectious and parasitic diseases classified elsewhere (A00-B99†)

G53.2* Multiple cranial nerve palsies in sarcoidosis (D86.8†)

G53.3* Multiple cranial nerve palsies in neoplastic disease (C00-D48†)

G53.8* Other cranial nerve disorders in other diseases classified elsewhere

G54  Nerve root and plexus disorders

Excludes:    current traumatic nerve root and plexus disorders - see nerve injury by body region

intervertebral disc disorders (M50-M51)

neuralgia or neuritis NOS (M79.2)

neuritis or radiculitis:

• brachial NOS      

• lumbar NOS        

• lumbosacral NOS   

• thoracic NOS         (M54.1)

radiculitis NOS     

radiculopathy NOS   

spondylosis (M47-)

G54.0   Brachial plexus disorders

Thoracic outlet syndrome

G54.1   Lumbosacral plexus disorders

G54.2   Cervical root disorders, not elsewhere classified

G54.3   Thoracic root disorders, not elsewhere classified

G54.4   Lumbosacral root disorders, not elsewhere classified

G54.5   Neuralgic amyotrophy

Parsonage-Aldren-Turner syndrome

Shoulder-girdle neuritis

G54.6   Phantom limb syndrome with pain

G54.7   Phantom limb syndrome without pain

Phantom limb syndrome NOS

G54.8   Other nerve root and plexus disorders

G54.9   Nerve root and plexus disorder, unspecified

G55  Nerve root and plexus compressions in diseases classified elsewhere

G55.0* Nerve root and plexus compressions in neoplastic disease (C00-D48†)

G55.1* Nerve root and plexus compressions in intervertebral disc disorders

(M50-M51†)

G55.2* Nerve root and plexus compressions in spondylosis (M47†)

G55.3* Nerve root and plexus compressions in other dorsopathies (M45-M46†,

M48†, M53-M54†)

G55.8* Nerve root and plexus compressions in other diseases classified elsewhere

G56  Mononeuropathies of upper limb

Excludes:    current traumatic nerve disorder - see nerve injury by body region

G56.0   Carpal tunnel syndrome

G56.1   Other lesions of median nerve

G56.2   Lesion of ulnar nerve

Tardy ulnar nerve palsy

G56.3   Lesion of radial nerve

G56.4   Causalgia

G56.8   Other mononeuropathies of upper limb

Interdigital neuroma of upper limb

G56.9   Mononeuropathy of upper limb, unspecified

G57  Mononeuropathies of lower limb

Excludes:    current traumatic nerve disorder - see nerve injury by body region

G57.0   Lesion of sciatic nerve

Excludes:    sciatica:

• NOS (M54.3)

• attributed to intervertebral disc disorder (M51.1)

G57.1   Meralgia paraesthetica

Lateral cutaneous nerve of thigh syndrome

G57.2   Lesion of femoral nerve

G57.3   Lesion of lateral popliteal nerve

Peroneal nerve palsy

G57.4   Lesion of medial popliteal nerve

G57.5   Tarsal tunnel syndrome

G57.6   Lesion of plantar nerve

Morton metatarsalgia

G57.8   Other mononeuropathies of lower limb

Interdigital neuroma of lower limb

G57.9   Mononeuropathy of lower limb, unspecified

G58  Other mononeuropathies

G58.0   Intercostal neuropathy

G58.7   Mononeuritis multiplex

G58.8   Other specified mononeuropathies

G58.9   Mononeuropathy, unspecified

G59  Mononeuropathy in diseases classified elsewhere

G59.0* Diabetic mononeuropathy (E10-E14† with common fourth character .4)

G59.8* Other mononeuropathies in diseases classified elsewhere

Polyneuropathies and other disorders of the peripheral nervous system (G60-G64)

Excludes:    neuralgia NOS (M79.2)

neuritis NOS (M79.2)

peripheral neuritis in pregnancy (O26.8)

radiculitis NOS (M54.1)

G60  Hereditary and idiopathic neuropathy

G60.0   Hereditary motor and sensory neuropathy

Disease:

• Charcot-Marie-Tooth

• Dejerine-Sottas

Hereditary motor and sensory neuropathy, types I-IV

Hypertrophic neuropathy of infancy

Peroneal muscular atrophy (axonal type)(hypertrophic type)

Roussy-Levy syndrome

G60.1   Refsum disease

G60.2   Neuropathy in association with hereditary ataxia

G60.3   Idiopathic progressive neuropathy

G60.8   Other hereditary and idiopathic neuropathies

Morvan disease

Nelaton syndrome

Sensory neuropathy:

• dominantly inherited

• recessively inherited

G60.9   Hereditary and idiopathic neuropathy, unspecified

G61  Inflammatory polyneuropathy

G61.0   Guillain-Barre syndrome

Acute (post-)infective polyneuritis

Miller Fisher Syndrome

G61.1   Serum neuropathy

Use additional external cause code (Chapter XX), if desired, to identify cause.

G61.8   Other inflammatory polyneuropathies

G61.9   Inflammatory polyneuropathy, unspecified

G62  Other polyneuropathies

G62.0   Drug-induced polyneuropathy

Use additional external cause code (Chapter XX), if desired, to identify drug.

G62.1   Alcoholic polyneuropathy

G62.2   Polyneuropathy due to other toxic agents

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

G62.8   Other specified polyneuropathies

Radiation-induced polyneuropathy

Use additional external cause code (Chapter XX), if desired, to identify cause.

G62.9   Polyneuropathy, unspecified

Neuropathy NOS

G63  Polyneuropathy in diseases classified elsewhere

G63.0* Polyneuropathy in infectious and parasitic diseases classified elsewhere

Polyneuropathy (in):

• diphtheria (A36.8†)

• infectious mononucleosis (B27†)

• leprosy (A30†)

• Lyme disease (A69.2†)

• mumps (B26.8†)

• postherpetic (B02.2†)

• syphilis, late (A52.1†)

• congenital (A50.4†)

• tuberculous (A17.8†)

G63.1* Polyneuropathy in neoplastic disease (C00-D48†)

G63.2* Diabetic polyneuropathy (E10-E14† with common fourth character .4)

G63.3* Polyneuropathy in other endocrine and metabolic diseases (E00-E07†,

E15-E16†, E20-E34†, E70-E89†)

G63.4* Polyneuropathy in nutritional deficiency (E40-E64†)

G63.5* Polyneuropathy in systemic connective tissue disorders (M30-M35†)

G63.6* Polyneuropathy in other musculoskeletal disorders (M00-M25†, M40-M96†)

G63.8* Polyneuropathy in other diseases classified elsewhere

Uraemic neuropathy (N18.5†)

G64  Other disorders of peripheral nervous system

Disorder of peripheral nervous system NOS

Diseases of myoneural junction and muscle (G70-G73)

G70  Myasthenia gravis and other myoneural disorders

Excludes:    botulism (A05.1)

transient neonatal myasthenia gravis (P94.0)

G70.0   Myasthenia gravis

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

G70.1   Toxic myoneural disorders

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

G70.2   Congenital and developmental myasthenia

G70.8   Other specified myoneural disorders

G70.9   Myoneural disorder, unspecified

G71  Primary disorders of muscles

Excludes:    arthrogryposis multiplex congenita (Q74.3)

metabolic disorders (E70-E90)

myositis (M60-)

G71.0   Muscular dystrophy

Muscular dystrophy:

• autosomal recessive, childhood type, resembling Duchenne or Becker

• benign [Becker]

• benign scapuloperoneal with early contractures [Emery-Dreifuss]

• distal

• facioscapulohumeral

• limb-girdle

• ocular

• oculopharyngeal

• scapuloperoneal

• severe [Duchenne]

Excludes:    congenital muscular dystrophy:

• NOS (G71.2)

• with specific morphological abnormalities of the muscle fibre (G71.2)

G71.1   Myotonic disorders

Dystrophia myotonica [Steinert]

Myotonia:

• chondrodystrophic

• drug-induced

• symptomatic

Myotonia congenita:

• NOS

• dominant [Thomsen]

• recessive [Becker]

Neuromyotonia [Isaacs]

Paramyotonia congenita

Pseudomyotonia

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

G71.2   Congenital myopathies

Congenital muscular dystrophy:

• NOS

• with specific morphological abnormalities of the muscle fibre

Disease:

• central core

• minicore

• multicore

Fibre-type disproportion

Myopathy:

• myotubular (centronuclear)

• nemaline

G71.3   Mitochondrial myopathy, not elsewhere classified

G71.8   Other primary disorders of muscles

G71.9   Primary disorder of muscle, unspecified

Hereditary myopathy NOS

G72  Other myopathies

Excludes:    arthrogryposis multiplex congenita (Q74.3)

dermatopolymyositis (M33-)

ischaemic infarction of muscle (M62.2)

myositis (M60-)

polymyositis (M33.2)

G72.0   Drug-induced myopathy

Use additional external cause code (Chapter XX), if desired, to identify drug.

G72.1   Alcoholic myopathy

G72.2   Myopathy due to other toxic agents

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

G72.3   Periodic paralysis

Periodic paralysis (familial):

• hyperkalaemic

• hypokalaemic

• myotonic

• normokalaemic

G72.4   Inflammatory myopathy, not elsewhere classified

G72.8   Other specified myopathies

G72.9   Myopathy, unspecified

G73  Disorders of myoneural junction and muscle in diseases classified elsewhere

G73.0* Myasthenic syndromes in endocrine diseases

Myasthenic syndromes in:

• diabetic amyotrophy (E10-E14† with common fourth character .4)

• thyrotoxicosis [hyperthyroidism] (E05†)

G73.1* Eaton-Lambert syndrome (C80†)

G73.2* Other myasthenic syndromes in neoplastic disease (C00-D48†)

G73.3* Myasthenic syndromes in other diseases classified elsewhere

G73.4* Myopathy in infectious and parasitic diseases classified elsewhere

G73.5* Myopathy in endocrine diseases

Myopathy in:

• hyperparathyroidism (E21.0-E21.3†)

• hypoparathyroidism (E20†)

Thyrotoxic myopathy (E05†)

G73.6* Myopathy in metabolic diseases

Myopathy in:

• glycogen storage disease (E74.0†)

• lipid storage disorders (E75†)

G73.7* Myopathy in other diseases classified elsewhere

Myopathy in:

• rheumatoid arthritis (M05-M06†)

• scleroderma (M34.8†)

• sicca syndrome [Sjogren] (M35.0†)

• systemic lupus erythematosus (M32.1†)

Cerebral palsy and other paralytic syndromes (G80-G83)

G80  Cerebral palsy

Excludes:    hereditary spastic paraplegia (G11.4)

G80.0   Spastic quadriplegic cerebral palsy

Spastic tetraplegic cerebral palsy

G80.1   Spastic diplegic cerebral palsy

Congenital spastic paralysis (cerebral)

Spastic cerebral palsy NOS

G80.2   Spastic hemiplegic cerebral palsy

G80.3   Dyskinetic cerebral palsy

Athetoid cerebral palsy

Dystonic cerebral palsy

G80.4   Ataxic cerebral palsy

G80.8   Other cerebral palsy

Mixed cerebral palsy syndromes

G80.9   Cerebral palsy, unspecified

Cerebral palsy NOS

G81  Hemiplegia

Note:          For primary coding, this category is to be used only when hemiplegia (complete) (incomplete) is reported without further specification, or is stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these types of hemiplegia resulting from any cause.

Excludes:    congenital cerebral palsy (G80-)

G81.0   Flaccid hemiplegia

G81.1   Spastic hemiplegia

G81.9   Hemiplegia, unspecified

G82  Paraplegia and tetraplegia

Note:          For primary coding, this category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.

Excludes:    congenital cerebral palsy (G80-)

G82.0   Flaccid paraplegia

G82.1   Spastic paraplegia

G82.2   Paraplegia, unspecified

Paralysis of both lower limbs NOS

Paraplegia (lower) NOS

G82.3   Flaccid tetraplegia

G82.4   Spastic tetraplegia

G82.5   Tetraplegia, unspecified

Quadriplegia NOS

G83  Other paralytic syndromes

Note:          For primary coding, this category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.

Includes:    paralysis (complete)(incomplete), except as in G80-G82

G83.0   Diplegia of upper limbs

Diplegia (upper)

Paralysis of both upper limbs

G83.1   Monoplegia of lower limb

Paralysis of lower limb

G83.2   Monoplegia of upper limb

Paralysis of upper limb

G83.3   Monoplegia, unspecified

G83.4   Cauda equina syndrome

Neurogenic bladder due to cauda equina syndrome

Excludes:    cord bladder NOS (G95.8)

G83.8   Other specified paralytic syndromes

Todd paralysis (postepileptic)

G83.9   Paralytic syndrome, unspecified

Other disorders of the nervous system (G90-G99)

G90  Disorders of autonomic nervous system

Excludes:    dysfunction of autonomic nervous system due to alcohol (G31.2)

G90.0   Idiopathic peripheral autonomic neuropathy

Carotid sinus syncope

G90.1   Familial dysautonomia [Riley-Day]

G90.2   Horner syndrome

Bernard(-Horner) syndrome

G90.3   Multi-system degeneration

Neurogenic orthostatic hypotension [Shy-Drager]

Excludes:    orthostatic hypotension NOS (I95.1)

G90.4   Autonomic dysreflexia

G90.8   Other disorders of autonomic nervous system

G90.9   Disorder of autonomic nervous system, unspecified

G91  Hydrocephalus

Includes:    acquired hydrocephalus

Excludes:    hydrocephalus:

• congenital (Q03-)

• due to congenital toxoplasmosis (P37.1)

G91.0   Communicating hydrocephalus

G91.1   Obstructive hydrocephalus

G91.2   Normal-pressure hydrocephalus

G91.3   Post-traumatic hydrocephalus, unspecified

G91.8   Other hydrocephalus

G91.9   Hydrocephalus, unspecified

G92  Toxic encephalopathy

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

G93  Other disorders of brain

G93.0   Cerebral cysts

Arachnoid cyst

Porencephalic cyst, acquired

Excludes:    acquired periventricular cysts of newborn (P91.1)

congenital cerebral cysts (Q04.6)

G93.1   Anoxic brain damage, not elsewhere classified

Excludes:    complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.8)

• pregnancy, labour or delivery (O29.2, O74.3, O89.2)

• surgical and medical care (T80-T88)

neonatal anoxia (P21.9)

G93.2   Benign intracranial hypertension

Excludes:    hypertensive encephalopathy (I67.4)

G93.3   Postviral fatigue syndrome

Myalgic encephalomyelitis

G93.4   Encephalopathy, unspecified

Excludes:    encephalopathy:

• alcoholic (G31.2)

• toxic (G92)

G93.5   Compression of brain

  Compression       of brain (stem)

  Herniation       

Excludes:    traumatic compression of brain (diffuse) (S06.2)

• focal (S06.3)

G93.6   Cerebral oedema

Excludes:    cerebral oedema:

• due to birth injury (P11.0)

• traumatic (S06.1)

G93.7   Reye syndrome

Use additional external cause code (Chapter XX), if desired, to identify cause.

G93.8   Other specified disorders of brain

Postradiation encephalopathy

Use additional external cause code (Chapter XX), if desired, to identify cause.

G93.9   Disorder of brain, unspecified

G94  Other disorders of brain in diseases classified elsewhere

G94.0* Hydrocephalus in infectious and parasitic diseases classified elsewhere (A00-B99†)

G94.1* Hydrocephalus in neoplastic disease (C00-D48†)

G94.2* Hydrocephalus in other diseases classified elsewhere

G94.8* Other specified disorders of brain in diseases classified elsewhere

G95  Other diseases of spinal cord

Excludes:    myelitis (G04-)

G95.0   Syringomyelia and syringobulbia

G95.1   Vascular myelopathies

Acute infarction of spinal cord (embolic)(nonembolic)

Arterial thrombosis of spinal cord

Haematomyelia

Nonpyogenic intraspinal phlebitis and thrombophlebitis

Oedema of spinal cord

Subacute necrotic myelopathy

Excludes:    intraspinal phlebitis and thrombophlebitis, except non-pyogenic (G08)

G95.2   Cord compression, unspecified

G95.8   Other specified diseases of spinal cord

Cord bladder NOS

Myelopathy:

• drug-induced

• radiation-induced

Use additional external cause code (Chapter XX), if desired, to identify external agent.

Excludes:    neurogenic bladder:

• NOS (N31.9)

• due to cauda equina syndrome (G83.4)

neuromuscular dysfunction of bladder without mention of spinal cord lesion (N31-)

G95.9   Disease of spinal cord, unspecified

Myelopathy NOS

G96  Other disorders of central nervous system

G96.0   Cerebrospinal fluid leak

Excludes:    from spinal puncture (G97.0)

G96.1   Disorders of meninges, not elsewhere classified

Meningeal adhesions (cerebral)(spinal)

G96.8   Other specified disorders of central nervous system

G96.9   Disorder of central nervous system, unspecified

G97  Postprocedural disorders of nervous system, not elsewhere classified

G97.0   Cerebrospinal fluid leak from spinal puncture

G97.1   Other reaction to spinal and lumbar puncture

G97.2   Intracranial hypotension following ventricular shunting

G97.8   Other postprocedural disorders of nervous system

G97.9   Postprocedural disorder of nervous system, unspecified

G98  Other disorders of nervous system, not elsewhere classified

Nervous system disorder NOS

G99  Other disorders of nervous system in diseases classified elsewhere

G99.0* Autonomic neuropathy in endocrine and metabolic diseases

Amyloid autonomic neuropathy (E85†)

Diabetic autonomic neuropathy (E10-E14† with common fourth character .4)

G99.1* Other disorders of autonomic nervous system in other diseases classified elsewhere

G99.2* Myelopathy in diseases classified elsewhere

Anterior spinal and vertebral artery compression syndromes (M47.0†)

Myelopathy in:

• intervertebral disc disorders (M50.0†, M51.0†)

• neoplastic disease (C00-D48†)

• spondylosis (M47†)

G99.8* Other specified disorders of nervous system in diseases classified elsewhere

Uraemic paralysis (N18.5†)

CHAPTER VII - Diseases of the eye and adnexa (H00-H59)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

H00-H06      Disorders of eyelid, lacrimal system and orbit

H10-H13      Disorders of conjunctiva

H15-H22      Disorders of sclera, cornea, iris and ciliary body

H25-H28      Disorders of lens

H30-H36      Disorders of choroid and retina

H40-H42      Glaucoma

H43-H45      Disorders of vitreous body and globe

H46-H48      Disorders of optic nerve and visual pathways

H49-H52      Disorders of ocular muscles, binocular movement, accommodation and refraction

H53-H54      Visual disturbances and blindness

H55-H59      Other disorders of eye and adnexa

Asterisk categories for this chapter are provided as follows:

H03*            Disorders of eyelid in diseases classified elsewhere

H06*            Disorders of lacrimal system and orbit in diseases classified elsewhere

H13*            Disorders of conjunctiva in diseases classified elsewhere

H19*            Disorders of sclera and cornea in diseases classified elsewhere

H22*            Disorders of iris and ciliary body in diseases classified elsewhere

H28*            Cataract and other disorders of lens in diseases classified elsewhere

H32*            Chorioretinal disorders in diseases classified elsewhere

H36*            Retinal disorders in diseases classified elsewhere

H42*            Glaucoma in diseases classified elsewhere

H45*            Disorders of vitreous body and globe in diseases classified elsewhere

H48*            Disorders of optic nerve and visual pathways in diseases classified elsewhere

H58*            Other disorders of eye and adnexa in diseases classified elsewhere

Disorders of eyelid, lacrimal system and orbit (H00-H06)

H00  Hordeolum and chalazion

H00.0   Hordeolum and other deep inflammation of eyelid

  Abscess    

  Furuncle      of eyelid

  Stye       

H00.1   Chalazion

H01  Other inflammation of eyelid

H01.0   Blepharitis

Excludes:    blepharoconjunctivitis (H10.5)

H01.1   Noninfectious dermatoses of eyelid

  Dermatitis:                   

• allergic                    

• contact                     

• eczematous                     of eyelid

  Discoid lupus erythematosus   

  Xeroderma                     

H01.8   Other specified inflammation of eyelid

H01.9   Inflammation of eyelid, unspecified

H02  Other disorders of eyelid

Excludes:    congenital malformations of eyelid (Q10.0-Q10.3)

H02.0   Entropion and trichiasis of eyelid

H02.1   Ectropion of eyelid

H02.2   Lagophthalmos

H02.3   Blepharochalasis

H02.4   Ptosis of eyelid

H02.5   Other disorders affecting eyelid function

Ankyloblepharon

Blepharophimosis

Lid retraction

Excludes:    blepharospasm (G24.5)

tic (disorder):

• NOS (F95.9)

• organic origin (G25.6)

• psychogenic (F95-)

H02.6   Xanthelasma of eyelid

H02.7   Other degenerative disorders of eyelid and periocular area

  Chloasma    

  Madarosis      of eyelid

  Vitiligo    

H02.8   Other specified disorders of eyelid

Hypertrichosis of eyelid

Retained foreign body in eyelid

H02.9   Disorder of eyelid, unspecified

H03  Disorders of eyelid in diseases classified elsewhere

H03.0* Parasitic infestation of eyelid in diseases classified elsewhere

Dermatitis of eyelid due to Demodex species (B88.0†)

Parasitic infestation of eyelid in:

• leishmaniasis (B55†)

• loiasis (B74.3†)

• onchocerciasis (B73†)

• phthiriasis (B85.3†)

H03.1* Involvement of eyelid in other infectious diseases classified elsewhere

Involvement of eyelid in:

• herpesviral [herpes simplex] infection (B00.5†)

• leprosy (A30†)

• molluscum contagiosum (B08.1†)

• tuberculosis (A18.4†)

• yaws (A66†)

• zoster (B02.3†)

H03.8* Involvement of eyelid in other diseases classified elsewhere

Involvement of eyelid in impetigo (L01.0†)

H04  Disorders of lacrimal system

Excludes:    congenital malformations of lacrimal system (Q10.4-Q10.6)

H04.0   Dacryoadenitis

Chronic enlargement of lacrimal gland

H04.1   Other disorders of lacrimal gland

Dacryops

Dry eye syndrome

Lacrimal:

• cyst

• gland atrophy

H04.2   Epiphora

H04.3   Acute and unspecified inflammation of lacrimal passages

  Dacryocystitis (phlegmonous)   

  Dacryopericystitis                acute, subacute or unspecified

  Lacrimal canaliculitis         

Excludes:    neonatal dacryocystitis (P39.1)

H04.4   Chronic inflammation of lacrimal passages

  Dacryocystitis    

  Lacrimal:         

• canaliculitis      chronic

• mucocele        

H04.5   Stenosis and insufficiency of lacrimal passages

Dacryolith

Eversion of lacrimal punctum

Stenosis of lacrimal:

• canaliculi

• duct

• sac

H04.6   Other changes in lacrimal passages

Lacrimal fistula

H04.8   Other disorders of lacrimal system

H04.9   Disorder of lacrimal system, unspecified

H05  Disorders of orbit

Excludes:    congenital malformation of orbit (Q10.7)

H05.0   Acute inflammation of orbit

  Abscess         

  Cellulitis      

  Osteomyelitis      of orbit

  Periostitis     

  Tenonitis       

H05.1   Chronic inflammatory disorders of orbit

Granuloma of orbit

H05.2   Exophthalmic conditions

Displacement of globe (lateral) NOS

     Haemorrhage      Haemorrhage

     Oedema           Oedema

H05.3   Deformity of orbit

  Atrophy        Atrophy

  Exostosis      Exostosis

H05.4   Enophthalmos

H05.5   Retained (old) foreign body following penetrating wound of orbit

Retrobulbar foreign body

H05.8   Other disorders of orbit

Cyst of orbit

H05.9   Disorder of orbit, unspecified

H06  Disorders of lacrimal system and orbit in diseases classified elsewhere

H06.0* Disorders of lacrimal system in diseases classified elsewhere

H06.1* Parasitic infestation of orbit in diseases classified elsewhere

Echinococcus infection of orbit (B67†)

Myiasis of orbit (B87.2†)

H06.2* Dysthyroid exophthalmos (E05†)

H06.3* Other disorders of orbit in diseases classified elsewhere

Disorders of conjunctiva (H10-H13)

H10  Conjunctivitis

Excludes:    keratoconjunctivitis (H16.2)

H10.0   Mucopurulent conjunctivitis

H10.1   Acute atopic conjunctivitis

H10.2   Other acute conjunctivitis

H10.3   Acute conjunctivitis, unspecified

Excludes:    ophthalmia neonatorum NOS (P39.1)

H10.4   Chronic conjunctivitis

H10.5   Blepharoconjunctivitis

H10.8   Other conjunctivitis

H10.9   Conjunctivitis, unspecified

H11  Other disorders of conjunctiva

Excludes:    keratoconjunctivitis (H16.2)

H11.0   Pterygium

Excludes:    pseudopterygium (H11.8)

H11.1   Conjunctival degenerations and deposits

Conjunctival:

• argyrosis [argyria]

• concretions

• pigmentation

• xerosis NOS

H11.2   Conjunctival scars

Symblepharon

H11.3   Conjunctival haemorrhage

Subconjunctival haemorrhage

H11.4   Other conjunctival vascular disorders and cysts

Conjunctival:

• aneurysm

• hyperaemia

• oedema

H11.8   Other specified disorders of conjunctiva

Pseudopterygium

H11.9   Disorder of conjunctiva, unspecified

H13  Disorders of conjunctiva in diseases classified elsewhere

H13.0* Filarial infection of conjunctiva (B74†)

H13.1* Conjunctivitis in infectious and parasitic diseases classified elsewhere

Conjunctivitis (due to):

• Acanthamoeba (B60.1†)

• adenoviral follicular (acute) (B30.1†)

• chlamydial (A74.0†)

• diphtheritic (A36.8†)

• gonococcal (A54.3†)

• haemorrhagic (acute)(epidemic) (B30.3†)

• herpesviral [herpes simplex] (B00.5†)

• meningococcal (A39.8†)

• Newcastle (B30.8†)

• zoster (B02.3†)

H13.2* Conjunctivitis in other diseases classified elsewhere

H13.3* Ocular pemphigoid (L12†)

H13.8* Other disorders of conjunctiva in diseases classified elsewhere

Disorders of sclera, cornea, iris and ciliary body (H15-H22)

H15  Disorders of sclera

H15.0   Scleritis

H15.1   Episcleritis

H15.8   Other disorders of sclera

Equatorial staphyloma

Scleral ectasia

Excludes:    degenerative myopia (H44.2)

H15.9   Disorder of sclera, unspecified

H16  Keratitis

H16.0   Corneal ulcer

Ulcer:

• corneal:

• NOS

• central

• marginal

• perforated

• ring

• with hypopyon

• Mooren

H16.1   Other superficial keratitis without conjunctivitis

Keratitis:

• areolar

• filamentary

• nummular

• stellate

• striate

• superficial punctate

Photokeratitis

Snow blindness

H16.2   Keratoconjunctivitis

Keratoconjunctivitis:

• NOS

• exposure

• neurotrophic

• phlyctenular

Ophthalmia nodosa

Superficial keratitis with conjunctivitis

H16.3   Interstitial and deep keratitis

H16.4   Corneal neovascularization

Ghost vessels (corneal)

Pannus (corneal)

H16.8   Other keratitis

H16.9   Keratitis, unspecified

H17  Corneal scars and opacities

H17.0   Adherent leukoma

H17.1   Other central corneal opacity

H17.8   Other corneal scars and opacities

H17.9   Corneal scar and opacity, unspecified

H18  Other disorders of cornea

H18.0   Corneal pigmentations and deposits

Haematocornea

Kayser-Fleischer ring

Krukenberg spindle

Staehli line

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

H18.1   Bullous keratopathy

Excludes:    keratopathy (bullous aphakic) following cataract surgery (H59.0)

H18.2   Other corneal oedema

H18.3   Changes in corneal membranes

  Fold         Fold

  Rupture      Rupture

H18.4   Corneal degeneration

Arcus senilis

Band keratopathy

Excludes:    Mooren ulcer (H16.0)

H18.5   Hereditary corneal dystrophies

Dystrophy:

• corneal:

     • epithelial

     • granular

     • lattice

     • macular

• Fuchs

H18.6   Keratoconus

H18.7   Other corneal deformities

Corneal:

• ectasia

• staphyloma

Descemetocele

Excludes:    congenital malformations of cornea (Q13.3-Q13.4)

H18.8   Other specified disorders of cornea

  Anaesthesia         

  Hypaesthesia           of cornea

  Recurrent erosion   

H18.9   Disorder of cornea, unspecified

H19  Disorders of sclera and cornea in diseases classified elsewhere

H19.0* Scleritis and episcleritis in diseases classified elsewhere

Syphilitic episcleritis (A52.7†)

Tuberculous episcleritis (A18.5†)

Zoster scleritis (B02.3†)

H19.1* Herpesviral keratitis and keratoconjunctivitis (B00.5†)

Dendritic and disciform keratitis

H19.2* Keratitis and keratoconjunctivitis in other infectious and parasitic diseases classified elsewhere

Epidemic keratoconjunctivitis (B30.0†)

Keratitis and keratoconjunctivitis (interstitial) in:

• acanthamoebiasis (B60.1†)

• measles (B05.8†)

• syphilis (A50.3†)

• tuberculosis (A18.5†)

• zoster (B02.3†)

H19.3* Keratitis and keratoconjunctivitis in other diseases classified elsewhere

Keratoconjunctivitis sicca (M35.0†)

H19.8* Other disorders of sclera and cornea in diseases classified elsewhere

Keratoconus in Down syndrome (Q90†)

H20  Iridocyclitis

H20.0   Acute and subacute iridocyclitis

  Anterior uveitis   

  Cyclitis              acute, recurrent or subacute

  Iritis             

H20.1   Chronic iridocyclitis

H20.2   Lens-induced iridocyclitis

H20.8   Other iridocyclitis

H20.9   Iridocyclitis, unspecified

H21  Other disorders of iris and ciliary body

Excludes:    sympathetic uveitis (H44.1)

H21.0   Hyphaema

Excludes:    traumatic hyphaema (S05.1)

H21.1   Other vascular disorders of iris and ciliary body

Neovascularization of iris or ciliary body

Rubeosis of iris

H21.2   Degeneration of iris and ciliary body

Degeneration of:

• iris (pigmentary)

• pupillary margin

Iridoschisis

Iris atrophy (essential)(progressive)

Miotic pupillary cyst

Translucency of iris

H21.3   Cyst of iris, ciliary body and anterior chamber

Cyst of iris, ciliary body or anterior chamber:

• NOS

• exudative

• implantation

• parasitic

Excludes:    miotic pupillary cyst (H21.2)

H21.4   Pupillary membranes

Iris bombe

Pupillary:

• occlusion

• seclusion

H21.5   Other adhesions and disruptions of iris and ciliary body

Goniosynechiae

Iridodialysis

Recession, chamber angle

Synechiae (iris):

• NOS

• anterior

• posterior

Excludes:    corectopia (Q13.2)

H21.8   Other specified disorders of iris and ciliary body

H21.9   Disorder of iris and ciliary body, unspecified

H22  Disorders of iris and ciliary body in diseases classified elsewhere

H22.0* Iridocyclitis in infectious and parasitic diseases classified elsewhere

Iridocyclitis in:

• gonococcal infection (A54.3†)

• herpesviral [herpes simplex] infection (B00.5†)

• syphilis (secondary) (A51.4†)

• tuberculosis (A18.5†)

• zoster (B02.3†)

H22.1* Iridocyclitis in other diseases classified elsewhere

Iridocyclitis in:

• ankylosing spondylitis (M45†)

• sarcoidosis (D86.8†)

H22.8* Other disorders of iris and ciliary body in diseases classified elsewhere

Disorders of lens (H25-H28)

H25  Senile cataract

Excludes:    capsular glaucoma with pseudoexfoliation of lens (H40.1)

H25.0   Senile incipient cataract

Senile cataract:

• coronary

• cortical

• punctate

Subcapsular polar senile cataract (anterior)(posterior)

Water clefts

H25.1   Senile nuclear cataract

Cataracta brunescens

Nuclear sclerosis cataract

H25.2   Senile cataract, morgagnian type

Senile hypermature cataract

H25.8   Other senile cataract

Combined forms of senile cataract

H25.9   Senile cataract, unspecified

H26  Other cataract

Excludes:    congenital cataract (Q12.0)

H26.0   Infantile, juvenile and presenile cataract

H26.1   Traumatic cataract

Use additional external cause code (Chapter XX), if desired, to identify cause.

H26.2   Complicated cataract

Cataract in chronic iridocyclitis

Cataract secondary to ocular disorders

Glaucomatous flecks (subcapsular)

H26.3   Drug-induced cataract

Use additional external cause code (Chapter XX), if desired, to identify drug.

H26.4   After-cataract

Secondary cataract

Soemmerring ring

H26.8   Other specified cataract

H26.9   Cataract, unspecified

H27  Other disorders of lens

Excludes:    congenital lens malformations (Q12-)

mechanical complications of intraocular lens (T85.2)

pseudophakia (^[i]Z96.1)

H27.0   Aphakia

H27.1   Dislocation of lens

H27.8   Other specified disorders of lens

H27.9   Disorder of lens, unspecified

H28  Cataract and other disorders of lens in diseases classified elsewhere

H28.0* Diabetic cataract (E10-E14† with common fourth character .3)

H28.1* Cataract in other endocrine, nutritional and metabolic diseases

Cataract in hypoparathyroidism (E20†)

Malnutrition-dehydration cataract (E40-E46†)

H28.2* Cataract in other diseases classified elsewhere

Myotonic cataract (G71.1†)

H28.8* Other disorders of lens in diseases classified elsewhere

Disorders of choroid and retina (H30-H36)

H30  Chorioretinal inflammation

H30.0   Focal chorioretinal inflammation

Focal:

• chorioretinitis

• choroiditis

• retinitis

• retinochoroiditis

H30.1   Disseminated chorioretinal inflammation

Disseminated:

• chorioretinitis

• choroiditis

• retinitis

• retinochoroiditis

Excludes:    exudative retinopathy (H35.0)

H30.2   Posterior cyclitis

Pars planitis

H30.8   Other chorioretinal inflammations

Harada disease

H30.9   Chorioretinal inflammation, unspecified

  Chorioretinitis     

  Choroiditis         

  Retinitis              NOS

  Retinochoroiditis   

H31  Other disorders of choroid

H31.0   Chorioretinal scars

Macula scars of posterior pole (postinflammatory)(post-traumatic)

Solar retinopathy

H31.1   Choroidal degeneration

  Atrophy        Atrophy

  Sclerosis      Sclerosis

Excludes:    angioid streaks (H35.3)

H31.2   Hereditary choroidal dystrophy

Choroideremia

Dystrophy, choroidal (central areolar)(generalized)(peripapillary)

Gyrate atrophy, choroid

Excludes:    ornithinaemia (E72.4)

H31.3   Choroidal haemorrhage and rupture

Choroidal haemorrhage:

• NOS

• expulsive

H31.4   Choroidal detachment

H31.8   Other specified disorders of choroid

H31.9   Disorder of choroid, unspecified

H32  Chorioretinal disorders in diseases classified elsewhere

H32.0* Chorioretinal inflammation in infectious and parasitic diseases classified elsewhere

Chorioretinitis:

• syphilitic, late (A52.7†)

• toxoplasma (B58.0†)

• tuberculous (A18.5†)

H32.8* Other chorioretinal disorders in diseases classified elsewhere

Albuminurica retinitis (N18.5†)

Renal retinitis (N18.5†)

H33  Retinal detachments and breaks

Excludes:    detachment of retinal pigment epithelium (H35.7)

H33.0   Retinal detachment with retinal break

Rhegmatogenous retinal detachment

H33.1   Retinoschisis and retinal cysts

Cyst of ora serrata

Parasitic cyst of retina NOS

Pseudocyst of retina

Excludes:    congenital retinoschisis (Q14.1)

microcystoid degeneration of retina (H35.4)

H33.2   Serous retinal detachment

Retinal detachment:

• NOS

• without retinal break

Excludes:    central serous chorioretinopathy (H35.7)

H33.3   Retinal breaks without detachment

  Horseshoe tear      Horseshoe tear

  Round hole          Round hole

Excludes:    chorioretinal scars after surgery for detachment (H59.8)

peripheral retinal degeneration without break (H35.4)

H33.4   Traction detachment of retina

Proliferative vitreo-retinopathy with retinal detachment

H33.5   Other retinal detachments

H34  Retinal vascular occlusions

Excludes:    amaurosis fugax (G45.3)

H34.0   Transient retinal artery occlusion

H34.1   Central retinal artery occlusion

H34.2   Other retinal artery occlusions

Hollenhorst plaque

Retinal:

• artery occlusion:

     • branch

     • partial

• microembolism

H34.8   Other retinal vascular occlusions

Retinal vein occlusion:

• central

• incipient

• partial

• tributary

H34.9   Retinal vascular occlusion, unspecified

H35  Other retinal disorders

H35.0   Background retinopathy and retinal vascular changes

Changes in retinal vascular appearance

Retinal:

• micro-aneurysms

• neovascularization

• perivasculitis

• varices

• vascular sheathing

• vasculitis

Retinopathy:

• NOS

• background NOS

• Coats

• exudative

• hypertensive

H35.1   Retinopathy of prematurity

Retrolental fibroplasia

H35.2   Other proliferative retinopathy

Proliferative vitreo-retinopathy

Excludes:    proliferative vitreo-retinopathy with retinal detachment (H33.4)

H35.3   Degeneration of macula and posterior pole

  Angioid streaks         

  Cyst                    

  Drusen (degenerative)      of macula

  Hole                    

  Puckering               

Kuhnt-Junius degeneration

Senile macular degeneration (atrophic)(exudative)

Toxic maculopathy

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

H35.4   Peripheral retinal degeneration

Degeneration, retina:

• NOS

• lattice

• microcystoid

• palisade

• paving stone

• reticular

Excludes:    with retinal break (H33.3)

H35.5   Hereditary retinal dystrophy

Dystrophy:

• retinal (albipunctate)(pigmentary)(vitelliform)

• tapetoretinal

• vitreoretinal

Retinitis pigmentosa

Stargardt disease

H35.6   Retinal haemorrhage

H35.7   Separation of retinal layers

Central serous chorioretinopathy

Detachment of retinal pigment epithelium

H35.8   Other specified retinal disorders

H35.9   Retinal disorder, unspecified

H36  Retinal disorders in diseases classified elsewhere

H36.0* Diabetic retinopathy (E10-E14† with common fourth character .3)

H36.8* Other retinal disorders in diseases classified elsewhere

Atherosclerotic retinopathy (I70.8†)

Proliferative sickle-cell retinopathy (D57†)

Retinal dystrophy in lipid storage disorders (E75†)

Glaucoma (H40-H42)

H40  Glaucoma

Excludes:    absolute glaucoma (H44.5)

congenital glaucoma (Q15.0)

traumatic glaucoma due to birth injury (P15.3)

H40.0   Glaucoma suspect

Ocular hypertension

H40.1   Primary open-angle glaucoma

Glaucoma (primary)(residual stage):

• capsular with pseudoexfoliation of lens

• chronic simple

• low-tension

• pigmentary

H40.2   Primary angle-closure glaucoma

Angle-closure glaucoma (primary)(residual stage):

• acute

• chronic

• intermittent

H40.3   Glaucoma secondary to eye trauma

Use additional code, if desired, to identify cause.

H40.4   Glaucoma secondary to eye inflammation

Use additional code, if desired, to identify cause.

H40.5   Glaucoma secondary to other eye disorders

Use additional code, if desired, to identify cause.

H40.6   Glaucoma secondary to drugs

Use additional external cause code (Chapter XX), if desired, to identify drug.

H40.8   Other glaucoma

H40.9   Glaucoma, unspecified

H42  Glaucoma in diseases classified elsewhere

H42.0* Glaucoma in endocrine, nutritional and metabolic diseases

Glaucoma in:

• amyloidosis (E85†)

• Lowe syndrome (E72.0†)

H42.8* Glaucoma in other diseases classified elsewhere

Glaucoma in onchocerciasis (B73†)

Disorders of vitreous body and globe (H43-H45)

H43  Disorders of vitreous body

H43.0   Vitreous prolapse

Excludes:    vitreous syndrome following cataract surgery (H59.0)

H43.1   Vitreous haemorrhage

H43.2   Crystalline deposits in vitreous body

H43.3   Other vitreous opacities

Vitreous membranes and strands

H43.8   Other disorders of vitreous body

Vitreous:

• degeneration

• detachment

Excludes:    proliferative vitreo-retinopathy with retinal detachment (H33.4)

H43.9   Disorder of vitreous body, unspecified

H44  Disorders of globe

Includes:    disorders affecting multiple structures of eye

H44.0   Purulent endophthalmitis

Panophthalmitis

Vitreous abscess

H44.1   Other endophthalmitis

Parasitic endophthalmitis NOS

Sympathetic uveitis

H44.2   Degenerative myopia

H44.3   Other degenerative disorders of globe

Chalcosis

Siderosis of eye

H44.4   Hypotony of eye

H44.5   Degenerated conditions of globe

Absolute glaucoma

Atrophy of globe

Phthisis bulbi

H44.6   Retained (old) intraocular foreign body, magnetic

Retained (old) magnetic foreign body (in):

• anterior chamber

• ciliary body

• iris

• lens

• posterior wall of globe

• vitreous body

H44.7   Retained (old) intraocular foreign body, nonmagnetic

Retained (nonmagnetic)(old) foreign body (in):

• anterior chamber

• ciliary body

• iris

• lens

• posterior wall of globe

• vitreous body

H44.8   Other disorders of globe

Haemophthalmos

Luxation of globe

H44.9   Disorder of globe, unspecified

H45  Disorders of vitreous body and globe in diseases classified elsewhere

H45.0* Vitreous haemorrhage in diseases classified elsewhere

H45.1* Endophthalmitis in diseases classified elsewhere

Endophthalmitis in:

• cysticercosis (B69.1†)

• onchocerciasis (B73†)

• toxocariasis (B83.0†)

H45.8* Other disorders of vitreous body and globe in diseases classified elsewhere

Disorders of optic nerve and visual pathways (H46-H48)

H46  Optic neuritis

Optic

• neuropathy, except ischaemic

• papillitis

Retrobulbar neuritis NOS

Excludes:    ischaemic optic neuropathy (H47.0)

neuromyelitis optica [Devic] (G36.0)

H47  Other disorders of optic [2nd] nerve and visual pathways

H47.0   Disorders of optic nerve, not elsewhere classified

Compression of optic nerve

(Foster-)Kennedy syndrome

Haemorrhage in optic nerve sheath

Ischaemic optic neuropathy

H47.1   Papilloedema, unspecified

H47.2   Optic atrophy

Temporal pallor of optic disc

H47.3   Other disorders of optic disc

Drusen of optic disc

Pseudopapilloedema

H47.4   Disorders of optic chiasm

H47.5   Disorders of other visual pathways

Disorders of optic tracts, geniculate nuclei and optic radiations

H47.6   Disorders of visual cortex

H47.7   Disorder of visual pathways, unspecified

H48  Disorders of optic [2nd] nerve and visual pathways in diseases classified elsewhere

H48.0* Optic atrophy in diseases classified elsewhere

Optic atrophy in late syphilis (A52.1†)

H48.1* Retrobulbar neuritis in diseases classified elsewhere

Retrobulbar neuritis in:

• late syphilis (A52.1†)

• meningococcal infection (A39.8†)

• multiple sclerosis (G35†)

H48.8* Other disorders of optic nerve and visual pathways in diseases classified elsewhere

Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)

Excludes:    nystagmus and other irregular eye movements (H55)

H49  Paralytic strabismus

Excludes:    ophthalmoplegia:

• internal (H52.5)

• internuclear (H51.2)

• progressive supranuclear (G23.1)

H49.0   Third [oculomotor] nerve palsy

H49.1   Fourth [trochlear] nerve palsy

H49.2   Sixth [abducent] nerve palsy

H49.3   Total (external) ophthalmoplegia

H49.4   Progressive external ophthalmoplegia

H49.8   Other paralytic strabismus

External ophthalmoplegia NOS

Kearns-Sayre syndrome

H49.9   Paralytic strabismus, unspecified

H50  Other strabismus

H50.0   Convergent concomitant strabismus

Esotropia (alternating)(monocular), except intermittent

H50.1   Divergent concomitant strabismus

Exotropia (alternating)(monocular), except intermittent

H50.2   Vertical strabismus

Hypertropia

Hypotropia

H50.3   Intermittent heterotropia

Intermittent:

• esotropia      • esotropia

• exotropia      • exotropia

H50.4   Other and unspecified heterotropia

Concomitant strabismus NOS

Cyclotropia

Microtropia

Monofixation syndrome

H50.5   Heterophoria

Alternating hyperphoria

Esophoria

Exophoria

H50.6   Mechanical strabismus

Brown sheath syndrome

Strabismus due to adhesions

Traumatic limitation of duction of eye muscle

H50.8   Other specified strabismus

Duane syndrome

H50.9   Strabismus, unspecified

H51  Other disorders of binocular movement

H51.0   Palsy of conjugate gaze

H51.1   Convergence insufficiency and excess

H51.2   Internuclear ophthalmoplegia

H51.8   Other specified disorders of binocular movement

H51.9   Disorder of binocular movement, unspecified

H52  Disorders of refraction and accommodation

H52.0   Hypermetropia

H52.1   Myopia

Excludes:    degenerative myopia (H44.2)

H52.2   Astigmatism

H52.3   Anisometropia and aniseikonia

H52.4   Presbyopia

H52.5   Disorders of accommodation

Internal ophthalmoplegia (complete)(total)

     Paresis      Paresis

     Spasm        Spasm

H52.6   Other disorders of refraction

H52.7   Disorder of refraction, unspecified

Visual disturbances and blindness (H53-H54)

H53  Visual disturbances

H53.0   Amblyopia ex anopsia

Amblyopia:

• anisometropic

• deprivation

• strabismic

H53.1   Subjective visual disturbances

Asthenopia

Day blindness

Hemeralopia

Metamorphopsia

Photophobia

Scintillating scotoma

Sudden visual loss

Visual halos

Excludes:    visual hallucinations (R44.1)

H53.2   Diplopia

Double vision

H53.3   Other disorders of binocular vision

Abnormal retinal correspondence

Fusion with defective stereopsis

Simultaneous visual perception without fusion

Suppression of binocular vision

H53.4   Visual field defects

Enlarged blind spot

Generalized contraction of visual field

Hemianop(s)ia (heteronymous)(homonymous)

Quadrant anop(s)ia

Scotoma:

• arcuate

• Bjerrum

• central

• ring

H53.5   Colour vision deficiencies

Achromatopsia

Acquired colour vision deficiency

Colour blindness

Deuteranomaly

Deuteranopia

Protanomaly

Protanopia

Tritanomaly

Tritanopia

Excludes:    day blindness (H53.1)

H53.6   Night blindness

Excludes:    due to vitamin A deficiency (E50.5)

H53.8   Other visual disturbances

H53.9   Visual disturbance, unspecified

H54  Visual impairment including blindness (binocular or monocular)

Note:          For definition of visual impairment categories see table below.

Excludes:    amaurosis fugax (G45.3)

H54.0   Blindness, binocular

Visual impairment categories 3, 4, 5

H54.1   Severe visual impairment, binocular

Visual impairment category 2

H54.2   Moderate visual impairment, binocular

Visual impairment category 1

H54.3   Mild or no visual impairment, binocular

Visual impairment category 0

H54.4   Blindness, monocular

Visual impairment categories 3, 4, 5 in one eye and categories 0, 1, 2 or 9 in the other eye

H54.5   Severe visual impairment, monocular

Visual impairment category 2 in one eye and categories 0, 1 or 9 in other eye

H54.6   Moderate visual impairment, monocular

Visual impairment category 1 in one eye and categories 0 or 9 in other eye

H54.9   Unspecified visual impairment (binocular)

Visual impairment category 9

Note:          The table below gives a classification of severity of visual impairment recommended by the Resolution of the International Council of Opthalmology (2002) and the Recommendations of the WHO Consultation on “Development of Standards for Characterization of Vision Loss and Visual Functioning” (Sept. 2003).

For characterizing visual impairment for codes H54.0 to H54.3, visual acuity should be measured with both eyes open with presenting correction if any. For characterizing visual impairment for codes H54.4 to H54.6, visual acuity should be measured monocularly with presenting correction if any.

If the extent of the visual field is taken into account, patients with a visual field of the better eye no greater than 10º in radius around central fixation should be placed under category 3. For monocular blindness (H54.4), this degree of field loss would apply to the affected eye.

	Presenting distance visual acuity
Category	Worse than:	Equal to or better than:
Mild or no visual impairment 0		6/18 3/10 (0.3) 20/70
Moderate visual impairment 1	6/18 3/10 (0.3) 20/70	6/60 1/10 (0.1) 20/200
Severed visual impairment 2	6/60 1/10 (0.1) 20/200	3/60 1/20 (0.05) 20/400
Blindness 3	3/60 1/20 (0.05) 20/400	1/60* 1/50 (0.02) 5/300 (20/1200)
Blindness 4	1/60* 1/50 (0.02) 5/300 (20/1200)	Light perception
Blindness 5	No light perception
9	Undetermined or unspecified
*Or counts fingers (CF) at 1 metre

Note:          The term visual impairment in category H54 comprises category 0 for mild or no visual impairment, category 1 for moderate visual impairment, category 2 for severe visual impairment, categories 3, 4, and 5 for blindness and category 9 for unqualified visual impairment. The term “low vision” included in the previous revision has been replaced by categories 1 and 2 to avoid confusion with those requiring low vision care.

Other disorders of eye and adnexa (H55-H59)

H55  Nystagmus and other irregular eye movements

Nystagmus:

• NOS

• congenital

• deprivation

• dissociated

• latent

H57  Other disorders of eye and adnexa

H57.0   Anomalies of pupillary function

H57.1   Ocular pain

H57.8   Other specified disorders of eye and adnexa

H57.9   Disorder of eye and adnexa, unspecified

H58  Other disorders of eye and adnexa in diseases classified elsewhere

H58.0* Anomalies of pupillary function in diseases classified elsewhere

Argyll Robertson phenomenon or pupil, syphilitic (A52.1†)

H58.1* Visual disturbances in diseases classified elsewhere

H58.8* Other specified disorders of eye and adnexa in diseases classified elsewhere

Syphilitic oculopathy NEC:

• congenital:

• early (A50.0†)

• late (A50.3†)

• early (secondary) (A51.4†)

• late (A52.7†)

H59  Postprocedural disorders of eye and adnexa, not elsewhere classified

Excludes:    mechanical complication of:

• intraocular lens (T85.2)

• other ocular prosthetic devices, implants and grafts (T85.3)

pseudophakia (^[i]Z96.1)

H59.0   Keratopathy (bullous aphakic) following cataract surgery

Vitreous (touch) syndrome

Vitreal corneal syndrome

H59.8   Other postprocedural disorders of eye and adnexa

Chorioretinal scars after surgery for detachment

H59.9   Postprocedural disorder of eye and adnexa, unspecified

CHAPTER VIII - Diseases of the ear and mastoid process (H60-H95)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

H60-H62      Diseases of external ear

H65-H75      Diseases of middle ear and mastoid

H80-H83      Diseases of inner ear

H90-H95      Other disorders of ear

Asterisk categories for this chapter are provided as follows:

H62*            Disorders of external ear in diseases classified elsewhere

H67*            Otitis media in diseases classified elsewhere

H75*            Other disorders of middle ear and mastoid in diseases classified elsewhere

H82*            Vertiginous syndromes in diseases classified elsewhere

H94*            Other disorders of ear in diseases classified elsewhere

Diseases of external ear (H60-H62)

H60  Otitis externa

H60.0   Abscess of external ear

  Boil        

  Carbuncle      of auricle or external auditory canal

  Furuncle    

H60.1   Cellulitis of external ear

Cellulitis of:

• auricle

• external auditory canal

H60.2   Malignant otitis externa

H60.3   Other infective otitis externa

Otitis externa:

• diffuse

• haemorrhagic

Swimmer ear

H60.4   Cholesteatoma of external ear

Keratosis obturans of external ear (canal)

H60.5   Acute otitis externa, noninfective

Acute otitis externa:

• NOS

• actinic

• chemical

• contact

• eczematoid

• reactive

H60.8   Other otitis externa

Chronic otitis externa NOS

H60.9   Otitis externa, unspecified

H61  Other disorders of external ear

H61.0   Perichondritis of external ear

Chondrodermatitis nodularis chronica helicis

Perichondritis of:

• auricle

• pinna

H61.1   Noninfective disorders of pinna

Acquired deformity of:

• auricle

• pinna

Excludes:    cauliflower ear (M95.1)

H61.2   Impacted cerumen

Wax in ear

H61.3   Acquired stenosis of external ear canal

Collapse of external ear canal

H61.8   Other specified disorders of external ear

Exostosis of external canal

H61.9   Disorder of external ear, unspecified

H62  Disorders of external ear in diseases classified elsewhere

H62.0* Otitis externa in bacterial diseases classified elsewhere

Otitis externa in erysipelas (A46†)

H62.1* Otitis externa in viral diseases classified elsewhere

Otitis externa in:

• herpesviral [herpes simplex] infection (B00.1†)

• zoster (B02.8†)

H62.2* Otitis externa in mycoses

Otitis externa in:

• aspergillosis (B44.8†)

• candidiasis (B37.2†)

Otomycosis NOS (B36.9†)

H62.3* Otitis externa in other infectious and parasitic diseases classified elsewhere

H62.4* Otitis externa in other diseases classified elsewhere

Otitis externa in impetigo (L01†)

H62.8* Other disorders of external ear in diseases classified elsewhere

Diseases of middle ear and mastoid (H65-H75)

H65  Nonsuppurative otitis media

Use additional code to identify presence of perforated tympanic membrane (H72-).

Includes:    with myringitis

H65.0   Acute serous otitis media

Acute and subacute secretory otitis media

H65.1   Other acute nonsuppurative otitis media

Otitis media, acute and subacute:

• allergic (mucoid)(sanguinous)(serous)

• mucoid

• nonsuppurative NOS

• sanguinous

• seromucinous

Excludes:    otitic barotrauma (T70.0)

otitis media (acute) NOS (H66.9)

H65.2   Chronic serous otitis media

Chronic tubotympanal catarrh

H65.3   Chronic mucoid otitis media

Glue ear

Otitis media, chronic:

• mucinous

• secretory

• transudative

Excludes:    adhesive middle ear disease (H74.1)

H65.4   Other chronic nonsuppurative otitis media

Otitis media, chronic:

• allergic

• exudative

• nonsuppurative NOS

• seromucinous

• with effusion (nonpurulent)

H65.9   Nonsuppurative otitis media, unspecified

Otitis media:

• allergic

• catarrhal

• exudative

• mucoid

• secretory

• seromucinous

• serous

• transudative

• with effusion (nonpurulent)

H66  Suppurative and unspecified otitis media

Use additional code to identify presence of perforated tympanic membrane (H72-).

Includes:    with myringitis

H66.0   Acute suppurative otitis media

H66.1   Chronic tubotympanic suppurative otitis media

Benign chronic suppurative otitis media

Chronic tubotympanic disease

H66.2   Chronic atticoantral suppurative otitis media

Chronic atticoantral disease

H66.3   Other chronic suppurative otitis media

Chronic suppurative otitis media NOS

H66.4   Suppurative otitis media, unspecified

Purulent otitis media NOS

H66.9   Otitis media, unspecified

Otitis media:

• NOS

• acute NOS

• chronic NOS

H67  Otitis media in diseases classified elsewhere

H67.0* Otitis media in bacterial diseases classified elsewhere

Otitis media in:

• scarlet fever (A38†)

• tuberculosis (A18.6†)

H67.1* Otitis media in viral diseases classified elsewhere

Otitis media in:

• influenza:

- seasonal virus identified (J10.8†)

- influenza, virus not identified (J11.8†)

- influenza, zoonotic or pandemic influenza virus identified (J09†)

• measles (B05.3†)

H67.8* Otitis media in other diseases classified elsewhere

H68  Eustachian salpingitis and obstruction

H68.0   Eustachian salpingitis

H68.1   Obstruction of Eustachian tube

  Compression   

  Stenosis         of Eustachian tube

  Stricture     

H69  Other disorders of Eustachian tube

H69.0   Patulous Eustachian tube

H69.8   Other specified disorders of Eustachian tube

H69.9   Eustachian tube disorder, unspecified

H70  Mastoiditis and related conditions

H70.0   Acute mastoiditis

  Abscess      Abscess

  Empyema      Empyema

H70.1   Chronic mastoiditis

  Caries       Caries

  Fistula      Fistula

H70.2   Petrositis

Inflammation of petrous bone (acute)(chronic)

H70.8   Other mastoiditis and related conditions

H70.9   Mastoiditis, unspecified

H71  Cholesteatoma of middle ear

Cholesteatoma tympani

Excludes:    cholesteatoma of external ear (H60.4)

recurrent cholesteatoma of postmastoidectomy cavity (H95.0)

H72  Perforation of tympanic membrane

Includes:    perforation of ear drum:

• persistent post-traumatic

• postinflammatory

Excludes:    traumatic rupture of ear drum (S09.2)

H72.0   Central perforation of tympanic membrane

H72.1   Attic perforation of tympanic membrane

Perforation of pars flaccida

H72.2   Other marginal perforations of tympanic membrane

H72.8   Other perforations of tympanic membrane

Perforation(s):

• multiple      • multiple

• total         • total

H72.9   Perforation of tympanic membrane, unspecified

H73  Other disorders of tympanic membrane

H73.0   Acute myringitis

Acute tympanitis

Bullous myringitis

Excludes:    with otitis media (H65-H66)

H73.1   Chronic myringitis

Chronic tympanitis

Excludes:    with otitis media (H65-H66)

H73.8   Other specified disorders of tympanic membrane

H73.9   Disorder of tympanic membrane, unspecified

H74  Other disorders of middle ear and mastoid

H74.0   Tympanosclerosis

H74.1   Adhesive middle ear disease

Adhesive otitis

Excludes:    glue ear (H65.3)

H74.2   Discontinuity and dislocation of ear ossicles

H74.3   Other acquired abnormalities of ear ossicles

Perforation(s):

     Ankylosis         Ankylosis

     Partial loss      Partial loss

H74.4   Polyp of middle ear

H74.8   Other specified disorders of middle ear and mastoid

H74.9   Disorder of middle ear and mastoid, unspecified

H75  Other disorders of middle ear and mastoid in diseases classified elsewhere

H75.0* Mastoiditis in infectious and parasitic diseases classified elsewhere

Tuberculous mastoiditis (A18.0†)

H75.8* Other specified disorders of middle ear and mastoid in diseases classified elsewhere

Diseases of inner ear (H80-H83)

H80  Otosclerosis

Includes:    otospongiosis

H80.0   Otosclerosis involving oval window, nonobliterative

H80.1   Otosclerosis involving oval window, obliterative

H80.2   Cochlear otosclerosis

Otosclerosis involving:

• otic capsule

• round window

H80.8   Other otosclerosis

H80.9   Otosclerosis, unspecified

H81  Disorders of vestibular function

Excludes:    vertigo:

• NOS (R42)

• epidemic (A88.1)

H81.0   Meniere disease

Labyrinthine hydrops

Meniere syndrome or vertigo

H81.1   Benign paroxysmal vertigo

H81.2   Vestibular neuronitis

H81.3   Other peripheral vertigo

Lermoyez syndrome

Vertigo:

• aural

• otogenic

• peripheral NOS

H81.4   Vertigo of central origin

Central positional nystagmus

H81.8   Other disorders of vestibular function

H81.9   Disorder of vestibular function, unspecified

Vertiginous syndrome NOS

H82  Vertiginous syndromes in diseases classified elsewhere

H83  Other diseases of inner ear

H83.0   Labyrinthitis

H83.1   Labyrinthine fistula

H83.2   Labyrinthine dysfunction

  Hypersensitivity   

  Hypofunction          of labyrinth

  Loss of function   

H83.3   Noise effects on inner ear

Acoustic trauma

Noise-induced hearing loss

H83.8   Other specified diseases of inner ear

H83.9   Disease of inner ear, unspecified

Other disorders of ear (H90-H95)

H90  Conductive and sensorineural hearing loss

Includes:    congenital deafness

Excludes:    deaf mutism NEC (H91.3)

deafness NOS (H91.9)

hearing loss:

• NOS (H91.9)

• noise-induced (H83.3)

• ototoxic (H91.0)

• sudden (idiopathic) (H91.2)

H90.0   Conductive hearing loss, bilateral

H90.1   Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side

H90.2   Conductive hearing loss, unspecified

Conductive deafness NOS

H90.3   Sensorineural hearing loss, bilateral

H90.4   Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side

H90.5   Sensorineural hearing loss, unspecified

Congenital deafness NOS

Hearing loss:

• central      

• neural       

• perceptive      NOS

• sensory      

Sensorineural deafness NOS

H90.6   Mixed conductive and sensorineural hearing loss, bilateral

H90.7   Mixed conductive and sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side

H90.8   Mixed conductive and sensorineural hearing loss, unspecified

H91  Other hearing loss

Excludes:    abnormal auditory perception (H93.2)

hearing loss as classified in H90-

impacted cerumen (H61.2)

noise-induced hearing loss (H83.3)

psychogenic deafness (F44.6)

transient ischaemic deafness (H93.0)

H91.0   Ototoxic hearing loss

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

H91.1   Presbycusis

Presbyacusia

H91.2   Sudden idiopathic hearing loss

Sudden hearing loss NOS

H91.3   Deaf mutism, not elsewhere classified

H91.8   Other specified hearing loss

H91.9   Hearing loss, unspecified

Deafness:

• NOS

• high frequency

• low frequency

H92  Otalgia and effusion of ear

H92.0   Otalgia

H92.1   Otorrhoea

Excludes:    leakage of cerebrospinal fluid through ear (G96.0)

H92.2   Otorrhagia

Excludes:    traumatic otorrhagia - code by type of injury

H93  Other disorders of ear, not elsewhere classified

H93.0   Degenerative and vascular disorders of ear

Transient ischaemic deafness

Excludes:    presbycusis (H91.1)

H93.1   Tinnitus

H93.2   Other abnormal auditory perceptions

Auditory recruitment

Diplacusis

Hyperacusis

Temporary auditory threshold shift

Excludes:    auditory hallucinations (R44.0)

H93.3   Disorders of acoustic nerve

Disorder of 8th cranial nerve

H93.8   Other specified disorders of ear

H93.9   Disorder of ear, unspecified

H94  Other disorders of ear in diseases classified elsewhere

H94.0* Acoustic neuritis in infectious and parasitic diseases classified elsewhere

Acoustic neuritis in syphilis (A52.1†)

H94.8* Other specified disorders of ear in diseases classified elsewhere

H95  Postprocedural disorders of ear and mastoid process, not elsewhere classified

H95.0   Recurrent cholesteatoma of postmastoidectomy cavity

H95.1   Other disorders following mastoidectomy

  Chronic inflammation   

  Granulation               of postmastoidectomy cavity

  Mucosal cyst           

H95.8   Other postprocedural disorders of ear and mastoid process

H95.9   Postprocedural disorder of ear and mastoid process, unspecified

CHAPTER IX - Diseases of the circulatory system (I00-I99)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

systemic connective tissue disorders (M30-M36)

transient cerebral ischaemic attacks and related syndromes (G45-)

This chapter contains the following blocks:

I00-I02        Acute rheumatic fever

I05-I09        Chronic rheumatic heart diseases

I10-I15        Hypertensive diseases

I20-I25        Ischaemic heart diseases

I26-I28        Pulmonary heart disease and diseases of pulmonary circulation

I30-I52        Other forms of heart disease

I60-I69        Cerebrovascular diseases

I70-I79        Diseases of arteries, arterioles and capillaries

I80-I89        Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified

I95-I99        Other and unspecified disorders of the circulatory system

Asterisk categories for this chapter are provided as follows:

I32*             Pericarditis in diseases classified elsewhere

I39*             Endocarditis and heart valve disorders in diseases classified elsewhere

I41*             Myocarditis in diseases classified elsewhere

I43*             Cardiomyopathy in diseases classified elsewhere

I52*             Other heart disorders in diseases classified elsewhere

I68*             Cerebrovascular disorders in diseases classified elsewhere

I79*             Disorders of arteries, arterioles and capillaries in diseases classified elsewhere

I98*             Other disorders of circulatory system in diseases classified elsewhere

Acute rheumatic fever (I00-I02)

I00    Rheumatic fever without mention of heart involvement

Arthritis, rheumatic, acute or subacute

I01    Rheumatic fever with heart involvement

Excludes:    chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process. In cases where there is doubt as to rheumatic activity at the time of death refer to the mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

I01.0    Acute rheumatic pericarditis

Any condition in I00 with pericarditis

Rheumatic pericarditis (acute)

Excludes:    when not specified as rheumatic (I30-)

I01.1    Acute rheumatic endocarditis

Any condition in I00 with endocarditis or valvulitis

Acute rheumatic valvulitis

I01.2    Acute rheumatic myocarditis

Any condition in I00 with myocarditis

I01.8    Other acute rheumatic heart disease

Any condition in I00 with other or multiple types of heart involvement

Acute rheumatic pancarditis

I01.9    Acute rheumatic heart disease, unspecified

Any condition in I00 with unspecified type of heart involvement

Rheumatic:

• carditis, acute

• heart disease, active or acute

I02    Rheumatic chorea

Includes:    Sydenham chorea

Excludes:    chorea:

• NOS (G25.5)

• Huntington (G10)

I02.0    Rheumatic chorea with heart involvement

Chorea NOS with heart involvement

Rheumatic chorea with heart involvement of any type classifiable under I01-

I02.9    Rheumatic chorea without heart involvement

Rheumatic chorea NOS

Chronic rheumatic heart diseases (I05-I09)

I05    Rheumatic mitral valve diseases

Includes:    conditions classifiable to I05.0 and I05.2-I05.9, whether specified as rheumatic or not

Excludes:    when specified as nonrheumatic (I34-.)

I05.0    Mitral stenosis

Mitral (valve) obstruction (rheumatic)

I05.1    Rheumatic mitral insufficiency

Rheumatic mitral:

• incompetence

• regurgitation

I05.2    Mitral stenosis with insufficiency

Mitral stenosis with incompetence or regurgitation

I05.8    Other mitral valve diseases

Mitral (valve) failure

I05.9    Mitral valve disease, unspecified

Mitral (valve) disorder (chronic) NOS

I06    Rheumatic aortic valve diseases

Excludes:    when not specified as rheumatic (I35-)

I06.0    Rheumatic aortic stenosis

Rheumatic aortic (valve) obstruction

I06.1    Rheumatic aortic insufficiency

Rheumatic aortic:

• incompetence

• regurgitation

I06.2    Rheumatic aortic stenosis with insufficiency

Rheumatic aortic stenosis with incompetence or regurgitation

I06.8    Other rheumatic aortic valve diseases

I06.9    Rheumatic aortic valve disease, unspecified

Rheumatic aortic (valve) disease NOS

I07    Rheumatic tricuspid valve diseases

Includes:    whether specified as rheumatic or of unspecified origin

Excludes:    when specified as nonrheumatic (I36-)

I07.0    Tricuspid stenosis

Tricuspid (valve) stenosis (rheumatic)

I07.1    Tricuspid insufficiency

Tricuspid (valve) insufficiency (rheumatic)

I07.2    Tricuspid stenosis with insufficiency

I07.8    Other tricuspid valve diseases

I07.9    Tricuspid valve disease, unspecified

Tricuspid valve disorder NOS

I08    Multiple valve diseases

Includes:    whether specified as rheumatic or of unspecified origin

Excludes:    endocarditis, valve unspecified (I38)

multiple valve diseases of specified origin other than rheumatic heart disease (use appropriate codes in I34-I38, Q22-Q23 and Q24.8)

rheumatic diseases of endocardium, valve unspecified (I09.1)

I08.0    Disorders of both mitral and aortic valves

Involvement of both mitral and aortic valves whether specified as rheumatic or of unspecified origin

I08.1    Disorders of both mitral and tricuspid valves

I08.2    Disorders of both aortic and tricuspid valves

I08.3    Combined disorders of mitral, aortic and tricuspid valves

I08.8    Other multiple valve diseases

I08.9    Multiple valve disease, unspecified

I09    Other rheumatic heart diseases

I09.0    Rheumatic myocarditis

Excludes:    myocarditis not specified as rheumatic (I51.4)

I09.1    Rheumatic diseases of endocardium, valve unspecified

Rheumatic:

• endocarditis (chronic)

• valvulitis (chronic)

Excludes:    endocarditis, valve unspecified (I38)

I09.2    Chronic rheumatic pericarditis

Adherent pericardium, rheumatic

Chronic rheumatic:

• mediastinopericarditis

• myopericarditis

Excludes:    when not specified as rheumatic (I31-)

I09.8    Other specified rheumatic heart diseases

Rheumatic disease of pulmonary valve

I09.9    Rheumatic heart disease, unspecified

Rheumatic:

• carditis

• heart failure

Excludes:    rheumatoid carditis (M05.3)

Hypertensive diseases (I10-I15)

Excludes:    complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)

involving coronary vessels (I20-I25)

neonatal hypertension (P29.2)

pulmonary hypertension :

• primary (I27.0)

• secondary (I27.2)

I10    Essential (primary) hypertension

High blood pressure

Hypertension (arterial)(benign)(essential)(malignant)(primary)(systemic)

Excludes:    involving vessels of:

• brain (I60-I69)

• eye (H35.0)

I11    Hypertensive heart disease

Includes:    any condition in I50-, I51.4-I51.9 due to hypertension

I11.0    Hypertensive heart disease with (congestive) heart failure

Hypertensive heart failure

I11.9    Hypertensive heart disease without (congestive) heart failure

Hypertensive heart disease NOS

I12    Hypertensive renal disease

Includes:    any condition in N00-N07, N18-, N19 or N26 due to hypertension

Note:          The Includes statement above is for morbidity coding only.

arteriosclerosis of kidney

arteriosclerotic nephritis (chronic)(interstitial)

hypertensive nephropathy

nephrosclerosis

Excludes:    secondary hypertension (I15-)

I12.0    Hypertensive renal disease with renal failure

Hypertensive renal failure

I12.9    Hypertensive renal disease without renal failure

Hypertensive renal disease NOS

I13    Hypertensive heart and renal disease

Includes:    any condition in I11- with any condition in I12-

disease:

• cardiorenal

• cardiovascular renal

I13.0    Hypertensive heart and renal disease with (congestive) heart failure

I13.1    Hypertensive heart and renal disease with renal failure

I13.2    Hypertensive heart and renal disease with both (congestive) heart failure and renal failure

I13.9    Hypertensive heart and renal disease, unspecified

I15    Secondary hypertension

Excludes:    involving vessels of:

• brain (I60-I69)

• eye (H35.0)

I15.0    Renovascular hypertension

I15.1    Hypertension secondary to other renal disorders

I15.2    Hypertension secondary to endocrine disorders

I15.8    Other secondary hypertension

I15.9    Secondary hypertension, unspecified

Ischaemic heart diseases (I20-I25)

Note:          For morbidity, duration as used in categories I21, I22, I24 and I25refers to the interval elapsing between onset of the ischaemic episode and admission to care. For mortality, duration refers to the interval elapsing between onset and death.

Includes:    with mention of hypertension (I10-I15)

Use additional code, if desired, to identify presence of hypertension.

I20    Angina pectoris

I20.0    Unstable angina

Angina:

• crescendo

• de novo effort

• worsening effort

Intermediate coronary syndrome

Preinfarction syndrome

I20.1    Angina pectoris with documented spasm

Angina:

• angiospastic

• Prinzmetal

• spasm-induced

• variant

I20.8    Other forms of angina pectoris

Angina of effort

Stable angina

Stenocardia

I20.9    Angina pectoris, unspecified

Angina:

• NOS

• cardiac

Anginal syndrome

Ischaemic chest pain

I21    Acute myocardial infarction

Includes:    myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset

Excludes:    certain current complications following acute myocardial infarction (I23-)

myocardial infarction:

• old (I25.2)

• specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)

• subsequent (I22-)

postmyocardial infarction syndrome (I24.1)

I21.0    Acute transmural myocardial infarction of anterior wall

Transmural infarction (acute)(of):

• anterior (wall) NOS

• anteroapical

• anterolateral

• anteroseptal

I21.1    Acute transmural myocardial infarction of inferior wall

Transmural infarction (acute)(of):

• diaphragmatic wall

• inferior (wall) NOS

• inferolateral

• inferoposterior

I21.2    Acute transmural myocardial infarction of other sites

Transmural infarction (acute)(of):

• apical-lateral

• basal-lateral

• high lateral

• lateral (wall) NOS

• posterior (true)

• posterobasal

• posterolateral

• posteroseptal

• septal NOS

I21.3    Acute transmural myocardial infarction of unspecified site

Transmural myocardial infarction NOS

I21.4    Acute subendocardial myocardial infarction

Myocardial infarction with non-ST elevation

Nontransmural myocardial infarction NOS

I21.9    Acute myocardial infarction, unspecified

Myocardial infarction (acute) NOS

I21.90  Embolism cardiac, heart, myocardium, or a synonymous site

Embolism of any site classified to I21.9

I22    Subsequent myocardial infarction

Includes:    myocardial infarction:

extension

recurrent

reinfarction

Note:          For morbidity coding, this category should be assigned for infarction of any myocardial site, occurring within 4 weeks (28 days) from onset of a previous infarction.

Excludes:    specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)

I22.0    Subsequent myocardial infarction of anterior wall

Subsequent infarction (acute)(of):

• anterior (wall) NOS

• anteroapical

• anterolateral

• anteroseptal

I22.1    Subsequent myocardial infarction of inferior wall

Subsequent infarction (acute)(of):

• diaphragmatic wall

• inferior (wall) NOS

• inferolateral

• inferoposterior

I22.8    Subsequent myocardial infarction of other sites

Subsequent myocardial infarction (acute)(of):

• apical-lateral

• basal-lateral

• high lateral

• lateral (wall) NOS

• posterior (true)

• posterobasal

• posterolateral

• posteroseptal

• septal NOS

I22.9    Subsequent myocardial infarction of unspecified site

I23    Certain current complications following acute myocardial infarction

Excludes:    the listed conditions, when:

• concurrent with acute myocardial infarction (I21-I22)

• not specified as current complications following acute myocardial infarction (I31-, I51-)

I23.0    Haemopericardium as current complication following acute myocardial infarction

I23.1    Atrial septal defect as current complication following acute myocardial infarction

I23.2    Ventricular septal defect as current complication following acute myocardial infarction

I23.3    Rupture of cardiac wall without haemopericardium as current complication following acute myocardial infarction

Excludes:    with haemopericardium (I23.0)

I23.4    Rupture of chordae tendineae as current complication following acute myocardial infarction

I23.5    Rupture of papillary muscle as current complication following acute myocardial infarction

I23.6    Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction

I23.8    Other current complications following acute myocardial infarction

I24    Other acute ischaemic heart diseases

Excludes:    angina pectoris (I20-)

transient myocardial ischaemia of newborn (P29.4)

I24.0    Coronary thrombosis not resulting in myocardial infarction

Coronary (artery)(vein):

• embolism          

• occlusion            not resulting in myocardial infarction

• thromboembolism   

Excludes:    specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset (I25.8)

I24.1    Dressler syndrome

Postmyocardial infarction syndrome

I24.8    Other forms of acute ischaemic heart disease

Coronary:

• failure

• insufficiency

I24.9    Acute ischaemic heart disease, unspecified

Excludes:    ischaemic heart disease (chronic) NOS (I25.9)

I25    Chronic ischaemic heart disease

Excludes:    cardiovascular disease NOS (I51.6)

I25.0    Atherosclerotic cardiovascular disease, so described

I25.1    Atherosclerotic heart disease

Coronary (artery):

• atheroma

• atherosclerosis

• disease

• sclerosis

I25.2    Old myocardial infarction

Healed myocardial infarction

Past myocardial infarction diagnosed by ECG or other special investigation, but currently presenting no symptoms

I25.3    Aneurysm of heart

Aneurysm:

• mural

• ventricular

I25.4    Coronary artery aneurysm

Coronary arteriovenous fistula, acquired

Excludes:    congenital coronary (artery) aneurysm (Q24.5)

I25.5    Ischaemic cardiomyopathy

I25.6    Silent myocardial ischaemia

I25.8    Other forms of chronic ischaemic heart disease

Any condition in I21-I22 and I24- specified as chronic or with a stated duration of more than 4 weeks (more than 28 days) from onset

I25.9    Chronic ischaemic heart disease, unspecified

Ischaemic heart disease (chronic) NOS

Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)

I26    Pulmonary embolism

Includes:    pulmonary (artery)(vein):

• infarction

• thromboembolism

• thrombosis

Excludes:    complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.2)

• pregnancy, childbirth and the puerperium (O88-)

I26.0    Pulmonary embolism with mention of acute cor pulmonale

Acute cor pulmonale NOS

I26.9    Pulmonary embolism without mention of acute cor pulmonale

Pulmonary embolism NOS

I27    Other pulmonary heart diseases

I27.0    Primary pulmonary hypertension

I27.1    Kyphoscoliotic heart disease

I27.2    Other secondary pulmonary hypertension

Pulmonary (artery) hypertension

Use additional code, if desired, to identify the underlying disease.

I27.8    Other specified pulmonary heart diseases

Excludes:   Eisenmenger defect (Q21.8)

I27.9    Pulmonary heart disease, unspecified

Chronic cardiopulmonary disease

Cor pulmonale (chronic) NOS

I28    Other diseases of pulmonary vessels

I28.0    Arteriovenous fistula of pulmonary vessels

I28.1    Aneurysm of pulmonary artery

I28.8    Other specified diseases of pulmonary vessels

  Rupture     

  Stenosis       of pulmonary vessel

  Stricture   

I28.9    Disease of pulmonary vessels, unspecified

Other forms of heart disease (I30-I52)

I30    Acute pericarditis

Includes:    acute pericardial effusion

Excludes:    rheumatic pericarditis (acute) (I01.0)

I30.0    Acute nonspecific idiopathic pericarditis

I30.1    Infective pericarditis

Pericarditis:

• pneumococcal

• purulent

• staphylococcal

• streptococcal

• viral

Pyopericarditis

Use additional code (B95-B97), if desired, to identify infectious agent.

I30.8    Other forms of acute pericarditis

I30.9    Acute pericarditis, unspecified

I31    Other diseases of pericardium

Excludes:    current complications following acute myocardial infarction (I23-)

postcardiotomy syndrome (I97.0)

trauma (S26-)

when specified as rheumatic (I09.2)

I31.0    Chronic adhesive pericarditis

Accretio cordis

Adherent pericardium

Adhesive mediastinopericarditis

I31.1    Chronic constrictive pericarditis

Concretio cordis

Pericardial calcification

I31.2    Haemopericardium, not elsewhere classified

I31.3    Pericardial effusion (noninflammatory)

Chylopericardium

I31.8    Other specified diseases of pericardium

Epicardial plaques

Focal pericardial adhesions

I31.9    Disease of pericardium, unspecified

Cardiac tamponade

Pericarditis (chronic) NOS

I32    Pericarditis in diseases classified elsewhere

I32.0*  Pericarditis in bacterial diseases classified elsewhere

Pericarditis:

• gonococcal (A54.8†)

• meningococcal (A39.5†)

• syphilitic (A52.0†)

• tuberculous (A18.8†)

I32.1*  Pericarditis in other infectious and parasitic diseases classified elsewhere

I32.8*  Pericarditis in other diseases classified elsewhere

Pericarditis (in):

• rheumatoid (M05.3†)

• systemic lupus erythematosus (M32.1†)

• uraemic (N18.5†)

I33    Acute and subacute endocarditis

Excludes:    acute rheumatic endocarditis (I01.1)

endocarditis NOS (I38)

I33.0    Acute and subacute infective endocarditis

Endocarditis (acute)(subacute):

• bacterial

• infective NOS

• lenta

• malignant

• septic

• ulcerative

Use additional code (B95-B97), if desired, to identify infectious agent.

I33.9    Acute endocarditis, unspecified

  Endocarditis       

  Myoendocarditis       acute or subacute

  Periendocarditis   

I34    Nonrheumatic mitral valve disorders

Excludes:    mitral (valve):

• disease (I05.9)

• failure (I05.8)

• stenosis (I05.0)

when of unspecified cause but with mention of:

• diseases of aortic valve (I08.0)

• mitral stenosis or obstruction (I05.0)

when specified as congenital (Q23.2-Q23.3)

when specified as rheumatic (I05-)

I34.0    Mitral (valve) insufficiency

Mitral (valve):

• incompetence       • incompetence

• regurgitation      • regurgitation

I34.1    Mitral (valve) prolapse

Floppy mitral valve syndrome

Excludes:    Marfan syndrome (Q87.4)

I34.2    Nonrheumatic mitral (valve) stenosis

I34.8    Other nonrheumatic mitral valve disorders

I34.9    Nonrheumatic mitral valve disorder, unspecified

I35    Nonrheumatic aortic valve disorders

Excludes:    hypertrophic subaortic stenosis (I42.1)

when of unspecified cause but with mention of diseases of mitral valve (I08.0)

when specified as congenital (Q23.0-Q23.1)

when specified as rheumatic (I06-)

I35.0    Aortic (valve) stenosis

I35.1    Aortic (valve) insufficiency

Aortic (valve):

• incompetence       • incompetence

• regurgitation      • regurgitation

I35.2    Aortic (valve) stenosis with insufficiency

I35.8    Other aortic valve disorders

I35.9    Aortic valve disorder, unspecified

I36    Nonrheumatic tricuspid valve disorders

Excludes:    when of unspecified cause (I07-)

when specified as congenital (Q22.4, Q22.8-Q22.9)

when specified as rheumatic (I07-)

I36.0    Nonrheumatic tricuspid (valve) stenosis

I36.1    Nonrheumatic tricuspid (valve) insufficiency

Tricuspid (valve):

     incompetence       incompetence

     regurgitation      regurgitation

I36.2    Nonrheumatic tricuspid (valve) stenosis with insufficiency

I36.8    Other nonrheumatic tricuspid valve disorders

I36.9    Nonrheumatic tricuspid valve disorder, unspecified

I37    Pulmonary valve disorders

Excludes:    when specified as congenital (Q22.1-Q22.3)

when specified as rheumatic (I09.8)

I37.0    Pulmonary valve stenosis

I37.1    Pulmonary valve insufficiency

Pulmonary valve:

     incompetence       incompetence

     regurgitation      regurgitation

I37.2    Pulmonary valve stenosis with insufficiency

I37.8    Other pulmonary valve disorders

I37.9    Pulmonary valve disorder, unspecified

I38    Endocarditis, valve unspecified

Endocarditis (chronic) NOS

Valvular:

• incompetence    

• insufficiency      

• regurgitation   

Excludes:    congenital insufficiency of cardiac valve NOS (Q24.8)

congenital stenosis of cardiac valve NOS (Q24.8)

endocardial fibroelastosis (I42.4)

when specified as rheumatic (I09.1)

I39    Endocarditis and heart valve disorders in diseases classified elsewhere

Includes:    endocardial involvement in:

• candidal infection (B37.6†)

• gonococcal infection (A54.8†)

• Libman-Sacks disease (M32.1†)

• meningococcal infection (A39.5†)

• rheumatoid arthritis (M05.3†)

• syphilis (A52.0†)

• tuberculosis (A18.8†)

• typhoid fever (A01.0†)

I39.0*  Mitral valve disorders in diseases classified elsewhere

I39.1*  Aortic valve disorders in diseases classified elsewhere

I39.2*  Tricuspid valve disorders in diseases classified elsewhere

I39.3*  Pulmonary valve disorders in diseases classified elsewhere

I39.4*  Multiple valve disorders in diseases classified elsewhere

I39.8*  Endocarditis, valve unspecified, in diseases classified elsewhere

I40    Acute myocarditis

I40.0    Infective myocarditis

Septic myocarditis

Use additional code (B95-B97), if desired, to identify infectious agent.

I40.1    Isolated myocarditis

I40.8    Other acute myocarditis

I40.9    Acute myocarditis, unspecified

I41    Myocarditis in diseases classified elsewhere

I41.0*  Myocarditis in bacterial diseases classified elsewhere

Myocarditis:

• diphtheritic (A36.8†)

• gonococcal (A54.8†)

• meningococcal (A39.5†)

• syphilitic (A52.0†)

• tuberculous (A18.8†)

I41.1*  Myocarditis in viral diseases classified elsewhere

Influenzal myocarditis (acute):

• seasonal virus identified (J10.8†)

• virus not identified (J11.8†)

• zoonotic or pandemic influenza virus identified (J09†)

Mumps myocarditis (B26.8†)

I41.2*  Myocarditis in other infectious and parasitic diseases classified elsewhere

Myocarditis in:

• Chagas disease (chronic) (B57.2†)

• acute (B57.0†)

• toxoplasmosis (B58.8†)

I41.8*  Myocarditis in other diseases classified elsewhere

Rheumatoid myocarditis (M05.3†)

Sarcoid myocarditis (D86.8†)

I42    Cardiomyopathy

Excludes:    cardiomyopathy complicating:

• pregnancy (O99.4)

• puerperium (O90.3)

ischaemic cardiomyopathy (I25.5)

I42.0    Dilated cardiomyopathy

Congestive cardiomyopathy

I42.00  Familial dilated cardiomyopathy

Idiopathic dilated cardiomyopathy

Primary dilated cardiomyopathy

I42.1    Obstructive hypertrophic cardiomyopathy

Hypertrophic subaortic stenosis

I42.10  Familial obstructive hypertrophic cardiomyopathy

Idiopathic obstructive hypertrophic cardiomyopathy

Primary obstructive hypertrophic cardiomyopathy

I42.2    Other hypertrophic cardiomyopathy

Nonobstructive hypertrophic cardiomyopathy

I42.20  Familial other hypertrophic cardiomyopathy

Idiopathic other hypertrophic cardiomyopathy

Primary other hypertrophic cardiomyopathy

I42.3    Endomyocardial (eosinophilic) disease

Endomyocardial (tropical) fibrosis

Loffler endocarditis

I42.4    Endocardial fibroelastosis

Congenital cardiomyopathy

I42.5    Other restrictive cardiomyopathy

Constrictive cardiomyopathy NOS

I42.50  Familial other restrictive cardiomyopathy

Idiopathic other restrictive cardiomyopathy

Primary other restrictive cardiomyopathy

I42.6    Alcoholic cardiomyopathy

I42.7    Cardiomyopathy due to drugs and other external agents

Use additional external cause code (Chapter XX), if desired, to identify cause.

I42.8    Other cardiomyopathies

I42.80  Familial other cardiomyopathies

Idiopathic other cardiomyopathies

Primary other cardiomyopathies

I42.9    Cardiomyopathy, unspecified

Cardiomyopathy (primary)(secondary) NOS

I42.90  Familial cardiomyopathy

Idiopathic cardiomyopathy

Primary cardiomyopathy

I43    Cardiomyopathy in diseases classified elsewhere

I43.0*  Cardiomyopathy in infectious and parasitic diseases classified elsewhere

Cardiomyopathy in diphtheria (A36.8†)

I43.1*  Cardiomyopathy in metabolic diseases

Cardiac amyloidosis (E85†)

I43.2*  Cardiomyopathy in nutritional diseases

Nutritional cardiomyopathy NOS (E63.9†)

I43.8*  Cardiomyopathy in other diseases classified elsewhere

Gouty tophi of heart (M10.0†)

Thyrotoxic heart disease (E05.9†)

I44    Atrioventricular and left bundle-branch block

I44.0    Atrioventricular block, first degree

I44.1    Atrioventricular block, second degree

Atrioventricular block, type I and II

Mobitz block, type I and II

Second-degree block, type I and II

Wenckebach block

I44.2    Atrioventricular block, complete

Complete heart block NOS

Third-degree block

I44.3    Other and unspecified atrioventricular block

Atrioventricular block NOS

I44.4    Left anterior fascicular block

I44.5    Left posterior fascicular block

I44.6    Other and unspecified fascicular block

Left bundle-branch hemiblock NOS

I44.7    Left bundle-branch block, unspecified

I45    Other conduction disorders

I45.0    Right fascicular block

I45.1    Other and unspecified right bundle-branch block

Right bundle-branch block NOS

I45.2    Bifascicular block

I45.3    Trifascicular block

I45.4    Nonspecific intraventricular block

Bundle-branch block NOS

I45.5    Other specified heart block

Sinoatrial block

Sinoauricular block

Excludes:    heart block NOS (I45.9)

I45.6    Pre-excitation syndrome

Anomalous atrioventricular excitation

Atrioventricular conduction:

• accelerated

• accessory

• pre-excitation

Lown-Ganong-Levine syndrome

Wolff-Parkinson-White syndrome

I45.8    Other specified conduction disorders

Atrioventricular [AV] dissociation

Interference dissociation

Excludes:    prolongation of QT interval (R94.3)

I45.9    Conduction disorder, unspecified

Heart block NOS

Stokes-Adams syndrome

I46    Cardiac arrest

Excludes:    cardiogenic shock (R57.0)

complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.8)

• obstetric surgery and procedures (O75.4)

I46.0    Cardiac arrest with successful resuscitation

I46.1    Sudden cardiac death, so described

Excludes:    sudden death:

• NOS (R96-)

• with:

• conduction disorder (I44-I45)

• myocardial infarction (I21-I22)

I46.9    Cardiac arrest, unspecified

I47    Paroxysmal tachycardia

Excludes:    complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.8)

• obstetric surgery and procedures (O75.4)

tachycardia:

• NOS (R00.0)

• sinoauricular NOS (R00.0)

• sinus [sinusal] NOS (R00.0)

I47.0    Re-entry ventricular arrhythmia

I47.1    Supraventricular tachycardia

Tachycardia (paroxysmal):

• atrial

• atrioventricular [AV]

• NOS

• re-entrant (nodal) [AVNRT] [AVRT]

• junctional

• nodal

I47.2    Ventricular tachycardia

I47.9    Paroxysmal tachycardia, unspecified

Bouveret(-Hoffmann) syndrome

I48    Atrial fibrillation and flutter

I49    Other cardiac arrhythmias

Excludes:    bradycardia:

• NOS (R00.1)

• sinoatrial (R00.1)

• sinus (R00.1)

• vagal (R00.1)

complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.8)

• obstetric surgery and procedures (O75.4)

neonatal cardiac dysrhythmia (P29.1)

I49.0    Ventricular fibrillation and flutter

I49.1    Atrial premature depolarization

Atrial premature beats

I49.2    Junctional premature depolarization

I49.3    Ventricular premature depolarization

I49.4    Other and unspecified premature depolarization

Ectopic beats

Extrasystoles

Extrasystolic arrhythmias

Premature:

• beats NOS

• contractions

I49.5    Sick sinus syndrome

Tachycardia-bradycardia syndrome

I49.8    Other specified cardiac arrhythmias

Brugada syndrome

Long QT syndrome

Rhythm disorder:

• coronary sinus

• ectopic

• nodal

I49.9    Cardiac arrhythmia, unspecified

Arrhythmia (cardiac) NOS

I50    Heart failure

Excludes:    complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.8)

• obstetric surgery and procedures (O75.4)

due to hypertension (I11.0)

• with renal disease (I13-)

following cardiac surgery or due to presence of cardiac prosthesis (I97.1)

neonatal cardiac failure (P29.0)

I50.0    Congestive heart failure

Congestive heart disease

Right ventricular failure (secondary to left heart failure)

I50.00  Advanced congestive heart failure

Grave congestive heart failure

Severe congestive heart failure

I50.1    Left ventricular failure

  Cardiac asthma       

  Left heart failure      with mention of heart disease NOS or

  Oedema of lung           heart failure

  Pulmonary oedema     

I50.9    Heart failure, unspecified

Cardiac, heart or myocardial failure NOS

I51    Complications and ill-defined descriptions of heart disease

Includes:    5^TH DIGIT TO IDENTIFY ANY TERM CLASSIFIABLE TO I51 WHEN QUALIFIED AS ARTERIOSCLEROTIC

Excludes:    any condition in I51.4-I51.9 due to hypertension (I11-)

• with renal disease (I13-)

complications following acute myocardial infarction (I23-)

when specified as rheumatic (I00-I09)

I51.0    Cardiac septal defect, acquired

Acquired septal defect (old):

• atrial

• auricular

• ventricular

I51.1    Rupture of chordae tendineae, not elsewhere classified

I51.2    Rupture of papillary muscle, not elsewhere classified

I51.3    Intracardiac thrombosis, not elsewhere classified

Thrombosis (old):

• apical

• atrial

• auricular

• ventricular

I51.4    Myocarditis, unspecified

Myocardial fibrosis

Myocarditis:

• NOS

• chronic (interstitial)

I51.40  Arteriosclerotic myocarditis

I51.5    Myocardial degeneration

Degeneration of heart or myocardium:

• fatty

• senile

Myocardial disease

I51.50  Arteriosclerotic myocardial degeneration

I51.6    Cardiovascular disease, unspecified

Cardiovascular accident NOS

Excludes:    atherosclerotic cardiovascular disease, so described (I25.0)

I51.7    Cardiomegaly

Cardiac:

• dilatation

• hypertrophy

Ventricular dilatation

I51.8    Other ill-defined heart diseases

Carditis (acute)(chronic)

Pancarditis (acute)(chronic)

I51.9    Heart disease, unspecified

I52    Other heart disorders in diseases classified elsewhere

Excludes:    cardiovascular disorders NOS in diseases classified elsewhere (I98*)

I52.0*  Other heart disorders in bacterial diseases classified elsewhere

Meningococcal carditis NEC (A39.5†)

I52.1*  Other heart disorders in other infectious and parasitic diseases classified elsewhere

Pulmonary heart disease in schistosomiasis (B65†)

I52.8*  Other heart disorders in other diseases classified elsewhere

Rheumatoid carditis (M05.3†)

Cerebrovascular diseases (I60-I69)

Includes:    with mention of hypertension (conditions in I10 and I15-)

Use additional code, if desired, to identify presence of hypertension.

Excludes:    transient cerebral ischaemic attacks and related syndromes (G45-)

traumatic intracranial haemorrhage (S06-)

vascular dementia (F01-)

I60    Subarachnoid haemorrhage

Includes:    5^TH DIGIT TO IDENTIFY RUPTURED ANEURYSMS OF THE SPECIFIED SITES

Includes:    ruptured cerebral aneurysm

Excludes:    sequelae of subarachnoid haemorrhage (I69.0)

I60.0    Subarachnoid haemorrhage from carotid siphon and bifurcation

I60.00  Ruptured carotid aneurysm (into brain)

I60.1    Subarachnoid haemorrhage from middle cerebral artery

I60.2    Subarachnoid haemorrhage from anterior communicating artery

I60.3    Subarachnoid haemorrhage from posterior communicating artery

I60.4    Subarachnoid haemorrhage from basilar artery

I60.5    Subarachnoid haemorrhage from vertebral artery

I60.6    Subarachnoid haemorrhage from other intracranial arteries

Multiple involvement of intracranial arteries

I60.60  Ruptured aneurysm (congenital) circle of Willis

I60.7    Subarachnoid haemorrhage from intracranial artery, unspecified

Ruptured (congenital) berry aneurysm NOS

Subarachnoid haemorrhage from:

• cerebral           • cerebral

• communicating      • communicating

I60.70  Ruptured berry aneurysm (congenital) brain

Ruptured miliary aneurysm

I60.8    Other subarachnoid haemorrhage

Meningeal haemorrhage

Rupture of cerebral arteriovenous malformation

I60.80  Ruptured aneurysm brain meninges

Ruptured arteriovenous aneurysm (congenital) brain

Ruptured (congenital) arteriovenous aneurysm cavernous sinus

I60.9    Subarachnoid haemorrhage, unspecified

I60.90  Ruptured arteriosclerotic cerebral aneurysm

Ruptured (congenital) cerebral aneurysm NOS

Ruptured mycotic aneurysm brain

I61    Intracerebral haemorrhage

Includes:    5^TH DIGIT TO IDENTIFY INTRACEREBRAL HAEMORRHAGES SPECIFIED AS BILATERAL OR MULTIPLE [OR SIMILAR TERM]

Excludes:    sequelae of bilateral or multiple [or similar term] intracerebral haemorrhages (I69.10)

sequelae of intracerebral haemorrhage (I69.1)

I61.0    Intracerebral haemorrhage in hemisphere, subcortical

Deep intracerebral haemorrhage

I61.00  Bilateral or multiple [or similar term] intracerebral haemorrhages in hemisphere, subcortical

Bilateral or multiple [or similar term] deep intracerebral haemorrhages

I61.1    Intracerebral haemorrhage in hemisphere, cortical

Cerebral lobe haemorrhage

Superficial intracerebral haemorrhage

I61.10  Bilateral or multiple [or similar term] intracerebral haemorrhages in hemisphere, cortical

Bilateral or multiple [or similar term] cerebral lobe haemorrhages

Bilateral or multiple [or similar term] superficial intracerebral haemorrhages

I61.2    Intracerebral haemorrhage in hemisphere, unspecified

I61.20  Bilateral or multiple [or similar term] intracerebral haemorrhages in hemisphere, unspecified

I61.3    Intracerebral haemorrhage in brain stem

I61.30  Bilateral or multiple [or similar term] intracerebral haemorrhages in brain stem

I61.4    Intracerebral haemorrhage in cerebellum

I61.40  Bilateral or multiple [or similar term] intracerebral haemorrhages in cerebellum

I61.5    Intracerebral haemorrhage, intraventricular

I61.50  Bilateral or multiple [or similar term] intracerebral haemorrhages, intraventricular

I61.6    Intracerebral haemorrhage, bilateral or multiple [or similar term] localized

I61.8    Other intracerebral haemorrhage

I61.80  Bilateral or multiple [or similar term] other intracerebral haemorrhages

I61.9    Intracerebral haemorrhage, unspecified

I61.90  Bilateral or multiple [or similar term] intracerebral haemorrhages, unspecified

I62    Other nontraumatic intracranial haemorrhage

Excludes:    sequelae of intracranial haemorrhage (I69.2)

I62.0    Nontraumatic subdural haemorrhage

I62.1    Nontraumatic extradural haemorrhage

Nontraumatic epidural haemorrhage

I62.9    Intracranial haemorrhage (nontraumatic), unspecified

I63    Cerebral infarction

Includes:    5^TH DIGIT TO IDENTIFY CEREBRAL INFARCTIONS SPECIFIED AS BILATERAL OR MULTIPLE [OR SIMILAR TERM]

Includes:    occlusion and stenosis of cerebral and precerebral arteries,

(including truncus brachiocephalicus), resulting in cerebral infarction

Excludes:    sequelae of bilateral or multiple [or similar term] cerebral infarctions (I69.30)

sequelae of cerebral infarction (I69.3)

I63.0    Cerebral infarction due to thrombosis of precerebral arteries

I63.00  Bilateral or multiple [or similar term] cerebral infarctions due to thrombi of precerebral arteries

I63.1    Cerebral infarction due to embolism of precerebral arteries

I63.10  Bilateral or multiple [or similar term] cerebral infarctions due to emboli of precerebral arteries

I63.2    Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries

I63.20  Bilateral or multiple [or similar term] cerebral infarctions due to unspecified occlusions or stenosis of precerebral arteries

I63.3    Cerebral infarction due to thrombosis of cerebral arteries

I63.30  Bilateral or multiple [or similar term] cerebral infarctions due to thrombi of cerebral arteries

I63.4    Cerebral infarction due to embolism of cerebral arteries

I63.40  Bilateral or multiple [or similar term] cerebral infarctions due to emboli of cerebral arteries

I63.5    Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries

I63.50  Bilateral or multiple [or similar term] cerebral infarctions due to unspecified occlusions or stenosis of cerebral arteries

I63.6    Cerebral infarction due to cerebral venous thrombosis, nonpyogenic

I63.60  Bilateral or multiple [or similar term] cerebral infarctions due to cerebral venous thrombi, nonpyogenic

I63.8    Other cerebral infarction

I63.80  Bilateral or multiple [or similar term] other cerebral infarctions

I63.9    Cerebral infarction, unspecified

I63.90  Bilateral or multiple [or similar term] cerebral infarctions, unspecified

I64    Stroke, not specified as haemorrhage or infarction

Cerebrovascular accident NOS

Includes:    5^TH DIGIT TO IDENTIFY BILATERAL OR MULTIPLE [OR SIMILAR TERM] STROKES

Excludes:    sequelae of bilateral or multiple [or similar term] strokes (I69.40)

sequelae of stroke (I69.4)

I64.00  Bilateral or multiple [or similar term] strokes, not specified as haemorrhage or infarction

Bilateral or multiple [or similar term] cerebrovascular accidents NOS

I65    Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction

Includes:    embolism narrowing obstruction (complete) (partial) thrombosis

of basilar, carotid or vertebral arteries, not resulting in cerebral infarction

Excludes:    when causing cerebral infarction (I63-)

I65.0    Occlusion and stenosis of vertebral artery

I65.1    Occlusion and stenosis of basilar artery

I65.2    Occlusion and stenosis of carotid artery

I65.3    Occlusion and stenosis of multiple and bilateral precerebral arteries

I65.8    Occlusion and stenosis of other precerebral artery

I65.9    Occlusion and stenosis of unspecified precerebral artery

Precerebral artery NOS

I66    Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction

Includes:    embolism narrowing obstruction (complete) (partial) thrombosis

of middle, anterior and posterior cerebral arteries, and cerebellar arteries, not resulting in cerebral infarction

Excludes:    when causing cerebral infarction (I63-)

I66.0    Occlusion and stenosis of middle cerebral artery

I66.1    Occlusion and stenosis of anterior cerebral artery

I66.2    Occlusion and stenosis of posterior cerebral artery

I66.3    Occlusion and stenosis of cerebellar arteries

I66.4    Occlusion and stenosis of multiple and bilateral cerebral arteries

I66.8    Occlusion and stenosis of other cerebral artery

Occlusion and stenosis of perforating arteries

I66.9    Occlusion and stenosis of unspecified cerebral artery

I67    Other cerebrovascular diseases

Excludes:    sequelae of conditions in I67.0-I67.1 and I67.4-I67.9 (I69.8)

I67.0    Dissection of cerebral arteries, nonruptured

Excludes:    ruptured cerebral arteries (I60.7)

I67.1    Cerebral aneurysm, nonruptured

Cerebral:

• aneurysm NOS

• arteriovenous fistula, acquired

Excludes:    congenital cerebral aneurysm, nonruptured (Q28-)

ruptured cerebral aneurysm (I60-)

I67.2    Cerebral atherosclerosis

Atheroma of cerebral arteries

I67.3    Progressive vascular leukoencephalopathy

Binswanger disease

Excludes:    subcortical vascular dementia (F01.2)

I67.4    Hypertensive encephalopathy

I67.5    Moyamoya disease

I67.6    Nonpyogenic thrombosis of intracranial venous system

Nonpyogenic thrombosis of:

• cerebral vein

• intracranial venous sinus

Excludes:    when causing infarction (I63.6)

I67.7    Cerebral arteritis, not elsewhere classified

I67.8    Other specified cerebrovascular diseases

Acute cerebrovascular insufficiency NOS

Cerebral ischaemia (chronic)

I67.9    Cerebrovascular disease, unspecified

I68    Cerebrovascular disorders in diseases classified elsewhere

I68.0*  Cerebral amyloid angiopathy (E85†)

I68.1*  Cerebral arteritis in infectious and parasitic diseases classified elsewhere

Cerebral arteritis:

• listerial (A32.8†)

• syphilitic (A52.0†)

• tuberculous (A18.8†)

I68.2*  Cerebral arteritis in other diseases classified elsewhere

Cerebral arteritis in systemic lupus erythematosus (M32.1†)

I68.8*  Other cerebrovascular disorders in diseases classified elsewhere

Uraemic apoplexia in chronic kidney disease (N18.5†)

I69    Sequelae of cerebrovascular disease

Note:          Category I69 is to be used to indicate previous episodes of conditions in I60-I67.1 and I67.4-I67.9 as the cause of sequelae, themselves classified elsewhere. The "sequelae" include conditions specified as such or as late effects, or those present one year or more after onset of the causal condition.

Not to be used for chronic cerebrovascular disease. Code these to I60-I67.

I69.0    Sequelae of subarachnoid haemorrhage

I69.1    Sequelae of intracerebral haemorrhage

I69.10  Sequelae of bilateral or multiple [or similar term] intracerebral haemorrhages

I69.2    Sequelae of other nontraumatic intracranial haemorrhage

I69.3    Sequelae of cerebral infarction

I69.30  Sequelae of bilateral or multiple [or similar term] cerebral infarctions

I69.4    Sequelae of stroke, not specified as haemorrhage or infarction

I69.40  Sequelae of bilateral or multiple [or similar term] strokes not specified as haemorrhage or infarction

I69.8    Sequelae of other and unspecified cerebrovascular diseases

Diseases of arteries, arterioles and capillaries (I70-I79)

I70    Atherosclerosis

Includes:    arteriolosclerosis

arteriosclerosis

arteriosclerotic vascular disease

atheroma

degeneration:

• arterial

• arteriovascular

• vascular

endarteritis deformans or obliterans

senile:

• arteritis

• endarteritis

Excludes:    cerebral (I67.2)

coronary (I25.1)

mesenteric (K55.1)

pulmonary (I27.0)

I70.0    Atherosclerosis of aorta

I70.1    Atherosclerosis of renal artery

Goldblatt kidney

Excludes:    atherosclerosis of renal arterioles (I12-)

I70.2    Atherosclerosis of arteries of extremities

Atherosclerotic gangrene

Monckeberg (medial) sclerosis

I70.8    Atherosclerosis of other arteries

I70.9    Generalized and unspecified atherosclerosis

I71    Aortic aneurysm and dissection

I71.0    Dissection of aorta [any part]

Dissecting aneurysm of aorta (ruptured) [any part]

I71.1    Thoracic aortic aneurysm, ruptured

I71.2    Thoracic aortic aneurysm, without mention of rupture

I71.3    Abdominal aortic aneurysm, ruptured

I71.4    Abdominal aortic aneurysm, without mention of rupture

I71.5    Thoracoabdominal aortic aneurysm, ruptured

I71.6    Thoracoabdominal aortic aneurysm, without mention of rupture

I71.8    Aortic aneurysm of unspecified site, ruptured

Rupture of aorta NOS

I71.9    Aortic aneurysm of unspecified site, without mention of rupture

  Aneurysm           

  Dilatation            of aorta

  Hyaline necrosis   

I72    Other aneurysm and dissection

Includes:    aneurysm (cirsoid)(false)(ruptured)

Excludes:    aneurysm (of):

• aorta (I71-)

• arteriovenous NOS (Q27.3)

• acquired (I77.0)

• cerebral (nonruptured) (I67.1)

• ruptured (I60-)

• coronary (I25.4)

• heart (I25.3)

• pulmonary artery (I28.1)

• retinal (H35.0)

• varicose (I77.0)

dissection of precerebral artery, congenital (nonruptured) (Q28.1)

I72.0    Aneurysm and dissection of carotid artery

I72.1    Aneurysm and dissection of artery of upper extremity

I72.2    Aneurysm and dissection of renal artery

I72.3    Aneurysm and dissection of iliac artery

I72.4    Aneurysm and dissection of artery of lower extremity

I72.5    Aneurysm and dissection of other precerebral arteries

Excludes:    aneurysm and dissection of carotid artery (I72.0)

I72.8    Aneurysm and dissection of other specified arteries

I72.9    Aneurysm and dissection of unspecified site

I73    Other peripheral vascular diseases

Excludes:    chilblains (T69.1)

frostbite (T33-T35)

immersion hand or foot (T69.0)

spasm of cerebral artery (G45.9)

I73.0    Raynaud syndrome

Raynaud:

• disease

• gangrene

• phenomenon (secondary)

I73.1    Thromboangiitis obliterans [Buerger]

I73.8    Other specified peripheral vascular diseases

Acrocyanosis

Acroparaesthesia:

• simple [Schultze type]

• vasomotor [Nothnagel type]

Erythrocyanosis

Erythromelalgia

I73.9    Peripheral vascular disease, unspecified

Intermittent claudication

Spasm of artery

I74    Arterial embolism and thrombosis

Includes:    infarction:

• embolic

• thrombotic

occlusion:

• embolic

• thrombotic

Excludes:    embolism and thrombosis:

• basilar (I63.0-I63.2, I65.1)

• carotid (I63.0-I63.2, I65.2)

• cerebral (I63.3-I63.5, I66.9)

• complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.2)

• pregnancy, childbirth and the puerperium (O88-)

• coronary (I21-I25)

• mesenteric (K55.0)

• precerebral (I63.0-I63.2, I65.9)

• pulmonary (I26-)

• renal (N28.0)

• retinal (H34-)

• vertebral (I63.0-I63.2, I65.0)

I74.0    Embolism and thrombosis of abdominal aorta

Aortic bifurcation syndrome

Leriche syndrome

I74.1    Embolism and thrombosis of other and unspecified parts of aorta

I74.2    Embolism and thrombosis of arteries of upper extremities

I74.3    Embolism and thrombosis of arteries of lower extremities

I74.4    Embolism and thrombosis of arteries of extremities, unspecified

Peripheral arterial embolism

I74.5    Embolism and thrombosis of iliac artery

I74.8    Embolism and thrombosis of other arteries

I74.9    Embolism and thrombosis of unspecified artery

I77    Other disorders of arteries and arterioles

Excludes:    collagen (vascular) diseases (M30-M36)

hypersensitivity angiitis (M31.0)

pulmonary artery (I28-)

I77.0    Arteriovenous fistula, acquired

Aneurysmal varix

Arteriovenous aneurysm, acquired

Excludes:    arteriovenous aneurysm NOS (Q27.3)

cerebral (I67.1)

coronary (I25.4)

traumatic - see injury of blood vessel by body region

I77.1    Stricture of artery

I77.2    Rupture of artery

Fistula of artery

Excludes:    traumatic rupture of artery - see injury of blood vessel by body region

I77.3    Arterial fibromuscular dysplasia

I77.4    Coeliac artery compression syndrome

I77.5    Necrosis of artery

I77.6    Arteritis, unspecified

Aortitis NOS

Endarteritis NOS

Excludes:    arteritis or endarteritis:

• aortic arch [Takayasu] (M31.4)

• cerebral NEC (I67.7)

• coronary (I25.8)

• deformans (I70-)

• giant cell (M31.5-M31.6)

• obliterans (I70-)

• senile (I70-)

I77.8    Other specified disorders of arteries and arterioles

  Erosion      Erosion

  Ulcer        Ulcer

I77.9    Disorder of arteries and arterioles, unspecified

I78    Diseases of capillaries

I78.0    Hereditary haemorrhagic telangiectasia

Rendu-Osler-Weber disease

I78.1    Naevus, non-neoplastic

Naevus:

• araneus

• spider

• stellar

Excludes:    naevus:

• NOS (D22-)

• blue (D22-)

• flammeus (Q82.5)

• hairy (D22-)

• melanocytic (D22-)

• pigmented (D22-)

• portwine (Q82.5)

• sanguineous (Q82.5)

• strawberry (Q82.5)

• vascular NOS (Q82.5)

• verrucous (Q82.5)

I78.8    Other diseases of capillaries

I78.9    Disease of capillaries, unspecified

I79    Disorders of arteries, arterioles and capillaries in diseases classified elsewhere

I79.0*  Aneurysm of aorta in diseases classified elsewhere

Syphilitic aneurysm of aorta (A52.0†)

I79.1*  Aortitis in diseases classified elsewhere

Syphilitic aortitis (A52.0†)

I79.2*  Peripheral angiopathy in diseases classified elsewhere

Diabetic peripheral angiopathy (E10-E14† with common fourth character .5)

I79.8*  Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere

Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)

I80    Phlebitis and thrombophlebitis

Includes:    endophlebitis

inflammation, vein

periphlebitis

suppurative phlebitis

Excludes:    phlebitis and thrombophlebitis (of):

• complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.7)

• pregnancy, childbirth and the puerperium (O22-, O87-)

• intracranial and intraspinal, septic or NOS (G08)

• intracranial, nonpyogenic (I67.6)

• intraspinal, nonpyogenic (G95.1)

• portal (vein) (K75.1)

postphlebitic syndrome (I87.0)

thrombophlebitis migrans (I82.1)

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

I80.0    Phlebitis and thrombophlebitis of superficial vessels of lower extremities

I80.1    Phlebitis and thrombophlebitis of femoral vein

I80.2    Phlebitis and thrombophlebitis of other deep vessels of lower extremities

Deep vein thrombosis NOS

I80.3    Phlebitis and thrombophlebitis of lower extremities, unspecified

Embolism or thrombosis of lower extremity NOS

I80.8    Phlebitis and thrombophlebitis of other sites

I80.9    Phlebitis and thrombophlebitis of unspecified site

I81    Portal vein thrombosis

Portal (vein) obstruction

Excludes:    phlebitis of portal vein (K75.1)

I82    Other venous embolism and thrombosis

Excludes:    venous embolism and thrombosis (of):

• cerebral (I63.6, I67.6)

• complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.7)

• pregnancy, childbirth and the puerperium (O22-, O87-)

• coronary (I21-I25)

• intracranial and intraspinal, septic or NOS (G08)

• intracranial, nonpyogenic (I67.6)

• intraspinal, nonpyogenic (G95.1)

• lower extremities (I80-)

• mesenteric (K55.0)

• portal (I81)

• pulmonary (I26-)

I82.0    Budd-Chiari syndrome

I82.1    Thrombophlebitis migrans

I82.2    Embolism and thrombosis of vena cava

I82.3    Embolism and thrombosis of renal vein

I82.8    Embolism and thrombosis of other specified veins

I82.9    Embolism and thrombosis of unspecified vein

Embolism of vein NOS

Thrombosis (vein) NOS

I83    Varicose veins of lower extremities

Excludes:    complicating:

• pregnancy (O22.0)

• puerperium (O87.8)

I83.0    Varicose veins of lower extremities with ulcer

Any condition in I83.9 with ulcer or specified as ulcerated

Varicose ulcer (lower extremity, any part)

I83.1    Varicose veins of lower extremities with inflammation

Any condition in I83.9 with inflammation or specified as inflamed

Stasis dermatitis NOS

I83.2    Varicose veins of lower extremities with both ulcer and inflammation

Any condition in I83.9 with both ulcer and inflammation

I83.9    Varicose veins of lower extremities without ulcer or inflammation

  Phlebectasia     

  Varicose veins      of lower extremity [any part] or of

  Varix                unspecified site

I84    Haemorrhoids

Includes:    piles

varicose veins of anus and rectum

Excludes:    complicating:

• childbirth and the puerperium (O87.2)

• pregnancy (O22.4)

I84.0    Internal thrombosed haemorrhoids

I84.1    Internal haemorrhoids with other complications

Internal haemorrhoids:

• bleeding

• prolapsed

• strangulated

• ulcerated

I84.2    Internal haemorrhoids without complication

Internal haemorrhoids NOS

I84.3    External thrombosed haemorrhoids

Perianal haematoma (nontraumatic)

Perianal thrombosis

I84.4    External haemorrhoids with other complications

External haemorrhoids:

• bleeding

• prolapsed

• strangulated

• ulcerated

I84.5    External haemorrhoids without complication

External haemorrhoids NOS

I84.6    Residual haemorrhoidal skin tags

Skin tags of anus or rectum

I84.7    Unspecified thrombosed haemorrhoids

Thrombosed haemorrhoids, unspecified whether internal or external

I84.8    Unspecified haemorrhoids with other complications

Haemorrhoids, unspecified whether internal or external:

• bleeding

• prolapsed

• strangulated

• ulcerated

I84.9    Unspecified haemorrhoids without complication

Haemorrhoids NOS

I85    Oesophageal varices

I85.0    Oesophageal varices with bleeding

I85.9    Oesophageal varices without bleeding

Oesophageal varices NOS

I86    Varicose veins of other sites

Excludes:    retinal varices (H35.0)

varicose veins of unspecified site (I83.9)

I86.0    Sublingual varices

I86.1    Scrotal varices

Varicocele

I86.2    Pelvic varices

I86.3    Vulval varices

Excludes:    complicating:

• childbirth and the puerperium (O87.8)

• pregnancy (O22.1)

I86.4    Gastric varices

I86.8    Varicose veins of other specified sites

Varicose ulcer of nasal septum

I87    Other disorders of veins

I87.0    Postthrombotic syndrome

Postphlebitic syndrome

I87.1    Compression of vein

Stricture of vein

Vena cava syndrome (inferior)(superior)

Excludes:    pulmonary (I28.8)

I87.2    Venous insufficiency (chronic)(peripheral)

I87.8    Other specified disorders of veins

I87.9    Disorder of vein, unspecified

I88    Nonspecific lymphadenitis

Excludes:    acute lymphadenitis, except mesenteric (L04-)

enlarged lymph nodes NOS (R59-)

human immunodeficiency virus [HIV] disease resulting in generalized lymphadenopathy (B23.1)

I88.0    Nonspecific mesenteric lymphadenitis

Mesenteric lymphadenitis (acute)(chronic)

I88.1    Chronic lymphadenitis, except mesenteric

  Adenitis           Adenitis

  Lymphadenitis      Lymphadenitis

I88.8    Other nonspecific lymphadenitis

I88.9    Nonspecific lymphadenitis, unspecified

Lymphadenitis NOS

I89    Other noninfective disorders of lymphatic vessels and lymph nodes

Excludes:    chylocele:

• filarial (B74-)

• tunica vaginalis (nonfilarial) NOS (N50.8)

enlarged lymph nodes NOS (R59-)

hereditary lymphoedema (Q82.0)

postmastectomy lymphoedema (I97.2)

I89.0    Lymphoedema, not elsewhere classified

Lymphangiectasis

I89.1    Lymphangitis

Lymphangitis:

• NOS

• chronic

• subacute

Excludes:    acute lymphangitis (L03-)

I89.8    Other specified noninfective disorders of lymphatic vessels and lymph nodes

Chylocele (nonfilarial)

Lipomelanotic reticulosis

I89.9    Noninfective disorder of lymphatic vessels and lymph nodes, unspecified

Disease of lymphatic vessels NOS

Other and unspecified disorders of the circulatory system (I95-I99)

I95    Hypotension

Excludes:    cardiovascular collapse (R57.9)

maternal hypotension syndrome (O26.5)

nonspecific low blood pressure reading NOS (R03.1)

I95.0    Idiopathic hypotension

I95.1    Orthostatic hypotension

Hypotension, postural

Excludes:    neurogenic orthostatic hypotension [Shy-Drager] (G90.3)

I95.2    Hypotension due to drugs

Use additional external cause code (Chapter XX), if desired, to identify drug.

I95.8    Other hypotension

Chronic hypotension

I95.9    Hypotension, unspecified

I97    Postprocedural disorders of circulatory system, not elsewhere classified

Excludes:    postoperative shock (T81.1)

I97.0    Postcardiotomy syndrome

I97.1    Other functional disturbances following cardiac surgery

  Cardiac insufficiency      following cardiac surgery or due to

  Heart failure              presence of cardiac prosthesis

I97.2    Postmastectomy lymphoedema syndrome

  Elephantiasis                          due to mastectomy

  Obliteration of lymphatic vessels   

I97.8    Other postprocedural disorders of circulatory system, not elsewhere classified

I97.9    Postprocedural disorder of circulatory system, unspecified

I98    Other disorders of circulatory system in diseases classified elsewhere

Excludes:    disorders classified to other asterisk categories within this chapter

I98.0*  Cardiovascular syphilis

Cardiovascular syphilis:

• NOS (A52.0†)

• congenital, late (A50.5†)

I98.1*  Cardiovascular disorders in other infectious and parasitic diseases classified elsewhere

Cardiovascular:

• involvement NEC, in Chagas disease (chronic) (B57.2†)

• lesions of pinta [carate] (A67.2†)

I98.2*  Oesophageal varices without bleeding in diseases classified elsewhere

Oesophageal varices in:

• liver disorders (K70-K71†, K74†)

• schistosomiasis (B65†)

I98.3*  Oesophageal varices with bleeding in diseases classified elsewhere

Oesophageal varices in:

• liver disorders (K70-K71†, K74- †)

• schistosomiasis (B65- †)

I98.8*  Other specified disorders of circulatory system in diseases classified elsewhere

I99    Other and unspecified disorders of circulatory system

CHAPTER X - Diseases of the respiratory system (J00-J99)

Note:          When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g., tracheobronchitis to bronchitis in J40).

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

J00-J06        Acute upper respiratory infections

J09-J18        Influenza and pneumonia

J20-J22        Other acute lower respiratory infections

J30-J39        Other diseases of upper respiratory tract

J40-J47        Chronic lower respiratory diseases

J60-J70        Lung diseases due to external agents

J80-J84        Other respiratory diseases principally affecting the interstitium

J85-J86        Suppurative and necrotic conditions of lower respiratory tract

J90-J94        Other diseases of pleura

J95-J99        Other diseases of the respiratory system

Asterisk categories for this chapter are provided as follows:

J17*            Pneumonia in diseases classified elsewhere

J91*            Pleural effusion in conditions classified elsewhere

J99*            Respiratory disorders in diseases classified elsewhere

Acute upper respiratory infections (J00-J06)

Excludes:    chronic obstructive pulmonary disease with acute exacerbation NOS (J44.1)

J00   Acute nasopharyngitis [common cold]

Coryza (acute)

Nasal catarrh, acute

Nasopharyngitis:

• NOS

• acute

• infective NOS

Rhinitis:

• acute

• infective

Excludes:    nasopharyngitis, chronic (J31.1)

pharyngitis:

• NOS (J02.9)

• acute (J02-)

• chronic (J31.2)

rhinitis:

• NOS (J31.0)

• allergic (J30.1-J30.4)

• chronic (J31.0)

• vasomotor (J30.0)

sore throat:

• NOS (J02.9)

• acute (J02-)

• chronic (J31.2)

J01   Acute sinusitis

Includes:    abscess empyema infection inflammation suppuration

acute, of sinus (accessory) (nasal)

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    sinusitis, chronic or NOS (J32-)

J01.0   Acute maxillary sinusitis

Acute antritis

J01.1   Acute frontal sinusitis

J01.2   Acute ethmoidal sinusitis

J01.3   Acute sphenoidal sinusitis

J01.4   Acute pansinusitis

J01.8   Other acute sinusitis

Acute sinusitis involving more than one sinus but not pansinusitis

J01.9   Acute sinusitis, unspecified

J02   Acute pharyngitis

Includes:    acute sore throat

Excludes:    abscess:

• peritonsillar (J36)

• pharyngeal (J39.1)

• retropharyngeal (J39.0)

acute laryngopharyngitis (J06.0)

chronic pharyngitis (J31.2)

J02.0   Streptococcal pharyngitis

Streptococcal sore throat

Excludes:    scarlet fever (A38)

J02.8   Acute pharyngitis due to other specified organisms

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    pharyngitis (due to):

• enteroviral vesicular (B08.5)

• herpesviral [herpes simplex] (B00.2)

• infectious mononucleosis (B27-)

• influenza virus:

• identified (J09, J10.1)

• not identified (J11.1)

J02.9   Acute pharyngitis, unspecified

Pharyngitis (acute):

• NOS

• gangrenous

• infective NOS

• suppurative

• ulcerative

Sore throat (acute) NOS

J03   Acute tonsillitis

Excludes:    peritonsillar abscess (J36)

sore throat:

• NOS (J02.9)

• acute (J02-)

• streptococcal (J02.0)

J03.0   Streptococcal tonsillitis

J03.8   Acute tonsillitis due to other specified organisms

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    herpesviral [herpes simplex] pharyngotonsillitis (B00.2)

J03.9   Acute tonsillitis, unspecified

Tonsillitis (acute):

• NOS

• follicular

• gangrenous

• infective

• ulcerative

J04   Acute laryngitis and tracheitis

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    acute obstructive laryngitis [croup] and epiglottitis (J05-)

laryngismus (stridulus) (J38.5)

J04.0   Acute laryngitis

Laryngitis (acute):

• NOS

• oedematous

• subglottic

• suppurative

• ulcerative

Excludes:    chronic laryngitis (J37.0)

influenzal laryngitis, influenza virus:

• identified (J09, J10.1)

• not identified (J11.1)

J04.1   Acute tracheitis

Tracheitis (acute):

• NOS

• catarrhal

Excludes:    chronic tracheitis (J42)

J04.2   Acute laryngotracheitis

Laryngotracheitis NOS

Tracheitis (acute) with laryngitis (acute)

Excludes:    chronic laryngotracheitis (J37.1)

J05   Acute obstructive laryngitis [croup] and epiglottitis

Use additional code (B95-B97), if desired, to identify infectious agent.

J05.0   Acute obstructive laryngitis [croup]

Obstructive laryngitis NOS

J05.1   Acute epiglottitis

Epiglottitis NOS

J06   Acute upper respiratory infections of multiple and unspecified sites

Excludes:    acute respiratory infection NOS (J22)

influenza virus:

• identified (J09, J10.1)

• not identified (J11.1)

J06.0   Acute laryngopharyngitis

J06.8   Other acute upper respiratory infections of multiple sites

J06.9   Acute upper respiratory infection, unspecified

Upper respiratory:

• disease, acute

• infection NOS

Influenza and pneumonia (J09-J18)

J09   Influenza due to identified zoonotic or pandemic influenza virus

Influenza caused by influenza virus strains of special epidemiological importance with an animal-human or inter-human transmission.

Note:          For use of this category, reference should be made to the guidelines of the Global

                   Influenza Programme (GIP, http://www.who.int/influenza/) of WHO

Use additional code, if desired, to identify pneumonia or other manifestations.

Excludes:    Haemophilus influenzae [H.influenzae]:

• infection NOS (A49.2)

• meningitis (G00.0)

• pneumonia (J14)

                   influenza due to identified seasonal influenza virus (J10.-)

J10   Influenza due to identified seasonal influenza virus

Includes:    influenza due to identified influenza B or C virus

                   5^TH DIGIT TO IDENTIFY INFLUENZA WITHOUT SPECIFIED MANIFESTATION

Excludes:    Haemophilus influenzae [H. influenzae]:

• infection NOS (A49.2)

• meningitis (G00.0)

• pneumonia (J14)

influenza due to identified zoonotic or pandemic influenza virus (J09)

J10.0 Influenza with pneumonia, seasonal influenza virus identified

Influenzal (broncho) pneumonia, other influenza virus identified

J10.1   Influenza with other respiratory manifestations, seasonal influenza virus identified

  Influenza                             

  Influenzal:                           

• acute upper respiratory infection   

• laryngitis                             seasonal influenza virus identified

• pharyngitis                         

• pleural effusion                    

J10.10 Influenza, flu, grippe (viral), seasonal influenza virus identified

J10.8   Influenza with other manifestations, seasonal influenza virus identified

  Encephalopathy due to influenza   

  Influenzal:                       

• gastroenteritis                    seasonal influenza virus identified

• myocarditis (acute)             

J11   Influenza, virus not identified

Includes:    influenza                    viral influenza

specific virus not stated to have been identified

Excludes:    Haemophilus influenzae [H. influenzae]:

• infection NOS (A49.2)

• meningitis (G00.0)

• pneumonia (J14)

J11.0   Influenza with pneumonia, virus not identified

Influenzal (broncho) pneumonia, unspecified or specific virus not identified

J11.1   Influenza with other respiratory manifestations, virus not identified

  Influenza NOS                         

  Influenzal:                           

• acute upper respiratory infection      unspecified or specific virus not

• laryngitis                              identified

• pharyngitis                         

• pleural effusion                    

J11.10 Influenza, flu, grippe (viral), virus not identified

J11.8   Influenza with other manifestations, virus not identified

  Encephalopathy due to influenza   

  Influenzal:                          unspecified or specific virus not

• gastroenteritis                     identified

• myocarditis (acute)             

J12   Viral pneumonia, not elsewhere classified

Includes:    bronchopneumonia due to viruses other than influenza viruses

Excludes:    congenital rubella pneumonitis (P35.0)

pneumonia:

• aspiration (due to):

• NOS (J69.0)

• anaesthesia during:

• labour and delivery (O74.0)

• pregnancy (O29.0)

• puerperium (O89.0)

• neonatal (P24.9)

• solids and liquids (J69-)

• congenital (P23.0)

• in influenza (J09, J10.0, J11.0)

• interstitial NOS (J84.90)

• lipid (J69.1)

J12.0   Adenoviral pneumonia

J12.1   Respiratory syncytial virus pneumonia

J12.2   Parainfluenza virus pneumonia

J12.3   Human metapneumovirus pneumonia

J12.8   Other viral pneumonia

J12.9   Viral pneumonia, unspecified

J13   Pneumonia due to Bronchopneumonia due to S. pneumoniae

Excludes:    congenital pneumonia due to S. pneumoniae (P23.6)

pneumonia due to other streptococci (J15.3-J15.4)

J14   Pneumonia due to Bronchopneumonia due to H. influenzae

Excludes:    congenital pneumonia due to H. influenzae (P23.6)

J15   Bacterial pneumonia, not elsewhere classified

Includes:    bronchopneumonia due to bacteria other than S. pneumoniae and H. influenzae

Excludes:    chlamydial pneumonia (J16.0)

congenital pneumonia (P23-)

Legionnaires disease (A48.1)

J15.0   Pneumonia due to Klebsiella pneumoniae

J15.1   Pneumonia due to Pseudomonas

J15.2   Pneumonia due to staphylococcus

J15.3   Pneumonia due to streptococcus, group B

J15.4   Pneumonia due to other streptococci

Excludes:    pneumonia due to:

• streptococcus, group B (J15.3)

• Streptococcus pneumoniae (J13)

J15.5   Pneumonia due to Escherichia coli

J15.6   Pneumonia due to other aerobic Gram-negative bacteria

Pneumonia due to Serratia marcescens

J15.7   Pneumonia due to Mycoplasma pneumoniae

J15.8   Other bacterial pneumonia

J15.9   Bacterial pneumonia, unspecified

J16   Pneumonia due to other infectious organisms, not elsewhere classified

Excludes:    ornithosis (A70)

pneumocystosis (B59)

pneumonia:

• NOS (J18.9)

• congenital (P23-)

J16.0   Chlamydial pneumonia

J16.8   Pneumonia due to other specified infectious organisms

J17   Pneumonia in diseases classified elsewhere

J17.0* Pneumonia in bacterial diseases classified elsewhere

Pneumonia (due to)(in):

• actinomycosis (A42.0†)

• anthrax (A22.1†)

• gonorrhoea (A54.8†)

• nocardiosis (A43.0†)

• salmonella infection (A02.2†)

• tularaemia (A21.2†)

• typhoid fever (A01.0†)

• whooping cough (A37†)

J17.1* Pneumonia in viral diseases classified elsewhere

Pneumonia in:

• cytomegalovirus disease (B25.0†)

• measles (B05.2†)

• rubella (B06.8†)

• varicella (B01.2†)

J17.2* Pneumonia in mycoses

Pneumonia in:

• aspergillosis (B44.0-B44.1†)

• candidiasis (B37.1†)

• coccidioidomycosis (B38.0-B38.2†)

• histoplasmosis (B39†)

J17.3* Pneumonia in parasitic diseases

Pneumonia in:

• ascariasis (B77.8†)

• schistosomiasis (B65†)

• toxoplasmosis (B58.3†)

J17.8* Pneumonia in other diseases classified elsewhere

Pneumonia (in):

• ornithosis (A70†)

• Q fever (A78†)

• rheumatic fever (I00†)

• spirochaetal, not elsewhere classified (A69.8†)

J18   Pneumonia, organism unspecified

Excludes:    abscess of lung with pneumonia (J85.1)

drug-induced interstitial lung disorders (J70.2-J70.4)

pneumonia:

• aspiration (due to):

• NOS (J69.0)

• anaesthesia during:

• labour and delivery (O74.0)

• pregnancy (O29.0)

• puerperium (O89.0)

• neonatal (P24.9)

• solids and liquids (J69-)

• congenital (P23.9)

• interstitial NOS (J84.9)

• lipid (J69.1)

• usual interstitial (J84.1)

pneumonitis, due to external agents (J67-J70)

J18.0   Bronchopneumonia, unspecified

Excludes:    bronchiolitis (J21-)

J18.1   Lobar pneumonia, unspecified

J18.2   Hypostatic pneumonia, unspecified

J18.8   Other pneumonia, organism unspecified

J18.9   Pneumonia, unspecified

Other acute lower respiratory infections (J20-J22)

Excludes:    chronic obstructive pulmonary disease with acute:

• exacerbation NOS (J44.1)

• lower respiratory infection (J44.0)

J20   Acute bronchitis

Includes:    bronchitis:

• NOS, in those under l5 years of age

• acute and subacute (with):

• bronchospasm

• fibrinous

• membranous

• purulent

• septic

• tracheitis

tracheobronchitis, acute

Excludes:    bronchitis:

• NOS, in those 15 years of age and above (J40)

• allergic NOS (J45.0)

• chronic:

• NOS (J42)

• mucopurulent (J41.1)

• obstructive (J44-)

• simple (J41.0)

tracheobronchitis:

• NOS (J40)

• chronic (J42)

• obstructive (J44-)

J20.0   Acute bronchitis due to Mycoplasma pneumoniae

J20.1   Acute bronchitis due to Haemophilus influenzae

J20.2   Acute bronchitis due to streptococcus

J20.3   Acute bronchitis due to coxsackievirus

J20.4   Acute bronchitis due to parainfluenza virus

J20.5   Acute bronchitis due to respiratory syncytial virus

J20.6   Acute bronchitis due to rhinovirus

J20.7   Acute bronchitis due to echovirus

J20.8   Acute bronchitis due to other specified organisms

J20.9   Acute bronchitis, unspecified

J21   Acute bronchiolitis

Includes:    with bronchospasm

J21.0   Acute bronchiolitis due to respiratory syncytial virus

J21.1   Acute bronchiolitis due to human metapneumovirus

J21.8   Acute bronchiolitis due to other specified organisms

J21.9   Acute bronchiolitis, unspecified

Bronchiolitis (acute)

J22   Unspecified acute lower respiratory infection

Acute (lower) respiratory (tract) infection NOS

Excludes:    upper respiratory infection (acute) (J06.9)

Other diseases of upper respiratory tract (J30-J39)

J30   Vasomotor and allergic rhinitis

Includes:    spasmodic rhinorrhoea

Excludes:    allergic rhinitis with asthma (J45.0)

rhinitis NOS (J31.0)

J30.0   Vasomotor rhinitis

J30.1   Allergic rhinitis due to pollen

Allergy NOS due to pollen

Hay fever

Pollinosis

J30.2   Other seasonal allergic rhinitis

J30.3   Other allergic rhinitis

Perennial allergic rhinitis

J30.4   Allergic rhinitis, unspecified

J31   Chronic rhinitis, nasopharyngitis and pharyngitis

J31.0   Chronic rhinitis

Ozena

Rhinitis (chronic):

• NOS

• atrophic

• granulomatous

• hypertrophic

• obstructive

• purulent

• ulcerative

Excludes:    rhinitis:

• allergic (J30.1-J30.4)

• vasomotor (J30.0)

J31.1   Chronic nasopharyngitis

Excludes:    nasopharyngitis, acute or NOS (J00)

J31.2   Chronic pharyngitis

Chronic sore throat

Pharyngitis (chronic):

• atrophic

• granular

• hypertrophic

Excludes:    pharyngitis, acute or NOS (J02.9)

J32   Chronic sinusitis

Includes:    abscess           empyema           infection  suppuration

(chronic) of sinus (accessory)(nasal)

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    acute sinusitis (J01-)

J32.0   Chronic maxillary sinusitis

Antritis (chronic)

Maxillary sinusitis NOS

J32.1   Chronic frontal sinusitis

Frontal sinusitis NOS

J32.2   Chronic ethmoidal sinusitis

Ethmoidal sinusitis NOS

J32.3   Chronic sphenoidal sinusitis

Sphenoidal sinusitis NOS

J32.4   Chronic pansinusitis

Pansinusitis NOS

J32.8   Other chronic sinusitis

Sinusitis (chronic) involving more than one sinus but not pansinusitis

J32.9   Chronic sinusitis, unspecified

Sinusitis (chronic) NOS

J33   Nasal polyp

Excludes:    adenomatous polyps (D14.0)

J33.0   Polyp of nasal cavity

Polyp:

• choanal

• nasopharyngeal

J33.1   Polypoid sinus degeneration

Woakes syndrome or ethmoiditis

J33.8   Other polyp of sinus

Polyp of sinus:

• accessory

• ethmoidal

• maxillary

• sphenoidal

J33.9   Nasal polyp, unspecified

J34   Other disorders of nose and nasal sinuses

Excludes:    varicose ulcer of nasal septum (I86.8)

J34.0   Abscess, furuncle and carbuncle of nose

  Cellulitis   

  Necrosis        of nose (septum)

  Ulceration   

J34.1   Cyst and mucocele of nose and nasal sinus

J34.2   Deviated nasal septum

Deflection or deviation of septum (nasal)(acquired)

J34.3   Hypertrophy of nasal turbinates

J34.8   Other specified disorders of nose and nasal sinuses

Perforation of nasal septum NOS

Rhinolith

J35   Chronic diseases of tonsils and adenoids

J35.0   Chronic tonsillitis

Excludes:    tonsillitis:

• NOS (J03.9)

• acute (J03-)

J35.1   Hypertrophy of tonsils

Enlargement of tonsils

J35.2   Hypertrophy of adenoids

Enlargement of adenoids

J35.3   Hypertrophy of tonsils with hypertrophy of adenoids

J35.8   Other chronic diseases of tonsils and adenoids

Adenoid vegetations

Amygdalolith

Cicatrix of tonsil (and adenoid)

Tonsillar tag

Ulcer of tonsil

J35.9   Chronic disease of tonsils and adenoids, unspecified

Disease (chronic) of tonsils and adenoids NOS

J36   Peritonsillar abscess

Abscess of tonsil

Peritonsillar cellulitis

Quinsy

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    retropharyngeal abscess (J39.0)

tonsillitis:

• NOS (J03.9)

• acute (J03-)

• chronic (J35.0)

J37   Chronic laryngitis and laryngotracheitis

Use additional code (B95-B97), if desired, to identify infectious agent.

J37.0   Chronic laryngitis

Laryngitis:

• catarrhal

• hypertrophic

• sicca

Excludes:    laryngitis:

• NOS (J04.0)

• acute (J04.0)

• obstructive (acute) (J05.0)

J37.1   Chronic laryngotracheitis

Laryngitis, chronic, with tracheitis (chronic)

Tracheitis, chronic, with laryngitis

Excludes:    laryngotracheitis:

• NOS (J04.2)

• acute (J04.2)

tracheitis:

• NOS (J04.1)

• acute (J04.1)

• chronic (J42)

J38   Diseases of vocal cords and larynx, not elsewhere classified

Excludes:    laryngitis:

• obstructive (acute) (J05.0)

• ulcerative (J04.0)

postprocedural subglottic stenosis (J95.5)

stridor:

• congenital laryngeal NOS (P28.8)

• NOS (R06.1)

J38.0   Paralysis of vocal cords and larynx

Laryngoplegia

Paralysis of glottis

J38.1   Polyp of vocal cord and larynx

Excludes:    adenomatous polyps (D14.1)

J38.2   Nodules of vocal cords

Chorditis (fibrinous)(nodosa)(tuberosa)

Singer nodes

Teacher nodes

J38.3   Other diseases of vocal cords

  Abscess          

  Cellulitis       

  Granuloma           of vocal cord(s)

  Leukokeratosis   

  Leukoplakia      

J38.4   Oedema of larynx

Oedema (of):

• glottis

• subglottic

• supraglottic

Excludes:    laryngitis:

• acute obstructive [croup] (J05.0)

• oedematous (J04.0)

J38.5   Laryngeal spasm

Laryngismus (stridulus)

J38.6   Stenosis of larynx

J38.7   Other diseases of larynx

  Abscess          

  Cellulitis       

  Disease NOS      

  Necrosis            of larynx

  Pachyderma       

  Perichondritis   

  Ulcer            

J39   Other diseases of upper respiratory tract

Excludes:    acute respiratory infection NOS (J22)

• upper (J06.9)

upper respiratory inflammation due to chemicals, gases, fumes or vapours (J68.2)

J39.0   Retropharyngeal and parapharyngeal abscess

Peripharyngeal abscess

Excludes:    peritonsillar abscess (J36)

J39.1   Other abscess of pharynx

Cellulitis of pharynx

Nasopharyngeal abscess

J39.2   Other diseases of pharynx

  Cyst     

  Oedema      of pharynx or nasopharynx

Excludes:    pharyngitis:

• chronic (J31.2)

• ulcerative (J02.9)

J39.3   Upper respiratory tract hypersensitivity reaction, site unspecified

J39.8   Other specified diseases of upper respiratory tract

J39.9   Disease of upper respiratory tract, unspecified

Chronic lower respiratory diseases (J40-J47)

Excludes:    cystic fibrosis (E84-)

J40   Bronchitis, not specified as acute or chronic

Note:          Bronchitis not specified as acute or chronic in those under 15 years of age can be assumed to be of acute nature and should be classified to J20-.

Bronchitis:

• NOS

• catarrhal

• with tracheitis NOS

Tracheobronchitis NOS

Excludes:    bronchitis:

• allergic NOS (J45.0)

• asthmatic NOS (J45.9)

• chemical (acute) (J68.0)

J41   Simple and mucopurulent chronic bronchitis

Excludes:    chronic bronchitis:

• NOS (J42)

• obstructive (J44-)

J41.0   Simple chronic bronchitis

J41.1   Mucopurulent chronic bronchitis

J41.8   Mixed simple and mucopurulent chronic bronchitis

J42   Unspecified chronic bronchitis

Chronic:

• bronchitis NOS

• tracheitis

• tracheobronchitis

Excludes:    chronic:

• asthmatic bronchitis (J44-)

• bronchitis:

   • simple and mucopurulent (J41-)

   • with airways obstruction (J44-)

• emphysematous bronchitis (J44-)

• obstructive pulmonary disease NOS (J44.9)

J43   Emphysema

Excludes:    emphysema:

• compensatory (J98.3)

• due to inhalation of chemicals, gases, fumes or vapours (J68.4)

• interstitial (J98.2)

• neonatal (P25.0)

• mediastinal (J98.2)

• surgical (subcutaneous) (T81.8)

• traumatic subcutaneous (T79.7)

• with chronic (obstructive) bronchitis (J44-)

emphysematous (obstructive) bronchitis (J44-)

J43.0   MacLeod syndrome

Unilateral:

• emphysema

• transparency of lung

J43.1   Panlobular emphysema

Panacinar emphysema

J43.2   Centrilobular emphysema

J43.8   Other emphysema

J43.9   Emphysema, unspecified

Emphysema (lung)(pulmonary):

• NOS

• bullous

• vesicular

Emphysematous bleb

J44   Other chronic obstructive pulmonary disease

Includes:    chronic:

• bronchitis:

   • asthmatic (obstructive)

   • emphysematous

   • with:

      • airways obstruction

      • emphysema

• obstructive:

   • asthma

   • bronchitis

   • tracheobronchitis

Excludes:    asthma (J45-)

asthmatic bronchitis NOS (J45.9)

bronchiectasis (J47)

chronic:

• bronchitis:

• NOS (J42)

• simple and mucopurulent (J41-)

• tracheitis (J42)

• tracheobronchitis (J42)

emphysema (J43-)

lung diseases due to external agents (J60-J70)

J44.0   Chronic obstructive pulmonary disease with acute lower respiratory infection

Excludes:    with influenza (J09-J11)

J44.1   Chronic obstructive pulmonary disease with acute exacerbation, unspecified

J44.8   Other specified chronic obstructive pulmonary disease

Chronic bronchitis:

• asthmatic (obstructive) NOS

• emphysematous NOS

• obstructive NOS

Excludes:    with acute lower respiratory infection (J44.0)

with acute exacerbation (J44.1)

J44.9   Chronic obstructive pulmonary disease, unspecified

Chronic obstructive:

• airway disease NOS

• lung disease NOS

J45   Asthma

Excludes:    acute severe asthma (J46)

chronic asthmatic (obstructive) bronchitis (J44-)

chronic obstructive asthma (J44-)

eosinophilic asthma (J82)

lung diseases due to external agents (J60-J70)

status asthmaticus (J46)

J45.0   Predominantly allergic asthma

Allergic:

• bronchitis NOS

• rhinitis with asthma

Atopic asthma

Extrinsic allergic asthma

Hay fever with asthma

J45.1   Nonallergic asthma

Idiosyncratic asthma

Intrinsic nonallergic asthma

J45.8   Mixed asthma

Combination of conditions listed in J45.0 and J45.1

J45.9   Asthma, unspecified

Asthmatic bronchitis NOS

Late-onset asthma

J46   Status asthmaticus

Acute severe asthma

J47   Bronchiectasis

Bronchiolectasis

Excludes:    congenital bronchiectasis (Q33.4)

tuberculous bronchiectasis (current disease) (A15-A16)

Lung diseases due to external agents (J60-J70)

Excludes:    asthma classified to J45-

J60   Coalworker pneumoconiosis

Anthracosilicosis

Anthracosis

Coalworker lung

Excludes:    with tuberculosis in A15-A16 (J65)

J61   Pneumoconiosis due to asbestos and other mineral fibres

Asbestosis

Excludes:    pleural plaque with asbestosis (J92.0)

with tuberculosis in A15-A16 (J65)

J62   Pneumoconiosis due to dust containing silica

Includes:    silicotic fibrosis (massive) of lung

Excludes:    pneumoconiosis with tuberculosis in A15-A16 (J65)

J62.0   Pneumoconiosis due to talc dust

J62.8   Pneumoconiosis due to other dust containing silica

Silicosis NOS

J63   Pneumoconiosis due to other inorganic dusts

Excludes:    with tuberculosis in A15-A16 (J65)

J63.0   Aluminosis (of lung)

J63.1   Bauxite fibrosis (of lung)

J63.2   Berylliosis

J63.3   Graphite fibrosis (of lung)

J63.4   Siderosis

J63.5   Stannosis

J63.8   Pneumoconiosis due to other specified inorganic dusts

J64   Unspecified pneumoconiosis

Excludes:    with tuberculosis in A15-A16 (J65)

J65   Pneumoconiosis associated with tuberculosis

Any condition in J60-J64 with tuberculosis, any type in A15-A16

J66   Airway disease due to specific organic dust

Excludes:    bagassosis (J67.1)

farmer lung (J67.0)

hypersensitivity pneumonitis due to organic dust (J67-)

reactive airways dysfunction syndrome (J68.3)

J66.0   Byssinosis

Airway disease due to cotton dust

J66.1   Flax-dresser disease

J66.2   Cannabinosis

J66.8   Airway disease due to other specific organic dusts

J67   Hypersensitivity pneumonitis due to organic dust

Includes:    allergic alveolitis and pneumonitis due to inhaled organic

dust and particles of fungal, actinomycetic or other origin

Excludes:    pneumonitis due to inhalation of chemicals, gases, fumes or vapours (J68.0)

J67.0   Farmer lung

Harvester lung

Haymaker lung

Mouldy hay disease

J67.1   Bagassosis

Bagasse:

• disease

• pneumonitis

J67.2   Bird fancier lung

Budgerigar fancier disease or lung

Pigeon fancier disease or lung

J67.3   Suberosis

Corkhandler disease or lung

Corkworker disease or lung

J67.4   Maltworker lung

Alveolitis due to Aspergillus clavatus

J67.5   Mushroom-worker lung

J67.6   Maple-bark-stripper lung

Alveolitis due to Cryptostroma corticale

Cryptostromosis

J67.7   Air-conditioner and humidifier lung

Allergic alveolitis due to fungi, thermophilic actinomycetes and other organisms growing in ventilation [air-conditioning] systems

J67.8   Hypersensitivity pneumonitis due to other organic dusts

Cheese-washer lung

Coffee-worker lung

Fishmeal-worker lung

Furrier lung

Sequoiosis

J67.9   Hypersensitivity pneumonitis due to unspecified organic dust

Allergic alveolitis (extrinsic) NOS

Hypersensitivity pneumonitis NOS

J68   Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours

Use additional external cause code (Chapter XX), if desired, to identify cause.

J68.0   Bronchitis and pneumonitis due to chemicals, gases, fumes and vapours

Chemical bronchitis (acute)

J68.1   Pulmonary oedema due to chemicals, gases, fumes and vapours

Chemical pulmonary oedema (acute)

J68.2   Upper respiratory inflammation due to chemicals, gases, fumes and vapours, not elsewhere classified

J68.3   Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapours

Reactive airways dysfunction syndrome

J68.4   Chronic respiratory conditions due to chemicals, gases, fumes and vapours

  Emphysema (diffuse)(chronic)                     

  Obliterative bronchiolitis (chronic)(subacute)      due to inhalation of chemicals, gases

  Pulmonary fibrosis (chronic)                         fumes and vapours

J68.8   Other respiratory conditions due to chemicals, gases, fumes and vapours

J68.9   Unspecified respiratory condition due to chemicals, gases, fumes and vapours

J69   Pneumonitis due to solids and liquids

Use additional external cause code (Chapter XX), if desired, to identify cause.

Excludes:    neonatal aspiration syndromes (P24-)

J69.0   Pneumonitis due to food and vomit

Aspiration pneumonia (due to):

• NOS

• food (regurgitated)

• gastric secretions

• milk

• vomit

Excludes:    Mendelson syndrome (J95.4)

J69.1   Pneumonitis due to oils and essences

Lipid pneumonia

J69.8   Pneumonitis due to other solids and liquids

Pneumonitis due to aspiration of blood

J70   Respiratory conditions due to other external agents

Use additional external cause code (Chapter XX), if desired, to identify cause.

J70.0   Acute pulmonary manifestations due to radiation

Radiation pneumonitis

J70.1   Chronic and other pulmonary manifestations due to radiation

Fibrosis of lung following radiation

J70.2   Acute drug-induced interstitial lung disorders

J70.3   Chronic drug-induced interstitial lung disorders

J70.4   Drug-induced interstitial lung disorders, unspecified

J70.8   Respiratory conditions due to other specified external agents

J70.9   Respiratory conditions due to unspecified external agent

Other respiratory diseases principally affecting the interstitium (J80-J84)

J80   Adult respiratory distress syndrome

Adult hyaline membrane disease

J81   Pulmonary oedema

Acute oedema of lung

Pulmonary congestion (passive)

Excludes:    hypostatic pneumonia (J18.2)

pulmonary oedema:

• chemical (acute) (J68.1)

• due to external agents (J60-J70)

• with mention of heart disease NOS or heart failure (I50.1)

J82   Pulmonary eosinophilia, not elsewhere classified

Eosinophilic asthma

Loffler pneumonia

Tropical (pulmonary) eosinophilia NOS

Excludes:    due to:

• aspergillosis (B44-)

• drugs (J70.2-J70.4)

• specified parasitic infection (B50-B83)

• systemic connective tissue disorders (M30-M36)

J84   Other interstitial pulmonary diseases

Excludes:    drug-induced interstitial lung disorders (J70.2-J70.4)

interstitial emphysema (J98.2)

lung diseases due to external agents (J60-J70)

lymphoid interstitial pneumonitis resulting from human immunodeficiency virus [HIV] disease (B22.1)

J84.0   Alveolar and parietoalveolar conditions

Alveolar proteinosis

Pulmonary alveolar microlithiasis

J84.1   Other interstitial pulmonary diseases with fibrosis

Diffuse pulmonary fibrosis

Fibrosing alveolitis (cryptogenic)

Hamman-Rich syndrome

Idiopathic pulmonary fibrosis

Usual interstitial pneumonia

Excludes:    pulmonary fibrosis (chronic):

• due to inhalation of chemicals, gases, fumes or vapours (J68.4)

• following radiation (J70.1)

J84.8   Other specified interstitial pulmonary diseases

J84.9   Interstitial pulmonary disease, unspecified

J84.90 Interstitial pneumonia, not elsewhere classified

Suppurative and necrotic conditions of lower respiratory tract (J85-J86)

J85   Abscess of lung and mediastinum

J85.0   Gangrene and necrosis of lung

J85.1   Abscess of lung with pneumonia

Excludes:    with pneumonia due to specified organism (J09-J16)

J85.2   Abscess of lung without pneumonia

Abscess of lung NOS

J85.3   Abscess of mediastinum

J86   Pyothorax

Includes:    abscess of:

• pleura

• thorax

empyema

pyopneumothorax

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    due to tuberculosis (A15-A16)

J86.0   Pyothorax with fistula

J86.9   Pyothorax without fistula

Other diseases of pleura (J90-J94)

J90   Pleural effusion, not elsewhere classified

Pleurisy with effusion

Excludes:    chylous (pleural) effusion (J94.0)

pleurisy NOS (R09.1)

tuberculous (A15-A16)

J91   Pleural effusion in conditions classified elsewhere

J92   Pleural plaque

Includes:    pleural thickening

J92.0   Pleural plaque with presence of asbestos

J92.9   Pleural plaque without asbestos

Pleural plaque NOS

J93   Pneumothorax

Excludes:    pneumothorax:

• congenital or perinatal (P25.1)

• traumatic (S27.0)

• tuberculous (current disease) (A15-A16)

pyopneumothorax (J86-)

J93.0   Spontaneous tension pneumothorax

J93.1   Other spontaneous pneumothorax

J93.8   Other pneumothorax

J93.9   Pneumothorax, unspecified

J94   Other pleural conditions

Excludes:    pleurisy: NOS (R09.1)

traumatic:

• haemopneumothorax (S27.2)

• haemothorax (S27.1)

tuberculous pleural conditions (current disease) (A15-A16)

J94.0   Chylous effusion

Chyliform effusion

J94.1   Fibrothorax

J94.2   Haemothorax

Haemopneumothorax

J94.8   Other specified pleural conditions

Hydrothorax

J94.9   Pleural condition, unspecified

Other diseases of the respiratory system (J95-J99)

J95   Postprocedural respiratory disorders, not elsewhere classified

Excludes:    emphysema (subcutaneous) resulting from a procedure (T81.8)

pulmonary manifestations due to radiation (J70.0-J70.1)

J95.0   Tracheostomy malfunction

Haemorrhage from tracheostomy stoma

Obstruction of tracheostomy airway

Sepsis of tracheostomy stoma

Tracheo-oesophageal fistula following tracheostomy

J95.1   Acute pulmonary insufficiency following thoracic surgery

J95.2   Acute pulmonary insufficiency following nonthoracic surgery

J95.3   Chronic pulmonary insufficiency following surgery

J95.4   Mendelson syndrome

Chemical pneumonitis due to aspiration during anesthesia

Excludes:    complicating:

• labour and delivery (O74.0)

• pregnancy (O29.0)

• puerperium (O89.0)

J95.5   Postprocedural subglottic stenosis

J95.8   Other postprocedural respiratory disorders

J95.9   Postprocedural respiratory disorder, unspecified

J96   Respiratory failure, not elsewhere classified

Excludes:    cardiorespiratory failure (R09.2)

postprocedural respiratory failure (J95-)

respiratory:

• arrest (R09.2)

• distress:

• syndrome of adult (J80)

• in newborn (P22-)

J96.0   Acute respiratory failure

J96.1   Chronic respiratory failure

J96.9   Respiratory failure, unspecified

J98   Other respiratory disorders

Includes:    5^TH DIGIT TO IDENTIFY LUNG DISEASE NOS

Excludes:    apnoea:

• NOS (R06.8)

• newborn (P28.4)

• sleep (G47.3)

• newborn (P28.3)

J98.0   Diseases of bronchus, not elsewhere classified

Broncholithiasis

     Calcification   

     Stenosis           of bronchus

     Ulcer           

Tracheobronchial:

• collapse

• dyskinesia

J98.1   Pulmonary collapse

Atelectasis

Collapse of lung

Excludes:    atelectasis (of):

• newborn (P28.0-P28.1)

• tuberculous (current disease) (A15-A16)

J98.2   Interstitial emphysema

Mediastinal emphysema

Excludes:    emphysema:

• NOS (J43.9)

• in fetus and newborn (P25.0)

• surgical (subcutaneous) (T81.8)

• traumatic subcutaneous (T79.7)

J98.3   Compensatory emphysema

J98.4   Other disorders of lung

Calcification of lung

Cystic lung disease (acquired)

Lung disease NOS

Pulmolithiasis

J98.40 Lung disease NOS

J98.5   Diseases of mediastinum, not elsewhere classified

  Fibrosis     

  Hernia          of mediastinum

  Retraction   

Mediastinitis

Excludes:    abscess of mediastinum (J85.3)

J98.6   Disorders of diaphragm

Diaphragmatitis

Paralysis of diaphragm

Relaxation of diaphragm

Excludes:    congenital malformation of diaphragm NEC (Q79.1)

diaphragmatic hernia (K44-)

• congenital (Q79.0)

J98.8   Other specified respiratory disorders

J98.9   Respiratory disorder, unspecified

Respiratory disease (chronic) NOS

J99   Respiratory disorders in diseases classified elsewhere

J99.0* Rheumatoid lung disease (M05.1†)

J99.1* Respiratory disorders in other diffuse connective tissue disorders

Respiratory disorders in:

• dermatomyositis (M33.0-M33.1†)

• polymyositis (M33.2†)

• sicca syndrome [Sjogren] (M35.0†)

• systemic:

• lupus erythematosus (M32.1†)

• sclerosis (M34.8†)

• Wegener granulomatosis (M31.3†)

J99.8* Respiratory disorders in other diseases classified elsewhere

Respiratory disorders in:

• amoebiasis (A06.5†)

• ankylosing spondylitis (M45†)

• cryoglobulinaemia (D89.1†)

• sporotrichosis (B42.0†)

• syphilis (A52.7†)

CHAPTER XI - Diseases of the digestive system (K00-K93)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

K00-K14       Diseases of oral cavity, salivary glands and jaws

K20-K31       Diseases of oesophagus, stomach and duodenum

K35-K38       Diseases of appendix

K40-K46       Hernia

K50-K52       Noninfective enteritis and colitis

K55-K63       Other diseases of intestines

K65-K67       Diseases of peritoneum

K70-K77       Diseases of liver

K80-K87       Disorders of gallbladder, biliary tract and pancreas

K90-K93       Other diseases of the digestive system

Asterisk categories for this chapter are provided as follows:

K23*            Disorders of oesophagus in diseases classified elsewhere

K67*            Disorders of peritoneum in infectious diseases classified elsewhere

K77*            Liver disorders in diseases classified elsewhere

K87*            Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

K93*            Disorders of other digestive organs in diseases classified elsewhere

Diseases of oral cavity, salivary glands and jaws (K00-K14)

K00  Disorders of tooth development and eruption

Excludes:    embedded and impacted teeth (K01-)

K00.0   Anodontia

Hypodontia

Oligodontia

K00.1   Supernumerary teeth

Distomolar

Fourth molar

Mesiodens

Paramolar

Supplementary teeth

K00.2   Abnormalities of size and form of teeth

  Concrescence   

  Fusion            of teeth

  Gemination     

Dens:

• evaginatus

• in dente

• invaginatus

Enamel pearls

Macrodontia

Microdontia

Peg-shaped [conical] teeth

Taurodontism

Tuberculum paramolare

Excludes:    tuberculum Carabelli, which is regarded as a normal variation and should not be coded

K00.3   Mottled teeth

Dental fluorosis

Mottling of enamel

Nonfluoride enamel opacities

Excludes:    deposits [accretions] on teeth (K03.6)

K00.4   Disturbances in tooth formation

Aplasia and hypoplasia of cementum

Dilaceration of tooth

Enamel hypoplasia (neonatal)(postnatal)(prenatal)

Regional odontodysplasia

Turner tooth

Excludes:    Hutchinson teeth and mulberry molars in congenital syphilis (A50.5)

mottled teeth (K00.3)

K00.5   Hereditary disturbances in tooth structure, not elsewhere classified

  Amelogenesis     

  Dentinogenesis      imperfecta

  Odontogenesis    

Dentinal dysplasia

Shell teeth

K00.6   Disturbances in tooth eruption

Dentia praecox

     Natal      

     Neonatal      tooth

Premature:

• eruption of tooth

• shedding of primary [deciduous] tooth

Retained [persistent] primary tooth

K00.7   Teething syndrome

K00.8   Other disorders of tooth development

Colour changes during tooth formation

Intrinsic staining of teeth NOS

K00.9   Disorder of tooth development, unspecified

Disorder of odontogenesis NOS

K01  Embedded and impacted teeth

Excludes:    embedded and impacted teeth with abnormal position of such teeth or adjacent teeth (K07.3)

K01.0   Embedded teeth

An embedded tooth is a tooth that has failed to erupt without obstruction by another tooth.

K01.1   Impacted teeth

An impacted tooth is a tooth that has failed to erupt because of obstruction by another tooth.

K02  Dental caries

K02.0   Caries limited to enamel

White spot lesions [initial caries]

K02.1   Caries of dentine

K02.2   Caries of cementum

K02.3   Arrested dental caries

K02.4   Odontoclasia

Infantile melanodontia

Melanodontoclasia

K02.8   Other dental caries

K02.9   Dental caries, unspecified

K03  Other diseases of hard tissues of teeth

Excludes:    bruxism (F45.8)

dental caries (K02-)

teeth-grinding NOS (F45.8)

K03.0   Excessive attrition of teeth
Wear:

• approximal   

• occlusal        of teeth

K03.1   Abrasion of teeth

Abrasion:

• dentifrice       

• habitual         

• occupational     

• ritual              of teeth

• traditional      

     Wedge defect NOS   

K03.2   Erosion of teeth

Erosion of teeth:

• NOS

• due to:

    • diet

    • drugs and medicaments

    • persistent vomiting

• idiopathic

• occupational

K03.3   Pathological resorption of teeth

Internal granuloma of pulp

Resorption of teeth (external)

K03.4   Hypercementosis

Cementation hyperplasia

K03.5   Ankylosis of teeth

K03.6   Deposits [accretions] on teeth

Dental calculus:

• subgingival

• supragingival

Deposits [accretions] on teeth:

• betel

• black

• green

• materia alba

• orange

• tobacco

Staining of teeth:

• NOS

• extrinsic NOS

K03.7   Posteruptive colour changes of dental hard tissues

Excludes:    deposits [accretions] on teeth (K03.6)

K03.8   Other specified diseases of hard tissues of teeth

Irradiated enamel

Sensitive dentine

Use additional external cause code (Chapter XX), if desired, to identify radiation, if radiation-induced.

K03.9   Disease of hard tissues of teeth, unspecified

K04  Diseases of pulp and periapical tissues

K04.0   Pulpitis

Pulpitis:

• acute

• chronic (hyperplastic)(ulcerative)

• irreversible

• NOS

• reversible

K04.1   Necrosis of pulp

Pulpal gangrene

K04.2   Pulp degeneration

Denticles

Pulpal:

• calcifications

• stones

K04.3   Abnormal hard tissue formation in pulp

Secondary or irregular dentine

K04.4   Acute apical periodontitis of pulpal origin

Acute apical periodontitis NOS

K04.5   Chronic apical periodontitis

Apical or periapical granuloma

Apical periodontitis NOS

K04.6   Periapical abscess with sinus

  Dental             Dental

  Dentoalveolar      Dentoalveolar

K04.7   Periapical abscess without sinus

  Dental          

  Dentoalveolar      abscess NOS

  Periapical      

K04.8   Radicular cyst

Cyst:

• apical (periodontal)

• periapical

• residual radicular

Excludes:    lateral periodontal cyst (K09.0)

K04.9   Other and unspecified diseases of pulp and periapical tissues

K05  Gingivitis and periodontal diseases

K05.0   Acute gingivitis

Excludes:    acute necrotizing ulcerative gingivitis (A69.1)

herpesviral [herpes simplex] gingivostomatitis (B00.2)

K05.1   Chronic gingivitis

Gingivitis (chronic):

• NOS

• desquamative

• hyperplastic

• simple marginal

• ulcerative

K05.2   Acute periodontitis

Acute pericoronitis

Parodontal abscess

Periodontal abscess

Excludes:    acute apical periodontitis (K04.4)

periapical abscess (K04.7)

• with sinus (K04.6)

K05.3   Chronic periodontitis

Chronic pericoronitis

Periodontitis:

• NOS

• complex

• simplex

K05.4   Periodontosis

Juvenile periodontosis

K05.5   Other periodontal diseases

K05.6   Periodontal disease, unspecified

K06  Other disorders of gingiva and edentulous alveolar ridge

Excludes:    atrophy of edentulous alveolar ridge (K08.2)

gingivitis:

• NOS (K05.1)

• acute (K05.0)

• chronic (K05.1)

K06.0   Gingival recession

Gingival recession (generalized)(localized)(postinfective)(post-operative)

K06.1   Gingival enlargement

Gingival fibromatosis

K06.2   Gingival and edentulous alveolar ridge lesions associated with trauma

Irritative hyperplasia of edentulous ridge [denture hyperplasia]

Use additional external cause code (Chapter XX), if desired, to identify cause.

K06.8   Other specified disorders of gingiva and edentulous alveolar ridge

Fibrous epulis

Flabby ridge

Giant cell epulis

Peripheral giant cell granuloma

Pyogenic granuloma of gingiva

K06.9   Disorder of gingiva and edentulous alveolar ridge, unspecified

K07  Dentofacial anomalies [including malocclusion]

Excludes:    hemifacial atrophy or hypertrophy (Q67.4)

unilateral condylar hyperplasia or hypoplasia (K10.8)

K07.0   Major anomalies of jaw size

Hyperplasia, hypoplasia:

• mandibular

• maxillary

Macrognathism (mandibular)(maxillary)

Micrognathism (mandibular)(maxillary)

Excludes:    acromegaly (E22.0)

Robin syndrome (Q87.0)

K07.1   Anomalies of jaw-cranial base relationship

Asymmetry of jaw

Prognathism (mandibular)(maxillary)

Retrognathism (mandibular)(maxillary)

K07.2   Anomalies of dental arch relationship

Crossbite (anterior)(posterior)

Disto-occlusion

Mesio-occlusion

Midline deviation of dental arch

Openbite (anterior)(posterior)

Overbite (excessive):

• deep

• horizontal

• vertical

Overjet

Posterior lingual occlusion of mandibular teeth

K07.3   Anomalies of tooth position

  Crowding            

  Diastema            

  Displacement        

  Rotation               of tooth or teeth

  Spacing, abnormal   

  Transposition       

Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth

Excludes:    embedded and impacted teeth without abnormal position (K01-)

K07.4   Malocclusion, unspecified

K07.5   Dentofacial functional abnormalities

Abnormal jaw closure

Malocclusion due to:

• abnormal swallowing

• mouth breathing

• tongue, lip or finger habits

Excludes:    bruxism (F45.8)

teeth-grinding NOS (F45.8)

K07.6   Temporomandibular joint disorders

Costen complex or syndrome

Derangement of temporomandibular joint

Snapping jaw

Temporomandibular joint-pain-dysfunction syndrome

Excludes:    current temporomandibular joint:

• dislocation (S03.0)

• strain (S03.4)

K07.8   Other dentofacial anomalies

K07.9   Dentofacial anomaly, unspecified

K08  Other disorders of teeth and supporting structures

K08.0   Exfoliation of teeth due to systemic causes

K08.1   Loss of teeth due to accident, extraction or local periodontal disease

K08.2   Atrophy of edentulous alveolar ridge

K08.3   Retained dental root

K08.8   Other specified disorders of teeth and supporting structures

Alveolar (process) cleft

Enlargement of alveolar ridge NOS

Irregular alveolar process

Toothache NOS

K08.9   Disorder of teeth and supporting structures, unspecified

K09  Cysts of oral region, not elsewhere classified

Includes:    lesions showing histological features both of aneurysmal cyst and of another fibro-osseous lesion

Excludes:    radicular cyst (K04.8)

K09.0   Developmental odontogenic cysts

Cyst:

• dentigerous

• eruption

• follicular

• gingival

• lateral periodontal

• primordial

Keratocyst

K09.1   Developmental (nonodontogenic) cysts of oral region

Cyst (of):

• nasolabial [nasoalveolar]

• nasopalatine duct [incisive canal]

K09.2   Other cysts of jaw

Cyst of jaw:

• NOS

• aneurysmal

• haemorrhagic

• traumatic

Excludes:    latent bone cyst of jaw (K10.0)

Stafne cyst (K10.0)

K09.8   Other cysts of oral region, not elsewhere classified

  Dermoid cyst            

  Epidermoid cyst         

  Lymphoepithelial cyst      of mouth

  Epstein pearl           

  Nasolabial cyst         

K09.9   Cyst of oral region, unspecified

K10  Other diseases of jaws

K10.0   Developmental disorders of jaws

Latent bone cyst of jaw

Stafne cyst

Torus:

• mandibularis

• palatinus

K10.1   Giant cell granuloma, central

Giant cell granuloma NOS

Excludes:    peripheral giant cell granuloma (K06.8)

K10.2   Inflammatory conditions of jaws

  Osteitis                   

  Osteomyelitis (neonatal)   

  Osteoradionecrosis            of jaw (acute) (chronic) (suppurative)

  Periostitis                

  Sequestrum of jaw bone     

Use additional external cause code (Chapter XX), if desired, to identify radiation, if radiation-induced.

K10.3   Alveolitis of jaws

Alveolar osteitis

Dry socket

K10.8   Other specified diseases of jaws

Cherubism

     Exostosis              Exostosis

     Fibrous dysplasia      Fibrous dysplasia

Unilateral condylar:

• hyperplasia

• hypoplasia

K10.9   Disease of jaws, unspecified

K11  Diseases of salivary glands

K11.0   Atrophy of salivary gland

K11.1   Hypertrophy of salivary gland

K11.2   Sialoadenitis

Excludes:    epidemic parotitis (B26-)

uveoparotid fever [Heerfordt] (D86.8)

K11.3   Abscess of salivary gland

K11.4   Fistula of salivary gland

Excludes:    congenital fistula of salivary gland (Q38.4)

K11.5   Sialolithiasis

  Calculus      Calculus

  Stone         Stone

K11.6   Mucocele of salivary gland

Mucous:

• extravasation cyst      • extravasation cyst

• retention cyst          • retention cyst

Ranula

K11.7   Disturbances of salivary secretion

Hypoptyalism

Ptyalism

Xerostomia

Excludes:    dry mouth NOS (R68.2)

K11.8   Other diseases of salivary glands

Benign lymphoepithelial lesion of salivary gland

Mikulicz disease

Necrotizing sialometaplasia

Sialectasia

     Stenosis       Stenosis

     Stricture      Stricture

Excludes:    sicca syndrome [Sjogren] (M35.0)

K11.9   Disease of salivary gland, unspecified

Sialoadenopathy NOS

K12  Stomatitis and related lesions

Excludes:    cancrum oris (A69.0)

cheilitis (K13.0)

gangrenous stomatitis (A69.0)

herpesviral [herpes simplex] gingivostomatitis (B00.2)

noma (A69.0)

K12.0   Recurrent oral aphthae

Aphthous stomatitis (major)(minor)

Bednar aphthae

Periadenitis mucosa necrotica recurrens

Recurrent aphthous ulcer

Stomatitis herpetiformis

K12.1   Other forms of stomatitis

Stomatitis:

• NOS

• denture

• ulcerative

• vesicular

K12.2   Cellulitis and abscess of mouth

Cellulitis of mouth (floor)

Submandibular abscess

Excludes:    abscess (of):

• periapical (K04.6-K04.7)

• periodontal (K05.2)

• peritonsillar (J36)

• salivary gland (K11.3)

• tongue (K14.0)

K12.3   Oral mucositis (ulcerative)

Mucositis (oral) (oropharyngeal):

• NOS

• drug-induced

• radiation induced

• viral

Use additional external cause code (Chapter XX), if desired, to identify external agent.

Excludes:    mucositis (ulcerative ) of:

• gastrointestinal tract (except oral cavity and oropharynx) (K92.8)

K13  Other diseases of lip and oral mucosa

Includes:    epithelial disturbances of tongue

Excludes:    certain disorders of gingiva and edentulous alveolar ridge (K05-K06)

cysts of oral region (K09-)

diseases of tongue (K14-)

stomatitis and related lesions (K12-)

K13.0   Diseases of lips

Cheilitis:

• NOS

• angular

• exfoliative

• glandular

Cheilodynia

Cheilosis

Perleche NEC

Excludes:    ariboflavinosis (E53.0)

cheilitis due to radiation-related disorders (L55-L59)

perleche due to:

• candidiasis (B37.8)

• riboflavin deficiency (E53.0)

K13.1   Cheek and lip biting

K13.2   Leukoplakia and other disturbances of oral epithelium, including tongue

  Erythroplakia      Erythroplakia

  Leukoedema         Leukoedema

Leukokeratosis nicotina palati

Smoker palate

Excludes:    hairy leukoplakia (K13.3)

K13.3   Hairy leukoplakia

K13.4   Granuloma and granuloma-like lesions of oral mucosa

  Eosinophilic granuloma   

  Granuloma pyogenicum        of oral mucosa

  Verrucous xanthoma       

K13.5   Oral submucous fibrosis

Submucous fibrosis of tongue

K13.6   Irritative hyperplasia of oral mucosa

Excludes:    irritative hyperplasia of edentulous ridge [denture (K06.2)

K13.7   Other and unspecified lesions of oral mucosa

Focal oral mucinosis

K14  Diseases of tongue

Excludes:

erythroplakia focalepithelial hyperplasia leukoedema leukoplakia

of tongue (K13.2)

hairy leukoplakia (K13.3)

macroglossia (congenital) (Q38.2)

submucous fibrosis of tongue (K13.5)

K14.0   Glossitis

  Abscess                     Abscess

  Ulceration (traumatic)      Ulceration (traumatic)

Excludes:    atrophic glossitis (K14.4)

K14.1   Geographic tongue

Benign migratory glossitis

Glossitis areata exfoliativa

K14.2   Median rhomboid glossitis

K14.3   Hypertrophy of tongue papillae

Black hairy tongue

Coated tongue

Hypertrophy of foliate papillae

Lingua villosa nigra

K14.4   Atrophy of tongue papillae

Atrophic glossitis

K14.5   Plicated tongue

  Fissured   

  Furrowed      tongue

  Scrotal    

Excludes:    fissured tongue, congenital (Q38.3)

K14.6   Glossodynia

Glossopyrosis

Painful tongue

K14.8   Other diseases of tongue

  Atrophy       

  Crenated      

  Enlargement      (of) tongue

  Hypertrophy   

K14.9   Disease of tongue, unspecified

Glossopathy NOS

Diseases of oesophagus, stomach and duodenum (K20-K31)

Excludes:    hiatus hernia (K44-)

K20  Oesophagitis

Abscess of oesophagus

Oesophagitis:

• NOS

• chemical

• peptic

Use additional external cause code (Chapter XX), if desired, to identify cause.

Excludes:    erosion of oesophagus (K22.1)

reflux oesophagitis (K21.0)

with gastro-oesophageal reflux disease (K21.0)

K21  Gastro-oesophageal reflux disease

K21.0   Gastro-oesophageal reflux disease with oesophagitis

Reflux oesophagitis

K21.9   Gastro-oesophageal reflux disease without oesophagitis

Oesophageal reflux NOS

K22  Other diseases of oesophagus

Excludes:    oesophageal varices (I85-)

K22.0   Achalasia of cardia

Achalasia NOS

Cardiospasm

Excludes:    congenital cardiospasm (Q39.5)

K22.1   Ulcer of oesophagus

Erosion of oesophagus

Ulcer of oesophagus:

• NOS

• due to ingestion of:

    • chemicals

    • drugs and medicaments

• fungal

• peptic

Ulcerative oesophagitis

Use additional external cause code (Chapter XX), if desired, to identify cause.

K22.2   Oesophageal obstruction

Oesophageal web (acquired)

     Compression    

     Constriction   

     Stenosis          of oesophagus

     Stricture      

Excludes:    congenital oesophageal:

• stenosis or stricture (Q39.3)

• web (Q39.4)

K22.3   Perforation of oesophagus

Rupture of oesophagus

Excludes:    traumatic perforation of (thoracic) oesophagus (S27.8)

K22.4   Dyskinesia of oesophagus

Corkscrew oesophagus

Diffuse oesophageal spasm

Spasm of oesophagus

Excludes:    cardiospasm (K22.0)

K22.5   Diverticulum of oesophagus, acquired

Oesophageal pouch, acquired

Excludes:    diverticulum of oesophagus (congenital) (Q39.6)

K22.6   Gastro-oesophageal laceration-haemorrhage syndrome

Mallory-Weiss syndrome

K22.7 Barrett esophagus

Barrett:

• disease

• syndrome

Excludes:    Barrett ulcer (K22.1)

K22.8   Other specified diseases of oesophagus

Haemorrhage of oesophagus NOS

K22.9   Disease of oesophagus, unspecified

K23  Disorders of oesophagus in diseases classified elsewhere

K23.0* Tuberculous oesophagitis (A18.8†)

K23.1* Megaoesophagus in Chagas disease (B57.3†)

K23.8* Disorders of oesophagus in other diseases classified elsewhere

The following fourth-character subdivisions are for use with categories K25-K28:

.0       Acute with haemorrhage

.1       Acute with perforation

.2       Acute with both haemorrhage and perforation

.3       Acute without haemorrhage or perforation

.4       Chronic or unspecified with haemorrhage

.5       Chronic or unspecified with perforation

.6       Chronic or unspecified with both haemorrhage and perforation

.7       Chronic without haemorrhage or perforation

.9       Unspecified as acute or chronic, without haemorrhage or perforation

K25  Gastric ulcer

[See subdivisions preceding category K25]

Includes:    erosion (acute) of stomach

ulcer (peptic):

• pylorus

• stomach

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    acute haemorrhagic erosive gastritis (K29.0)

peptic ulcer NOS (K27-)

K26  Duodenal ulcer

[See subdivisions preceding category K25]

Includes:    erosion (acute) of duodenum

ulcer (peptic):

• duodenal

• postpyloric

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    peptic ulcer NOS (K27-)

K27  Peptic ulcer, site unspecified

[See subdivisions preceding category K25]

Includes:    gastroduodenal ulcer NOS

peptic ulcer NOS

Excludes:    peptic ulcer of newborn (P78.8)

K28  Gastrojejunal ulcer

[See subdivisions preceding category K25]

Includes:    ulcer (peptic) or erosion:

• anastomotic

• gastrocolic

• gastrointestinal

• gastrojejunal

• jejunal

• marginal

• stomal

Excludes:    primary ulcer of small intestine (K63.3)

K29  Gastritis and duodenitis

Excludes:    eosinophilic gastritis or gastroenteritis (K52.8)

Zollinger-Ellison syndrome (E16.4)

K29.0   Acute haemorrhagic gastritis

Acute (erosive) gastritis with haemorrhage

Excludes:    erosion (acute) of stomach (K25-)

K29.1   Other acute gastritis

K29.2   Alcoholic gastritis

K29.3   Chronic superficial gastritis

K29.4   Chronic atrophic gastritis

Gastric atrophy

K29.5   Chronic gastritis, unspecified

Chronic gastritis:

• antral

• fundal

K29.6   Other gastritis

Giant hypertrophic gastritis

Granulomatous gastritis

Menetrier disease

K29.7   Gastritis, unspecified

K29.8   Duodenitis

K29.9   Gastroduodenitis, unspecified

K30  Dyspepsia

Indigestion

Excludes:    dyspepsia:

• nervous (F45.3)

• neurotic (F45.3)

• psychogenic (F45.3)

heartburn (R12)

K31  Other diseases of stomach and duodenum

Includes:    5^TH DIGIT TO IDENTIFY STOMACH DISEASE AND/OR LESION NOS

Includes:    functional disorders of stomach

Excludes:    diverticulum of duodenum (K57.0-K57.1)

gastrointestinal haemorrhage (K92.0-K92.2)

K31.0   Acute dilatation of stomach

Acute distension of stomach

K31.1   Adult hypertrophic pyloric stenosis

Pyloric stenosis NOS

Excludes:    congenital or infantile pyloric stenosis (Q40.0)

K31.2   Hourglass stricture and stenosis of stomach

Excludes:    congenital hourglass stomach (Q40.2)

hourglass contraction of stomach (K31.8)

K31.3   Pylorospasm, not elsewhere classified

Excludes:    pylorospasm:

• congenital or infantile (Q40.0)

• neurotic (F45.3)

• psychogenic (F45.3)

K31.4   Gastric diverticulum

Excludes:    congenital diverticulum of stomach (Q40.2)

K31.5   Obstruction of duodenum

  Constriction   

  Stenosis          of duodenum

  Stricture      

Duodenal ileus (chronic)

Excludes:    congenital stenosis of duodenum (Q41.0)

K31.6   Fistula of stomach and duodenum

Gastrocolic fistula

Gastrojejunocolic fistula

K31.7   Polyp of stomach and duodenum

Excludes:    adenomatous polyp of stomach (D13.1)

K31.8   Other specified diseases of stomach and duodenum

Achlorhydria

Gastroptosis

Hourglass contraction of stomach

K31.9   Disease of stomach and duodenum, unspecified

K31.90 Disease, stomach NOS

Lesion, stomach NOS

Diseases of appendix (K35-K38)

K35  Acute appendicitis

K35.2   Acute appendicitis with generalized peritonitis

Appendicitis (acute) with generalized (diffuse) peritonitis following rupture or

perforation

K35.3   Acute appendicitis with localized peritonitis

Acute appendicitis with localized peritonitis with or without rupture or

perforation

Acute appendicitis with peritoneal abscess

K35.8   Acute appendicitis, other and unspecified

Acute appendicitis without mention of localized or generalized peritonitis

K36  Other appendicitis

Appendicitis:

• chronic

• recurrent

K37  Unspecified appendicitis

K38  Other diseases of appendix

K38.0   Hyperplasia of appendix

K38.1   Appendicular concretions

  Faecalith       Faecalith

  Stercolith      Stercolith

K38.2   Diverticulum of appendix

K38.3   Fistula of appendix

K38.8   Other specified diseases of appendix

Intussusception of appendix

K38.9   Disease of appendix, unspecified

Hernia (K40-K46)

Note:          Hernia with both gangrene and obstruction is classified to hernia with gangrene.

Includes:    hernia:

• acquired

• congenital [except diaphragmatic or hiatus]

• recurrent

K40  Inguinal hernia

Includes:    bubonocele

inguinal hernia:

• NOS

• direct

• double

• indirect

• oblique

scrotal hernia

K40.0   Bilateral inguinal hernia, with obstruction, without gangrene

K40.1   Bilateral inguinal hernia, with gangrene

K40.2   Bilateral inguinal hernia, without obstruction or gangrene

Bilateral inguinal hernia NOS

K40.3   Unilateral or unspecified inguinal hernia, with obstruction, without gangrene

Inguinal hernia (unilateral):

• causing obstruction   

• incarcerated          

• irreducible              without gangrene

• strangulated          

K40.4   Unilateral or unspecified inguinal hernia, with gangrene

Inguinal hernia NOS with gangrene

K40.9   Unilateral or unspecified inguinal hernia, without obstruction or gangrene

Inguinal hernia (unilateral) NOS

K41  Femoral hernia

K41.0   Bilateral femoral hernia, with obstruction, without gangrene

K41.1   Bilateral femoral hernia, with gangrene

K41.2   Bilateral femoral hernia, without obstruction or gangrene

Bilateral femoral hernia NOS

K41.3   Unilateral or unspecified femoral hernia, with obstruction, without gangrene

Femoral hernia (unilateral):

• causing obstruction   

• incarcerated          

• irreducible              without gangrene

• strangulated          

K41.4   Unilateral or unspecified femoral hernia, with gangrene

K41.9   Unilateral or unspecified femoral hernia, without obstruction or gangrene

Femoral hernia (unilateral) NOS

K42  Umbilical hernia

Includes:    paraumbilical hernia

Excludes:    omphalocele (Q79.2)

K42.0   Umbilical hernia with obstruction, without gangrene

Umbilical hernia:

• causing obstruction   

• incarcerated          

• irreducible              without gangrene

• strangulated          

K42.1   Umbilical hernia with gangrene

Gangrenous umbilical hernia

K42.9   Umbilical hernia without obstruction or gangrene

Umbilical hernia NOS

K43  Ventral hernia

K43.0   Ventral hernia with obstruction, without gangrene

Ventral hernia:

• causing obstruction   

• incarcerated          

• irreducible              without gangrene

• strangulated          

K43.1   Ventral hernia with gangrene

Gangrenous ventral hernia

K43.9   Ventral hernia without obstruction or gangrene

Ventral hernia NOS

K44  Diaphragmatic hernia

Includes:    hiatus hernia (oesophageal)(sliding)

paraoesophageal hernia

Excludes:    congenital hernia:

• diaphragmatic (Q79.0)

• hiatus (Q40.1)

K44.0   Diaphragmatic hernia with obstruction, without gangrene

Diaphragmatic hernia:

• causing obstruction   

• incarcerated          

• irreducible              without gangrene

• strangulated          

K44.1   Diaphragmatic hernia with gangrene

Gangrenous diaphragmatic hernia

K44.9   Diaphragmatic hernia without obstruction or gangrene

Diaphragmatic hernia NOS

K45  Other abdominal hernia

Includes:    hernia:

• abdominal, specified site NEC

• lumbar

• obturator

• pudendal

• retroperitoneal

• sciatic

K45.0   Other specified abdominal hernia with obstruction, without gangrene

Any condition listed under K45:

• causing obstruction   

• incarcerated          

• irreducible              without gangrene

• strangulated          

K45.1   Other specified abdominal hernia with gangrene

Any condition listed under K45 specified as gangrenous

K45.8   Other specified abdominal hernia without obstruction or gangrene

K46  Unspecified abdominal hernia

Includes:    enterocele

epiplocele

hernia:

• NOS

• interstitial

• intestinal

• intra-abdominal

Excludes:    vaginal enterocele (N81.5)

K46.0   Unspecified abdominal hernia with obstruction, without gangrene

Any condition listed under K46:

• causing obstruction   

• incarcerated          

• irreducible              without gangrene

• strangulated          

K46.1   Unspecified abdominal hernia with gangrene

Any condition listed under K46 specified as gangrenous

K46.9   Unspecified abdominal hernia without obstruction or gangrene

Abdominal hernia NOS

Noninfective enteritis and colitis (K50-K52)

Includes:    noninfective inflammatory bowel disease

Excludes:    irritable bowel syndrome (K58-)

megacolon (K59.3)

K50  Crohn disease [regional enteritis]

Includes:    granulomatous enteritis

Excludes:    ulcerative colitis (K51-)

K50.0   Crohn disease of small intestine

Crohn disease [regional enteritis] of:

• duodenum

• ileum

• jejunum

Ileitis:

• regional

• terminal

Excludes:    with Crohn disease of large intestine (K50.8)

K50.1   Crohn disease of large intestine

Colitis:

• granulomatous

• regional

Crohn disease [regional enteritis] of:

• colon

• large bowel

• rectum

Excludes:    with Crohn disease of small intestine (K50.8)

K50.8   Other Crohn disease

Crohn disease of both small and large intestine

K50.9   Crohn disease, unspecified

Crohn disease NOS

Regional enteritis NOS

K51  Ulcerative colitis

K51.0   Ulcerative (chronic) pancolitis

Includes:    backwash ileitis

K51.2   Ulcerative (chronic) proctitis

K51.3   Ulcerative (chronic) rectosigmoiditis

K51.4   Inflammatory polyps

K51.5   Left sided colitis

Includes:    left hemicolitis

K51.8   Other ulcerative colitis

K51.9   Ulcerative colitis, unspecified

K52  Other noninfective gastroenteritis and colitis

K52.0   Gastroenteritis and colitis due to radiation

K52.1   Toxic gastroenteritis and colitis

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

K52.2   Allergic and dietetic gastroenteritis and colitis

Food hypersensitivity gastroenteritis or colitis

K52.3   Indeterminate colitis

Excludes:    colitis of unspecified origin (A09.9)

K52.8   Other specified noninfective gastroenteritis and colitis

Collagenous colitis

Eosinophilic gastritis or gastroenteritis

Lymphocytic colitis

Microscopic colitis (collagenous colitis or lymphocytic colitis)

K52.9   Noninfective gastroenteritis and colitis, unspecified

  Diarrhoea     

  Enteritis     

  Ileitis          specified as noninfectious

  Jejunitis     

  Sigmoiditis   

Excludes:    colitis, diarrhoea, enteritis, gastroenteritis:

• infectious (A09.0)

• unspecified origin (A09.9)

functional diarrhoea (K59.1)

neonatal diarrhoea

• NOS (A09.9)

• infectious (A09.0)

• noninfective (P78.3)

psychogenic diarrhoea (F45.3)

Other diseases of intestines (K55-K63)

K55  Vascular disorders of intestine

Includes:    5^TH DIGIT TO IDENTIFY TERMS QUALIFIED AS EMBOLIC

Excludes:    necrotizing enterocolitis of fetus or newborn (P77)

K55.0   Acute vascular disorders of intestine

Acute:

• fulminant ischaemic colitis

• intestinal infarction

• small intestine ischaemia

Mesenteric (artery) (vein):

• embolism

• infarction

• thrombosis

Subacute ischaemic colitis

K55.00 Acute embolic vascular disorders of intestine

Includes:    Any term indexed to K55.0 when qualified as embolic

K55.1   Chronic vascular disorders of intestine

Chronic ischaemic:

• colitis

• enteritis

• enterocolitis

Ischaemic stricture of intestine

Mesenteric:

• atherosclerosis

• vascular insufficiency

K55.2   Angiodysplasia of colon

K55.8   Other vascular disorders of intestine

K55.9   Vascular disorder of intestine, unspecified

Ischaemic:

• colitis         

• enteritis          NOS

• enterocolitis   

K56  Paralytic ileus and intestinal obstruction without hernia

Excludes:    congenital stricture or stenosis of intestine (Q41-Q42)

ischaemic stricture of intestine (K55.1)

meconium ileus (E84.1)

obstruction of duodenum (K31.5)

postoperative intestinal obstruction (K91.3)

stenosis of anus or rectum (K62.4)

with hernia (K40-K46)

K56.0   Paralytic ileus

Paralysis of:

• bowel

• colon

• intestine

Excludes:    gallstone ileus (K56.3)

ileus NOS (K56.7)

obstructive ileus NOS (K56.6)

K56.1   Intussusception

Intussusception or invagination of:

• bowel

• colon

• intestine

• rectum

Excludes:    intussusception of appendix (K38.8)

K56.2   Volvulus

  Strangulation   

  Torsion            of colon or intestine

  Twist           

K56.3   Gallstone ileus

Obstruction of intestine by gallstone

K56.4   Other impaction of intestine

Enterolith

Impaction (of):

• colon

• faecal

K56.5   Intestinal adhesions [bands] with obstruction

Peritoneal adhesions [bands] with intestinal obstruction

K56.6   Other and unspecified intestinal obstruction

Enterostenosis

Obstructive ileus NOS

     Occlusion   

     Stenosis       of colon or intestine

     Stricture   

Excludes:    other and unspecified neonatal intestinal obstructions classifiable to P76.8, P76.9

K56.7   Ileus, unspecified

K57  Diverticular disease of intestine

Includes:    diverticulitis diverticulosis diverticulum

of (small)(large) intestine

Excludes:    congenital diverticulum of intestine (Q43.8)

diverticulum of appendix (K38.2)

Meckel diverticulum (Q43.0)

K57.0   Diverticular disease of small intestine with perforation and abscess

Diverticular disease of small intestine with peritonitis

Excludes:    diverticular disease of both small and large intestine with perforation and abscess (K57.4)

K57.1   Diverticular disease of small intestine without perforation or abscess

Diverticular disease of small intestine NOS

Excludes:    diverticular disease of both small and large intestine without perforation or abscess (K57.5)

K57.2   Diverticular disease of large intestine with perforation and abscess

Diverticular disease of colon with peritonitis

Excludes:    diverticular disease of both small and large intestine with perforation and abscess (K57.4)

K57.3   Diverticular disease of large intestine without perforation or abscess

Diverticular disease of colon NOS

Excludes:    diverticular disease of both small and large intestine without perforation or abscess (K57.5)

K57.4   Diverticular disease of both small and large intestine with perforation and abscess

Diverticular disease of both small and large intestine with peritonitis

K57.5   Diverticular disease of both small and large intestine without perforation or abscess

Diverticular disease of both small and large intestine NOS

K57.8   Diverticular disease of intestine, part unspecified, with perforation and abscess

Diverticular disease of intestine NOS with peritonitis

K57.9   Diverticular disease of intestine, part unspecified, without perforation or abscess

Diverticular disease of intestine NOS

K58  Irritable bowel syndrome

Includes:    irritable colon

K58.0   Irritable bowel syndrome with diarrhoea

K58.9   Irritable bowel syndrome without diarrhoea

Irritable bowel syndrome NOS

K59  Other functional intestinal disorders

Excludes:    changes in bowel habits

functional disorders of stomach (K31-)

intestinal malabsorption (K90-)

psychogenic intestinal disorders (F45.3)

K59.0   Constipation

K59.1   Functional diarrhoea

K59.2   Neurogenic bowel, not elsewhere classified

K59.3   Megacolon, not elsewhere classified

Dilatation of colon

Toxic megacolon

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

Excludes:    megacolon (in):

• Chagas disease (B57.3)

• congenital (aganglionic) (Q43.1)

• Hirschsprung disease (Q43.1)

K59.4   Anal spasm

Proctalgia fugax

K59.8   Other specified functional intestinal disorders

Atony of colon

K59.9   Functional intestinal disorder, unspecified

K60  Fissure and fistula of anal and rectal regions

Excludes:    with abscess or cellulitis (K61-)

K60.0   Acute anal fissure

K60.1   Chronic anal fissure

K60.2   Anal fissure, unspecified

K60.3   Anal fistula

K60.4   Rectal fistula

Fistula of rectum to skin

Excludes:    fistula:

• rectovaginal (N82.3)

• vesicorectal (N32.1)

K60.5   Anorectal fistula

K61  Abscess of anal and rectal regions

Includes:          abscess cellulitis

of anal and rectal regions with or without fistula

K61.0   Anal abscess

Perianal abscess

Excludes:    intrasphincteric abscess (K61.4)

K61.1   Rectal abscess

Perirectal abscess

Excludes:    ischiorectal abscess (K61.3)

K61.2   Anorectal abscess

K61.3   Ischiorectal abscess

Abscess of ischiorectal fossa

K61.4   Intrasphincteric abscess

K62  Other diseases of anus and rectum

Includes:    anal canal

Excludes:    colostomy and enterostomy malfunction (K91.4)

faecal incontinence (R15)

haemorrhoids (I84-)

ulcerative proctitis (K51.2)

K62.0   Anal polyp

K62.1   Rectal polyp

Excludes:    adenomatous polyp (D12.8)

K62.2   Anal prolapse

Prolapse of anal canal

K62.3   Rectal prolapse

Prolapse of rectal mucosa

K62.4   Stenosis of anus and rectum

Stricture of anus (sphincter)

K62.5   Haemorrhage of anus and rectum

Excludes:    neonatal rectal haemorrhage (P54.2)

K62.6   Ulcer of anus and rectum

Ulcer:

• solitary

• stercoral

Excludes:    fissure and fistula of anus and rectum (K60-)

in ulcerative colitis (K51-)

K62.7   Radiation proctitis

K62.8   Other specified diseases of anus and rectum

Proctitis NOS

K62.9   Disease of anus and rectum, unspecified

K63  Other diseases of intestine

Includes:    5^th DIGIT TO IDENTIFY PERFORATION, RUPTURE, AND/OR PENETRATION OF INTESTINE, UNSPECIFIED PART

K63.0   Abscess of intestine

Excludes:    abscess of:

• anal and rectal regions (K61-)

• appendix ( K35.3)

with diverticular disease (K57-)

K63.1   Perforation of intestine (nontraumatic)

Excludes:    perforation (nontraumatic) of:

• appendix ( K35.2, K35.3)

• duodenum (K26-)

with diverticular disease (K57-)

K63.10 Intestinal perforation, rupture and/or penetration, unspecified part

K63.2   Fistula of intestine

Excludes:    fistula (of):

• anal and rectal regions (K60-)

• appendix (K38.3)

• duodenum (K31.6)

• intestinal-genital, female (N82.2-N82.4)

• vesicointestinal (N32.1)

K63.3   Ulcer of intestine

Primary ulcer of small intestine

Excludes:    ulcer (of):

• anus or rectum (K62.6)

• duodenal (K26-)

• gastrointestinal (K28-)

• gastrojejunal (K28-)

• jejunal (K28-)

• peptic, site unspecified (K27-)

ulcerative colitis (K51-)

K63.4   Enteroptosis

K63.5   Polyp of colon

Excludes:    adenomatous polyp of colon (D12.6)

polyposis of colon (D12.6)

K63.8   Other specified diseases of intestine

K63.9   Disease of intestine, unspecified

Diseases of peritoneum (K65-K67)

K65  Peritonitis

Excludes:    peritonitis:

• aseptic (T81.6)

• benign paroxysmal (E85.0)

• chemical (T81.6)

• due to talc or other foreign substance (T81.6)

• neonatal (P78.0-P78.1)

• pelvic, female (N73.3-N73.5)

• periodic familial (E85.0)

• puerperal (O85)

• with or following:

    • abortion or ectopic or molar pregnancy (O00-O07, O08.0)

    • appendicitis (K35-)

    • diverticular disease of intestine (K57-)

K65.0   Acute peritonitis

Abscess (of):

• abdominopelvic

• mesenteric

• omentum

• peritoneum

• retrocaecal

• retroperitoneal

• subdiaphragmatic

• subhepatic

• subphrenic

Peritonitis (acute):

• generalized

• pelvic, male

• subphrenic

• suppurative

Use additional code (B95-B97), if desired, to identify infectious agent.

K65.8   Other peritonitis

Chronic proliferative peritonitis

Mesenteric:

• fat necrosis

• saponification

Peritonitis due to:

• bile

• urine

K65.9   Peritonitis, unspecified

K66  Other disorders of peritoneum

Excludes:    ascites (R18)

K66.0   Peritoneal adhesions

Adhesions (of):

• abdominal (wall)

• diaphragm

• intestine

• male pelvis

• mesenteric

• omentum

• stomach

Adhesive bands

Excludes:    adhesions [bands] (of):

• female pelvis (N73.6)

• with intestinal obstruction (K56.5)

K66.1   Haemoperitoneum

Excludes:    traumatic haemoperitoneum (S36.8)

K66.8   Other specified disorders of peritoneum

K66.9   Disorder of peritoneum, unspecified

K67  Disorders of peritoneum in infectious diseases classified elsewhere

K67.0* Chlamydial peritonitis (A74.8†)

K67.1* Gonococcal peritonitis (A54.8†)

K67.2* Syphilitic peritonitis (A52.7†)

K67.3* Tuberculous peritonitis (A18.3†)

K67.8* Other disorders of peritoneum in infectious diseases classified elsewhere

Diseases of liver (K70-K77)

Excludes:    haemochromatosis (E83.1)

jaundice NOS (R17)

Reye syndrome (G93.7)

viral hepatitis (B15-B19)

Wilson disease (E83.0)

K70  Alcoholic liver disease

K70.0   Alcoholic fatty liver

K70.1   Alcoholic hepatitis

K70.2   Alcoholic fibrosis and sclerosis of liver

K70.3   Alcoholic cirrhosis of liver

Alcoholic cirrhosis NOS

Laennec cirrhosis

K70.4   Alcoholic hepatic failure

Alcoholic hepatic failure:

• NOS

• acute

• chronic

• subacute

• with or without hepatic coma

K70.9   Alcoholic liver disease, unspecified

K71  Toxic liver disease

Includes:    drug-induced:

• idiosyncratic (unpredictable) liver disease

• toxic (predictable) liver disease

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

Excludes:    alcoholic liver disease (K70-)

Budd-Chiari syndrome (I82.0)

K71.0   Toxic liver disease with cholestasis

Cholestasis with hepatocyte injury

"Pure" cholestasis

K71.1   Toxic liver disease with hepatic necrosis

Hepatic failure (acute)(chronic) due to drugs

K71.2   Toxic liver disease with acute hepatitis

K71.3   Toxic liver disease with chronic persistent hepatitis

K71.4   Toxic liver disease with chronic lobular hepatitis

K71.5   Toxic liver disease with chronic active hepatitis

Toxic liver disease with lupoid hepatitis

K71.6   Toxic liver disease with hepatitis, not elsewhere classified

K71.7   Toxic liver disease with fibrosis and cirrhosis of liver

K71.8   Toxic liver disease with other disorders of liver

Toxic liver disease with:

• focal nodular hyperplasia

• hepatic granulomas

• peliosis hepatis

• veno-occlusive disease of liver

K71.9   Toxic liver disease, unspecified

K72  Hepatic failure, not elsewhere classified

Includes:    5^TH DIGIT TO IDENTIFY HEPATIC FAILURE

Includes:    hepatic:

• coma NOS

• encephalopathy NOS

hepatitis:

• fulminant      • fulminant

• malignant      • malignant

liver (cell) necrosis with hepatic failure

yellow liver atrophy or dystrophy

Excludes:    alcoholic hepatic failure (K70.4)

hepatic failure complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.8)

• pregnancy, childbirth and the puerperium (O26.6)

icterus of fetus and newborn (P55-P59)

viral hepatitis (B15-B19)

with toxic liver disease (K71.1)

K72.0   Acute and subacute hepatic failure

K72.00 Acute hepatic failure

K72.1   Chronic hepatic failure

K72.10 Chronic hepatic failure

K72.9   Hepatic failure, unspecified

K72.90 Hepatic failure

K73  Chronic hepatitis, not elsewhere classified

Excludes:    hepatitis (chronic):

• alcoholic (K70.1)

• drug-induced (K71-)

• granulomatous NEC (K75.3)

• reactive, nonspecific (K75.2)

• viral (B15-B19)

K73.0   Chronic persistent hepatitis, not elsewhere classified

K73.1   Chronic lobular hepatitis, not elsewhere classified

K73.2   Chronic active hepatitis, not elsewhere classified

K73.8   Other chronic hepatitis, not elsewhere classified

K73.9   Chronic hepatitis, unspecified

K74  Fibrosis and cirrhosis of liver

Excludes:    alcoholic fibrosis of liver (K70.2)

cardiac sclerosis of liver (K76.1)

cirrhosis (of liver):

• alcoholic (K70.3)

• congenital (P78.8)

Laennec cirrhosis (K70.3)

with toxic liver disease (K71.7)

K74.0   Hepatic fibrosis

K74.1   Hepatic sclerosis

K74.2   Hepatic fibrosis with hepatic sclerosis

K74.3   Primary biliary cirrhosis

Chronic nonsuppurative destructive cholangitis

K74.4   Secondary biliary cirrhosis

K74.5   Biliary cirrhosis, unspecified

K74.6   Other and unspecified cirrhosis of liver

Cirrhosis (of liver):

• NOS

• cryptogenic

• macronodular

• micronodular

• mixed type

• portal

• postnecrotic

K75  Other inflammatory liver diseases

Excludes:    chronic hepatitis NEC (K73-)

hepatitis:

• acute or subacute (K72.0)

• viral (B15-B19)

toxic liver disease (K71-)

K75.0   Abscess of liver

Hepatic abscess:

• NOS

• cholangitic

• haematogenic

• lymphogenic

• pylephlebitic

Excludes:    amoebic liver abscess (A06.4)

cholangitis without liver abscess (K83.0)

pylephlebitis without liver abscess (K75.1)

K75.1   Phlebitis of portal vein

Pylephlebitis

Excludes:    pylephlebitic liver abscess (K75.0)

K75.2   Nonspecific reactive hepatitis

K75.3   Granulomatous hepatitis, not elsewhere classified

K75.4   Autoimmune hepatitis

Lupoid hepatitis NEC

K75.8   Other specified inflammatory liver diseases

K75.9   Inflammatory liver disease, unspecified

Hepatitis NOS

K76  Other diseases of liver

Excludes:    alcoholic liver disease (K70-)

amyloid degeneration of liver (E85-)

cystic disease of liver (congenital) (Q44.6)

hepatic vein thrombosis (I82.0)

hepatomegaly NOS (R16.0)

portal vein thrombosis (I81)

toxic liver disease (K71-)

K76.0   Fatty (change of) liver, not elsewhere classified

K76.1   Chronic passive congestion of liver

Cardiac:

• cirrhosis (so called)      • cirrhosis (so called)

• sclerosis                  • sclerosis

K76.2   Central haemorrhagic necrosis of liver

Excludes:    liver necrosis with hepatic failure (K72-)

K76.3   Infarction of liver

K76.4   Peliosis hepatis

Hepatic angiomatosis

K76.5   Hepatic veno-occlusive disease

Excludes:    Budd-Chiari syndrome (I82.0)

K76.6   Portal hypertension

K76.7   Hepatorenal syndrome

Excludes:    following labour and delivery (O90.4)

K76.8   Other specified diseases of liver

Acquired intrahepatic vascular shunt

Focal nodular hyperplasia of liver

Hepatoptosis

Simple cyst of liver

K76.9   Liver disease, unspecified

K77  Liver disorders in diseases classified elsewhere

K77.0* Liver disorders in infectious and parasitic diseases classified elsewhere

Hepatitis:

• cytomegaloviral (B25.1†)

• herpesviral [herpes simplex] (B00.8†)

• toxoplasma (B58.1†)

Hepatosplenic schistosomiasis (B65†)

Portal hypertension in schistosomiasis (B65†)

Syphilitic liver disease (A52.7†)

K77.8* Liver disorders in other diseases classified elsewhere

Hepatic granulomas in:

• berylliosis (J63.2†)

• sarcoidosis (D86.8†)

Disorders of gallbladder, biliary tract and pancreas (K80-K87)

K80  Cholelithiasis

K80.0   Calculus of gallbladder with acute cholecystitis

Any condition listed in K80.2 with acute cholecystitis

K80.1   Calculus of gallbladder with other cholecystitis

Any condition listed in K80.2 with cholecystitis (chronic)

Cholecystitis with cholelithiasis NOS

K80.2   Calculus of gallbladder without cholecystitis

  Cholelithiasis                     

  Colic (recurrent) of gallbladder   

  Gallstone (impacted) of:              unspecified or without cholecystitis

• cystic duct                      

• gallbladder                      

K80.3   Calculus of bile duct with cholangitis

Any condition listed in K80.5 with cholangitis

K80.4   Calculus of bile duct with cholecystitis

Any condition listed in K80.5 with cholecystitis (with cholangitis)

K80.5   Calculus of bile duct without cholangitis or cholecystitis

  Choledocholithiasis        

  Gallstone (impacted) of:   

• bile duct NOS               unspecified or without cholangitis or

• common duct                  cholecystitis

• hepatic duct             

  Hepatic:                   

• cholelithiasis           

• colic (recurrent)        

K80.8   Other cholelithiasis

K81  Cholecystitis

Excludes:    with cholelithiasis (K80-)

K81.0   Acute cholecystitis

  Abscess of gallbladder    

  Angiocholecystitis        

  Cholecystitis:            

• emphysematous (acute)   

• gangrenous                 without calculus

• suppurative             

  Empyema of gallbladder    

  Gangrene of gallbladder   

K81.1   Chronic cholecystitis

K81.8   Other cholecystitis

K81.9   Cholecystitis, unspecified

K82  Other diseases of gallbladder

Excludes:    nonvisualization of gallbladder (R93.2)

postcholecystectomy syndrome (K91.5)

K82.0   Obstruction of gallbladder

  Occlusion   

  Stenosis       of cystic duct or gallbladder without

  Stricture       calculus

Excludes:    with cholelithiasis (K80-)

K82.1   Hydrops of gallbladder

Mucocele of gallbladder

K82.2   Perforation of gallbladder

Rupture of cystic duct or gallbladder

K82.3   Fistula of gallbladder

  Cholecystocolic         Cholecystocolic

  Cholecystoduodenal      Cholecystoduodenal

K82.4   Cholesterolosis of gallbladder

Strawberry gallbladder

K82.8   Other specified diseases of gallbladder

  Adhesions        

  Atrophy          

  Cyst             

  Dyskinesia          of cystic duct or gallbladder

  Hypertrophy      

  Nonfunctioning   

  Ulcer            

K82.9   Disease of gallbladder, unspecified

K83  Other diseases of biliary tract

Excludes:    the listed conditions involving the:

• cystic duct (K81-K82)

• gallbladder (K81-K82)

postcholecystectomy syndrome (K91.5)

K83.0   Cholangitis

Cholangitis:

• NOS

• ascending

• primary

• recurrent

• sclerosing

• secondary

• stenosing

• suppurative

Excludes:    cholangitic liver abscess (K75.0)

cholangitis with choledocholithiasis (K80.3-K80.4)

chronic nonsuppurative destructive cholangitis (K74.3)

K83.1   Obstruction of bile duct

  Occlusion   

  Stenosis       of bile duct without calculus

  Stricture   

Excludes:    with cholelithiasis (K80-)

K83.2   Perforation of bile duct

Rupture of bile duct

K83.3   Fistula of bile duct

Choledochoduodenal fistula

K83.4   Spasm of sphincter of Oddi

K83.5   Biliary cyst

K83.8   Other specified diseases of biliary tract

  Adhesions     

  Atrophy       

  Hypertrophy      of bile duct

  Ulcer         

K83.9   Disease of biliary tract, unspecified

K85  Acute pancreatitis

Abscess of pancreas

Necrosis of pancreas:

• acute

• infective

Pancreatitis:

• NOS

• acute (recurrent)

• haemorrhagic

• subacute

• suppurative

K85.0   Idiopathic acute pancreatitis

K85.1   Biliary acute pancreatitis

Gallstone pancreatitis

K85.2   Alcohol-induced acute pancreatitis

K85.3   Drug-induced acute pancreatitis

Use additional external cause code (Chapter XX), if desired, to identify drug.

K85.8   Other acute pancreatitis

K85.9   Acute pancreatitis, unspecified

K86  Other diseases of pancreas

Excludes:    fibrocystic disease of pancreas (E84-)

islet cell tumour (of pancreas) (D13.7)

pancreatic steatorrhoea (K90.3)

K86.0   Alcohol-induced chronic pancreatitis

K86.1   Other chronic pancreatitis

Chronic pancreatitis:

• NOS

• infectious

• recurrent

• relapsing

K86.2   Cyst of pancreas

K86.3   Pseudocyst of pancreas

K86.8   Other specified diseases of pancreas

  Atrophy     

  Calculus    

  Cirrhosis      of pancreas

  Fibrosis    

Pancreatic:

• infantilism

• necrosis:

    • NOS

    • aseptic

    • fat

K86.9   Disease of pancreas, unspecified

K87  Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

K87.0* Disorders of gallbladder and biliary tract in diseases classified elsewhere

K87.1* Disorders of pancreas in diseases classified elsewhere

Cytomegaloviral pancreatitis (B25.2†)

Mumps pancreatitis (B26.3†)

Other diseases of the digestive system (K90-K93)

K90  Intestinal malabsorption

Excludes:    following gastrointestinal surgery (K91.2)

K90.0   Coeliac disease

Gluten-sensitive enteropathy

Idiopathic steatorrhoea

Nontropical sprue

K90.1   Tropical sprue

Sprue NOS

Tropical steatorrhoea

K90.2   Blind loop syndrome, not elsewhere classified

Blind loop syndrome NOS

Excludes:    blind loop syndrome:

• congenital (Q43.8)

• postsurgical (K91.2)

K90.3   Pancreatic steatorrhoea

K90.4   Malabsorption due to intolerance, not elsewhere classified

Malabsorption due to intolerance to:

• carbohydrate

• fat

• protein

• starch

Excludes:    gluten-sensitive enteropathy (K90.0)

lactose intolerance (E73-)

K90.8   Other intestinal malabsorption

Whipple disease† (M14.8*)

K90.9   Intestinal malabsorption, unspecified

K91  Postprocedural disorders of digestive system, not elsewhere classified

Excludes:    gastrojejunal ulcer (K28-)

radiation:

• colitis (K52.0)

• gastroenteritis (K52.0)

• proctitis (K62.7)

K91.0   Vomiting following gastrointestinal surgery

K91.1   Postgastric surgery syndromes

Syndrome:

• dumping

• postgastrectomy

• postvagotomy

K91.2   Postsurgical malabsorption, not elsewhere classified

Postsurgical blind loop syndrome

Excludes:    malabsorption:

• osteomalacia in adults (M83.2)

• osteoporosis, postsurgical (M81.3)

K91.3   Postoperative intestinal obstruction

K91.4   Colostomy and enterostomy malfunction

K91.5   Postcholecystectomy syndrome

K91.8   Other postprocedural disorders of digestive system, not elsewhere classified

K91.9   Postprocedural disorder of digestive system, unspecified

K92  Other diseases of digestive system

Excludes:    neonatal gastrointestinal haemorrhage (P54.0-P54.3)

K92.0   Haematemesis

K92.1   Melaena

Excludes:    Occult blood in faeces (R19.5)

K92.2   Gastrointestinal haemorrhage, unspecified

Haemorrhage:

• gastric NOS

• intestinal NOS

Excludes:    acute haemorrhagic gastritis (K29.0)

haemorrhage of anus and rectum (K62.5)

with peptic ulcer (K25-K28)

K92.8   Other specified diseases of digestive system

K92.9   Disease of digestive system, unspecified

K93  Disorders of other digestive organs in diseases classified elsewhere

K93.0* Tuberculous disorders of intestines, peritoneum and mesenteric glands (A18.3†)

Excludes:    tuberculous peritonitis (K67.3*)

K93.1* Megacolon in Chagas disease (B57.3†)

K93.8* Disorders of other specified digestive organs in diseases classified elsewhere

CHAPTER XII - Diseases of the skin and subcutaneous tissue (L00-L99)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

lipomelanotic reticulosis (I89.8)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

systemic connective tissue disorders (M30-M36)

This chapter contains the following blocks:

L00-L08        Infections of the skin and subcutaneous tissue

L10-L14        Bullous disorders

L20-L30        Dermatitis and eczema

L40-L45        Papulosquamous disorders

L50-L54        Urticaria and erythema

L55-L59        Radiation-related disorders of the skin and subcutaneous tissue

L60-L75        Disorders of skin appendages

L80-L99        Other disorders of the skin and subcutaneous tissue

Asterisk categories for this chapter are provided as follows:

L14*            Bullous disorders in diseases classified elsewhere

L45*            Papulosquamous disorders in diseases classified elsewhere

L54*            Erythema in diseases classified elsewhere

L62*            Nail disorders in diseases classified elsewhere

L86*            Keratoderma in diseases classified elsewhere

L99*            Other disorders of the skin and subcutaneous tissue in diseases classified elsewhere

Infections of the skin and subcutaneous tissue (L00-L08)

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    hordeolum (H00.0)

infective dermatitis (L30.3)

local infections of skin classified in Chapter I, such as:

• erysipelas (A46)

• erysipeloid (A26-)

• herpesviral [herpes simplex] infection (B00-)

• anogenital (A60-)

• molluscum contagiosum (B08.1)

• mycoses (B35-B49)

• pediculosis, acariasis and other infestations (B85-B89)

• viral warts (B07)

panniculitis (of):

• NOS (M79.3)

• lupus (L93.2)

• neck and back (M54.0)

• relapsing [Weber-Christian] (M35.6)

perleche (due to):

• NOS (K13.0)

• candidiasis (B37-)

• riboflavin deficiency (E53.0)

pyogenic granuloma (L98.0)

zoster (B02-)

L00   Staphylococcal scalded skin syndrome

Pemphigus neonatorum

Ritter disease

Excludes:    toxic epidermal necrolysis [Lyell] (L51.2)

L01   Impetigo

Excludes:    impetigo herpetiformis (L40.1)

pemphigus neonatorum (L00)

L01.0   Impetigo [any organism] [any site]

Bockhart impetigo

L01.1   Impetiginization of other dermatoses

L02   Cutaneous abscess, furuncle and carbuncle

Includes:    boil

furunculosis

Excludes:    anal and rectal regions (K61-)

genital organs (external):

• female (N76.4)

• male (N48.2, N49-)

L02.0   Cutaneous abscess, furuncle and carbuncle of face

Excludes:    ear, external (H60.0)

eyelid (H00.0)

head [any part, except face] (L02.8)

lacrimal:

• gland (H04.0)

• passages (H04.3)

mouth (K12.2)

nose (J34.0)

orbit (H05.0)

submandibular (K12.2)

L02.1   Cutaneous abscess, furuncle and carbuncle of neck

L02.2   Cutaneous abscess, furuncle and carbuncle of trunk

Abdominal wall

Back [any part, except buttock]

Chest wall

Groin

Perineum

Umbilicus

Excludes:    breast (N61)

hip (L02.4)

omphalitis of newborn (P38)

L02.3   Cutaneous abscess, furuncle and carbuncle of buttock

Gluteal region

Excludes:    pilonidal cyst with abscess (L05.0)

L02.4   Cutaneous abscess, furuncle and carbuncle of limb

Axilla

Hip

Shoulder

L02.8   Cutaneous abscess, furuncle and carbuncle of other sites

Head [any part, except face]

Scalp

L02.9   Cutaneous abscess, furuncle and carbuncle, unspecified

Furunculosis NOS

L03   Cellulitis

Includes:    acute lymphangitis

Excludes:    cellulitis of:

• anal and rectal regions (K61-)

• external auditory canal (H60.1)

• external genital organs:

    • female (N76.4)

    • male (N48.2, N49-)

• eyelid (H00.0)

• lacrimal apparatus (H04.3)

• mouth (K12.2)

• nose (J34.0)

eosinophilic cellulitis [Wells] (L98.3)

febrile neutrophilic dermatosis [Sweet] (L98.2)

lymphangitis (chronic)(subacute) (I89.1)

L03.0   Cellulitis of finger and toe

Infection of nail

Onychia

Paronychia

Perionychia

L03.1   Cellulitis of other parts of limb

Axilla

Hip

Shoulder

L03.2   Cellulitis of face

L03.3   Cellulitis of trunk

Abdominal wall

Back [any part]

Chest wall

Groin

Perineum

Umbilicus

Excludes:    omphalitis of newborn (P38)

L03.8   Cellulitis of other sites

Head [any part, except face]

Scalp

L03.9   Cellulitis, unspecified

L04   Acute lymphadenitis

Includes:    abscess (acute) lymphadenitis, acute

any lymph node, except mesenteric

Excludes:    enlarged lymph nodes (R59-)

human immunodeficiency virus [HIV] disease resulting in generalized lymphadenopathy (B23.1)

lymphadenitis:

• NOS (I88.9)

• chronic or subacute, except mesenteric (I88.1)

• mesenteric, nonspecific (I88.0)

L04.0   Acute lymphadenitis of face, head and neck

L04.1   Acute lymphadenitis of trunk

L04.2   Acute lymphadenitis of upper limb

Axilla

Shoulder

L04.3   Acute lymphadenitis of lower limb

Hip

L04.8   Acute lymphadenitis of other sites

L04.9   Acute lymphadenitis, unspecified

L05   Pilonidal cyst

Includes:    fistula sinus

coccygeal or pilonidal

L05.0   Pilonidal cyst with abscess

L05.9   Pilonidal cyst without abscess

Pilonidal cyst NOS

L08   Other local infections of skin and subcutaneous tissue

L08.0   Pyoderma

Dermatitis:

• purulent

• septic

• suppurative

Excludes:    pyoderma gangrenosum (L88)

L08.1   Erythrasma

L08.8   Other specified local infections of skin and subcutaneous tissue

L08.9   Local infection of skin and subcutaneous tissue, unspecified

Bullous disorders (L10-L14)

Excludes:    benign familial pemphigus [Hailey-Hailey] (Q82.8)

staphylococcal scalded skin syndrome (L00)

toxic epidermal necrolysis [Lyell] (L51.2)

L10   Pemphigus

Excludes:    pemphigus neonatorum (L00)

L10.0   Pemphigus vulgaris

L10.1   Pemphigus vegetans

L10.2   Pemphigus foliaceus

L10.3   Brazilian pemphigus [fogo selvagem]

L10.4   Pemphigus erythematosus

Senear-Usher syndrome

L10.5   Drug-induced pemphigus

Use additional external cause code (Chapter XX), if desired, to identify drug.

L10.8   Other pemphigus

L10.9   Pemphigus, unspecified

L11   Other acantholytic disorders

L11.0   Acquired keratosis follicularis

Excludes:    keratosis follicularis (congenital) [Darier-White] (Q82.8)

L11.1   Transient acantholytic dermatosis [Grover]

L11.8   Other specified acantholytic disorders

L11.9   Acantholytic disorder, unspecified

L12   Pemphigoid

Excludes:    herpes gestationis (O26.4)

impetigo herpetiformis (L40.1)

L12.0   Bullous pemphigoid

L12.1   Cicatricial pemphigoid

Benign mucous membrane pemphigoid

L12.2   Chronic bullous disease of childhood

Juvenile dermatitis herpetiformis

L12.3   Acquired epidermolysis bullosa

Excludes:    epidermolysis bullosa (congenital) (Q81-)

L12.8   Other pemphigoid

L12.9   Pemphigoid, unspecified

L13   Other bullous disorders

L13.0   Dermatitis herpetiformis

Duhring disease

L13.1   Subcorneal pustular dermatitis

Sneddon-Wilkinson disease

L13.8   Other specified bullous disorders

L13.9   Bullous disorder, unspecified

L14   Bullous disorders in diseases classified elsewhere

Dermatitis and eczema (L20-L30)

Note:          In this block the terms dermatitis and eczema are used synonymously and interchangeably.

Excludes:    chronic (childhood) granulomatous disease (D71)

dermatitis:

• dry skin (L85.3)

• factitial (L98.1)

• gangrenosa (L88)

• herpetiformis (L13.0)

• perioral (L71.0)

• stasis (I83.1-I83.2)

radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L20   Atopic dermatitis

Excludes:    circumscribed neurodermatitis (L28.0)

L20.0   Besnier prurigo

L20.8   Other atopic dermatitis

Eczema:

• flexural NEC

• infantile (acute)(chronic)

• intrinsic (allergic)

Neurodermatitis:

• atopic

• diffuse

L20.9   Atopic dermatitis, unspecified

L21   Seborrhoeic dermatitis

Excludes:    infective dermatitis (L30.3)

L21.0   Seborrhoea capitis

Cradle cap

L21.1   Seborrhoeic infantile dermatitis

L21.8   Other seborrhoeic dermatitis

L21.9   Seborrhoeic dermatitis, unspecified

L22   Diaper [napkin] dermatitis

Diaper or napkin:

• erythema

• rash

Psoriasiform napkin rash

L23   Allergic contact dermatitis

Includes:    allergic contact eczema

Excludes:    allergy NOS (T78.4)

dermatitis (of):

• NOS (L30.9)

• contact NOS (L25.9)

• diaper [napkin] (L22)

• due to substances taken internally (L27-)

• eyelid (H01.1)

• irritant contact (L24-)

• perioral (L71.0)

eczema of external ear (H60.5)

radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L23.0   Allergic contact dermatitis due to metals

Chromium

Nickel

L23.1   Allergic contact dermatitis due to adhesives

L23.2   Allergic contact dermatitis due to cosmetics

L23.3   Allergic contact dermatitis due to drugs in contact with skin

Use additional external cause code (Chapter XX), if desired, to identify drug.

Excludes:    allergic reaction NOS due to drugs (T88.7)

dermatitis due to ingested drugs and medicaments (L27.0-L27.1)

L23.4   Allergic contact dermatitis due to dyes

L23.5   Allergic contact dermatitis due to other chemical products

Cement

Insecticide

Plastic

Rubber

L23.6   Allergic contact dermatitis due to food in contact with skin

Excludes:    dermatitis due to ingested food (L27.2)

L23.7   Allergic contact dermatitis due to plants, except food

L23.8   Allergic contact dermatitis due to other agents

L23.9   Allergic contact dermatitis, unspecified cause

Allergic contact eczema NOS

L24   Irritant contact dermatitis

Includes:    irritant contact eczema

Excludes:    allergy NOS (T78.4)

dermatitis (of):

• NOS (L30.9)

• allergic contact (L23-)

• contact NOS (L25.9)

• diaper [napkin] (L22)

• due to substances taken internally (L27-)

• eyelid (H01.1)

• perioral (L71.0)

eczema of external ear (H60.5)

radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L24.0   Irritant contact dermatitis due to detergents

L24.1   Irritant contact dermatitis due to oils and greases

L24.2   Irritant contact dermatitis due to solvents

Solvents:

• chlorocompound

• cyclohexane

• ester

• glycol

• hydrocarbon

• ketone

L24.3   Irritant contact dermatitis due to cosmetics

L24.4   Irritant contact dermatitis due to drugs in contact with skin

Use additional external cause code (Chapter XX), if desired, to identify drug.

Excludes:    allergic reaction NOS due to drugs (T88.7)

dermatitis due to ingested drugs and medicaments (L27.0-L27.1)

L24.5   Irritant contact dermatitis due to other chemical products

Cement

Insecticide

L24.6   Irritant contact dermatitis due to food in contact with skin

Excludes:    dermatitis due to ingested food (L27.2)

L24.7   Irritant contact dermatitis due to plants, except food

L24.8   Irritant contact dermatitis due to other agents

Dyes

L24.9   Irritant contact dermatitis, unspecified cause

Irritant contact eczema NOS

L25   Unspecified contact dermatitis

Includes:    unspecified contact eczema

Excludes:    allergy NOS (T78.4)

dermatitis (of):

• NOS (L30.9)

• allergic contact (L23-)

• due to substances taken internally (L27-)

• eyelid (H01.1)

• irritant contact (L24-)

• perioral (L71.0)

eczema of external ear (H60.5)

radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L25.0   Unspecified contact dermatitis due to cosmetics

L25.1   Unspecified contact dermatitis due to drugs in contact with skin

Use additional external cause code (Chapter XX), if desired, to identify drug.

Excludes:    allergic reaction NOS due to drugs (T88.7)

dermatitis due to ingested drugs and medicaments (L27.0-L27.1)

L25.2   Unspecified contact dermatitis due to dyes

L25.3   Unspecified contact dermatitis due to other chemical products

Cement

Insecticide

L25.4   Unspecified contact dermatitis due to food in contact with skin

Excludes:    dermatitis due to ingested food (L27.2)

L25.5   Unspecified contact dermatitis due to plants, except food

L25.8   Unspecified contact dermatitis due to other agents

L25.9   Unspecified contact dermatitis, unspecified cause

Contact:

• dermatitis (occupational) NOS

• eczema (occupational) NOS

L26   Exfoliative dermatitis

Hebra pityriasis

Excludes:    Ritter disease (L00)

L27   Dermatitis due to substances taken internally

Excludes:    adverse:

• effect NOS of drugs (T88.7)

• food reaction, except dermatitis (T78.0-T78.1)

allergy NOS (T78.4)

contact dermatitis (L23-L25)

drug:

• photoallergic response (L56.1)

• phototoxic response (L56.0)

urticaria (L50-)

L27.0   Generalized skin eruption due to drugs and medicaments

Use additional external cause code (Chapter XX), if desired, to identify drug.

L27.1   Localized skin eruption due to drugs and medicaments

Use additional external cause code (Chapter XX), if desired, to identify drug.

L27.2   Dermatitis due to ingested food

Excludes:    dermatitis due to food in contact with skin (L23.6, L24.6, L25.4)

L27.8   Dermatitis due to other substances taken internally

L27.9   Dermatitis due to unspecified substance taken internally

L28   Lichen simplex chronicus and prurigo

L28.0   Lichen simplex chronicus

Circumscribed neurodermatitis

Lichen NOS

L28.1   Prurigo nodularis

L28.2   Other prurigo

Prurigo:

• NOS

• Hebra

• mitis

Urticaria papulosa

L29   Pruritus

Excludes:    neurotic excoriation (L98.1)

psychogenic pruritus (F45.8)

L29.0   Pruritus ani

L29.1   Pruritus scroti

L29.2   Pruritus vulvae

L29.3   Anogenital pruritus, unspecified

L29.8   Other pruritus

L29.9   Pruritus, unspecified

Itch NOS

L30   Other dermatitis

Excludes:    dermatitis:

• contact (L23-L25)

• dry skin (L85.3)

small plaque parapsoriasis (L41.3)

stasis dermatitis (I83.1-I83.2)

L30.0   Nummular dermatitis

L30.1   Dyshidrosis [pompholyx]

L30.2   Cutaneous autosensitization

Candidid [levurid]

Dermatophytid

Eczematid

L30.3   Infective dermatitis

Infectious eczematoid dermatitis

L30.4   Erythema intertrigo

L30.5   Pityriasis alba

L30.8   Other specified dermatitis

L30.9   Dermatitis, unspecified

Eczema NOS

Papulosquamous disorders (L40-L45)

L40   Psoriasis

L40.0   Psoriasis vulgaris

Nummular psoriasis

Plaque psoriasis

L40.1   Generalized pustular psoriasis

Impetigo herpetiformis

Von Zumbusch disease

L40.2   Acrodermatitis continua

L40.3   Pustulosis palmaris et plantaris

L40.4   Guttate psoriasis

L40.5† Arthropathic psoriasis (M07.0-M07.3*, M09.0*)

L40.8   Other psoriasis

Flexural psoriasis

L40.9   Psoriasis, unspecified

L41   Parapsoriasis

Excludes:    poikiloderma vasculare atrophicans (L94.5)

L41.0   Pityriasis lichenoides et varioliformis acuta

Mucha-Habermann disease

L41.1   Pityriasis lichenoides chronica

L41.2   Lymphomatoid papulosis

L41.3   Small plaque parapsoriasis

L41.4   Large plaque parapsoriasis

L41.5   Retiform parapsoriasis

L41.8   Other parapsoriasis

L41.9   Parapsoriasis, unspecified

L42   Pityriasis rosea

L43   Lichen planus

Excludes:    lichen planopilaris (L66.1)

L43.0   Hypertrophic lichen planus

L43.1   Bullous lichen planus

L43.2   Lichenoid drug reaction

Use additional external cause code (Chapter XX), if desired, to identify drug.

L43.3   Subacute (active) lichen planus

Lichen planus tropicus

L43.8   Other lichen planus

L43.9   Lichen planus, unspecified

L44   Other papulosquamous disorders

L44.0   Pityriasis rubra pilaris

L44.1   Lichen nitidus

L44.2   Lichen striatus

L44.3   Lichen ruber moniliformis

L44.4   Infantile papular acrodermatitis [Giannotti-Crosti]

L44.8   Other specified papulosquamous disorders

L44.9   Papulosquamous disorder, unspecified

L45   Papulosquamous disorders in diseases classified elsewhere

Urticaria and erythema (L50-L54)

Excludes:    Lyme disease (A69.2)

rosacea (L71-)

L50   Urticaria

Excludes:    allergic contact dermatitis (L23-)

angioneurotic oedema (T78.3)

hereditary angio-oedema (D84.1)

Quincke oedema (T78.3)

urticaria:

• giant (T78.3)

• neonatorum (P83.8)

• papulosa (L28.2)

• pigmentosa (Q82.2)

• serum (T80.6)

• solar (L56.3)

L50.0   Allergic urticaria

L50.1   Idiopathic urticaria

L50.2   Urticaria due to cold and heat

L50.3   Dermatographic urticaria

L50.4   Vibratory urticaria

L50.5   Cholinergic urticaria

L50.6   Contact urticaria

L50.8   Other urticaria

Urticaria:

• chronic

• recurrent periodic

L50.9   Urticaria, unspecified

L51   Erythema multiforme

L51.0   Nonbullous erythema multiforme

L51.1   Bullous erythema multiforme

Stevens-Johnson syndrome

L51.2   Toxic epidermal necrolysis [Lyell]

L51.8   Other erythema multiforme

L51.9   Erythema multiforme, unspecified

L52   Erythema nodosum

L53   Other erythematous conditions

Excludes:    erythema:

• ab igne (L59.0)

• due to external agents in contact with skin (L23-L25)

• intertrigo (L30.4)

L53.0   Toxic erythema

Use additional external cause code (Chapter XX), if desired, to identify external agent.

Excludes:    neonatal erythema toxicum (P83.1)

L53.1   Erythema annulare centrifugum

L53.2   Erythema marginatum

L53.3   Other chronic figurate erythema

L53.8   Other specified erythematous conditions

L53.9   Erythematous condition, unspecified

Erythema NOS

Erythroderma NOS

L54   Erythema in diseases classified elsewhere

L54.0* Erythema marginatum in acute rheumatic fever (I00†)

L54.8* Erythema in other diseases classified elsewhere

Radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L55   Sunburn

L55.0   Sunburn of first degree

L55.1   Sunburn of second degree

L55.2   Sunburn of third degree

L55.8   Other sunburn

L55.9   Sunburn, unspecified

L56   Other acute skin changes due to ultraviolet radiation

L56.0   Drug phototoxic response

Use additional external cause code (Chapter XX), if desired, to identify drug.

L56.1   Drug photoallergic response

Use additional external cause code (Chapter XX), if desired, to identify drug.

L56.2   Photocontact dermatitis [berloque dermatitis]

L56.3   Solar urticaria

L56.4   Polymorphous light eruption

L56.8   Other specified acute skin changes due to ultraviolet radiation

L56.9   Acute skin change due to ultraviolet radiation, unspecified

L57   Skin changes due to chronic exposure to nonionizing radiation

L57.0   Actinic keratosis

Keratosis:

• NOS

• senile

• solar

L57.1   Actinic reticuloid

L57.2   Cutis rhomboidalis nuchae

L57.3   Poikiloderma of Civatte

L57.4   Cutis laxa senilis

Elastosis senilis

L57.5   Actinic granuloma

L57.8   Other skin changes due to chronic exposure to nonionizing radiation

Farmer skin

Sailor skin

Solar dermatitis

L57.9   Skin changes due to chronic exposure to nonionizing radiation, unspecified

L58   Radiodermatitis

L58.0   Acute radiodermatitis

L58.1   Chronic radiodermatitis

L58.9   Radiodermatitis, unspecified

L59   Other disorders of skin and subcutaneous tissue related to radiation

L59.0   Erythema ab igne [dermatitis ab igne]

L59.8   Other specified disorders of skin and subcutaneous tissue related to radiation

L59.9   Disorder of skin and subcutaneous tissue related to radiation, unspecified

Disorders of skin appendages (L60-L75)

Excludes:    congenital malformations of integument (Q84-)

L60   Nail disorders

Excludes:    clubbing of nails (R68.3)

onychia and paronychia (L03.0)

L60.0   Ingrowing nail

L60.1   Onycholysis

L60.2   Onychogryphosis

L60.3   Nail dystrophy

L60.4   Beau lines

L60.5   Yellow nail syndrome

L60.8   Other nail disorders

L60.9   Nail disorder, unspecified

L62   Nail disorders in diseases classified elsewhere

L62.0* Clubbed nail pachydermoperiostosis (M89.4†)

L62.8* Nail disorders in other diseases classified elsewhere

L63   Alopecia areata

L63.0   Alopecia (capitis) totalis

L63.1   Alopecia universalis

L63.2   Ophiasis

L63.8   Other alopecia areata

L63.9   Alopecia areata, unspecified

L64   Androgenic alopecia

Includes:    male-pattern baldness

L64.0   Drug-induced androgenic alopecia

Use additional external cause code (Chapter XX), if desired, to identify drug.

L64.8   Other androgenic alopecia

L64.9   Androgenic alopecia, unspecified

L65   Other nonscarring hair loss

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

Excludes:    trichotillomania (F63.3)

L65.0   Telogen effluvium

L65.1   Anagen effluvium

L65.2   Alopecia mucinosa

L65.8   Other specified nonscarring hair loss

L65.9   Nonscarring hair loss, unspecified

Alopecia NOS

L66   Cicatricial alopecia [scarring hair loss]

L66.0   Pseudopelade

L66.1   Lichen planopilaris

Follicular lichen planus

L66.2   Folliculitis decalvans

L66.3   Perifolliculitis capitis abscedens

L66.4   Folliculitis ulerythematosa reticulata

L66.8   Other cicatricial alopecia

L66.9   Cicatricial alopecia, unspecified

L67   Hair colour and hair shaft abnormalities

Excludes:    monilethrix (Q84.1)

pili annulati (Q84.1)

telogen effluvium (L65.0)

L67.0   Trichorrhexis nodosa

L67.1   Variations in hair colour

Canities

Greyness, hair (premature)

Heterochromia of hair

Poliosis:

• NOS

• circumscripta, acquired

L67.8   Other hair colour and hair shaft abnormalities

Fragilitas crinium

L67.9   Hair colour and hair shaft abnormality, unspecified

L68   Hypertrichosis

Includes:    excess hair

Excludes:    congenital hypertrichosis (Q84.2)

persistent lanugo (Q84.2)

L68.0   Hirsutism

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

L68.1   Acquired hypertrichosis lanuginosa

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

L68.2   Localized hypertrichosis

L68.3   Polytrichia

L68.8   Other hypertrichosis

L68.9   Hypertrichosis, unspecified

L70   Acne

Excludes:    acne keloid (L73.0)

L70.0   Acne vulgaris

L70.1   Acne conglobata

L70.2   Acne varioliformis

Acne necrotica miliaris

L70.3   Acne tropica

L70.4   Infantile acne

L70.5   Acne excoriee

Acne excoriee des jeunes filles

L70.8   Other acne

L70.9   Acne, unspecified

L71   Rosacea

L71.0   Perioral dermatitis

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

L71.1   Rhinophyma

L71.8   Other rosacea

L71.9   Rosacea, unspecified

L72   Follicular cysts of skin and subcutaneous tissue

L72.0   Epidermal cyst

L72.1   Trichilemmal cyst

Pilar cyst

Sebaceous cyst

L72.2   Steatocystoma multiplex

L72.8   Other follicular cysts of skin and subcutaneous tissue

L72.9   Follicular cyst of skin and subcutaneous tissue, unspecified

L73   Other follicular disorders

L73.0   Acne keloid

L73.1   Pseudofolliculitis barbae

L73.2   Hidradenitis suppurativa

L73.8   Other specified follicular disorders

Sycosis barbae

L73.9   Follicular disorder, unspecified

L74   Eccrine sweat disorders

Excludes:    hyperhidrosis (R61-)

L74.0   Miliaria rubra

L74.1   Miliaria crystallina

L74.2   Miliaria profunda

Miliaria tropicalis

L74.3   Miliaria, unspecified

L74.4   Anhidrosis

Hypohidrosis

L74.8   Other eccrine sweat disorders

L74.9   Eccrine sweat disorder, unspecified

Sweat gland disorder NOS

L75   Apocrine sweat disorders

Excludes:    dyshidrosis [pompholyx] (L30.1)

hidradenitis suppurativa (L73.2)

L75.0   Bromhidrosis

L75.1   Chromhidrosis

L75.2   Apocrine miliaria

Fox-Fordyce disease

L75.8   Other apocrine sweat disorders

L75.9   Apocrine sweat disorder, unspecified

Other disorders of the skin and subcutaneous tissue (L80-L99)

L80   Vitiligo

L81   Other disorders of pigmentation

Excludes:    birthmark NOS (Q82.5)

naevus - see Alphabetical Index

Peutz-Jeghers syndrome (Q85.8)

L81.0   Postinflammatory hyperpigmentation

L81.1   Chloasma

L81.2   Freckles

L81.3   Cafe au lait spots

L81.4   Other melanin hyperpigmentation

Lentigo

L81.5   Leukoderma, not elsewhere classified

L81.6   Other disorders of diminished melanin formation

L81.7   Pigmented purpuric dermatosis

Angioma serpiginosum

L81.8   Other specified disorders of pigmentation

Iron pigmentation

Tattoo pigmentation

L81.9   Disorder of pigmentation, unspecified

L82   Seborrhoeic keratosis

Dermatosis papulosa nigra

Leser-Trelat disease

L83   Acanthosis nigricans

Confluent and reticulated papillomatosis

L84   Corns and callosities

Callus

Clavus

L85   Other epidermal thickening

Excludes:    hypertrophic disorders of skin (L91-)

L85.0   Acquired ichthyosis

Excludes:    congenital ichthyosis (Q80-)

L85.1   Acquired keratosis [keratoderma] palmaris et plantaris

Excludes:    inherited keratosis palmaris et plantaris (Q82.8)

L85.2   Keratosis punctata (palmaris et plantaris)

L85.3   Xerosis cutis

Dry skin dermatitis

L85.8   Other specified epidermal thickening

Cutaneous horn

L85.9   Epidermal thickening, unspecified

L86   Keratoderma in diseases classified elsewhere

Follicular keratosis      Follicular keratosis

Xeroderma                 Xeroderma

L87   Transepidermal elimination disorders

Excludes:    granuloma annulare (perforating) (L92.0)

L87.0   Keratosis follicularis et parafollicularis in cutem penetrans [Kyrle]

Hyperkeratosis follicularis penetrans

L87.1   Reactive perforating collagenosis

L87.2   Elastosis perforans serpiginosa

L87.8   Other transepidermal elimination disorders

L87.9   Transepidermal elimination disorder, unspecified

L88   Pyoderma gangrenosum

Dermatitis gangrenosa

Phagedenic pyoderma

L89   Decubitus ulcer and pressure area

Bedsore

Plaster ulcer

Note:          For multiple sites of differing stages assign only one code indicating the highest stage.

Excludes:    decubitus (trophic) ulcer of cervix (uteri) (N86)

L89.0   Stage I decubitus ulcer and pressure area

Decubitus [pressure] ulcer limited to erythema only

Note:          The ulcer appears as a defined area of persistent redness (erythema) in lightly pigmented skin, whereas in darker skin tones, the ulcer may appear with persistent red, blue or purple hues, without skin loss.

L89.1   Stage II decubitus ulcer

Decubitus [pressure] ulcer with:

• abrasion

• blister

• partial thickness skin loss involving epidermis and/or dermis

• skin loss NOS

L89.2   Stage III decubitus ulcer

Decubitus [pressure] ulcer with full thickness skin loss involving damage or

necrosis of subcutaneous tissue extending to underlying fascia

L89.3   Stage IV decubitus ulcer

Decubitus [pressure] ulcer with necrosis of muscle, bone or supporting structures

(ie tendon or joint capsule)

L89.9   Decubitus ulcer and pressure area, unspecified

Decubitus [pressure] ulcer without mention of stage

L90   Atrophic disorders of skin

L90.0   Lichen sclerosus et atrophicus

Excludes:    lichen sclerosus of external genital organs:

• female (N90.4)

• male (N48.0)

L90.1   Anetoderma of Schweninger-Buzzi

L90.2   Anetoderma of Jadassohn-Pellizzari

L90.3   Atrophoderma of Pasini and Pierini

L90.4   Acrodermatitis chronica atrophicans

L90.5   Scar conditions and fibrosis of skin

Adherent scar (skin)

Cicatrix

Disfigurement due to scar

Scar NOS

Excludes:    hypertrophic scar (L91.0)

keloid scar (L91.0)

L90.6   Striae atrophicae

L90.8   Other atrophic disorders of skin

L90.9   Atrophic disorder of skin, unspecified

L91   Hypertrophic disorders of skin

L91.0   Hypertrophic scar

Keloid scar

Keloid

Excludes:    acne keloid (L73.0)

scar NOS (L90.5)

L91.8   Other hypertrophic disorders of skin

L91.9   Hypertrophic disorder of skin, unspecified

L92   Granulomatous disorders of skin and subcutaneous tissue

Excludes:    actinic granuloma (L57.5)

L92.0   Granuloma annulare

Perforating granuloma annulare

L92.1   Necrobiosis lipoidica, not elsewhere classified

Excludes:    that associated with diabetes mellitus (E10-E14)

L92.2   Granuloma faciale [eosinophilic granuloma of skin]

L92.3   Foreign body granuloma of skin and subcutaneous tissue

L92.8   Other granulomatous disorders of skin and subcutaneous tissue

L92.9   Granulomatous disorder of skin and subcutaneous tissue, unspecified

L93   Lupus erythematosus

Excludes:    lupus:

• exedens (A18.4)

• vulgaris (A18.4)

scleroderma (M34-)

systemic lupus erythematosus (M32-)

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

L93.0   Discoid lupus erythematosus

Lupus erythematosus NOS

L93.1   Subacute cutaneous lupus erythematosus

L93.2   Other local lupus erythematosus

Lupus:

• erythematosus profundus

• panniculitis

L94   Other localized connective tissue disorders

Excludes:    systemic connective tissue disorders (M30-M36)

L94.0   Localized scleroderma [morphea]

Circumscribed scleroderma

L94.1   Linear scleroderma

En coup de sabre lesion

L94.2   Calcinosis cutis

L94.3   Sclerodactyly

L94.4   Gottron papules

L94.5   Poikiloderma vasculare atrophicans

L94.6   Ainhum

L94.8   Other specified localized connective tissue disorders

L94.9   Localized connective tissue disorder, unspecified

L95   Vasculitis limited to skin, not elsewhere classified

Excludes:    angioma serpiginosum (L81.7)

Henoch(-Schonlein) purpura (D69.0)

hypersensitivity angiitis (M31.0)

panniculitis (of):

• NOS (M79.3)

• lupus (L93.2)

• neck and back (M54.0)

• relapsing [Weber-Christian] (M35.6)

polyarteritis nodosa (M30.0)

rheumatoid vasculitis (M05.2)

serum sickness (T80.6)

urticaria (L50-)

Wegener granulomatosis (M31.3)

L95.0   Livedoid vasculitis

Atrophie blanche (en plaque)

L95.1   Erythema elevatum diutinum

L95.8   Other vasculitis limited to skin

L95.9   Vasculitis limited to skin, unspecified

L97   Ulcer of lower limb, not elsewhere classified

Excludes:    decubitus [pressure] ulcer and pressure area (L89-)

gangrene (R02)

skin infections (L00-L08)

specific infections classified to A00-B99

varicose ulcer (I83.0, I83.2)

L98   Other disorders of skin and subcutaneous tissue, not elsewhere classified

L98.0   Pyogenic granuloma

L98.1   Factitial dermatitis

Neurotic excoriation

L98.2   Febrile neutrophilic dermatosis [Sweet]

L98.3   Eosinophilic cellulitis [Wells]

L98.4   Chronic ulcer of skin, not elsewhere classified

Chronic ulcer of skin NOS

Tropical ulcer NOS

Ulcer of skin NOS

Excludes:    decubitus [pressure] ulcer and pressure area (L89-)

gangrene (R02)

skin infections (L00-L08)

specific infections classified to A00-B99

ulcer of lower limb NEC (L97)

varicose ulcer (I83.0, I83.2)

L98.5   Mucinosis of skin

Focal mucinosis

Lichen myxoedematosus

Reticular erythematous mucinosis

Excludes:    focal oral mucinosis (K13.7)

myxoedema (E03.9)

L98.6   Other infiltrative disorders of skin and subcutaneous tissue

Excludes:    hyalinosis cutis et mucosae (E78.8)

L98.8   Other specified disorders of skin and subcutaneous tissue

L98.9   Disorder of skin and subcutaneous tissue, unspecified

L99   Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

L99.0* Amyloidosis of skin (E85†)

Lichen amyloidosis

Macular amyloid

L99.8* Other specified disorders of skin and subcutaneous tissue in diseases classified elsewhere

Syphilitic:

• alopecia (A51.3†)

• leukoderma (A51.3†, A52.7†)

CHAPTER XIII - Diseases of the musculoskeletal system and connective tissue (M00-M99)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain disorders of the temporomandibular joint (K07.6)

certain infectious and parasitic diseases (A00-B99)

compartment syndrome (T79.6)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

M00-M25      Arthropathies

                   M00-M03 Infectious arthropathies

                   M05-M14 Inflammatory polyarthropathies

                   M15-M19 Arthrosis

                   M20-M25 Other joint disorders

M30-M36      Systemic connective tissue disorders

M40-M54      Dorsopathies

                   M40-M43 Deforming dorsopathies

                   M45-M49 Spondylopathies

                   M50-M54 Other dorsopathies

M60-M79      Soft tissue disorders

                   M60-M63 Disorders of muscles

                   M65-M68 Disorders of synovium and tendon

                   M70-M79 Other soft tissue disorders

M80-M94      Osteopathies and chondropathies

                   M80-M85 Disorders of bone density and structure

                   M86-M90 Other osteopathies

                   M91-M94 Chondropathies

M95-M99      Other disorders of the musculoskeletal system and connective tissue

Asterisk categories for this chapter are provided as follows:

M01*           Direct infections of joint in infectious and parasitic diseases classified elsewhere

M03*           Postinfective and reactive arthropathies in diseases classified elsewhere

M07*           Psoriatic and enteropathic arthropathies

M09*           Juvenile arthritis in diseases classified elsewhere

M14*           Arthropathies in other diseases classified elsewhere

M36*           Systemic disorders of connective tissue in diseases classified elsewhere

M49*           Spondylopathies in diseases classified elsewhere

M63*           Disorders of muscle in diseases classified elsewhere

M68*           Disorders of synovium and tendon in diseases classified elsewhere

M73*           Soft tissue disorders in diseases classified elsewhere

M82*           Osteoporosis in diseases classified elsewhere

M90*           Osteopathies in diseases classified elsewhere

Site of musculoskeletal involvement

The following subclassification to indicate the site of involvement is provided for optional use with appropriate categories in Chapter XIII. As local extensions or specialty adaptations may vary in the number of characters used, it is suggested that the supplementary site subclassification be placed in an identifiably separate position (e.g. in an additional box). Different subclassifications for use with derangement of knee, dorsopathies, and biomechanical lesions not elsewhere classified are given at categories M23, M40-M54, and M99 respectively.

0 Multiple sites
1 Shoulder region	clavicle scapula	acromioclavicular glenohumeral sternoclavicular	joints
2 Upper arm	humerus	elbow joint
3 Forearm	radius ulna	wrist joint
4 Hand	carpus fingers metacarpus	joints between these bones
5 Pelvic region and thigh	buttock femur pelvis	hip (joint) sacroiliac joint
6 Lower leg	fibula tibia	knee joint
7 Ankle and foot	metatarsus tarsus toes	ankle joint other joints in foot
8 Other	head neck ribs skull trunk vertebral column
9 Site unspecified

Arthropathies (M00-M25)

Disorders affecting predominantly peripheral (limb) joints

Infectious arthropathies (M00-M03)

Note:          This block comprises arthropathies due to microbiological agents.

Distinction is made between the following types of etiological relationship:

(a) direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint;

(b) indirect infection, which may be of two types: a reactive arthropathy, where microbial infection of the body is established but neither organisms nor antigens can be identified in the joint, and a postinfective arthropathy, where microbial antigen is present but recovery of an organism is inconstant and evidence of local multiplication is lacking.

M00  Pyogenic arthritis

[See site code preceding Arthropathies (M00-M25)]

M00.0  Staphylococcal arthritis and polyarthritis

M00.1  Pneumococcal arthritis and polyarthritis

M00.2  Other streptococcal arthritis and polyarthritis

M00.8  Arthritis and polyarthritis due to other specified bacterial agents

Use additional code (B95-B96), if desired, to identify bacterial agent.

M00.9  Pyogenic arthritis, unspecified

Infective arthritis NOS

M01  Direct infections of joint in infectious and parasitic diseases classified elsewhere

[See site code preceding Arthropathies (M00-M25)]

Excludes:    arthropathy in sarcoidosis (M14.8*)

postinfective and reactive arthropathy (M03*)

M01.0* Meningococcal arthritis (A39.8†)

Excludes:    postmeningococcal arthritis (M03.0*)

M01.1* Tuberculous arthritis (A18.0†)

Excludes:    of spine (M49.0*)

M01.2* Arthritis in Lyme disease (A69.2†)

M01.3* Arthritis in other bacterial diseases classified elsewhere

Arthritis in:

• leprosy [Hansen disease] (A30†)

• localized salmonella infection (A02.2†)

• typhoid or paratyphoid fever (A01†)

Gonococcal arthritis (A54.4†)

M01.4* Rubella arthritis (B06.8†)

M01.5* Arthritis in other viral diseases classified elsewhere

Arthritis in:

• mumps (B26.8†)

• O'nyong-nyong fever (A92.1†)

M01.6* Arthritis in mycoses (B35-B49†)

M01.8* Arthritis in other infectious and parasitic diseases classified elsewhere

M02  Reactive arthropathies

[See site code preceding Arthropathies (M00-M25)]

Excludes:    Behcet disease (M35.2)

rheumatic fever (I00)

M02.0  Arthropathy following intestinal bypass

M02.1  Postdysenteric arthropathy

M02.2  Postimmunization arthropathy

M02.3  Reiter disease

M02.8  Other reactive arthropathies

M02.9  Reactive arthropathy, unspecified

M03  Postinfective and reactive arthropathies in diseases classified elsewhere

[See site code preceding Arthropathies (M00-M25)]

Excludes:    direct infections of joint in infectious and parasitic diseases classified

elsewhere (M01*)

M03.0* Postmeningococcal arthritis (A39.8†)

Excludes:    meningococcal arthritis (M01.0*)

M03.1* Postinfective arthropathy in syphilis

Clutton joints (A50.5†)

Excludes:    Charcot or tabetic arthropathy (M14.6*)

M03.2* Other postinfectious arthropathies in diseases classified elsewhere

Postinfectious arthropathy in:

• enteritis due to Yersinia enterocolitica (A04.6†)

• viral hepatitis (B15-B19†)

Excludes:    viral arthropathies (M01.4-M01.5*)

M03.6* Reactive arthropathy in other diseases classified elsewhere

Arthropathy in infective endocarditis (I33.0†)

Inflammatory polyarthropathies (M05-M14)

M05  Seropositive rheumatoid arthritis

[See site code preceding Arthropathies (M00-M25)]

Excludes:    rheumatic fever (I00)

rheumatoid arthritis (of):

• juvenile (M08-)

• spine (M45)

M05.0  Felty syndrome

Rheumatoid arthritis with splenoadenomegaly and leukopenia

M05.1† Rheumatoid lung disease (J99.0*)

M05.2  Rheumatoid vasculitis

M05.3† Rheumatoid arthritis with involvement of other organs and systems

Rheumatoid:

• carditis (I52.8*)

• endocarditis (I39*)

• myocarditis (I41.8*)

• myopathy (G73.7*)

• pericarditis (I32.8*)

• polyneuropathy (G63.6*)

M05.8  Other seropositive rheumatoid arthritis

M05.9  Seropositive rheumatoid arthritis, unspecified

M06  Other rheumatoid arthritis

[See site code preceding Arthropathies (M00-M25)]

M06.0  Seronegative rheumatoid arthritis

M06.1  Adult-onset Still disease

Excludes:    Still disease NOS (M08.2)

M06.2  Rheumatoid bursitis

M06.3  Rheumatoid nodule

M06.4  Inflammatory polyarthropathy

Excludes:    polyarthritis NOS (M13.0)

M06.8  Other specified rheumatoid arthritis

M06.9  Rheumatoid arthritis, unspecified

M07  Psoriatic and enteropathic arthropathies

[See site code preceding Arthropathies (M00-M25)]

Excludes:    juvenile psoriatic and enteropathic arthropathies (M09*)

M07.0* Distal interphalangeal psoriatic arthropathy (L40.5†)

M07.1* Arthritis mutilans (L40.5†)

M07.2* Psoriatic spondylitis (L40.5†)

M07.3* Other psoriatic arthropathies (L40.5†)

M07.4* Arthropathy in Crohn disease [regional enteritis] (K50†)

M07.5* Arthropathy in ulcerative colitis (K51†)

M07.6* Other enteropathic arthropathies

M08  Juvenile arthritis

[See site code preceding Arthropathies (M00-M25)]

Includes:    arthritis in children, with onset before 16th birthday and lasting longer than 3 months

Excludes:    Felty syndrome (M05.0)

juvenile dermatomyositis (M33.0)

M08.0  Juvenile rheumatoid arthritis

Juvenile rheumatoid arthritis with or without rheumatoid factor

M08.1  Juvenile ankylosing spondylitis

Excludes:    ankylosing spondylitis in adults (M45)

M08.2  Juvenile arthritis with systemic onset

Still disease NOS

Excludes:    adult-onset Still disease (M06.1)

M08.3  Juvenile polyarthritis (seronegative)

Chronic juvenile polyarthritis

M08.4  Pauciarticular juvenile arthritis

M08.8  Other juvenile arthritis

M08.9  Juvenile arthritis, unspecified

M09  Juvenile arthritis in diseases classified elsewhere

[See site code preceding Arthropathies (M00-M25)]

Excludes:    arthropathy in Whipple disease (M14.8*)

M09.0* Juvenile arthritis in psoriasis (L40.5†)

M09.1* Juvenile arthritis in Crohn disease [regional enteritis] (K50†)

M09.2* Juvenile arthritis in ulcerative colitis (K51†)

M09.8* Juvenile arthritis in other diseases classified elsewhere

M10  Gout

[See site code preceding Arthropathies (M00-M25)]

M10.0  Idiopathic gout

Gouty bursitis

Primary gout

Urate tophus of heart† (I43.8*)

M10.1  Lead-induced gout

M10.2  Drug-induced gout

Use additional external cause code (Chapter XX), if desired, to identify drug.

M10.3  Gout due to impairment of renal function

Use additional code, if desired, to identify impairment of kidney disease (N17-N19)

M10.4  Other secondary gout

M10.9  Gout, unspecified

M11  Other crystal arthropathies

[See site code preceding Arthropathies (M00-M25)]

M11.0  Hydroxyapatite deposition disease

M11.1  Familial chondrocalcinosis

M11.2  Other chondrocalcinosis

Chondrocalcinosis NOS

M11.8  Other specified crystal arthropathies

M11.9  Crystal arthropathy, unspecified

M12  Other specific arthropathies

[See site code preceding Arthropathies (M00-M25)]

Excludes:    arthropathy NOS (M13.9)

arthrosis (M15-M19)

cricoarytenoid arthropathy (J38.7)

M12.0  Chronic postrheumatic arthropathy [Jaccoud]

M12.1  Kaschin-Beck disease

M12.2  Villonodular synovitis (pigmented)

M12.3  Palindromic rheumatism

M12.4  Intermittent hydrarthrosis

M12.5  Traumatic arthropathy

Excludes:    post-traumatic arthrosis (of):

• NOS (M19.1)

• first carpometacarpal joint (M18.2-M18.3)

• hip (M16.4-M16.5)

• knee (M17.2-M17.3)

• other single joints (M19.1)

M12.8  Other specific arthropathies, not elsewhere classified

Transient arthropathy

M13  Other arthritis

[See site code preceding Arthropathies (M00-M25)]

Excludes:    arthrosis (M15-M19)

M13.0  Polyarthritis, unspecified

M13.1  Monoarthritis, not elsewhere classified

M13.8  Other specified arthritis

Allergic arthritis

M13.9  Arthritis, unspecified

Arthropathy NOS

M14  Arthropathies in other diseases classified elsewhere

Excludes:    arthropathy in:

• haematological disorders (M36.2-M36.3*)

• hypersensitivity reactions (M36.4*)

• neoplastic disease (M36.1*)

neuropathic spondylopathy (M49.4*)

psoriatic and enteropathic arthropathies (M07*)

• juvenile (M09*)

M14.0* Gouty arthropathy due to enzyme defects and other inherited disorders

Gouty arthropathy in:

• Lesch-Nyhan syndrome (E79.1†)

• sickle-cell disorders (D57†)

M14.1* Crystal arthropathy in other metabolic disorders

Crystal arthropathy in hyperparathyroidism (E21†)

M14.2* Diabetic arthropathy (E10-E14† with common fourth character .6)

Excludes:    diabetic neuropathic arthropathy (M14.6*)

M14.3* Lipoid dermatoarthritis (E78.8†)

M14.4* Arthropathy in amyloidosis (E85†)

M14.5* Arthropathies in other endocrine, nutritional and metabolic disorders

Arthropathy in:

• acromegaly and pituitary gigantism (E22.0†)

• haemochromatosis (E83.1†)

• hypothyroidism (E00-E03†)

• thyrotoxicosis [hyperthyroidism] (E05†)

M14.6* Neuropathic arthropathy

Charcot or tabetic arthropathy (A52.1†)

Diabetic neuropathic arthropathy (E10-E14† with common fourth character .6)

M14.8* Arthropathies in other specified diseases classified elsewhere

Arthropathy in:

• erythema:

    • multiforme (L51†)

    • nodosum (L52†)

• sarcoidosis (D86.8†)

• Whipple disease (K90.8†)

Arthrosis (M15-M19)

Note:          In this block the term osteoarthritis is used as a synonym for arthrosis or osteoarthrosis. The term primary has been used with its customary clinical meaning of no underlying or determining condition identified.

Excludes:    osteoarthritis of spine (M47-)

M15  Polyarthrosis

Includes:    arthrosis with mention of more than one site

Excludes:    bilateral involvement of single joint (M16-M19)

M15.0  Primary generalized (osteo)arthrosis

M15.1  Heberden nodes (with arthropathy)

M15.2  Bouchard nodes (with arthropathy)

M15.3  Secondary multiple arthrosis

Post-traumatic polyarthrosis

M15.4  Erosive (osteo)arthrosis

M15.8  Other polyarthrosis

M15.9  Polyarthrosis, unspecified

Generalized osteoarthritis NOS

M16  Coxarthrosis [arthrosis of hip]

M16.0  Primary coxarthrosis, bilateral

M16.1  Other primary coxarthrosis

Primary coxarthrosis:

• NOS

• unilateral

M16.2  Coxarthrosis resulting from dysplasia, bilateral

M16.3  Other dysplastic coxarthrosis

Dysplastic coxarthrosis:

• NOS

• unilateral

M16.4  Post-traumatic coxarthrosis, bilateral

M16.5  Other post-traumatic coxarthrosis

Post-traumatic coxarthrosis:

• NOS

• unilateral

M16.6  Other secondary coxarthrosis, bilateral

M16.7  Other secondary coxarthrosis

Secondary coxarthrosis:

• NOS

• unilateral

M16.9  Coxarthrosis, unspecified

M17  Gonarthrosis [arthrosis of knee]

M17.0  Primary gonarthrosis, bilateral

M17.1  Other primary gonarthrosis

Primary gonarthrosis:

• NOS

• unilateral

M17.2  Post-traumatic gonarthrosis, bilateral

M17.3  Other post-traumatic gonarthrosis

Post-traumatic gonarthrosis:

• NOS

• unilateral

M17.4  Other secondary gonarthrosis, bilateral

M17.5  Other secondary gonarthrosis

Secondary gonarthrosis:

• NOS

• unilateral

M17.9  Gonarthrosis, unspecified

M18  Arthrosis of first carpometacarpal joint

M18.0  Primary arthrosis of first carpometacarpal joints, bilateral

M18.1  Other primary arthrosis of first carpometacarpal joint

Primary arthrosis of first carpometacarpal joint:

• NOS

• unilateral

M18.2  Post-traumatic arthrosis of first carpometacarpal joints, bilateral

M18.3  Other post-traumatic arthrosis of first carpometacarpal joint

Post-traumatic arthrosis of first carpometacarpal joint:

• NOS

• unilateral

M18.4  Other secondary arthrosis of first carpometacarpal joints, bilateral

M18.5  Other secondary arthrosis of first carpometacarpal joint

Secondary arthrosis of first carpometacarpal joint:

• NOS

• unilateral

M18.9  Arthrosis of first carpometacarpal joint, unspecified

M19  Other arthrosis

[See site code preceding Arthropathies (M00-M25)]

Excludes:    arthrosis of spine (M47-)

hallux rigidus (M20.2)

polyarthrosis (M15-)

M19.0  Primary arthrosis of other joints

Primary arthrosis NOS

M19.1  Post-traumatic arthrosis of other joints

Post-traumatic arthrosis NOS

M19.2  Other secondary arthrosis

Secondary arthrosis NOS

M19.8  Other specified arthrosis

M19.9  Arthrosis, unspecified

M19.90 Advanced arthrosis

Grave arthrosis

Severe arthrosis

Other joint disorders (M20-M25)

Excludes:    joints of the spine (M40-M54)

M20  Acquired deformities of fingers and toes

Excludes:    acquired absence of fingers and toes (^[i]Z89.-)

congenital:

• absence of fingers and toes (Q71.3, Q72.3)

• deformities and malformations of fingers and toes (Q66-, Q68-Q70, Q74-)

M20.0  Deformity of finger(s)

Boutonniere and swan-neck deformities

Excludes:    clubbing of fingers (R68.3)

palmar fascial fibromatosis [Dupuytren] (M72.0)

trigger finger (M65.3)

M20.1  Hallux valgus (acquired)

Bunion

M20.2  Hallux rigidus

M20.3  Other deformity of hallux (acquired)

Hallux varus

M20.4  Other hammer toe(s) (acquired)

M20.5  Other deformities of toe(s) (acquired)

M20.6  Acquired deformity of toe(s), unspecified

M21  Other acquired deformities of limbs

[See site code preceding Arthropathies (M00-M25)]

Excludes:    acquired absence of limb (^[i]Z89.-)

acquired deformities of fingers or toes (M20-)

congenital:

• absence of limbs (Q71-Q73)

• deformities and malformations of limbs (Q65-Q66, Q68-Q74)

coxa plana (M91.2)

M21.0  Valgus deformity, not elsewhere classified

Excludes:    metatarsus valgus (Q66.6)

talipes calcaneovalgus (Q66.4)

M21.1  Varus deformity, not elsewhere classified

Excludes:    metatarsus varus (Q66.2)

tibia vara (M92.5)

M21.2  Flexion deformity

M21.3  Wrist or foot drop (acquired)

M21.4  Flat foot [pes planus] (acquired)

Excludes:    congenital pes planus (Q66.5)

M21.5  Acquired clawhand, clubhand, clawfoot and clubfoot

Excludes:    clubfoot, not specified as acquired (Q66.8)

M21.6  Other acquired deformities of ankle and foot

Excludes:    deformities of toe (acquired) (M20.1-M20.6)

M21.7  Unequal limb length (acquired)

M21.8  Other specified acquired deformities of limbs

M21.9  Acquired deformity of limb, unspecified

M22  Disorders of patella

Excludes:    dislocation of patella (S83.0)

M22.0  Recurrent dislocation of patella

M22.1  Recurrent subluxation of patella

M22.2  Patellofemoral disorders

M22.3  Other derangements of patella

M22.4  Chondromalacia patellae

M22.8  Other disorders of patella

M22.9  Disorder of patella, unspecified

M23  Internal derangement of knee

The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate subcategories in M23-; see also note in "Site of musculoskeletal involvement" preceding Arthropathies (M00-M25).

0 Multiple sites

1 Anterior cruciate ligament   or Anterior horn of medial meniscus

2 Posterior cruciate ligament or Posterior horn of medial meniscus

3 Medial collateral ligament   or Other and unspecified medial meniscus

4 Lateral collateral ligament   or Anterior horn of lateral meniscus

5                                        Posterior horn of lateral meniscus

6                                        Other and unspecified lateral meniscus

7 Capsular ligament

9 Unspecified ligament          or Unspecified meniscus

Excludes:    ankylosis (M24.6)

current injury - see injury to the knee and lower leg (S80-S89)

deformity of knee (M21-)

disorders of patella (M22-)

osteochondritis dissecans (M93.2)

recurrent dislocation or subluxation (M24.4)

• patella (M22.0-M22.1)

M23.0  Cystic meniscus

M23.1  Discoid meniscus (congenital)

M23.2  Derangement of meniscus due to old tear or injury

Old bucket-handle tear

M23.3  Other meniscus derangements

  Degenerate   

  Detached        meniscus

  Retained     

M23.4  Loose body in knee

M23.5  Chronic instability of knee

M23.6  Other spontaneous disruption of ligament(s) of knee

M23.8  Other internal derangements of knee

Laxity of ligament of knee

Snapping knee

M23.9  Internal derangement of knee, unspecified

M24  Other specific joint derangements

[See site code preceding Arthropathies (M00-M25)]

Excludes:    current injury - see injury of joint by body region

ganglion (M67.4)

snapping knee (M23.8)

temporomandibular joint disorders (K07.6)

M24.0  Loose body in joint

Excludes:    loose body in knee (M23.4)

M24.1  Other articular cartilage disorders

Excludes:    chondrocalcinosis (M11.1-M11.2)

internal derangement of knee (M23-)

metastatic calcification (E83.5)

ochronosis (E70.2)

M24.2  Disorder of ligament

Instability secondary to old ligament injury

Ligamentous laxity NOS

Excludes:    familial ligamentous laxity (M35.7)

knee (M23.5-M23.8)

M24.3  Pathological dislocation and subluxation of joint, not elsewhere classified

Excludes:    dislocation or displacement of joint:

• congenital - see congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

• current injury - see injury of joints and ligaments by body region

• recurrent (M24.4)

M24.4  Recurrent dislocation and subluxation of joint

Excludes:    patella (M22.0-M22.1)

vertebral subluxation (M43.3-M43.5)

M24.5  Contracture of joint

Excludes:    acquired deformities of limbs (M20-M21)

contracture of tendon (sheath) without contracture of joint (M67.1)

Dupuytren contracture (M72.0)

M24.6  Ankylosis of joint

Excludes:    spine (M43.2)

stiffness of joint without ankylosis (M25.6)

M24.7  Protrusio acetabuli

M24.8  Other specific joint derangements, not elsewhere classified

Excludes:    that involving iliotibial band syndrome (M76.3)

M24.9  Joint derangement, unspecified

M25  Other joint disorders, not elsewhere classified

[See site code preceding Arthropathies (M00-M25)]

Excludes:    abnormality of gait and mobility (R26-)

calcification of:

• bursa (M71.4)

• shoulder (joint) (M75.3)

• tendon (M65.2)

deformities classified to M20-M21

difficulty in walking (R26.2)

M25.0  Haemarthrosis

Excludes:    current injury - see injury of joint by body region

M25.1  Fistula of joint

M25.2  Flail joint

M25.3  Other instability of joint

Excludes:    instability of joint secondary to:

• old ligament injury (M24.2)

• removal of joint prosthesis (M96.8)

M25.4  Effusion of joint

Excludes:    hydrarthrosis of yaws (A66.6)

M25.5  Pain in joint

M25.6  Stiffness of joint, not elsewhere classified

M25.7  Osteophyte

M25.8  Other specified joint disorders

M25.9  Joint disorder, unspecified

Systemic connective tissue disorders (M30-M36)

Includes:    autoimmune disease:

• NOS

• systemic

collagen (vascular) disease:

• NOS

• systemic

Excludes:    antiphospholipid syndrome (D68.6)

autoimmune disease, single organ or single cell-type (code to relevant condition category)

M30  Polyarteritis nodosa and related conditions

M30.0  Polyarteritis nodosa

M30.1  Polyarteritis with lung involvement [Churg-Strauss]

Allergic granulomatous angiitis

M30.2  Juvenile polyarteritis

M30.3  Mucocutaneous lymph node syndrome [Kawasaki]

M30.8  Other conditions related to polyarteritis nodosa

Polyangiitis overlap syndrome

M31  Other necrotizing vasculopathies

M31.0  Hypersensitivity angiitis

Goodpasture syndrome

M31.1  Thrombotic microangiopathy

Thrombotic thrombocytopenic purpura

M31.2  Lethal midline granuloma

M31.3  Wegener granulomatosis

Necrotizing respiratory granulomatosis

M31.4  Aortic arch syndrome [Takayasu]

M31.5  Giant cell arteritis with polymyalgia rheumatica

M31.6  Other giant cell arteritis

M31.7  Microscopic polyangiitis

Microscopic polyarteritis

Excludes:    polyarteritis nodosa (M30.0)

M31.8  Other specified necrotizing vasculopathies

Hypocomplementaemic vasculitis

M31.9  Necrotizing vasculopathy, unspecified

M32  Systemic lupus erythematosus

Excludes:    lupus erythematosus (discoid) (NOS) (L93.0)

M32.0  Drug-induced systemic lupus erythematosus

Use additional external cause code (Chapter XX), if desired, to identify drug.

M32.1† Systemic lupus erythematosus with organ or system involvement

Libman-Sacks disease (I39*)

Lupus pericarditis (I32.8*)

Systemic lupus erythematosus with:

• kidney involvement (N08.5*, N16.4*)

• lung involvement (J99.1*)

M32.8  Other forms of systemic lupus erythematosus

M32.9  Systemic lupus erythematosus, unspecified

M33  Dermatopolymyositis

M33.0  Juvenile dermatomyositis

M33.1  Other dermatomyositis

M33.2  Polymyositis

M33.9  Dermatopolymyositis, unspecified

M34  Systemic sclerosis

Includes:    scleroderma

Excludes:    scleroderma:

• circumscribed (L94.0)

• neonatal (P83.8)

M34.0  Progressive systemic sclerosis

M34.1  CR(E)ST syndrome

Combination of calcinosis, Raynaud phenomenon, (o)esophageal dysfunction, sclerodactyly, telangiectasia

M34.2  Systemic sclerosis induced by drugs and chemicals

Use additional external cause code (Chapter XX), if desired, to identify cause.

M34.8  Other forms of systemic sclerosis

Systemic sclerosis with:

• lung involvement† (J99.1*)

• myopathy† (G73.7*)

M34.9  Systemic sclerosis, unspecified

M35  Other systemic involvement of connective tissue

Excludes:    reactive perforating collagenosis (L87.1)

M35.0  Sicca syndrome [Sjogren]

Sjogren syndrome with:

• keratoconjunctivitis† (H19.3*)

• lung involvement† (J99.1*)

• myopathy† (G73.7*)

• renal tubulo-interstitial disorders† (N16.4*)

M35.1  Other overlap syndromes

Mixed connective tissue disease

Excludes:    polyangiitis overlap syndrome (M30.8)

M35.2  Behcet disease

M35.3  Polymyalgia rheumatica

Excludes:    polymyalgia rheumatica with giant cell arteritis (M31.5)

M35.4  Diffuse (eosinophilic) fasciitis

M35.5  Multifocal fibrosclerosis

M35.6  Relapsing panniculitis [Weber-Christian]

Excludes:    panniculitis:

• NOS (M79.3)

• lupus (L93.2)

M35.7  Hypermobility syndrome

Familial ligamentous laxity

Excludes:    Ehlers-Danlos syndrome (Q79.6)

ligamentous laxity NOS (M24.2)

M35.8  Other specified systemic involvement of connective tissue

M35.9  Systemic involvement of connective tissue, unspecified

Autoimmune disease (systemic) NOS

Collagen (vascular) disease NOS

M36  Systemic disorders of connective tissue in diseases classified elsewhere

Excludes:    arthropathies in diseases classified elsewhere (M14*)

M36.0* Dermato(poly)myositis in neoplastic disease (C00-D48†)

M36.1* Arthropathy in neoplastic disease (C00-D48†)

Arthropathy in:

• leukaemia (C91-C95†)

• malignant histiocytosis (C96.1†)

• multiple myeloma (C90.0†)

M36.2* Haemophilic arthropathy (D66-D68†)

M36.3* Arthropathy in other blood disorders (D50-D76†)

Excludes:    arthropathy in Henoch(-Schonlein) purpura (M36.4*)

M36.4* Arthropathy in hypersensitivity reactions classified elsewhere

Arthropathy in Henoch(-Schonlein) purpura (D69.0†)

M36.8* Systemic disorders of connective tissue in other diseases classified elsewhere

Systemic disorders of connective tissue in:

• hypogammaglobulinaemia (D80†)

• ochronosis (E70.2†)

Dorsopathies (M40-M54)

The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate categories in the block on dorsopathies, except categories M50 and M51; see also note in "Site of musculoskeletal involvement" preceding Arthropathies (M00-M25).

0  Multiple sites in spine

1  Occipito-atlanto-axial region

2  Cervical region

3  Cervicothoracic region

4  Thoracic region

5  Thoracolumbar region

6  Lumbar region

7  Lumbosacral region

8  Sacral and sacrococcygeal region

9  Site unspecified

Deforming dorsopathies (M40-M43)

M40  Kyphosis and lordosis

[See site code above]

Excludes:    kyphoscoliosis (M41-)

kyphosis and lordosis:

• congenital (Q76.4)

• postprocedural (M96-)

M40.0  Postural kyphosis

Excludes:    osteochondrosis of spine (M42-)

M40.1  Other secondary kyphosis

M40.2  Other and unspecified kyphosis

M40.3  Flatback syndrome

M40.4  Other lordosis

Lordosis:

• acquired

• postural

M40.5  Lordosis, unspecified

M41  Scoliosis

[See site code at Dorsopathies (M40-M54)]

Includes:    kyphoscoliosis

Excludes:    congenital scoliosis:

• NOS (Q67.5)

• due to bony malformation (Q76.3)

• postural (Q67.5)

kyphoscoliotic heart disease (I27.1)

postprocedural (M96-)

M41.0  Infantile idiopathic scoliosis

M41.1  Juvenile idiopathic scoliosis

Adolescent scoliosis

M41.2  Other idiopathic scoliosis

M41.3  Thoracogenic scoliosis

M41.4  Neuromuscular scoliosis

Scoliosis secondary to cerebral palsy, Friedreich ataxia, poliomyelitis, and other neuromuscular disorders.

M41.5  Other secondary scoliosis

M41.8  Other forms of scoliosis

M41.9  Scoliosis, unspecified

M42  Spinal osteochondrosis

[See site code at Dorsopathies (M40-M54)]

M42.0  Juvenile osteochondrosis of spine

Calve disease

Scheuermann disease

Excludes:    postural kyphosis (M40.0)

M42.1  Adult osteochondrosis of spine

M42.9  Spinal osteochondrosis, unspecified

M43  Other deforming dorsopathies

[See site code at Dorsopathies (M40-M54)]

Excludes:    congenital spondylolysis and spondylolisthesis (Q76.2)

hemivertebra (Q76.3-Q76.4)

Klippel-Feil syndrome (Q76.1)

lumbarization and sacralization (Q76.4)

platyspondylisis (Q76.4)

spina bifida occulta (Q76.0)

spinal curvature in:

• osteoporosis (M80-M81)

• Paget disease of bone [osteitis deformans] (M88-)

M43.0  Spondylolysis

M43.1  Spondylolisthesis

M43.2  Other fusion of spine

Ankylosis of spinal joint

Excludes:    ankylosing spondylitis (M45)

arthrodesis status (^[i]Z98.1)

pseudoarthrosis after fusion or arthrodesis (M96.0)

M43.3  Recurrent atlantoaxial subluxation with myelopathy

M43.4  Other recurrent atlantoaxial subluxation

M43.5  Other recurrent vertebral subluxation

Excludes:    biomechanical lesions NEC (M99-)

M43.6  Torticollis

Excludes:    torticollis:

• congenital (sternomastoid) (Q68.0)

• current injury - see injury of spine by body region

• due to birth injury (P15.2)

• psychogenic (F45.8)

• spasmodic (G24.3)

M43.8  Other specified deforming dorsopathies

Excludes:    kyphosis and lordosis (M40-)

scoliosis (M41-)

M43.9  Deforming dorsopathy, unspecified

Curvature of spine NOS

Spondylopathies (M45-M49)

M45  Ankylosing spondylitis

[See site code at Dorsopathies (M40-M54)]

Rheumatoid arthritis of spine

Excludes:    arthropathy in Reiter disease (M02.3)

Behcet disease (M35.2)

juvenile (ankylosing) spondylitis (M08.1)

M46  Other inflammatory spondylopathies

[See site code at Dorsopathies (M40-M54)]

M46.0  Spinal enthesopathy

Disorder of ligamentous or muscular attachments of spine

M46.1  Sacroiliitis, not elsewhere classified

M46.2  Osteomyelitis of vertebra

M46.3  Infection of intervertebral disc (pyogenic)

Use additional code (B95-B97), if desired, to identify infectious agent.

M46.4  Discitis, unspecified

M46.5  Other infective spondylopathies

M46.8  Other specified inflammatory spondylopathies

M46.9  Inflammatory spondylopathy, unspecified

M47  Spondylosis

[See site code at Dorsopathies (M40-M54)]

Includes:    arthrosis or osteoarthritis of spine

degeneration of facet joints

M47.0† Anterior spinal and vertebral artery compression syndromes (G99.2*)

M47.1  Other spondylosis with myelopathy

Spondylogenic compression of spinal cord† (G99.2*)

Excludes:    vertebral subluxation (M43.3-M43.5)

M47.2  Other spondylosis with radiculopathy

M47.8  Other spondylosis

  Cervical spondylosis      

  Lumbosacral spondylosis      without myelopathy or radiculopathy

  Thoracic spondylosis      

M47.9  Spondylosis, unspecified

M48  Other spondylopathies

[See site code at Dorsopathies (M40-M54)]

M48.0  Spinal stenosis

Caudal stenosis

M48.1  Ankylosing hyperostosis [Forestier]

Diffuse idiopathic skeletal hyperostosis [DISH]

M48.2  Kissing spine

M48.3  Traumatic spondylopathy

M48.4  Fatigue fracture of vertebra

Stress fracture of vertebra

M48.5  Collapsed vertebra, not elsewhere classified

Collapsed vertebra NOS

Wedging of vertebra NOS

Excludes:    collapsed vertebra in osteoporosis (M80-)

current injury - see injury of spine by body region.

M48.8  Other specified spondylopathies

Ossification of posterior longitudinal ligament

M48.9  Spondylopathy, unspecified

M49  Spondylopathies in diseases classified elsewhere

[See site code at Dorsopathies (M40-M54)]

Excludes:    psoriatic and enteropathic arthropathies (M07*, M09*)

M49.0* Tuberculosis of spine (A18.0†)

Pott curvature

M49.1* Brucella spondylitis (A23†)

M49.2* Enterobacterial spondylitis (A01-A04†)

M49.3* Spondylopathy in other infectious and parasitic diseases classified elsewhere

Excludes:    neuropathic spondylopathy in tabes dorsalis (M49.4*)

M49.4* Neuropathic spondylopathy

Neuropathic spondylopathy in:

• syringomyelia and syringobulbia (G95.0†)

• tabes dorsalis (A52.1†)

M49.5* Collapsed vertebra in diseases classified elsewhere

Metastatic fracture of vertebra (C79.5†)

M49.8* Spondylopathy in other diseases classified elsewhere

Other dorsopathies (M50-M54)

Excludes:    current injury - see injury of spine by body region

discitis NOS (M46.4)

M50  Cervical disc disorders

Includes:    cervical disc disorders with cervicalgia

cervicothoracic disc disorders

M50.0† Cervical disc disorder with myelopathy (G99.2*)

M50.1  Cervical disc disorder with radiculopathy

Excludes:    brachial radiculitis NOS (M54.1)

M50.2  Other cervical disc displacement

M50.3  Other cervical disc degeneration

M50.8  Other cervical disc disorders

M50.9  Cervical disc disorder, unspecified

M51  Other intervertebral disc disorders

Includes:    thoracic, thoracolumbar and lumbosacral disc disorders

M51.0† Lumbar and other intervertebral disc disorders with myelopathy (G99.2*)

M51.1† Lumbar and other intervertebral disc disorders with radiculopathy (G55.1*)

Sciatica due to intervertebral disc disorder

Excludes:    lumbar radiculitis NOS (M54.1)

M51.2  Other specified intervertebral disc displacement

Lumbago due to displacement of intervertebral disc

M51.3  Other specified intervertebral disc degeneration

M51.4  Schmorl nodes

M51.8  Other specified intervertebral disc disorders

M51.9  Intervertebral disc disorder, unspecified

M53  Other dorsopathies, not elsewhere classified

[See site code at Dorsopathies (M40-M54)]

M53.0  Cervicocranial syndrome

Posterior cervical sympathetic syndrome

M53.1  Cervicobrachial syndrome

Excludes:    cervical disc disorder (M50-)

thoracic outlet syndrome (G54.0)

M53.2  Spinal instabilities

M53.3  Sacrococcygeal disorders, not elsewhere classified

Coccygodynia

M53.8  Other specified dorsopathies

M53.9  Dorsopathy, unspecified

M54  Dorsalgia

[See site code at Dorsopathies (M40-M54)]

Excludes:    psychogenic dorsalgia (F45.4)

M54.0  Panniculitis affecting regions of neck and back

Excludes:    panniculitis:

• NOS (M79.3)

• lupus (L93.2)

• relapsing [Weber-Christian] (M35.6)

M54.1  Radiculopathy

Neuritis or radiculitis:

• brachial NOS

• lumbar NOS

• lumbosacral NOS

• thoracic NOS

Radiculitis NOS

Excludes:    neuralgia and neuritis NOS (M79.2)

radiculopathy with:

• cervical disc disorder (M50.1)

• lumbar and other intervertebral disc disorder (M51.1)

• spondylosis (M47.2)

M54.2  Cervicalgia

Excludes:    cervicalgia due to intervertebral cervical disc disorder (M50-)

M54.3  Sciatica

Excludes:    lesion of sciatic nerve (G57.0)

sciatica:

• due to intervertebral disc disorder (M51.1)

• with lumbago (M54.4)

M54.4  Lumbago with sciatica

Excludes:    that due to intervertebral disc disorder (M51.1)

M54.5  Low back pain

Loin pain

Low back strain

Lumbago NOS

Excludes:    lumbago:

• due to intervertebral disc displacement (M51.2)

• with sciatica (M54.4)

M54.6  Pain in thoracic spine

Excludes:    pain due to intervertebral disc disorder (M51-)

M54.8  Other dorsalgia

M54.9  Dorsalgia, unspecified

Backache NOS

Soft tissue disorders (M60-M79)

Disorders of muscles (M60-M63)

Excludes:    dermatopolymyositis (M33-)

muscular dystrophies and myopathies (G71-G72)

myopathy in:

• amyloidosis (E85-)

• polyarteritis nodosa (M30.0)

• rheumatoid arthritis (M05.3)

• scleroderma (M34-)

• Sjogren syndrome (M35.0)

• systemic lupus erythematosus (M32-)

M60  Myositis

[See site code preceding Arthropathies (M00-M25)]

M60.0  Infective myositis

Tropical pyomyositis

Use additional code (B95-B97), if desired, to identify infectious agent.

M60.1  Interstitial myositis

M60.2  Foreign body granuloma of soft tissue, not elsewhere classified

Excludes:    foreign body granuloma of skin and subcutaneous tissue (L92.3)

M60.8  Other myositis

M60.9  Myositis, unspecified

M61  Calcification and ossification of muscle

[See site code preceding Arthropathies (M00-M25)]

M61.0  Myositis ossificans traumatica

M61.1  Myositis ossificans progressiva

Fibrodysplasia ossificans progressiva

M61.2  Paralytic calcification and ossification of muscle

Myositis ossificans associated with quadriplegia or paraplegia

M61.3  Calcification and ossification of muscles associated with burns

Myositis ossificans associated with burns

M61.4  Other calcification of muscle

Excludes:    calcific tendinitis (M65.2)

• of shoulder (M75.3)

M61.5  Other ossification of muscle

M61.9  Calcification and ossification of muscle, unspecified

M62  Other disorders of muscle

[See site code preceding Arthropathies (M00-M25)]

Excludes:    cramp and spasm (R25.2)

myalgia (M79.1)

myopathy:

• alcoholic (G72.1)

• drug-induced (G72.0)

stiff-man syndrome (G25.8)

M62.0  Diastasis of muscle

M62.1  Other rupture of muscle (nontraumatic)

Excludes:    rupture of tendon (M66-)

traumatic rupture of muscle - see injury of muscle by body region

M62.2  Ischaemic infarction of muscle

Compartment syndrome, nontraumatic

Excludes:    compartment syndrome, traumatic (T79.6)

traumatic ischaemia of muscle (T79.6)

Volkmann ischaemic contracture (T79.6)

M62.3  Immobility syndrome (paraplegic)

M62.4  Contracture of muscle

Excludes:    contracture of joint (M24.5)

M62.5  Muscle wasting and atrophy, not elsewhere classified

Disuse atrophy NEC

Sarcopenia

M62.6  Muscle strain

Excludes:    current injury - see injury of muscle by body region

M62.8  Other specified disorders of muscle

Muscle (sheath) hernia

M62.9  Disorder of muscle, unspecified

M63  Disorders of muscle in diseases classified elsewhere

Excludes:    myopathy in:

• endocrine diseases (G73.5*)

• metabolic diseases (G73.6*)

M63.0* Myositis in bacterial diseases classified elsewhere

Myositis in:

• leprosy [Hansen disease] (A30†)

• syphilis (A51.4†, A52.7†)

M63.1* Myositis in protozoal and parasitic infections classified elsewhere

Myositis in:

• cysticercosis (B69.8†

• schistosomiasis [bilharziasis] (B65†)

• toxoplasmosis (B58.8†)

• trichinellosis (B75†)

M63.2* Myositis in other infectious diseases classified elsewhere

Myositis in mycosis (B35-B49†)

M63.3* Myositis in sarcoidosis (D86.8†)

M63.8* Other disorders of muscle in diseases classified elsewhere

Disorders of synovium and tendon

(M65-M68)

M65  Synovitis and tenosynovitis

[See site code preceding Arthropathies (M00-M25)]

Excludes:    chronic crepitant synovitis of hand and wrist (M70.0)

current injury - see injury of ligament or tendon by body region

soft tissue disorders related to use, overuse and pressure (M70-)

M65.0  Abscess of tendon sheath

Use additional code (B95-B96), if desired, to identify bacterial agent.

M65.1  Other infective (teno)synovitis

M65.2  Calcific tendinitis

Excludes:    of shoulder (M75.3)

specified tendinitis (M75-M77)

M65.3  Trigger finger

Nodular tendinous disease

M65.4  Radial styloid tenosynovitis [de Quervain]

M65.8  Other synovitis and tenosynovitis

Irritable hip

M65.9  Synovitis and tenosynovitis, unspecified

M66  Spontaneous rupture of synovium and tendon

[See site code preceding Arthropathies (M00-M25)]

Includes:    rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength

Excludes:    rotator cuff syndrome (M75.1)

rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region

M66.0  Rupture of popliteal cyst

M66.1  Rupture of synovium

Rupture of synovial cyst

Excludes:    rupture of popliteal cyst (M66.0)

M66.2  Spontaneous rupture of extensor tendons

M66.3  Spontaneous rupture of flexor tendons

M66.4  Spontaneous rupture of other tendons

M66.5  Spontaneous rupture of unspecified tendon

Rupture at musculotendinous junction, nontraumatic

M67  Other disorders of synovium and tendon

Excludes:    palmar fascial fibromatosis [Dupuytren] (M72.0)

tendinitis NOS (M77.9)

xanthomatosis localized to tendons (E78.2)

M67.0  Short Achilles tendon (acquired)

M67.1  Other contracture of tendon (sheath)

Excludes:    with contracture of joint (M24.5)

M67.2  Synovial hypertrophy, not elsewhere classified

Excludes:    villonodular synovitis (pigmented) (M12.2)

M67.3  Transient synovitis

Toxic synovitis

Excludes:    palindromic rheumatism (M12.3)

M67.4  Ganglion

Ganglion of joint or tendon (sheath)

Excludes:    cyst of: • bursa • synovium

(M71.2-M71.3)

ganglion in yaws (A66.6)

M67.8  Other specified disorders of synovium and tendon

M67.9  Disorder of synovium and tendon, unspecified

M68  Disorders of synovium and tendon in diseases classified elsewhere

M68.0* Synovitis and tenosynovitis in bacterial diseases classified elsewhere

Synovitis or tenosynovitis in:

• gonorrhoea (A54.4†)

• syphilis (A52.7†)

• tuberculosis (A18.0†)

M68.8* Other disorders of synovium and tendon in diseases classified elsewhere

Other soft tissue disorders (M70-M79)

M70  Soft tissue disorders related to use, overuse and pressure

[See site code preceding Arthropathies (M00-M25)]

Includes:    soft tissue disorders of occupational origin

Excludes:    bursitis (of):

• NOS (M71.9)

• shoulder (M75.5)

decubitus ulcer and pressure area (L89-)

enthesopathies (M76-M77)

M70.0  Chronic crepitant synovitis of hand and wrist

M70.1  Bursitis of hand

M70.2  Olecranon bursitis

M70.3  Other bursitis of elbow

M70.4  Prepatellar bursitis

M70.5  Other bursitis of knee

M70.6  Trochanteric bursitis

Trochanteric tendinitis

M70.7  Other bursitis of hip

Ischial bursitis

M70.8  Other soft tissue disorders related to use, overuse and pressure

M70.9  Unspecified soft tissue disorder related to use, overuse and pressure

M71  Other bursopathies

[See site code preceding Arthropathies (M00-M25)]

Excludes:    bunion (M20.1)

bursitis related to use, overuse and pressure (M70-)

enthesopathies (M76-M77)

M71.0  Abscess of bursa

M71.1  Other infective bursitis

M71.2  Synovial cyst of popliteal space [Baker]

Excludes:    with rupture (M66.0)

M71.3  Other bursal cyst

Synovial cyst NOS

Excludes:    synovial cyst with rupture (M66.1)

M71.4  Calcium deposit in bursa

Excludes:    of shoulder (M75.3)

M71.5  Other bursitis, not elsewhere classified

Excludes:    bursitis (of):

• NOS (M71.9)

• shoulder (M75.5)

• tibial collateral [Pellegrini-Stieda] (M76.4)

M71.8  Other specified bursopathies

M71.9  Bursopathy, unspecified

Bursitis NOS

M72  Fibroblastic disorders

[See site code preceding Arthropathies (M00-M25)]

Excludes:    retroperitoneal fibromatosis (D48.3)

M72.0  Palmar fascial fibromatosis [Dupuytren]

M72.1  Knuckle pads

M72.2  Plantar fascial fibromatosis

Plantar fasciitis

M72.4  Pseudosarcomatous fibromatosis

Nodular fasciitis

M72.6  Necrotizing fasciitis

Use additional code, if desired, to identify infectious agent.

M72.8  Other fibroblastic disorders

Abscess of fascia

Excludes:         fasciitis:

• diffuse (eosinophilic) (M35.4)

• necrotizing (M72.6)

• nodular (M72.4)

• perirenal:

    • NOS (N13.5)

    • with infection (N13.6)

• plantar (M72.2)

M72.9  Fibroblastic disorder, unspecified

Fasciitis NOS

Fibromatosis NOS

M73  Soft tissue disorders in diseases classified elsewhere

[See site code preceding Arthropathies (M00-M25)]

M73.0* Gonococcal bursitis (A54.4†)

M73.1* Syphilitic bursitis (A52.7†)

M73.8* Other soft tissue disorders in diseases classified elsewhere

M75  Shoulder lesions

Excludes:    shoulder-hand syndrome (M89.0)

M75.0  Adhesive capsulitis of shoulder

Frozen shoulder

Periarthritis of shoulder

M75.1  Rotator cuff syndrome

Rotator cuff or supraspinatus tear or rupture (complete)(incomplete), not specified as traumatic

Supraspinatus syndrome

M75.2  Bicipital tendinitis

M75.3  Calcific tendinitis of shoulder

Calcified bursa of shoulder

M75.4  Impingement syndrome of shoulder

M75.5  Bursitis of shoulder

M75.8  Other shoulder lesions

M75.9  Shoulder lesion, unspecified

M76  Enthesopathies of lower limb, excluding foot

[See site code preceding Arthropathies (M00-M25)]

Note:          The superficially specific terms bursitis, capsulitis and tendinitis tend to be used indiscriminately for various disorders of peripheral ligamentous or muscular attachments; most of these conditions have been brought together as enthesopathies which is the generic term for lesions at these sites.

Excludes:    bursitis due to use, overuse and pressure (M70-)

M76.0  Gluteal tendinitis

M76.1  Psoas tendinitis

M76.2  Iliac crest spur

M76.3  Iliotibial band syndrome

M76.4  Tibial collateral bursitis [Pellegrini-Stieda]

M76.5  Patellar tendinitis

M76.6  Achilles tendinitis

Achilles bursitis

M76.7  Peroneal tendinitis

M76.8  Other enthesopathies of lower limb, excluding foot

Anterior tibial syndrome

Posterior tibial tendinitis

M76.9  Enthesopathy of lower limb, unspecified

M77  Other enthesopathies

[See site code preceding Arthropathies (M00-M25)]

Excludes:    bursitis:

• NOS (M71.9)

• due to use, overuse and pressure (M70-)

osteophyte (M25.7)

spinal enthesopathy (M46.0)

M77.0  Medial epicondylitis

M77.1  Lateral epicondylitis

Tennis elbow

M77.2  Periarthritis of wrist

M77.3  Calcaneal spur

M77.4  Metatarsalgia

Excludes:    Morton metatarsalgia (G57.6)

M77.5  Other enthesopathy of foot

M77.8  Other enthesopathies, not elsewhere classified

M77.9  Enthesopathy, unspecified

Bone spur NOS

Capsulitis NOS

Periarthritis NOS

Tendinitis NOS

M79  Other soft tissue disorders, not elsewhere classified

[See site code preceding Arthropathies (M00-M25)]

Excludes:    soft tissue pain, psychogenic (F45.4)

M79.0  Rheumatism, unspecified

Excludes:    fibromyalgia (M79.7)

palindromic rheumatism (M12.3)

M79.1  Myalgia

Excludes:    myositis (M60-)

M79.2  Neuralgia and neuritis, unspecified

Excludes:    mononeuropathies (G56-G58)

radiculitis:

• NOS               

• brachial NOS         (M54.1)

• lumbosacral NOS   

sciatica (M54.3-M54.4)

M79.3  Panniculitis, unspecified

Excludes:    panniculitis:

• lupus (L93.2)

• neck and back (M54.0)

• relapsing [Weber-Christian] (M35.6)

M79.4  Hypertrophy of (infrapatellar) fat pad

M79.5  Residual foreign body in soft tissue

Excludes:    foreign body granuloma of:

• skin and subcutaneous tissue (L92.3)

• soft tissue (M60.2)

M79.6  Pain in limb

M79.7  Fibromyalgia

Fibromyositis

Fibrositis

Myofibrositis

M79.8  Other specified soft tissue disorders

M79.9  Soft tissue disorder, unspecified

Osteopathies and chondropathies (M80-M94)

Disorders of bone density and structure (M80-M85)

M80  Osteoporosis with pathological fracture

[See site code preceding Arthropathies (M00-M25)]

Includes:    osteoporotic vertebral collapse and wedging

Excludes:    collapsed vertebra NOS (M48.5)

pathological fracture NOS (M84.4)

wedging of vertebra NOS (M48.5)

M80.0  Postmenopausal osteoporosis with pathological fracture

M80.1  Postoophorectomy osteoporosis with pathological fracture

M80.2  Osteoporosis of disuse with pathological fracture

M80.3  Postsurgical malabsorption osteoporosis with pathological fracture

M80.4  Drug-induced osteoporosis with pathological fracture

Use additional external cause code (Chapter XX), if desired, to identify drug.

M80.5  Idiopathic osteoporosis with pathological fracture

M80.8  Other osteoporosis with pathological fracture

M80.9  Unspecified osteoporosis with pathological fracture

M81  Osteoporosis without pathological fracture

[See site code preceding Arthropathies (M00-M25)]

Excludes:    osteoporosis with pathological fracture (M80-)

M81.0  Postmenopausal osteoporosis

M81.1  Postoophorectomy osteoporosis

M81.2  Osteoporosis of disuse

Excludes:    Sudeck atrophy (M89.0)

M81.3  Postsurgical malabsorption osteoporosis

M81.4  Drug-induced osteoporosis

Use additional external cause code (Chapter XX), if desired, to identify drug.

M81.5  Idiopathic osteoporosis

M81.6  Localized osteoporosis [Lequesne]

Excludes:    Sudeck atrophy (M89.0)

M81.8  Other osteoporosis

Senile osteoporosis

M81.9  Osteoporosis, unspecified

M82  Osteoporosis in diseases classified elsewhere

[See site code preceding Arthropathies (M00-M25)]

M82.0* Osteoporosis in multiple myelomatosis (C90.0†)

M82.1* Osteoporosis in endocrine disorders (E00-E34†)

M82.8* Osteoporosis in other diseases classified elsewhere

M83  Adult osteomalacia

[See site code preceding Arthropathies (M00-M25)]

Excludes:    osteomalacia:

• infantile and juvenile (E55.0)

• vitamin-D-resistant (E83.3)

renal osteodystrophy (N25.0)

rickets (active) (E55.0)

• sequelae (E64.3)

• vitamin-D-resistant (E83.3)

M83.0  Puerperal osteomalacia

M83.1  Senile osteomalacia

M83.2  Adult osteomalacia due to malabsorption

Postsurgical malabsorption osteomalacia in adults

M83.3  Adult osteomalacia due to malnutrition

M83.4  Aluminium bone disease

M83.5  Other drug-induced osteomalacia in adults

Use additional external cause code (Chapter XX), if desired, to identify drug.

M83.8  Other adult osteomalacia

M83.9  Adult osteomalacia, unspecified

M84  Disorders of continuity of bone

[See site code preceding Arthropathies (M00-M25)]

M84.0  Malunion of fracture

M84.1  Nonunion of fracture [pseudarthrosis]

Excludes:    pseudarthrosis after fusion or arthrodesis (M96.0)

M84.2  Delayed union of fracture

M84.3  Stress fracture, not elsewhere classified

Stress fracture NOS

Excludes:    stress fracture of vertebra (M48.4)

M84.4  Pathological fracture, not elsewhere classified

Pathological fracture NOS

Excludes:    collapsed vertebra NEC (M48.5)

pathological fracture in osteoporosis (M80-)

M84.8  Other disorders of continuity of bone

M84.9  Disorder of continuity of bone, unspecified

M85  Other disorders of bone density and structure

[See site code preceding Arthropathies (M00-M25)]

Excludes:    osteogenesis imperfecta (Q78.0)

osteopetrosis (Q78.2)

osteopoikilosis (Q78.8)

polyostotic fibrous dysplasia (Q78.1)

M85.0  Fibrous dysplasia (monostotic)

Excludes:    fibrous dysplasia of jaw (K10.8)

M85.1  Skeletal fluorosis

M85.2  Hyperostosis of skull

M85.3  Osteitis condensans

M85.4  Solitary bone cyst

Excludes:    solitary cyst of jaw (K09.1-K09.2)

M85.5  Aneurysmal bone cyst

Excludes:    aneurysmal cyst of jaw (K09.2)

M85.6  Other cyst of bone

Excludes:    cyst of jaw NEC (K09.1-K09.2)

osteitis fibrosa cystica generalisata [von Recklinghausen disease of bone] (E21.0)

M85.8  Other specified disorders of bone density and structure

Hyperostosis of bones, except skull

Osteosclerosis, acquired

Excludes:    diffuse idiopathic skeletal hyperostosis [DISH] (M48.1)

osteosclerosis:

• congenita (Q77.4)

• myelofibrosis (D75.8)

M85.9  Disorder of bone density and structure, unspecified

Other osteopathies (M86-M90)

Excludes:    postprocedural osteopathies (M96-)

M86  Osteomyelitis

[See site code preceding Arthropathies (M00-M25)]

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    osteomyelitis (of):

• due to salmonella (A01-A02)

• jaw (K10.2)

• vertebra (M46.2)

M86.0  Acute haematogenous osteomyelitis

M86.1  Other acute osteomyelitis

M86.2  Subacute osteomyelitis

M86.3  Chronic multifocal osteomyelitis

M86.4  Chronic osteomyelitis with draining sinus

M86.5  Other chronic haematogenous osteomyelitis

M86.6  Other chronic osteomyelitis

M86.8  Other osteomyelitis

Brodie abscess

M86.9  Osteomyelitis, unspecified

Infection of bone NOS

Periostitis NOS

M87  Osteonecrosis

[See site code preceding Arthropathies (M00-M25)]

Includes:    avascular necrosis of bone

Excludes:    osteochondropathies (M91-M93)

M87.0  Idiopathic aseptic necrosis of bone

M87.1  Osteonecrosis due to drugs

Use additional external cause code (Chapter XX), if desired, to identify drug.

M87.2  Osteonecrosis due to previous trauma

M87.3  Other secondary osteonecrosis

M87.8  Other osteonecrosis

M87.9  Osteonecrosis, unspecified

M88  Paget disease of bone [osteitis deformans]

[See site code preceding Arthropathies (M00-M25)]

M88.0  Paget disease of skull

M88.8  Paget disease of other bones

M88.9  Paget disease of bone, unspecified

M89  Other disorders of bone

[See site code preceding Arthropathies (M00-M25)]

M89.0  Algoneurodystrophy

Shoulder-hand syndrome

Sudeck atrophy

Sympathetic reflex dystrophy

M89.1  Epiphyseal arrest

M89.2  Other disorders of bone development and growth

M89.3  Hypertrophy of bone

M89.4  Other hypertrophic osteoarthropathy

Marie-Bamberger disease

Pachydermoperiostosis

M89.5  Osteolysis

M89.6  Osteopathy after poliomyelitis

Use additional code (B91), if desired, to identify previous poliomyelitis.

Excludes:    postpolio syndrome (G14)

M89.8  Other specified disorders of bone

Infantile cortical hyperostoses

Post-traumatic subperiosteal ossification

M89.9  Disorder of bone, unspecified

M90  Osteopathies in diseases classified elsewhere

[See site code preceding Arthropathies (M00-M25)]

M90.0* Tuberculosis of bone (A18.0†)

Excludes:    tuberculosis of spine (M49.0*)

M90.1* Periostitis in other infectious diseases classified elsewhere

Secondary syphilitic periostitis (A51.4†)

M90.2* Osteopathy in other infectious diseases classified elsewhere

Osteomyelitis:

• echinococcal (B67.2†)

• gonococcal (A54.4†)

• salmonella (A02.2†)

Syphilitic osteopathy or osteochondropathy (A50.5†, A52.7†)

M90.3* Osteonecrosis in caisson disease (T70.3†)

M90.4* Osteonecrosis due to haemoglobinopathy (D50-D64†)

M90.5* Osteonecrosis in other diseases classified elsewhere

M90.6* Osteitis deformans in neoplastic disease (C00-D48†)

Osteitis deformans in malignant neoplasm of bone (C40-C41†)

M90.7* Fracture of bone in neoplastic disease (C00-D48†)

Excludes:    collapse of vertebra in neoplastic disease (M49.5*)

M90.8* Osteopathy in other diseases classified elsewhere

Osteopathy in renal osteodystrophy (N25.0†)

Chondropathies (M91-M94)

Excludes:    postprocedural chondropathies (M96-)

M91  Juvenile osteochondrosis of hip and pelvis

[See site code preceding Arthropathies (M00-M25)]

Excludes:    slipped upper femoral epiphysis (nontraumatic) (M93.0)

M91.0  Juvenile osteochondrosis of pelvis

Osteochondrosis (juvenile) of:

• acetabulum

• iliac crest [Buchanan]

• ischiopubic synchondrosis [van Neck]

• symphisis pubis [Pierson]

M91.1  Juvenile osteochondrosis of head of femur [Legg-Calve-Perthes]

M91.2  Coxa plana

Hip deformity due to previous juvenile osteochondrosis

M91.3  Pseudocoxalgia

M91.8  Other juvenile osteochondrosis of hip and pelvis

Juvenile osteochondrosis after reduction of congenital dislocation of hip

M91.9  Juvenile osteochondrosis of hip and pelvis, unspecified

M92  Other juvenile osteochondrosis

M92.0  Juvenile osteochondrosis of humerus

Osteochondrosis (juvenile) of:

• capitulum of humerus [Panner]

• head of humerus [Haas]

M92.1  Juvenile osteochondrosis of radius and ulna

Osteochondrosis (juvenile) of:

• lower ulna [Burns]

• radial head [Brailsford]

M92.2  Juvenile osteochondrosis of hand

Osteochondrosis (juvenile) of:

• carpal lunate [Kienbock]

• metacarpal heads [Mauclaire]

M92.3  Other juvenile osteochondrosis of upper limb

M92.4  Juvenile osteochondrosis of patella

Osteochondrosis (juvenile) of:

• primary patellar centre [Kohler]

• secondary patellar centre [Sinding-Larsen]

M92.5  Juvenile osteochondrosis of tibia and fibula

Osteochondrosis (juvenile) of:

• proximal tibia [Blount]

• tibial tubercle [Osgood-Schlatter]

Tibia vara

M92.6  Juvenile osteochondrosis of tarsus

Osteochondrosis (juvenile) of:

• calcaneum [Sever]

• os tibiale externum [Haglund]

• talus [Diaz]

• tarsal navicular [Kohler]

M92.7  Juvenile osteochondrosis of metatarsus

Osteochondrosis (juvenile) of:

• fifth metatarsus [Iselin]

• second metatarsus [Freiberg]

M92.8  Other specified juvenile osteochondrosis

Calcaneal apophysitis

M92.9  Juvenile osteochondrosis, unspecified

  Apophysitis       

  Epiphysitis          specified as juvenile, of unspecified

  Osteochondritis       site

  Osteochondrosis   

M93  Other osteochondropathies

Excludes:    osteochondrosis of spine (M42-)

M93.0  Slipped upper femoral epiphysis (nontraumatic)

M93.1  Kienbock disease of adults

Adult osteochondrosis of carpal lunate

M93.2  Osteochondritis dissecans

M93.8  Other specified osteochondropathies

M93.9  Osteochondropathy, unspecified

  Apophysitis       

  Epiphysitis          not specified as adult or juvenile, of

  Osteochondritis       unspecified site

  Osteochondrosis   

M94  Other disorders of cartilage

[See site code preceding Arthropathies (M00-M25)]

M94.0  Chondrocostal junction syndrome [Tietze]

Costochondritis

M94.1  Relapsing polychondritis

M94.2  Chondromalacia

Excludes:    chondromalacia patellae (M22.4)

M94.3  Chondrolysis

M94.8  Other specified disorders of cartilage

M94.9  Disorder of cartilage, unspecified

Other disorders of the musculoskeletal system and connective tissue (M95-M99)

M95  Other acquired deformities of musculoskeletal system and connective tissue

Excludes:    acquired:

• absence of limbs and organs (^[i]Z89-Z90)

• deformities of limbs (M20-M21)

congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

deforming dorsopathies (M40-M43)

dentofacial anomalies [including malocclusion] (K07-)

postprocedural musculoskeletal disorders (M96-)

M95.0  Acquired deformity of nose

Excludes:    deviated nasal septum (J34.2)

M95.1  Cauliflower ear

Excludes:    other acquired deformities of ear (H61.1)

M95.2  Other acquired deformity of head

M95.3  Acquired deformity of neck

M95.4  Acquired deformity of chest and rib

M95.5  Acquired deformity of pelvis

Excludes:    maternal care for known or suspected disproportion (O33-)

M95.8  Other specified acquired deformities of musculoskeletal system

M95.9  Acquired deformity of musculoskeletal system, unspecified

M96  Postprocedural musculoskeletal disorders, not elsewhere classified

Excludes:    arthropathy following intestinal bypass (M02.0)

disorders associated with osteoporosis (M80-M81)

presence of functional implants and other devices (^[i]Z95-Z97)

M96.0  Pseudarthrosis after fusion or arthrodesis

M96.1  Postlaminectomy syndrome, not elsewhere classified

M96.2  Postradiation kyphosis

M96.3  Postlaminectomy kyphosis

M96.4  Postsurgical lordosis

M96.5  Postradiation scoliosis

M96.6  Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate

Excludes:    complication of internal orthopaedic devices, implants or grafts (T84-)

M96.8  Other postprocedural musculoskeletal disorders

Instability of joint secondary to removal of joint prosthesis

M96.9  Postprocedural musculoskeletal disorder, unspecified

M99  Biomechanical lesions, not elsewhere classified

Note:          This category should not be used if the condition can be classified elsewhere.

The following supplementary subclassification to indicate the site of lesions is provided for optional use with appropriate subcategories in M99-; see also note in "Site of musculoskeletal involvement" preceding Arthropathies (M00-M25).

0 Head region               occipitocervical

1 Cervical region           cervicothoracic

2 Thoracic region          thoracolumbar

3 Lumbar region            lumbosacral

4 Sacral region              sacrococcygeal, sacroiliac

5 Pelvic region              hip, pubic

6 Lower extremity

7 Upper extremity         acromioclavicular, sternoclavicular

8 Rib cage                    costochondral, costovertebral, sternochondral

9 Abdomen and other

M99.0  Segmental and somatic dysfunction

M99.1  Subluxation complex (vertebral)

M99.2  Subluxation stenosis of neural canal

M99.3  Osseous stenosis of neural canal

M99.4  Connective tissue stenosis of neural canal

M99.5  Intervertebral disc stenosis of neural canal

M99.6  Osseous and subluxation stenosis of intervertebral foramina

M99.7  Connective tissue and disc stenosis of intervertebral foramina

M99.8  Other biomechanical lesions

M99.9  Biomechanical lesion, unspecified

CHAPTER XIV - Diseases of the genitourinary system (N00-N99)

Excludes:    certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)

complications of pregnancy, childbirth and the puerperium (O00-O99)

congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter contains the following blocks:

N00-N08      Glomerular diseases

N10-N16      Renal tubulo-interstitial diseases

N17-N19      Renal failure

N20-N23      Urolithiasis

N25-N29      Other disorders of kidney and ureter

N30-N39      Other diseases of urinary system

N40-N51      Diseases of male genital organs

N60-N64      Disorders of breast

N70-N77      Inflammatory diseases of female pelvic organs

N80-N98      Noninflammatory disorders of female genital tract

N99             Other disorders of genitourinary tract

Asterisk categories for this chapter are provided as follows:

N08*            Glomerular disorders in diseases classified elsewhere

N16*            Renal tubulo-interstitial disorders in diseases classified elsewhere

N22*            Calculus of urinary tract in diseases classified elsewhere

N29*            Other disorders of kidney and ureter in diseases classified elsewhere

N33*            Bladder disorders in diseases classified elsewhere

N37*            Urethral disorders in diseases classified elsewhere

N51*            Disorders of male genital organs in diseases classified elsewhere

N74*            Female pelvic inflammatory disorders in diseases classified elsewhere

N77*            Vulvovaginal ulceration and inflammation in diseases classified elsewhere

Glomerular diseases (N00-N08)

Use additional code, if desired, to identify associated chronic kidney disease (N18-).

Use additional code, if desired, to identify external cause (Chapter XX) or presence of renal failure, acute (N17) or unspecified (N19).

Excludes:    hypertensive renal disease (I12-)

The following fourth-character subdivisions classify morphological changes and are for use with categories N00-N07. Subdivisions .0-.8 should not normally be used unless these have been specifically identified (e.g. by renal biopsy or autopsy). The three-character categories relate to clinical syndromes.

.0       Minor glomerular abnormality

Minimal change lesion

.1       Focal and segmental glomerular lesions

Focal and segmental:

• hyalinosis

• sclerosis

Focal glomerulonephritis

.2       Diffuse membranous glomerulonephritis

.3       Diffuse mesangial proliferative glomerulonephritis

.4       Diffuse endocapillary proliferative glomerulonephritis

.5       Diffuse mesangiocapillary glomerulonephritis

Membranoproliferative glomerulonephritis, types 1 and 3, or NOS

.6       Dense deposit disease

Membranoproliferative glomerulonephritis, type 2

.7       Diffuse crescentic glomerulonephritis

Extracapillary glomerulonephritis

.8       Other

Proliferative glomerulonephritis NOS

.9       Unspecified

N00  Acute nephritic syndrome

[See subdivisions at Glomerular diseases (N00-N08)]

Includes:    acute:

• glomerular disease

• glomerulonephritis

• nephritis

• renal disease NOS

Excludes:    acute infectious tubulo-interstitial nephritis (N10)

nephritic syndrome NOS (N05-)

N01  Rapidly progressive nephritic syndrome

[See subdivisions at Glomerular diseases (N00-N08)]

Includes:    rapidly progressive:

• glomerular disease

• glomerulonephritis

• nephritis

Excludes:    nephritic syndrome NOS (N05-)

N02  Recurrent and persistent haematuria

[See subdivisions at Glomerular diseases (N00-N08)]

Includes:    haematuria:

• benign (familial)(of childhood)

• with morphological lesion specified in .0-.8 at Glomerular diseases (N00-N08)

Excludes:    haematuria NOS (R31)

N03  Chronic nephritic syndrome

[See subdivisions at Glomerular diseases (N00-N08)]

Includes:    chronic:

• glomerular disease

• glomerulonephritis

• nephritis

Excludes:    chronic tubulo-interstitial nephritis (N11-)

diffuse sclerosing glomerulonephritis (N18-)

nephritic syndrome NOS (N05-)

N04  Nephrotic syndrome

[See subdivisions at Glomerular diseases (N00-N08)]

Includes:    congenital nephrotic syndrome

lipoid nephrosis

N05  Unspecified nephritic syndrome

[See subdivisions at Glomerular diseases (N00-N08)]

Includes:    glomerular disease NOS

glomerulonephritis NOS

nephritis NOS

nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8 at Glomerular diseases (N00-N08)

Excludes:    nephropathy NOS with no stated morphological lesion (N28.9)

renal disease NOS with no stated morphological lesion (N28.9)

tubulo-interstitial nephritis NOS (N12)

N06  Isolated proteinuria with specified morphological lesion

[See subdivisions at Glomerular diseases (N00-N08)]

Includes:    proteinuria (isolated)(orthostatic)(persistent) with morphological

lesion specified in .0-.8 at Glomerular diseases (N00-N08)

Excludes:    proteinuria:

• NOS (R80)

• Bence Jones (R80)

• gestational (O12.1)

• isolated NOS (R80)

• orthostatic NOS (N39.2)

• persistent NOS (N39.1)

N07  Hereditary nephropathy, not elsewhere classified

[See subdivisions at Glomerular diseases (N00-N08)]

Excludes:    Alport syndrome (Q87.8)

hereditary amyloid nephropathy (E85.0)

nail patella syndrome (Q87.2)

non-neuropathic heredofamilial amyloidosis (E85.0)

N08  Glomerular disorders in diseases classified elsewhere

Includes:    nephropathy in diseases classified elsewhere

Excludes:    renal tubulo-interstitial disorders in diseases classified elsewhere (N16*)

N08.0* Glomerular disorders in infectious and parasitic diseases classified elsewhere

Glomerular disorders in:

• Plasmodium malariae malaria (B52.0†)

• mumps (B26.8†)

• schistosomiasis [bilharziasis] (B65†)

• septicaemia (A40-A41†)

• strongyloidiasis (B78†)

• syphilis (A52.7†)

N08.1* Glomerular disorders in neoplastic diseases

Glomerular disorders in:

• multiple myeloma (C90.0†)

• Waldenstrom macroglobulinaemia (C88.0†)

N08.2* Glomerular disorders in blood diseases and disorders involving the immune mechanism

Glomerular disorders in:

• cryoglobulinaemia (D89.1†)

• disseminated intravascular coagulation [defibrination syndrome] (D65†)

• haemolytic-uraemic syndrome (D59.3†)

• Henoch(-Schonlein) purpura (D69.0†)

• sickle-cell disorders (D57†)

N08.3* Glomerular disorders in diabetes mellitus (E10-E14† with common fourth character .2)

N08.4* Glomerular disorders in other endocrine, nutritional and metabolic diseases

Glomerular disorders in:

• amyloidosis (E85†)

• Fabry(-Anderson) disease (E75.2†)

• lecithin cholesterol acyltransferase deficiency (E78.6†)

N08.5* Glomerular disorders in systemic connective tissue disorders

Glomerular disorders in:

• Goodpasture syndrome (M31.0†)

• microscopic polyangiitis (M31.7†)

• systemic lupus erythematosus (M32.1†)

• thrombotic thrombocytopenic purpura (M31.1†)

• Wegener granulomatosis (M31.3†)

N08.8* Glomerular disorders in other diseases classified elsewhere

Glomerular disorders in subacute bacterial endocarditis (I33.0†)

Renal tubulo-interstitial diseases (N10-N16)

Includes:    pyelonephritis

Excludes:    pyeloureteritis cystica (N28.8)

Use additional code, if desired, to identify associated chronic kidney disease (N18-)

N10  Acute tubulo-interstitial nephritis

Acute:

• infectious interstitial nephritis

• pyelitis

• pyelonephritis

Use additional code (B95-B97), if desired, to identify infectious agent.

N11  Chronic tubulo-interstitial nephritis

Includes:    chronic:

• infectious interstitial nephritis

• pyelitis

• pyelonephritis

Use additional code, if desired, to identify associated chronic kidney disease (N18-)

N11.0   Nonobstructive reflux-associated chronic pyelonephritis

Pyelonephritis (chronic) associated with (vesicoureteral) reflux

Excludes:    vesicoureteral reflux NOS (N13.7)

N11.1   Chronic obstructive pyelonephritis

Pyelonephritis (chronic) associated with:

• anomaly • kinking • obstruction • stricture

of

pelviureteric junction pyeloureteric junction ureter

Excludes:    calculous pyelonephritis (N20.9)

obstructive uropathy (N13-)

N11.8   Other chronic tubulo-interstitial nephritis

Nonobstructive chronic pyelonephritis NOS

N11.9   Chronic tubulo-interstitial nephritis, unspecified

Chronic:

• interstitial nephritis NOS

• pyelitis NOS

• pyelonephritis NOS

N12  Tubulo-interstitial nephritis, not specified as acute or chronic

Interstitial nephritis NOS

Pyelitis NOS

Pyelonephritis NOS

Excludes:    calculous pyelonephritis (N20.9)

N13  Obstructive and reflux uropathy

Excludes:    calculus of kidney and ureter without hydronephrosis (N20-)

congenital obstructive defects of renal pelvis and ureter (Q62.0-Q62.3)

obstructive pyelonephritis (N11.1)

N13.0   Hydronephrosis with ureteropelvic junction obstruction

Excludes:    with infection (N13.6)

N13.1   Hydronephrosis with ureteral stricture, not elsewhere classified

Excludes:    with infection (N13.6)

N13.2   Hydronephrosis with renal and ureteral calculous obstruction

Excludes:    with infection (N13.6)

N13.3   Other and unspecified hydronephrosis

Excludes:    with infection (N13.6)

N13.4   Hydroureter

Excludes:    with infection (N13.6)

N13.5   Kinking and stricture of ureter without hydronephrosis

Excludes:    with infection (N13.6)

N13.6   Pyonephrosis

Conditions in N13.0-N13.5 with infection

Obstructive uropathy with infection

Use additional code (B95-B97), if desired, to identify infectious agent.

N13.7   Vesicoureteral-reflux-associated uropathy

Vesicoureteral reflux:

• NOS

• with scarring

Excludes:    reflux-associated pyelonephritis (N11.0)

N13.8   Other obstructive and reflux uropathy

N13.9   Obstructive and reflux uropathy, unspecified

Urinary tract obstruction NOS

N14  Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.

N14.0   Analgesic nephropathy

N14.1   Nephropathy induced by other drugs, medicaments and biological substances

N14.2   Nephropathy induced by unspecified drug, medicament or biological substance

N14.3   Nephropathy induced by heavy metals

N14.4   Toxic nephropathy, not elsewhere classified

N15  Other renal tubulo-interstitial diseases

N15.0   Balkan nephropathy

Balkan endemic nephropathy

N15.1   Renal and perinephric abscess

N15.8   Other specified renal tubulo-interstitial diseases

N15.9   Renal tubulo-interstitial disease, unspecified

Infection of kidney NOS

Excludes:    urinary tract infection NOS (N39.0)

N16  Renal tubulo-interstitial disorders in diseases classified elsewhere

N16.0* Renal tubulo-interstitial disorders in infectious and parasitic diseases classified elsewhere

Renal tubulo-interstitial disorders (due to)(in):

• brucellosis (A23†)

• diphtheria (A36.8†)

• salmonella infection (A02.2†)

• septicaemia (A40-A41†)

• toxoplasmosis (B58.8†)

N16.1* Renal tubulo-interstitial disorders in neoplastic diseases

Renal tubulo-interstitial disorders in:

• leukaemia (C91-C95†)

• lymphoma (C81-C85†, C96†)

• multiple myeloma (C90.0†)

N16.2* Renal tubulo-interstitial disorders in blood diseases and disorders involving the immune mechanism

Renal tubulo-interstitial disorders in:

• mixed cryoglobulinaemia (D89.1†)

• sarcoidosis (D86†)

N16.3* Renal tubulo-interstitial disorders in metabolic diseases

Renal tubulo-interstitial disorders in:

• cystinosis (E72.0†)

• glycogen storage disease (E74.0†)

• Wilson disease (E83.0†)

N16.4* Renal tubulo-interstitial disorders in systemic connective tissue disorders

Renal tubulo-interstitial disorders in:

• sicca syndrome [Sjogren] (M35.0†)

• systemic lupus erythematosus (M32.1†)

N16.5* Renal tubulo-interstitial disorders in transplant rejection (T86†)

N16.8* Renal tubulo-interstitial disorders in other diseases classified elsewhere

Renal failure (N17-N19)

Use additional external cause code (Chapter XX), if desired, to identify external agent.

Excludes:    congenital renal failure (P96.0)

drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14-)

extrarenal uraemia (R39.2)

haemolytic-uraemic syndrome (D59.3)

hepatorenal syndrome (K76.7)

• postpartum (O90.4)

prerenal uraemia (R39.2)

renal failure:

• complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)

• following labour and delivery (O90.4)

• postprocedural (N99.0)

N17  Acute renal failure

Includes:    acute renal impairment

N17.0   Acute renal failure with tubular necrosis

Tubular necrosis:

• NOS

• acute

• renal

N17.1   Acute renal failure with acute cortical necrosis

Cortical necrosis:

• NOS

• acute

• renal

N17.2   Acute renal failure with medullary necrosis

Medullary [papillary] necrosis:

• NOS

• acute

• renal

N17.8   Other acute renal failure

N17.9   Acute renal failure, unspecified

N18  Chronic kidney disease

Includes:    chronic uraemia

diffuse sclerosing glomerulonephritis

Excludes:    chronic renal failure with hypertension (I12.0)

Use additional code, if desired, to identify underlying disease.

Use additional code, if desired, to identify presence of hypertension.

N18.1   Chronic kidney disease, stage 1

Kidney damage with normal or increased GFR (> 90 mL/min)

N18.2   Chronic kidney disease, stage 2

Kidney damage with mild decreased GFR (60-89 mL/min)

N18.3   Chronic kidney disease, stage 3

Kidney damage with moderately decreased GFR (30-59 mL/min)

N18.4   Chronic kidney disease, stage 4

Kidney damage with severely decreased GFR (15-29 mL/min)

N18.5   Chronic kidney disease, stage 5

Chronic uraemia

End stage kidney disease:

• in allograft failure

• NOS

• on dialysis

• without dialysis or transplant

Renal retinitis† (H32.8*)

Uraemic:

• apoplexia† (I68.8*)

• dementia† (F02.8*)

• neuropathy† (G63.8*)

• paralysis† (G99.8*)

• pericarditis† (I32.8*)

N18.9   Chronic kidney disease, unspecified

N19  Unspecified kidney failure

Renal insufficiency NOS

Uraemia NOS

Excludes:    kidney failure due to hypertension (I12.0)

Note:    The Excludes statement above is for morbidity coding only.

uraemia of newborn (P96.0)

Urolithiasis (N20-N23)

N20  Calculus of kidney and ureter

Includes: calculous pyelonephritis

Excludes:    with hydronephrosis (N13.2)

N20.0   Calculus of kidney

Nephrolithiasis NOS

Renal calculus or stone

Staghorn calculus

Stone in kidney

N20.1   Calculus of ureter

Ureteric stone

N20.2   Calculus of kidney with calculus of ureter

N20.9   Urinary calculus, unspecified

N21  Calculus of lower urinary tract

Includes:    with cystitis and urethritis

N21.0   Calculus in bladder

Calculus in diverticulum of bladder

Urinary bladder stone

Excludes:    staghorn calculus (N20.0)

N21.1   Calculus in urethra

N21.8   Other lower urinary tract calculus

N21.9   Calculus of lower urinary tract, unspecified

N22  Calculus of urinary tract in diseases classified elsewhere

N22.0* Urinary calculus in schistosomiasis [bilharziasis] (B65†)

N22.8* Calculus of urinary tract in other diseases classified elsewhere

N23  Unspecified renal colic

Other disorders of kidney and ureter (N25-N29)

Excludes:    with urolithiasis (N20-N23)

N25  Disorders resulting from impaired renal tubular function

Excludes:    metabolic disorders classifiable to E70-E90

N25.0   Renal osteodystrophy

Azotaemic osteodystrophy

Phosphate-losing tubular disorders

Renal:

• rickets

• short stature

N25.1   Nephrogenic diabetes insipidus

N25.8   Other disorders resulting from impaired renal tubular function

Lightwood-Albright syndrome

Renal tubular acidosis NOS

Secondary hyperparathyroidism of renal origin

N25.9   Disorder resulting from impaired renal tubular function, unspecified

N26  Unspecified contracted kidney

Atrophy of kidney (terminal)

Renal sclerosis NOS

Excludes:    contracted kidney due to hypertension (I12-)

diffuse sclerosing glomerulonephritis (N18-)

hypertensive nephrosclerosis (arteriolar) (arteriosclerotic) (I12-)

small kidney of unknown cause (N27-)

N27  Small kidney of unknown cause

N27.0   Small kidney, unilateral

N27.1   Small kidney, bilateral

N27.9   Small kidney, unspecified

N28  Other disorders of kidney and ureter, not elsewhere classified

Excludes:    hydroureter (N13.4)

renal disease:

• acute NOS (N00.9)

• chronic NOS (N03.9)

ureteric kinking and stricture:

• with hydronephrosis (N13.1)

• without hydronephrosis (N13.5)

N28.0   Ischaemia and infarction of kidney

Renal artery:

• embolism

• obstruction

• occlusion

• thrombosis

Renal infarct

Excludes:    Goldblatt kidney (I70.1)

renal artery (extrarenal part):

• atherosclerosis (I70.1)

• congenital stenosis (Q27.1)

N28.1   Cyst of kidney

Cyst (acquired) (multiple) (solitary) of kidney

Excludes:    cystic kidney disease, congenital (Q61-)

N28.8   Other specified disorders of kidney and ureter

Hypertrophy of kidney

Megaloureter

Nephroptosis

     Pyelitis                  

     Pyeloureteritis       cystica

     Ureteritis                

Ureterocele

N28.9   Disorder of kidney and ureter, unspecified

Nephropathy NOS

Renal disease NOS

Excludes:    nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8 at Glomerular diseases (N00-N08) (N05-)

N29  Other disorders of kidney and ureter in diseases classified elsewhere

N29.0* Late syphilis of kidney (A52.7†)

N29.1* Other disorders of kidney and ureter in infectious and parasitic diseases classified elsewhere

Disorders of kidney and ureter in:

• schistosomiasis [bilharziasis] (B65†)

• tuberculosis (A18.1†)

N29.8* Other disorders of kidney and ureter in other diseases classified elsewhere

Cystine storage disease (E72.0†)

Other diseases of urinary system (N30-N39)

Excludes:    urinary infection (complicating):

• abortion or ectopic or molar pregnancy (O00-O07, O08.8)

• pregnancy, childbirth and the puerperium (O23-, O75.3, O86.2)

• with urolithiasis (N20-N23)

N30  Cystitis

Use additional code, if desired, to identify infectious agent (B95-B97) or responsible external agent (Chapter XX).

Excludes:    prostatocystitis (N41.3)

N30.0   Acute cystitis

Excludes:    irradiation cystitis (N30.4)

trigonitis (N30.3)

N30.1   Interstitial cystitis (chronic)

N30.2   Other chronic cystitis

N30.3   Trigonitis

Urethrotrigonitis

N30.4   Irradiation cystitis

N30.8   Other cystitis

Abscess of bladder

N30.9   Cystitis, unspecified

N31  Neuromuscular dysfunction of bladder, not elsewhere classified

Excludes:    cord bladder NOS (G95.8)

due to spinal cord lesion (G95.8)

neurogenic bladder due to cauda equina syndrome (G83.4)

urinary incontinence:

• NOS (R32)

• specified (N39.3-N39.4)

N31.0   Uninhibited neuropathic bladder, not elsewhere classified

N31.1   Reflex neuropathic bladder, not elsewhere classified

N31.2   Flaccid neuropathic bladder, not elsewhere classified

Neuropathic bladder:

• atonic (motor) (sensory)

• autonomous

• nonreflex

N31.8   Other neuromuscular dysfunction of bladder

N31.9   Neuromuscular dysfunction of bladder, unspecified

Neurogenic bladder dysfunction NOS

N32  Other disorders of bladder

Excludes:    calculus in bladder (N21.0)

cystocele (N81.1)

hernia or prolapse of bladder, female (N81.1)

N32.0   Bladder-neck obstruction

Bladder-neck stenosis (acquired)

N32.1   Vesicointestinal fistula

Vesicorectal fistula

N32.2   Vesical fistula, not elsewhere classified

Excludes:    fistula between bladder and female genital tract (N82.0-N82.1)

N32.3   Diverticulum of bladder

Diverticulitis of bladder

Excludes:    calculus in diverticulum of bladder (N21.0)

N32.4   Rupture of bladder, nontraumatic

N32.8   Other specified disorders of bladder

Bladder:

• calcified

• contracted

• overactive

N32.9   Bladder disorder, unspecified

N33  Bladder disorders in diseases classified elsewhere

N33.0* Tuberculous cystitis (A18.1†)

N33.8* Bladder disorders in other diseases classified elsewhere

Bladder disorder in schistosomiasis [bilharziasis] (B65†)

N34  Urethritis and urethral syndrome

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    Reiter disease (M02.3)

urethritis in diseases with a predominantly sexual mode of

transmission (A50-A64)

urethrotrigonitis (N30.3)

N34.0   Urethral abscess

Abscess (of):

• Cowper gland

• Littre gland

• periurethral

• urethral (gland)

Excludes:    urethral caruncle (N36.2)

N34.1   Nonspecific urethritis

Urethritis:

• nongonococcal

• nonvenereal

N34.2   Other urethritis

Meatitis, urethral

Ulcer of urethra (meatus)

Urethritis:

• NOS

• postmenopausal

N34.3   Urethral syndrome, unspecified

N35  Urethral stricture

Excludes:    postprocedural urethral stricture (N99.1)

N35.0   Post-traumatic urethral stricture

Stricture of urethra as a sequela of:

• childbirth

• injury

N35.1   Postinfective urethral stricture, not elsewhere classified

N35.8   Other urethral stricture

N35.9   Urethral stricture, unspecified

Pinhole meatus NOS

N36  Other disorders of urethra

N36.0   Urethral fistula

False urethral passage

Fistula:

• urethroperineal

• urethrorectal

• urinary NOS

Excludes:    fistula:

• urethroscrotal (N50.8)

• urethrovaginal (N82.1)

N36.1   Urethral diverticulum

N36.2   Urethral caruncle

N36.3   Prolapsed urethral mucosa

Prolapse of urethra

Urethrocele, male

Excludes:    urethrocele

• congenital (Q64.7)

• female (N81.0)

N36.8   Other specified disorders of urethra

N36.9   Urethral disorder, unspecified

N37  Urethral disorders in diseases classified elsewhere

N37.0* Urethritis in diseases classified elsewhere

Candidal urethritis (B37.4†)

N37.8* Other urethral disorders in diseases classified elsewhere

N39  Other disorders of urinary system

Excludes:    haematuria:

• NOS (R31)

• recurrent and persistent (N02-)

• with specified morphological lesion (N02-)

proteinuria NOS (R80)

N39.0   Urinary tract infection, site not specified

Use additional code (B95-B97), if desired, to identify infectious agent.

N39.1   Persistent proteinuria, unspecified

Excludes:    complicating pregnancy, childbirth and the puerperium (O11-O15)

with specified morphological lesion (N06-)

N39.2   Orthostatic proteinuria, unspecified

Excludes:    with specified morphological lesion (N06-)

N39.3   Stress incontinence

Use additional code (N32.8), if desired, to identify overactive bladder or destrusor muscle hyperactivity.

N39.4   Other specified urinary incontinence

  Overflow   

  Reflex        incontinence

  Urge       

Use additional code (N32.8), if desired, to identify overactive bladder or destrusor muscle hyperactivity.

Excludes:    enuresis NOS (R32)

urinary incontinence (of):

• NOS (R32)

• nonorganic origin (F98.0)

N39.8   Other specified disorders of urinary system

N39.9   Disorder of urinary system, unspecified

Diseases of male genital organs (N40-N51)

N40  Hyperplasia of prostate

Adenofibromatous hypertrophy   

Enlargement (benign)              of prostate

Hypertrophy (benign)           

Median bar (prostate)

Prostatic obstruction NOS

Excludes:    benign neoplasms of prostate (D29.1)

N41  Inflammatory diseases of prostate

Use additional code (B95-B97), if desired, to identify infectious agent.

N41.0   Acute prostatitis

N41.1   Chronic prostatitis

N41.2   Abscess of prostate

N41.3   Prostatocystitis

N41.8   Other inflammatory diseases of prostate

N41.9   Inflammatory disease of prostate, unspecified

Prostatitis NOS

N42  Other disorders of prostate

N42.0   Calculus of prostate

Prostatic stone

N42.1   Congestion and haemorrhage of prostate

N42.2   Atrophy of prostate

N42.3   Dysplasia of prostate

Low grade dysplasia

Excludes:    high grade dysplasia of prostate (D07.5)

N42.8   Other specified disorders of prostate

N42.9   Disorder of prostate, unspecified

N43  Hydrocele and spermatocele

Includes:    hydrocele of spermatic cord, testis or tunica vaginalis

Excludes:    congenital hydrocele (P83.5)

N43.0   Encysted hydrocele

N43.1   Infected hydrocele

Use additional code (B95-B97), if desired, to identify infectious agent.

N43.2   Other hydrocele

N43.3   Hydrocele, unspecified

N43.4   Spermatocele

N44  Torsion of testis

Torsion of:

• epididymis

• spermatic cord

• testicle

N45  Orchitis and epididymitis

Use additional code (B95-B97), if desired, to identify infectious agent.

N45.0   Orchitis, epididymitis and epididym-orchitis with abscess

Abscess of epididymis or testis

N45.9   Orchitis, epididymitis and epididymo-orchitis without abscess

Epididymitis NOS

Orchitis NOS

N46  Male infertility

Azoospermia NOS

Oligospermia NOS

N47  Redundant prepuce, phimosis and paraphimosis

Adherent prepuce

Tight foreskin

N48  Other disorders of penis

N48.0   Leukoplakia of penis

Balanitis xerotica obliterans

Kraurosis of penis

Excludes:    carcinoma in situ of penis (D07.4)

N48.1   Balanoposthitis

Balanitis

Use additional code (B95-B97), if desired, to identify infectious agent.

N48.2   Other inflammatory disorders of penis

  Abscess      

  Boil         

  Carbuncle       of corpus cavernosum and penis

  Cellulitis   

Cavernitis (penis)

Use additional code (B95-B97), if desired, to identify infectious agent.

N48.3   Priapism

Painful erection

N48.4   Impotence of organic origin

Use additional code, if desired, to identify cause.

Excludes:    psychogenic impotence (F52.2)

N48.5   Ulcer of penis

N48.6   Induratio penis plastica

Peyronie disease

Plastic induration of penis

N48.8   Other specified disorders of penis

  Atrophy       

  Hypertrophy      of corpus cavernosum and penis

  Thrombosis    

N48.9   Disorder of penis, unspecified

N49  Inflammatory disorders of male genital organs, not elsewhere classified

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    inflammation of penis (N48.1-N48.2)

orchitis and epididymitis (N45-)

N49.0   Inflammatory disorders of seminal vesicle

Vesiculitis NOS

N49.1   Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens

Vasitis

N49.2   Inflammatory disorders of scrotum

N49.8   Inflammatory disorders of other specified male genital organs

Inflammation of multiple sites in male genital organs

N49.9   Inflammatory disorder of unspecified male genital organ

  Abscess      

  Boil         

  Carbuncle       of unspecified male genital organ

  Cellulitis   

N50  Other disorders of male genital organs

Excludes:    torsion of testis (N44)

N50.0   Atrophy of testis

N50.1   Vascular disorders of male genital organs

  Haematocele NOS   

  Haemorrhage          of male genital organs

  Thrombosis        

N50.8   Other specified disorders of male genital organs

  Atrophy       

  Hypertrophy      of scrotum, seminal vesicle, spermatic

  Oedema           cord, testis [except atrophy], tunica

  Ulcer             vaginalis and vas deferens

Chylocele, tunica vaginalis (nonfilarial) NOS

Fistula, urethroscrotal

Stricture of:

• spermatic cord

• tunica vaginalis

• vas deferens

N50.9   Disorder of male genital organs, unspecified

N51  Disorders of male genital organs in diseases classified elsewhere

N51.0* Disorders of prostate in diseases classified elsewhere

Prostatitis:

• gonococcal (A54.2†)

• trichomonal (A59.0†)

• tuberculous (A18.1†)

N51.1* Disorders of testis and epididymis in diseases classified elsewhere

Chlamydial:

• epididymitis (A56.1†)

• orchitis (A56.1†)

Gonococcal:

• epididymitis (A54.2†)

• orchitis (A54.2†)

Mumps orchitis (B26.0†)

Tuberculosis of:

• epididymis (A18.1†)

• testis (A18.1†)

N51.2* Balanitis in diseases classified elsewhere

Balanitis:

• amoebic (A06.8†)

• candidal (B37.4†)

N51.8* Other disorders of male genital organs in diseases classified elsewhere

Filarial chylocele, tunica vaginalis (B74†)

Herpesviral [herpes simplex] infection of male genital tract (A60.0†)

Tuberculosis of seminal vesicle (A18.1†)

Disorders of breast (N60-N64)

Excludes:    disorders of breast associated with childbirth (O91-O92)

N60  Benign mammary dysplasia

Includes:    fibrocystic mastopathy

N60.0   Solitary cyst of breast

Cyst of breast

N60.1   Diffuse cystic mastopathy

Cystic breast

Excludes:    with epithelial proliferation (N60.3)

N60.2   Fibroadenosis of breast

Excludes:    fibroadenoma of breast (D24)

N60.3   Fibrosclerosis of breast

Cystic mastopathy with epithelial proliferation

N60.4   Mammary duct ectasia

N60.8   Other benign mammary dysplasias

N60.9   Benign mammary dysplasia, unspecified

N61  Inflammatory disorders of breast

Abscess (acute) (chronic) (nonpuerperal) of:

• areola

• breast

Carbuncle of breast

Mastitis (acute) (subacute) (nonpuerperal):

• NOS

• infective

Excludes:    neonatal infective mastitis (P39.0)

N62  Hypertrophy of breast

Gynaecomastia

Hypertrophy of breast:

• NOS

• massive pubertal

N63  Unspecified lump in breast

Nodule(s) NOS in breast

N64  Other disorders of breast

N64.0   Fissure and fistula of nipple

N64.1   Fat necrosis of breast

Fat necrosis (segmental) of breast

N64.2   Atrophy of breast

N64.3   Galactorrhoea not associated with childbirth

N64.4   Mastodynia

N64.5   Other signs and symptoms in breast

Induration of breast

Nipple discharge

Retraction of nipple

N64.8   Other specified disorders of breast

Galactocele

Subinvolution of breast (postlactational)

N64.9   Disorder of breast, unspecified

Inflammatory diseases of female pelvic organs (N70-N77)

Excludes:    those complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.0)

• pregnancy, childbirth and the puerperium (O23-, O75.3, O85, O86-)

N70  Salpingitis and oophoritis

Includes:    abscess (of):

• fallopian tube

• ovary

• tubo-ovarian

pyosalpinx

salpingo-oophoritis

tubo-ovarian inflammatory disease

Use additional code (B95-B97), if desired, to identify infectious agent.

N70.0   Acute salpingitis and oophoritis

N70.1   Chronic salpingitis and oophoritis

Hydrosalpinx

N70.9   Salpingitis and oophoritis, unspecified

N71  Inflammatory disease of uterus, except cervix

Includes:    endo(myo)metritis

metritis

myometritis

pyometra

uterine abscess

Use additional code (B95-B97), if desired, to identify infectious agent.

N71.0   Acute inflammatory disease of uterus

N71.1   Chronic inflammatory disease of uterus

N71.9   Inflammatory disease of uterus, unspecified

N72  Inflammatory disease of cervix uteri

Cervicitis       

Endocervicitis      with or without erosion or ectropion

Exocervicitis    

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    erosion and ectropion of cervix without cervicitis (N86)

N73  Other female pelvic inflammatory diseases

Use additional code (B95-B97), if desired, to identify infectious agent.

N73.0   Acute parametritis and pelvic cellulitis

Abscess of:

• broad ligament            

• parametrium                  specified as acute

     Pelvic cellulitis, female   

N73.1   Chronic parametritis and pelvic cellulitis

Any condition in N73.0 specified as chronic

N73.2   Unspecified parametritis and pelvic cellulitis

Any condition in N73.0 unspecified whether acute or chronic

N73.3   Female acute pelvic peritonitis

N73.4   Female chronic pelvic peritonitis

N73.5   Female pelvic peritonitis, unspecified

N73.6   Female pelvic peritoneal adhesions

Excludes:    postprocedural pelvic peritoneal adhesions (N99.4)

N73.8   Other specified female pelvic inflammatory diseases

N73.9   Female pelvic inflammatory disease, unspecified

Female pelvic infection or inflammation NOS

N74  Female pelvic inflammatory disorders in diseases classified elsewhere

N74.0* Tuberculous infection of cervix uteri (A18.1†)

N74.1* Female tuberculous pelvic inflammatory disease (A18.1†)

Tuberculous endometritis

N74.2* Female syphilitic pelvic inflammatory disease (A51.4†, A52.7†)

N74.3* Female gonococcal pelvic inflammatory disease (A54.2†)

N74.4* Female chlamydial pelvic inflammatory disease (A56.1†)

N74.8* Female pelvic inflammatory disorders in other diseases classified elsewhere

N75  Diseases of Bartholin gland

N75.0   Cyst of Bartholin gland

N75.1   Abscess of Bartholin gland

N75.8   Other diseases of Bartholin gland

Bartholinitis

N75.9   Disease of Bartholin gland, unspecified

N76  Other inflammation of vagina and vulva

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    senile (atrophic) vaginitis (N95.2)

N76.0   Acute vaginitis

Vaginitis NOS

Vulvovaginitis:

• NOS

• acute

N76.1   Subacute and chronic vaginitis

Vulvovaginitis:

• chronic

• subacute

N76.2   Acute vulvitis

Vulvitis NOS

N76.3   Subacute and chronic vulvitis

N76.4   Abscess of vulva

Furuncle of vulva

N76.5   Ulceration of vagina

N76.6   Ulceration of vulva

N76.8   Other specified inflammation of vagina and vulva

N77  Vulvovaginal ulceration and inflammation in diseases classified elsewhere

N77.0* Ulceration of vulva in infectious and parasitic diseases classified elsewhere

Ulceration of vulva in:

• herpesviral [herpes simplex] infection (A60.0†)

• tuberculosis (A18.1†)

N77.1* Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases classified elsewhere

Vaginitis, vulvitis and vulvovaginitis in:

• candidiasis (B37.3†)

• herpesviral [herpes simplex] infection (A60.0†)

• pinworm infection (B80†)

N77.8* Vulvovaginal ulceration and inflammation in other diseases classified elsewhere

Ulceration of vulva in Behcet disease (M35.2†)

Noninflammatory disorders of female genital tract (N80-N98)

N80  Endometriosis

N80.0   Endometriosis of uterus

Adenomyosis

N80.1   Endometriosis of ovary

N80.2   Endometriosis of fallopian tube

N80.3   Endometriosis of pelvic peritoneum

N80.4   Endometriosis of rectovaginal septum and vagina

N80.5   Endometriosis of intestine

N80.6   Endometriosis in cutaneous scar

N80.8   Other endometriosis

Endometriosis of thorax

N80.9   Endometriosis, unspecified

N81  Female genital prolapse

Excludes:    genital prolapse complicating pregnancy, labour or delivery (O34.5)

prolapse and hernia of ovary and fallopian tube (N83.4)

prolapse of vaginal vault after hysterectomy (N99.3)

N81.0   Female urethrocele

Excludes:    congenital (Q64.7)

urethrocele with:

• cystocele (N81.1)

• prolapse of uterus (N81.2-N81.4)

N81.1   Cystocele

Cystocele with urethrocele

Prolapse of (anterior) vaginal (wall) NOS

Excludes:    cystocele with prolapse of uterus (N81.2-N81.4)

N81.2   Incomplete uterovaginal prolapse

Prolapse of cervix NOS

Uterine prolapse:

• first degree

• second degree

N81.3   Complete uterovaginal prolapse

Procidentia (uteri) NOS

Third degree uterine prolapse

N81.4   Uterovaginal prolapse, unspecified

Prolapse of uterus NOS

N81.5   Vaginal enterocele

Excludes:    enterocele with prolapse of uterus (N81.2-N81.4)

N81.6   Rectocele

Prolapse of posterior vaginal wall

Excludes:    rectal prolapse (K62.3)

rectocele with prolapse of uterus (N81.2-N81.4)

N81.8   Other female genital prolapse

Deficient perineum

Old laceration of muscles of pelvic floor

N81.9   Female genital prolapse, unspecified

N82  Fistulae involving female genital tract

Excludes:    vesicointestinal fistulae (N32.1)

N82.0   Vesicovaginal fistula

N82.1   Other female urinary-genital tract fistulae

Fistula:

• cervicovesical

• ureterovaginal

• urethrovaginal

• uteroureteric

• uterovesical

N82.2   Fistula of vagina to small intestine

N82.3   Fistula of vagina to large intestine

Rectovaginal fistula

N82.4   Other female intestinal-genital tract fistulae

Intestinouterine fistula

N82.5   Female genital tract-skin fistulae

Fistula:

• uterus to abdominal wall

• vaginoperineal

N82.8   Other female genital tract fistulae

N82.9   Female genital tract fistula, unspecified

N83  Noninflammatory disorders of ovary, fallopian tube and broad ligament

Excludes:    hydrosalpinx (N70.1)

N83.0   Follicular cyst of ovary

Cyst of graafian follicle

Haemorrhagic follicular cyst (of ovary)

N83.1   Corpus luteum cyst

Haemorrhagic corpus luteum cyst

N83.2   Other and unspecified ovarian cysts

  Retention        Retention

  Simple cyst      Simple cyst

Excludes:    ovarian cyst:

• developmental (Q50.1)

• neoplastic (D27)

polycystic ovarian syndrome (E28.2)

N83.3   Acquired atrophy of ovary and fallopian tube

N83.4   Prolapse and hernia of ovary and fallopian tube

N83.5   Torsion of ovary, ovarian pedicle and fallopian tube

Torsion:

• accessory tube

• hydatid of Morgagni

N83.6   Haematosalpinx

Excludes:    haematosalpinx with:

• haematocolpos (N89.7)

• haematometra (N85.7)

N83.7   Haematoma of broad ligament

N83.8   Other noninflammatory disorders of ovary, fallopian tube and broad ligament

Broad ligament laceration syndrome [Allen-Masters]

N83.9   Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified

N84  Polyp of female genital tract

Excludes:    adenomatous polyp (D28-)

placental polyp (O90.8)

N84.0   Polyp of corpus uteri

Polyp of:

• endometrium

• uterus NOS

Excludes:    polypoid endometrial hyperplasia (N85.0)

N84.1   Polyp of cervix uteri

Mucous polyp of cervix

N84.2   Polyp of vagina

N84.3   Polyp of vulva

Polyp of labia

N84.8   Polyp of other parts of female genital tract

N84.9   Polyp of female genital tract, unspecified

N85  Other noninflammatory disorders of uterus, except cervix

Excludes:    endometriosis (N80-)

inflammatory diseases of uterus (N71-)

noninflammatory disorders of cervix, except malposition (N86-N88)

polyp of corpus uteri (N84.0)

uterine prolapse (N81-)

N85.0   Endometrial glandular hyperplasia

Hyperplasia of endometrium:

• NOS

• cystic

• glandular-cystic

• polypoid

N85.1   Endometrial adenomatous hyperplasia

Hyperplasia of endometrium, atypical (adenomatous)

N85.2   Hypertrophy of uterus

Bulky or enlarged uterus

Excludes:    puerperal hypertrophy of uterus (O90.8)

N85.3   Subinvolution of uterus

Excludes:    puerperal subinvolution of uterus (O90.8)

N85.4   Malposition of uterus

  Anteversion    

  Retroflexion      of uterus

  Retroversion   

Excludes:    that complicating pregnancy, labour or delivery (O34.5, O65.5)

N85.5   Inversion of uterus

Excludes:    current obstetric trauma (O71.2)

postpartum inversion of uterus (O71.2)

N85.6   Intrauterine synechiae

N85.7   Haematometra

Haematosalpinx with haematometra

Excludes:    haematometra with haematocolpos (N89.7)

N85.8   Other specified noninflammatory disorders of uterus

Atrophy of uterus, acquired

Fibrosis of uterus NOS

N85.9   Noninflammatory disorder of uterus, unspecified

Disorder of uterus NOS

N86  Erosion and ectropion of cervix uteri

Decubitus (trophic) ulcer      Decubitus (trophic) ulcer

Eversion                       Eversion

Excludes:    with cervicitis (N72)

N87  Dysplasia of cervix uteri

Excludes:    carcinoma in situ of cervix (D06-)

N87.0   Mild cervical dysplasia

Cervical intraepithelial neoplasia [CIN], grade I

N87.1   Moderate cervical dysplasia

Cervical intraepithelial neoplasia [CIN], grade II

N87.2   Severe cervical dysplasia, not elsewhere classified

Severe cervical dysplasia NOS

Excludes:    cervical intraepithelial neoplasia [CIN], grade III, with or without mention of severe dysplasia (D06-)

N87.9   Dysplasia of cervix uteri, unspecified

N88  Other noninflammatory disorders of cervix uteri

Excludes:    inflammatory disease of cervix (N72)

polyp of cervix (N84.1)

N88.0   Leukoplakia of cervix uteri

N88.1   Old laceration of cervix uteri

Adhesions of cervix

Excludes:    current obstetric trauma (O71.3)

N88.2   Stricture and stenosis of cervix uteri

Excludes:    complicating labour (O65.5)

N88.3   Incompetence of cervix uteri

Investigation and management of (suspected) cervical incompetence in a nonpregnant woman

Excludes:    affecting fetus or newborn (P01.0)

complicating pregnancy (O34.3)

N88.4   Hypertrophic elongation of cervix uteri

N88.8   Other specified noninflammatory disorders of cervix uteri

Excludes:    current obstetric trauma (O71.3)

N88.9   Noninflammatory disorder of cervix uteri, unspecified

N89  Other noninflammatory disorders of vagina

Excludes:    carcinoma in situ of vagina (D07.2)

inflammation of vagina (N76-)

senile (atrophic) vaginitis (N95.2)

trichomonal leukorrhoea (A59.0)

N89.0   Mild vaginal dysplasia

Vaginal intraepithelial neoplasia [VAIN], grade I

N89.1   Moderate vaginal dysplasia

Vaginal intraepithelial neoplasia [VAIN], grade II

N89.2   Severe vaginal dysplasia, not elsewhere classified

Severe vaginal dysplasia NOS

Excludes:    vaginal intraepithelial neoplasia [VAIN], grade III, with or without mention of severe dysplasia (D07.2)

N89.3   Dysplasia of vagina, unspecified

N89.4   Leukoplakia of vagina

N89.5   Stricture and atresia of vagina

Vaginal:

• adhesions

• stenosis

Excludes:    postoperative adhesions of vagina (N99.2)

N89.6   Tight hymenal ring

Rigid hymen

Tight introitus

Excludes:    imperforate hymen (Q52.3)

N89.7   Haematocolpos

Haematocolpos with haematometra or haematosalpinx

N89.8   Other specified noninflammatory disorders of vagina

Leukorrhoea NOS

Old vaginal laceration

Pessary ulcer of vagina

Excludes:    current obstetric trauma (O70-, O71.4, O71.7-O71.8)

old laceration involving muscles of pelvic floor (N81.8)

N89.9   Noninflammatory disorder of vagina, unspecified

N90  Other noninflammatory disorders of vulva and perineum

Excludes:    carcinoma in situ of vulva (D07.1)

current obstetric trauma (O70-, O71.7-O71.8)

inflammation of vulva (N76-)

N90.0   Mild vulvar dysplasia

Vulvar intraepithelial neoplasia [VIN], grade I

N90.1   Moderate vulvar dysplasia

Vulvar intraepithelial neoplasia [VIN], grade II

N90.2   Severe vulvar dysplasia, not elsewhere classified

Severe vulvar dysplasia NOS

Excludes:    vulvar intraepithelial neoplasia [VIN], grade III, with or without mention of severe dysplasia (D07.1)

N90.3   Dysplasia of vulva, unspecified

N90.4   Leukoplakia of vulva

  Dystrophy      Dystrophy

  Kraurosis      Kraurosis

N90.5   Atrophy of vulva

Stenosis of vulva

N90.6   Hypertrophy of vulva

Hypertrophy of labia

N90.7   Vulvar cyst

N90.8   Other specified noninflammatory disorders of vulva and perineum

Adhesions of vulva

Hypertrophy of clitoris

N90.9   Noninflammatory disorder of vulva and perineum, unspecified

N91  Absent, scanty and rare menstruation

Excludes:    ovarian dysfunction (E28-)

N91.0   Primary amenorrhoea

Failure to start menstruation at puberty.

N91.1   Secondary amenorrhoea

Absence of menstruation in a woman who had previously menstruated.

N91.2   Amenorrhoea, unspecified

Absence of menstruation NOS

N91.3   Primary oligomenorrhoea

Menstruation which is scanty or rare from the start.

N91.4   Secondary oligomenorrhoea

Scanty and rare menstruation in a woman with previously normal periods.

N91.5   Oligomenorrhoea, unspecified

Hypomenorrhoea NOS

N92  Excessive, frequent and irregular menstruation

Excludes:    postmenopausal bleeding (N95.0)

N92.0   Excessive and frequent menstruation with regular cycle

Heavy periods NOS

Menorrhagia NOS

Polymenorrhoea

N92.1   Excessive and frequent menstruation with irregular cycle

Irregular intermenstrual bleeding

Irregular, shortened intervals between menstrual bleeding

Menometrorrhagia

Metrorrhagia

N92.2   Excessive menstruation at puberty

Excessive bleeding associated with onset of menstrual periods

Pubertal menorrhagia

Puberty bleeding

N92.3   Ovulation bleeding

Regular intermenstrual bleeding

N92.4   Excessive bleeding in the premenopausal period

Menorrhagia or metrorrhagia:

• climacteric

• menopausal

• preclimacteric

• premenopausal

N92.5   Other specified irregular menstruation

N92.6   Irregular menstruation, unspecified

Irregular:

• bleeding NOS

• periods NOS

Excludes:    irregular menstruation with:

• lengthened intervals or scanty bleeding (N91.3-N91.5)

• shortened intervals or excessive bleeding (N92.1)

N93  Other abnormal uterine and vaginal bleeding

Excludes:    neonatal vaginal haemorrhage (P54.6)

pseudomenses (P54.6)

N93.0   Postcoital and contact bleeding

N93.8   Other specified abnormal uterine and vaginal bleeding

Dysfunctional or functional uterine or vaginal bleeding NOS

N93.9   Abnormal uterine and vaginal bleeding, unspecified

N94  Pain and other conditions associated with female genital organs and menstrual cycle

N94.0   Mittelschmerz

N94.1   Dyspareunia

Excludes:    psychogenic dyspareunia (F52.6)

N94.2   Vaginismus

Excludes:    psychogenic vaginismus (F52.5)

N94.3   Premenstrual tension syndrome

N94.4   Primary dysmenorrhoea

N94.5   Secondary dysmenorrhoea

N94.6   Dysmenorrhoea, unspecified

N94.8   Other specified conditions associated with female genital organs and menstrual cycle

N94.9   Unspecified condition associated with female genital organs and menstrual cycle

N95  Menopausal and other perimenopausal disorders

Excludes:    excessive bleeding in the premenopausal period (N92.4)

postmenopausal:

• osteoporosis (M81.0)

• with pathological fracture (M80.0)

• urethritis (N34.2)

premature menopause NOS (E28.3)

N95.0   Postmenopausal bleeding

Excludes:    that associated with artificial menopause (N95.3)

N95.1   Menopausal and female climacteric states

Symptoms such as flushing, sleeplessness, headache, lack of concentration,

associated with menopause

Excludes:    those associated with artificial menopause (N95.3)

N95.2   Postmenopausal atrophic vaginitis

Senile (atrophic) vaginitis

Excludes:    that associated with artificial menopause (N95.3)

N95.3   States associated with artificial menopause

Post-artificial-menopause syndrome

N95.8   Other specified menopausal and perimenopausal disorders

N95.9   Menopausal and perimenopausal disorder, unspecified

N96  Habitual aborter

Investigation or care in a nonpregnant woman

Relative infertility

Excludes:    currently pregnant (O26.2)

with current abortion (O03-O06)

N97  Female infertility

Includes:    inability to achieve a pregnancy

sterility, female NOS

Excludes:    relative infertility (N96)

N97.0   Female infertility associated with anovulation

N97.1   Female infertility of tubal origin

Associated with congenital anomaly of tube

Tubal:

• block

• occlusion

• stenosis

N97.2   Female infertility of uterine origin

Associated with congenital anomaly of uterus

Nonimplantation of ovum

N97.3   Female infertility of cervical origin

N97.4   Female infertility associated with male factors

N97.8   Female infertility of other origin

N97.9   Female infertility, unspecified

N98  Complications associated with artificial fertilization

N98.0   Infection associated with artificial insemination

N98.1   Hyperstimulation of ovaries

Hyperstimulation of ovaries:

• NOS

• associated with induced ovulation

N98.2   Complications of attempted introduction of fertilized ovum following in vitro fertilization

N98.3   Complications of attempted introduction of embryo in embryo transfer

N98.8   Other complications associated with artificial fertilization

Complications of artificial insemination by:

• donor

• husband

N98.9   Complication associated with artificial fertilization, unspecified

Other disorders of the genitourinary system (N99)

N99  Postprocedural disorders of genitourinary system, not elsewhere classified

Excludes:    irradiation cystitis (N30.4)

postoophorectomy osteoporosis (M81.1)

• with pathological fracture (M80.1)

states associated with artificial menopause (N95.3)

N99.0   Postprocedural renal failure

N99.1   Postprocedural urethral stricture

Postcatheterization urethral stricture

N99.2   Postoperative adhesions of vagina

N99.3   Prolapse of vaginal vault after hysterectomy

N99.4   Postprocedural pelvic peritoneal adhesions

N99.5   Malfunction of external stoma of urinary tract

N99.8   Other postprocedural disorders of genitourinary system

Residual ovary syndrome

N99.9   Postprocedural disorder of genitourinary system, unspecified

CHAPTER XV - Pregnancy, childbirth and the puerperium (O00-O99)

The codes included in this chapter are to be used for conditions related to or aggravated by the pregnancy, childbirth or by the puerperium (maternal causes or obstetric causes).

Excludes:    certain diseases or injuries complicating pregnancy, childbirth and the puerperium classified elsewhere:

• external causes (for mortality) (V, W, X, Y)

• injury, poisoning and certain other consequences of external cause (S00-T88.1, T88.6-T98)

• mental and behavioural disorders associated with the puerperium (F53-)

• obstetrical tetanus (A34)

• postpartum necrosis of pituitary gland (E23.0)

• puerperal osteomalacia (M83.0)

supervision of:

• high-risk pregnancy (^[i]Z35.-)

• normal pregnancy (^[i]Z34.-)

This chapter contains the following blocks:

O00-O08      Pregnancy with abortive outcome

O10-O16      Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium

O20-O29      Other maternal disorders predominantly related to pregnancy

O30-O48      Maternal care related to the fetus and amniotic cavity and possible delivery problems

O60-O75      Complications of labour and delivery

O80-O84      Delivery

O85-O92      Complications predominantly related to the puerperium

O94-O99      Other obstetric conditions, not elsewhere classified

Pregnancy with abortive outcome (O00-O08)

Excludes:    continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1)

O00  Ectopic pregnancy

Includes:    ruptured ectopic pregnancy

Use additional code from category O08-, if desired, to identify any associated complication.

O00.0   Abdominal pregnancy

Excludes:    delivery of viable fetus in abdominal pregnancy (O83.3)

maternal care for viable fetus in abdominal pregnancy (O36.7)

O00.1   Tubal pregnancy

Fallopian pregnancy

Rupture of (fallopian) tube due to pregnancy

Tubal abortion

O00.2   Ovarian pregnancy

O00.8   Other ectopic pregnancy

Pregnancy:

• cervical

• cornual

• intraligamentous

• mural

O00.9   Ectopic pregnancy, unspecified

O01  Hydatidiform mole

Use additional code from category O08-, if desired, to identify any associated complication.

Excludes:    malignant hydatidiform mole (D39.2)

O01.0   Classical hydatidiform mole

Complete hydatidiform mole

O01.1   Incomplete and partial hydatidiform mole

O01.9   Hydatidiform mole, unspecified

Trophoblastic disease NOS

Vesicular mole NOS

O02  Other abnormal products of conception

Use additional code from category O08-, if desired, to identify any associated complication.

Excludes:    papyraceous fetus (O31.0)

O02.0   Blighted ovum and nonhydatidiform mole

Mole:

• carneous

• fleshy

• intrauterine NOS

Pathological ovum

O02.1   Missed abortion

Early fetal death with retention of dead fetus

Excludes:    missed abortion with:

• blighted ovum (O02.0)

• mole:

• hydatidiform (O01-)

• nonhydatidiform (O02.0)

O02.8   Other specified abnormal products of conception

Excludes:    those with:

• blighted ovum (O02.0)

• mole:

• hydatidiform (O01-)

• nonhydatidiform (O02.0)

O02.9   Abnormal product of conception, unspecified

The following fourth-character subdivisions are for use with categories O03-O06:

Note:     Incomplete abortion includes retained products of conception following abortion.

.0       Incomplete, complicated by genital tract and pelvic infection

With conditions in O08.0

.1       Incomplete, complicated by delayed or excessive haemorrhage

With conditions in O08.1

.2       Incomplete, complicated by embolism

With conditions in O08.2

.3       Incomplete, with other and unspecified complications

With conditions in O08.3-O08.9

.4       Incomplete, without complication

.5       Complete or unspecified, complicated by genital tract and pelvic infection

With conditions in O08.0

.6       Complete or unspecified, complicated by delayed or excessive haemorrhage

With conditions in O08.1

.7       Complete or unspecified, complicated by embolism

With conditions in O08.2

.8       Complete or unspecified, with other and unspecified complications

With conditions in O08.3-O08.9

.9       Complete or unspecified, without complication

O03  Spontaneous abortion

[See above for subdivisions]

Includes:    miscarriage

O04  Medical abortion

[See above for subdivisions]

Includes:    termination of pregnancy:

• legal

• therapeutic

therapeutic abortion

O05  Other abortion

[See above for subdivisions]

O06  Unspecified abortion

[See above for subdivisions]

Includes:    induced abortion NOS

O07  Failed attempted abortion

Includes:    failure of attempted induction of abortion

Excludes:    incomplete abortion (O03-O06)

O07.0   Failed medical abortion, complicated by genital tract and pelvic infection

With conditions in O08.0

O07.1   Failed medical abortion, complicated by delayed or excessive haemorrhage

With conditions in O08.1

O07.2   Failed medical abortion, complicated by embolism

With conditions in O08.2

O07.3   Failed medical abortion, with other and unspecified complications

With conditions in O08.3-O08.9

O07.4   Failed medical abortion, without complication

Failed medical abortion NOS

O07.5   Other and unspecified failed attempted abortion, complicated by genital tract and pelvic infection

With conditions in O08.0

O07.6   Other and unspecified failed attempted abortion, complicated by delayed or excessive haemorrhage

With conditions in O08.1

O07.7   Other and unspecified failed attempted abortion, complicated by embolism

With conditions in O08.2

O07.8   Other and unspecified failed attempted abortion, with other and unspecified complications

With conditions in O08.3-O08.9

O07.9   Other and unspecified failed attempted abortion, without complication

Failed attempted abortion NOS

O08  Complications following abortion and ectopic and molar pregnancy

Note:          This code is provided primarily for morbidity coding. For use of this category, reference should be made to the morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

O08.0   Genital tract and pelvic infection following abortion and ectopic and molar pregnancy

  Endometritis          

  Oophoritis            

  Parametritis          

  Pelvic peritonitis       following conditions classifiable to

  Salpingitis               O00-O07

  Salpingo-oophoritis   

  Sepsis                

  Septic shock          

  Septicaemia           

Excludes:    septic or septicopyaemic embolism (O08.2)

urinary tract infection (O08.8)

O08.1   Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy

  Afibrinogenaemia            

  Defibrination syndrome         following conditions classifiable to

  Intravascular coagulation       O00-O07

O08.2   Embolism following abortion and ectopic and molar pregnancy

  Embolism:                    

• NOS                        

• air                        

• amniotic fluid                following conditions classifiable to

• blood-clot                     O00-O07

• pulmonary                  

• pyaemic                    

• septic or septicopyaemic   

• soap                       

O08.3   Shock following abortion and ectopic and molar pregnancy

  Circulatory collapse        following conditions classifiable to O00-O07

  Shock (postoperative)      

Excludes:    septic shock (O08.0)

O08.4   Renal failure following abortion and ectopic and molar pregnancy

  Oliguria             

  Renal:               

• failure (acute)       following conditions classifiable to

• shutdown               O00-O07

• tubular necrosis   

  Uraemia              

O08.5   Metabolic disorders following abortion and ectopic and molar pregnancy

Electrolyte imbalance following conditions classifiable to O00-O07

O08.6   Damage to pelvic organs and tissues following abortion and ectopic and molar pregnancy

Laceration, perforation, tear or chemical damage of:

• bladder               

• bowel                 

• broad ligament           following conditions classifiable to

• cervix                    O00-O07

• periurethral tissue   

• uterus                

O08.7   Other venous complications following abortion and ectopic and molar pregnancy

O08.8   Other complications following abortion and ectopic and molar pregnancy

  Cardiac arrest                following conditions classifiable to O00-O07

  Urinary tract infection      

O08.9   Complication following abortion and ectopic and molar pregnancy, unspecified

Unspecified complication following conditions classifiable to O00-O07

Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)

O10  Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

Includes:    the listed conditions with pre-existing proteinuria

Excludes:    that with increased or superimposed proteinuria (O11)

O10.0   Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium

Any condition in I10 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

O10.1   Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium

Any condition in I11- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

O10.2   Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the puerperium

Any condition in I12- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

O10.3   Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium

Any condition in I13- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

O10.4   Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium

Any condition in I15- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium

O10.9   Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium

O11  Pre-existing hypertensive disorder with superimposed proteinuria

Conditions in O10- complicated by increased proteinuria

Superimposed pre-eclampsia

O12  Gestational [pregnancy-induced] oedema and proteinuria without hypertension

O12.0   Gestational oedema

O12.1   Gestational proteinuria

O12.2   Gestational oedema with proteinuria

O13  Gestational [pregnancy-induced] hypertension without significant proteinuria

Gestational hypertension NOS

Mild pre-eclampsia

Includes:    Transient hypertension of pregnancy

O14  Gestational [pregnancy-induced] hypertension with significant proteinuria

Excludes:    superimposed pre-eclampsia (O11)

O14.0   Moderate pre-eclampsia

O14.1   Severe pre-eclampsia

O14.2   HELLP syndrome

Combination of hemolysis, elevated liver enzymes and low platelet count

O14.9   Pre-eclampsia, unspecified

O15  Eclampsia

Includes:    convulsions following conditions in O10-O14 and O16

eclampsia with pregnancy-induced or pre-existing hypertension

O15.0   Eclampsia in pregnancy

O15.1   Eclampsia in labour

O15.2   Eclampsia in the puerperium

O15.9   Eclampsia, unspecified as to time period

Eclampsia NOS

O16  Unspecified maternal hypertension

Other maternal disorders predominantly related to pregnancy (O20-O29)

Note:          Categories O24- and O25 include the listed conditions even if they occur during childbirth or the puerperium.

Excludes:    maternal:

• care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

• diseases classifiable elsewhere but complicating pregnancy, labour and delivery, and the puerperium (O98-O99)

O20  Haemorrhage in early pregnancy

Excludes:    pregnancy with abortive outcome (O00-O08)

O20.0   Threatened abortion

Haemorrhage specified as due to threatened abortion

O20.8   Other haemorrhage in early pregnancy

O20.9   Haemorrhage in early pregnancy, unspecified

O21  Excessive vomiting in pregnancy

Use additional code, if desired, to identify cause.

O21.0   Mild hyperemesis gravidarum

Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation

O21.1   Hyperemesis gravidarum with metabolic disturbance

Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic disturbance such as:

• carbohydrate depletion

• dehydration

• electrolyte imbalance

O21.2   Late vomiting of pregnancy

Excessive vomiting starting after 22 completed weeks of gestation

O21.8   Other vomiting complicating pregnancy

Vomiting due to diseases classified elsewhere, complicating pregnancy

O21.9   Vomiting of pregnancy, unspecified

O22  Venous complications in pregnancy

Excludes:    obstetric pulmonary embolism (O88-)

the listed conditions as complications of:

• abortion or ectopic or molar pregnancy (O00-O07, O08.7)

• childbirth and the puerperium (O87-)

O22.0   Varicose veins of lower extremity in pregnancy

Varicose veins NOS in pregnancy

O22.1   Genital varices in pregnancy

  Perineal   

  Vaginal       varices in pregnancy

  Vulval     

O22.2   Superficial thrombophlebitis in pregnancy

Thrombophlebitis of legs in pregnancy

O22.3   Deep phlebothrombosis in pregnancy

Deep-vein thrombosis, antepartum

O22.4   Haemorrhoids in pregnancy

O22.5   Cerebral venous thrombosis in pregnancy

Cerebrovenous sinus thrombosis in pregnancy

O22.8   Other venous complications in pregnancy

O22.9   Venous complication in pregnancy, unspecified

Gestational:

• phlebitis NOS

• phlebopathy NOS

• thrombosis NOS

O23  Infections of genitourinary tract in pregnancy

Excludes:    gonococcal infections (O98.2) infections with a predominantly sexual mode of transmission NOS (O98.3) syphilis (O98.1) tuberculosis of genitourinary system (O98.0) venereal disease (NOS) (O98.3)

complicating pregnancy, childbirth and the puerperium

O23.0   Infections of kidney in pregnancy

O23.1   Infections of bladder in pregnancy

O23.2   Infections of urethra in pregnancy

O23.3   Infections of other parts of urinary tract in pregnancy

O23.4   Unspecified infection of urinary tract in pregnancy

O23.5   Infections of the genital tract in pregnancy

O23.9   Other and unspecified genitourinary tract infection in pregnancy

Genitourinary tract infection in pregnancy NOS

O24  Diabetes mellitus in pregnancy

Includes:    in childbirth and the puerperium

Use additional code, if desired, to identify any current manifestations of diabetes mellitus.

O24.0   Pre-existing type 1 diabetes mellitus

O24.1   Pre-existing type 2 diabetes mellitus

O24.2   Pre-existing malnutrition-related diabetes mellitus

O24.3   Pre-existing diabetes mellitus, unspecified

O24.4   Diabetes mellitus arising in pregnancy

Gestational diabetes mellitus NOS

O24.9   Diabetes mellitus in pregnancy, unspecified

O25  Malnutrition in pregnancy

Malnutrition in childbirth and the puerperium

O26  Maternal care for other conditions predominantly related to pregnancy

O26.0   Excessive weight gain in pregnancy

Excludes:    gestational oedema (O12.0, O12.2)

O26.1   Low weight gain in pregnancy

O26.2   Pregnancy care of habitual aborter

Excludes:    habitual aborter:

• with current abortion (O03-O06)

• without current pregnancy (N96)

O26.3   Retained intrauterine contraceptive device in pregnancy

O26.4   Herpes gestationis

O26.5   Maternal hypotension syndrome

Supine hypotensive syndrome

O26.6   Liver disorders in pregnancy, childbirth and the puerperium

Excludes:    hepatorenal syndrome following labour and delivery (O90.4)

O26.7   Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium

Excludes:    traumatic separation of symphysis (pubis) during childbirth (O71.6)

O26.8   Other specified pregnancy-related conditions

  Exhaustion and fatigue   

  Peripheral neuritis          pregnancy-related

  Renal disease            

O26.9   Pregnancy-related condition, unspecified

O28  Abnormal findings on antenatal screening of mother

Excludes:    diagnostic findings classified elsewhere - see Alphabetical Index

maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

O28.0   Abnormal haematological finding on antenatal screening of mother

O28.1   Abnormal biochemical finding on antenatal screening of mother

O28.2   Abnormal cytological finding on antenatal screening of mother

O28.3   Abnormal ultrasonic finding on antenatal screening of mother

O28.4   Abnormal radiological finding on antenatal screening of mother

O28.5   Abnormal chromosomal and genetic finding on antenatal screening of mother

O28.8   Other abnormal findings on antenatal screening of mother

O28.9   Abnormal finding on antenatal screening of mother, unspecified

O29  Complications of anaesthesia during pregnancy

Includes:    maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during pregnancy

Excludes:    complications of anaesthesia during:

• abortion or ectopic or molar pregnancy (O00-O08)

• labour and delivery (O74-)

• puerperium (O89-)

O29.0   Pulmonary complications of anaesthesia during pregnancy

  Aspiration pneumonitis                             

  Chemical pneumonitis due to aspiration             

  Inhalation of stomach contents or secretions NOS      due to anaesthesia during pregnancy

  Mendelson syndrome                                 

  Pressure collapse of lung                          

O29.1   Cardiac complications of anaesthesia during pregnancy

Cardiac:

• arrest       • arrest

• failure      • failure

O29.2   Central nervous system complications of anaesthesia during pregnancy

Cerebral anoxia due to anaesthesia during pregnancy

O29.3   Toxic reaction to local anaesthesia during pregnancy

O29.4   Spinal and epidural anaesthesia-induced headache during pregnancy

O29.5   Other complications of spinal and epidural anaesthesia during pregnancy

O29.6   Failed or difficult intubation during pregnancy

O29.8   Other complications of anaesthesia during pregnancy

O29.9   Complication of anaesthesia during pregnancy, unspecified

Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

O30  Multiple gestation

Excludes:    complications specific to multiple gestation (O31-)

O30.0   Twin pregnancy

O30.1   Triplet pregnancy

O30.2   Quadruplet pregnancy

O30.8   Other multiple gestation

O30.9   Multiple gestation, unspecified

Multiple pregnancy NOS

O31  Complications specific to multiple gestation

Excludes:    conjoined twins causing disproportion (O33.7)

delayed delivery of second twin, triplet, etc. (O63.2)

malpresentation of one fetus or more (^[ii]O32.5)

with obstructed labour (O64-O66)

O31.0   Papyraceous fetus

Fetus compressus

O31.1   Continuing pregnancy after abortion of one fetus or more

O31.2   Continuing pregnancy after intrauterine death of one fetus or more

O31.8   Other complications specific to multiple gestation

O32  Maternal care for known or suspected malpresentation of fetus

Includes:    the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour

Excludes:    the listed conditions with obstructed labour (O64-)

O32.0   Maternal care for unstable lie

O32.1   Maternal care for breech presentation

O32.2   Maternal care for transverse and oblique lie

Presentation:

• oblique

• transverse

O32.3   Maternal care for face, brow and chin presentation

O32.4   Maternal care for high head at term

Failure of head to enter pelvic brim

O32.5   Maternal care for multiple gestation with malpresentation of one fetus or more

O32.6   Maternal care for compound presentation

O32.8   Maternal care for other malpresentation of fetus

O32.9   Maternal care for malpresentation of fetus, unspecified

O33  Maternal care for known or suspected disproportion

Includes:    the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour

Excludes:    the listed conditions with obstructed labour (O65-O66)

O33.0   Maternal care for disproportion due to deformity of maternal pelvic bones

Pelvic deformity causing disproportion NOS

O33.1   Maternal care for disproportion due to generally contracted pelvis

Contracted pelvis NOS causing disproportion

O33.2   Maternal care for disproportion due to inlet contraction of pelvis

Inlet contraction (pelvis) causing disproportion

O33.3   Maternal care for disproportion due to outlet contraction of pelvis

  Mid-cavity contraction (pelvis)      Mid-cavity contraction (pelvis)

  Outlet contraction (pelvis)          Outlet contraction (pelvis)

O33.4   Maternal care for disproportion of mixed maternal and fetal origin

O33.5   Maternal care for disproportion due to unusually large fetus

Disproportion of fetal origin with normally formed fetus

Fetal disproportion NOS

O33.6   Maternal care for disproportion due to hydrocephalic fetus

O33.7   Maternal care for disproportion due to other fetal deformities

  Conjoined twins      

  Fetal:               

• ascites            

• hydrops               causing disproportion

• meningomyelocele   

• sacral teratoma    

• tumour             

O33.8   Maternal care for disproportion of other origin

O33.9   Maternal care for disproportion, unspecified

Cephalopelvic disproportion NOS

Fetopelvic disproportion NOS

O34  Maternal care for known or suspected abnormality of pelvic organs

Includes:    the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour

Excludes:    the listed conditions with obstructed labour (O65.5)

O34.0   Maternal care for congenital malformation of uterus

Maternal care for:

• double uterus

• uterus bicornis

O34.1   Maternal care for tumour of corpus uteri

Maternal care for:

• polyp of corpus uteri

• uterine fibroid

Excludes:    maternal care for tumour of cervix (O34.4)

O34.2   Maternal care due to uterine scar from previous surgery

Maternal care for scar from previous

Excludes:    vaginal delivery following previous caesarean section NOS (O75.7)

O34.3   Maternal care for cervical incompetence

Maternal care for:

• cerclage              • cerclage

• Shirodkar suture      • Shirodkar suture

O34.4   Maternal care for other abnormalities of cervix

Maternal care for:

• polyp of cervix

• previous surgery to cervix

• stricture or stenosis of cervix

• tumour of cervix

O34.5   Maternal care for other abnormalities of gravid uterus

Maternal care for:

• incarceration   

• prolapse           of gravid uterus

• retroversion    

O34.6   Maternal care for abnormality of vagina

Maternal care for:

• previous surgery to vagina

• septate vagina

• stenosis of vagina (acquired)(congenital)

• stricture of vagina

• tumour of vagina

Excludes:    maternal care for vaginal varices in pregnancy (O22.1)

O34.7   Maternal care for abnormality of vulva and perineum

Maternal care for:

• fibrosis of perineum

• previous surgery to perineum or vulva

• rigid perineum

• tumour of vulva

Excludes:    maternal care for perineal and vulval varices in pregnancy (O22.1)

O34.8   Maternal care for other abnormalities of pelvic organs

Maternal care for:

• cystocele

• pelvic floor repair (previous)

• pendulous abdomen

• rectocele

• rigid pelvic floor

O34.9   Maternal care for abnormality of pelvic organ, unspecified

O35  Maternal care for known or suspected fetal abnormality and damage

Includes:    the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy

Excludes:    maternal care for known or suspected disproportion (O33-)

O35.0   Maternal care for (suspected) central nervous system malformation in fetus

Maternal care for (suspected) fetal:

• anencephaly

• spina bifida

Excludes:    chromosomal abnormality in fetus (O35.1)

O35.1   Maternal care for (suspected) chromosomal abnormality in fetus

O35.2   Maternal care for (suspected) hereditary disease in fetus

Excludes:    chromosomal abnormality in fetus (O35.1)

O35.3   Maternal care for (suspected) damage to fetus from viral disease in mother

Maternal care for (suspected) damage to fetus from maternal:

• cytomegalovirus infection

• rubella

O35.4   Maternal care for (suspected) damage to fetus from alcohol

O35.5   Maternal care for (suspected) damage to fetus by drugs

Maternal care for (suspected) damage to fetus from drug addiction

Excludes:    fetal distress in labour and delivery due to drug administration (O68-)

O35.6   Maternal care for (suspected) damage to fetus by radiation

O35.7   Maternal care for (suspected) damage to fetus by other medical procedures

Maternal care for (suspected) damage to fetus by:

• amniocentesis

• biopsy procedures

• haematological investigation

• intrauterine contraceptive device

• intrauterine surgery

O35.8   Maternal care for other (suspected) fetal abnormality and damage

Maternal care for (suspected) damage to fetus from maternal:

• listeriosis

• toxoplasmosis

O35.9   Maternal care for (suspected) fetal abnormality and damage, unspecified

O36  Maternal care for other known or suspected fetal problems

Includes:    the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy

Excludes:    labour and delivery complicated by fetal stress [distress] (O68-)

placental transfusion syndromes (O43.0)

O36.0   Maternal care for rhesus isoimmunization

Anti-D [Rh] antibodies

Rh incompatibility (with hydrops fetalis)

O36.1   Maternal care for other isoimmunization

ABO isoimmunization

Isoimmunization NOS (with hydrops fetalis)

O36.2   Maternal care for hydrops fetalis

Hydrops fetalis:

• NOS

• not associated with isoimmunization

O36.3   Maternal care for signs of fetal hypoxia

O36.4   Maternal care for intrauterine death

Excludes:    missed abortion (O02.1)

O36.5   Maternal care for poor fetal growth

Maternal care for known or suspected:

• light-for-dates

• placental insufficiency

• small-for-dates

O36.6   Maternal care for excessive fetal growth

Maternal care for known or suspected large-for-dates

O36.7   Maternal care for viable fetus in abdominal pregnancy

O36.8   Maternal care for other specified fetal problems

O36.9   Maternal care for fetal problem, unspecified

O40  Polyhydramnios

Hydramnios

O41  Other disorders of amniotic fluid and membranes

Excludes:    premature rupture of membranes (O42-)

O41.0   Oligohydramnios

Oligohydramnios without mention of rupture of membranes

O41.1   Infection of amniotic sac and membranes

Amnionitis

Chorioamnionitis

Membranitis

Placentitis

O41.8   Other specified disorders of amniotic fluid and membranes

O41.9   Disorder of amniotic fluid and membranes, unspecified

O42  Premature rupture of membranes

O42.0   Premature rupture of membranes, onset of labour within 24 hours

O42.1   Premature rupture of membranes, onset of labour after 24 hours

Excludes:    with labour delayed by therapy (O42.2)

O42.2   Premature rupture of membranes, labour delayed by therapy

O42.9   Premature rupture of membranes, unspecified

O43  Placental disorders

Excludes:    maternal care for poor fetal growth due to placental insufficiency (O36.5)

placenta praevia (O44-)

premature separation of placenta [abruptio placentae] (O45-)

O43.0   Placental transfusion syndromes

Transfusion:

• fetomaternal

• maternofetal

• twin-to-twin

O43.1   Malformation of placenta

Abnormal placenta NOS

Circumvallate placenta

O43.2   Morbidly adherent placenta

Placenta:

• accreta

• increta

• percreta

Use additional code, if desired, to identify any:

• postpartum haemorrhage, third stage (O72.0)

• retained placenta without haemorrhage (O73.0)

O43.8   Other placental disorders

Placental:

• dysfunction

• infarction

O43.9   Placental disorder, unspecified

O44  Placenta praevia

O44.0   Placenta praevia specified as without haemorrhage

Low implantation of placenta specified as without haemorrhage

O44.1   Placenta praevia with haemorrhage

Low implantation of placenta, NOS or with haemorrhage

Placenta praevia:

• marginal   

• partial       NOS or with haemorrhage

• total      

Excludes:    labour and delivery complicated by haemorrhage from vasa praevia (O69.4)

O45  Premature separation of placenta [abruptio placentae]

O45.0   Premature separation of placenta with coagulation defect

Abruptio placentae with (excessive) haemorrhage associated with:

• afibrinogenaemia

• disseminated intravascular coagulation

• hyperfibrinolysis

• hypofibrinogenaemia

O45.8   Other premature separation of placenta

O45.9   Premature separation of placenta, unspecified

Abruptio placentae NOS

O46  Antepartum haemorrhage, not elsewhere classified

Excludes:    haemorrhage in early pregnancy (O20-)

intrapartum haemorrhage NEC (O67-)

placenta praevia (O44-)

premature separation of placenta [abruptio placentae] (O45-)

O46.0   Antepartum haemorrhage with coagulation defect

Antepartum haemorrhage (excessive) associated with:

• afibrinogenaemia

• disseminated intravascular coagulation

• hyperfibrinolysis

• hypofibrinogenaemia

O46.8   Other antepartum haemorrhage

O46.9   Antepartum haemorrhage, unspecified

O47  False labour

O47.0   False labour before 37 completed weeks of gestation

O47.1   False labour at or after 37 completed weeks of gestation

O47.9   False labour, unspecified

O48  Prolonged pregnancy

Post-dates

Post-term

Complications of labour and delivery (O60-O75)

O60  Preterm labour

Onset (spontaneous) of labour before 37 completed weeks of gestation

O61  Failed induction of labour

O61.0   Failed medical induction of labour

Failed induction (of labour) by:

• oxytocin

• prostaglandins

O61.1   Failed instrumental induction of labour

Failed induction (of labour):

• mechanical

• surgical

O61.8   Other failed induction of labour

O61.9   Failed induction of labour, unspecified

O62  Abnormalities of forces of labour

O62.0   Primary inadequate contractions

Failure of cervical dilatation

Primary hypotonic uterine dysfunction

Uterine inertia during latent phase of labour

O62.1   Secondary uterine inertia

Arrested active phase of labour

Secondary hypotonic uterine dysfunction

O62.2   Other uterine inertia

Atony of uterus, during labour

Desultory labour

Hypotonic uterine dysfunction NOS

Irregular labour

Poor contractions

Uterine inertia NOS

Excludes:    atonic postpartum haemorrhage (O72.1)

O62.3   Precipitate labour

O62.4   Hypertonic, incoordinate, and prolonged uterine contractions

Contraction ring dystocia

Dyscoordinate labour

Hour-glass contraction of uterus

Hypertonic uterine dysfunction

Incoordinate uterine action

Tetanic contractions

Uterine dystocia NOS

Excludes:    dystocia (fetal)(maternal) NOS (O66.9)

O62.8   Other abnormalities of forces of labour

O62.9   Abnormality of forces of labour, unspecified

O63  Long labour

O63.0   Prolonged first stage (of labour)

O63.1   Prolonged second stage (of labour)

O63.2   Delayed delivery of second twin, triplet, etc.

O63.9   Long labour, unspecified

Prolonged labour NOS

O64  Obstructed labour due to malposition and malpresentation of fetus

O64.0   Obstructed labour due to incomplete rotation of fetal head

Deep transverse arrest

Obstructed labour due to persistent (position):

• occipitoiliac

• occipitoposterior

• occipitosacral

• occipitotransverse

O64.1   Obstructed labour due to breech presentation

O64.2   Obstructed labour due to face presentation

Obstructed labour due to chin presentation

O64.3   Obstructed labour due to brow presentation

O64.4   Obstructed labour due to shoulder presentation

Prolapsed arm

Excludes:    impacted shoulders (O66.0)

shoulder dystocia (O66.0)

O64.5   Obstructed labour due to compound presentation

O64.8   Obstructed labour due to other malposition and malpresentation

O64.9   Obstructed labour due to malposition and malpresentation, unspecified

O65  Obstructed labour due to maternal pelvic abnormality

O65.0   Obstructed labour due to deformed pelvis

O65.1   Obstructed labour due to generally contracted pelvis

O65.2   Obstructed labour due to pelvic inlet contraction

O65.3   Obstructed labour due to pelvic outlet and mid-cavity contraction

O65.4   Obstructed labour due to fetopelvic disproportion, unspecified

Excludes:    dystocia due to abnormality of fetus (O66.2-O66.3)

O65.5   Obstructed labour due to abnormality of maternal pelvic organs

Obstructed labour due to conditions listed in O34-

O65.8   Obstructed labour due to other maternal pelvic abnormalities

O65.9   Obstructed labour due to maternal pelvic abnormality, unspecified

O66  Other obstructed labour

O66.0   Obstructed labour due to shoulder dystocia

Impacted shoulders

O66.1   Obstructed labour due to locked twins

O66.2   Obstructed labour due to unusually large fetus

O66.3   Obstructed labour due to other abnormalities of fetus

Dystocia due to:

• conjoined twins

• fetal:

     • ascites

     • hydrops

     • meningomyelocele

     • sacral teratoma

     • tumour

• hydrocephalic fetus

O66.4   Failed trial of labour, unspecified

Failed trial of labour with subsequent delivery by caesarean section

O66.5   Failed application of vacuum extractor and forceps, unspecified

Failed application of ventouse or forceps, with subsequent delivery by forceps or caesarean section respectively

O66.8   Other specified obstructed labour

O66.9   Obstructed labour, unspecified

Dystocia:

• NOS

• fetal NOS

• maternal NOS

O67  Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified

Excludes:    antepartum haemorrhage NEC (O46-)

placenta praevia (O44-)

postpartum haemorrhage (O72-)

premature separation of placenta [abruptio placentae] (O45-)

O67.0   Intrapartum haemorrhage with coagulation defect

Intrapartum haemorrhage (excessive) associated with:

• afibrinogenaemia

• disseminated intravascular coagulation

• hyperfibrinolysis

• hypofibrinogenaemia

O67.8   Other intrapartum haemorrhage

Excessive intrapartum haemorrhage

O67.9   Intrapartum haemorrhage, unspecified

O68  Labour and delivery complicated by fetal stress [distress]

Includes:    fetal distress in labour or delivery due to drug administration

O68.0   Labour and delivery complicated by fetal heart rate anomaly

Fetal:

• bradycardia

• heart rate irregularity

• tachycardia

Excludes:    with meconium in amniotic fluid (O68.2)

O68.1   Labour and delivery complicated by meconium in amniotic fluid

Excludes:    with fetal heart rate anomaly (O68.2)

O68.2   Labour and delivery complicated by fetal heart rate anomaly with meconium in amniotic fluid

O68.3   Labour and delivery complicated by biochemical evidence of fetal stress

Abnormal fetal:

• acidaemia

• acid-base balance

O68.8   Labour and delivery complicated by other evidence of fetal stress

Evidence of fetal distress:

• electrocardiographic

• ultrasonic

O68.9   Labour and delivery complicated by fetal stress, unspecified

O69  Labour and delivery complicated by umbilical cord complications

O69.0   Labour and delivery complicated by prolapse of cord

O69.1   Labour and delivery complicated by cord around neck, with compression

O69.2   Labour and delivery complicated by other cord entanglement, with compression

Compression of cord NOS

Entanglement of cords of twins in monoamniotic sac

Knot in cord

O69.3   Labour and delivery complicated by short cord

O69.4   Labour and delivery complicated by vasa praevia

Haemorrhage from vasa praevia

O69.5   Labour and delivery complicated by vascular lesion of cord

Cord:

• bruising

• haematoma

Thrombosis of umbilical vessels

O69.8   Labour and delivery complicated by other cord complications

Cord around neck without compression

O69.9   Labour and delivery complicated by cord complication, unspecified

O70  Perineal laceration during delivery

Includes:    episiotomy extended by laceration

Excludes:    obstetric high vaginal laceration alone (O71.4)

O70.0   First degree perineal laceration during delivery

Perineal laceration, rupture or tear (involving):

• fourchette   

• labia        

• skin         

• slight          during delivery

• vagina       

• vulva        

O70.1   Second degree perineal laceration during delivery

Perineal laceration, rupture or tear as in O70.0, also involving:

• pelvic floor       

• perineal muscles      during delivery

• vaginal muscles    

Excludes:    that involving anal sphincter (O70.2)

O70.2   Third degree perineal laceration during delivery

Perineal laceration, rupture or tear as in O70.1, also involving:

• anal sphincter        

• rectovaginal septum      during delivery

• sphincter NOS         

Excludes:    that involving anal or rectal mucosa (O70.3)

O70.3   Fourth degree perineal laceration during delivery

Perineal laceration, rupture or tear as in O70.2, also involving:

• anal mucosa        • anal mucosa

• rectal mucosa      • rectal mucosa

O70.9   Perineal laceration during delivery, unspecified

O71  Other obstetric trauma

Includes:    damage from instruments

O71.0   Rupture of uterus before onset of labour

O71.1   Rupture of uterus during labour

Rupture of uterus not stated as occurring before onset of labour

O71.2   Postpartum inversion of uterus

O71.3   Obstetric laceration of cervix

Annular detachment of cervix

O71.4   Obstetric high vaginal laceration alone

Laceration of vaginal wall without mention of perineal laceration

Excludes:    with perineal laceration (O70-)

O71.5   Other obstetric injury to pelvic organs

Obstetric injury to:

• bladder

• urethra

O71.6   Obstetric damage to pelvic joints and ligaments

  Avulsion of inner symphyseal cartilage      

  Damage to coccyx                               obstetric

  Traumatic separation of symphysis (pubis)   

O71.7   Obstetric haematoma of pelvis

Obstetric haematoma of:

• perineum

• vagina

• vulva

O71.8   Other specified obstetric trauma

O71.9   Obstetric trauma, unspecified

O72  Postpartum haemorrhage

Includes:    haemorrhage after delivery of fetus or infant

O72.0   Third-stage haemorrhage

Haemorrhage associated with retained, trapped or adherent placenta

Retained placenta NOS

Use additional code, if desired, to identify any morbidly adherent placenta (O43.2)

O72.1   Other immediate postpartum haemorrhage

Haemorrhage following delivery of placenta

Postpartum haemorrhage (atonic) NOS

O72.2   Delayed and secondary postpartum haemorrhage

Haemorrhage associated with retained portions of placenta or membranes

Retained products of conception NOS, following delivery

O72.3   Postpartum coagulation defects

Postpartum:

• afibrinogenaemia

• fibrinolysis

O73  Retained placenta and membranes, without haemorrhage

O73.0   Retained placenta without haemorrhage

Use additional code, if desired, to identify any morbidly adherent placenta (O43.2).

O73.1   Retained portions of placenta and membranes, without haemorrhage

Retained products of conception following delivery, without haemorrhage

O74  Complications of anaesthesia during labour and delivery

Includes:    maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during labour and delivery

O74.0   Aspiration pneumonitis due to anaesthesia during labour and delivery

  Chemical pneumonitis due to aspiration             

  Inhalation of stomach contents or secretions NOS      due to anaesthesia during labour and

  Mendelson syndrome                                     delivery

O74.1   Other pulmonary complications of anaesthesia during labour and delivery

Pressure collapse of lung due to anaesthesia during labour and delivery

O74.2   Cardiac complications of anaesthesia during labour and delivery

Cardiac:

• arrest       • arrest

• failure      • failure

O74.3   Central nervous system complications of anaesthesia during labour and delivery

Cerebral anoxia due to anaesthesia during labour and delivery

O74.4   Toxic reaction to local anaesthesia during labour and delivery

O74.5   Spinal and epidural anaesthesia-induced headache during labour and delivery

O74.6   Other complications of spinal and epidural anaesthesia during labour and delivery

O74.7   Failed or difficult intubation during labour and delivery

O74.8   Other complications of anaesthesia during labour and delivery

O74.9   Complication of anaesthesia during labour and delivery, unspecified

O75  Other complications of labour and delivery, not elsewhere classified

Excludes:    puerperal:

• infection (O86-)

• sepsis (O85)

O75.0   Maternal distress during labour and delivery

O75.1   Shock during or following labour and delivery

Obstetric shock

O75.2   Pyrexia during labour, not elsewhere classified

O75.3   Other infection during labour

Septicaemia during labour

O75.4   Other complications of obstetric surgery and procedures

  Cardiac:          

• arrest             following caesarean or other obstetric

• failure            surgery or procedures, including

  Cerebral anoxia       delivery NOS

Excludes:    complications of anaesthesia during labour and delivery (O74-)

obstetric (surgical) wound:

• disruption (O90.0-O90.1)

• haematoma (O90.2)

• infection (O86.0)

O75.5   Delayed delivery after artificial rupture of membranes

O75.6   Delayed delivery after spontaneous or unspecified rupture of membranes

Excludes:    spontaneous premature rupture of membranes (O42-)

O75.7   Vaginal delivery following previous caesarean section

O75.8   Other specified complications of labour and delivery

O75.9   Complication of labour and delivery, unspecified

Delivery (O80-O84)

Note:          For use of these categories, reference should be made to the mortality and morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

O80  Single spontaneous delivery

Includes:    cases with minimal or no assistance, with or without episiotomy delivery in a completely normal case

O80.0   Spontaneous vertex delivery

O80.1   Spontaneous breech delivery

O80.8   Other single spontaneous delivery

O80.9   Single spontaneous delivery, unspecified

Spontaneous delivery NOS

O81  Single delivery by forceps and vacuum extractor

Excludes:    failed application of vacuum extractor or forceps (O66.5)

O81.0   Low forceps delivery

O81.1   Mid-cavity forceps delivery

O81.2   Mid-cavity forceps with rotation

O81.3   Other and unspecified forceps delivery

O81.4   Vacuum extractor delivery

Ventouse delivery

O81.5   Delivery by combination of forceps and vacuum extractor

Forceps and ventouse delivery

O82  Single delivery by caesarean section

O82.0   Delivery by elective caesarean section

Repeat caesarean section NOS

O82.1   Delivery by emergency caesarean section

O82.2   Delivery by caesarean hysterectomy

O82.8   Other single delivery by caesarean section

O82.9   Delivery by caesarean section, unspecified

O83  Other assisted single delivery

O83.0   Breech extraction

O83.1   Other assisted breech delivery

Breech delivery NOS

O83.2   Other manipulation-assisted delivery

Version with extraction

O83.3   Delivery of viable fetus in abdominal pregnancy

O83.4   Destructive operation for delivery

  Cleidotomy   

  Craniotomy      to facilitate delivery

  Embryotomy   

O83.8   Other specified assisted single delivery

O83.9   Assisted single delivery, unspecified

Assisted delivery NOS

O84  Multiple delivery

Use additional code (O80-O83), if desired, to indicate the method of delivery of each fetus or infant.

O84.0   Multiple delivery, all spontaneous

O84.1   Multiple delivery, all by forceps and vacuum extractor

O84.2   Multiple delivery, all by caesarean section

O84.8   Other multiple delivery

Multiple delivery by combination of methods

O84.9   Multiple delivery, unspecified

Complications predominantly related to the puerperium (O85-O92)

Note:          Categories O88-, O91- and O92- include the listed conditions even if they occur during pregnancy and childbirth.

Excludes:    mental and behavioural disorders associated with the puerperium (F53-)

obstetrical tetanus (A34)

puerperal osteomalacia (M83.0)

O85  Puerperal sepsis

Puerperal:

• endometritis

• fever

• peritonitis

• septicaemia

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    obstetric pyaemic and septic embolism (O88.3)

septicaemia during labour (O75.3)

O86  Other puerperal infections

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    infection during labour (O75.3)

O86.0   Infection of obstetric surgical wound

Infected:

• caesarean section wound      • caesarean section wound

• perineal repair              • perineal repair

O86.1   Other infection of genital tract following delivery

• Cervicitis      • Cervicitis

• Vaginitis       • Vaginitis

O86.2   Urinary tract infection following delivery

Conditions in N10-N12, N15-, N30-, N34-, N39.0 following delivery

O86.3   Other genitourinary tract infections following delivery

Puerperal genitourinary tract infection NOS

O86.4   Pyrexia of unknown origin following delivery

Puerperal:

• infection NOS

• pyrexia NOS

Excludes:    puerperal fever (O85)

pyrexia during labour (O75.2)

O86.8   Other specified puerperal infections

O87  Venous complications in the puerperium

Includes:    in labour, delivery and the puerperium

Excludes:    obstetric embolism (O88-)

venous complications in pregnancy (O22-)

O87.0   Superficial thrombophlebitis in the puerperium

O87.1   Deep phlebothrombosis in the puerperium

Deep-vein thrombosis, postpartum

Pelvic thrombophlebitis, postpartum

O87.2   Haemorrhoids in the puerperium

O87.3   Cerebral venous thrombosis in the puerperium

Cerebrovenous sinus thrombosis in the puerperium

O87.8   Other venous complications in the puerperium

Genital varices in the puerperium

O87.9   Venous complication in the puerperium, unspecified

Puerperal:

• phlebitis NOS

• phlebopathy NOS

• thrombosis NOS

O88  Obstetric embolism

Includes:    pulmonary emboli in pregnancy, childbirth or the puerperium

Excludes:    embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)

O88.0   Obstetric air embolism

O88.1   Amniotic fluid embolism

Anaphylactoid syndrome of pregnancy

O88.2   Obstetric blood-clot embolism

Obstetric (pulmonary) embolism NOS

Puerperal (pulmonary) embolism NOS

O88.3   Obstetric pyaemic and septic embolism

O88.8   Other obstetric embolism

Obstetric fat embolism

O89  Complications of anaesthesia during the puerperium

Includes:    maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during the puerperium

O89.0   Pulmonary complications of anaesthesia during the puerperium

  Aspiration pneumonitis                             

  Chemical pneumonitis due to aspiration             

  Inhalation of stomach contents or secretions NOS      due to anaesthesia during the puerperium

  Mendelson syndrome                                 

  Pressure collapse of lung                          

O89.1   Cardiac complications of anaesthesia during the puerperium

Cardiac:

• arrest       • arrest

• failure      • failure

O89.2   Central nervous system complications of anaesthesia during the puerperium

Cerebral anoxia due to anaesthesia during the puerperium

O89.3   Toxic reaction to local anaesthesia during the puerperium

O89.4   Spinal and epidural anaesthesia-induced headache during the puerperium

O89.5   Other complications of spinal and epidural anaesthesia during the puerperium

O89.6   Failed or difficult intubation during the puerperium

O89.8   Other complications of anaesthesia during the puerperium

O89.9   Complication of anaesthesia during the puerperium, unspecified

O90  Complications of the puerperium, not elsewhere classified

O90.0   Disruption of caesarean section wound

O90.1   Disruption of perineal obstetric wound

Disruption of wound of:

• episiotomy

• perineal laceration

Secondary perineal tear

O90.2   Haematoma of obstetric wound

O90.3   Cardiomyopathy in the puerperium

Conditions in I42-

O90.4   Postpartum acute renal failure

Hepatorenal syndrome following labour and delivery

O90.5   Postpartum thyroiditis

O90.8   Other complications of the puerperium, not elsewhere classified

Placental polyp

O90.9   Complication of the puerperium, unspecified

O91  Infections of breast associated with childbirth

Includes:    the listed conditions during pregnancy, the puerperium or lactation

O91.0   Infection of nipple associated with childbirth

Abscess of nipple:

• gestational

• puerperal

O91.1   Abscess of breast associated with childbirth

  Mammary abscess      

  Purulent mastitis       gestational or puerperal

  Subareolar abscess   

O91.2   Nonpurulent mastitis associated with childbirth

  Lymphangitis of breast   

  Mastitis:                

• NOS                       gestational or puerperal

• interstitial           

• parenchymatous         

O92  Other disorders of breast and lactation associated with childbirth

Includes:    the listed conditions during pregnancy, the puerperium or lactation

O92.0   Retracted nipple associated with childbirth

O92.1   Cracked nipple associated with childbirth

Fissure of nipple, gestational or puerperal

O92.2   Other and unspecified disorders of breast associated with childbirth

O92.3   Agalactia

Primary agalactia

O92.4   Hypogalactia

O92.5   Suppressed lactation

Agalactia:

• elective

• secondary

• therapeutic

O92.6   Galactorrhoea

Excludes:    galactorrhoea not associated with childbirth (N64.3)

O92.7   Other and unspecified disorders of lactation

Puerperal galac

Other obstetric conditions, not elsewhere classified (O94-O99)

Note:          For use of categories O94-O97 reference should be made to the mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

O94  Sequelae of complication of pregnancy, childbirth and the puerperium

Note:          Category O94 is to be used for morbidity coding only to indicate previous episodes of conditions in categories O00-O75 and O85-O92 as the cause of sequelae, which are themselves classified elsewhere. The ‘sequelae’ include conditions specified as such or as late effects, or those present one year or more after the onset of the causal condition.

Not to be used for chronic complications of pregnancy, childbirth and the puerperium. Code these to O00-O75 and O85-O92.

Excludes:    that resulting in death (O96, O97)

O95  Obstetric death of unspecified cause

Maternal death from unspecified cause occurring during pregnancy, labour and delivery, or the puerperium

O96  Death from any obstetric cause occurring more than 42 days but less than one year after delivery

Note:          This category is to be used to indicate death from any obstetric cause (conditions in categories O00-O75, O85-O92 and O98-O99) occurring more than 42 days but less than one year after delivery.

Use additional code, if desired, to identify obstetric cause (direct or indirect) of death.

Excludes:    death from conditions specified as sequelae or late effects of obstetric causes (O97.-)

                   that not resulting in death (O94.-)

O96.0   Death from direct obstetric cause

O96.1   Death from indirect obstetric cause

O96.9   Death from unspecified obstetric cause

O97  Death from sequelae of obstetric causes

Note:          This category is to be used to indicate death from sequelae of any obstetric cause (conditions in categories O00-O75, O85-O92 and O98-O99) occurring more than one year after delivery. The 'sequelae' include conditions specified as such or as late effects, or those present one year or more after delivery.

Use additional code, if desired, to identify obstetric cause (direct or indirect) of death.

Excludes:    that not resulting in death (O94.-)

O97.0   Death from sequelae of direct obstetric cause

O97.1   Death from sequelae of indirect obstetric cause

O97.9   Death from sequelae of obstetric cause, unspecified

O98  Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Includes:    the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care

Use additional code (Chapter I), if desired, to identify specific condition.

Excludes:    asymptomatic human immunodeficiency virus [HIV] infection status (^[i]Z21)

laboratory evidence of human immunodeficiency virus [HIV] (R75)

obstetrical tetanus (A34)

puerperal:

• infection (O86-)

• sepsis (O85)

when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)

O98.0   Tuberculosis complicating pregnancy, childbirth and the puerperium

Conditions in A15-A19

O98.1   Syphilis complicating pregnancy, childbirth and the puerperium

Conditions in A50-A53

O98.2   Gonorrhoea complicating pregnancy, childbirth and the puerperium

Conditions in A54-

O98.3   Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium

Conditions in A55-A64

O98.4   Viral hepatitis complicating pregnancy, childbirth and the puerperium

Conditions in B15-B19

O98.5   Other viral diseases complicating pregnancy, childbirth and the puerperium

Conditions in A80-B09, B25-B34

O98.6   Protozoal diseases complicating pregnancy, childbirth and the puerperium

Conditions in B50-B64

O98.7   Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium

Conditions in B20-B24

O98.8   Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium

O98.9   Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth and the puerperium

O99  Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Note:          This category includes conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care and for which the Alphabetical Index does not indicate a specific rubric in Chapter XV.

Use additional code, if desired, to identify specific condition.

Excludes:    infectious and parasitic diseases (O98-)

injury, poisoning and certain other consequences of external causes (S00-T98) when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)

O99.0   Anaemia complicating pregnancy, childbirth and the puerperium

Conditions in D50-D64

O99.1   Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium

Conditions in D65-D89

Excludes:    haemorrhage with coagulation defects (O46.0, O67.0, O72.3)

O99.2   Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium

Conditions in E00-E90

Excludes:    diabetes mellitus (O24-)

malnutrition (O25)

postpartum thyroiditis (O90.5)

O99.3   Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium

Conditions in F00-F99 and G00-G99

Excludes:    postnatal depression (F53.0)

pregnancy-related peripheral neuritis (O26.8)

puerperal psychosis (F53.1)

O99.4   Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium

Conditions in I00-I99

Excludes:    cardiomyopathy in the puerperium (O90.3)

hypertensive disorders (O10-O16)

obstetric embolism (O88-)

venous complications and cerebrovenous sinus thrombosis in:

• labour, childbirth and the puerperium (O87-)

• pregnancy (O22-)

O99.5   Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium

Conditions in J00-J99

O99.6   Diseases of the digestive system complicating pregnancy, childbirth and the puerperium

Conditions in K00-K93

Excludes:    haemorrhoids in pregnancy (O22.4)

liver disorders in pregnancy, childbirth and the puerperium (O26.6)

O99.7   Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium

Conditions in L00-L99

Excludes:    herpes gestationis (O26.4)

pruritus in pregnancy (O26.8)

O99.8   Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium

Combination of conditions classifiable to O99.0-O99.7

Conditions in C00-D48, H00-H95, M00-M99, N00-N99, and Q00-Q99 not elsewhere classified

Excludes:    genitourinary infections in pregnancy (O23-)

infection of genitourinary tract following delivery (O86.0-O86.3)

maternal care for known or suspected abnormality of maternal pelvic organs (O34-)

postpartum acute renal failure (O90.4)

postpartum nephritis (O90.8)

CHAPTER XVI - Certain conditions originating in the perinatal period (P00-P96)

Includes:    conditions that have their origin in the perinatal period even though death or morbidity occurs later

Excludes:    congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic diseases (E00-E90)

injury, poisoning and certain other consequences of external causes (S00-T98)

neoplasms (C00-D48)

tetanus neonatorum (A33)

whooping cough (A37-)

This chapter contains the following blocks:

P00-P04       Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery

P05-P08       Disorders related to length of gestation and fetal growth

P10-P15       Birth trauma

P20-P29       Respiratory and cardiovascular disorders specific to the perinatal period

P35-P39       Infections specific to the perinatal period

P50-P61       Haemorrhagic and haematological disorders of fetus and newborn

P70-P74       Transitory endocrine and metabolic disorders specific to fetus and newborn

P75-P78       Digestive system disorders of fetus and newborn

P80-P83       Conditions involving the integument and temperature regulation of fetus and newborn

P90-P96       Other disorders originating in the perinatal period

An asterisk category for this chapter is provided as follows:

P75*            Meconium ileus

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)

Includes:    the listed maternal conditions only when specified as a cause of mortality or morbidity in fetus or newborn

P00   Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy

Excludes:    fetus and newborn affected by:

• maternal complications of pregnancy (P01-)

• maternal endocrine and metabolic disorders (P70-P74)

• noxious influences transmitted via placenta or breast milk (P04-)

P00.0   Fetus and newborn affected by maternal hypertensive disorders

Fetus or newborn affected by maternal conditions classifiable to O10-O11, O13-O16

P00.1   Fetus and newborn affected by maternal renal and urinary tract diseases

Fetus or newborn affected by maternal conditions classifiable to N00-N39

P00.2   Fetus and newborn affected by maternal infectious and parasitic diseases

Fetus or newborn affected by maternal infectious disease classifiable to A00-B99 and J09-J11, but not itself manifesting that disease

Excludes:    infections specific to the perinatal period (P35-P39)

maternal genital tract and other localized infections (P00.8)

P00.3   Fetus and newborn affected by other maternal circulatory and respiratory diseases

Fetus or newborn affected by maternal conditions classifiable to I00-I99, J00-J99,

Q20-Q34 and not included in P00.0, P00.2

P00.4   Fetus and newborn affected by maternal nutritional disorders

Fetus or newborn affected by maternal disorders classifiable to E40-E64

Maternal malnutrition NOS

P00.5   Fetus and newborn affected by maternal injury

Fetus or newborn affected by maternal conditions classifiable to S00-T79

P00.6   Fetus and newborn affected by surgical procedure on mother

Excludes:    caesarean section for present delivery (P03.4)

damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1)

previous surgery to uterus or pelvic organs (P03.8)

termination of pregnancy, fetus (P96.4)

P00.7   Fetus and newborn affected by other medical procedures on mother, not elsewhere classified

Fetus or newborn affected by radiology on mother

Excludes:    damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1)

fetus or newborn affected by other complications of labour and delivery (P03-)

P00.8   Fetus and newborn affected by other maternal conditions

Fetus or newborn affected by:

• conditions classifiable to T80-T88

• maternal genital tract and other localized infections

• maternal systemic lupus erythematosus

Excludes:    transitory neonatal endocrine and metabolic disorders (P70-P74)

P00.9   Fetus and newborn affected by unspecified maternal condition

P01   Fetus and newborn affected by maternal complications of pregnancy

P01.0   Fetus and newborn affected by incompetent cervix

P01.1   Fetus and newborn affected by premature rupture of membranes

P01.2   Fetus and newborn affected by oligohydramnios

Excludes:    when due to premature rupture of membranes (P01.1)

P01.3   Fetus and newborn affected by polyhydramnios

Hydramnios

P01.4   Fetus and newborn affected by ectopic pregnancy

Abdominal pregnancy

P01.5   Fetus and newborn affected by multiple pregnancy

Triplet (pregnancy)

Twin (pregnancy)

P01.6   Fetus and newborn affected by maternal death

P01.7   Fetus and newborn affected by malpresentation before labour

  Breech presentation   

  External version      

  Face presentation        before labour

  Transverse lie        

  Unstable lie          

P01.8   Fetus and newborn affected by other maternal complications of pregnancy

Spontaneous abortion, fetus

P01.9   Fetus and newborn affected by maternal complication of pregnancy, unspecified

P02   Fetus and newborn affected by complications of placenta, cord and membranes

P02.0   Fetus and newborn affected by placenta praevia

P02.1   Fetus and newborn affected by other forms of placental separation and haemorrhage

Abruptio placentae

Accidental haemorrhage

Antepartum haemorrhage

Damage to placenta from amniocentesis, caesarean section or surgical induction

Maternal blood loss

Premature separation of placenta

P02.2   Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta

Placental:

• dysfunction

• infarction

• insufficiency

P02.3   Fetus and newborn affected by placental transfusion syndromes

Placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion

Use additional code, if desired, to indicate resultant condition in the fetus or newborn.

P02.4   Fetus and newborn affected by prolapsed cord

P02.5   Fetus and newborn affected by other compression of umbilical cord

Cord (tightly) around neck

Entanglement of cord

Knot in cord

P02.6   Fetus and newborn affected by other and unspecified conditions of umbilical cord

Short cord

Vasa praevia

Excludes:    single umbilical artery (Q27.0)

P02.7   Fetus and newborn affected by chorioamnionitis

Amnionitis

Membranitis

Placentitis

P02.8   Fetus and newborn affected by other abnormalities of membranes

P02.9   Fetus and newborn affected by abnormality of membranes, unspecified

P03   Fetus and newborn affected by other complications of labour and delivery

P03.0   Fetus and newborn affected by breech delivery and extraction

P03.1   Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery

Contracted pelvis

Fetus or newborn affected by conditions classifiable to O64-O66

Persistent occipitoposterior

Transverse lie

P03.2   Fetus and newborn affected by forceps delivery

P03.3   Fetus and newborn affected by delivery by vacuum extractor [ventouse]

P03.4   Fetus and newborn affected by caesarean delivery

P03.5   Fetus and newborn affected by precipitate delivery

Rapid second stage

P03.6   Fetus and newborn affected by abnormal uterine contractions

Fetus or newborn affected by conditions classifiable to O62-, except O62.3

Hypertonic labour

Uterine inertia

P03.8   Fetus and newborn affected by other specified complications of labour and delivery

Abnormality of maternal soft tissues

Destructive operation to facilitate delivery

Fetus or newborn affected by conditions classifiable to O60-O75 and by procedures used in labour and delivery not included in P02- and P03.0-P03.6

Induction of labour

P03.9   Fetus and newborn affected by complication of labour and delivery, unspecified

P04   Fetus and newborn affected by noxious influences transmitted via placenta or breast milk

Includes:    nonteratogenic effects of substances transmitted via placenta

Excludes:    congenital malformations (Q00-Q99)

neonatal jaundice due to drugs or toxins transmitted from mother (P58.4)

P04.0   Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, labour and delivery

Reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery

P04.1   Fetus and newborn affected by other maternal medication

Cancer chemotherapy

Cytotoxic drugs

Excludes:    dysmorphism due to warfarin (Q86.2)

fetal hydantoin syndrome (Q86.1)

maternal use of drugs of addiction (P04.4)

P04.2   Fetus and newborn affected by maternal use of tobacco

P04.3   Fetus and newborn affected by maternal use of alcohol

Excludes:    fetal alcohol syndrome (Q86.0)

P04.4   Fetus and newborn affected by maternal use of drugs of addiction

Excludes:    maternal anaesthesia and analgesia (P04.0)

withdrawal symptoms from maternal use of drugs of addiction (P96.1)

P04.5   Fetus and newborn affected by maternal use of nutritional chemical substances

P04.6   Fetus and newborn affected by maternal exposure to environmental chemical substances

P04.8   Fetus and newborn affected by other maternal noxious influences

P04.9   Fetus and newborn affected by maternal noxious influence, unspecified

Disorders related to length of gestation and fetal growth (P05-P08)

P05   Slow fetal growth and fetal malnutrition

P05.0   Light for gestational age

Usually referred to as weight below but length above 10th centile for gestational age.

Light-for-dates

P05.1   Small for gestational age

Usually referred to as weight and length below 10th centile for gestational age.

Small-for-dates

Small-and-light-for-dates

P05.2   Fetal malnutrition without mention of light or small for gestational age

Infant, not light or small for gestational age, showing signs of fetal malnutrition, such as dry, peeling skin and loss of subcutaneous tissue.

Excludes:    fetal malnutrition with mention of:

• light for gestational age (P05.0)

• small for gestational age (P05.1)

P05.9   Slow fetal growth, unspecified

Fetal growth retardation NOS

P07   Disorders related to short gestation and low birth weight, not elsewhere classified

Note:          When both birth weight and gestational age are available, priority of assignment should be given to birth weight.

Includes:    the listed conditions, without further specification, as the cause of mortality, morbidity or additional care, in newborn

Excludes:    low birth weight due to slow fetal growth and fetal malnutrition (P05-)

P07.0   Extremely low birth weight

Birth weight 999 g or less.

P07.1   Other low birth weight

Birth weight 1000-2499 g.

P07.2   Extreme immaturity

Less than 28 completed weeks (less than 196 completed days) of gestation.

P07.3   Other preterm infants

28 completed weeks or more but less than 37 completed weeks (196 completed days but less than 259 completed days) of gestation.

Prematurity NOS

P08   Disorders related to long gestation and high birth weight

Note:          When both birth weight and gestational age are available, priority of assignment should be given to birth weight.

Includes:    the listed conditions, without further specification, as causes of mortality, morbidity or additional care, in fetus or newborn

P08.0   Exceptionally large baby

Usually implies a birth weight of 4500 g or more.

Excludes:    syndrome of:

• infant of diabetic mother (P70.1)

• infant of mother with gestational diabetes (P70.0)

P08.1   Other heavy for gestational age infants

Other fetus or infant heavy- or large-for-dates regardless of period of gestation.

Usually implies a birth weight >90th percentile for gestational age or 4000 g or more at term

Excludes:    syndrome of infant of:

• diabetic mother (P70.1)

• mother with gestational diabetes (P70.0)

birth weight of 4500 g or more (P08.0)

P08.2   Post-term infant, not heavy for gestational age

Fetus or infant with gestation period of 42 completed weeks or more (294 days or more), not heavy- or large-for-dates.

Postmaturity NOS

Birth trauma (P10-P15)

P10   Intracranial laceration and haemorrhage due to birth injury

Excludes:    intracranial haemorrhage of fetus or newborn:

• NOS (P52.9)

• due to anoxia or hypoxia (P52-)

P10.0   Subdural haemorrhage due to birth injury

Subdural haematoma (localized) due to birth injury

Excludes:    subdural haemorrhage accompanying tentorial tear (P10.4)

P10.1   Cerebral haemorrhage due to birth injury

P10.2   Intraventricular haemorrhage due to birth injury

P10.3   Subarachnoid haemorrhage due to birth injury

P10.4   Tentorial tear due to birth injury

P10.8   Other intracranial lacerations and haemorrhages due to birth injury

P10.9   Unspecified intracranial laceration and haemorrhage due to birth injury

P11   Other birth injuries to central nervous system

P11.0   Cerebral oedema due to birth injury

P11.1   Other specified brain damage due to birth injury

P11.2   Unspecified brain damage due to birth injury

P11.3   Birth injury to facial nerve

Facial palsy due to birth injury

P11.4   Birth injury to other cranial nerves

P11.5   Birth injury to spine and spinal cord

Fracture of spine due to birth injury

P11.9   Birth injury to central nervous system, unspecified

P12   Birth injury to scalp

P12.0   Cephalhaematoma due to birth injury

P12.1   Chignon due to birth injury

P12.2   Epicranial subaponeurotic haemorrhage due to birth injury

P12.3   Bruising of scalp due to birth injury

P12.4   Monitoring injury of scalp of newborn

Sampling incision

Scalp clip (electrode) injury

P12.8   Other birth injuries to scalp

P12.9   Birth injury to scalp, unspecified

P13   Birth injury to skeleton

Excludes:    birth injury to spine (P11.5)

P13.0   Fracture of skull due to birth injury

P13.1   Other birth injuries to skull

Excludes:    cephalhaematoma (P12.0)

P13.2   Birth injury to femur

P13.3   Birth injury to other long bones

P13.4   Fracture of clavicle due to birth injury

P13.8   Birth injuries to other parts of skeleton

P13.9   Birth injury to skeleton, unspecified

P14   Birth injury to peripheral nervous system

P14.0   Erb paralysis due to birth injury

P14.1   Klumpke paralysis due to birth injury

P14.2   Phrenic nerve paralysis due to birth injury

P14.3   Other brachial plexus birth injuries

P14.8   Birth injuries to other parts of peripheral nervous system

P14.9   Birth injury to peripheral nervous system, unspecified

P15   Other birth injuries

P15.0   Birth injury to liver

Rupture of liver due to birth injury

P15.1   Birth injury to spleen

Rupture of spleen due to birth injury

P15.2   Sternomastoid injury due to birth injury

P15.3   Birth injury to eye

  Subconjunctival haemorrhage      Subconjunctival haemorrhage

  Traumatic glaucoma               Traumatic glaucoma

P15.4   Birth injury to face

Facial congestion due to birth injury

P15.5   Birth injury to external genitalia

P15.6   Subcutaneous fat necrosis due to birth injury

P15.8   Other specified birth injuries

P15.9   Birth injury, unspecified

Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

P20   Intrauterine hypoxia

Includes:    abnormal fetal heart rate

fetal or intrauterine:

• acidosis

• anoxia

• asphyxia

• distress

• hypoxia

meconium in liquor

passage of meconium

Excludes:    intracranial haemorrhage due to anoxia or hypoxia (P52-)

P20.0   Intrauterine hypoxia first noted before onset of labour

P20.1   Intrauterine hypoxia first noted during labour and delivery

P20.9   Intrauterine hypoxia, unspecified

P21   Birth asphyxia

Note:          This category is not to be used for low Apgar score without mention of asphyxia or other respiratory problems.

Excludes:    intrauterine hypoxia or asphyxia (P20-)

P21.0   Severe birth asphyxia

Pulse less than 100 per minute at birth and falling or steady, respiration absent or gasping, colour poor, tone absent.

Asphyxia with 1-minute Apgar score 0-3

White asphyxia

P21.1   Mild and moderate birth asphyxia

Normal respiration not established within one minute, but heart rate 100 or above, some muscle tone present, some response to stimulation.

Asphyxia with 1-minute Apgar score 4-7

Blue asphyxia

P21.9   Birth asphyxia, unspecified

  Anoxia     

  Asphyxia      NOS

  Hypoxia    

P22   Respiratory distress of newborn

Excludes:    respiratory failure of newborn (P28.5)

P22.0   Respiratory distress syndrome of newborn

Hyaline membrane disease

P22.1   Transient tachypnoea of newborn

P22.8   Other respiratory distress of newborn

P22.9   Respiratory distress of newborn, unspecified

P23   Congenital pneumonia

Includes:    infective pneumonia acquired in utero or during birth

Excludes:    neonatal pneumonia resulting from aspiration (P24-)

P23.0   Congenital pneumonia due to viral agent

Excludes:    congenital rubella pneumonitis (P35.0)

P23.1   Congenital pneumonia due to Chlamydia

P23.2   Congenital pneumonia due to staphylococcus

P23.3   Congenital pneumonia due to streptococcus, group B

P23.4   Congenital pneumonia due to Escherichia coli

P23.5   Congenital pneumonia due to Pseudomonas

P23.6   Congenital pneumonia due to other bacterial agents

Haemophilus influenzae

Klebsiella pneumoniae

Mycoplasma

Streptococcus, except group B

P23.8   Congenital pneumonia due to other organisms

P23.9   Congenital pneumonia, unspecified

P24   Neonatal aspiration syndromes

Includes:    neonatal pneumonia resulting from aspiration

P24.0   Neonatal aspiration of meconium

P24.1   Neonatal aspiration of amniotic fluid and mucus

Aspiration of liquor (amnii)

P24.2   Neonatal aspiration of blood

P24.3   Neonatal aspiration of milk and regurgitated food

P24.8   Other neonatal aspiration syndromes

P24.9   Neonatal aspiration syndrome, unspecified

Neonatal aspiration pneumonia NOS

P25   Interstitial emphysema and related conditions originating in the perinatal period

P25.0   Interstitial emphysema originating in the perinatal period

P25.1   Pneumothorax originating in the perinatal period

P25.2   Pneumomediastinum originating in the perinatal period

P25.3   Pneumopericardium originating in the perinatal period

P25.8   Other conditions related to interstitial emphysema originating in the perinatal period

P26   Pulmonary haemorrhage originating in the perinatal period

P26.0   Tracheobronchial haemorrhage originating in the perinatal period

P26.1   Massive pulmonary haemorrhage originating in the perinatal period

P26.8   Other pulmonary haemorrhages originating in the perinatal period

P26.9   Unspecified pulmonary haemorrhage originating in the perinatal period

P27   Chronic respiratory disease originating in the perinatal period

P27.0   Wilson-Mikity syndrome

Pulmonary dysmaturity

P27.1   Bronchopulmonary dysplasia originating in the perinatal period

P27.8   Other chronic respiratory diseases originating in the perinatal period

Congenital pulmonary fibrosis

Ventilator lung in newborn

P27.9   Unspecified chronic respiratory disease originating in the perinatal period

P28   Other respiratory conditions originating in the perinatal period

Excludes:    congenital malformations of the respiratory system (Q30-Q34)

P28.0   Primary atelectasis of newborn

Primary failure to expand terminal respiratory units

Pulmonary:

• hypoplasia associated with short gestation

• immaturity NOS

P28.1   Other and unspecified atelectasis of newborn

Atelectasis:

• NOS

• partial

• secondary

Resorption atelectasis without respiratory distress syndrome

P28.2   Cyanotic attacks of newborn

Excludes:    apnoea of newborn (P28.3-P28.4)

P28.3   Primary sleep apnoea of newborn

Sleep apnoea of newborn :

• central

• NOS

• obstructive

P28.4   Other apnoea of newborn

Apnoea (of):

• newborn, obstructive

• prematurity

Excludes:    obstructive sleep apnoea of newborn (P28.3)

P28.5   Respiratory failure of newborn

P28.8   Other specified respiratory conditions of newborn

Congenital (laryngeal) stridor NOS

Snuffles in newborn

Excludes:    early congenital syphilitic rhinitis (A50.0)

P28.9   Respiratory condition of newborn, unspecified

P29   Cardiovascular disorders originating in the perinatal period

Excludes:    congenital malformations of the circulatory system (Q20-Q28)

P29.0   Neonatal cardiac failure

P29.1   Neonatal cardiac dysrhythmia

P29.2   Neonatal hypertension

P29.3   Persistent fetal circulation

Delayed closure of ductus arteriosus

(Persistent) Pulmonary hypertension of newborn

P29.4   Transient myocardial ischaemia of newborn

P29.8   Other cardiovascular disorders originating in the perinatal period

P29.9   Cardiovascular disorder originating in the perinatal period, unspecified

Infections specific to the perinatal period (P35-P39)

Includes:    infections acquired in utero or during birth

Excludes:    asymptomatic human immunodeficiency virus [HIV] infection status (^[i]Z21)

congenital:

• gonococcal infection (A54-)

• pneumonia (P23-)

• syphilis (A50-)

human immunodeficiency virus [HIV] disease (B20-B24)

infectious diseases acquired after birth (A00-B99, J09-J11)

intestinal infectious diseases (A00-A09)

laboratory evidence of human immunodeficiency virus [HIV] (R75)

maternal infectious disease as a cause of mortality or morbidity in fetus or newborn not itself manifesting the disease (P00.2)

tetanus neonatorum (A33)

whooping cough (A37-)

P35   Congenital viral diseases

P35.0   Congenital rubella syndrome

Congenital rubella pneumonitis

P35.1   Congenital cytomegalovirus infection

P35.2   Congenital herpesviral [herpes simplex] infection

P35.3   Congenital viral hepatitis

P35.8   Other congenital viral diseases

Congenital varicella [chickenpox]

P35.9   Congenital viral disease, unspecified

P36   Bacterial sepsis of newborn

Includes:    congenital septicaemia

P36.0   Sepsis of newborn due to streptococcus, group B

P36.1   Sepsis of newborn due to other and unspecified streptococci

P36.2   Sepsis of newborn due to Staphylococcus aureus

P36.3   Sepsis of newborn due to other and unspecified staphylococci

P36.4   Sepsis of newborn due to Escherichia coli

P36.5   Sepsis of newborn due to anaerobes

P36.8   Other bacterial sepsis of newborn

P36.9   Bacterial sepsis of newborn, unspecified

P37   Other congenital infectious and parasitic diseases

Excludes:    congenital syphilis (A50-)

necrotizing enterocolitis of fetus or newborn (P77)

neonatal diarrhoea:

• NOS (A09.9)

• infectious (A09.0)

• noninfective (P78.3)

ophthalmia neonatorum due to gonococcus (A54.3)

tetanus neonatorum (A33)

whooping cough (A37-)

P37.0   Congenital tuberculosis

P37.1   Congenital toxoplasmosis

Hydrocephalus due to congenital toxoplasmosis

P37.2   Neonatal (disseminated) listeriosis

P37.3   Congenital falciparum malaria

P37.4   Other congenital malaria

P37.5   Neonatal candidiasis

P37.8   Other specified congenital infectious and parasitic diseases

P37.9   Congenital infectious and parasitic disease, unspecified

P38   Omphalitis of newborn with or without mild haemorrhage

P39   Other infections specific to the perinatal period

P39.0   Neonatal infective mastitis

Excludes:    breast engorgement of newborn (P83.4)

noninfective mastitis of newborn (P83.4)

P39.1   Neonatal conjunctivitis and dacryocystitis

Neonatal chlamydial conjunctivitis

Ophthalmia neonatorum NOS

Excludes:    gonococcal conjunctivitis (A54.3)

P39.2   Intra-amniotic infection of fetus, not elsewhere classified

P39.3   Neonatal urinary tract infection

P39.4   Neonatal skin infection

Neonatal pyoderma

Excludes:    pemphigus neonatorum (L00)

staphylococcal scalded skin syndrome (L00)

P39.8   Other specified infections specific to the perinatal period

P39.9   Infection specific to the perinatal period, unspecified

Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

Excludes:    congenital stenosis and stricture of bile ducts (Q44.3)

Crigler-Najjar syndrome (E80.5)

Dubin-Johnson syndrome (E80.6)

Gilbert syndrome (E80.4)

hereditary haemolytic anaemias (D55-D58)

P50   Fetal blood loss

Excludes:    congenital anaemia from fetal blood loss (P61.3)

P50.0   Fetal blood loss from vasa praevia

P50.1   Fetal blood loss from ruptured cord

P50.2   Fetal blood loss from placenta

P50.3   Haemorrhage into co-twin

P50.4   Haemorrhage into maternal circulation

P50.5   Fetal blood loss from cut end of co-twin's cord

P50.8   Other fetal blood loss

P50.9   Fetal blood loss, unspecified

Fetal haemorrhage NOS

P51   Umbilical haemorrhage of newborn

Excludes:    omphalitis with mild haemorrhage (P38)

P51.0   Massive umbilical haemorrhage of newborn

P51.8   Other umbilical haemorrhages of newborn

Slipped umbilical ligature NOS

P51.9   Umbilical haemorrhage of newborn, unspecified

P52   Intracranial nontraumatic haemorrhage of fetus and newborn

Includes:    intracranial haemorrhage due to anoxia or hypoxia

Excludes:    intracranial haemorrhage due to injury:

• birth (P10-)

• maternal (P00.5)

• other (S06-)

P52.0   Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn

Subependymal haemorrhage (without intraventricular extension)

P52.1   Intraventricular (nontraumatic) haemorrhage, grade 2, of fetus and newborn

Subependymal haemorrhage with intraventricular extension

P52.2   Intraventricular (nontraumatic) haemorrhage, grade 3 and grade 4, of fetus and newborn

Subependymal haemorrhage with both intraventricular and intracerebral

extension

P52.3   Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn

P52.4   Intracerebral (nontraumatic) haemorrhage of fetus and newborn

P52.5   Subarachnoid (nontraumatic) haemorrhage of fetus and newborn

P52.6   Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn

P52.8   Other intracranial (nontraumatic) haemorrhages of fetus and newborn

P52.9   Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified

P53   Haemorrhagic disease of fetus and newborn

Vitamin K deficiency of newborn

P54   Other neonatal haemorrhages

Excludes:    fetal blood loss (P50-)

pulmonary haemorrhage originating in the perinatal period (P26-)

P54.0   Neonatal haematemesis

Excludes:    that due to swallowed maternal blood (P78.2)

P54.1   Neonatal melaena

Excludes:    that due to swallowed maternal blood (P78.2)

P54.2   Neonatal rectal haemorrhage

P54.3   Other neonatal gastrointestinal haemorrhage

P54.4   Neonatal adrenal haemorrhage

P54.5   Neonatal cutaneous haemorrhage

  Bruising                  

  Ecchymoses                

  Petechiae                    in fetus or newborn

  Superficial haematomata   

Excludes:    bruising of scalp due to birth injury (P12.3)

cephalhaematoma due to birth injury (P12.0)

P54.6   Neonatal vaginal haemorrhage

Pseudomenses

P54.8   Other specified neonatal haemorrhages

P54.9   Neonatal haemorrhage, unspecified

P55   Haemolytic disease of fetus and newborn

P55.0   Rh isoimmunization of fetus and newborn

P55.1   ABO isoimmunization of fetus and newborn

P55.8   Other haemolytic diseases of fetus and newborn

P55.9   Haemolytic disease of fetus and newborn, unspecified

P56   Hydrops fetalis due to haemolytic disease

Excludes:    hydrops fetalis NOS (P83.2)

• not due to haemolytic disease (P83.2)

P56.0   Hydrops fetalis due to isoimmunization

P56.9   Hydrops fetalis due to other and unspecified haemolytic disease

P57   Kernicterus

P57.0   Kernicterus due to isoimmunization

P57.8   Other specified kernicterus

Excludes:    Crigler-Najjar syndrome (E80.5)

P57.9   Kernicterus, unspecified

P58   Neonatal jaundice due to other excessive haemolysis

Excludes:    jaundice due to isoimmunization (P55-P57)

P58.0   Neonatal jaundice due to bruising

P58.1   Neonatal jaundice due to bleeding

P58.2   Neonatal jaundice due to infection

P58.3   Neonatal jaundice due to polycythaemia

P58.4   Neonatal jaundice due to drugs or toxins transmitted from mother or given to newborn

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

P58.5   Neonatal jaundice due to swallowed maternal blood

P58.8   Neonatal jaundice due to other specified excessive haemolysis

P58.9   Neonatal jaundice due to excessive haemolysis, unspecified

P59   Neonatal jaundice from other and unspecified causes

Excludes:    due to inborn errors of metabolism (E70-E90)

kernicterus (P57-)

P59.0   Neonatal jaundice associated with preterm delivery

Hyperbilirubinaemia of prematurity

Jaundice due to delayed conjugation associated with preterm delivery

P59.1   Inspissated bile syndrome

P59.2   Neonatal jaundice from other and unspecified hepatocellular damage

Fetal or neonatal giant cell hepatitis

Fetal or neonatal (idiopathic) hepatitis

Excludes:    congenital viral hepatitis (P35.3)

P59.3   Neonatal jaundice from breast milk inhibitor

P59.8   Neonatal jaundice from other specified causes

P59.9   Neonatal jaundice, unspecified

Physiological jaundice (intense)(prolonged) NOS

P60   Disseminated intravascular coagulation of fetus and newborn

Defibrination syndrome of fetus or newborn

P61   Other perinatal haematological disorders

Excludes:    transient hypogammaglobulinaemia of infancy (D80.7)

P61.0   Transient neonatal thrombocytopenia

Neonatal thrombocytopenia due to:

• exchange transfusion

• idiopathic maternal thrombocytopenia

• isoimmunization

P61.1   Polycythaemia neonatorum

P61.2   Anaemia of prematurity

P61.3   Congenital anaemia from fetal blood loss

P61.4   Other congenital anaemias, not elsewhere classified

Congenital anaemia NOS

P61.5   Transient neonatal neutropenia

P61.6   Other transient neonatal disorders of coagulation

P61.8   Other specified perinatal haematological disorders

P61.9   Perinatal haematological disorder, unspecified

Transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)

Includes:    transitory endocrine and metabolic disturbances caused by the infant's response to maternal endocrine and metabolic factors, or its adjustment to extrauterine existence

P70   Transitory disorders of carbohydrate metabolism specific to fetus and newborn

P70.0   Syndrome of infant of mother with gestational diabetes

Fetus or newborn (with hypoglycaemia) affected by maternal gestational diabetes

P70.1   Syndrome of infant of a diabetic mother

Fetus or newborn (with hypoglycaemia) affected by maternal diabetes mellitus (pre-existing)

P70.2   Neonatal diabetes mellitus

P70.3   Iatrogenic neonatal hypoglycaemia

P70.4   Other neonatal hypoglycaemia

Transitory neonatal hypoglycaemia

P70.8   Other transitory disorders of carbohydrate metabolism of fetus and newborn

P70.9   Transitory disorder of carbohydrate metabolism of fetus and newborn, unspecified

P71   Transitory neonatal disorders of calcium and magnesium metabolism

P71.0   Cow milk hypocalcaemia in newborn

P71.1   Other neonatal hypocalcaemia

Excludes:    neonatal hypoparathyroidism (P71.4)

P71.2   Neonatal hypomagnesaemia

P71.3   Neonatal tetany without calcium or magnesium deficiency

Neonatal tetany NOS

P71.4   Transitory neonatal hypoparathyroidism

P71.8   Other transitory neonatal disorders of calcium and magnesium metabolism

P71.9   Transitory neonatal disorder of calcium and magnesium metabolism, unspecified

P72   Other transitory neonatal endocrine disorders

Excludes:    congenital hypothyroidism with or without goitre (E03.0-E03.1)

dyshormogenetic goitre (E07.1)

Pendred syndrome (E07.1)

P72.0   Neonatal goitre, not elsewhere classified

Transitory congenital goitre with normal function

P72.1   Transitory neonatal hyperthyroidism

Neonatal thyrotoxicosis

P72.2   Other transitory neonatal disorders of thyroid function, not elsewhere classified

Transitory neonatal hypothyroidism

P72.8   Other specified transitory neonatal endocrine disorders

P72.9   Transitory neonatal endocrine disorder, unspecified

P74   Other transitory neonatal electrolyte and metabolic disturbances

P74.0   Late metabolic acidosis of newborn

P74.1   Dehydration of newborn

P74.2   Disturbances of sodium balance of newborn

P74.3   Disturbances of potassium balance of newborn

P74.4   Other transitory electrolyte disturbances of newborn

P74.5   Transitory tyrosinaemia of newborn

P74.8   Other transitory metabolic disturbances of newborn

P74.9   Transitory metabolic disturbance of newborn, unspecified

Digestive system disorders of fetus and newborn (P75-P78)

P75   Meconium ileus (E84.1†)

P76   Other intestinal obstruction of newborn

P76.0   Meconium plug syndrome

P76.1   Transitory ileus of newborn

Excludes:    Hirschsprung disease (Q43.1)

P76.2   Intestinal obstruction due to inspissated milk

P76.8   Other specified intestinal obstruction of newborn

Excludes:    intestinal obstruction classifiable to K56.0-K56.5

P76.9   Intestinal obstruction of newborn, unspecified

P77   Necrotizing enterocolitis of fetus and newborn

P78   Other perinatal digestive system disorders

Excludes:    neonatal gastrointestinal haemorrhages (P54.0-P54.3)

P78.0   Perinatal intestinal perforation

Meconium peritonitis

P78.1   Other neonatal peritonitis

Neonatal peritonitis NOS

P78.2   Neonatal haematemesis and melaena due to swallowed maternal blood

P78.3   Noninfective neonatal diarrhoea

Neonatal diarrhoea NOS

Excludes:    neonatal diarrhoea NOS in countries where the condition can be presumed to be of infectious origin (A09)

P78.8   Other specified perinatal digestive system disorders

Congenital cirrhosis (of liver)

Neonatal oesophageal reflux

Peptic ulcer of newborn

P78.9   Perinatal digestive system disorder, unspecified

Conditions involving the integument and temperature regulation of fetus and newborn (P80-P83)

P80   Hypothermia of newborn

P80.0   Cold injury syndrome

Severe and usually chronic hypothermia associated with a pink flushed appearance, oedema and neurological and biochemical abnormalities.

Excludes:    mild hypothermia of newborn (P80.8)

P80.8   Other hypothermia of newborn

Mild hypothermia of newborn

P80.9   Hypothermia of newborn, unspecified

P81   Other disturbances of temperature regulation of newborn

P81.0   Environmental hyperthermia of newborn

P81.8   Other specified disturbances of temperature regulation of newborn

P81.9   Disturbance of temperature regulation of newborn, unspecified

Fever of newborn NOS

P83   Other conditions of integument specific to fetus and newborn

Excludes:    congenital malformations of skin and integument (Q80-Q84)

cradle cap (L21.0)

diaper [napkin] dermatitis (L22)

hydrops fetalis due to haemolytic disease (P56-)

neonatal skin infection (P39.4)

staphylococcal scalded skin syndrome (L00)

P83.0   Sclerema neonatorum

P83.1   Neonatal erythema toxicum

P83.2   Hydrops fetalis not due to haemolytic disease

Hydrops fetalis NOS

P83.3   Other and unspecified oedema specific to fetus and newborn

P83.4   Breast engorgement of newborn

Noninfective mastitis of newborn

P83.5   Congenital hydrocele

P83.6   Umbilical polyp of newborn

P83.8   Other specified conditions of integument specific to fetus and newborn

Bronze baby syndrome

Neonatal scleroderma

Urticaria neonatorum

P83.9   Condition of integument specific to fetus and newborn, unspecified

Other disorders originating in the perinatal period (P90-P96)

P90   Convulsions of newborn

Excludes:    benign neonatal convulsions (familial) (G40.3)

P91   Other disturbances of cerebral status of newborn

P91.0   Neonatal cerebral ischaemia

P91.1   Acquired periventricular cysts of newborn

P91.2   Neonatal cerebral leukomalacia

P91.3   Neonatal cerebral irritability

P91.4   Neonatal cerebral depression

P91.5   Neonatal coma

P91.6   Hypoxic ischaemic encephalopathy of newborn

P91.8   Other specified disturbances of cerebral status of newborn

P91.9   Disturbance of cerebral status of newborn, unspecified

P92   Feeding problems of newborn

P92.0   Vomiting in newborn

P92.1   Regurgitation and rumination in newborn

P92.2   Slow feeding of newborn

P92.3   Underfeeding of newborn

P92.4   Overfeeding of newborn

P92.5   Neonatal difficulty in feeding at breast

P92.8   Other feeding problems of newborn

P92.9   Feeding problem of newborn, unspecified

P93   Reactions and intoxications due to drugs administered to fetus and newborn

Grey syndrome from chloramphenicol administration in newborn

Excludes:    jaundice due to drugs or toxins transmitted from mother or given to newborn (P58.4)

reactions and intoxications from maternal opiates, tranquillizers and other medication (P04.0-P04.1, P04.4)

withdrawal symptoms from:

• maternal use of drugs of addiction (P96.1)

• therapeutic use of drugs in newborn (P96.2)

P94   Disorders of muscle tone of newborn

P94.0   Transient neonatal myasthenia gravis

Excludes:    myasthenia gravis (G70.0)

P94.1   Congenital hypertonia

P94.2   Congenital hypotonia

Nonspecific floppy baby syndrome

P94.8   Other disorders of muscle tone of newborn

P94.9   Disorder of muscle tone of newborn, unspecified

P95   Fetal death of unspecified cause

Deadborn fetus NOS

Stillbirth NOS

P96   Other conditions originating in the perinatal period

P96.0   Congenital renal failure

Uraemia of newborn

P96.1   Neonatal withdrawal symptoms from maternal use of drugs of addiction

Drug withdrawal syndrome in infant of dependent mother

Neonatal abstinence syndrome

Excludes:    reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery (P04.0)

P96.2   Withdrawal symptoms from therapeutic use of drugs in newborn

P96.3   Wide cranial sutures of newborn

Neonatal craniotabes

P96.4   Termination of pregnancy, affecting fetus and newborn

Excludes:    termination of pregnancy (affecting mother) (O04-)

P96.5   Complications of intrauterine procedures, not elsewhere classified

P96.8   Other specified conditions originating in the perinatal period

P96.9   Condition originating in the perinatal period, unspecified

Congenital debility NOS

CHAPTER XVII - Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

Excludes:    inborn errors of metabolism (E70-E90)

This chapter contains the following blocks:

Q00-Q07      Congenital malformations of the nervous system

Q10-Q18      Congenital malformations of eye, ear, face and neck

Q20-Q28      Congenital malformations of the circulatory system

Q30-Q34      Congenital malformations of the respiratory system

Q35-Q37      Cleft lip and cleft palate

Q38-Q45      Other congenital malformations of the digestive system

Q50-Q56      Congenital malformations of genital organs

Q60-Q64      Congenital malformations of the urinary system

Q65-Q79      Congenital malformations and deformations of the musculoskeletal system

Q80-Q89      Other congenital malformations

Q90-Q99      Chromosomal abnormalities, not elsewhere classified

Congenital malformations of the nervous system (Q00-Q07)

Q00  Anencephaly and similar malformations

Q00.0   Anencephaly

Acephaly

Acrania

Amyelencephaly

Hemianencephaly

Hemicephaly

Q00.1   Craniorachischisis

Q00.2   Iniencephaly

Q01  Encephalocele

Includes:    encephalomyelocele

hydroencephalocele

hydromeningocele, cranial

meningocele, cerebral

meningoencephalocele

Excludes:    acquired encephalocele (G93.5)

Meckel-Gruber syndrome (Q61.9)

Q01.0   Frontal encephalocele

Q01.1   Nasofrontal encephalocele

Q01.2   Occipital encephalocele

Q01.8   Encephalocele of other sites

Q01.9   Encephalocele, unspecified

Q02  Microcephaly

Hydromicrocephaly

Micrencephalon

Excludes:    Meckel-Gruber syndrome (Q61.9)

Q03  Congenital hydrocephalus

Includes:    hydrocephalus in newborn

Excludes:    Arnold-Chiari syndrome (Q07.0)

hydrocephalus:

• acquired (G91-)

• due to congenital toxoplasmosis (P37.1)

• with spina bifida (Q05.0-Q05.4)

Q03.0   Malformations of aqueduct of Sylvius

Aqueduct of Sylvius:

• anomaly

• obstruction, congenital

• stenosis

Q03.1   Atresia of foramina of Magendie and Luschka

Dandy-Walker syndrome

Q03.8   Other congenital hydrocephalus

Q03.9   Congenital hydrocephalus, unspecified

Q04  Other congenital malformations of brain

Excludes:    cyclopia (Q87.0)

macrocephaly (Q75.3)

Q04.0   Congenital malformations of corpus callosum

Agenesis of corpus callosum

Q04.1   Arhinencephaly

Q04.2   Holoprosencephaly

Q04.3   Other reduction deformities of brain

  Absence      

  Agenesis     

  Aplasia         of part of brain

  Hypoplasia   

Agyria

Hydranencephaly

Lissencephaly

Microgyria

Pachygyria

Excludes:    congenital malformations of corpus callosum (Q04.0)

Q04.4   Septo-optic dysplasia

Q04.5   Megalencephaly

Q04.6   Congenital cerebral cysts

Porencephaly

Schizencephaly

Excludes:    acquired porencephalic cyst (G93.0)

Q04.8   Other specified congenital malformations of brain

Macrogyria

Q04.9   Congenital malformation of brain, unspecified

Congenital:

• anomaly              

• deformity            

• disease or lesion       NOS of brain

• multiple anomalies   

Q05  Spina bifida

Includes:    hydromeningocele (spinal)

meningocele (spinal)

meningomyelocele

myelocele

myelomeningocele

rachischisis

spina bifida (aperta)(cystica)

syringomyelocele

Excludes:    Arnold-Chiari syndrome (Q07.0)

spina bifida occulta (Q76.0)

Q05.0   Cervical spina bifida with hydrocephalus

Q05.1   Thoracic spina bifida with hydrocephalus

Spina bifida:

• dorsal             • dorsal

• thoracolumbar      • thoracolumbar

Q05.2   Lumbar spina bifida with hydrocephalus

Lumbosacral spina bifida with hydrocephalus

Q05.3   Sacral spina bifida with hydrocephalus

Q05.4   Unspecified spina bifida with hydrocephalus

Q05.5   Cervical spina bifida without hydrocephalus

Q05.6   Thoracic spina bifida without hydrocephalus

Spina bifida:

• dorsal NOS

• thoracolumbar NOS

Q05.7   Lumbar spina bifida without hydrocephalus

Lumbosacral spina bifida NOS

Q05.8   Sacral spina bifida without hydrocephalus

Q05.9   Spina bifida, unspecified

Q06  Other congenital malformations of spinal cord

Q06.0   Amyelia

Q06.1   Hypoplasia and dysplasia of spinal cord

Atelomyelia

Myelatelia

Myelodysplasia of spinal cord

Q06.2   Diastematomyelia

Q06.3   Other congenital cauda equina malformations

Q06.4   Hydromyelia

Hydrorachis

Q06.8   Other specified congenital malformations of spinal cord

Q06.9   Congenital malformation of spinal cord, unspecified

  Congenital:           

• anomaly             

• deformity              NOS of spinal cord or meninges

• disease or lesion   

Q07  Other congenital malformations of nervous system

Excludes:    familial dysautonomia [Riley-Day] (G90.1)

neurofibromatosis (nonmalignant) (Q85.0)

Q07.0   Arnold-Chiari syndrome

Q07.8   Other specified congenital malformations of nervous system

Agenesis of nerve

Displacement of brachial plexus

Jaw-winking syndrome

Marcus Gunn syndrome

Q07.9   Congenital malformation of nervous system, unspecified

Congenital:

• anomaly             

• deformity              NOS of nervous system

• disease or lesion   

Congenital malformations of eye, ear, face and neck (Q10-Q18)

Excludes:    cleft lip and cleft palate (Q35-Q37)

congenital malformation of:

• cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)

• larynx (Q31-)

• lip NEC (Q38.0)

• nose (Q30-)

• parathyroid gland (Q89.2)

• thyroid gland (Q89.2)

Q10  Congenital malformations of eyelid, lacrimal apparatus and orbit

Excludes:    cryptophthalmos:

• NOS (Q11.2)

• syndrome (Q87.0)

Q10.0   Congenital ptosis

Q10.1   Congenital ectropion

Q10.2   Congenital entropion

Q10.3   Other congenital malformations of eyelid

Ablepharon

Absence or agenesis of:

• cilia

• eyelid

Accessory:

• eyelid

• eye muscle

Blepharophimosis, congenital

Coloboma of eyelid

Congenital malformation of eyelid NOS

Q10.4   Absence and agenesis of lacrimal apparatus

Absence of punctum lacrimale

Q10.5   Congenital stenosis and stricture of lacrimal duct

Q10.6   Other congenital malformations of lacrimal apparatus

Congenital malformation of lacrimal apparatus NOS

Q10.7   Congenital malformation of orbit

Q11  Anophthalmos, microphthalmos and macrophthalmos

Q11.0   Cystic eyeball

Q11.1   Other anophthalmos

  Agenesis      Agenesis

  Aplasia       Aplasia

Q11.2   Microphthalmos

Cryptophthalmos NOS

Dysplasia of eye

Hypoplasia of eye

Rudimentary eye

Excludes:    cryptophthalmos syndrome (Q87.0)

Q11.3   Macrophthalmos

Excludes:    macrophthalmos in congenital glaucoma (Q15.0)

Q12  Congenital lens malformations

Q12.0   Congenital cataract

Q12.1   Congenital displaced lens

Q12.2   Coloboma of lens

Q12.3   Congenital aphakia

Q12.4   Spherophakia

Q12.8   Other congenital lens malformations

Q12.9   Congenital lens malformation, unspecified

Q13  Congenital malformations of anterior segment of eye

Q13.0   Coloboma of iris

Coloboma NOS

Q13.1   Absence of iris

Aniridia

Q13.2   Other congenital malformations of iris

Anisocoria, congenital

Atresia of pupil

Congenital malformation of iris NOS

Corectopia

Q13.3   Congenital corneal opacity

Q13.4   Other congenital corneal malformations

Congenital malformation of cornea NOS

Microcornea

Peter anomaly

Q13.5   Blue sclera

Q13.8   Other congenital malformations of anterior segment of eye

Axenfeld-Rieger syndrome

Rieger anomaly

Q13.9   Congenital malformation of anterior segment of eye, unspecified

Q14  Congenital malformations of posterior segment of eye

Q14.0   Congenital malformation of vitreous humour

Congenital vitreous opacity

Q14.1   Congenital malformation of retina

Congenital retinal aneurysm

Q14.2   Congenital malformation of optic disc

Coloboma of optic disc

Q14.3   Congenital malformation of choroid

Q14.8   Other congenital malformations of posterior segment of eye

Coloboma of the fundus

Q14.9   Congenital malformation of posterior segment of eye, unspecified

Q15  Other congenital malformations of eye

Excludes:    congenital nystagmus (H55)

ocular albinism (E70.3)

retinitis pigmentosa (H35.5)

Q15.0   Congenital glaucoma

Buphthalmos

Glaucoma of newborn

Hydrophthalmos

Keratoglobus, congenital, with glaucoma

Macrocornea with glaucoma

Macrophthalmos in congenital glaucoma

Megalocornea with glaucoma

Q15.8   Other specified congenital malformations of eye

Q15.9   Congenital malformation of eye, unspecified

Congenital:

• anomaly        • anomaly

• deformity      • deformity

Q16  Congenital malformations of ear causing impairment of hearing

Excludes:    congenital deafness (H90-)

Q16.0   Congenital absence of (ear) auricle

Q16.1   Congenital absence, atresia and stricture of auditory canal (external)

Atresia or stricture of osseous meatus

Q16.2   Absence of eustachian tube

Q16.3   Congenital malformation of ear ossicles

Fusion of ear ossicles

Q16.4   Other congenital malformations of middle ear

Congenital malformation of middle ear NOS

Q16.5   Congenital malformation of inner ear

Anomaly:

• membranous labyrinth

• organ of Corti

Q16.9   Congenital malformation of ear causing impairment of hearing, unspecified

Congenital absence of ear NOS

Q17  Other congenital malformations of ear

Excludes:    preauricular sinus (Q18.1)

Q17.0   Accessory auricle

Accessory tragus

Polyotia

Preauricular appendage or tag

Supernumerary:

• ear

• lobule

Q17.1   Macrotia

Q17.2   Microtia

Q17.3   Other misshapen ear

Pointed ear

Q17.4   Misplaced ear

Low-set ears

Excludes:    cervical auricle (Q18.2)

Q17.5   Prominent ear

Bat ear

Q17.8   Other specified congenital malformations of ear

Congenital absence of lobe of ear

Q17.9   Congenital malformation of ear, unspecified

Congenital anomaly of ear NOS

Q18  Other congenital malformations of face and neck

Excludes:    cleft lip and cleft palate (Q35-Q37)

conditions classified to Q67.0-Q67.4

congenital malformations of skull and face bones (Q75-)

cyclopia (Q87.0)

dentofacial anomalies [including malocclusion] (K07-)

malformation syndromes affecting facial appearance (Q87.0)

persistent thyroglossal duct (Q89.2)

Q18.0   Sinus, fistula and cyst of branchial cleft

Branchial vestige

Q18.1   Preauricular sinus and cyst

Fistula (of):

• auricle, congenital

• cervicoaural

Pretragal sinus and cyst

Q18.2   Other branchial cleft malformations

Branchial cleft malformation NOS

Cervical auricle

Otocephaly

Q18.3   Webbing of neck

Pterygium colli

Q18.4   Macrostomia

Q18.5   Microstomia

Q18.6   Macrocheilia

Hypertrophy of lip, congenital

Q18.7   Microcheilia

Q18.8   Other specified congenital malformations of face and neck

Medial:

• cyst      

• fistula      of face and neck

• sinus     

Q18.9   Congenital malformation of face and neck, unspecified

Congenital anomaly NOS of face and neck

Congenital malformations of the circulatory system (Q20-Q28)

Q20  Congenital malformations of cardiac chambers and connections

Excludes:    dextrocardia with situs inversus (Q89.3)

mirror-image atrial arrangement with situs inversus (Q89.3)

Q20.0   Common arterial trunk

Persistent truncus arteriosus

Q20.1   Double outlet right ventricle

Taussig-Bing syndrome

Q20.2   Double outlet left ventricle

Q20.3   Discordant ventriculoarterial connection

Dextrotransposition of aorta

Transposition of great vessels (complete)

Q20.4   Double inlet ventricle

Common ventricle

Cor triloculare biatriatum

Single ventricle

Q20.5   Discordant atrioventricular connection

Corrected transposition

Laevotransposition

Ventricular inversion

Q20.6   Isomerism of atrial appendages

Isomerism of atrial appendages with asplenia or polysplenia

Q20.8   Other congenital malformations of cardiac chambers and connections

Q20.9   Congenital malformation of cardiac chambers and connections, unspecified

Q21  Congenital malformations of cardiac septa

Excludes:    acquired cardiac septal defect (I51.0)

Q21.0   Ventricular septal defect

Q21.1   Atrial septal defect

Coronary sinus defect

Patent or persistent:

• foramen ovale

• ostium secundum defect (type II)

Sinus venosus defect

Q21.2   Atrioventricular septal defect

Common atrioventricular canal

Endocardial cushion defect

Ostium primum atrial septal defect (type I)

Q21.3   Tetralogy of Fallot

Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.

Q21.4   Aortopulmonary septal defect

Aortic septal defect

Aortopulmonary window

Q21.8   Other congenital malformations of cardiac septa

Eisenmenger defect

Pentalogy of Fallot

Excludes:    Eisenmenger:

• complex (I27.8)

• syndrome (I27.8)

Q21.9   Congenital malformation of cardiac septum, unspecified

Septal (heart) defect NOS

Q22  Congenital malformations of pulmonary and tricuspid valves

Q22.0   Pulmonary valve atresia

Q22.1   Congenital pulmonary valve stenosis

Q22.2   Congenital pulmonary valve insufficiency

Congenital pulmonary valve regurgitation

Q22.3   Other congenital malformations of pulmonary valve

Congenital malformation of pulmonary valve NOS

Q22.4   Congenital tricuspid stenosis

Tricuspid atresia

Q22.5   Ebstein anomaly

Q22.6   Hypoplastic right heart syndrome

Q22.8   Other congenital malformations of tricuspid valve

Q22.9   Congenital malformation of tricuspid valve, unspecified

Q23  Congenital malformations of aortic and mitral valves

Q23.0   Congenital stenosis of aortic valve

Congenital aortic:

• atresia

• stenosis

Excludes:    congenital subaortic stenosis (Q24.4)

that in hypoplastic left heart syndrome (Q23.4)

Q23.1   Congenital insufficiency of aortic valve

Bicuspid aortic valve

Congenital aortic insufficiency

Q23.2   Congenital mitral stenosis

Congenital mitral atresia

Q23.3   Congenital mitral insufficiency

Q23.4   Hypoplastic left heart syndrome

Atresia, or marked hypoplasia of aortic orifice or valve, with hypoplasia of ascending aorta and defective development of left ventricle (with mitral valve stenosis or atresia).

Q23.8   Other congenital malformations of aortic and mitral valves

Q23.9   Congenital malformation of aortic and mitral valves, unspecified

Q24  Other congenital malformations of heart

Excludes:    endocardial fibroelastosis (I42.4)

Q24.0   Dextrocardia

Excludes:    dextrocardia with situs inversus (Q89.3)

isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)

mirror-image atrial arrangement with situs inversus (Q89.3)

Q24.1   Laevocardia

Note:     Location of heart in left hemithorax with apex pointing to the left, but with situs inversus of other viscera and defects of the heart, or corrected transposition of great vessels.

Q24.2   Cor triatriatum

Q24.3   Pulmonary infundibular stenosis

Q24.4   Congenital subaortic stenosis

Q24.5   Malformation of coronary vessels

Congenital coronary (artery) aneurysm

Q24.6   Congenital heart block

Q24.8   Other specified congenital malformations of heart

Congenital:

• diverticulum of left ventricle

• malformation of:

    • myocardium

    • pericardium

Malposition of heart

Uhl disease

Q24.9   Congenital malformation of heart, unspecified

Congenital:

• anomaly      • anomaly

• disease      • disease

Q25  Congenital malformations of great arteries

Q25.0   Patent ductus arteriosus

Patent ductus Botallo

Persistent ductus arteriosus

Q25.1   Coarctation of aorta

Coarctation of aorta (preductal)(postductal)

Q25.2   Atresia of aorta

Q25.3   Stenosis of aorta

Supravalvular aortic stenosis

Excludes:    congenital stenosis of aortic valve (Q23.0)

Q25.4   Other congenital malformations of aorta

  Absence        

  Aplasia        

  Congenital:       of aorta

• aneurysm     

• dilatation   

Aneurysm of sinus of Valsalva (ruptured)

Double aortic arch [vascular ring of aorta]

Hypoplasia of aorta

Persistent:

• convolutions of aortic arch

• right aortic arch

Excludes:    hypoplasia of aorta in hypoplastic left heart syndrome (Q23.4)

Q25.5   Atresia of pulmonary artery

Q25.6   Stenosis of pulmonary artery

Supravalvular pulmonary stenosis

Q25.7   Other congenital malformations of pulmonary artery

Aberrant pulmonary artery

     Agenesis               

     Aneurysm, congenital   

     Anomaly                   of pulmonary artery

     Hypoplasia             

Pulmonary arteriovenous aneurysm

Q25.8   Other congenital malformations of great arteries

Q25.9   Congenital malformation of great arteries, unspecified

Q26  Congenital malformations of great veins

Q26.0   Congenital stenosis of vena cava

Congenital stenosis of vena cava (inferior)(superior)

Q26.1   Persistent left superior vena cava

Q26.2   Total anomalous pulmonary venous connection

Q26.3   Partial anomalous pulmonary venous connection

Q26.4   Anomalous pulmonary venous connection, unspecified

Q26.5   Anomalous portal venous connection

Q26.6   Portal vein-hepatic artery fistula

Q26.8   Other congenital malformations of great veins

Absence of vena cava (inferior)(superior)

Azygos continuation of inferior vena cava

Persistent left posterior cardinal vein

Scimitar syndrome

Q26.9   Congenital malformation of great vein, unspecified

Anomaly of vena cava (inferior)(superior) NOS

Q27  Other congenital malformations of peripheral vascular system

Includes:    5^TH DIGIT TO IDENTIFY CONGENITAL ANEURYSMS

Excludes:    anomalies of:

• cerebral and precerebral vessels (Q28.0-Q28.3)

• coronary vessels (Q24.5)

• pulmonary artery (Q25.5-Q25.7)

congenital retinal aneurysm (Q14.1)

haemangioma and lymphangioma (D18-)

Q27.0   Congenital absence and hypoplasia of umbilical artery

Single umbilical artery

Q27.1   Congenital renal artery stenosis

Q27.2   Other congenital malformations of renal artery

Congenital malformation of renal artery NOS

Multiple renal arteries

Q27.3   Peripheral arteriovenous malformation

Arteriovenous aneurysm

Excludes:    acquired arteriovenous aneurysm (I77.0)

Q27.4   Congenital phlebectasia

Q27.8   Other specified congenital malformations of peripheral vascular system

Aberrant subclavian artery

     Absence      Absence

     Atresia      Atresia

Congenital:

• aneurysm (peripheral)

• stricture, artery

• varix

Q27.80 Congenital aneurysm NOS (peripheral)

Q27.9   Congenital malformation of peripheral vascular system, unspecified

Anomaly of artery or vein NOS

Q28  Other congenital malformations of circulatory system

Includes:    5^th DIGIT TO IDENTIFY CONGENITAL ANEURYSM

Excludes:    congenital aneurysm:

• NOS (Q27.8)

• coronary (Q24.5)

• peripheral (Q27.8)

• pulmonary (Q25.7)

• retinal (Q14.1)

ruptured:

• cerebral arteriovenous malformation (I60.8)

• malformation of precerebral vessels (I72-)

Q28.0   Arteriovenous malformation of precerebral vessels

Congenital arteriovenous precerebral aneurysm (nonruptured)

Q28.1   Other malformations of precerebral vessels

Congenital:

• malformation of precerebral vessels NOS

• precerebral aneurysm (nonruptured)

Q28.2   Arteriovenous malformation of cerebral vessels

Arteriovenous malformation of brain NOS

Congenital arteriovenous cerebral aneurysm (nonruptured)

Q28.20 Congenital arteriovenous cerebral aneurysm (nonruptured)

Q28.3   Other malformations of cerebral vessels

Congenital:

• cerebral aneurysm (nonruptured)

• malformation of cerebral vessels NOS

Q28.30 Congenital cerebral aneurysm (nonruptured)

Q28.8   Other specified congenital malformations of circulatory system

Congenital aneurysm, specified site NEC

Q28.9   Congenital malformation of circulatory system, unspecified

Congenital malformations of the respiratory system (Q30-Q34)

Q30  Congenital malformations of nose

Excludes:    congenital deviation of nasal septum (Q67.4)

Q30.0   Choanal atresia

  Absence                  Absence

  Congenital stenosis      Congenital stenosis

Q30.1   Agenesis and underdevelopment of nose

Congenital absence of nose

Q30.2   Fissured, notched and cleft nose

Q30.3   Congenital perforated nasal septum

Q30.8   Other congenital malformations of nose

Accessory nose

Congenital anomaly of nasal sinus wall

Q30.9   Congenital malformation of nose, unspecified

Q31  Congenital malformations of larynx

Excludes:    congenital laryngeal stridor NOS (P28.8)

Q31.0   Web of larynx

Web of larynx:

• NOS

• glottic

• subglottic

Q31.1   Congenital subglottic stenosis

Q31.2   Laryngeal hypoplasia

Q31.3   Laryngocele

Q31.5   Congenital laryngomalacia

Q31.8   Other congenital malformations of larynx

  Absence    

  Agenesis      of cricoid cartilage, epiglottis,

  Atresia        glottis, larynx or thyroid cartilage

Cleft thyroid cartilage

Congenital stenosis of larynx NEC

Fissure of epiglottis

Posterior cleft of cricoid cartilage

Q31.9   Congenital malformation of larynx, unspecified

Q32  Congenital malformations of trachea and bronchus

Excludes:    congenital bronchiectasis (Q33.4)

Q32.0   Congenital tracheomalacia

Q32.1   Other congenital malformations of trachea

Anomaly of tracheal cartilage

Atresia of trachea

Congenital:

• dilatation     

• malformation      of trachea

• stenosis       

 • tracheocele

Q32.2   Congenital bronchomalacia

Q32.3   Congenital stenosis of bronchus

Q32.4   Other congenital malformations of bronchus

  Absence                       

  Agenesis                      

  Atresia                          of bronchus

  Congenital malformation NOS   

  Diverticulum                  

Q33  Congenital malformations of lung

Q33.0   Congenital cystic lung

Congenital:

• honeycomb lung

• lung disease:

    • cystic

    • polycystic

Excludes:    cystic lung disease, acquired or unspecified (J98.4)

Q33.1   Accessory lobe of lung

Q33.2   Sequestration of lung

Q33.3   Agenesis of lung

Absence of lung (lobe)

Q33.4   Congenital bronchiectasis

Q33.5   Ectopic tissue in lung

Q33.6   Hypoplasia and dysplasia of lung

Excludes:    pulmonary hypoplasia associated with short gestation (P28.0)

Q33.8   Other congenital malformations of lung

Q33.9   Congenital malformation of lung, unspecified

Q34  Other congenital malformations of respiratory system

Q34.0   Anomaly of pleura

Q34.1   Congenital cyst of mediastinum

Q34.8   Other specified congenital malformations of respiratory system

Atresia of nasopharynx

Q34.9   Congenital malformation of respiratory system, unspecified

Congenital:

• absence          • absence

• anomaly NOS      • anomaly NOS

Cleft lip and cleft palate (Q35-Q37)

Use additional code (Q30.2), if desired, to identify associated malformations of the nose.

Excludes:    Robin syndrome (Q87.0)

Q35  Cleft palate

Includes:    fissure of palate

palatoschisis

Excludes:    cleft palate with cleft lip (Q37-)

Q35.1   Cleft hard palate

Q35.3   Cleft soft palate

Q35.5   Cleft hard palate with cleft soft palate

Q35.7   Cleft uvula

Q35.9   Cleft palate, unspecified

Cleft palate NOS

Q36  Cleft lip

Includes:    cheiloschisis

congenital fissure of lip

harelip

labium leporinum

Excludes:    cleft lip with cleft palate (Q37-)

Q36.0   Cleft lip, bilateral

Q36.1   Cleft lip, median

Q36.9   Cleft lip, unilateral

Cleft lip NOS

Q37  Cleft palate with cleft lip

Q37.0   Cleft hard palate with bilateral cleft lip

Q37.1   Cleft hard palate with unilateral cleft lip

Cleft hard palate with cleft lip NOS

Q37.2   Cleft soft palate with bilateral cleft lip

Q37.3   Cleft soft palate with unilateral cleft lip

Cleft soft palate with cleft lip NOS

Q37.4   Cleft hard and soft palate with bilateral cleft lip

Q37.5   Cleft hard and soft palate with unilateral cleft lip

Cleft hard and soft palate with cleft lip NOS

Q37.8   Unspecified cleft palate with bilateral cleft lip

Q37.9   Unspecified cleft palate with unilateral cleft lip

Cleft palate with cleft lip NOS

Other congenital malformations of the digestive system (Q38-Q45)

Q38  Other congenital malformations of tongue, mouth and pharynx

Excludes:    macrostomia (Q18.4)

microstomia (Q18.5)

Q38.0   Congenital malformations of lips, not elsewhere classified

Congenital:

• fistula of lip

• malformation of lip NOS

Van der Woude syndrome

Excludes:    cleft lip (Q36-)

• with cleft palate (Q37-)

macrocheilia (Q18.6)

microcheilia (Q18.7)

Q38.1   Ankyloglossia

Tongue tie

Q38.2   Macroglossia

Q38.3   Other congenital malformations of tongue

Aglossia

Bifid tongue

Congenital:

• adhesion           

• fissure               of tongue

• malformation NOS   

Hypoglossia

Hypoplasia of tongue

Microglossia

Q38.4   Congenital malformations of salivary glands and ducts

  Absence     

  Accessory      (of) salivary gland or duct

  Atresia     

Congenital fistula of salivary gland

Q38.5   Congenital malformations of palate, not elsewhere classified

Absence of uvula

Congenital malformation of palate NOS

High arched palate

Excludes:    cleft palate (Q35-)

• with cleft lip (Q37-)

Q38.6   Other congenital malformations of mouth

Congenital malformation of mouth NOS

Q38.7   Pharyngeal pouch

Diverticulum of pharynx

Excludes:    pharyngeal pouch syndrome (D82.1)

Q38.8   Other congenital malformations of pharynx

Congenital malformation of pharynx NOS

Q39  Congenital malformations of oesophagus

Q39.0   Atresia of oesophagus without fistula

Atresia of oesophagus NOS

Q39.1   Atresia of oesophagus with tracheo-oesophageal fistula

Atresia of oesophagus with broncho-oesophageal fistula

Q39.2   Congenital tracheo-oesophageal fistula without atresia

Congenital tracheo-oesophageal fistula NOS

Q39.3   Congenital stenosis and stricture of oesophagus

Q39.4   Congenital oesophageal web

Excludes:    oesophageal web (acquired) (K22.2)

Q39.5   Congenital dilatation of oesophagus

Q39.6   Diverticulum of oesophagus

Oesophageal pouch

Q39.8   Other congenital malformations of oesophagus

  Absent                    

  Congenital displacement      (of) oesophagus

  Duplication               

Q39.9   Congenital malformation of oesophagus, unspecified

Q40  Other congenital malformations of upper alimentary tract

Q40.0   Congenital hypertrophic pyloric stenosis

Congenital or infantile:

• constriction   

• hypertrophy    

• spasm             of pylorus

• stenosis       

• stricture      

Q40.1   Congenital hiatus hernia

Displacement of cardia through oesophageal hiatus

Excludes:    congenital diaphragmatic hernia (Q79.0)

Q40.2   Other specified congenital malformations of stomach

Congenital:

• displacement of stomach

• diverticulum of stomach

• hourglass stomach

Duplication of stomach

Megalogastria

Microgastria

Q40.3   Congenital malformation of stomach, unspecified

Q40.8   Other specified congenital malformations of upper alimentary tract

Q40.9   Congenital malformation of upper alimentary tract, unspecified

Congenital:

• anomaly        • anomaly

• deformity      • deformity

Q41  Congenital absence, atresia and stenosis of small intestine

Includes:    congenital obstruction, occlusion and stricture of small intestine or intestine NOS

Excludes:    meconium ileus (E84.1)

Q41.0   Congenital absence, atresia and stenosis of duodenum

Q41.1   Congenital absence, atresia and stenosis of jejunum

Apple peel syndrome

Imperforate jejunum

Q41.2   Congenital absence, atresia and stenosis of ileum

Q41.8   Congenital absence, atresia and stenosis of other specified parts of small intestine

Q41.9   Congenital absence, atresia and stenosis of small intestine, part unspecified

Congenital absence, atresia and stenosis of intestine NOS

Q42  Congenital absence, atresia and stenosis of large intestine

Includes:    congenital obstruction, occlusion and stricture of large intestine

Q42.0   Congenital absence, atresia and stenosis of rectum with fistula

Q42.1   Congenital absence, atresia and stenosis of rectum without fistula

Imperforate rectum

Q42.2   Congenital absence, atresia and stenosis of anus with fistula

Q42.3   Congenital absence, atresia and stenosis of anus without fistula

Imperforate anus

Q42.8   Congenital absence, atresia and stenosis of other parts of large intestine

Q42.9   Congenital absence, atresia and stenosis of large intestine, part unspecified

Q43  Other congenital malformations of intestine

Q43.0   Meckel's diverticulum

Persistent:

• omphalomesenteric duct

• vitelline duct

Q43.1   Hirschsprung disease

Aganglionosis

Congenital (aganglionic) megacolon

Q43.2   Other congenital functional disorders of colon

Congenital dilatation of colon

Q43.3   Congenital malformations of intestinal fixation

Congenital adhesions [bands]:

• omental, anomalous

• peritoneal

Jackson membrane

Malrotation of colon

Rotation:

• failure of     

• incomplete        of caecum and colon

• insufficient   

Universal mesentery

Q43.4   Duplication of intestine

Q43.5   Ectopic anus

Q43.6   Congenital fistula of rectum and anus

Excludes:    congenital fistula:

• rectovaginal (Q52.2)

• urethrorectal (Q64.7)

pilonidal fistula or sinus (L05-)

with absence, atresia and stenosis (Q42.0, Q42.2)

Q43.7   Persistent cloaca

Cloaca NOS

Q43.8   Other specified congenital malformations of intestine

Congenital:

• blind loop syndrome

• diverticulitis, colon

• diverticulum, intestine

Dolichocolon

Megaloappendix

Megaloduodenum

Microcolon

Transposition of:

• appendix

• colon

• intestine

Q43.9   Congenital malformation of intestine, unspecified

Q44  Congenital malformations of gallbladder, bile ducts and liver

Q44.0   Agenesis, aplasia and hypoplasia of gallbladder

Congenital absence of gallbladder

Q44.1   Other congenital malformations of gallbladder

Congenital malformation of gallbladder NOS

Intrahepatic gallbladder

Q44.2   Atresia of bile ducts

Q44.3   Congenital stenosis and stricture of bile ducts

Q44.4   Choledochal cyst

Q44.5   Other congenital malformations of bile ducts

Accessory hepatic duct

Congenital malformation of bile duct NOS

Duplication:

• biliary duct

• cystic duct

Q44.6   Cystic disease of liver

Fibrocystic disease of liver

Q44.7   Other congenital malformations of liver

Accessory liver

Alagille syndrome

Congenital:

• absence of liver

• hepatomegaly

• malformation of liver NOS

Q45  Other congenital malformations of digestive system

Excludes:    congenital:

• diaphragmatic hernia (Q79.0)

• hiatus hernia (Q40.1)

Q45.0   Agenesis, aplasia and hypoplasia of pancreas

Congenital absence of pancreas

Q45.1   Annular pancreas

Q45.2   Congenital pancreatic cyst

Q45.3   Other congenital malformations of pancreas and pancreatic duct

Accessory pancreas

Congenital malformation of pancreas or pancreatic duct NOS

Excludes:    diabetes mellitus:

• congenital (E10-)

• neonatal (P70.2)

fibrocystic disease of pancreas (E84-)

Q45.8   Other specified congenital malformations of digestive system

Absence (complete)(partial) of alimentary tract NOS

     Duplication                  Duplication

     Malposition, congenital      Malposition, congenital

Q45.9   Congenital malformation of digestive system, unspecified

Congenital:

• anomaly        • anomaly

• deformity      • deformity

Congenital malformations of genital organs (Q50-Q56)

Excludes:    androgen resistance syndrome (E34.5)

syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)

testicular feminization syndrome (E34.5)

Q50  Congenital malformations of ovaries, fallopian tubes and broad ligaments

Q50.0   Congenital absence of ovary

Excludes:    Turner syndrome (Q96-)

Q50.1   Developmental ovarian cyst

Q50.2   Congenital torsion of ovary

Q50.3   Other congenital malformations of ovary

Accessory ovary

Congenital malformation of ovary NOS

Ovarian streak

Q50.4   Embryonic cyst of fallopian tube

Fimbrial cyst

Q50.5   Embryonic cyst of broad ligament

Cyst:

• epoophoron

• Gartner duct

• parovarian

Q50.6   Other congenital malformations of fallopian tube and broad ligament

  Absence     

  Accessory      (of) fallopian tube or broad ligament

  Atresia     

Congenital malformation of fallopian tube or broad ligament NOS

Q51  Congenital malformations of uterus and cervix

Q51.0   Agenesis and aplasia of uterus

Congenital absence of uterus

Q51.1   Doubling of uterus with doubling of cervix and vagina

Q51.2   Other doubling of uterus

Doubling of uterus NOS

Q51.3   Bicornate uterus

Q51.4   Unicornate uterus

Q51.5   Agenesis and aplasia of cervix

Congenital absence of cervix

Q51.6   Embryonic cyst of cervix

Q51.7   Congenital fistulae between uterus and digestive and urinary tracts

Q51.8   Other congenital malformations of uterus and cervix

Hypoplasia of uterus and cervix

Q51.9   Congenital malformation of uterus and cervix, unspecified

Q52  Other congenital malformations of female genitalia

Q52.0   Congenital absence of vagina

Q52.1   Doubling of vagina

Septate vagina

Excludes:    doubling of vagina with doubling of uterus and cervix (Q51.1)

Q52.2   Congenital rectovaginal fistula

Excludes:    cloaca (Q43.7)

Q52.3   Imperforate hymen

Q52.4   Other congenital malformations of vagina

Congenital malformation of vagina NOS

Cyst:

• canal of Nuck, congenital

• embryonic vaginal

Q52.5   Fusion of labia

Q52.6   Congenital malformation of clitoris

Q52.7   Other congenital malformations of vulva

Congenital:

• absence            

• cyst                  of vulva

• malformation NOS   

Q52.8   Other specified congenital malformations of female genitalia

Q52.9   Congenital malformation of female genitalia, unspecified

Q53  Undescended testicle

Q53.0   Ectopic testis

Unilateral or bilateral ectopic testes

Q53.1   Undescended testicle, unilateral

Q53.2   Undescended testicle, bilateral

Q53.9   Undescended testicle, unspecified

Cryptorchism NOS

Q54  Hypospadias

Excludes:    epispadias (Q64.0)

Q54.0   Hypospadias, balanic

Hypospadias:

• coronal

• glandular

Q54.1   Hypospadias, penile

Q54.2   Hypospadias, penoscrotal

Q54.3   Hypospadias, perineal

Q54.4   Congenital chordee

Q54.8   Other hypospadias

Q54.9   Hypospadias, unspecified

Q55  Other congenital malformations of male genital organs

Excludes:    congenital hydrocele (P83.5)

hypospadias (Q54-)

Q55.0   Absence and aplasia of testis

Monorchism

Q55.1   Hypoplasia of testis and scrotum

Fusion of testes

Q55.2   Other congenital malformations of testis and scrotum

Congenital malformation of testis or scrotum NOS

Polyorchism

Retractile testis

Testis migrans

Q55.3   Atresia of vas deferens

Q55.4   Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

Absence or aplasia of:

• prostate

• spermatic cord

Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate

NOS

Q55.5   Congenital absence and aplasia of penis

Q55.6   Other congenital malformations of penis

Congenital malformation of penis NOS

Curvature of penis (lateral)

Hypoplasia of penis

Q55.8   Other specified congenital malformations of male genital organs

Q55.9   Congenital malformation of male genital organ, unspecified

Congenital:

• anomaly        • anomaly

• deformity      • deformity

Q56  Indeterminate sex and pseudohermaphroditism

Excludes:    pseudohermaphroditism:

• female, with adrenocortical disorder (E25-)

• male, with androgen resistance (E34.5)

• with specified chromosomal anomaly (Q96-Q99)

Q56.0   Hermaphroditism, not elsewhere classified

Ovotestis

Q56.1   Male pseudohermaphroditism, not elsewhere classified

Male pseudohermaphroditism NOS

Q56.2   Female pseudohermaphroditism, not elsewhere classified

Female pseudohermaphroditism NOS

Q56.3   Pseudohermaphroditism, unspecified

Q56.4   Indeterminate sex, unspecified

Ambiguous genitalia

Congenital malformations of the urinary system (Q60-Q64)

Q60  Renal agenesis and other reduction defects of kidney

Includes:    atrophy of kidney:

• congenital

• infantile

congenital absence of kidney

Q60.0   Renal agenesis, unilateral

Q60.1   Renal agenesis, bilateral

Q60.2   Renal agenesis, unspecified

Q60.3   Renal hypoplasia, unilateral

Q60.4   Renal hypoplasia, bilateral

Q60.5   Renal hypoplasia, unspecified

Q60.6   Potter syndrome

Q61  Cystic kidney disease

Excludes:    cyst of kidney (acquired) (N28.1)

Potter syndrome (Q60.6)

Q61.0   Congenital single renal cyst

Congenital cyst of kidney (single)

Q61.1   Polycystic kidney, autosomal recessive

Polycystic kidney, infantile type

Q61.2   Polycystic kidney, autosomal dominant

Polycystic kidney, adult type

Q61.3   Polycystic kidney, unspecified

Q61.4   Renal dysplasia

Q61.5   Medullary cystic kidney

Sponge kidney NOS

Q61.8   Other cystic kidney diseases

Fibrocystic:

• kidney

• renal degeneration or disease

Q61.9   Cystic kidney disease, unspecified

Meckel-Gruber syndrome

Q62  Congenital obstructive defects of renal pelvis and congenital malformations of ureter

Q62.0   Congenital hydronephrosis

Q62.1   Atresia and stenosis of ureter

Congenital occlusion of:

• ureter

• ureteropelvic junction

• ureterovesical orifice

Impervious ureter

Q62.2   Congenital megaloureter

Congenital dilatation of ureter

Q62.3   Other obstructive defects of renal pelvis and ureter

Congenital ureterocele

Q62.4   Agenesis of ureter

Absent ureter

Q62.5   Duplication of ureter

  Accessory      Accessory

  Double         Double

Q62.6   Malposition of ureter

  Deviation                 

  Displacement              

  Ectopic                      (of) ureter or ureteric orifice

  Implantation, anomalous   

Q62.7   Congenital vesico-uretero-renal reflux

Q62.8   Other congenital malformations of ureter

Anomaly of ureter NOS

Q63  Other congenital malformations of kidney

Excludes:    congenital nephrotic syndrome (N04-)

Q63.0   Accessory kidney

Q63.1   Lobulated, fused and horseshoe kidney

Q63.2   Ectopic kidney

Congenital displaced kidney

Malrotation of kidney

Q63.3   Hyperplastic and giant kidney

Q63.8   Other specified congenital malformations of kidney

Congenital renal calculi

Q63.9   Congenital malformation of kidney, unspecified

Q64  Other congenital malformations of urinary system

Q64.0   Epispadias

Excludes:    hypospadias (Q54-)

Q64.1   Exstrophy of urinary bladder

Ectopia vesicae

Extroversion of bladder

Q64.2   Congenital posterior urethral valves

Q64.3   Other atresia and stenosis of urethra and bladder neck

Congenital:

• bladder neck obstruction

• stricture of:

    • urethra

    • urinary meatus

    • vesicourethral orifice

Impervious urethra

Q64.4   Malformation of urachus

Cyst of urachus

Patent urachus

Prolapse of urachus

Q64.5   Congenital absence of bladder and urethra

Q64.6   Congenital diverticulum of bladder

Q64.7   Other congenital malformations of bladder and urethra

Accessory:

• bladder

• urethra

Congenital:

• hernia of bladder

• malformation of bladder or urethra NOS

• prolapse of:

    • bladder (mucosa)

    • urethra

    • urinary meatus

• urethrorectal fistula

Double:

• urethra

• urinary meatus

Q64.8   Other specified congenital malformations of urinary system

Q64.9   Congenital malformation of urinary system, unspecified

Congenital:

• anomaly        • anomaly

• deformity      • deformity

Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Q65  Congenital deformities of hip

Excludes:    clicking hip (R29.4)

Q65.0   Congenital dislocation of hip, unilateral

Q65.1   Congenital dislocation of hip, bilateral

Q65.2   Congenital dislocation of hip, unspecified

Q65.3   Congenital subluxation of hip, unilateral

Q65.4   Congenital subluxation of hip, bilateral

Q65.5   Congenital subluxation of hip, unspecified

Q65.6   Unstable hip

Dislocatable hip

Subluxatable hip

Q65.8   Other congenital deformities of hip

Anteversion of femoral neck

Congenital acetabular dysplasia

Congenital coxa:

• valga

• vara

Q65.9   Congenital deformity of hip, unspecified

Q66  Congenital deformities of feet

Excludes:    reduction defects of feet (Q72-)

valgus deformities (acquired) (M21.0)

varus deformities (acquired) (M21.1)

Q66.0   Talipes equinovarus

Q66.1   Talipes calcaneovarus

Q66.2   Metatarsus varus

Q66.3   Other congenital varus deformities of feet

Hallux varus, congenital

Q66.4   Talipes calcaneovalgus

Q66.5   Congenital pes planus

Flat foot:

• congenital

• rigid

• spastic (everted)

Q66.6   Other congenital valgus deformities of feet

Metatarsus valgus

Q66.7   Pes cavus

Q66.8   Other congenital deformities of feet

Clubfoot NOS

Hammer toe, congenital

Talipes:

• NOS

• asymmetric

Tarsal coalition

Vertical talus

Q66.9   Congenital deformity of feet, unspecified

Q67  Congenital musculoskeletal deformities of head, face, spine and chest

Excludes:    congenital malformation syndromes classified to Q87-

Potter syndrome (Q60.6)

Q67.0   Facial asymmetry

Q67.1   Compression facies

Q67.2   Dolichocephaly

Q67.3   Plagiocephaly

Q67.4   Other congenital deformities of skull, face and jaw

Depressions in skull

Deviation of nasal septum, congenital

Hemifacial atrophy or hypertrophy

Squashed or bent nose, congenital

Excludes:    dentofacial anomalies [including malocclusion] (K07-)

syphilitic saddle nose (A50.5)

Q67.5   Congenital deformity of spine

Congenital scoliosis:

• NOS

• postural

Excludes:    infantile idiopathic scoliosis (M41.0 )

scoliosis due to congenital bony malformation (Q76.3)

Q67.6   Pectus excavatum

Congenital funnel chest

Q67.7   Pectus carinatum

Congenital pigeon chest

Q67.8   Other congenital deformities of chest

Congenital deformity of chest wall NOS

Q68  Other congenital musculoskeletal deformities

Excludes:    reduction defects of limb(s) (Q71-Q73)

Q68.0   Congenital deformity of sternocleidomastoid muscle

Congenital (sternomastoid) torticollis

Contracture of sternocleidomastoid (muscle)

Sternomastoid tumour (congenital)

Q68.1   Congenital deformity of hand

Congenital clubfinger

Spade-like hand (congenital)

Q68.2   Congenital deformity of knee

Congenital:

• dislocation of knee

• genu recurvatum

Q68.3   Congenital bowing of femur

Excludes:    anteversion of femur (neck) (Q65.8)

Q68.4   Congenital bowing of tibia and fibula

Q68.5   Congenital bowing of long bones of leg, unspecified

Q68.8   Other specified congenital musculoskeletal deformities

Congenital:

• deformity of:

    • clavicle

    • elbow

    • forearm

    • scapula

• dislocation of:

    • elbow

    • shoulder

Q69  Polydactyly

Q69.0   Accessory finger(s)

Q69.1   Accessory thumb(s)

Q69.2   Accessory toe(s)

Accessory hallux

Q69.9   Polydactyly, unspecified

Supernumerary digit(s) NOS

Q70  Syndactyly

Q70.0   Fused fingers

Complex syndactyly of fingers with synostosis

Q70.1   Webbed fingers

Simple syndactyly of fingers without synostosis

Q70.2   Fused toes

Complex syndactyly of toes with synostosis

Q70.3   Webbed toes

Simple syndactyly of toes without synostosis

Q70.4   Polysyndactyly

Q70.9   Syndactyly, unspecified

Symphalangy NOS

Q71  Reduction defects of upper limb

Q71.0   Congenital complete absence of upper limb(s)

Q71.1   Congenital absence of upper arm and forearm with hand present

Q71.2   Congenital absence of both forearm and hand

Q71.3   Congenital absence of hand and finger(s)

Q71.4   Longitudinal reduction defect of radius

Clubhand (congenital)

Radial clubhand

Q71.5   Longitudinal reduction defect of ulna

Q71.6   Lobster-claw hand

Q71.8   Other reduction defects of upper limb(s)

Congenital shortening of upper limb(s)

Q71.9   Reduction defect of upper limb, unspecified

Q72  Reduction defects of lower limb

Q72.0   Congenital complete absence of lower limb(s)

Q72.1   Congenital absence of thigh and lower leg with foot present

Q72.2   Congenital absence of both lower leg and foot

Q72.3   Congenital absence of foot and toe(s)

Q72.4   Longitudinal reduction defect of femur

Proximal femoral focal deficiency

Q72.5   Longitudinal reduction defect of tibia

Q72.6   Longitudinal reduction defect of fibula

Q72.7   Split foot

Q72.8   Other reduction defects of lower limb(s)

Congenital shortening of lower limb(s)

Q72.9   Reduction defect of lower limb, unspecified

Q73  Reduction defects of unspecified limb

Q73.0   Congenital absence of unspecified limb(s)

Amelia NOS

Q73.1   Phocomelia, unspecified limb(s)

Phocomelia NOS

Q73.8   Other reduction defects of unspecified limb(s)

Longitudinal reduction deformity of unspecified limb(s)

     Ectromelia NOS     

     Hemimelia NOS         of limb(s) NOS

     Reduction defect   

Q74  Other congenital malformations of limb(s)

Excludes:    polydactyly (Q69-)

reduction defect of limb (Q71-Q73)

syndactyly (Q70-)

Q74.0   Other congenital malformations of upper limb(s), including shoulder girdle

Accessory carpal bones

Cleidocranial dysostosis

Congenital pseudarthrosis of clavicle

Macrodactylia (fingers)

Madelung deformity

Radioulnar synostosis

Sprengel deformity

Triphalangeal thumb

Q74.1   Congenital malformation of knee

Congenital:

• absence of patella

• dislocation of patella

• genu:

    • valgum

    • varum

Rudimentary patella

Excludes:    congenital:

• dislocation of knee (Q68.2)

• genu recurvatum (Q68.2)

nail patella syndrome (Q87.2)

Q74.2   Other congenital malformations of lower limb(s), including pelvic girdle

Congenital:

• fusion of sacroiliac joint

• malformation (of):

    • ankle (joint)

    • sacroiliac (joint)

Excludes:    anteversion of femur (neck) (Q65.8)

Q74.3   Arthrogryposis multiplex congenital

Q74.8   Other specified congenital malformations of limb(s)

Q74.9   Unspecified congenital malformation of limb(s)

Congenital anomaly of limb(s) NOS

Q75  Other congenital malformations of skull and face bones

Excludes:    congenital malformation of face NOS (Q18-)

congenital malformation syndromes classified to Q87-

dentofacial anomalies [including malocclusion] (K07-)

musculoskeletal deformities of head and face (Q67.0-Q67.4)

skull defects associated with congenital anomalies of brain such as:

• anencephaly (Q00.0)

• encephalocele (Q01-)

• hydrocephalus (Q03-)

• microcephaly (Q02)

Q75.0   Craniosynostosis

Acrocephaly

Imperfect fusion of skull

Oxycephaly

Trigonocephaly

Q75.1   Craniofacial dysostosis

Crouzon disease

Q75.2   Hypertelorism

Q75.3   Macrocephaly

Q75.4   Mandibulofacial dysostosis

Syndrome:

• Franceschetti

• Treacher Collins

Q75.5   Oculomandibular dysostosis

Q75.8   Other specified congenital malformations of skull and face bones

Absence of skull bone, congenital

Congenital deformity of forehead

Platybasia

Q75.9   Congenital malformation of skull and face bones, unspecified

Congenital anomaly of:

• face bones NOS

• skull NOS

Q76  Congenital malformations of spine and bony thorax

Excludes:    congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)

Q76.0   Spina bifida occulta

Excludes:    meningocele (spinal) (Q05-)

spina bifida (aperta)(cystica) (Q05-)

Q76.1   Klippel-Feil syndrome

Cervical fusion syndrome

Q76.2   Congenital spondylolisthesis

Congenital spondylolysis

Excludes:    spondylolisthesis (acquired) (M43.1)

spondylolysis (acquired) (M43.0)

Q76.3   Congenital scoliosis due to congenital bony malformation

Hemivertebra fusion or failure of segmentation with scoliosis

Q76.4   Other congenital malformations of spine, not associated with scoliosis

Congenital:

• absence of vertebra                            

• fusion of spine                                

• kyphosis                                       

• lordosis                                          unspecified or not associated with

• malformation of lumbosacral (joint) (region)       scoliosis

     Hemivertebra                                       

     Malformation of spine                              

     Platyspondylisis                                   

     Supernumerary vertebra                             

Q76.5   Cervical rib

Supernumerary rib in cervical region

Q76.6   Other congenital malformations of ribs

Accessory rib

Congenital:

• absence of rib

• fusion of ribs

• malformation of ribs NOS

Excludes:    short rib syndrome (Q77.2)

Q76.7   Congenital malformation of sternum

Congenital absence of sternum

Sternum bifidum

Q76.8   Other congenital malformations of bony thorax

Q76.9   Congenital malformation of bony thorax, unspecified

Q77  Osteochondrodysplasia with defects of growth of tubular bones and spine

Excludes:    mucopolysaccharidosis (E76.0-E76.3)

Q77.0   Achondrogenesis

Hypochondrogenesis

Q77.1   Thanatophoric short stature

Q77.2   Short rib syndrome

Asphyxiating thoracic dysplasia [Jeune]

Q77.3   Chondrodysplasia punctata

Q77.4   Achondroplasia

Hypochondroplasia

Osteosclerosis congenita

Q77.5   Dystrophic dysplasia

Q77.6   Chondroectodermal dysplasia

Ellis-van Creveld syndrome

Q77.7   Spondyloepiphyseal dysplasia

Q77.8   Other osteochondrodysplasia with defects of growth of tubular bones and spine

Q77.9   Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified

Q78  Other osteochondrodysplasias

Q78.0   Osteogenesis imperfecta

Fragilitas ossium

Osteopsathyrosis

Q78.1   Polyostotic fibrous dysplasia

Albright(-McCune)(-Sternberg) syndrome

Q78.2   Osteopetrosis

Albers-Schonberg syndrome

Q78.3   Progressive diaphyseal dysplasia

Camurati-Engelmann syndrome

Q78.4   Enchondromatosis

Maffucci syndrome

Ollier disease

Q78.5   Metaphyseal dysplasia

Pyle syndrome

Q78.6   Multiple congenital exostoses

Diaphyseal aclasis

Q78.8   Other specified osteochondrodysplasias

Osteopoikilosis

Q78.9   Osteochondrodysplasia, unspecified

Chondrodystrophy NOS

Osteodystrophy NOS

Q79  Congenital malformations of the musculoskeletal system, not elsewhere classified

Excludes:    congenital (sternomastoid) torticollis (Q68.0)

Q79.0   Congenital diaphragmatic hernia

Excludes:    congenital hiatus hernia (Q40.1)

Q79.1   Other congenital malformations of diaphragm

Absence of diaphragm

Congenital malformation of diaphragm NOS

Eventration of diaphragm

Q79.2   Exomphalos

Omphalocele

Excludes:    umbilical hernia (K42-)

Q79.3   Gastroschisis

Q79.4   Prune belly syndrome

Q79.5   Other congenital malformations of abdominal wall

Excludes:    umbilical hernia (K42-)

Q79.6   Ehlers-Danlos syndrome

Q79.8   Other congenital malformations of musculoskeletal system

Absence of:

• muscle

• tendon

Accessory muscle

Amyotrophia congenita

Congenital:

• constricting bands

• shortening of tendon

Poland syndrome

Q79.9   Congenital malformation of musculoskeletal system, unspecified

Congenital:

• anomaly NOS        • anomaly NOS

• deformity NOS      • deformity NOS

Other congenital malformations (Q80-Q89)

Q80  Congenital ichthyosis

Excludes:    Refsum disease (G60.1)

Q80.0   Ichthyosis vulgaris

Q80.1   X-linked ichthyosis

Q80.2   Lamellar ichthyosis

Collodion baby

Q80.3   Congenital bullous ichthyosiform erythroderma

Q80.4   Harlequin fetus

Q80.8   Other congenital ichthyosis

Q80.9   Congenital ichthyosis, unspecified

Q81  Epidermolysis bullosa

Q81.0   Epidermolysis bullosa simplex

Excludes:    Cockayne syndrome (Q87.1)

Q81.1   Epidermolysis bullosa letalis

Herlitz syndrome

Q81.2   Epidermolysis bullosa dystrophica

Q81.8   Other epidermolysis bullosa

Q81.9   Epidermolysis bullosa, unspecified

Q82  Other congenital malformations of skin

Excludes:    acrodermatitis enteropathica (E83.2)

congenital erythropoietic porphyria (E80.0)

pilonidal cyst or sinus (L05-)

Sturge-Weber(-Dimitri) syndrome (Q85.8)

Q82.0   Hereditary lymphoedema

Q82.1   Xeroderma pigmentosum

Q82.2   Mastocytosis

Urticaria pigmentosa

Excludes:    malignant mastocytosis (C96.2)

Q82.3   Incontinentia pigmenti

Q82.4   Ectodermal dysplasia (anhidrotic)

Excludes:    Ellis-van Creveld syndrome (Q77.6)

Q82.5   Congenital non-neoplastic naevus

Birthmark NOS

Naevus:

• flammeus

• portwine

• sanguineous

• strawberry

• vascular NOS

• verrucous

Excludes:    cafe au lait spots (L81.3)

lentigo (L81.4)

naevus:

• NOS (D22-)

• araneus (I78.1)

• melanocytic (D22-)

• pigmented (D22-)

• spider (I78.1)

• stellar (I78.1)

Q82.8   Other specified congenital malformations of skin

Abnormal palmar creases

Accessory skin tags

Benign familial pemphigus [Hailey-Hailey]

Cutis laxa (hyperelastica)

Dermatoglyphic anomalies

Inherited keratosis palmaris et plantaris

Keratosis follicularis [Darier-White]

Excludes:    Ehlers-Danlos syndrome (Q79.6)

Q82.9   Congenital malformation of skin, unspecified

Q83  Congenital malformations of breast

Excludes:    absence of pectoral muscle (Q79.8)

Q83.0   Congenital absence of breast with absent nipple

Q83.1   Accessory breast

Supernumerary breast

Q83.2   Absent nipple

Q83.3   Accessory nipple

Supernumerary nipple

Q83.8   Other congenital malformations of breast

Hypoplasia of breast

Q83.9   Congenital malformation of breast, unspecified

Q84  Other congenital malformations of integument

Q84.0   Congenital alopecia

Congenital atrichosis

Q84.1   Congenital morphological disturbances of hair, not elsewhere classified

Beaded hair

Monilethrix

Pili annulati

Excludes:    Menkes kinky hair syndrome (E83.0)

Q84.2   Other congenital malformations of hair

Congenital:

• hypertrichosis

• malformation of hair NOS

Persistent lanugo

Q84.3   Anonychia

Excludes:    nail patella syndrome (Q87.2)

Q84.4   Congenital leukonychia

Q84.5   Enlarged and hypertrophic nails

Congenital onychauxis

Pachyonychia

Q84.6   Other congenital malformations of nails

Congenital:

• clubnail

• koilonychia

• malformation of nail NOS

Q84.8   Other specified congenital malformations of integument

Aplasia cutis congenita

Q84.9   Congenital malformation of integument, unspecified

Congenital:

• anomaly NOS        • anomaly NOS

• deformity NOS      • deformity NOS

Q85  Phakomatoses, not elsewhere classified

Excludes:    ataxia telangiectasia [Louis-Bar] (G11.3)

familial dysautonomia [Riley-Day] (G90.1)

Q85.0   Neurofibromatosis (nonmalignant)

Von Recklinghausen disease

Q85.1   Tuberous sclerosis

Bourneville disease

Epiloia

Q85.8   Other phakomatoses, not elsewhere classified

Syndrome:

• Peutz-Jeghers

• Sturge-Weber(-Dimitri)

• von Hippel-Lindau

Excludes:    Meckel-Gruber syndrome (Q61.9)

Q85.9   Phakomatosis, unspecified

Hamartosis NOS

Q86  Congenital malformation syndromes due to known exogenous causes, not elsewhere classified

Excludes:    iodine-deficiency-related hypothyroidism (E00-E02)

nonteratogenic effects of substances transmitted via placenta or breast (P04-)

Q86.0   Fetal alcohol syndrome (dysmorphic)

Q86.1   Fetal hydantoin syndrome

Meadow syndrome

Q86.2   Dysmorphism due to warfarin

Q86.8   Other congenital malformation syndromes due to known exogenous causes

Q87  Other specified congenital malformation syndromes affecting multiple systems

Q87.0   Congenital malformation syndromes predominantly affecting facial appearance

Acrocephalopolysyndactyly

Acrocephalosyndactyly [Apert]

Cryptophthalmos syndrome

Cyclopia

Syndrome:

• Goldenhar

• Moebius

• oro-facial-digital

• Robin

Whistling face

Q87.1   Congenital malformation syndromes predominantly associated with short stature

Syndrome:

• Aarskog

• Cockayne

• De Lange

• Dubowitz

• Noonan

• Prader-Willi

• Robinow-Silverman-Smith

• Russell-Silver

• Seckel

• Smith-Lemli-Opitz

Excludes:    Ellis-van Creveld syndrome (Q77.6)

Q87.2   Congenital malformation syndromes predominantly involving limbs

Syndrome:

• Holt-Oram

• Klippel-Trenaunay-Weber

• nail patella

• Rubinstein-Taybi

• sirenomelia

• thrombocytopenia with absent radius [TAR]

• VATER

Q87.3   Congenital malformation syndromes involving early overgrowth

Syndrome:

• Beckwith-Wiedemann

• Sotos

• Weaver

Q87.4   Marfan syndrome

Q87.5   Other congenital malformation syndromes with other skeletal changes

Q87.8   Other specified congenital malformation syndromes, not elsewhere classified

Syndrome:

• Alport

• Laurence-Moon(-Bardet)-Biedl

• Zellweger

Q89  Other congenital malformations, not elsewhere classified

Q89.0   Congenital malformations of spleen

Asplenia (congenital)

Congenital splenomegaly

Excludes:    isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)

Q89.1   Congenital malformations of adrenal gland

Excludes:    congenital adrenal hyperplasia (E25.0)

Q89.2   Congenital malformations of other endocrine glands

Congenital malformation of parathyroid or thyroid gland

Persistent thyroglossal duct

Thyroglossal cyst

Q89.3   Situs inversus

Dextrocardia with situs inversus

Mirror-image atrial arrangement with situs inversus

Situs inversus or transversus:

• abdominalis

• thoracis

Transposition of viscera:

• abdominal

• thoracic

Excludes:    dextrocardia NOS (Q24.0)

laevocardia (Q24.1)

Q89.4   Conjoined twins

Craniopagus

Dicephaly

Double monster

Pygopagus

Thoracopagus

Q89.7   Multiple congenital malformations, not elsewhere classified

Monster NOS

Multiple congenital:

• anomalies NOS

• deformities NOS

Excludes:    congenital malformation syndromes affecting multiple systems (Q87-)

Q89.8   Other specified congenital malformations

Q89.9   Congenital malformation, unspecified

Congenital:

• anomaly NOS

• deformity NOS

Chromosomal abnormalities, not elsewhere classified (Q90-Q99)

Q90  Down syndrome

Q90.0   Trisomy 21, meiotic nondisjunction

Q90.1   Trisomy 21, mosaicism (mitotic nondisjunction)

Q90.2   Trisomy 21, translocation

Q90.9   Down syndrome, unspecified

Trisomy 21 NOS

Q91  Edwards syndrome and Patau syndrome

Q91.0   Trisomy 18, meiotic nondisjunction

Q91.1   Trisomy 18, mosaicism (mitotic nondisjunction)

Q91.2   Trisomy 18, translocation

Q91.3   Edwards syndrome, unspecified

Q91.4   Trisomy 13, meiotic nondisjunction

Q91.5   Trisomy 13, mosaicism (mitotic nondisjunction)

Q91.6   Trisomy 13, translocation

Q91.7   Patau syndrome, unspecified

Q92  Other trisomies and partial trisomies of the autosomes, not elsewhere classified

Includes:    unbalanced translocations and insertions

Excludes:    trisomies of chromosomes 13, 18, 21 (Q90-Q91)

Q92.0   Whole chromosome trisomy, meiotic nondisjunction

Q92.1   Whole chromosome trisomy, mosaicism (mitotic nondisjunction)

Q92.2   Major partial trisomy

Whole arm or more duplicated.

Q92.3   Minor partial trisomy

Less than whole arm duplicated.

Q92.4   Duplications seen only at prometaphase

Q92.5   Duplications with other complex rearrangements

Q92.6   Extra marker chromosomes

Q92.7   Triploidy and polyploidy

Q92.8   Other specified trisomies and partial trisomies of autosomes

Q92.9   Trisomy and partial trisomy of autosomes, unspecified

Q93  Monosomies and deletions from the autosomes, not elsewhere classified

Q93.0   Whole chromosome monosomy, meiotic nondisjunction

Q93.1   Whole chromosome monosomy, mosaicism (mitotic nondisjunction)

Q93.2   Chromosome replaced with ring or dicentric

Q93.3   Deletion of short arm of chromosome 4

Wolff-Hirschorn syndrome

Q93.4   Deletion of short arm of chromosome 5

Cri-du-chat syndrome

Q93.5   Other deletions of part of a chromosome

Angelman syndrome

Q93.6   Deletions seen only at prometaphase

Q93.7   Deletions with other complex rearrangements

Q93.8   Other deletions from the autosomes

Q93.9   Deletion from autosomes, unspecified

Q95  Balanced rearrangements and structural markers, not elsewhere classified

Includes:    Robertsonian and balanced reciprocal translocations and insertions

Q95.0   Balanced translocation and insertion in normal individual

Q95.1   Chromosome inversion in normal individual

Q95.2   Balanced autosomal rearrangement in abnormal individual

Q95.3   Balanced sex/autosomal rearrangement in abnormal individual

Q95.4   Individuals with marker heterochromatin

Q95.5   Individuals with autosomal fragile site

Q95.8   Other balanced rearrangements and structural markers

Q95.9   Balanced rearrangement and structural marker, unspecified

Q96  Turner syndrome

Excludes:    Noonan syndrome (Q87.1)

Q96.0   Karyotype 45,X

Q96.1   Karyotype 46,X iso (Xq)

Q96.2   Karyotype 46,X with abnormal sex chromosome, except iso (Xq)

Q96.3   Mosaicism, 45,X/46,XX or XY

Q96.4   Mosaicism, 45,X/other cell line(s) with abnormal sex chromosome

Q96.8   Other variants of Turner syndrome

Q96.9   Turner syndrome, unspecified

Q97  Other sex chromosome abnormalities, female phenotype, not elsewhere classified

Excludes:    Turner syndrome (Q96-)

Q97.0   Karyotype 47,XXX

Q97.1   Female with more than three X chromosomes

Q97.2   Mosaicism, lines with various numbers of X chromosomes

Q97.3   Female with 46,XY karyotype

Q97.8   Other specified sex chromosome abnormalities, female phenotype

Q97.9   Sex chromosome abnormality, female phenotype, unspecified

Q98  Other sex chromosome abnormalities, male phenotype, not elsewhere classified

Q98.0   Klinefelter syndrome karyotype 47,XXY

Q98.1   Klinefelter syndrome, male with more than two X chromosomes

Q98.2   Klinefelter syndrome, male with 46,XX karyotype

Q98.3   Other male with 46,XX karyotype

Q98.4   Klinefelter syndrome, unspecified

Q98.5   Karyotype 47,XYY

Q98.6   Male with structurally abnormal sex chromosome

Q98.7   Male with sex chromosome mosaicism

Q98.8   Other specified sex chromosome abnormalities, male phenotype

Q98.9   Sex chromosome abnormality, male phenotype, unspecified

Q99  Other chromosome abnormalities, not elsewhere classified

Q99.0   Chimera 46,XX/46,XY

Chimera 46,XX/46,XY true hermaphrodite

Q99.1   46,XX true hermaphrodite

46,XX with streak gonads

46,XY with streak gonads

Pure gonadal dysgenesis

Q99.2   Fragile X chromosome

Fragile X syndrome

Q99.8   Other specified chromosome abnormalities

Q99.9   Chromosomal abnormality, unspecified

CHAPTER XVIII - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.

Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated "not otherwise specified", "unknown etiology" or "transient". The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.

The conditions and signs or symptoms included in categories R00-R99 consist of: (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated; (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnoses in a patient who failed to return for further investigation or care; (d) cases referred elsewhere for investigation or treatment before the diagnosis was made; (e) cases in which a more precise diagnosis was not available for any other reason; (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excludes:    abnormal findings on antenatal screening of mother (O28-)

certain conditions originating in the perinatal period (P00-P96)

This chapter contains the following blocks:

R00-R09       Symptoms and signs involving the circulatory and respiratory systems

R10-R19       Symptoms and signs involving the digestive system and abdomen

R20-R23       Symptoms and signs involving the skin and subcutaneous tissue

R25-R29       Symptoms and signs involving the nervous and musculoskeletal systems

R30-R39       Symptoms and signs involving the urinary system

R40-R46       Symptoms and signs involving cognition, perception, emotional state and behaviour

R47-R49       Symptoms and signs involving speech and voice

R50-R69       General symptoms and signs

R70-R79       Abnormal findings on examination of blood, without diagnosis

R80-R82       Abnormal findings on examination of urine, without diagnosis

R83-R89       Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis

R90-R94       Abnormal findings on diagnostic imaging and in function studies, without diagnosis

R95-R99       Ill-defined and unknown causes of mortality

Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

R00  Abnormalities of heart beat

Excludes:    abnormalities originating in the perinatal period (P29.1)

specified arrhythmias (I47-I49)

R00.0   Tachycardia, unspecified

Rapid heart beat

Tachycardia:

• sinoauricular NOS

• sinus [sinusal] NOS

R00.1   Bradycardia, unspecified

Bradycardia:

• sinoatrial

• sinus

• vagal

Slow heart beat

Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.

R00.2   Palpitations

Awareness of heart beat

R00.8   Other and unspecified abnormalities of heart beat

R01  Cardiac murmurs and other cardiac sounds

Excludes:    those originating in the perinatal period (P29.8)

R01.0   Benign and innocent cardiac murmurs

Functional cardiac murmur

R01.1   Cardiac murmur, unspecified

Cardiac bruit NOS

Systolic murmur NOS

R01.2   Other cardiac sounds

Cardiac dullness, increased or decreased

Precordial friction

R02  Gangrene, not elsewhere classified

Excludes:    gangrene in:

• atherosclerosis (I70.2)

• diabetes mellitus (E10-E14 with common fourth character .5)

• other peripheral vascular diseases (I73-)

gangrene of certain specified sites - see Alphabetical Index

gas gangrene (A48.0)

pyoderma gangrenosum (L88)

R03  Abnormal blood-pressure reading, without diagnosis

R03.0   Elevated blood-pressure reading, without diagnosis of hypertension

Note:          This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an isolated incidental finding.

R03.1   Nonspecific low blood-pressure reading

Excludes:    hypotension (I95-)

• neurogenic orthostatic (G90.3)

maternal hypotension syndrome (O26.5)

R04  Haemorrhage from respiratory passages

R04.0   Epistaxis

Haemorrhage from nose

Nosebleed

R04.1   Haemorrhage from throat

Excludes:    haemoptysis (R04.2)

R04.2   Haemoptysis

Blood-stained sputum

Cough with haemorrhage

R04.8   Haemorrhage from other sites in respiratory passages

Pulmonary haemorrhage NOS

Excludes:    perinatal pulmonary haemorrhage (P26-)

R04.9   Haemorrhage from respiratory passages, unspecified

R05  Cough

Excludes:    cough with haemorrhage (R04.2)

psychogenic cough (F45.3)

R06  Abnormalities of breathing

Excludes:    respiratory:

• arrest (R09.2)

• distress:

    • syndrome of adult (J80)

    • in newborn (P22-)

• failure (J96-)

    • of newborn (P28.5)

R06.0   Dyspnoea

Orthopnoea

Shortness of breath

Excludes:    transient tachypnoea of newborn (P22.1)

R06.1   Stridor

Excludes:    congenital laryngeal stridor (P28.8)

laryngismus (stridulus) (J38.5)

R06.2   Wheezing

R06.3   Periodic breathing

Cheyne-Stokes breathing

R06.4   Hyperventilation

Excludes:    psychogenic hyperventilation (F45.3)

R06.5   Mouth breathing

Snoring

Excludes:    dry mouth NOS (R68.2)

R06.6   Hiccough

Excludes:    psychogenic hiccough (F45.3)

R06.7   Sneezing

R06.8   Other and unspecified abnormalities of breathing

Apnoea NOS

Breath-holding (spells)

Choking sensation

Sighing

Excludes:    apnoea (of):

• newborn (P28.4)

• sleep (G47.3)

• newborn (primary) (P28.3)

R07  Pain in throat and chest

Excludes:    dysphagia (R13)

epidemic myalgia (B33.0)

pain in:

• breast (N64.4)

• neck (M54.2)

sore throat (acute) NOS (J02.9)

R07.0   Pain in throat

R07.1   Chest pain on breathing

Painful respiration

R07.2   Precordial pain

R07.3   Other chest pain

Anterior chest-wall pain NOS

R07.4   Chest pain, unspecified

R09  Other symptoms and signs involving the circulatory and respiratory systems

Excludes:    respiratory:

• distress (syndrome)(of):

    • adult (J80)

    • newborn (P22-)

• failure (J96-)

    • newborn (P28.5)

R09.0   Asphyxia

Excludes:    asphyxia (due to):

• birth (P21-)

• carbon monoxide (T58)

• foreign body in respiratory tract (T17-)

• intrauterine (P20-)

• traumatic (T71)

R09.1   Pleurisy

Excludes:    pleurisy with effusion (J90)

R09.2   Respiratory arrest

Cardiorespiratory failure

R09.3   Abnormal sputum

  Abnormal:   

• amount    

• colour       (of) sputum

• odour     

  Excessive   

Excludes:    blood-stained sputum (R04.2)

R09.8   Other specified symptoms and signs involving the circulatory and respiratory systems

Bruit (arterial)

Chest:

• abnormal percussion

• friction sounds

• tympany

Rales

Weak pulse

Symptoms and signs involving the digestive system and abdomen (R10-R19)

Excludes:    gastrointestinal haemorrhage (K92.0-K92.2)

• newborn (P54.0-P54.3)

intestinal obstruction (K56-)

• newborn (P76-)

pylorospasm (K31.3)

• congenital or infantile (Q40.0)

symptoms and signs involving the urinary system (R30-R39)

symptoms referable to genital organs:

• female (N94-)

• male (N48-N50)

R10  Abdominal and pelvic pain

Excludes:    dorsalgia (M54-)

flatulence and related conditions (R14)

renal colic (N23)

R10.0   Acute abdomen

Severe abdominal pain (generalized)(localized)(with abdominal rigidity)

R10.1   Pain localized to upper abdomen

Epigastric pain

R10.2   Pelvic and perineal pain

R10.3   Pain localized to other parts of lower abdomen

R10.4   Other and unspecified abdominal pain

Abdominal tenderness NOS

Colic:

• NOS

• infantile

R11  Nausea and vomiting

Excludes:    haematemesis (K92.0)

• neonatal (P54.0)

vomiting (of):

• excessive, in pregnancy (O21-)

• following gastrointestinal surgery (K91.0)

• newborn (P92.0)

• psychogenic (F50.5)

R12  Heartburn

Excludes:    dyspepsia (K30)

R13  Dysphagia

Difficulty in swallowing

R14  Flatulence and related conditions

Abdominal distension (gaseous)

Bloating

Eructation

Gas pain

Tympanites (abdominal)(intestinal)

Excludes:    psychogenic aerophagy (F45.3)

R15  Faecal incontinence

Encopresis NOS

Excludes:    that of nonorganic origin (F98.1)

R16  Hepatomegaly and splenomegaly, not elsewhere classified

R16.0   Hepatomegaly, not elsewhere classified

Hepatomegaly NOS

R16.1   Splenomegaly, not elsewhere classified

Splenomegaly NOS

R16.2   Hepatomegaly with splenomegaly, not elsewhere classified

Hepatosplenomegaly NOS

R17  Unspecified jaundice

Excludes:    neonatal jaundice (P55, P57-P59)

R18  Ascites

Fluid in peritoneal cavity

R19  Other symptoms and signs involving the digestive system and abdomen

Excludes:    acute abdomen (R10.0)

R19.0   Intra-abdominal and pelvic swelling, mass and lump

Diffuse or generalized swelling or mass:

• intra-abdominal NOS

• pelvic NOS

• umbilical

Excludes:    abdominal distension (gaseous) (R14)

ascites (R18)

R19.1   Abnormal bowel sounds

Absent bowel sounds

Hyperactive bowel sounds

R19.2   Visible peristalsis

Hyperperistalsis

R19.3   Abdominal rigidity

Excludes:    that with severe abdominal pain (R10.0)

R19.4   Change in bowel habit

Excludes:    constipation (K59.0)

functional diarrhoea (K59.1)

R19.5   Other faecal abnormalities

Abnormal stool colour

Bulky stools

Mucus in stools

Occult blood in stools

Excludes:    melaena (K92.1)

• neonatal (P54.1)

R19.6   Halitosis

R19.8   Other specified symptoms and signs involving the digestive system and abdomen

Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)

R20  Disturbances of skin sensation

Excludes:    dissociative anaesthesia and sensory loss (F44.6)

psychogenic disturbances (F45.8)

R20.0   Anaesthesia of skin

R20.1   Hypoaesthesia of skin

R20.2   Paraesthesia of skin

Formication

Pins and needles

Tingling skin

Excludes:    acroparaesthesia (I73.8)

R20.3   Hyperaesthesia

R20.8   Other and unspecified disturbances of skin sensation

R21  Rash and other nonspecific skin eruption

R22  Localized swelling, mass and lump of skin and subcutaneous tissue

Includes:    subcutaneous nodules (localized)(superficial)

Excludes:    abnormal findings on diagnostic imaging (R90-R93)

enlarged lymph nodes (R59-)

localized adiposity (E65)

mass and lump:

• breast (N63)

• intra-abdominal or pelvic (R19.0)

oedema (R60-)

swelling (of):

• intra-abdominal or pelvic (R19.0)

• joint (M25.4)

R22.0   Localized swelling, mass and lump, head

R22.1   Localized swelling, mass and lump, neck

R22.2   Localized swelling, mass and lump, trunk

R22.3   Localized swelling, mass and lump, upper limb

R22.4   Localized swelling, mass and lump, lower limb

R22.7   Localized swelling, mass and lump, multiple sites

R22.9   Localized swelling, mass and lump, unspecified

R23  Other skin changes

R23.0   Cyanosis

Excludes:    acrocyanosis (I73.8)

cyanotic attacks of newborn (P28.2)

R23.1   Pallor

Clammy skin

R23.2   Flushing

Excessive blushing

Excludes:    menopausal and female climacteric states (N95.1)

R23.3   Spontaneous ecchymoses

Petechiae

Excludes:    ecchymoses in fetus and newborn (P54.5)

purpura (D69-)

R23.4   Changes in skin texture

  Desquamation   

  Induration        of skin

  Scaling        

Excludes:    epidermal thickening NOS (L85.9)

R23.8   Other and unspecified skin changes

Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)

R25  Abnormal involuntary movements

Excludes:    specific movement disorders (G20-G26)

stereotyped movement disorders (F98.4)

tic disorders (F95-)

R25.0   Abnormal head movements

R25.1   Tremor, unspecified

Excludes:    chorea NOS (G25.5)

tremor:

• essential (G25.0)

• hysterical (F44.4)

• intention (G25.2)

R25.2   Cramp and spasm

Excludes:    carpopedal spasm (R29.0)

infantile spasms (G40.4)

R25.3   Fasciculation

Twitching NOS

R25.8   Other and unspecified abnormal involuntary movements

R26  Abnormalities of gait and mobility

Excludes:    ataxia:

• NOS (R27.0)

• hereditary (G11-)

• locomotor (syphilitic) (A52.1)

immobility syndrome (paraplegic) (M62.3)

R26.0   Ataxic gait

Staggering gait

R26.1   Paralytic gait

Spastic gait

R26.2   Difficulty in walking, not elsewhere classified

R26.3   Immobility

Bedfast

Chairfast

R26.8   Other and unspecified abnormalities of gait and mobility

Unsteadiness on feet NOS

R27  Other lack of coordination

Excludes:    ataxic gait (R26.0)

hereditary ataxia (G11-)

vertigo NOS (R42)

R27.0   Ataxia, unspecified

R27.8   Other and unspecified lack of coordination

R29  Other symptoms and signs involving the nervous and musculoskeletal systems

R29.0   Tetany

Carpopedal spasm

Excludes:    tetany:

• hysterical (F44.5)

• neonatal (P71.3)

• parathyroid (E20.9)

• post-thyroidectomy (E89.2)

R29.1   Meningismus

R29.2   Abnormal reflex

Excludes:    abnormal pupillary reflex (H57.0)

hyperactive gag reflex (J39.2)

vasovagal reaction or syncope (R55)

R29.3   Abnormal posture

R29.4   Clicking hip

Excludes:    congenital deformities of hip (Q65-)

R29.6   Tendency to fall, not elsewhere classified

Tendency to fall because of old age or other unclear health problems

Excludes:    accidents (X59)

difficulty walking (R26.2)

dizziness and giddiness (R42)

falls causing injury (W00-W19)

falls due to diseases classified elsewhere

syncope and collapse (R55)

R29.8   Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems

Symptoms and signs involving the urinary system (R30-R39)

R30  Pain associated with micturition

Excludes:    psychogenic pain (F45.3)

R30.0   Dysuria

Strangury

R30.1   Vesical tenesmus

R30.9   Painful micturition, unspecified

Painful urination NOS

R31  Unspecified haematuria

Excludes:    recurrent or persistent haematuria (N02-)

R32  Unspecified urinary incontinence

Enuresis NOS

Excludes:    nonorganic enuresis (F98.0)

stress incontinence and other specified urinary incontinence (N39.3-N39.4)

R33  Retention of urine

R34  Anuria and oliguria

Excludes:    that complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.4)

• pregnancy, childbirth and the puerperium (O26.8, O90.4)

R35  Polyuria

Frequency of micturition

Nocturia

Excludes:    psychogenic polyuria (F45.3)

R36  Urethral discharge

Penile discharge

Urethrorrhoea

R39  Other symptoms and signs involving the urinary system

R39.0   Extravasation of urine

R39.1   Other difficulties with micturition

Hesitancy of micturition

Poor urinary stream

Splitting of urinary stream

R39.2   Extrarenal uraemia

Prerenal uraemia

R39.8   Other and unspecified symptoms and signs involving the urinary system

Symptoms and signs involving cognition, perception, emotional state and behaviour (R40-R46)

Excludes:    those constituting part of a pattern of mental disorder (F00-F99)

R40  Somnolence, stupor and coma

Excludes:    coma:

• diabetic (E10-E14 with common fourth character .0)

• hepatic (K72-)

• hypoglycaemic (nondiabetic) (E15)

• neonatal (P91.5)

• uraemic (N19)

R40.0   Somnolence

Drowsiness

R40.1   Stupor

Semicoma

Excludes:    stupor:

• catatonic (F20.2)

• depressive (F31-F33)

• dissociative (F44.2)

• manic (F30.2)

R40.2   Coma, unspecified

Unconsciousness NOS

R41  Other symptoms and signs involving cognitive functions and awareness

Excludes:    dissociative [conversion] disorders (F44-)

R41.0   Disorientation, unspecified

Confusion NOS

Excludes:    psychogenic disorientation (F44.8)

R41.1   Anterograde amnesia

R41.2   Retrograde amnesia

R41.3   Other amnesia

Amnesia NOS

Excludes:    amnesic syndrome:

• due to psychoactive substance use (F10-F19 with common fourth character .6)

• organic (F04)

transient global amnesia (G45.4)

R41.8   Other and unspecified symptoms and signs involving cognitive functions and awareness

R42  Dizziness and giddiness

Light-headedness

Vertigo NOS

Excludes:    vertiginous syndromes (H81-)

R43  Disturbances of smell and taste

R43.0   Anosmia

R43.1   Parosmia

R43.2   Parageusia

R43.8   Other and unspecified disturbances of smell and taste

Mixed disturbance of smell and taste

R44  Other symptoms and signs involving general sensations and perceptions

Excludes:    disturbances of skin sensation (R20-)

R44.0   Auditory hallucinations

R44.1   Visual hallucinations

R44.2   Other hallucinations

R44.3   Hallucinations, unspecified

R44.8   Other and unspecified symptoms and signs involving general sensations and perceptions

R45  Symptoms and signs involving emotional state

R45.0   Nervousness

Nervous tension

R45.1   Restlessness and agitation

R45.2   Unhappiness

Worries NOS

R45.3   Demoralization and apathy

R45.4   Irritability and anger

R45.5   Hostility

R45.6   Physical violence

R45.7   State of emotional shock and stress, unspecified

R45.8   Other symptoms and signs involving emotional state

Suicidal ideation (tendencies)

Excludes:    signs and symptoms constituting part of a mental or behavioural disorder (F00-F99)

R46  Symptoms and signs involving appearance and behaviour

R46.0   Very low level of personal hygiene

R46.1   Bizarre personal appearance

R46.2   Strange and inexplicable behaviour

R46.3   Overactivity

R46.4   Slowness and poor responsiveness

Excludes:    stupor (R40.1)

R46.5   Suspiciousness and marked evasiveness

R46.6   Undue concern and preoccupation with stressful events

R46.7   Verbosity and circumstantial detail obscuring reason for contact

R46.8   Other symptoms and signs involving appearance and behaviour

Includes:    self neglect NOS

Excludes:    insufficient intake of food and water (due to self neglect) (R63.6)

Symptoms and signs involving speech and voice (R47-R49)

R47  Speech disturbances, not elsewhere classified

Excludes:    autism (F84.0-F84.1)

cluttering (F98.6)

specific developmental disorders of speech and language (F80-)

stuttering [stammering] (F98.5)

R47.0   Dysphasia and aphasia

Excludes:    progressive isolated aphasia (G31.0)

R47.1   Dysarthria and anarthria

R47.8   Other and unspecified speech disturbances

R48  Dyslexia and other symbolic dysfunctions, not elsewhere classified

Excludes:    specific developmental disorders of scholastic skills (F81-)

R48.0   Dyslexia and alexia

R48.1   Agnosia

R48.2   Apraxia

R48.8   Other and unspecified symbolic dysfunctions

Acalculia

Agraphia

R49  Voice disturbances

Excludes:    psychogenic voice disturbance (F44.4)

R49.0   Dysphonia

Hoarseness

R49.1   Aphonia

Loss of voice

R49.2   Hypernasality and hyponasality

R49.8   Other and unspecified voice disturbances

Change in voice NOS

General symptoms and signs (R50-R69)

R50  Fever of other and unknown origin

Excludes:    fever of unknown origin (during)(in):

• labour (O75.2)

• newborn (P81.9)

puerperal pyrexia NOS (O86.4)

R50.2   Drug-induced fever

Use additional external cause code (Chapter XX), if desired, to identify drug.

R50.8   Other specified fever

Fever with chills

Fever with rigors

Persistent fever

R50.9   Fever, unspecified

Hyperpyrexia NOS

Pyrexia NOS

Excludes:    malignant hyperthermia due to anaesthesia (T88.3)

R51  Headache

Facial pain NOS

Excludes:    atypical facial pain (G50.1)

migraine and other headache syndromes (G43-G44)

trigeminal neuralgia (G50.0)

R52  Pain, not elsewhere classified

Includes:    pain not referable to any one organ or body region

Excludes:    chronic pain personality syndrome (F62.8)

headache (R51)

pain (in):

• abdomen (R10-)

• back (M54.9)

• breast (N64.4)

• chest (R07.1-R07.4)

• ear (H92.0)

• eye (H57.1)

• joint (M25.5)

• limb (M79.6)

• lumbar region (M54.5)

• pelvic and perineal (R10.2)

• psychogenic (F45.4)

• shoulder (M25.5)

• spine (M54-)

• throat (R07.0)

• tongue (K14.6)

• tooth (K08.8)

renal colic (N23)

R52.0   Acute pain

R52.1   Chronic intractable pain

R52.2   Other chronic pain

R52.9   Pain, unspecified

Generalized pain NOS

R53  Malaise and fatigue

Asthenia NOS

Debility:

• NOS

• chronic

General physical deterioration

Lethargy

Tiredness

Excludes:    debility:

• congenital (P96.9)

• senile (R54)

exhaustion and fatigue (due to)(in):

• combat (F43.0)

• excessive exertion (T73.3)

• exposure (T73.2)

• heat (T67-)

• neurasthenia (F48.0)

• pregnancy (O26.8)

• senile asthenia (R54)

fatigue syndrome (F48.0)

• postviral (G93.3)

R54  Senility

Old age         Old age

Senescence      Senescence

Senile:

• asthenia

• debility

Excludes:    senile psychosis (F03)

R55  Syncope and collapse

Blackout

Fainting

Excludes:    neurocirculatory asthenia (F45.3)

orthostatic hypotension (I95.1)

• neurogenic (G90.3)

shock:

• NOS (R57.9)

• cardiogenic (R57.0)

• complicating or following:

    • abortion or ectopic or molar pregnancy (O00-O07, O08.3)

    • labour and delivery (O75.1)

• postoperative (T81.1)

Stokes-Adams attack (I45.9)

syncope:

• carotid sinus (G90.0)

• heat (T67.1)

• psychogenic (F48.8)

unconsciousness NOS (R40.2)

R56  Convulsions, not elsewhere classified

Excludes:    convulsions and seizures (in):

• dissociative (F44.5)

• epilepsy (G40-G41)

• newborn (P90)

R56.0   Febrile convulsions

R56.8   Other and unspecified convulsions

Fit NOS

Seizure (convulsive) NOS

R57  Shock, not elsewhere classified

Excludes:    shock (due to):

• anaesthesia (T88.2)

• anaphylactic (due to):

    • NOS (T78.2)

    • adverse food reaction (T78.0)

    • serum (T80.5)

• complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)

• electric (T75.4)

• lightning (T75.0)

• obstetric (O75.1)

• postoperative (T81.1)

• psychic (F43.0)

• septic (A41.9)

• traumatic (T79.4)

toxic shock syndrome (A48.3)

R57.0   Cardiogenic shock

R57.1   Hypovolaemic shock

R57.8   Other shock

Endotoxic shock

R57.9   Shock, unspecified

Failure of peripheral circulation NOS

R58  Haemorrhage, not elsewhere classified

Includes:    5^TH DIGIT TO IDENTIFY HEMORRHAGE OF UNSPECIFIED SITE

R58.00 Hemorrhage NOS

R59  Enlarged lymph nodes

Includes:    swollen glands

Excludes:    lymphadenitis:

• NOS (I88.9)

• acute (L04-)

• chronic (I88.1)

• mesenteric (acute)(chronic) (I88.0)

R59.0   Localized enlarged lymph nodes

R59.1   Generalized enlarged lymph nodes

Lymphadenopathy NOS

Excludes:    HIV disease resulting in (persistent) generalized lymphadenopathy (B23.1)

R59.9   Enlarged lymph nodes, unspecified

R60  Oedema, not elsewhere classified

Excludes:    ascites (R18)

hydrops fetalis NOS (P83.2)

hydrothorax (J94.8)

oedema (of):

• angioneurotic (T78.3)

• cerebral (G93.6)

    • due to birth injury (P11.0)

• gestational (O12.0)

• hereditary (Q82.0)

• larynx (J38.4)

• malnutrition (E40-E46)

• nasopharynx (J39.2)

• newborn (P83.3)

• pharynx (J39.2)

• pulmonary (J81)

R60.0   Localized oedema

R60.1   Generalized oedema

R60.9   Oedema, unspecified

Fluid retention NOS

R61  Hyperhidrosis

R61.0   Localized hyperhidrosis

R61.1   Generalized hyperhidrosis

R61.9   Hyperhidrosis, unspecified

Excessive sweating

Night sweats

R62  Lack of expected normal physiological development

Excludes:    delayed puberty (E30.0)

R62.0   Delayed milestone

Delayed attainment of expected physiological developmental stage

Late:

• talker

• walker

R62.8   Other lack of expected normal physiological development

Failure to:

• gain weight

• thrive

Infantilism NOS

Lack of growth

Physical retardation

Excludes:    HIV disease resulting in failure to thrive (B22.2)

physical retardation due to malnutrition (E45)

R62.9   Lack of expected normal physiological development, unspecified

R63  Symptoms and signs concerning food and fluid intake

Excludes:    bulimia NOS (F50.2)

eating disorders of nonorganic origin (F50-)

malnutrition (E40-E46)

R63.0   Anorexia

Loss of appetite

Excludes:    anorexia nervosa (F50.0)

loss of appetite of nonorganic origin (F50.8)

R63.1   Polydipsia

Excessive thirst

R63.2   Polyphagia

Excessive eating

Hyperalimentation NOS

R63.3   Feeding difficulties and mismanagement

Feeding problem NOS

Excludes:    feeding problems of newborn (P92-)

infant feeding disorder of nonorganic origin (F98.2)

R63.4   Abnormal weight loss

R63.5   Abnormal weight gain

Excludes:    excessive weight gain in pregnancy (O26.0)

obesity (E66-)

R63.6   Insufficient intake of food and water

Insufficient intake of food and water (due to self neglect)

Excludes:    self neglect NOS (R46.8)

starvation due to anorexia (R63.0)

starvation due to privation of food (X53)

thirst due to privation of water (X54)

R63.8   Other symptoms and signs concerning food and fluid intake

R64  Cachexia

Excludes:    HIV disease resulting in wasting syndrome (B22.2)

malignant cachexia (C80)

nutritional marasmus (E41

R68  Other general symptoms and signs

R68.0   Hypothermia, not associated with low environmental temperature

Excludes:    hypothermia (due to)(of):

• NOS (accidental) (T68)

• anaesthesia (T88.5)

• low environmental temperature (T68)

• newborn (P80-)

R68.1   Nonspecific symptoms peculiar to infancy

Excessive crying of infant

Irritable infant

Excludes:    neonatal cerebral irritability (P91.3)

teething syndrome (K00.7)

R68.2   Dry mouth, unspecified

Excludes:    dry mouth due to:

• dehydration (E86)

• sicca syndrome [Sjogren] (M35.0)

salivary gland hyposecretion (K11.7)

R68.3   Clubbing of fingers

Clubbing of nails

Excludes:    congenital clubfinger (Q68.1)

congenital clubnail (Q84.6)

R68.8   Other specified general symptoms and signs

R69  Unknown and unspecified causes of morbidity

Illness NOS

Undiagnosed disease, not specified as to the site or system involved

Abnormal findings on examination of blood, without diagnosis (R70-R79)

Excludes:    abnormalities (of)(on):

• antenatal screening of mother (O28-)

• coagulation (D65-D68)

• lipids (E78-)

• platelets and thrombocytes (D69-)

• white blood cells classified elsewhere (D70-D72)

diagnostic abnormal findings classified elsewhere - see Alphabetical Index

haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

R70  Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity

R70.0   Elevated erythrocyte sedimentation rate

R70.1   Abnormal plasma viscosity

R71  Abnormality of red blood cells

Abnormal red-cell:

• morphology NOS

• volume NOS

Anisocytosis

Poikilocytosis

Excludes:    anaemias (D50-D64)

polycythaemia:

• benign (familial) (D75.0)

• neonatorum (P61.1)

• secondary (D75.1)

• vera (D45)

R72  Abnormality of white blood cells, not elsewhere classified

Abnormal leukocyte differential NOS

Excludes:    leukocytosis (D72.8)

R73  Elevated blood glucose level

Excludes:    diabetes mellitus (E10-E14)

• in pregnancy, childbirth and the puerperium (O24-)

neonatal disorders (P70.0-P70.2)

postsurgical hypoinsulinaemia (E89.1)

R73.0   Abnormal glucose tolerance test

Diabetes:

• chemical

• latent

Impaired glucose tolerance

Prediabetes

R73.9   Hyperglycaemia, unspecified

R74  Abnormal serum enzyme levels

R74.0   Elevation of levels of transaminase and lactic acid dehydrogenase [LDH]

R74.8   Abnormal levels of other serum enzymes

Abnormal level of:

• acid phosphatase

• alkaline phosphatase

• amylase

• lipase [triacylglycerol lipase]

R74.9   Abnormal level of unspecified serum enzyme

R75  Laboratory evidence of human immunodeficiency virus [HIV]

Nonconclusive HIV-test finding in infants

Excludes:    asymptomatic human immunodeficiency virus [HIV] infection status (^[i]Z21)

human immunodeficiency virus [HIV] disease (B20-B24)

human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7)

laboratory evidence of HIV complicating pregnancy, childbirth and puerperium (O98.7)

Includes:    HIV positive NOS

Non-conclusive HIV/test findings in infants

R76  Other abnormal immunological findings in serum

R76.0   Raised antibody titre

Excludes:    isoimmunization, in pregnancy (O36.0-O36.1)

• affecting fetus or newborn (P55-)

R76.1   Abnormal reaction to tuberculin test

Abnormal result of Mantoux test

R76.2   False-positive serological test for syphilis

False-positive Wassermann reaction

R76.8   Other specified abnormal immunological findings in serum

Raised level of immunoglobulins NOS

R76.9   Abnormal immunological finding in serum, unspecified

R77  Other abnormalities of plasma proteins

Excludes:    disorders of plasma-protein metabolism (E88.0)

R77.0   Abnormality of albumin

R77.1   Abnormality of globulin

Hyperglobulinaemia NOS

R77.2   Abnormality of alphafetoprotein

R77.8   Other specified abnormalities of plasma proteins

R77.9   Abnormality of plasma protein, unspecified

R78  Findings of drugs and other substances, not normally found in blood

Excludes:    mental and behavioural disorders due to psychoactive substance use (F10-F19)

R78.0   Finding of alcohol in blood

Use additional external cause code (Y90-), if desired, for detail regarding alcohol level.

R78.1   Finding of opiate drug in blood

R78.2   Finding of cocaine in blood

R78.3   Finding of hallucinogen in blood

R78.4   Finding of other drugs of addictive potential in blood

R78.5   Finding of psychotropic drug in blood

R78.6   Finding of steroid agent in blood

R78.7   Finding of abnormal level of heavy metals in blood

R78.8   Finding of other specified substances, not normally found in blood

Finding of abnormal level of lithium in blood

R78.9   Finding of unspecified substance, not normally found in blood

R79  Other abnormal findings of blood chemistry

Excludes:    abnormality of fluid, electrolyte or acid-base balance (E86-E87)

asymptomatic hyperuricaemia (E79.0)

hyperglycaemia NOS (R73.9)

hypoglycaemia NOS (E16.2)

• neonatal (P70.3-P70.4)

specific findings indicating disorder of:

• amino-acid metabolism (E70-E72)

• carbohydrate metabolism (E73-E74)

• lipid metabolism (E75-)

R79.0   Abnormal level of blood mineral

Abnormal blood level of:

• cobalt

• copper

• iron

• magnesium

• mineral NEC

• zinc

Excludes:    abnormal level of lithium (R78.8)

disorders of mineral metabolism (E83-)

neonatal hypomagnesaemia (P71.2)

nutritional mineral deficiency (E58-61)

R79.8   Other specified abnormal findings of blood chemistry

Abnormal blood-gas level

R79.9   Abnormal finding of blood chemistry, unspecified

Abnormal findings on examination of urine, without diagnosis (R80-R82)

Excludes:    abnormal findings on antenatal screening of mother (O28-)

diagnostic abnormal findings classified elsewhere - see Alphabetical Index

specific findings indicating disorder of:

• amino-acid metabolism (E70-E72)

• carbohydrate metabolism (E73-E74)

R80  Isolated proteinuria

Albuminuria NOS

Bence Jones proteinuria

Proteinuria NOS

Excludes:    proteinuria:

• gestational (O12.1)

• isolated, with specified morphological lesion (N06-)

• orthostatic (N39.2)

• persistent (N39.1)

R81  Glycosuria

Excludes:    renal glycosuria (E74.8)

R82  Other abnormal findings in urine

Excludes:    haematuria (R31)

R82.0   Chyluria

Excludes:    filarial chyluria (B74-)

R82.1   Myoglobinuria

R82.2   Biliuria

R82.3   Haemoglobinuria

Excludes:    haemoglobinuria:

• due to haemolysis from external causes NEC (D59.6)

• paroxysmal nocturnal [Marchiafava-Micheli] (D59.5)

R82.4   Acetonuria

Ketonuria

R82.5   Elevated urine levels of drugs, medicaments and biological substances

Elevated urine levels of:

• catecholamines

• indoleacetic acid

• 17-ketosteroids

• steroids

R82.6   Abnormal urine levels of substances chiefly nonmedicinal as to source

Abnormal urine level of heavy metals

R82.7   Abnormal findings on microbiological examination of urine

Positive culture findings

R82.8   Abnormal findings on cytological and histological examination of urine

R82.9   Other and unspecified abnormal findings in urine

Cells and casts in urine

Crystalluria

Melanuria

Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)

Excludes:    abnormal findings on:

• antenatal screening of mother (O28-)

• examination of:

• blood, without diagnosis (R70-R79)

• urine, without diagnosis (R80-R82)

diagnostic abnormal findings classified elsewhere - see Alphabetical Index

The following fourth-character subdivisions are for use with categories R83-R89:

.0       Abnormal level of enzymes

.1       Abnormal level of hormones

.2       Abnormal level of other drugs, medicaments and biological substances

.3       Abnormal level of substances chiefly nonmedicinal as to source

.4       Abnormal immunological findings

.5       Abnormal microbiological findings

Positive culture findings

.6       Abnormal cytological findings

Abnormal Papanicolaou smear

.7       Abnormal histological findings

.8       Other abnormal findings

Abnormal chromosomal findings

.9       Unspecified abnormal finding

R83  Abnormal findings in cerebrospinal fluid

[See before R83 for subdivisions]

R84  Abnormal findings in specimens from respiratory organs and thorax

[See before R83 for subdivisions]

Abnormal findings in:

• bronchial washings

• nasal secretions

• pleural fluid

• sputum

• throat scrapings

Excludes:    blood-stained sputum (R04.2)

R85  Abnormal findings in specimens from digestive organs and abdominal cavity

[See before R83 for subdivisions]

Abnormal findings in:

• peritoneal fluid

• saliva

Excludes:    faecal abnormalities (R19.5)

R86  Abnormal findings in specimens from male genital organs

[See before R83 for subdivisions]

Abnormal findings in:

• prostatic secretions

• semen, seminal fluid

Abnormal spermatozoa

Excludes:    azoospermia (N46)

oligospermia (N46)

R87  Abnormal findings in specimens from female genital organs

[See before R83 for subdivisions]

Abnormal findings in secretions and smears from:

• cervix uteri

• vagina

• vulva

Excludes:    carcinoma in situ (D05-D07.3)

dysplasia of:

• cervix uteri (N87-)

• vagina (N89.0-N89.3)

• vulva (N90.0-N90.3)

R89  Abnormal findings in specimens from other organs, systems and tissues

[See before R83 for subdivisions]

Abnormal findings in:

• nipple discharge

• synovial fluid

• wound secretions

Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

Includes:    nonspecific abnormal findings on diagnostic imaging by:

• computerized axial tomography [CAT scan]

• magnetic resonance imaging [MRI][NMR]

• positron emission tomography [PET scan]

• thermography

• ultrasound [echogram]

• X-ray examination

Excludes:    abnormal findings on antenatal screening of mother (O28-)

diagnostic abnormal findings classified elsewhere - see Alphabetical Index

R90  Abnormal findings on diagnostic imaging of central nervous system

R90.0   Intracranial space-occupying lesion

R90.8   Other abnormal findings on diagnostic imaging of central nervous system

Abnormal echoencephalogram

White matter disease NOS

R91  Abnormal findings on diagnostic imaging of lung

Coin lesion NOS

Lung mass NOS

R92  Abnormal findings on diagnostic imaging of breast

R93  Abnormal findings on diagnostic imaging of other body structures

R93.0   Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified

Excludes:    intracranial space-occupying lesion (R90.0)

R93.1   Abnormal findings on diagnostic imaging of heart and coronary circulation

Abnormal:

• echocardiogram NOS

• heart shadow

R93.2   Abnormal findings on diagnostic imaging of liver and biliary tract

Nonvisualization of gallbladder

R93.3   Abnormal findings on diagnostic imaging of other parts of digestive tract

R93.4   Abnormal findings on diagnostic imaging of urinary organs

Filling defect of:

• bladder

• kidney

• ureter

Excludes:    hypertrophy of kidney (N28.8)

R93.5   Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum

R93.6   Abnormal findings on diagnostic imaging of limbs

Excludes:    abnormal finding in skin and subcutaneous tissue (R93.8)

R93.7   Abnormal findings on diagnostic imaging of other parts of musculoskeletal system

Excludes:    abnormal findings on diagnostic imaging of skull (R93.0)

R93.8   Abnormal findings on diagnostic imaging of other specified body structures

Abnormal radiological finding in skin and subcutaneous tissue

Mediastinal shift

R94  Abnormal results of function studies

Includes:    abnormal results of:

• radionuclide [radioisotope] uptake studies

• scintigraphy

R94.0   Abnormal results of function studies of central nervous system

Abnormal electroencephalogram [EEG]

R94.1   Abnormal results of function studies of peripheral nervous system and special senses

Abnormal:

• electromyogram [EMG]

• electro-oculogram [EOG]

• electroretinogram [ERG]

• response to nerve stimulation

• visually evoked potential [VEP]

R94.2   Abnormal results of pulmonary function studies

Reduced:

• ventilatory capacity

• vital capacity

R94.3   Abnormal results of cardiovascular function studies

Abnormal:

• electrocardiogram [ECG][EKG]

• electrophysiological intracardiac studies

• phonocardiogram

• vectorcardiogram

R94.4   Abnormal results of kidney function studies

Abnormal renal function test

R94.5   Abnormal results of liver function studies

R94.6   Abnormal results of thyroid function studies

R94.7   Abnormal results of other endocrine function studies

Excludes:    abnormal glucose tolerance test (R73.0)

R94.8   Abnormal results of function studies of other organs and systems

Abnormal:

• basal metabolic rate [BMR]

• bladder function test

• splenic function test

Ill-defined and unknown causes of mortality (R95-R99)

Excludes:    fetal death of unspecified cause (P95)

obstetric death NOS (O95)

R95  Sudden infant death syndrome

R96  Other sudden death, cause unknown

Excludes:    sudden:

• cardiac death, so described (I46.1)

• infant death syndrome (R95)

R96.0   Instantaneous death

Sudden unexplained death in adult

Excludes:    Sudden death of known aetiology (A00.0-Q99.9, V01.0-Y89.9)

R96.1   Death occurring less than 24 hours from onset of symptoms, not otherwise explained

Death known not to be violent or instantaneous for which no cause can

be discovered

Death without sign of disease

R97  Unknown cause of mortality

R98  Unattended death

Death in circumstances where the body of the deceased was found and no cause could be discovered

Found dead

R99  Other ill-defined and unspecified causes of mortality

Excludes:    CREATED CODE R97 TO IDENTIFY CAUSE UNKNOWN

Death NOS

CHAPTER XIX - Injury, poisoning and certain other consequences of external causes (S00-T98)

Excludes:    birth trauma (P10-P15)

obstetric trauma (O70-O71)

This chapter contains the following blocks:

S00-S09       Injuries to the head

S10-S19       Injuries to the neck

S20-S29       Injuries to the thorax

S30-S39       Injuries to the abdomen, lower back, lumbar spine and pelvis

S40-S49       Injuries to the shoulder and upper arm

S50-S59       Injuries to the elbow and forearm

S60-S69       Injuries to the wrist and hand

S70-S79       Injuries to the hip and thigh

S80-S89       Injuries to the knee and lower leg

S90-S99       Injuries to the ankle and foot

T00-T07       Injuries involving multiple body regions

T08-T14       Injuries to unspecified parts of trunk, limb or body region

T15-T19       Effects of foreign body entering through natural orifice

T20-T32       Burns and corrosions

T33-T35       Frostbite

T36-T50       Poisoning by drugs, medicaments and biological substances

T51-T65       Toxic effects of substances chiefly nonmedicinal as to source

T66-T78       Other and unspecified effects of external causes

T79              Certain early complications of trauma

T80-T88       Complications of surgical and medical care, not elsewhere classified

T90-T98       Sequelae of injuries, of poisoning and of other consequences of external causes

The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to multiple or unspecified body regions as well as poisoning and certain other consequences of external causes.

Where multiple sites of injury are specified in the titles, the word "with" indicates involvement of both sites, and the word "and" indicates involvement of either or both sites.

The principle of multiple coding of injuries should be followed wherever possible. Combination categories for multiple injuries are provided for use when there is insufficient detail as to the nature of the individual conditions, or for primary tabulation purposes when it is more convenient to record a single code; otherwise, the component injuries should be coded separately. Reference should also be made to the morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

The blocks of the S-section as well as T00-T14 and T90-T98 contain injuries at the three-character level classified by type as follows:

Superficial injury including:

abrasion

blister (nonthermal)

contusion, including bruise and haematoma

injury from superficial foreign body (splinter) without major open wound

insect bite (nonvenomous)

Open wound including:

animal bite

cut

laceration

puncture wound:

• NOS

• with (penetrating) foreign body

Fracture including:

Fracture:

• closed:     

• comminuted          

• depressed           

• elevated            

• fissured            

• greenstick          

• impacted               with or without delayed healing

• linear              

• simple              

• slipped epiphysis   

• spiral              

• dislocated

• displaced

     Fracture:

     • open:

• compound            

• infected            

• missile                with or without delayed healing

• puncture            

• with foreign body   

Excludes:    fracture:

• pathological (M84.4)

    • with osteoporosis (M80-)

• stress (M84.3)

malunion of fracture (M84.0)

nonunion of fracture [pseudoarthrosis] (M84.1)

Dislocation, sprain and strain including:

avulsion laceration sprain strain traumatic: • haemarthrosis • rupture • subluxation • tear

of

cartilage joint (capsule) ligament

Injury to nerves and spinal cord including:

complete or incomplete lesion of spinal cord

lesion in continuity of nerves and spinal cord

traumatic:

• division of nerve

• haematomyelia

• paralysis (transient)

• paraplegia

• quadriplegia

Injury to blood vessels including:

avulsion                                

cut                                     

laceration                              

traumatic:                                 of blood vessels

• aneurysm or fistula (arteriovenous)   

• arterial haematoma                    

• rupture                               

Injury to muscle, fascia and tendon including:

avulsion            

cut                 

laceration             of muscle, fascia and tendon

strain              

traumatic rupture   

Crushing injury

Traumatic amputation

Injury to internal organs including:

blast injuries        

bruise                

concussion injuries   

crushing              

laceration            

traumatic:               of internal organs

• haematoma           

• puncture            

• rupture             

• tear                

Other and unspecified injuries

Injuries to the head (S00-S09)

Includes:    injuries of:

• ear

• eye

• face [any part]

• gum

• jaw

• temporomandibular joint area

• oral cavity

• palate

• periocular area

• scalp

• tongue

• tooth

Excludes:    burns and corrosions (T20-T32)

effects of foreign body:

• in:

   • ear (T16)

   • larynx (T17.3)

   • mouth (T18.0)

   • nose (T17.0-T17.1)

   • pharynx (T17.2)

• on external eye (T15-)

frostbite (T33-T35)

insect bite or sting, venomous (T63.4)

S00   Superficial injury of head

Excludes:    cerebral contusion (diffuse) (S06.2)

• focal (S06.3)

injury of eye and orbit (S05-)

S00.0   Superficial injury of scalp

S00.1   Contusion of eyelid and periocular area

Black eye

Excludes:    contusion of eyeball and orbital tissues (S05.1)

S00.2   Other superficial injuries of eyelid and periocular area

Excludes:    superficial injury of conjunctiva and cornea (S05.0)

S00.3   Superficial injury of nose

S00.4   Superficial injury of ear

S00.5   Superficial injury of lip and oral cavity

S00.7   Multiple superficial injuries of head

S00.8   Superficial injury of other parts of head

S00.9   Superficial injury of head, part unspecified

S01   Open wound of head

Excludes:    decapitation (S18)

injury of eye and orbit (S05-)

traumatic amputation of part of head (S08-)

S01.0   Open wound of scalp

Excludes:    avulsion of scalp (S08.0)

S01.1   Open wound of eyelid and periocular area

Open wound of eyelid and periocular area with or without involvement of lacrimal passages

S01.2   Open wound of nose

S01.3   Open wound of ear

S01.4   Open wound of cheek and temporomandibular area

S01.5   Open wound of lip and oral cavity

Excludes:    tooth:

• dislocation (S03.2)

• fracture (S02.5)

S01.7   Multiple open wounds of head

S01.8   Open wound of other parts of head

S01.9   Open wound of head, part unspecified

S02   Fracture of skull and facial bones

Note:          For primary coding of fracture of skull and facial bones with associated

intracranial injury, reference should be made to the morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

S02.0   Fracture of vault of skull

Frontal bone

Parietal bone

S02.1   Fracture of base of skull

Fossa:

• anterior

• middle

• posterior

Occiput

Orbital roof

Sinus:

• ethmoid

• frontal

Sphenoid

Temporal bone

Excludes:    orbit NOS (S02.8)

orbital floor (S02.3)

S02.2   Fracture of nasal bones

S02.3   Fracture of orbital floor

Excludes:    orbit NOS (S02.8)

orbital roof (S02.1)

S02.4   Fracture of malar and maxillary bones

Superior maxilla

Upper jaw (bone)

Zygoma

S02.5   Fracture of tooth

Broken tooth

S02.6   Fracture of mandible

Lower jaw (bone)

S02.7   Multiple fractures involving skull and facial bones

S02.8   Fractures of other skull and facial bones

Alveolus

Orbit NOS

Palate

Excludes:    orbital:

• floor (S02.3)

• roof (S02.1)

S02.9   Fracture of skull and facial bones, part unspecified

S03   Dislocation, sprain and strain of joints and ligaments of head

S03.0   Dislocation of jaw

Jaw (cartilage)(meniscus)

Mandible

Temporomandibular (joint)

S03.1   Dislocation of septal cartilage of nose

S03.2   Dislocation of tooth

S03.3   Dislocation of other and unspecified parts of head

S03.4   Sprain and strain of jaw

Temporomandibular (joint)(ligament)

S03.5   Sprain and strain of joints and ligaments of other and unspecified parts of head

S04   Injury of cranial nerves

S04.0   Injury of optic nerve and pathways

Optic chiasm

2nd cranial nerve

Visual cortex

S04.1   Injury of oculomotor nerve

3rd cranial nerve

S04.2   Injury of trochlear nerve

4th cranial nerve

S04.3   Injury of trigeminal nerve

5th cranial nerve

S04.4   Injury of abducent nerve

6th cranial nerve

S04.5   Injury of facial nerve

7th cranial nerve

S04.6   Injury of acoustic nerve

Auditory nerve

8th cranial nerve

S04.7   Injury of accessory nerve

11th cranial nerve

S04.8   Injury of other cranial nerves

Glossopharyngeal [9th] nerve

Hypoglossal [12th] nerve

Olfactory [1st] nerve

Vagus [10th] nerve

S04.9   Injury of unspecified cranial nerve

S05   Injury of eye and orbit

Excludes:    injury of:

• oculomotor [3rd] nerve (S04.1)

• optic [2nd] nerve (S04.0)

open wound of eyelid and periocular area (S01.1)

orbital bone fracture (S02.1, S02.3, S02.8)

superficial injury of eyelid (S00.1-S00.2)

S05.0   Injury of conjunctiva and corneal abrasion without mention of foreign body

Excludes:    foreign body in:

• conjunctival sac (T15.1)

• cornea (T15.0)

S05.1   Contusion of eyeball and orbital tissues

Traumatic hyphaema

Excludes:    black eye (S00.1)

contusion of eyelid and periocular area (S00.1)

S05.2   Ocular laceration and rupture with prolapse or loss of intraocular tissue

S05.3   Ocular laceration without prolapse or loss of intraocular tissue

Laceration of eye NOS

S05.4   Penetrating wound of orbit with or without foreign body

Excludes:    retained (old) foreign body following penetrating wound of orbit (H05.5)

S05.5   Penetrating wound of eyeball with foreign body

Excludes:    retained (old) intraocular foreign body (H44.6-H44.7)

S05.6   Penetrating wound of eyeball without foreign body

Ocular penetration NOS

S05.7   Avulsion of eye

Traumatic enucleation

S05.8   Other injuries of eye and orbit

Lacrimal duct injury

S05.9   Injury of eye and orbit, unspecified

Injury of eye NOS

S06   Intracranial injury

Note:          For primary coding of intracranial injuries with associated fractures, reference should be made to the morbidity coding rules and guidelines in Volume 2 or mortality coding rules and guidelines in Part 2a Instruction Manual (NCHS).

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify intracranial injury and open wound:

0 without open intracranial wound

1 with open intracranial wound

S06.0   Concussion

Commotio cerebri

S06.1   Traumatic cerebral oedema

S06.2   Diffuse brain injury

Cerebral:

• contusion NOS

• laceration NOS

Traumatic compression of brain NOS

S06.3   Focal brain injury

Focal:

• cerebral:

    • contusion

    • laceration

• traumatic intracerebral haemorrhage

S06.4   Epidural haemorrhage

Extradural haemorrhage (traumatic)

S06.5   Traumatic subdural haemorrhage

S06.6   Traumatic subarachnoid haemorrhage

S06.7   Intracranial injury with prolonged coma

S06.8   Other intracranial injuries

Traumatic haemorrhage:

• cerebellar

• intracranial NOS

S06.9   Intracranial injury, unspecified

Brain injury NOS

Excludes:    head injury NOS (S09.9)

S07   Crushing injury of head

S07.0   Crushing injury of face

S07.1   Crushing injury of skull

S07.8   Crushing injury of other parts of head

S07.9   Crushing injury of head, part unspecified

S08   Traumatic amputation of part of head

S08.0   Avulsion of scalp

S08.1   Traumatic amputation of ear

S08.8   Traumatic amputation of other parts of head

S08.9   Traumatic amputation of unspecified part of head

Excludes:    decapitation (S18)

S09   Other and unspecified injuries of head

S09.0   Injury of blood vessels of head, not elsewhere classified

Excludes:    injury of:

• cerebral blood vessels (S06-)

• precerebral blood vessels (S15-)

S09.1   Injury of muscle and tendon of head

S09.2   Traumatic rupture of ear drum

S09.7   Multiple injuries of head

Injuries classifiable to more than one of the categories S00-S09.2

S09.8   Other specified injuries of head

S09.9   Unspecified injury of head

Injury of:

• face NOS

• ear NOS

• nose NOS

Injuries to the neck (S10-S19)

Includes:    injuries of:

• nape

• supraclavicular region

• throat

Excludes:    burns and corrosions (T20-T32)

effects of foreign body in:

• larynx (T17.3)

• oesophagus (T18.1)

• pharynx (T17.2)

• trachea (T17.4)

fracture of spine NOS (T08)

frostbite (T33-T35)

injury of:

• spinal cord NOS (T09.3)

• trunk NOS (T09-)

insect bite or sting, venomous (T63.4)

S10   Superficial injury of neck

S10.0   Contusion of throat

Cervical oesophagus

Larynx

Pharynx

Trachea

S10.1   Other and unspecified superficial injuries of throat

S10.7   Multiple superficial injuries of neck

S10.8   Superficial injury of other parts of neck

S10.9   Superficial injury of neck, part unspecified

S11   Open wound of neck

Excludes:    decapitation (S18)

S11.0   Open wound involving larynx and trachea

Trachea:

• NOS

• cervical

Excludes:    thoracic trachea (S27.5)

S11.1   Open wound involving thyroid gland

S11.2   Open wound involving pharynx and cervical oesophagus

Excludes:    oesophagus NOS (S27.8)

S11.7   Multiple open wounds of neck

S11.8   Open wound of other parts of neck

S11.9   Open wound of neck, part unspecified

S12   Fracture of neck

Includes:    cervical:

• neural arch

• spine

• spinous process

• transverse process

• vertebra

• vertebral arch

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

S12.0   Fracture of first cervical vertebra

Atlas

S12.1   Fracture of second cervical vertebra

Axis

S12.2   Fracture of other specified cervical vertebra

Excludes:    multiple fractures of cervical spine (S12.7)

S12.7   Multiple fractures of cervical spine

S12.8   Fracture of other parts of neck

Hyoid bone

Larynx

Thyroid cartilage

Trachea

S12.9   Fracture of neck, part unspecified

Fracture of cervical:

• spine NOS

• vertebra NOS

S13   Dislocation, sprain and strain of joints and ligaments at neck level

Excludes:    rupture or displacement (nontraumatic) of cervical intervertebral disc (M50-)

S13.0   Traumatic rupture of cervical intervertebral disc

S13.1   Dislocation of cervical vertebra

Cervical spine NOS

S13.2   Dislocation of other and unspecified parts of neck

S13.3   Multiple dislocations of neck

S13.4   Sprain and strain of cervical spine

Anterior longitudinal (ligament), cervical

Atlanto-axial (joints)

Atlanto-occipital (joints)

Whiplash injury

S13.5   Sprain and strain of thyroid region

Cricoarytenoid (joint)(ligament)

Cricothyroid (joint)(ligament)

Thyroid cartilage

S13.6   Sprain and strain of joints and ligaments of other and unspecified parts of neck

S14   Injury of nerves and spinal cord at neck level

S14.0   Concussion and oedema of cervical spinal cord

S14.1   Other and unspecified injuries of cervical spinal cord

Injury of cervical spinal cord NOS

S14.2   Injury of nerve root of cervical spine

S14.3   Injury of brachial plexus

S14.4   Injury of peripheral nerves of neck

S14.5   Injury of cervical sympathetic nerves

S14.6   Injury of other and unspecified nerves of neck

S15   Injury of blood vessels at neck level

S15.0   Injury of carotid artery

Carotid artery (common) (external) (internal)

S15.1   Injury of vertebral artery

S15.2   Injury of external jugular vein

S15.3   Injury of internal jugular vein

S15.7   Injury of multiple blood vessels at neck level

S15.8   Injury of other blood vessels at neck level

S15.9   Injury of unspecified blood vessel at neck level

S16   Injury of muscle and tendon at neck level

S17   Crushing injury of neck

S17.0   Crushing injury of larynx and trachea

S17.8   Crushing injury of other parts of neck

S17.9   Crushing injury of neck, part unspecified

S18   Traumatic amputation at neck level

Decapitation

S19   Other and unspecified injuries of neck

S19.7   Multiple injuries of neck

Injuries classifiable to more than one of the categories S10-S18

S19.8   Other specified injuries of neck

S19.9   Unspecified injury of neck

Injuries to the thorax (S20-S29)

Includes:    injuries of:

• breast

• chest (wall)

• interscapular area

Excludes:    burns and corrosions (T20-T32)

effects of foreign body in:

• bronchus (T17.5)

• lung (T17.8)

• oesophagus (T18.1)

• trachea (T17.4)

fracture of spine NOS (T08)

frostbite (T33-T35)

injuries of:

• axilla            

• clavicle          

• scapular region      (S40-S49)

• shoulder          

• spinal cord NOS (T09.3)

• trunk NOS (T09-)

insect bite or sting, venomous (T63.4)

S20   Superficial injury of thorax

S20.0   Contusion of breast

S20.1   Other and unspecified superficial injuries of breast

S20.2   Contusion of thorax

S20.3   Other superficial injuries of front wall of thorax

S20.4   Other superficial injuries of back wall of thorax

S20.7   Multiple superficial injuries of thorax

S20.8   Superficial injury of other and unspecified parts of thorax

Thoracic wall NOS

S21   Open wound of thorax

Excludes:    traumatic:

• haemopneumothorax (S27.2)

• haemothorax (S27.1)

• pneumothorax (S27.0)

S21.0   Open wound of breast

S21.1   Open wound of front wall of thorax

S21.2   Open wound of back wall of thorax

S21.7   Multiple open wounds of thoracic wall

S21.8   Open wound of other parts of thorax

S21.9   Open wound of thorax, part unspecified

Thoracic wall NOS

S22   Fracture of rib(s), sternum and thoracic spine

Includes:    thoracic:

• neural arch

• spinous process

• transverse process

• vertebra

• vertebral arch

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    fracture of:

• clavicle (S42.0)

• scapula (S42.1)

S22.0   Fracture of thoracic vertebra

Fracture of thoracic spine NOS

S22.1   Multiple fractures of thoracic spine

S22.2   Fracture of sternum

S22.3   Fracture of rib

S22.4   Multiple fractures of ribs

S22.5   Flail chest

S22.8   Fracture of other parts of bony thorax

S22.9   Fracture of bony thorax, part unspecified

S23   Dislocation, sprain and strain of joints and ligaments of thorax

Excludes:    dislocation, sprain and strain of sterno-clavicular joint (S43.2, S43.6)

rupture or displacement (nontraumatic) of thoracic intervertebral disc (M51-)

S23.0   Traumatic rupture of thoracic intervertebral disc

S23.1   Dislocation of thoracic vertebra

Thoracic spine NOS

S23.2   Dislocation of other and unspecified parts of thorax

S23.3   Sprain and strain of thoracic spine

S23.4   Sprain and strain of ribs and sternum

S23.5   Sprain and strain of other and unspecified parts of thorax

S24   Injury of nerves and spinal cord at thorax level

Excludes:    injury of brachial plexus (S14.3)

S24.0   Concussion and oedema of thoracic spinal cord

S24.1   Other and unspecified injuries of thoracic spinal cord

S24.2   Injury of nerve root of thoracic spine

S24.3   Injury of peripheral nerves of thorax

S24.4   Injury of thoracic sympathetic nerves

Cardiac plexus

Oesophageal plexus

Pulmonary plexus

Stellate ganglion

Thoracic sympathetic ganglion

S24.5   Injury of other nerves of thorax

S24.6   Injury of unspecified nerve of thorax

S25   Injury of blood vessels of thorax

S25.0   Injury of thoracic aorta

Aorta NOS

S25.1   Injury of innominate or subclavian artery

S25.2   Injury of superior vena cava

Vena cava NOS

S25.3   Injury of innominate or subclavian vein

S25.4   Injury of pulmonary blood vessels

S25.5   Injury of intercostal blood vessels

S25.7   Injury of multiple blood vessels of thorax

S25.8   Injury of other blood vessels of thorax

Azygos vein

Mammary artery or vein

S25.9   Injury of unspecified blood vessel of thorax

S26   Injury of heart

Includes:

contusion laceration puncture traumatic rupture

of heart

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

0 without open wound into thoracic cavity

1 with open wound into thoracic cavity

S26.0   Injury of heart with haemopericardium

S26.8   Other injuries of heart

S26.9   Injury of heart, unspecified

S27   Injury of other and unspecified intrathoracic organs

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

0 without open wound into thoracic cavity

1 with open wound into thoracic cavity

Excludes:    injury of:

• cervical oesophagus (S10-S19)

• trachea (cervical) (S10-S19)

S27.0   Traumatic pneumothorax

S27.1   Traumatic haemothorax

S27.2   Traumatic haemopneumothorax

S27.3   Other injuries of lung

S27.4   Injury of bronchus

S27.5   Injury of thoracic trachea

S27.6   Injury of pleura

S27.7   Multiple injuries of intrathoracic organs

S27.8   Injury of other specified intrathoracic organs

Diaphragm

Lymphatic thoracic duct

Oesophagus (thoracic part)

Thymus gland

S27.9   Injury of unspecified intrathoracic organ

S28   Crushing injury of thorax and traumatic amputation of part of thorax

S28.0   Crushed chest

Excludes:    flail chest (S22.5)

S28.1   Traumatic amputation of part of thorax

Excludes:    transection of thorax (T05.8)

S29   Other and unspecified injuries of thorax

S29.0   Injury of muscle and tendon at thorax level

S29.7   Multiple injuries of thorax

Injuries classifiable to more than one of the categories S20-S29.0

S29.8   Other specified injuries of thorax

S29.9   Unspecified injury of thorax

Injuries to the abdomen, lower back, lumbar spine and pelvis (S30-S39)

Includes:    abdominal wall

anus

buttock

external genitalia

flank

groin

Excludes:    burns and corrosions (T20-T32)

effects of foreign body in:

• anus and rectum (T18.5)

• genitourinary tract (T19-)

• stomach, small intestine and colon (T18.2-T18.4)

fracture of spine NOS (T08)

frostbite (T33-T35)

injuries of:

• back NOS (T09-)

• spinal cord NOS (T09.3)

• trunk NOS (T09-)

insect bite or sting, venomous (T63.4)

S30   Superficial injury of abdomen, lower back and pelvis

Excludes:    superficial injury of hip (S70-)

S30.0   Contusion of lower back and pelvis

Buttock

S30.1   Contusion of abdominal wall

Flank

Groin

S30.2   Contusion of external genital organs

Labium (majus)(minus)

Penis

Perineum

Scrotum

Testis     

Vagina

Vulva

S30.7   Multiple superficial injuries of abdomen, lower back and pelvis

S30.8   Other superficial injuries of abdomen, lower back and pelvis

S30.9   Superficial injury of abdomen, lower back and pelvis, part unspecified

S31   Open wound of abdomen, lower back and pelvis

Excludes:    open wound of hip (S71.0)

traumatic amputation of part of abdomen, lower back and pelvis (S38.2-S38.3)

S31.0   Open wound of lower back and pelvis

Buttock

S31.1   Open wound of abdominal wall

Flank

Groin

S31.2   Open wound of penis

S31.3   Open wound of scrotum and testes

S31.4   Open wound of vagina and vulva

S31.5   Open wound of other and unspecified external genital organs

Excludes:    traumatic amputation of external genital organs (S38.2)

S31.7   Multiple open wounds of abdomen, lower back and pelvis

S31.8   Open wound of other and unspecified parts of abdomen

S32   Fracture of lumbar spine and pelvis

Includes:    lumbosacral:

• neural arch

• spinous process

• transverse process

• vertebra

• vertebral arch

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    fracture of hip NOS (S72.0)

S32.0   Fracture of lumbar vertebra

Fracture of lumbar spine

S32.1   Fracture of sacrum

S32.2   Fracture of coccyx

S32.3   Fracture of ilium

S32.4   Fracture of acetabulum

S32.5   Fracture of pubis

S32.7   Multiple fractures of lumbar spine and pelvis

S32.8   Fracture of other and unspecified parts of lumbar spine and pelvis

Fracture of:

• ischium

• lumbosacral spine NOS

• pelvis NOS

S33   Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis

Excludes:    dislocation, sprain and strain of joint and ligaments of hip (S73-)

obstetric damage to pelvic joints and ligaments (O71.6)

rupture or displacement (nontraumatic) of lumbar intervertebral disc (M51-)

S33.0   Traumatic rupture of lumbar intervertebral disc

S33.1   Dislocation of lumbar vertebra

Dislocation of lumbar spine NOS

S33.2   Dislocation of sacroiliac and sacrococcygeal joint

S33.3   Dislocation of other and unspecified parts of lumbar spine and pelvis

S33.4   Traumatic rupture of symphysis pubis

S33.5   Sprain and strain of lumbar spine

S33.6   Sprain and strain of sacroiliac joint

S33.7   Sprain and strain of other and unspecified parts of lumbar spine and pelvis

S34   Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level

S34.0   Concussion and oedema of lumbar spinal cord

S34.1   Other injury of lumbar spinal cord

S34.2   Injury of nerve root of lumbar and sacral spine

S34.3   Injury of cauda equina

S34.4   Injury of lumbosacral plexus

S34.5   Injury of lumbar, sacral and pelvic sympathetic nerves

Coeliac ganglion or plexus

Hypogastric plexus

Mesenteric plexus (inferior)(superior)

Splanchnic nerve

S34.6   Injury of peripheral nerve(s) of abdomen, lower back and pelvis

S34.8   Injury of other and unspecified nerves at abdomen, lower back and pelvis level

S35   Injury of blood vessels at abdomen, lower back and pelvis level

S35.0   Injury of abdominal aorta

Excludes:    aorta NOS (S25.0)

S35.1   Injury of inferior vena cava

Hepatic vein

Excludes:    vena cava NOS (S25.2)

S35.2   Injury of coeliac or mesenteric artery

Gastric artery

Gastroduodenal artery

Hepatic artery

Mesenteric artery (inferior)(superior)

Splenic artery

S35.3   Injury of portal or splenic vein

Mesenteric vein (inferior)(superior)

S35.4   Injury of renal blood vessels

Renal artery or vein

S35.5   Injury of iliac blood vessels

Hypogastric artery or vein

Iliac artery or vein

Uterine artery or vein

S35.7   Injury of multiple blood vessels at abdomen, lower back and pelvis level

S35.8   Injury of other blood vessels at abdomen, lower back and pelvis level

Ovarian artery or vein

S35.9   Injury of unspecified blood vessel at abdomen, lower back and pelvis level

S36   Injury of intra-abdominal organs

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

0 without open wound into cavity

1 with open wound into cavity

S36.0   Injury of spleen

S36.1   Injury of liver or gallbladder

Bile duct

S36.2   Injury of pancreas

S36.3   Injury of stomach

S36.4   Injury of small intestine

S36.5   Injury of colon

S36.6   Injury of rectum

S36.7   Injury of multiple intra-abdominal organs

S36.8   Injury of other intra-abdominal organs

Peritoneum

Retroperitoneum

S36.9   Injury of unspecified intra-abdominal organ

S37   Injury of urinary and pelvic organs

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

0 without open wound into cavity

1 with open wound into cavity

Excludes:    peritoneum and retroperitoneum (S36.8)

S37.0   Injury of kidney

S37.1   Injury of ureter

S37.2   Injury of bladder

S37.3   Injury of urethra

S37.4   Injury of ovary

S37.5   Injury of fallopian tube

S37.6   Injury of uterus

S37.7   Injury of multiple pelvic organs

S37.8   Injury of other pelvic organs

Adrenal gland

Prostate

Seminal vesicle

Vas deferens

Excludes:    Open wound of other and unspecified external genital organs (S31.5)

S37.9   Injury of unspecified pelvic organ

S38   Crushing injury and traumatic amputation of part of abdomen, lower back and pelvis

S38.0   Crushing injury of external genital organs

S38.1   Crushing injury of other and unspecified parts of abdomen, lower back and pelvis

S38.2   Traumatic amputation of external genital organs

Labium (majus)(minus)

Penis

Scrotum

Testis

Vulva

S38.3   Traumatic amputation of other and unspecified parts of abdomen, lower back and pelvis

Excludes:    transection of abdomen (T05.8)

S39   Other and unspecified injuries of abdomen, lower back and pelvis

S39.0   Injury of muscle and tendon of abdomen, lower back and pelvis

S39.6   Injury of intra-abdominal organ(s) with pelvic organ(s)

S39.7   Other multiple injuries of abdomen, lower back and pelvis

Injuries classifiable to more than one of the categories S30-S39.6

Excludes:    injuries in S36- with injuries in S37- (S39.6)

S39.8   Other specified injuries of abdomen, lower back and pelvis

S39.9   Unspecified injury of abdomen, lower back and pelvis

Injuries to the shoulder and upper arm (S40-S49)

Includes:    injuries of:

• axilla

• scapular region

Excludes:    bilateral involvement of shoulder and upper arm (T00-T07)

burns and corrosions (T20-T32)

frostbite (T33-T35)

injuries of:

• arm, level unspecified (T10-T11)

• elbow (S50-S59)

insect bite or sting, venomous (T63.4)

S40   Superficial injury of shoulder and upper arm

S40.0   Contusion of shoulder and upper arm

S40.7   Multiple superficial injuries of shoulder and upper arm

S40.8   Other superficial injuries of shoulder and upper arm

S40.9   Superficial injury of shoulder and upper arm, unspecified

S41   Open wound of shoulder and upper arm

Excludes:    traumatic amputation of shoulder and upper arm (S48-)

S41.0   Open wound of shoulder

S41.1   Open wound of upper arm

S41.7   Multiple open wounds of shoulder and upper arm

S41.8   Open wound of other and unspecified parts of shoulder girdle

S42   Fracture of shoulder and upper arm

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

S42.0   Fracture of clavicle

Clavicle:

• acromial end

• shaft

Collar bone

S42.1   Fracture of scapula

Acromial process

Acromion (process)

Scapula (body)(glenoid cavity)(neck)

Shoulder blade

S42.2   Fracture of upper end of humerus

Anatomical neck

Great tuberosity

Proximal end

Surgical neck

Upper epiphysis

S42.3   Fracture of shaft of humerus

Humerus NOS

Upper arm NOS

S42.4   Fracture of lower end of humerus

Articular process

Distal end

External condyle

Intercondylar

Internal epicondyle

Lower epiphysis

Supracondylar

Excludes:    fracture of elbow NOS (S52.0)

S42.7   Multiple fractures of clavicle, scapula and humerus

S42.8   Fracture of other parts of shoulder and upper arm

S42.9   Fracture of shoulder girdle, part unspecified

Fracture of shoulder NOS

S43   Dislocation, sprain and strain of joints and ligaments of shoulder girdle

S43.0   Dislocation of shoulder joint

Glenohumeral joint

S43.1   Dislocation of acromioclavicular joint

S43.2   Dislocation of sternoclavicular joint

S43.3   Dislocation of other and unspecified parts of shoulder girdle

Dislocation of shoulder girdle NOS

S43.4   Sprain and strain of shoulder joint

Coracohumeral (ligament)

Rotator cuff capsule

S43.5   Sprain and strain of acromioclavicular joint

Acromioclavicular ligament

S43.6   Sprain and strain of sternoclavicular joint

S43.7   Sprain and strain of other and unspecified parts of shoulder girdle

Sprain and strain of shoulder girdle NOS

S44   Injury of nerves at shoulder and upper arm level

Excludes:    injury of brachial plexus (S14.3)

S44.0   Injury of ulnar nerve at upper arm level

Excludes:    ulnar nerve NOS (S54.0)

S44.1   Injury of median nerve at upper arm level

Excludes:    median nerve NOS (S54.1)

S44.2   Injury of radial nerve at upper arm level

Excludes:    radial nerve NOS (S54.2)

S44.3   Injury of axillary nerve

S44.4   Injury of musculocutaneous nerve

S44.5   Injury of cutaneous sensory nerve at shoulder and upper arm level

S44.7   Injury of multiple nerves at shoulder and upper arm level

S44.8   Injury of other nerves at shoulder and upper arm level

S44.9   Injury of unspecified nerve at shoulder and upper arm level

S45   Injury of blood vessels at shoulder and upper arm level

Excludes:    injury of subclavian:

• artery (S25.1)

• vein (S25.3)

S45.0   Injury of axillary artery

S45.1   Injury of brachial artery

S45.2   Injury of axillary or brachial vein

S45.3   Injury of superficial vein at shoulder and upper arm level

S45.7   Injury of multiple blood vessels at shoulder and upper arm level

S45.8   Injury of other blood vessels at shoulder and upper arm level

S45.9   Injury of unspecified blood vessel at shoulder and upper arm level

S46   Injury of muscle and tendon at shoulder and upper arm level

Excludes:    injury of muscle and tendon at or below elbow (S56-)

S46.0   Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder

S46.1   Injury of muscle and tendon of long head of biceps

S46.2   Injury of muscle and tendon of other parts of biceps

S46.3   Injury of muscle and tendon of triceps

S46.7   Injury of multiple muscles and tendons at shoulder and upper arm level

S46.8   Injury of other muscles and tendons at shoulder and upper arm level

S46.9   Injury of unspecified muscle and tendon at shoulder and upper arm level

S47   Crushing injury of shoulder and upper arm

Excludes:    crushing injury of elbow (S57.0)

S48   Traumatic amputation of shoulder and upper arm

Excludes:    traumatic amputation:

• at elbow level (S58.0)

• of arm, level unspecified (T11.6)

S48.0   Traumatic amputation at shoulder joint

S48.1   Traumatic amputation at level between shoulder and elbow

S48.9   Traumatic amputation of shoulder and upper arm, level unspecified

S49   Other and unspecified injuries of shoulder and upper arm

S49.7   Multiple injuries of shoulder and upper arm

Injuries classifiable to more than one of the categories S40-S48

S49.8   Other specified injuries of shoulder and upper arm

S49.9   Unspecified injury of shoulder and upper arm

Injuries to the elbow and forearm (S50-S59)

Excludes:    bilateral involvement of elbow and forearm (T00-T07)

burns and corrosions (T20-T32)

frostbite (T33-T35)

injuries of:

• arm, level unspecified (T10-T11)

• wrist and hand (S60-S69)

insect bite or sting, venomous (T63.4)

S50   Superficial injury of forearm

Excludes:    superficial injury of wrist and hand (S60-)

S50.0   Contusion of elbow

S50.1   Contusion of other and unspecified parts of forearm

S50.7   Multiple superficial injuries of forearm

S50.8   Other superficial injuries of forearm

S50.9   Superficial injury of forearm, unspecified

Superficial injury of elbow NOS

S51   Open wound of forearm

Excludes:    open wound of wrist and hand (S61-)

traumatic amputation of forearm (S58-)

S51.0   Open wound of elbow

S51.7   Multiple open wounds of forearm

S51.8   Open wound of other parts of forearm

S51.9   Open wound of forearm, part unspecified

S52   Fracture of forearm

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    fracture at wrist and hand level (S62-)

S52.0   Fracture of upper end of ulna

Coronoid process

Elbow NOS

Monteggia fracture-dislocation

Olecranon process

Proximal end

S52.1   Fracture of upper end of radius

Head

Neck

Proximal end

S52.2   Fracture of shaft of ulna

S52.3   Fracture of shaft of radius

S52.4   Fracture of shafts of both ulna and radius

S52.5   Fracture of lower end of radius

Colles fracture

Smith fracture

S52.6   Fracture of lower end of both ulna and radius

S52.7   Multiple fractures of forearm

Excludes:    fractures of both ulna and radius:

• lower end (S52.6)

• shafts (S52.4)

S52.8   Fracture of other parts of forearm

Lower end of ulna

Head of ulna

S52.9   Fracture of forearm, part unspecified

S53   Dislocation, sprain and strain of joints and ligaments of elbow

S53.0   Dislocation of radial head

Radiohumeral joint

Excludes:    Monteggia fracture-dislocation (S52.0)

S53.1   Dislocation of elbow, unspecified

Ulnohumeral joint

Excludes:    dislocation of radial head alone (S53.0)

S53.2   Traumatic rupture of radial collateral ligament

S53.3   Traumatic rupture of ulnar collateral ligament

S53.4   Sprain and strain of elbow

S54   Injury of nerves at forearm level

Excludes:    injury of nerves at wrist and hand level (S64-)

S54.0   Injury of ulnar nerve at forearm level

Ulnar nerve NOS

S54.1   Injury of median nerve at forearm level

Median nerve NOS

S54.2   Injury of radial nerve at forearm level

Radial nerve NOS

S54.3   Injury of cutaneous sensory nerve at forearm level

S54.7   Injury of multiple nerves at forearm level

S54.8   Injury of other nerves at forearm level

S54.9   Injury of unspecified nerve at forearm level

S55   Injury of blood vessels at forearm level

Excludes:    injury of:

• blood vessels at wrist and hand level (S65-)

• brachial vessels (S45.1-S45.2)

S55.0   Injury of ulnar artery at forearm level

S55.1   Injury of radial artery at forearm level

S55.2   Injury of vein at forearm level

S55.7   Injury of multiple blood vessels at forearm level

S55.8   Injury of other blood vessels at forearm level

S55.9   Injury of unspecified blood vessel at forearm level

S56   Injury of muscle and tendon at forearm level

Excludes:    injury of muscle and tendon at or below wrist (S66-)

S56.0   Injury of flexor muscle and tendon of thumb at forearm level

S56.1   Injury of long flexor muscle and tendon of other finger(s) at forearm level

S56.2   Injury of other flexor muscle and tendon at forearm level

S56.3   Injury of extensor or abductor muscles and tendons of thumb at forearm level

S56.4   Injury of extensor muscle and tendon of other finger(s) at forearm level

S56.5   Injury of other extensor muscle and tendon at forearm level

S56.7   Injury of multiple muscles and tendons at forearm level

S56.8   Injury of other and unspecified muscles and tendons at forearm level

S57   Crushing injury of forearm

Excludes:    crushing injury of wrist and hand (S67-)

S57.0   Crushing injury of elbow

S57.8   Crushing injury of other parts of forearm

S57.9   Crushing injury of forearm, part unspecified

S58   Traumatic amputation of forearm

Excludes:    traumatic amputation of wrist and hand (S68-)

S58.0   Traumatic amputation at elbow level

S58.1   Traumatic amputation at level between elbow and wrist

S58.9   Traumatic amputation of forearm, level unspecified

S59   Other and unspecified injuries of forearm

Excludes:    other and unspecified injuries of wrist and hand (S69-)

S59.7   Multiple injuries of forearm

Injuries classifiable to more than one of the categories S50-S58

S59.8   Other specified injuries of forearm

S59.9   Unspecified injury of forearm

Injuries to the wrist and hand (S60-S69)

Excludes:    bilateral involvement of wrist and hand (T00-T07)

burns and corrosions (T20-T32)

frostbite (T33-T35)

injuries of arm, level unspecified (T10-T11)

insect bite or sting, venomous (T63.4)

S60   Superficial injury of wrist and hand

S60.0   Contusion of finger(s) without damage to nail

Contusion of finger(s) NOS

Excludes:    contusion involving nail (matrix) (S60.1)

S60.1   Contusion of finger(s) with damage to nail

S60.2   Contusion of other parts of wrist and hand

S60.7   Multiple superficial injuries of wrist and hand

S60.8   Other superficial injuries of wrist and hand

S60.9   Superficial injury of wrist and hand, unspecified

S61   Open wound of wrist and hand

Excludes:    traumatic amputation of wrist and hand (S68-)

S61.0   Open wound of finger(s) without damage to nail

Open wound of finger(s) NOS

Excludes:    open wound involving nail (matrix) (S61.1)

S61.1   Open wound of finger(s) with damage to nail

S61.7   Multiple open wounds of wrist and hand

S61.8   Open wound of other parts of wrist and hand

S61.9   Open wound of wrist and hand, part unspecified

S62   Fracture at wrist and hand level

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    fracture of distal parts of ulna and radius (S52-)

S62.0   Fracture of navicular [scaphoid] bone of hand

S62.1   Fracture of other carpal bone(s)

Capitate [os magnum]

Hamate [unciform]

Lunate [semilunar]

Pisiform

Trapezium [greater multangular]

Trapezoid [lesser multangular]

Triquetrum [cuneiform of carpus]

S62.2   Fracture of first metacarpal bone

Bennett fracture

S62.3   Fracture of other metacarpal bone

S62.4   Multiple fractures of metacarpal bones

S62.5   Fracture of thumb

S62.6   Fracture of other finger

S62.7   Multiple fractures of fingers

S62.8   Fracture of other and unspecified parts of wrist and hand

S63   Dislocation, sprain and strain of joints and ligaments at wrist and hand level

S63.0   Dislocation of wrist

Carpal (bone)

Carpometacarpal (joint)

Metacarpal (bone), proximal end

Midcarpal (joint)

Radiocarpal (joint)

Radioulnar (joint), distal

Radius, distal end

Ulna, distal end

S63.1   Dislocation of finger

Interphalangeal (joint), hand

Metacarpal (bone), distal end

Metacarpophalangeal (joint)

Phalanx, hand

Thumb

S63.2   Multiple dislocations of fingers

S63.3   Traumatic rupture of ligament of wrist and carpus

Collateral, wrist

Radiocarpal (ligament)

Ulnocarpal (palmar)

S63.4   Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s)

Collateral

Palmar

Volar plate

S63.5   Sprain and strain of wrist

Carpal (joint)

Radiocarpal (joint) (ligament)

S63.6   Sprain and strain of finger(s)

Interphalangeal (joint), hand

Metacarpophalangeal (joint)

Phalanx, hand

Thumb

S63.7   Sprain and strain of other and unspecified parts of hand

S64   Injury of nerves at wrist and hand level

S64.0   Injury of ulnar nerve at wrist and hand level

S64.1   Injury of median nerve at wrist and hand level

S64.2   Injury of radial nerve at wrist and hand level

S64.3   Injury of digital nerve of thumb

S64.4   Injury of digital nerve of other finger

S64.7   Injury of multiple nerves at wrist and hand level

S64.8   Injury of other nerves at wrist and hand level

S64.9   Injury of unspecified nerve at wrist and hand level

S65   Injury of blood vessels at wrist and hand level

S65.0   Injury of ulnar artery at wrist and hand level

S65.1   Injury of radial artery at wrist and hand level

S65.2   Injury of superficial palmar arch

S65.3   Injury of deep palmar arch

S65.4   Injury of blood vessel(s) of thumb

S65.5   Injury of blood vessel(s) of other finger

S65.7   Injury of multiple blood vessels at wrist and hand level

S65.8   Injury of other blood vessels at wrist and hand level

S65.9   Injury of unspecified blood vessel at wrist and hand level

S66   Injury of muscle and tendon at wrist and hand level

S66.0   Injury of long flexor muscle and tendon of thumb at wrist and hand level

S66.1   Injury of flexor muscle and tendon of other finger at wrist and hand level

S66.2   Injury of extensor muscle and tendon of thumb at wrist and hand level

S66.3   Injury of extensor muscle and tendon of other finger at wrist and hand level

S66.4   Injury of intrinsic muscle and tendon of thumb at wrist and hand level

S66.5   Injury of intrinsic muscle and tendon of other finger at wrist and hand level

S66.6   Injury of multiple flexor muscles and tendons at wrist and hand level

S66.7   Injury of multiple extensor muscles and tendons at wrist and hand level

S66.8   Injury of other muscles and tendons at wrist and hand level

S66.9   Injury of unspecified muscle and tendon at wrist and hand level

S67   Crushing injury of wrist and hand

S67.0   Crushing injury of thumb and other finger(s)

S67.8   Crushing injury of other and unspecified parts of wrist and hand

S68   Traumatic amputation of wrist and hand

S68.0   Traumatic amputation of thumb (complete)(partial)

S68.1   Traumatic amputation of other single finger (complete)(partial)

S68.2   Traumatic amputation of two or more fingers alone (complete)(partial)

S68.3   Combined traumatic amputation of (part of) finger(s) with other parts of wrist and hand

S68.4   Traumatic amputation of hand at wrist level

S68.8   Traumatic amputation of other parts of wrist and hand

S68.9   Traumatic amputation of wrist and hand, level unspecified

S69   Other and unspecified injuries of wrist and hand

S69.7   Multiple injuries of wrist and hand

Injuries classifiable to more than one of the categories S60-S68

S69.8   Other specified injuries of wrist and hand

S69.9   Unspecified injury of wrist and hand

Injuries to the hip and thigh (S70-S79)

Excludes:    bilateral involvement of hip and thigh (T00-T07)

burns and corrosions (T20-T32)

frostbite (T33-T35)

injuries of leg, level unspecified (T12-T13)

insect bite or sting, venomous (T63.4)

S70   Superficial injury of hip and thigh

S70.0   Contusion of hip

S70.1   Contusion of thigh

S70.7   Multiple superficial injuries of hip and thigh

S70.8   Other superficial injuries of hip and thigh

S70.9   Superficial injury of hip and thigh, unspecified

S71   Open wound of hip and thigh

Excludes:    traumatic amputation of hip and thigh (S78-)

S71.0   Open wound of hip

S71.1   Open wound of thigh

S71.7   Multiple open wounds of hip and thigh

S71.8   Open wound of other and unspecified parts of pelvic girdle

S72   Fracture of femur

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

S72.0   Fracture of neck of femur

Fracture of hip NOS

S72.1   Pertrochanteric fracture

Intertrochanteric fracture

Trochanteric fracture

S72.2   Subtrochanteric fracture

S72.3   Fracture of shaft of femur

S72.4   Fracture of lower end of femur

S72.7   Multiple fractures of femur

S72.8   Fractures of other parts of femur

S72.9   Fracture of femur, part unspecified

S73   Dislocation, sprain and strain of joint and ligaments of hip

S73.0   Dislocation of hip

S73.1   Sprain and strain of hip

S74   Injury of nerves at hip and thigh level

S74.0   Injury of sciatic nerve at hip and thigh level

S74.1   Injury of femoral nerve at hip and thigh level

S74.2   Injury of cutaneous sensory nerve at hip and thigh level

S74.7   Injury of multiple nerves at hip and thigh level

S74.8   Injury of other nerves at hip and thigh level

S74.9   Injury of unspecified nerve at hip and thigh level

S75   Injury of blood vessels at hip and thigh level

Excludes:    popliteal artery (S85.0)

S75.0   Injury of femoral artery

S75.1   Injury of femoral vein at hip and thigh level

S75.2   Injury of greater saphenous vein at hip and thigh level

Excludes:    greater saphenous vein NOS (S85.3)

S75.7   Injury of multiple blood vessels at hip and thigh level

S75.8   Injury of other blood vessels at hip and thigh level

S75.9   Injury of unspecified blood vessel at hip and thigh level

S76   Injury of muscle and tendon at hip and thigh level

S76.0   Injury of muscle and tendon of hip

S76.1   Injury of quadriceps muscle and tendon

Patellar ligament (tendon)

S76.2   Injury of adductor muscle and tendon of thigh

S76.3   Injury of muscle and tendon of the posterior muscle group at thigh level

S76.4   Injury of other and unspecified muscles and tendons at thigh level

S76.7   Injury of multiple muscles and tendons at hip and thigh level

S77   Crushing injury of hip and thigh

S77.0   Crushing injury of hip

S77.1   Crushing injury of thigh

S77.2   Crushing injury of hip with thigh

S78   Traumatic amputation of hip and thigh

Excludes:    traumatic amputation of lower limb, level unspecified (T13.6)

S78.0   Traumatic amputation at hip joint

S78.1   Traumatic amputation at level between hip and knee

S78.9   Traumatic amputation of hip and thigh, level unspecified

S79   Other and unspecified injuries of hip and thigh

S79.7   Multiple injuries of hip and thigh

Injuries classifiable to more than one of the categories S70-S78

S79.8   Other specified injuries of hip and thigh

S79.9   Unspecified injury of hip and thigh

Injuries to the knee and lower leg (S80-S89)

Includes:    fracture of ankle and malleolus

Excludes:    bilateral involvement of knee and lower leg (T00-T07)

burns and corrosions (T20-T32)

frostbite (T33-T35)

injuries of:

• ankle and foot, except fracture of ankle and malleolus (S90-S99)

• leg, level unspecified (T12-T13)

insect bite or sting, venomous (T63.4)

S80   Superficial injury of lower leg

Excludes:    superficial injury of ankle and foot (S90-)

S80.0   Contusion of knee

S80.1   Contusion of other and unspecified parts of lower leg

S80.7   Multiple superficial injuries of lower leg

S80.8   Other superficial injuries of lower leg

S80.9   Superficial injury of lower leg, unspecified

S81   Open wound of lower leg

Excludes:    open wound of ankle and foot (S91-)

traumatic amputation of lower leg (S88-)

S81.0   Open wound of knee

S81.7   Multiple open wounds of lower leg

S81.8   Open wound of other parts of lower leg

S81.9   Open wound of lower leg, part unspecified

S82   Fracture of lower leg, including ankle

Includes:    malleolus

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    fracture of foot, except ankle (S92-)

S82.0   Fracture of patella

Knee cap

S82.1   Fracture of upper end of tibia

Tibial:

• condyles       

• head              with or without mention of fracture of

• plateau            fibula

• proximal end   

• tuberosity     

S82.2   Fracture of shaft of tibia

With or without mention of fracture of fibula

S82.3   Fracture of lower end of tibia

With or without mention of fracture of fibula

Excludes:    medial malleolus (S82.5)

S82.4   Fracture of fibula alone

Excludes:    lateral malleolus (S82.6)

S82.5   Fracture of medial malleolus

Tibia involving:

• ankle

• malleolus

S82.6   Fracture of lateral malleolus

Fibula involving:

• ankle

• malleolus

S82.7   Multiple fractures of lower leg

Excludes:    fractures of both tibia and fibula:

• lower end (S82.3)

• shafts (S82.2)

• upper end (S82.1)

S82.8   Fractures of other parts of lower leg

Fracture (of):

• ankle NOS

• bimalleolar

• trimalleolar

S82.9   Fracture of lower leg, part unspecified

S83   Dislocation, sprain and strain of joints and ligaments of knee

Excludes:    derangement of:

• knee, internal (M23-)

• patella (M22.0-M22.3)

dislocation of knee:

• old (M24.3)

• pathological (M24.3)

• recurrent (M24.4)

S83.0   Dislocation of patella

S83.1   Dislocation of knee

Tibiofibular (joint)

S83.2   Tear of meniscus, current

Bucket-handle tear (of):

• NOS

• lateral meniscus

• medial meniscus

Excludes:    old bucket-handle tear (M23.2)

S83.3   Tear of articular cartilage of knee, current

S83.4   Sprain and strain involving (fibular)(tibial) collateral ligament of knee

S83.5   Sprain and strain involving (anterior)(posterior) cruciate ligament of knee

S83.6   Sprain and strain of other and unspecified parts of knee

Tibiofibular joint and ligament, superior

Excludes:    sprain of patellar ligament (S76.1)

S83.7   Injury to multiple structures of knee

Injury to (lateral)(medial) meniscus in combination with (collateral)(cruciate) ligaments

S84   Injury of nerves at lower leg level

Excludes:    injury of nerves at ankle and foot level (S94-)

S84.0   Injury of tibial nerve at lower leg level

S84.1   Injury of peroneal nerve at lower leg level

S84.2   Injury of cutaneous sensory nerve at lower leg level

S84.7   Injury of multiple nerves at lower leg level

S84.8   Injury of other nerves at lower leg level

S84.9   Injury of unspecified nerve at lower leg level

S85   Injury of blood vessels at lower leg level

Excludes:    injury of blood vessels at ankle and foot level (S95-)

S85.0   Injury of popliteal artery

S85.1   Injury of (anterior)(posterior) tibial artery

S85.2   Injury of peroneal artery

S85.3   Injury of greater saphenous vein at lower leg level

Greater saphenous vein NOS

S85.4   Injury of lesser saphenous vein at lower leg level

S85.5   Injury of popliteal vein

S85.7   Injury of multiple blood vessels at lower leg level

S85.8   Injury of other blood vessels at lower leg level

S85.9   Injury of unspecified blood vessel at lower leg level

S86   Injury of muscle and tendon at lower leg level

Excludes:    injury of:

• muscle and tendon at or below ankle (S96-)

• patellar ligament (S76.1)

S86.0   Injury of Achilles tendon

S86.1   Injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level

S86.2   Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level

S86.3   Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level

S86.7   Injury of multiple muscles and tendons at lower leg level

S86.8   Injury of other muscles and tendons at lower leg level

S86.9   Injury of unspecified muscle and tendon at lower leg level

S87   Crushing injury of lower leg

Excludes:    crushing injury of ankle and foot (S97-)

S87.0   Crushing injury of knee

S87.8   Crushing injury of other and unspecified parts of lower leg

S88   Traumatic amputation of lower leg

Excludes:    traumatic amputation of:

• ankle and foot (S98-)

• leg, level unspecified (T13.6)

S88.0   Traumatic amputation at knee level

S88.1   Traumatic amputation at level between knee and ankle

S88.9   Traumatic amputation of lower leg, level unspecified

S89   Other and unspecified injuries of lower leg

Excludes:    other and unspecified injuries of ankle and foot (S99-)

S89.7   Multiple injuries of lower leg

Injuries classifiable to more than one of the categories S80-S88

S89.8   Other specified injuries of lower leg

S89.9   Unspecified injury of lower leg

Injuries to the ankle and foot (S90-S99)

Excludes:    bilateral involvement of ankle and foot (T00-T07)

burns and corrosions (T20-T32)

fracture of ankle and malleolus (S82-)

frostbite (T33-T35)

injuries of leg, level unspecified (T12-T13)

insect bite or sting, venomous (T63.4)

S90   Superficial injury of ankle and foot

S90.0   Contusion of ankle

S90.1   Contusion of toe(s) without damage to nail

Contusion of toe(s) NOS

S90.2   Contusion of toe(s) with damage to nail

S90.3   Contusion of other and unspecified parts of foot

S90.7   Multiple superficial injuries of ankle and foot

S90.8   Other superficial injuries of ankle and foot

S90.9   Superficial injury of ankle and foot, unspecified

S91   Open wound of ankle and foot

Excludes:    traumatic amputation of ankle and foot (S98-)

S91.0   Open wound of ankle

S91.1   Open wound of toe(s) without damage to nail

Open wound of toe(s) NOS

S91.2   Open wound of toe(s) with damage to nail

S91.3   Open wound of other parts of foot

Open wound of foot NOS

S91.7   Multiple open wounds of ankle and foot

S92   Fracture of foot, except ankle

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple cause coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    ankle (S82-)

malleolus (S82-)

S92.0   Fracture of calcaneus

Heel bone

Os calcis

S92.1   Fracture of talus

Astragalus

S92.2   Fracture of other tarsal bone(s)

Cuboid

Cuneiform, foot (intermediate)(lateral)(medial)

Navicular, foot

S92.3   Fracture of metatarsal bone

S92.4   Fracture of great toe

S92.5   Fracture of other toe

S92.7   Multiple fractures of foot

S92.9   Fracture of foot, unspecified

S93   Dislocation, sprain and strain of joints and ligaments at ankle and foot level

S93.0   Dislocation of ankle joint

Astragalus

Fibula, lower end

Talus

Tibia, lower end

S93.1   Dislocation of toe(s)

Interphalangeal (joint(s))

Metatarsophalangeal (joint(s))

S93.2   Rupture of ligaments at ankle and foot level

S93.3   Dislocation of other and unspecified parts of foot

Navicular, foot

Tarsal (joint(s))

Tarsometatarsal (joint(s))

S93.4   Sprain and strain of ankle

Calcaneofibular (ligament)

Deltoid (ligament)

Internal collateral (ligament)

Talofibular (ligament)

Tibiofibular (ligament), distal

Excludes:    injury of Achilles tendon (S86.0)

S93.5   Sprain and strain of toe(s)

Interphalangeal (joint(s))

Metatarsophalangeal (joint(s))

S93.6   Sprain and strain of other and unspecified parts of foot

Tarsal (ligament)

Tarsometatarsal (ligament)

S94   Injury of nerves at ankle and foot level

S94.0   Injury of lateral plantar nerve

S94.1   Injury of medial plantar nerve

S94.2   Injury of deep peroneal nerve at ankle and foot level

Terminal, lateral branch of deep peroneal nerve

S94.3   Injury of cutaneous sensory nerve at ankle and foot level

S94.7   Injury of multiple nerves at ankle and foot level

S94.8   Injury of other nerves at ankle and foot level

S94.9   Injury of unspecified nerve at ankle and foot level

S95   Injury of blood vessels at ankle and foot level

Excludes:    injury of posterior tibial artery and vein (S85-)

S95.0   Injury of dorsal artery of foot

S95.1   Injury of plantar artery of foot

S95.2   Injury of dorsal vein of foot

S95.7   Injury of multiple blood vessels at ankle and foot level

S95.8   Injury of other blood vessels at ankle and foot level

S95.9   Injury of unspecified blood vessel at ankle and foot level

S96   Injury of muscle and tendon at ankle and foot level

Excludes:    injury of Achilles tendon (S86.0)

S96.0   Injury of muscle and tendon of long flexor muscle of toe at ankle and foot level

S96.1   Injury of muscle and tendon of long extensor muscle of toe at ankle and foot level

S96.2   Injury of intrinsic muscle and tendon at ankle and foot level

S96.7   Injury of multiple muscles and tendons at ankle and foot level

S96.8   Injury of other muscles and tendons at ankle and foot level

S96.9   Injury of unspecified muscle and tendon at ankle and foot level

S97   Crushing injury of ankle and foot

S97.0   Crushing injury of ankle

S97.1   Crushing injury of toe(s)

S97.8   Crushing injury of other parts of ankle and foot

Crushing injury of foot NOS

S98   Traumatic amputation of ankle and foot

S98.0   Traumatic amputation of foot at ankle level

S98.1   Traumatic amputation of one toe

S98.2   Traumatic amputation of two or more toes

S98.3   Traumatic amputation of other parts of foot

Combined traumatic amputation of toe(s) and other parts of foot

S98.4   Traumatic amputation of foot, level unspecified

S99   Other and unspecified injuries of ankle and foot

S99.7   Multiple injuries of ankle and foot

Injuries classifiable to more than one of the categories S90-S98

S99.8   Other specified injuries of ankle and foot

S99.9   Unspecified injury of ankle and foot

Injuries involving multiple body regions (T00-T07)

Includes:    bilateral involvement of limbs of the same body region

injuries by type involving two or more body regions classifiable within S00-S99

Excludes:    burns and corrosions (T20-T32)

frostbite (T33-T35)

insect bite or sting, venomous (T63.4)

multiple injuries involving only one body region - see S-section

sunburn (L55-)

T00   Superficial injuries involving multiple body regions

T00.0   Superficial injuries involving head with neck

Superficial injuries of sites classifiable to S00- and S10-

Excludes:    with involvement of other body region(s) (T00.8)

T00.1   Superficial injuries involving thorax with abdomen, lower back and pelvis

Superficial injuries of sites classifiable to S20-, S30- and T09.0

Excludes:    with involvement of other body region(s) (T00.8)

T00.2   Superficial injuries involving multiple regions of upper limb(s)

Superficial injuries of sites classifiable to S40-, S50-, S60- and T11.0

Excludes:    with involvement of:

• lower limb(s) (T00.6)

• thorax, abdomen, lower back and pelvis (T00.8)

T00.3   Superficial injuries involving multiple regions of lower limb(s)

Superficial injuries of sites classifiable to S70-, S80-, S90- and T13.0

Excludes:    with involvement of:

• thorax, abdomen, lower back and pelvis (T00.8)

• upper limb(s) (T00.6)

T00.6   Superficial injuries involving multiple regions of upper limb(s) with lower limb(s)

Superficial injuries of sites classifiable to T00.2 and T00.3

Excludes:    with involvement of thorax, abdomen, lower back and pelvis (T00.8)

T00.8   Superficial injuries involving other combinations of body regions

T00.9   Multiple superficial injuries, unspecified

Multiple:

• abrasions                    

• blisters (nonthermal)        

• bruises                      

• contusions                      NOS

• haematomas                   

• insect bites (nonvenomous)   

T01   Open wounds involving multiple body regions

Excludes:    traumatic amputations involving multiple body regions (T05-)

T01.0   Open wounds involving head with neck

Open wounds of sites classifiable to S01- and S11-

Excludes:    with involvement of other body region(s) (T01.8)

T01.1   Open wounds involving thorax with abdomen, lower back and pelvis

Open wounds of sites classifiable to S21-, S31- and T09.1

Excludes:    with involvement of other body region(s) (T01.8)

T01.2   Open wounds involving multiple regions of upper limb(s)

Open wounds of sites classifiable to S41-, S51-, S61- and T11.1

Excludes:    with involvement of:

• lower limb(s) (T01.6)

• thorax, abdomen, lower back and pelvis (T01.8)

T01.3   Open wounds involving multiple regions of lower limb(s)

Open wounds of sites classifiable to S71-, S81-, S91- and T13.1

Excludes:    with involvement of:

• thorax, abdomen, lower back and pelvis (T01.8)

• upper limb(s) (T01.6)

T01.6   Open wounds involving multiple regions of upper limb(s) with lower limb(s)

Open wounds of sites classifiable to T01.2 and T01.3

Excludes:    with involvement of thorax, abdomen, lower back and pelvis (T01.8)

T01.8   Open wounds involving other combinations of body regions

T01.9   Multiple open wounds, unspecified

Multiple:

• animal bites      

• cuts              

• lacerations          NOS

• puncture wounds   

T02   Fractures involving multiple body regions

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

T02.0   Fractures involving head with neck

Fractures of sites classifiable to S02- and S12-

Excludes:    with involvement of other body region(s) (T02.8)

T02.1   Fractures involving thorax with lower back and pelvis

Fractures of sites classifiable to S22-, S32- and T08

Excludes:    when combined with fractures of:

• limb(s) (T02.7)

• other body region(s) (T02.8)

T02.2   Fractures involving multiple regions of one upper limb

Fractures of sites classifiable to S42-, S52-, S62- and T10 of one upper limb

Excludes:    when combined with fractures of:

• lower limb(s) (T02.6)

• other upper limb (T02.4)

• thorax, lower back and pelvis (T02.7)

T02.3   Fractures involving multiple regions of one lower limb

Fractures of sites classifiable to S72-, S82-, S92- and T12 of one lower limb

Excludes:    when combined with fractures of:

• other lower limb (T02.5)

• thorax, lower back and pelvis (T02.7)

• upper limb(s) (T02.6)

T02.4   Fractures involving multiple regions of both upper limbs

Fractures of sites classifiable to S42-, S52-, S62- and T10 specified as bilateral

Excludes:    when combined with fractures of:

• lower limb(s) (T02.6)

• thorax, lower back and pelvis (T02.7)

T02.5   Fractures involving multiple regions of both lower limbs

Fractures of sites classifiable to S72-, S82-, S92- and T12 specified as bilateral

Excludes:    when combined with fractures of:

• thorax, lower back and pelvis (T02.7)

• upper limb(s) (T02.6)

T02.6   Fractures involving multiple regions of upper limb(s) with lower limb(s)

Excludes:    when combined with fractures of thorax, lower back and pelvis (T02.7)

T02.7   Fractures involving thorax with lower back and pelvis with limb(s)

T02.8   Fractures involving other combinations of body regions

T02.9   Multiple fractures, unspecified

T03   Dislocations, sprains and strains involving multiple body regions

T03.0   Dislocations, sprains and strains involving head with neck

Dislocations, sprains and strains of sites classifiable to S03- and S13-

Excludes:    when combined with dislocations, sprains and strains of other body region(s) (T03.8)

T03.1   Dislocations, sprains and strains involving thorax with lower back and pelvis

Dislocations, sprains and strains of sites classifiable to S23-, S33- and T09.2

Excludes:    when combined with dislocations, sprains and strains of other body region(s) (T03.8)

T03.2   Dislocations, sprains and strains involving multiple regions of upper limb(s)

Dislocations, sprains and strains of sites classifiable to S43-, S53-, S63- and T11.2

Excludes:    when combined with dislocations, sprains and strains of:

• lower limb(s) (T03.4)

• thorax, lower back and pelvis (T03.8)

T03.3   Dislocations, sprains and strains involving multiple regions of lower limb(s)

Dislocations, sprains and strains of sites classifiable to S73-, S83-, S93- and T13.2

Excludes:    when combined with dislocations, sprains and strains of:

• thorax, lower back and pelvis (T03.8)

• upper limb(s) (T03.4)

T03.4   Dislocations, sprains and strains involving multiple regions of upper limb(s) with lower limb(s)

Excludes:    when combined with dislocations, sprains and strains of thorax, lower back and pelvis (T03.8)

T03.8   Dislocations, sprains and strains involving other combinations of body regions

T03.9   Multiple dislocations, sprains and strains, unspecified

T04   Crushing injuries involving multiple body regions

T04.0   Crushing injuries involving head with neck

Crushing injuries of sites classifiable to S07- and S17-

Excludes:    with involvement of other body region(s) (T04.8)

T04.1   Crushing injuries involving thorax with abdomen, lower back and pelvis

Crushing injury of:

• sites classifiable to S28- and S38-

• trunk NOS

Excludes:    with involvement of:

• limbs (T04.7)

• other body regions (T04.8)

T04.2   Crushing injuries involving multiple regions of upper limb(s)

Crushing injury of:

• sites classifiable to S47-, S57- and S67-

• upper limb NOS

Excludes:    with involvement of:

• lower limb(s) (T04.4)

• thorax, abdomen, lower back and pelvis (T04.7)

T04.3   Crushing injuries involving multiple regions of lower limb(s)

Crushing injury of:

• lower limb NOS

• sites classifiable to S77-, S87- and S97-

Excludes:    with involvement of:

• thorax, abdomen, lower back and pelvis (T04.7)

• upper limb(s) (T04.4)

T04.4   Crushing injuries involving multiple regions of upper limb(s) with lower limb(s)

Excludes:    with involvement of thorax, abdomen, lower back and pelvis (T04.7)

T04.7   Crushing injuries of thorax with abdomen, lower back and pelvis with limb(s)

T04.8   Crushing injuries involving other combinations of body regions

T04.9   Multiple crushing injuries, unspecified

T05   Traumatic amputations involving multiple body regions

Includes:    avulsion involving multiple body regions

Excludes:    decapitation (S18)

open wounds involving multiple body regions (T01-)

traumatic amputation of:

• arm NOS (T11.6)

• leg NOS (T13.6)

• trunk NOS (T09.6)

T05.0   Traumatic amputation of both hands

T05.1   Traumatic amputation of one hand and other arm [any level, except hand]

T05.2   Traumatic amputation of both arms [any level]

T05.3   Traumatic amputation of both feet

T05.4   Traumatic amputation of one foot and other leg [any level, except foot]

T05.5   Traumatic amputation of both legs [any level]

T05.6   Traumatic amputation of upper and lower limbs, any combination [any level]

T05.8   Traumatic amputations involving other combinations of body regions

Transection of:

• abdomen

• thorax

T05.9   Multiple traumatic amputations, unspecified

T06   Other injuries involving multiple body regions, not elsewhere classified

T06.0   Injuries of brain and cranial nerves with injuries of nerves and spinal cord at neck level

Injuries classifiable to S04- and S06- with injuries classifiable to S14-

T06.1   Injuries of nerves and spinal cord involving other multiple body regions

T06.2   Injuries of nerves involving multiple body regions

Multiple injuries of nerves NOS

Excludes:    with spinal cord involvement (T06.0-T06.1)

T06.3   Injuries of blood vessels involving multiple body regions

T06.4   Injuries of muscles and tendons involving multiple body regions

T06.5   Injuries of intrathoracic organs with intra-abdominal and pelvic organs

T06.8   Other specified injuries involving multiple body regions

T07   Unspecified multiple injuries

Excludes:    injury NOS (T14.9)

Injuries to unspecified part of trunk, limb or body region (T08-T14)

Excludes:    burns and corrosions (T20-T32)

frostbite (T33-T35)

injuries involving multiple body regions (T00-T07)

insect bite or sting, venomous (T63.4)

T08   Fracture of spine, level unspecified

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    multiple fractures of spine, level unspecified (T02.1)

T09   Other injuries of spine and trunk, level unspecified

Excludes:    crushing injury of trunk NOS (T04.1)

multiple injuries of trunk (T00-T06)

transection of trunk (T05.8)

T09.0   Superficial injury of trunk, level unspecified

T09.1   Open wound of trunk, level unspecified

T09.2   Dislocation, sprain and strain of unspecified joint and ligament of trunk

T09.3   Injury of spinal cord, level unspecified

T09.4   Injury of unspecified nerve, spinal nerve root and plexus of trunk

T09.5   Injury of unspecified muscle and tendon of trunk

T09.6   Traumatic amputation of trunk, level unspecified

T09.8   Other specified injuries of trunk, level unspecified

T09.9   Unspecified injury of trunk, level unspecified

T10   Fracture of upper limb, level unspecified

Broken arm NOS

Fracture of arm NOS

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    multiple fractures of arm, level unspecified (T02-)

T11   Other injuries of upper limb, level unspecified

Excludes:    crushing injury of upper limb NOS (T04.2)

fracture of upper limb, level unspecified (T10)

injuries involving multiple body regions (T00-T06)

T11.0   Superficial injury of upper limb, level unspecified

T11.1   Open wound of upper limb, level unspecified

T11.2   Dislocation, sprain and strain of unspecified joint and ligament of upper limb, level unspecified

T11.3   Injury of unspecified nerve of upper limb, level unspecified

T11.4   Injury of unspecified blood vessel of upper limb, level unspecified

T11.5   Injury of unspecified muscle and tendon of upper limb, level unspecified

T11.6   Traumatic amputation of upper limb, level unspecified

Traumatic amputation of arm NOS

T11.8   Other specified injuries of upper limb, level unspecified

T11.9   Unspecified injury of upper limb, level unspecified

Injury of arm NOS

T12   Fracture of lower limb, level unspecified

Broken leg NOS

Fracture of leg NOS

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Excludes:    multiple fractures of leg, level unspecified (T02-)

T13   Other injuries of lower limb, level unspecified

Excludes:    crushing injury of lower limb NOS (T04.3)

fracture of lower limb, level unspecified (T12)

injuries involving multiple body regions (T00-T06)

T13.0   Superficial injury of lower limb, level unspecified

T13.1   Open wound of lower limb, level unspecified

T13.2   Dislocation, sprain and strain of unspecified joint and ligament of lower limb, level unspecified

T13.3   Injury of unspecified nerve of lower limb, level unspecified

T13.4   Injury of unspecified blood vessel of lower limb, level unspecified

T13.5   Injury of unspecified muscle and tendon of lower limb, level unspecified

T13.6   Traumatic amputation of lower limb, level unspecified

Traumatic amputation of leg NOS

T13.8   Other specified injuries of lower limb, level unspecified

T13.9   Unspecified injury of lower limb, level unspecified

Injury of leg NOS

T14   Injury of unspecified body region

Excludes:    injuries involving multiple body regions (T00-T07)

T14.0   Superficial injury of unspecified body region

  Abrasion                                                                   

  Blister (nonthermal)                                                       

  Bruise                                                                     

  Contusion                                                                  

  Haematoma                                                                     NOS

  Injury from superficial foreign body (splinter) without major open wound   

  Insect bite (nonvenomous)                                                  

  Superficial injury                                                         

Excludes:    multiple superficial injuries NOS (T00.9)

T14.1   Open wound of unspecified body region

  Animal bite                                      

  Cut                                              

  Laceration                                          NOS

  Open wound                                       

  Puncture wound with (penetrating) foreign body   

Excludes:    multiple:

• open wounds NOS (T01.9)

• traumatic amputations NOS (T05.9)

traumatic amputation NOS (T14.7)

T14.2   Fracture of unspecified body region

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

0 closed

1 open

Fracture:

• NOS

• closed NOS

• dislocated NOS

• displaced NOS

• open NOS

Excludes:    multiple fractures NOS (T02.9)

T14.3   Dislocation, sprain and strain of unspecified body region

Avulsion Laceration Sprain Strain Traumatic:  • haemarthrosis  • rupture  • subluxation  • tear

of

joint (capsule) ligament

NOS

Excludes:    multiple dislocations, sprains and strains NOS (T03.9)

T14.4   Injury of nerve(s) of unspecified body region

  Injury of nerve           

  Traumatic:                

• division of nerve          NOS

• haematomyelia           

• paralysis (transient)   

Excludes:    multiple injuries of nerves NOS (T06.2)

T14.5   Injury of blood vessel(s) of unspecified body region

  Avulsion                                  

  Cut                                       

  Injury                                    

  Laceration                                

  Traumatic:                                   of blood vessel(s) NOS

• aneurysm or fistula (arteriovenous)   

• arterial haematoma                    

• rupture                               

Excludes:    multiple injuries of blood vessels NOS (T06.3)

T14.6   Injury of muscles and tendons of unspecified body region

  Avulsion            

  Cut                 

  Injury              

  Laceration             of muscle(s) NOS and tendon(s) NOS

  Sprain              

  Strain              

  Traumatic rupture   

Excludes:    multiple injuries of tendons and muscles NOS (T06.4)

T14.7   Crushing injury and traumatic amputation of unspecified body region

Crushing injury NOS

Traumatic amputation NOS

Excludes:    multiple:

• crushing injuries NOS (T04.9)

• traumatic amputations NOS (T05.9)

T14.8   Other injuries of unspecified body region

T14.9   Injury, unspecified

Excludes:    multiple injuries NOS (T07)

Effects of foreign body entering through natural orifice (T15-T19)

Excludes:    foreign body:

• accidentally left in operation wound (T81.5)

• in puncture wound - see open wound by body region

• residual, in soft tissue (M79.5)

splinter, without major open wound - see superficial injury by body region

T15   Foreign body on external eye

Excludes:    foreign body in penetrating wound of:

• orbit and eyeball (S05.4-S05.5)

• retained (old) (H05.5, H44.6-H44.7)

retained foreign body in eyelid (H02.8)

T15.0   Foreign body in cornea

T15.1   Foreign body in conjunctival sac

T15.8   Foreign body in other and multiple parts of external eye

Foreign body in lacrimal punctum

T15.9   Foreign body on external eye, part unspecified

T16   Foreign body in ear

Auditory canal

T17   Foreign body in respiratory tract

Includes:    asphyxia due to foreign body

choked on:

• food (regurgitated)

• phlegm

inhalation of liquid or vomitus NOS

T17.0   Foreign body in nasal sinus

T17.1   Foreign body in nostril

Nose NOS

T17.2   Foreign body in pharynx

Nasopharynx

Throat NOS

T17.3   Foreign body in larynx

T17.4   Foreign body in trachea

T17.5   Foreign body in bronchus

T17.8   Foreign body in other and multiple parts of respiratory tract

Bronchioles

Lung

T17.9   Foreign body in respiratory tract, part unspecified

T18   Foreign body in alimentary tract

Excludes:    foreign body in pharynx (T17.2)

T18.0   Foreign body in mouth

T18.1   Foreign body in oesophagus

T18.2   Foreign body in stomach

T18.3   Foreign body in small intestine

T18.4   Foreign body in colon

T18.5   Foreign body in anus and rectum

Rectosigmoid (junction)

T18.8   Foreign body in other and multiple parts of alimentary tract

T18.9   Foreign body in alimentary tract, part unspecified

Digestive system NOS

Swallowed foreign body NOS

T19   Foreign body in genitourinary tract

Excludes:    contraceptive device (intrauterine)(vaginal):

• mechanical complication of (T83.3)

• presence of (^[i]Z97.5)

T19.0   Foreign body in urethra

T19.1   Foreign body in bladder

T19.2   Foreign body in vulva and vagina

T19.3   Foreign body in uterus [any part]

T19.8   Foreign body in other and multiple parts of genitourinary tract

T19.9   Foreign body in genitourinary tract, part unspecified

Burns and corrosions (T20-T32)

Includes:    burns (thermal) from:

• electrical heating appliances

• electricity

• flame

• friction

• hot air and hot gases

• hot objects

• lightning

• radiation

chemical burns [corrosions] (external)(internal)

scalds

Excludes:    erythema [dermatitis] ab igne (L59.0)

radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

sunburn (L55-)

Burns and corrosions of external body surface, specified by site (T20-T25)

Includes:    burns and corrosions of:

• first degree [erythema]

• second degree [blisters] [epidermal loss]

• third degree [deep necrosis of underlying tissue] [full-thickness skin loss]

T20   Burn and corrosion of head and neck

Includes:    ear [any part]

eye with other parts of face, head and neck

lip

nose (septum)

scalp [any part]

temple (region)

Excludes:    burn and corrosion (of):

• confined to eye and adnexa (T26-)

• mouth and pharynx (T28-)

T20.0   Burn of unspecified degree of head and neck

T20.1   Burn of first degree of head and neck

T20.2   Burn of second degree of head and neck

T20.3   Burn of third degree of head and neck

T20.4   Corrosion of unspecified degree of head and neck

T20.5   Corrosion of first degree of head and neck

T20.6   Corrosion of second degree of head and neck

T20.7   Corrosion of third degree of head and neck

T21   Burn and corrosion of trunk

Includes:    abdominal wall

anus

back [any part]

breast

buttock

chest wall

flank

groin

interscapular region

labium (majus)(minus)

penis

perineum

scrotum

testis

vulva

Excludes:    burn and corrosion of:

• axilla (T22-)

• scapular region (T22-)

T21.0   Burn of unspecified degree of trunk

T21.1   Burn of first degree of trunk

T21.2   Burn of second degree of trunk

T21.3   Burn of third degree of trunk

T21.4   Corrosion of unspecified degree of trunk

T21.5   Corrosion of first degree of trunk

T21.6   Corrosion of second degree of trunk

T21.7   Corrosion of third degree of trunk

T22   Burn and corrosion of shoulder and upper limb, except wrist and hand

Includes:    arm [any part, except wrist and hand alone]

axilla

scapular region

Excludes:    burn and corrosion of:

• interscapular region (T21-)

• wrist and hand alone (T23-)

T22.0   Burn of unspecified degree of shoulder and upper limb, except wrist and hand

T22.1   Burn of first degree of shoulder and upper limb, except wrist and hand

T22.2   Burn of second degree of shoulder and upper limb, except wrist and hand

T22.3   Burn of third degree of shoulder and upper limb, except wrist and hand

T22.4   Corrosion of unspecified degree of shoulder and upper limb, except wrist and hand

T22.5   Corrosion of first degree of shoulder and upper limb, except wrist and hand

T22.6   Corrosion of second degree of shoulder and upper limb, except wrist and hand

T22.7   Corrosion of third degree of shoulder and upper limb, except wrist and hand

T23   Burn and corrosion of wrist and hand

Includes:    finger (nail)

palm

thumb (nail)

T23.0   Burn of unspecified degree of wrist and hand

T23.1   Burn of first degree of wrist and hand

T23.2   Burn of second degree of wrist and hand

T23.3   Burn of third degree of wrist and hand

T23.4   Corrosion of unspecified degree of wrist and hand

T23.5   Corrosion of first degree of wrist and hand

T23.6   Corrosion of second degree of wrist and hand

T23.7   Corrosion of third degree of wrist and hand

T24   Burn and corrosion of hip and lower limb, except ankle and foot

Includes:    leg [any part, except ankle and foot alone]

Excludes:    burn and corrosion of ankle and foot alone (T25-)

T24.0   Burn of unspecified degree of hip and lower limb, except ankle and foot

T24.1   Burn of first degree of hip and lower limb, except ankle and foot

T24.2   Burn of second degree of hip and lower limb, except ankle and foot

T24.3   Burn of third degree of hip and lower limb, except ankle and foot

T24.4   Corrosion of unspecified degree of hip and lower limb, except ankle and foot

T24.5   Corrosion of first degree of hip and lower limb, except ankle and foot

T24.6   Corrosion of second degree of hip and lower limb, except ankle and foot

T24.7   Corrosion of third degree of hip and lower limb, except ankle and foot

T25   Burn and corrosion of ankle and foot

Includes:    toe(s)

T25.0   Burn of unspecified degree of ankle and foot

T25.1   Burn of first degree of ankle and foot

T25.2   Burn of second degree of ankle and foot

T25.3   Burn of third degree of ankle and foot

T25.4   Corrosion of unspecified degree of ankle and foot

T25.5   Corrosion of first degree of ankle and foot

T25.6   Corrosion of second degree of ankle and foot

T25.7   Corrosion of third degree of ankle and foot

Burns and corrosions confined to eye and internal organs (T26-T28)

T26   Burn and corrosion confined to eye and adnexa

T26.0   Burn of eyelid and periocular area

T26.1   Burn of cornea and conjunctival sac

T26.2   Burn with resulting rupture and destruction of eyeball

T26.3   Burn of other parts of eye and adnexa

T26.4   Burn of eye and adnexa, part unspecified

T26.5   Corrosion of eyelid and periocular area

T26.6   Corrosion of cornea and conjunctival sac

T26.7   Corrosion with resulting rupture and destruction of eyeball

T26.8   Corrosion of other parts of eye and adnexa

T26.9   Corrosion of eye and adnexa, part unspecified

T27   Burn and corrosion of respiratory tract

T27.0   Burn of larynx and trachea

T27.1   Burn involving larynx and trachea with lung

Excludes:    blast injury syndrome (T70.8)

T27.2   Burn of other parts of respiratory tract

Thoracic cavity

T27.3   Burn of respiratory tract, part unspecified

T27.4   Corrosion of larynx and trachea

T27.5   Corrosion involving larynx and trachea with lung

T27.6   Corrosion of other parts of respiratory tract

T27.7   Corrosion of respiratory tract, part unspecified

T28   Burn and corrosion of other internal organs

T28.0   Burn of mouth and pharynx

T28.1   Burn of oesophagus

T28.2   Burn of other parts of alimentary tract

T28.3   Burn of internal genitourinary organs

T28.4   Burn of other and unspecified internal organs

T28.5   Corrosion of mouth and pharynx

T28.6   Corrosion of oesophagus

T28.7   Corrosion of other parts of alimentary tract

T28.8   Corrosion of internal genitourinary organs

T28.9   Corrosion of other and unspecified internal organs

Burns and corrosions of multiple and unspecified body regions (T29-T32)

T29   Burns and corrosions of multiple body regions

Includes:    burns and corrosions classifiable to more than one of the categories T20-T28

T29.0   Burns of multiple regions, unspecified degree

Multiple burns NOS

T29.1   Burns of multiple regions, no more than first-degree burns mentioned

T29.2   Burns of multiple regions, no more than second-degree burns mentioned

T29.3   Burns of multiple regions, at least one burn of third degree mentioned

T29.4   Corrosions of multiple regions, unspecified degree

Multiple corrosions NOS

T29.5   Corrosions of multiple regions, no more than first-degree corrosions mentioned

T29.6   Corrosions of multiple regions, no more than second-degree corrosions mentioned

T29.7   Corrosions of multiple regions, at least one corrosion of third degree mentioned

T30   Burn and corrosion, body region unspecified

Excludes:    burn and corrosion with statement of the extent of body surface involved (T31-T32)

T30.0   Burn of unspecified body region, unspecified degree

Burn NOS

T30.1   Burn of first degree, body region unspecified

First-degree burn NOS

T30.2   Burn of second degree, body region unspecified

Second-degree burn NOS

T30.3   Burn of third degree, body region unspecified

Third-degree burn NOS

T30.4   Corrosion of unspecified body region, unspecified degree

Corrosion NOS

T30.5   Corrosion of first degree, body region unspecified

First-degree corrosion NOS

T30.6   Corrosion of second degree, body region unspecified

Second-degree corrosion NOS

T30.7   Corrosion of third degree, body region unspecified

Third-degree corrosion NOS

T31   Burns classified according to extent of body surface involved

Note:          This category is to be used as the primary code only when the site of the burn is unspecified. It may be used as a supplementary code, if desired, with categories (T20-T25, T29)when the site is specified.

T31.0   Burns involving less than 10% of body surface

T31.1   Burns involving 10-19% of body surface

T31.2   Burns involving 20-29% of body surface

T31.3   Burns involving 30-39% of body surface

T31.4   Burns involving 40-49% of body surface

T31.5   Burns involving 50-59% of body surface

T31.6   Burns involving 60-69% of body surface

T31.7   Burns involving 70-79% of body surface

T31.8   Burns involving 80-89% of body surface

T31.9   Burns involving 90% or more of body surface

T32   Corrosions classified according to extent of body surface involved

Note:          This category is to be used as the primary code only when the site of the corrosion is unspecified. It may be used as a supplementary code, if desired, with categories (T20-T25, T29) when the site is specified.

T32.0   Corrosions involving less than 10% of body surface

T32.1   Corrosions involving 10-19% of body surface

T32.2   Corrosions involving 20-29% of body surface

T32.3   Corrosions involving 30-39% of body surface

T32.4   Corrosions involving 40-49% of body surface

T32.5   Corrosions involving 50-59% of body surface

T32.6   Corrosions involving 60-69% of body surface

T32.7   Corrosions involving 70-79% of body surface

T32.8   Corrosions involving 80-89% of body surface

T32.9   Corrosions involving 90% or more of body surface

Frostbite (T33-T35)

Excludes:    hypothermia and other effects of reduced temperature (T68-T69)

T33   Superficial frostbite

Includes:    frostbite with partial-thickness skin loss

Excludes:    superficial frostbite involving multiple body regions (T35.0)

T33.0   Superficial frostbite of head

T33.1   Superficial frostbite of neck

T33.2   Superficial frostbite of thorax

T33.3   Superficial frostbite of abdominal wall, lower back and pelvis

T33.4   Superficial frostbite of arm

Excludes:    superficial frostbite of wrist and hand alone (T33.5)

T33.5   Superficial frostbite of wrist and hand

T33.6   Superficial frostbite of hip and thigh

T33.7   Superficial frostbite of knee and lower leg

Excludes:    superficial frostbite of ankle and foot alone (T33.8)

T33.8   Superficial frostbite of ankle and foot

T33.9   Superficial frostbite of other and unspecified sites

Superficial frostbite (of):

• NOS

• leg NOS

• trunk NOS

T34   Frostbite with tissue necrosis

Excludes:    frostbite with tissue necrosis involving multiple body regions (T35.1)

T34.0   Frostbite with tissue necrosis of head

T34.1   Frostbite with tissue necrosis of neck

T34.2   Frostbite with tissue necrosis of thorax

T34.3   Frostbite with tissue necrosis of abdominal wall, lower back and pelvis

T34.4   Frostbite with tissue necrosis of arm

Excludes:    frostbite with tissue necrosis of wrist and hand alone (T34.5)

T34.5   Frostbite with tissue necrosis of wrist and hand

T34.6   Frostbite with tissue necrosis of hip and thigh

T34.7   Frostbite with tissue necrosis of knee and lower leg

Excludes:    frostbite with tissue necrosis of ankle and foot alone (T34.8)

T34.8   Frostbite with tissue necrosis of ankle and foot

T34.9   Frostbite with tissue necrosis of other and unspecified sites

Frostbite with tissue necrosis (of):

• NOS

• leg NOS

• trunk NOS

T35   Frostbite involving multiple body regions and unspecified frostbite

T35.0   Superficial frostbite involving multiple body regions

Multiple superficial frostbite NOS

T35.1   Frostbite with tissue necrosis involving multiple body regions

Multiple frostbite with tissue necrosis NOS

T35.2   Unspecified frostbite of head and neck

T35.3   Unspecified frostbite of thorax, abdomen, lower back and pelvis

Frostbite of trunk NOS

T35.4   Unspecified frostbite of upper limb

T35.5   Unspecified frostbite of lower limb

T35.6   Unspecified frostbite involving multiple body regions

Multiple frostbite NOS

T35.7   Unspecified frostbite of unspecified site

Frostbite NOS

Poisoning by drugs, medicaments and biological substances (T36-T50)

Includes:    overdose of these substances

wrong substance given or taken in error

Excludes:    abuse of non-dependence-producing substances (F55)

adverse effects ["hypersensitivity", "reaction", etc.] of correct substance properly administered; such cases are to be classified according to the nature of the adverse effect, such as:

• aspirin gastritis (K29-)

• blood disorders (D50-D76)

• dermatitis:

    • contact (L23-L25)

    • due to substances taken internally (L27-)

• nephropathy (N14.0-N14.2)

• unspecified adverse effect of drug (T88.7)

drug reaction and poisoning affecting the fetus and newborn (P00-P96)

intoxication meaning inebriation (F10-F19)

pathological drug intoxication (F10-F19)

T36   Poisoning by systemic antibiotics

Excludes:    antibiotics:

• antineoplastic (T45.1)

• locally applied NEC (T49.0)

• topically used for:

   • ear, nose and throat (T49.6)

   • eye (T49.5)

T36.0   Penicillins

T36.1   Cefalosporins and other β-lactam antibiotics

T36.2   Chloramphenicol group

T36.3   Macrolides

T36.4   Tetracyclines

T36.5   Aminoglycosides

Streptomycin

T36.6   Rifamycins

T36.7   Antifungal antibiotics, systemically used

T36.8   Other systemic antibiotics

T36.9   Systemic antibiotic, unspecified

T37   Poisoning by other systemic anti-infectives and antiparasitics

Excludes:    anti-infectives:

• locally applied NEC (T49.0)

• topically used (for):

    • ear, nose and throat (T49.6)

    • eye (T49.5)

T37.0   Sulfonamides

T37.1   Antimycobacterial drugs

Excludes:    rifamycins (T36.6)

streptomycin (T36.5)

T37.2   Antimalarials and drugs acting on other blood protozoa

Excludes:    hydroxyquinoline derivatives (T37.8)

T37.3   Other antiprotozoal drugs

T37.4   Anthelminthics

T37.5   Antiviral drugs

Excludes:    amantadine (T42.8)

cytarabine (T45.1)

T37.8   Other specified systemic anti-infectives and antiparasitics

Hydroxyquinoline derivatives

Excludes:    antimalarial drugs (T37.2)

T37.9   Systemic anti-infective and antiparasitic, unspecified

T38   Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere classified

Excludes:    mineralocorticoids and their antagonists (T50.0)

oxytocic hormones (T48.0)

parathyroid hormones and derivatives (T50.9)

T38.0   Glucocorticoids and synthetic analogues

Excludes:    glucocorticoids, topically used (T49-)

T38.1   Thyroid hormones and substitutes

T38.2   Antithyroid drugs

T38.3   Insulin and oral hypoglycaemic [antidiabetic] drugs

T38.4   Oral contraceptives

Multiple-and single-ingredient preparations

T38.5   Other estrogens and progestogens

Mixtures and substitutes

T38.6   Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified

Tamoxifen

T38.7   Androgens and anabolic congeners

T38.8   Other and unspecified hormones and their synthetic substitutes

Anterior pituitary [adenohypophyseal] hormones

T38.9   Other and unspecified hormone antagonists

T39   Poisoning by nonopioid analgesics, antipyretics and antirheumatics

T39.0   Salicylates

T39.1   4-Aminophenol derivatives

T39.2   Pyrazolone derivatives

T39.3   Other nonsteroidal anti-inflammatory drugs [NSAID]

T39.4   Antirheumatics, not elsewhere classified

Excludes:    glucocorticoids (T38.0)

salicylates (T39.0)

T39.8   Other nonopioid analgesics and antipyretics, not elsewhere classified

T39.9   Nonopioid analgesic, antipyretic and antirheumatic, unspecified

T40   Poisoning by narcotics and psychodysleptics [hallucinogens]

Excludes:    intoxication meaning inebriation (F10-F19)

T40.0   Opium

T40.1   Heroin

T40.2   Other opioids

Codeine

Morphine

T40.3   Methadone

T40.4   Other synthetic narcotics

Pethidine

T40.5   Cocaine

T40.6   Other and unspecified narcotics

T40.7   Cannabis (derivatives)

T40.8   Lysergide [LSD]

T40.9   Other and unspecified psychodysleptics [hallucinogens]

Mescaline

Psilocin

Psilocybine

T41   Poisoning by anaesthetics and therapeutic gases

Excludes:    benzodiazepines (T42.4)

cocaine (T40.5)

opioids (T40.0-T40.2)

T41.0   Inhaled anaesthetics

Excludes:    oxygen (T41.5)

T41.1   Intravenous anaesthetics

Thiobarbiturates

T41.2   Other and unspecified general anaesthetics

T41.3   Local anaesthetics

T41.4   Anaesthetic, unspecified

T41.5   Therapeutic gases

Carbon dioxide

Oxygen

T42   Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs

Excludes:    intoxication meaning inebriation (F10-F19)

T42.0   Hydantoin derivatives

T42.1   Iminostilbenes

Carbamazepine

T42.2   Succinimides and oxazolidinediones

T42.3   Barbiturates

Excludes:    thiobarbiturates (T41.1)

T42.4   Benzodiazepines

T42.5   Mixed antiepileptics, not elsewhere classified

T42.6   Other antiepileptic and sedative-hypnotic drugs

Methaqualone

Valproic acid

Excludes:    carbamazepine (T42.1)

T42.7   Antiepileptic and sedative-hypnotic drugs, unspecified

Sleeping:

• draught   

• drug         NOS

• tablet    

T42.8   Antiparkinsonism drugs and other central muscle-tone depressants

Amantadine

T43   Poisoning by psychotropic drugs, not elsewhere classified

Excludes:    appetite depressants (T50.5)

barbiturates (T42.3)

benzodiazepines (T42.4)

intoxication meaning inebriation (F10-F19)

methaqualone (T42.6)

psychodysleptics [hallucinogens] (T40.7-T40.9)

T43.0   Tricyclic and tetracyclic antidepressants

T43.1   Monoamine-oxidase-inhibitor antidepressants

T43.2   Other and unspecified antidepressants

T43.3   Phenothiazine antipsychotics and neuroleptics

T43.4   Butyrophenone and thioxanthene neuroleptics

T43.5   Other and unspecified antipsychotics and neuroleptics

Excludes:    rauwolfia (T46.5)

T43.6   Psychostimulants with abuse potential

Excludes:    cocaine (T40.5)

T43.8   Other psychotropic drugs, not elsewhere classified

T43.9   Psychotropic drug, unspecified

T44   Poisoning by drugs primarily affecting the autonomic nervous system

T44.0   Anticholinesterase agents

T44.1   Other parasympathomimetics [cholinergics]

T44.2   Ganglionic blocking drugs, not elsewhere classified

T44.3   Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified

Papaverine

T44.4   Predominantly α-adrenoreceptor agonists, not elsewhere classified

Metaraminol

T44.5   Predominantly β-adrenoreceptor agonists, not elsewhere classified

Excludes:    β-adrenoreceptor agonists used in asthma therapy (T48.6)

T44.6   α-Adrenoreceptor antagonists, not elsewhere classified

Excludes:    ergot alkaloids (T48.0)

T44.7   β-Adrenoreceptor antagonists, not elsewhere classified

T44.8   Centrally acting and adrenergic-neuron-blocking agents, not elsewhere classified

Excludes:    clonidine (T46.5)

guanethidine (T46.5)

T44.9   Other and unspecified drugs primarily affecting the autonomic nervous system

Drug stimulating both α- and β-adrenoreceptors

T45   Poisoning by primarily systemic and haematological agents, not elsewhere classified

T45.0   Antiallergic and antiemetic drugs

Excludes:    phenothiazine-based neuroleptics (T43.3)

T45.1   Antineoplastic and immunosuppressive drugs

Antineoplastic antibiotics

Cytarabine

Excludes:    tamoxifen (T38.6)

T45.2   Vitamins, not elsewhere classified

Excludes:    nicotinic acid (derivatives) (T46.7)

vitamin K (T45.7)

T45.3   Enzymes, not elsewhere classified

T45.4   Iron and its compounds

T45.5   Anticoagulants

T45.6   Fibrinolysis-affecting drugs

T45.7   Anticoagulant antagonists, vitamin K and other coagulants

T45.8   Other primarily systemic and haematological agents

Liver preparations and other antianaemic agents

Natural blood and blood products

Plasma substitute

Excludes:    immunoglobulin (T50.9)

iron (T45.4)

T45.9   Primarily systemic and haematological agent, unspecified

T46   Poisoning by agents primarily affecting the cardiovascular system

Excludes:    metaraminol (T44.4)

T46.0   Cardiac-stimulant glycosides and drugs of similar action

T46.1   Calcium-channel blockers

T46.2   Other antidysrhythmic drugs, not elsewhere classified

Excludes:    β-adrenoreceptor antagonists (T44.7)

T46.3   Coronary vasodilators, not elsewhere classified

Dipyridamole

Excludes:    β-adrenoreceptor antagonists (T44.7)

calcium-channel blockers (T46.1)

T46.4   Angiotensin-converting-enzyme inhibitors

T46.5   Other antihypertensive drugs, not elsewhere classified

Clonidine

Guanethidine

Rauwolfia

Excludes:    β-adrenoreceptor antagonists (T44.7)

calcium-channel blockers (T46.1)

diuretics (T50.0-T50.2)

T46.6   Antihyperlipidaemic and antiarteriosclerotic drugs

T46.7   Peripheral vasodilators

Nicotinic acid (derivatives)

Excludes:    papaverine (T44.3)

T46.8   Antivaricose drugs, including sclerosing agents

T46.9   Other and unspecified agents primarily affecting the cardiovascular system

T47   Poisoning by agents primarily affecting the gastrointestinal system

T47.0   Histamine H₂-receptor antagonists

T47.1   Other antacids and anti-gastric-secretion drugs

T47.2   Stimulant laxatives

T47.3   Saline and osmotic laxatives

T47.4   Other laxatives

Intestinal atonia drugs

T47.5   Digestants

T47.6   Antidiarrhoeal drugs

Excludes:    systemic antibiotics and other anti-infectives (T36-T37)

T47.7   Emetics

T47.8   Other agents primarily affecting the gastrointestinal system

T47.9   Agent primarily affecting the gastrointestinal system, unspecified

T48   Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system

T48.0   Oxytocic drugs

Excludes:    estrogens, progestogens and antagonists (T38.4-T38.6)

T48.1   Skeletal muscle relaxants [neuromuscular blocking agents]

T48.2   Other and unspecified agents primarily acting on muscles

T48.3   Antitussives

T48.4   Expectorants

T48.5   Anti-common-cold drugs

T48.6   Antiasthmatics, not elsewhere classified

β-adrenoreceptor agonists used in asthma therapy

Salbutamol

Excludes:    β-adrenoreceptor agonists not used in asthma therapy (T44.5)

anterior pituitary [adenohypophyseal] hormones (T38.8)

T48.7   Other and unspecified agents primarily acting on the respiratory system

T49   Poisoning by topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinolaryngological and dental drugs

Includes:    glucocorticoids, topically used

T49.0   Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified

T49.1   Antipruritics

T49.2   Local astringents and local detergents

T49.3   Emollients, demulcents and protectants

T49.4   Keratolytics, keratoplastics and other hair treatment drugs and preparations

T49.5   Ophthalmological drugs and preparations

Eye anti-infectives

T49.6   Otorhinolaryngological drugs and preparations

Ear, nose and throat anti-infectives

T49.7   Dental drugs, topically applied

T49.8   Other topical agents

Spermicides

T49.9   Topical agent, unspecified

T50   Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances

T50.0   Mineralocorticoids and their antagonists

T50.1   Loop [high-ceiling] diuretics

T50.2   Carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics

Acetazolamide

T50.3   Electrolytic, caloric and water-balance agents

Oral rehydration salts

T50.4   Drugs affecting uric acid metabolism

T50.5   Appetite depressants

T50.6   Antidotes and chelating agents, not elsewhere classified

Alcohol deterrents

T50.7   Analeptics and opioid receptor antagonists

T50.8   Diagnostic agents

T50.9   Other and unspecified drugs, medicaments and biological substances

Acidifying agents

Alkalizing agents

Immunoglobulin

Immunologicals

Lipotropic drugs

Parathyroid hormones and derivatives

Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

Excludes:    corrosions (T20-T32)

localized toxic effects classified elsewhere (A00-R99)

respiratory conditions due to external agents (J60-J70)

T51   Toxic effect of alcohol

T51.0   Ethanol

Ethyl alcohol

Excludes:    acute alcohol intoxication or "hangover" effects (F10.0)

drunkenness (F10.0)

pathological alcohol intoxication (F10.0)

T51.1   Methanol

Methyl alcohol

T51.2   2-Propanol

Isopropyl alcohol

T51.3   Fusel oil

Alcohol:

• amyl

• butyl [1-butanol]

• propyl [1-propanol]

T51.8   Other alcohols

T51.9   Alcohol, unspecified

T52   Toxic effect of organic solvents

Excludes:    halogen derivatives of aliphatic and aromatic hydrocarbons (T53-)

T52.0   Petroleum products

Gasoline [petrol]

Kerosine [paraffin oil]

Paraffin wax

Petroleum:

• ether

• naphtha

• spirits

T52.1   Benzene

Excludes:    homologues of benzene (T52.2)

nitroderivatives and aminoderivatives of benzene and its homologues (T65.3)

T52.2   Homologues of benzene

Toluene [methylbenzene]

Xylene [dimethylbenzene]

T52.3   Glycols

T52.4   Ketones

T52.8   Other organic solvents

T52.9   Organic solvent, unspecified

T53   Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons

T53.0   Carbon tetrachloride

Tetrachloromethane

T53.1   Chloroform

Trichloromethane

T53.2   Trichloroethylene

Trichloroethene

T53.3   Tetrachloroethylene

Perchloroethylene

Tetrachloroethene

T53.4   Dichloromethane

Methylene chloride

T53.5   Chlorofluorocarbons

T53.6   Other halogen derivatives of aliphatic hydrocarbons

T53.7   Other halogen derivatives of aromatic hydrocarbons

T53.9   Halogen derivative of aliphatic and aromatic hydrocarbons, unspecified

T54   Toxic effect of corrosive substances

T54.0   Phenol and phenol homologues

T54.1   Other corrosive organic compounds

T54.2   Corrosive acids and acid-like substances

Acid:

• hydrochloric

• sulfuric

T54.3   Corrosive alkalis and alkali-like substances

Potassium hydroxide

Sodium hydroxide

T54.9   Corrosive substance, unspecified

T55   Toxic effect of soaps and detergents

T56   Toxic effect of metals

Includes:    fumes and vapours of metals

metals from all sources, except medicinal substances

Excludes:    arsenic and its compounds (T57.0)

manganese and its compounds (T57.2)

T56.0   Lead and its compounds

T56.1   Mercury and its compounds

T56.2   Chromium and its compounds

T56.3   Cadmium and its compounds

T56.4   Copper and its compounds

T56.5   Zinc and its compounds

T56.6   Tin and its compounds

T56.7   Beryllium and its compounds

T56.8   Other metals

Thallium

T56.9   Metal, unspecified

T57   Toxic effect of other inorganic substances

T57.0   Arsenic and its compounds

T57.1   Phosphorus and its compounds

Excludes:    organophosphate insecticides (T60.0)

T57.2   Manganese and its compounds

T57.3   Hydrogen cyanide

T57.8   Other specified inorganic substances

T57.9   Inorganic substance, unspecified

T58   Toxic effect of carbon monoxide

From all sources

T59   Toxic effect of other gases, fumes and vapours

Includes:    aerosol propellants

Excludes:    chlorofluorocarbons (T53.5)

T59.0   Nitrogen oxides

T59.1   Sulfur dioxide

T59.2   Formaldehyde

T59.3   Lacrimogenic gas

Tear gas

T59.4   Chlorine gas

T59.5   Fluorine gas and hydrogen fluoride

T59.6   Hydrogen sulfide

T59.7   Carbon dioxide

T59.8   Other specified gases, fumes and vapours

T59.9   Gases, fumes and vapours, unspecified

T60   Toxic effect of pesticides

Includes:    wood preservatives

T60.0   Organophosphate and carbamate insecticides

T60.1   Halogenated insecticides

Excludes:    chlorinated hydrocarbons (T53-)

T60.2   Other and unspecified insecticides

T60.3   Herbicides and fungicides

T60.4   Rodenticides

Excludes:    strychnine and its salts (T65.1)

T60.8   Other pesticides

T60.9   Pesticide, unspecified

T61   Toxic effect of noxious substances eaten as seafood

Excludes:    allergic reaction to food, such as:

• anaphylactic shock due to adverse food reaction (T78.0)

• dermatitis (L23.6, L25.4, L27.2)

• gastroenteritis (noninfective) (K52-)

bacterial foodborne intoxications (A05-)

toxic effect of food contaminants, such as:

• aflatoxin and other mycotoxins (T64)

• cyanides (T65.0)

• hydrogen cyanide (T57.3)

• mercury (T56.1)

T61.0   Ciguatera fish poisoning

T61.1   Scombroid fish poisoning

Histamine-like syndrome

T61.2   Other fish and shellfish poisoning

T61.8   Toxic effect of other seafoods

T61.9   Toxic effect of unspecified seafood

T62   Toxic effect of other noxious substances eaten as food

Excludes:    allergic reaction to food, such as:

• anaphylactic shock due to adverse food reaction (T78.0)

• dermatitis (L23.6, L25.4, L27.2)

• gastroenteritis (noninfective) (K52-)

bacterial foodborne intoxications (A05-)

toxic effect of food contaminants, such as:

• aflatoxin and other mycotoxins (T64)

• cyanides (T65.0)

• hydrogen cyanide (T57.3)

• mercury (T56.1)

T62.0   Ingested mushrooms

T62.1   Ingested berries

T62.2   Other ingested (parts of) plant(s)

T62.8   Other specified noxious substances eaten as food

T62.9   Noxious substance eaten as food, unspecified

T63   Toxic effect of contact with venomous animals

T63.0   Snake venom

Sea-snake venom

T63.1   Venom of other reptiles

Lizard venom

T63.2   Venom of scorpion

T63.3   Venom of spider

T63.4   Venom of other arthropods

Insect bite or sting, venomous

T63.5   Toxic effect of contact with fish

Excludes:    poisoning by ingestion of fish (T61.0-T61.2)

T63.6   Toxic effect of contact with other marine animals

Jellyfish

Sea anemone

Shellfish

Starfish

Excludes:    poisoning by ingestion of shellfish (T61.2)

sea-snake venom (T63.0)

T63.8   Toxic effect of contact with other venomous animals

Venom of amphibian

T63.9   Toxic effect of contact with unspecified venomous animal

T64   Toxic effect of aflatoxin and other mycotoxin food contaminants

T65   Toxic effect of other and unspecified substances

T65.0   Cyanides

Excludes:    hydrogen cyanide (T57.3)

T65.1   Strychnine and its salts

T65.2   Tobacco and nicotine

T65.3   Nitroderivatives and aminoderivatives of benzene and its homologues

Aniline [benzenamine]

Nitrobenzene

Trinitrotoluene

T65.4   Carbon disulfide

T65.5   Nitroglycerin and other nitric acids and esters

1,2,3-Propanetriol trinitrate

T65.6   Paints and dyes, not elsewhere classified

T65.8   Toxic effect of other specified substances

T65.9   Toxic effect of unspecified substance

Poisoning NOS

Other and unspecified effects of external causes (T66-T78)

T66   Unspecified effects of radiation

Radiation sickness

Excludes:    specified adverse effects of radiation, such as:

• burns (T20-T31)

• leukaemia (C91-C95)

• radiation:

• gastroenteritis and colitis (K52.0)

• pneumonitis (J70.0)

• related disorders of the skin and subcutaneous tissue (L55-L59)

• sunburn (L55-)

T67   Effects of heat and light

Excludes:    burns (T20-T31)

erythema [dermatitis] ab igne (L59.0)

malignant hyperthermia due to anaesthesia (T88.3)

radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

sunburn (L55-)

sweat disorders due to heat (L74-L75)

T67.0   Heatstroke and sunstroke

Heat:

• apoplexy

• pyrexia

Siriasis

Thermoplegia

T67.1   Heat syncope

Heat collapse

T67.2   Heat cramp

T67.3   Heat exhaustion, anhydrotic

Heat prostration due to water depletion

Excludes:    heat exhaustion due to salt depletion (T67.4)

T67.4   Heat exhaustion due to salt depletion

Heat prostration due to salt (and water) depletion

T67.5   Heat exhaustion, unspecified

Heat prostration NOS

T67.6   Heat fatigue, transient

T67.7   Heat oedema

T67.8   Other effects of heat and light

T67.9   Effect of heat and light, unspecified

T68   Hypothermia

Accidental hypothermia

Excludes:    frostbite (T33-T35)

hypothermia (of):

• following anaesthesia (T88.5)

• newborn (P80-)

• not associated with low environmental temperature (R68.0)

T69   Other effects of reduced temperature

Excludes:    frostbite (T33-T35)

T69.0   Immersion hand and foot

Trench foot

T69.1   Chilblains

T69.8   Other specified effects of reduced temperature

T69.9   Effect of reduced temperature, unspecified

T70   Effects of air pressure and water pressure

T70.0   Otitic barotrauma

Aero-otitis media

Effects of change in ambient atmospheric pressure or water pressure on ears

T70.1   Sinus barotrauma

Aerosinusitis

Effects of change in ambient atmospheric pressure on sinuses

T70.2   Other and unspecified effects of high altitude

Alpine sickness

Anoxia due to high altitude

Barotrauma NOS

Hypobaropathy

Mountain sickness

Excludes:    polycythaemia due to high altitude (D75.1)

T70.3   Caisson disease [decompression sickness]

Compressed-air disease

Diver palsy or paralysis

T70.4   Effects of high-pressure fluids

Traumatic jet injection (industrial)

T70.8   Other effects of air pressure and water pressure

Blast injury syndrome

T70.9   Effect of air pressure and water pressure, unspecified

T71   Asphyxiation

Suffocation (by strangulation)

Systemic oxygen deficiency due to:

• low oxygen content in ambient air

• mechanical threat to breathing

Excludes:    anoxia due to high altitude (T70.2)

asphyxia from:

• carbon monoxide (T58)

• inhalation of food or foreign body ((T17-)

• other gases, fumes and vapours (T59-)

respiratory:

• distress:

    • syndrome in adult (J80)

    • in newborn (P22-)

T73   Effects of other deprivation

T73.0   Effects of hunger

Deprivation of food

Starvation

T73.1   Effects of thirst

Deprivation of water

T73.2   Exhaustion due to exposure

T73.3   Exhaustion due to excessive exertion

Overexertion

T73.8   Other effects of deprivation

T73.9   Effect of deprivation, unspecified

T74   Maltreatment syndromes

Use additional code, if desired, to identify current injury.

T74.0   Neglect or abandonment

T74.1   Physical abuse

Battered:

• baby or child syndrome NOS

• spouse syndrome NOS

T74.2   Sexual abuse

T74.3   Psychological abuse

T74.8   Other maltreatment syndromes

Mixed forms

T74.9   Maltreatment syndrome, unspecified

Effects of:

• abuse of adult NOS

• child abuse NOS

T75   Effects of other external causes

Excludes:    adverse effects NEC (T78-)

burns (electric) (T20-T31)

T75.0   Effects of lightning

Shock from lightning

Struck by lightning NOS

T75.1   Drowning and nonfatal submersion

Immersion

Swimmer cramp

T75.2   Effects of vibration

Pneumatic hammer syndrome

Traumatic vasospastic syndrome

Vertigo from infrasound

T75.3   Motion sickness

Airsickness

Seasickness

Travel sickness

T75.4   Effects of electric current

Electrocution

Shock from electric current

T75.8   Other specified effects of external causes

Effects of:

• abnormal gravitation [G] forces

• weightlessness

T78   Adverse effects, not elsewhere classified

Note:          This category is to be used as the primary code to identify the effects, not elsewhere classifiable, of unknown, undetermined or ill-defined causes. For multiple coding purposes this category may be used as an additional code to identify the effects of conditions classified elsewhere.

Excludes:    complications of surgical and medical care NEC (T80-T88)

T78.0   Anaphylactic shock due to adverse food reaction

T78.1   Other adverse food reactions, not elsewhere classified

Excludes:    bacterial foodborne intoxications (A05-)

dermatitis due to food (L27.2)

• in contact with the skin (L23.6, L24.6, L25.4)

T78.2   Anaphylactic shock, unspecified

  Allergic shock          

  Anaphylactic reaction      NOS

  Anaphylaxis             

Excludes:    anaphylactic shock due to:

• adverse effect of correct medicinal substance properly administered (T88.6)

• adverse food reaction (T78.0)

• serum (T80.5)

T78.3   Angioneurotic oedema

Giant urticaria

Quincke oedema

Excludes:    urticaria (L50-)

• serum (T80.6)

T78.4   Allergy, unspecified

Allergic reaction NOS

Hypersensitivity NOS

Idiosyncracy NOS

Excludes:    allergic reaction NOS to correct medicinal substance properly administered (T88.7)

specified types of allergic reaction such as:

• allergic gastroenteritis and colitis (K52.2)

• dermatitis (L23-L25, L27-)

• hay fever (J30.1)

T78.8   Other adverse effects, not elsewhere classified

T78.9   Adverse effect, unspecified

Excludes:    adverse effect of surgical and medical care NOS (T88.9)

Certain early complications of trauma (T79)

T79   Certain early complications of trauma, not elsewhere classified

Excludes:    complications of surgical and medical care NEC (T80-T88)

respiratory:

• distress

• syndrome of adult (J80)

• in newborn (P22-)

when occurring during or following medical procedures (T80-T88)

T79.0   Air embolism (traumatic)

Excludes:    air embolism complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.2)

• pregnancy, childbirth and the puerperium (O88.0)

T79.1   Fat embolism (traumatic)

Excludes:    fat embolism complicating:

• abortion or ectopic or molar pregnancy (O00-O07, O08.2)

• pregnancy, childbirth and the puerperium (O88.8)

T79.2   Traumatic secondary and recurrent haemorrhage

T79.3   Post-traumatic wound infection, not elsewhere classified

Use additional code (B95-B97), if desired, to identify infectious agent.

T79.4   Traumatic shock

Shock (immediate)(delayed) following injury

Excludes:    shock:

• anaesthetic (T88.2)

• anaphylactic:

   • NOS (T78.2)

   • due to:

       • adverse food reaction (T78.0)

       • correct medicinal substance properly administered (T88.6)

       • serum (T80.5)

• complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)

• electric (T75.4)

• lightning (T75.0)

• nontraumatic NEC (R57-)

• obstetric (O75.1)

• postoperative (T81.1)

T79.5   Traumatic anuria

Crush syndrome

Renal failure following crushing

T79.6   Traumatic ischaemia of muscle

Compartment syndrome

Volkmann ischaemic contracture

Excludes:    anterior tibial syndrome (M76.8)

T79.7   Traumatic subcutaneous emphysema

Excludes:    emphysema (subcutaneous) resulting from a procedure (T81.8)

T79.8   Other early complications of trauma

T79.9   Unspecified early complication of trauma

Complications of surgical and medical care, not elsewhere classified (T80-T88)

Use additional external cause code (Chapter XX), if desired, to identify devices involved and details of circumstances.

Use additional code (B95-B97), if desired, to identify infectious agent.

Excludes:    adverse effects of drugs and medicaments (A00-R99, T78-)

any encounters with medical care for postoperative conditions in which no complications are present, such as:

• artificial opening status (^[i]Z93.-)

• closure of external stoma (^[i]Z43.-)

• fitting and adjustment of external prosthetic device (^[i]Z44.-)

burns and corrosions from local applications and irradiation (T20-T32)

complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O99)

poisoning and toxic effects of drugs and chemicals (T36-T65)

specified complications classified elsewhere, such as:

• cerebrospinal fluid leak from spinal puncture (G97.0)

• colostomy malfunction (K91.4)

• disorders of fluid and electrolyte balance (E86-E87)

• functional disturbances following cardiac surgery (I97.0-I97.1)

• postgastric surgery syndromes (K91.1)

• postlaminectomy syndrome NEC (M96.1)

• postmastectomy lymphoedema syndrome (I97.2)

• postsurgical blind-loop syndrome (K91.2)

T80   Complications following infusion, transfusion and therapeutic injection

Includes:    perfusion

Excludes:    bone-marrow transplant rejection (T86.0)

T80.0   Air embolism following infusion, transfusion and therapeutic injection

T80.1   Vascular complications following infusion, transfusion and therapeutic injection

  Phlebitis          

  Thromboembolism       following infusion, transfusion and

  Thrombophlebitis       therapeutic injection

Excludes:    the listed conditions when specified as:

• due to prosthetic devices, implants and grafts (T82.8, T83.8, T84.8, T85.8)

• postprocedural (T81.7)

T80.2   Infections following infusion, transfusion and therapeutic injection

  Infection      

  Sepsis            following infusion, transfusion and

  Septicaemia        therapeutic injection

  Septic shock   

Excludes:    the listed conditions when specified as:

• due to prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)

• postprocedural (T81.4)

T80.3   ABO incompatibility reaction

Incompatible blood transfusion

Reaction to blood-group incompatibility in infusion or transfusion

T80.4   Rh incompatibility reaction

Reaction due to Rh factor in infusion or transfusion

T80.5   Anaphylactic shock due to serum

Excludes:    shock:

• allergic NOS (T78.2)

• anaphylactic:

• NOS (T78.2)

• due to adverse effect of correct medicinal substance properly administered (T88.6)

T80.6   Other serum reactions

Intoxication by serum

Protein sickness

Serum:

• rash

• sickness

• urticaria

Excludes:    serum hepatitis (B16-)

T80.8   Other complications following infusion, transfusion and therapeutic injection

T80.9   Unspecified complication following infusion, transfusion and therapeutic injection

Transfusion reaction NOS

T81   Complications of procedures, not elsewhere classified

Excludes:    adverse effect of drug NOS (T88.7)

complication following:

• immunization (T88.0-T88.1)

• infusion, transfusion and therapeutic injection (T80-)

specified complications classified elsewhere, such as:

• complications of prosthetic devices, implants and grafts (T82-T85)

• dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)

• failure and rejection of transplanted organs and tissues (T86)

• poisoning and toxic effects of drugs and chemicals (T36-T65)

T81.0   Haemorrhage and haematoma complicating a procedure, not elsewhere classified

Haemorrhage at any site resulting from a procedure

Excludes:    haematoma of obstetric wound (O90.2)

haemorrhage due to prosthetic devices, implants and grafts (T82.8, T83.8, T84.8, T85.8)

T81.1   Shock during or resulting from a procedure, not elsewhere classified

  Collapse NOS                                

  Shock (endotoxic) (hypovolaemic) (septic)      during or following a procedure

  Postoperative shock NOS                     

Excludes:    shock:

• anaesthetic (T88.2)

• anaphylactic:

   • NOS (T78.2)

   • due to:

       • correct medicinal substance properly administered (T88.6)

       • serum (T80.5)

• electric (T75.4)

• following abortion or ectopic or molar pregnancy (O00-O07, O08.3)

• obstetric (O75.1)

• traumatic (T79.4)

T81.2   Accidental puncture and laceration during a procedure, not elsewhere classified

Accidental perforation of:

• blood vessel          catheter    

• nerve           by    endoscope     during a procedure

• organ                 instrument  

                         probe       

Excludes:    damage from instruments during delivery (O70-O71)

perforation, puncture or laceration caused by device or implant intentionally left in operation wound (T82-T85)

specified complications classified elsewhere, such as broad ligament laceration syndrome [Allen-Masters] (N83.8)

T81.3   Disruption of operation wound, not elsewhere classified

Dehiscence Rupture

of operation wound

Excludes:    disruption of:

• caesarean-section wound (O90.0)

• perineal obstetric wound (O90.1)

T81.4   Infection following a procedure, not elsewhere classified

  Abscess:          

  intra-abdominal   

• stitch          

• subphrenic         postprocedural

• wound           

  Septicaemia       

Use additional code, if desired, to identify other manifestations of infection, such as sepsis or abscess.

Excludes:    infection due to:

• infusion, transfusion and therapeutic injection (T80.2)

• prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)

obstetric surgical wound infection (O86.0)

T81.5   Foreign body accidentally left in body cavity or operation wound following a procedure

  Adhesions     

  Obstruction      due to foreign body accidentally left

  Perforation       in operation wound or body cavity

Excludes:    obstruction or perforation due to prosthetic devices and implants left in body (T82.0-T82.5, T83.0-T83.4, T84.0-T84.4, T85.0-T85.6)

T81.6   Acute reaction to foreign substance accidentally left during a procedure

Peritonitis:

• aseptic

• chemical

T81.7   Vascular complications following a procedure, not elsewhere classified

Air embolism following procedure NEC

Excludes:    embolism:

• complicating:

    • abortion or ectopic or molar pregnancy (O00-O07, O08.2)

    • pregnancy, childbirth and the puerperium (O88-)

• due to prosthetic devices, implants and grafts (T82.8, T83.8,T84.8, T85.8)

• following infusion, transfusion and therapeutic injection (T80.0)

• traumatic (T79.0)

T81.8   Other complications of procedures, not elsewhere classified

Complication of inhalation therapy

Emphysema (subcutaneous) resulting from a procedure

Persistent postoperative fistula

Excludes:    hypothermia following anaesthesia (T88.5)

malignant hyperthermia due to anaesthesia (T88.3)

T81.9   Unspecified complication of procedure

T82   Complications of cardiac and vascular prosthetic devices, implants and grafts

Excludes:    failure and rejection of transplanted organs and tissues (T86-)

T82.0   Mechanical complication of heart valve prosthesis

  Breakdown (mechanical)    

  Displacement              

  Failure                   

  Leakage                   

  Malposition                  due to heart valve prosthesis

  Obstruction, mechanical   

  Perforation               

  Protrusion                

  Rupture                   

T82.1   Mechanical complication of cardiac electronic device

Conditions listed in T82.0 due to:

• electrodes

• pulse generator (battery)

T82.2   Mechanical complication of coronary artery bypass and valve grafts

Conditions listed in T82.0 due to coronary artery bypass and valve grafts

T82.3   Mechanical complication of other vascular grafts

Conditions listed in T82.0 due to:

• aortic (bifurcation) graft (replacement)

• arterial (carotid) (femoral) graft (bypass)

T82.4   Mechanical complication of vascular dialysis catheter

Conditions listed in T82.0 due to vascular dialysis catheter

Excludes:    mechanical complication of intraperitoneal dialysis catheter (T85.6)

T82.5   Mechanical complication of other cardiac and vascular devices and implants

Conditions listed in T82.0 due to:

• arteriovenous:

• fistula • shunt

surgically created

• artificial heart

• balloon (counterpulsation) device

• infusion catheter

• umbrella device

Excludes:    mechanical complication of epidural and subdural infusion catheter (T85.6)

T82.6   Infection and inflammatory reaction due to cardiac valve prosthesis

T82.7   Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts

T82.8   Other complications of cardiac and vascular prosthetic devices, implants and grafts

  Complication   

  Embolism       

  Fibrosis          due to cardiac and vascular prosthetic

  Haemorrhage        devices, implants and grafts

  Pain           

  Stenosis       

  Thrombosis     

T82.9   Unspecified complication of cardiac and vascular prosthetic device, implant and graft

T83   Complications of genitourinary prosthetic devices, implants and grafts

Excludes:    failure and rejection of transplanted organs and tissues (T86-)

T83.0   Mechanical complication of urinary (indwelling) catheter

Conditions listed in T82.0 due to:

• catheter:

    • cystostomy

    • urethral, indwelling

T83.1   Mechanical complication of other urinary devices and implants

Conditions listed in T82.0 due to:

• urinary:

    • electronic stimulator device

    • sphincter implant

    • stent

T83.2   Mechanical complication of graft of urinary organ

Conditions listed in T82.0 due to graft of urinary organ

T83.3   Mechanical complication of intrauterine contraceptive device

Conditions listed in T82.0 due to intrauterine contraceptive device

T83.4   Mechanical complication of other prosthetic devices, implants and grafts in genital tract

Conditions listed in T82.0 due to (implanted) penile prosthesis

T83.5   Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system

T83.6   Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract

T83.8   Other complications of genitourinary prosthetic devices, implants and grafts

Conditions listed in T82.8 due to genitourinary prosthetic devices, implants and grafts

T83.9   Unspecified complication of genitourinary prosthetic device, implant and graft

T84   Complications of internal orthopaedic prosthetic devices, implants and grafts

Excludes:    failure and rejection of transplanted organs and tissues (T86-)

fracture of bone following insertion of orthopaedic implant, joint prosthesis or bone plate (M96.6)

T84.0   Mechanical complication of internal joint prosthesis

Conditions listed in T82.0 due to joint prosthesis

T84.1   Mechanical complication of internal fixation device of bones of limb

Conditions listed in T82.0 due to internal fixation device of bones of limb

T84.2   Mechanical complication of internal fixation device of other bones

Conditions listed in T82.0 due to internal fixation device of other bones

T84.3   Mechanical complication of other bone devices, implants and grafts

Conditions listed in T82.0 due to:

• bone graft

• electronic bone stimulator

T84.4   Mechanical complication of other internal orthopaedic devices, implants and grafts

Conditions listed in T82.0 due to muscle and tendon graft

T84.5   Infection and inflammatory reaction due to internal joint prosthesis

T84.6   Infection and inflammatory reaction due to internal fixation device [any site]

T84.7   Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts

T84.8   Other complications of internal orthopaedic prosthetic devices, implants and grafts

Conditions listed in T82.8 due to internal orthopaedic prosthetic devices, implants

and grafts

T84.9   Unspecified complication of internal orthopaedic prosthetic device, implant and graft

T85   Complications of other internal prosthetic devices, implants and grafts

Excludes:    failure and rejection of transplanted organs and tissues (T86-)

T85.0   Mechanical complication of ventricular intracranial (communicating) shunt

Conditions listed in T82.0 due to ventricular intracranial (communicating) shunt

T85.1   Mechanical complication of implanted electronic stimulator of nervous system

Conditions listed in T82.0 due to electronic neurostimulator (electrode) of:

• brain

• peripheral nerve

• spinal cord

T85.2   Mechanical complication of intraocular lens

Conditions listed in T82.0 due to intraocular lens

T85.3   Mechanical complication of other ocular prosthetic devices, implants and grafts

Conditions listed in T82.0 due to:

• corneal graft

• prosthetic orbit of eye

T85.4   Mechanical complication of breast prosthesis and implant

Conditions listed in T82.0 due to breast prosthesis and implant

T85.5   Mechanical complication of gastrointestinal prosthetic devices, implants and grafts

Conditions listed in T82.0 due to:

• bile-duct prosthesis

• oesophageal anti-reflux device

T85.6   Mechanical complication of other specified internal prosthetic devices, implants and grafts

Conditions listed in T82.0 due to:

• epidural and subdural infusion catheter

• intraperitoneal dialysis catheter

• nonabsorbable surgical material NOS

• permanent sutures

Excludes:    mechanical complication of permanent (wire) suture used in bone repair (T84.1-T84.2)

T85.7   Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

T85.8   Other complications of internal prosthetic devices, implants and grafts, not elsewhere classified

Conditions listed in T82.8 due to internal prosthetic devices, implants and grafts NEC

T85.9   Unspecified complication of internal prosthetic device, implant and graft

Complication of internal prosthetic device, implant and graft NOS

T86   Failure and rejection of transplanted organs and tissues

T86.0   Bone-marrow transplant rejection

Graft-versus-host reaction or disease

T86.1   Kidney transplant failure and rejection

T86.2   Heart transplant failure and rejection

Excludes:    complication of:

• artificial heart device (T82.5)

• heart-lung transplant (T86.3)

T86.3   Heart-lung transplant failure and rejection

T86.4   Liver transplant failure and rejection

T86.8   Failure and rejection of other transplanted organs and tissues

Transplant failure or rejection of:

• bone

• intestine

• lung

• pancreas

• skin (allograft) (autograft)

T86.9   Failure and rejection of unspecified transplanted organ and tissue

T87   Complications peculiar to reattachment and amputation

T87.0   Complications of reattached (part of) upper extremity

T87.1   Complications of reattached (part of) lower extremity

T87.2   Complications of other reattached body part

T87.3   Neuroma of amputation stump

T87.4   Infection of amputation stump

T87.5   Necrosis of amputation stump

T87.6   Other and unspecified complications of amputation stump

Amputation stump:

• contracture (flexion)(of next proximal joint)

• haematoma

• oedema

Excludes:    phantom limb syndrome (G54.6-G54.7)

T88   Other complications of surgical and medical care, not elsewhere classified

Excludes:    accidental puncture or laceration during a procedure (T81.2)

complications following:

• infusion, transfusion and therapeutic injection (T80-)

• procedure NEC (T81-)

specified complications classified elsewhere, such as:

• complications of:

   • anaesthesia in:

       • labour and delivery (O74-)

       • pregnancy (O29-)

       • puerperium (O89-)

• devices, implants and grafts (T82-T85)

• obstetric surgery and procedures (O75.4)

• dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)

• poisoning and toxic effects of drugs and chemicals (T36-T65)

T88.0   Infection following immunization

  Sepsis           Sepsis

  Septicaemia      Septicaemia

T88.1   Other complications following immunization, not elsewhere classified

Rash following immunization

Excludes:    anaphylactic shock due to serum (T80.5)

other serum reactions (T80.6)

postimmunization:

• arthropathy (M02.2)

• encephalitis (G04.0)

T88.2   Shock due to anaesthesia

Shock due to anaesthesia in which the correct substance was properly

administered

Excludes:    complications of anaesthesia (in):

• from overdose or wrong substance given (T36-T50)

• labour and delivery (O74-)

• pregnancy (O29-)

• puerperium (O89-)

postoperative shock NOS (T81.1)

T88.3   Malignant hyperthermia due to anaesthesia

T88.4   Failed or difficult intubation

T88.5   Other complications of anaesthesia

Hypothermia following anaesthesia

T88.6   Anaphylactic shock due to adverse effect of correct drug or medicament properly administered

Excludes:    anaphylactic shock due to serum (T80.5)

T88.7   Unspecified adverse effect of drug or medicament

  Adverse effect of      

  Allergic reaction to      correct drug or medicament properly

  Hypersensitivity to        administered

  Idiosyncracy to        

Drug:

• hypersensitivity NOS

• reaction NOS

Excludes:    specified adverse effects of drugs and medicaments (A00-R99,T80-T88.6, T88.8)

T88.8   Other specified complications of surgical and medical care, not elsewhere classified

T88.9   Complication of surgical and medical care, unspecified

Excludes:    adverse effect NOS (T78.9)

Sequelae of injuries, of poisoning and of other consequences of external causes (T90-T98)

Note:          Categories T90-T98 are to be used to indicate conditions in S00-S99 and T00-T88 as the cause of late effects, which are themselves classified elsewhere. The "sequelae" include those specified as such, or as late effects, and those present one year or more after the acute injury.

Not to be used for chronic poisoning and harmful exposure. Code these to current poisoning and harmful exposure.

T90   Sequelae of injuries of head

T90.0   Sequelae of superficial injury of head

Sequelae of injury classified to S00-

T90.1   Sequelae of open wound of head

Sequelae of injury classifiable to S01-

T90.2   Sequelae of fracture of skull and facial bones

Sequelae of injury classifiable to S02-

T90.3   Sequelae of injury of cranial nerves

Sequelae of injury classifiable to S04-

T90.4   Sequelae of injury of eye and orbit

Sequelae of injury classifiable to S05-

T90.5   Sequelae of intracranial injury

Sequelae of injury classifiable to S06-

T90.8   Sequelae of other specified injuries of head

Sequelae of injury classifiable to S03-, S07-S08 and S09.0-S09.8

T90.9   Sequelae of unspecified injury of head

Sequelae of injury classifiable to S09.9

T91   Sequelae of injuries of neck and trunk

T91.0   Sequelae of superficial injury and open wound of neck and trunk

Sequelae of injury classifiable to S10-S11, S20-S21, S30-S31 and T09.0-T09.1

T91.1   Sequelae of fracture of spine

Sequelae of injury classifiable to S12-, S22.0-S22.1, S32.0, S32.7 and T08

T91.2   Sequelae of other fracture of thorax and pelvis

Sequelae of injury classifiable to S22.2-S22.9, S32.1-S32.5 and S32.8

T91.3   Sequelae of injury of spinal cord

Sequelae of injury classifiable to S14.0-S14.1, S24.0-S24.1, S34.0-S34.1 and T09.3

T91.4   Sequelae of injury of intrathoracic organs

Sequelae of injury classifiable to S26-S27

T91.5   Sequelae of injury of intra-abdominal and pelvic organs

Sequelae of injury classifiable to S36-S37

T91.8   Sequelae of other specified injuries of neck and trunk

Sequelae of injury classifiable to S13-, S14.2-S14.6, S15-S18, S19.7-S19.8, S23-, S24.2-S24.6, S25-, S28-, S29.0-S29.8, S33-, S34.2-S34.8, S35-, S38-, S39.0-S39.8, T09.2 and T09.4 -T09.8

T91.9   Sequelae of unspecified injury of neck and trunk

Sequelae of injury classifiable to S19.9, S29.9, S39.9 and T09.9

T92   Sequelae of injuries of upper limb

T92.0   Sequelae of open wound of upper limb

Sequelae of injury classifiable to S41-, S51-, S61- and T11.1

T92.1   Sequelae of fracture of arm

Sequelae of injury classifiable to S42-, S52- and T10

T92.2   Sequelae of fracture at wrist and hand level

Sequelae of injury classifiable to S62-

T92.3   Sequelae of dislocation, sprain and strain of upper limb

Sequelae of injury classifiable to S43-, S53-, S63- and T11.2

T92.4   Sequelae of injury of nerve of upper limb

Sequelae of injury classifiable to S44-, S54-, S64- and T11.3

T92.5   Sequelae of injury of muscle and tendon of upper limb

Sequelae of injury classifiable to S46-, S56-, S66- and T11.5

T92.6   Sequelae of crushing injury and traumatic amputation of upper limb

Sequelae of injury classifiable to S47-S48, S57-S58, S67-S68 and T11.6

T92.8   Sequelae of other specified injuries of upper limb

Sequelae of injury classifiable to S40-, S45-, S49.7-S49.8, S50-, S55-, S59.7-S59.8, S60-, S65-, S69.7-S69.8, T11.0, T11.4 and T11.8

T92.9   Sequelae of unspecified injury of upper limb

Sequelae of injury classifiable to S49.9, S59.9, S69.9 and T11.9

T93   Sequelae of injuries of lower limb

T93.0   Sequelae of open wound of lower limb

Sequelae of injury classifiable to S71-, S81-, S91- and T13.1

T93.1   Sequelae of fracture of femur

Sequelae of injury classifiable to S72-

T93.2   Sequelae of other fractures of lower limb

Sequelae of injury classifiable to S82-, S92- and T12

T93.3   Sequelae of dislocation, sprain and strain of lower limb

Sequelae of injury classifiable to S73-, S83-, S93- and T13.2

T93.4   Sequelae of injury of nerve of lower limb

Sequelae of injury classifiable to S74-, S84-, S94- and T13.3

T93.5   Sequelae of injury of muscle and tendon of lower limb

Sequelae of injury classifiable to S76-, S86-, S96- and T13.5

T93.6   Sequelae of crushing injury and traumatic amputation of lower limb

Sequelae of injury classifiable to S77-S78, S87-S88, S97-S98 and T13.6

T93.8   Sequelae of other specified injuries of lower limb

Sequelae of injury classifiable to S70-, S75-, S79.7-S79.8, S80-, S85-, S89.7-S89.8, S90-, S95-, S99.7-S99.8, T13.0, T13.4 and T13.8

T93.9   Sequelae of unspecified injury of lower limb

Sequelae of injury classifiable to S79.9, S89.9, S99.9 and T13.9

T94   Sequelae of injuries involving multiple and unspecified body regions

T94.0   Sequelae of injuries involving multiple body regions

Sequelae of injury classifiable to T00-T07

T94.1   Sequelae of injuries, not specified by body regions

Sequelae of injury classifiable to T14-

T95   Sequelae of burns, corrosions and frostbite

T95.0   Sequelae of burn, corrosion and frostbite of head and neck

Sequelae of injury classifiable to T20-, T33.0-.1, T34.0-.1 and T35.2

T95.1   Sequelae of burn, corrosion and frostbite of trunk

Sequelae of injury classifiable to T21-, T33.2-.3, T34.2-.3 and T35.3

T95.2   Sequelae of burn, corrosion and frostbite of upper limb

Sequelae of injury classifiable to T22-T23, T33.4-.5, T34.4-.5 and T35.4

T95.3   Sequelae of burn, corrosion and frostbite of lower limb

Sequelae of injury classifiable to T24-T25, T33.6-.8, T34.6-.8 and T35.5

T95.4   Sequelae of burn and corrosion classifiable only according to extent of body surface involved

Sequelae of injury classifiable to T31-T32

T95.8   Sequelae of other specified burn, corrosion and frostbite

Sequelae of injury classifiable T26-T29, T35.0-T35.1 and T35.6

T95.9   Sequelae of unspecified burn, corrosion and frostbite

Sequelae of injury classifiable to T30-, T33.9, T34.9 and T35.7

T96   Sequelae of poisoning by drugs, medicaments and biological substances

Sequelae of poisoning classifiable to T36-T50

T97   Sequelae of toxic effects of substances chiefly nonmedicinal as to source

Sequelae of toxic effects classifiable to T51-T65

T98   Sequelae of other and unspecified effects of external causes

T98.0   Sequelae of effects of foreign body entering through natural orifice

Sequelae of effects classifiable to T15-T19

T98.1   Sequelae of other and unspecified effects of external causes

Sequelae of effects classifiable to T66-T78

T98.2   Sequelae of certain early complications of trauma

Sequelae of complications classifiable to T79-

T98.3   Sequelae of complications of surgical and medical care, not elsewhere classified

Sequelae of complications classifiable to T80-T88

CHAPTER XX - External causes of morbidity and mortality (V01-Y89)

This chapter, which in previous revisions of ICD constituted a supplementary classification, permits the classification of environmental events and circumstances 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 another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter XIX, Injury, poisoning and certain other consequences of external causes (S00-T98). Causes of death should preferably be tabulated according to both Chapter XIX and Chapter XX, but if only one code is tabulated then the code from Chapter XX should be used in preference. Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter XX should be used to provide additional information for multiple-condition analysis only.

Categories for sequelae of external causes of morbidity and mortality are included at Y85-Y89.

This chapter contains the following blocks:

V01-X59       Accidents

                   V01-V99  Transport accidents

                                 V01-V09  Pedestrian injured in transport accident

                                 V10-V19  Pedal cyclist injured in transport accident

                                 V20-V29  Motorcycle rider injured in transport accident

                                 V30-V39  Occupant of three-wheeled motor vehicle injured in transport accident

                                 V40-V49  Car occupant injured in transport accident

                                 V50-V59  Occupant of pick-up truck or van injured in transport accident

                                 V60-V69  Occupant of heavy transport vehicle injured in transport accident

                                 V70-V79  Bus occupant injured in transport accident

                                 V80-V89  Other land transport accidents

                                 V90-V94  Water transport accidents

                                 V95-V97  Air and space transport accidents

                                 V98-V99  Other and unspecified transport accidents

                   W00-X59 Other external causes of accidental injury

                                 W00-W19 Falls

                                 W20-W49 Exposure to inanimate mechanical forces

                                 W50-W64 Exposure to animate mechanical forces

                                 W65-W74 Accidental drowning and submersion

                                 W75-W84 Other accidental threats to breathing

                                 W85-W99 Exposure to electric current, radiation and extreme ambient air temperature and pressure

                                 X00-X09  Exposure to smoke, fire and flames

                                 X10-X19  Contact with heat and hot substances

                                 X20-X29  Contact with venomous animals and plants

                                 X30-X39  Exposure to forces of nature

                                 X40-X49  Accidental poisoning by and exposure to noxious substances

                                 X50-X57  Overexertion, travel and privation

                                 X58-X59  Accidental exposure to other and unspecified factors

X60-X84       Intentional self-harm

X85-Y09       Assault

Y10-Y34       Event of undetermined intent

Y35-Y36       Legal intervention and operations of war

Y40-Y84       Complications of medical and surgical care

                   Y40-Y59  Drugs, medicaments and biological substances causing adverse effects in therapeutic use

                   Y60-Y69  Misadventures to patients during surgical and medical care

                   Y70-Y82  Medical devices associated with adverse incidents in diagnostic and therapeutic use

Y83-Y84  Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y85-Y89       Sequelae of external causes of morbidity and mortality

Place of occurrence code

The following fourth-character subdivisions are for use with categories W00-Y34 except Y06- and Y07- to identify the place of occurrence of the external cause where relevant:

.0      Home

          Apartment

          Boarding-house      

          Caravan [trailer] park, residential

          Farmhouse

          Home premises

          House (residential)

          Noninstitutional place of residence

          Private:

           • driveway to home

           • garage

           • garden to home

           • yard to home

          Swimming-pool in private house or garden

Excludes:    abandoned or derelict house (.8)

home under construction but not yet occupied (.6)

institutional place of residence (.1)

.1      Residential institution

          Children's home

          Dormitory

          Home for the sick

          Hospice

          Military camp

          Nursing home

          Old people's home

          Orphanage

          Pensioner's home

          Prison

          Reform school

.2      School, other institution and public administrative area

          Building (including adjacent grounds) used by the general public or by a particular group of the public such as:

           • assembly hall

           • campus

           • church

           • cinema

           • clubhouse

           • college

           • court-house

           • dancehall

           • day nursery

           • gallery

           • hospital

           • institute for higher education

           • kindergarten

           • library

           • movie-house

           • museum

           • music-hall

           • opera-house

           • post office

           • public hall

           • school (private) (public) (state)

           • theatre

           • university

           • youth centre

Excludes:    building under construction (.6)

residential institution (.1)

sports and athletics area (.3)

.3      Sports and athletics area

          Baseball field

          Basketball-court

          Cricket ground

          Football field

          Golf-course

          Gymnasium

          Hockey field

          Riding-school         

          Skating-rink

          Squash-court

          Stadium

          Swimming-pool, public

          Tennis-court

Excludes:    swimming-pool or tennis-court in private home or garden (.0)

.4      Street and highway

          Freeway

          Motorway

          Pavement

          Road

          Sidewalk

.5      Trade and service area

          Airport

          Bank

          Cafe

          Casino

          Garage (commercial)

          Gas station

          Hotel

          Market

          Office building

          Petrol station

          Radio or television station

          Restaurant

          Service station

          Shop (commercial)

          Shopping mall

          Station (bus)(railway)

          Store

          Supermarket

          Warehouse

Excludes:    garage in private home (.0)

.6      Industrial and construction area

          Building [any] under construction

          Dockyard

          Dry dock

          Factory:

            • building

            • premises

          Gasworks

          Industrial yard

          Mine

          Oil rig and other offshore installations

          Pit (coal)(gravel)(sand)

          Power-station (coal)(nuclear)(oil)

          Shipyard

          Tunnel under construction

          Workshop

.7      Farm

          Farm:

            • buildings

            • land under cultivation

          Ranch

Excludes:    farmhouse and home premises of farm (.0)

.8      Other specified places

          Beach

          Campsite

          Canal

          Caravan site NOS

          Derelict house

          Desert

          Dock NOS

          Forest

          Harbour

          Hill

          Lake

          Marsh

          Military training ground

          Mountain

          Park (amusement) (public)

          Parking-lot and parking-place

          Pond or pool

          Prairie

          Public place NOS

          Railway line

          River

          Sea

          Seashore

          Stream

          Swamp

          Water reservoir

          Zoo

.9      Unspecified place

Activity code

The following subclassification is provided for optional use in a supplementary character position with categories V01-Y34 to indicate the activity of the injured person at the time the event occurred. This subclassification should not be confused with, or be used instead of, the recommended fourth-character subdivisions provided to indicate the place of occurrence of events classifiable to W00-Y34.

0       While engaged in sports activity

          Physical exercise with a described functional element such as:

            • golf

            • jogging

            • riding

            • school athletics

            • skiing

            • swimming

            • trekking

            • water-skiing

1       While engaged in leisure activity

          Hobby activities

          Leisure-time activities with an entertainment element such as going to the cinema, to a dance

             or to a party

          Participation in sessions and activities of voluntary organizations

Excludes:    sports activities (0)

2       While working for income

          Paid work (manual)(professional)

          Transportation (time) to and from such activities

          Work for salary, bonus and other types of income

3       While engaged in other types of work

          Domestic duties such as:

            • caring for children and relatives

            • cleaning

            • cooking

            • gardening

            • household maintenance

          Duties for which one would not normally gain an income

          Learning activities, e.g. attending school session or lesson

          Undergoing education

4       While resting, sleeping, eating or engaging in other vital activities

          Personal hygiene

8       While engaged in other specified activities

9       During unspecified activity

Accidents (V01-X59)

Transport accidents (V01-V99)

Note:          This section is structured in 12 groups. Those relating to land transport accidents (V01-V89) reflect the victim's mode of transport and are subdivided to identify the victim's "counterpart" or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes.

Excludes:    accidents to persons engaged in the maintenance or repair of transport equipment or vehicle not in motion unless injured by another vehicle in motion (W00-X59)

accidents involving vehicles, 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; finger crushed when shutting car door] (W00-X59)

assault by crashing of motor vehicle (Y03-)

event of undetermined intent (Y31-Y33)

intentional self-harm (X81-X83)

Definitions related to transport accidents

(a)      A transport accident (V01-V99) 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. Any object such as a coaster, skateboard, sled, trailer, or wagon being towed by any such device is considered a part of the specified device.

(b)     A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

(c)      A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public 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.

(d)     A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

(e)      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, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Includes:    person:

• changing tire of vehicle

• making adjustment to motor of vehicle

• on foot

user of a pedestrian conveyance such as:

• baby carriage

• ice-skates

• perambulator

• push-cart

• push-chair

• roller-skates

• scooter (motorized)

• skateboard

• skis

• sled

• wheelchair (powered)

(f)      A driver is an occupant of a transport vehicle who is operating or intending to operate it.

(g)     A passenger is any occupant of a transport vehicle other than the driver.

Excludes:    person travelling on outside of vehicle - see definition (h)

(h)     A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Includes:    person (travelling on):

• bodywork

• bumper [fender]

• hanging on outside

• roof (rack)

• running-board

• step

(i)      A pedal cycle is any land transport vehicle operated solely by pedals.

Includes:    bicycle

tricycle

Excludes:    motorized bicycle - see definition (k)

(j)      A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

(k)      A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Includes:    moped

motor scooter

motorcycle:

• NOS

• combination

• with sidecar

motorized bicycle

speed-limited motor-driven cycle

Excludes:    motor-driven tricycle - see definition (n)

motorized scooter - see definition (e)

(l)      A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

(m)     A motorcyclist is the driver of a motorcycle.

(n)     A three-wheeled motor vehicle is a motorized tricycle designed primarily for on-road use.

Includes:    motor-driven tricycle

motorized rickshaw

three-wheeled motor car

Excludes:    motorcycle with sidecar - see definition (k)

special all-terrain vehicle - see definition (y)

(o)     A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Includes:    minibus

(p)     A motor vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for “unspecified”. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

(q)     A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver's license.

(r)      A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of curbside weight (usually above 3500 kg), and requiring a special driver's license.

(s)      A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver's license.

Includes:    coach

(t)      A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Includes:    interurban:

• electric car      • electric car

• streetcar         • streetcar

railway train, any power [diesel] [electric] [steam]:

• funicular

• monorail or two-rail

• subterranean or elevated

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 - see definition (u)

(u)      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 operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Includes:    interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car)

trolley (car)

(v)      A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Includes:    battery-powered:

• airport passenger vehicle

• truck (baggage) (mail)

coal-car in mine

forklift (truck)

logging car

self-propelled truck, industrial

station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

Excludes:    accident(s) not occurring on highway (W31)

(w)     A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Includes:    combine harvester

self-propelled farm machinery

tractor (and trailer)

Excludes:    accident(s) not occurring on highway (W30)

(x)      A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Includes:    bulldozer

digger

dumper truck

earth-leveller

mechanical shovel

road-roller

Excludes:    accident(s) not occurring on highway (W31)

(y)      A special all-terrain 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, tracks, and support on a cushion of air.

Includes:    hovercraft on land or swamp

snowmobile

Excludes:    hovercraft on open water - see definition (aa)

(z)      A vehicle is considered to be a motor vehicle when accident occurred on a public highway [i.e., originating, terminating or involving vehicle partially on the highway].

(aa)    A watercraft is any device for transporting passengers or goods on water.

Includes:    hovercraft NOS

(bb)    An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1.       If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

(a)      A traffic accident when the event is classifiable to categories V02-V04, V10-V82 and V87

(b)     A nontraffic accident when the event is classifiable to categories V83-V86. For these categories the victim is either a pedestrian, or an occupant of a vehicle designed primarily for off-road use.

2.       When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

          aircraft and spacecraft (V95-V97)

          watercraft (V90-V94)

          other modes of transport (V01-V89, V98-V99)

3.       Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

                                            animal being ridden

                                            animal-drawn vehicle

                                            bicycle

                                            bulldozer

crushed                                     bus

dragged                                     car

hit                                         motorcycle

injured         by any vehicle including    motorized tricycle

killed                                      pick-up (truck)

knocked down                                recreational vehicle

run over                                    streetcar

struck                                      tractor

                                            train

                                            tram

                                            truck

                                            van

classify the victim as a pedestrian (categories V01-V09).

4.       Where transport accident descriptions do not indicate the victim's role, such as:

airplane               

bicycle                

boat                   

bulldozer                              

bus                                    

car                                    

motorcycle                             

motorized tricycle       accident      

pick-up (truck)          collision     

recreational vehicle     crash           NOS

spacecraft               wreck         

streetcar                              

tractor                                

train                                  

tram                                   

truck                  

van                    

watercraft             

classify the victim as an occupant or rider of the vehicle mentioned.

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87-V88, V90-V94, V95-V97, taking into account the order of precedence given in note 2.

5.       Where a transport accident, such as:

vehicle (motor) (nonmotor):

           • failing to make curve

           • going out of control (due to):

              • burst tire [blowout]

              • driver falling asleep

              • driver inattention

              • excessive speed

              • failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

6.       Where a transport accident involving a vehicle in motion for these listed conditions:

accidental poisoning from exhaust gas generated by          

breakage of any part of                                     

explosion of any part of                                    

fall, jump, thrown, or being accidentally pushed from         vehicle in

fire starting in                                              motion

hit by object thrown into or onto                           

injured by being thrown against some part of, or object in  

injury from moving part of                                  

object falling in or on                                     

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident according to the vehicle type involved.

If victim was thrown from vehicle and struck, classify victim as occupant of the vehicle type involved.

7.       Land transport accidents described as:

collision (due to loss of control) (on highway) between vehicle and:

abutment (bridge) (overpass)             

fallen stone                             

guard rail or boundary fence             

inter-highway divider                    

landslide (not moving)                   

object thrown in front of motor vehicle   are included in V17-, V27-, V37-,

safety island                             V47-, V57-, V67- and V77-

tree                                     

traffic sign or marker (temporary)       

utility pole                             

wall of cut made for road                

other object, fixed, movable or moving    

overturning (without collision) are included in V18-, V28-, V38-, V48-, V58-, V68-, and V78-

collision with animal (herded) (unattended) are included in V10-, V20-, V30-, V40-, V50-, V60-, and V70-

collision with animal-drawn vehicle or animal being ridden are included in V16-, V26-, V36-, V46-, V56-, V66-, and V76-.

Pedestrian injured in transport accident (V01-V09)

Excludes:    collision of pedestrian (conveyance) with other pedestrian (conveyance) (W51-)

• with subsequent fall (W03-)

The following fourth-character subdivisions are for use with categories V01-V06:

.0       Nontraffic accident

.1       Traffic accident

.9       Unspecified whether traffic or nontraffic accident

V01   Pedestrian injured in collision with pedal cycle

V02   Pedestrian injured in collision with two- or three-wheeled motor vehicle

V03   Pedestrian injured in collision with car, pick-up truck or van

V04   Pedestrian injured in collision with heavy transport vehicle or bus

V05   Pedestrian injured in collision with railway train or railway vehicle

V06   Pedestrian injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V09   Pedestrian injured in other and unspecified transport accidents

Includes:    pedestrian injured by special vehicle

V09.0   Pedestrian injured in nontraffic accident involving other and unspecified motor vehicles

V09.1   Pedestrian injured in unspecified nontraffic accident

V09.2   Pedestrian injured in traffic accident involving other and unspecified motor vehicles

V09.3   Pedestrian injured in unspecified traffic accident

V09.9   Pedestrian injured in unspecified transport accident

Pedal cyclist injured in transport accident (V10-V19)

The following fourth-character subdivisions are for use with categories V10-V18:

.0       Driver injured in nontraffic accident

.1       Passenger injured in nontraffic accident

.2       Unspecified pedal cyclist injured in nontraffic accident

.3       Person injured while boarding or alighting

.4       Driver injured in traffic accident

.5       Passenger injured in traffic accident

.9       Unspecified pedal cyclist injured in traffic accident

V10   Pedal cyclist injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V16-)

V11   Pedal cyclist injured in collision with other pedal cycle

V12   Pedal cyclist injured in collision with two- or three-wheeled motor vehicle

V13   Pedal cyclist injured in collision with car, pick-up truck or van

V14   Pedal cyclist injured in collision with heavy transport vehicle or bus

V15   Pedal cyclist injured in collision with railway train or railway vehicle

V16   Pedal cyclist injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V17   Pedal cyclist injured in collision with fixed or stationary object

V18   Pedal cyclist injured in noncollision transport accident

Includes:    fall or thrown from pedal cycle (without antecedent collision) overturning:

• NOS

• without collision

V19   Pedal cyclist injured in other and unspecified transport accidents

V19.0   Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V19.1   Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V19.2   Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in nontraffic accident

Pedal cycle collision NOS, nontraffic

V19.3   Pedal cyclist [any] injured in unspecified nontraffic accident

Pedal cycle accident NOS, nontraffic

Pedal cyclist injured in nontraffic accident NOS

V19.4   Driver injured in collision with other and unspecified motor vehicles in traffic accident

V19.5   Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V19.6   Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in traffic accident

Pedal cycle collision NOS (traffic)

V19.8   Pedal cyclist [any] injured in other specified transport accidents

Trapped by part of pedal cycle

V19.9   Pedal cyclist [any] injured in unspecified traffic accident

Pedal cycle accident NOS

Motorcycle rider injured in transport accident (V20-V29)

Includes:    moped

motorcycle with sidecar

motorized bicycle

motor scooter

Excludes:    three-wheeled motor vehicle (V30-V39)

The following fourth-character subdivisions are for use with categories V20-V28:

.0       Driver injured in nontraffic accident

.1       Passenger injured in nontraffic accident

.2       Unspecified motorcycle rider injured in nontraffic accident

.3       Person injured while boarding or alighting

.4       Driver injured in traffic accident

.5       Passenger injured in traffic accident

.9       Unspecified motorcycle rider injured in traffic accident

V20   Motorcycle rider injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V26-)

V21   Motorcycle rider injured in collision with pedal cycle

V22   Motorcycle rider injured in collision with two- or three-wheeled motor vehicle

V23   Motorcycle rider injured in collision with car, pick-up truck or van

V24   Motorcycle rider injured in collision with heavy transport vehicle or bus

V25   Motorcycle rider injured in collision with railway train or railway vehicle

V26   Motorcycle rider injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V27   Motorcycle rider injured in collision with fixed or stationary object

V28   Motorcycle rider injured in noncollision transport accident

Includes:    fall or thrown from motorcycle (without antecedent collision) overturning:

• NOS

• without collision

V29   Motorcycle rider injured in other and unspecified transport accidents

V29.0   Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V29.1   Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V29.2   Unspecified motorcycle rider injured in collision with other and unspecified motor vehicles in nontraffic accident

Motorcycle collision NOS, nontraffic

V29.3   Motorcycle rider [any] injured in unspecified nontraffic accident

Motorcycle accident NOS, nontraffic

Motorcycle rider injured in nontraffic accident NOS

V29.4   Driver injured in collision with other and unspecified motor vehicles in traffic accident

V29.5   Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V29.6   Unspecified motorcycle rider injured in collision with other and unspecified motor vehicles in traffic accident

Motorcycle collision NOS (traffic)

V29.8   Motorcycle rider [any] injured in other specified transport accidents

Trapped by part of motorcycle

V29.9   Motorcycle rider [any] injured in unspecified traffic accident

Motorcycle accident NOS

Occupant of three-wheeled motor vehicle injured in transport accident (V30-V39)

Includes:    motorized tricycle

Excludes:    motorcycle with sidecar (V20-V29)

vehicle designed primarily for off-road use (V86-)

The following fourth-character subdivisions are for use with categories V30-V38:

.0       Driver injured in nontraffic accident

.1       Passenger injured in nontraffic accident

.2       Person on outside of vehicle injured in nontraffic accident

.3       Unspecified occupant of three-wheeled motor vehicle injured in nontraffic accident

.4       Person injured while boarding or alighting

.5       Driver injured in traffic accident

.6       Passenger injured in traffic accident

.7       Person on outside of vehicle injured in traffic accident

.9       Unspecified occupant of three-wheeled motor vehicle injured in traffic accident

V30   Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V36-)

V31   Occupant of three-wheeled motor vehicle injured in collision with pedal cycle

V32   Occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle

V33   Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van

V34   Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus

V35   Occupant of three-wheeled motor vehicle injured in collision with railway train or railway vehicle

V36   Occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V37   Occupant of three-wheeled motor vehicle injured in collision with fixed or stationary object

V38   Occupant of three-wheeled motor vehicle injured in noncollision transport accident

Includes:    fall or thrown from three-wheeled motor vehicle overturning:

• NOS

• without collision

V39   Occupant of three-wheeled motor vehicle injured in other and unspecified transport accidents

V39.0   Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V39.1   Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V39.2   Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident

Collision NOS involving three-wheeled motor vehicle, nontraffic

V39.3   Occupant [any] of three-wheeled motor vehicle injured in unspecified nontraffic accident

Accident NOS involving three-wheeled motor vehicle, nontraffic

Occupant of three-wheeled motor vehicle injured in nontraffic accident NOS

V39.4   Driver injured in collision with other and unspecified motor vehicles in traffic accident

V39.5   Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V39.6   Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in traffic accident

Collision NOS involving three-wheeled motor vehicle (traffic)

V39.8   Occupant [any] of three-wheeled motor vehicle injured in other specified transport accidents

Trapped by door or other part of three-wheeled motor vehicle

V39.9   Occupant [any] of three-wheeled motor vehicle injured in unspecified traffic accident

Accident NOS involving three-wheeled motor vehicle

Car occupant injured in transport accident (V40-V49)

Includes:    minibus

The following fourth-character subdivisions are for use with categories V40-V48:

.0       Driver injured in nontraffic accident

.1       Passenger injured in nontraffic accident

.2       Person on outside of vehicle injured in nontraffic accident

.3       Unspecified car occupant injured in nontraffic accident

.4       Person injured while boarding or alighting

.5       Driver injured in traffic accident

.6       Passenger injured in traffic accident

.7       Person on outside of vehicle injured in traffic accident

.9       Unspecified car occupant injured in traffic accident

V40   Car occupant injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V46-)

V41   Car occupant injured in collision with pedal cycle

V42   Car occupant injured in collision with two- or three-wheeled motor vehicle

V43   Car occupant injured in collision with car, pick-up truck or van

V44   Car occupant injured in collision with heavy transport vehicle or bus

V45   Car occupant injured in collision with railway train or railway vehicle

V46   Car occupant injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V47   Car occupant injured in collision with fixed or stationary object

V48   Car occupant injured in noncollision transport accident

Includes:    overturning:

• NOS

• without collision

V49   Car occupant injured in other and unspecified transport accidents

V49.0   Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V49.1   Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V49.2   Unspecified car occupant injured in collision with other and unspecified motor vehicles in nontraffic accident

Car collision NOS, nontraffic

V49.3   Car occupant [any] injured in unspecified nontraffic accident

Car accident NOS, nontraffic

Car occupant injured in nontraffic accident NOS

V49.4   Driver injured in collision with other and unspecified motor vehicles in traffic accident

V49.5   Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V49.6   Unspecified car occupant injured in collision with other and unspecified motor vehicles in traffic accident

Car collision NOS (traffic)

V49.8   Car occupant [any] injured in other specified transport accidents

Trapped by door or other part of car

V49.9   Car occupant [any] injured in unspecified traffic accident

Car accident NOS

Occupant of pick-up truck or van injured in transport accident (V50-V59)

Excludes:    heavy transport vehicle (V60-V69)

The following fourth-character subdivisions are for use with categories V50-V58:

.0       Driver injured in nontraffic accident

.1       Passenger injured in nontraffic accident

.2       Person on outside of vehicle injured in nontraffic accident

.3       Unspecified occupant of pick-up truck or van injured in nontraffic accident

.4       Person injured while boarding or alighting

.5       Driver injured in traffic accident

.6       Passenger injured in traffic accident

.7       Person on outside of vehicle injured in traffic accident

.9       Unspecified occupant of pick-up truck or van injured in traffic accident

V50   Occupant of pick-up truck or van injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V56-)

V51   Occupant of pick-up truck or van injured in collision with pedal cycle

V52   Occupant of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle

V53   Occupant of pick-up truck or van injured in collision with car, pick-up truck or van

V54   Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus

V55   Occupant of pick-up truck or van injured in collision with railway train or railway vehicle

V56   Occupant of pick-up truck or van injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V57   Occupant of pick-up truck or van injured in collision with fixed or stationary object

V58   Occupant of pick-up truck or van injured in noncollision transport accident

Includes:    overturning:

• NOS

• without collision

V59   Occupant of pick-up truck or van injured in other and unspecified transport accidents

V59.0   Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V59.1   Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V59.2   Unspecified occupant of pick-up truck or van injured in collision with other and unspecified motor vehicles in nontraffic accident

Collision NOS involving pick-up truck or van, nontraffic

V59.3   Occupant [any] of pick-up truck or van injured in unspecified nontraffic accident

Accident NOS involving pick-up truck or van, nontraffic

Occupant of pick-up truck or van injured in nontraffic accident NOS

V59.4   Driver injured in collision with other and unspecified motor vehicles in traffic accident

V59.5   Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V59.6   Unspecified occupant of pick-up truck or van injured in collision with other and unspecified motor vehicles in traffic accident

Collision NOS involving pick-up truck or van (traffic)

V59.8   Occupant [any] of pick-up truck or van injured in other specified transport accidents

Trapped by door or other part of pick-up truck or van

V59.9   Occupant [any] of pick-up truck or van injured in unspecified traffic accident

Accident NOS involving pick-up truck or van

Occupant of heavy transport vehicle injured in transport accident (V60-V69)

The following fourth-character subdivisions are for use with categories V60-V68:

.0       Driver injured in nontraffic accident

.1       Passenger injured in nontraffic accident

.2       Person on outside of vehicle injured in nontraffic accident

.3       Unspecified occupant of heavy transport vehicle injured in nontraffic accident

.4       Person injured while boarding or alighting

.5       Driver injured in traffic accident

.6       Passenger injured in traffic accident

.7       Person on outside of vehicle injured in traffic accident

.9       Unspecified occupant of heavy transport vehicle injured in traffic accident

V60   Occupant of heavy transport vehicle injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V66-)

V61   Occupant of heavy transport vehicle injured in collision with pedal cycle

V62   Occupant of heavy transport vehicle injured in collision with two- or

three-wheeled motor vehicle

V63   Occupant of heavy transport vehicle injured in collision with car, pick-up truck or van

V64   Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus

V65   Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle

V66   Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V67   Occupant of heavy transport vehicle injured in collision with fixed or stationary object

V68   Occupant of heavy transport vehicle injured in noncollision transport accident

Includes:    overturning:

• NOS

• without collision

V69   Occupant of heavy transport vehicle injured in other and unspecified transport accidents

V69.0   Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V69.1   Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V69.2   Unspecified occupant of heavy transport vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident

Collision NOS involving heavy transport vehicle, nontraffic

V69.3   Occupant [any] of heavy transport vehicle injured in unspecified nontraffic accident

Accident NOS involving heavy transport vehicle, nontraffic

Occupant of heavy transport vehicle injured in nontraffic accident NOS

V69.4   Driver injured in collision with other and unspecified motor vehicles in traffic accident

V69.5   Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V69.6   Unspecified occupant of heavy transport vehicle injured in collision with other and unspecified motor vehicles in traffic accident

Collision NOS involving heavy transport vehicle (traffic)

V69.8   Occupant [any] of heavy transport vehicle injured in other specified transport accidents

Trapped by door or other part of heavy transport vehicle

V69.9   Occupant [any] of heavy transport vehicle injured in unspecified traffic accident

Accident NOS involving heavy transport vehicle

Bus occupant injured in transport accident (V70-V79)

Excludes:    minibus (V40-V49)

The following fourth-character subdivisions are for use with categories V70-V78:

.0       Driver injured in nontraffic accident

.1       Passenger injured in nontraffic accident

.2       Person on outside of vehicle injured in nontraffic accident

.3       Unspecified bus occupant injured in nontraffic accident

.4       Person injured while boarding or alighting

.5       Driver injured in traffic accident

.6       Passenger injured in traffic accident

.7       Person on outside of vehicle injured in traffic accident

.9       Unspecified bus occupant injured in traffic accident

V70   Bus occupant injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V76-)

V71   Bus occupant injured in collision with pedal cycle

V72   Bus occupant injured in collision with two- or three-wheeled motor vehicle

V73   Bus occupant injured in collision with car, pick-up truck or van

V74   Bus occupant injured in collision with heavy transport vehicle or bus

V75   Bus occupant injured in collision with railway train or railway vehicle

V76   Bus occupant injured in collision with other nonmotor vehicle

Includes:    collision with animal-drawn vehicle, animal being ridden, streetcar

V77   Bus occupant injured in collision with fixed or stationary object

V78   Bus occupant injured in noncollision transport accident

Includes:    overturning:

• NOS

• without collision

V79   Bus occupant injured in other and unspecified transport accidents

V79.0   Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V79.1   Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V79.2   Unspecified bus occupant injured in collision with other and unspecified motor vehicles in nontraffic accident

Bus collision NOS, nontraffic

V79.3   Bus occupant [any] injured in unspecified nontraffic accident

Bus accident NOS, nontraffic

Bus occupant injured in nontraffic accident NOS

V79.4   Driver injured in collision with other and unspecified motor vehicles in traffic accident

V79.5   Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V79.6   Unspecified bus occupant injured in collision with other and unspecified motor vehicles in traffic accident

Bus collision NOS (traffic)

V79.8   Bus occupant [any] injured in other specified transport accidents

Trapped by door or other part of bus

V79.9   Bus occupant [any] injured in unspecified traffic accident

Bus accident NOS

Other land transport accidents (V80-V89)

V80   Animal-rider or occupant of animal-drawn vehicle injured in transport accident

V80.0   Rider or occupant injured by fall from or being thrown from animal or animal-drawn vehicle in noncollision accident

Overturning:

• NOS

• without collision

V80.1   Rider or occupant injured in collision with pedestrian or animal

Excludes:    collision with animal-drawn vehicle or animal being ridden (V80.7)

V80.2   Rider or occupant injured in collision with pedal cycle

V80.3   Rider or occupant injured in collision with two-or three-wheeled motor vehicle

V80.4   Rider or occupant injured in collision with car, pick-up truck, van, heavy transport vehicle or bus

V80.5   Rider or occupant injured in collision with other specified motor vehicle

V80.6   Rider or occupant injured in collision with railway train or railway vehicle

V80.7   Rider or occupant injured in collision with other nonmotor vehicle

Collision with:

• animal being ridden

• animal-drawn vehicle

• streetcar

V80.8   Rider or occupant injured in collision with fixed or stationary object

V80.9   Rider or occupant injured in other and unspecified transport accidents

Animal-drawn vehicle accident NOS

Animal-rider accident NOS

V81   Occupant of railway train or railway vehicle injured in transport accident

Includes:    person on outside of train

V81.0   Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident

V81.1   Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident

V81.2   Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock

V81.3   Occupant of railway train or railway vehicle injured in collision with other object

Railway collision NOS

V81.4   Person injured while boarding or alighting from railway train or railway vehicle

V81.5   Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle

Excludes:    fall:

• during derailment:

• with antecedent collision (V81.0-V81.3)

• without antecedent collision (V81.7)

• while boarding or alighting (V81.4)

V81.6   Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle

Excludes:    fall:

• during derailment:

• with antecedent collision (V81.0-V81.3)

• without antecedent collision (V81.7)

• while boarding or alighting (V81.4)

V81.7   Occupant of railway train or railway vehicle injured in derailment without antecedent collision

V81.8   Occupant of railway train or railway vehicle injured in other specified

railway accidents

Explosion or fire

Hit by falling:

• earth

• rock

• tree

Excludes:    derailment:

• with antecedent collision (V81.0-V81.3)

• without antecedent collision (V81.7)

V81.9   Occupant of railway train or railway vehicle injured in unspecified railway accident

Railway accident NOS

V82   Occupant of streetcar injured in transport accident

Includes:    person on outside of streetcar

V82.0   Occupant of streetcar injured in collision with motor vehicle in nontraffic accident

V82.1   Occupant of streetcar injured in collision with motor vehicle in traffic accident

V82.2   Occupant of streetcar injured in collision with or hit by rolling stock

V82.3   Occupant of streetcar injured in collision with other object

Excludes:    collision with animal-drawn vehicle or animal being ridden (V82.8)

V82.4   Person injured while boarding or alighting from streetcar

V82.5   Occupant of streetcar injured by fall in streetcar

Excludes:    fall:

• while boarding or alighting (V82.4)

• with antecedent collision (V82.0-V82.3)

V82.6   Occupant of streetcar injured by fall from streetcar

Excludes:    fall:

• while boarding or alighting (V82.4)

• with antecedent collision (V82.0-V82.3)

V82.7   Occupant of streetcar injured in derailment without antecedent collision

V82.8   Occupant of streetcar injured in other specified transport accidents

Collision with train or other nonmotor vehicle

V82.9   Occupant of streetcar injured in unspecified traffic accident

Streetcar accident NOS

V83   Occupant of special vehicle mainly used on industrial premises injured in transport accident

Excludes:    vehicle in stationary use or maintenance (W31-)

V83.0   Driver of special industrial vehicle injured in traffic accident

V83.1   Passenger of special industrial vehicle injured in traffic accident

V83.2   Person on outside of special industrial vehicle injured in traffic accident

V83.3   Unspecified occupant of special industrial vehicle injured in traffic accident

V83.4   Person injured while boarding or alighting from special industrial vehicle

V83.5   Driver of special industrial vehicle injured in nontraffic accident

V83.6   Passenger of special industrial vehicle injured in nontraffic accident

V83.7   Person on outside of special industrial vehicle injured in nontraffic accident

V83.9   Unspecified occupant of special industrial vehicle injured in nontraffic accident

Special-industrial-vehicle accident NOS

V84   Occupant of special vehicle mainly used in agriculture injured in transport accident

Excludes:    vehicle in stationary use or maintenance (W30-)

V84.0   Driver of special agricultural vehicle injured in traffic accident

V84.1   Passenger of special agricultural vehicle injured in traffic accident

V84.2   Person on outside of special agricultural vehicle injured in traffic accident

V84.3   Unspecified occupant of special agricultural vehicle injured in traffic accident

V84.4   Person injured while boarding or alighting from special agricultural vehicle

V84.5   Driver of special agricultural vehicle injured in nontraffic accident

V84.6   Passenger of special agricultural vehicle injured in nontraffic accident

V84.7   Person on outside of special agricultural vehicle injured in nontraffic accident

V84.9   Unspecified occupant of special agricultural vehicle injured in nontraffic accident

Special-agricultural-vehicle accident NOS

V85   Occupant of special construction vehicle injured in transport accident

Excludes:    vehicle in stationary use or maintenance (W31-)

V85.0   Driver of special construction vehicle injured in traffic accident

V85.1   Passenger of special construction vehicle injured in traffic accident

V85.2   Person on outside of special construction vehicle injured in traffic accident

V85.3   Unspecified occupant of special construction vehicle injured in traffic accident

V85.4   Person injured while boarding or alighting from special construction vehicle

V85.5   Driver of special construction vehicle injured in nontraffic accident

V85.6   Passenger of special construction vehicle injured in nontraffic accident

V85.7   Person on outside of special construction vehicle injured in nontraffic accident

V85.9   Unspecified occupant of special construction vehicle injured in nontraffic accident

Special-construction-vehicle accident NOS

V86   Occupant of special all-terrain or other motor vehicle designed primarily for off-road use, injured in transport accident

Excludes:    vehicle in stationary use or maintenance (W31-)

V86.0   Driver of all-terrain or other off-road motor vehicle injured in traffic accident

V86.1   Passenger of all-terrain or other off-road motor vehicle injured in traffic accident

V86.2   Person on outside of all-terrain or other off-road motor vehicle injured in traffic accident

V86.3   Unspecified occupant of all-terrain or other off-road motor vehicle injured in traffic accident

V86.4   Person injured while boarding or alighting from all-terrain or other off-road motor vehicle

V86.5   Driver of all-terrain or other off-road motor vehicle injured in nontraffic accident

V86.6   Passenger of all-terrain or other off-road motor vehicle injured in nontraffic accident

V86.7   Person on outside of all-terrain or other off-road motor vehicle injured in nontraffic accident

V86.9   Unspecified occupant of all-terrain or other off-road motor vehicle injured in nontraffic accident

All-terrain motor-vehicle accident NOS

Off-road motor-vehicle accident NOS

V87   Traffic accident of specified type but victim's mode of transport unknown

Excludes:    collision involving:

• pedal cyclist (V10-V19)

• pedestrian (V01-V09)

V87.0   Person injured in collision between car and two- or three-wheeled motor vehicle (traffic)

V87.1   Person injured in collision between other motor vehicle and two-or three-wheeled motor vehicle (traffic)

V87.2   Person injured in collision between car and pick-up truck or van (traffic)

V87.3   Person injured in collision between car and bus (traffic)

V87.4   Person injured in collision between car and heavy transport vehicle (traffic)

V87.5   Person injured in collision between heavy transport vehicle and bus (traffic)

V87.6   Person injured in collision between railway train or railway vehicle and car (traffic)

V87.7   Person injured in collision between other specified motor vehicles (traffic)

V87.8   Person injured in other specified noncollision transport accidents involving motor vehicle (traffic)

V87.9   Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic)

V88   Nontraffic accident of specified type but victim's mode of transport unknown

Excludes:    collision involving:

• pedal cyclist (V10-V19)

• pedestrian (V01-V09)

V88.0   Person injured in collision between car and two- or three-wheeled motor vehicle, nontraffic

V88.1   Person injured in collision between other motor vehicle and two- or three-wheeled motor vehicle, nontraffic

V88.2   Person injured in collision between car and pick-up truck or van, nontraffic

V88.3   Person injured in collision between car and bus, nontraffic

V88.4   Person injured in collision between car and heavy transport vehicle, nontraffic

V88.5   Person injured in collision between heavy transport vehicle and bus, nontraffic

V88.6   Person injured in collision between railway train or railway vehicle and car, nontraffic

V88.7   Person injured in collision between other specified motor vehicles, nontraffic

V88.8   Person injured in other specified noncollision transport accidents involving motor vehicle, nontraffic

V88.9   Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle, nontraffic

V89   Motor- or nonmotor-vehicle accident, type of vehicle unspecified

V89.0   Person injured in unspecified motor-vehicle accident, nontraffic

Motor-vehicle accident NOS, nontraffic

V89.1   Person injured in unspecified nonmotor-vehicle accident, nontraffic

Nonmotor-vehicle accident NOS (nontraffic)

V89.2   Person injured in unspecified motor-vehicle accident, traffic

Motor-vehicle accident [MVA] NOS

Road (traffic) accident [RTA] NOS

V89.3   Person injured in unspecified nonmotor-vehicle accident, traffic

Nonmotor-vehicle traffic accident NOS

V89.9   Person injured in unspecified vehicle accident

Collision NOS

Water transport accidents (V90-V94)

Includes:    watercraft accidents in the course of recreational activities

The following fourth-character subdivisions are for use with categories V90-V94:

.0       Merchant ship

.1       Passenger ship

Ferry-boat

Liner

.2       Fishing boat

.3       Other powered watercraft

Hovercraft (on open water)

Jet skis

.4       Sailboat

Yacht

.5       Canoe or kayak

.6       Inflatable craft (nonpowered)

.7       Water-skis

.8       Other unpowered watercraft

Surf-board

Windsurfer

.9       Unspecified watercraft

Boat (motor) (powered) NOS

Ship NOS

Watercraft NOS

V90   Accident to watercraft causing drowning and submersion

Includes:    drowning and submersion due to:

• boat:

• overturning

• sinking

• falling or jumping from:

• burning ship

• crushed watercraft

• other accident to watercraft

Excludes:    water-transport-related drowning or submersion without accident to watercraft (V92-)

V91   Accident to watercraft causing other injury

Includes:    any injury except drowning and submersion as a result of an accident to watercraft

burned while ship on fire

crushed between ships by collision

crushed by lifeboat after abandoning ship

fall due to collision or other accident to watercraft

hit by falling object due to accident to watercraft

injured in watercraft accident involving collision of watercraft

struck by boat or part thereof after fall or jump from damaged boat

Excludes:    burns from localized fire or explosion on board ship (V93-)

V92   Water-transport-related drowning and submersion without accident to

watercraft

Includes:    drowning and submersion as a result of an accident, such as:

• fall:

• from gangplank

• from ship

• overboard

• thrown overboard by motion of ship

• washed overboard

Excludes:    drowning or submersion of swimmer or diver who voluntarily jumps from boat not involved in an accident (W69-, W73-)

V93   Accident on board watercraft without accident to watercraft, not causing

drowning and submersion

Includes:    accidental poisoning by gases or fumes on ship

atomic reactor malfunction in watercraft

crushed by falling object on ship

excessive heat in:

• boiler room

• engine room

• evaporator room

• fire room

explosion of boiler on steamship

fall from one level to another in watercraft

fall on stairs or ladders in watercraft

injuries in watercraft caused by:

• deck          

• engine room   

• galley           machinery

• laundry       

• loading       

localized fire on ship

machinery accident in watercraft

V94   Other and unspecified water transport accidents

Includes:    accident to nonoccupant of watercraft

hit by boat while water-skiing

Air and space transport accidents (V95-V97)

V95   Accident to powered aircraft causing injury to occupant

Includes:    collision with any object, fixed, movable or moving crash explosion fire forced landing

of or on (powered) aircraft

V95.0   Helicopter accident injuring occupant

V95.1   Ultralight, microlight or powered-glider accident injuring occupant

V95.2   Accident to other private fixed-wing aircraft, injuring occupant

V95.3   Accident to commercial fixed-wing aircraft, injuring occupant

V95.4   Spacecraft accident injuring occupant

V95.8   Other aircraft accidents injuring occupant

V95.9   Unspecified aircraft accident injuring occupant

Aircraft accident NOS

Air transport accident NOS

V96   Accident to nonpowered aircraft causing injury to occupant

Includes:    collision with any object, fixed, movable or moving crash explosion fire forced landing

of or on nonpowered aircraft

V96.0   Balloon accident injuring occupant

V96.1   Hang-glider accident injuring occupant

V96.2   Glider (nonpowered) accident injuring occupant

V96.8   Other nonpowered-aircraft accidents injuring occupant

Kite carrying a person

V96.9   Unspecified nonpowered-aircraft accident injuring occupant

Nonpowered-aircraft accident NOS

V97   Other specified air transport accidents

Includes:    accidents to nonoccupants of aircraft

V97.0   Occupant of aircraft injured in other specified air transport accidents

Fall in, on or from aircraft in air transport accident

Excludes:    accident while boarding or alighting (V97.1)

V97.1   Person injured while boarding or alighting from aircraft

V97.2   Parachutist injured in air transport accident

Excludes:    person making descent after accident to aircraft (V95-V96)

V97.3   Person on ground injured in air transport accident

Hit by object falling from aircraft

Injured by rotating propeller

Sucked into jet

V97.8   Other air transport accidents, not elsewhere classified

Injury from machinery on aircraft

Excludes:         aircraft accident NOS (V95.9)

exposure to changes in air pressure during ascent or descent (W94-)

Other and unspecified transport accidents (V98-V99)

Excludes:    vehicle accident, type of vehicle unspecified (V89-)

V98   Other specified transport accidents

Includes:    accident to, on or involving:

• cable-car, not on rails

• ice-yacht

• land-yacht

• ski chair-lift

• ski-lift with gondola

caught or dragged by       

fall or jump from             cable-car, not on rails

object thrown from or in   

V99   Unspecified transport accident

Other external causes of accidental injury (W00-X59)

Falls (W00-W19)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Excludes:    assault (Y01-Y02)

fall (in)(from):

• animal (V80-)

• burning building (X00-)

• into fire (X00-X04, X08-X09)

• into water (with drowning or submersion) (W65-W74)

• machinery (in operation) (W28-W31)

• repeated falls not resulting from accident (R29.6)

• transport vehicle (V01-V99)

intentional self-harm (X80-X81)

W00  Fall on same level involving ice and snow

Excludes:    fall with mention of:

• ice-skates and skis (W02-)

• stairs and steps (W10-)

W01  Fall on same level from slipping, tripping and stumbling

Excludes:    fall involving ice or snow (W00-)

W02  Fall involving ice-skates, skis, roller-skates or skateboards

W03  Other fall on same level due to collision with, or pushing by, another person

Includes:    fall due to collision of pedestrian (conveyance) with another pedestrian (conveyance)

Excludes:    crushed or pushed by crowd or human stampede (W52-)

fall involving ice or snow (W00-)

W04  Fall while being carried or supported by other persons

Includes:    accidentally dropped while being carried

W05  Fall involving wheelchair

W06  Fall involving bed

W07  Fall involving chair

W08  Fall involving other furniture

W09  Fall involving playground equipment

Excludes:    fall involving recreational machinery (W31-)

W10  Fall on and from stairs and steps

Includes:    fall (on)(from):

• escalator

• incline

• involving ice or snow on stairs and steps

• ramp

W11  Fall on and from ladder

W12  Fall on and from scaffolding

W13  Fall from, out of or through building or structure

Includes:    fall from, out of or through:

• balcony

• bridge

• building

• flag-pole

• floor

• railing

• roof

• tower

• turret

• viaduct

• wall

• window

Excludes:    collapse of a building or structure (W20-)

fall or jump from burning building or structure (X00-)

W14  Fall from tree

W15  Fall from cliff

W16  Diving or jumping into water causing injury other than drowning or submersion

Includes:    striking or hitting:

• against bottom when jumping or diving into shallow water

• wall or diving board of swimming-pool

• water surface

Excludes:    accidental drowning and submersion (W65-W74)

diving with insufficient air supply (W81-)

effects of air pressure from diving (W94-)

W17  Other fall from one level to another

Includes:    fall from or into:

• cavity

• dock

• haystack

• hole

• pit

• quarry

• shaft

• tank

• well

W18  Other fall on same level

Includes:    fall:

• from bumping against object

• from or off toilet

• on same level NOS

W19  Unspecified fall

Includes:    accidental fall NOS

Exposure to inanimate mechanical forces (W20-W49)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Excludes:    assault (X85-Y09)

contact or collision with animals or persons (W50-W64)

intentional self-harm (X60-X84)

W20  Struck by thrown, projected or falling object

Includes:    cave-in without asphyxiation or suffocation

collapse of building, except on fire

falling:

• rock

• stone

• tree

Excludes:    collapse or burning building (X00-)

falling object in:

• cataclysm (X34-X39)

• machinery accident (W24-, W28-W31)

• transport accident (V01-V99)

object set in motion by:

• explosion (W35-W40)

• firearm (W32-W34)

sports equipment (W21-)

W21  Striking against or struck by sports equipment

Includes:    struck by:

• hit or thrown ball

• hockey stick or puck

W22  Striking against or struck by other objects

Includes:    walked into wall

W23  Caught, crushed, jammed or pinched in or between objects

Includes:    caught, crushed, jammed or pinched:

• between:  • moving objects  • stationary and moving objects  • in object

such as

folding object sliding door and door-frame packing crate and floor, after losing grip washing-machine wringer

Excludes:    injury caused by:

• cutting or piercing instruments (W25-W27)

• lifting and transmission devices (W24-)

• machinery (W28-W31)

• nonpowered hand tools (W27-)

• transport vehicle being used as a means of transportation (V01-V99)

struck by thrown, projected or falling object (W20-)

W24  Contact with lifting and transmission devices, not elsewhere classified

Includes:    chain hoist

drive belt

pulley (block)

rope

transmission belt or cable

winch

wire

Excludes:    transport accidents (V01-V99)

W25  Contact with sharp glass

Excludes:    fall involving glass (W00-W19)

flying glass due to explosion or firearm discharge (W32-W40)

W26  Contact with knife, sword or dagger

W27  Contact with nonpowered hand tool

Includes:    axe

can-opener NOS

chisel

fork

handsaw

hoe

ice-pick

needle

paper-cutter

pitchfork

rake

scissors

screwdriver

sewing-machine, nonpowered

shovel

Excludes:    hypodermic needle (W46-)

W28  Contact with powered lawnmower

Excludes:    exposure to electric current (W86-)

W29  Contact with other powered hand tools and household machinery

Includes:    blender

powered:

• can-opener

• chain-saw

• do-it-yourself tool

• garden tool

• hedge-trimmer

• knife

• sewing-machine

• spin-drier

washing-machine

Excludes:    exposure to electric current (W86-)

W30  Contact with agricultural machinery

Includes:    animal-powered farm machine

combine harvester

derrick, hay

farm machinery NOS

reaper

thresher

Excludes:    accident(s) involving agricultural machinery occurring on highway (V01-V99)

exposure to electric current (W86-)

W31  Contact with other and unspecified machinery

Includes:    machine NOS

recreational machinery

Excludes:    accident(s) involving machinery occurring on highway (V01-V99)

exposure to electric current (W86-)

W32  Handgun discharge

Includes:    gun for single hand use

pistol

revolver

Excludes:    Very pistol (W34-)

W33  Rifle, shotgun and larger firearm discharge

Includes:    army rifle

hunting rifle

machine gun

Excludes:    airgun (W34-)

W34  Discharge from other and unspecified firearms

Includes:    airgun

BB gun

gunshot wound NOS

shot NOS

Very pistol [flare]

W35  Explosion and rupture of boiler

W36  Explosion and rupture of gas cylinder

Includes:    aerosol can

air tank

pressurized-gas tank

W37  Explosion and rupture of pressurized tire, pipe or hose

W38  Explosion and rupture of other specified pressurized devices

W39  Discharge of firework

W40  Explosion of other materials

Includes:    blasting material

explosion (in):

• NOS

• dump

• factory

• grain store

• munitions

explosive gas

W41  Exposure to high-pressure jet

Includes:    hydraulic jet

pneumatic jet

W42  Exposure to noise

Includes:    sound waves

supersonic waves

W43  Exposure to vibration

Includes:    infrasound waves

W44  Foreign body entering into or through eye or natural orifice

Excludes:    corrosive fluid (X49-)

inhalation or ingestion of foreign body with obstruction of respiratory tract (W78-W80)

W45  Foreign body or object entering through skin

Includes:    edge of stiff paper

nail

splinter

tin-can lid

Excludes:    contact with:

• hand tools (nonpowered)(powered) (W27-W29)

• hypodermic needle (W46-)

• knife, sword or dagger (W26-)

• sharp glass (W25-)

struck by objects (W20-W22)

W46  Contact with hypodermic needle

W49  Exposure to other and unspecified inanimate mechanical forces

Includes:    abnormal gravitational [G] forces

Exposure to animate mechanical forces (W50-W64)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Excludes:    bites, venomous (X20-X29)

stings (venomous) (X20-X29)

W50  Hit, struck, kicked, twisted, bitten or scratched by another person

Excludes:    assault (X85-Y09)

struck by objects (W20-W22)

W51  Striking against or bumped into by another person

Excludes:    fall due to collision of pedestrian (conveyance) with another pedestrian (conveyance) (W03-)

W52  Crushed, pushed or stepped on by crowd or human stampede

W53  Bitten by rat

W54  Bitten or struck by dog

W55  Bitten or struck by other mammals

Excludes:    contact with marine mammal (W56-)

W56  Contact with marine animal

Bitten or struck by marine animal

W57  Bitten or stung by nonvenomous insect and other nonvenomous arthropods

W58  Bitten or struck by crocodile or alligator

W59  Bitten or crushed by other reptiles

Includes:    lizard

snake, nonvenomous

W60  Contact with plant thorns and spines and sharp leaves

W64  Exposure to other and unspecified animate mechanical forces

Accidental drowning and submersion (W65-W74)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Excludes:    drowning and submersion due to:

• cataclysm (X34-X39)

• transport accidents (V01-V99)

• water transport accident (V90-, V92-)

W65  Drowning and submersion while in bath-tub

W66  Drowning and submersion following fall into bath-tub

W67  Drowning and submersion while in swimming-pool

W68  Drowning and submersion following fall into swimming-pool

W69  Drowning and submersion while in natural water

Includes:    lake

open sea

river

stream

W70  Drowning and submersion following fall into natural water

W73  Other specified drowning and submersion

Includes:    quenching tank

reservoir

W74  Unspecified drowning and submersion

Includes:    drowning NOS

fall into water NOS

Other accidental threats to breathing (W75-W84)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

W75  Accidental suffocation and strangulation in bed

Includes:    suffocation and strangulation due to:

• bed linen

• mother's body

• pillow

W76  Other accidental hanging and strangulation

W77  Threat to breathing due to cave-in, falling earth and other substances

Includes:    cave-in NOS

Excludes:    cave-in caused by cataclysm (X34-X39)

cave-in without asphyxiation or suffocation (W20-)

W78  Inhalation of gastric contents

Includes:    asphyxia by choked on suffocation by

vomitus [regurgitated food]

aspiration and inhalation of vomitus (into respiratory tract) NOS

compression of trachea        

interruption of respiration      by vomitus in oesophagus

obstruction of respiration    

Excludes:    injury, except asphyxia or obstruction of respiratory tract, caused by vomitus (W44-)

obstruction of oesophagus by vomitus without mention of asphyxia or obstruction of respiratory tract (W44-)

W79  Inhalation and ingestion of food causing obstruction of respiratory tract

Includes:    asphyxia by choked on suffocation by

food [including bone or seed]

aspiration and inhalation of food [any] (into respiratory tract) NOS

compression of trachea        

interruption of respiration      by food in oesophagus

obstruction of respiration    

obstruction of pharynx by food (bolus)

Excludes:    inhalation of vomitus (W78-)

injury, except asphyxia or obstruction of respiratory tract, caused by food (W44-)

obstruction of oesophagus by food without mention of asphyxia or obstruction of respiratory tract (W44-)

W80  Inhalation and ingestion of other objects causing obstruction of respiratory tract

Includes:

asphyxia by choked on suffocation by

any object, except food or vomitus entering by nose or mouth

aspiration NOS

aspiration and inhalation of foreign body, except food or vomitus (into respiratory tract), NOS

compression of trachea        

interruption of respiration      by foreign body in oesophagus

obstruction of respiration    

foreign object in nose

obstruction of pharynx by foreign body

Excludes:    inhalation of vomitus or food (W78-W79)

injury, except asphyxia or obstruction of respiratory tract, caused by foreign body (W44-)

obstruction of oesophagus by foreign body without mention of asphyxia or obstruction of respiratory tract (W44-)

W81  Confined to or trapped in a low-oxygen environment

Includes:    accidentally shut in refrigerator or other airtight space

diving with insufficient air supply

Excludes:    suffocation by plastic bag (W83-)

W83  Other specified threats to breathing

Includes:    suffocation by plastic bag

W84  Unspecified threat to breathing

Includes:    asphyxiation NOS

suffocation NOS

Exposure to electric current, radiation and extreme ambient air temperature and pressure (W85-W99)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Excludes:    abnormal reaction to a complication of treatment, without mention of misadventure (Y84.2)

exposure to:

• natural:

• cold (X31-)

• heat (X30-)

• radiation NOS (X39-)

• sunlight (X32-)

misadventure to patient in surgical and medical procedures (Y63.2-Y63.5)

victim of lightning (X33-)

W85  Exposure to electric transmission lines

W86  Exposure to other specified electric current

W87  Exposure to unspecified electric current

Includes:    burns or other injury from electric current NOS

electric shock NOS

electrocution NOS

W88  Exposure to ionizing radiation

Includes:    radioactive isotopes

X-rays

W89  Exposure to man-made visible and ultraviolet light

Includes:    welding light (arc)

W90  Exposure to other nonionizing radiation

Includes:    infrared laser radiofrequency

radiation

W91  Exposure to unspecified type of radiation

W92  Exposure to excessive heat of man-made origin

W93  Exposure to excessive cold of man-made origin

Includes:    contact with or inhalation of:

• dry ice

• liquid:

• air

• hydrogen

• nitrogen

prolonged exposure in deep-freeze unit

W94  Exposure to high and low air pressure and changes in air pressure

Includes:    high air pressure from rapid descent in water

reduction in atmospheric pressure while surfacing from:

• deep-water diving

• underground

residence or prolonged visit at high altitude as the cause of:

• anoxia

• barodontalgia

• barotitis

• hypoxia

• mountain sickness

sudden change in air pressure in aircraft during ascent or descent

W99  Exposure to other and unspecified man-made environmental factors

Exposure to smoke, fire and flames (X00-X09)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Includes:    fire caused by lightning

Excludes:    arson (X97-)

secondary fire resulting from explosion (W35-W40)

transport accidents (V01-V99)

X00   Exposure to uncontrolled fire in building or structure

collapse of                  

fall from                    

hit by object falling from     burning building or structure

jump from                    

conflagration                

fire                   fittings

melting         of     furniture

smoldering           

X01   Exposure to uncontrolled fire, not in building or structure

Includes:    forest fire

X02   Exposure to controlled fire in building or structure

Includes:    fire in:

• fireplace

• stove

X03   Exposure to controlled fire, not in building or structure

Includes:    camp-fire

X04   Exposure to ignition of highly flammable material

Includes:    ignition of:

• gasoline

• kerosene

• petrol

X05   Exposure to ignition or melting of nightwear

X06   Exposure to ignition or melting of other clothing and apparel

Includes:    ignition melting

of plastic jewelry

X08   Exposure to other specified smoke, fire and flames

X09   Exposure to unspecified smoke, fire and flames

Includes:    burning NOS

incineration NOS

Contact with heat and hot substances (X10-X19)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Excludes:    exposure to:

• excessive natural heat (X30-)

• fire and flames (X00-X09)

X10   Contact with hot drinks, food, fats and cooking oils

X11   Contact with hot tap-water

Includes:    hot water in:

• bath

• bucket

• tub

hot water running out of:

• hose

• tap

X12   Contact with other hot fluids

Includes:    water heated on stove

Excludes:    hot (liquid) metals (X18-)

X13   Contact with steam and hot vapours

X14   Contact with hot air and gases

Includes:    inhalation of hot air and gases

X15   Contact with hot household appliances

Includes:    cooker

hotplate

kettle

saucepan (glass)(metal)

stove (kitchen)

toaster

Excludes:    heating appliances (X16-)

X16   Contact with hot heating appliances, radiators and pipes

X17   Contact with hot engines, machinery and tools

Excludes:    hot heating appliances, radiators and pipes (X16-)

hot household appliances (X15-)

X18   Contact with other hot metals

Includes:    liquid metal

X19   Contact with other and unspecified heat and hot substances

Excludes:    objects that are not normally hot, e.g., an object made hot by a house fire (X00-X09)

Contact with venomous animals and plants (X20-X29)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Includes:    chemical released by:

• animal

• insect

release of venom through fangs, hairs, spines, tentacles and other venom apparatus

venomous bites and stings

Excludes:    ingestion of poisonous animals or plants (X49-)

X20   Contact with venomous snakes and lizards

Includes:    cobra

fer de lance

Gila monster

krait

rattlesnake

sea snake

snake (venomous)

viper

Excludes:    lizard (nonvenomous) (W59-)

snake, nonvenomous (W59-)

X21   Contact with venomous spiders

Includes:    black widow spider

tarantula

X22   Contact with scorpions

X23   Contact with hornets, wasps and bees

Includes:    yellow jacket

X24   Contact with centipedes and venomous millipedes (tropical)

X25   Contact with other venomous arthropods

Includes:    ant

caterpillar

X26   Contact with venomous marine animals and plants

Includes:    coral

jellyfish

nematocysts

sea:

• anemone

• cucumber

• urchin

Excludes:    nonvenomous marine animals (W56-)

sea snakes (X20-)

X27   Contact with other specified venomous animals

X28   Contact with other specified venomous plants

Includes:    injection of poisons or toxins into or through skin by plant thorns, spines or other mechanisms

Excludes:    ingestion of poisonous plants (X49-)

puncture wound NOS caused by plant thorns or spines (W60-)

X29   Contact with unspecified venomous animal or plant

Includes:    sting (venomous) NOS

venomous bite NOS

Exposure to forces of nature (X30-X39)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

X30   Exposure to excessive natural heat

Includes:    excessive heat as the cause of sunstroke

exposure to heat NOS

Excludes:    excessive heat of man-made origin (W92-)

X31   Exposure to excessive natural cold

Includes:    excessive cold as the cause of:

• chilblains NOS

• immersion foot or hand

exposure to:

• cold NOS

• weather conditions

Excludes:    cold of man-made origin (W93-)

contact with or inhalation of:

• dry ice (W93-)

• liquefied gas (W93-)

X32   Exposure to sunlight

X33   Victim of lightning

Excludes:    fire caused by lightning (X00-X09)

injury from fall of tree or other object caused by lightning (W20-)

X34   Victim of earthquake

X34.0   Victim of cataclysmic earth movements caused by earthquake

Includes:    trapped in or injured by collapsing building or other structure

X34.1   Victim of tsunami

X34.8   Victim of other specified effects of earthquake

X34.9   Victim of unspecified effect of earthquake

X35   Victim of volcanic eruption

X36   Victim of avalanche, landslide and other earth movements

Includes:    mudslide of cataclysmic nature

Excludes:    earthquake (X34-)

transport accident involving collision with avalanche or landslide not in motion (V01-V99)

X37   Victim of cataclysmic storm

Includes:    blizzard

cloudburst

cyclone

heavy snowfall

hurricane

monsoon

tidal wave caused by storm

tornado

torrential rain

transport vehicle washed off road by storm

typhoon

Excludes:    collapse of dam or man-made structure causing earth movement (X36-)

transport accident occurring after storm (V01-V99)

tsunami (X34.1)

X38   Victim of flood

Includes:    flood:

• arising from remote storm

• caused by storm

• of cataclysmic nature arising from melting snow

• resulting directly from storm

• river

• waters

high water (caused by flood)

Excludes:    collapse of dam or man-made structure causing earth movement (X36-)

tidal wave:

• NOS (X39-)

• caused by storm (X37-)

tsunami (X34.1)

X39   Exposure to other and unspecified forces of nature

Includes:    natural radiation NOS

tidal wave NOS

Excludes:    exposure NOS X59.9

tsunami (X34.1)

Accidental poisoning by and exposure to noxious substances (X40-X49)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Note:          For list of specific drugs and other substances classified under the three-character categories, see Table of drugs and chemicals in Alphabetical Index.

Includes:    accidental overdose of drug, wrong drug given or taken in error, and drug taken inadvertently

accidents in the use of drugs, medicaments and biological substances in medical and surgical procedures

(self-inflicted) poisoning, when not specified whether accidental or with intent to harm. Follow legal rulings when available (see note following “Event of undetermined intent (Y10-Y34)”)

Excludes:    administration with suicidal or homicidal intent, or intent to harm, or in other circumstances classifiable to X60-X69, X85-X90, Y10-Y19

correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect (Y40-Y59)

X40   Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

Includes:    4-aminophenol derivatives

nonsteroidal anti-inflammatory drugs [NSAID]

pyrazolone derivatives

salicylates

X41   Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

Includes:    antidepressants

barbiturates

hydantoin derivatives

iminostilbenes

methaqualone compounds

neuroleptics

psychostimulants

succinimides and oxazolidinediones

tranquillizers

X42   Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

Includes:    cannabis (derivatives)

cocaine

codeine

heroin

lysergide [LSD]

mescaline

methadone

morphine

opium (alkaloids)

X43   Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system

Includes:    parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics

parasympathomimetics [cholinergics]

sympatholytics [antiadrenergics]

sympathomimetics [adrenergics]

X44   Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

Includes:    agents primarily acting on smooth and skeletal muscles and the respiratory system anaesthetics (general)(local)

drugs affecting the:

• cardiovascular system

• gastrointestinal system

hormones and synthetic substitutes

systemic and haematological agents

systemic antibiotics and other anti-infectives

therapeutic gases

topical preparations

vaccines

water-balance agents and drugs affecting mineral and uric acid metabolism

X45   Accidental poisoning by and exposure to alcohol

Includes:    alcohol:

• NOS

• butyl [1-butanol]

• ethyl [ethanol]

• isopropyl [2-propanol]

• methyl [methanol]

• propyl [1-propanol]

fusel oil

X46   Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

Includes:    benzene and homologues

carbon tetrachloride [tetrachloromethane]

chlorofluorocarbons

petroleum (derivatives)

X47   Accidental poisoning by and exposure to other gases and vapours

Includes:    carbon monoxide

lacrimogenic gas [tear gas]

motor (vehicle) exhaust gas

nitrogen oxides

sulfur dioxide

utility gas

Excludes:    metal fumes and vapours (X49-)

X48   Accidental poisoning by and exposure to pesticides

Includes:    fumigants

fungicides

herbicides

insecticides

rodenticides

wood preservatives

Excludes:    plant foods and fertilizers (X49-)

X49   Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances

Includes:    corrosive aromatics, acids and caustic alkalis

glues and adhesives

metals including fumes and vapours

paints and dyes

plant foods and fertilizers

poisoning NOS

poisonous foodstuffs and poisonous plants

soaps and detergents

Excludes:    contact with venomous animals and plants (X20-X29)

Overexertion, travel and privation (X50-X57)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Excludes:    assault (X85-Y09)

transport accidents (V01-V99)

X50   Overexertion and strenuous or repetitive movements

Includes:    lifting:

• heavy objects

• weights

marathon running

rowing

X51   Travel and motion

X52   Prolonged stay in weightless environment

Includes:    weightlessness in spacecraft (simulator)

X53   Lack of food

Includes:    lack of food as the cause of:

• inanition

• insufficient nourishment

• starvation

Excludes:    insufficient intake of food (due to self neglect) (R63.6)

neglect or abandonment by others (Y06-)

self neglect NOS (R46.8)

X54   Lack of water

Includes:    lack of water as the cause of:

• dehydration

• inanition

Excludes:    insufficient intake of water (due to self neglect) (R63.6)

neglect or abandonment by others (Y06-)

self neglect NOS (R46.8)

X57   Unspecified privation

Includes:    destitution

Accidental exposure to other and unspecified factors (X58-X59)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

X58   Exposure to other specified factors

X59   Exposure to unspecified factor

X59.0   Exposure to unspecified factor causing fracture

X59.9   Exposure to unspecified factor causing other and unspecified injury

Includes:    accident NOS

exposure NOS

Intentional self-harm (X60-X84)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Includes:    purposely self-inflicted poisoning or injury

suicide (attempted)

X60   Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

Includes:    4-aminophenol derivatives

nonsteroidal anti-inflammatory drugs [NSAID]

pyrazolone derivatives

salicylates

X61   Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

Includes:    antidepressants

barbiturates

hydantoin derivatives

iminostilbenes

methaqualone compounds

neuroleptics

psychostimulants

succinimides and oxazolidinediones

tranquillizers

X62   Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

Includes:    cannabis (derivatives)

cocaine

codeine

heroin

lysergide [LSD]

mescaline

methadone

morphine

opium (alkaloids)

X63   Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system

Includes:    parasympatholytics [anticholinergics] and antimuscarinics] and spasmolytics

parasympathomimetics [cholinergics]

sympatholytics [antiadrenergics]

sympathomimetics [adrenergics]

X64   Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

Includes:    agents primarily acting on smooth and skeletal muscles and the respiratory system anaesthetics (general)(local)

drugs affecting the:

• cardiovascular system

• gastrointestinal system

hormones and synthetic substitutes

systemic and haematological agents

systemic antibiotics and other anti-infectives

therapeutic gases

topical preparations

vaccines

water-balance agents and drugs affecting mineral and uric acid metabolism

X65   Intentional self-poisoning by and exposure to alcohol

Includes:    alcohol:

• NOS

• butyl [1-butanol]

• ethyl [ethanol]

• isopropyl [2-propanol]

• methyl [methanol]

• propyl [1-propanol]

fusel oil

X66   Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

Includes:    benzene and homologues

carbon tetrachloride [tetrachloromethane]

chlorofluorocarbons

petroleum (derivatives)

X67   Intentional self-poisoning by and exposure to other gases and vapours

Includes:    carbon monoxide

lacrimogenic gas [tear gas]

motor (vehicle) exhaust gas

nitrogen oxides

sulfur dioxide

utility gas

Excludes:    metal fumes and vapours (X69-)

X68   Intentional self-poisoning by and exposure to pesticides

Includes:    fumigants

fungicides

herbicides

insecticides

rodenticides

wood preservatives

Excludes:    plant foods and fertilizers (X69-)

X69   Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances

Includes:    corrosive aromatics, acids and caustic alkalis

glues and adhesives

metals including fumes and vapours

paints and dyes

plant foods and fertilizers

poisonous foodstuffs and poisonous plants

soaps and detergents

X70   Intentional self-harm by hanging, strangulation and suffocation

X71   Intentional self-harm by drowning and submersion

X72   Intentional self-harm by handgun discharge

X73   Intentional self-harm by rifle, shotgun and larger firearm discharge

X74   Intentional self-harm by other and unspecified firearm discharge

X75   Intentional self-harm by explosive material

X76   Intentional self-harm by smoke, fire and flames

X77   Intentional self-harm by steam, hot vapours and hot objects

X78   Intentional self-harm by sharp object

X79   Intentional self-harm by blunt object

X80   Intentional self-harm by jumping from a high place

Includes:    intentional fall from one level to another

X81   Intentional self-harm by jumping or lying before moving object

X82   Intentional self-harm by crashing of motor vehicle

Includes:    intentional collision with:

• motor vehicle

• train

• tram (streetcar)

Excludes:    crashing of aircraft (X83-)

X83   Intentional self-harm by other specified means

Includes:    intentional self-harm by:

• caustic substances, except poisoning

• crashing of aircraft

• electrocution

X84   Intentional self-harm by unspecified means

Assault (X85-Y09)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Includes:    homicide

injuries inflicted by another person with intent to injure or kill, by any means

Excludes:    injuries due to:

• legal intervention (Y35-)

• operations of war (Y36-)

X85   Assault by drugs, medicaments and biological substances

Includes:    homicidal poisoning by (any):

• biological substance

• drug

• medicament

X86   Assault by corrosive substance

Excludes:    corrosive gas (X88-)

X87   Assault by pesticides

Includes:    wood preservatives

Excludes:    plant food and fertilizers (X89-)

X88   Assault by gases and vapours

X89   Assault by other specified chemicals and noxious substances

Includes:    plant food and fertilizers

X90   Assault by unspecified chemical or noxious substance

Includes:    homicidal poisoning NOS

X91   Assault by hanging, strangulation and suffocation

X92   Assault by drowning and submersion

X93   Assault by handgun discharge

X94   Assault by rifle, shotgun and larger firearm discharge

X95   Assault by other and unspecified firearm discharge

X96   Assault by explosive material

Excludes:    incendiary device (X97-)

X97   Assault by smoke, fire and flames

Includes:    arson

cigarettes

incendiary device

X98   Assault by steam, hot vapours and hot objects

X99   Assault by sharp object

Includes:    stabbed NOS

Y00   Assault by blunt object

Y01   Assault by pushing from high place

Y02   Assault by pushing or placing victim before moving object

Y03   Assault by crashing of motor vehicle

Includes:    deliberately hitting or running over with motor vehicle

Y04   Assault by bodily force

Includes:    unarmed brawl or fight

Excludes:    assault by:

• strangulation (X91-)

• submersion (X92-)

• use of weapon (X93-X95, X99-, Y00-)

sexual assault by bodily force (Y05-)

Y05   Sexual assault by bodily force

Includes:    rape (attempted)

sodomy (attempted)

Y06   Neglect and abandonment

Y06.0   By spouse or partner

Y06.1   By parent

Y06.2   By acquaintance or friend

Y06.8   By other specified persons

Y06.9   By unspecified person

Y07   Other maltreatment

Includes:    mental cruelty

physical abuse

sexual abuse

torture

Excludes:    neglect and abandonment (Y06-)

sexual assault by bodily force (Y05-)

Y07.0   By spouse or partner

Y07.1   By parent

Y07.2   By acquaintance or friend

Y07.3   By official authorities

Y07.8   By other specified persons

Y07.9   By unspecified person

Y08   Assault by other specified means

Y09   Assault by unspecified means

Includes:    assassination (attempt) NOS

homicide (attempt) NOS

manslaughter (nonaccidental)

murder (attempt) NOS

Event of undetermined intent (Y10-Y34)

[See beginning of Chapter XX for fourth-character place of occurrence codes]

Note:          This section covers events where available information is insufficient to enable a medical or legal authority to make a distinction between accident, self-harm and assault. It includes self-inflicted injuries, but not poisoning, when not specified whether accidental or with intent to harm (X40-X49). Follow legal rulings when available.

Y10   Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent

Includes:    4-aminophenol derivatives

nonsteroidal anti-inflammatory drugs [NSAID]

pyrazolone derivatives

salicylates

Y11   Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent

Includes:    antidepressants

barbiturates

hydantoin derivatives

iminostilbenes

methaqualone compounds

neuroleptics

psychostimulants

succinimides and oxazolidinediones

tranquillizers

Y12   Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent

Includes:    cannabis (derivatives)

cocaine

codeine

heroin

lysergide [LSD]

mescaline

methadone

morphine

opium (alkaloids)

Y13   Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent

Includes:    parasympatholytics [anticholinergics and antimuscarinics] spasmolytics

parasympathomimetics [cholinergics]

sympatholytics [antiadrenergics]

sympathomimetics [adrenergics]

Y14   Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent

Includes:    agents primarily acting on smooth and skeletal muscles and the respiratory system anaesthetics (general)(local)

drugs affecting the:

• cardiovascular system

• gastrointestinal system

hormones and synthetic substitutes

systemic and haematological agents

systemic antibiotics and other anti-infectives

therapeutic gases

topical preparations

vaccines

water-balance agents and drugs affecting mineral and uric acid metabolism

Y15   Poisoning by and exposure to alcohol, undetermined intent

Includes:    alcohol:

• NOS

• butyl [1-butanol]

• ethyl [ethanol]

• isopropyl [2-propanol]

• methyl [methanol]

• propyl [1-propanol]

fusel oil

Y16   Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent

Includes:    benzene and homologues

carbon tetrachloride [tetrachloromethane]

chlorofluorocarbons

petroleum (derivatives)

Y17   Poisoning by and exposure to other gases and vapours, undetermined intent

Includes:    carbon monoxide

lacrimogenic gas [tear gas]

motor (vehicle) exhaust gas

nitrogen oxides

sulfur dioxide

utility gas

Excludes:    metal fumes and vapours (Y19-)

Y18   Poisoning by and exposure to pesticides, undetermined intent

Includes:    fumigants

fungicides

herbicides

insecticides

rodenticides

wood preservatives

Excludes:    plant foods and fertilizers (Y19-)

Y19   Poisoning by and exposure to other and unspecified chemicals and noxious substances, undetermined intent

Includes:    corrosive aromatics, acids and caustic alkalis

glues and adhesives

metals including fumes and vapours

paints and dyes

plant foods and fertilizers

poisonous foodstuffs and poisonous plants

soaps and detergents

Y20   Hanging, strangulation and suffocation, undetermined intent

Y21   Drowning and submersion, undetermined intent

Y22   Handgun discharge, undetermined intent

Y23   Rifle, shotgun and larger firearm discharge, undetermined intent

Y24   Other and unspecified firearm discharge, undetermined intent

Y25   Contact with explosive material, undetermined intent

Y26   Exposure to smoke, fire and flames, undetermined intent

Y27   Contact with steam, hot vapours and hot objects, undetermined intent

Y28   Contact with sharp object, undetermined intent

Y29   Contact with blunt object, undetermined intent

Y30   Falling, jumping or pushed from a high place, undetermined intent

Includes:    victim falling from one level to another, undetermined intent

Y31   Falling, lying or running before or into moving object, undetermined intent

Y32   Crashing of motor vehicle, undetermined intent

Y33   Other specified events, undetermined intent

Y34   Unspecified event, undetermined intent

Legal intervention and operations of war (Y35-Y36)

Y35   Legal intervention

Includes:    injuries inflicted by the police or other law-enforcing agents, including military on duty, in the course of arresting or attempting to arrest lawbreakers, suppressing disturbances, maintaining order, and other legal action

legal execution

Excludes:    injuries to military personnel and civilians caused by war and civil insurrection (Y36.0-Y36.9)

Y35.0   Legal intervention involving firearm discharge

Legal intervention with:

• machine gun

• revolver

• rifle pellet or rubber bullet

Y35.1   Legal intervention involving explosives

Legal intervention with:

• dynamite

• explosive shell

• grenade

• mortar bomb

Y35.2   Legal intervention involving gas

  Asphyxiation by gas   

  Injury by tear gas       due to legal intervention

  Poisoning by gas      

Y35.3   Legal intervention involving blunt objects

Hit, struck by:

• baton          

• blunt object      due to legal intervention

• stave          

Y35.4   Legal intervention involving sharp objects

  Cut                  

  Injured by bayonet      due to legal intervention

  Stabbed              

Y35.5   Legal execution

Any execution performed at the behest of the judiciary or ruling

authority [whether permanent or temporary], such as:

• asphyxiation by gas

• beheading, decapitation (by guillotine)

• capital punishment

• electrocution

• hanging

• poisoning

• shooting

Y35.6   Legal intervention involving other specified means

Manhandling

Y35.7   Legal intervention, means unspecified

Y36   Operations of war

Note:          Injuries due to operations of war occurring after cessation of hostilities are classified to Y36.8.

Includes:    injuries to military personnel and civilians caused by war and civil insurrection

Y36.0   War operations involving explosion of marine weapons

Depth-charge

Marine mine

Mine NOS, at sea or in harbour

Sea-based artillery shell

Torpedo

Underwater blast

Y36.1   War operations involving destruction of aircraft

Aircraft:

• burned

• exploded

• shot down

Crushed by falling aircraft

Y36.2   War operations involving other explosions and fragments

  Accidental explosion of:         

• munitions being used in war    

• own weapons                    

  Antipersonnel bomb (fragments)   

  Explosion (of):                  

• artillery shell                

• breech-block                   

• cannon block                   

• mortar bomb                    

  Fragments from:                     during war operations

• artillery shell                

• bomb                           

• grenade                        

• guided missile                 

• land-mine                      

• rocket                         

• shell                          

• shrapnel                       

  Mine NOS                         

Y36.3   War operations involving fires, conflagrations and hot substances

  Asphyxia       

  Burns             originating from fire caused directly

  Other injury      by a fire-producing device or

  Petrol bomb        indirectly by any conventional weapon

Y36.4   War operations involving firearm discharge and other forms of conventional warfare

Battle wounds

Bayonet injury

Bullet:

• carbine

• machine gun

• pistol

• rifle

• rubber (rifle)

Drowned in war operations NOS

Pellets (shotgun)

Y36.5   War operations involving nuclear weapons

Blast effects

Exposure to ionizing radiation from nuclear weapon

Fireball effects

Heat

Other direct and secondary effects of nuclear weapons

Y36.6   War operations involving biological weapons

Y36.7   War operations involving chemical weapons and other forms of unconventional warfare

Gases, fumes and chemicals

Lasers

Y36.8   War operations occurring after cessation of hostilities

Injuries by explosion of bombs or mines placed in the course of operations of war, if the explosion occurred after cessation of hostilities

Injuries due to operations of war and classifiable to Y36.0-Y36.7 or Y36.9 but occurring after cessation of hostilities

Y36.9   War operations, unspecified

Complications of medical and surgical care (Y40-Y84)

Includes:    complications of medical devices

correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect

misadventures to patients during surgical and medical care

surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Excludes:    accidental overdose of drug or wrong drug given or taken in error (X40-X44)

Drugs, medicaments and biological substances causing adverse effects in therapeutic use (Y40-Y59)

Note:          For list of specific drugs classified under the fourth-character place of occurrence codes, see Table of drugs and chemicals in Alphabetical Index.

Excludes:    accidents in the technique of administration of drugs, medicaments and biological substances in medical and surgical procedures (Y60-Y69)

Y40   Systemic antibiotics

Excludes:    antibiotics, topically used (Y56-)

antineoplastic antibiotics (Y43.3)

Y40.0   Penicillins

Y40.1   Cefalosporins and other β-lactam antibiotics

Y40.2   Chloramphenicol group

Y40.3   Macrolides

Y40.4   Tetracyclines

Y40.5   Aminoglycosides

Streptomycin

Y40.6   Rifamycins

Y40.7   Antifungal antibiotics, systemically used

Y40.8   Other systemic antibiotics

Y40.9   Systemic antibiotic, unspecified

Y41   Other systemic anti-infectives and antiparasitics

Excludes:    anti-infectives, topically used (Y56-)

Y41.0   Sulfonamides

Y41.1   Antimycobacterial drugs

Excludes:    rifamycins (Y40.6)

streptomycin (Y40.5)

Y41.2   Antimalarials and drugs acting on other blood protozoa

Excludes:    hydroxyquinoline derivatives (Y41.8)

Y41.3   Other antiprotozoal drugs

Y41.4   Anthelminthics

Y41.5   Antiviral drugs

Excludes:    amantadine (Y46.7)

cytarabine (Y43.1)

Y41.8   Other specified systemic anti-infectives and antiparasitics

Hydroxyquinoline derivatives

Excludes:    antimalarial drugs (Y41.2)

Y41.9   Systemic anti-infective and antiparasitic, unspecified

Y42   Hormones and their synthetic substitutes and antagonists, not elsewhere classified

Excludes:    mineralocorticoids and their antagonists (Y54.0-Y54.1)

oxytocic hormones (Y55.0)

parathyroid hormones and derivatives (Y54.7)

Y42.0   Glucocorticoids and synthetic analogues

Excludes:    glucocorticoids, topically used (Y56-)

Y42.1   Thyroid hormones and substitutes

Y42.2   Antithyroid drugs

Y42.3   Insulin and oral hypoglycaemic [antidiabetic] drugs

Y42.4   Oral contraceptives

Multiple- and single-ingredient preparations

Y42.5   Other estrogens and progestogens

Mixtures and substitutes

Y42.6   Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified

Tamoxifen

Y42.7   Androgens and anabolic congeners

Y42.8   Other and unspecified hormones and their synthetic substitutes

Anterior pituitary [adenohypophyseal] hormones

Y42.9   Other and unspecified hormone antagonists

Y43   Primarily systemic agents

Excludes:    vitamins NEC (Y57.7)

Y43.0   Antiallergic and antiemetic drugs

Excludes:    phenothiazine-based neuroleptics (Y49.3)

Y43.1   Antineoplastic antimetabolites

Cytarabine

Y43.2   Antineoplastic natural products

Y43.3   Other antineoplastic drugs

Antineoplastic antibiotics

Excludes:    tamoxifen (Y42.6)

Y43.4   Immunosuppressive agents

Y43.5   Acidifying and alkalizing agents

Y43.6   Enzymes, not elsewhere classified

Y43.8   Other primarily systemic agents, not elsewhere classified

Heavy-metal antagonists

Y43.9   Primarily systemic agent, unspecified

Y44   Agents primarily affecting blood constituents

Y44.0   Iron preparations and other anti-hypochromic-anaemia preparations

Y44.1   Vitamin B₁₂, folic acid and other anti-megaloblastic-anaemia preparations

Y44.2   Anticoagulants

Y44.3   Anticoagulant antagonists, vitamin K and other coagulants

Y44.4   Antithrombotic drugs [platelet-aggregation inhibitors]

Excludes:    acetylsalicylic acid (Y45.1)

dipyridamole (Y52.3)

Y44.5   Thrombolytic drugs

Y44.6   Natural blood and blood products

Excludes:    immunoglobulin (Y59.3)

Y44.7   Plasma substitutes

Y44.9   Other and unspecified agents affecting blood constituents

Y45   Analgesics, antipyretics and anti-inflammatory drugs

Y45.0   Opioids and related analgesics

Y45.1   Salicylates

Y45.2   Propionic acid derivatives

Propanoic acid derivatives

Y45.3   Other nonsteroidal anti-inflammatory drugs [NSAID]

Y45.4   Antirheumatics

Excludes:    chloroquine (Y41.2)

glucocorticoids (Y42.0)

salicylates (Y45.1)

Y45.5   4-Aminophenol derivatives

Y45.8   Other analgesics and antipyretics

Y45.9   Analgesic, antipyretic and anti-inflammatory drug, unspecified

Y46   Antiepileptics and antiparkinsonism drugs

Excludes:    acetazolamide (Y54.2)

barbiturates NEC (Y47.0)

benzodiazepines (Y47.1)

paraldehyde (Y47.3)

Y46.0   Succinimides

Y46.1   Oxazolidinediones

Y46.2   Hydantoin derivatives

Y46.3   Deoxybarbiturates

Y46.4   Iminostilbenes

Carbamazepine

Y46.5   Valproic acid

Y46.6   Other and unspecified antiepileptics

Y46.7   Antiparkinsonism drugs

Amantadine

Y46.8   Antispasticity drugs

Excludes:    benzodiazepines (Y47.1)

Y47   Sedatives, hypnotics and antianxiety drugs

Y47.0   Barbiturates, not elsewhere classified

Excludes:    deoxybarbiturates (Y46.3)

thiobarbiturates (Y48.1)

Y47.1   Benzodiazepines

Y47.2   Cloral derivatives

Y47.3   Paraldehyde

Y47.4   Bromine compounds

Y47.5   Mixed sedatives and hypnotics, not elsewhere classified

Y47.8   Other sedatives, hypnotics and antianxiety drugs

Methaqualone

Y47.9   Sedative, hypnotic and antianxiety drug, unspecified

Sleeping:

• draught   

• drug         NOS

• tablet    

Y48   Anaesthetics and therapeutic gases

Y48.0   Inhaled anaesthetics

Y48.1   Parenteral anaesthetics

Thiobarbiturates

Y48.2   Other and unspecified general anaesthetics

Y48.3   Local anaesthetics

Y48.4   Anaesthetic, unspecified

Y48.5   Therapeutic gases

Y49   Psychotropic drugs, not elsewhere classified

Excludes:    appetite depressants [anorectics] (Y57.0)

barbiturates NEC (Y47.0)

benzodiazepines (Y47.1)

caffeine (Y50.2)

cocaine (Y48.3)

methaqualone (Y47.8)

Y49.0   Tricyclic and tetracyclic antidepressants

Y49.1   Monoamine-oxidase-inhibitor antidepressants

Y49.2   Other and unspecified antidepressants

Y49.3   Phenothiazine antipsychotics and neuroleptics

Y49.4   Butyrophenone and thioxanthene neuroleptics

Y49.5   Other antipsychotics and neuroleptics

Excludes:    rauwolfia (Y52.5)

Y49.6   Psychodysleptics [hallucinogens]

Y49.7   Psychostimulants with abuse potential

Y49.8   Other psychotropic drugs, not elsewhere classified

Y49.9   Psychotropic drug, unspecified

Y50   Central nervous system stimulants, not elsewhere classified

Y50.0   Analeptics

Y50.1   Opioid receptor antagonists

Y50.2   Methylxanthines, not elsewhere classified

Caffeine

Excludes:    aminophylline (Y55.6)

theobromine (Y55.6)

theophylline (Y55.6)

Y50.8   Other central nervous system stimulants

Y50.9   Central nervous system stimulant, unspecified

Y51   Drugs primarily affecting the autonomic nervous system

Y51.0   Anticholinesterase agents

Y51.1   Other parasympathomimetics [cholinergics]

Y51.2   Ganglionic blocking drugs, not elsewhere classified

Y51.3   Other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, not elsewhere classified

Papaverine

Y51.4   Predominantly α-adrenoreceptor agonists, not elsewhere classified

Metaraminol

Y51.5   Predominantly β-adrenoreceptor agonists, not elsewhere classified

Excludes:    salbutamol (Y55.6)

Y51.6   α-Adrenoreceptor antagonists, not elsewhere classified

Excludes:    ergot alkaloids (Y55.0)

Y51.7   β-Adrenoreceptor antagonists, not elsewhere classified

Y51.8   Centrally acting and adrenergic-neuron-blocking agents, not elsewhere classified

Excludes:    clonidine (Y52.5)

guanethidine (Y52.5)

Y51.9   Other and unspecified drugs primarily affecting the autonomic nervous system

Drugs stimulating both α- and β-adrenoreceptors

Y52   Agents primarily affecting the cardiovascular system

Excludes:    metaraminol (Y51.4)

Y52.0   Cardiac-stimulant glycosides and drugs of similar action

Y52.1   Calcium-channel blockers

Y52.2   Other antidysrhythmic drugs, not elsewhere classified

Excludes:    β-adrenoreceptor antagonists (Y51.7)

Y52.3   Coronary vasodilators, not elsewhere classified

Dipyridamole

Excludes:    β-adrenoreceptor antagonists (Y51.7)

calcium-channel blockers (Y52.1)

Y52.4   Angiotensin-converting-enzyme inhibitors

Y52.5   Other antihypertensive drugs, not elsewhere classified

Clonidine

Guanethidine

Rauwolfia

Excludes:    β-adrenoreceptor antagonists (Y51.7)

calcium-channel blockers (Y52.1)

diuretics (Y54.0-Y54.5)

Y52.6   Antihyperlipidaemic and antiarteriosclerotic drugs

Y52.7   Peripheral vasodilators

Nicotinic acid (derivatives)

Excludes:    papaverine (Y51.3)

Y52.8   Antivaricose drugs, including sclerosing agents

Y52.9   Other and unspecified agents primarily affecting the cardiovascular system

Y53   Agents primarily affecting the gastrointestinal system

Y53.0   Histamine H₂-receptor antagonists

Y53.1   Other antacids and anti-gastric-secretion drugs

Y53.2   Stimulant laxatives

Y53.3   Saline and osmotic laxatives

Y53.4   Other laxatives

Intestinal atonia drugs

Y53.5   Digestants

Y53.6   Antidiarrhoeal drugs

Excludes:    systemic antibiotics and other anti-infectives (Y40-Y41)

Y53.7   Emetics

Y53.8   Other agents primarily affecting the gastrointestinal system

Y53.9   Agent primarily affecting the gastrointestinal system, unspecified

Y54   Agents primarily affecting water-balance and mineral and uric acid metabolism

Y54.0   Mineralocorticoids

Y54.1   Mineralocorticoid antagonists [aldosterone antagonists]

Y54.2   Carbonic-anhydrase inhibitors

Acetazolamide

Y54.3   Benzothiadiazine derivatives

Y54.4   Loop [high-ceiling] diuretics

Y54.5   Other diuretics

Y54.6   Electrolytic, caloric and water-balance agents

Oral rehydration salts

Y54.7   Agents affecting calcification

Parathyroid hormones and derivatives

Vitamin D group

Y54.8   Agents affecting uric acid metabolism

Y54.9   Mineral salts, not elsewhere classified

Y55   Agents primarily acting on smooth and skeletal muscles and the respiratory system

Y55.0   Oxytocic drugs

Ergot alkaloids

Excludes:    estrogens, progestogens and antagonists (Y42.5-Y42.6)

Y55.1   Skeletal muscle relaxants [neuromuscular blocking agents]

Excludes:    antispasticity drugs (Y46.8)

Y55.2   Other and unspecified agents primarily acting on muscles

Y55.3   Antitussives

Y55.4   Expectorants

Y55.5   Anti-common-cold drugs

Y55.6   Antiasthmatics, not elsewhere classified

Aminophylline

Salbutamol

Theobromine

Theophylline

Excludes:    β-adrenoreceptor agonists (Y51.5)

anterior pituitary [adenohypophyseal] hormones (Y42.8)

Y55.7   Other and unspecified agents primarily acting on the respiratory system

Y56   Topical agents primarily affecting skin and mucous membrane and ophthalmological, otorhinolaryngological and dental drugs

Includes:    glucocorticoids, topically used

Y56.0   Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified

Y56.1   Antipruritics

Y56.2   Local astringents and local detergents

Y56.3   Emollients, demulcents and protectants

Y56.4   Keratolytics, keratoplastics and other hair treatment drugs and preparations

Y56.5   Ophthalmological drugs and preparations

Y56.6   Otorhinolaryngological drugs and preparations

Y56.7   Dental drugs, topically applied

Y56.8   Other topical agents

Spermicides

Y56.9   Topical agent, unspecified

Y57   Other and unspecified drugs and medicaments

Y57.0   Appetite depressants [anorectics]

Y57.1   Lipotropic drugs

Y57.2   Antidotes and chelating agents, not elsewhere classified

Y57.3   Alcohol deterrents

Y57.4   Pharmaceutical excipients

Y57.5   X-ray contrast media

Y57.6   Other diagnostic agents

Y57.7   Vitamins, not elsewhere classified

Excludes:    nicotinic acid (Y52.7)

vitamin B₁₂ (Y44.1)

vitamin D (Y54.7)

vitamin K (Y44.3)

Y57.8   Other drugs and medicaments

Y57.9   Drug or medicament, unspecified

Y58   Bacterial vaccines

Y58.0   BCG vaccine

Y58.1   Typhoid and paratyphoid vaccine

Y58.2   Cholera vaccine

Y58.3   Plague vaccine

Y58.4   Tetanus vaccine

Y58.5   Diphtheria vaccine

Y58.6   Pertussis vaccine, including combinations with a pertussis component

Y58.8   Mixed bacterial vaccines, except combinations with a pertussis component

Y58.9   Other and unspecified bacterial vaccines

Y59   Other and unspecified vaccines and biological substances

Y59.0   Viral vaccines

Y59.1   Rickettsial vaccines

Y59.2   Protozoal vaccines

Y59.3   Immunoglobulin

Y59.8   Other specified vaccines and biological substances

Y59.9   Vaccine or biological substance, unspecified

Misadventures to patients during surgical and medical care (Y60-Y69)

Excludes:    breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)

surgical and medical procedures as the cause of abnormal reaction of the patient, without mention of misadventure at the time of the procedure (Y83-Y84)

Y60   Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care

Y60.0   During surgical operation

Y60.1   During infusion or transfusion

Y60.2   During kidney dialysis or other perfusion

Y60.3   During injection or immunization

Y60.4   During endoscopic examination

Y60.5   During heart catheterization

Y60.6   During aspiration, puncture and other catheterization

Y60.7   During administration of enema

Y60.8   During other surgical and medical care

Y60.9   During unspecified surgical and medical care

Y61   Foreign object accidentally left in body during surgical and medical care

Y61.0   During surgical operation

Y61.1   During infusion or transfusion

Y61.2   During kidney dialysis or other perfusion

Y61.3   During injection or immunization

Y61.4   During endoscopic examination

Y61.5   During heart catheterization

Y61.6   During aspiration, puncture and other catheterization

Y61.7   During removal of catheter or packing

Y61.8   During other surgical and medical care

Y61.9   During unspecified surgical and medical care

Y62   Failure of sterile precautions during surgical and medical care

Y62.0   During surgical operation

Y62.1   During infusion or transfusion

Y62.2   During kidney dialysis or other perfusion

Y62.3   During injection or immunization

Y62.4   During endoscopic examination

Y62.5   During heart catheterization

Y62.6   During aspiration, puncture and other catheterization

Y62.8   During other surgical and medical care

Y62.9   During unspecified surgical and medical care

Y63   Failure in dosage during surgical and medical care

Excludes:    accidental overdose of drug or wrong drug given in error (X40-X44)

Y63.0   Excessive amount of blood or other fluid given during transfusion or infusion

Y63.1   Incorrect dilution of fluid used during infusion

Y63.2   Overdose of radiation given during therapy

Y63.3   Inadvertent exposure of patient to radiation during medical care

Y63.4   Failure in dosage in electroshock or insulin-shock therapy

Y63.5   Inappropriate temperature in local application and packing

Y63.6   Nonadministration of necessary drug, medicament or biological substance

Y63.8   Failure in dosage during other surgical and medical care

Y63.9   Failure in dosage during unspecified surgical and medical care

Y64   Contaminated medical or biological substances

Y64.0   Contaminated medical or biological substance, transfused or infused

Y64.1   Contaminated medical or biological substance, injected or used for immunization

Y64.8   Contaminated medical or biological substance administered by other means

Y64.9   Contaminated medical or biological substance administered by unspecified means

Administered contaminated medical or biological substance NOS

Y65   Other misadventures during surgical and medical care

Y65.0   Mismatched blood used in transfusion

Y65.1   Wrong fluid used in infusion

Y65.2   Failure in suture or ligature during surgical operation

Y65.3   Endotracheal tube wrongly placed during anaesthetic procedure

Y65.4   Failure to introduce or to remove other tube or instrument

Y65.5   Performance of inappropriate operation

Y65.8   Other specified misadventures during surgical and medical care

Y66   Nonadministration of surgical and medical care

Premature cessation of surgical and medical care

Y69   Unspecified misadventure during surgical and medical care

Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)

Includes:    breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use)

Excludes:    misadventures to patients during surgical and medical care, classifiable to Y60-Y69 (Y60-Y69)

later complications following use of medical devices without mention of breakdown or malfunctioning of medical device (Y83-Y84)

The following fourth-character place of occurrence codes are for use with categories Y70-Y82:

.0       Diagnostic and monitoring devices

.1       Therapeutic (nonsurgical) and rehabilitative devices

.2       Prosthetic and other implants, materials and accessory devices

.3       Surgical instruments, materials and devices (including sutures)

.8       Miscellaneous devices, not elsewhere classified

Y70   Anaesthesiology devices associated with adverse incidents

Y71   Cardiovascular devices associated with adverse incidents

Y72   Otorhinolaryngological devices associated with adverse incidents

Y73   Gastroenterology and urology devices associated with adverse incidents

Y74   General hospital and personal-use devices associated with adverse incidents

Y75   Neurological devices associated with adverse incidents

Y76   Obstetric and gynaecological devices associated with adverse incidents

Y77   Ophthalmic devices associated with adverse incidents

Y78   Radiological devices associated with adverse incidents

Y79   Orthopaedic devices associated with adverse incidents

Y80   Physical medicine devices associated with adverse incidents

Y81   General- and plastic-surgery devices associated with adverse incidents

Y82   Other and unspecified medical devices associated with adverse incidents

Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84)

Excludes:    misadventures to patients during surgical and medical care, classifiable to Y60-Y69 (Y60-Y69)

breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)

Y83   Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y83.0   Surgical operation with transplant of whole organ

Y83.1   Surgical operation with implant of artificial internal device

Y83.2   Surgical operation with anastomosis, bypass or graft

Y83.3   Surgical operation with formation of external stoma

Y83.4   Other reconstructive surgery

Y83.5   Amputation of limb(s)

Y83.6   Removal of other organ (partial) (total)

Y83.8   Other surgical procedures

Y83.9   Surgical procedure, unspecified

Y84   Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y84.0   Cardiac catheterization

Y84.1   Kidney dialysis

Y84.2   Radiological procedure and radiotherapy

Y84.3   Shock therapy

Y84.4   Aspiration of fluid

Y84.5   Insertion of gastric or duodenal sound

Y84.6   Urinary catheterization

Y84.7   Blood-sampling

Y84.8   Other medical procedures

Y84.9   Medical procedure, unspecified

Sequelae of external causes of morbidity and mortality (Y85-Y89)

Note:          Categories Y85-Y89 are to be used to indicate circumstances as the cause of death, impairment or disability from sequelae or "late effects", which are themselves classified elsewhere. The sequelae include conditions reported as such, or occurring as "late effects" one year or more after the originating event.

Not to be used for chronic poisoning and harmful exposure. Code these to current poisoning and harmful exposure.

Y85   Sequelae of transport accidents

Y85.0   Sequelae of motor-vehicle accident (V01-V89)

Y85.9   Sequelae of other and unspecified transport accidents (V90-V99)

Y86   Sequelae of other accidents

Y87   Sequelae of intentional self-harm, assault and events of undetermined intent

Y87.0   Sequelae of intentional self-harm (X60-X84)

Y87.1   Sequelae of assault (X85-Y09)

Y87.2   Sequelae of events of undetermined intent (Y10-Y34)

Y88   Sequelae with surgical and medical care as external cause

Y88.0   Sequelae of adverse effects caused by drugs, medicaments and biological substances in therapeutic use (Y40-Y59)

Y88.1   Sequelae of misadventures to patients during surgical and medical procedures (Y60-Y69)

Y88.2   Sequelae of adverse incidents associated with medical devices in diagnostic and therapeutic use (Y70-Y82)

Y88.3   Sequelae of surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84)

Y89   Sequelae of other external causes

Y89.0   Sequelae of legal intervention

Y89.1   Sequelae of war operations

Y89.9   Sequelae of unspecified external cause

MORPHOLOGY OF NEOPLASMS

The second edition of the International Classification of Diseases for Oncology (ICD-O) was published in 1990. It contains a coded nomenclature for the morphology of neoplasms, which is reproduced here for those who wish to use it in conjunction with Chapter II.

The morphology code numbers consist of five digits; the first four identify the histological type of the neoplasm and the fifth, following a slash or solidus, indicates its behaviour. The one-digit behaviour code is as follows:

/0      Benign

/1      Uncertain whether benign or malignant

Borderline malignancy¹

Low malignant potential¹

/2      Carcinoma in situ

          Intraepithelial

Noninfiltrating

Noninvasive

/3      Malignant, primary site

/6      Malignant, metastatic site

Malignant, secondary site

/9      Malignant, uncertain whether primary or metastatic site

In the nomenclature given here, the morphology code numbers include the behaviour code appropriate to the histological type of neoplasm; this behaviour code should be changed if the other reported information makes this appropriate. For example, chordoma is assumed to be malignant and is therefore assigned the code number M9370; the term "benign chordoma" should, however, be coded M9370. Similarly, superficial spreading adenocarcinoma (M8143) should be coded M8143 when described as "noninvasive", and melanoma (M8720), when described as "secondary", should be coded M8720.

¹Except cystadenomas of ovary in M844-M849, which are considered to be malignant.

The following table shows the correspondence between the behaviour code and the different sections of Chapter II:

 Behaviour                                    Chapter II

 code                                         categories

 /0         Benign neoplasms                  D10-D36

 /1         Neoplasms of uncertain and        D37-D48

            unknown behaviour

 /2         In situ neoplasms                 D00-D09

 /3         Malignant neoplasms, stated or    C00-C76

            presumed to be primary            C80-C97

 /6         Malignant neoplasms, stated or    C77-C79

            presumed to be secondary

The ICD-O behaviour digit /9 is not applicable in the ICD context, since all malignant neoplasms are presumed to be primary (/3) or secondary (/6), according to other information on the medical record.

Only the first-listed term of the full ICD-O morphology nomenclature appears against each code number in the list given here. The Alphabetical Index (Volume 3), however, includes all the ICD-O synonyms as well as a number of other morphological descriptions still likely to be encountered on medical records but omitted from ICD-O as outdated or otherwise undesirable.

Some types of neoplasm are specific to certain sites or types of tissue. For example, nephroblastoma (M8960), by definition, always arises in the kidney; hepatocellular carcinoma (M8170) is always primary in the liver; and basal cell carcinoma (M8090) usually arises in the skin. For such terms the appropriate code from Chapter II has been added in parentheses in the nomenclature. Thus nephroblastoma is followed by the code for malignant neoplasm of kidney (C64). For basal cell carcinoma the code for malignant neoplasm of skin (C44-) is given with the fourth character left open. The appropriate fourth character for the reported site should be used. The Chapter II codes assigned to the morphologic terms should be used when the site of the neoplasm is not given in the diagnosis. Chapter II codes have not been assigned to many of the morphology terms because the histologic types can arise in more than one organ or type of tissue. For example, "Adenocarcinoma NOS" (M8140) has no assigned Chapter II code because it can be primary in many different organs.

Occasionally a problem arises when a site given in a diagnosis is different from the site indicated by the site-specific code. In such instances, the given Chapter II code should be ignored and the appropriate code for the site included in the diagnosis should be used. For example, C50- (breast) is added to the morphologic term Infiltrating duct carcinoma (M8500), because this type of carcinoma usually arises in the breast. However, if the term "Infiltrating duct carcinoma" is used for a primary carcinoma arising in the pancreas, the correct code would be C25.9 (Pancreas, unspecified).

For neoplasms of lymphoid, haematopoietic and related tissue (M959-M998), the relevant codes from C81-C96 and D45-D47 are given. These Chapter II codes should be used irrespective of the stated site of the neoplasm.

A coding difficulty sometimes arises where a morphological diagnosis contains two qualifying adjectives that have different code numbers. An example is "transitional cell epidermoid carcinoma". "Transitional cell carcinoma NOS" is M8120 and "epidermoid carcinoma NOS" is M8070. In such circumstances, the higher number (M8120 in this example) should be used, as it is usually more specific. For other information about the coding of morphology see Part Instruction Manual (NCHS).

Coded nomenclature for morphology of neoplasms

M800    Neoplasms NOS

M8000/0       Neoplasm, benign

M8000/1       Neoplasm, uncertain whether benign or malignant

M8000/3       Neoplasm, malignant

M8000/6       Neoplasm, metastatic

M8001/0       Tumour cells, benign

M8001/1       Tumour cells, uncertain whether benign or malignant

M8001/3       Tumour cells, malignant

M8002/3       Malignant tumour, small cell type

M8003/3       Malignant tumour, giant cell type

M8004/3       Malignant tumour, fusiform cell type

M801-M804 Epithelial neoplasms NOS

M8010/0       Epithelial tumour, benign

M8010/2       Carcinoma in situ NOS

M8010/3       Carcinoma NOS

M8010/6       Carcinoma, metastatic NOS

M8011/0       Epithelioma, benign

M8011/3       Epithelioma, malignant

M8012/3       Large cell carcinoma NOS

M8020/3       Carcinoma, undifferentiated NOS

M8021/3       Carcinoma, anaplastic NOS

M8022/3       Pleomorphic carcinoma

M8030/3       Giant cell and spindle cell carcinoma

M8031/3       Giant cell carcinoma

M8032/3       Spindle cell carcinoma

M8033/3       Pseudosarcomatous carcinoma

M8034/3       Polygonal cell carcinoma

M8040/1       Tumorlet

M8041/3       Small cell carcinoma NOS

M8042/3       Oat cell carcinoma (C34-)

M8043/3       Small cell carcinoma, fusiform cell (C34-)

M8044/3       Small cell carcinoma, intermediate cell (C34-)

M8045/3       Small cell-large cell carcinoma (C34-)

M805-M808 Squamous cell neoplasms

M8050/0       Papilloma NOS (except Papilloma of urinary bladder M8120)

M8050/2       Papillary carcinoma in situ

M8050/3       Papillary carcinoma NOS

M8051/0       Verrucous papilloma

M8051/3       Verrucous carcinoma NOS

M8052/0       Squamous cell papilloma

M8052/3       Papillary squamous cell carcinoma

M8053/0       Inverted papilloma

M8060/0       Papillomatosis NOS

M8070/2       Squamous cell carcinoma in situ NOS

M8070/3       Squamous cell carcinoma NOS

M8070/6       Squamous cell carcinoma, metastatic NOS

M8071/3       Squamous cell carcinoma, keratinizing NOS

M8072/3       Squamous cell carcinoma, large cell, nonkeratinizing

M8073/3       Squamous cell carcinoma, small cell, nonkeratinizing

M8074/3       Squamous cell carcinoma, spindle cell

M8075/3       Adenoid squamous cell carcinoma

M8076/2       Squamous cell carcinoma in situ with questionable stromal invasion (D06-)

M8076/3       Squamous cell carcinoma, microinvasive (C53-)

M8077/2       Intraepithelial neoplasia, grade III, of cervix, vulva and vagina

M8080/2       Queyrat erythroplasia (D07.4)

M8081/2       Bowen disease

M8082/3       Lymphoepithelial carcinoma

M809-M811 Basal cell neoplasms

M8090/1       Basal cell tumour (D48.5)

M8090/3       Basal cell carcinoma NOS (C44-)

M8091/3       Multicentric basal cell carcinoma (C44-)

M8092/3       Basal cell carcinoma, morphoea (C44-)

M8093/3       Basal cell carcinoma, fibroepithelial (C44-)

M8094/3       Basosquamous carcinoma (C44-)

M8095/3       Metatypical carcinoma (C44-)

M8096/0       Intraepidermal epithelioma of Jadassohn (D23-)

M8100/0       Trichoepithelioma (D23-)

M8101/0       Trichofolliculoma (D23-)

M8102/0       Tricholemmoma (D23-)

M8110/0       Pilomatrixoma NOS (D23-)

M8110/3       Pilomatrix carcinoma (C44-)

M812-M813 Transitional cell papillomas and carcinomas

M8120/0       Transitional cell papilloma NOS

M8120/1       Urothelial papilloma

M8120/2       Transitional cell carcinoma in situ

M8120/3       Transitional cell carcinoma NOS

M8121/0       Schneiderian papilloma

M8121/1       Transitional cell papilloma, inverted

M8121/3       Schneiderian carcinoma

M8122/3       Transitional cell carcinoma, spindle cell

M8123/3       Basaloid carcinoma (C21.1)

M8124/3       Cloacogenic carcinoma (C21.2)

M8130/3       Papillary transitional cell carcinoma

M814-M838 Adenomas and adenocarcinomas

M8140/0       Adenoma NOS

M8140/1       Bronchial adenoma NOS (D38.1)

M8140/2       Adenocarcinoma in situ NOS

M8140/3       Adenocarcinoma NOS

M8140/6       Adenocarcinoma, metastatic NOS

M8141/3       Scirrhous adenocarcinoma

M8142/3       Linitis plastica (C16-)

M8143/3       Superficial spreading adenocarcinoma

M8144/3       Adenocarcinoma, intestinal type (C16-)

M8145/3       Carcinoma, diffuse type (C16-)

M8146/0       Monomorphic adenoma

M8147/0       Basal cell adenoma (D11-)

M8147/3       Basal cell adenocarcinoma (C07-, C08-)

M8150/0       Islet cell adenoma (D13.7)

M8150/3       Islet cell carcinoma (C25.4)

M8151/0       Insulinoma NOS (D13.7)

M8151/3       Insulinoma, malignant (C25.4)

M8152/0       Glucagonoma NOS (D13.7)

M8152/3       Glucagonoma, malignant (C25.4)

M8153/1       Gastrinoma NOS

M8153/3       Gastrinoma, malignant

M8154/3       Mixed islet cell and exocrine adenocarcinoma (C25-)

M8155/3       Vipoma

M8160/0       Bile duct adenoma (D13.4, D13.5)

M8160/3       Cholangiocarcinoma (C22.1)

M8161/0       Bile duct cystadenoma

M8161/3       Bile duct cystadenocarcinoma

M8162/3       Klatskin tumour (C22.1)

M8170/0       Liver cell adenoma (D13.4)

M8170/3       Hepatocellular carcinoma NOS (C22.0)

M8171/3       Hepatocellular carcinoma, fibrolamellar (C22.0)

M8180/3       Combined hepatocellular carcinoma and cholangiocarcinoma (C22.0)

M8190/0       Trabecular adenoma

M8190/3       Trabecular adenocarcinoma

M8191/0       Embryonal adenoma

M8200/0       Eccrine dermal cylindroma (D23-)

M8200/3       Adenoid cystic carcinoma

M8201/3       Cribriform carcinoma

M8202/0       Microcystic adenoma (D13.7)

M8210/0       Adenmatous polyp NOS

M8210/2       Adenocarcinoma in situ in adenomatous polyp

M8210/3       Adenocarcinoma in adenomatous polyp

M8211/0       Tubular adenoma NOS

M8211/3       Tubular adenocarcinoma

M8220/0       Adenomatous polyposis coli (D12-)

M8220/3       Adenocarcinoma in adenomatous polyposis coli (C18-)

M8221/0       Multiple adenomatous polyps

M8221/3       Adenocarcinoma in multiple adenomatous polyps

M8230/3       Solid carcinoma NOS

M8231/3       Carcinoma simplex

M8240/1       Carcinoid tumour NOS, of appendix (D37.3)

M8240/3       Carcinoid tumour NOS (except of appendix M8240)

M8241/1       Carcinoid tumour, argentaffin NOS

M8241/3       Carcinoid tumour, argentaffin, malignant

M8243/3       Goblet cell carcinoid (C18.1)

M8244/3       Composite carcinoid

M8245/3       Adenocarcinoid tumour

M8246/3       Neuroendocrine carcinoma

M8247/3       Merkel cell carcinoma (C44-)

M8248/1       Apudoma

M8250/1       Pulmonary adenomatosis (D38.1)

M8250/3       Bronchiolo-alveolar adenocarcinoma (C34-)

M8251/0       Alveolar adenoma (D14.3)

M8251/3       Alveolar adenocarcinoma (C34-)

M8260/0       Papillary adenoma NOS

M8260/3       Papillary adenocarcinoma NOS

M8261/1       Villous adenoma NOS

M8261/2       Adenocarcinoma in situ in villous adenoma

M8261/3       Adenocarcinoma in villous adenoma

M8262/3       Villous adenocarcinoma

M8263/0       Tubulovillous adenoma NOS

M8263/2       Adenocarcinoma in situ in tubulovillous adenoma

M8263/3       Adenocarcinoma in tubulovillous adenoma

M8270/0       Chromophobe adenoma (D35.2)

M8270/3       Chromophobe carcinoma (C75.1)

M8271/0       Prolactinoma (D35.2)

M8280/0       Acidophil adenoma (D35.2)

M8280/3       Acidophil carcinoma (C75.1)

M8281/0       Mixed acidophil-basophil adenoma (D35.2)

M8281/3       Mixed acidophil-basophil carcinoma (C75.1)

M8290/0       Oxyphilic adenoma

M8290/3       Oxyphilic adenocarcinoma

M8300/0       Basophil adenoma (D35.2)

M8300/3       Basophil carcinoma (C75.1)

M8310/0       Clear cell adenoma

M8310/3       Clear cell adenocarcinoma NOS

M8311/1       Hypernephroid tumour

M8312/3       Renal cell carcinoma (C64)

M8313/0       Clear cell adenofibroma

M8314/3       Lipid-rich carcinoma (C50-)

M8315/3       Glycogen-rich carcinoma (C50-)

M8320/3       Granular cell carcinoma

M8321/0       Chief cell adenoma (D35.1)

M8322/0       Water-clear cell adenoma (D35.1)

M8322/3       Water-clear cell adenocarcinoma (C75.0)

M8323/0       Mixed cell adenoma

M8323/3       Mixed cell adenocarcinoma

M8324/0       Lipoadenoma

M8330/0       Follicular adenoma (D34)

M8330/3       Follicular adenocarcinoma NOS (C73)

M8331/3       Follicular adenocarcinoma, well differentiated (C73)

M8332/3       Follicular adenocarcinoma, trabecular (C73)

M8333/0       Microfollicular adenoma (D34)

M8334/0       Macrofollicular adenoma (D34)

M8340/3       Papillary carcinoma, follicular variant (C73)

M8350/3       Nonencapsulated sclerosing carcinoma (C73)

M8360/1       Multiple endocrine adenomas

M8361/1       Juxtaglomerular tumour (D41.0)

M8370/0       Adrenal cortical adenoma NOS (D35.0)

M8370/3       Adrenal cortical carcinoma (C74.0)

M8371/0       Adrenal cortical adenoma, compact cell (D35.0)

M8372/0       Adrenal cortical adenoma, heavily pigmented variant (D35.0)

M8373/0       Adrenal cortical adenoma, clear cell (D35.0)

M8374/0       Adrenal cortical adenoma, glomerulosa cell (D35.0)

M8375/0       Adrenal cortical adenoma, mixed cell (D35.0)

M8380/0       Endometrioid adenoma NOS (D27)

M8380/1       Endometrioid adenoma, borderline malignancy (D39.1)

M8380/3       Endometrioid carcinoma (C56)

M8381/0       Endometrioid adenofibroma NOS (D27)

M8381/1       Endometrioid adenofibroma, borderline malignancy (D39.1)

M8381/3       Endometrioid adenofibroma, malignant (C56)

M839-M842 Adnexal and skin appendage neoplasms

M8390/0       Skin appendage adenoma (D23-)

M8390/3       Skin appendage carcinoma (C44-)

M8400/0       Sweat gland adenoma (D23-)

M8400/1       Sweat gland tumour NOS (D48.5)

M8400/3       Sweat gland adenocarcinoma (C44-)

M8401/0       Apocrine adenoma

M8401/3       Apocrine adenocarcinoma

M8402/0       Eccrine acrospiroma (D23-)

M8403/0       Eccrine spiradenoma (D23-)

M8404/0       Hidrocystoma (D23-)

M8405/0       Papillary hidradenoma (D23-)

M8406/0       Papillary syringadenoma (D23-)

M8407/0       Syringoma NOS (D23-)

M8408/0       Eccrine papillary adenoma (D23-)

M8410/0       Sebaceous adenoma (D23-)

M8410/3       Sebaceous adenocarcinoma (C44-)

M8420/0       Ceruminous adenoma (D23.2)

M8420/3       Ceruminous adenocarcinoma (C44.2)

M843    Mucoepidermoid neoplasms

M8430/1       Mucoepidermoid tumour

M8430/3       Mucoepidermoid carcinoma

M844-M849 Cystic, mucinous and serous neoplasms

M8440/0       Cystadenoma NOS

M8440/3       Cystadenocarcinoma NOS

M8441/0       Serous cystadenoma NOS (D27)

M8441/3       Serous cystadenocarcinoma NOS (C56)

M8442/3       Serous cystadenoma, borderline malignancy (C56)

M8450/0       Papillary cystadenoma NOS (D27)

M8450/3       Papillary cystadenocarcinoma NOS (C56)

M8451/3       Papillary cystadenoma, borderline malignancy (C56)

M8452/1       Papillary cystic tumour (D37.7)

M8460/0       Papillary serous cystadenoma NOS (D27)

M8460/3       Papillary serous cystadenocarcinoma (C56)

M8461/0       Serous surface papilloma (D27)

M8461/3       Serous surface papillary carcinoma (C56)

M8462/3       Papillary serous cystadenoma, borderline malignancy (C56)

M8470/0       Mucinous cystadenoma NOS (D27)

M8470/3       Mucinous cystadenocarcinoma NOS (C56)

M8471/0       Papillary mucinous cystadenoma NOS (D27)

M8471/3       Papillary mucinous cystadenocarcinoma (C56)

M8472/3       Mucinous cystadenoma, borderline malignancy (C56)

M8473/3       Papillary mucinous cystadenoma, borderline malignancy (C56)

M8480/0       Mucinous adenoma

M8480/3       Mucinous adenocarcinoma

M8480/6       Pseudomyxoma peritonei (C78.6)

M8481/3       Mucin-producing adenocarcinoma

M8490/3       Signet ring cell carcinoma

M8490/6       Metastatic signet ring cell carcinoma

M850-M854 Ductal, lobular and medullary neoplasms

M8500/2       Intraductal carcinoma, noninfiltrating NOS

M8500/3       Infiltrating duct carcinoma (C50-)

M8501/2       Comedocarcinoma, noninfiltrating (D05-)

M8501/3       Comedocarcinoma NOS (C50-)

M8502/3       Juvenile carcinoma of breast (C50-)

M8503/0       Intraductal papilloma

M8503/2       Noninfiltrating intraductal papillary adenocarcinoma (D05-)

M8503/3       Intraductal papillary adenocarcinoma with invasion (C50-)

M8504/0       Intracystic papillary adenoma

M8504/2       Noninfiltrating intracystic carcinoma

M8504/3       Intracystic carcinoma NOS

M8505/0       Intraductal papillomatosis NOS

M8506/0       Adenoma of nipple (D24)

M8510/3       Medullary carcinoma NOS

M8511/3       Medullary carcinoma with amyloid stroma (C73)

M8512/3       Medullary carcinoma with lymphoid stroma (C50-)

M8520/2       Lobular carcinoma in situ (D05.0)

M8520/3       Lobular carcinoma NOS (C50-)

M8521/3       Infiltrating ductular carcinoma (C50-)

M8522/2       Intraductal carcinoma and lobular carcinoma in situ (D05.7)

M8522/3       Infiltrating duct and lobular carcinoma (C50-)

M8530/3       Inflammatory carcinoma (C50-)

M8540/3       Paget disease, mammary (C50-)

M8541/3       Paget disease and infiltrating duct carcinoma of breast (C50-)

M8542/3       Paget disease, extramammary (except Paget disease of bone)

M8543/3       Paget disease and intraductal carcinoma of breast (C50-)

M855    Acinar cell neoplasms

M8550/0       Acinar cell adenoma

M8550/1       Acinar cell tumour

M8550/3       Acinar cell carcinoma

M856-M858 Complex epithelial neoplasms

M8560/3       Adenosquamous carcinoma

M8561/0       Adenolymphoma (D11-)

M8562/3       Epithelial-myoepithelial carcinoma

M8570/3       Adenocarcinoma with squamous metaplasia

M8571/3       Adenocarcinoma with cartilaginous and osseous metaplasia

M8572/3       Adenocarcinoma with spindle cell metaplasia

M8573/3       Adenocarcinoma with apocrine metaplasia

M8580/0       Thymoma, benign (D15.0)

M8580/3       Thymoma, malignant (C37)

M859-M867 Specialized gonadal neoplasms

M8590/1       Sex cord-stromal tumour

M8600/0       Thecoma NOS (D27)

M8600/3       Thecoma, malignant (C56)

M8601/0       Thecoma, luteinized (D27)

M8602/0       Sclerosing stromal tumour (D27)

M8610/0       Luteoma NOS (D27)

M8620/1       Granulosa cell tumour NOS (D39.1)

M8620/3       Granulosa cell tumour, malignant (C56)

M8621/1       Granulosa cell-theca cell tumour (D39.1)

M8622/1       Juvenile granulosa cell tumour (D39.1)

M8623/1       Sex cord tumour with annular tubules (D39.1)

M8630/0       Androblastoma, benign

M8630/1       Androblastoma NOS

M8630/3       Androblastoma, malignant

M8631/0       Sertoli-Leydig cell tumour

M8632/1       Gynandroblastoma (D39.1)

M8640/0       Sertoli cell tumour NOS

M8640/3       Sertoli cell carcinoma (C62-)

M8641/0       Sertoli cell tumour with lipid storage (D27)

M8650/0       Leydig cell tumour, benign (D29.2)

M8650/1       Leydig cell tumour NOS (D40.1)

M8650/3       Leydig cell tumour, malignant (C62-)

M8660/0       Hilus cell tumour (D27)

M8670/0       Lipid cell tumour of ovary (D27)

M8671/0       Adrenal rest tumour

M868-M871 Paragangliomas and glomus tumours

M8680/1       Paraganglioma NOS

M8680/3       Paraganglioma, malignant

M8681/1       Sympathetic paraganglioma

M8682/1       Parasympathetic paraganglioma

M8683/0       Gangliocytic paraganglioma (D13.2)

M8690/1       Glomus jugulare tumour (D44.7)

M8691/1       Aortic body tumour (D44.7)

M8692/1       Carotid body tumour (D44.6)

M8693/1       Extra-adrenal paraganglioma NOS

M8693/3       Extra-adrenal paraganglioma, malignant

M8700/0       Phaeochromocytoma NOS (D35.0)

M8700/3       Phaeochromocytoma, malignant (C74.1)

M8710/3       Glomangiosarcoma

M8711/0       Glomus tumour

M8712/0       Glomangioma

M8713/0       Glomangiomyoma

M872-M879 Naevi and melanomas

M8720/0       Pigmented naevus NOS (D22-)

M8720/2       Melanoma in situ (D03-)

M8720/3       Malignant melanoma NOS

M8721/3       Nodular melanoma (C43-)

M8722/0       Balloon cell naevus (D22-)

M8722/3       Balloon cell melanoma (C43-)

M8723/0       Halo naevus (D22-)

M8723/3       Malignant melanoma, regressing (C43-)

M8724/0       Fibrous papule of nose (D22.3)

M8725/0       Neuronaevus (D22-)

M8726/0       Magnocellular naevus (D31.4)

M8727/0       Dysplastic naevus (D22-)

M8730/0       Nonpigmented naevus (D22-)

M8730/3       Amelanotic melanoma (C43-)

M8740/0       Junctional naevus NOS (D22-)

M8740/3       Malignant melanoma in junctional naevus (C43-)

M8741/2       Precancerous melanosis NOS (D03-)

M8741/3       Malignant melanoma in precancerous melanosis (C43-)

M8742/2       Hutchinson melanotic freckle NOS (D03-)

M8742/3       Malignant melanoma in Hutchinson melanotic freckle (C43-)

M8743/3       Superficial spreading melanoma (C43-)

M8744/3       Acral lentiginous melanoma, malignant (C43-)

M8745/3       Desmoplastic melanoma, malignant (C43-)

M8750/0       Intradermal naevus (D22-)

M8760/0       Compound naevus (D22-)

M8761/1       Giant pigmented naevus NOS (D48.5)

M8761/3       Malignant melanoma in giant pigmented naevus (C43-)

M8770/0       Epithelioid and spindle cell naevus (D22-)

M8770/3       Mixed epithelioid and spindle cell melanoma

M8771/0       Epithelioid cell naevus (D22-)

M8771/3       Epithelioid cell melanoma

M8772/0       Spindle cell naevus (D22-)

M8772/3       Spindle cell melanoma NOS

M8773/3       Spindle cell melanoma, type A (C69.4)

M8774/3       Spindle cell melanoma, type B (C69.4

M8780/0       Blue naevus NOS (D22-)

M8780/3       Blue naevus, malignant (C43-)

M8790/0       Cellular blue naevus (D22-)

M880    Soft tissue tumours and sarcomas NOS

M8800/0       Soft tissue tumour, benign

M8800/3       Sarcoma NOS

M8800/6       Sarcomatosis NOS

M8801/3       Spindle cell sarcoma

M8802/3       Giant cell sarcoma (except of bone M9250)

M8803/3       Small cell sarcoma

M8804/3       Epithelioid sarcoma

M881-M883 Fibromatous neoplasms

M8810/0       Fibroma NOS

M8810/3       Fibrosarcoma NOS

M8811/0       Fibromyxoma

M8811/3       Fibromyxosarcoma

M8812/0       Periosteal fibroma (D16-)

M8812/3       Periosteal fibrosarcoma (C40-, C41-)

M8813/0       Fascial fibroma

M8813/3       Fascial fibrosarcoma

M8814/3       Infantile fibrosarcoma

M8820/0       Elastofibroma

M8821/1       Aggressive fibromatosis

M8822/1       Abdominal fibromatosis

M8823/1       Desmoplastic fibroma

M8824/1       Myofibromatosis

M8830/0       Fibrous histiocytoma NOS

M8830/1       Atypical fibrous histiocytoma

M8830/3       Fibrous histiocytoma, malignant

M8832/0       Dermatofibroma NOS (D23-)

M8832/3       Dermatofibrosarcoma NOS (C44-)

M8833/3       Pigmented dermatofibrosarcoma protuberans

M884    Myxomatous neoplasms

M8840/0       Myxoma NOS

M8840/3       Myxosarcoma

M8841/1       Angiomyxoma

M885-M888 Lipomatous neoplasms

M8850/0       Lipoma NOS (D17-)

M8850/3       Liposarcoma NOS

M8851/0       Fibrolipoma (D17-)

M8851/3       Liposarcoma, well differentiated

M8852/0       Fibromyxolipoma (D17-)

M8852/3       Myxoid liposarcoma

M8853/3       Round cell liposarcoma

M8854/0       Pleomorphic lipoma (D17-)

M8854/3       Pleomorphic liposarcoma

M8855/3       Mixed liposarcoma

M8856/0       Intramuscular lipoma (D17-)

M8857/0       Spindle cell lipoma (D17-)

M8858/3       Dedifferentiated liposarcoma

M8860/0       Angiomyolipoma (D17-)

M8861/0       Angiolipoma NOS (D17-)

M8870/0       Myelolipoma (D17-)

M8880/0       Hibernoma (D17-)

M8881/0       Lipoblastomatosis (D17-)

M889-M892 Myomatous neoplasms

M8890/0       Leiomyoma NOS

M8890/1       Leiomyomatosis NOS

M8890/3       Leiomyosarcoma NOS

M8891/0       Epithelioid leiomyoma

M8891/3       Epithelioid leiomyosarcoma

M8892/0       Cellular leiomyoma

M8893/0       Bizarre leiomyoma

M8894/0       Angiomyoma

M8894/3       Angiomyosarcoma

M8895/0       Myoma

M8895/3       Myosarcoma

M8896/3       Myxoid leiomyosarcoma

M8897/1       Smooth muscle tumour NOS

M8900/0       Rhabdomyoma NOS

M8900/3       Rhabdomyosarcoma NOS

M8901/3       Pleomorphic rhabdomyosarcoma

M8902/3       Mixed type rhabdomyosarcoma

M8903/0       Fetal rhabdomyoma

M8904/0       Adult rhabdomyoma

M8910/3       Embryonal rhabdomyosarcoma

M8920/3       Alveolar rhabdomyosarcoma

M893-M899 Complex mixed and stromal neoplasms

M8930/0       Endometrial stromal nodule (D26.1)

M8930/3       Endometrial stromal sarcoma (C54-)

M8931/1       Endolymphatic stromal myosis (D39.0)

M8932/0       Adenomyoma

M8933/3       Adenosarcoma

M8940/0       Pleomorphic adenoma

M8940/3       Mixed tumour, malignant NOS

M8941/3       Carcinoma in pleomorphic adenoma (C07, C08-)

M8950/3       Mullerian mixed tumour (C54-)

M8951/3       Mesodermal mixed tumour

M8960/1       Mesoblastic nephroma

M8960/3       Nephroblastoma NOS (C64)

M8963/3       Rhabdoid sarcoma

M8964/3       Clear cell sarcoma of kidney (C64)

M8970/3       Hepatoblastoma (C22.0)

M8971/3       Pancreatoblastoma (C25-)

M8972/3       Pulmonary blastoma (C34-)

M8980/3       Carcinosarcoma NOS

M8981/3       Carcinosarcoma, embryonal

M8982/0       Myoepithelioma

M8990/0       Mesenchymoma, benign

M8990/1       Mesenchymoma NOS

M8990/3       Mesenchymoma, malignant

M8991/3       Embryonal sarcoma

M900-M903 Fibroepithelial neoplasms

M9000/0       Brenner tumour NOS (D27)

M9000/1       Brenner tumour, borderline malignancy (D39.1)

M9000/3       Brenner tumour, malignant (C56)

M9010/0       Fibroadenoma NOS (D24)

M9011/0       Intracanalicular fibroadenoma (D24)

M9012/0       Pericanalicular fibroadenoma (D24)

M9013/0       Adenofibroma NOS (D27)

M9014/0       Serous adenofibroma (D27)

M9015/0       Mucinous adenofibroma (D27)

M9016/0       Giant fibroadenoma (D24)

M9020/0       Phyllodes tumour, benign (D24)

M9020/1       Phyllodes tumour NOS (D48.6)

M9020/3       Phyllodes tumour, malignant (C50-)

M9030/0       Juvenile fibroadenoma (D24)

M904    Synovial-like neoplasms

M9040/0       Synovioma, benign

M9040/3       Synovial sarcoma NOS

M9041/3       Synovial sarcoma, spindle cell

M9042/3       Synovial sarcoma, epithelioid cell

M9043/3       Synovial sarcoma, biphasic

M9044/3       Clear cell sarcoma (except of kidney M8964)

M905    Mesothelial neoplasms

M9050/0       Mesothelioma, benign (D19-)

M9050/3       Mesothelioma, malignant (C45-)

M9051/0       Fibrous mesothelioma, benign (D19-)

M9051/3       Fibrous mesothelioma, malignant (C45-)

M9052/0       Epithelioid mesothelioma, benign (D19-)

M9052/3       Epithelioid mesothelioma, malignant (C45-)

M9053/0       Mesothelioma, biphasic, benign (D19-)

M9053/3       Mesothelioma, biphasic, malignant (C45-)

M9054/0       Adenomatoid tumour NOS (D19-)

M9055/1       Cystic mesothelioma

M906-M909 Germ cell neoplasms

M9060/3       Dysgerminoma

M9061/3       Seminoma NOS (C62-)

M9062/3       Seminoma, anaplastic (C62-)

M9063/3       Spermatocytic seminoma (C62-)

M9064/3       Germinoma

M9070/3       Embryonal carcinoma NOS

M9071/3       Endodermal sinus tumour

M9072/3       Polyembryoma

M9073/1       Gonadoblastoma

M9080/0       Teratoma, benign

M9080/1       Teratoma NOS

M9080/3       Teratoma, malignant NOS

M9081/3       Teratocarcinoma

M9082/3       Malignant teratoma, undifferentiated

M9083/3       Malignant teratoma, intermediate

M9084/0       Dermoid cyst NOS

M9084/3       Teratoma with malignant transformation

M9085/3       Mixed germ cell tumour

M9090/0       Struma ovarii NOS (D27)

M9090/3       Struma ovarii, malignant (C56)

M9091/1       Strumal carcinoid (D39.1)

M910    Trophoblastic neoplasms

M9100/0       Hydatidiform mole NOS (O01.9)

M9100/1       Invasive hydatidiform mole (D39.2)

M9100/3       Choriocarcinoma NOS

M9101/3       Choriocarcinoma combined with other germ cell elements

M9102/3       Malignant teratoma, trophoblastic (C62-)

M9103/0       Partial hydatidiform mole (O01.1)

M9104/1       Placental site trophoblastic tumour (D39.2)

M911    Mesonephromas

M9110/0       Mesonephroma, benign

M9110/1       Mesonephric tumour

M9110/3       Mesonephroma, malignant

M912-M916 Blood vessel tumours

M9120/0       Haemangioma NOS (D18.0)

M9120/3       Haemangiosarcoma

M9121/0       Cavernous haemangioma (D18.0)

M9122/0       Venous haemangioma (D18.0)

M9123/0       Racemose haemangioma (D18.0)

M9124/3       Kupffer cell sarcoma (C22.3)

M9125/0       Epithelioid haemangioma (D18.0)

M9126/0       Histiocytoid haemangioma (D18.0)

M9130/0       Haemangioendothelioma, benign (D18.0)

M9130/1       Haemangioendothelioma NOS

M9130/3       Haemangioendothelioma, malignant

M9131/0       Capillary haemangioma (D18.0)

M9132/0       Intramuscular haemangioma (D18.0)

M9133/1       Epithelioid haemangioendothelioma NOS

M9133/3       Epithelioid haemangioendothelioma, malignant

M9134/1       Intravascular bronchial alveolar tumour (D38.1)

M9140/3       Kaposi sarcoma (C46-)

M9141/0       Angiokeratoma

M9142/0       Verrucous keratotic haemangioma (D18.0)

M9150/0       Haemangiopericytoma, benign

M9150/1       Haemangiopericytoma NOS

M9150/3       Haemangiopericytoma, malignant

M9160/0       Angiofibroma NOS

M9161/1       Haemangioblastoma

M917    Lymphatic vessel tumours

M9170/0       Lymphangioma NOS (D18.1)

M9170/3       Lymphangiosarcoma

M9171/0       Capillary lymphangioma (D18.1)

M9172/0       Cavernous lymphangioma (D18.1)

M9173/0       Cystic lymphangioma (D18.1)

M9174/0       Lymphangiomyoma (D18.1)

M9174/1       Lymphangiomyomatosis

M9175/0       Haemolymphangioma (D18.1)

M918-M924 Osseous and chondromatous neoplasms

M9180/0       Osteoma NOS (D16-)

M9180/3       Osteosarcoma NOS (C40-, C41-)

M9181/3       Chondroblastic osteosarcoma (C40-, C41-)

M9182/3       Fibroblastic osteosarcoma (C40-, C41-)

M9183/3       Telangiectatic osteosarcoma (C40-, C41-)

M9184/3       Osteosarcoma in Paget disease of bone (C40-, C41-)

M9185/3       Small cell osteosarcoma (C40-, C41-)

M9190/3       Juxtacortical osteosarcoma (C40-, C41-)

M9191/0       Osteoid osteoma NOS (D16-)

M9200/0       Osteoblastoma NOS (D16-)

M9200/1       Aggressive osteoblastoma (D48.0)

M9210/0       Osteochondroma (D16-)

M9210/1       Osteochondromatosis NOS (D48.0)

M9220/0       Chondroma NOS (D16-)

M9220/1       Chondromatosis NOS

M9220/3       Chondrosarcoma NOS (C40-, C41-)

M9221/0       Juxtacortical chondroma (D16-)

M9221/3       Juxtacortical chondrosarcoma (C40-, C41-)

M9230/0       Chondroblastoma NOS (D16-)

M9230/3       Chondroblastoma, malignant (C40-, C41-)

M9231/3       Myxoid chondrosarcoma

M9240/3       Mesenchymal chondrosarcoma

M9241/0       Chondromyxoid fibroma (D16-)

M925    Giant cell tumours

M9250/1       Giant cell tumour of bone NOS (D48.0)

M9250/3       Giant cell tumour of bone, malignant (C40-, C41-)

M9251/1       Giant cell tumour of soft parts NOS

M9251/3       Malignant giant cell tumour of soft parts

M926    Miscellaneous bone tumours

M9260/3       Ewing sarcoma (C40-, C41-)

M9261/3       Adamantinoma of long bones (C40-)

M9262/0       Ossifying fibroma (D16-)

M927-M934 Odontogenic tumours

M9270/0       Odontogenic tumour, benign (D16.4, D16.5)

M9270/1       Odontogenic tumour, NOS (D48.0)

M9270/3       Odontogenic tumour, malignant (C41.0, C41.1)

M9271/0       Dentinoma (D16.4, D16.5)

M9272/0       Cementoma NOS (D16.4, D16.5

M9273/0       Cementoblastoma, benign (D16.4, D16.5)

M9274/0       Cementifying fibroma (D16.4, D16.5)

M9275/0       Gigantiform cementoma (D16.4, D16.5)

M9280/0       Odontoma NOS (D16.4, D16.5)

M9281/0       Compound odontoma (D16.4, D16.5)

M9282/0       Complex odontoma (D16.4, D16.5)

M9290/0       Ameloblastic fibro-odontoma (D16.4, D16.5)

M9290/3       Ameloblastic odontosarcoma (C41.0, C41.1)

M9300/0       Adenomatoid odontogenic tumour (D16.4, D16.5)

M9301/0       Calcifying odontogenic cyst (D16.4, D16.5)

M9302/0       Odontogenic ghost cell tumour (D16.4, D16.5)

M9310/0       Ameloblastoma NOS (D16.4, D16.5)

M9310/3       Ameloblastoma, malignant (C41.0, C41.1)

M9311/0       Odontoameloblastoma (D16.4, D16.5)

M9312/0       Squamous odontogenic tumour (D16.4, D16.5)

M9320/0       Odontogenic myxoma (D16.4, D16.5)

M9321/0       Central odontogenic fibroma (D16.4, D16.5)

M9322/0       Peripheral odontogenic fibroma (D16.4, D16.5)

M9330/0       Ameloblastic fibroma (D16.4, D16.5)

M9330/3       Ameloblastic fibrosarcoma (C41.0, C41.1)

M9340/0       Calcifying epithelial odontogenic tumour (D16.4, D16.5)

M935-M937 Miscellaneous tumours

M9350/1       Craniopharyngioma (D44.3, D44.4)

M9360/1       Pinealoma (D44.5)

M9361/1       Pineocytoma (D44.5)

M9362/3       Pineoblastoma (C75.3)

M9363/0       Melanotic neuroectodermal tumour

M9364/3       Peripheral neuroectodermal tumour

M9370/3       Chordoma

M938-M948 Gliomas

M9380/3       Glioma, malignant (C71-)

M9381/3       Gliomatosis cerebri (C71-)

M9382/3       Mixed glioma (C71-)

M9383/1       Subependymal glioma (D43-)

M9384/1       Subependymal giant cell astrocytoma (D43-)

M9390/0       Choroid plexus papilloma NOS (D33.0)

M9390/3       Choroid plexus papilloma, malignant (C71.5)

M9391/3       Ependymoma NOS (C71-)

M9392/3       Ependymoma, anaplastic (C71-)

M9393/1       Papillary ependymoma (D43-)

M9394/1       Myxopapillary ependymoma (D43-)

M9400/3       Astrocytoma NOS (C71-)

M9401/3       Astrocytoma, anaplastic (C71-)

M9410/3       Protoplasmic astrocytoma (C71-)

M9411/3       Gemistocytic astrocytoma (C71-)

M9420/3       Fibrillary astrocytoma (C71-)

M9421/3       Pilocytic astrocytoma (C71-)

M9422/3       Spongioblastoma NOS (C71-)

M9423/3       Spongioblastoma polare (C71-)

M9424/3       Pleomorphic xanthoastrocytoma (C71-)

M9430/3       Astroblastoma (C71-)

M9440/3       Glioblastoma NOS (C71-)

M9441/3       Giant cell glioblastoma (C71-)

M9442/3       Gliosarcoma (C71-)

M9443/3       Primitive polar spongioblastoma (C71-)

M9450/3       Oligodendroglioma NOS (C71-)

M9451/3       Oligodendroglioma, anaplastic (C71-)

M9460/3       Oligodendroblastoma (C71-)

M9470/3       Medulloblastoma NOS (C71.6)

M9471/3       Desmoplastic medulloblastoma (C71.6)

M9472/3       Medullomyoblastoma (C71.6)

M9473/3       Primitive neuroectodermal tumour (C71-)

M9480/3       Cerebellar sarcoma NOS (C71.6)

M9481/3       Monstrocellular sarcoma (C71-)

M949-M952 Neuroepitheliomatous neoplasms

M9490/0       Ganglioneuroma

M9490/3       Ganglioneuroblastoma

M9491/0       Ganglioneuromatosis

M9500/3       Neuroblastoma NOS

M9501/3       Medulloepithelioma NOS

M9502/3       Teratoid medulloepithelioma

M9503/3       Neuroepithelioma NOS

M9504/3       Spongioneuroblastoma

M9505/1       Ganglioglioma

M9506/0       Neurocytoma

M9507/0       Pacinian tumour

M9510/3       Retinoblastoma NOS (C69.2)

M9511/3       Retinoblastoma, differentiated (C69.2)

M9512/3       Retinoblastoma, undifferentiated (C69.2)

M9520/3       Olfactory neurogenic tumour

M9521/3       Esthesioneurocytoma (C30.0)

M9522/3       Esthesioneuroblastoma (C30.0)

M9523/3       Esthesioneuroepithelioma (C30.0)

M953    Meningiomas

M9530/0       Meningioma NOS (D32-)

M9530/1       Meningiomatosis NOS (D42-)

M9530/3       Meningioma, malignant (C70-)

M9531/0       Meningotheliomatous meningioma (D32-)

M9532/0       Fibrous meningioma (D32-)

M9533/0       Psammomatous meningioma (D32-)

M9534/0       Angiomatous meningioma (D32-)

M9535/0       Haemangioblastic meningioma (D32-)

M9536/0       Haemangiopericytic meningioma (D32-)

M9537/0       Transitional meningioma (D32-)

M9538/1       Papillary meningioma (D42-)

M9539/3       Meningeal sarcomatosis (C70-)

M954-M957 Nerve sheath tumours

M9540/0       Neurofibroma NOS

M9540/1       Neurofibromatosis NOS (Q85.0)

M9540/3       Neurofibrosarcoma

M9541/0       Melanotic neurofibroma

M9550/0       Plexiform neurofibroma

M9560/0       Neurilemmoma NOS

M9560/1       Neurinomatosis

M9560/3       Neurilemmoma, malignant

M9561/3       Triton tumour, malignant

M9562/0       Neurothekeoma

M9570/0       Neuroma NOS

M958    Granular cell tumours and alveolar soft part sarcoma

M9580/0       Granular cell tumour NOS

M9580/3       Granular cell tumour, malignant

M9581/3       Alveolar soft part sarcoma

M959-M971 Hodgkin and non-Hodgkin lymphoma

M959  Malignant lymphomas NOS or diffuse

M9590/3       Malignant lymphoma NOS (C84.5, C85.9)

M9591/3       Malignant lymphoma, non-Hodgkin NOS (C85.9)

M9592/3       Lymphosarcoma NOS (C85.0)

M9593/3       Reticulosarcoma NOS (C83.3, C83.9)

M9594/3       Microglioma (C85.7)

M9595/3       Malignant lymphoma, diffuse NOS (C83.9)

M965-M966  Hodgkin disease

M9650/3       Hodgkin disease NOS (C81.9)

M9652/3       Hodgkin disease, mixed cellularity NOS (C81.2)

M9653/3       Hodgkin disease, lymphocytic depletion NOS (C81.3)

M9654/3       Hodgkin disease, lymphocytic depletion, diffuse fibrosis (C81.3)

M9655/3       Hodgkin disease, lymphocytic depletion, reticular (C81.3)

M9657/3       Hodgkin disease, lymphocytic predominance NOS (C81.0)

M9658/3       Hodgkin disease, lymphocytic predominance, diffuse (C81.0)

M9659/3       Hodgkin disease, lymphocytic predominance, nodular (C81.0)

M9660/3       Hodgkin paragranuloma NOS (C81.7)

M9661/3       Hodgkin granuloma (C81.7)

M9662/3       Hodgkin sarcoma (C81.7)

M9663/3       Hodgkin disease, nodular sclerosis NOS (C81.1)

M9664/3       Hodgkin disease, nodular sclerosis, cellular phase (C81.1)

M9665/3       Hodgkin disease, nodular sclerosis, lymphocytic predominance (C81.1)

M9666/3       Hodgkin disease, nodular sclerosis, mixed cellularity (C81.1)

M9667/3       Hodgkin disease, nodular sclerosis, lymphocytic depletion (C81.1)

M967-M968  Malignant lymphoma, diffuse or NOS, specified type

M9670/3       Malignant lymphoma, small lymphocytic NOS (C83.0)

M9671/3       Malignant lymphoma, lymphoplasmacytic (C83.8)

M9672/3       Malignant lymphoma, small cleaved cell, diffuse (C83.1)

M9673/3       Malignant lymphoma, lymphocytic, intermediate differentiation, diffuse (C83.8)

M9674/3       Malignant lymphoma, centrocytic (C83.8)

M9675/3       Malignant lymphoma, mixed small and large cell, diffuse (C83.2)

M9676/3       Malignant lymphoma, centroblastic-centrocytic, diffuse (C83.8)

M9677/3       Malignant lymphomatous polyposis (C83.8)

M9680/3       Malignant lymphoma, large cell, diffuse NOS (C83.3)

M9681/3       Malignant lymphoma, large cell, cleaved, diffuse (C83.3)

M9682/3       Malignant lymphoma, large cell, noncleaved, diffuse (C83.3)

M9683/3       Malignant lymphoma, centroblastic, diffuse (C83.8)

M9684/3       Malignant lymphoma, immunoblastic NOS (C83.4)

M9685/3       Malignant lymphoma, lymphoblastic (C83.5)

M9686/3       Malignant lymphoma, small cell, noncleaved, diffuse (C83.0, C83.6)

M9687/3       Burkitt lymphoma NOS (C83.7)

M969  Malignant lymphoma, follicular or nodular, with or without diffuse areas

M9690/3       Malignant lymphoma, follicular NOS (C82.9)

M9691/3       Malignant lymphoma, mixed small cleaved and large cell, follicular (C82.1)

M9692/3       Malignant lymphoma, centroblastic-centrocytic, follicular (C82.7)

M9693/3       Malignant lymphoma, lymphocytic, well differentiated, nodular (C82.7)

M9694/3       Malignant lymphoma, lymphocytic, intermediate differentiation, nodular (C82.7)

M9695/3       Malignant lymphoma, small cleaved cell, follicular (C82.0)

M9696/3       Malignant lymphoma, lymphocytic, poorly differentiated, nodular (C82.7)

M9697/3       Malignant lymphoma, centroblastic, follicular (C82.7)

M9698/3       Malignant lymphoma, large cell, follicular NOS (C82.2)

M970  Specified cutaneous and peripheral T-cell lymphomas

M9700/3       Mycosis fungoides (C84.0)

M9701/3       Sezary disease (C84.1)

M9702/3       Peripheral T-cell lymphoma NOS (C84.4)

M9703/3       T-zone lymphoma (C84.2)

M9704/3       Lymphoepithelioid lymphoma (C84.3)

M9705/3       Peripheral T-cell lymphoma, AILD (angioimmunoblastic lymphadenopathy with dysproteinaemia) (C84.4)

M9706/3       Peripheral T-cell lymphoma, pleomorphic small cell (C84.4)

M9707/3       Peripheral T-cell lymphoma, pleomorphic medium and large cell (C84.4)

M9709/3       Cutaneous lymphoma (C84.5)

M971  Other specified non-Hodgkin lymphomas

M9711/3       Monocytoid B-cell lymphoma (C85.7)

M9712/3       Angioendotheliomatosis (C85.7)

M9713/3       Angiocentric T-cell lymphoma (C85.7)

M9714/3       Large cell (Ki-1+) lymphoma (C85.7)

M972    Other lymphoreticular neoplasms

M9720/3       Malignant histiocytosis (C96.1)

M9722/3       Letterer-Siwe disease (C96.0)

M9723/3       True histiocytic lymphoma (C96.3)

M973    Plasma cell tumours

M9731/3       Plasmacytoma NOS (C90.2)

M9732/3       Multiple myeloma (C90.0)

M974    Mast cell tumours

M9740/1       Mastocytoma NOS (D47.0)

M9740/3       Mast cell sarcoma (C96.2)

M9741/3       Malignant mastocytosis (C96.2)

M976    Immunoproliferative diseases

M9760/3       Immunoproliferative disease NOS (C88.9)

M9761/3       Waldenstrom macroglobulinaemia (C88.0)

M9762/3       Alpha heavy chain disease (C88.1)

M9763/3       Gamma heavy chain disease (C88.2)

M9764/3       Immunoproliferative small intestinal disease (C88.3)

M9765/1       Monoclonal gammopathy (D47.2)

M9766/1       Angiocentric immunoproliferative lesion (D47.7)

M9767/1       Angioimmunoblastic lymphadenopathy (D47.7)

M9768/1       T-gamma lymphoproliferative disease (D47.7)

M980-M994 Leukaemias

M980  Leukaemias NOS

M9800/3       Leukaemia NOS (C95.9)

M9801/3       Acute leukaemia NOS (C95.0)

M9802/3       Subacute leukaemia NOS (C95.2)

M9803/3       Chronic leukaemia NOS (C95.1)

M9804/3       Aleukaemic leukaemia NOS (C95.7)

M982  Lymphoid leukaemias

M9820/3       Lymphoid leukaemia NOS (C91.9)

M9821/3       Acute lymphoblastic leukaemia NOS (C91.0)

M9822/3       Subacute lymphoid leukaemia (C91.2)

M9823/3       Chronic lymphocytic leukaemia (C91.1)

M9824/3       Aleukaemic lymphoid leukaemia (C91.7)

M9825/3       Prolymphocytic leukaemia (C91.3)

M9826/3       Burkitt cell leukaemia (C91.7)

M9827/3       Adult T-cell leukaemia/lymphoma (C91.5)

M983  Plasma cell leukaemia

M9830/3       Plasma cell leukaemia (C90.1)

M984  Erythroleukaemias

M9840/3       Erythroleukaemia (C94.0)

M9841/3       Acute erythraemia (C94.0)

M9842/3       Chronic erythraemia (C94.1)

M985  Lymphosarcoma cell leukaemia

M9850/3       Lymphosarcoma cell leukaemia (C94.7)

M986  Myeloid (granulocytic) leukaemias

M9860/3       Myeloid leukaemia NOS (C92.9)

M9861/3       Acute myeloid leukaemia (C92.0)

M9862/3       Subacute myeloid leukaemia (C92.2)

M9863/3       Chronic myeloid leukaemia (C92.1)

M9864/3       Aleukaemic myeloid leukaemia (C92.7)

M9866/3       Acute promyelocytic leukaemia (C92.4)

M9867/3       Acute myelomonocytic leukaemia (C92.5)

M9868/3       Chronic myelomonocytic leukaemia (C92.7)

M987  Basophilic leukaemia

M9870/3       Basophilic leukaemia (C92-)

M988  Eosinophilic leukaemia

M9880/3       Eosinophilic leukaemia (C92-)

M989  Monocytic leukaemias

M9890/3       Monocytic leukaemia NOS (C93.9)

M9891/3       Acute monocytic leukaemia (C93.0)

M9892/3       Subacute monocytic leukaemia (C93.2)

M9893/3       Chronic monocytic leukaemia (C93.1)

M9894/3       Aleukaemic monocytic leukaemia (C93.7)

M990-M994  Other leukaemias

M9900/3       Mast cell leukaemia (C94.3)

M9910/3       Acute megakaryoblastic leukaemia (C94.2)

M9930/3       Myeloid sarcoma (C92.3)

M9931/3       Acute panmyelosis (C94.4)

M9932/3       Acute myelofibrosis (C94.5)

M9940/3       Hairy cell leukaemia (C91.4)

M9941/3       Leukaemic reticuloendotheliosis (C91.4)

M995-M997 Miscellaneous myeloproliferative and lymphoproliferative disorders

M9950/1       Polycythaemia vera (D45)

M9960/1       Chronic myeloproliferative disease (D47.1)

M9961/1       Myelosclerosis with myeloid metaplasia (D47.1)

M9962/1       Idiopathic thrombocythaemia (D47.3)

M9970/1       Lymphoproliferative disease NOS (D47.9)

M998    Myelodysplastic syndrome

M9980/1       Refractory anaemia NOS (D46.4)

M9981/1       Refractory anaemia without sideroblasts (D46.0)

M9982/1       Refractory anaemia with sideroblasts (D46.1)

M9983/1       Refractory anaemia with excess of blasts (D46.2)

M9984/1       Refractory anaemia with excess of blasts with transformation (D46.3)

M9989/1       Myelodysplastic syndrome NOS (D46.9)

________________________

ⁱ This code is not used for mortality by NCHS

ⁱⁱ Inactive code, to be corrected in future version of ICD-10-CM. Please query the Index.