Instructions for Classifying Multiple Causes of Death, 2021 – Section II

SECTION III – INTENT OF CERTIFIER

In order to assign the most appropriate code for a given diagnostic entity, it may be necessary to take other recorded information and the order in which the information is reported into account. It is important to interpret this information properly so the meaning intended by the certifier is correctly conveyed. The objective is to code each diagnostic entity in accordance with the intent of the certifier without combining separate codable entities. The following instructions help to determine the intent of the certifier. Apply Intent of Certifier instructions to “See also” terms in the Index and to any synonymous sites or terms as well.

1. Other and unspecified gastroenteritis and colitis of unspecified origin (A099)

Code A090 (Gastroenteritis and colitis of infectious origin)

When reported due to:

A000-B99

R75

Y431-Y434

Y632

Y842

I (a) Enteritis A090

(b) Listeriosis A329

Code I(a) gastroenteritis and colitis of infectious origin, A090, since enteritis is reported due to a condition classified to A329.

EXCEPTION: When the enteritis is reported due to another infectious condition or an organism classified to A49 or B34, refer to Section III, 7. Organisms and Infections.

Code K529 (Noninfective gastroenteritis and colitis, unspecified)

When reported due to:

C000-K929

L272

M000-N999

P000-R749

R760-Y430

Y435-Y631

Y633-Y841

Y843-Y899

I (a) Enteritis K529

(b) Abscess of intestine K630

Code I(a) noninfective gastroenteritis and colitis, unspecified, K529, since enteritis is reported due to a condition classified to K630.

I (a) Colitis A099

Code I(c) gastroenteritis and colitis of unspecified origin, A099, as indexed.

2. Cavitation lung (A162)

Code J984 (Nontuberculous cavitation lung)

When reported due to:

A000-A099 G459-G98 O981-P369

A200-B199 H650-H709 P371-R825

B201-B89 H720-H739 R826

B91-F39 H950-J64 R827-R892

F531 J660-L599 R893

F55 L930-L932 R894-R961

F71-F79 M000-N459 R98-R99

F840-F849 N480-N96 S000-Y899

F99-G419 N980-O979

I (a) Cavitary lung disease J984

(b) COPD J449

Code I(a) nontuberculous cavitation of lung, J984, since cavitary lung disease is reported due to a condition classified to J449.

I (a) Respiratory failure J969

(b) COPD R570

Code I(c) cavitation of lung, A162, since it is not reported due to any other conditions.

3. Spinal Abscess (A180)
Vertebral Abscess (A180)

Code M462 (Nontuberculous spinal abscess)

When reported due to:

A400-A419 H650-H669 M910-M939

A500 H950-H959 M960-M969

A509 J00-J399 N10-N12

A527 J950-J959 N136

A539 K650-K659 N151

B200-B24 K910-K919 N159

B89 L00-L089 N288

B99 M000-M1990 N340-N343

C412 M320-M351 N390

C760 M359 N700-N768

C795 M420-M429 N990-N999

C810-C969 M45-M519 R75

D160-D169 M600 S000-T983

D480 M860-M889

D550-D589 M894

I (a) Spinal Abscess M462

(b) Staphylococcal septicemia A412

Code I(a) nontuberculous spinal abscess, M462, since spinal abscess is reported due to a condition classified to A412.

4. Charcot Arthropathy (A521)

Code G98 (Arthropathy, neurogenic, neuropathic (Charcot), nonsyphilitic)

When reported due to:

A30 Leprosy G608 Hereditary sensory

E10-E14 Diabetes mellitus neuropathy

E538 Subacute combined degeneration G901 Familial dysautonomia

(of spinal cord) G950 Syringomyelia

F101 Alcohol abuse Q059 Spina bifida,

F102 Alcoholism meningo-myelocele

G600 Hypertrophic interstitial Y453 Indomethacin

neuropathy Y453 Phenylbutazone

G600 Peroneal muscular atrophy Y427 Corticosteroids

I (a) Charcot arthropathy G98

(b) Diabetes E149

5. General Paresis (A521)

Code G839 (Paralysis)

When reported due to or on the same line with:

A022 A988 B690 D180-D181 I159

A040 B003-B004 B719 D210 I600-I709

A051 B010-B011 B75 D233-D234 I748

A066 B020-B022 B832 D320-D339 J108

A078 B03-B04 B888 D352 J118

A170-A179 B050-B051 B89 D355 M000-M1990

A180 B060 B900 D360-D367 M420-M429

A190-A191 B200-B24 B901-B909 D420-D439 M45-M519

A203 B258 B91 D443 M860-M949

A228 B259 B92-B940 D446 N000-N399

A260-A289 B261-B262 B941 D448 O100-O16

A321-A329 B268 B948-B949 D45-D479 O740-O749

A368 B270-B279 C470 D487 O900-O909

A390-A394 B334-B338 C479 D489 O95

A398-A399 B375 C700-C729 E713 O994

A428 B384 C751 E750-E756 P000-Q079

A440-A539 B428 C754 F449 Q750-Q799

A544 B450-B459 C758 G000-G239 Q860-Q999

A548 B461 C760 G300-G379 R270-R278

A680-A689 B49-B64 C770 G450-G459 R75

A692 B673 C793-C794 G540-G729

A800-A959 B676 C798-C97 G839-G98

A981-A982 B679 D170 I10

I (a) CVA with general paresis I64 G839

(b)

(c)

Code T144 (Paralysis, traumatic)

Refer to Section V, Part S, Sequela of injuries, poisonings, and other consequences of external causes, if a sequela is indicated.

When reported due to or on the same line with:

S000-T149 W81-X39

T20-T35 X50-X599

T66-T79 X70-X84

T90-T95 X91-Y09

T981-T982 Y20-Y369

V010-W43 Y850-Y872

W45-W77 Y890-Y899

I (a) General paresis T144

(b) Brain injury S069

(c)

II Auto accident &V499

6. Viral Hepatitis (B161, B169, B171-B179)

Code

For Viral Hepatitis in Code Chronic Viral Hepatitis

Categories

B161 B180

B169 B181

B171 B182

B172 B188

B178 B188

B179 B189

When reported as causing liver conditions in:

K721, K7210

K740-K742

K744-K746

I (a) Cirrhosis of liver K746

(b) Viral hepatitis B B181

Code I(b) B181, chronic viral hepatitis B, since reported as causing a condition classified to K746.

7. Organisms and Infections NOS (B99)

Organisms

Bacterial organisms Viral organisms Organisms classified to

classified to A49.- classified to B34.- other than A49.- or B34.-

Escherichia coli Adenovirus Aspergillus

Haemophilus influenzae Coronavirus Candida

Pneumococcal Coxsackie Cytomegalovirus

Staphylococcal Enterovirus Fungus

Streptococcal Parvovirus Meningococcal

Infectious conditions

Abscess Infection Sepsis, Septicemia

Bacteremia Pneumonia Septic Shock

Empyema Pyemia Words ending in “itis”

These lists are NOT all inclusive. Use them as a guide.

In order to determine which instruction to use, refer to the Index under the named organism or under Infection, named organism.

Bacterial organisms and infections classified to A49 and Viral organisms and infections classified to B34

(1) When an infectious or inflammatory condition is reported and

(a) Is preceded or followed by condition classified to A49 or B34 or

(b) A condition classifiable to A49 or B34 is reported as the only entry or first entry on the next lower line or

(c) Is followed by a condition classified to A49 or B34 separated by a connecting term not indicating a due to relationship

(i) If a single code is provided for the infectious or inflammatory condition modified by the condition classified to A49 or B34, use this code. Do not assign a separate code for the condition classifiable to A49 or B34. It may be necessary to use “due to” or “in” in the Index to assign the appropriate code.

I (a) E. coli diarrhea A044

Code as indexed under Diarrhea, due to, Escherichia coli.

I (a) Pneumonia J129

(b) Viral infection

Code as indexed under Pneumonia, viral.

I (a) Meningitis and sepsis G000 A413

(b) H. influenzae

Code as indexed under Meningitis, Haemophilus (influenzae) and Septicemia, Haemophilus influenzae.

I (a) Sepsis with staph A412

Code as staphylococcal sepsis as indexed under Septicemia, staphylococcal.

I (a) Pneumonia c MRSA J152

Code as methicillin resistant staphylococcal aureus pneumonia as indexed under Pneumonia, MRSA.

(ii) If (i) does not apply, and the Index provides a code for the infectious or inflammatory condition qualified as “bacterial,” “infectious,” “infective,” or “viral,” assign the appropriate code based on the reported type of organism. Do not assign a separate code for the condition classified to A49 or B34.

I (a) Coxsackie virus pneumonia J128

Coxsackie virus is a specified virus. Code as indexed under Pneumonia, viral, specified NEC.

I (a) Peritonitis K650

(b) Campylobacter

Campylobacter is a specified bacteria. Code as indexed under Peritonitis, bacterial.

I (a) Pneumonia with coxsackie virus J128

Code as coxsackie virus pneumonia. Since coxsackie virus is a specified virus, code as indexed under Pneumonia, viral, specified NEC.

(iii) If (i) and (ii) do not apply, assign the NOS code for the infectious or inflammatory condition. Do not assign a separate code for the condition classified to A49 or B34.

I (a) Klebsiella urinary tract infection N390

The Index does not provide a code for Infection, urinary tract specified as bacterial, infectious, infective, or Klebsiella. Therefore, code Infection, urinary tract.

I (a) Pyelonephritis N12

(b) Staphylococcus

The Index does not provide a code for pyelonephritis specified as bacterial, infectious, infective, or staphylococcal. Therefore, code Pyelonephritis as indexed.

I (a) Pyelonephritis and pseudomonas N12

The Index does not provide a code for pyelonephritis specified as bacterial, infectious, infective or pseudomonas. Therefore, code pyelonephritis as indexed.

Organisms and infections classified to categories other than A49 and B34

(1) When an infectious or inflammatory condition is reported and

(a) Is preceded by a condition classifiable to Chapter I other than A49 or B34

(i) Refer to the Index under the infectious or inflammatory condition. If a single code is provided for this condition, modified by the condition from Chapter I, use this code. It may be necessary to use “due to” or “in” in the Index to assign the appropriate code.

I (a) Cytomegaloviral pneumonia B250

Code as indexed under Pneumonia, cytomegaloviral.

(ii) If (i) does not apply, refer to Volume 1, Chapter I to determine if the Classification provides an appropriate fourth character for the organism. Indications of appropriate fourth characters for sites would be “of other sites,” “other specified organs,” or “other organ involvement.”

I (a) Candidiasis peritonitis B378

Since this term is not indexed together, refer to Volume I, Chapter I and select the fourth character, .8, candidiasis of other sites.

(iii) If (i) and (ii) do not apply, code as two separate conditions.

I (a) Mononucleosis pharyngitis B279 J029

Since this term is not indexed together and Volume I, Chapter I does not provide an appropriate fourth character under B27.-, code as two separate conditions.

(b) A condition from Chapter I other than A49 or B34 is reported as the only entry or the first entry on the next lower line

(i) Code each condition as indexed where reported.

I (a) Peritonitis K659

(b) Candidiasis B379

Since candidiasis is classified to a condition other than A49 or B34, code each condition as indexed.

(c) A condition from Chapter I other than A49 or B34 is reported separated by a connecting term not indicating a due to relationship

(i) Code each condition as indexed where reported.

I (a) Pneumonia with candidiasis J189 B379

Since candidiasis is classified to a condition other than A49 or B34, code each condition as indexed.

Do not use HIV or AIDS to modify an infectious or inflammatory condition. Code as two separate conditions.

I (a) HIV pneumonia B24 J189

When an infectious or inflammatory condition is reported and a specified organism or specifiednonsystemic infection is not the only entry or the first entry on the next lower line.

Code the infectious or inflammatory condition and the organism or infection separately.

I (a) Pneumonia J189

(b) Emphysema & viral infection J439 B349

I (a) Peritonitis K659

(b) Gastric ulcer and staphylococcal infection K259 A490

When an infectious or inflammatory condition is reported and

(1) Infection NOS is reported as the only entry or the first entry on the next lower line

Code the infectious or inflammatory condition where it is entered on the certificate and do not enter a code for infectionNOS, but take into account if it modifies the infectious condition.

I (a) Cholecystitis & arthritis K819 M009

(b) Infection

I (a) Meningitis G039

(b) Infection & brain tumor D432

(2) Infection NOS is not the only entry or the first entry on the next lower line

Code the infectious or inflammatory condition where it is entered on the certificate and code infection NOS separately.

I (a) Septicemia A419

(b) Diabetes & infection E149 B99

When a noninfectious or noninflammatory condition is reported and infection NOS is reported on a lower line

Code the noninfectious or noninflammatory condition as indexed and code infection NOS (B99) where entered on the certificate.

I (a) ASHD I251

(b) Infection B99

When an organism is reported preceding two or more infectious conditions reported consecutively on the same line

Code each of the infectious conditions modified by the organism.

I (a) Staphylococcal pneumonia and J152 G003

(b) meningitis

When one infectious condition is modified by more than one organism, modify the condition by all organisms.

I (a) Strep, Klebsiella and MRSA pneumonia J154 J150 J152

I (a) Strep pneumonia, MRSA J154 J152

I (a) Sepsis enterococcus, MRSA A402 A410

i. When any condition is reported and a generalized infection such as bacteremia, fungemia, sepsis, septicemia, systemic infection, or viremia is reported on a lower line

Code both the condition and the generalized infection where entered on certificate. Do not modify the condition by the infection.

I (a) Bronchopneumonia J180

(b) Septicemia A419

I (a) Pneumonia J189

(b) Viremia B349

8. Eaton-Lambert syndrome (C80)

Code G708 (Eaton-Lambert syndrome unassociated with neoplasm)

When reported on a record without a condition from the following categories also reported:

C000-D489

            Male, 57 years old
I    (a) Aspiration pneumonia                                                     J690
II (b) Eaton-Lambert syndrome                                                G708

Code I(b) Eaton-Lambert syndrome unassociated with neoplasm (G708) since there is no condition from categories C000 – D489 reported anywhere on the record.

Female, 69 years old

I (a) Eaton-Lambert syndrome C80
I (b) Small cell lung cancer C349

Code I(a) Eaton-Lambert syndrome (C80) since there is a condition from categories C000 – D489 reported on the record.

9. Erythremia (C940)

Code D751 (Secondary erythremia):

When reported due to

A000-D489 F55 L710-L719 N700-N768 R730-R739

D510-D619 G000-G419 L930-L932 N980 R75

D751 G450-G459 L950-L959 N990-Q999 R780

D760-E149 G600-G979 M000-M1990 R030 R826

E240-E279 I00-J989 M300-M359 R040-R049 R893

E65-E678 K20-L00 M420-M549 R090-R098 S000-Y899

E890 L100-L139 M800-M949 R160-R162

E896-E899 L230-L309 M960-M969 R31

F100-F199 L500-L599 N000-N399 R58-R5800

I (a) Septicemia A419

(b) Erythremia D751

10. Polycythemia (D45)

Excludes:

idiopathic

primary

rubra

vera

Code D751 (Secondary polycythemia)

When reported due to:

A000-D489 F55 L710-L719 N700-N768 R730-R739

D510-D619 G000-G419 L930-L932 N980 R75

D751 G450-G459 L950-L959 N990-Q999 R780

D760-E149 G600-G979 M000-M1990 R030 R826

E240-E279 I00-J989 M300-M359 R040-R049 R893

E65-E678 K20-L00 M420-M549 R090-R098 S000-Y899

E890 L100-L139 M800-M949 R160-R162

E896-E899 L230-L309 M960-M969 R31

F100-F199 L500-L599 N000-N399 R58-R5800

I (a) Polycythemia D751

(b) Pneumonia J189

I (a) Polycythemia &D751

(b) Chloromycetin therapy Y408

I (a) Polycythemia vera D45

(b) Emphysema J439

11. Hemolytic Anemia (D589)

Code D594 (Secondary hemolytic anemia)

When reported due to:

A000-D489 F180-F199 Q200-Q289

D594 G000-G09 R75

D65-D699 I00-I519 R780

D760 I776 R823

D800-D899 J09-J22 R826

E201 K700-K769 R893

E280-E289 M000-M359 S000-Y899

E40-E46 N000-N399

E700-E899 O000-O998

F100-F169 P550-P579

I (a) Hemolytic anemia D594

(b) Hairy cell leukemia C914

(c)

I (a) Hemolytic anemia D589

(b)

(c)

II Hypogammaglobulinemia D801

I (a) Secondary hemolytic D594

(b) anemia

12. Sideroblastic Anemia (D643)

Code D641 (Secondary sideroblastic anemia due to disease)

When reported due to:

A000-C97 E230 F180-F182 J069 M023

D45 E531 F190-F192 J65 M101

D461 E539 F55 K700-K703 M352

D471 E798 G030 K709 N143

D510-D599 E800-E802 G040 K721 N188-N19

D640-D643 E831 G361 K730-K746 N341

D648 E880 G933 K760 O980-O981

D731 E890 I330 K761 R162

D748 F100-F102 I423 K766 R75

D758 F109-F112 I729 K769 R780

D860-D869 F119-F122 I888 K908 R826

D892 F130-F132 J00 L081 R893

E018-E02 F140-F142 J020 L448 R897

E032-E0390 F150-F152 J030 L946

E050-E059 F160-F162 J040-J042 M021

I (a) Pneumonia J189

(b) Sideroblastic anemia D641

Code D642 (Secondary sideroblastic anemia due to drugs or toxins)

When reported due to:

D642 X60-X69

T510-T659 Y10-Y19

T97 Y400-Y599

X40-X49 Y86-Y880

I (a) CHF I500

(b) Sideroblastic anemia &D642

13. Hemorrhagic Purpura NOS (D693)

Code D690 (Hemorrhagic purpura not due to thrombocytopenia)

When reported due to:

A000-C97 F119 I771-I779 N19 Q848

D45-D460 F120 I872 N200-N219 Q872-Q873

D462-D469 F121-F122 I878 N250-N311 Q878

D471 F130-F132 I879 -I889 N312-N319 R104

D510 F140 I898-I899 N320-N390 R162

D511-D581 F141-F142 I99-J00 N392 R233

D582 F150 J020 N398-N399 R238

D588-D618 F151-F152 J030 N719 R291

D619 F160-F162 J040-J042 N897 R31

D648 F180-F181 J069 N910-N939 R398

D65-D692 F182 J65 N948 R72

D698-D71 F190-F191 K658 N950-N959 R75

D720 F192 K660 N991 R780

D721 G000-G032 K700-K769 P070-P073 R826

D728 G038-G039 K908 P219 R893

D729-D759 G040 L081 P221-P289 R897

D860-D869 G042-G049 L272 P546 T360-T658

D892 G060 L448 P916 T659

E240 G061-G09 L573 Q458 T780-T784

E241 G312 L80-L819 Q680 T789

E242 G361 L946 Q740-Q741 T806

E243 G373-G374 L958 Q758 T818

E248 G540 L959 Q772 T881

E249 G92 M021-M023 Q775-Q776 T885

E301 G933 M050-M089 Q778 T886-T887

E54 G958 M101 Q779-Q783 T96-T97

E569 G961 M120 Q785 T981

E642 I00-I019 M138 Q788-Q789 X20-X29

E648 I10 M159 Q791 X40-X48

E703 I159 M300 Q794-Q795 X49

E798 I308 M301-M352 Q796 X60-X69

E850-E859 I330-I339 M358 Q798 Y10-Y19

E871 I400-I409 M359 Q808 Y400-Y599

E880 I423 M898 Q810-Q819 Y86

F100 I729 N000-N078 Q820 Y870

F101-F102 I749 N079 Q821-Q825 Y871

F110-F112 I770 N10-N189 Q828 Y872

I (a) CVA I64

(b) Hemorrhagic purpura D690

14. Thrombocytopenia (D696)

Code D695 (Secondary thrombocytopenia)

When reported due to:

A000-D447 F110 J030 P350 -P399 T752

D448 F111-F112 J040-J042 P550 -P560 T780-T783

D449-D509 F119 J069 P570 T784

D510 F120 J09-J118 P610 T788-T789

D511-D691 F121-F122 J65 P614 T803-T804

D692 F130 K658 P916 T808-T809

D693-D699 F131-F132 K660-K661 Q204 -Q205 T818

D730-D752 F140 K700-K769 Q206 T881

D758 F141-F142 K908 Q208 T882 -T883

D759-D763 F150 K920-K921 Q209 T885

D814 F151-F152 K922 Q210 T886 -T888

D820 F160 L081 Q220 -Q246 T889

D821 F161-F162 L448 Q248 T950 -T97

D840 F180-F181 L590 Q249 T981

D841-D848 F182 L818 Q289 T983

D860-D892 F190-F191 L946 Q758 V010-V99

E000-E009 F192 M021 Q775-Q776 W00-W53

E018-E02 F55 M023 Q778 W54-W56

E031-E033 G000-G032 M050-M089 Q779-Q783 W57

E034 G038-G039 M101 Q788-Q789 W58-W87

E035-E0390 G040 M120 Q798 W88-W93

E055 G042-G048 M138 Q828 W94-X19

E059 G049-G060 M159 Q850 X20-X32

E071 G061-G09 M199-M1990 R001 X34-X39

E230 G312 M219 R008 X40-X48

E349 G361 M300 R012 X49-X599

E46 G373-G374 M301-M329 R161-R162 X65

E538 G450-G452 M352 R233 X69-Y369

E539-E54 G454-G459 M898 R291 Y400-Y601

E560-E639 G540 N000-N078 R31 Y603

E642 G903 N079 R398 Y605

E648 G92 N10-N219 R58-R5800 Y610-Y611

E649 G933 N250-N311 R75 Y613

E713 G936 N312-N319 R771 Y615

E740 G938 N320-N390 R780 Y617

E750 G951 N392 R788 Y620-Y621

E752 G958 N398-N399 R798 Y623

E753 G961 N980-N989 R825 Y625

E755-E756 I00-I019 N991 R826 Y630-Y633

E768-E779 I10-I629 O360-O369 R827-R828 Y640-Y655

E782 I630-I6300 O430-O431 R829 Y658

E798 I631-I6310 O438 R893 Y66-Y831

E803 I633-I677 O439-O469 R897 Y840

E835 I678-I679 O60 T200 Y842

E871 I690-I891 O670-O689 T201-T289 Y848-Y849

E880 I898 O700-O719 T300 Y850-Y872

E888 I899-I972 O908 T301-T329 Y880-Y881

E890 I978 O980-O981 T360-T658 Y890-Y891

E898 I99 P070-P073 T659 Y899

F100 J00 P219 T66-T670

F101-F102 J020 P221-P289 T68

I (a) Multiple hemorrhages R5800

(b) Thrombocytopenia D695

15. Hyperparathyroidism (E213)

Code E211 (Secondary hyperparathyroidism)

When reported due to:

A180 D136-D137

A187 D300-D309

A188 D351-D353

B650-B839 D410-D419

B902-B908 D442-D444

C250-C259 E130-E139

C64-C689 E15-E215

C750-C752 E240-E259

C788 E270-E279

C790-C791 E892

C798 M880-M889

C900-C902 N000-N399

D017 Q600-Q649

D090-D091 Q770-Q789

D093 Q798

I (a) Hypercalcemia E835

(b) Hyperparathyroidism E211

16. Hyperaldosteronism (E269)

Code E261 (Secondary hyperaldosteronism)

When reported due to:

A220-A229 E270-E46 I500-I509 T96-T97

B500-B54 E511-E519 I701 T983

B560-B575 E660-E669 I778 X40-X49

C740-C749 E713 K700-K709 X60-X69

C797 E86 K721-K7210 X85-X90

D093 E871 K730-K746 Y10-Y19

D350 E880 K850-K851 Y400-Y599

D441 E890 K853-K859 Y86-Y880

D448-D449 E892 N000-N399

D840-D849 E895-E899 T360-T659

E000-E249 I10-I150 T783

E250-E269 I159 T880-T889

I (a) MI I219

(b) Hyperaldosteronism E261

17. Lactase Deficiency (E730)

Code E731 (Secondary lactase deficiency)

When reported due to:

E730-E749 K590-K599

K500 K630

K508-K510 K633

K519-K529 K639

K570 K900-K902

K574 K912

K580-K589 N200-N209

I (a) Severe diarrhea K529

(b) Lactase deficiency E731

Code I(b) secondary lactase deficiency, E731, since reported due to celiac disease.

18. Korsakov Disease, Psychosis, or Syndrome (F106)

Code F04 (Nonalcoholic Korsakovs disease, psychosis, or syndrome)

When reported due to :

A000-D591 L920 S710-S729 T904

D592 L928-L932 S740-S799 T905

D593-D610 L951 S810-S829 T908

D611 L980-L981 S840-S899 T909

D612-E243 M000-N459 S910-S929 T910

E248-E519 N490-N809 S940-S999 T911-T915

E52 N990-N992 T012-T029 T918

E530-F09 N994-Q999 T041-T08 T919-T922

F200-G311 R54 T091 T924-T926

G318-G619 R75 T093-T10 T928

G620 S010-S029 T111 T929-T932

G622 S040-S050 T113-T12 T934-T936

G628-G720 S052-S099 T131 T938

G722-G98 S110-S129 T133-T139 T939

I00-I4250 S140-S199 T141-T142 T940-T953

I427-J989 S210-S229 T144-T329 T954

K20-K291 S240-S299 T340-T349 T958-T959

K293-K669 S310-S328 T351-T399 T96-X40

K710-K851 S340-S399 T410-T422 X43-X44

K853-K859 S410-S429 T425-T426 X46-Y449

K861-L109 S440-S499 T427 Y451-Y468

L129-L449 S510-S529 T428 Y480-Y485

L510-L599 S540-S599 T440-T509 Y500-Y899

L710-L719 S610-S628 T520-T889

L88 S640-S69 T901-T903

I (a) Korsakoff psychosis F04

(b) Wernicke encephalopathy E512

(c)

19. Drug Use NOS – Named Drug Use (F11-F16, F18-F19)

Code drug use NOS, F199, when reported anywhere on the certificate. Code use of named drug, F11-F16, F18-F19 with fourth character “9,” when reported anywhere on the certificate and the named drug is listed in Volume 3, under Addiction/Dependence. If the named drug is not listed in Volume 3 under Addiction/Dependence, do not enter a code.

Exceptions:

(1) Complication(s) reported due to (named) drug use. Code the (named) drug use to the appropriate external cause code for adverse effects of drugs in therapeutic use unless the drug is one not used for medical care purposes. Refer to Section V, Part R, 1, Drugs, medicaments, biological substances causing adverse effects in therapeutic use (Y40-Y59) for coding instructions.

(2) There is mention of drug poisoning anywhere on the certificate, code the (named) drug use to F11-F16, F18-F19, with fourth character “9,” if listed in Volume 3 under Addiction/Dependence. If (named) drug is not indexed in Volume 3 under Addiction/Dependence, code F19, specified drug NEC with fourth character “9.” Refer to Section V, Part Q, 2, Poisoning by drugs.

I (a) Chronic alcoholism F102

(b)

(c)

II Drug use F199

Code drug use to F199. There is no complication reported due to the drug use.

I (a) Cancer of pancreas C259

(b)

(c)

II Methadone use F119

Code methadone use to F119 as listed under Dependence in Volume 3. There is no complication reported due to the methadone use.

I (a) Systemic lupus erythematosus M329

(b)

(c)

II Steroid use

Do not scode steroid use. Steroid is not listed in Volume 3 under Addiction/Dependence and no complication is reported due to the steroid use.

I (a) Diabetes E139

(b) Steroid use Y427

(c)

II Rheumatoid arthritis &M069

Code the diabetes as a complication of the steroids given in therapeutic use for rheumatoid arthritis. Refer to Section V, Part R, 1, Drugs, medicaments, biological substances causing adverse effects in therapeutic use (Y40-Y59) for coding complications of drugs during therapeutic use.

I (a) Bacterial endocarditis &I330

(b) Use of morphine Y450

(c)

Code the bacterial endocarditis as a complication of the morphine given in therapeutic use. Precede the complication with an ampersand since the condition requiring the drug is not reported. Refer to Section V, Part R, 1, Drugs, medicaments, biological substances causing adverse effects in therapeutic use (Y40-Y59) for coding complications of drugs during therapeutic use.

Place I (a) Acute cocaine poisoning T405 &X42

9 (b)

(c)

MOD II Cocaine use F149 T405

Accident Ingested cocaine

Code cocaine use to F149 as listed under Dependence in Volume 3 since reported on the certificate with drug poisoning. Refer to Section V, Part Q, 2, Poisoning by drugs for instructions in coding drug poisoning.

Place I (a) Respiratory failure J969

9 (b) Acute drug use F199

(c)

MOD II &X42 T402

Accident Overdose of morphine

Code acute drug use to F199 since reported on the certificate with drug poisoning.

Place I (a) Poisoning by drugs T509 &X44

9 (b)

(c)

II Use of sedatives F139

Code use of sedative to F139 as listed under Dependence in Volume 3 since reported on the certificate with drug poisoning.

20. Tobacco Use (F179)

Code F179 (Tobacco use)

When age of the decedent is greater than or equal to (>=) 1 year

AND

When the certifier selects “Yes” or “Probably” in the tobacco box on the US Standard Certificate of Death.

Did tobacco use contribute to death?

Yes ☐ Probably ☐

No ☐ Unknown ☐

The F179 should follow the last code in Part II.

I (a) Pneumonia J189

(b) Lung cancer C349

II COPD J449 F179

Did tobacco use contribute to death?

Yes ☒ Probably ☐

No ☐ Unknown ☐

Female, 2 months

I (a) Pneumonia J189

(b)

Did tobacco use contribute to death?

Yes ☒ Probably ☐

No ☐ Unknown ☐

No F179 is necessary for the tobacco box entry since age of decedent is less than 1 year old.

21. Psychotic Episode NOS (F239)

Code F068 (Psychotic episode, organic NEC)

When reported due to or on the same line with conditions classifiable to the following categories:

A000-E899 L88 R042-R048

F068 L920 R060-R065

G000-G98 L92-L932 R068

H600-H709 L951 R090-R091

H720-H739 L980-L981 R291

I00-J989 M000-N459 R54

K20-L109 N490-N809 R600-R609

L120-L449 N990-N992 R75

L510-L599 N994-Q999

L710-L719 R02

I (a) TIA’s with psychotic episodes G459 F068

(b) Cerebral arteriosclerosis I672

Code psychotic episode on I(a) F068, since reported on the same line with TIA (G459). It could also be coded to F068 since reported due to cerebral arteriosclerosis (I672).

22. Psychosis (any F29)

Code F09 (Psychosis, organic NEC)

When reported due to or on the same line with conditions classifiable to the following categories:

A000-E899 R75 S840-S899 T909

F09 S010-S029 S910-S929 T910

G000-G98 S040-S050 S940-S999 T911-T915

I00-J989 S052-S099 T012-T029 T918

K20-L109 S110-S129 T041-T08 T919-T922

L120-L449 S140-S199 T091 T924-T926

L510-L599 S210-S229 T093-T10 T928

L710-L719 S240-S299 T111 T929-T932

L88 S310-S328 T113-T12 T934-T936

L920 S340-S399 T131 T938

L928-L932 S410-S429 T133-T139 T939

L951 S440-S499 T141-T142 T940-T953

L980-L981 S510-S529 T144-T329 T954

M000-N459 S540-S599 T340-T349 T958-T959

N490-N809 S610-S628 T351-T889 T96-Y899

N950-N959 S640-S699 T901-T903

N990-N992 S710-S729 T904

N994-Q999 S740-S799 T905

R54 S810-S829 T908

I (a) Pneumonia J189

(b) Psychosis – cerebrovascular arteriosclerosis F09 I672

23. Dissociative Disorder (F449)

Code F065 (Organic dissociative disorder)

When reported due to conditions classifiable to the following categories:

A000-E899 L88 R042-R048

F065 L920 R060-R065

G000-G98 L928-L932 R068

H600-H709 L951 R090-R091

H720-H739 L980-L981 R291

I00-J989 M000-N459 R54

K20-L109 N490-N809 R600-R609

L120-L449 N990-N992 R75

L510-L599 N994-Q999 S000-Y899

L710-L719 R02

I (a) Dissociative disorder F065

(b) Remote subdural hematoma T905

Code I(a) organic dissociative disorder, F065, since reported due to an injury.

I (a) Dissociative disorder F065

(b) Senility R54

Code I(a) organic dissociative disorder, F065, since reported due to senility.

24. Personality Disorder (F609), Personality Change (Enduring) (F629)

Code F070 (Organic personality disorder)

When reported due to conditions classifiable to the following categories:

A000-E899 N490-N809 S440-S499 T093-T10

F070 N990-Q999 S510-S529 T111

G000-G98 R54 S540-S599 T113-T12

I00-J989 R75 S610-S628 T131

K20-L109 S010-S029 S640-S699 T133-T139

L120-L449 S040-S050 S710-S729 T141-T142

L510-L599 S052-S099 S740-S799 T144-T329

L710-L719 S110-S129 S810-S829 T340-T349

L88 S140-S199 S840-S899 T351-T889

L920 S210-S229 S910-S929 T901-T922

L928-L932 S240-S299 S940-S999 T924-T932

L951 S310-S328 T012-T029 T934-Y899

L980-L981 S340-S399 T041-T08

M000-N459 S410-S429 T091

Place I (a) Personality disorder F070

9 (b) Head injury S099

Code I(a) organic personality disorder, F070, since reported due to a head injury.

I (a) Personality disorder F070

(b) Meningioma brain D320

Code I(a) organic personality disorder, F070, since reported due to a meningioma brain.

I (a) Personality change F070

(b) Jakob-Creutzfeldt Syndrome A810

Code I(a) organic personality disorder, F070, since reported due to Jakob-Creutzfeldt Syndrome.

25. Mental Disorder (any F99)

Code F069 (Organic mental disorder)

When reported due to or on the same line with conditions classifiable to the following categories:

A000-G98 M000-N459 S000-S199 T510-T519

H600-H709 N490-N809 T019 T66-T68

H720-H739 N990-N992 T028 T698-T758

I00-J989 N994-Q999 T029 T790-T799

K20-L109 R02 T049 T900-T911

L120-L449 R042-R048 T062 T913

L510-L599 R060-R065 T064 T918-T919

L710-L719 R068 T07-T08 T940-T950

L88 R090-R091 T093-T094 T958-T959

L920 R291 T140-T149 T97

L928-L932 R54 T200-T207 T981-T982

L951 R600-R609 T340-T341 V010-Y872

L980-L981 R75 T350-T352

I (a) Cardiorespiratory arrest I469

(b) Heart failure I509

26. Parkinson Disease (G20)
Advanced Parkinson Disease (G2000)
Grave Parkinson Disease (G2000)
Severe Parkinson Disease (G2000)

Code G214 (Vascular parkinsonism)

When reported due to:

G214

I672-I673

I678-I679

I698

I709

I (a) Parkinsonism G214

(b) Arteriosclerosis I709

(c)

Code G219 (Secondary parkinsonism)

When reported due to:

A170-A179 B900 R75

A504-A539 B902 S000-T357

A810-A819 B91 T66-T876

A870-A89 B941 T900-T982

B003 B949 T983

B010 F200-F209 X50-X599

B021-B022 G000-G039 X70-X84

B051 G041-G09 X91-Y09

B060 G20-G2000 Y20-Y369

B200-B24 G218-G219 Y600-Y849

B261 G300-G309 Y850-Y872

B375 I950-I959 Y881-Y899

I (a) Parkinson disease G219

(b) Tuberculous meningitis A170

(c)

I (a) Secondary Parkinson disease G219

(b)

(c)

27. Cerebral Sclerosis (G379)

Code I672 (Cerebrovascular atherosclerosis)

When reported due to or on the same line with:

A500-A539 M100-M109

E000-E349 M300-M359

E660-E669 N000-N289

E700-E839 N390

E890-E899 Q600-Q619

I10-I150 Q630-Q639

I159 Q890-Q892

I672 R54

I700-I709 T383

I770 Y423

I99

When reportedas causing:

I600-I679

I690-I698

I (a) Cerebral edema G936

(b) Cerebral sclerosis G379

I (a) Cerebral thrombosis I633

(b) Cerebral sclerosis I672

I (a) ASHD I251

(b)

(c)

II Cerebral sclerosis, hypertension 1672 I10

28. Myopathy (G729)

Code I429 (Cardiomyopathy)

When reported due to:

A150-A1690 E648-E649 R54

A178 E660-E669 R75

A181 E740 T360-T66

A188 E760-E769 T97

B332 E831 X45

B560-B575 E880-E889 X65

B948 I00-I259 Y15

D500-D649 I300-I4290 Y400-Y599

D758 I514-I5150 Y842

E100-E149 I700-I709 Y86-Y872

E40-E519 P200-P220 Y883

E639 P916

E641 R31

I (a) Myopathy I429

(b) ASHD I251

(c)

Code I(a) cardiomyopathy, I429, since reported due to a specific heart condition.

29. Brain Damage, child (G809)

Code G939 (Brain damage)

When reported due to:

A000-F199 M000-N399 R400-R402

F200-F99 N700-N889 R54

G000-G98 O000-Q999 R560-R5800

H600-H749 R02 R600-R609

H950-J80 R040-R049 R630

J82-J989 R060-R068 R75

K700-K769 R090-R092 S000-Y899

L00-L989 R291

Male, 11 years

I (a) Cardiac arrest I469

(b) Brain damage G809

Since the age of the decedent is less than 18 years of age and there is no indication of the cause of the brain damage, code G809, brain damage, child.

Male, 11 years

I (a) Brain damage G939

(b) Down syndrome Q909

Since there is an indication of the cause of the brain damage, code brain damage, G939.

30. Paralysis (any G81, G82, or G83 excluding senile paralysis)

Code the paralysis for decedent age 28 days and over to G80 (Infantile cerebral palsy) with appropriate fourth character

When reported due to:

P000-P969

Female, 3 months

I (a) Pneumonia 1wk J189

(b) Paraplegia 3 mos G808

Code the paraplegia on I(b) to infantile paraplegia, G808, since reported due to an injury of the spinal cord since birth.

31. Cataract (H269)

Code H264 (Secondary cataract)

When reported due to:

A1690 H269

B200-B24 H579

E100-E149 R54

E160-E162 R75

E711 T66

E742 Y493

E830 Y540

E835 Y576

H264

I (a) CVA I64

(b) Cataract H264

Code I(b), secondary cataract, H264, since reported due to diabetes (E149).

32. Varices NOS and Bleeding Varices NOS (I839)

Code (a) I859 (Esophageal varices) or
(b) I850 (Bleeding esophageal varices)

When reported due to or on same line with:

Alcoholic diseases classified to: F100-F109

Liver diseases classified to: B150-B199, B251, B942, K700-K769

Toxic effect of alcohol classified to: T510-T519, T97

I (a) Varices I859

(b) Cirrhosis of liver K746

I (a) Bleeding varices I850

(b) Cirrhosis of liver K746

33. Pneumoconiosis (J64)

Code J60 (Coalworker pneumoconiosis)

When Occupation is reported as:

Coal miner

Coal worker

Miner

Occupation: Coal Miner

I (a) Bronchitis J40

(b) Pneumoconiosis J60

34. Diaphragmatic Hernia in K44

Code Q790 (Congenital diaphragmatic hernia)

When reported as causing hypoplasia or dysplasia of lung NOS (Q336).

I (a) Lung dysplasia Q336

(b) Diaphragmatic hernia Q790

(c)

35. Laennec’s Cirrhosis NOS (K703)

Code K746 (Nonalcoholic Laennec’s cirrhosis)

When reported due to:

A000-B99 K710-K718 Y574-Y599

C000-D539 K730-K760 Y640

D730-D739 K761 Y86

E02-E0390 K763 Y870-Y872

E100-E149 K768-K851 Y880

E500-E519 K853-K859 Y881

E52 K861-K909

E530-E849 Q410-Q459Q900-Q999

F110-F169 R75

F180-F199 T360-T509

I050-I099 T520-T659

I110-I119 T97

I130-I4250 X40-X44

I427-I519 X46-X49

I81 Y400-Y572

K500-K519 Y573

K630-K639

I (a) Cardiac arrest I469

(b) Laennec’s cirrhosis K746

Code I(b) nonalcoholic Laennec’s cirrhosis since reported “due to” diabetes

36. Biliary Cirrhosis NOS (K745)

Code K744 (Secondary biliary cirrhosis)

When reported due to:

A000-B99 K763

C000-D539 K768-K909

D730-D739 Q410-Q459

E02-E0390 Q900-Q999

E100-E149 R75

E500-E849 R780

F100-F169 R826

F180-F199 R893

I050-I099 T360-T659

I110-I119 T97

I130-I519 X40-X49

I81 X65

K500-K519 Y15

K630-K639 Y400-Y599

K700-K718 Y640

K730-K760 Y86-Y880

K761 Y881

I (a) Biliary cirrhosis K745

(b)

(c)

I (a) Primary biliary cirrhosis K743

(b)

(c)

I (a) Secondary biliary cirrhosis K744

(b)

(c)

I (a) Biliary cirrhosis K744

(b) Carcinoma pancreas C259

(c)

37. Lupus Erythematosus (L930), Lupus (L930)

Code M321 (Systemic lupus erythematosus with organ or system involvement)

When reported as causing a disease of the following systems:

Anemia

Circulatory (including cardiovascular,

lymph nodes, spleen)

Gastrointestinal

Musculoskeletal

Respiratory

Thrombocytopenia

Urinary

I (a) Nephritis N059

(b) Lupus erythematosus M321

(c)

38. Gout (M109)

Code M104 (Secondary gout)

When reported due to:

B200-B24 L578-L589

C880-C959 L930-L932

D45 L945

D550-D599 L951

D751 L981

D758 M100-M109

E168 R75

E740 T510-T519

F100-F102 T97

F109 X45

K700-K769 X65

L100-L109 Y15

L120-L449 Y86-Y872

L510-L569

I (a) Perforated gastric ulcer K255

(b) Gout M104

39. Polyarthrosis (M159)

Code M153 (Secondary multiple arthrosis)

When reported due to:

A399

B200-B24

E660-E669

G810-G839

M150-M1990

N924

N950-N959

R54

R75

S000-T983

I (a) Hypostatic pneumonia J182

(b) Polyarthrosis M153

Code I(b) secondary multiple arthrosis, M153, since reported due to obesity.

40. Coxarthrosis (M169)

Code (a) M166 (Coxarthrosis, secondary, bilateral):
(b) M167 (Coxarthrosis, secondary, NEC, (unilateral))

When reported due to:

A399

B200-B24

E660-E669

G810-G839

M150-M161

M166-M1990

N924

N950-N959

R54

R75

I (a) Pneumonia J189

(b) Debility R53

(d) Polyarthrosis M159

Code I(c) secondary coxarthrosis, M167, since reported due to polyarthrosis (M159).

41. Gonarthrosis (M179)

Code (a) M174 (Secondary gonarthrosis, bilateral):
(b) M175 (Secondary gonarthrosis, (unilateral))

When reported due to:

A399

B200-B24

E660-E669

G810-G839

M150-M171

M174-M1990

N924

N950-N959

R54

R75

I (a) Pneumonia, gonarthrosis J189 M175

(b) Hemiplegia G819

Code I(a) secondary gonarthrosis, M175, since reported due to hemiplegia.

42. Arthrosis (M199)

Code M192 (Secondary arthrosis)

When reported due to:

A399

B200-B24

E660-E669

G810-G839

M150-M190

M192-M1990

N924

N950-N959

R54

R75

I (a) Pathological fractures M844

(b) Arthrosis M192

Code I(b) secondary arthrosis, M192, since reported due to senility.

43. Kyphosis (M402)

Code M401 (Secondary kyphosis)

When reported due to:

A1690 E890-E899 M359-M489

A180 G110-G119 M800-M949

B902 G20-G2000 M960-M969

B91 G35-G379 Q050-Q059

C400-C419 G540-G549 Q760-Q799

C490-C499 G600-G839 Q850

C795 G950-G959 Q870-Q878

D166 G970-G979 Q893-Q999

D480 M000-M120 S000-Y899

E200-E215 M150-M1990

E550-E559 M320-M351

I (a) COPD J449

(b) Kyphosis M401

Code I(b) secondary kyphosis, M401, since reported due to spinal osteoarthritis.

44. Scoliosis (M419)

Code M414 (Neuromuscular scoliosis)

When reported due to:

A800-A809 G700-G709

B91 G800-G809

G111 M414

I (a) Respiratory failure J969

(b) Severe scoliosis years M414

Code I(b) neuromuscular scoliosis, M414, since reported due to polio (B91).

Code M415 (secondary scoliosis)

When reported due to:

A1690 G09 M415-M489

A180 G20-G2000 M800-M949

B902 G360-G379 M960-M969

C400-C419 G540-G549 Q050-Q059

C490-C499 G600-G64 Q760-Q799

C795 G950-G959 Q850

D166 G970-G979 Q870-Q878

D480 M000-M120 Q893-Q999

E200-E215 M150-M1990 S000-Y899

E550-E559 M320-M351

E890-E899 M359-M413

I (a) Pneumonia J189

(b) Scoliosis M415

Code I(b) secondary scoliosis, M415, since reported due to progressive systemic sclerosis.

45. Osteonecrosis (M879) )

Code M873 (Secondary osteonecrosis)

When reported due to:

A000-A399 D550-D589 M860-M870

A400-A419 H650-H669 M873

A420-B889 J00-J399 M878-M889

B89 L00-L089 M894

B900-B949 M000-M1990 M910-M939

B99 M320-M351 N340-N343

C400-C419 M359 N390

C763 M420-M429 N700-N768

C795 M45-M461 R75

C810-C969 M462

D160-D169 M463-M479

D480 M600

I (a) Septicemia A419

(b) Osteonecrosis hip M873

Code I(b) secondary osteonecrosis, M873, since reported due to infective myositis (M600).

46. Dysmenorrhea (N946)

Code N945 (Secondary dysmenorrhea)

When reported due to:

C530-C55 N800-N809

C798 N840-N841

D060-D069 N850-N889

D073 N945

D250-D269 Q510-Q519

D390 Q528

N710-N739

I (a) Anemia and gastric ulcer D649 K259

(b) Menorrhagia with dysmenorrhea N920 N945

Code I(b) secondary dysmenorrhea, N945, since reported due to cancer of endocervix (C530).

47. Cesarean Delivery for Inertia Uterus (O622)

Hypotonic Labor (O622)

Hypotonic Uterus Dysfunction (O622)

Inadequate Uterus Contraction (O622)

Uterine Inertia During Labor (O622)

Code O621 (Secondary uterine inertia)

When reported due to:

O100-O209 O440-O469

O230-O249 O621

O260-O264 O670-O679

O266-O269 O95

O310 O980-O998

O330-O349

I (a) Cardiac arrest O754

(b) Uterine inertia O621

Code I(b) secondary uterine inertia, O621, since reported due to diabetes mellitus of pregnancy (O249).

48. Brain Damage, newborn (P112)

Code P219 (Anoxic brain damage, newborn)

When reported due to:

A000-P029

P040-P082

P132-P158

P200-R825

R826

R827-R892

R893

R894-R961

R98

Male, 9 hours

I (a) Brain damage P219

(b) Congenital heart disease Q249

Code I(a) anoxic brain damage, P219, since reported due to congenital heart disease.

49. Intracranial Nontraumatic Hemorrhage of Fetus and Newborn (P52)

Code P10 (Intracranial laceration and hemorrhage due to birth injury) with the appropriate fourth character

When reported due to:

P030-P039

P100-P112

P119

P130-P131

P159

Male, 9 hours

I (a) Cerebral hemorrhage P101

(b) Fractured skull during birth P130

(c)

Code I(a) cerebral hemorrhage due to birth injury, P101, since reported due to a fracture skull occurring during birth.

Female, 2 weeks

I (a) Cerebral hemorrhage P101

(b) Birth injury P159

(c)

Code I(a) cerebral hemorrhage due to birth injury, P101.

50. Septal Defect, (atrial), (auricular), (heart), (ventricular), (Q210, Q211, Q212, Q219)

Code I510 (Acquired septal defect) providing there is no indication the defect is congenital

When reported due to:

A000-A099 I400-I519 N990-N999 R502-R509

A181 I700-J80 P000-P049 R53-R54

A200-B89 J82-J989 P100-Q079 R560-R609

B908-E899 K20-K929 Q240-Q249 R634-R635

F100-F199 L890-L899 Q260-Q349 R64

G000-G419 L97 Q380-Q459 R688-R799

G450-G459 L984 Q600-Q799 R826

G500-G729 M000-M1990 Q850-R098 R893

G900-G98 M300-M549 R11 S000-Y899

H650-H839 M800-M959 R160-R18

I00-I029 N000-N399 R222

I10-I339 N600-N96 R300-R398

When reported on the same line with:

I110-I119

I130-I139

I200-I339

I400-I519

I (a) Cardiac arrest I469

(b) Ventricular septal defect I510

51. Hypoplasia or Dysplasia of Lung NOS (Q336)

Code P280 (Primary atelectasis of newborn)

When reported anywhere on the record with the following codes and not reported due to diaphragmatic hernia in K44.

A500-A509

B200-B24

P000-P009

P011-P013

P050-P073

P220-P229

P280

P350-P399

P612

Q600-Q611

Q613-Q649

R75

I (a) Hypoplasia lung P280

(b)

(c)

II Prematurity P073

Female, 5 hrs.

I (a) Dysplasia of lung 5 hrs Q336

(b)

(c)

II Hyaline membrane disease P220

Code Q336, since the duration and age are the same indicating the condition was congenital.

52. Injury (S000-T149)

Code P10-P15 (Birth trauma)

When the age of decedent is less than 28 days

AND

There is no mention of external cause

AND

Reported due to a condition in P000-P969

Male, 5 days

I (a) Femur fracture P132

(b) Breech delivery P030

Code femur fracture as indexed under Birth, injury, fracture, femur.

53. Fracture (any site) (T142)

Code M844 (Pathological fracture)

When reported due to:

A180 D160-D169 M320-M351 M854-M879 Q799

A500-A509 D480 M359 M893-M895 T810-T819

A521 D489 M420-M429 M898-M939 T840-T849

A527-A539 E210-E215 M45-M519 M941-M949 T870-T889

A666 E550-E559 M600 M960

C000-C399 E896-E899 M843-M851 M966-M969

C430-C794 G120-G129 Q770-Q789

C796-C97 M000-M1990

When reported due to or on the same line with:

C40-C41 M80-M81 M88

C795 M83

NOTE 1: If accident box is checked, do not enter an external cause code.

NOTE 2: If a fracture qualifies as pathological, all fractures reported of the same site will be coded pathological as well.

I (a) Fracture hip M844

(b) Osteoarthritis M199

I (a) Myocardial infarction I219

(b) ASHD I251

(c)

II Fracture of spine due to M844 M139 W19

arthritis causing fall

I (a) Pneumonia J189

(b) Osteoporosis fracture spine M819 M844

I (a) Pneumonitis J189

(b) Arteriosclerosis I709

Accident Spontaneous in bed

Code fracture of femur as pathological, M844, since the certifier indicated it was spontaneous. Do not enter code for “accident” in checkbox.

I (a) Aspiration pneumonia J690

(b) Left hip fracture M844

(c)

II Hip fracture, anemia, osteoporosis M844 D649 M819

Code the hip fracture on (b) and in Part II as pathological, applying instruction b and note 2.

54. Starvation NOS (T730)

Code E46 (Malnutrition NOS)

When reported due to:

A000-E649 L100-L129 R13 T058

E670-F509 L400-L409 R54 T065-T08

F530-F539 L510-L539 R600-R609 T091-T099

F608-F609 L890-L899 R630 T141

F680-F73 L97 R633-R634 T148-T149

F920 L984 R75 T170-T217

F982-F983 M000-M1990 S010-S099 T270-T329

F989-G98 M300-N459 S110-S199 T360-T659

I00-J80 N700-N768 S210-S299 T800-T889

J82-J989 O000-Q079 S310-S399 T97

K020-K029 Q200-Q824 T019-T021 T983

K040-K069 Q850-Q999 T029 V010-X52

K080-K929 R11 T041 X54-Y05

Y070-Y899

I (a) Anemia D649

(b) Starvation E46

Code I(b) E46, malnutrition, since reported due to a neoplasm.

I (a) Starvation E46

(b) Crushed abdomen S381

II Auto accident &V499

Code I(a) E46, malnutrition, since reported due to an internal injury.

55. Compartment Syndrome (T796)

Code M622 (Nontraumatic compartment syndrome)

When reported due to:

A530-A539 F109 N040-N049

B200-B24 F449 N170-N19

B91 G10-G419 Q000-Q079

C000-D489 G450-G98 Q250-Q269

D610-D699 I250-I259 Q650-Q799

E000-E039 I48 Q900-Q999

E230-E237 I600-I99 R190

E40-E46 K310-K389 R198

E511-E52 K560-K567 R263

E630-E649 K590-K599 R402

E750-E752 K650-K659 R58-R5800

E754 K850-K869 R75

E872 K910-K919

E890-E899 L890-L899

F100-F102 L97-M999

I (a) Compartment syndrome M622

(b) Hemorrhagic pancreatitis K859

Code I(a) M622 since reported due to pancreatitis.

Instructions for Classifying Multiple Causes of Death, 2021 – Section II

SECTION III – INTENT OF CERTIFIER

1. Other and unspecified gastroenteritis and colitis of unspecified origin (A099)

2. Cavitation lung (A162)

3. Spinal Abscess (A180) Vertebral Abscess (A180)

4. Charcot Arthropathy (A521)

5. General Paresis (A521)

6. Viral Hepatitis (B161, B169, B171-B179)

7. Organisms and Infections NOS (B99)

8. Eaton-Lambert syndrome (C80)

9. Erythremia (C940)

10. Polycythemia (D45)

11. Hemolytic Anemia (D589)

12. Sideroblastic Anemia (D643)

13. Hemorrhagic Purpura NOS (D693)

14. Thrombocytopenia (D696)

15. Hyperparathyroidism (E213)

16. Hyperaldosteronism (E269)

17. Lactase Deficiency (E730)

18. Korsakov Disease, Psychosis, or Syndrome (F106)

19. Drug Use NOS – Named Drug Use (F11-F16, F18-F19)

20. Tobacco Use (F179)

21. Psychotic Episode NOS (F239)

22. Psychosis (any F29)

23. Dissociative Disorder (F449)

24. Personality Disorder (F609), Personality Change (Enduring) (F629)

25. Mental Disorder (any F99)

26. Parkinson Disease (G20) Advanced Parkinson Disease (G2000) Grave Parkinson Disease (G2000) Severe Parkinson Disease (G2000)

27. Cerebral Sclerosis (G379)

28. Myopathy (G729)

29. Brain Damage, child (G809)

30. Paralysis (any G81, G82, or G83 excluding senile paralysis)

31. Cataract (H269)

32. Varices NOS and Bleeding Varices NOS (I839)

33. Pneumoconiosis (J64)

34. Diaphragmatic Hernia in K44

35. Laennec’s Cirrhosis NOS (K703)

36. Biliary Cirrhosis NOS (K745)

37. Lupus Erythematosus (L930), Lupus (L930)

38. Gout (M109)

39. Polyarthrosis (M159)

40. Coxarthrosis (M169)

41. Gonarthrosis (M179)

42. Arthrosis (M199)

43. Kyphosis (M402)

44. Scoliosis (M419)

45. Osteonecrosis (M879) )

46. Dysmenorrhea (N946)

47. Cesarean Delivery for Inertia Uterus (O622)

48. Brain Damage, newborn (P112)

49. Intracranial Nontraumatic Hemorrhage of Fetus and Newborn (P52)

50. Septal Defect, (atrial), (auricular), (heart), (ventricular), (Q210, Q211, Q212, Q219)

51. Hypoplasia or Dysplasia of Lung NOS (Q336)

52. Injury (S000-T149)

53. Fracture (any site) (T142)

54. Starvation NOS (T730)

55. Compartment Syndrome (T796)

3. Spinal Abscess (A180)
Vertebral Abscess (A180)

26. Parkinson Disease (G20)
Advanced Parkinson Disease (G2000)
Grave Parkinson Disease (G2000)
Severe Parkinson Disease (G2000)