burung

Monday, December 10, 2012

ICD X


International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Version for 2010

Chapter I
Certain infectious and parasitic diseases
(A00-B99)
Incl.:
diseases generally recognized as communicable or transmissible
Use additional code (U80-U89), if desired, to identify the antibiotic to which a bacterial agent is resistant.
Excl.:
carrier or suspected carrier of infectious disease (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, congenital syphilis, perinatal gonococcal infection and perinatal human immunodeficiency virus [HIV] disease] (P35-P39)
influenza and other acute respiratory infections (J00-J22)
·         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-B98 Bacterial, viral and other infectious agents
·         B99-B99 Other infectious diseases

 Chapter II
Neoplasms
(C00-D48)
·         C00-C97 Malignant neoplasms
o    C00-C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haematopoietic and related tissue
§  C00-C14 Malignant neoplasms of lip, oral cavity and pharynx
§  C15-C26 Malignant neoplasms of digestive organs
§  C30-C39 Malignant neoplasms of respiratory and intrathoracic organs
§  C40-C41 Malignant neoplasms of bone and articular cartilage
§  C43-C44 Melanoma and other malignant neoplasms of skin
§  C45-C49 Malignant neoplasms of mesothelial and soft tissue
§  C50-C50 Malignant neoplasm of breast
§  C51-C58 Malignant neoplasms of female genital organs
§  C60-C63 Malignant neoplasms of male genital organs
§  C64-C68 Malignant neoplasms of urinary tract
§  C69-C72 Malignant neoplasms of eye, brain and other parts of central nervous system
§  C73-C75 Malignant neoplasms of thyroid and other endocrine glands
o    C76-C80 Malignant neoplasms of ill-defined, secondary and unspecified sites
o    C81-C96 Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue
o    C97-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

Notes
1.  Primary, ill-defined, secondary and unspecified sites of malignant neoplasm
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's 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 adenocarcinomas; 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 (see section Morphology of neoplasms). These morphology codes are derived from the second edition of International Classification of Diseases for Oncology (ICDO), 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. "Overlapping" 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.
  
Chapter III
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)
Excl.:
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)
·         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

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.
Excl.:
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)
·         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


Chapter V
Mental and behavioural disorders
(F00-F99)
Incl.:
disorders of psychological development
Excl.:
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
·         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-F99 Unspecified mental disorder
Asterisk categories for this chapter are provided as follows:
·         F00* Dementia in Alzheimer's disease
·         F02* Dementia in other diseases classified elsewhere

Chapter VI
Diseases of the nervous system
(G00-G99)
Excl.:
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)
·         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
  
Chapter VII
Diseases of the eye and adnexa
(H00-H59)
Excl.:
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)
·         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 [2nd] nerve and visual pathways in diseases classified elsewhere
·         H58* Other disorders of eye and adnexa in diseases classified elsewhere
Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)
Excl.:
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)
·         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

 Chapter IX
Diseases of the circulatory system
(I00-I99)
Excl.:
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.-)
·         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


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).
Excl.:
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)
·         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



Chapter XI
Diseases of the digestive system
(K00-K93)
Excl.:
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)
·         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





Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)
Excl.:
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)
·         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 skin and subcutaneous tissue in diseases classified elsewhere




Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)
Excl.:
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)
·         M00-M25 Arthropathies
o    M00-M03 Infectious arthropathies
o    M05-M14 Inflammatory polyarthropathies
o    M15-M19 Arthrosis
o    M20-M25 Other joint disorders
·         M30-M36 Systemic connective tissue disorders
·         M40-M54 Dorsopathies
o    M40-M43 Deforming dorsopathies
o    M45-M49 Spondylopathies
o    M50-M54 Other dorsopathies
·         M60-M79 Soft tissue disorders
o    M60-M63 Disorders of muscles
o    M65-M68 Disorders of synovium and tendon
o    M70-M79 Other soft tissue disorders
·         M80-M94 Osteopathies and chondropathies
o    M80-M85 Disorders of bone density and structure
o    M86-M90 Other osteopathies
o    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 sub-classifications for use with derangement of knee, dorsopathies, and biomechanical lesions not elsewhere classified are given at M23, before M40 and at 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
knee joint
tibia
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

Chapter XIV
Diseases of the genitourinary system
(N00-N99)
Excl.:
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)
·         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-N99 Other disorders of the genitourinary system
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



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)
Excl.:
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 (Z35.-)
·         normal pregnancy (Z34.-)
·         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

Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)
Incl.:
conditions that have their origin in the perinatal period even though death or morbidity occurs later
Excl.:
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)
·         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


Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)
Excl.:
inborn errors of metabolism (E70-E90)
·         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


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:
1.      cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
2.      signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
3.      provisional diagnoses in a patient who failed to return for further investigation or care;
4.      cases referred elsewhere for investigation or treatment before the diagnosis was made;
5.      cases in which a more precise diagnosis was not available for any other reason;
6.      certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Excl.:
abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P00-P96)
·         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

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

Excl.:
birth trauma (P10-P15)
obstetric trauma (O70-O71)
malunion of fracture (M84.0)
nonunion of fracture [pseudarthrosis] (M84.1)
pathological fracture (M84.4)
pathological fracture with osteoporosis (M80.-)
stress fracture (M84.3)
·         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 part of trunk, limb or body region
·         T15-T19 Effects of foreign body entering through natural orifice
·         T20-T32 Burns and corrosions
o    T20-T25 Burns and corrosions of external body surface, specified by site
o    T26-T28 Burns and corrosions confined to eye and internal organs
o    T29-T32 Burns and corrosions of multiple and unspecified body regions
·         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-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 or mortality coding rules and guidelines in Volume 2.
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:
·         compound
·         infected
·         missile
·         fissured
·         greenstick
·         impacted
·         linear
·         march
·         simple
·         slipped epiphysis
·         spiral
with or without delayed healing
·         dislocated
·         displaced
Fracture:
open:
·         compound
·         infected
·         missile
·         puncture
·         with foreign body
with or without delayed healing
Excl.:  fracture:
- pathological (M84.4)
-- with osteoporosis (M80.-)
- stress (M84.3)
malunion of fracture (M84.0)
nonunion of fracture (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:
·         aneurysm or fistula (arteriovenous)
·         arterial haematoma
·         rupture
of blood vessels
Injury to muscle, fascia and tendon including:
avulsion
cut
laceration
traumatic rupture
strain
of muscle, fascia and tendon
Crushing injury
Traumatic amputation
Injury to internal organs including:
blast injuries
bruise
concussion injuries
crushing
laceration
traumatic:
·         haematoma
·         puncture
·         rupture
·         tear
of internal organs
Other and unspecified injuries

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

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.
·         V01-X59 Accidents
o    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
o    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
o    Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use
o    Y60-Y69 Misadventures to patients during surgical and medical care
o    Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use
o    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
·         Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere
Place of occurrence code
The following categories are provided to to be used as separate variables in addition to ICD categories W00-Y34 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
Excl.:
abandoned or derelict house8
home under construction but not yet occupied6
institutional place of residence1
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
Excl.:
building under construction6
residential institution1
sports and athletics area3
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
Excl.:
swimming-pool or tennis-court in private home or garden0
4
Street and highway
Freeway
Motorway
Pavement
Road
Sidewalk
5
Trade and service area
Airport
Bank
CafƩ
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
Excl.:
garage in private home0
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
Excl.:
farmhouse and home premises of farm0
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 categories are provided to be used as separate variables in addition to categories V01-Y34 to indicate the activity of the injured person at the time the event occurred. This supplementary classification should not be confused with, or be used instead of, the recommended categories 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
Excl.:
sports activities0
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


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

Note:
This chapter should not be used for international comparison or for primary mortality coding.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as "diagnoses" or "problems". This can arise in two main ways:
1.      When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination or to discuss a problem which is in itself not a disease or injury.
2.      When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some illness or injury.
·         Z00-Z13 Persons encountering health services for examination and investigation
·         Z20-Z29 Persons with potential health hazards related to communicable diseases
·         Z30-Z39 Persons encountering health services in circumstances related to reproduction
·         Z40-Z54 Persons encountering health services for specific procedures and health care
·         Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances
·         Z70-Z76 Persons encountering health services in other circumstances
·         Z80-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

Chapter XXII
Codes for special purposes
(U00-U89)
·         U00-U49 Provisional assignment of new diseases of uncertain etiology
·         U80-U89 Bacterial agents resistant to antibiotics

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