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)
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.:
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)
Neoplasms
(C00-D48)
(C00-D48)
o
C00-C75 Malignant
neoplasms, stated or presumed to be primary, of specified sites, except of
lymphoid, haematopoietic and related tissue
o
C81-C96 Malignant
neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and
related tissue
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)
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
(D50-D89)
Excl.:
Asterisk categories for this chapter
are provided as follows:
Chapter
IV
Endocrine, nutritional and metabolic diseases
(E00-E90)
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.:
Asterisk categories for this chapter
are provided as follows:
Chapter
V
Mental and behavioural disorders
(F00-F99)
Mental and behavioural disorders
(F00-F99)
Incl.:
disorders of psychological development
Excl.:
·
F90-F98
Behavioural and emotional disorders with onset usually occurring in childhood
and adolescence
Asterisk categories for this chapter
are provided as follows:
Chapter
VI
Diseases of the nervous system
(G00-G99)
Diseases of the nervous system
(G00-G99)
Excl.:
Asterisk categories for this chapter
are provided as follows:
·
G13* Systemic
atrophies primarily affecting central nervous system in diseases classified
elsewhere
Chapter
VII
Diseases of the eye and adnexa
(H00-H59)
Diseases of the eye and adnexa
(H00-H59)
Excl.:
Asterisk categories for this chapter
are provided as follows:
Chapter
VIII
Diseases of the ear and mastoid process
(H60-H95)
Diseases of the ear and mastoid process
(H60-H95)
Excl.:
Asterisk categories for this chapter
are provided as follows:
Diseases of the circulatory system
(I00-I99)
(I00-I99)
Excl.:
Asterisk categories for this chapter
are provided as follows:
Chapter
X
Diseases of the respiratory system
(J00-J99)
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.:
Asterisk categories for this chapter
are provided as follows:
Chapter
XI
Diseases of the digestive system
(K00-K93)
Diseases of the digestive system
(K00-K93)
Excl.:
Asterisk categories for this chapter
are provided as follows:
Chapter
XII
Diseases of the skin and subcutaneous tissue
(L00-L99)
Diseases of the skin and subcutaneous tissue
(L00-L99)
Excl.:
Asterisk categories for this chapter
are provided as follows:
Chapter
XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)
Diseases of the musculoskeletal system and connective tissue
(M00-M99)
Excl.:
Asterisk categories for this chapter
are provided as follows:
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
|
||
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)
Diseases of the genitourinary system
(N00-N99)
Excl.:
Asterisk categories for this chapter
are provided as follows:
Chapter
XV
Pregnancy, childbirth and the puerperium
(O00-O99)
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)
supervision of:
·
O10-O16 Oedema,
proteinuria and hypertensive disorders in pregnancy, childbirth and the
puerperium
Chapter
XVI
Certain conditions originating in the perinatal period
(P00-P96)
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.:
·
P00-P04 Fetus and
newborn affected by maternal factors and by complications of pregnancy, labour
and delivery
Chapter
XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)
Excl.:
Chapter
XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)
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.:
·
R83-R89 Abnormal
findings on examination of other body fluids, substances and tissues, without
diagnosis
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)
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.
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
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
Café
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
|
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.
·
Z55-Z65
Persons with potential health hazards related to
socioeconomic and psychosocial circumstances
·
Z80-Z99
Persons with potential health hazards related to family and
personal history and certain conditions influencing health status
Codes for special purposes
(U00-U89)
0 comments:
Post a Comment