Chapter I Certain infectious and parasitic...

International Statistical Classification of Diseases and Related Health Problems ١٠th Revision (ICD-١٠) Version for ٢٠١٠

Chapter I Certain infectious and parasitic diseases (A٠٠-B٩٩)

Incl.:

diseases generally recognized as communicable or transmissible

Coding-Hint

Use additional code (U٨٠-U٨٩), if desired, to identify the antibiotic to which a bacterial agent

is resistant.

Excl.:

carrier or suspected carrier of infectious disease (Z٢٢.-)

certain localized infections - see body system-related chapters

infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium

[except obstetrical tetanus] (O٩٨.-)

infectious and parasitic diseases specific to the perinatal period [except tetanus neonatorum,

congenital syphilis, perinatal gonococcal infection and perinatal human immunodeficiency

virus [HIV] disease] (P٣٥-P٣٩)

influenza and other acute respiratory infections (J٠٠-J٢٢)

This chapter contains the following blocks:

A٠٠-A٠٩ Intestinal infectious diseases

A١٥-A١٩ Tuberculosis

A٢٠-A٢٨ Certain zoonotic bacterial diseases

A٣٠-A٤٩ Other bacterial diseases

A٥٠-A٦٤ Infections with a predominantly sexual mode of transmission

A٦٥-A٦٩ Other spirochaetal diseases

A٧٠-A٧٤ Other diseases caused by chlamydiae

A٧٥-A٧٩ Rickettsioses

A٨٠-A٨٩ Viral infections of the central nervous system

A٩٠-A٩٩ Arthropod-borne viral fevers and viral haemorrhagic fevers

B٠٠-B٠٩ Viral infections characterized by skin and mucous membrane lesions

B١٥-B١٩ Viral hepatitis

B٢٠-B٢٤ Human immunodeficiency virus [HIV] disease

B٢٥-B٣٤ Other viral diseases

B٣٥-B٤٩ Mycoses

B٥٠-B٦٤ Protozoal diseases

B٦٥-B٨٣ Helminthiases

B٨٥-B٨٩ Pediculosis, acariasis and other infestations

B٩٠-B٩٤ Sequelae of infectious and parasitic diseases

B٩٥-B٩٨ Bacterial, viral and other infectious agents

B٩٩-B٩٩ Other infectious diseases

Chapter II Neoplasms (C٠٠-D٤٨)


C٠٠-C٩٧ Malignant neoplasms

o C٠٠-C٧٥ Malignant neoplasms, stated or presumed to be primary, of specified sites, except of

lymphoid, haematopoietic and related tissue

C٠٠-C١٤ Malignant neoplasms of lip, oral cavity and pharynx

C١٥-C٢٦ Malignant neoplasms of digestive organs

C٣٠-C٣٩ Malignant neoplasms of respiratory and intrathoracic organs

C٤٠-C٤١ Malignant neoplasms of bone and articular cartilage

C٤٣-C٤٤ Melanoma and other malignant neoplasms of skin

C٤٥-C٤٩ Malignant neoplasms of mesothelial and soft tissue

C٥٠-C٥٠ Malignant neoplasm of breast

C٥١-C٥٨ Malignant neoplasms of female genital organs

C٦٠-C٦٣ Malignant neoplasms of male genital organs

C٦٤-C٦٨ Malignant neoplasms of urinary tract

C٦٩-C٧٢ Malignant neoplasms of eye, brain and other parts of central nervous system

C٧٣-C٧٥ Malignant neoplasms of thyroid and other endocrine glands

o C٧٦-C٨٠ Malignant neoplasms of ill-defined, secondary and unspecified sites

o C٨١-C٩٦ Malignant neoplasms, stated or presumed to be primary, of lymphoid,

haematopoietic and related tissue

o C٩٧-C٩٧ Malignant neoplasms of independent (primary) multiple sites

D٠٠-D٠٩ In situ neoplasms

D١٠-D٣٦ Benign neoplasms

D٣٧-D٤٨ Neoplasms of uncertain or unknown behaviour

Introduction

Notes

١. Primary, ill-defined, secondary and unspecified sites of malignant neoplasm

Categories C٧٦−C٨٠ 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.

٢. 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 C٧٤ with additional code E٢٧.٥;

basophil adenoma of pituitary gland with Cushing syndrome should be coded to D٣٥.٢ with

additional code E٢٤.٠.

٣. 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.

٤. Use of subcategories in Chapter II

Attention is drawn to the special use of subcategory .٨ in this chapter [see note ٥]. Where it

has been necessary to provide subcategories for "other", these have generally been

designated as subcategory .٧.

٥. Malignant neoplasms overlapping site boundaries and the use of subcategory .٨ (overlapping lesion)

Categories C٠٠−C٧٥ 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 .٨ ("overlapping lesion"), unless the combination is specifically indexed

elsewhere. For example, carcinoma of oesophagus and stomach is specifically indexed to

C١٦.٠ (cardia), while carcinoma of the tip and ventral surface of the tongue should be

assigned to C٠٢.٨. On the other hand, carcinoma of the tip of the tongue extending to involve

the ventral surface should be coded to C٠٢.١ 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 C٦٧.−) 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:

C٠٢.٨ Overlapping lesion of tongue

C٠٨.٨ Overlapping lesion of major salivary glands

C١٤.٨ Overlapping lesion of lip, oral cavity and pharynx

C٢١.٨ Overlapping lesion of rectum, anus and anal canal

C٢٤.٨ Overlapping lesion of biliary tract

C٢٦.٨ Overlapping lesion of digestive system

C٣٩.٨ Overlapping lesion of respiratory and intrathoracic organs

C٤١.٨ Overlapping lesion of bone and articular cartilage

C٤٩.٨ Overlapping lesion of connective and soft tissue

C٥٧.٨ Overlapping lesion of female genital organs

C٦٣.٨ Overlapping lesion of male genital organs

C٦٨.٨ Overlapping lesion of urinary organs

C٧٢.٨ Overlapping lesion of central nervous system

An example of this is a carcinoma of the stomach and small intestine, which should be coded

to C٢٦.٨ (Overlapping lesion of digestive system).

٦. 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 (C٢٥.٩).

٧. 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 ٣ 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.

٨. 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

(C٠٠−C٧٧, C٨٠), 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 II Neoplasms (C٠٠-D٤٨)


C٠٠-C٩٧ Malignant neoplasms

o C٠٠-C٧٥ Malignant neoplasms, stated or presumed to be primary, of specified sites, except of

lymphoid, haematopoietic and related tissue

C٠٠-C١٤ Malignant neoplasms of lip, oral cavity and pharynx

C١٥-C٢٦ Malignant neoplasms of digestive organs

C٣٠-C٣٩ Malignant neoplasms of respiratory and intrathoracic organs

C٤٠-C٤١ Malignant neoplasms of bone and articular cartilage

C٤٣-C٤٤ Melanoma and other malignant neoplasms of skin

C٤٥-C٤٩ Malignant neoplasms of mesothelial and soft tissue

C٥٠-C٥٠ Malignant neoplasm of breast

C٥١-C٥٨ Malignant neoplasms of female genital organs

C٦٠-C٦٣ Malignant neoplasms of male genital organs

C٦٤-C٦٨ Malignant neoplasms of urinary tract

C٦٩-C٧٢ Malignant neoplasms of eye, brain and other parts of central nervous system

C٧٣-C٧٥ Malignant neoplasms of thyroid and other endocrine glands

o C٧٦-C٨٠ Malignant neoplasms of ill-defined, secondary and unspecified sites

o C٨١-C٩٦ Malignant neoplasms, stated or presumed to be primary, of lymphoid,

haematopoietic and related tissue

o C٩٧-C٩٧ Malignant neoplasms of independent (primary) multiple sites

D٠٠-D٠٩ In situ neoplasms

D١٠-D٣٦ Benign neoplasms

D٣٧-D٤٨ Neoplasms of uncertain or unknown behaviour

Introduction

Notes

١. Primary, ill-defined, secondary and unspecified sites of malignant neoplasm

Categories C٧٦−C٨٠ 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.

٢. 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 C٧٤ with additional code E٢٧.٥;

basophil adenoma of pituitary gland with Cushing syndrome should be coded to D٣٥.٢ with

additional code E٢٤.٠.

٣. 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.

٤. Use of subcategories in Chapter II

Attention is drawn to the special use of subcategory .٨ in this chapter [see note ٥]. Where it

has been necessary to provide subcategories for "other", these have generally been

designated as subcategory .٧.

٥. Malignant neoplasms overlapping site boundaries and the use of subcategory .٨ (overlapping lesion)

Categories C٠٠−C٧٥ 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 .٨ ("overlapping lesion"), unless the combination is specifically indexed

elsewhere. For example, carcinoma of oesophagus and stomach is specifically indexed to

C١٦.٠ (cardia), while carcinoma of the tip and ventral surface of the tongue should be

assigned to C٠٢.٨. On the other hand, carcinoma of the tip of the tongue extending to involve

the ventral surface should be coded to C٠٢.١ 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 C٦٧.−) 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:

C٠٢.٨ Overlapping lesion of tongue

C٠٨.٨ Overlapping lesion of major salivary glands

C١٤.٨ Overlapping lesion of lip, oral cavity and pharynx

C٢١.٨ Overlapping lesion of rectum, anus and anal canal

C٢٤.٨ Overlapping lesion of biliary tract

C٢٦.٨ Overlapping lesion of digestive system

C٣٩.٨ Overlapping lesion of respiratory and intrathoracic organs

C٤١.٨ Overlapping lesion of bone and articular cartilage

C٤٩.٨ Overlapping lesion of connective and soft tissue

C٥٧.٨ Overlapping lesion of female genital organs

C٦٣.٨ Overlapping lesion of male genital organs

C٦٨.٨ Overlapping lesion of urinary organs

C٧٢.٨ Overlapping lesion of central nervous system

An example of this is a carcinoma of the stomach and small intestine, which should be coded

to C٢٦.٨ (Overlapping lesion of digestive system).

٦. 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 (C٢٥.٩).

٧. 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 ٣ 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.

٨. 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

(C٠٠−C٧٧, C٨٠), 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 (D٥٠-D٨٩)

Excl.:

autoimmune disease (systemic) NOS (M٣٥.٩)

certain conditions originating in the perinatal period (P٠٠-P٩٦)

complications of pregnancy, childbirth and the puerperium (O٠٠-O٩٩)

congenital malformations, deformations and chromosomal abnormalities (Q٠٠-Q٩٩)

endocrine, nutritional and metabolic diseases (E٠٠-E٩٠)

human immunodeficiency virus [HIV] disease (B٢٠-B٢٤)

injury, poisoning and certain other consequences of external causes (S٠٠-T٩٨)

neoplasms (C٠٠-D٤٨)

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R٠٠-

R٩٩)


D٥٠-D٥٣ Nutritional anaemias

D٥٥-D٥٩ Haemolytic anaemias

D٦٠-D٦٤ Aplastic and other anaemias

D٦٥-D٦٩ Coagulation defects, purpura and other haemorrhagic conditions

D٧٠-D٧٧ Other diseases of blood and blood-forming organs

D٨٠-D٨٩ Certain disorders involving the immune mechanism

Asterisk categories for this chapter are provided as follows:

D٦٣* Anaemia in chronic diseases classified elsewhere

D٧٧* Other disorders of blood and blood-forming organs in diseases classified elsewhere

Chapter IV Endocrine, nutritional and metabolic diseases (E٠٠-E٩٠)

Note:

All neoplasms, whether functionally active or not, are classified in Chapter II. Appropriate

codes in this chapter (i.e. E٠٥.٨, E٠٧.٠, E١٦-E٣١, E٣٤.-) 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.:



R٩٩)

transitory endocrine and metabolic disorders specific to fetus and newborn (P٧٠-P٧٤)


E٠٠-E٠٧ Disorders of thyroid gland

E١٠-E١٤ Diabetes mellitus

E١٥-E١٦ Other disorders of glucose regulation and pancreatic internal secretion

E٢٠-E٣٥ Disorders of other endocrine glands

E٤٠-E٤٦ Malnutrition

E٥٠-E٦٤ Other nutritional deficiencies

E٦٥-E٦٨ Obesity and other hyperalimentation

E٧٠-E٩٠ Metabolic disorders


E٣٥* Disorders of endocrine glands in diseases classified elsewhere

E٩٠*Nutritional and metabolic disorders in diseases classified elsewhere

Chapter V Mental and behavioural disorders (F٠٠-F٩٩)

Incl.:

disorders of psychological development

Excl.:


R٩٩)


F٠٠-F٠٩ Organic, including symptomatic, mental disorders

F١٠-F١٩ Mental and behavioural disorders due to psychoactive substance use

F٢٠-F٢٩ Schizophrenia, schizotypal and delusional disorders

F٣٠-F٣٩ Mood [affective] disorders

F٤٠-F٤٨ Neurotic, stress-related and somatoform disorders

F٥٠-F٥٩ Behavioural syndromes associated with physiological disturbances and physical factors

F٦٠-F٦٩ Disorders of adult personality and behaviour

F٧٠-F٧٩ Mental retardation

F٨٠-F٨٩ Disorders of psychological development

F٩٠-F٩٨ Behavioural and emotional disorders with onset usually occurring in childhood and

adolescence

F٩٩-F٩٩ Unspecified mental disorder


F٠٠* Dementia in Alzheimer disease

F٠٢* Dementia in other diseases classified elsewhere

Chapter VI Diseases of the nervous system (G٠٠-G٩٩)

Excl.:


certain infectious and parasitic diseases (A٠٠-B٩٩)







R٩٩)


G٠٠-G٠٩ Inflammatory diseases of the central nervous system

G١٠-G١٤ Systemic atrophies primarily affecting the central nervous system

G٢٠-G٢٦ Extrapyramidal and movement disorders

G٣٠-G٣٢ Other degenerative diseases of the nervous system

G٣٥-G٣٧ Demyelinating diseases of the central nervous system

G٤٠-G٤٧ Episodic and paroxysmal disorders

G٥٠-G٥٩ Nerve, nerve root and plexus disorders

G٦٠-G٦٤ Polyneuropathies and other disorders of the peripheral nervous system

G٧٠-G٧٣ Diseases of myoneural junction and muscle

G٨٠-G٨٣ Cerebral palsy and other paralytic syndromes

G٩٠-G٩٩ Other disorders of the nervous system


G٠١* Meningitis in bacterial diseases classified elsewhere

G٠٢* Meningitis in other infectious and parasitic diseases classified elsewhere

G٠٥* Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere

G٠٧* Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere

G١٣* Systemic atrophies primarily affecting central nervous system in diseases classified

elsewhere

G٢٢* Parkinsonism in diseases classified elsewhere

G٢٦* Extrapyramidal and movement disorders in diseases classified elsewhere

G٣٢* Other degenerative disorders of nervous system in diseases classified elsewhere

G٤٦* Vascular syndromes of brain in cerebrovascular diseases

G٥٣* Cranial nerve disorders in diseases classified elsewhere

G٥٥* Nerve root and plexus compressions in diseases classified elsewhere

G٥٩* Mononeuropathy in diseases classified elsewhere

G٦٣* Polyneuropathy in diseases classified elsewhere

G٧٣* Disorders of myoneural junction and muscle in diseases classified elsewhere

G٩٤* Other disorders of brain in diseases classified elsewhere

G٩٩* Other disorders of nervous system in diseases classified elsewhere

Chapter VII Diseases of the eye and adnexa (H٠٠-H٥٩)

Excl.:









R٩٩)


H٠٠-H٠٦ Disorders of eyelid, lacrimal system and orbit

H١٠-H١٣ Disorders of conjunctiva

H١٥-H٢٢ Disorders of sclera, cornea, iris and ciliary body

H٢٥-H٢٨ Disorders of lens

H٣٠-H٣٦ Disorders of choroid and retina

H٤٠-H٤٢ Glaucoma

H٤٣-H٤٥ Disorders of vitreous body and globe

H٤٦-H٤٨ Disorders of optic nerve and visual pathways

H٤٩-H٥٢ Disorders of ocular muscles, binocular movement, accommodation and refraction

H٥٣-H٥٤ Visual disturbances and blindness

H٥٥-H٥٩ Other disorders of eye and adnexa


H٠٣* Disorders of eyelid in diseases classified elsewhere

H٠٦* Disorders of lacrimal system and orbit in diseases classified elsewhere

H١٣* Disorders of conjunctiva in diseases classified elsewhere

H١٩* Disorders of sclera and cornea in diseases classified elsewhere

H٢٢* Disorders of iris and ciliary body in diseases classified elsewhere

H٢٨* Cataract and other disorders of lens in diseases classified elsewhere

H٣٢* Chorioretinal disorders in diseases classified elsewhere

H٣٦* Retinal disorders in diseases classified elsewhere

H٤٢* Glaucoma in diseases classified elsewhere

H٤٥* Disorders of vitreous body and globe in diseases classified elsewhere

H٤٨* Disorders of optic [٢nd] nerve and visual pathways in diseases classified elsewhere

H٥٨* Other disorders of eye and adnexa in diseases classified elsewhere

Chapter VIII Diseases of the ear and mastoid process (H٦٠-H٩٥)

Excl.:









R٩٩)


H٦٠-H٦٢ Diseases of external ear

H٦٥-H٧٥ Diseases of middle ear and mastoid

H٨٠-H٨٣ Diseases of inner ear

H٩٠-H٩٥ Other disorders of ear


H٦٢* Disorders of external ear in diseases classified elsewhere

H٦٧* Otitis media in diseases classified elsewhere

H٧٥* Other disorders of middle ear and mastoid in diseases classified elsewhere

H٨٢* Vertiginous syndromes in diseases classified elsewhere

H٩٤* Other disorders of ear in diseases classified elsewhere

Chapter IX Diseases of the circulatory system (I٠٠-I٩٩)

Excl.:









R٩٩)

systemic connective tissue disorders (M٣٠-M٣٦)

transient cerebral ischaemic attacks and related syndromes (G٤٥.-)


I٠٠-I٠٢ Acute rheumatic fever

I٠٥-I٠٩ Chronic rheumatic heart diseases

I١٠-I١٥ Hypertensive diseases

I٢٠-I٢٥ Ischaemic heart diseases

I٢٦-I٢٨ Pulmonary heart disease and diseases of pulmonary circulation

I٣٠-I٥٢ Other forms of heart disease

I٦٠-I٦٩ Cerebrovascular diseases

I٧٠-I٧٩ Diseases of arteries, arterioles and capillaries

I٨٠-I٨٩ Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified

I٩٥-I٩٩ Other and unspecified disorders of the circulatory system


I٣٢* Pericarditis in diseases classified elsewhere

I٣٩* Endocarditis and heart valve disorders in diseases classified elsewhere

I٤١* Myocarditis in diseases classified elsewhere

I٤٣* Cardiomyopathy in diseases classified elsewhere

I٥٢* Other heart disorders in diseases classified elsewhere

I٦٨* Cerebrovascular disorders in diseases classified elsewhere

I٧٩* Disorders of arteries, arterioles and capillaries in diseases classified elsewhere

I٩٨* Other disorders of circulatory system in diseases classified elsewhere

Chapter X Diseases of the respiratory system (J٠٠-J٩٩)

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 J٤٠).

Excl.:









R٩٩)


J٠٠-J٠٦ Acute upper respiratory infections

J٠٩-J١٨ Influenza and pneumonia

J٢٠-J٢٢ Other acute lower respiratory infections

J٣٠-J٣٩ Other diseases of upper respiratory tract

J٤٠-J٤٧ Chronic lower respiratory diseases

J٦٠-J٧٠ Lung diseases due to external agents

J٨٠-J٨٤ Other respiratory diseases principally affecting the interstitium

J٨٥-J٨٦ Suppurative and necrotic conditions of lower respiratory tract

J٩٠-J٩٤ Other diseases of pleura

J٩٥-J٩٩ Other diseases of the respiratory system


J١٧* Pneumonia in diseases classified elsewhere

J٩١* Pleural effusion in conditions classified elsewhere

J٩٩* Respiratory disorders in diseases classified elsewhere

Chapter XI Diseases of the digestive system (K٠٠-K٩٣)

Excl.:




congenital malformations, deformations and chromosomal abnormalitiesChapter XI Diseases of the digestive system (K٠٠-K٩٣)

(Q٠٠-Q٩٩)





R٩٩)


K٠٠-K١٤ Diseases of oral cavity, salivary glands and jaws

K٢٠-K٣١ Diseases of oesophagus, stomach and duodenum

K٣٥-K٣٨ Diseases of appendix

K٤٠-K٤٦ Hernia

K٥٠-K٥٢ Noninfective enteritis and colitis

K٥٥-K٦٣ Other diseases of intestines

K٦٥-K٦٧ Diseases of peritoneum

K٧٠-K٧٧ Diseases of liver

K٨٠-K٨٧ Disorders of gallbladder, biliary tract and pancreas

K٩٠-K٩٣ Other diseases of the digestive system


K٢٣* Disorders of oesophagus in diseases classified elsewhere

K٦٧* Disorders of peritoneum in infectious diseases classified elsewhere

K٧٧* Liver disorders in diseases classified elsewhere

K٨٧* Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere

K٩٣*Disorders of other digestive organs in diseases classified elsewhere

Version for ٢٠١٠

Chapter XII Diseases of the skin and subcutaneous tissue (L٠٠-L٩٩)

Excl.:







lipomelanotic reticulosis (I٨٩.٨)



R٩٩)

systemic connective tissue disorders (M٣٠-M٣٦)


L٠٠-L٠٨ Infections of the skin and subcutaneous tissue

L١٠-L١٤ Bullous disorders

L٢٠-L٣٠ Dermatitis and eczema

L٤٠-L٤٥ Papulosquamous disorders

L٥٠-L٥٤ Urticaria and erythema

L٥٥-L٥٩ Radiation-related disorders of the skin and subcutaneous tissue

L٦٠-L٧٥ Disorders of skin appendages

L٨٠-L٩٩ Other disorders of the skin and subcutaneous tissue


L١٤* Bullous disorders in diseases classified elsewhere

L٤٥* Papulosquamous disorders in diseases classified elsewhere

L٥٤* Erythema in diseases classified elsewhere

L٦٢* Nail disorders in diseases classified elsewhere

L٨٦* Keratoderma in diseases classified elsewhere

L٩٩* Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

Chapter XIII Diseases of the musculoskeletal system and connective tissue (M٠٠-M٩٩)

Excl.:


certain disorders of the temporomandibular joint (K٠٧.٦)


compartment syndrome (T٧٩.٦)







R٩٩)


M٠٠-M٢٥ Arthropathies

o M٠٠-M٠٣ Infectious arthropathies

o M٠٥-M١٤ Inflammatory polyarthropathies

o M١٥-M١٩ Arthrosis

o M٢٠-M٢٥ Other joint disorders

M٣٠-M٣٦ Systemic connective tissue disorders

M٤٠-M٥٤ Dorsopathies

o M٤٠-M٤٣ Deforming dorsopathies

o M٤٥-M٤٩ Spondylopathies

o M٥٠-M٥٤ Other dorsopathies

M٦٠-M٧٩ Soft tissue disorders

o M٦٠-M٦٣ Disorders of muscles

o M٦٥-M٦٨ Disorders of synovium and tendon

o M٧٠-M٧٩ Other soft tissue disorders

M٨٠-M٩٤ Osteopathies and chondropathies

o M٨٠-M٨٥ Disorders of bone density and structure

o M٨٦-M٩٠ Other osteopathies

o M٩١-M٩٤ Chondropathies

M٩٥-M٩٩ Other disorders of the musculoskeletal system and connective tissue


M٠١* Direct infections of joint in infectious and parasitic diseases classified elsewhere

M٠٣* Postinfective and reactive arthropathies in diseases classified elsewhere

M٠٧* Psoriatic and enteropathic arthropathies

M٠٩* Juvenile arthritis in diseases classified elsewhere

M١٤* Arthropathies in other diseases classified elsewhere

M٣٦* Systemic disorders of connective tissue in diseases classified elsewhere

M٤٩* Spondylopathies in diseases classified elsewhere

M٦٣* Disorders of muscle in diseases classified elsewhere

M٦٨* Disorders of synovium and tendon in diseases classified elsewhere

M٧٣* Soft tissue disorders in diseases classified elsewhere

M٨٢* Osteoporosis in diseases classified elsewhere

M٩٠* Osteopathies in diseases classified elsewhere

Modifiers

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 M٢٣, before M٤٠ and at M٩٩

respectively.

C Title

ode

٠ Multiple sites

١ Shoulder region Incl.:

clavicle scapula

acromioclavicular glenohumeral sternoclavicular

joints

٢ Upper arm Incl.:

humerus elbow joint

٣ Forearm Incl.:

radius ulna wrist joint

٤ Hand Incl.:

carpus fingers metacarpus joints between these bones

٥ Pelvic region and thigh Incl.:

buttock femur pelvis hip (joint) sacroiliac joint

٦ Lower leg Incl.:

fibula knee joint tibia

٧ Ankle and foot Incl.:

metatarsus tarsus toes ankle joint other joints in foot

٨ Other Incl.:

head neck ribs skull trunk vertebral column

٩ Site unspecified

Chapter XIV Diseases of the genitourinary system (N٠٠-N٩٩)

Excl.:




congenital malformations, deformations and chromosomal abnormalities (Q٠٠-

Q٩٩)




symptoms, signs and abnormal clinical and laboratory findings, not elsewhere

classified (R٠٠-R٩٩)


N٠٠-N٠٨ Glomerular diseases

N١٠-N١٦ Renal tubulo-interstitial diseases

N١٧-N١٩ Renal failure

N٢٠-N٢٣ Urolithiasis

N٢٥-N٢٩ Other disorders of kidney and ureter

N٣٠-N٣٩ Other diseases of urinary system

N٤٠-N٥١ Diseases of male genital organs

N٦٠-N٦٤ Disorders of breast

N٧٠-N٧٧ Inflammatory diseases of female pelvic organs

N٨٠-N٩٨ Noninflammatory disorders of female genital tract

N٩٩-N٩٩ Other disorders of the genitourinary system


N٠٨* Glomerular disorders in diseases classified elsewhere

N١٦* Renal tubulo-interstitial disorders in diseases classified elsewhere

N٢٢* Calculus of urinary tract in diseases classified elsewhere

N٢٩* Other disorders of kidney and ureter in diseases classified elsewhere

N٣٣* Bladder disorders in diseases classified elsewhere

N٣٧* Urethral disorders in diseases classified elsewhere

N٥١* Disorders of male genital organs in diseases classified elsewhere

N٧٤* Female pelvic inflammatory disorders in diseases classified elsewhere

N٧٧* Vulvovaginal ulceration and inflammation in diseases classified elsewhere

Chapter XV Pregnancy, childbirth and the puerperium (O٠٠-O٩٩)

Coding-Hint

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 (S٠٠-T٨٨.١, ,

T٨٨.٦-T٩٨)

mental and behavioural disorders associated with the puerperium (F٥٣.-)

obstetrical tetanus (A٣٤)

postpartum necrosis of pituitary gland (E٢٣.٠)

puerperal osteomalacia (M٨٣.٠)

supervision of:

high-risk pregnancy (Z٣٥.-)

normal pregnancy (Z٣٤.-)


O٠٠-O٠٨ Pregnancy with abortive outcome

O١٠-O١٦ Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth

and the puerperium

O٢٠-O٢٩ Other maternal disorders predominantly related to pregnancy

O٣٠-O٤٨ Maternal care related to the fetus and amniotic cavity and possible

delivery problems

O٦٠-O٧٥ Complications of labour and delivery

O٨٠-O٨٤ Delivery

O٨٥-O٩٢ Complications predominantly related to the puerperium

O٩٤-O٩٩ Other obstetric conditions, not elsewhere classified

Chapter XVI Certain conditions originating in the perinatal period (P٠٠-P٩٦)

Incl.:

conditions that have their origin in the perinatal period even though death or

morbidity occurs later

Excl.:

congenital malformations, deformations and chromosomal abnormalities (Q٠٠-

Q٩٩)




tetanus neonatorum (A٣٣)


P٠٠-P٠٤ Fetus and newborn affected by maternal factors and by complications of

pregnancy, labour and delivery

P٠٥-P٠٨ Disorders related to length of gestation and fetal growth

P١٠-P١٥ Birth trauma

P٢٠-P٢٩ Respiratory and cardiovascular disorders specific to the perinatal period

P٣٥-P٣٩ Infections specific to the perinatal period

P٥٠-P٦١ Haemorrhagic and haematological disorders of fetus and newborn

P٧٠-P٧٤ Transitory endocrine and metabolic disorders specific to fetus and newborn

P٧٥-P٧٨ Digestive system disorders of fetus and newborn

P٨٠-P٨٣ Conditions involving the integument and temperature regulation of fetus

and newborn

P٩٠-P٩٦ Other disorders originating in the perinatal period


P٧٥* Meconium ileus in cystic fibrosis

Chapter XVII Congenital malformations, deformations and chromosomal abnormalities (Q٠٠-Q٩٩)

Excl.:

inborn errors of metabolism (E٧٠-E٩٠)


Q٠٠-Q٠٧ Congenital malformations of the nervous system

Q١٠-Q١٨ Congenital malformations of eye, ear, face and neck

Q٢٠-Q٢٨ Congenital malformations of the circulatory system

Q٣٠-Q٣٤ Congenital malformations of the respiratory system

Q٣٥-Q٣٧ Cleft lip and cleft palate

Q٣٨-Q٤٥ Other congenital malformations of the digestive system

Q٥٠-Q٥٦ Congenital malformations of genital organs

Q٦٠-Q٦٤ Congenital malformations of the urinary system

Q٦٥-Q٧٩ Congenital malformations and deformations of the musculoskeletal system

Q٨٠-Q٨٩ Other congenital malformations

Q٩٠-Q٩٩ Chromosomal abnormalities, not elsewhere classified

Chapter XVIII Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R٠٠-R٩٩)

Additional Text

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 .٨, are generally

provided for other relevant symptoms that cannot be allocated elsewhere in the

classification.

The conditions and signs or symptoms included in categories R٠٠-R٩٩ consist of:

a. cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;

b. signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;

c. provisional diagnoses in a patient who failed to return for further investigation or care;

d. cases referred elsewhere for investigation or treatment before the diagnosis was made;

e. cases in which a more precise diagnosis was not available for any other reason;

f. certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excl.:

abnormal findings on antenatal screening of mother (O٢٨.-)



R٠٠-R٠٩ Symptoms and signs involving the circulatory and respiratory systems

R١٠-R١٩ Symptoms and signs involving the digestive system and abdomen

R٢٠-R٢٣ Symptoms and signs involving the skin and subcutaneous tissue

R٢٥-R٢٩ Symptoms and signs involving the nervous and musculoskeletal systems

R٣٠-R٣٩ Symptoms and signs involving the urinary system

R٤٠-R٤٦ Symptoms and signs involving cognition, perception, emotional state and

behaviour

R٤٧-R٤٩ Symptoms and signs involving speech and voice

R٥٠-R٦٩ General symptoms and signs

R٧٠-R٧٩ Abnormal findings on examination of blood, without diagnosis

R٨٠-R٨٢ Abnormal findings on examination of urine, without diagnosis

R٨٣-R٨٩ Abnormal findings on examination of other body fluids, substances and

tissues, without diagnosis

R٩٠-R٩٤ Abnormal findings on diagnostic imaging and in function studies, without

diagnosis

R٩٥-R٩٩ Ill-defined and unknown causes of mortality

Chapter XIX Injury, poisoning and certain other consequences of external causes (S٠٠-T٩٨)

Excl.:

birth trauma (P١٠-P١٥)

obstetric trauma (O٧٠-O٧١)

malunion of fracture (M٨٤.٠)

nonunion of fracture [pseudarthrosis] (M٨٤.١)

pathological fracture (M٨٤.٤)

pathological fracture with osteoporosis (M٨٠.-)

stress fracture (M٨٤.٣)


S٠٠-S٠٩ Injuries to the head

S١٠-S١٩ Injuries to the neck

S٢٠-S٢٩ Injuries to the thorax

S٣٠-S٣٩ Injuries to the abdomen, lower back, lumbar spine and pelvis

S٤٠-S٤٩ Injuries to the shoulder and upper arm

S٥٠-S٥٩ Injuries to the elbow and forearm

S٦٠-S٦٩ Injuries to the wrist and hand

S٧٠-S٧٩ Injuries to the hip and thigh

S٨٠-S٨٩ Injuries to the knee and lower leg

S٩٠-S٩٩ Injuries to the ankle and foot

T٠٠-T٠٧ Injuries involving multiple body regions

T٠٨-T١٤ Injuries to unspecified part of trunk, limb or body region

T١٥-T١٩ Effects of foreign body entering through natural orifice

T٢٠-T٣٢ Burns and corrosions

o T٢٠-T٢٥ Burns and corrosions of external body surface, specified by site

o T٢٦-T٢٨ Burns and corrosions confined to eye and internal organs

o T٢٩-T٣٢ Burns and corrosions of multiple and unspecified body regions

T٣٣-T٣٥ Frostbite

T٣٦-T٥٠ Poisoning by drugs, medicaments and biological substances

T٥١-T٦٥ Toxic effects of substances chiefly nonmedicinal as to source

T٦٦-T٧٨ Other and unspecified effects of external causes

T٧٩-T٧٩ Certain early complications of trauma

T٨٠-T٨٨ Complications of surgical and medical care, not elsewhere classified

T٩٠-T٩٨ Sequelae of injuries, of poisoning and of other consequences of external

causes

Introduction

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 ٢.

The blocks of the S-section as well as T٠٠-T١٤ and T٩٠-T٩٨ 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 (M٨٤.٤)

-- with osteoporosis (M٨٠.-)

- stress (M٨٤.٣)

malunion of fracture (M٨٤.٠)

nonunion of fracture (M٨٤.١)

Dislocation, sprain and strain including:

avulsion laceration sprain strain traumatic:

haemarthrosis

of cartilage joint (capsule) ligament

rupture subluxation tear

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

of internal organs

puncture rupture tear

Other and unspecified injuries

Chapter XX External causes of morbidity and mortality (V٠١-Y٩٨)

Additional Text

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 (S٠٠-T٩٨). 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 Y٨٥-Y٨٩.


V٠١-X٥٩ Accidents

o V٠١-V٩٩ Transport accidents

V٠١-V٠٩ Pedestrian injured in transport accident

V١٠-V١٩ Pedal cyclist injured in transport accident

V٢٠-V٢٩ Motorcycle rider injured in transport accident

V٣٠-V٣٩ Occupant of three-wheeled motor vehicle injured in transport accident

V٤٠-V٤٩ Car occupant injured in transport accident

V٥٠-V٥٩ Occupant of pick-up truck or van injured in transport accident

V٦٠-V٦٩ Occupant of heavy transport vehicle injured in transport accident

V٧٠-V٧٩ Bus occupant injured in transport accident

V٨٠-V٨٩ Other land transport accidents

V٩٠-V٩٤ Water transport accidents

V٩٥-V٩٧ Air and space transport accidents

V٩٨-V٩٩ Other and unspecified transport accidents

o W٠٠-X٥٩ Other external causes of accidental injury

W٠٠-W١٩ Falls

W٢٠-W٤٩ Exposure to inanimate mechanical forces

W٥٠-W٦٤ Exposure to animate mechanical forces

W٦٥-W٧٤ Accidental drowning and submersion

W٧٥-W٨٤ Other accidental threats to breathing

W٨٥-W٩٩ Exposure to electric current, radiation and extreme ambient air

temperature and pressure

X٠٠-X٠٩ Exposure to smoke, fire and flames

X١٠-X١٩ Contact with heat and hot substances

X٢٠-X٢٩ Contact with venomous animals and plants

X٣٠-X٣٩ Exposure to forces of nature

X٤٠-X٤٩ Accidental poisoning by and exposure to noxious substances

X٥٠-X٥٧ Overexertion, travel and privation

X٥٨-X٥٩ Accidental exposure to other and unspecified factors

X٦٠-X٨٤ Intentional self-harm

X٨٥-Y٠٩ Assault

Y١٠-Y٣٤ Event of undetermined intent

Y٣٥-Y٣٦ Legal intervention and operations of war

Y٤٠-Y٨٤ Complications of medical and surgical care

o Y٤٠-Y٥٩ Drugs, medicaments and biological substances causing adverse effects in

therapeutic use

o Y٦٠-Y٦٩ Misadventures to patients during surgical and medical care

o Y٧٠-Y٨٢ Medical devices associated with adverse incidents in diagnostic and

therapeutic use

o Y٨٣-Y٨٤ 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

Y٨٥-Y٨٩ Sequelae of external causes of morbidity and mortality

Y٩٠-Y٩٨ Supplementary factors related to causes of morbidity and mortality

classified elsewhere

Modifiers

Place of occurrence code

The following categories are provided to to be used as separate variables in

addition to ICD categories W٠٠-Y٣٤ to identify the place of occurrence of the

external cause where relevant:

Code

Title

٠ Home Incl.:

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 house٨ home under construction but not yet occupied٦ institutional place of residence١

١ Residential institution Incl.:

Children's home Dormitory Home for the sick Hospice Military camp Nursing home Old people's home Orphanage Pensioner's home

Prison Reform school

٢ School, other institution and public administrative area Incl.:

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 construction ٦ residential institution ١ sports and athletics area ٣

٣ Sports and athletics area Incl.:

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 garden٠

٤ Street and highway Incl.:

Freeway Motorway Pavement Road Sidewalk

٥ Trade and service area Incl.:

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 home٠

٦ Industrial and construction area Incl.:

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

٧ Farm Incl.:

Farm:

buildings land under cultivation

Ranch Excl.:

farmhouse and home premises of farm٠ ٨ Other specified places

Incl.:

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

٩ Unspecified place

Activity code

The following categories are provided to be used as separate variables in addition

to categories V٠١-Y٣٤ 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 W٠٠-Y٣٤.

Co

Title

de

٠ While engaged in sports activity Incl.:

Physical exercise with a described functional element such as:

golf jogging riding school athletics skiing swimming trekking water-skiing

١ While engaged in leisure activity Incl.:

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 activities٠

٢ While working for income Incl.:

Paid work (manual)(professional) Transportation (time) to and from such activities Work for salary, bonus and other types of income

٣ While engaged in other types of work Incl.:

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

٤ While resting, sleeping, eating or engaging in other vital activities Incl.:

Personal hygiene

٨ While engaged in other specified activities

٩ During unspecified activity

Chapter XXI Factors influencing health status and contact with health services (Z٠٠-Z٩٩)

Note:

This chapter should not be used for international comparison or for primary

mortality coding.

Coding-Hint

Categories Z٠٠-Z٩٩ are provided for occasions when circumstances other than a

disease, injury or external cause classifiable to categories A٠٠-Y٨٩ are recorded as

"diagnoses" or "problems". This can arise in two main ways:

a. 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.

b. 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.


Z٠٠-Z١٣ Persons encountering health services for examination and investigation

Z٢٠-Z٢٩ Persons with potential health hazards related to communicable diseases

Z٣٠-Z٣٩ Persons encountering health services in circumstances related to

reproduction

Z٤٠-Z٥٤ Persons encountering health services for specific procedures and health

care

Z٥٥-Z٦٥ Persons with potential health hazards related to socioeconomic and

psychosocial circumstances

Z٧٠-Z٧٦ Persons encountering health services in other circumstances

Z٨٠-Z٩٩ Persons with potential health hazards related to family and personal

history and certain conditions influencing health status

Chapter XXII Codes for special purposes (U٠٠-U٨٩)


U٠٠-U٤٩ Provisional assignment of new diseases of uncertain etiology

U٨٠-U٨٩ Bacterial agents resistant to antibiotics

Chapter I Certain infectious and parasitic...

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