DEPAN

(A00-B99) Link
(C00-D48) Link
(D50-D89) Link
(E00-E90) Link
(F00-F99) Link
(G00-G99) Link
(H00-H59) Link
(H60-H95) Link
(I00-I99) Link
(J00-J99) Link
(K00-K93) Link
(L00-L99) Link
(M00-M99) Link
(N00-N99) Link
(O00-O99) Link
(P00-P96) Link
(Q00-Q99) Link
(R00-R99) Link
(S00-T98) Link
(V01-Y98) Link
(Z00-Z99) Link
(U00-U89) Link

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International Statistical Classification of Diseases

and Related Health Problems 10th Revision (ICD-10) Version for2

Neoplasms
Certain infectious and parasitic diseases
Neoplasms
Diseases of the blood and blood-forming organs and certain disorders involving the immune mecha
Endocrine, nutritional and metabolic diseases
Mental and behavioural disorders
Diseases of the nervous system
Diseases of the eye and adnexa
Diseases of the ear and mastoid process
Diseases of the circulatory system
Diseases of the respiratory system
Diseases of the digestive system
Diseases of the skin and subcutaneous tissue
Diseases of the musculoskeletal system and connective tissue
Diseases of the genitourinary system
Pregnancy, childbirth and the puerperium
Certain conditions originating in the perinatal period
Congenital malformations, deformations and chromosomal abnormalities
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Injury, poisoning and certain other consequences of external causes
External causes of morbidity and mortality
Factors influencing health status and contact with health services
Codes for special purposes

DEPAN

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DEPAN
Chapter I

Certain infectious and parasitic diseases

(A00-B99)
This chapter contains the following blocks:
A00-A09
A15-A19
A20-A28
A30-A49
A50-A64
A65-A69
A70-A74
A75-A79
A80-A89
A90-A99
B00-B09
B15-B19
B20-B24
B25-B34
B35-B49
B50-B64
B65-B83
B85-B89
B90-B94
B95-B98
B99-B99

Intestinal infectious diseases

Tuberculosis
Certain zoonotic bacterial diseases
Other bacterial diseases
Infections with a predominantly sexual mode of transmission
Other spirochaetal diseases
Other diseases caused by chlamydiae
Rickettsioses
Viral infections of the central nervous system
Arthropod-borne viral fevers and viral haemorrhagic fevers
Viral infections characterized by skin and mucous membrane lesions
Viral hepatitis
Human immunodeficiency virus [HIV] disease
Other viral diseases
Mycoses
Protozoal diseases
Helminthiases
Pediculosis, acariasis and other infestations
Sequelae of infectious and parasitic diseases
Bacterial, viral and other infectious agents
Other infectious diseases

Include
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.
Exclude
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 teta

infectious and parasitic diseases specific to the perinatal period [except tetanus neonatorum, congenital syphilis
influenza and other acute respiratory infections (J00-J22)

DEPAN

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DEPAN
Chapter II

Neoplasms
(C00-D48)
This chapter contains the following blocks:
C00-C97 Malignant neoplasms

C00-C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haema
C00-C14
C15-C26
C30-C39
C40-C41
C43-C44
C45-C49
C50-C50
C51-C58
C60-C63
C64-C68
C69-C72
C73-C75
C76-C80

Malignant neoplasms of lip, oral cavity and pharynx

Malignant neoplasms of digestive organs
Malignant neoplasms of respiratory and intrathoracic organs
Malignant neoplasms of bone and articular cartilage
Melanoma and other malignant neoplasms of skin
Malignant neoplasms of mesothelial and soft tissue
Malignant neoplasm of breast
Malignant neoplasms of female genital organs
Malignant neoplasms of male genital organs
Malignant neoplasms of urinary tract
Malignant neoplasms of eye, brain and other parts of central nervous system
Malignant neoplasms of thyroid and other endocrine glands
Malignant neoplasms of ill-defined, secondary and unspecified sites

C81-C96 Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissu
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 C76C80 include malignant neoplasms for which there is no clear indication of the original
site of the cancer or the cancer is stated to be "disseminated", "scattered" or "spread" without mention
of the primary site. In both cases the primary site is considered to be unknown.
2. Functional activity

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

3. Morphology

There are a number of major morphological (histological) groups of malignant neoplasms: carcinomas
including squamous (cell) and 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 C00C75 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 fourcharacter categories that Chapter II uses for malignant neoplasms (C00C77, 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.

DEPAN

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DEPAN
Chapter III

Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanis
(D50-D89)
This chapter contains the following blocks:
D50-D53
D55-D59
D60-D64
D65-D69
D70-D77
D80-D89

Nutritional anaemias
Haemolytic anaemias
Aplastic and other anaemias
Coagulation defects, purpura and other haemorrhagic conditions
Other diseases of blood and blood-forming organs
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
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)

DEPAN

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DEPAN
Chapter IV

Endocrine, nutritional and metabolic diseases

(E00-E90)
This chapter contains the following blocks:
E00-E07
E10-E14
E15-E16
E20-E35
E40-E46
E50-E64
E65-E68
E70-E90

Disorders of thyroid gland

Diabetes mellitus
Other disorders of glucose regulation and pancreatic internal secretion
Disorders of other endocrine glands
Malnutrition
Other nutritional deficiencies
Obesity and other hyperalimentation
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
Note:

All neoplasms, whether functionally active or not, are classified in Chapter II. Appropriate codes in this chapter (
E05.8, E07.0, E16-E31, E34.-) may be used, if desired, as additional codes to indicate either functional activity b
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)

DEPAN

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DEPAN
Chapter V

Mental and behavioural disorders

(F00-F99)
This chapter contains the following blocks:
F00-F09
F10-F19
F20-F29
F30-F39
F40-F48

Organic, including symptomatic, mental disorders

Mental and behavioural disorders due to psychoactive substance use
Schizophrenia, schizotypal and delusional disorders
Mood [affective] disorders
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 disease
F02* Dementia in other diseases classified elsewhere
Incl.:
disorders of psychological development
Excl.:
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

DEPAN

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DEPAN
Chapter VI

Diseases of the nervous system

(G00-G99)
This chapter contains the following blocks:
G00-G09
G10-G14
G20-G26
G30-G32
G35-G37
G40-G47
G50-G59

Inflammatory diseases of the central nervous system

Systemic atrophies primarily affecting the central nervous system
Extrapyramidal and movement disorders
Other degenerative diseases of the nervous system
Demyelinating diseases of the central nervous system
Episodic and paroxysmal disorders
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*
G53*
G55*
G59*
G63*

Vascular syndromes of brain in cerebrovascular diseases

Cranial nerve disorders in diseases classified elsewhere
Nerve root and plexus compressions in diseases classified elsewhere
Mononeuropathy in diseases classified elsewhere
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
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)

DEPAN

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DEPAN
Chapter VII

Diseases of the eye and adnexa

(H00-H59)
This chapter contains the following blocks:
H00-H06
H10-H13
H15-H22
H25-H28
H30-H36
H40-H42
H43-H45
H46-H48

Disorders of
Disorders of
Disorders of
Disorders of
Disorders of
Glaucoma
Disorders of
Disorders of

eyelid, lacrimal system and orbit

conjunctiva
sclera, cornea, iris and ciliary body
lens
choroid and retina
vitreous body and globe
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*
H06*
H13*
H19*
H22*
H28*
H32*
H36*
H42*
H45*

Disorders of eyelid in diseases classified elsewhere

Disorders of lacrimal system and orbit in diseases classified elsewhere
Disorders of conjunctiva in diseases classified elsewhere
Disorders of sclera and cornea in diseases classified elsewhere
Disorders of iris and ciliary body in diseases classified elsewhere
Cataract and other disorders of lens in diseases classified elsewhere
Chorioretinal disorders in diseases classified elsewhere
Retinal disorders in diseases classified elsewhere
Glaucoma in diseases classified elsewhere
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
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)

DEPAN

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DEPAN
Chapter VIII

Diseases of the ear and mastoid process

(H60-H95)
This chapter contains the following blocks:
H60-H62
H65-H75
H80-H83
H90-H95

Diseases of external ear

Diseases of middle ear and mastoid
Diseases of inner ear
Other disorders of ear

Asterisk categories for this chapter are provided as follows:

H62*
H67*
H75*
H82*
H94*

Disorders of external ear in diseases classified elsewhere

Otitis media in diseases classified elsewhere
Other disorders of middle ear and mastoid in diseases classified elsewhere
Vertiginous syndromes in diseases classified elsewhere
Other disorders of ear in diseases classified elsewhere

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)

DEPAN

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Chapter IX

Diseases of the circulatory system

(I00-I99)
This chapter contains the following blocks:
I00-I02
I05-I09
I10-I15
I20-I25
I26-I28
I30-I52
I60-I69
I70-I79
I80-I89
I95-I99

Acute rheumatic fever

Chronic rheumatic heart diseases
Hypertensive diseases
Ischaemic heart diseases
Pulmonary heart disease and diseases of pulmonary circulation
Other forms of heart disease
Cerebrovascular diseases
Diseases of arteries, arterioles and capillaries
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
Other and unspecified disorders of the circulatory system

Asterisk categories for this chapter are provided as follows:

I32*
I39*
I41*
I43*
I52*
I68*
I79*
I98*

Pericarditis in diseases classified elsewhere

Endocarditis and heart valve disorders in diseases classified elsewhere
Myocarditis in diseases classified elsewhere
Cardiomyopathy in diseases classified elsewhere
Other heart disorders in diseases classified elsewhere
Cerebrovascular disorders in diseases classified elsewhere
Disorders of arteries, arterioles and capillaries in diseases classified elsewhere
Other disorders of circulatory system in diseases classified elsewhere

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.-)

DEPAN

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Chapter X

Diseases of the respiratory system

(J00-J99)
This chapter contains the following blocks:
J00-J06
J09-J18
J20-J22
J30-J39
J40-J47
J60-J70
J80-J84
J85-J86
J90-J94
J95-J99

Acute upper respiratory infections

Influenza and pneumonia
Other acute lower respiratory infections
Other diseases of upper respiratory tract
Chronic lower respiratory diseases
Lung diseases due to external agents
Other respiratory diseases principally affecting the interstitium
Suppurative and necrotic conditions of lower respiratory tract
Other diseases of pleura
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
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)

DEPAN

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DEPAN
Chapter XI

Diseases of the digestive system

(K00-K93)
This chapter contains the following blocks:
K00-K14
K20-K31
K35-K38
K40-K46
K50-K52
K55-K63
K65-K67
K70-K77
K80-K87
K90-K93

Diseases of oral cavity, salivary glands and jaws

Diseases of oesophagus, stomach and duodenum
Diseases of appendix
Hernia
Noninfective enteritis and colitis
Other diseases of intestines
Diseases of peritoneum
Diseases of liver
Disorders of gallbladder, biliary tract and pancreas
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
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)

DEPAN

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DEPAN
Chapter XII

Diseases of the skin and subcutaneous tissue

(L00-L99)
This chapter contains the following blocks:
L00-L08
L10-L14
L20-L30
L40-L45
L50-L54
L55-L59
L60-L75
L80-L99

Infections of the skin and subcutaneous tissue

Bullous disorders
Dermatitis and eczema
Papulosquamous disorders
Urticaria and erythema
Radiation-related disorders of the skin and subcutaneous tissue
Disorders of skin appendages
Other disorders of the skin and subcutaneous tissue

Asterisk categories for this chapter are provided as follows:

L14*
L45*
L54*
L62*
L86*

Bullous disorders in diseases classified elsewhere

Papulosquamous disorders in diseases classified elsewhere
Erythema in diseases classified elsewhere
Nail disorders in diseases classified elsewhere
Keratoderma in diseases classified elsewhere

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

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Chapter XIII

Diseases of the musculoskeletal system and connective tissue

(M00-M99)
This chapter contains the following blocks:
M00-M25
M00-M03
M05-M14
M15-M19
M20-M25
M30-M36
M40-M54
M40-M43
M45-M49
M50-M54
M60-M79
M60-M63
M65-M68
M70-M79
M80-M94
M80-M85
M86-M90
M91-M94

Arthropathies
Infectious arthropathies
Inflammatory polyarthropathies
Arthrosis
Other joint disorders
Systemic connective tissue disorders
Dorsopathies
Deforming dorsopathies
Spondylopathies
Other dorsopathies
Soft tissue disorders
Disorders of muscles
Disorders of synovium and tendon
Other soft tissue disorders
Osteopathies and chondropathies
Disorders of bone density and structure
Other osteopathies
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*
M63*
M68*
M73*
M82*
M90*

Spondylopathies in diseases classified elsewhere

Disorders of muscle in diseases classified elsewhere
Disorders of synovium and tendon in diseases classified elsewhere
Soft tissue disorders in diseases classified elsewhere
Osteoporosis in diseases classified elsewhere
Osteopathies in diseases classified elsewhere

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)
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.

Multiple sites
Shoulder region
clavicle
scapula
acromioclavicular
glenohumeral
sternoclavicular

Upper arm
humerus
elbow joint
Forearm
radius
ulna
wrist joint

joints

Hand
carpus
fingers
metacarpus
joints between these bones
Pelvic region and thigh
buttock
femur
pelvis
hip (joint)
sacroiliac joint
Lower leg
fibula
knee joint
tibia
Ankle and foot
metatarsus
tarsus
toes
ankle joint
other joints in foot
Other
head
neck
ribs
skull
trunk
vertebral column
Site unspecified

DEPAN

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DEPAN
Chapter XIV

Diseases of the genitourinary system

(N00-N99)
This chapter contains the following blocks:
N00-N08
N10-N16
N17-N19
N20-N23
N25-N29
N30-N39
N40-N51
N60-N64
N70-N77
N80-N98
N99-N99

Glomerular diseases
Renal tubulo-interstitial diseases
Renal failure
Urolithiasis
Other disorders of kidney and ureter
Other diseases of urinary system
Diseases of male genital organs
Disorders of breast
Inflammatory diseases of female pelvic organs
Noninflammatory disorders of female genital tract
Other disorders of the genitourinary system

Asterisk categories for this chapter are provided as follows:

N08*
N16*
N22*
N29*
N33*
N37*
N51*
N74*

Glomerular disorders in diseases classified elsewhere

Renal tubulo-interstitial disorders in diseases classified elsewhere
Calculus of urinary tract in diseases classified elsewhere
Other disorders of kidney and ureter in diseases classified elsewhere
Bladder disorders in diseases classified elsewhere
Urethral disorders in diseases classified elsewhere
Disorders of male genital organs in diseases classified elsewhere
Female pelvic inflammatory disorders in diseases classified elsewhere

N77* Vulvovaginal ulceration and inflammation in diseases classified elsewhere

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)

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DEPAN
Chapter XV

Pregnancy, childbirth and the puerperium

(O00-O99)
This chapter contains the following blocks:
O00-O08 Pregnancy with abortive outcome
O10-O16 Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
O20-O29 Other maternal disorders predominantly related to pregnancy
O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
O60-O75
O80-O84
O85-O92
O94-O99

Complications of labour and delivery

Delivery
Complications predominantly related to the puerperium
Other obstetric conditions, not elsewhere classified

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, , T88.6T98)
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.-)

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Chapter XVI

Certain conditions originating in the perinatal period

(P00-P96)
This chapter contains the following blocks:

P00-P04 Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery
P05-P08 Disorders related to length of gestation and fetal growth
P10-P15 Birth trauma
P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period
P35-P39 Infections specific to the perinatal period
P50-P61 Haemorrhagic and haematological disorders of fetus and newborn
P70-P74 Transitory endocrine and metabolic disorders specific to fetus and newborn
P75-P78 Digestive system disorders of fetus and newborn
P80-P83 Conditions involving the integument and temperature regulation of fetus and newborn
P90-P96 Other disorders originating in the perinatal period
Asterisk categories for this chapter are provided as follows:
P75* Meconium ileus in cystic fibrosis
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)

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Chapter XVII

Congenital malformations, deformations and chromosomal abnormalities

(Q00-Q99)
This chapter contains the following blocks:
Q00-Q07
Q10-Q18
Q20-Q28
Q30-Q34
Q35-Q37
Q38-Q45
Q50-Q56
Q60-Q64
Q65-Q79
Q80-Q89
Q90-Q99

Congenital malformations of the nervous system

Congenital malformations of eye, ear, face and neck
Congenital malformations of the circulatory system
Congenital malformations of the respiratory system
Cleft lip and cleft palate
Other congenital malformations of the digestive system
Congenital malformations of genital organs
Congenital malformations of the urinary system
Congenital malformations and deformations of the musculoskeletal system
Other congenital malformations
Chromosomal abnormalities, not elsewhere classified

Excl.:
inborn errors of metabolism (E70-E90)

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DEPAN
Chapter XVIII

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)
This chapter contains the following blocks:
R00-R09 Symptoms and signs involving the circulatory and respiratory systems
R10-R19 Symptoms and signs involving the digestive system and abdomen
R20-R23 Symptoms and signs involving the skin and subcutaneous tissue
R25-R29 Symptoms and signs involving the nervous and musculoskeletal systems
R30-R39 Symptoms and signs involving the urinary system
R40-R46 Symptoms and signs involving cognition, perception, emotional state and behaviour
R47-R49
R50-R69
R70-R79
R80-R82

Symptoms and signs involving speech and voice

General symptoms and signs
Abnormal findings on examination of blood, without diagnosis
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
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)

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DEPAN
Chapter XIX

Injury, poisoning and certain other consequences of external causes

(S00-T98)
This chapter contains the following blocks:
S00-S09 Injuries to the head
S10-S19 Injuries to the neck
S20-S29 Injuries to the thorax
S30-S39 Injuries to the abdomen, lower back, lumbar spine and pelvis
S40-S49 Injuries to the shoulder and upper arm
S50-S59 Injuries to the elbow and forearm
S60-S69 Injuries to the wrist and hand
S70-S79 Injuries to the hip and thigh
S80-S89 Injuries to the knee and lower leg
S90-S99 Injuries to the ankle and foot
T00-T07 Injuries involving multiple body regions
T08-T14 Injuries to unspecified part of trunk, limb or body region
T15-T19 Effects of foreign body entering through natural orifice
T20-T32 Burns and corrosions
T20-T25 Burns and corrosions of external body surface, specified by site
T26-T28 Burns and corrosions confined to eye and internal organs
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
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

dislocated
displaced
Fracture:
open:
compound
infected
missile
puncture
with foreign body

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

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

Injury to muscle, fascia and tendon including:

avulsion
cut
laceration
traumatic rupture
strain
Crushing injury
Traumatic amputation
Injury to internal organs including:
blast injuries
bruise

concussion injuries
crushing
laceration
traumatic:
haematoma
puncture
rupture
tear

Other and unspecified injuries

with or without delayed

healing

with or without delayed

healing

cartilage
joint (capsule)
ligament

of

of blood vessels

of muscle, fascia and

tendon

of internal organs

DEPAN

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DEPAN
Chapter XX

External causes of morbidity and mortality

(V01-Y98)
This chapter contains the following blocks:
V01-X59 Accidents
V01-V99 Transport accidents
V01-V09 Pedestrian injured in transport accident
V10-V19 Pedal cyclist injured in transport accident
V20-V29 Motorcycle rider injured in transport accident
V30-V39 Occupant of three-wheeled motor vehicle injured in transport accident
V40-V49 Car occupant injured in transport accident
V50-V59 Occupant of pick-up truck or van injured in transport accident
V60-V69 Occupant of heavy transport vehicle injured in transport accident
V70-V79 Bus occupant injured in transport accident
V80-V89 Other land transport accidents
V90-V94 Water transport accidents
V95-V97 Air and space transport accidents
V98-V99 Other and unspecified transport accidents
W00-X59 Other external causes of accidental injury
W00-W19 Falls
W20-W49 Exposure to inanimate mechanical forces
W50-W64 Exposure to animate mechanical forces
W65-W74 Accidental drowning and submersion
W75-W84 Other accidental threats to breathing
W85-W99 Exposure to electric current, radiation and extreme ambient air temperature and pressure
X00-X09 Exposure to smoke, fire and flames
X10-X19 Contact with heat and hot substances
X20-X29 Contact with venomous animals and plants
X30-X39 Exposure to forces of nature
X40-X49 Accidental poisoning by and exposure to noxious substances
X50-X57 Overexertion, travel and privation
X58-X59 Accidental exposure to other and unspecified factors
X60-X84 Intentional self-harm
X85-Y09 Assault
Y10-Y34 Event of undetermined intent
Y35-Y36 Legal intervention and operations of war
Y40-Y84 Complications of medical and surgical care
Y40-Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use
Y60-Y69 Misadventures to patients during surgical and medical care
Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use

Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later com
Y85-Y89 Sequelae of external causes of morbidity and mortality
Y90-Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere

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 Y85Y89.
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:

9
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.

8
9

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
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
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 construction 6
residential institution 1
sports and athletics area 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
Street and highway
Freeway
Motorway
Pavement
Road
Sidewalk
Trade and service area
Airport
Bank
Caf
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
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
Farm
Farm:
buildings
land under cultivation
Ranch

Excl.:
farmhouse and home premises of farm0
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
Unspecified place

While engaged in sports activity

Physical exercise with a described functional element such as:

golf
jogging
riding
school athletics
skiing
swimming
trekking
water-skiing
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
While working for income
Paid work (manual)(professional)
Transportation (time) to and from such activities
Work for salary, bonus and other types of income
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
While resting, sleeping, eating or engaging in other vital activities
Personal hygiene

While engaged in other specified activities

During unspecified activity

DEPAN

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DEPAN
Chapter XXI

Factors influencing health status and contact with health services

(Z00-Z99
This chapter contains the following blocks:
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 influ
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 caus
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 a
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
current illness or injury. Such factors may be elicited during population surveys, when the person may or may no
be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care fo
some illness or injury.

DEPAN

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DEPAN
Chapter XXII

Codes for special purposes

(U00-U89)
This chapter contains the following blocks:
U00-U49 Provisional assignment of new diseases of uncertain etiology
U80-U89 Bacterial agents resistant to antibiotics