Icd 10

Contents
Introduction....................................................................................................................................1
Acknowledgements ........................................................................................................................4
WHO Collaborating Centres for Classification of Diseases ......................................................5
Report of the International Conference for the Tenth

Revision of the International Classification of Diseases.............................................................7
List of three-character categories...............................................................................................25
Tabular list of inclusions and four-character subcategories

I Certain infectious and parasitic diseases ...................................................................I-1
II Neoplasms................................................................................................................ II-1
III Diseases of the blood and blood-forming organs and
certain disorders involving the immune mechanism .............................................. III-1
IV Endocrine, nutritional and metabolic diseases ....................................................... IV-1
V Mental and behavioural disorders............................................................................ V-1
VI Diseases of the nervous system .............................................................................. VI-1
VII Diseases of the eye and adnexa .............................................................................VII-1
VIII Diseases of the ear and mastoid process.............................................................. VIII-1
IX Diseases of the circulatory system.......................................................................... IX-1
X Diseases of the respiratory system........................................................................... X-1
XI Diseases of the digestive system ............................................................................ XI-1
XII Diseases of the skin and subcutaneous tissue........................................................XII-1
XIII Diseases of the musculoskeletal system and
connective tissue.................................................................................................. XIII-1
XIV Diseases of the genitourinary system .................................................................. XIV-1
XV Pregnancy, childbirth and the puerperium............................................................ XV-1
XVI Certain conditions originating in the perinatal period......................................... XVI-1
XVII Congenital malformations, deformations and
chromosomal abnormalities................................................................................XVII-1
XVIII Symptoms, signs and abnormal clinical and laboratory
findings not elsewhere classified ...................................................................... XVIII-1
XIX Injury, poisoning and certain other consequences
of external causes................................................................................................. XIX-1
XX External causes of morbidity and mortality.......................................................... XX-1
i
Morphology of neoplasms ....................................................................................... Morphology-1
ii
Introduction
A classification of diseases may be defined as a system of categories to which morbid entities are
assigned according to established criteria. There are many possible axes of classification and the
one selected will depend upon the use to be made of the statistics to be compiled. A statistical
classification of diseases must encompass the entire range of morbid conditions within a
manageable number of categories.
The Tenth Revision of the International Statistical Classification of Diseases and Related Health
Problems is the latest in a series that was formalized in 1893 as the Bertillon Classification or
International List of Causes of Death. A complete review of the historical background to the
classification is given in Part 2a Instruction Manual (NCHS). While the title has been amended
to make clearer the content and purpose and to reflect the progressive extension of the scope of
the classification beyond diseases and injuries, the familiar abbreviation "ICD" has been
retained. In the updated classification, conditions have been grouped in a way that was felt to be
most suitable for general epidemiological purposes and the evaluation of health care.
Work on the Tenth Revision of the ICD started in September 1983 when a Preparatory Meeting
on ICD-10 was convened in Geneva. The programme of work was guided by regular meetings of
Heads of WHO Collaborating Centres for Classification of Diseases. Policy guidance was
provided by a number of special meetings including those of the Expert Committee on the
International Classification of Disease - Tenth Revision, held in 1984 and 1987.
In addition to the technical contributions provided by many specialist groups and individual
experts, a large number of comments and suggestions were received from WHO Member States
and Regional Offices as a result of the global circulation of draft proposals for revision in 1984
and 1986. From the comments received, it was clear that many users wished the ICD to
encompass types of data other than the "diagnostic information" (in the broadest sense of the
term) that it has always covered. In order to accommodate the perceived needs of these users, the
concept arose of a "family" of classifications centred on the traditional ICD with its familiar
form and structure. The ICD itself would thus meet the requirement for diagnostic information
for general purposes, while a variety of other classifications would be used in conjunction with it
and would deal either with different approaches to the same information or with different
information (notably medical and surgical procedures and disablement).
1
INTERNATIONAL CLASSIFICATION OF DISEASES
Following suggestions at the time of development of the Ninth Revision of the classification that
a different basic structure might better serve the needs of the many and varied users, several
alternative models were evaluated. It became clear, however, that the traditional
single-variable-axis design of the classification, and other aspects of its structure that gave
emphasis to conditions that were frequent, costly or otherwise of public health importance, had
withstood the test of time and that many users would be unhappy with any of the models that had
been proposed as a possible replacement.
Consequently, as study of the Tenth Revision will show, the traditional ICD structure has been
retained but an alphanumeric coding scheme replaces the previous numeric one. This provides a
larger coding frame and leaves room for future revision without disruption of the numbering
system, as has occurred at previous revisions.
In order to make optimum use of the available space, certain disorders of the immune mechanism
are included with diseases of the blood and blood-forming organs (Chapter III). New chapters
have been created for diseases of the eye and adnexa and diseases of the ear and mastoid process.
The former supplementary classifications of external causes and of factors influencing health
status and contact with health services now form part of the main classification.
The dagger and asterisk system of dual classification for certain diagnostic statements,
introduced in the Ninth Revision, has been retained and extended, with the asterisk axis being
contained in homogeneous categories at the three-character level.
Content of the three volumes of ICD-10
The presentation of the classification has been changed and there are now three volumes:
Volume 1. Tabular List. This contains the Report of the International Conference for the Tenth
Revision, the classification itself at the three- and four-character levels, the classification of the
morphology of neoplasms, special tabulation lists for mortality and morbidity, definitions, and
the nomenclature regulations.
Part 2a. Instruction Manual. This brings together the notes on certification and classification
formerly included in Volume 1 with a good deal of new background and instructional matter and
guidance on the use of Volume 1, on tabulations, and on planning for the use of ICD, which was
seen as lacking in earlier revisions. It also includes the historical material formerly presented in
the introduction to Volume 1.
2
INTRODUCTION
Volume 3. Alphabetical Index. This presents the index itself with an introduction and expanded
instructions on its use.
* * *
The classification was approved by the International Conference for the Tenth Revision of the
International Classification of Diseases in 1989 and adopted by the Forty-third World Health
Assembly in the following resolution:
The Forty-third World Health Assembly,
Having considered the report of the International Conference for the Tenth Revision of the
International Classification of Diseases;
1. ADOPTS the following, recommended by the Conference:
(1) the detailed list of three-character categories and optional four-character subcategories
with the Short Tabulation Lists for Mortality and Morbidity, constituting the Tenth
Revision of the International Statistical Classification of Diseases and Related Health
Problems, due to come into effect on 1 January 1993;
(2) the definitions, standards and reporting requirements related to maternal, fetal,
perinatal, neonatal and infant mortality;
(3) the rules and instructions for underlying cause coding for mortality and main
condition coding for morbidity;
2. REQUESTS the Director-General to issue the Manual of the International Statistical

Classification of Diseases and Related Health Problems;
3. ENDORSES the recommendations of the Conference concerning:
(1) the concept and implementation of the family of disease and health-related
classifications, with the International Statistical Classification of Diseases and Related
Health Problems as the core classification surrounded by a number of related and
supplementary classifications and the International Nomenclature of Diseases;
(2) the establishment of an updating process within the ten-year revision cycle.
3
Acknowledgements
The periodic revision of the ICD has, since the Sixth Revision in 1948, been coordinated by the
World Health Organization. As the use of the classification has increased, so, understandably,
has the desire among its users to contribute to the revision process. The Tenth Revision is the
product of a vast amount of international activity, cooperation and compromise. WHO
acknowledges with gratitude the contributions of the international and national specialist groups
and individuals in numerous many countries.
4
WHO Collaborating Centres for
Classification of Diseases
Nine WHO Collaborating Centres for Classification of Diseases have been established to assist
countries with problems encountered in the development and use of health-related classifications
and, in particular, in the use of the ICD.
It is important that countries bring to the attention of the respective Centre any significant
problems they might encounter in the use of the ICD and especially when a new disease for
which the ICD does not provide a suitable classification is encountered frequently. Until now the
ICD has not been updated between revisions but it has been proposed that, through the Centres, a
mechanism will be introduced to provide suitable codes for new diseases where necessary.
In addition to the official WHO Collaborating Centres, there are a number of national reference
centres and individual users should first consult these, or their appropriate national office, when
they encounter problems.
There are three Centres for English-language users. Communications should be addressed to the
Head, WHO Collaborating Centre for Classification of Diseases at:
Australian Institute of Health

GPO Box 570
Canberra ACT 2601,
Australia
Office of Population and Censuses and Surveys

St. Catherine's House
Kingsway 10
London WC2B 6JP
England
National Center for Health Statistics

3311 Toledo Road
Hyattsville, MD 27703
United States of America
5
The other six centres, each based on an individual language or group of languages, are located in
the following institutions:
Peking Union Medical College Hospital

Chinese Academy of Medical Sciences
Beijing 100730
China (for Chinese)
INSERM
44 Chemin de Ronde
F-78110 Le Vésinet
France (for French)
Department of Social Medicine

University Hospital
S-751 85 Uppsala
Sweden (for the Nordic countries)
Faculdade de Saúde Publica/Universidade de São Paulo

Avenida Dr Arnaldo 715,
01246-904 Sao Paulo, SP
Brazil (for Portuguese)
The N.A. Semaško Institute,

U1. Obuha 12
Moscow B-20
Russian Federation Republic (for Russian)
Centro Venezolano de Clasificación de Enfermedades

Edificio Sur, 9o Piso
M.S.A.S.,
Centro Simon Bolivar,
P.O. Box 6653
Caracas
Venezuela (for Spanish)
6
Report of the International Conference for the Tenth Revision of the
International Classification of Diseases
The International Conference for the Tenth Revision of the International Classification of
Diseases was convened by the World Health Organization at WHO headquarters in Geneva from
26 September to 2 October 1989. The Conference was attended by delegates from 43 Member
States:
Angola Luxembourg
Australia Madagascar
Bahamas Mali
Belgium Malta
Brazil Mozambique
Bulgaria Netherlands
Burundi Niger
Canada Portugal
China Republic of Korea
Cuba Senegal
Cyprus Singapore
Denmark Spain
Finland Sweden
France Switzerland
German Democratic Republic Thailand
Germany, Federal Republic of Uganda
Hungary Union of Soviet Socialist Republics
India United Arab Emirates
Indonesia United Kingdom of Great Britain
Israel and Northern Ireland
Japan United States of America
Kuwait Venezuela
The United Nations, the International Labour Organisation and the WHO Regional Offices sent
representatives to participate in the Conference, as did the Council for International
Organizations of Medical Sciences, and twelve other nongovernmental organizations concerned
with cancer registration, the deaf, epidemiology, family medicine, gynaecology and obstetrics,
hypertension, health records, preventive and social medicine, neurology, psychiatry,
rehabilitation and sexually transmitted diseases.
7
The Conference was opened by Dr J.-P. Jardel, Assistant Director-General, on behalf of the
Director-General. Dr Jardel spoke of the extensive consultations and preparatory work that had
gone into the revision proposals and had necessitated a longer than usual interval between
revisions. He noted that the Tenth Revision would have a new title, International Statistical
Classification of Diseases and Related Health Problems, to emphasize its statistical purpose and
reflect the widening of its scope. The convenient abbreviation ICD would, however, be retained.
He also mentioned the new alphanumeric coding scheme, which had made it possible to provide
a better balance between the content of the chapters and to leave room for future additions and
changes, as well as the intention to produce an ICD manual of three-character categories with an
alphabetical index for use where the more complex detailed four-character version would be
inappropriate.
The Conference elected the following officers:
Dr R.H.C. Wells, Australia (Chairman)

Dr H. Bay-Nielsen, Denmark (Vice-Chairman)
Dr R. Braun, German Democratic Republic (Vice-Chairman)
Mr R.A. Israel, United States of America (Vice-Chairman)
Dr R. Laurenti, Brazil (Vice-Chairman)
Dr P. Maguin, France (Rapporteur)
Ms E. Taylor, Canada (Rapporteur)
The secretariat of the Conference was as follows:
Dr J.-P. Jardel, Assistant Director-General, WHO, Geneva, Switzerland

Dr H.R. Hapsara, Director, Division of Epidemiological Surveillance and Health Situation and
Trend Assessment, WHO, Geneva, Switzerland
Dr J.-C. Alary, Chief Medical Officer, Development of Epidemiological and Health
Statistical Services, WHO, Geneva, Switzerland
Dr G.R. Brämer, Medical Officer, Development of Epidemiological and Health
Statistical Services, WHO, Geneva, Switzerland (Secretary)
Mr A. L'Hours, Technical Officer, Development of Epidemiological and Health
Statistical Services, WHO, Geneva, Switzerland
Professor W. Jänisch, German Democratic Republic (Temporary Adviser)
Mr T. Kruse, Denmark (Temporary Adviser)
Dr K. Kupka, France (Temporary Adviser)
Dr J. Leowski, Poland (Temporary Adviser)
Ms R.M. Loy, United Kingdom of Great Britain and Northern Ireland (Temporary
Adviser)
Mr R.H. Seeman, United States of America (Temporary Adviser)
8
REPORT OF THE INTERNATIONAL CONFERENCE
The secretariat of the Conference was assisted by representatives of other relevant technical units
of WHO headquarters.
The Conference adopted an agenda dealing with the proposed content of the chapters of the
Tenth Revision, and material to be incorporated in the published manual; the process for its
introduction; and the family of classifications and related matters.
1. History and development of uses of the

International Classification of Diseases (ICD)
The Conference was reminded of the impressive history of a statistical classification which dated
back to the eighteenth century. While early revisions of the classification had been concerned
only with causes of death, its scope had been extended at the Sixth Revision in 1948 to include
non-fatal diseases. This extension had continued through the Ninth Revision, with certain
innovations being made to meet the statistical needs of widely differing organizations. In
addition, at the International Conference for the Ninth Revision (Geneva, 1975) (1),
recommendations had been made and approved for the publication for trial purposes of
supplementary classifications of procedures in medicine and of impairments, disabilities, and
handicaps.
2. Review of activities in the preparation of proposals

for the Tenth Revision of the ICD
The proposals before the Conference were the product of a vast amount of activity at WHO
headquarters and around the world. The programme of work had been guided by regular
meetings of the heads of WHO Collaborating Centres for Classification of Diseases. Policy
guidance had been provided by a number of special meetings and by the Expert Committee on
the International Classification of Diseases - Tenth Revision, which met in 1984 (2) and 1987 (3)
to make decisions on the direction the work should take and the form of the final proposals.
Extensive preparatory activity had been devoted to a radical review of the suitability of the
structure of the ICD, essentially a statistical classification of diseases and other health problems,
to serve a wide variety of needs for mortality and health-care data. Ways of stabilizing the
coding system to minimize disruption at successive revisions had been investigated, as had the
possibility of providing a better balance between the content of the different chapters of the ICD.
9
Even with a new structure, it was plain that one classification could not cope with the extremes
of the requirements. The concept had therefore been developed of a "family" of classifications,
with the main ICD as the core, covering the centre ground of needs for traditional mortality and
morbidity statistics, while needs for more detailed, less detailed or different classifications and
associated matters would be dealt with by other members of the family.
Several alternative models for the structure of the ICD had been investigated by the
Collaborating Centres, but it had been found that each had unsatisfactory features and none had
sufficient advantages over the existing structure to justify replacing it. Special meetings held to
evaluate the Ninth Revision had confirmed that, although some potential users found the existing
structure of the ICD unsuitable, there was a large body of satisfied users who considered it had
many inherent strengths, whatever its apparent inconsistencies, and wished it to continue in its
existing form.
Various schemes involving alphanumeric notation had been examined with a view to producing
a coding frame that would give a better balance to the chapters and allow sufficient space for
future additions and changes without disrupting the codes.
Decisions made on these matters had paved the way for the preparation of successive drafts of
chapter proposals for the Tenth Revision. These had twice been circulated to Member States for
comment as well as being reviewed by other interested bodies, meetings of Centre Heads, and
the Expert Committee. A large number of international professional specialist associations,
individual specialists and experts, other WHO headquarters units and regional offices had given
advice and guidance to the WHO unit responsible for the ICD and to the Collaborating Centres
on the preparation of the proposals and the associated material placed before the Conference.
WHO gratefully acknowledged this assistance.
3. General characteristics and content of the

proposed Tenth Revision of the ICD
The main innovation in the proposals for the Tenth Revision was the use of an alphanumeric
coding scheme of one letter followed by three numbers at the four-character level. This had the
effect of more than doubling the size of the coding frame in comparison with the Ninth Revision
and enabled the vast majority of chapters to be assigned a unique letter or group of letters, each
capable of providing 100 three-character categories. Of the 26 available letters, 25 had been
used, the letter U being left vacant for future additions and changes and for possible interim
classifications to solve difficulties arising at the national and international level between
revisions.
10
As a matter of policy, some three-character categories had been left vacant for future expansion
and revision, the number varying according to the chapters: those with a primarily anatomical
axis of classification had fewer vacant categories as it was considered that future changes in their
content would be more limited in nature.
The Ninth Revision contained 17 chapters plus two supplementary classifications: the
Supplementary Classification of External Causes of Injury and Poisoning (the E code) and the
Supplementary Classification of Factors Influencing Health Status and Contact with Health
Services (the V code). As recommended by the Preparatory Meeting on the Tenth Revision
(Geneva, 1983) (4) and endorsed by subsequent meetings, these two chapters were no longer
considered to be supplementary but were included as a part of the core classification.
The order of entry of chapters in the proposals for the Tenth Revision had originally been the
same as in the Ninth Revision; however, to make effective use of the available space, disorders
of the immune mechanism were later included with diseases of the blood and blood-forming
organs, whereas in the Ninth Revision they had been included with endocrine, nutritional and
metabolic diseases. The new chapter on "Diseases of the blood and blood-forming organs and
certain disorders involving the immune mechanism" now followed the "Neoplasms" chapter,
with which it shared the letter D.
During the elaboration of early drafts of the chapter on "Diseases of the nervous system and
sense organs", it had soon become clear that it would not be possible to accommodate all the
required detail under one letter in 100 three-character categories. It had been decided, therefore,
to create three separate chapters - "Diseases of the nervous system" having the letter G, and the
two chapters on "Diseases of the eye and adnexa" and on "Diseases of the ear and mastoid
process" sharing the letter H.
Also, the chapters on "Diseases of the genitourinary system", on "Pregnancy, childbirth and the
puerperium", on "Certain conditions originating in the perinatal period, and on "Congenital
malformations, deformations and chromosomal abnormalities" had been brought together as
contiguous chapters XIV to XVII.
With the inclusion of the former supplementary classifications as part of the core classification
and the creation of two new chapters, the total number of chapters in the proposal for the Tenth
Revision had become 21. The titles of some chapters had been amended to give a better
indication of their content.
11
Where radical changes to the ICD had been proposed, field-testing had been appropriate. This
had been the case for the following chapters:
V. Mental and behavioural disorders

XIX. Injury, poisoning and certain other consequences of external causes
XX. External causes of morbidity and mortality
Chapter II, "Neoplasms", had also been subject to some field-testing, although the changes in its
content had been of a minor nature.
Some new features of the proposals for the Tenth Revision were as follows:
• The exclusion notes at the beginning of each chapter had been expanded to explain the
relative hierarchy of chapters, and to make it clear that the "special group" chapters had
priority of assignment over the organ or system chapters and that, among the special group
chapters, those on "Pregnancy, childbirth and the puerperium" and on "Certain conditions
originating in the perinatal period" had priority over the others.
• Also, at the beginning of each chapter an overview was given of the blocks of three-character
categories and, where relevant, the asterisk categories; this had been done to clarify the
structure of the chapters and to facilitate the use of the asterisk categories.
• The notes in the tabular list applied to all uses of the classification; if a note was appropriate
only to morbidity or only to mortality, it was included in the special notes accompanying
either the morbidity coding rules or the mortality coding rules.
• The Ninth Revision had identified a certain number of conditions as being drug-induced; this
approach had been continued in drawing up the proposals for the Tenth Revision and many
such conditions were now separately identified.
An important innovation was the creation towards the end of certain chapters of categories for
postprocedural disorders. These identified important conditions that constituted a medical care
problem in their own right and included such examples as endocrine and metabolic diseases
following ablation of an organ and other specific conditions such as postgastrectomy dumping
syndrome. Postprocedural conditions that were not specific to a particular body system,
including immediate complications such as air embolism and postoperative shock, continued to
be classified in the chapter on "Injury, poisoning and certain other consequences of external
causes".
Another change was that in the Ninth Revision, the four-digit titles had often had to be read in
conjunction with the three-digit titles to ascertain the full meaning and intent of the subcategory,
whereas in the draft presented to the Conference the titles were almost invariably complete and
could stand alone.
12
The dual classification scheme for etiology and manifestation, known as the dagger and asterisk
system, introduced in the Ninth Revision, had been the subject of a certain amount of criticism.
This related mainly to the fact that the classification frequently contained a mixture of
manifestation and other information at the three- and four-digit levels, with the same diagnostic
labels sometimes appearing under both axes. Also, many considered the system to be
insufficiently comprehensive. To overcome these problems, in the draft for the Tenth Revision,
the asterisk information was contained in 82 homogeneous three-character categories for
optional use. This approach enabled those diagnostic statements containing information about
both a generalized underlying disease process and a manifestation or complication in a particular
organ or site to receive two codes, allowing retrieval or tabulation according to either axis.
These characteristics of the proposed Tenth Revision were accepted by the Conference.
Each of the chapters was introduced to the Conference with a presentation on changes introduced
since the Ninth Revision and some background information about certain innovations. Some
issues related to changes in chapter structure and content were discussed by the Conference and
agreement reached on follow-up and modification by the secretariat.
4. Standards and definitions related to maternal and child health
The Conference considered with interest the recommended definitions, standards and reporting
requirements for the Tenth Revision with regard to maternal mortality and to fetal, perinatal,
neonatal and infant mortality. These recommendations were the outcome of a series of special
meetings and consultations and were directed towards improving the comparability of data.
The Conference agreed that it was desirable to retain the definitions of live birth and fetal death
as they appeared in the Ninth Revision.
After some discussion, the Conference set up a working party on the subject of maternal
mortality and, on the basis of its recommendations, also agreed to retain the definition of
maternal death as it appeared in the Ninth Revision.
In order to improve the quality of maternal mortality data and provide alternative methods of
collecting data on deaths during pregnancy or related to it, as well as to encourage the recording
of deaths from obstetric causes occurring more than 42 days following termination of pregnancy,
two additional definitions, for "pregnancy-related deaths" and "late maternal deaths", were
formulated by the working party.
13
The Conference
RECOMMENDED that countries consider the inclusion on death certificates of questions

regarding current pregnancy and pregnancy within one year preceding death.
The Conference agreed that, since the number of live births was more universally available than
the number of total births (live births plus fetal deaths), it should be used as the denominator in
the ratios related to maternal mortality [as contained in Part 2a Instruction Manual (NCHS)].
With respect to perinatal, neonatal and infant mortality, it was strongly advised that published
rates based on birth cohorts should be so identified and differentiated.
The Conference confirmed the practice of expressing age in completed units of time and thus
designating the first day of life as day zero.
The Conference
RECOMMENDED the inclusion, in the manual of the Tenth Revision of the ICD, of
definitions, standards and reporting requirements related to maternal mortality and to
fetal, perinatal, neonatal and infant mortality.
5. Coding and selection rules and tabulation lists
5.1 Coding and selection rules for mortality
The Conference was informed about a process for review of the selection and modification rules
for underlying cause of death and the associated notes, as they appeared in the Ninth Revision,
which had resulted in several recommended changes in the rules and extensive changes to the
notes.
The Conference
RECOMMENDED that the rules for selection of cause of death for primary mortality
tabulation, as they appear in the Ninth Revision, be replaced in the Tenth Revision [by
those contained in Part 2a Instruction Manual (NCHS)].
14
The Conference was further informed that additional notes for use in underlying cause coding
and the interpretation of entries of causes of death had been drafted and were being reviewed. As
these notes were intended to improve consistency in coding, the Conference agreed that they
would also be incorporated in the Tenth Revision.
The Conference noted the continued use of multiple-condition coding and analysis in relation to
causes of death. It expressed encouragement for such activities, but did not recommend that the
Tenth Revision should contain any particular rules or methods of analysis to be followed.
In considering the international form of medical certificate of cause of death, the Expert
Committee had recognized that the situation of an aging population with a greater proportion of
deaths involving multiple disease processes, and the effects of associated therapeutic
interventions, tended to increase the number of possible statements between the underlying cause
and the direct cause of death: this meant that an increasing number of conditions were being
entered on death certificates in many countries. This led the Committee to recommend the
inclusion of an additional line (d) in Part I of the certificate.
The Conference therefore
RECOMMENDED that, where a need has been identified, countries consider the
possibility of including an additional line (d) in Part I of the medical certificate of cause
of death.
5.2 Coding and selection rules for morbidity
For the first time, the Ninth Revision contained guidance on recording and coding for morbidity
and specifically for the selection of a single condition for presentation of morbidity statistics.
Experience gained in the use of the definitions and rules in the Ninth Revision had proved their
usefulness and generated requests for their clarification, for further elaboration regarding the
recording of diagnostic information by health care practitioners, and for more guidance on
dealing with specific problem situations.
The Conference endorsed the recommendations of the 1975 Revision Conference about the
condition to be selected for single-condition analysis of episodes of health care, and its view that,
where practicable, multiple-condition coding and analysis should be undertaken to supplement
routine statistics. It stressed that the Tenth Revision should make it clear that much of the
guidance was applicable only when the tabulation of a "main condition" for an episode was
appropriate and when the concept of an "episode" per se was relevant to the way in which data
collection was organized.
15
The Conference accordingly
RECOMMENDED that additional guidance on the recording and coding of morbidity

should be included in the Tenth Revision, and that the definitions of "main condition"
and "other conditions" should be incorporated, together with the modified rules for
dealing with obviously incorrectly reported "main condition". [These are included in Part
2a Instruction Manual (NCHS).]
The Conference also
RECOMMENDED that where the "main condition" is subject to the dual classification
system provided in the ICD, both the dagger and asterisk codes should be recorded, to
permit alternative tabulation by either.
The Conference agreed that extensive notes and examples should be added to provide further
assistance.
5.3 Lists for tabulation of mortality and morbidity
The Conference was informed about difficulties that had arisen in the use of the Basic Tabulation
List based on the Ninth Revision and about the activities that had been undertaken, particularly
by WHO, to develop new lists for the tabulation and publication of mortality data. In this process
it had become apparent that, in many countries, mortality up to the age of five was a more robust
indicator than infant mortality, and that it would therefore be preferable to have a list that
included infant deaths and deaths of children up to the age of five years, rather than a list for
infants only.
Two versions of the general mortality list and of the infant and child mortality list had been
prepared for consideration by the Conference, with the second version including chapter titles
and residual items for chapters as necessary.
As some concerns were expressed regarding the mortality lists as presented, a small working
party was convened to consider the possible inclusion of some additional items. The report of the
working party was accepted by the Conference.
On the topic of lists for the tabulation of morbidity, the Conference reviewed both a proposed
tabulation list and a model publication list based on chapter titles, with selected items included
as examples under each title. Considerable concern was expressed about the applicability of such
lists to all morbidity in the broadest sense. There was general agreement that the lists as
presented were probably more suited to inpatient morbidity, and it was felt that further efforts
16
should be made to develop lists suitable for other morbidity applications and also that both
mortality and morbidity tabulation lists should be accompanied in the Tenth Revision by
appropriate explanations and instructions on their use.
In the light of the concerns raised in the Conference and the conclusions of the working party,
the Conference agreed that the tabulation and publication lists should appear in the Tenth
Revision, while an effort should be made to establish clearer, more descriptive titles for these
lists. It was also agreed that, to facilitate the alternative tabulation of asterisk categories, a
second version of the morbidity tabulation list should be developed, which included the asterisk
categories.
6. Family of classifications
6.1 Concept of the family of classifications
During the preparation of the Ninth Revision it had already been realized that the ICD alone
could not cover all the information required and that only a "family" of disease and health-
related classifications would meet the different requirements in public health. Since the late
1970s, therefore, various possible solutions had been envisaged, one of which called for a core
classification (ICD) with a series of modules, some hierarchically related and others of a
supplementary nature.
After studies and discussions in cooperation with the various Collaborating Centres, a concept of
a family of classifications had been elaborated and subsequently revised by the Expert
Committee in 1987, which had recommended the scheme shown opposite.
The Conference
RECOMMENDED that the concept of the family of disease and health-related

classifications should be followed up by WHO.
In order to maintain the integrity of the ICD itself and this family concept, the Conference
RECOMMENDED that, in the interests of international comparability, no changes

should be made to the content (as indicated by the titles) of the three-character categories
and four-character sub-categories of the Tenth Revision in the preparation of translations
or adaptations, except as authorized by WHO. The Secretariat of WHO is responsible for
the ICD and acts as central clearing-house for any publication (except national statistical
publications) or translation to be derived from it. WHO should be promptly notified
17
about the intention to produce translations and adaptations or other ICD-related

classifications.
Family of disease and health-related classifications

INTERNATIONAL STATISTICAL
CLASSIFICATION OF
DISEASES AND RELATED HEALTH
PROBLEMS
INFORMATION SUPPORT TO ICD-3 CHARACTER CORE SPECIALITY-BASED

PRIMARY HEALTH CARE CLASSIFICATION ADAPTIONS
• Lay reporting • Diagnoses • Oncology

• Other community-based • Symptoms • Dentistry and stomatology
in health • Abnormal laboratory • Dermatology
findings • Psychiatry
• Injuries and poisonings • Neurology
• External causes of • Obstetrics and gynecology
morbidity and mortality • Rheumatology and
• Factors influencing orthopaedics
• health status • Paediatrics, etc
• General medical practice
Short ICD
tabulation 4-character
lists classification
OTHER HEALTH RELATED INTERNATIONAL

CLASSIFICATIONS NOMENCLATURE OF
DISEASES (IND)
• Impairment
• and Handicaps
• Procedures
• Reasons for encounter
(complaints)
18
The Conference viewed with interest a presentation of the use and linkage of different members
of the ICD family in the medicosocial and multidimensional assessment of the elderly in relation
not only to health but also to activities of daily living as well as the social and physical
environment. It was demonstrated that effective information could be obtained through use of the
ICD and the International Classification of Impairments, Disabilities, and Handicaps (ICIDH),
and especially through use of the codes from the proposed Chapter XXI of the Tenth Revision.
6.2 Specialty-based adaptations
The Conference was informed about plans for the development of adaptations of the Tenth
Revision in the mental health programme area. Clinical guidelines would accompany a version
intended for use by clinicians working in the field of psychiatry; research criteria would be
proposed for use in investigations of mental health problems; and multi-axial presentations for
use in dealing with childhood disorders and for the classification of adult problems would be
developed as well as a version for use by general practitioners. Compilations of ICD codes
relevant to psychiatry and to neurology would also be produced along the lines of previous
publications on this subject.
The Conference also heard about the methods used to ensure that the basic structure and function
of the ICD were preserved in the initial development of the application for medical specialists in
dentistry and stomatology (ICD-DA) and was informed that a new revision of the ICD-DA
linked to the Tenth Revision was in the final stages of preparation.
A presentation was given on the International Classification of Diseases for Oncology (ICD-O),
Second Edition, a multi-axial classification including both the topography and morphology of
neoplasms. The morphology codes of the ICD-O, which had evolved over a long period of time,
had been revised and extensively field-tested. The topography codes of the second edition would
be based on the Tenth Revision and publication would, therefore, await World Health Assembly
approval of the Tenth Revision.
There was agreement on the value of an adaptation in the area of general medical practice and
the Conference was informed about the willingness of groups working in this area to collaborate
with WHO. In respect of other specialty-based adaptations, which were likely to become more
numerous, the recommended role of WHO as a clearing-house was considered to be extremely
important.
19
6.3 Information support to primary health care
In accordance with the recommendations of the 1975 Revision Conference, a working group had
been convened by the WHO Regional Office for South-East Asia in Delhi in 1976. It had drawn
up a detailed list of symptom associations, and from this, two short lists were derived, one for
causes of death and one for reasons for contact with health services. Field trials of this system
had been carried out in countries of the Region and the results used to revise the list of symptom
associations and the reporting forms. This revised version had been published by WHO in 1978
in the booklet Lay reporting of health information (5).
The Global Strategy for Health for All by the Year 2000, launched in 1978, had raised a number
of challenges for the development of information systems in Member States. At the International
Conference on Health Statistics for the Year 2000 (Bellagio, Italy, 1982) (6), the integration of
"lay reporting" information with other information generated and used for health management
purposes had been identified as a major problem inhibiting the wider implementation of lay
reporting schemes. The Consultation on Primary Care Classifications (Geneva, 1985) (7) had
stressed the need for an approach that could unify information support, health service
management and community services through information based on lay reporting in the
expanded sense of community-based information.
The Conference was informed about the experience of countries in developing and applying
community-based health information that covered health problems and needs, related risk factors
and resources. It supported the concept of developing non-conventional methods at the
community level as a method of filling information gaps in individual countries and
strengthening their information systems. It was stressed that, for both developed and developing
countries, such methods or systems should be developed locally and that, because of factors such
as morbidity patterns as well as language and cultural variations, transfer to other areas or
countries should not be attempted.
6.4 Impairments, disabilities and handicaps
The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) (8) had
been published by WHO in English in 1980 for trial purposes, in accordance with the
recommendations of the 1975 Revision Conference and resolution WHA29.35 (9) of the 1976
World Health Assembly. Since that time, research and development on the classification had
followed a number of paths.
20
The major definitions of the three elements - impairment, disability and handicap - had
undoubtedly been instrumental in changing attitudes to disablement. The definition of
impairment, an area where there was considerable overlap with the terms included in the ICD,
had been widely accepted. The definition of disability broadly matched the field of action of
rehabilitation professionals and groups, although there was felt to be a need for more attention in
the associated code to the gradation of severity, which was often a predictor of handicap. There
had also been increasing requests to revise the definition of handicap so as to put more emphasis
on the effect of interaction with the environment.
The rapid evolution of ideas and practices in the management of disablement had ruled out the
production of a revised ICIDH in time to be submitted to the Conference. It was stated that the
publication of a new version was unlikely before implementation of the Tenth Revision.
6.5 Procedures in medicine
The International Classification of Procedures in Medicine (ICPM) (10) had been published by
WHO in 1978 for trial purposes, in accordance with the recommendations of the 1975 Revision
Conference and resolution WHA29.35 (9) of the 1976 World Health Assembly. The
classification had been adopted by a few countries and was used as a basis for national
classifications of surgical operations by a number of other countries.
The Heads of WHO Collaborating Centres for Classification of Diseases had recognized that the
process of drafting proposals, obtaining comments, redrafting and soliciting further comments,
which WHO necessarily had to go through before finalization and publication, was inappropriate
in such a rapidly advancing field as that of procedures. The Centre Heads had therefore
recommended that there should be no revision of the ICPM in conjunction with the Tenth
Revision of ICD.
In 1987 the Expert Committee had asked that WHO consider updating for the Tenth Revision at
least the outline of Chapter 5, Surgical procedures", of the trial ICPM. In response to this
request and the needs expressed by a number of countries, an attempt had been made by the
Secretariat to prepare a tabulation list for procedures.
This list had been presented to the Centre Heads at their 1989 meeting and it had been agreed
that it could serve as a guide for national presentation or publication of statistics on surgical
procedures and could also facilitate intercountry comparisons. The aim of the list was to identify
procedures and groups of procedures and define them as a basis for the development of national
classifications, thereby improving the comparability of such classifications.
21
The Conference agreed that such a list was of value and that work should continue on its
development, even though any publication would follow the implementation of the Tenth
Revision.
6.6 International Nomenclature of Diseases
Since 1970 the Council for International Organizations of Medical Sciences (CIOMS) had been
involved in the preparation of an International Nomenclature of Diseases (IND) which would
serve as a complement to the ICD.
The main purpose of the IND was to provide a single recommended name for every disease
entity. The main criteria for selection of that name were that it should be specific, unambiguous,
as self-descriptive and simple as possible, and based on cause wherever feasible. Each disease or
syndrome for which a name was recommended was defined as unambiguously, and yet briefly,
as possible. A list of synonyms was appended to each definition.
At the time of the Conference, volumes had been published on diseases of the lower respiratory
tract, infectious diseases (viral, bacterial and parasitic diseases and mycoses) and cardiac and
vascular diseases, and work was under way on volumes for the digestive system, female genital
system, urinary and male genital system, metabolic and endocrine diseases, blood and
blood-forming organs, immunological system, musculoskeletal system and nervous system.
Subjects proposed for future volumes included psychiatric diseases, as well as diseases of the
skin, ear, nose and throat, and eye and adnexa.
The Conference recognized that an authoritative, up-to-date and international nomenclature of

diseases was important in developing the ICD and improving the comparability of health
information. The Conference therefore
RECOMMENDED that WHO and CIOMS be encouraged to explore cost-efficient ways

to achieve the timely completion and maintenance of such a nomenclature.
22
7. Implementation of the Tenth Revision of the ICD
The Conference was informed of WHO's intention to publish the detailed four-character version
of the Tenth Revision in three volumes: one containing the Tabular List, a second containing all
related definitions, standards, rules and instructions, and a third containing the Alphabetical
Index.
The Conference was further informed that a three-character version of the Tenth Revision would
be published as a single volume which would contain, in the Tabular List, all inclusion and
exclusion notes. It would also contain all related definitions, standards, rules and instructions and
a shortened Alphabetical Index.
Member States intending to produce national language versions of the Tenth Revision should
notify WHO of their intentions. Copies of the drafts of the ICD at the three- and four-character
levels would be made available from WHO both in printed form and on electronic media.
With respect to the physical appearance of the pages and type formats for both the Tabular List
and the Alphabetical Index, the Conference was assured that recommendations from the Centre
Heads and complaints from coders would be considered, and every attempt made to improve
those aspects as compared with the Ninth Revision.
As with the Ninth Revision, it was intended to develop materials for the reorientation of trained
coders, with the help of the Collaborating Centres. The actual training courses would be the
responsibility of the WHO regional offices and individual countries. They would be carried out
from late 1991 to the end of 1992, to finish before the implementation of the Tenth Revision.
Materials for the basic training of new users of the ICD would also be developed by WHO; it
was not, however, planned to begin courses before 1993.
As noted above, WHO would be prepared to provide the Tenth Revision (both the Tabular List
and the Alphabetical Index) on electronic media. In future, with the assistance of the
Collaborating Centres, other software might also be made available. A key for conversion from
the Ninth to the Tenth Revision, and the reverse, should be available before the implementation
of the Tenth Revision.
As the development activities that had been endorsed by the Expert Committee were on
schedule, the Conference
RECOMMENDED that the Tenth Revision of the International Classification of Diseases

should come into effect as from 1 January 1993.
23
8. Future revision of the ICD
The Conference discussed the difficulties experienced during the extended period of use of the
Ninth Revision, related to the emergence of new diseases and the lack of an updating mechanism
to accommodate them.
Various suggestions for mechanisms to overcome these difficulties and avoid similar problems
with respect to the Tenth Revision were discussed. There was a clear feeling that there was a
need for ongoing information exchange to standardize the use of the Tenth Revision between
countries, but that any changes introduced during its "lifetime" should be considered very
carefully in relation to their impact on analyses and trends. There was discussion on the type of
forum in which such changes and the potential for use of the vacant letter "U" in new or
temporary code assignments could be discussed. It was agreed that it would not be feasible to
hold revision conferences more frequently than every 10 years.
On the basis of the needs expressed, and the fact that it would be inappropriate to attempt to
determine or define the exact process to be used, the Conference
RECOMMENDED that the next International Revision Conference should take place in
ten years' time, and that WHO should endorse the concept of an updating process
between revisions and give consideration as to how an effective updating mechanism
could be put in place.
9. Adoption of the Tenth Revision of the ICD
The Conference made the following recommendation:
Having considered the proposals prepared by the Organization on the basis of the
recommendations of the Expert Committee on the International Classification of Diseases -
Tenth Revision,
Recognizing the need for a few further minor modifications to reflect the comments on points of
detail submitted by Member States during the Conference,
RECOMMENDED that the proposed revised chapters, with their three-character

categories and four-character subcategories and the Short Tabulation Lists for Morbidity
and Mortality, constitute the Tenth Revision of the International Statistical Classification
of Diseases and Related Health Problems.
24
References
1. International Classification of Diseases, 1975 Revision, Volume 1. Geneva, World

Health Organization, 1977, pp. xiii-xxiv.
2. Report of the Expert Committee on the International Classification of Diseases-10th
Revision: First Meeting. Geneva, World Health Organization, 1984 (unpublished
document DES/EC/ICD-10/84.34).
3. Report of the Expert Committee on the International Classification of Diseases-10th
Revision: Second Meeting. Geneva, World Health Organization. 1987 (unpublished
document WHO/DES/EC/ICD-10/87.38).
4. Report of the Preparatory Meeting on ICD-10. Geneva, World Health Organization,
1983
(unpublished document DES/ICD-10/83.19).
5. Lay reporting of health information. Geneva, World Health Organization, 1978.
6. International Conference on Health Statistics for the Year 2000. Budapest, Statistical
Publishing House, 1984.
7. Report of the Consultation on Primary Care Classifications. Geneva, World Health
Organization, 1985 (unpublished document DES/PHC/85.7).
8. International Classification of Impairments, Disabilities, and Handicaps. Geneva, World
Health Organization, 1980.
9. WHO Official Records, No. 233, 1976, p. 18.
10. International Classification of Procedures in Medicine. Geneva, World Health
Organization, 1978.
25
_________________________________________________________________
LIST OF
THREE-CHARACTER
CATEGORIES
25
THREE-CHARACTER CATEGORIES
Chapter I
Certain infectious and parasitic diseases
(A00-B99)
Intestinal infectious diseases (A00-A09)

A00 Cholera
A01 Typhoid and paratyphoid fevers
A02 Other salmonella infections
A03 Shigellosis
A04 Other bacterial intestinal infections
A05 Other bacterial foodborne intoxications
A06 Amoebiasis
A07 Other protozoal intestinal diseases
A08 Viral and other specified intestinal infections
A09 Diarrhoea and gastroenteritis of presumed infectious origin
Tuberculosis (A15-A19)
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
A16 Respiratory tuberculosis, not confirmed bacteriologically or histologically
A17† Tuberculosis of nervous system
A18 Tuberculosis of other organs
A19 Miliary tuberculosis
Certain zoonotic bacterial diseases (A20-A28)

A20 Plague
A21 Tularaemia
A22 Anthrax
A23 Brucellosis
A24 Glanders and melioidosis
A25 Rat-bite fevers
A26 Erysipeloid
A27 Leptospirosis
A28 Other zoonotic bacterial diseases, not elsewhere classified
Other bacterial diseases (A30-A49)

A30 Leprosy [Hansen's disease]
A31 Infection due to other mycobacteria
A32 Listeriosis
A33 Tetanus neonatorum
A34 Obstetrical tetanus
A35 Other tetanus
26
A36 Diphtheria
A37 Whooping cough
A38 Scarlet fever
A39 Meningococcal infection
A40 Streptococcal septicaemia
A41 Other septicaemia
A42 Actinomycosis
A43 Nocardiosis
A44 Bartonellosis
A46 Erysipelas
A48 Other bacterial diseases, not elsewhere classified
A49 Bacterial infection of unspecified site
Infections with a predominantly sexual mode of transmission (A50-A64)

A50 Congenital syphilis
A51 Early syphilis
A52 Late syphilis
A53 Other and unspecified syphilis
A54 Gonococcal infection
A55 Chlamydial lymphogranuloma (venereum)
A56 Other sexually transmitted chlamydial diseases
A57 Chancroid
A58 Granuloma inguinale
A59 Trichomoniasis
A60 Anogenital herpesviral [herpes simplex] infections
A63 Other predominantly sexually transmitted diseases, not elsewhere classified
A64 Unspecified sexually transmitted disease
Other spirochaetal diseases (A65-A69)

A65 Nonvenereal syphilis
A66 Yaws
A67 Pinta [carate]
A68 Relapsing fevers
A69 Other spirochaetal infections
Other diseases caused by chlamydiae (A70-A74)

A70 Chlamydia psittaci infection
A71 Trachoma
A74 Other diseases caused by chlamydiae
27
Rickettsioses (A75-A79)
A75 Typhus fever
A77 Spotted fever [tick-borne rickettsioses]
A78 Q fever
A79 Other rickettsioses
Viral infections of the central nervous system (A80-A89)

A80 Acute poliomyelitis
A81 Atypical virus infections of central nervous system
A82 Rabies
A83 Mosquito-borne viral encephalitis
A84 Tick-borne viral encephalitis
A85 Other viral encephalitis, not elsewhere classified
A86 Unspecified viral encephalitis
A87 Viral meningitis
A88 Other viral infections of the central nervous system, not elsewhere classified
A89 Unspecified viral infection of the central nervous system
Arthropod-borne viral fevers and viral haemorrhagic fevers (A90-A99)

A90 Dengue fever [classical dengue]
A91 Dengue haemorrhagic fever
A92 Other mosquito-borne viral fevers
A93 Other arthropod-borne viral fevers, not elsewhere classified
A94 Unspecified arthropod-borne viral fever
A95 Yellow fever
A96 Arenaviral haemorrhagic fever
A98 Other viral haemorrhagic fevers, not elsewhere classified
A99 Unspecified viral haemorrhagic fever
Viral infections characterized by skin and mucous membrane lesions (B00-B09)

B00 Herpesviral [herpes simplex] infections
B01 Varicella [chickenpox]
B02 Zoster [herpes zoster]
B03 Smallpox
B04 Monkeypox
B05 Measles
B06 Rubella [German measles]
B07 Viral warts
B08 Other viral infections characterized by skin and mucous membrane lesions, not elsewhere
classified
B09 Unspecified viral infection characterized by skin and mucous membrane lesions
28
Viral hepatitis (B15-B19)

B15 Acute hepatitis A
B16 Acute hepatitis B
B17 Other acute viral hepatitis
B18 Chronic viral hepatitis
B19 Unspecified viral hepatitis
Human immunodeficiency virus [HIV] disease (B20-B24)

B20 Human immunodeficiency virus [HIV] disease with infectious and parasitic diseases
B21 Human immunodeficiency virus [HIV] disease with malignant neoplasms
B22 Human immunodeficiency virus [HIV] disease with other specified diseases
B23 Human immunodeficiency virus [HIV] disease with other conditions
B24 Unspecified human immunodeficiency virus [HIV] disease
Other viral diseases (B25-B34)

B25 Cytomegaloviral disease
B26 Mumps
B27 Infectious mononucleosis
B30 Viral conjunctivitis
B33 Other viral diseases, not elsewhere classified
B34 Viral infection of unspecified site
Mycoses (B35-B49)
B35 Dermatophytosis
B36 Other superficial mycoses
B37 Candidiasis
B38 Coccidioidomycosis
B39 Histoplasmosis
B40 Blastomycosis
B41 Paracoccidioidomycosis
B42 Sporotrichosis
B43 Chromomycosis and phaeomycotic abscess
B44 Aspergillosis
B45 Cryptococcosis
B46 Zygomycosis
B47 Mycetoma
B48 Other mycoses, not elsewhere classified
B49 Unspecified mycosis
29
Protozoal diseases (B50-B64)

B50 Plasmodium falciparum malaria
B51 Plasmodium vivax malaria
B52 Plasmodium malariae malaria
B53 Other parasitologically confirmed malaria
B54 Unspecified malaria
B55 Leishmaniasis
B56 African trypanosomiasis
B57 Chagas' disease
B58 Toxoplasmosis
B59 Pneumocystosis
B60 Other protozoal diseases, not elsewhere classified
B64 Unspecified protozoal disease
Helminthiases (B65-B83)
B65 Schistosomiasis [bilharziasis]
B66 Other fluke infections
B67 Echinococcosis
B68 Taeniasis
B69 Cysticercosis
B70 Diphyllobothriasis and sparganosis
B71 Other cestode infections
B72 Dracunculiasis
B73 Onchocerciasis
B74 Filariasis
B75 Trichinellosis
B76 Hookworm diseases
B77 Ascariasis
B78 Strongyloidiasis
B79 Trichuriasis
B80 Enterobiasis
B81 Other intestinal helminthiases, not elsewhere classified
B82 Unspecified intestinal parasitism
B83 Other helminthiases
Pediculosis, acariasis and other infestations (B85-B89)

B85 Pediculosis and phthiriasis
B86 Scabies
B87 Myiasis
B88 Other infestations
B89 Unspecified parasitic disease
30
Sequelae of infectious and parasitic diseases (B90-B94)

B90 Sequelae of tuberculosis
B91 Sequelae of poliomyelitis
B92 Sequelae of leprosy
B94 Sequelae of other and unspecified infectious and parasitic diseases
Bacterial, viral and other infectious agents (B95-B97)

B95 Streptococcus and staphylococcus as the cause of diseases classified to other chapters
B96 Other bacterial agents as the cause of diseases classified to other chapters
B97 Viral agents as the cause of diseases classified to other chapters
Other infectious diseases (B99)

B99 Other and unspecified infectious diseases
Chapter II
Neoplasms
(C00-D48)
Malignant neoplasms (C00-C97)

Malignant neoplasms of lip, oral cavity and pharynx (C00-C14)
C00 Malignant neoplasm of lip
C01 Malignant neoplasm of base of tongue
C02 Malignant neoplasm of other and unspecified parts of tongue
C03 Malignant neoplasm of gum
C04 Malignant neoplasm of floor of mouth
C05 Malignant neoplasm of palate
C06 Malignant neoplasm of other and unspecified parts of mouth
C07 Malignant neoplasm of parotid gland
C08 Malignant neoplasm of other and unspecified major salivary glands
C09 Malignant neoplasm of tonsil
C10 Malignant neoplasm of oropharynx
C11 Malignant neoplasm of nasopharynx
C12 Malignant neoplasm of pyriform sinus
C13 Malignant neoplasm of hypopharynx
C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx
31
Malignant neoplasms of digestive organs (C15-C26)

C15 Malignant neoplasm of oesophagus
C16 Malignant neoplasm of stomach
C17 Malignant neoplasm of small intestine
C18 Malignant neoplasm of colon
C19 Malignant neoplasm of rectosigmoid junction
C20 Malignant neoplasm of rectum
C21 Malignant neoplasm of anus and anal canal
C22 Malignant neoplasm of liver and intrahepatic bile ducts
C23 Malignant neoplasm of gallbladder
C24 Malignant neoplasm of other and unspecified parts of biliary tract
C25 Malignant neoplasm of pancreas
C26 Malignant neoplasm of other and ill-defined digestive organs
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

C30 Malignant neoplasm of nasal cavity and middle ear
C31 Malignant neoplasm of accessory sinuses
C32 Malignant neoplasm of larynx
C33 Malignant neoplasm of trachea
C34 Malignant neoplasm of bronchus and lung
C37 Malignant neoplasm of thymus
C38 Malignant neoplasm of heart, mediastinum and pleura
C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and
intrathoracic organs
Malignant neoplasms of bone and articular cartilage (C40-C41)

C40 Malignant neoplasm of bone and articular cartilage of limbs
C41 Malignant neoplasm of bone and articular cartilage of other and unspecified sites
Melanoma and other malignant neoplasms of skin (C43-C44)

C43 Malignant melanoma of skin
C44 Other malignant neoplasms of skin
Malignant neoplasms of mesothelial and soft tissue (C45-C49)

C45 Mesothelioma
C46 Kaposi's sarcoma
C47 Malignant neoplasm of peripheral nerves and autonomic nervous system
C48 Malignant neoplasm of retroperitoneum and peritoneum
C49 Malignant neoplasm of other connective and soft tissue
32
Malignant neoplasm of breast (C50)

C50 Malignant neoplasm of breast
Malignant neoplasms of female genital organs (C51-C58)

C51 Malignant neoplasm of vulva
C52 Malignant neoplasm of vagina
C53 Malignant neoplasm of cervix uteri
C54 Malignant neoplasm of corpus uteri
C55 Malignant neoplasm of uterus, part unspecified
C56 Malignant neoplasm of ovary
C57 Malignant neoplasm of other and unspecified female genital organs
C58 Malignant neoplasm of placenta
Malignant neoplasms of male genital organs (C60-C63)

C60 Malignant neoplasm of penis
C61 Malignant neoplasm of prostate
C62 Malignant neoplasm of testis
C63 Malignant neoplasm of other and unspecified male genital organs
Malignant neoplasms of urinary tract (C64-C68)

C64 Malignant neoplasm of kidney, except renal pelvis
C65 Malignant neoplasm of renal pelvis
C66 Malignant neoplasm of ureter
C67 Malignant neoplasm of bladder
C68 Malignant neoplasm of other and unspecified urinary organs
Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72)
C69 Malignant neoplasm of eye and adnexa
C70 Malignant neoplasm of meninges
C71 Malignant neoplasm of brain
C72 Malignant neoplasm of spinal cord, cranial nerves and other parts of central nervous
system
Malignant neoplasms of thyroid and other endocrine glands (C73-C75)

C73 Malignant neoplasm of thyroid gland
C74 Malignant neoplasm of adrenal gland
C75 Malignant neoplasm of other endocrine glands and related structures
33
Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80)

C76 Malignant neoplasm of other and ill-defined sites
C77 Secondary and unspecified malignant neoplasm of lymph nodes
C78 Secondary malignant neoplasm of respiratory and digestive organs
C79 Secondary malignant neoplasm of other sites
C80 Malignant neoplasm without specification of site
Malignant neoplasms of lymphoid, haematopoietic and related tissue (C81-C96)

C81 Hodgkin's disease
C82 Follicular [nodular] non-Hodgkin's lymphoma
C83 Diffuse non-Hodgkin's lymphoma
C84 Peripheral and cutaneous T-cell lymphomas
C85 Other and unspecified types of non-Hodgkin's lymphoma
C88 Malignant immunoproliferative diseases
C90 Multiple myeloma and malignant plasma cell neoplasms
C91 Lymphoid leukaemia
C92 Myeloid leukaemia
C93 Monocytic leukaemia
C94 Other leukaemias of specified cell type
C95 Leukaemia of unspecified cell type
C96 Other and unspecified malignant neoplasms of lymphoid, haematopoietic and related
tissue
Malignant neoplasms of independent (primary) multiple sites (C97)

C97 Malignant neoplasms of independent (primary) multiple sites
In situ neoplasms (D00-D09)

D00 Carcinoma in situ of oral cavity, oesophagus and stomach
D01 Carcinoma in situ of other and unspecified digestive organs
D02 Carcinoma in situ of middle ear and respiratory system
D03 Melanoma in situ
D04 Carcinoma in situ of skin
D05 Carcinoma in situ of breast
D06 Carcinoma in situ of cervix uteri
D07 Carcinoma in situ of other and unspecified genital organs
D09 Carcinoma in situ of other and unspecified sites
34
Benign neoplasms (D10-D36)

D10 Benign neoplasm of mouth and pharynx
D11 Benign neoplasm of major salivary glands
D12 Benign neoplasm of colon, rectum, anus and anal canal
D13 Benign neoplasm of other and ill-defined parts of digestive system
D14 Benign neoplasm of middle ear and respiratory system
D15 Benign neoplasm of other and unspecified intrathoracic organs
D16 Benign neoplasm of bone and articular cartilage
D17 Benign lipomatous neoplasm
D18 Haemangioma and lymphangioma, any site
D19 Benign neoplasm of mesothelial tissue
D20 Benign neoplasm of soft tissue of retroperitoneum and peritoneum
D21 Other benign neoplasms of connective and other soft tissue
D22 Melanocytic naevi
D23 Other benign neoplasms of skin
D24 Benign neoplasm of breast
D25 Leiomyoma of uterus
D26 Other benign neoplasms of uterus
D27 Benign neoplasm of ovary
D28 Benign neoplasm of other and unspecified female genital organs
D29 Benign neoplasm of male genital organs
D30 Benign neoplasm of urinary organs
D31 Benign neoplasm of eye and adnexa
D32 Benign neoplasm of meninges
D33 Benign neoplasm of brain and other parts of central nervous system
D34 Benign neoplasm of thyroid gland
D35 Benign neoplasm of other and unspecified endocrine glands
D36 Benign neoplasm of other and unspecified sites
Neoplasms of uncertain or unknown behaviour (D37-D48)

D37 Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs
D38 Neoplasm of uncertain or unknown behaviour of middle ear and respiratory and
D39 Neoplasm of uncertain or unknown behaviour of female genital organs
D40 Neoplasm of uncertain or unknown behaviour of male genital organs
D41 Neoplasm of uncertain or unknown behaviour of urinary organs
D42 Neoplasm of uncertain or unknown behaviour of meninges
D43 Neoplasm of uncertain or unknown behaviour of brain and central nervous system
D44 Neoplasm of uncertain or unknown behaviour of endocrine glands
D45 Polycythaemia vera
35
D46 Myelodysplastic syndromes

D47 Other neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and
related tissue
D48 Neoplasm of uncertain or unknown behaviour of other and unspecified sites
Chapter III
Diseases of blood and blood-forming organs and certain
disorders involving the immune mechanisms
(D50-D89)
Nutritional anaemias (D50-D53)

D50 Iron deficiency anaemia
D51 Vitamin B12 deficiency anaemia
D52 Folate deficiency anaemia
D53 Other nutritional anaemias
Haemolytic anaemias (D55-D59)

D55 Anaemia due to enzyme disorders
D56 Thalassaemia
D57 Sickle-cell disorders
D58 Other hereditary haemolytic anaemias
D59 Acquired haemolytic anaemia
Aplastic and other anaemias (D60-D64)

D60 Acquired pure red cell aplasia [erythroblastopenia]
D61 Other aplastic anaemias
D62 Acute posthaemorrhagic anaemia
D63* Anaemia in chronic diseases classified elsewhere
D64 Other anaemias
Coagulation defects, purpura and other haemorrhagic conditions (D65-D69)

D65 Disseminated intravascular coagulation [defibrination syndrome]
D66 Hereditary factor VIII deficiency
D67 Hereditary factor IX deficiency
D68 Other coagulation defects
D69 Purpura and other haemorrhagic conditions
36
Other diseases of blood and blood-forming organs (D70-D77)

D70 Agranulocytosis
D71 Functional disorders of polymorphonuclear neutrophils
D72 Other disorders of white blood cells
D73 Diseases of spleen
D74 Methaemoglobinaemia
D75 Other diseases of blood and blood-forming organs
D76 Certain diseases involving lymphoreticular tissue and reticulohistiocytic system
D77* Other disorders of blood and blood-forming organs in diseases classified elsewhere
Certain disorders involving the immune mechanism (D80-D89)

D80 Immunodeficiency with predominantly antibody defects
D81 Combined immunodeficiencies
D82 Immunodeficiency associated with other major defects
D83 Common variable immunodeficiency
D84 Other immunodeficiencies
D86 Sarcoidosis
D89 Other disorders involving the immune mechanism, not elsewhere classified
Chapter IV
Endocrine, nutritional and metabolic diseases
(E00-E90)
Disorders of thyroid gland (E00-E07)

E00 Congenital iodine-deficiency syndrome
E01 Iodine-deficiency-related thyroid disorders and allied conditions
E02 Subclinical iodine-deficiency hypothyroidism
E03 Other hypothyroidism
E04 Other nontoxic goitre
E05 Thyrotoxicosis [hyperthyroidism]
E06 Thyroiditis
E07 Other disorders of thyroid
Diabetes mellitus (E10-E14)

E10 Insulin-dependent diabetes mellitus
E11 Non-insulin-dependent diabetes mellitus
E12 Malnutrition-related diabetes mellitus
E13 Other specified diabetes mellitus
E14 Unspecified diabetes mellitus
37
Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)

E15 Nondiabetic hypoglycaemic coma
E16 Other disorders of pancreatic internal secretion
Disorders of other endocrine glands (E20-E35)

E20 Hypoparathyroidism
E21 Hyperparathyroidism and other disorders of parathyroid gland
E22 Hyperfunction of pituitary gland
E23 Hypofunction and other disorders of pituitary gland
E24 Cushing's syndrome
E25 Adrenogenital disorders
E26 Hyperaldosteronism
E27 Other disorders of adrenal gland
E28 Ovarian dysfunction
E29 Testicular dysfunction
E30 Disorders of puberty, not elsewhere classified
E31 Polyglandular dysfunction
E32 Diseases of thymus
E34 Other endocrine disorders
E35* Disorders of endocrine glands in diseases classified elsewhere
Malnutrition (E40-E46)
E40 Kwashiorkor
E41 Nutritional marasmus
E42 Marasmic kwashiorkor
E43 Unspecified severe protein-energy malnutrition
E44 Protein-energy malnutrition of moderate and mild degree
E45 Retarded development following protein-energy malnutrition
E46 Unspecified protein-energy malnutrition
Other nutritional deficiencies (E50-E64)

E50 Vitamin A deficiency
E51 Thiamine deficiency
E52 Niacin deficiency [pellagra]
E53 Deficiency of other B group vitamins
E54 Ascorbic acid deficiency
E55 Vitamin D deficiency
E56 Other vitamin deficiencies
E58 Dietary calcium deficiency
E59 Dietary selenium deficiency
38
E60 Dietary zinc deficiency

E61 Deficiency of other nutrient elements
E63 Other nutritional deficiencies
E64 Sequelae of malnutrition and other nutritional deficiencies
Obesity and other hyperalimentation (E65-E68)

E65 Localized adiposity
E66 Obesity
E67 Other hyperalimentation
E68 Sequelae of hyperalimentation
Metabolic disorders (E70-E90)

E70 Disorders of aromatic amino-acid metabolism
E71 Disorders of branched-chain amino-acid metabolism and fatty-acid metabolism
E72 Other disorders of amino-acid metabolism
E73 Lactose intolerance
E74 Other disorders of carbohydrate metabolism
E75 Disorders of sphingolipid metabolism and other lipid storage disorders
E76 Disorders of glycosaminoglycan metabolism
E77 Disorders of glycoprotein metabolism
E78 Disorders of lipoprotein metabolism and other lipidaemias
E79 Disorders of purine and pyrimidine metabolism
E80 Disorders of porphyrin and bilirubin metabolism
E83 Disorders of mineral metabolism
E84 Cystic fibrosis
E85 Amyloidosis
E86 Volume depletion
E87 Other disorders of fluid, electrolyte and acid-base balance
E88 Other metabolic disorders
E89 Postprocedural endocrine and metabolic disorders, not elsewhere classified
E90* Nutritional and metabolic disorders in diseases classified elsewhere
39
Chapter V
Mental, behavioural disorders
(F00-F99)
Organic, including symptomatic, mental disorders (F00-F09)

F00* Dementia in Alzheimer's disease
F01 Vascular dementia
F02* Dementia in other diseases classified elsewhere
F03 Unspecified dementia
F04 Organic amnesic syndrome, not induced by alcohol and other psychoactive substances
F05 Delirium, not induced by alcohol and other psychoactive substances
F06 Other mental disorders due to brain damage and dysfunction and to physical disease
F07 Personality and behavioural disorders due to brain disease, damage and dysfunction
F09 Unspecified organic or symptomatic mental disorder
Mental and behavioural disorders due to psychoactive substance use (F10-F19)

F10 Mental and behavioural disorders due to use of alcohol
F11 Mental and behavioural disorders due to use of opioids
F12 Mental and behavioural disorders due to use of cannabinoids
F13 Mental and behavioural disorders due to use of sedatives or hypnotics
F14 Mental and behavioural disorders due to use of cocaine
F15 Mental and behavioural disorders due to use of other stimulants, including caffeine
F16 Mental and behavioural disorders due to use of hallucinogens
F17 Mental and behavioural disorders due to use of tobacco
F18 Mental and behavioural disorders due to use of volatile solvents
F19 Mental and behavioural disorders due to multiple drug use and use of other psychoactive
substances
Schizophrenia, schizotypal and delusional disorders (F20-F29)

F20 Schizophrenia
F21 Schizotypal disorder
F22 Persistent delusional disorders
F23 Acute and transient psychotic disorders
F24 Induced delusional disorder
F25 Schizoaffective disorders
F28 Other nonorganic psychotic disorders
F29 Unspecified nonorganic psychosis
40
Mood [affective] disorders (F30-F39)

F30 Manic episode
F31 Bipolar affective disorder
F32 Depressive episodes
F33 Recurrent depressive disorder
F34 Persistent mood [affective] disorders
F38 Other mood [affective] disorders
F39 Unspecified mood [affective] disorder
Neurotic, stress-related and somatoform disorders (F40-F48)

F40 Phobic anxiety disorders
F41 Other anxiety disorders
F42 Obsessive-compulsive disorder
F43 Reaction to severe stress, and adjustment disorders
F44 Dissociative [conversion] disorders
F45 Somatoform disorders
F48 Other neurotic disorders
Behavioural syndromes associated with physiological disturbances and physical factors

(F50-F59)
F50 Eating disorders
F51 Nonorganic sleep disorders
F52 Sexual dysfunction, not caused by organic disorder or disease
F53 Mental and behavioural disorders associated with the puerperium, not elsewhere
classified
F54 Psychological and behavioural factors associated with disorders or diseases classified
elsewhere
F55 Abuse of non-dependence-producing substances
F59 Unspecified behavioural syndromes associated with physiological disturbances and
physical factors
Disorders of adult personality and behaviour (F60-F69)

F60 Specific personality disorders
F61 Mixed and other personality disorders
F62 Enduring personality changes, not attributable to brain damage and disease
F63 Habit and impulse disorders
F64 Gender identity disorders
F65 Disorders of sexual preference
F66 Psychological and behavioural disorders associated with sexual development and
orientation
F68 Other disorders of adult personality and behaviour
F69 Unspecified disorder of adult personality and behaviour
41
Mental retardation (F70-F79)

F70 Mild mental retardation
F71 Moderate mental retardation
F72 Severe mental retardation
F73 Profound mental retardation
F78 Other mental retardation
F79 Unspecified mental retardation
Disorders of psychological development (F80-F89)

F80 Specific developmental disorders of speech and language
F81 Specific developmental disorders of scholastic skills
F82 Specific developmental disorder of motor function
F83 Mixed specific developmental disorders
F84 Pervasive developmental disorders
F88 Other disorders of psychological development
F89 Unspecified disorder of psychological development
Behavioural and emotional disorders with onset usually occurring in childhood and
adolescence (F90-F98)
F90 Hyperkinetic disorders
F91 Conduct disorders
F92 Mixed disorders of conduct and emotions
F93 Emotional disorders with onset specific to childhood
F94 Disorders of social functioning with onset specific to childhood and adolescence
F95 Tic disorders
F98 Other behavioural and emotional disorders with onset usually occurring in childhood and
adolescence
Unspecified mental disorder (F99)

F99 Mental disorder, not otherwise specified
42
Chapter VI
Diseases of the nervous system
(G00-G99)
Inflammatory diseases of the central nervous system (G00-G09)

G00 Bacterial meningitis, not elsewhere classified
G01* Meningitis in bacterial diseases classified elsewhere
G02* Meningitis in other infectious and parasitic diseases classified elsewhere
G03 Meningitis due to other and unspecified causes
G04 Encephalitis, myelitis and encephalomyelitis
G05* Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
G06 Intracranial and intraspinal abscess and granuloma
G07* Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere
G08 Intracranial and intraspinal phlebitis and thrombophlebitis
G09 Sequelae of inflammatory diseases of central nervous system
Systemic atrophies primarily affecting the central nervous system (G10-G13)

G10 Huntington's disease
G11 Hereditary ataxia
G12 Spinal muscular atrophy and related syndromes
G13* Systemic atrophies primarily affecting central nervous system in diseases classified
elsewhere
Extrapyramidal and movement disorders (G20-G26)

G20 Parkinson's disease
G21 Secondary parkinsonism
G22* Parkinsonism in diseases classified elsewhere
G23 Other degenerative diseases of the basal ganglia
G24 Dystonia
G25 Other extrapyramidal and movement disorders
G26* Extrapyramidal and movement disorders in diseases classified elsewhere
Other degenerative diseases of the nervous system (G30-G32)

G30 Alzheimer's disease
G31 Other degenerative diseases of nervous system, not elsewhere classified
G32* Other degenerative disorders of nervous system in diseases classified elsewhere
Demyelinating diseases of the central nervous system (G35-G37)

G35 Multiple sclerosis
G36 Other acute disseminated demyelination
G37 Other demyelinating diseases of central nervous system
43
Episodic and paroxysmal disorders (G40-G47)

G40 Epilepsy
G41 Status epilepticus
G43 Migraine
G44 Other headache syndromes
G45 Transient cerebral ischaemic attacks and related syndromes
G46* Vascular syndromes of brain in cerebrovascular diseases
G47 Sleep disorders
Nerve, nerve root and plexus disorders (G50-G59)

G50 Disorders of trigeminal nerve
G51 Facial nerve disorders
G52 Disorders of other cranial nerves
G53* Cranial nerve disorders in diseases classified elsewhere
G54 Nerve root and plexus disorders
G55* Nerve root and plexus compressions in diseases classified elsewhere
G56 Mononeuropathies of upper limb
G57 Mononeuropathies of lower limb
G58 Other mononeuropathies
G59* Mononeuropathy in diseases classified elsewhere
Polyneuropathies and other disorders of the peripheral nervous system (G60-G64)

G60 Hereditary and idiopathic neuropathy
G61 Inflammatory polyneuropathy
G62 Other polyneuropathies
G63* Polyneuropathy in diseases classified elsewhere
G64 Other disorders of peripheral nervous system
Diseases of myoneural junction and muscle (G70-G73)

G70 Myasthenia gravis and other myoneural disorders
G71 Primary disorders of muscles
G72 Other myopathies
G73* Disorders of myoneural junction and muscle in diseases classified elsewhere
Cerebral palsy and other paralytic syndromes (G80-G83)

G80 Cerebral palsy
G81 Hemiplegia
G82 Paraplegia and tetraplegia
G83 Other paralytic syndromes
44
Other disorders of the nervous system (G90-G99)

G90 Disorders of autonomic nervous system
G91 Hydrocephalus
G92 Toxic encephalopathy
G93 Other disorders of brain
G94* Other disorders of brain in diseases classified elsewhere
G95 Other diseases of spinal cord
G96 Other disorders of central nervous system
G97 Postprocedural disorders of nervous system, not elsewhere classified
G98 Other disorders of nervous system, not elsewhere classified
G99* Other disorders of nervous system in diseases classified elsewhere
Chapter VII
Diseases of the eye and adnexa
(H00-H59)
Disorders of eyelid, lacrimal system and orbit (H00-H06)

H00 Hordeolum and chalazion
H01 Other inflammation of eyelid
H02 Other disorders of eyelid
H03* Disorders of eyelid in diseases classified elsewhere
H04 Disorders of lacrimal system
H05 Disorders of orbit
H06* Disorders of lacrimal system and orbit in diseases classified elsewhere
Disorders of conjunctiva (H10-H13)

H10 Conjunctivitis
H11 Other disorders of conjunctiva
H13* Disorders of conjunctiva in diseases classified elsewhere
Disorders of sclera, cornea, iris and ciliary body (H15-H22)

H15 Disorders of sclera
H16 Keratitis
H17 Corneal scars and opacities
H18 Other disorders of cornea
H19* Disorders of sclera and cornea in diseases classified elsewhere
H20 Iridocyclitis
H21 Other disorders of iris and ciliary body
H22* Disorders of iris and ciliary body in diseases classified elsewhere
45
Disorders of lens (H25-H28)

H25 Senile cataract
H26 Other cataract
H27 Other disorders of lens
H28* Cataract and other disorders of lens in diseases classified elsewhere
Disorders of choroid and retina (H30-H36)

H30 Chorioretinal inflammation
H31 Other disorders of choroid
H32* Chorioretinal disorders in diseases classified elsewhere
H33 Retinal detachments and breaks
H34 Retinal vascular occlusions
H35 Other retinal disorders
H36* Retinal disorders in diseases classified elsewhere
Glaucoma (H40-H42)
H40 Glaucoma
H42* Glaucoma in diseases classified elsewhere
Disorders of vitreous body and globe (H43-H45)

H43 Disorders of vitreous body
H44 Disorders of globe
H45* Disorders of vitreous body and globe in diseases classified elsewhere
Disorders of optic nerve and visual pathways (H46-H48)

H46 Optic neuritis
H47 Other disorders of optic [2nd] nerve and visual pathways
H48* Disorders of optic [2nd] nerve and visual pathways in diseases classified elsewhere
Disorders of ocular muscles, binocular movement, accommodation and refraction

(H49-H52)
H49 Paralytic strabismus
H50 Other strabismus
H51 Other disorders of binocular movement
H52 Disorders of refraction and accommodation
Visual disturbances and blindness (H53-H54)

H53 Visual disturbances
H54 Blindness and low vision
46
Other disorders of eye and adnexa (H55-H59)

H55 Nystagmus and other irregular eye movements
H57 Other disorders of eye and adnexa
H58* Other disorders of eye and adnexa in diseases classified elsewhere
H59 Postprocedural disorders of eye and adnexa, not elsewhere classified
Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)
Diseases of external ear (H60-H62)

H60 Otitis externa
H61 Other disorders of external ear
H62* Disorders of external ear in diseases classified elsewhere
Diseases of middle ear and mastoid (H65-H75)

H65 Nonsuppurative otitis media
H66 Suppurative and unspecified otitis media
H67* Otitis media in diseases classified elsewhere
H68 Eustachian salpingitis and obstruction
H69 Other disorders of Eustachian tube
H70 Mastoiditis and related conditions
H71 Cholesteatoma of middle ear
H72 Perforation of tympanic membrane
H73 Other disorders of tympanic membrane
H74 Other disorders of middle ear and mastoid
H75* Other disorders of middle ear and mastoid in diseases classified elsewhere
Diseases of inner ear (H80-H83)

H80 Otosclerosis
H81 Disorders of vestibular function
H82* Vertiginous syndromes in diseases classified elsewhere
H83 Other diseases of inner ear
47
Other disorders of ear (H90-H95)

H90 Conductive and sensorineural hearing loss
H91 Other hearing loss
H92 Otalgia and effusion of ear
H93 Other disorders of ear, not elsewhere classified
H94* Other disorders of ear in diseases classified elsewhere
H95 Postprocedural disorders of ear and mastoid process, not elsewhere classified
Chapter IX
Diseases of the circulatory system
(I00-I99)
Acute rheumatic fever (I00-I02)

I00 Rheumatic fever without mention of heart involvement
I01 Rheumatic fever with heart involvement
I02 Rheumatic chorea
Chronic rheumatic heart diseases (I05-I09)

I05 Rheumatic mitral valve diseases
I06 Rheumatic aortic valve diseases
I07 Rheumatic tricuspid valve diseases
I08 Multiple valve diseases
I09 Other rheumatic heart diseases
Hypertensive diseases (I10-I15)

I10 Essential (primary) hypertension
I11 Hypertensive heart disease
I12 Hypertensive renal disease
I13 Hypertensive heart and renal disease
I15 Secondary hypertension
Ischaemic heart diseases (I20-I25)

I20 Angina pectoris
I21 Acute myocardial infarction
I22 Subsequent myocardial infarction
I23 Certain current complications following acute myocardial infarction
I24 Other acute ischaemic heart diseases
I25 Chronic ischaemic heart disease
48
Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)

I26 Pulmonary embolism
I27 Other pulmonary heart diseases
I28 Other diseases of pulmonary vessels
Other forms of heart disease (I30-I52)

I30 Acute pericarditis
I31 Other diseases of pericardium
I32* Pericarditis in diseases classified elsewhere
I33 Acute and subacute endocarditis
I34 Nonrheumatic mitral valve disorders
I35 Nonrheumatic aortic valve disorders
I36 Nonrheumatic tricuspid valve disorders
I37 Pulmonary valve disorders
I38 Endocarditis, valve unspecified
I39* Endocarditis and heart valve disorders in diseases classified elsewhere
I40 Acute myocarditis
I41* Myocarditis in diseases classified elsewhere
I42 Cardiomyopathy
I43* Cardiomyopathy in diseases classified elsewhere
I44 Atrioventricular and left bundle-branch block
I45 Other conduction disorders
I46 Cardiac arrest
I47 Paroxysmal tachycardia
I48 Atrial fibrillation and flutter
I49 Other cardiac arrhythmias
I50 Heart failure
I51 Complications and ill-defined descriptions of heart disease
I52* Other heart disorders in diseases classified elsewhere
Cerebrovascular diseases (I60-I69)

I60 Subarachnoid haemorrhage
I61 Intracerebral haemorrhage
I62 Other nontraumatic intracranial haemorrhage
I63 Cerebral infarction
I64 Stroke, not specified as haemorrhage or infarction
I65 Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction
I66 Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
I67 Other cerebrovascular diseases
I68* Cerebrovascular disorders in diseases classified elsewhere
I69 Sequelae of cerebrovascular disease
49
Diseases of arteries, arterioles and capillaries (I70-I79)

I70 Atherosclerosis
I71 Aortic aneurysm and dissection
I72 Other aneurysm
I73 Other peripheral vascular diseases
I74 Arterial embolism and thrombosis
I77 Other disorders of arteries and arterioles
I78 Diseases of capillaries
I79* Disorders of arteries, arterioles and capillaries in diseases classified elsewhere
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
I80 Phlebitis and thrombophlebitis
I81 Portal vein thrombosis
I82 Other venous embolism and thrombosis
I83 Varicose veins of lower extremities
I84 Haemorrhoids
I85 Oesophageal varices
I86 Varicose veins of other sites
I87 Other disorders of veins
I88 Nonspecific lymphadenitis
I89 Other noninfective disorders of lymphatic vessels and lymph nodes
Other and unspecified disorders of the circulatory system (I95-I99)

I95 Hypotension
I97 Postprocedural disorders of circulatory system, not elsewhere classified
I98* Other disorders of circulatory system in diseases classified elsewhere
I99 Other and unspecified disorders of circulatory system
Chapter X
Diseases of the respiratory system
(J00-J99)
Acute upper respiratory infections (J00-J06)

J00 Acute nasopharyngitis [common cold]
J01 Acute sinusitis
J02 Acute pharyngitis
J03 Acute tonsillitis
J04 Acute laryngitis and tracheitis
J05 Acute obstructive laryngitis [croup] and epiglottitis
J06 Acute upper respiratory infections of multiple or unspecified sites
50
Influenza and pneumonia (J10-J18)

J10 Influenza due to identified influenza virus
J11 Influenza, virus not identified
J12 Viral pneumonia, not elsewhere classified
J13 Pneumonia due to Streptococcus pneumoniae
J14 Pneumonia due to Haemophilus influenzae
J15 Bacterial pneumonia, not elsewhere classified
J16 Pneumonia due to other infectious organisms, not elsewhere classified
J17* Pneumonia in diseases classified elsewhere
J18 Pneumonia, organism unspecified
Other acute lower respiratory infections (J20-J22)

J20 Acute bronchitis
J21 Acute bronchiolitis
J22 Unspecified acute lower respiratory infection
Other diseases of upper respiratory tract (J30-J39)

J30 Vasomotor and allergic rhinitis
J31 Chronic rhinitis, nasopharyngitis and pharyngitis
J32 Chronic sinusitis
J33 Nasal polyp
J34 Other disorders of nose and nasal sinuses
J35 Chronic diseases of tonsils and adenoids
J36 Peritonsillar abscess
J37 Chronic laryngitis and laryngotracheitis
J38 Diseases of vocal cords and larynx, not elsewhere classified
J39 Other diseases of upper respiratory tract
Chronic lower respiratory diseases (J40-J47)

J40 Bronchitis, not specified as acute or chronic
J41 Simple and mucopurulent chronic bronchitis
J42 Unspecified chronic bronchitis
J43 Emphysema
J44 Other chronic obstructive pulmonary disease
J45 Asthma
J46 Status asthmaticus
J47 Bronchiectasis
51
Lung diseases due to external agents (J60-J70)

J60 Coalworker's pneumoconiosis
J61 Pneumoconiosis due to asbestos and other mineral fibres
J62 Pneumoconiosis due to dust containing silica
J63 Pneumoconiosis due to other inorganic dusts
J64 Unspecified pneumoconiosis
J65 Pneumoconiosis associated with tuberculosis
J66 Airway disease due to specific organic dust
J67 Hypersensitivity pneumonitis due to organic dust
J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours
J69 Pneumonitis due to solids and liquids
J70 Respiratory conditions due to other external agents
Other respiratory diseases principally affecting the interstitium (J80-J84)

J80 Adult respiratory distress syndrome
J81 Pulmonary oedema
J82 Pulmonary eosinophilia, not elsewhere classified
J84 Other interstitial pulmonary diseases
Suppurative and necrotic conditions of lower respiratory tract (J85-J86)

J85 Abscess of lung and mediastinum
J86 Pyothorax
Other diseases of pleura (J90-J94)

J90 Pleural effusion, not elsewhere classified
J91* Pleural effusion in conditions classified elsewhere
J92 Pleural plaque
J93 Pneumothorax
J94 Other pleural conditions
Other diseases of the respiratory system (J95-J99)

J95 Postprocedural respiratory disorders, not elsewhere classified
J96 Respiratory failure, not elsewhere classified
J98 Other respiratory disorders
J99* Respiratory disorders in diseases classified elsewhere
52
Chapter XI
Diseases of the digestive system
(K00-K93)
Diseases of oral cavity, salivary glands and jaws (K00-K14)

K00 Disorders of tooth development and eruption
K01 Embedded and impacted teeth
K02 Dental caries
K03 Other diseases of hard tissues of teeth
K04 Diseases of pulp and periapical tissues
K05 Gingivitis and periodontal diseases
K06 Other disorders of gingiva and edentulous alveolar ridge
K07 Dentofacial anomalies [including malocclusion]
K08 Other disorders of teeth and supporting structures
K09 Cysts of oral region, not elsewhere classified
K10 Other diseases of jaws
K11 Diseases of salivary glands
K12 Stomatitis and related lesions
K13 Other diseases of lip and oral mucosa
K14 Diseases of tongue
Diseases of oesophagus, stomach and duodenum (K20-K31)

K20 Oesophagitis
K21 Gastro-oesophageal reflux disease
K22 Other diseases of oesophagus
K23* Disorders of oesophagus in diseases classified elsewhere
K25 Gastric ulcer
K26 Duodenal ulcer
K27 Peptic ulcer, site unspecified
K28 Gastrojejunal ulcer
K29 Gastritis and duodenitis
K30 Dyspepsia
K31 Other diseases of stomach and duodenum
Diseases of appendix (K35-K38)

K35 Acute appendicitis
K36 Other appendicitis
K37 Unspecified appendicitis
K38 Other diseases of appendix
53
Hernia (K40-K46)
K40 Inguinal hernia
K41 Femoral hernia
K42 Umbilical hernia
K43 Ventral hernia
K44 Diaphragmatic hernia
K45 Other abdominal hernia
K46 Unspecified hernia of abdominal cavity
Noninfective enteritis and colitis (K50-K52)

K50 Crohn's disease [regional enteritis]
K51 Ulcerative colitis
K52 Other noninfective gastroenteritis and colitis
Other diseases of intestines (K55-K63)

K55 Vascular disorders of intestine
K56 Paralytic ileus and intestinal obstruction without hernia
K57 Diverticular disease of intestine
K58 Irritable bowel syndrome
K59 Other functional intestinal disorders
K60 Fissure and fistula of anal and rectal regions
K61 Abscess of anal and rectal regions
K62 Other diseases of anus and rectum
K63 Other diseases of intestine
Diseases of peritoneum (K65-K67)

K65 Peritonitis
K66 Other disorders of peritoneum
K67* Disorders of peritoneum in infectious diseases classified elsewhere
Diseases of liver (K70-K77)

K70 Alcoholic liver disease
K71 Toxic liver disease
K72 Hepatic failure, not elsewhere classified
K73 Chronic hepatitis, not elsewhere classified
K74 Fibrosis and cirrhosis of liver
K75 Other inflammatory liver diseases
K76 Other diseases of liver
K77* Liver disorders in diseases classified elsewhere
54
Disorders of gallbladder, biliary tract and pancreas (K80-K87)

K80 Cholelithiasis
K81 Cholecystitis
K82 Other diseases of gallbladder
K83 Other diseases of biliary tract
K85 Acute pancreatitis
K86 Other diseases of pancreas
K87* Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
Other diseases of the digestive system (K90-K93)

K90 Intestinal malabsorption
K91 Postprocedural disorders of digestive system, not elsewhere classified
K92 Other diseases of digestive system
K93* Disorders of other digestive organs in diseases classified elsewhere
Chapter XII
Diseases of the skin and subcutaneous tissue
(L00-L99)
Infections of the skin and subcutaneous tissue (L00-L08)

L00 Staphylococcal scalded skin syndrome
L01 Impetigo
L02 Cutaneous abscess, furuncle and carbuncle
L03 Cellulitis
L04 Acute lymphadenitis
L05 Pilonidal cyst
L08 Other local infections of skin and subcutaneous tissue
Bullous disorders (L10-L14)

L10 Pemphigus
L11 Other acantholytic disorders
L12 Pemphigoid
L13 Other bullous disorders
L14* Bullous disorders in diseases classified elsewhere
55
Dermatitis and eczema (L20-L30)

L20 Atopic dermatitis
L21 Seborrhoeic dermatitis
L22 Diaper [napkin] dermatitis
L23 Allergic contact dermatitis
L24 Irritant contact dermatitis
L25 Unspecified contact dermatitis
L26 Exfoliative dermatitis
L27 Dermatitis due to substances taken internally
L28 Lichen simplex chronicus and prurigo
L29 Pruritus
L30 Other dermatitis
Papulosquamous disorders (L40-L45)

L40 Psoriasis
L41 Parapsoriasis
L42 Pityriasis rosea
L43 Lichen planus
L44 Other papulosquamous disorders
L45* Papulosquamous disorders in diseases classified elsewhere
Urticaria and erythema (L50-L54)

L50 Urticaria
L51 Erythema multiforme
L52 Erythema nodosum
L53 Other erythematous conditions
L54* Erythema in diseases classified elsewhere
Radiation-related disorders of the skin and subcutaneous tissue (L55-L59)

L55 Sunburn
L56 Other acute skin changes due to ultraviolet radiation
L57 Skin changes due to chronic exposure to nonionizing radiation
L58 Radiodermatitis
L59 Other disorders of skin and subcutaneous tissue related to radiation
56
Disorders of skin appendages (L60-L75)

L60 Nail disorders
L62* Nail disorders in diseases classified elsewhere
L63 Alopecia areata
L64 Androgenic alopecia
L65 Other nonscarring hair loss
L66 Cicatricial alopecia [scarring hair loss]
L67 Hair colour and hair shaft abnormalities
L68 Hypertrichosis
L70 Acne
L71 Rosacea
L72 Follicular cysts of skin and subcutaneous tissue
L73 Other follicular disorders
L74 Eccrine sweat disorders
L75 Apocrine sweat disorders
Other disorders of the skin and subcutaneous tissue (L80-L99)

L80 Vitiligo
L81 Other disorders of pigmentation
L82 Seborrhoeic keratosis
L83 Acanthosis nigricans
L84 Corns and callosities
L85 Other epidermal thickening
L86* Keratoderma in diseases classified elsewhere
L87 Transepidermal elimination disorders
L88 Pyoderma gangrenosum
L89 Decubitus ulcer
L90 Atrophic disorders of skin
L91 Hypertrophic disorders of skin
L92 Granulomatous disorders of skin and subcutaneous tissue
L93 Lupus erythematosus
L94 Other localized connective tissue disorders
L95 Vasculitis limited to skin, not elsewhere classified
L97 Ulcer of lower limb, not elsewhere classified
L98 Other disorders of skin and subcutaneous tissue, not elsewhere classified
L99* Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
57
Chapter XIII
Diseases of the musculoskeletal system and connective tissue
(M00-M99)
Arthropathies (M00-M25)
Infectious arthropathies (M00-M03)

M00 Pyogenic arthritis
M01* Direct infections of joint in infectious and parasitic diseases classified elsewhere
M02 Reactive arthropathies
M03* Postinfective and reactive arthropathies in diseases classified elsewhere
Inflammatory polyarthropathies (M05-M14)

M05 Seropositive rheumatoid arthritis
M06 Other rheumatoid arthritis
M07* Psoriatic and enteropathic arthropathies
M08 Juvenile arthritis
M09* Juvenile arthritis in diseases classified elsewhere
M10 Gout
M11 Other crystal arthropathies
M12 Other specific arthropathies
M13 Other arthritis
M14* Arthropathies in other diseases classified elsewhere
Arthrosis (M15-M19)
M15 Polyarthrosis
M16 Coxarthrosis [arthrosis of hip]
M17 Gonarthrosis [arthrosis of knee]
M18 Arthrosis of first carpometacarpal joint
M19 Other arthrosis
Other joint disorders (M20-M25)

M20 Acquired deformities of fingers and toes
M21 Other acquired deformities of limbs
M22 Disorders of patella
M23 Internal derangement of knee
M24 Other specific joint derangements
M25 Other joint disorders, not elsewhere classified
58
Systemic connective tissue disorders (M30-M36)

M30 Polyarteritis nodosa and related conditions
M31 Other necrotizing vasculopathies
M32 Systemic lupus erythematosus
M33 Dermatopolymyositis
M34 Systemic sclerosis
M35 Other systemic involvement of connective tissue
M36* Systemic disorders of connective tissue in diseases classified elsewhere
Dorsopathies (M40-M54)
Deforming dorsopathies (M40-M43)

M40 Kyphosis and lordosis
M41 Scoliosis
M42 Spinal osteochondrosis
M43 Other deforming dorsopathies
Spondylopathies (M45-M49)
M45 Ankylosing spondylitis
M46 Other inflammatory spondylopathies
M47 Spondylosis
M48 Other spondylopathies
M49* Spondylopathies in diseases classified elsewhere
Other dorsopathies (M50-M54)

M50 Cervical disc disorders
M51 Other intervertebral disc disorders
M53 Other dorsopathies, not elsewhere classified
M54 Dorsalgia
Soft tissue disorders (M60-M79)
Disorders of muscles (M60-M63)

M60 Myositis
M61 Calcification and ossification of muscle
M62 Other disorders of muscle
M63* Disorders of muscle in diseases classified elsewhere
59
Disorders of synovium and tendon (M65-M68)

M65 Synovitis and tenosynovitis
M66 Spontaneous rupture of synovium and tendon
M67 Other disorders of synovium and tendon
M68* Disorders of synovium and tendon in diseases classified elsewhere
Other soft tissue disorders (M70-M79)

M70 Soft tissue disorders related to use, overuse and pressure
M71 Other bursopathies
M72 Fibroblastic disorders
M73* Soft tissue disorders in diseases classifed elsewhere
M75 Shoulder lesions
M76 Enthesopathies of lower limb, excluding foot
M77 Other enthesopathies
M79 Other soft tissue disorders, not elsewhere classified
Osteopathies and chondropathies (M80-M94)
Disorders of bone density and structure (M80-M85)

M80 Osteoporosis with pathological fracture
M81 Osteoporosis without pathological fracture
M82* Osteoporosis in diseases classified elsewhere
M83 Adult osteomalacia
M84 Disorders of continuity of bone
M85 Other disorders of bone density and structure
Other osteopathies (M86-M90)

M86 Osteomyelitis
M87 Osteonecrosis
M88 Paget's disease of bone [osteitis deformans]
M89 Other disorders of bone
M90* Osteopathies in diseases classified elsewhere
Chondropathies (M91-M94)
M91 Juvenile osteochondrosis of hip and pelvis
M92 Other juvenile osteochondrosis
M93 Other osteochondropathies
M94 Other disorders of cartilage
60
Other disorders of the musculoskeletal system and connective tissue (M95-M99)

M95 Other acquired deformities of musculoskeletal system
M96 Postprocedural muscoloskeletal disorders, not elsewhere classified
M99 Biomechanical lesions, not elsewhere classified
Chapter XIV
Diseases of the genitourinary system
(N00-N99)
Glomerular diseases (N00-N08)

N00 Acute nephritic syndrome
N01 Rapidly progressive nephritic syndrome
N02 Recurrent and persistent haematuria
N03 Chronic nephritic syndrome
N04 Nephrotic syndrome
N05 Unspecified nephritic syndrome
N06 Isolated proteinuria with specified morphological lesion
N07 Hereditary nephropathy, not elsewhere classified
N08* Glomerular disorders in diseases classified elsewhere
Renal tubulo-interstitial diseases (N10-N16)

N10 Acute tubulo-interstitial nephritis
N11 Chronic tubulo-interstitial nephritis
N12 Tubulo-interstitial nephritis, not specified as acute or chronic
N13 Obstructive and reflux uropathy
N14 Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions
N15 Other renal tubulo-interstitial diseases
N16* Renal tubulo-interstitial disorders in diseases classified elsewhere
Renal failure (N17-N19)

N17 Acute renal failure
N18 Chronic renal failure
N19 Unspecified renal failure
Urolithiasis (N20-N23)
N20 Calculus of kidney and ureter
N21 Calculus of lower urinary tract
N22* Calculus of urinary tract in diseases classified elsewhere
N23 Unspecified renal colic
61
Other disorders of kidney and ureter (N25-N29)

N25 Disorders resulting from impaired renal tubular function
N26 Unspecified contracted kidney
N27 Small kidney of unknown cause
N28 Other disorders of kidney and ureter, not elsewhere classified
N29* Other disorders of kidney and ureter in diseases classified elsewhere
Other diseases of urinary system (N30-N39)

N30 Cystitis
N31 Neuromuscular dysfunction of bladder, not elsewhere classified
N32 Other disorders of bladder
N33* Bladder disorders in diseases classified elsewhere
N34 Urethritis and urethral syndrome
N35 Urethral stricture
N36 Other disorders of urethra
N37* Urethral disorders in diseases classified elsewhere
N39 Other disorders of urinary system
Diseases of male genital organs (N40-N51)

N40 Hyperplasia of prostate
N41 Inflammatory diseases of prostate
N42 Other disorders of prostate
N43 Hydrocele and spermatocele
N44 Torsion of testis
N45 Orchitis and epididymitis
N46 Male infertility
N47 Redundant prepuce, phimosis and paraphimosis
N48 Other disorders of penis
N49 Inflammatory disorders of male genital organs, not elsewhere classified
N50 Other disorders of male genital organs
N51* Disorders of male genital organs in diseases classified elsewhere
Disorders of breast (N60-N64)

N60 Benign mammary dysplasia
N61 Inflammatory disorders of breast
N62 Hypertrophy of breast
N63 Unspecified lump in breast
N64 Other disorders of breast
62
Inflammatory diseases of female pelvic organs (N70-N77)

N70 Salpingitis and oophoritis
N71 Inflammatory disease of uterus, except cervix
N72 Inflammatory disease of cervix uteri
N73 Other female pelvic inflammatory diseases
N74* Female pelvic inflammatory disorders in diseases classified elsewhere
N75 Diseases of Bartholin's gland
N76 Other inflammation of vagina and vulva
N77* Vulvovaginal ulceration and inflammation in diseases classified elsewhere
Noninflammatory disorders of female genital tract (N80-N98)

N80 Endometriosis
N81 Female genital prolapse
N82 Fistulae involving female genital tract
N83 Noninflammatory disorders of ovary, fallopian tube and broad ligament
N84 Polyp of female genital tract
N85 Other noninflammatory disorders of uterus, except cervix
N86 Erosion and ectropion of cervix uteri
N87 Dysplasia of cervix uteri
N88 Other noninflammatory disorders of cervix uteri
N89 Other noninflammatory disorders of vagina
N90 Other noninflammatory disorders of vulva and perineum
N91 Absent, scanty and rare menstruation
N92 Excessive, frequent and irregular menstruation
N93 Other abnormal uterine and vaginal bleeding
N94 Pain and other conditions associated with female genital organs and menstrual cycle
N95 Menopausal and other perimenopausal disorders
N96 Habitual aborter
N97 Female infertility
N98 Complications associated with artificial fertilization
Other disorders of the genitourinary tract (N99)

N99 Postprocedural disorders of the genitourinary system, not elsewhere classified
63
Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)
Pregnancy with abortive outcome (O00-O08)

O00 Ectopic pregnancy
O01 Hydatidiform mole
O02 Other abnormal products of conception
O03 Spontaneous abortion
O04 Medical abortion
O05 Other abortion
O06 Unspecified abortion
O07 Failed attempted abortion
O08 Complications following abortion and ectopic and molar pregnancy
Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the

puerperium (O10-O16)
O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
O11 Pre-existing hypertensive disorder with superimposed proteinuria
O12 Gestational [pregnancy-induced] oedema and proteinuria without hypertension
O13 Gestational [pregnancy-induced] hypertension without significant proteinuria
O14 Gestational [pregnancy-induced] hypertension with significant proteinuria
O15 Eclampsia
O16 Unspecified maternal hypertension
Other maternal disorders predominantly related to pregnancy (O20-O29)

O20 Haemorrhage in early pregnancy
O21 Excessive vomiting in pregnancy
O22 Venous complications in pregnancy
O23 Infections of genitourinary tract in pregnancy
O24 Diabetes mellitus in pregnancy
O25 Malnutrition in pregnancy
O26 Maternal care for other conditions predominantly related to pregnancy
O28 Abnormal findings on antenatal screening of mother
O29 Complications of anaesthesia during pregnancy
64
Maternal care related to fetus and amniotic cavity and possible delivery problems
(O30-O48)
O30 Multiple gestation
O31 Complications specific to multiple gestation
O32 Maternal care for known or suspected malpresentation of fetus
O33 Maternal care for known or suspected disproportion
O34 Maternal care for known or suspected abnormality of pelvic organs
O35 Maternal care for known or suspected fetal abnormality and damage
O36 Maternal care for other known or suspected fetal problems
O40 Polyhydramnios
O41 Other disorders of amniotic fluid and membranes
O42 Premature rupture of membranes
O43 Placental disorders
O44 Placenta praevia
O45 Premature separation of placenta [abruptio placentae]
O46 Antepartum haemorrhage, not elsewhere classified
O47 False labour
O48 Prolonged pregnancy
Complications of labour and delivery (O60-O75)

O60 Preterm delivery
O61 Failed induction of labour
O62 Abnormalities of forces of labour
O63 Long labour
O64 Obstructed labour due to malposition and malpresentation of fetus
O65 Obstructed labour due to maternal pelvic abnormality
O66 Other obstructed labour
O67 Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified
O68 Labour and delivery complicated by fetal stress [distress]
O69 Labour and delivery complicated by umbilical cord complications
O70 Perineal laceration during delivery
O71 Other obstetric trauma
O72 Postpartum haemorrhage
O73 Retained placenta and membranes, without haemorrhage
O74 Complications of anaesthesia during labour and delivery
O75 Other complications of labour and delivery, not elsewhere classified
65
Delivery (O80-O84)
O80 Single spontaneous delivery
O81 Single delivery by forceps and vacuum extractor
O82 Single delivery by caesarean section
O83 Other assisted single delivery
O84 Multiple delivery
Complications predominantly related to the puerperium (O85-O92)

O85 Puerperal sepsis
O86 Other puerperal infections
O87 Venous complications in the puerperium
O88 Obstetric embolism
O89 Complications of anaesthesia during the puerperium
O90 Complications of the puerperium, not elsewhere classified
O91 Infections of breast associated with childbirth
O92 Other disorders of breast and lactation associated with childbirth
Other obstetric conditions, not elsewhere classified (O94-O99)

O94 Sequelae of complication of pregnancy, childbirth and the puerperium
O95 Obstetric death of unspecified cause
O96 Death from any obstetric cause occurring more than 42 days but less than one year after
delivery
O97 Death from sequelae of direct obstetric causes
O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating
pregnancy, childbirth and the puerperium
O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth
and the puerperium
Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour
and delivery (P00-P04)
P00 Fetus and newborn affected by maternal conditions that may be unrelated to present
pregnancy
P01 Fetus and newborn affected by maternal complications of pregnancy
P02 Fetus and newborn affected by complications of placenta, cord and membranes
P03 Fetus and newborn affected by other complications of labour and delivery
P04 Fetus and newborn affected by noxious influences transmitted via placenta or breast milk
66
Disorders related to length of gestation and fetal growth (P05-P08)

P05 Slow fetal growth and fetal malnutrition
P07 Disorders related to short gestation and low birth weight, not elsewhere classified
P08 Disorders related to long gestation and high birth weight
Birth trauma (P10-P15)

P10 Intracranial laceration and haemorrhage due to birth injury
P11 Other birth injuries to central nervous system
P12 Birth injury to scalp
P13 Birth injury to skeleton
P14 Birth injury to peripheral nervous system
P15 Other birth injuries
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)

P20 Intrauterine hypoxia
P21 Birth asphyxia
P22 Respiratory distress of newborn
P23 Congenital pneumonia
P24 Neonatal aspiration syndromes
P25 Interstitial emphysema and related conditions originating in the perinatal period
P26 Pulmonary haemorrhage originating in the perinatal period
P27 Chronic respiratory disease originating in the perinatal period
P28 Other respiratory conditions originating in the perinatal period
P29 Cardiovascular disorders originating in the perinatal period
Infections specific to the perinatal period (P35-P39)

P35 Congenital viral diseases
P36 Bacterial sepsis of newborn
P37 Other congenital infectious and parasitic diseases
P38 Omphalitis of newborn with or without mild haemorrhage
P39 Other infections specific to the perinatal period
Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)

P50 Fetal blood loss
P51 Umbilical haemorrhage of newborn
P52 Intracranial nontraumatic haemorrhage of fetus and newborn
P53 Haemorrhagic disease of fetus and newborn
P54 Other neonatal haemorrhages
P55 Haemolytic disease of fetus and newborn
P56 Hydrops fetalis due to haemolytic disease
67
P57 Kernicterus
P58 Neonatal jaundice due to other excessive haemolysis
P59 Neonatal jaundice from other and unspecified causes
P60 Disseminated intravascular coagulation of fetus and newborn
P61 Other perinatal haematological disorders
Transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)
P70 Transitory disorders of carbohydrate metabolism specific to fetus and newborn
P71 Transitory neonatal disorders of calcium and magnesium metabolism
P72 Other transitory neonatal endocrine disorders
P74 Other transitory neonatal electrolyte and metabolic disturbances
Digestive system disorders of fetus and newborn (P75-P78)

P75* Meconium ileus
P76 Other intestinal obstruction of newborn
P77 Necrotizing enterocolitis of fetus and newborn
P78 Other perinatal digestive system disorders
Conditions involving the integument and temperature regulation of fetus and newborn
(P80-P83)
P80 Hypothermia of newborn
P81 Other disturbances of temperature regulation of newborn
P83 Other conditions of integument specific to fetus and newborn
Other disorders originating in the perinatal period (P90-P96)

P90 Convulsions of newborn
P91 Other disturbances of cerebral status of newborn
P92 Feeding problems of newborn
P93 Reactions and intoxications due to drugs administered to fetus and newborn
P94 Disorders of muscle tone of newborn
P95 Fetal death of unspecified cause
P96 Other conditions originating in the perinatal period
68
Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)
Congenital malformations of the nervous system (Q00-Q07)

Q00 Anencephaly and similar malformations
Q01 Encephalocele
Q02 Microcephaly
Q03 Congenital hydrocephalus
Q04 Other congenital malformations of brain
Q05 Spina bifida
Q06 Other congenital malformations of spinal cord
Q07 Other congenital malformations of nervous system
Congenital malformations of eye, ear, face and neck (Q10-Q18)

Q10 Congenital malformations of eyelid, lacrimal apparatus and orbit
Q11 Anophthalmos, microphthalmos and macrophthalmos
Q12 Congenital lens malformations
Q13 Congenital malformations of anterior segment of eye
Q14 Congenital malformations of posterior segment of eye
Q15 Other congenital malformations of eye
Q16 Congenital malformations of ear causing impairment of hearing
Q17 Other congenital malformations of ear
Q18 Other congenital malformations of face and neck
Congenital malformations of the circulatory system (Q20-Q28)

Q20 Congenital malformations of cardiac chambers and connections
Q21 Congenital malformations of cardiac septa
Q22 Congenital malformations of pulmonary and tricuspid valves
Q23 Congenital malformations of aortic and mitral valves
Q24 Other congenital malformations of the heart
Q25 Congenital malformations of great arteries
Q26 Congenital malformations of great veins
Q27 Other congenital malformations of peripheral vascular system
Q28 Other congenital malformations of circulatory system
69
Congenital malformations of the respiratory system (Q30-Q34)

Q30 Congenital malformations of nose
Q31 Congenital malformations of larynx
Q32 Congenital malformations of trachea and bronchus
Q33 Congenital malformations of lung
Q34 Other congenital malformations of respiratory system
Cleft lip and cleft palate (Q35-Q37)

Q35 Cleft palate
Q36 Cleft lip
Q37 Cleft palate with cleft lip
Other congenital malformations of the digestive system (Q38-Q45)

Q38 Other congenital malformations of tongue, mouth and pharynx
Q39 Congenital malformations of oesophagus
Q40 Other congenital malformations of upper alimentary tract
Q41 Congenital absence, atresia and stenosis of small intestine
Q42 Congenital absence, atresia and stenosis of large intestine
Q43 Other congenital malformations of intestine
Q44 Congenital malformations of gallbladder, bile ducts and liver
Q45 Other congenital malformations of digestive system
Congenital malformations of genital organs (Q50-Q56)

Q50 Congenital malformations of ovaries, fallopian tubes and broad ligaments
Q51 Congenital malformations of uterus and cervix
Q52 Other congenital malformations of female genitalia
Q53 Undescended testicle
Q54 Hypospadias
Q55 Other congenital malformations of male genital organs
Q56 Indeterminate sex and pseudohermaphroditism
Congenital malformations of the urinary system (Q60-Q64)

Q60 Renal agenesis and other reduction defects of kidney
Q61 Cystic kidney disease
Q62 Congenital obstructive defects of renal pelvis and congenital malformations of ureter
Q63 Other congenital malformations of kidney
Q64 Other congenital malformations of urinary system
70
Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Q65 Congenital deformities of hip
Q66 Congenital deformities of feet
Q67 Congenital musculoskeletal deformities of head, face, spine and chest
Q68 Other congenital musculoskeletal deformities
Q69 Polydactyly
Q70 Syndactyly
Q71 Reduction defects of upper limb
Q72 Reduction defects of lower limb
Q73 Reduction defects of unspecified limb
Q74 Other congenital malformations of limb(s)
Q75 Other congenital malformations of skull and face bones
Q76 Congenital malformations of spine and bony thorax
Q77 Osteochondrodysplasia with defects of growth of tubular bones and spine
Q78 Other osteochondrodysplasias
Q79 Congenital malformations of the musculoskeletal system, not elsewhere classified
Other congenital malformations (Q80-Q89)

Q80 Congenital ichthyosis
Q81 Epidermolysis bullosa
Q82 Other congenital malformations of skin
Q83 Congenital malformations of breast
Q84 Other congenital malformations of integument
Q85 Phakomatoses, not elsewhere classified
Q86 Congenital malformation syndromes due to known exogenous causes, not elsewhere
classified
Q87 Other specified congenital malformation syndromes affecting multiple systems
Q89 Other congenital malformations, not elsewhere classified
Chromosomal abnormalities, not elsewhere classified (Q90-Q99)

Q90 Down's syndrome
Q91 Edwards' syndrome and Patau's syndrome
Q92 Other trisomies and partial trisomies of the autosomes, not elsewhere classified
Q93 Monosomies and deletions from the autosomes, not elsewhere classified
Q95 Balanced rearrangements and structural markers, not elsewhere classified
Q96 Turner's syndrome
Q97 Other sex chromosome abnormalities, female phenotype, not elsewhere classified
Q98 Other sex chromosome abnormalities, male phenotype, not elsewhere classified
Q99 Other chromosome abnormalities, not elsewhere classified
71
Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)
Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
R00 Abnormalities of heart beat
R01 Cardiac murmurs and other cardiac sounds
R02 Gangrene, not elsewhere classified
R03 Abnormal blood-pressure reading, without diagnosis
R04 Haemorrhage from respiratory passages
R05 Cough
R06 Abnormalities of breathing
R07 Pain in throat and chest
R09 Other symptoms and signs involving the circulatory and respiratory systems
Symptoms and signs involving the digestive system and abdomen

(R10-R19)
R10 Abdominal and pelvic pain
R11 Nausea and vomiting
R12 Heartburn
R13 Dysphagia
R14 Flatulence and related conditions
R15 Faecal incontinence
R16 Hepatomegaly and splenomegaly, not elsewhere classified
R17 Unspecified jaundice
R18 Ascites
R19 Other symptoms and signs involving the digestive system and abdomen
Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)
R20 Disturbances of skin sensation
R21 Rash and other nonspecific skin eruption
R22 Localized swelling, mass and lump of skin and subcutaneous tissue
R23 Other skin changes
Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)
R25 Abnormal involuntary movements
R26 Abnormalities of gait and mobility
R27 Other lack of coordination
R29 Other symptoms and signs involving the nervous and musculoskeletal systems
72
Symptoms and signs involving the urinary system (R30-R39)

R30 Pain associated with micturition
R31 Unspecified haematuria
R32 Unspecified urinary incontinence
R33 Retention of urine
R34 Anuria and oliguria
R35 Polyuria
R36 Urethral discharge
R39 Other symptoms and signs involving the urinary system
Symptoms and signs involving cognition, perception, emotional state and behaviour
(R40-R46)
R40 Somnolence, stupor and coma
R41 Other symptoms and signs involving cognitive functions and awareness
R42 Dizziness and giddiness
R43 Disturbances of smell and taste
R44 Other symptoms and signs involving general sensations and perceptions
R45 Symptoms and signs involving emotional state
R46 Symptoms and signs involving appearance and behaviour
Symptoms and signs involving speech and voice (R47-R49)

R47 Speech disturbances, not elsewhere classified
R48 Dyslexia and other symbolic dysfunctions, not elsewhere classified
R49 Voice disturbances
General symptoms and signs (R50-R69)

R50 Fever of unknown origin
R51 Headache
R52 Pain, not elsewhere classified
R53 Malaise and fatigue
R54 Senility
R55 Syncope and collapse
R56 Convulsions, not elsewhere classified
R57 Shock, not elsewhere classified
R58 Haemorrhage, not elsewhere classified
R59 Enlarged lymph nodes
R60 Oedema, not elsewhere classified
R61 Hyperhidrosis
R62 Lack of expected normal physiological development
73
R63 Symptoms and signs concerning food and fluid intake

R64 Cachexia
R68 Other general symptoms and signs
R69 Unknown and unspecified causes of morbidity
Abnormal findings on examination of blood, without diagnosis (R70-R79)

R70 Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity
R71 Abnormality of red blood cells
R72 Abnormality of white blood cells, not elsewhere classified
R73 Elevated blood glucose level
R74 Abnormal serum enzyme levels
R75 Laboratory evidence of human immunodeficiency virus [HIV]
R76 Other abnormal immunological findings in serum
R77 Other abnormalities of plasma proteins
R78 Findings of drugs and other substances, not normally found in blood
R79 Other abnormal findings of blood chemistry
Abnormal findings on examination of urine, without diagnosis (R80-R82)

R80 Isolated proteinuria
R81 Glycosuria
R82 Other abnormal findings in urine
Abnormal findings on examination of other body fluids, substances and tissues, without
diagnosis (R83-R89)
R83 Abnormal findings in cerebrospinal fluid
R84 Abnormal findings in specimens from respiratory organs and thorax
R85 Abnormal findings in specimens from digestive organs and abdominal cavity
R86 Abnormal findings in specimens from male genital organs
R87 Abnormal findings in specimens from female genital organs
R89 Abnormal findings in specimens from other organs, systems and tissues
Abnormal findings on diagnostic imaging and in function studies, without diagnosis

(R90-R94)
R90 Abnormal findings on diagnostic imaging of central nervous system
R91 Abnormal findings on diagnostic imaging of lung
R92 Abnormal findings on diagnostic imaging of breast
R93 Abnormal findings on diagnostic imaging of other body structures
R94 Abnormal results of function studies
74
Ill-defined and unknown causes of mortality (R95-R99)

R95 Sudden infant death syndrome
R96 Other sudden death, cause unknown
R98 Unattended death
R99 Other ill-defined and unspecified causes of mortality
Chapter XIX
Injury, poisoning and certain other consequences of external causes
(S00-T98)
Injuries to the head (S00-S09)

S00 Superficial injury of head
S01 Open wound of head
S02 Fracture of skull and facial bones
S03 Dislocation, sprain and strain of joints and ligaments of head
S04 Injury of cranial nerves
S05 Injury of eye and orbit
S06 Intracranial injury
S07 Crushing injury of head
S08 Traumatic amputation of part of head
S09 Other and unspecified injuries of head
Injuries to the neck (S10-S19)

S10 Superficial injury of neck
S11 Open wound of neck
S12 Fracture of neck
S13 Dislocation, sprain and strain of joints and ligaments at neck level
S14 Injury of nerves and spinal cord at neck level
S15 Injury of blood vessels at neck level
S16 Injury of muscle and tendon at neck level
S17 Crushing injury of neck
S18 Traumatic amputation at neck level
S19 Other and unspecified injuries of neck
75
Injuries to the thorax (S20-S29)

S20 Superficial injury of thorax
S21 Open wound of thorax
S22 Fracture of rib(s), sternum and thoracic spine
S23 Dislocation, sprain and strain of joints and ligaments of thorax
S24 Injury of nerves and spinal cord at thorax level
S25 Injury of blood vessels of thorax
S26 Injury of heart
S27 Injury of other and unspecified intrathoracic organs
S28 Crushing injury of thorax and traumatic amputation of part of thorax
S29 Other and unspecified injuries of thorax
Injuries to the abdomen, lower back, lumbar spine and pelvis (S30-S39)
S30 Superficial injury of abdomen, lower back and pelvis
S31 Open wound of abdomen, lower back and pelvis
S32 Fracture of lumbar spine and pelvis
S33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and pelvis
S34 Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level
S35 Injury of blood vessels at abdomen, lower back and pelvis level
S36 Injury of intra-abdominal organs
S37 Injury of pelvic organs
S38 Crushing injury and traumatic amputation of part of abdomen, lower back and pelvis
S39 Other and unspecified injuries of abdomen, lower back and pelvis
Injuries to the shoulder and upper arm (S40-S49)

S40 Superficial injury of shoulder and upper arm
S41 Open wound of shoulder and upper arm
S42 Fracture of shoulder and upper arm
S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle
S44 Injury of nerves at shoulder and upper arm level
S45 Injury of blood vessels at shoulder and upper arm level
S46 Injury of muscle and tendon at shoulder and upper arm level
S47 Crushing injury of shoulder and upper arm
S48 Traumatic amputation of shoulder and upper arm
S49 Other and unspecified injuries of shoulder and upper arm
76
Injuries to the elbow and forearm (S50-S59)

S50 Superficial injury of forearm
S51 Open wound of forearm
S52 Fracture of forearm
S53 Dislocation, sprain and strain of joints and ligaments of elbow
S54 Injury of nerves at forearm level
S55 Injury of blood vessels at forearm level
S56 Injury of muscle and tendon at forearm level
S57 Crushing injury of forearm
S58 Traumatic amputation of forearm
S59 Other and unspecified injuries of forearm
Injuries to the wrist and hand (S60-S69)

S60 Superficial injury of wrist and hand
S61 Open wound of wrist and hand
S62 Fracture at wrist and hand level
S63 Dislocation, sprain and strain of joints and ligaments at wrist and hand level
S64 Injury of nerves at wrist and hand level
S65 Injury of blood vessels at wrist and hand level
S66 Injury of muscle and tendon at wrist and hand level
S67 Crushing injury of wrist and hand
S68 Traumatic amputation of wrist and hand
S69 Other and unspecified injuries of wrist and hand
Injuries to the hip and thigh (S70-S79)

S70 Superficial injury of hip and thigh
S71 Open wound of hip and thigh
S72 Fracture of femur
S73 Dislocation, sprain and strain of joint and ligaments of hip
S74 Injury of nerves at hip and thigh level
S75 Injury of blood vessels at hip and thigh level
S76 Injury of muscle and tendon at hip and thigh level
S77 Crushing injury of hip and thigh
S78 Traumatic amputation of hip and thigh
S79 Other and unspecified injuries of hip and thigh
77
Injuries to the knee and lower leg (S80-S89)

S80 Superficial injury of lower leg
S81 Open wound of lower leg
S82 Fracture of lower leg, including ankle
S83 Dislocation, sprain and strain of joints and ligaments of knee
S84 Injury of nerves at lower leg level
S85 Injury of blood vessels at lower leg level
S86 Injury of muscle and tendon at lower leg level
S87 Crushing injury of lower leg
S88 Traumatic amputation of lower leg
S89 Other and unspecified injuries of lower leg
Injuries to the ankle and foot (S90-S99)

S90 Superficial injury of ankle and foot
S91 Open wound of ankle and foot
S92 Fracture of foot, except ankle
S93 Dislocation, sprain and strain of joints and ligaments at ankle and foot level
S94 Injury of nerves at ankle and foot level
S95 Injury of blood vessels at ankle and foot level
S96 Injury of muscle and tendon at ankle and foot level
S97 Crushing injuries of ankle and foot
S98 Traumatic amputation of ankle and foot
S99 Other and unspecified injuries of ankle and foot
Injuries involving multiple body regions (T00-T07)

T00 Superficial injuries involving multiple body regions
T01 Open wounds involving multiple body regions
T02 Fractures involving multiple body regions
T03 Dislocations, sprains and strains involving multiple body regions
T04 Crushing injuries involving multiple body regions
T05 Traumatic amputations involving multiple body regions
T06 Other injuries involving multiple body regions, not elsewhere classified
T07 Unspecified multiple injuries
78
Injuries to unspecified part of trunk, limb or body region (T08-T14)

T08 Fracture of spine, level unspecified
T09 Other injuries of spine and trunk, level unspecified
T10 Fracture of upper limb, level unspecified
T11 Other injuries of upper limb, level unspecified
T12 Fracture of lower limb, level unspecified
T13 Other injuries of lower limb, level unspecified
T14 Injury of unspecified of body
Effects of foreign body entering through natural orifice (T15-T19)

T15 Foreign body on external eye
T16 Foreign body in ear
T17 Foreign body in respiratory tract
T18 Foreign body in alimentary tract
T19 Foreign body in genitourinary tract
Burns and corrosions (T20-T32)
Burns and corrosions of external body surface, specified by site (T20-T25)

T20 Burn and corrosion of head and neck
T21 Burn and corrosion of trunk
T22 Burn and corrosion of shoulder and upper limb, except wrist and hand
T23 Burn and corrosion of wrist and hand
T24 Burn and corrosion of hip and lower limb, except ankle and foot
T25 Burn and corrosion of ankle and foot
Burns and corrosions confined to eye and internal organs (T26-T28)

T26 Burn and corrosion confined to eye and adnexa
T27 Burn and corrosion of respiratory tract
T28 Burn and corrosion of other internal organs
Burns and corrosions of multiple and unspecified body regions (T29-T32)

T29 Burns and corrosions of multiple body regions
T30 Burn and corrosion, body region unspecified
T31 Burns classified according to extent of body surface involved
T32 Corrosions classified according to extent of body surface involved
79
Frostbite (T33-T35)
T33 Superficial frostbite
T34 Frostbite with tissue necrosis
T35 Frostbite involving multiple body regions and unspecified frostbite
Poisoning by drugs, medicaments and biological substances (T36-T50)

T36 Poisoning by systemic antibiotics
T37 Poisoning by other systemic anti-infectives and antiparasitics
T38 Poisoning by hormones and their synthetic substitutes and antagonists, not elsewhere
classified
T39 Poisoning by nonopioid analgesics, antipyretics and antirheumatics
T40 Poisoning by narcotics and psychodysleptics [hallucinogens]
T41 Poisoning by anaesthetics and therapeutic gases
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
T43 Poisoning by psychotropic drugs, not elsewhere classified
T44 Poisoning by drugs primarily affecting the autonomic nervous system
T45 Poisoning by primarily systemic and haematological agents, not elsewhere classified
T46 Poisoning by agents primarily affecting the cardiovascular system
T47 Poisoning by agents primarily affecting the gastrointestinal system
T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory
system
T49 Poisoning by topical agents primarily affecting skin and mucous membrane, and by
ophthalmological, otorhinolaryngological and dental drugs
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological
substances
Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

T51 Toxic effect of alcohol
T52 Toxic effect of organic solvents
T53 Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons
T54 Toxic effect of corrosive substances
T55 Toxic effect of soaps and detergents
T56 Toxic effect of metals
T57 Toxic effect of other inorganic substances
T58 Toxic effect of carbon monoxide
T59 Toxic effect of other gases, fumes and vapours
T60 Toxic effect of pesticides
T61 Toxic effect of noxious substances eaten as seafood
T62 Toxic effect of other noxious substances eaten as food
T63 Toxic effect of contact with venomous animals
80
T64 Toxic effect of aflatoxin and other mycotoxin food contaminants

T65 Toxic effect of other and unspecified substances
Other and unspecified effects of external causes (T66-T78)

T66 Unspecified effects of radiation
T67 Effects of heat and light
T68 Hypothermia
T69 Other effects of reduced temperature
T70 Effects of air pressure and water pressure
T71 Asphyxiation
T73 Effects of other deprivation
T74 Maltreatment syndromes
T75 Effects of other external causes
T78 Adverse effects, not elsewhere classified
Certain early complications of trauma (T79)

T79 Certain early complications of trauma, not elsewhere classified
Complications of surgical and medical care, not elsewhere classified (T80-T88)

T80 Complications following infusion, transfusion and therapeutic injection
T81 Complications of procedures, not elsewhere classified
T82 Complications of cardiac and vascular prosthetic devices, implants and grafts
T83 Complications of genitourinary devices, implants and grafts
T84 Complications of internal orthopaedic prosthetic devices, implants and grafts
T85 Complications of other internal prosthetic devices, implants and grafts
T86 Failure and rejection of transplanted organs and tissues
T87 Complications peculiar to reattachment and amputation
T88 Other complications of surgical and medical care, not elsewhere classified
Sequelae of injuries, of poisoning and of other consequences of external causes (T90-T98)

T90 Sequelae of injuries of head
T91 Sequelae of injuries of neck and trunk
T92 Sequelae of injuries of upper limb
T93 Sequelae of injuries of lower limb
T94 Sequelae of injuries involving multiple and unspecified body regions
T95 Sequelae of burns, corrosions and frostbite
T96 Sequelae of poisoning by drugs, medicaments and biological substances
T97 Sequelae of toxic effects of substances chiefly nonmedicinal as to source
T98 Sequelae of other and unspecified effects of external causes
81
Chapter XX
External causes of morbidity and mortality
(V01-Y98)
Transport accidents (VO1-V99)
Pedestrian injured in transport accident (V01-V09)

V01 Pedestrian injured in collision with pedal cycle
V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle
V03 Pedestrian injured in collision with car, pick-up truck or van
V04 Pedestrian injured in collision with heavy transport vehicle or bus
V05 Pedestrian injured in collision with railway train or railway vehicle
V06 Pedestrian injured in collision with other nonmotor vehicle
V09 Pedestrian injured in other and unspecified transport accidents
Pedal cyclist injured in transport accident (Vl0-Vl9)

V10 Pedal cyclist injured in collision with pedestrian or animal
V11 Pedal cyclist injured in collision with other pedal cycle
V12 Pedal cyclist injured in collision with two-or three-wheeled motor vehicle
V13 Pedal cyclist injured in collision with car, pick-up truck or van
V14 Pedal cyclist injured in collision with heavy transport vehicle or bus
V15 Pedal cyclist injured in collision with railway train or railway vehicle
V16 Pedal cyclist injured in collision with other nonmotor vehicle
V17 Pedal cyclist injured in collision with fixed or stationary object
V18 Pedal cyclist injured in noncollision transport accident
V19 Pedal cyclist injured in other and unspecified transport accidents
Motorcycle rider injured in transport accident (V20-V29)

V20 Motorcyle rider injured in collision with pedestrian or animal
V21 Motorcyle rider injured in collision with pedal cycle
V22 Motorcyle rider injured in collision with two-or three-wheeled motor vehicle
V23 Motorcyle rider injured in collision with car, pick-up truck or van
V24 Motorcyle rider injured in collision with heavy transport vehicle or bus
V25 Motorcyle rider injured in collision with railway train or railway vehicle
V26 Motorcyle rider injured in collision with other nonmotor vehicle
V27 Motorcyle rider injured in collision with fixed or stationary object
V28 Motorcyle rider injured in noncollision transport accident
V29 Motorcyle rider injured in other and unspecified transport accidents
82
Occupant of three-wheeled motor vehicle injured in transport accident (V30-V39)

V30 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal
V31 Occupant of three-wheeled motor vehicle injured in collision with pedal cycle
V32 Occupant of three-wheeled motor vehicle injured in collision with two-or three-wheeled
motor vehicle
V33 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or
van
V34 Occupant of three-wheeled motor vehicle injured in collision with heavy transport
vehicle or bus
V35 Occupant of three-wheeled motor vehicle injured in collision with railway train or
railway vehicle
V36 Occupant of three-wheeled motor vehicle injured in collision with other nonmotor
vehicle
V37 Occupant of three-wheeled motor vehicle injured in collision with fixed or stationary
object
V38 Occupant of three-wheeled motor vehicle injured in noncollision transport accident
V39 Occupant of three-wheeled motor vehicle injured in other and unspecified transport
accidents
Car occupant injured in transport accident (V40-V49)

V40 Car occupant injured in collision with pedestrian or animal
V41 Car occupant injured in collision with pedal cycle
V42 Car occupant injured in collision with two-or three-wheeled motor vehicle
V43 Car occupant injured in collision with car, pick-up truck or van
V44 Car occupant injured in collision with heavy transport vehicle or bus
V45 Car occupant injured in collision with railway train or railway vehicle
V46 Car occupant injured in collision with other nonmotor vehicle
V47 Car occupant injured in collision with fixed or stationary object
V48 Car occupant injured in noncollision transport accident
V49 Car occupant injured in other and unspecified transport accidents
Occupant of pick-up truck or van injured in transport accident (V50-V59)

V50 Occupant of pick-up truck or van injured in collision with pedestrian or animal
V51 Occupant of pick-up truck or van injured in collision with pedal cycle
V52 Occupant of pick-up truck or van injured in collision with two-or three-wheeled motor
vehicle
V53 Occupant of pick-up truck or van injured in collision with car, pick-up truck or van
V54 Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus
V55 Occupant of pick-up truck or van injured in collision with railway train or railway vehicle
V56 Occupant of pick-up truck or van injured in collision with other nonmotor vehicle
V57 Occupant of pick-up truck or van injured in collision with fixed or stationary object
83
V58 Occupant of pick-up truck or van injured in noncollision transport accident

V59 Occupant of pick-up truck or van injured in other and unspecified transport accidents
Occupant of heavy transport vehicle injured in transport accident (V60-V69)

V60 Occupant of heavy transport vehicle injured in collision with pedestrian or animal
V61 Occupant of heavy transport vehicle injured in collision with pedal cycle
V62 Occupant of heavy transport vehicle injured in collision with two-or three-wheeled motor
vehicle
V63 Occupant of heavy transport vehicle injured in collision with car, pick-up truck or van
V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or
bus
V65 Occupant of heavy transport vehicle injured in collision with railway train or railway
vehicle
V66 Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle
V67 Occupant of heavy transport vehicle injured in collision with fixed or stationary object
V68 Occupant of heavy transport vehicle injured in noncollision transport accident
V69 Occupant of heavy transport vehicle injured in other and unspecified transport accidents
Bus occupant injured in transport accident (V70-V79)

V70 Bus occupant injured in collision with pedestrian or animal
V71 Bus occupant injured in collision with pedal cycle
V72 Bus occupant injured in collision with two-or three-wheeled motor vehicle
V73 Bus occupant injured in collision with car, pick-up truck or van
V74 Bus occupant injured in collision with heavy transport vehicle or bus
V75 Bus occupant injured in collision with railway train or railway vehicle
V76 Bus occupant injured in collision with other nonmotor vehicle
V77 Bus occupant injured in collision with fixed or stationary object
V78 Bus occupant injured in noncollision transport accident
V79 Bus occupant injured in other and unspecified transport accidents
Other land transport accidents (V80-V89)

V80 Animal-rider or occupant of animal-drawn vehicle injured in transport accident
V81 Occupant of railway train or railway vehicle injured in transport accident
V82 Occupant of streetcar injured in transport accident
V83 Occupant of special vehicle mainly used on industrial premises injured in transport
accident
V84 Occupant of special vehicle mainly used in agriculture injured in transport accident
V85 Occupant of special construction vehicle injured in transport accident
V86 Occupant of special all-terrain or other motor vehicles designed primarily for off-road
use, injured in transport accident
84
V87 Traffic accident of specified type but victim's mode of transport unknown
V88 Nontraffic accident of specified type but victim's mode of transport unknown
V89 Motor-or nonmotor-vehicle accident, type of vehicle unspecified
Water transport accidents (V90-V94)

V90 Accident to watercraft causing drowning and submersion
V91 Accident to watercraft causing other injury
V92 Water-transport-related drowning and submersion without accident to watercraft
V93 Accident on board watercraft without accident to watercraft, not causing drowning and
submersion
V94 Other and unspecified water transport accidents
Air and space transport accidents (V95-V97)

V95 Accident to powered aircraft causing injury to occupant
V96 Accident to nonpowered aircraft causing injury to occupant
V97 Other specified air transport accidents
Other and unspecified transport accidents (V98-V99)

V98 Other specified transport accidents
V99 Unspecified transport accident
Other external causes of accidental injury (W00-X59)
Falls (W00-W19)
W00 Fall on same level involving ice and snow
W01 Fall on same level from slipping, tripping and stumbling
W02 Fall involving ice-skates, skis, roller-skates or skateboards
W03 Other fall on same level due to collision with, or pushing by, another person
W04 Fall while being carried or supported by other persons
W05 Fall involving wheelchair
W06 Fall involving bed
W07 Fall involving chair
W08 Fall involving other furniture
W09 Fall involving playground equipment
W10 Fall on and from stairs and steps
W11 Fall on and from ladder
W12 Fall on and from scaffolding
W13 Fall from, out of or through building or structure
W14 Fall from tree
W15 Fall from cliff
85
W16 Diving or jumping into water causing injury other than drowning or submersion
W17 Other fall from one level to another
W18 Other fall on same level
W19 Unspecified fall
Exposure to inanimate mechanical forces (W20-W49)

W20 Struck by thrown, projected or falling object
W21 Striking against or struck by sports equipment
W22 Striking against or struck by other objects
W23 Caught, crushed, jammed or pinched in or between objects
W24 Contact with lifting and transmission devices, not elsewhere classified
W25 Contact with sharp glass
W26 Contact with knife, sword or dagger
W27 Contact with nonpowered hand tool
W28 Contact with powered lawnmower
W29 Contact with other powered hand tools and household machinery
W30 Contact with agricultural machinery
W31 Contact with other and unspecified machinery
W32 Handgun discharge
W33 Rifle, shotgun and larger firearm discharge
W34 Discharge from other and unspecified firearms
W35 Explosion and rupture of boiler
W36 Explosion and rupture of gas cylinder
W37 Explosion and rupture of pressurized tire, pipe or hose
W38 Explosion and rupture of other specified pressurized devices
W39 Discharge of firework
W40 Explosion of other materials
W41 Exposure to high-pressure jet
W42 Exposure to noise
W43 Exposure to vibration
W44 Foreign body entering into or through eye or natural orifice
W45 Foreign body or object entering through skin
W46 Contact with hypodermic needle
W49 Exposure to other and unspecified inanimate mechanical forces
86
Exposure to animate mechanical forces (W50-W64)

W50 Hit, struck, kicked, twisted, bitten or scratched by another person
W51 Striking against or bumped into by another person
W52 Crushed, pushed and stepped on by crowd or human stampede
W53 Bitten by rat
W54 Bitten or struck by dog
W55 Bitten or struck by other mammals
W56 Contact with marine animal
W57 Bitten or stung by nonvenomous insects and other nonvenomous arthropods
W58 Bitten or struck by crocodile or alligator
W59 Bitten or crushed by other reptiles
W60 Contact with plant thorns and spines and sharp leaves
W64 Exposure to other and unspecified animate mechanical forces
Accidental drowning and submersion (W65-W74)

W65 Drowning and submersion while in bath-tub
W66 Drowning and submersion following fall into bath-tub
W67 Drowning and submersion while in swimming-pool
W68 Drowning and submersion following fall into swimming-pool
W69 Drowning and submersion while in natural water
W70 Drowning and submersion following fall into natural water
W73 Other specified drowning and submersion
W74 Unspecified drowning and submersion
Other accidental threats to breathing (W75-W84)

W75 Accidental suffocation and strangulation in bed
W76 Other accidental hanging and strangulation
W77 Threat to breathing due to cave-in, falling earth and other substances
W78 Inhalation of gastric contents
W79 Inhalation and ingestion of food causing obstruction of respiratory tract
W80 Inhalation and ingestion of other objects causing obstruction of respiratory tract
W81 Confined to or trapped in a low oxygen-environment
W83 Other specified threats to breathing
W84 Unspecified threat to breathing
87
Exposure to electric current, radiation and extreme ambient air temperature and pressure
(W85-W99)
W85 Exposure to electric transmission lines
W86 Exposure to other specified electric current
W87 Exposure to unspecified electric current
W88 Exposure to ionizing radiation
W89 Exposure to man-made visible and ultraviolet light
W90 Exposure to other nonionizing radiation
W91 Exposure to unspecified type of radiation
W92 Exposure to excessive heat of man-made origin
W93 Exposure to excessive cold of man-made origin
W94 Exposure to high and low air pressure and changes in air pressure
W99 Exposure to other and unspecified man-made environmental factors
Exposure to smoke, fire and flames (X00-X09)

X00 Exposure to uncontrolled fire in building or structure
X01 Exposure to uncontrolled fire, not in building or structure
X02 Exposure to controlled fire in building or structure
X03 Exposure to controlled fire, not in building or structure
X04 Exposure to ignition of highly flammable material
X05 Exposure to ignition or melting of nightwear
X06 Exposure to ignition or melting of other clothing and apparel
X08 Exposure to other specified smoke, fire and flames
X09 Exposure to unspecified smoke, fire and flames
Contact with heat and hot substances (X10-X19)

X10 Contact with hot drinks, food, fats and cooking oils
X11 Contact with hot tap-water
X12 Contact with other hot fluids
X13 Contact with steam and hot vapours
X14 Contact with hot air and gases
X15 Contact with hot household appliances
X16 Contact with hot heating appliances, radiators and pipes
X17 Contact with hot engines, machinery and tools
X18 Contact with other hot metals
X19 Contact with other and unspecified heat and hot substances
88
Contact with venomous animals and plants (X20-X29)

X20 Contact with venomous snakes and lizards
X21 Contact with venomous spiders
X22 Contact with scorpions
X23 Contact with hornets, wasps and bees
X24 Contact with centipedes and venomous millipedes (tropical)
X25 Contact with other specified venomous arthropods
X26 Contact with venomous marine animals and plants
X27 Contact with other specified venomous animals
X28 Contact with other specified venomous plants
X29 Contact with unspecified venomous animal or plant
Exposure to forces of nature (X30-X39)

X30 Exposure to excessive natural heat
X31 Exposure to excessive natural cold
X32 Exposure to sunlight
X33 Victim of lightning
X34 Victim of earthquake
X35 Victim of volcanic eruption
X36 Victim of avalanche, landslide and other earth movements
X37 Victim of cataclysmic storm
X38 Victim of flood
X39 Exposure to other and unspecified forces of nature
Accidental poisoning by and exposure to noxious substances (X40-X49)

X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and
antirheumatics
X41 Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic,
antiparkinsonism and psychotropic drugs, not elsewhere classified
X42 Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens],
not elsewhere classified
X43 Accidental poisoning by and exposure to other drugs acting on the autonomic nervous
system
X44 Accidental poisoning by and exposure to other and unspecified drugs, medicaments and
biological substances
X45 Accidental poisoning by and exposure to alcohol
X46 Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons
and their vapours
X47 Accidental poisoning by and exposure to other gases and vapours
X48 Accidental poisoning by and exposure to pesticides
X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious
substances
89
Overexertion, travel and privation (X50-X57)

X50 Overexertion and strenuous or repetitive movements
X51 Travel and motion
X52 Prolonged stay in weightless environment
X53 Lack of food
X54 Lack of water
X57 Unspecified privation
Accidental exposure to other and unspecified factors (X58-X59)

X58 Exposure to other specified factors
X59 Exposure to unspecified factor
Intentional self-harm (X60-X84)

X60 Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and
antirheumatics
X61 Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic,
X62 Intentional self-poisoning by and exposure to narcotics and psychodysleptics
[hallucinogens], not elsewhere classified
X63 Intentional self-poisoning by and exposure to other drugs acting on the autonomic
nervous system
X64 Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments
and biological substances
X65 Intentional self-poisoning by and exposure to alcohol
X66 Intentional self-poisoning by and exposure to organic solvents and halogenated
hydrocarbons and their vapours
X67 Intentional self-poisoning by and exposure to other gases and vapours
X68 Intentional self-poisoning by and exposure to pesticides
X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and
noxious substances
X70 Intentional self-harm by hanging, strangulation and suffocation
X71 Intentional self-harm by drowning and submersion
X72 Intentional self-harm by handgun discharge
X73 Intentional self-harm by rifle, shotgun and larger firearm discharge
X74 Intentional self-harm by other and unspecified firearm discharge
X75 Intentional self-harm by explosive material
X76 Intentional self-harm by smoke, fire and flames
X77 Intentional self-harm by steam, hot vapours and hot objects
X78 Intentional self-harm by sharp object
X79 Intentional self-harm by blunt object
90
X80 Intentional self-harm by jumping from a high place

X81 Intentional self-harm by jumping or lying before moving object
X82 Intentional self-harm by crashing of motor vehicle
X83 Intentional self-harm by other specified means
X84 Intentional self-harm by unspecified means
Assault (X85-Y09)
X85 Assault by drugs, medicaments and biological substances
X86 Assault by corrosive substance
X87 Assault by pesticides
X88 Assault by gases and vapours
X89 Assault by other specified chemicals and noxious substances
X90 Assault by unspecified chemical or noxious substance
X91 Assault by hanging, strangulation and suffocation
X92 Assault by drowning and submersion
X93 Assault by handgun discharge
X94 Assault by rifle, shotgun and larger firearm discharge
X95 Assault by other and unspecified firearm discharge
X96 Assault by explosive material
X97 Assault by fire and flames
X98 Assault by steam, hot vapours and hot objects
X99 Assault by sharp object
Y00 Assault by blunt object
Y01 Assault by pushing from high place
Y02 Assault by pushing or placing victim before moving object
Y03 Assault by crashing of motor vehicle
Y04 Assault by bodily force
Y05 Sexual assault by bodily force
Y06 Neglect and abandonment
Y07 Other maltreatment syndromes
Y08 Assault by other specified means
Y09 Assault by unspecified means
91
Event of undetermined intent (Y10-Y34)

Y10 Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics,
undetermined intent
Y11 Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and
psychotropic drugs, not elsewhere classified, undetermined intent
Y12 Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not
elsewhere classified, undetermined intent
Y13 Poisoning by and exposure to other drugs acting on the autonomic nervous system,
undetermined intent
Y14 Poisoning by and exposure to other and unspecified drugs, medicaments and biological
substances, undetermined intent
Y15 Poisoning by and exposure to alcohol, undetermined intent
Y16 Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their
vapours, undetermined intent
Y17 Poisoning by and exposure to other gases and vapours, undetermined intent
Y18 Poisoning by and exposure to pesticides, undetermined intent
Y19 Poisoning by and exposure to other and unspecified chemicals and noxious substances,
undetermined intent
Y20 Hanging, strangulation and suffocation, undetermined intent
Y21 Drowning and submersion, undetermined intent
Y22 Handgun discharge, undetermined intent
Y23 Rifle, shotgun and larger firearm discharge, undetermined intent
Y24 Other and unspecified firearm discharge, undetermined intent
Y25 Contact with explosive material, undetermined intent
Y26 Exposure to smoke, fire and flames, undetermined intent
Y27 Contact with steam, hot vapours and hot objects, undetermined intent
Y28 Contact with sharp object, undetermined intent
Y29 Contact with blunt object, undetermined intent
Y30 Falling, jumping or pushed from a high place, undetermined intent
Y31 Falling, lying or running before or into moving object, undetermined intent
Y32 Crashing of motor vehicle, undetermined intent
Y33 Other specified events, undetermined intent
Y34 Unspecified event, undetermined intent
Legal intervention and operations of war (Y35-Y36)

Y35 Legal intervention
Y36 Operations of war
92
Complications of medical and surgical care (Y40-Y84)
Drugs, medicaments and biological substances causing adverse effects in therapeutic use
(Y40-Y59)
Y40 Systemic antibiotics
Y41 Other systemic anti-infectives and antiparasitics
Y42 Hormones, and their synthetic substitutes and antagonists, not elsewhere classified
Y43 Primarily systemic agents
Y44 Agents primarily affecting blood constituents
Y45 Analgesics, antipyretics and anti-inflammatory drugs
Y46 Antiepileptics and antiparkinsonism drugs
Y47 Sedatives, hypnotics and antianxiety drugs
Y48 Anaesthetics and therapeutic gases
Y49 Psychotropic drugs, not elsewhere classified
Y50 Central nervous system stimulants, not elsewhere classified
Y51 Drugs primarily affecting the autonomic nervous system
Y52 Agents primarily affecting the cardiovascular system
Y53 Agents primarily affecting the gastrointestinal system
Y54 Agents primarily affecting water-balance and mineral and uric acid metabolism
Y55 Agents primarily acting on smooth and skeletal muscles and the respiratory system
Y56 Topical agents primarily affecting skin and mucous membrane and ophthalmological,
otorhinolaryngological and dental drugs
Y57 Other and unspecified drugs and medicaments
Y58 Bacterial vaccines
Y59 Other and unspecified vaccines and biological substances
Misadventures to patients during surgical and medical care (Y60-Y69)

Y60 Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care
Y61 Foreign object accidentally left in body during surgical and medical care
Y62 Failure of sterile precautions during surgical and medical care
Y63 Failure in dosage during surgical and medical care
Y64 Contaminated medical or biological substances
Y65 Other misadventures during surgical and medical care
Y66 Nonadministration of surgical and medical care
Y69 Unspecified misadventure during surgical and medical care
93
Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)
Y70 Anaesthesiology devices associated with adverse incidents
Y71 Cardiovascular devices associated with adverse incidents
Y72 Otorhinolaryngological devices associated with adverse incidents
Y73 Gastroenterology and urology devices associated with adverse incidents
Y74 General hospital and personal-use devices associated with adverse incidents
Y75 Neurological devices associated with adverse incidents
Y76 Obstetric and gynaecological devices associated with adverse incidents
Y77 Ophthalmic devices associated with adverse incidents
Y78 Radiological devices associated with adverse incidents
Y79 Orthopaedic devices associated with adverse incidents
Y80 Physical medicine devices associated with adverse incidents
Y81 General-and plastic-surgery devices associated with adverse incidents
Y82 Other and unspecified medical devices associated with adverse incidents
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 (Y83-Y84)
Y83 Surgical operation and other surgical procedures as the cause of abnormal reaction of the
patient, or of later complication, without mention of misadventure at the time of
procedure
Y84 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
Sequelae of external causes of morbidity and mortality (Y85-Y89)

Y85 Sequelae of transport accidents
Y86 Sequelae of other accidents
Y87 Sequelae of intentional self-harm, assault and events of undetermined intent
Y88 Sequelae of surgical and medical care as external cause
Y89 Sequelae of other external causes
Supplementary factors related to causes of morbidity and mortality classified elsewhere

(Y90-Y98)
Y90 Evidence of alcohol involvement determined by blood alcohol level
Y91 Evidence of alcohol involvement determined by level of intoxication
Y95 Nosocomial condition
Y96 Work-related condition
Y97 Environmental-pollution-related condition
Y98 Lifestyle-related condition
94
Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)
Persons encountering health services for examination and investigation (Z00-Z13)

Z00 General examination and investigation of persons without complaint and reported
diagnosis
Z01 Other special examinations and investigations of persons without complaint and reported
diagnosis
Z02 Examination and encounter for administrative purposes
Z03 Medical observation and evaluation for suspected diseases and conditions
Z04 Examination and observation for other reasons
Z08 Follow-up examination after treatment for malignant neoplasms
Z09 Follow-up examination after treatment for conditions other than malignant neoplasms
Z10 Routine general health check-up of defined subpopulation
Z11 Special screening examination for infectious and parasitic diseases
Z12 Special screening examination for neoplasms
Z13 Special screening examination for other diseases and disorders
Persons with potential health hazards related to communicable diseases (Z20-Z29)

Z20 Contact with and exposure to communicable diseases
Z21 Asymptomatic human immunodeficiency virus [HIV] infection status
Z22 Carrier of infectious disease
Z23 Need for immunization against single bacterial diseases
Z24 Need for immunization against certain single viral diseases
Z25 Need for immunization against other single viral diseases
Z26 Need for immunization against other single infectious diseases
Z27 Need for immunization against combinations of infectious diseases
Z28 Immunization not carried out
Z29 Need for other prophylactic measures
Persons encountering health services in circumstances related to reproduction (Z30-Z39)

Z30 Contraceptive management
Z31 Procreative management
Z32 Pregnancy examination and test
Z33 Pregnant state, incidental
Z34 Supervision of normal pregnancy
Z35 Supervision of high-risk pregnancy
Z36 Antenatal screening
95
Z37 Outcome of delivery

Z38 Liveborn infants according to place of birth
Z39 Postpartum care and examination
Persons encountering health services for specific procedures and health care (Z40-Z54)
Z40 Prophylactic surgery
Z41 Procedures for purposes other than remedying health state
Z42 Follow-up care involving plastic surgery
Z43 Attention to artificial openings
Z44 Fitting and adjustment of external prosthetic device
Z45 Adjustment and management of implanted device
Z46 Fitting and adjustment of other devices
Z47 Other orthopaedic follow-up care
Z48 Other surgical follow-up care
Z49 Care involving dialysis
Z50 Care involving use of rehabilitation procedures
Z51 Other medical care
Z52 Donors of organs and tissues
Z53 Persons encountering health services for specific procedures, not carried out
Z54 Convalescence
Persons with potential health hazards related to socioeconomic and psychosocial

circumstances (Z55-Z65)
Z55 Problems related to education and literacy
Z56 Problems related to employment and unemployment
Z57 Occupational exposure to risk-factors
Z58 Problems related to physical environment
Z59 Problems related to housing and economic circumstances
Z60 Problems related to social environment
Z61 Problems related to negative life events in childhood
Z62 Other problems related to upbringing
Z63 Other problems related to primary support group, including family circumstances
Z64 Problems related to certain psychosocial circumstances
Z65 Problems related to other psychosocial circumstances
96
Persons encountering health services in other circumstances (Z70-Z76)

Z70 Counselling related to sexual attitude, behaviour and orientation
Z71 Persons encountering health services for other counselling and medical advice, not
elsewhere classified
Z72 Problems related to lifestyle
Z73 Problems related to life-management difficulty
Z74 Problems related to care-provider dependency
Z75 Problems related to medical facilities and other health care
Z76 Persons encountering health services in other circumstances
Persons with potential health hazards related to family and personal history and certain
conditions influencing health status (Z80-Z99)
Z80 Family history of malignant neoplasm
Z81 Family history of mental and behavioural disorders
Z82 Family history of certain disabilities and chronic diseases leading to disablement
Z83 Family history of other specific disorders
Z84 Family history of other conditions
Z85 Personal history of malignant neoplasm
Z86 Personal history of certain other diseases
Z87 Personal history of other diseases and conditions
Z88 Personal history of allergy to drugs, medicaments and biological substances
Z89 Acquired absence of limb
Z90 Acquired absence of organs, not elsewhere classified
Z91 Personal history of risk-factors, not elsewhere classified
Z92 Personal history of medical treatment
Z93 Artificial opening status
Z94 Transplanted organ and tissue status
Z95 Presence of cardiac and vascular implants and grafts
Z96 Presence of other functional implants
Z97 Presence of other devices
Z98 Other postsurgical states
Z99 Dependence on enabling machines and devices, not elsewhere classified
97
TABULAR LIST OF INCLUSIONS AND
FOUR-CHARACTER SUBCATEGORIES
CHAPTER I
__________________________________________________________________________
Certain infectious and parasitic diseases

(A00-B99)
Includes: diseases generally recognized as communicable or transmissible
Excludes: carrier or suspected carrier of infectious disease (Z22.-)

certain localized infections - see body system-related chapters
infectious and parasitic diseases complicating pregnancy, childbirth and the
puerperium [except obstetrical tetanus and human immunodeficiency virus
[HIV] disease] (O98.-)
infectious and parasitic diseases specific to the perinatal period [except tetanus
neonatorum, congenital syphilis, perinatal gonococcal infection and perinatal
human immunodeficiency virus [HIV] disease] (P35-P39)
influenza and other acute respiratory infections (J00-J22)
This chapter contains the following blocks:
A00-A09 Intestinal infectious diseases

A15-A19 Tuberculosis
A20-A28 Certain zoonotic bacterial diseases
A30-A49 Other bacterial diseases
A50-A64 Infections with a predominantly sexual mode of transmission
A65-A69 Other spirochaetal diseases
A70-A74 Other diseases caused by chlamydiae
A75-A79 Rickettsioses
A80-A89 Viral infections of the central nervous system
A90-A99 Arthropod-borne viral fevers and viral haemorrhagic fevers
B00-B09 Viral infections characterized by skin and mucous membrane lesions
B15-B19 Viral hepatitis
B20-B24 Human immunodeficiency virus [HIV] disease
B25-B34 Other viral diseases
B35-B49 Mycoses
B50-B64 Protozoal diseases
B65-B83 Helminthiases
B85-B89 Pediculosis, acariasis and other infestations
B90-B94 Sequelae of infectious and parasitic diseases
B95-B97 Bacterial, viral and other infectious agents
B99 Other infectious diseases
I-1
Intestinal infectious diseases

(A00-A09)
A00 Cholera
A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae

Classical cholera
A00.1 Cholera due to Vibrio cholerae 01, biovar eltor

Cholera eltor
A00.9 Cholera, unspecified
A01 Typhoid and paratyphoid fevers
A01.0 Typhoid fever

Infection due to Salmonella typhi
A01.1 Paratyphoid fever A
A01.2 Paratyphoid fever B
A01.3 Paratyphoid fever C
A01.4 Paratyphoid fever, unspecified

Infection due to Salmonella paratyphi NOS
A02 Other salmonella infections

Includes: infection or foodborne intoxication due to any Salmonella species
other than S. typhi and S. paratyphi
A02.0 Salmonella enteritis

Salmonellosis
A02.1 Salmonella septicaemia
I-2
CERTAIN INFECTIOUS AND PARASITIC DISEASES
A02.2 Localized salmonella infections

Salmonella:
• arthritis† (M01.3*)
• meningitis† (G01*)
• osteomyelitis† (M90.2*)
• pneumonia† (J17.0*)
• renal tubulo-interstitial disease† (N16.0*)
A02.8 Other specified salmonella infections
A02.9 Salmonella infection, unspecified
A03 Shigellosis
A03.0 Shigellosis due to Shigella dysenteriae

Group A shigellosis [Shiga-Kruse dysentery]
A03.1 Shigellosis due to Shigella flexneri

Group B shigellosis
A03.2 Shigellosis due to Shigella boydii

Group C shigellosis
A03.3 Shigellosis due to Shigella sonnei

Group D shigellosis
A03.8 Other shigellosis
A03.9 Shigellosis, unspecified

Bacillary dysentery NOS
A04 Other bacterial intestinal infections

Excludes: foodborne intoxications, elsewhere classified
tuberculous enteritis (A18.3)
A04.0 Enteropathogenic Escherichia coli infection
A04.1 Enterotoxigenic Escherichia coli infection
A04.2 Enteroinvasive Escherichia coli infection
I-3
A04.3 Enterohaemorrhagic Escherichia coli infection
A04.4 Other intestinal Escherichia coli infections

Escherichia coli enteritis NOS
A04.5 Campylobacter enteritis
A04.6 Enteritis due to Yersinia enterocolitica

Excludes: extraintestinal yersiniosis (A28.2)
A04.7 Enterocolitis due to Clostridium difficile

Foodborne intoxication by Clostridium difficile
Pseudomembranous colitis
A04.8 Other specified bacterial intestinal infections
A04.9 Bacterial intestinal infection, unspecified

Bacterial enteritis NOS
A05 Other bacterial foodborne intoxications, not elsewhere classified

Excludes: Escherichia coli infection (A04.0-A04.4)
listeriosis (A32.-)
salmonella foodborne intoxication and infection (A02.-)
toxic effect of noxious foodstuffs (T61-T62)
A05.0 Foodborne staphylococcal intoxication
A05.1 Botulism
Classical foodborne intoxication due to Clostridium botulinum
A05.2 Foodborne Clostridium perfringens [Clostridium welchii] intoxication

Enteritis necroticans
Pig-bel
A05.3 Foodborne Vibrio parahaemolyticus intoxication
A05.4 Foodborne Bacillus cereus intoxication
A05.8 Other specified bacterial foodborne intoxications
A05.9 Bacterial foodborne intoxication, unspecified
I-4
A06 Amoebiasis
Includes: infection due to Entamoeba histolytica
Excludes: other protozoal intestinal diseases (A07.-)
A06.0 Acute amoebic dysentery

Acute amoebiasis
Intestinal amoebiasis NOS
A06.1 Chronic intestinal amoebiasis
A06.2 Amoebic nondysenteric colitis
A06.3 Amoeboma of intestine

Amoeboma NOS
A06.4 Amoebic liver abscess

Hepatic amoebiasis
A06.5† Amoebic lung abscess (J99.8*)

Amoebic abscess of lung (and liver)
A06.6† Amoebic brain abscess (G07*)

Amoebic abscess of brain (and liver)(and lung)
A06.7 Cutaneous amoebiasis
A06.8 Amoebic infection of other sites

Amoebic:
• appendicitis
• balanitis† (N51.2*)
A06.9 Amoebiasis, unspecified
A07 Other protozoal intestinal diseases
A07.0 Balantidiasis
Balantidial dysentery
A07.1 Giardiasis [lambliasis]
I-5
A07.2 Cryptosporidiosis
A07.3 Isosporiasis
Infection due to Isospora belli and Isospora hominis
Intestinal coccidiosis
Isosporosis
A07.8 Other specified protozoal intestinal diseases

Intestinal trichomoniasis
Sarcocystosis
Sarcosporidiosis
A07.9 Protozoal intestinal disease, unspecified

Flagellate diarrhoea
Protozoal:
• colitis
• diarrhoea
• dysentery
A08 Viral and other specified intestinal infections

Excludes: influenza with involvement of gastrointestinal tract (J10.8, J11.8)
A08.0 Rotaviral enteritis
A08.1 Acute gastroenteropathy due to Norwalk agent

Small round structured virus enteritis
A08.2 Adenoviral enteritis
A08.3 Other viral enteritis
A08.4 Viral intestinal infection, unspecified

Viral:
• enteritis NOS
• gastroenteritis NOS
• gastroenteropathy NOS
A08.5 Other specified intestinal infections
I-6
A09 Diarrhoea and gastroenteritis of presumed infectious origin

Note: In countries where any term listed in A09 without further specification can
be assumed to be of noninfectious origin, the condition should be
classified to K52.9.
Catarrh, enteric or intestinal

Colitis NOS
Enteritis haemorrhagic
Gastroenteritis septic
Diarrhoea:
• NOS
• dysenteric
• epidemic
Infectious diarrhoeal disease NOS
Excludes: due to bacterial, protozoal, viral and other specified infectious agents
(A00-A08)
noninfective diarrhoea (K52.9)
• neonatal (P78.3)
Tuberculosis
(A15-A19)
Includes: infections due to Mycobacterium tuberculosis and Mycobacterium bovis
Excludes: congenital tuberculosis (P37.0)

pneumoconiosis associated with tuberculosis (J65)
sequelae of tuberculosis (B90.-)
silicotuberculosis (J65)
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
A15.0 Tuberculosis of lung, confirmed by sputum microscopy with or without

culture
Tuberculous:
• bronchiectasis
• fibrosis of lung confirmed by sputum microscopy with
• pneumonia or without culture
• pneumothorax
I-7
A15.1 Tuberculosis of lung, confirmed by culture only

Conditions listed in A15.0, confirmed by culture only
A15.2 Tuberculosis of lung, confirmed histologically

Conditions listed in A15.0, confirmed histologically
A15.3 Tuberculosis of lung, confirmed by unspecified means

Conditions listed in A15.0, confirmed but unspecified whether bacteriologically
or histologically
A15.4 Tuberculosis of intrathoracic lymph nodes, confirmed bacteriologically and

histologically
Tuberculosis of lymph nodes:
• hilar
• mediastinal confirmed bacteriologically and
• tracheobronchial histologically
Excludes: specified as primary (A15.7)
A15.5 Tuberculosis of larynx, trachea and bronchus, confirmed bacteriologically

and histologically
Tuberculosis of:
• bronchus
• glottis confirmed bacteriologically and
• larynx histologically
• trachea
A15.6 Tuberculous pleurisy, confirmed bacteriologically and histologically

Tuberculosis of pleura confirmed bacteriologically and
Tuberculous empyema histologically
Excludes: in primary respiratory tuberculosis, confirmed bacteriologically and

histologically (A15.7)
A15.7 Primary respiratory tuberculosis, confirmed bacteriologically and

histologically
I-8
A15.8 Other respiratory tuberculosis, confirmed bacteriologically and

histologically
Mediastinal tuberculosis
Nasopharyngeal tuberculosis confirmed bacteriologically
Tuberculosis of: and histologically
• nose
• sinus [any nasal]
A15.9 Respiratory tuberculosis unspecified, confirmed bacteriologically and

histologically
A16 Respiratory tuberculosis, not confirmed bacteriologically or histologically
INCLUDES: 5TH DIGIT TO IDENTIFY TUBERCULOSIS NOT

QUALIFIED AS RESPIRATORY OR PULMONARY
A16.0 Tuberculosis of lung, bacteriologically and histologically negative

Tuberculous:
• bronchiectasis
• fibrosis of lung bacteriologically and histologically
• pneumonia negative
• pneumothorax
A16.1 Tuberculosis of lung, bacteriological and histological examination not done

Conditions listed in A16.0, bacteriological and histological examination not done
A16.2 Tuberculosis of lung, without mention of bacteriological or histological

confirmation
Tuberculosis of lung
Tuberculous: NOS (without mention of
• bronchiectasis bacteriological or histological
• fibrosis of lung confirmation)
• pneumonia
• pneumothorax
I-9
A16.3 Tuberculosis of intrathoracic lymph nodes, without mention of

bacteriological or histological confirmation
Tuberculosis of lymph nodes:
• hilar
• intrathoracic NOS (without mention of bacteriological or
• mediastinal histological confirmation)
• tracheobronchial
Excludes: when specified as primary (A16.7)
A16.4 Tuberculosis of larynx, trachea and bronchus, without mention of

bacteriological or histological confirmation
Tuberculosis of:
• bronchus
• glottis NOS (without mention of bacteriological or
• larynx histological confirmation)
• trachea
A16.5 Tuberculous pleurisy, without mention of bacteriological or histological

confirmation
Tuberculosis of pleura
Tuberculous: NOS (without mention of bacteriological or
• empyema histological confirmation)
• pleurisy
Excludes: in primary respiratory tuberculosis (A16.7)
A16.7 Primary respiratory tuberculosis without mention of bacteriological or

histological confirmation
Primary:
• respiratory tuberculosis NOS
• tuberculous complex
A16.8 Other respiratory tuberculosis, without mention of bacteriological or

Mediastinal tuberculosis
Nasopharyngeal tuberculosis NOS (without mention of bacteriological or
Tuberculosis of: histological confirmation)
• nose
• sinus [any nasal]
I-10
A16.9 Respiratory tuberculosis unspecified, without mention of bacteriological or

Respiratory tuberculosis NOS
Tuberculosis NOS
A16.90 Tuberculosis NOS
A17† Tuberculosis of nervous system
A17.0† Tuberculous meningitis (G01*)

Tuberculosis of meninges (cerebral) (spinal)
Tuberculous leptomeningitis
A17.1† Meningeal tuberculoma (G07*)

Tuberculoma of meninges
A17.8† Other tuberculosis of nervous system

Tuberculoma brain (G07*)
of
Tuberculosis spinal cord (G07*)
Tuberculous:
• abscess of brain (G07*)
• meningoencephalitis (G05.0*)
• myelitis (G05.0*)
• polyneuropathy (G63.0*)
A17.9† Tuberculosis of nervous system, unspecified (G99.8*)
A18 Tuberculosis of other organs
A18.0† Tuberculosis of bones and joints

Tuberculosis of:
• hip (M01.1*)
• knee (M01.1*)
• vertebral column (M49.0*)
Tuberculous:
• arthritis (M01.1*)
• mastoiditis (H75.0*)
• necrosis of bone (M90.0*)
• osteitis (M90.0*)
• osteomyelitis (M90.0*)
• synovitis (M68.0*)
• tenosynovitis (M68.0*)
I-11
A18.1 Tuberculosis of genitourinary system

Tuberculosis of:
• bladder† (N33.0*)
• cervix† (N74.0*)
• kidney† (N29.1*)
• male genital organs† (N51.-*)
• ureter† (N29.1*)
Tuberculous female pelvic inflammatory disease† (N74.1*)
A18.2 Tuberculous peripheral lymphadenopathy

Tuberculous adenitis
Excludes: tuberculosis of lymph nodes:

• intrathoracic (A15.4, A16.3)
• mesenteric and retroperitoneal (A18.3)
tuberculous tracheobronchial adenopathy (A15.4, A16.3)
A18.3 Tuberculosis of intestines, peritoneum and mesenteric glands

Tuberculosis (of):
• anus and rectum† (K93.0*)
• intestine (large) (small)† (K93.0*)
• retroperitoneal (lymph nodes)
Tuberculous:
• ascites
• enteritis† (K93.0*)
• peritonitis† (K67.3*)
A18.4 Tuberculosis of skin and subcutaneous tissue

Erythema induratum, tuberculous
Lupus:
• exedens
• vulgaris:
• NOS
• of eyelid† (H03.1*)
Scrofuloderma
Excludes: lupus erythematosus (L93.-)

• systemic (M32.-)
I-12
A18.5 Tuberculosis of eye

Tuberculous:
• chorioretinitis† (H32.0*)
• episcleritis† (H19.0*)
• interstitial keratitis† (H19.2*)
• iridocyclitis† (H22.0*)
• keratoconjunctivitis (interstitial) (phlyctenular)† (H19.2*)
Excludes: lupus vulgaris of eyelid (A18.4)
A18.6 Tuberculosis of ear

Tuberculous otitis media† (H67.0*)
Excludes: tuberculous mastoiditis (A18.0†)
A18.7† Tuberculosis of adrenal glands (E35.1*)

Addison's disease, tuberculous
A18.8 Tuberculosis of other specified organs

Tuberculosis of:
• endocardium† (I39.8*)
• myocardium† (I41.0*)
• oesophagus† (K23.0*)
• pericardium† (I32.0*)
• thyroid gland† (E35.0*)
Tuberculous cerebral arteritis† (I68.1*)
A19 Miliary tuberculosis

Includes: tuberculosis:
• disseminated
• generalized
tuberculous polyserositis
A19.0 Acute miliary tuberculosis of a single specified site

A19.1 Acute miliary tuberculosis of multiple sites
A19.2 Acute miliary tuberculosis, unspecified
A19.8 Other miliary tuberculosis
A19.9 Miliary tuberculosis, unspecified
I-13
Certain zoonotic bacterial diseases

(A20-A28)
A20 Plague
Includes: infection due to Yersinia pestis
A20.0 Bubonic plague
A20.1 Cellulocutaneous plague
A20.2 Pneumonic plague
A20.3 Plague meningitis
A20.7 Septicaemic plague
A20.8 Other forms of plague

Abortive plague
Asymptomatic plague
Pestis minor
A20.9 Plague, unspecified
A21 Tularaemia
Includes: deer-fly fever
infection due to Francisella tularensis
rabbit fever
A21.0 Ulceroglandular tularaemia
A21.1 Oculoglandular tularaemia

Ophthalmic tularaemia
A21.2 Pulmonary tularaemia
A21.3 Gastrointestinal tularaemia

Abdominal tularaemia
A21.7 Generalized tularaemia
I-14
A21.8 Other forms of tularaemia
A21.9 Tularaemia, unspecified
A22 Anthrax
Includes: infection due to Bacillus anthracis
A22.0 Cutaneous anthrax

Malignant:
• carbuncle
• pustule
A22.1 Pulmonary anthrax

Inhalation anthrax
Ragpicker's disease
Woolsorter's disease
A22.2 Gastrointestinal anthrax
A22.7 Anthrax septicaemia
A22.8 Other forms of anthrax

Anthrax meningitis† (G01*)
A22.9 Anthrax, unspecified
A23 Brucellosis
Includes: fever:
• Malta
• Mediterranean
• undulant
A23.0 Brucellosis due to Brucella melitensis
A23.1 Brucellosis due to Brucella abortus
A23.2 Brucellosis due to Brucella suis
A23.3 Brucellosis due to Brucella canis
I-15
A23.8 Other brucellosis
A23.9 Brucellosis, unspecified
A24 Glanders and melioidosis
A24.0 Glanders
Infection due to Pseudomonas mallei
Malleus
A24.1 Acute and fulminating melioidosis

Melioidosis:
• pneumonia
• septicaemia
A24.2 Subacute and chronic melioidosis
A24.3 Other melioidosis
A24.4 Melioidosis, unspecified

Infection due to Pseudomonas pseudomallei NOS
Whitmore's disease
A25 Rat-bite fevers
A25.0 Spirillosis
Sodoku
A25.1 Streptobacillosis
Epidemic arthritic erythema
Haverhill fever
Streptobacillary rat-bite fever
A25.9 Rat-bite fever, unspecified
A26 Erysipeloid
A26.0 Cutaneous erysipeloid

Erythema migrans
I-16
A26.7 Erysipelothrix septicaemia
A26.8 Other forms of erysipeloid
A26.9 Erysipeloid, unspecified
A27 Leptospirosis
A27.0 Leptospirosis icterohaemorrhagica

Leptospirosis due to Leptospira interrogans serovar icterohaemorrhagiae
A27.8 Other forms of leptospirosis
A27.9 Leptospirosis, unspecified
A28 Other zoonotic bacterial diseases, not elsewhere classified
A28.0 Pasteurellosis
A28.1 Cat-scratch disease

Cat-scratch fever
A28.2 Extraintestinal yersiniosis

Excludes: enteritis due to Yersinia enterocolitica (A04.6)
plague (A20.-)
A28.8 Other specified zoonotic bacterial diseases, not elsewhere classified
A28.9 Zoonotic bacterial disease, unspecified
I-17
Other bacterial diseases

(A30-A49)
A30 Leprosy [Hansen's disease]

Includes: infection due to Mycobacterium leprae
Excludes: sequelae of leprosy (B92)
A30.0 Indeterminate leprosy

I leprosy
A30.1 Tuberculoid leprosy

TT leprosy
A30.2 Borderline tuberculoid leprosy

BT leprosy
A30.3 Borderline leprosy

BB leprosy
A30.4 Borderline lepromatous leprosy

BL leprosy
A30.5 Lepromatous leprosy

LL leprosy
A30.8 Other forms of leprosy
A30.9 Leprosy, unspecified
A31 Infection due to other mycobacteria

Excludes: leprosy (A30.-)
tuberculosis (A15-A19)
A31.0 Pulmonary mycobacterial infection

Infection due to Mycobacterium:
• avium
• intracellulare [Battey bacillus]
• kansasii
I-18
A31.1 Cutaneous mycobacterial infection

Buruli ulcer
Infection due to Mycobacterium:
• marinum
• ulcerans
A31.8 Other mycobacterial infections
A31.9 Mycobacterial infection, unspecified

Atypical mycobacterium infection NOS
Mycobacteriosis NOS
A32 Listeriosis
Includes: listerial foodborne infection
Excludes: neonatal (disseminated) listeriosis (P37.2)
A32.0 Cutaneous listeriosis
A32.1† Listerial meningitis and meningoencephalitis

Listerial:
• meningitis (G01*)
A32.7 Listerial septicaemia
A32.8 Other forms of listeriosis

Listerial:
• cerebral arteritis† (I68.1*)
• endocarditis† (I39.8*)
Oculoglandular listeriosis
A32.9 Listeriosis, unspecified
A33 Tetanus neonatorum
A34 Obstetrical tetanus
I-19
A35 Other tetanus

Tetanus NOS
Excludes: tetanus:
• neonatorum (A33)
• obstetrical (A34)
A36 Diphtheria
A36.0 Pharyngeal diphtheria

Diphtheritic membranous angina
Tonsillar diphtheria
A36.1 Nasopharyngeal diphtheria
A36.2 Laryngeal diphtheria

Diphtheritic laryngotracheitis
A36.3 Cutaneous diphtheria

Excludes: erythrasma (L08.1)
A36.8 Other diphtheria

Diphtheritic:
• conjunctivitis† (H13.1*)
• myocarditis† (I41.0*)
• polyneuritis† (G63.0*)
A36.9 Diphtheria, unspecified
A37 Whooping cough
A37.0 Whooping cough due to Bordetella pertussis
A37.1 Whooping cough due to Bordetella parapertussis
A37.8 Whooping cough due to other Bordetella species
A37.9 Whooping cough, unspecified
I-20
A38 Scarlet fever

Scarlatina
Excludes: streptococcal sore throat (J02.0)
A39 Meningococcal infection
A39.0† Meningococcal meningitis (G01*)
A39.1† Waterhouse-Friderichsen syndrome (E35.1*)

Meningococcal haemorrhagic adrenalitis
Meningococcic adrenal syndrome
A39.2 Acute meningococcaemia
A39.3 Chronic meningococcaemia
A39.4 Meningococcaemia, unspecified

Meningococcal bacteraemia NOS
A39.5† Meningococcal heart disease

Meningococcal:
• carditis NOS (I52.0*)
• endocarditis (I39.8*)
• myocarditis (I41.0*)
• pericarditis (I32.0*)
A39.8 Other meningococcal infections

Meningococcal:
• encephalitis† (G05.0*)
• retrobulbar neuritis† (H48.1*)
Postmeningococcal arthritis† (M03.0*)
A39.9 Meningococcal infection, unspecified

Meningococcal disease NOS
I-21
A40 Streptococcal septicaemia

Excludes: during labour (O75.3)
following:
• abortion or ectopic or molar pregnancy (O03-O07, O08.0)
• immunization (T88.0)
• infusion, transfusion or therapeutic injection (T80.2)
neonatal (P36.0-P36.1)
postprocedural (T81.4)
puerperal (O85)
A40.0 Septicaemia due to streptococcus, group A
A40.1 Septicaemia due to streptococcus, group B
A40.2 Septicaemia due to streptococcus, group D
A40.3 Septicaemia due to Streptococcus pneumoniae

Pneumococcal septicaemia
A40.8 Other streptococcal septicaemia
A40.9 Streptococcal septicaemia, unspecified
I-22
A41 Other septicaemia

Excludes: bacteraemia NOS (A49.9)
during labour (O75.3)
following:
• immunization (T88.0)
• infusion, transfusion or therapeutic injection (T80.2)
septicaemia (due to) (in):
• actinomycotic (A42.7)
• anthrax (A22.7)
• candidal (B37.7)
• Erysipelothrix (A26.7)
• extraintestinal yersiniosis (A28.2)
• gonococcal (A54.8)
• herpesviral (B00.7)
• listerial (A32.7)
• meningococcal (A39.2-A39.4)
• neonatal (P36.-)
• postprocedural (T81.4)
• puerperal (O85)
• streptococcal (A40.-)
• tularaemia (A21.7)
septicaemic:
• melioidosis (A24.1)
• plague (A20.7)
toxic shock syndrome (A48.3)
A41.0 Septicaemia due to Staphylococcus aureus
A41.1 Septicaemia due to other specified staphylococcus

Septicaemia due to coagulase-negative staphylococcus
A41.2 Septicaemia due to unspecified staphylococcus
A41.3 Septicaemia due to Haemophilus influenzae
A41.4 Septicaemia due to anaerobes

Excludes: gas gangrene (A48.0)
I-23
A41.5 Septicaemia due to other Gram-negative organisms

Gram-negative septicaemia NOS
A41.8 Other specified septicaemia
A41.9 Septicaemia, unspecified

Septic shock
A42 Actinomycosis
Excludes: actinomycetoma (B47.1)
A42.0 Pulmonary actinomycosis
A42.1 Abdominal actinomycosis
A42.2 Cervicofacial actinomycosis
A42.7 Actinomycotic septicaemia
A42.8 Other forms of actinomycosis
A42.9 Actinomycosis, unspecified
A43 Nocardiosis
A43.0 Pulmonary nocardiosis
A43.1 Cutaneous nocardiosis
A43.8 Other forms of nocardiosis
A43.9 Nocardiosis, unspecified
A44 Bartonellosis
A44.0 Systemic bartonellosis

Oroya fever
A44.1 Cutaneous and mucocutaneous bartonellosis

Verruga peruana
I-24
A44.8 Other forms of bartonellosis
A44.9 Bartonellosis, unspecified
A46 Erysipelas
Excludes: postpartum or puerperal erysipelas (O86.8)
A48 Other bacterial diseases, not elsewhere classified

Excludes: actinomycetoma (B47.1)
A48.0 Gas gangrene

Clostridial:
• cellulitis
• myonecrosis
A48.1 Legionnaires' disease
A48.2 Nonpneumonic Legionnaires' disease [Pontiac fever]
A48.3 Toxic shock syndrome

Excludes: endotoxic shock NOS (R57.8)
septicaemia NOS (A41.9)
A48.4 Brazilian purpuric fever

Systemic Haemophilus aegyptius infection
A48.8 Other specified bacterial diseases
A49 Bacterial infection of unspecified site

Excludes: bacterial agents as the cause of diseases classified to other chapters
(B95-B96)
chlamydial infection NOS (A74.9)
meningococcal infection NOS (A39.9)
rickettsial infection NOS (A79.9)
spirochaetal infection NOS (A69.9)
A49.0 Staphylococcal infection, unspecified
A49.1 Streptococcal infection, unspecified
I-25
A49.2 Haemophilus influenzae infection, unspecified
A49.3 Mycoplasma infection, unspecified
A49.8 Other bacterial infections of unspecified site
A49.9 Bacterial infection, unspecified

Bacteraemia NOS
Infections with a predominantly sexual mode of transmission

(A50-A64)
Excludes: human immunodeficiency virus [HIV] disease (B20-B24)

nonspecific and nongonococcal urethritis (N34.1)
Reiter's disease (M02.3)
A50 Congenital syphilis
A50.0 Early congenital syphilis, symptomatic

Any congenital syphilitic condition specified as early or manifest less than two
years after birth.
Early congenital syphilis:

• cutaneous
• mucocutaneous
• visceral
Early congenital syphilitic:
• laryngitis
• oculopathy
• osteochondropathy
• pharyngitis
• pneumonia
• rhinitis
A50.1 Early congenital syphilis, latent

Congenital syphilis without clinical manifestations, with positive serological
reaction and negative spinal fluid test, less than two years after birth.
I-26
A50.2 Early congenital syphilis, unspecified

Congenital syphilis NOS less than two years after birth.
A50.3 Late congenital syphilitic oculopathy

Late congenital syphilitic interstitial keratitis† (H19.2*)
Late congenital syphilitic oculopathy NEC† (H58.8*)
Excludes: Hutchinson's triad (A50.5)
A50.4 Late congenital neurosyphilis [juvenile neurosyphilis]

Dementia paralytica juvenilis
Juvenile:
• general paresis
• tabes dorsalis
• taboparetic neurosyphilis
Late congenital syphilitic:
• polyneuropathy† (G63.0*)
Use additional code, if desired, to identify any associated mental disorder.
Excludes: Hutchinson's triad (A50.5)
A50.5 Other late congenital syphilis, symptomatic

Any congenital syphilitic condition specified as late or manifest two years or
more after birth.
Clutton's joints† (M03.1*)

Hutchinson's:
• teeth
• triad
Late congenital:
• cardiovascular syphilis† (I98.0*)
• syphilitic:
• arthropathy† (M03.1*)
• osteochondropathy† (M90.2*)
Syphilitic saddle nose
I-27
A50.6 Late congenital syphilis, latent

Congenital syphilis without clinical manifestations, with positive serological
reaction and negative spinal fluid test, two years or more after birth.
A50.7 Late congenital syphilis, unspecified

Congenital syphilis NOS two years or more after birth.
A50.9 Congenital syphilis, unspecified
A51 Early syphilis
A51.0 Primary genital syphilis

Syphilitic chancre NOS
A51.1 Primary anal syphilis
A51.2 Primary syphilis of other sites
A51.3 Secondary syphilis of skin and mucous membranes

Condyloma latum
Syphilitic:
• alopecia† (L99.8*)
• leukoderma† (L99.8*)
• mucous patch
A51.4 Other secondary syphilis

Secondary syphilitic:
• female pelvic inflammatory disease† (N74.2*)
• lymphadenopathy
• myositis† (M63.0*)
• oculopathy NEC† (H58.8*)
• periostitis† (M90.1*)
A51.5 Early syphilis, latent

Syphilis (acquired) without clinical manifestations, with positive serological
reaction and negative spinal fluid test, less than two years after infection.
A51.9 Early syphilis, unspecified
I-28
A52 Late syphilis
A52.0† Cardiovascular syphilis

Cardiovascular syphilis NOS (I98.0*)
Syphilitic:
• aneurysm of aorta (I79.0*)
• aortic incompetence (I39.1*)
• aortitis (I79.1*)
• arteritis, cerebral (I68.1*)
• endocarditis NOS (I39.8*)
• pulmonary regurgitation (I39.3*)
A52.1 Symptomatic neurosyphilis

Charcot's arthropathy† (M14.6*)
Late syphilitic:
• acoustic neuritis† (H94.0*)
• optic atrophy† (H48.0*)
• retrobulbar neuritis† (H48.1*)
Syphilitic parkinsonism† (G22*)
Tabes dorsalis
A52.2 Asymptomatic neurosyphilis
A52.3 Neurosyphilis, unspecified

Gumma (syphilitic)
Syphilis (late) of central nervous system NOS
Syphiloma
I-29
A52.7 Other symptomatic late syphilis

Glomerular disease in syphilis† (N08.0*)
Gumma (syphilitic) any sites, except those
Late or tertiary syphilis classified to A52.0-A52.3
Late syphilitic:
• bursitis† (M73.1*)
• chorioretinitis† (H32.0*)
• episcleritis† (H19.0*)
• leukoderma† (L99.8*)
• oculopathy NEC† (H58.8*)
Syphilis [stage unspecified] of:
• bone† (M90.2*)
• liver† (K77.0*)
• lung† (J99.8*)
• muscle† (M63.0*)
• synovium† (M68.0*)
A52.8 Late syphilis, latent

Syphilis (acquired) without clinical manifestations, with positive serological
reaction and negative spinal fluid test, two years or more after infection.
A52.9 Late syphilis, unspecified
A53 Other and unspecified syphilis
A53.0 Latent syphilis, unspecified as early or late

Latent syphilis NOS
Positive serological reaction for syphilis
A53.9 Syphilis, unspecified

Infection due to Treponema pallidum NOS
Syphilis (acquired) NOS
Excludes: syphilis NOS causing death under two years of age (A50.2)
I-30
A54 Gonococcal infection
A54.0 Gonococcal infection of lower genitourinary tract without periurethral or

accessory gland abscess
Gonococcal:
• cervicitis NOS
• cystitis NOS
• urethritis NOS
• vulvovaginitis NOS
Excludes: with:
• genitourinary gland abscess (A54.1)
• periurethral abscess (A54.1)
A54.1 Gonococcal infection of lower genitourinary tract with periurethral and

accessory gland abscess
Gonococcal Bartholin's gland abscess
A54.2 Gonococcal pelviperitonitis and other gonococcal genitourinary infections

Gonococcal:
• epididymitis† (N51.1*)
• orchitis† (N51.1*)
• prostatitis† (N51.0*)
Excludes: gonococcal peritonitis (A54.8)
A54.3 Gonococcal infection of eye

Gonococcal:
Ophthalmia neonatorum due to gonococcus
A54.4† Gonococcal infection of musculoskeletal system

Gonococcal:
• arthritis (M01.3*)
• bursitis (M73.0*)
• osteomyelitis (M90.2*)
• synovitis (M68.0*)
• tenosynovitis (M68.0*)
I-31
A54.5 Gonococcal pharyngitis
A54.6 Gonococcal infection of anus and rectum
A54.8 Other gonococcal infections

Gonococcal:
• brain abscess† (G07*)
• endocarditis† (I39.8*)
• pericarditis† (I32.0*)
• septicaemia
• skin lesions
Excludes: gonococcal pelviperitonitis (A54.2)
A54.9 Gonococcal infection, unspecified
A55 Chlamydial lymphogranuloma (venereum)

Climatic or tropical bubo
Durand-Nicolas-Favre disease
Esthiomene
Lymphogranuloma inguinale
A56 Other sexually transmitted chlamydial diseases

Includes: sexually transmitted diseases due to Chlamydia trachomatis
Excludes: chlamydial:
• lymphogranuloma (A55)
• neonatal:
• conjunctivitis (P39.1)
• pneumonia (P23.1)
conditions classified to A74.-
I-32
A56.0 Chlamydial infection of lower genitourinary tract

Chlamydial:
• cervicitis
• cystitis
• urethritis
• vulvovaginitis
A56.1 Chlamydial infection of pelviperitoneum and other genitourinary organs

Chlamydial:
• epididymitis† (N51.1*)
• orchitis† (N51.1*)
A56.2 Chlamydial infection of genitourinary tract, unspecified
A56.3 Chlamydial infection of anus and rectum
A56.4 Chlamydial infection of pharynx
A56.8 Sexually transmitted chlamydial infection of other sites
A57 Chancroid
Ulcus molle
A58 Granuloma inguinale

Donovanosis
A59 Trichomoniasis
Excludes: intestinal trichomoniasis (A07.8)
A59.0 Urogenital trichomoniasis

Leukorrhoea (vaginalis)
Prostatitis† (N51.0*) due to Trichomonas (vaginalis)
A59.8 Trichomoniasis of other sites
A59.9 Trichomoniasis, unspecified
I-33
A60 Anogenital herpesviral [herpes simplex] infection
A60.0 Herpesviral infection of genitalia and urogenital tract

Herpesviral infection of genital tract:
• female† (N77.0-N77.1*)
• male† (N51.-*)
A60.1 Herpesviral infection of perianal skin and rectum
A60.9 Anogenital herpesviral infection, unspecified
A63 Other predominantly sexually transmitted diseases, not elsewhere classified

Excludes: molluscum contagiosum (B08.1)
papilloma of cervix (D26.0)
A63.0 Anogenital (venereal) warts
A63.8 Other specified predominantly sexually transmitted diseases
A64 Unspecified sexually transmitted disease

Venereal disease NOS
Other spirochaetal diseases

(A65-A69)
Excludes: leptospirosis (A27.-)

syphilis (A50-A53)
A65 Nonvenereal syphilis

Bejel
Endemic syphilis
Njovera
A66 Yaws
Includes: bouba
framboesia (tropica)
pian
I-34
A66.0 Initial lesions of yaws

Chancre of yaws
Framboesia, initial or primary
Initial framboesial ulcer
Mother yaw
A66.1 Multiple papillomata and wet crab yaws

Framboesioma
Pianoma
Plantar or palmar papilloma of yaws
A66.2 Other early skin lesions of yaws

Cutaneous yaws, less than five years after infection
Early yaws (cutaneous) (macular) (maculopapular) (micropapular) (papular)
Framboeside of early yaws
A66.3 Hyperkeratosis of yaws

Ghoul hand
Hyperkeratosis, palmar or plantar (early)(late) due to yaws
Worm-eaten soles
A66.4 Gummata and ulcers of yaws

Gummatous framboeside
Nodular late yaws (ulcerated)
A66.5 Gangosa
Rhinopharyngitis mutilans
A66.6 Bone and joint lesions of yaws

Ganglion
Hydrarthrosis of yaws (early) (late)
Osteitis
Periostitis (hypertrophic)
Goundou
Gumma, bone of yaws (late)
Gummatous osteitis or periostitis
A66.7 Other manifestations of yaws

Juxta-articular nodules of yaws
Mucosal yaws
I-35
A66.8 Latent yaws

Yaws without clinical manifestations, with positive serology
A66.9 Yaws, unspecified
A67 Pinta [carate]
A67.0 Primary lesions of pinta

Chancre (primary)
Papule (primary) of pinta [carate]
A67.1 Intermediate lesions of pinta

Erythematous plaques
Hyperchromic lesions of pinta [carate]
Hyperkeratosis
Pintids
A67.2 Late lesions of pinta

Cardiovascular lesions† (I98.1*)
Skin lesions:
• achromic of pinta [carate]
• cicatricial
• dyschromic
A67.3 Mixed lesions of pinta

Achromic with hyperchromic skin lesions of pinta [carate]
A67.9 Pinta, unspecified
A68 Relapsing fevers

Includes: recurrent fever
Excludes: Lyme disease (A69.2)
A68.0 Louse-borne relapsing fever

Relapsing fever due to Borrelia recurrentis
A68.1 Tick-borne relapsing fever

Relapsing fever due to any Borrelia species other than Borrelia recurrentis
I-36
A68.9 Relapsing fever, unspecified
A69 Other spirochaetal infections
A69.0 Necrotizing ulcerative stomatitis

Cancrum oris
Fusospirochaetal gangrene
Noma
Stomatitis gangrenosa
A69.1 Other Vincent's infections

Fusospirochaetal pharyngitis
Necrotizing ulcerative (acute):
• gingivitis
• gingivostomatitis
Spirochaetal stomatitis
Trench mouth
Vincent's:
• angina
• gingivitis
A69.2 Lyme disease

Erythema chronicum migrans due to Borrelia burgdorferi
A69.8 Other specified spirochaetal infections
A69.9 Spirochaetal infection, unspecified
Other diseases caused by chlamydiae

(A70-A74)
A70 Chlamydia psittaci infection

Ornithosis
Parrot fever
Psittacosis
A71 Trachoma
Excludes: sequelae of trachoma (B94.0)
I-37
A71.0 Initial stage of trachoma

Trachoma dubium
A71.1 Active stage of trachoma

Granular conjunctivitis (trachomatous)
Trachomatous:
• follicular conjunctivitis
• pannus
A71.9 Trachoma, unspecified
A74 Other diseases caused by chlamydiae

Excludes: chlamydial pneumonia (J16.0)
neonatal chlamydial:
• conjunctivitis (P39.1)
• pneumonia (P23.1)
sexually transmitted chlamydial diseases (A55-A56)
A74.0† Chlamydial conjunctivitis (H13.1*)

Paratrachoma
A74.8 Other chlamydial diseases

Chlamydial peritonitis† (K67.0*)
A74.9 Chlamydial infection, unspecified

Chlamydiosis NOS
Rickettsioses
(A75-A79)
A75 Typhus fever

Excludes: rickettsiosis due to Ehrlichia sennetsu (A79.8)
A75.0 Epidemic louse-borne typhus fever due to Rickettsia prowazekii

Classical typhus (fever)
Epidemic (louse-borne) typhus
A75.1 Recrudescent typhus [Brill's disease]

Brill-Zinsser disease
I-38
A75.2 Typhus fever due to Rickettsia typhi

Murine (flea-borne) typhus
A75.3 Typhus fever due to Rickettsia tsutsugamushi

Scrub (mite-borne) typhus
Tsutsugamushi fever
A75.9 Typhus fever, unspecified

Typhus (fever) NOS
A77 Spotted fever [tick-borne rickettsioses]
A77.0 Spotted fever due to Rickettsia rickettsii

Rocky Mountain spotted fever
Sao Paulo fever
A77.1 Spotted fever due to Rickettsia conorii

African tick typhus
Boutonneuse fever
India tick typhus
Kenya tick typhus
Marseilles fever
Mediterranean tick fever
A77.2 Spotted fever due to Rickettsia sibirica

North Asian tick fever
Siberian tick typhus
A77.3 Spotted fever due to Rickettsia australis

Queensland tick typhus
A77.8 Other spotted fevers
A77.9 Spotted fever, unspecified

Tick-borne typhus NOS
A78 Q fever
Infection due to Coxiella burnetii
Nine Mile fever
Quadrilateral fever
I-39
A79 Other rickettsioses
A79.0 Trench fever

Quintan fever
Wolhynian fever
A79.1 Rickettsialpox due to Rickettsia akari

Kew Garden fever
Vesicular rickettsiosis
A79.8 Other specified rickettsioses

Rickettsiosis due to Ehrlichia sennetsu
A79.9 Rickettsiosis, unspecified

Rickettsial infection NOS
Viral infections of the central nervous system

(A80-A89)
Excludes: sequelae of:

• poliomyelitis (B91)
• viral encephalitis (B94.1)
A80 Acute poliomyelitis
A80.0 Acute paralytic poliomyelitis, vaccine-associated
A80.1 Acute paralytic poliomyelitis, wild virus, imported
A80.2 Acute paralytic poliomyelitis, wild virus, indigenous
A80.3 Acute paralytic poliomyelitis, other and unspecified
A80.4 Acute nonparalytic poliomyelitis
A80.9 Acute poliomyelitis, unspecified
A81 Atypical virus infections of central nervous system

Includes: prion diseases of the central nervous system
I-40
A81.0 Creutzfeldt-Jakob disease

Subacute spongiform encephalopathy
A81.1 Subacute sclerosing panencephalitis

Dawson's inclusion body encephalitis
Van Bogaert's sclerosing leukoencephalopathy
A81.2 Progressive multifocal leukoencephalopathy

Multifocal leukoencephalopathy NOS
A81.8 Other atypical virus infections of central nervous system

Kuru
A81.9 Atypical virus infection of central nervous system, unspecified

Prion disease of central nervous system NOS
A82 Rabies
A82.0 Sylvatic rabies
A82.1 Urban rabies
A82.9 Rabies, unspecified
A83 Mosquito-borne viral encephalitis

Includes: mosquito-borne viral meningoencephalitis
Excludes: Venezuelan equine encephalitis (A92.2)
A83.0 Japanese encephalitis
A83.1 Western equine encephalitis
A83.2 Eastern equine encephalitis
A83.3 St Louis encephalitis
A83.4 Australian encephalitis

Kunjin virus disease
I-41
A83.5 California encephalitis

California meningoencephalitis
La Crosse encephalitis
A83.6 Rocio virus disease
A83.8 Other mosquito-borne viral encephalitis
A83.9 Mosquito-borne viral encephalitis, unspecified
A84 Tick-borne viral encephalitis

Includes: tick-borne viral meningoencephalitis
A84.0 Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]
A84.1 Central European tick-borne encephalitis
A84.8 Other tick-borne viral encephalitis

Louping ill
Powassan virus disease
A84.9 Tick-borne viral encephalitis, unspecified
A85 Other viral encephalitis, not elsewhere classified

Includes: specified viral:
• encephalomyelitis NEC
• meningoencephalitis NEC
Excludes: benign myalgic encephalomyelitis (G93.3)

encephalitis due to:
• herpesvirus [herpes simplex] (B00.4)
• measles virus (B05.0)
• mumps virus (B26.2)
• poliomyelitis virus (A80.-)
• zoster (B02.0)
lymphocytic choriomeningitis (A87.2)
A85.0† Enteroviral encephalitis (G05.1*)

Enteroviral encephalomyelitis
I-42
A85.1† Adenoviral encephalitis (G05.1*)

Adenoviral meningoencephalitis
A85.2 Arthropod-borne viral encephalitis, unspecified
A85.8 Other specified viral encephalitis

Encephalitis lethargica
Von Economo-Cruchet disease
A86 Unspecified viral encephalitis

Viral:
• encephalomyelitis NOS
• meningoencephalitis NOS
A87 Viral meningitis

Excludes: meningitis due to:
• herpesvirus [herpes simplex] (B00.3)
• measles virus (B05.1)
• mumps virus (B26.1)
• poliomyelitis virus (A80.-)
• zoster (B02.1)
A87.0† Enteroviral meningitis (G02.0*)

Coxsackievirus meningitis
Echovirus meningitis
A87.1† Adenoviral meningitis (G02.0*)
A87.2 Lymphocytic choriomeningitis

Lymphocytic meningoencephalitis
A87.8 Other viral meningitis
A87.9 Viral meningitis, unspecified
A88 Other viral infections of central nervous system, not elsewhere classified
Excludes: viral:
• encephalitis NOS (A86)
• meningitis NOS (A87.9)
I-43
A88.0 Enteroviral exanthematous fever [Boston exanthem]
A88.1 Epidemic vertigo
A88.8 Other specified viral infections of central nervous system
A89 Unspecified viral infection of central nervous system
Arthropod-borne viral fevers and viral haemorrhagic fevers

(A90-A99)
A90 Dengue fever [classical dengue]

Excludes: dengue haemorrhagic fever (A91)
A91 Dengue haemorrhagic fever
A92 Other mosquito-borne viral fevers

Excludes: Ross River disease (B33.1)
A92.0 Chikungunya virus disease

Chikungunya (haemorrhagic) fever
A92.1 O'nyong-nyong fever
A92.2 Venezuelan equine fever

Venezuelan equine:
• encephalitis
• encephalomyelitis virus disease
A92.3 West Nile fever
A92.4 Rift Valley fever
A92.8 Other specified mosquito-borne viral fevers
A92.9 Mosquito-borne viral fever, unspecified
I-44
A93 Other arthropod-borne viral fevers, not elsewhere classified
A93.0 Oropouche virus disease

Oropouche fever
A93.1 Sandfly fever

Pappataci fever
Phlebotomus fever
A93.2 Colorado tick fever
A93.8 Other specified arthropod-borne viral fevers

Piry virus disease
Vesicular stomatitis virus disease [Indiana fever]
A94 Unspecified arthropod-borne viral fever

Arboviral fever NOS
Arbovirus infection NOS
A95 Yellow fever
A95.0 Sylvatic yellow fever

Jungle yellow fever
A95.1 Urban yellow fever
A95.9 Yellow fever, unspecified
A96 Arenaviral haemorrhagic fever
A96.0 Junin haemorrhagic fever

Argentinian haemorrhagic fever
A96.1 Machupo haemorrhagic fever

Bolivian haemorrhagic fever
A96.2 Lassa fever
I-45
A96.8 Other arenaviral haemorrhagic fevers
A96.9 Arenaviral haemorrhagic fever, unspecified
A98 Other viral haemorrhagic fevers, not elsewhere classified

Excludes: chikungunya haemorrhagic fever (A92.0)
dengue haemorrhagic fever (A91)
A98.0 Crimean-Congo haemorrhagic fever

Central Asian haemorrhagic fever
A98.1 Omsk haemorrhagic fever
A98.2 Kyasanur Forest disease
A98.3 Marburg virus disease
A98.4 Ebola virus disease
A98.5 Haemorrhagic fever with renal syndrome

Haemorrhagic fever:
• epidemic
• Korean
• Russian
Hantaan virus disease
Hantavirus disease with renal manifestations
Nephropathia epidemica
Excludes: hantavirus (cardio)-pulmonary syndrome (B33.4† J17.1*)
A98.8 Other specified viral haemorrhagic fevers
A99 Unspecified viral haemorrhagic fever
I-46
Viral infections characterized by skin and mucous membrane lesions

(B00-B09)
B00 Herpesviral [herpes simplex] infections

Excludes: anogenital herpesviral infection (A60.-)
congenital herpesviral infection (P35.2)
gammaherpesviral mononucleosis (B27.0)
herpangina (B08.5)
B00.0 Eczema herpeticum

Kaposi's varicelliform eruption
B00.1 Herpesviral vesicular dermatitis

Herpes simplex:
• facialis
• labialis
Vesicular dermatitis of:
• ear
due to human (alpha) herpesvirus 2
• lip
B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis

Herpesviral pharyngitis
B00.3† Herpesviral meningitis (G02.0*)
B00.4† Herpesviral encephalitis (G05.1*)

Herpesviral meningoencephalitis
Simian B disease
B00.5 Herpesviral ocular disease

Herpesviral:
• dermatitis of eyelid† (H03.1*)
• iritis† (H22.0*)
• keratitis† (H19.1*)
• keratoconjunctivitis† (H19.1*)
• uveitis, anterior† (H22.0*)
I-47
B00.7 Disseminated herpesviral disease

Herpesviral septicaemia
B00.8 Other forms of herpesviral infection

Herpesviral:
• hepatitis† (K77.0*)
• whitlow
B00.9 Herpesviral infection, unspecified

Herpes simplex infection NOS
B01 Varicella [chickenpox]
B01.0† Varicella meningitis (G02.0*)
B01.1† Varicella encephalitis (G05.1*)

Postchickenpox encephalitis
Varicella encephalomyelitis
B01.2† Varicella pneumonia (J17.1*)
B01.8 Varicella with other complications
B01.9 Varicella without complication

Varicella NOS
B02 Zoster [herpes zoster]

Includes: shingles
zona
B02.0† Zoster encephalitis (G05.1*)

Zoster meningoencephalitis
B02.1† Zoster meningitis (G02.0*)
B02.2† Zoster with other nervous system involvement

Postherpetic:
• geniculate ganglionitis (G53.0*)
• trigeminal neuralgia (G53.0*)
I-48
B02.3 Zoster ocular disease

Zoster:
• blepharitis† (H03.1*)
• iritis† (H22.0*)
• keratitis† (H19.2*)
• scleritis† (H19.0*)
B02.7 Disseminated zoster
B02.8 Zoster with other complications
B02.9 Zoster without complication

Zoster NOS
B03 Smallpox 1
B04 Monkeypox
B05 Measles
Includes: morbilli
Excludes: subacute sclerosing panencephalitis (A81.1)
B05.0† Measles complicated by encephalitis (G05.1*)

Postmeasles encephalitis
B05.1† Measles complicated by meningitis (G02.0*)

Postmeasles meningitis
B05.2† Measles complicated by pneumonia (J17.1*)

Postmeasles pneumonia
1 In 1980 the 33rd World Health Assembly declared that smallpox had been eradicated. The classification is
maintained for surveillance purposes.
I-49
B05.3† Measles complicated by otitis media (H67.1*)

Postmeasles otitis media
B05.4 Measles with intestinal complications
B05.8 Measles with other complications

Measles keratitis and keratoconjunctivitis† (H19.2*)
B05.9 Measles without complication

Measles NOS
B06 Rubella [German measles]

Excludes: congenital rubella (P35.0)
B06.0† Rubella with neurological complications

Rubella:
• encephalitis (G05.1*)
• meningitis (G02.0*)
B06.8 Rubella with other complications

Rubella:
B06.9 Rubella without complication

Rubella NOS
B07 Viral warts

Verruca:
• simplex
• vulgaris
Excludes: anogenital (venereal) warts (A63.0)

papilloma of:
• bladder (D41.4)
• cervix (D26.0)
• larynx (D14.1)
I-50
B08 Other viral infections characterized by skin and mucous membrane lesions,
Excludes: vesicular stomatitis virus disease (A93.8)
B08.0 Other orthopoxvirus infections

Cowpox
Orf virus disease
Pseudocowpox [milker's node]
Vaccinia
Excludes: monkeypox (B04)
B08.1 Molluscum contagiosum
B08.2 Exanthema subitum [sixth disease]
B08.3 Erythema infectiosum [fifth disease]
B08.4 Enteroviral vesicular stomatitis with exanthem

Hand, foot and mouth disease
B08.5 Enteroviral vesicular pharyngitis

Herpangina
B08.8 Other specified viral infections characterized by skin and mucous membrane
lesions
Enteroviral lymphonodular pharyngitis
Foot-and-mouth disease
Tanapox virus disease
Yaba pox virus disease
B09 Unspecified viral infection characterized by skin and mucous membrane

lesions
Viral:
• enanthema NOS
• exanthema NOS
I-51
Viral hepatitis
(B15-B19)
Excludes: cytomegaloviral hepatitis (B25.1)

herpesviral [herpes simplex] hepatitis (B00.8)
sequelae of viral hepatitis (B94.2)
B15 Acute hepatitis A
B15.0 Hepatitis A with hepatic coma
B15.9 Hepatitis A without hepatic coma

Hepatitis A (acute)(viral) NOS
B16 Acute hepatitis B
B16.0 Acute hepatitis B with delta-agent (coinfection) with hepatic coma
B16.1 Acute hepatitis B with delta-agent (coinfection) without hepatic coma
B16.2 Acute hepatitis B without delta-agent with hepatic coma
B16.9 Acute hepatitis B without delta-agent and without hepatic coma

Hepatitis B (acute)(viral) NOS
B17 Other acute viral hepatitis
B17.0 Acute delta-(super)infection of hepatitis B carrier
B17.1 Acute hepatitis C
B17.2 Acute hepatitis E
B17.8 Other specified acute viral hepatitis

Hepatitis non-A non-B (acute)(viral) NEC
B18 Chronic viral hepatitis
B18.0 Chronic viral hepatitis B with delta-agent
I-52
B18.1 Chronic viral hepatitis B without delta-agent

Chronic (viral) hepatitis B
B18.2 Chronic viral hepatitis C
B18.8 Other chronic viral hepatitis
B18.9 Chronic viral hepatitis, unspecified
B19 Unspecified viral hepatitis
B19.0 Unspecified viral hepatitis hepatic with coma
B19.9 Unspecified viral hepatitis without hepatic coma

Viral hepatitis NOS
Human immunodeficiency virus [HIV] disease

(B20-B24)
Excludes: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
B20 Human immunodeficiency virus [HIV] disease with infectious and parasitic
diseases
Excludes: acute HIV infection syndrome (B23.0)
B20.0 HIV disease with mycobacterial infection

HIV disease with tuberculosis
B20.1 HIV disease with other bacterial infections
B20.2 HIV disease with cytomegaloviral disease
B20.3 HIV disease with other viral infections
B20.4 HIV disease with candidiasis
I-53
B20.5 HIV disease with other mycoses
B20.6 HIV disease with Pneumocystis carinii pneumonia
B20.7 HIV disease with multiple infections
B20.8 HIV disease with other infectious and parasitic diseases
B20.9 HIV disease with unspecified infectious or parasitic disease

HIV disease with infection NOS
B21 Human immunodeficiency virus [HIV] disease with malignant neoplasms
B21.0 HIV disease with Kaposi's sarcoma
B21.1 HIV disease with Burkitt's lymphoma
B21.2 HIV disease with other types of non-Hodgkin's lymphoma
B21.3 HIV disease with other malignant neoplasms of lymphoid, haematopoietic

and related tissue
B21.7 HIV disease with multiple malignant neoplasms
B21.8 HIV disease with other malignant neoplasms
B21.9 HIV disease with unspecified malignant neoplasm
B22 Human immunodeficiency virus [HIV] disease with other specified diseases
B22.0 HIV disease with encephalopathy

HIV dementia
B22.1 HIV disease with lymphoid interstitial pneumonitis
B22.2 HIV disease with wasting syndrome

HIV disease with failure to thrive
Slim disease
I-54
B22.7 HIV disease with multiple diseases classified elsewhere

Note: For use of this category, reference should be made to the morbidity or
mortality coding rules and guidelines in Part 2a Instruction Manual
(NCHS).
B23 Human immunodeficiency virus [HIV] disease with other conditions
B23.0 Acute HIV infection syndrome
B23.1 HIV disease with (persistent) generalized lymphadenopathy
B23.2 HIV disease with haematological and immunological abnormalities, not

B23.8 HIV disease with other specified conditions
B24 Unspecified human immunodeficiency virus [HIV] disease

Acquired immunodeficiency syndrome [AIDS] NOS
AIDS-related complex [ARC] NOS
Other viral diseases

(B25-B34)
B25 Cytomegaloviral disease

Excludes: congenital cytomegalovirus infection (P35.1)
cytomegaloviral mononucleosis (B27.1)
B25.0† Cytomegaloviral pneumonitis (J17.1*)
B25.1† Cytomegaloviral hepatitis (K77.0*)
B25.2† Cytomegaloviral pancreatitis (K87.1*)
B25.8 Other cytomegaloviral diseases
B25.9 Cytomegaloviral disease, unspecified
I-55
B26 Mumps
Includes: parotitis:
• epidemic
• infectious
B26.0† Mumps orchitis (N51.1*)
B26.1† Mumps meningitis (G02.0*)
B26.2† Mumps encephalitis (G05.1*)
B26.3† Mumps pancreatitis (K87.1*)
B26.8 Mumps with other complications

Mumps:
• nephritis† (N08.0*)
B26.9 Mumps without complication

Mumps:
• NOS
• parotitis NOS
B27 Infectious mononucleosis

Includes: glandular fever
monocytic angina
Pfeiffer's disease
B27.0 Gammaherpesviral mononucleosis

Mononucleosis due to Epstein-Barr virus
B27.1 Cytomegaloviral mononucleosis
B27.8 Other infectious mononucleosis
B27.9 Infectious mononucleosis, unspecified
I-56
B30 Viral conjunctivitis

Excludes: ocular disease:
• herpesviral [herpes simplex] (B00.5)
• zoster (B02.3)
B30.0† Keratoconjunctivitis due to adenovirus (H19.2*)

Epidemic keratoconjunctivitis
Shipyard eye
B30.1† Conjunctivitis due to adenovirus (H13.1*)

Acute adenoviral follicular conjunctivitis
Swimming-pool conjunctivitis
B30.2 Viral pharyngoconjunctivitis
B30.3† Acute epidemic haemorrhagic conjunctivitis (enteroviral) (H13.1*)

Conjunctivitis due to:
• coxsackievirus 24
• enterovirus 70
Haemorrhagic conjunctivitis (acute)(epidemic)
B30.8† Other viral conjunctivitis (H13.1*)

Newcastle conjunctivitis
B30.9 Viral conjunctivitis, unspecified
B33 Other viral diseases, not elsewhere classified
B33.0 Epidemic myalgia

Bornholm disease
B33.1 Ross River disease

Epidemic polyarthritis and exanthema
Ross River fever
B33.2 Viral carditis
B33.3 Retrovirus infections, not elsewhere classified

Retrovirus infection NOS
I-57
B33.4† Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS] (J17.1*)

Hantavirus disease with pulmonary manifestations
Sin Nombre virus disease
Use additional code (N17.9), if desired, to identify any renal failure associated
with HPS caused by the Andes, Bayou and Black Creek Canal hantavirus
aetiologies.
Excludes: haemorrhagic fever with renal manifestations (A98.5† N08.0*)
B33.8 Other specified viral diseases
B34 Viral infection of unspecified site

Excludes: cytomegaloviral disease NOS (B25.9)
herpesvirus [herpes simplex] infection NOS (B00.9)
retrovirus infection NOS (B33.3)
viral agents as the cause of diseases classified to other chapters (B97.-)
B34.0 Adenovirus infection, unspecified
B34.1 Enterovirus infection, unspecified

Coxsackievirus infection NOS
Echovirus infection NOS
B34.2 Coronavirus infection, unspecified
B34.3 Parvovirus infection, unspecified
B34.4 Papovavirus infection, unspecified
B34.8 Other viral infections of unspecified site
B34.9 Viral infection, unspecified

Viraemia NOS
I-58
Mycoses
(B35-B49)
Excludes: hypersensitivity pneumonitis due to organic dust (J67.-)

mycosis fungoides (C84.0)
B35 Dermatophytosis
Includes: favus
infections due to species of Epidermophyton, Microsporum and
Trichophyton
tinea, any type except those in B36.-
B35.0 Tinea barbae and tinea capitis

Beard ringworm
Kerion
Scalp ringworm
Sycosis, mycotic
B35.1 Tinea unguium

Dermatophytic onychia
Dermatophytosis of nail
Onychomycosis
Ringworm of nails
B35.2 Tinea manuum

Dermatophytosis of hand
Hand ringworm
B35.3 Tinea pedis

Athlete's foot
Dermatophytosis of foot
Foot ringworm
B35.4 Tinea corporis

Ringworm of the body
B35.5 Tinea imbricata

Tokelau
I-59
B35.6 Tinea cruris

Dhobi itch
Groin ringworm
Jock itch
B35.8 Other dermatophytoses

Dermatophytosis:
• disseminated
• granulomatous
B35.9 Dermatophytosis, unspecified

Ringworm NOS
B36 Other superficial mycoses
B36.0 Pityriasis versicolor

Tinea:
• flava
• versicolor
B36.1 Tinea nigra

Keratomycosis nigricans palmaris
Microsporosis nigra
Pityriasis nigra
B36.2 White piedra

Tinea blanca
B36.3 Black piedra
B36.8 Other specified superficial mycoses
B36.9 Superficial mycosis, unspecified
B37 Candidiasis
Includes: candidosis
moniliasis
Excludes: neonatal candidiasis (P37.5)
I-60
B37.0 Candidal stomatitis

Oral thrush
B37.1 Pulmonary candidiasis
B37.2 Candidiasis of skin and nail

Candidal:
• onychia
• paronychia
Excludes: diaper [napkin] dermatitis (L22)
B37.3† Candidiasis of vulva and vagina (N77.1*)

Candidal vulvovaginitis
Monilial vulvovaginitis
Vaginal thrush
B37.4 Candidiasis of other urogenital sites

Candidal:
• balanitis† (N51.2*)
• urethritis† (N37.0*)
B37.5† Candidal meningitis (G02.1*)
B37.6† Candidal endocarditis (I39.8*)
B37.7 Candidal septicaemia
B37.8 Candidiasis of other sites

Candidal:
• cheilitis
• enteritis
B37.9 Candidiasis, unspecified

Thrush NOS
B38 Coccidioidomycosis
B38.0 Acute pulmonary coccidioidomycosis
B38.1 Chronic pulmonary coccidioidomycosis
I-61
B38.2 Pulmonary coccidioidomycosis, unspecified
B38.3 Cutaneous coccidioidomycosis
B38.4† Coccidioidomycosis meningitis (G02.1*)
B38.7 Disseminated coccidioidomycosis

Generalized coccidioidomycosis
B38.8 Other forms of coccidioidomycosis
B38.9 Coccidioidomycosis, unspecified
B39 Histoplasmosis
B39.0 Acute pulmonary histoplasmosis capsulati
B39.1 Chronic pulmonary histoplasmosis capsulati
B39.2 Pulmonary histoplasmosis capsulati, unspecified
B39.3 Disseminated histoplasmosis capsulati

Generalized histoplasmosis capsulati
B39.4 Histoplasmosis capsulati, unspecified

American histoplasmosis
B39.5 Histoplasmosis duboisii

African histoplasmosis
B39.9 Histoplasmosis, unspecified
B40 Blastomycosis
Excludes: Brazilian blastomycosis (B41.-)
keloidal blastomycosis (B48.0)
B40.0 Acute pulmonary blastomycosis
B40.1 Chronic pulmonary blastomycosis
I-62
B40.2 Pulmonary blastomycosis, unspecified
B40.3 Cutaneous blastomycosis
B40.7 Disseminated blastomycosis

Generalized blastomycosis
B40.8 Other forms of blastomycosis
B40.9 Blastomycosis, unspecified
B41 Paracoccidioidomycosis
Includes: Brazilian blastomycosis
Lutz' disease
B41.0 Pulmonary paracoccidioidomycosis
B41.7 Disseminated paracoccidioidomycosis

Generalized paracoccidioidomycosis
B41.8 Other forms of paracoccidioidomycosis
B41.9 Paracoccidioidomycosis, unspecified
B42 Sporotrichosis
B42.0† Pulmonary sporotrichosis (J99.8*)
B42.1 Lymphocutaneous sporotrichosis
B42.7 Disseminated sporotrichosis

Generalized sporotrichosis
B42.8 Other forms of sporotrichosis
B42.9 Sporotrichosis, unspecified
B43 Chromomycosis and phaeomycotic abscess
I-63
B43.0 Cutaneous chromomycosis

Dermatitis verrucosa
B43.1 Phaeomycotic brain abscess
Cerebral chromomycosis
B43.2 Subcutaneous phaeomycotic abscess and cyst
B43.8 Other forms of chromomycosis
B43.9 Chromomycosis, unspecified
B44 Aspergillosis
Includes: aspergilloma
B44.0 Invasive pulmonary aspergillosis
B44.1 Other pulmonary aspergillosis
B44.2 Tonsillar aspergillosis
B44.7 Disseminated aspergillosis

Generalized aspergillosis
B44.8 Other forms of aspergillosis
B44.9 Aspergillosis, unspecified
B45 Cryptococcosis
B45.0 Pulmonary cryptococcosis
B45.1 Cerebral cryptococcosis

Cryptococcal meningitis† (G02.1*)
Cryptococcosis meningocerebralis
B45.2 Cutaneous cryptococcosis
B45.3 Osseous cryptococcosis
I-64
B45.7 Disseminated cryptococcosis

Generalized cryptococcosis
B45.8 Other forms of cryptococcosis
B45.9 Cryptococcosis, unspecified
B46 Zygomycosis
B46.0 Pulmonary mucormycosis
B46.1 Rhinocerebral mucormycosis
B46.2 Gastrointestinal mucormycosis
B46.3 Cutaneous mucormycosis

Subcutaneous mucormycosis
B46.4 Disseminated mucormycosis

Generalized mucormycosis
B46.5 Mucormycosis, unspecified
B46.8 Other zygomycoses

Entomophthoromycosis
B46.9 Zygomycosis, unspecified

Phycomycosis NOS
B47 Mycetoma
B47.0 Eumycetoma
Madura foot, mycotic
Maduromycosis
B47.1 Actinomycetoma
B47.9 Mycetoma, unspecified

Madura foot NOS
I-65
B48 Other mycoses, not elsewhere classified
B48.0 Lobomycosis
Keloidal blastomycosis
Lobo's disease
B48.1 Rhinosporidiosis
B48.2 Allescheriasis
Infection due to Pseudallescheria boydii
Excludes: eumycetoma (B47.0)
B48.3 Geotrichosis
Geotrichum stomatitis
B48.4 Penicillosis
B48.7 Opportunistic mycoses

Mycoses caused by fungi of low virulence that can establish an infection only as a
consequence of factors such as the presence of debilitating disease or the
administration of immunosuppressive and other therapeutic agents or radiation
therapy. Most of the causal fungi are normally saprophytic in soil and decaying
vegetation.
B48.8 Other specified mycoses

Adiaspiromycosis
B49 Unspecified mycosis

Fungaemia NOS
Protozoal diseases
(B50-B64)
Excludes: amoebiasis (A06.-)

other protozoal intestinal diseases (A07.-)
B50 Plasmodium falciparum malaria

Includes: mixed infections of Plasmodium falciparum with any other
Pasmodium species
I-66
B50.0 Plasmodium falciparum malaria with cerebral complications

Cerebral malaria NOS
B50.8 Other severe and complicated Plasmodium falciparum malaria

Severe or complicated Plasmodium falciparum malaria NOS
B50.9 Plasmodium falciparum malaria, unspecified
B51 Plasmodium vivax malaria

Includes: mixed infections of Plasmodium vivax with other Plasmodium species,
except Plasmodium falciparum
Excludes: when mixed with Plasmodium falciparum (B50.-)
B51.0 Plasmodium vivax malaria with rupture of spleen
B51.8 Plasmodium vivax malaria with other complications
B51.9 Plasmodium vivax malaria without complication

Plasmodium vivax malaria NOS
B52 Plasmodium malariae malaria

Includes: mixed infections of Plasmodium malariae with other Plasmodium
species, except Plasmodium falciparum and Plasmodium vivax
Excludes: when mixed with Plasmodium:

• falciparum (B50.-)
• vivax (B51.-)
B52.0 Plasmodium malariae malaria with nephropathy
B52.8 Plasmodium malariae malaria with other complications
B52.9 Plasmodium malariae malaria without complication

Plasmodium malariae malaria NOS
B53 Other parasitologically confirmed malaria
I-67
B53.0 Plasmodium ovale malaria

• malariae (B52.-)
• vivax (B51.-)
B53.1 Malaria due to simian plasmodia

• malariae (B52.-)
• ovale (B53.0)
• vivax (B51.-)
B53.8 Other parasitologically confirmed malaria, not elsewhere classified

Parasitologically confirmed malaria NOS
B54 Unspecified malaria

Clinically diagnosed malaria without parasitological confirmation
B55 Leishmaniasis
B55.0 Visceral leishmaniasis

Kala-azar
Post-kala-azar dermal leishmaniasis
B55.1 Cutaneous leishmaniasis
B55.2 Mucocutaneous leishmaniasis
B55.9 Leishmaniasis, unspecified
B56 African trypanosomiasis
B56.0 Gambiense trypanosomiasis

Infection due to Trypanosoma brucei gambiense
West African sleeping sickness
I-68
B56.1 Rhodesiense trypanosomiasis

East African sleeping sickness
Infection due to Trypanosoma brucei rhodesiense
B56.9 African trypanosomiasis, unspecified

Sleeping sickness NOS
Trypanosomiasis NOS, in places where African trypanosomiasis is prevalent
B57 Chagas' disease

Includes: American trypanosomiasis
infection due to Trypanosoma cruzi
B57.0† Acute Chagas' disease with heart involvement (I41.2*, I98.1*)

Acute Chagas' disease with:
• cardiovascular involvement NEC (I98.1*)
B57.1 Acute Chagas' disease without heart involvement

Acute Chagas' disease NOS
B57.2 Chagas' disease (chronic) with heart involvement

American trypanosomiasis NOS
Chagas' disease (chronic) (with):
• NOS
• cardiovascular involvement NEC† (I98.1*)
Trypanosomiasis NOS, in places where Chagas' disease is prevalent
B57.3 Chagas' disease (chronic) with digestive system involvement
B57.4 Chagas' disease (chronic) with nervous system involvement
B57.5 Chagas' disease (chronic) with other organ involvement
B58 Toxoplasmosis
Includes: infection due to Toxoplasma gondii
Excludes: congenital toxoplasmosis (P37.1)
I-69
B58.0† Toxoplasma oculopathy

Toxoplasma chorioretinitis (H32.0*)
B58.1† Toxoplasma hepatitis (K77.0*)
B58.2† Toxoplasma meningoencephalitis (G05.2*)
B58.3† Pulmonary toxoplasmosis (J17.3*)
B58.8 Toxoplasmosis with other organ involvement

Toxoplasma:
B58.9 Toxoplasmosis, unspecified
B59† Pneumocystosis (J17.3*)

Pneumonia due to Pneumocystis carinii
B60 Other protozoal diseases, not elsewhere classified

Excludes: cryptosporidiosis (A07.2)
intestinal microsporidiosis (A07.8)
isosporiasis (A07.3)
B60.0 Babesiosis
Piroplasmosis
B60.1 Acanthamoebiasis
Conjunctivitis due to Acanthamoeba† (H13.1*)
Keratoconjunctivitis due to Acanthamoeba† (H19.2*)
B60.2 Naegleriasis
Primary amoebic meningoencephalitis† (G05.2*)
B60.8 Other specified protozoal diseases

Microsporidiosis
B64 Unspecified protozoal disease
I-70
Helminthiases
(B65-B83)
B65 Schistosomiasis [bilharziasis]

Includes: snail fever
B65.0 Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]
B65.1 Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]
B65.2 Schistosomiasis due to Schistosoma japonicum

Asiatic schistosomiasis
B65.3 Cercarial dermatitis

Swimmer's itch
B65.8 Other schistosomiases

Infection due to Schistosoma:
• intercalatum
• mattheei
• mekongi
B65.9 Schistosomiasis, unspecified
B66 Other fluke infections
B66.0 Opisthorchiasis
Infection due to:
• cat liver fluke
• Opisthorchis (felineus)(viverrini)
B66.1 Clonorchiasis
Chinese liver fluke disease
Infection due to Clonorchis sinensis
Oriental liver fluke disease
B66.2 Dicrocoeliasis
Infection due to Dicrocoelium dendriticum
Lancet fluke infection
I-71
B66.3 Fascioliasis
Infection due to Fasciola:
• gigantica
• hepatica
• indica
Sheep liver fluke disease
B66.4 Paragonimiasis
Infection due to Paragonimus species
Lung fluke disease
Pulmonary distomiasis
B66.5 Fasciolopsiasis
Infection due to Fasciolopsis buski
Intestinal distomiasis
B66.8 Other specified fluke infections

Echinostomiasis
Heterophyiasis
Metagonimiasis
Nanophyetiasis
Watsoniasis
B66.9 Fluke infection, unspecified
B67 Echinococcosis
Includes: hydatidosis
B67.0 Echinococcus granulosus infection of liver
B67.1 Echinococcus granulosus infection of lung
B67.2 Echinococcus granulosus infection of bone
B67.3 Echinococcus granulosus infection, other and multiple sites
B67.4 Echinococcus granulosus infection, unspecified
B67.5 Echinococcus multilocularis infection of liver
B67.6 Echinococcus multilocularis infection, other and multiple sites
I-72
B67.7 Echinococcus multilocularis infection, unspecified
B67.8 Echinococcosis, unspecified, of liver
B67.9 Echinococcosis, other and unspecified

Echinococcosis NOS
B68 Taeniasis
Excludes: cysticercosis (B69.-)
B68.0 Taenia solium taeniasis

Pork tapeworm (infection)
B68.1 Taenia saginata taeniasis

Beef tapeworm (infection)
Infection due to adult tapeworm Taenia saginata
B68.9 Taeniasis, unspecified
B69 Cysticercosis
Includes: cysticerciasis infection due to larval form of Taenia solium
B69.0 Cysticercosis of central nervous system
B69.1 Cysticercosis of eye
B69.8 Cysticercosis of other sites
B69.9 Cysticercosis, unspecified
B70 Diphyllobothriasis and sparganosis
B70.0 Diphyllobothriasis
Diphyllobothrium (adult)(latum)(pacificum) infection
Fish tapeworm (infection)
Excludes: larval diphyllobothriasis (B70.1)
I-73
B70.1 Sparganosis
Infection due to:
• Sparganum (mansoni)(proliferum)
• Spirometra larvae
Larval diphyllobothriasis
Spirometrosis
B71 Other cestode infections
B71.0 Hymenolepiasis
Dwarf tapeworm (infection)
Rat tapeworm (infection)
B71.1 Dipylidiasis
Dog tapeworm (infection)
B71.8 Other specified cestode infections

Coenurosis
B71.9 Cestode infection, unspecified

Tapeworm (infection) NOS
B72 Dracunculiasis
Guinea worm infection
Infection due to Dracunculus medinensis
B73 Onchocerciasis
Onchocerca volvulus infection
Onchocercosis
River blindness
B74 Filariasis
Excludes: onchocerciasis (B73)
tropical (pulmonary) eosinophilia NOS (J82)
B74.0 Filariasis due to Wuchereria bancrofti

Bancroftian:
• elephantiasis
• filariasis
B74.1 Filariasis due to Brugia malayi
I-74
B74.2 Filariasis due to Brugia timori
B74.3 Loiasis
Calabar swelling
Eyeworm disease of Africa
Loa loa infection
B74.4 Mansonelliasis
Infection due to Mansonella:
• ozzardi
• perstans
• streptocerca
B74.8 Other filariases

Dirofilariasis
B74.9 Filariasis, unspecified
B75 Trichinellosis
Infection due to Trichinella species
Trichiniasis
B76 Hookworm diseases

Includes: uncinariasis
B76.0 Ancylostomiasis
Infection due to Ancylostoma species
B76.1 Necatoriasis
Infection due to Necator americanus
B76.8 Other hookworm diseases
B76.9 Hookworm disease, unspecified

Cutaneous larva migrans NOS
B77 Ascariasis
Includes: ascaridiasis
roundworm infection
I-75
B77.0 Ascariasis with intestinal complications
B77.8 Ascariasis with other complications
B77.9 Ascariasis, unspecified
B78 Strongyloidiasis
Excludes: trichostrongyliasis (B81.2)
B78.0 Intestinal strongyloidiasis
B78.1 Cutaneous strongyloidiasis
B78.7 Disseminated strongyloidiasis
B78.9 Strongyloidiasis, unspecified
B79 Trichuriasis
Trichocephaliasis
Whipworm (disease)(infection)
B80 Enterobiasis
Oxyuriasis
Pinworm infection
Threadworm infection
B81 Other intestinal helminthiases, not elsewhere classified

Excludes: angiostrongyliasis due to Parastrongylus cantonensis (B83.2)
B81.0 Anisakiasis
Infection due to Anisakis larvae
B81.1 Intestinal capillariasis

Capillariasis NOS
Infection due to Capillaria philippinensis
Excludes: hepatic capillariasis (B83.8)
B81.2 Trichostrongyliasis
I-76
B81.3 Intestinal angiostrongyliasis

Angiostrongyliasis due to Parastrongylus costaricensis
B81.4 Mixed intestinal helminthiases

Infection due to intestinal helminths classifiable to more than one of the
categories B65.0-B81.3 and B81.8
Mixed helminthiasis NOS
B81.8 Other specified intestinal helminthiases

Infection due to:
• Oesophagostomum species [oesophagostomiasis]
• Ternidens diminutus [ternidensiasis]
B82 Unspecified intestinal parasitism
B82.0 Intestinal helminthiasis, unspecified
B82.9 Intestinal parasitism, unspecified
B83 Other helminthiases

Excludes: capillariasis:
• NOS (B81.1)
• intestinal (B81.1)
B83.0 Visceral larva migrans

Toxocariasis
B83.1 Gnathostomiasis
Wandering swelling
B83.2 Angiostrongyliasis due to Parastrongylus cantonensis

Eosinophilic meningoencephalitis† (G05.2*)
Excludes: intestinal angiostrongyliasis (B81.3)
B83.3 Syngamiasis
Syngamosis
B83.4 Internal hirudiniasis

Excludes: external hirudiniasis (B88.3)
I-77
B83.8 Other specified helminthiases

Acanthocephaliasis
Gongylonemiasis
Hepatic capillariasis
Metastrongyliasis
Thelaziasis
B83.9 Helminthiasis, unspecified

Worms NOS
Excludes: intestinal helminthiasis NOS (B82.0)
Pediculosis, acariasis and other infestations

(B85-B89)
B85 Pediculosis and phthiriasis
B85.0 Pediculosis due to Pediculus humanus capitis

Head-louse infestation
B85.1 Pediculosis due to Pediculus humanus corporis

Body-louse infestation
B85.2 Pediculosis, unspecified
B85.3 Phthiriasis
Infestation by:
• crab-louse
• Phthirus pubis
B85.4 Mixed pediculosis and phthiriasis

Infestation classifiable to more than one of the categories B85.0-B85.3
B86 Scabies
Sarcoptic itch
I-78
B87 Myiasis
Includes: infestation by larvae of flies
B87.0 Cutaneous myiasis

Creeping myiasis
B87.1 Wound myiasis

Traumatic myiasis
B87.2 Ocular myiasis
B87.3 Nasopharyngeal myiasis

Laryngeal myiasis
B87.4 Aural myiasis
B87.8 Myiasis of other sites

Genitourinary myiasis
Intestinal myiasis
B87.9 Myiasis, unspecified
B88 Other infestations
B88.0 Other acariasis

Acarine dermatitis
Dermatitis due to:
• Demodex species
• Dermanyssus gallinae
• Liponyssoides sanguineus
Trombiculosis
Excludes: scabies (B86)
B88.1 Tungiasis [sandflea infestation]
B88.2 Other arthropod infestations

Scarabiasis
I-79
B88.3 External hirudiniasis

Leech infestation NOS
Excludes: internal hirudiniasis (B83.4)
B88.8 Other specified infestations

Ichthyoparasitism due to Vandellia cirrhosa
Linguatulosis
Porocephaliasis
B88.9 Infestation, unspecified

Infestation (skin) NOS
Infestation by mites NOS
Skin parasites NOS
B89 Unspecified parasitic disease
Sequelae of infectious and parasitic diseases

(B90-B94)
Note: These categories are to be used to indicate conditions in categories A00-B89 as

the cause of sequelae, which are themselves classified elsewhere. The "sequelae"
include conditions specified as such; they also include late effects of diseases
classifiable to the above categories if there is evidence that the disease itself is no
longer present. For use of these categories, reference should be made to the
morbidity or mortality coding rules and guidelines in Part 2a Instruction Manual
(NCHS).
B90 Sequelae of tuberculosis
B90.0 Sequelae of central nervous system tuberculosis
B90.1 Sequelae of genitourinary tuberculosis
B90.2 Sequelae of tuberculosis of bones and joints
I-80
B90.8 Sequelae of tuberculosis of other organs
B90.9 Sequelae of respiratory and unspecified tuberculosis

Sequelae of tuberculosis NOS
B91 Sequelae of poliomyelitis
B92 Sequelae of leprosy
B94 Sequelae of other and unspecified infectious and parasitic diseases
B94.0 Sequelae of trachoma
B94.1 Sequelae of viral encephalitis
B94.2 Sequelae of viral hepatitis
B94.8 Sequelae of other specified infectious and parasitic diseases
B94.9 Sequelae of unspecified infectious or parasitic disease
Bacterial, viral and other infectious agents

(B95-B97)
Note: These categories should never be used in primary coding. They are provided for
use as supplementary or additional codes when it is desired to identify the
infectious agent(s) in diseases classified elsewhere.
B95 Streptococcus and staphylococcus as the cause of diseases classified to other

chapters
B95.0 Streptococcus, group A, as the cause of diseases classified to other chapters
B95.1 Streptococcus, group B, as the cause of diseases classified to other chapters
B95.2 Streptococcus, group D, as the cause of diseases classified to other chapters
B95.3 Streptococcus pneumoniae as the cause of diseases classified to other chapters
I-81
B95.4 Other streptococcus as the cause of diseases classified to other chapters
B95.5 Unspecified streptococcus as the cause of diseases classified to other chapters
B95.6 Staphylococcus aureus as the cause of diseases classified to other chapters
B95.7 Other staphylococcus as the cause of diseases classified to other chapters
B95.8 Unspecified staphylococcus as the cause of diseases classified to other

chapters
B96 Other bacterial agents as the cause of diseases classified to other chapters
B96.0 Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified

to other chapters
Pleuro-pneumonia-like-organism [PPLO]
B96.1 Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified to

other chapters
B96.2 Escherichia coli [E. coli] as the cause of diseases classified to other chapters
B96.3 Haemophilus influenzae [H. influenzae] as the cause of diseases classified to

other chapters
B96.4 Proteus (mirabilis)(morganii) as the cause of diseases classified to other

chapters
B96.5 Pseudomonas (aeruginosa)(mallei)(pseudomallei) as the cause of diseases

classified to other chapters
B96.6 Bacillus fragilis [B. fragilis] as the cause of diseases classified to other
chapters
B96.7 Clostridium perfringens [C. perfringens] as the cause of diseases classified to

other chapters
B96.8 Other specified bacterial agents as the cause of diseases classified to other
chapters
I-82
B97 Viral agents as the cause of diseases classified to other chapters
B97.0 Adenovirus as the cause of diseases classified to other chapters
B97.1 Enterovirus as the cause of diseases classified to other chapters

Coxsackievirus
Echovirus
B97.2 Coronavirus as the cause of diseases classified to other chapters
B97.3 Retrovirus as the cause of diseases classified to other chapters

Lentivirus
Oncovirus
B97.4 Respiratory syncytial virus as the cause of diseases classified to other

chapters
B97.5 Reovirus as the cause of diseases classified to other chapters
B97.6 Parvovirus as the cause of diseases classified to other chapters
B97.7 Papillomavirus as the cause of diseases classified to other chapters
B97.8 Other viral agents as the cause of diseases classified to other chapters
Other infectious diseases

(B99)
B99 Other and unspecified infectious diseases
I-83
CHAPTER II
Neoplasms
(C00-D48)
This chapter contains the following broad groups of neoplasms:
C00-C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of

lymphoid, haematopoietic and related tissue
C00-C14 Lip, oral cavity and pharynx
C15-C26 Digestive organs
C30-C39 Respiratory and intrathoracic organs
C40-C41 Bone and articular cartilage
C43-C44 Skin
C45-C49 Mesothelial and soft tissue
C50 Breast
C51-C58 Female genital organs
C60-C63 Male genital organs
C64-C68 Urinary tract
C69-C72 Eye, brain and other parts of central nervous
system
C73-C75 Thyroid and other endocrine glands
C76-C80 Malignant neoplasms of ill-defined, secondary and unspecified sites
C81-C96 Malignant neoplasms, stated or presumed to be primary, of lymphoid,
haematopoietic and related tissue
D00-D09 In situ neoplasms
D10-D36 Benign neoplasms
D37-D48 Neoplasms of uncertain or unknown behaviour [see note, page II-70]
Notes
1. Primary, ill-defined, secondary and unspecified sites of malignant neoplasms

Categories C76-C80 include malignant neoplasms for which there is no clear indication of the
original site of the cancer or the cancer is stated to be "disseminated", "scattered" or "spread"
without mention of the primary site. In both cases the primary site is considered to be unknown.
II-1
2. Functional activity
All neoplasms are classified in this chapter, whether they are functionally active or not. An
additional code from Chapter IV may be used, if desired, to identify functional activity associated
with any neoplasm. For example, catecholamine-producing malignant phaeochromocytoma of
adrenal gland should be coded to C74 with additional code E27.5; basophil adenoma of pituitary
gland with Cushing's syndrome should be coded to D35.2 with additional code E24.0.
3. Morphology
There are a number of major morphological (histological) groups of malignant neoplasms:
carcinomas including squamous (cell) and adeno-carcinomas; sarcomas; other soft tissue tumours
including mesotheliomas; lymphomas (Hodgkin's and non-Hodgkin's); 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 on pages Morphology 1-25. These morphology codes are derived from the
second edition of International Classification of Diseases for Oncology (ICD-O), which is a dual-
axis classification providing independent coding systems for topography and morphology.
Morphology codes have six digits: the first four digits identify the histological type; the fifth digit is
the behaviour code (malignant primary, malignant secondary (metastatic), in situ, benign, uncertain
whether malignant or benign); and the sixth digit is a grading code (differentiation) for solid
tumours, and is also used as a special code for lymphomas and leukaemias.
4. Use of subcategories in Chapter II

Attention is drawn to the special use of subcategory .8 in this chapter [see note 5]. Where it has been
necessary to provide subcategories for "other", these have generally been designated as subcategory
.7.
5. Malignant neoplasms overlapping site boundaries and the use of subcategory .8

(overlapping lesion)
Categories C00-C75 classify primary malignant neoplasms according to their point of origin. Many
three-character categories are further divided into named parts or subcategories of the organ in
question. A neoplasm that overlaps two or more contiguous sites within a three-character category
and whose point of origin cannot be determined should be classified to the subcategory .8
("overlapping lesion"), unless the combination is specifically indexed elsewhere. For example,
II-2
NEOPLASMS
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. "Over-lapping" 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.
II-3
8. Use of the second edition of International Classification of Diseases for Oncology (ICD-O)
For certain morphological types, Chapter II provides a rather restricted topographical classification,
or none at all. The topography codes of ICD-O use for all neoplasms essentially the same three- and
four-character categories that Chapter II uses for malignant neoplasms (C00-C77, C80), thus
providing increased specificity of site for other neoplasms (malignant secondary (metastatic),
benign, in situ and uncertain or unknown).
It is therefore recommended that agencies interested in identifying both the site and morphology of
tumours, e.g. cancer registries, cancer hospitals, pathology departments and other agencies
specializing in cancer, use ICD-O.
Malignant neoplasms
(C00-C97)
Malignant neoplasms of lip, oral cavity and pharynx

(C00-C14)
C00 Malignant neoplasm of lip

Excludes: skin of lip (C43.0, C44.0)
C00.0 External upper lip

Upper lip:
• NOS
• lipstick area
• vermilion border
C00.1 External lower lip

Lower lip:
• NOS
• lipstick area
• vermilion border
C00.2 External lip, unspecified

Vermilion border NOS
II-4
NEOPLASMS
C00.3 Upper lip, inner aspect

Upper lip:
• buccal aspect
• frenulum
• mucosa
• oral aspect
C00.4 Lower lip, inner aspect

Lower lip:
• buccal aspect
• frenulum
• mucosa
• oral aspect
C00.5 Lip, unspecified, inner aspect

Lip, not specified whether upper or lower:
• buccal aspect
• frenulum
• mucosa
• oral aspect
C00.6 Commissure of lip
C00.8 Overlapping lesion of lip

[See note 5 on page II-2]
C00.9 Lip, unspecified
C01 Malignant neoplasm of base of tongue

Dorsal surface of base of tongue
Fixed part of tongue NOS
Posterior third of tongue
C02 Malignant neoplasm of other and unspecified parts of tongue
C02.0 Dorsal surface of tongue

Anterior two-thirds of tongue, dorsal surface
Excludes: dorsal surface of base of tongue (C01)
II-5
C02.1 Border of tongue

Tip of tongue
C02.2 Ventral surface of tongue

Anterior two-thirds of tongue, ventral surface
Frenulum linguae
C02.3 Anterior two-thirds of tongue, part unspecified

Middle third of tongue NOS
Mobile part of tongue NOS
C02.4 Lingual tonsil

Excludes: tonsil NOS (C09.9)
C02.8 Overlapping lesion of tongue

Malignant neoplasm of tongue whose point of origin cannot be classified to any one
of the categories C01-C02.4
C02.9 Tongue, unspecified
C03 Malignant neoplasm of gum

Includes: alveolar (ridge) mucosa
gingiva
Excludes: malignant odontogenic neoplasms (C41.0-C41.1)
C03.0 Upper gum
C03.1 Lower gum
C03.9 Gum, unspecified
C04 Malignant neoplasm of floor of mouth
C04.0 Anterior floor of mouth

Anterior to the premolar-canine junction
C04.1 Lateral floor of mouth
II-6
NEOPLASMS
C04.8 Overlapping lesion of floor of mouth

C04.9 Floor of mouth, unspecified
C05 Malignant neoplasm of palate
C05.0 Hard palate
C05.1 Soft palate

Excludes: nasopharyngeal surface of soft palate (C11.3)
C05.2 Uvula
C05.8 Overlapping lesion of palate

C05.9 Palate, unspecified

Roof of mouth
C06 Malignant neoplasm of other and unspecified parts of mouth
C06.0 Cheek mucosa

Buccal mucosa NOS
Internal cheek
C06.1 Vestibule of mouth

Buccal sulcus (upper)(lower)
Labial sulcus (upper)(lower)
C06.2 Retromolar area
C06.8 Overlapping lesion of other and unspecified parts of mouth

C06.9 Mouth, unspecified

Minor salivary gland, unspecified site
Oral cavity NOS
C07 Malignant neoplasm of parotid gland
II-7
C08 Malignant neoplasm of other and unspecified major salivary glands

Excludes: malignant neoplasms of specified minor salivary which are classified
according to their anatomical location
malignant neoplasms of minor salivary glands NOS (C06.9)
parotid gland (C07)
C08.0 Submandibular gland

Submaxillary gland
C08.1 Sublingual gland
C08.8 Overlapping lesion of major salivary glands

Malignant neoplasm of major salivary glands whose point of origin cannot be
classified to any one of the categories C07-C08.1
C08.9 Major salivary gland, unspecified

Salivary gland (major) NOS
C09 Malignant neoplasm of tonsil

Excludes: lingual tonsil (C02.4)
pharyngeal tonsil (C11.1)
C09.0 Tonsillar fossa
C09.1 Tonsillar pillar (anterior)(posterior)
C09.8 Overlapping lesion of tonsil

C09.9 Tonsil, unspecified

Tonsil:
• NOS
• faucial
• palatine
C10 Malignant neoplasm of oropharynx

Excludes: tonsil (C09.-)
C10.0 Vallecula
II-8
NEOPLASMS
C10.1 Anterior surface of epiglottis

Epiglottis, free border [margin]
Glossoepiglottic fold(s)
Excludes: epiglottis (suprahyoid portion) NOS (C32.1)
C10.2 Lateral wall of oropharynx
C10.3 Posterior wall of oropharynx
C10.4 Branchial cleft

Branchial cyst [site of neoplasm]
C10.8 Overlapping lesion of oropharynx

Junctional region of oropharynx
C10.9 Oropharynx, unspecified
C11 Malignant neoplasm of nasopharynx
C11.0 Superior wall of nasopharynx

Roof of nasopharynx
C11.1 Posterior wall of nasopharynx

Adenoid
Pharyngeal tonsil
C11.2 Lateral wall of nasopharynx

Fossa of Rosenmüller
Opening of auditory tube
Pharyngeal recess
C11.3 Anterior wall of nasopharynx

Floor of nasopharynx
Nasopharyngeal (anterior) (posterior) surface of soft palate
Posterior margin of nasal:
• choana
• septum
II-9
C11.8 Overlapping lesion of nasopharynx

C11.9 Nasopharynx, unspecified

Nasopharyngeal wall NOS
C12 Malignant neoplasm of pyriform sinus

Pyriform fossa
C13 Malignant neoplasm of hypopharynx

Excludes: pyriform sinus (C12)
C13.0 Postcricoid region
C13.1 Aryepiglottic fold, hypopharyngeal aspect

Aryepiglottic fold:
• NOS
• marginal zone
Excludes: aryepiglottic fold, laryngeal aspect (C32.1)
C13.2 Posterior wall of hypopharynx
C13.8 Overlapping lesion of hypopharynx

C13.9 Hypopharynx, unspecified

Hypopharyngeal wall NOS
C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and
pharynx
Excludes: oral cavity NOS (C06.9)
C14.0 Pharynx, unspecified
C14.2 Waldeyer's ring
C14.8 Overlapping lesion of lip, oral cavity and pharynx

Malignant neoplasm of lip, oral cavity and pharynx whose point of origin cannot be
II-10
NEOPLASMS
Malignant neoplasms of digestive organs

(C15-C26)
C15 Malignant neoplasm of oesophagus

Note: Two alternative subclassifications are given:
.0-.2 by anatomical description
.3-.5 by thirds
This departure from the principle that categories should be mutually
exclusive is deliberate, since both forms of terminology are in use but the
resulting anatomical divisions are not analogous.
C15.0 Cervical part of oesophagus
C15.1 Thoracic part of oesophagus
C15.2 Abdominal part of oesophagus
C15.3 Upper third of oesophagus
C15.4 Middle third of oesophagus
C15.5 Lower third of oesophagus
C15.8 Overlapping lesion of oesophagus

C15.9 Oesophagus, unspecified
C16 Malignant neoplasm of stomach
C16.0 Cardia
Cardiac orifice
Cardio-oesophageal junction
Gastro-oesophageal junction
Oesophagus and stomach
C16.1 Fundus of stomach
C16.2 Body of stomach
II-11
C16.3 Pyloric antrum

Gastric antrum
C16.4 Pylorus
Prepylorus
Pyloric canal
C16.5 Lesser curvature of stomach, unspecified

Lesser curvature of stomach, not classifiable to C16.1-C16.4
C16.6 Greater curvature of stomach, unspecified

Greater curvature of stomach, not classifiable to C16.0-C16.4
C16.8 Overlapping lesion of stomach

C16.9 Stomach, unspecified

Gastric cancer NOS
C17 Malignant neoplasm of small intestine
C17.0 Duodenum
C17.1 Jejunum
C17.2 Ileum
Excludes: ileocaecal valve (C18.0)
C17.3 Meckel's diverticulum
C17.8 Overlapping lesion of small intestine

C17.9 Small intestine, unspecified
C18 Malignant neoplasm of colon
C18.0 Caecum
Ileocaecal valve
II-12
NEOPLASMS
C18.1 Appendix
C18.2 Ascending colon
C18.3 Hepatic flexure
C18.4 Transverse colon
C18.5 Splenic flexure
C18.6 Descending colon
C18.7 Sigmoid colon

Sigmoid (flexure)
Excludes: rectosigmoid junction (C19)
C18.8 Overlapping lesion of colon

C18.9 Colon, unspecified

Large intestine NOS
C19 Malignant neoplasm of rectosigmoid junction

Colon with rectum
Rectosigmoid (colon)
C20 Malignant neoplasm of rectum

Rectal ampulla
C21 Malignant neoplasm of anus and anal canal
C21.0 Anus, unspecified

Excludes: anal:
• margin (C43.5, C44.5)
• skin (C43.5, C44.5)
perianal skin (C43.5, C44.5)
C21.1 Anal canal

Anal sphincter
II-13
C21.2 Cloacogenic zone
C21.8 Overlapping lesion of rectum, anus and anal canal

Anorectal junction
Anorectum
Malignant neoplasm of rectum, anus and anal canal whose point of origin cannot be
C22 Malignant neoplasm of liver and intrahepatic bile ducts

Excludes: biliary tract NOS (C24.9)
secondary malignant neoplasm of liver (C78.7)
C22.0 Liver cell carcinoma

Hepatocellular carcinoma
Hepatoma
C22.1 Intrahepatic bile duct carcinoma

Cholangiocarcinoma
C22.2 Hepatoblastoma
C22.3 Angiosarcoma of liver

Kupffer cell sarcoma
C22.4 Other sarcomas of liver
C22.7 Other specified carcinomas of liver
C22.9 Liver, unspecified
C23 Malignant neoplasm of gallbladder
II-14
NEOPLASMS
C24 Malignant neoplasm of other and unspecified parts of biliary tract

Excludes: intrahepatic bile duct (C22.1)
C24.0 Extrahepatic bile duct

Biliary duct or passage NOS
Common bile duct
Cystic duct
Hepatic duct
C24.1 Ampulla of Vater
C24.8 Overlapping lesion of biliary tract

Malignant neoplasm involving both intrahepatic and extrahepatic bile ducts
Malignant neoplasm of biliary tract whose point of origin cannot be classified to any
one of the categories C22.0-C24.1
C24.9 Biliary tract, unspecified
C25 Malignant neoplasm of pancreas
C25.0 Head of pancreas
C25.1 Body of pancreas
C25.2 Tail of pancreas
C25.3 Pancreatic duct
C25.4 Endocrine pancreas

Islets of Langerhans
C25.7 Other parts of pancreas

Neck of pancreas
C25.8 Overlapping lesion of pancreas

C25.9 Pancreas, unspecified
II-15
C26 Malignant neoplasm of other and ill-defined digestive organs

Excludes: peritoneum and retroperitoneum (C48.-)
C26.0 Intestinal tract, part unspecified

Intestine NOS
C26.1 Spleen
Excludes: Hodgkin's disease (C81.-)
non-Hodgkin's lymphoma (C82-C85)
C26.8 Overlapping lesion of digestive system

Malignant neoplasm of digestive organs whose point of origin cannot be classified
to any one of the categories C15-C26.1
Excludes: cardio-oesophageal junction (C16.0)
C26.9 Ill-defined sites within the digestive system

Alimentary canal or tract NOS
Gastrointestinal tract NOS
Malignant neoplasms of respiratory and intrathoracic organs

(C30-C39)
Includes: middle ear
Excludes: mesothelioma (C45.-)
II-16
NEOPLASMS
C30 Malignant neoplasm of nasal cavity and middle ear
C30.0 Nasal cavity

Cartilage of nose
Concha, nasal
Internal nose
Septum of nose
Vestibule of nose
Excludes: nasal bone (C41.0)

nose NOS (C76.0)
olfactory bulb (C72.2)
posterior margin of nasal septum and choana (C11.3)
skin of nose (C43.3, C44.3)
C30.1 Middle ear

Eustachian tube
Inner ear
Mastoid air cells
Excludes: auricular canal (external) (C43.2, C44.2)

bone of ear (meatus) (C41.0)
cartilage of ear (C49.0)
skin of (external) ear (C43.2, C44.2)
C31 Malignant neoplasm of accessory sinuses
C31.0 Maxillary sinus

Antrum (Highmore) (maxillary)
C31.1 Ethmoidal sinus
C31.2 Frontal sinus
C31.3 Sphenoidal sinus
C31.8 Overlapping lesion of accessory sinuses

C31.9 Accessory sinus, unspecified
II-17
C32 Malignant neoplasm of larynx
C32.0 Glottis
Intrinsic larynx
Vocal cord (true) NOS
C32.1 Supraglottis
Aryepiglottic fold, laryngeal aspect
Epiglottis (suprahyoid portion) NOS
Extrinsic larynx
False vocal cord
Posterior (laryngeal) surface of epiglottis
Ventricular bands
Excludes: anterior surface of epiglottis (C10.1)

aryepiglottic fold:
• NOS (C13.1)
• hypopharyngeal aspect (C13.1)
• marginal zone (C13.1)
C32.2 Subglottis
C32.3 Laryngeal cartilage
C32.8 Overlapping lesion of larynx

C32.9 Larynx, unspecified
C33 Malignant neoplasm of trachea
C34 Malignant neoplasm of bronchus and lung
C34.0 Main bronchus

Carina
Hilus (of lung)
C34.1 Upper lobe, bronchus or lung
C34.2 Middle lobe, bronchus or lung
II-18
NEOPLASMS
C34.3 Lower lobe, bronchus or lung
C34.8 Overlapping lesion of bronchus and lung

C34.9 Bronchus or lung, unspecified
C37 Malignant neoplasm of thymus
C38 Malignant neoplasm of heart, mediastinum and pleura

Excludes: mesothelioma (C45.-)
C38.0 Heart
Pericardium
Excludes: great vessels (C49.3)
C38.1 Anterior mediastinum
C38.2 Posterior mediastinum
C38.3 Mediastinum, part unspecified
C38.4 Pleura
C38.8 Overlapping lesion of heart, mediastinum and pleura

C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and
Excludes: intrathoracic NOS (C76.1)
thoracic NOS (C76.1)
C39.0 Upper respiratory tract, part unspecified
II-19
C39.8 Overlapping lesion of respiratory and intrathoracic organs

Malignant neoplasm of respiratory and intrathoracic organs whose point of origin
cannot be classified to any one of the categories C30-C39.0
C39.9 Ill-defined sites within the respiratory system

Respiratory tract NOS
Malignant neoplasms of bone and articular cartilage

(C40-C41)
Excludes: bone marrow NOS (C96.7)

synovia (C49.-)
C40 Malignant neoplasm of bone and articular cartilage of limbs
C40.0 Scapula and long bones of upper limb
C40.1 Short bones of upper limb
C40.2 Long bones of lower limb
C40.3 Short bones of lower limb
C40.8 Overlapping lesion of bone and articular cartilage of limbs

C40.9 Bone and articular cartilage of limb, unspecified
II-20
NEOPLASMS
C41 Malignant neoplasm of bone and articular cartilage of other and unspecified
sites
Excludes: bones of limbs (C40.-)
cartilage of:
• ear (C49.0)
• larynx (C32.3)
• limbs (C40.-)
• nose (C30.0)
C41.0 Bones of skull and face

Maxilla (superior)
Orbital bone
Excludes: carcinoma, any type except intraosseous or odontogenic of:

• maxillary sinus (C31.0)
• upper jaw (C03.0)
jaw bone (lower) (C41.1)
C41.1 Mandible
Lower jaw bone
Excludes: carcinoma, any type except intraosseous or odontogenic of:

• jaw NOS (C03.9)
• lower (C03.1)
upper jaw bone (C41.0)
C41.2 Vertebral column

Excludes: sacrum and coccyx (C41.4)
C41.3 Ribs, sternum and clavicle
C41.4 Pelvic bones, sacrum and coccyx
C41.8 Overlapping lesion of bone and articular cartilage

Malignant neoplasm of bone and articular cartilage whose point of origin cannot be
C41.9 Bone and articular cartilage, unspecified
II-21
Melanoma and other malignant neoplasms of skin

(C43-C44)
C43 Malignant melanoma of skin

Includes: morphology codes M872-M879 with behaviour code /3
Excludes: malignant melanoma of skin of genital organs (C51-C52, C60.-, C63.-)
C43.0 Malignant melanoma of lip

Excludes: vermilion border of lip (C00.0-C00.2)
C43.1 Malignant melanoma of eyelid, including canthus
C43.2 Malignant melanoma of ear and external auricular canal
C43.3 Malignant melanoma of other and unspecified parts of face
C43.4 Malignant melanoma of scalp and neck
C43.5 Malignant melanoma of trunk

Anal:
• margin
• skin
Perianal skin
Skin of breast
Excludes: anus NOS (C21.0)
C43.6 Malignant melanoma of upper limb, including shoulder
C43.7 Malignant melanoma of lower limb, including hip
C43.8 Overlapping malignant melanoma of skin

C43.9 Malignant melanoma of skin, unspecified

Melanoma (malignant) NOS
II-22
NEOPLASMS
C44 Other malignant neoplasms of skin

Includes: malignant neoplasm of:
• sebaceous glands
• sweat glands
Excludes: Kaposi's sarcoma (C46.-)

malignant melanoma of skin (C43.-)
skin of genital organs (C51-C52, C60.-, C63.-)
C44.0 Skin of lip

Basal cell carcinoma of lip
Excludes: malignant neoplasm of lip (C00.-)
C44.1 Skin of eyelid, including canthus

Excludes: connective tissue of eyelid (C49.0)
C44.2 Skin of ear and external auricular canal

Excludes: connective tissue of ear (C49.0)
C44.3 Skin of other and unspecified parts of face
C44.4 Skin of scalp and neck
C44.5 Skin of trunk

Anal:
• margin
• skin
Perianal skin
Skin of breast
Excludes: anus NOS (C21.0)
C44.6 Skin of upper limb, including shoulder
C44.7 Skin of lower limb, including hip
C44.8 Overlapping lesion of skin

C44.9 Malignant neoplasm of skin, unspecified
II-23
Malignant neoplasms of mesothelial and soft tissue

(C45-C49)
C45 Mesothelioma
Includes: morphology code M905 with behaviour code /3
C45.0 Mesothelioma of pleura

Excludes: other malignant neoplasms of pleura (C38.4)
C45.1 Mesothelioma of peritoneum

Mesentery
Mesocolon
Omentum
Peritoneum (parietal) (pelvic)
Excludes: other malignant neoplasms of peritoneum (C48.-)
C45.2 Mesothelioma of pericardium

Excludes: other malignant neoplasms of pericardium (C38.0)
C45.7 Mesothelioma of other sites
C45.9 Mesothelioma, unspecified
C46 Kaposi's sarcoma

C46.0 Kaposi's sarcoma of skin
C46.1 Kaposi's sarcoma of soft tissue
C46.2 Kaposi's sarcoma of palate
C46.3 Kaposi's sarcoma of lymph nodes
C46.7 Kaposi's sarcoma of other sites
C46.8 Kaposi's sarcoma of multiple organs
C46.9 Kaposi's sarcoma, unspecified
II-24
NEOPLASMS
C47 Malignant neoplasm of peripheral nerves and autonomic nervous system

Includes: sympathetic and parasympathetic nerves and ganglia
C47.0 Peripheral nerves of head, face and neck

Excludes: peripheral nerves of orbit (C69.6)
C47.1 Peripheral nerves of upper limb, including shoulder
C47.2 Peripheral nerves of lower limb, including hip
C47.3 Peripheral nerves of thorax
C47.4 Peripheral nerves of abdomen
C47.5 Peripheral nerves of pelvis
C47.6 Peripheral nerves of trunk, unspecified
C47.8 Overlapping lesion of peripheral nerves and autonomic nervous system

C47.9 Peripheral nerves and autonomic nervous system, unspecified
C48 Malignant neoplasm of retroperitoneum and peritoneum

Excludes: Kaposi's sarcoma (C46.1)
mesothelioma (C45.-)
C48.0 Retroperitoneum
C48.1 Specified parts of peritoneum

Mesentery
Mesocolon
Omentum
Peritoneum:
• parietal
• pelvic
C48.2 Peritoneum, unspecified
C48.8 Overlapping lesion of retroperitoneum and peritoneum

II-25
C49 Malignant neoplasm of other connective and soft tissue

Includes: blood vessel
bursa
cartilage
fascia
fat
ligament, except uterine
lymphatic vessel
muscle
synovia
tendon (sheath)
Excludes: cartilage (of):

• articular (C40-C41)
• larynx (C32.3)
• nose (C30.0)
connective tissue of breast (C50.-)
Kaposi's sarcoma (C46.-)
mesothelioma (C45.-)
peripheral nerves and autonomic nervous system (C47.-)
peritoneum (C48.-)
retroperitoneum (C48.0)
C49.0 Connective and soft tissue of head, face and neck

Connective tissue of:
• ear
• eyelid
Excludes: connective tissue of orbit (C69.6)
C49.1 Connective and soft tissue of upper limb, including shoulder
C49.2 Connective and soft tissue of lower limb, including hip
II-26
NEOPLASMS
C49.3 Connective and soft tissue of thorax

Axilla
Diaphragm
Great vessels
Excludes: breast (C50.-)

heart (C38.0)
mediastinum (C38.1-C38.3)
thymus (C37)
C49.4 Connective and soft tissue of abdomen

Abdominal wall
Hypochondrium
C49.5 Connective and soft tissue of pelvis

Buttock
Groin
Perineum
C49.6 Connective and soft tissue of trunk, unspecified

Back NOS
C49.8 Overlapping lesion of connective and soft tissue

Malignant neoplasm of connective and soft tissue whose point of origin cannot be
C49.9 Connective and soft tissue, unspecified
II-27
Malignant neoplasm of breast

(C50)
C50 Malignant neoplasm of breast

Includes: connective tissue of breast
Excludes: skin of breast (C43.5, C44.5)
C50.0 Nipple and areola
C50.1 Central portion of breast
C50.2 Upper-inner quadrant of breast
C50.3 Lower-inner quadrant of breast
C50.4 Upper-outer quadrant of breast
C50.5 Lower-outer quadrant of breast
C50.6 Axillary tail of breast
C50.8 Overlapping lesion of breast

C50.9 Breast, unspecified
Malignant neoplasms of female genital organs

(C51-C58)
Includes: skin of female genital organs
C51 Malignant neoplasm of vulva
C51.0 Labium majus

Bartholin's [greater vestibular] gland
C51.1 Labium minus
II-28
NEOPLASMS
C51.2 Clitoris
C51.8 Overlapping lesion of vulva

C51.9 Vulva, unspecified

External female genitalia NOS
Pudendum
C52 Malignant neoplasm of vagina
C53 Malignant neoplasm of cervix uteri
C53.0 Endocervix
C53.1 Exocervix
C53.8 Overlapping lesion of cervix uteri

C53.9 Cervix uteri, unspecified
C54 Malignant neoplasm of corpus uteri
C54.0 Isthmus uteri

Lower uterine segment
C54.1 Endometrium
C54.2 Myometrium
C54.3 Fundus uteri
C54.8 Overlapping lesion of corpus uteri

C54.9 Corpus uteri, unspecified
C55 Malignant neoplasm of uterus, part unspecified
II-29
C56 Malignant neoplasm of ovary
C57 Malignant neoplasm of other and unspecified female genital organs
C57.0 Fallopian tube

Oviduct
Uterine tube
C57.1 Broad ligament
C57.2 Round ligament
C57.3 Parametrium
Uterine ligament NOS
C57.4 Uterine adnexa, unspecified
C57.7 Other specified female genital organs

Wolffian body or duct
C57.8 Overlapping lesion of female genital organs

Malignant neoplasm of female genital organs whose point of origin cannot be

classified to any one of the categories C51-C57.7, C58
Tubo-ovarian
Utero-ovarian
C57.9 Female genital organ, unspecified

Female genitourinary tract NOS
C58 Malignant neoplasm of placenta

Choriocarcinoma NOS
Chorionepithelioma NOS
Excludes: chorioadenoma (destruens) (D39.2)

hydatidiform mole:
• NOS (O01.9)
• invasive (D39.2)
• malignant (D39.2)
II-30
NEOPLASMS
Malignant neoplasms of male genital organs

(C60-C63)
Includes: skin of male genital organs
C60 Malignant neoplasm of penis
C60.0 Prepuce
Foreskin
C60.1 Glans penis
C60.2 Body of penis

Corpus cavernosum
C60.8 Overlapping lesion of penis

C60.9 Penis, unspecified

Skin of penis NOS
C61 Malignant neoplasm of prostate
C62 Malignant neoplasm of testis
C62.0 Undescended testis

Ectopic testis [site of neoplasm]
Retained testis [site of neoplasm]
C62.1 Descended testis

Scrotal testis
C62.9 Testis, unspecified
II-31
C63 Malignant neoplasm of other and unspecified male genital organs
C63.0 Epididymis
C63.1 Spermatic cord
C63.2 Scrotum
Skin of scrotum
C63.7 Other specified male genital organs

Seminal vesicle
Tunica vaginalis
C63.8 Overlapping lesion of male genital organs

Malignant neoplasm of male genital organs whose point of origin cannot be

C63.9 Male genital organ, unspecified

Male genitourinary tract NOS
Malignant neoplasms of urinary tract

(C64-C68)
C64 Malignant neoplasm of kidney, except renal pelvis

Excludes: renal:
• calyces (C65)
• pelvis (C65)
C65 Malignant neoplasm of renal pelvis

Pelviureteric junction
Renal calyces
C66 Malignant neoplasm of ureter

Excludes: ureteric orifice of bladder (C67.6)
II-32
NEOPLASMS
C67 Malignant neoplasm of bladder
C67.0 Trigone of bladder
C67.1 Dome of bladder
C67.2 Lateral wall of bladder
C67.3 Anterior wall of bladder
C67.4 Posterior wall of bladder
C67.5 Bladder neck

Internal urethral orifice
C67.6 Ureteric orifice
C67.7 Urachus
C67.8 Overlapping lesion of bladder

C67.9 Bladder, unspecified
C68 Malignant neoplasm of other and unspecified urinary organs

Excludes: genitourinary tract NOS:
• female (C57.9)
• male (C63.9)
C68.0 Urethra
Excludes: urethral orifice of bladder (C67.5)
C68.1 Paraurethral gland
C68.8 Overlapping lesion of urinary organs

Malignant neoplasm of urinary organs whose point of origin cannot be classified to

any one of the categories C64-C68.1
C68.9 Urinary organ, unspecified

Urinary system NOS
II-33
Malignant neoplasms of eye, brain and other parts of central nervous system
(C69-C72)
C69 Malignant neoplasm of eye and adnexa

Excludes: connective tissue of eyelid (C49.0)
eyelid (skin) (C43.1, C44.1)
optic nerve (C72.3)
C69.0 Conjunctiva
C69.1 Cornea
C69.2 Retina
C69.3 Choroid
C69.4 Ciliary body

Eyeball
C69.5 Lacrimal gland and duct

Lacrimal sac
Nasolacrimal duct
C69.6 Orbit
Connective tissue of orbit
Extraocular muscle
Peripheral nerves of orbit
Retrobulbar tissue
Retro-ocular tissue
Excludes: orbital bone (C41.0)
C69.8 Overlapping lesion of eye and adnexa

C69.9 Eye, unspecified
II-34
NEOPLASMS
C70 Malignant neoplasm of meninges
C70.0 Cerebral meninges
C70.1 Spinal meninges
C70.9 Meninges, unspecified
C71 Malignant neoplasm of brain

Excludes: cranial nerves (C72.2-C72.5)
retrobulbar tissue (C69.6)
C71.0 Cerebrum, except lobes and ventricles

Supratentorial NOS
C71.1 Frontal lobe
C71.2 Temporal lobe
C71.3 Parietal lobe
C71.4 Occipital lobe
C71.5 Cerebral ventricle

Excludes: fourth ventricle (C71.7)
C71.6 Cerebellum
C71.7 Brain stem

Fourth ventricle
Infratentorial NOS
C71.8 Overlapping lesion of brain

C71.9 Brain, unspecified
II-35
C72 Malignant neoplasm of spinal cord, cranial nerves and other parts of central
nervous system
Excludes: meninges (C70.-)
peripheral nerves and autonomic nervous system (C47.-)
C72.0 Spinal cord
C72.1 Cauda equina
C72.2 Olfactory nerve

Olfactory bulb
C72.3 Optic nerve
C72.4 Acoustic nerve
C72.5 Other and unspecified cranial nerves

Cranial nerve NOS
C72.8 Overlapping lesion of brain and other parts of central nervous system
Malignant neoplasm of brain and other parts of central nervous system whose point
of origin cannot be classified to any one of the categories C70-C72.5
C72.9 Central nervous system, unspecified

Nervous system NOS
Malignant neoplasms of thyroid and other endocrine glands

(C73-C75)
C73 Malignant neoplasm of thyroid gland
C74 Malignant neoplasm of adrenal gland
C74.0 Cortex of adrenal gland
C74.1 Medulla of adrenal gland
C74.9 Adrenal gland, unspecified
II-36
NEOPLASMS
C75 Malignant neoplasm of other endocrine glands and related structures

Excludes: adrenal gland (C74.-)
endocrine pancreas (C25.4)
ovary (C56)
testis (C62.-)
thymus (C37)
thyroid gland (C73)
C75.0 Parathyroid gland
C75.1 Pituitary gland
C75.2 Craniopharyngeal duct
C75.3 Pineal gland
C75.4 Carotid body
C75.5 Aortic body and other paraganglia
C75.8 Pluriglandular involvement, unspecified

Note: If the sites of multiple involvement are known, they should be coded
separately.
C75.9 Endocrine gland, unspecified
Malignant neoplasms of ill-defined, secondary and unspecified sites

(C76-C80)
C76 Malignant neoplasm of other and ill-defined sites

Excludes: malignant neoplasm of:
• genitourinary tract NOS:
• female (C57.9)
• male (C63.9)
• lymphoid, haematopoietic and related tissue (C81-C96)
• unspecified site (C80)
C76.0 Head, face and neck

Cheek NOS
Nose NOS
II-37
C76.1 Thorax
Axilla NOS
Intrathoracic NOS
Thoracic NOS
C76.2 Abdomen
C76.3 Pelvis
Groin NOS
Sites overlapping systems within the pelvis, such as:
• rectovaginal (septum)
• rectovesical (septum)
C76.4 Upper limb
C76.5 Lower limb
C76.7 Other ill-defined sites
C76.8 Overlapping lesion of other and ill-defined sites

C77 Secondary and unspecified malignant neoplasm of lymph nodes

Excludes: malignant neoplasm of lymph nodes, specified as primary
(C81-C87, C96.-)
C77.0 Lymph nodes of head, face and neck

Supraclavicular lymph nodes
C77.1 Intrathoracic lymph nodes
C77.2 Intra-abdominal lymph nodes
C77.3 Axillary and upper limb lymph nodes

Pectoral lymph nodes
C77.4 Inguinal and lower limb lymph nodes
C77.5 Intrapelvic lymph nodes
II-38
NEOPLASMS
C77.8 Lymph nodes of multiple regions
C77.9 Lymph node, unspecified
C78 Secondary malignant neoplasm of respiratory and digestive organs
C78.0 Secondary malignant neoplasm of lung
C78.1 Secondary malignant neoplasm of mediastinum
C78.2 Secondary malignant neoplasm of pleura

Malignant pleural effusion NOS
C78.3 Secondary malignant neoplasm of other and unspecified respiratory organs
C78.4 Secondary malignant neoplasm of small intestine
C78.5 Secondary malignant neoplasm of large intestine and rectum
C78.6 Secondary malignant neoplasm of retroperitoneum and peritoneum

Malignant ascites NOS
C78.7 Secondary malignant neoplasm of liver
C78.8 Secondary malignant neoplasm of other and unspecified digestive organs
C79 Secondary malignant neoplasm of other sites
C79.0 Secondary malignant neoplasm of kidney and renal pelvis
C79.1 Secondary malignant neoplasm of bladder and other and unspecified urinary
organs
C79.2 Secondary malignant neoplasm of skin
C79.3 Secondary malignant neoplasm of brain and cerebral meninges
C79.4 Secondary malignant neoplasm of other and unspecified parts of nervous

system
C79.5 Secondary malignant neoplasm of bone and bone marrow
II-39
C79.6 Secondary malignant neoplasm of ovary
C79.7 Secondary malignant neoplasm of adrenal gland
C79.8 Secondary malignant neoplasm of other specified sites
C80 Malignant neoplasm without specification of site

Cancer
Carcinoma
Carcinomatosis
Generalized: unspecified site (primary) (secondary)
• cancer
• malignancy
Malignancy
Multiple cancer
Malignant cachexia
Primary site unknown
Malignant neoplasms of lymphoid, haematopoietic and related tissue

(C81-C96)
Note: The terms used in categories C82-C85 for non-Hodgkin's lymphomas are those of the
Working Formulation, which attempted to find common ground among several major
classification schemes. The terms used in these schemes are not given in the Tabular
List but appear in the Alphabetical Index; exact equivalence with the terms appearing
in the Tabular List is not always possible.
Excludes: secondary and unspecified neoplasm of lymph nodes (C77.-)
C81 Hodgkin's disease

C81.0 Lymphocytic predominance

Lymphocytic-histiocytic predominance
C81.1 Nodular sclerosis
II-40
NEOPLASMS
C81.2 Mixed cellularity
C81.3 Lymphocytic depletion
C81.7 Other Hodgkin's disease
C81.9 Hodgkin's disease, unspecified
C82 Follicular [nodular] non-Hodgkin's lymphoma

Includes: follicular non-Hodgkin's lymphoma with or without diffuse areas
morphology code M969 with behaviour code /3
C82.0 Small cleaved cell, follicular
C82.1 Mixed small cleaved and large cell, follicular
C82.2 Large cell, follicular
C82.7 Other types of follicular non-Hodgkin's lymphoma
C82.9 Follicular non-Hodgkin's lymphoma, unspecified

Nodular non-Hodgkin's lymphoma NOS
C83 Diffuse non-Hodgkin's lymphoma

Includes: morphology codes M9593, M9595, M967-M968 with behaviour code /3
C83.0 Small cell (diffuse)
C83.1 Small cleaved cell (diffuse)
C83.2 Mixed small and large cell (diffuse)
C83.3 Large cell (diffuse)

Reticulum cell sarcoma
C83.4 Immunoblastic (diffuse)
C83.5 Lymphoblastic (diffuse)
C83.6 Undifferentiated (diffuse)
II-41
C83.7 Burkitt's tumour
C83.8 Other types of diffuse non-Hodgkin's lymphoma
C83.9 Diffuse non-Hodgkin's lymphoma, unspecified
C84 Peripheral and cutaneous T-cell lymphomas

C84.0 Mycosis fungoides
C84.1 Sézary's disease
C84.2 T-zone lymphoma
C84.3 Lymphoepithelioid lymphoma

Lennert's lymphoma
C84.4 Peripheral T-cell lymphoma
C84.5 Other and unspecified T-cell lymphomas

Note: If T-cell lineage or involvement is mentioned in conjunction with a
specific lymphoma, code to the more specific description.
C85 Other and unspecified types of non-Hodgkin's lymphoma

Includes: morphology codes M9590-M9592, M9594, M971 with behaviour
code /3
C85.0 Lymphosarcoma
C85.1 B-cell lymphoma, unspecified

Note: If B-cell lineage or involvement is mentioned in conjunction with a
specific lymphoma, code to the more specific description.
C85.7 Other specified types of non-Hodgkin's lymphoma

Malignant:
• reticuloendotheliosis
• reticulosis
Microglioma
II-42
NEOPLASMS
C85.9 Non-Hodgkin's lymphoma, unspecified type

Lymphoma NOS
Malignant lymphoma NOS
Non-Hodgkin's lymphoma NOS
C88 Malignant immunoproliferative diseases

C88.0 Waldenström's macroglobulinaemia
C88.1 Alpha heavy chain disease
C88.2 Gamma heavy chain disease

Franklin's disease
C88.3 Immunoproliferative small intestinal disease

Mediterranean disease
C88.7 Other malignant immunoproliferative diseases
C88.9 Malignant immunoproliferative disease, unspecified

Immunoproliferative disease NOS
C90 Multiple myeloma and malignant plasma cell neoplasms

Includes: morphology codes M973, M9830 with behaviour code /3
C90.0 Multiple myeloma

Kahler's disease
Myelomatosis
Excludes: solitary myeloma (C90.2)
C90.1 Plasma cell leukaemia
C90.2 Plasmacytoma, extramedullary

Malignant plasma cell tumour NOS
Plasmacytoma NOS
Solitary myeloma
II-43
C91 Lymphoid leukaemia

Includes: morphology codes M982, M9940-M9941 with behaviour code /3
C91.0 Acute lymphoblastic leukaemia

Excludes: acute exacerbation of chronic lymphocytic leukaemia (C91.1)
C91.1 Chronic lymphocytic leukaemia
C91.2 Subacute lymphocytic leukaemia
C91.3 Prolymphocytic leukaemia
C91.4 Hairy-cell leukaemia

Leukaemic reticuloendotheliosis
C91.5 Adult T-cell leukaemia
C91.7 Other lymphoid leukaemia
C91.9 Lymphoid leukaemia, unspecified
C92 Myeloid leukaemia

Includes: leukaemia:
• granulocytic
• myelogenous
morphology codes M986-M988, M9930 with behaviour code /3
C92.0 Acute myeloid leukaemia

Excludes: acute exacerbation of chronic myeloid leukaemia (C92.1)
C92.1 Chronic myeloid leukaemia
C92.2 Subacute myeloid leukaemia
C92.3 Myeloid sarcoma

Chloroma
Granulocytic sarcoma
C92.4 Acute promyelocytic leukaemia
II-44
NEOPLASMS
C92.5 Acute myelomonocytic leukaemia
C92.7 Other myeloid leukaemia
C92.9 Myeloid leukaemia, unspecified
C93 Monocytic leukaemia

Includes: monocytoid leukaemia
morphology code M989 with behaviour code /3
C93.0 Acute monocytic leukaemia

Excludes: acute exacerbation of chronic monocytic leukaemia (C93.1)
C93.1 Chronic monocytic leukaemia
C93.2 Subacute monocytic leukaemia
C93.7 Other monocytic leukaemia
C93.9 Monocytic leukaemia, unspecified
C94 Other leukaemias of specified cell type

Includes: morphology codes M984, M9850, M9900, M9910, M9931-M9932 with
behaviour code /3
Excludes: leukaemic reticuloendotheliosis (C91.4)

plasma cell leukaemia (C90.1)
C94.0 Acute erythraemia and erythroleukaemia

Acute erythraemic myelosis
Di Guglielmo's disease
C94.1 Chronic erythraemia

Heilmeyer-Schöner disease
C94.2 Acute megakaryoblastic leukaemia

Leukaemia:
• megakaryoblastic (acute)
• megakaryocytic (acute)
II-45
C94.3 Mast cell leukaemia
C94.4 Acute panmyelosis
C94.5 Acute myelofibrosis
C94.7 Other specified leukaemias

Lymphosarcoma cell leukaemia
C95 Leukaemia of unspecified cell type

C95.0 Acute leukaemia of unspecified cell type

Blast cell leukaemia
Stem cell leukaemia
Excludes: acute exacerbation of unspecified chronic leukaemia (C95.1)
C95.1 Chronic leukaemia of unspecified cell type
C95.2 Subacute leukaemia of unspecified cell type
C95.7 Other leukaemia of unspecified cell type
C95.9 Leukaemia, unspecified
C96 Other and unspecified malignant neoplasms of lymphoid, haematopoietic and

related tissue
Includes: morphology codes M972, M974 with behaviour code /3
C96.0 Letterer-Siwe disease

Nonlipid:
• reticuloendotheliosis
• reticulosis
C96.1 Malignant histiocytosis

Histiocytic medullary reticulosis
II-46
NEOPLASMS
C96.2 Malignant mast cell tumour

Malignant:
• mastocytoma
• mastocytosis
Mast cell sarcoma
Excludes: mast cell leukaemia (C94.3)

mastocytosis (cutaneous) (Q82.2)
C96.3 True histiocytic lymphoma
C96.7 Other specified malignant neoplasms of lymphoid, haematopoietic and related

tissue
C96.9 Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified
Malignant neoplasms of independent (primary) multiple sites

(C97)

Note: For use of this category, reference should be made to the mortality coding
rules and guidelines in Part 2a Instruction Manual (NCHS).
II-47
In situ neoplasms
(D00-D09)
Note: Many in situ neoplasms are regarded as being located within a continuum of
morphological change between dysplasia and invasive cancer. For example, for
cervical intraepithelial neoplasia (CIN) three grades are recognized, the third of
which (CIN III) includes both severe dysplasia and carcinoma in situ. This system of
grading has been extended to other organs, such as vulva and vagina. Descriptions of
grade III intraepithelial neoplasia, with or without mention of severe dysplasia, are
assigned to this section; grades I and II are classified as dysplasia of the organ
system involved and should be coded to the relevant body system chapter.
Includes: Bowen's disease

erythroplasia
morphology codes with behaviour code /2
Queyrat's erythroplasia
D00 Carcinoma in situ of oral cavity, oesophagus and stomach

Excludes: melanoma in situ (D03.-)
D00.0 Lip, oral cavity and pharynx

Aryepiglottic fold:
• NOS
• hypopharyngeal aspect
• marginal zone
Vermilion border of lip
Excludes: aryepiglottic fold, laryngeal aspect (D02.0)

epiglottis:
• NOS (D02.0)
• suprahyoid portion (D02.0)
skin of lip (D03.0, D04.0)
D00.1 Oesophagus
D00.2 Stomach
II-48
NEOPLASMS
D01 Carcinoma in situ of other and unspecified digestive organs

D01.0 Colon
Excludes: rectosigmoid junction (D01.1)
D01.1 Rectosigmoid junction
D01.2 Rectum
D01.3 Anus and anal canal

Excludes: anal:
• margin (D03.5, D04.5)
• skin (D03.5, D04.5)
perianal skin (D03.5, D04.5)
D01.4 Other and unspecified parts of intestine

Excludes: ampulla of Vater (D01.5)
D01.5 Liver, gallbladder and bile ducts

Ampulla of Vater
D01.7 Other specified digestive organs

Pancreas
D01.9 Digestive organ, unspecified
D02 Carcinoma in situ of middle ear and respiratory system

D02.0 Larynx
Epiglottis (suprahyoid portion)
Excludes: aryepiglottic fold:
• NOS (D00.0)
• hypopharyngeal aspect (D00.0)
• marginal zone (D00.0)
D02.1 Trachea
D02.2 Bronchus and lung
II-49
D02.3 Other parts of respiratory system

Accessory sinuses
Middle ear
Nasal cavities
Excludes: ear (external)(skin) (D03.2, D04.2)

nose:
• NOS (D09.7)
• skin (D03.3, D04.3)
D02.4 Respiratory system, unspecified
D03 Melanoma in situ

D03.0 Melanoma in situ of lip
D03.1 Melanoma in situ of eyelid, including canthus
D03.2 Melanoma in situ of ear and external auricular canal
D03.3 Melanoma in situ of other and unspecified parts of face
D03.4 Melanoma in situ of scalp and neck
D03.5 Melanoma in situ of trunk

Anal:
• margin
• skin
Breast (skin)(soft tissue)
Perianal skin
D03.6 Melanoma in situ of upper limb, including shoulder
D03.7 Melanoma in situ of lower limb, including hip
D03.8 Melanoma in situ of other sites
D03.9 Melanoma in situ, unspecified
II-50
NEOPLASMS
D04 Carcinoma in situ of skin

Excludes: erythroplasia of Queyrat (penis) NOS (D07.4)
melanoma in situ (D03.-)
D04.0 Skin of lip

Excludes: vermilion border of lip (D00.0)
D04.1 Skin of eyelid, including canthus
D04.2 Skin of ear and external auricular canal
D04.3 Skin of other and unspecified parts of face
D04.4 Skin of scalp and neck
D04.5 Skin of trunk

Anal:
• margin
• skin
Perianal skin
Skin of breast
Excludes: anus NOS (D01.3)

skin of genital organs (D07.-)
D04.6 Skin of upper limb, including shoulder
D04.7 Skin of lower limb, including hip
D04.8 Skin of other sites
D04.9 Skin, unspecified
D05 Carcinoma in situ of breast

Excludes: carcinoma in situ of skin of breast (D04.5)
melanoma in situ of breast (skin) (D03.5)
D05.0 Lobular carcinoma in situ
D05.1 Intraductal carcinoma in situ
II-51
D05.7 Other carcinoma in situ of breast
D05.9 Carcinoma in situ of breast, unspecified
D06 Carcinoma in situ of cervix uteri

Includes: cervical intraepithelial neoplasia [CIN], grade III, with or without
mention of severe dysplasia
Excludes: melanoma in situ of cervix (D03.5)

severe dysplasia of cervix NOS (N87.2)
D06.0 Endocervix
D06.1 Exocervix
D06.7 Other parts of cervix
D06.9 Cervix, unspecified
D07 Carcinoma in situ of other and unspecified genital organs

Excludes: melanoma in situ (D03.5)
D07.0 Endometrium
D07.1 Vulva
Vulvar intraepithelial neoplasia [VIN], grade III, with or without mention of severe
dysplasia
Excludes: severe dysplasia of vulva NOS (N90.2)
D07.2 Vagina
Vaginal intraepithelial neoplasia [VAIN], grade III, with or without mention of
severe dysplasia
Excludes: severe dysplasia of vagina NOS (N89.2)
D07.3 Other and unspecified female genital organs
D07.4 Penis
Erythroplasia of Queyrat NOS
II-52
NEOPLASMS
D07.5 Prostate
D07.6 Other and unspecified male genital organs
D09 Carcinoma in situ of other and unspecified sites

D09.0 Bladder
D09.1 Other and unspecified urinary organs
D09.2 Eye
Excludes: skin of eyelid (D04.1)
D09.3 Thyroid and other endocrine glands

Excludes: endocrine pancreas (D01.7)
ovary (D07.3)
testis (D07.6)
D09.7 Carcinoma in situ of other specified sites
D09.9 Carcinoma in situ, unspecified
Benign neoplasms
(D10-36)
Includes: morphology codes with behaviour code /0
D10 Benign neoplasm of mouth and pharynx
D10.0 Lip
Lip (frenulum) (inner aspect) (mucosa) (vermilion border)
Excludes: skin of lip (D22.0, D23.0)
D10.1 Tongue
Lingual tonsil
D10.2 Floor of mouth
II-53
D10.3 Other and unspecified parts of mouth

Minor salivary gland NOS
Excludes: benign odontogenic neoplasms (D16.4-D16.5)

mucosa of lip (D10.0)
nasopharyngeal surface of soft palate (D10.6)
D10.4 Tonsil
Tonsil (faucial) (palatine)
Excludes: lingual tonsil (D10.1)

pharyngeal tonsil (D10.6)
tonsillar:
• fossa (D10.5)
• pillars (D10.5)
D10.5 Other parts of oropharynx

Epiglottis, anterior aspect
Tonsillar:
• fossa
• pillars
Vallecula
Excludes: epiglottis:
• NOS (D14.1)
D10.6 Nasopharynx
Pharyngeal tonsil
Posterior margin of septum and choanae
D10.7 Hypopharynx
D10.9 Pharynx, unspecified
II-54
NEOPLASMS
D11 Benign neoplasm of major salivary glands

Excludes: benign neoplasms of specified minor salivary glands which are classified
according to their anatomical location
benign neoplasms of minor salivary glands NOS (D10.3)
D11.0 Parotid gland
D11.7 Other major salivary glands

Gland:
• sublingual
• submandibular
D11.9 Major salivary gland, unspecified
D12 Benign neoplasm of colon, rectum, anus and anal canal
D12.0 Caecum
Ileocaecal valve
D12.1 Appendix
D12.2 Ascending colon
D12.3 Transverse colon

Hepatic flexure
Splenic flexure
D12.4 Descending colon
D12.5 Sigmoid colon
D12.6 Colon, unspecified

Adenomatosis of colon
Large intestine NOS
Polyposis (hereditary) of colon
D12.7 Rectosigmoid junction
II-55
D12.8 Rectum
D12.9 Anus and anal canal

Excludes: anal:
• margin (D22.5, D23.5)
• skin (D22.5, D23.5)
perianal skin (D22.5, D23.5)
D13 Benign neoplasm of other and ill-defined parts of digestive system
D13.0 Oesophagus
D13.1 Stomach
D13.2 Duodenum
D13.3 Other and unspecified parts of small intestine
D13.4 Liver
Intrahepatic bile ducts
D13.5 Extrahepatic bile ducts
D13.6 Pancreas
D13.7 Endocrine pancreas

Islet cell tumour
Islets of Langerhans
D13.9 Ill-defined sites within the digestive system

Digestive system NOS
Intestine NOS
Spleen
II-56
NEOPLASMS
D14 Benign neoplasm of middle ear and respiratory system
D14.0 Middle ear, nasal cavity and accessory sinuses

Cartilage of nose
Excludes: auricular canal (external) (D22.2, D23.2)

bone of:
• ear (D16.4)
• nose (D16.4)
cartilage of ear (D21.0)
ear (external)(skin) (D22.2, D23.2)
nose:
• NOS (D36.7)
• skin (D22.3, D23.3)
olfactory bulb (D33.3)
polyp (of):
• accessory sinus (J33.8)
• ear (middle) (H74.4)
• nasal (cavity) (J33.-)
posterior margin of septum and choanae (D10.6)
D14.1 Larynx
Excludes: epiglottis, anterior aspect (D10.5)

polyp of vocal cord and larynx (J38.1)
D14.2 Trachea
D14.3 Bronchus and lung
D14.4 Respiratory system, unspecified
D15 Benign neoplasm of other and unspecified intrathoracic organs

Excludes: mesothelial tissue (D19.-)
D15.0 Thymus
D15.1 Heart
Excludes: great vessels (D21.3)
II-57
D15.2 Mediastinum
D15.7 Other specified intrathoracic organs
D15.9 Intrathoracic organ, unspecified
D16 Benign neoplasm of bone and articular cartilage

Excludes: connective tissue of:
• ear (D21.0)
• eyelid (D21.0)
• larynx (D14.1)
• nose (D14.0)
synovia (D21.-)
D16.0 Scapula and long bones of upper limb
D16.1 Short bones of upper limb
D16.2 Long bones of lower limb
D16.3 Short bones of lower limb
D16.4 Bones of skull and face

Maxilla (superior)
Orbital bone
Excludes: lower jaw bone (D16.5)
D16.5 Lower jaw bone
D16.6 Vertebral column

Excludes: sacrum and coccyx (D16.8)
D16.7 Ribs, sternum and clavicle
D16.8 Pelvic bones, sacrum and coccyx
D16.9 Bone and articular cartilage, unspecified
II-58
NEOPLASMS
D17 Benign lipomatous neoplasm

D17.0 Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and
neck
D17.1 Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk
D17.2 Benign lipomatous neoplasm of skin and subcutaneous tissue of limbs
D17.3 Benign lipomatous neoplasm of skin and subcutaneous tissue of other and
unspecified sites
D17.4 Benign lipomatous neoplasm of intrathoracic organs
D17.5 Benign lipomatous neoplasm of intra-abdominal organs

Excludes: peritoneum and retroperitoneum (D17.7)
D17.6 Benign lipomatous neoplasm of spermatic cord
D17.7 Benign lipomatous neoplasm of other sites

Peritoneum
Retroperitoneum
D17.9 Benign lipomatous neoplasm, unspecified

Lipoma NOS
D18 Haemangioma and lymphangioma, any site

Excludes: blue or pigmented naevus (D22.-)
D18.0 Haemangioma, any site

Angioma NOS
D18.1 Lymphangioma, any site
II-59
D19 Benign neoplasm of mesothelial tissue

D19.0 Mesothelial tissue of pleura
D19.1 Mesothelial tissue of peritoneum
D19.7 Mesothelial tissue of other sites
D19.9 Mesothelial tissue, unspecified

Benign mesothelioma NOS
D20 Benign neoplasm of soft tissue of retroperitoneum and peritoneum

Excludes: benign lipomatous neoplasm of peritoneum and retroperitoneum (D17.7)
mesothelial tissue (D19.-)
D20.0 Retroperitoneum
D20.1 Peritoneum
II-60
NEOPLASMS
D21 Other benign neoplasms of connective and other soft tissue

Includes: blood vessel
bursa
cartilage
fascia
fat
ligament, except uterine
lymphatic channel
muscle
synovia
tendon (sheath)
Excludes: cartilage:
• articular (D16.-)
• larynx (D14.1)
• nose (D14.0)
connective tissue of breast (D24)
haemangioma (D18.0)
lipomatous neoplasm (D17.-)
lymphangioma (D18.1)
peripheral nerves and autonomic nervous system (D36.1)
peritoneum (D20.1)
retroperitoneum (D20.0)
uterine:
• leiomyoma (D25.-)
• ligament, any (D28.2)
vascular tissue (D18.-)
D21.0 Connective and other soft tissue of head, face and neck
• ear
• eyelid
Excludes: connective tissue of orbit (D31.6)
D21.1 Connective and other soft tissue of upper limb, including shoulder
D21.2 Connective and other soft tissue of lower limb, including hip
II-61
D21.3 Connective and other soft tissue of thorax

Axilla
Diaphragm
Great vessels
Excludes: heart (D15.1)

mediastinum (D15.2)
thymus (D15.0)
D21.4 Connective and other soft tissue of abdomen
D21.5 Connective and other soft tissue of pelvis

Excludes: uterine:
• leiomyoma (D25.-)
• ligament, any (D28.2)
D21.6 Connective and other soft tissue of trunk, unspecified

Back NOS
D21.9 Connective and other soft tissue, unspecified
D22 Melanocytic naevi

naevus:
• NOS
• blue
• hairy
• pigmented
D22.0 Melanocytic naevi of lip
D22.1 Melanocytic naevi of eyelid, including canthus
D22.2 Melanocytic naevi of ear and external auricular canal
D22.3 Melanocytic naevi of other and unspecified parts of face
D22.4 Melanocytic naevi of scalp and neck
II-62
NEOPLASMS
D22.5 Melanocytic naevi of trunk

Anal:
• margin
• skin
Perianal skin
Skin of breast
D22.6 Melanocytic naevi of upper limb, including shoulder
D22.7 Melanocytic naevi of lower limb, including hip
D22.9 Melanocytic naevi, unspecified
D23 Other benign neoplasms of skin

Includes: benign neoplasm of:
• hair follicles
• sebaceous glands
• sweat glands
Excludes: benign lipomatous neoplasms (D17.0-D17.3)

melanocytic naevi (D22.-)
D23.0 Skin of lip

Excludes: vermilion border of lip (D10.0)
D23.1 Skin of eyelid, including canthus
D23.2 Skin of ear and external auricular canal
D23.3 Skin of other and unspecified parts of face
D23.4 Skin of scalp and neck
II-63
D23.5 Skin of trunk

Anal:
• margin
• skin
Perianal skin
Skin of breast

skin of genital organs (D28-D29)
D23.6 Skin of upper limb, including shoulder
D23.7 Skin of lower limb, including hip
D23.9 Skin, unspecified
D24 Benign neoplasm of breast

Breast:
• connective tissue
• soft parts
Excludes: benign mammary dysplasia (N60.-)

skin of breast (D22.5, D23.5)
D25 Leiomyoma of uterus

Includes: benign neoplasms of uterus with morphology code M889 and behaviour
code /0
fibromyoma of uterus
D25.0 Submucous leiomyoma of uterus
D25.1 Intramural leiomyoma of uterus
D25.2 Subserosal leiomyoma of uterus
D25.9 Leiomyoma of uterus, unspecified
II-64
NEOPLASMS
D26 Other benign neoplasms of uterus
D26.0 Cervix uteri
D26.1 Corpus uteri
D26.7 Other parts of uterus
D26.9 Uterus, unspecified
D27 Benign neoplasm of ovary
D28 Benign neoplasm of other and unspecified female genital organs

Includes: adenomatous polyp
skin of female genital organs
D28.0 Vulva
D28.1 Vagina
D28.2 Uterine tubes and ligaments

Fallopian tube
Uterine ligament (broad)(round)
D28.7 Other specified female genital organs
D28.9 Female genital organ, unspecified
D29 Benign neoplasm of male genital organs

Includes: skin of male genital organs
D29.0 Penis
D29.1 Prostate
Excludes: hyperplasia of prostate (adenomatous) (N40)
prostatic:
• adenoma (N40)
• enlargement (N40)
• hypertrophy (N40)
II-65
D29.2 Testis
D29.3 Epididymis
D29.4 Scrotum
Skin of scrotum
D29.7 Other male genital organs

Seminal vesicle
Spermatic cord
Tunica vaginalis
D29.9 Male genital organ, unspecified
D30 Benign neoplasm of urinary organs
D30.0 Kidney
Excludes: renal:
• calyces (D30.1)
• pelvis (D30.1)
D30.1 Renal pelvis
D30.2 Ureter
Excludes: ureteric orifice of bladder (D30.3)
D30.3 Bladder
Orifice of bladder:
• urethral
• ureteric
D30.4 Urethra
Excludes: urethral orifice of bladder (D30.3)
D30.7 Other urinary organs

Paraurethral glands
D30.9 Urinary organ, unspecified

Urinary system NOS
II-66
NEOPLASMS
D31 Benign neoplasm of eye and adnexa

Excludes: connective tissue of eyelid (D21.0)
optic nerve (D33.3)
skin of eyelid (D22.1, D23.1)
D31.0 Conjunctiva
D31.1 Cornea
D31.2 Retina
D31.3 Choroid
D31.4 Ciliary body

Eyeball
D31.5 Lacrimal gland and duct

Lacrimal sac
Nasolacrimal duct
D31.6 Orbit, unspecified

Connective tissue of orbit
Extraocular muscle
Retrobulbar tissue
Retro-ocular tissue
Excludes: orbital bone (D16.4)
D31.9 Eye, unspecified
D32 Benign neoplasm of meninges
D32.0 Cerebral meninges
D32.1 Spinal meninges
D32.9 Meninges, unspecified

Meningioma NOS
II-67
D33 Benign neoplasm of brain and other parts of central nervous system
Excludes: angioma (D18.0)
meninges (D32.-)
peripheral nerves and autonomic nervous system (D36.1)
retro-ocular tissue (D31.6)
D33.0 Brain, supratentorial

Cerebral ventricle
Cerebrum
Frontal
Occipital
lobe
Parietal
Temporal
Excludes: fourth ventricle (D33.1)
D33.1 Brain, infratentorial

Brain stem
Cerebellum
Fourth ventricle
D33.2 Brain, unspecified
D33.3 Cranial nerves

Olfactory bulb
D33.4 Spinal cord
D33.7 Other specified parts of central nervous system
D33.9 Central nervous system, unspecified

Nervous system (central) NOS
D34 Benign neoplasm of thyroid gland
II-68
NEOPLASMS
D35 Benign neoplasm of other and unspecified endocrine glands

ovary (D27)
testis (D29.2)
thymus (D15.0)
D35.0 Adrenal gland
D35.1 Parathyroid gland
D35.2 Pituitary gland
D35.3 Craniopharyngeal duct
D35.4 Pineal gland
D35.5 Carotid body
D35.6 Aortic body and other paraganglia
D35.7 Other specified endocrine glands
D35.8 Pluriglandular involvement
D35.9 Endocrine gland, unspecified
D36 Benign neoplasm of other and unspecified sites
D36.0 Lymph nodes
D36.1 Peripheral nerves and autonomic nervous system

Excludes: peripheral nerves of orbit (D31.6)
D36.7 Other specified sites

Nose NOS
D36.9 Benign neoplasm of unspecified site
II-69
Neoplasms of uncertain or unknown behaviour

(D37-D48)
Note: Categories D37-D48 classify by site neoplasms of uncertain or unknown behaviour,

i.e., there is doubt whether the neoplasm is malignant or benign. Such neoplasms are
assigned behaviour code /1 in the classification of the morphology of neoplasms.
D37 Neoplasm of uncertain or unknown behaviour of oral cavity and digestive

organs
D37.0 Lip, oral cavity and pharynx

Aryepiglottic fold:
• NOS
• hypopharyngeal aspect
• marginal zone
Major and minor salivary glands
Vermilion border of lip
Excludes: aryepiglottic fold, laryngeal aspect (D38.0)

epiglottis:
• NOS (D38.0)
skin of lip (D48.5)
D37.1 Stomach
D37.2 Small intestine
D37.3 Appendix
D37.4 Colon
D37.5 Rectum
Rectosigmoid junction
D37.6 Liver, gallbladder and bile ducts

Ampulla of Vater
II-70
NEOPLASMS
D37.7 Other digestive organs

Anal:
• canal
• sphincter
Anus NOS
Intestine NOS
Oesophagus
Pancreas
Excludes: anal:
• margin (D48.5)
• skin (D48.5)
perianal skin (D48.5)
D37.9 Digestive organ, unspecified
D38 Neoplasm of uncertain or unknown behaviour of middle ear and respiratory

and intrathoracic organs
Excludes: heart (D48.7)
D38.0 Larynx
Excludes: aryepiglottic fold:

• NOS (D37.0)
• hypopharyngeal aspect (D37.0)
• marginal zone (D37.0)
D38.1 Trachea, bronchus and lung
D38.2 Pleura
D38.3 Mediastinum
D38.4 Thymus
II-71
D38.5 Other respiratory organs

Accessory sinuses
Cartilage of nose
Middle ear
Nasal cavities
Excludes: ear (external)(skin) (D48.5)

nose:
• NOS (D48.7)
• skin (D48.5)
D38.6 Respiratory organ, unspecified
D39 Neoplasm of uncertain or unknown behaviour of female genital organs
D39.0 Uterus
D39.1 Ovary
D39.2 Placenta
Chorioadenoma destruens
Hydatidiform mole:
• invasive
• malignant
Excludes: hydatidiform mole NOS (O01.9)
D39.7 Other female genital organs

Skin of female genital organs
D39.9 Female genital organ, unspecified
D40 Neoplasm of uncertain or unknown behaviour of male genital organs
D40.0 Prostate
D40.1 Testis
II-72
NEOPLASMS
D40.7 Other male genital organs

Skin of male genital organs
D40.9 Male genital organ, unspecified
D41 Neoplasm of uncertain or unknown behaviour of urinary organs
D41.0 Kidney
Excludes: renal pelvis (D41.1)
D41.1 Renal pelvis
D41.2 Ureter
D41.3 Urethra
D41.4 Bladder
D41.7 Other urinary organs
D41.9 Urinary organ, unspecified
D42 Neoplasm of uncertain or unknown behaviour of meninges
D42.0 Cerebral meninges
D42.1 Spinal meninges
D42.9 Meninges, unspecified
II-73
D43 Neoplasm of uncertain or unknown behaviour of brain and central nervous

system
Excludes: peripheral nerves and autonomic nervous system (D48.2)
D43.0 Brain, supratentorial

Cerebral ventricle
Cerebrum
Frontal
Occipital
lobe
Parietal
Temporal
Excludes: fourth ventricle (D43.1)
D43.1 Brain, infratentorial

Brain stem
Cerebellum
Fourth ventricle
D43.2 Brain, unspecified
D43.3 Cranial nerves
D43.4 Spinal cord
D43.7 Other parts of central nervous system
D43.9 Central nervous system, unspecified

Nervous system (central) NOS
D44 Neoplasm of uncertain or unknown behaviour of endocrine glands

ovary (D39.1)
testis (D40.1)
thymus (D38.4)
D44.0 Thyroid gland
D44.1 Adrenal gland
II-74
NEOPLASMS
D44.2 Parathyroid gland
D44.3 Pituitary gland
D44.4 Craniopharyngeal duct
D44.5 Pineal gland
D44.6 Carotid body
D44.7 Aortic body and other paraganglia
D44.8 Pluriglandular involvement

Multiple endocrine adenomatosis
D44.9 Endocrine gland, unspecified
D45 Polycythaemia vera

Morphology code M9950 with behaviour code /1
D46 Myelodysplastic syndromes

D46.0 Refractory anaemia without sideroblasts, so stated
D46.1 Refractory anaemia with sideroblasts
D46.2 Refractory anaemia with excess of blasts
D46.3 Refractory anaemia with excess of blasts with transformation
D46.4 Refractory anaemia, unspecified
D46.7 Other myelodysplastic syndromes
D46.9 Myelodysplastic syndrome, unspecified

Myelodysplasia NOS
Preleukaemia (syndrome) NOS
II-75
D47 Other neoplasms of uncertain or unknown behaviour of lymphoid,

Includes: morphology codes M974, M976, M996-M997 with behaviour code /1
D47.0 Histiocytic and mast cell tumours of uncertain and unknown behaviour
Mast cell tumour NOS
Mastocytoma NOS
Excludes: mastocytosis (cutaneous) (Q82.2)
D47.1 Chronic myeloproliferative disease

Myelofibrosis (with myeloid metaplasia)
Myeloproliferative disease, unspecified
Myelosclerosis (megakaryocytic) with myeloid metaplasia
D47.2 Monoclonal gammopathy
D47.3 Essential (haemorrhagic) thrombocythaemia

Idiopathic haemorrhagic thrombocythaemia
D47.7 Other specified neoplasms of uncertain or unknown behaviour of lymphoid,

D47.9 Neoplasm of uncertain or unknown behaviour of lymphoid, haematopoietic and

related tissue, unspecified
Lymphoproliferative disease NOS
D48 Neoplasm of uncertain or unknown behaviour of other and unspecified sites

Excludes: neurofibromatosis (nonmalignant) (Q85.0)
D48.0 Bone and articular cartilage

Excludes: cartilage of:
• ear (D48.1)
• larynx (D38.0)
• nose (D38.5)
connective tissue of eyelid (D48.1)
synovia (D48.1)
II-76
NEOPLASMS
D48.1 Connective and other soft tissue

• ear
• eyelid
Excludes: cartilage (of):

• articular (D48.0)
• larynx (D38.0)
• nose (D38.5)
connective tissue of breast (D48.6)
D48.2 Peripheral nerves and autonomic nervous system

Excludes: peripheral nerves of orbit (D48.7)
D48.3 Retroperitoneum
D48.4 Peritoneum
D48.5 Skin
Anal:
• margin
• skin
Perianal skin
Skin of breast

skin of genital organs (D39.7, D40.7)
vermilion border of lip (D37.0)
D48.6 Breast
Connective tissue of breast
Cystosarcoma phyllodes
Excludes: skin of breast (D48.5)
II-77
D48.7 Other specified sites

Eye
Heart
Excludes: connective tissue (D48.1)

skin of eyelid (D48.5)
D48.9 Neoplasm of uncertain or unknown behaviour, unspecified

"Growth" NOS
Neoplasm NOS
New growth NOS
Tumour NOS
II-78
CHAPTER III
Diseases of the blood and blood-forming organs and certain disorders

involving the immune mechanism
(D50-D89)
Excludes: autoimmune disease (systemic) NOS (M35.9)

certain conditions originating in the perinatal period (P00-P96)
complications of pregnancy, childbirth and the puerperium (O00-O99)
congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E90)
human immunodeficiency virus [HIV] disease (B20-B24)
injury, poisoning and certain other consequences of external causes (S00-T98)
neoplasms (C00-D48)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere
classified (R00-R99)
D50-D53 Nutritional anaemias

D55-D59 Haemolytic anaemias
D60-D64 Aplastic and other anaemias
D65-D69 Coagulation defects, purpura and other haemorrhagic conditions
D70-D77 Other diseases of blood and blood-forming organs
D80-D89 Certain disorders involving the immune mechanism
Asterisk categories for this chapter are provided as follows:

D77* Other disorders of blood and blood-forming organs in diseases classified
elsewhere
III-1
Nutritional anaemias
(D50-D53)
D50 Iron deficiency anaemia

Includes: anaemia:
• asiderotic
• hypochromic
D50.0 Iron deficiency anaemia secondary to blood loss (chronic)

Posthaemorrhagic anaemia (chronic)
Excludes: acute posthaemorrhagic anaemia (D62)

congenital anaemia from fetal blood loss (P61.3)
D50.1 Sideropenic dysphagia

Kelly-Paterson syndrome
Plummer-Vinson syndrome
D50.8 Other iron deficiency anaemias
D50.9 Iron deficiency anaemia, unspecified
D51 Vitamin B12 deficiency anaemia

Excludes: vitamin B12 deficiency (E53.8)
D51.0 Vitamin B12 deficiency anaemia due to intrinsic factor deficiency

Anaemia:
• Addison
• Biermer
• pernicious (congenital)
Congenital intrinsic factor deficiency
D51.1 Vitamin B12 deficiency anaemia due to selective vitamin B12 malabsorption
with proteinuria
Imerslund(-Gräsbeck) syndrome
Megaloblastic hereditary anaemia
D51.2 Transcobalamin II deficiency
III-2
DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS
D51.3 Other dietary vitamin B12 deficiency anaemia

Vegan anaemia
D51.8 Other vitamin B12 deficiency anaemias
D51.9 Vitamin B12 deficiency anaemia, unspecified
D52 Folate deficiency anaemia
D52.0 Dietary folate deficiency anaemia

Nutritional megaloblastic anaemia
D52.1 Drug-induced folate deficiency anaemia

Use additional external cause code (Chapter XX), if desired, to identify drug.
D52.8 Other folate deficiency anaemias
D52.9 Folate deficiency anaemia, unspecified

Folic acid deficiency anaemia NOS
D53 Other nutritional anaemias

Includes: megaloblastic anaemia unresponsive to vitamin B12 or folate therapy
D53.0 Protein deficiency anaemia

Amino-acid deficiency anaemia
Orotaciduric anaemia
Excludes: Lesch-Nyhan syndrome (E79.1)
D53.1 Other megaloblastic anaemias, not elsewhere classified

Megaloblastic anaemia NOS
Excludes: Di Guglielmo's disease (C94.0)
D53.2 Scorbutic anaemia

Excludes: scurvy (E54)
III-3
D53.8 Other specified nutritional anaemias

Anaemia associated with deficiency of:
• copper
• molybdenum
• zinc
Excludes: nutritional deficiencies without mention of anaemia, such as:

• copper deficiency (E61.0)
• molybdenum deficiency (E61.5)
• zinc deficiency (E60)
D53.9 Nutritional anaemia, unspecified

Simple chronic anaemia
Excludes: anaemia NOS (D64.9)
Haemolytic anaemias
(D55-D59)
D55 Anaemia due to enzyme disorders

Excludes: drug-induced enzyme deficiency anaemia (D59.2)
D55.0 Anaemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency

Favism
G6PD deficiency anaemia
D55.1 Anaemia due to other disorders of glutathione metabolism

Anaemia (due to):
• enzyme deficiencies, except G6PD, related to the hexose monophosphate
[HMP] shunt pathway
• haemolytic nonspherocytic (hereditary), type I
D55.2 Anaemia due to disorders of glycolytic enzymes

Anaemia:
• haemolytic nonspherocytic (hereditary), type II
• hexokinase deficiency
• pyruvate kinase [PK] deficiency
• triose-phosphate isomerase deficiency
III-4
D55.3 Anaemia due to disorders of nucleotide metabolism
D55.8 Other anaemias due to enzyme disorders
D55.9 Anaemia due to enzyme disorder, unspecified
D56 Thalassaemia
D56.0 Alpha thalassaemia

Excludes: hydrops fetalis due to haemolytic disease (P56.-)
D56.1 Beta thalassaemia

Cooley's anaemia
Severe beta thalassaemia
Thalassaemia:
• intermedia
• major
D56.2 Delta-beta thalassaemia
D56.3 Thalassaemia trait
D56.4 Hereditary persistence of fetal haemoglobin [HPFH]
D56.8 Other thalassaemias
D56.9 Thalassaemia, unspecified

Mediterranean anaemia (with other haemoglobinopathy)
Thalassaemia (minor)(mixed)(with other haemoglobinopathy)
D57 Sickle-cell disorders

Excludes: other haemoglobinopathies (D58.-)
D57.0 Sickle-cell anaemia with crisis

Hb-SS disease with crisis
III-5
D57.1 Sickle-cell anaemia without crisis

Sickle-cell:
• anaemia
• disease NOS
• disorder
D57.2 Double heterozygous sickling disorders

Disease:
• Hb-SC
• Hb-SD
• Hb-SE
• sickle-cell thalassaemia
D57.3 Sickle-cell trait

Hb-S trait
Heterozygous haemoglobin S
D57.8 Other sickle-cell disorders
D58 Other hereditary haemolytic anaemias
D58.0 Hereditary spherocytosis

Acholuric (familial) jaundice
Congenital (spherocytic) haemolytic icterus
Minkowski-Chauffard syndrome
D58.1 Hereditary elliptocytosis

Elliptocytosis (congenital)
Ovalocytosis (congenital)(hereditary)
III-6
D58.2 Other haemoglobinopathies

Abnormal haemoglobin NOS
Congenital Heinz body anaemia
Disease:
• Hb-C
• Hb-D
• Hb-E
Haemoglobinopathy NOS
Unstable haemoglobin haemolytic disease
Excludes: familial polycythaemia (D75.0)

Hb-M disease (D74.0)
hereditary persistence of fetal haemoglobin [HPFH] (D56.4)
high-altitude polycythaemia (D75.1)
methaemoglobinaemia (D74.-)
D58.8 Other specified hereditary haemolytic anaemias

Stomatocytosis
D58.9 Hereditary haemolytic anaemia, unspecified
D59 Acquired haemolytic anaemia
D59.0 Drug-induced autoimmune haemolytic anaemia

D59.1 Other autoimmune haemolytic anaemias

Autoimmune haemolytic disease (cold type)(warm type)
Chronic cold haemagglutinin disease
Cold agglutinin:
• disease
• haemoglobinuria
Haemolytic anaemia:
• cold type (secondary)(symptomatic)
• warm type (secondary)(symptomatic)
Excludes: Evans' syndrome (D69.3)

haemolytic disease of fetus and newborn (P55.-)
paroxysmal cold haemoglobinuria (D59.6)
III-7
D59.2 Drug-induced nonautoimmune haemolytic anaemia

Drug-induced enzyme deficiency anaemia
D59.3 Haemolytic-uraemic syndrome
D59.4 Other nonautoimmune haemolytic anaemias

Haemolytic anaemia:
• mechanical
• microangiopathic
• toxic
Use additional external cause code (Chapter XX), if desired, to identify cause.
D59.5 Paroxysmal nocturnal haemoglobinuria [Marchiafava-Micheli]

Excludes: haemoglobinuria NOS (R82.3)
D59.6 Haemoglobinuria due to haemolysis from other external causes

Haemoglobinuria:
• from exertion
• march
• paroxysmal cold
Excludes: haemoglobinuria NOS (R82.3)
D59.8 Other acquired haemolytic anaemias
D59.9 Acquired haemolytic anaemia, unspecified

Idiopathic haemolytic anaemia, chronic
III-8
Aplastic and other anaemias

(D60-D64)
D60 Acquired pure red cell aplasia [erythroblastopenia]

Includes: red cell aplasia (acquired)(adult)(with thymoma)
D60.0 Chronic acquired pure red cell aplasia
D60.1 Transient acquired pure red cell aplasia
D60.8 Other acquired pure red cell aplasias
D60.9 Acquired pure red cell aplasia, unspecified
D61 Other aplastic anaemias

Excludes: agranulocytosis (D70)
D61.0 Constitutional aplastic anaemia

Aplasia, (pure) red cell (of):
• congenital
• infants
• primary
Blackfan-Diamond syndrome
Familial hypoplastic anaemia
Fanconi's anaemia
Pancytopenia with malformations
D61.1 Drug-induced aplastic anaemia

D61.2 Aplastic anaemia due to other external agents

D61.3 Idiopathic aplastic anaemia
D61.8 Other specified aplastic anaemias
D61.9 Aplastic anaemia, unspecified

Hypoplastic anaemia NOS
Medullary hypoplasia
Panmyelophthisis
III-9
D62 Acute posthaemorrhagic anaemia

Excludes: congenital anaemia from fetal blood loss (P61.3)
D63.0* Anaemia in neoplastic disease (C00-D48†)
D63.8* Anaemia in other chronic diseases classified elsewhere
D64 Other anaemias

Excludes: refractory anaemia:
• NOS (D46.4)
• with excess of blasts (D46.2)
• with transformation (D46.3)
• with sideroblasts (D46.1)
• without sideroblasts (D46.0)
D64.0 Hereditary sideroblastic anaemia

Sex-linked hypochromic sideroblastic anaemia
D64.1 Secondary sideroblastic anaemia due to disease

Use additional code, if desired, to identify disease
D64.2 Secondary sideroblastic anaemia due to drugs and toxins

D64.3 Other sideroblastic anaemias

Sideroblastic anaemia:
• NOS
• pyridoxine-responsive NEC
III-10
D64.4 Congenital dyserythropoietic anaemia

Dyshaematopoietic anaemia (congenital)
Excludes: Blackfan-Diamond syndrome (D61.0)

Di Guglielmo's disease (C94.0)
D64.8 Other specified anaemias

Infantile pseudoleukaemia
Leukoerythroblastic anaemia
D64.9 Anaemia, unspecified
Coagulation defects, purpura and other haemorrhagic conditions

(D65-D69)
D65 Disseminated intravascular coagulation [defibrination syndrome]

Afibrinogenaemia, acquired
Consumption coagulopathy
Diffuse or disseminated intravascular coagulation [DIC]
Fibrinolytic haemorrhage, acquired
Purpura:
• fibrinolytic
• fulminans
Excludes: that (complicating):

• in newborn (P60)
• pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0,
O72.3)
D66 Hereditary factor VIII deficiency

Deficiency factor VIII (with functional defect)
Haemophilia:
• NOS
• A
• classical
Excludes: factor VIII deficiency with vascular defect (D68.0)
III-11
D67 Hereditary factor IX deficiency

Christmas disease
Deficiency:
• factor IX (with functional defect)
• plasma thromboplastin component [PTC]
Haemophilia B
D68 Other coagulation defects

Excludes: those complicating:
• pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0,
O72.3)
D68.0 Von Willebrand's disease

Angiohaemophilia
Factor VIII deficiency with vascular defect
Vascular haemophilia
Excludes: capillary fragility (hereditary) (D69.8)

factor VIII deficiency:
• NOS (D66)
• with functional defect (D66)
D68.1 Hereditary factor XI deficiency

Haemophilia C
Plasma thromoplastin antecedent [PTA] deficiency
III-12
D68.2 Hereditary deficiency of other clotting factors

Congenital afibrinogenaemia
Deficiency:
• AC globulin
• proaccelerin
Deficiency of factor:
• I [fibrinogen]
• II [prothrombin]
• V [labile]
• VII [stable]
• X [Stuart-Prower]
• XII [Hageman]
• XIII [fibrin-stabilizing]
Dysfibrinogenaemia (congenital)
Hypoproconvertinaemia
Owren's disease
D68.3 Haemorrhagic disorder due to circulating anticoagulants

Haemorrhage during long term use of anticoagulants
Hyperheparinaemia
Increase in:
• antithrombin
• anti-VIIIa
• anti-IXa
• anti-Xa
• anti-XIa
Use additional external cause code (Chapter XX), if desired, to identify any
administered anticoagulant.
Excludes: long term use of anticoagulants without haemorrhage (Z92.1)
D68.4 Acquired coagulation factor deficiency

Deficiency of coagulation factor due to:
• liver disease
• vitamin K deficiency
Excludes: vitamin K deficiency of newborn (P53)
III-13
D68.8 Other specified coagulation defects

Presence of systemic lupus erythematosus [SLE] inhibitor
D68.9 Coagulation defect, unspecified
D69 Purpura and other haemorrhagic conditions

Excludes: benign hypergammaglobulinaemic purpura (D89.0)
cryoglobulinaemic purpura (D89.1)
essential (haemorrhagic) thrombocythaemia (D47.3)
purpura fulminans (D65)
thrombotic thrombocytopenic purpura (M31.1)
D69.0 Allergic purpura

Purpura:
• anaphylactoid
• Henoch(-Schönlein)
• nonthrombocytopenic:
• haemorrhagic
• idiopathic
• vascular
Vasculitis, allergic
D69.1 Qualitative platelet defects

Bernard-Soulier [giant platelet] syndrome
Glanzmann's disease
Grey platelet syndrome
Thromboasthenia (haemorrhagic)(hereditary)
Thrombocytopathy
Excludes: von Willebrand's disease (D68.0)
D69.2 Other nonthrombocytopenic purpura

Purpura:
• NOS
• senile
• simplex
D69.3 Idiopathic thrombocytopenic purpura

Evans' syndrome
III-14
D69.4 Other primary thrombocytopenia

Excludes: thrombocytopenia with absent radius (Q87.2)
transient neonatal thrombocytopenia (P61.0)
Wiskott-Aldrich syndrome (D82.0)
D69.5 Secondary thrombocytopenia

D69.6 Thrombocytopenia, unspecified
D69.8 Other specified haemorrhagic conditions

Capillary fragility (hereditary)
Vascular pseudohaemophilia
D69.9 Haemorrhagic condition, unspecified
Other diseases of blood and blood-forming organs

(D70-D77)
D70 Agranulocytosis
Agranulocytic angina
Infantile genetic agranulocytosis
Kostmann's disease
Neutropenia:
• NOS
• congenital
• cyclic
• drug-induced
• periodic
• splenic (primary)
• toxic
Neutropenic splenomegaly
Use additional external cause code (Chapter XX), if desired, to identify drug, if
drug-induced.
Excludes: transient neonatal neutropenia (P61.5)
III-15
D71 Functional disorders of polymorphonuclear neutrophils

Cell membrane receptor complex [CR3] defect
Chronic (childhood) granulomatous disease
Congenital dysphagocytosis
Progressive septic granulomatosis
D72 Other disorders of white blood cells

Excludes: basophilia (D75.8)
immunity disorders (D80-D89)
neutropenia (D70)
preleukaemia (syndrome) (D46.9)
D72.0 Genetic anomalies of leukocytes

Anomaly (granulation)(granulocyte) or syndrome:
• Alder
• May-Hegglin
• Pelger-Huët
Hereditary:
• leukocytic:
• hypersegmentation
• hyposegmentation
• leukomelanopathy
Excludes: Chediak(-Steinbrinck)-Higashi syndrome (E70.3)
D72.1 Eosinophilia
Eosinophilia:
• allergic
• hereditary
III-16
D72.8 Other specified disorders of white blood cells

Leukaemoid reaction:
• lymphocytic
• monocytic
• myelocytic
Leukocytosis
Lymphocytosis (symptomatic)
Lymphopenia
Monocytosis (symptomatic)
Plasmacytosis
D72.9 Disorder of white blood cells, unspecified
D73 Diseases of spleen
D73.0 Hyposplenism
Asplenia, postsurgical
Atrophy of spleen
Excludes: asplenia (congenital) (Q89.0)
D73.1 Hypersplenism
Excludes: splenomegaly:
• NOS (R16.1)
• congenital (Q89.0)
D73.2 Chronic congestive splenomegaly
D73.3 Abscess of spleen
D73.4 Cyst of spleen
D73.5 Infarction of spleen

Splenic rupture, nontraumatic
Torsion of spleen
Excludes: traumatic rupture of spleen (S36.0)
III-17
D73.8 Other diseases of spleen

Fibrosis of spleen NOS
Perisplenitis
Splenitis NOS
D73.9 Disease of spleen, unspecified
D74 Methaemoglobinaemia
D74.0 Congenital methaemoglobinaemia

Congenital NADH-methaemoglobin reductase deficiency
Haemoglobin-M [Hb-M] disease
Methaemoglobinaemia, hereditary
D74.8 Other methaemoglobinaemias

Acquired methaemoglobinaemia (with sulfhaemoglobinaemia)
Toxic methaemoglobinaemia
D74.9 Methaemoglobinaemia, unspecified
D75 Other diseases of blood and blood-forming organs

Excludes: enlarged lymph nodes (R59.-)
hypergammaglobulinaemia NOS (D89.2)
lymphadenitis:
• NOS (I88.9)
• acute (L04.-)
• chronic (I88.1)
• mesenteric (acute)(chronic) (I88.0)
D75.0 Familial erythrocytosis

Polycythaemia:
• benign
• familial
Excludes: hereditary ovalocytosis (D58.1)
III-18
D75.1 Secondary polycythaemia

Polycythaemia:
• acquired
• due to:
• erythropoietin
• fall in plasma volume
• high altitude
• stress
• emotional
• hypoxaemic
• nephrogenous
• relative
Excludes: polycythaemia:
• neonatorum (P61.1)
• vera (D45)
D75.2 Essential thrombocytosis

Excludes: essential (haemorrhagic) thrombocythaemia (D47.3)
D75.8 Other specified diseases of blood and blood-forming organs

Basophilia
D75.9 Disease of blood and blood-forming organs, unspecified
D76 Certain diseases involving lymphoreticular tissue and reticulohistiocytic

system
Excludes: Letterer-Siwe disease (C96.0)
malignant histiocytosis (C96.1)
reticuloendotheliosis or reticulosis:
• histiocytic medullary (C96.1)
• leukaemic (C91.4)
• lipomelanotic (I89.8)
• malignant (C85.7)
• nonlipid (C96.0)
D76.0 Langerhans' cell histiocytosis, not elsewhere classified

Eosinophilic granuloma
Hand-Schüller-Christian disease
Histiocytosis X (chronic)
III-19
D76.1 Haemophagocytic lymphohistiocytosis

Familial haemophagocytic reticulosis
Histiocytoses of mononuclear phagocytes other than Langerhans' cells NOS
D76.2 Haemophagocytic syndrome, infection-associated

Use additional code, if desired, to identify infectious agent or disease.
D76.3 Other histiocytosis syndromes

Reticulohistiocytoma (giant-cell)
Sinus histiocytosis with massive lymphadenopathy
Xanthogranuloma
D77* Other disorders of blood and blood-forming organs in diseases classified

† elsewhere
Fibrosis of spleen in schistosomiasis [bilharziasis] (B65.-†)
Certain disorders involving the immune mechanism

(D80-D89)
Includes: defects in the complement system

immunodeficiency disorders, except human immunodeficiency virus [HIV]
disease
sarcoidosis
Excludes: autoimmune disease (systemic) NOS (M35.9)

functional disorders of polymorphonuclear neutrophils (D71)
D80 Immunodeficiency with predominantly antibody defects
D80.0 Hereditary hypogammaglobulinaemia

Autosomal recessive agammaglobulinaemia (Swiss type)
X-linked agammaglobulinaemia [Bruton] (with growth hormone deficiency)
D80.1 Nonfamilial hypogammaglobulinaemia

Agammaglobulinaemia with immunoglobulin-bearing B-lymphocytes
Common variable agammaglobulinaemia [CVAgamma]
Hypogammaglobulinaemia NOS
III-20
D80.2 Selective deficiency of immunoglobulin A [IgA]
D80.3 Selective deficiency of immunoglobulin G [IgG] subclasses
D80.4 Selective deficiency of immunoglobulin M [IgM]
D80.5 Immunodeficiency with increased immunoglobulin M [IgM]
D80.6 Antibody deficiency with near-normal immunoglobulins or with

hyperimmunoglobulinaemia
D80.7 Transient hypogammaglobulinaemia of infancy
D80.8 Other immunodeficiencies with predominantly antibody defects

Kappa light chain deficiency
D80.9 Immunodeficiency with predominantly antibody defects, unspecified
D81 Combined immunodeficiencies

Excludes: autosomal recessive agammaglobulinaemia (Swiss type) (D80.0)
D81.0 Severe combined immunodeficiency [SCID] with reticular dysgenesis
D81.1 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers
D81.2 Severe combined immunodeficiency [SCID] with low or normal B-cell

numbers
D81.3 Adenosine deaminase [ADA] deficiency
D81.4 Nezelof's syndrome
D81.5 Purine nucleoside phosphorylase [PNP] deficiency
D81.6 Major histocompatibility complex class I deficiency

Bare lymphocyte syndrome
D81.7 Major histocompatibility complex class II deficiency
III-21
D81.8 Other combined immunodeficiencies

Biotin-dependent carboxylase deficiency
D81.9 Combined immunodeficiency, unspecified

Severe combined immunodeficiency disorder [SCID] NOS
D82 Immunodeficiency associated with other major defects

Excludes: ataxia telangiectasia [Louis-Bar] (G11.3)
D82.0 Wiskott-Aldrich syndrome

Immunodeficiency with thrombocytopenia and eczema
D82.1 Di George's syndrome

Pharyngeal pouch syndrome
Thymic:
• alymphoplasia
• aplasia or hypoplasia with immunodeficiency
D82.2 Immunodeficiency with short-limbed stature
D82.3 Immunodeficiency following hereditary defective response to Epstein-Barr

virus
X-linked lymphoproliferative disease
D82.4 Hyperimmunoglobulin E [IgE] syndrome
D82.8 Immunodeficiency associated with other specified major defects
D82.9 Immunodeficiency associated with major defect, unspecified
D83 Common variable immunodeficiency
D83.0 Common variable immunodeficiency with predominant abnormalities of

B-cell numbers and function
D83.1 Common variable immunodeficiency with predominant immunoregulatory

T-cell disorders
D83.2 Common variable immunodeficiency with autoantibodies to B- or T-cells
III-22
D83.8 Other common variable immunodeficiencies
D83.9 Common variable immunodeficiency, unspecified
D84 Other immunodeficiencies
D84.0 Lymphocyte function antigen-1 [LFA-1] defect
D84.1 Defects in the complement system

C1 esterase inhibitor [C1-INH] deficiency
D84.8 Other specified immunodeficiencies
D84.9 Immunodeficiency, unspecified
D86 Sarcoidosis
D86.0 Sarcoidosis of lung
D86.1 Sarcoidosis of lymph nodes
D86.2 Sarcoidosis of lung with sarcoidosis of lymph nodes
D86.3 Sarcoidosis of skin
D86.8 Sarcoidosis of other and combined sites

Iridocyclitis in sarcoidosis† (H22.1*)
Multiple cranial nerve palsies in sarcoidosis† (G53.2*)
Sarcoid:
• arthropathy† (M14.8*)
Uveoparotid fever [Heerfordt]
D86.9 Sarcoidosis, unspecified
III-23
D89 Other disorders involving the immune mechanism, not elsewhere classified
Excludes: hyperglobulinaemia NOS (R77.1)
monoclonal gammopathy (D47.2)
transplant failure and rejection (T86.-)
D89.0 Polyclonal hypergammaglobulinaemia

Benign hypergammaglobulinaemic purpura
Polyclonal gammopathy NOS
D89.1 Cryoglobulinaemia
Cryoglobulinaemia:
• essential
• idiopathic
• mixed
• primary
• secondary
Cryoglobulinaemic:
• purpura
• vasculitis
D89.2 Hypergammaglobulinaemia, unspecified
D89.8 Other specified disorders involving the immune mechanism, not elsewhere
classified
D89.9 Disorder involving the immune mechanism, unspecified

Immune disease NOS
III-24
CHAPTER IV
___________________________________________________________________________
Endocrine, nutritional and metabolic diseases

(E00-E90)
Note: All neoplasms, whether functionally active or not, are classified in Chapter II.
Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used, if
desired, as additional codes to indicate either functional activity by neoplasms and
ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands
associated with neoplasms and other conditions classified elsewhere.
Excludes: complications of pregnancy, childbirth and the puerperium (O00-O99)

transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)
E00-E07 Disorders of thyroid gland

E10-E14 Diabetes mellitus
E15-E16 Other disorders of glucose regulation and pancreatic internal secretion
E20-E35 Disorders of other endocrine glands
E40-E46 Malnutrition
E50-E64 Other nutritional deficiencies
E65-E68 Obesity and other hyperalimentation
E70-E90 Metabolic disorders

E90* Nutritional and metabolic disorders in diseases classified
elsewhere
IV-1
Disorders of thyroid gland

(E00-E07)
E00 Congenital iodine-deficiency syndrome

Includes: endemic conditions associated with environmental iodine deficiency
either directly or as a consequence of maternal iodine deficiency.
Some of the conditions have no current hypothyroidism but are the
consequence of inadequate thyroid hormone secretion in the
developing fetus. Environmental goitrogens may be associated.
Use additional code (F70-F79), if desired, to identify associated mental

retardation.
Excludes: subclinical iodine-deficiency hypothyroidism (E02)
E00.0 Congenital iodine-deficiency syndrome, neurological type

Endemic cretinism, neurological type
E00.1 Congenital iodine-deficiency syndrome, myxoedematous type

Endemic cretinism:
• hypothyroid
• myxoedematous type
E00.2 Congenital iodine-deficiency syndrome, mixed type

Endemic cretinism, mixed type
E00.9 Congenital iodine-deficiency syndrome, unspecified

Congenital iodine-deficiency hypothyroidism NOS
Endemic cretinism NOS
E01 Iodine-deficiency-related thyroid disorders and allied conditions

Excludes: congenital iodine-deficiency syndrome (E00.-)
subclinical iodine-deficiency hypothyroidism (E02)
E01.0 Iodine-deficiency-related diffuse (endemic) goitre
E01.1 Iodine-deficiency-related multinodular (endemic) goitre

Iodine-deficiency-related nodular goitre
IV-2
ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES
E01.2 Iodine-deficiency-related (endemic) goitre, unspecified

Endemic goitre NOS
E01.8 Other iodine-deficiency-related thyroid disorders and allied conditions

Acquired iodine-deficiency hypothyroidism NOS
E02 Subclinical iodine-deficiency hypothyroidism
E03 Other hypothyroidism

Excludes: iodine-deficiency-related hypothyroidism (E00-E02)
postprocedural hypothyroidism (E89.0)
E03.0 Congenital hypothyroidism with diffuse goitre

Goitre (nontoxic) congenital:
• NOS
• parenchymatous
Excludes: transitory congenital goitre with normal function (P72.0)
E03.1 Congenital hypothyroidism without goitre

Aplasia of thyroid (with myxoedema)
Congenital:
• atrophy of thyroid
• hypothyroidism NOS
E03.2 Hypothyroidism due to medicaments and other exogenous substances

E03.3 Postinfectious hypothyroidism
E03.4 Atrophy of thyroid (acquired)

Excludes: congenital atrophy of thyroid (E03.1)
E03.5 Myxoedema coma
IV-3
E03.8 Other specified hypothyroidism
E03.9 Hypothyroidism, unspecified

Myxoedema NOS
E03.90 Advanced hypothyroidism

Grave hypothyroidism
Severe hypothyroidism
E04 Other nontoxic goitre

Excludes: congenital goitre:
• NOS
• diffuse (E03.0)
• parenchymatous
iodine-deficiency-related goitre (E00-E02)
E04.0 Nontoxic diffuse goitre

Goitre, nontoxic:
• diffuse (colloid)
• simple
E04.1 Nontoxic single thyroid nodule

Colloid nodule (cystic)(thyroid)
Nontoxic uninodular goitre
Thyroid (cystic) nodule NOS
E04.2 Nontoxic multinodular goitre

Cystic goitre NOS
Multinodular (cystic) goitre NOS
E04.8 Other specified nontoxic goitre
E04.9 Nontoxic goitre, unspecified

Goitre NOS
Nodular goitre (nontoxic) NOS
IV-4
E05 Thyrotoxicosis [hyperthyroidism]

Excludes: chronic thyroiditis with transient thyrotoxicosis (E06.2)
neonatal thyrotoxicosis (P72.1)
E05.0 Thyrotoxicosis with diffuse goitre

Exophthalmic or toxic goitre NOS
Graves' disease
Toxic diffuse goitre
E05.1 Thyrotoxicosis with toxic single thyroid nodule

Thyrotoxicosis with toxic uninodular goitre
E05.2 Thyrotoxicosis with toxic multinodular goitre

Toxic nodular goitre NOS
E05.3 Thyrotoxicosis from ectopic thyroid tissue
E05.4 Thyrotoxicosis factitia
E05.5 Thyroid crisis or storm
E05.8 Other thyrotoxicosis

Overproduction of thyroid-stimulating hormone
E05.9 Thyrotoxicosis, unspecified

Hyperthyroidism NOS
Thyrotoxic heart disease† (I43.8*)
E06 Thyroiditis
Excludes: postpartum thyroiditis (O90.5)
E06.0 Acute thyroiditis

Abscess of thyroid
Thyroiditis:
• pyogenic
• suppurative
Use additional code (B95-B97), if desired, to identify infectious agent.
IV-5
E06.1 Subacute thyroiditis

Thyroiditis:
• de Quervain
• giant-cell
• granulomatous
• nonsuppurative
Excludes: autoimmune thyroiditis (E06.3)
E06.2 Chronic thyroiditis with transient thyrotoxicosis

Excludes: autoimmune thyroiditis (E06.3)
E06.3 Autoimmune thyroiditis

Hashimoto's thyroiditis
Hashitoxicosis (transient)
Lymphadenoid goitre
Lymphocytic thyroiditis
Struma lymphomatosa
E06.4 Drug-induced thyroiditis

E06.5 Other chronic thyroiditis

Thyroiditis:
• chronic:
• NOS
• fibrous
• ligneous
• Riedel
E06.9 Thyroiditis, unspecified
E07 Other disorders of thyroid
E07.0 Hypersecretion of calcitonin

C-cell hyperplasia of thyroid
Hypersecretion of thyrocalcitonin
IV-6
E07.1 Dyshormogenetic goitre

Familial dyshormogenetic goitre
Pendred's syndrome
Excludes: transitory congenital goitre with normal function (P72.0)
E07.8 Other specified disorders of thyroid

Abnormality of thyroid-binding globulin
Haemorrhage
Infarction of thyroid
Sick-euthyroid syndrome
E07.9 Disorder of thyroid, unspecified
Diabetes mellitus
(E10-E14)
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced.
The following fourth-character subdivisions are for use with categories E10-E14:
.0 With coma
Diabetic:
• coma with or without ketoacidosis
• hyperosmolar coma
• hypoglycaemic coma
Hyperglycaemic coma NOS
.1 With ketoacidosis
Diabetic:
• acididosis
without mention of coma
• ketoacidosis
.2† With renal complications

Diabetic nephropathy (N08.3*)
Intracapillary glomerulonephrosis (N08.3*)
Kimmelstiel-Wilson syndrome (N08.3*)
IV-7
.3† With ophthalmic complications

Diabetic:
• cataract (H28.0*)
• retinopathy (H36.0*)
.4† With neurological complications

Diabetic:
• amyotrophy (G73.0*)
• autonomic neuropathy (G99.0*)
• mononeuropathy (G59.0*)
• autonomic (G99.0*)
.5 With peripheral circulatory complications

Diabetic:
• gangrene
• peripheral angiopathy† (I79.2*)
• ulcer
.6 With other specified complications

Diabetic arthropathy† (M14.2*)
• neuropathic† (M14.6*)
.7 With multiple complications
.8 With unspecified complications
.9 Without complications
IV-8
E10 Insulin-dependent diabetes mellitus

[Pages IV-7—IV-8 for subdivisions]
Includes: diabetes (mellitus):

• brittle
• juvenile-onset
• ketosis-prone
• type I
Excludes: diabetes mellitus (in):

• malnutrition-related (E12.-)
• pregnancy, childbirth and the puerperium (O24.-)
glycosuria:
• NOS (R81)
• renal (E74.8)
impaired glucose tolerance (R73.0)
postsurgical hypoinsulinaemia (E89.1)
E11 Non-insulin-dependent diabetes mellitus

[See pages IV-7—IV-8 for subdivisions]
Includes: diabetes (mellitus)(nonobese)(obese):

• adult-onset
• maturity-onset
• nonketotic
• stable
• type II
non-insulin-dependent diabetes of the young

glycosuria:
• NOS (R81)
• renal (E74.8)
IV-9
E12 Malnutrition-related diabetes mellitus

Includes: malnutrition-related diabetes mellitus:

• insulin-dependent
• non-insulin-dependent
Excludes: diabetes mellitus in pregnancy, childbirth and the puerperium (O24.-)

glycosuria:
• NOS (R81)
• renal (E74.8)
neonatal diabetes mellitus (P70.2)
E13 Other specified diabetes mellitus


• insulin-dependent (E10.-)
• non-insulin-dependent (E11.-)
glycosuria:
• NOS (R81)
• renal (E74.8)
IV-10
E14 Unspecified diabetes mellitus

Includes: diabetes NOS

• insulin-dependent (E10.-)
• non-insulin-dependent (E11.-)
glycosuria:
• NOS (R81)
• renal (E74.8)
Other disorders of glucose regulation and pancreatic internal secretion

(E15-E16)
E15 Nondiabetic hypoglycaemic coma

Drug-induced insulin coma in nondiabetic
Hyperinsulinism with hypoglycaemic coma
Hypoglycaemic coma NOS
drug-induced.
IV-11
E16 Other disorders of pancreatic internal secretion
E16.0 Drug-induced hypoglycaemia without coma

E16.1 Other hypoglycaemia

Functional nonhyperinsulinaemic hypoglycaemia
Hyperinsulinism:
• NOS
• functional
Hyperplasia of pancreatic islet beta cells NOS
Posthypoglycaemic coma encephalopathy
E16.2 Hypoglycaemia, unspecified
E16.3 Increased secretion of glucagon

Hyperplasia of pancreatic endocrine cells with glucagon excess
E16.4 Abnormal secretion of gastrin

Hypergastrinaemia
Zollinger-Ellison syndrome
E16.8 Other specified disorders of pancreatic internal secretion

Increased secretion from endocrine pancreas of:
• growth hormone-releasing hormone
• pancreatic polypeptide
• somatostatin
• vasoactive-intestinal polypeptide
E16.9 Disorder of pancreatic internal secretion, unspecified

Islet-cell hyperplasia NOS
Pancreatic endocrine cell hyperplasia NOS
IV-12
Disorders of other endocrine glands

(E20-E35)
Excludes: galactorrhoea (N64.3)

gynaecomastia (N62)
E20 Hypoparathyroidism
Excludes: Di George's syndrome (D82.1)
postprocedural hypoparathyroidism (E89.2)
tetany NOS (R29.0 )
transitory neonatal hypoparathyroidism (P71.4)
E20.0 Idiopathic hypoparathyroidism
E20.1 Pseudohypoparathyroidism
E20.8 Other hypoparathyroidism
E20.9 Hypoparathyroidism, unspecified

Parathyroid tetany
E21 Hyperparathyroidism and other disorders of parathyroid gland

Excludes: osteomalacia:
• adult (M83.-)
• infantile and juvenile (E55.0)
E21.0 Primary hyperparathyroidism

Hyperplasia of parathyroid
Osteitis fibrosa cystica generalisata [von Recklinghausen's disease of bone]
E21.1 Secondary hyperparathyroidism, not elsewhere classified

Excludes: secondary hyperparathyroidism of renal origin (N25.8)
E21.2 Other hyperparathyroidism

Excludes: familial hypocalciuric hypercalcaemia (E83.5)
E21.3 Hyperparathyroidism, unspecified
E21.4 Other specified disorders of parathyroid gland
E21.5 Disorder of parathyroid gland, unspecified
IV-13
E22 Hyperfunction of pituitary gland

Excludes: Cushing's syndrome (E24.-)
Nelson's syndrome (E24.1)
overproduction of:
• ACTH not associated with Cushing's disease (E27.0)
• pituitary ACTH (E24.0)
• thyroid-stimulating hormone (E05.8)
E22.0 Acromegaly and pituitary gigantism

Arthropathy associated with acromegaly† (M14.5*)
Overproduction of growth hormone
Excludes: constitutional:
• gigantism (E34.4)
• tall stature (E34.4)
increased secretion from endocrine pancreas of growth hormone-
releasing hormone (E16.8)
E22.1 Hyperprolactinaemia
drug-induced.
E22.2 Syndrome of inappropriate secretion of antidiuretic hormone
E22.8 Other hyperfunction of pituitary gland

Central precocious puberty
E22.9 Hyperfunction of pituitary gland, unspecified
E23 Hypofunction and other disorders of pituitary gland

Includes: the listed conditions whether the disorder is in the pituitary or the
hypothalamus
Excludes: postprocedural hypopituitarism (E89.3)
IV-14
E23.0 Hypopituitarism
Fertile eunuch syndrome
Hypogonadotropic hypogonadism
Idiopathic growth hormone deficiency
Isolated deficiency of:
• gonadotropin
• growth hormone
• pituitary hormone
Kallmann's syndrome
Lorain-Levi short stature
Necrosis of pituitary gland (postpartum)
Panhypopituitarism
Pituitary:
• cachexia
• insufficiency NOS
• short stature
Sheehan's syndrome
Simmonds' disease
E23.1 Drug-induced hypopituitarism

E23.2 Diabetes insipidus

Excludes: nephrogenic diabetes insipidus (N25.1)
E23.3 Hypothalamic dysfunction, not elsewhere classified

Excludes: Prader-Willi syndrome (Q87.1)
Russell-Silver syndrome (Q87.1)
E23.6 Other disorders of pituitary gland

Abscess of pituitary
Adiposogenital dystrophy
E23.7 Disorder of pituitary gland, unspecified
IV-15
E24 Cushing's syndrome
E24.0 Pituitary-dependent Cushing's disease

Overproduction of pituitary ACTH
Pituitary-dependent hyperadrenocorticism
E24.1 Nelson's syndrome
E24.2 Drug-induced Cushing's syndrome

E24.3 Ectopic ACTH syndrome
E24.4 Alcohol-induced pseudo-Cushing's syndrome
E24.8 Other Cushing's syndrome
E24.9 Cushing's syndrome, unspecified
E25 Adrenogenital disorders

Includes: adrenogenital syndromes, virilizing or feminizing, whether acquired or
due to adrenal hyperplasia consequent on inborn enzyme defects in
hormone synthesis
female:
• adrenal pseudohermaphroditism
• heterosexual precocious pseudopuberty
male:
• isosexual precocious pseudopuberty
• macrogenitosomia praecox
• sexual precocity with adrenal hyperplasia
virilization (female)
E25.0 Congenital adrenogenital disorders associated with enzyme deficiency

Congenital adrenal hyperplasia
21-Hydroxylase deficiency
Salt-losing congenital adrenal hyperplasia
IV-16
E25.8 Other adrenogenital disorders

Idiopathic adrenogenital disorder
drug-induced.
E25.9 Adrenogenital disorder, unspecified

Adrenogenital syndrome NOS
E26 Hyperaldosteronism
E26.0 Primary hyperaldosteronism

Conn's syndrome
Primary aldosteronism due to adrenal hyperplasia (bilateral)
E26.1 Secondary hyperaldosteronism
E26.8 Other hyperaldosteronism

Bartter's syndrome
E26.9 Hyperaldosteronism, unspecified
E27 Other disorders of adrenal gland
E27.0 Other adrenocortical overactivity

Overproduction of ACTH, not associated with Cushing's disease
Premature adrenarche
Excludes: Cushing's syndrome (E24.-)
E27.1 Primary adrenocortical insufficiency

Addison's disease
Autoimmune adrenalitis
Excludes: amyloidosis (E85.-)

tuberculous Addison's disease (A18.7)
Waterhouse-Friderichsen syndrome (A39.1)
IV-17
E27.2 Addisonian crisis

Adrenal crisis
Adrenocortical crisis
E27.3 Drug-induced adrenocortical insufficiency

E27.4 Other and unspecified adrenocortical insufficiency

Adrenal:
• haemorrhage
• infarction
Adrenocortical insufficiency NOS
Hypoaldosteronism
Excludes: adrenoleukodystrophy [Addison-Schilder] (E71.3)

Waterhouse-Friderichsen syndrome (A39.1)
E27.5 Adrenomedullary hyperfunction

Adrenomedullary hyperplasia
Catecholamine hypersecretion
E27.8 Other specified disorders of adrenal gland

Abnormality of cortisol-binding globulin
E27.9 Disorder of adrenal gland, unspecified
E28 Ovarian dysfunction

Excludes: isolated gonadotropin deficiency (E23.0)
postprocedural ovarian failure (E89.4)
E28.0 Estrogen excess

drug-induced.
E28.1 Androgen excess

Hypersecretion of ovarian androgens
drug-induced.
IV-18
E28.2 Polycystic ovarian syndrome

Sclerocystic ovary syndrome
Stein-Leventhal syndrome
E28.3 Primary ovarian failure

Decreased estrogen
Premature menopause NOS
Resistant ovary syndrome
Excludes: menopausal and female climacteric states (N95.1)

pure gonadal dysgenesis (Q99.1)
Turner's syndrome (Q96.-)
E28.8 Other ovarian dysfunction

Ovarian hyperfunction NOS
E28.9 Ovarian dysfunction, unspecified
E29 Testicular dysfunction

Excludes: androgen resistance syndrome (E34.5)
azoospermia or oligospermia NOS (N46)
isolated gonadotropin deficiency (E23.0)
Klinefelter's syndrome (Q98.0-Q98.2, Q98.4)
postprocedural testicular hypofunction (E89.5)
testicular feminization (syndrome) (E34.5)
E29.0 Testicular hyperfunction

Hypersecretion of testicular hormones
E29.1 Testicular hypofunction

Defective biosynthesis of testicular androgen NOS
5-α-Reductase deficiency (with male pseudohermaphroditism)
Testicular hypogonadism NOS
drug-induced.
E29.8 Other testicular dysfunction
E29.9 Testicular dysfunction, unspecified
IV-19
E30 Disorders of puberty, not elsewhere classified
E30.0 Delayed puberty

Constitutional delay of puberty
Delayed sexual development
E30.1 Precocious puberty

Precocious menstruation
Excludes: Albright(-McCune)(-Sternberg) syndrome (Q78.1)

central precocious puberty (E22.8)
congenital adrenal hyperplasia (E25.0)
female heterosexual precocious pseudopuberty (E25.-)
male isosexual precocious pseudopuberty (E25.-)
E30.8 Other disorders of puberty

Premature thelarche
E30.9 Disorder of puberty, unspecified
E31 Polyglandular dysfunction

dystrophia myotonica [Steinert] (G71.1)
pseudohypoparathyroidism (E20.1)
E31.0 Autoimmune polyglandular failure

Schmidt's syndrome
E31.1 Polyglandular hyperfunction

Excludes: multiple endocrine adenomatosis (D44.8)
E31.8 Other polyglandular dysfunction
E31.9 Polyglandular dysfunction, unspecified
IV-20
E32 Diseases of thymus

Excludes: aplasia or hypoplasia with immunodeficiency (D82.1)
myasthenia gravis (G70.0)
E32.0 Persistent hyperplasia of thymus

Hypertrophy of thymus
E32.1 Abscess of thymus
E32.8 Other diseases of thymus
E32.9 Disease of thymus, unspecified
E34 Other endocrine disorders

Excludes: pseudohypoparathyroidism (E20.1)
E34.0 Carcinoid syndrome

Note: May be used as an additional code, if desired, to identify functional
activity associated with a carcinoid tumour.
E34.1 Other hypersecretion of intestinal hormones
E34.2 Ectopic hormone secretion, not elsewhere classified
IV-21
E34.3 Short stature, not elsewhere classified

Short stature:
• NOS
• constitutional
• Laron-type
• psychosocial
Excludes: progeria (E34.8)

Russell-Silver syndrome (Q87.1)
short-limbed stature with immunodeficiency (D82.2)
short stature:
• achondroplastic (Q77.4)
• hypochondroplastic (Q77.4)
• in specific dysmorphic syndromes - code to syndrome - see
Alphabetical Index
• nutritional (E45)
• pituitary (E23.0)
• renal (N25.0)
E34.4 Constitutional tall stature

Constitutional gigantism
E34.5 Androgen resistance syndrome

Male pseudohermaphroditism with androgen resistance
Peripheral hormonal receptor disorder
Reifenstein's syndrome
Testicular feminization (syndrome)
E34.8 Other specified endocrine disorders

Pineal gland dysfunction
Progeria
E34.9 Endocrine disorder, unspecified

Disturbance:
• endocrine NOS
• hormone NOS
IV-22
E35.0* Disorders of thyroid gland in diseases classified elsewhere

Tuberculosis of thyroid gland (A18.8†)
E35.1* Disorders of adrenal glands in diseases classified elsewhere

Tuberculous Addison's disease (A18.7†)
Waterhouse-Friderichsen syndrome (meningococcal) (A39.1†)
E35.8* Disorders of other endocrine glands in diseases classified elsewhere
Malnutrition
(E40-E46)
Note: The degree of malnutrition is usually measured in terms of weight, expressed in

standard deviations from the mean of the relevant reference population. When one
or more previous measurements are available, lack of weight gain in children, or
evidence of weight loss in children or adults, is usually indicative of malnutrition.
When only one measurement is available, the diagnosis is based on probabilities
and is not definitive without other clinical or laboratory tests. In the exceptional
circumstances that no measurement of weight is available, reliance should be
placed on clinical evidence.
If an observed weight is below the mean value of the reference population, there
is a high probability of severe malnutrition if there is an observed value situated 3
or more standard deviations below the mean value of the reference population; a
high probability of moderate malnutrition for an observed value located between
2 and less than 3 standard deviations below this mean; and a high probability of
mild malnutrition for an observed value located between 1 and less than 2
standard deviations below this mean.
Excludes: intestinal malabsorption (K90.-)

nutritional anaemias (D50-D53)
sequelae of protein-energy malnutrition (E64.0)
slim disease (B22.2)
starvation (T73.0)
IV-23
E40 Kwashiorkor
Severe malnutrition with nutritional oedema with dyspigmentation of skin and
hair.
Excludes: marasmic kwashiorkor (E42)
E41 Nutritional marasmus

Severe malnutrition with marasmus
Excludes: marasmic kwashiorkor (E42)
E42 Marasmic kwashiorkor

Severe protein-energy malnutrition [as in E43]:
• intermediate form
• with signs of both kwashiorkor and marasmus
E43 Unspecified severe protein-energy malnutrition

Severe loss of weight [wasting] in children or adults, or lack of weight gain in
children leading to an observed weight that is at least 3 standard deviations below
the mean value for the reference population (or a similar loss expressed through
other statistical approaches). When only one measurement is available, there is a
high probability of severe wasting when the observed weight is 3 or more
standard deviations below the mean of the reference population.
Starvation oedema
E44 Protein-energy malnutrition of moderate and mild degree
E44.0 Moderate protein-energy malnutrition

Weight loss in children or adults, or lack of weight gain in children leading to an
observed weight that is 2 or more but less than 3 standard deviations below the
mean value for the reference population (or a similar loss expressed through other
statistical approaches). When only one measurement is available, there is a high
probability of moderate protein-energy malnutrition when the observed weight is
2 or more but less than 3 standard deviations below the mean of the reference
population.
IV-24
E44.1 Mild protein-energy malnutrition

Weight loss in children or adults, or lack of weight gain in children leading to an
observed weight that is 1 or more but less than 2 standard deviations below the
mean value for the reference population (or a similar loss expresssed through
other statistical approaches). When only one measurement is available, there is a
high probability of mild protein-energy malnutrition when the observed weight is
1 or more but less than 2 standard deviations below the mean of the reference
population.
E45 Retarded development following protein-energy malnutrition

Nutritional:
• short stature
• stunting
Physical retardation due to malnutrition
E46 Unspecified protein-energy malnutrition

Malnutrition NOS
Protein-energy imbalance NOS
Other nutritional deficiencies

(E50-E64)
Excludes: nutritional anaemias (D50-D53)
E50 Vitamin A deficiency

Excludes: sequelae of vitamin A deficiency (E64.1)
E50.0 Vitamin A deficiency with conjunctival xerosis
E50.1 Vitamin A deficiency with Bitot's spot and conjunctival xerosis

Bitot's spot in the young child
E50.2 Vitamin A deficiency with corneal xerosis
E50.3 Vitamin A deficiency with corneal ulceration and xerosis
E50.4 Vitamin A deficiency with keratomalacia
E50.5 Vitamin A deficiency with night blindness
IV-25
E50.6 Vitamin A deficiency with xerophthalmic scars of cornea
E50.7 Other ocular manifestations of vitamin A deficiency

Xerophthalmia NOS
E50.8 Other manifestations of vitamin A deficiency

Follicular keratosis due to vitamin A
Xeroderma deficiency† (L86.*)
E50.9 Vitamin A deficiency, unspecified

Hypovitaminosis A NOS
E51 Thiamine deficiency

Excludes: sequelae of thiamine deficiency (E64.8)
E51.1 Beriberi
Beriberi:
• dry
• wet† (I98.8*)
E51.2 Wernicke's encephalopathy
E51.8 Other manifestations of thiamine deficiency
E51.9 Thiamine deficiency, unspecified
E52 Niacin deficiency [pellagra]

Deficiency:
• niacin(-tryptophan)
• nicotinamide
Pellagra (alcoholic)
Excludes: sequelae of niacin deficiency (E64.8)
E53 Deficiency of other B group vitamins

Excludes: sequelae of vitamin B deficiency (E64.8)
vitamin B12 deficiency anaemia (D51.-)
E53.0 Riboflavin deficiency

Ariboflavinosis
IV-26
E53.1 Pyridoxine deficiency

Vitamin B6 deficiency
Excludes: pyridoxine-responsive sideroblastic anaemia (D64.3)
E53.8 Deficiency of other specified B group vitamins

Deficiency:
• biotin
• cyanocobalamin
• folate
• folic acid
• pantothenic acid
• vitamin B12
E53.9 Vitamin B deficiency, unspecified
E54 Ascorbic acid deficiency

Deficiency of vitamin C
Scurvy
Excludes: scorbutic anaemia (D53.2)

sequelae of vitamin C deficiency (E64.2)
E55 Vitamin D deficiency

Excludes: adult osteomalacia (M83.-)
osteoporosis (M80-M81)
sequelae of rickets (E64.3)
E55.0 Rickets, active

Osteomalacia:
• infantile
• juvenile
Excludes: rickets:
• coeliac (K90.0)
• Crohn's (K50.-)
• inactive (E64.3)
• renal (N25.0)
• vitamin-D-resistant (E83.3)
IV-27
E55.9 Vitamin D deficiency, unspecified

Avitaminosis D
E56 Other vitamin deficiencies

Excludes: sequelae of other vitamin deficiencies (E64.8)
E56.0 Deficiency of vitamin E
E56.1 Deficiency of vitamin K

Excludes: deficiency of coagulation factor due to vitamin K deficiency (D68.4)
vitamin K deficiency of newborn (P53)
E56.8 Deficiency of other vitamins
E56.9 Vitamin deficiency, unspecified
E58 Dietary calcium deficiency

Excludes: disorder of calcium metabolism (E83.5)
sequelae of calcium deficiency (E64.8)
E59 Dietary selenium deficiency

Keshan disease
Excludes: sequelae of selenium deficiency (E64.8)
E60 Dietary zinc deficiency
E61 Deficiency of other nutrient elements

drug-induced.
Excludes: disorders of mineral metabolism (E83.-)

iodine-deficiency-related thyroid disorders (E00-E02)
sequelae of malnutrition and other nutritional deficiencies (E64.-)
E61.0 Copper deficiency
E61.1 Iron deficiency

Excludes: iron deficiency anaemia (D50.-)
E61.2 Magnesium deficiency
IV-28
E61.3 Manganese deficiency
E61.4 Chromium deficiency
E61.5 Molybdenum deficiency
E61.6 Vanadium deficiency
E61.7 Deficiency of multiple nutrient elements
E61.8 Deficiency of other specified nutrient elements
E61.9 Deficiency of nutrient element, unspecified
E63 Other nutritional deficiencies

Excludes: dehydration (E86)
failure to thrive (R62.8)
feeding problems in newborn (P92.-)
sequelae of malnutrition and other nutritional deficiencies (E64.-)
E63.0 Essential fatty acid [EFA] deficiency
E63.1 Imbalance of constituents of food intake
E63.8 Other specified nutritional deficiencies
E63.9 Nutritional deficiency, unspecified

Nutritional cardiomyopathy NOS† (I43.2*)
E64 Sequelae of malnutrition and other nutritional deficiencies
E64.0 Sequelae of protein-energy malnutrition

Excludes: retarded development following protein-energy malnutrition (E45)
E64.1 Sequelae of vitamin A deficiency
E64.2 Sequelae of vitamin C deficiency
E64.3 Sequelae of rickets
IV-29
E64.8 Sequelae of other nutritional deficiencies
E64.9 Sequelae of unspecified nutritional deficiency
Obesity and other hyperalimentation

(E65-E68)
E65 Localized adiposity

Fat pad
E66 Obesity
Excludes: adiposogenital dystrophy (E23.6)
lipomatosis:
• NOS (E88.2)
• dolorosa [Dercum] (E88.2)
Prader-Willi syndrome (Q87.1)
E66.0 Obesity due to excess calories
E66.1 Drug-induced obesity

E66.2 Extreme obesity with alveolar hypoventilation

Pickwickian syndrome
E66.8 Other obesity

Morbid obesity
E66.9 Obesity, unspecified

Simple obesity NOS
E67 Other hyperalimentation

Excludes: hyperalimentation NOS (R63.2)
sequelae of hyperalimentation (E68)
E67.0 Hypervitaminosis A
E67.1 Hypercarotenaemia
IV-30
E67.2 Megavitamin-B6 syndrome
E67.3 Hypervitaminosis D
E67.8 Other specified hyperalimentation
E68 Sequelae of hyperalimentation
Metabolic disorders
(E70-E90)

congenital adrenal hyperplasia (E25.0)
Ehlers-Danlos syndrome (Q79.6)
haemolytic anaemias due to enzyme disorders (D55.-)
Marfan's syndrome (Q87.4)
5-α-reductase deficiency (E29.1)
E70 Disorders of aromatic amino-acid metabolism
E70.0 Classical phenylketonuria
E70.1 Other hyperphenylalaninaemias
E70.2 Disorders of tyrosine metabolism

Alkaptonuria
Hypertyrosinaemia
Ochronosis
Tyrosinaemia
Tyrosinosis
E70.3 Albinism
Albinism:
• ocular
• oculocutaneous
Syndrome:
• Chediak(-Steinbrinck)-Higashi
• Cross
• Hermansky-Pudlak
IV-31
E70.8 Other disorders of aromatic amino-acid metabolism

Disorders of:
• histidine metabolism
• tryptophan metabolism
E70.9 Disorder of aromatic amino-acid metabolism, unspecified
E71 Disorders of branched-chain amino-acid metabolism and fatty-acid

metabolism
E71.0 Maple-syrup-urine disease
E71.1 Other disorders of branched-chain amino-acid metabolism

Hyperleucine-isoleucinaemia
Hypervalinaemia
Isovaleric acidaemia
Methylmalonic acidaemia
Propionic acidaemia
E71.2 Disorder of branched-chain amino-acid metabolism, unspecified
E71.3 Disorders of fatty-acid metabolism

Adrenoleukodystrophy [Addison-Schilder]
Muscle carnitine palmityltransferase deficiency
Excludes: Refsum's disease (G60.1)

Schilder's disease (G37.0)
Zellweger's syndrome (Q87.8)
E72 Other disorders of amino-acid metabolism

Excludes: abnormal findings without manifest disease (R70-R89)
disorders of:
• aromatic amino-acid metabolism (E70.-)
• branched-chain amino-acid metabolism (E71.0-E71.2)
• fatty-acid metabolism (E71.3)
• purine and pyrimidine metabolism (E79.-)
gout (M10.-)
IV-32
E72.0 Disorders of amino-acid transport

Cystinosis
Cystinuria
Fanconi(-de Toni)(-Debré) syndrome
Hartnup's disease
Lowe's syndrome
Excludes: disorders of tryptophan metabolism (E70.8)
E72.1 Disorders of sulfur-bearing amino-acid metabolism

Cystathioninuria
Homocystinuria
Methioninaemia
Sulfite oxidase deficiency
Excludes: transcobalamin II deficiency (D51.2)
E72.2 Disorders of urea cycle metabolism

Argininaemia
Argininosuccinic aciduria
Citrullinaemia
Hyperammonaemia
Excludes: disorders of ornithine metabolism (E72.4)
E72.3 Disorders of lysine and hydroxylysine metabolism

Glutaric aciduria
Hydroxylysinaemia
Hyperlysinaemia
E72.4 Disorders of ornithine metabolism

Ornithinaemia (types I, II)
E72.5 Disorders of glycine metabolism

Hyperhydroxyprolinaemia
Hyperprolinaemia (types I, II)
Non-ketotic hyperglycinaemia
Sarcosinaemia
IV-33
E72.8 Other specified disorders of amino-acid metabolism

Disorders of:
• β-amino-acid metabolism
• γ-glutamyl cycle
E72.9 Disorder of amino-acid metabolism, unspecified
E73 Lactose intolerance
E73.0 Congenital lactase deficiency
E73.1 Secondary lactase deficiency
E73.8 Other lactose intolerance
E73.9 Lactose intolerance, unspecified
E74 Other disorders of carbohydrate metabolism

Excludes: increased secretion of glucagon (E16.3)
diabetes mellitus (E10-E14)
hypoglycaemia NOS (E16.2)
mucopolysaccharidosis (E76.0-E76.3)
E74.0 Glycogen storage disease

Cardiac glycogenosis
Disease:
• Andersen
• Cori
• Forbes
• Hers
• McArdle
• Pompe
• Tauri
• von Gierke
Liver phosphorylase deficiency
E74.1 Disorders of fructose metabolism

Essential fructosuria
Fructose-1,6-diphosphatase deficiency
Hereditary fructose intolerance
IV-34
E74.2 Disorders of galactose metabolism

Galactokinase deficiency
Galactosaemia
E74.3 Other disorders of intestinal carbohydrate absorption

Glucose-galactose malabsorption
Sucrase deficiency
Excludes: lactose intolerance (E73.-)
E74.4 Disorders of pyruvate metabolism and gluconeogenesis

Deficiency of:
• phosphoenolpyruvate carboxykinase
• pyruvate:
• carboxylase
• dehydrogenase
Excludes: with anaemia (D55.-)
E74.8 Other specified disorders of carbohydrate metabolism

Essential pentosuria
Oxalosis
Oxaluria
Renal glycosuria
E74.9 Disorder of carbohydrate metabolism, unspecified
E75 Disorders of sphingolipid metabolism and other lipid storage disorders

Excludes: mucolipidosis, types I-III (E77.0-E77.1)
Refsum's disease (G60.1)
E75.0 GM2 gangliosidosis

Disease:
• Sandhoff
• Tay-Sachs
GM2 gangliosidosis:
• NOS
• adult
• juvenile
IV-35
E75.1 Other gangliosidosis

Gangliosidosis:
• NOS
• GM1
• GM3
Mucolipidosis IV
E75.2 Other sphingolipidosis

Disease:
• Fabry(-Anderson)
• Gaucher
• Krabbe
• Niemann-Pick
Faber's syndrome
Metachromatic leukodystrophy
Sulfatase deficiency
E75.3 Sphingolipidosis, unspecified
E75.4 Neuronal ceroid lipofuscinosis

Disease:
• Batten
• Bielschowsky-Jansky
• Kufs
• Spielmeyer-Vogt
E75.5 Other lipid storage disorders

Cerebrotendinous cholesterosis [van Bogaert-Scherer-Epstein]
Wolman's disease
E75.6 Lipid storage disorder, unspecified
IV-36
E76 Disorders of glycosaminoglycan metabolism
E76.0 Mucopolysaccharidosis, type I

Syndrome:
• Hurler
• Hurler-Scheie
• Scheie
E76.1 Mucopolysaccharidosis, type II

Hunter's syndrome
E76.2 Other mucopolysaccharidoses

β-Glucuronidase deficiency
Mucopolysaccharidosis, types III, IV, VI, VII
Syndrome:
• Maroteaux-Lamy (mild)(severe)
• Morquio(-like)(classic)
• Sanfilippo (type B)(type C)(type D)
E76.3 Mucopolysaccharidosis, unspecified
E76.8 Other disorders of glucosaminoglycan metabolism
E76.9 Disorder of glucosaminoglycan metabolism, unspecified
E77 Disorders of glycoprotein metabolism
E77.0 Defects in post-translational modification of lysosomal enzymes

Mucolipidosis II [I-cell disease]
Mucolipidosis III [pseudo-Hurler polydystrophy]
E77.1 Defects in glycoprotein degradation

Aspartylglucosaminuria
Fucosidosis
Mannosidosis
Sialidosis [mucolipidosis I]
E77.8 Other disorders of glycoprotein metabolism
E77.9 Disorder of glycoprotein metabolism, unspecified
IV-37
E78 Disorders of lipoprotein metabolism and other lipidaemias

Excludes: sphingolipidosis (E75.0-E75.3)
E78.0 Pure hypercholesterolaemia

Familial hypercholesterolaemia
Fredrickson's hyperlipoproteinaemia, type IIa
Hyperbetalipoproteinaemia
Hyperlipidaemia, group A
Low-density-lipoprotein-type [LDL] hyperlipoproteinaemia
E78.1 Pure hyperglyceridaemia

Endogenous hyperglyceridaemia
Fredrickson's hyperlipoproteinaemia, type IV
Hyperlipidaemia, group B
Hyperprebetalipoproteinaemia
Very-low-density-lipoprotein-type [VLDL] hyperlipoproteinaemia
E78.2 Mixed hyperlipidaemia

Broad- or floating-betalipoproteinaemia
Fredrickson's hyperlipoproteinaemia, type IIb or III
Hyperbetalipoproteinaemia with prebetalipoproteinaemia
Hypercholesterolaemia with endogenous hyperglyceridaemia
Hyperlipidaemia, group C
Tubero-eruptive xanthoma
Xanthoma tuberosum
Excludes: cerebrotendinous cholesterosis [van Bogaert-Scherer-Epstein] (E75.5)
E78.3 Hyperchylomicronaemia
Fredrickson's hyperlipoproteinaemia, type I or V
Hyperlipidaemia, group D
Mixed hyperglyceridaemia
E78.4 Other hyperlipidaemia

Familial combined hyperlipidaemia
E78.5 Hyperlipidaemia, unspecified
IV-38
E78.6 Lipoprotein deficiency

Abetalipoproteinaemia
High-density lipoprotein deficiency
Hypoalphalipoproteinaemia
Hypobetalipoproteinaemia (familial)
Lecithin cholesterol acyltransferase deficiency
Tangier disease
E78.8 Other disorders of lipoprotein metabolism
E78.9 Disorder of lipoprotein metabolism, unspecified
E79 Disorders of purine and pyrimidine metabolism

Excludes: calculus of kidney (N20.0)
combined immunodeficiency disorders (D81.-)
gout (M10.-)
orotaciduric anaemia (D53.0)
xeroderma pigmentosum (Q82.1)
E79.0 Hyperuricaemia without signs of inflammatory arthritis and tophaceous

disease
Asymptomatic hyperuricaemia
E79.1 Lesch-Nyhan syndrome
E79.8 Other disorders of purine and pyrimidine metabolism

Hereditary xanthinuria
E79.9 Disorder of purine and pyrimidine metabolism, unspecified
E80 Disorders of porphyrin and bilirubin metabolism

Includes: defects of catalase and peroxidase
E80.0 Hereditary erythropoietic porphyria

Congenital erythropoietic porphyria
Erythropoietic protoporphyria
E80.1 Porphyria cutanea tarda
IV-39
E80.2 Other porphyria

Hereditary coproporphyria
Porphyria:
• NOS
• acute intermittent (hepatic)
E80.3 Defects of catalase and peroxidase

Acatalasia [Takahara]
E80.4 Gilbert's syndrome
E80.5 Crigler-Najjar syndrome
E80.6 Other disorders of bilirubin metabolism

Dubin-Johnson syndrome
Rotor's syndrome
E80.7 Disorder of bilirubin metabolism, unspecified
E83 Disorders of mineral metabolism

Excludes: dietary mineral deficiency (E58-E61)
parathyroid disorders (E20-E21)
vitamin D deficiency (E55.-)
E83.0 Disorders of copper metabolism

Menkes' (kinky hair)(steely hair) disease
Wilson's disease
E83.1 Disorders of iron metabolism

Haemochromatosis
Excludes: anaemia:
• iron deficiency (D50.-)
• sideroblastic (D64.0-D64.3)
E83.2 Disorders of zinc metabolism

Acrodermatitis enteropathica
IV-40
E83.3 Disorders of phosphorus metabolism

Acid phosphatase deficiency
Familial hypophosphataemia
Hypophosphatasia
Vitamin-D-resistant:
• osteomalacia
• rickets
Excludes: adult osteomalacia (M83.-)

osteoporosis (M80-M81)
E83.4 Disorders of magnesium metabolism

Hypermagnesaemia
Hypomagnesaemia
E83.5 Disorders of calcium metabolism

Familial hypocalciuric hypercalcaemia
Idiopathic hypercalciuria
Excludes: chondrocalcinosis (M11.1-M11.2)

hyperparathyroidism (E21.0-E21.3)
E83.8 Other disorders of mineral metabolism
E83.9 Disorder of mineral metabolism, unspecified
E84 Cystic fibrosis

Includes: mucoviscidosis
E84.0 Cystic fibrosis with pulmonary manifestations
E84.1 Cystic fibrosis with intestinal manifestations

Meconium ileus† (P75*)
Excludes: meconium obstruction in cases where cystic fibrosis is

known not to be present (P76.0)
IV-41
E84.8 Cystic fibrosis with other manifestations

Cystic fibrosis with combined manifestations
E84.9 Cystic fibrosis, unspecified
E85 Amyloidosis
Excludes: Alzheimer's disease (G30.-)
E85.0 Non-neuropathic heredofamilial amyloidosis

Familial Mediterranean fever
Hereditary amyloid nephropathy
E85.1 Neuropathic heredofamilial amyloidosis

Amyloid polyneuropathy (Portuguese)
E85.2 Heredofamilial amyloidosis, unspecified
E85.3 Secondary systemic amyloidosis

Haemodialysis-associated amyloidosis
E85.4 Organ-limited amyloidosis

Localized amyloidosis
E85.8 Other amyloidosis
E85.9 Amyloidosis, unspecified
E86 Volume depletion

Dehydration
Depletion of volume of plasma or extracellular fluid
Hypovolaemia
Excludes: dehydration of newborn (P74.1)

hypovolaemic shock:
• NOS (R57.1)
• postoperative (T81.1)
• traumatic (T79.4)
IV-42
E87 Other disorders of fluid, electrolyte and acid-base balance
E87.0 Hyperosmolality and hypernatraemia

Sodium [Na] excess
Sodium [Na] overload
E87.1 Hypo-osmolality and hyponatraemia

Sodium [Na] deficiency
Excludes: Syndrome of inappropriate secretion of antidiuretic hormone (E22.2)
E87.2 Acidosis
Acidosis:
• NOS
• lactic
• metabolic
• respiratory
Excludes: diabetic acidosis (E10-E14 with common fourth character .1)
E87.3 Alkalosis
Alkalosis:
• NOS
• metabolic
• respiratory
E87.4 Mixed disorder of acid-base balance
E87.5 Hyperkalaemia
Potassium [K] excess
Potassium [K] overload
E87.6 Hypokalaemia
Potassium [K] deficiency
IV-43
E87.7 Fluid overload

Excludes: oedema (R60.-)
E87.8 Other disorders of electrolyte and fluid balance, not elsewhere classified
Electrolyte imbalance NOS
Hyperchloraemia
Hypochloraemia
E88 Other metabolic disorders

Excludes: histiocytosis X (chronic) (D76.0)
drug-induced.
E88.0 Disorders of plasma-protein metabolism, not elsewhere classified

α-1-Antitrypsin deficiency
Bisalbuminaemia
Excludes: disorder of lipoprotein metabolism (E78.-)

monoclonal gammopathy (D47.2)
polyclonal hypergammaglobulinaemia (D89.0)
Waldenström's macroglobulinaemia (C88.0)
E88.1 Lipodystrophy, not elsewhere classified

Lipodystrophy NOS
Excludes: Whipple's disease (K90.8)
E88.2 Lipomatosis, not elsewhere classified

Lipomatosis:
• NOS
• dolorosa [Dercum]
E88.8 Other specified metabolic disorders

Launois-Bensaude adenolipomatosis
Trimethylaminuria
E88.9 Metabolic disorder, unspecified
IV-44
E89 Postprocedural endocrine and metabolic disorders, not elsewhere classified
E89.0 Postprocedural hypothyroidism

Postirradiation hypothyroidism
Postsurgical hypothyroidism
E89.1 Postprocedural hypoinsulinaemia

Postpancreatectomy hyperglycaemia
Postsurgical hypoinsulinaemia
E89.2 Postprocedural hypoparathyroidism

Parathyroprival tetany
E89.3 Postprocedural hypopituitarism

Postirradiation hypopituitarism
E89.4 Postprocedural ovarian failure
E89.5 Postprocedural testicular hypofunction
E89.6 Postprocedural adrenocortical(-medullary) hypofunction
E89.8 Other postprocedural endocrine and metabolic disorders
E89.9 Postprocedural endocrine and metabolic disorder, unspecified
E90* Nutritional and metabolic disorders in diseases classified elsewhere
IV-45
CHAPTER V
_____________________________________________________________________________
Mental and behavioural disorders

(F00-F99)
Includes: disorders of psychological development
Excludes: symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified
(R00-R99)
F00-F09 Organic, including symptomatic, mental disorders

F10-F19 Mental and behavioural disorders due to psychoactive substance use
F20-F29 Schizophrenia, schizotypal and delusional disorders
F30-F39 Mood [affective] disorders
F40-F48 Neurotic, stress-related and somatoform disorders
F50-F59 Behavioural syndromes associated with physiological disturbances and physical
factors
F60-F69 Disorders of adult personality and behaviour
F70-F79 Mental retardation
F80-F89 Disorders of psychological development
F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and
adolescence
F99 Unspecified mental disorder
F00* Dementia in Alzheimer's disease

V-1
Organic, including symptomatic, mental disorders

(F00-F09)
This block comprises a range of mental disorders grouped together on the basis of their having in
common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral
dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the
brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the
brain only as one of the multiple organs or systems of the body that are involved.
Dementia (F00-F03) is a syndrome due to disease of the brain, usually of a chronic or progressive
nature, in which there is disturbance of multiple higher cortical functions, including memory,
thinking, orientation, comprehension, calculation, learning capacity, language, and judgement.
Consciousness is not clouded. The impairments of cognitive function are commonly accompanied,
and occasionally preceded, by deterioration in emotional control, social behaviour, or motivation.
This syndrome occurs in Alzheimer's disease, in cerebrovascular disease, and in other conditions
primarily or secondarily affecting the brain.
Use additional code, if desired, to identify the underlying disease.
F00* Dementia in Alzheimer's disease (G30.-†)

Alzheimer's disease is a primary degenerative cerebral disease of unknown etiology
with characteristic neuropathological and neurochemical features. The disorder is
usually insidious in onset and develops slowly but steadily over a period of several
years.
F00.0* Dementia in Alzheimer's disease with early onset (G30.0†)

Dementia in Alzheimer's disease with onset before the age of 65, with a relatively
rapid deteriorating course and with marked multiple disorders of the higher cortical
functions.
Alzheimer's disease, type 2

Presenile dementia, Alzheimer's type
Primary degenerative dementia of the Alzheimer's type, presenile onset
V-2
MENTAL AND BEHAVIOURAL DISORDERS
F00.1* Dementia in Alzheimer's disease with late onset (G30.1†)

Dementia in Alzheimer's disease with onset after the age of 65, usually in the late
7Os or thereafter, with a slow progression, and with memory impairment as the
principal feature.
Alzheimer's disease, type 1

Primary degenerative dementia of the Alzheimer's type, senile onset
Senile dementia, Alzheimer's type
F00.2* Dementia in Alzheimer's disease, atypical or mixed type (G30.8†)

Atypical dementia, Alzheimer's type
F00.9* Dementia in Alzheimer's disease, unspecified (G30.9†)
F01 Vascular dementia

Vascular dementia is the result of infarction of the brain due to vascular disease,
including hypertensive cerebrovascular disease. The infarcts are usually small but
cumulative in their effect. Onset is usually in later life.
Includes: arteriosclerotic dementia
F01.0 Vascular dementia of acute onset

Usually develops rapidly after a succession of strokes from cerebrovascular
thrombosis, embolism or haemorrhage. In rare cases, a single large infarcation may
be the cause.
F01.1 Multi-infarct dementia

Gradual in onset, following a number of transient ischaemic episodes which produce
an accumulation of infarcts in the cerebral parenchyma.
Predominantly cortical dementia
F01.2 Subcortical vascular dementia

Includes cases with a history of hypertension and foci of ischaemic destruction in the
deep white matter of the cerebral hemispheres. The cerebral cortex is usually
preserved and this contrasts with the clinical picture which may closely resemble that
of dementia in Alzheimer's disease.
F01.3 Mixed cortical and subcortical vascular dementia
F01.8 Other vascular dementia
V-3
F01.9 Vascular dementia, unspecified

Cases of dementia due, or presumed to be due, to causes other than Alzheimer's
disease or cerebrovascular disease. Onset may be at any time in life, though rarely in
old age.
F02.0* Dementia in Pick's disease (G31.0†)

A progressive dementia, commencing in middle age, characterized by early, slowly
progressing changes of character and social deterioration, followed by impairment of
intellect, memory, and language functions, with apathy, euphoria and, occasionally,
extrapyramidal phenomena.
F02.1* Dementia in Creutzfeldt-Jakob disease (A81.0†)

A progressive dementia with extensive neurological signs, due to specific
neuropathological changes that are presumed to be caused by a transmissible agent.
Onset is usually in middle or later life, but may be at any adult age. The course is
subacute, leading to death within one to two years.
F02.2* Dementia in Huntington's disease (G10†)

A dementia occurring as part of a widespread degeneration of the brain. The disorder
is transmitted by a single autosomal dominant gene. Symptoms typically emerge in
the third and fourth decade. Progression is slow, leading to death usually within 10 to
15 years.
Dementia in Huntington's chorea
F02.3* Dementia in Parkinson's disease (G20†)

A dementia developing in the course of established Parkinson's disease. No
particular distinguishing clinical features have yet been demonstrated.
Dementia in:
• paralysis agitans
• parkinsonism
F02.4* Dementia in human immunodeficiency virus [HIV] disease (B22.0†)

Dementia developing in the course of HIV disease, in the absence of a concurrent
illness or condition other than HIV infection that could explain the clinical features.
V-4
F02.8* Dementia in other specified diseases classified elsewhere

Dementia in:
• cerebral lipidosis (E75.-†)
• epilepsy (G40.-†)
• hepatolenticular degeneration (E83.0†)
• hypercalcaemia (E83.5†)
• hypothyroidism, acquired (E01.-†, E03.-†)
• intoxications (T36-T65†)
• multiple sclerosis (G35†)
• neurosyphilis (A52.1†)
• niacin deficiency [pellagra] (E52†)
• polyarteritis nodosa (M30.0†)
• systemic lupus erythematosus (M32.-†)
• trypanosomiasis (B56.-†, B57.-†)
• vitamin B12 deficiency (E53.8†)
F03 Unspecified dementia
Includes: Presenile:
• dementia NOS
• psychosis NOS
Senile:
• dementia:
• NOS
• depressed or paranoid type
• psychosis NOS
Excludes: senile dementia with delirium or acute confusional state (F05.1)

senility NOS (R54)
V-5
F04 Organic amnesic syndrome, not induced by alcohol and other psychoactive
substances
A syndrome of prominent impairment of recent and remote memory while immediate
recall is preserved, with reduced ability to learn new material and disorientation in
time. Confabulation may be a marked feature, but perception and other cognitive
functions, including the intellect, are usually intact. The prognosis depends on the
course of the underlying lesion.
Korsakov's psychosis or syndrome, nonalcoholic
Excludes: amnesia:
• NOS (R41.3)
• anterograde (R41.1)
• dissociative (F44.0)
• retrograde (R41.2)
Korsakov's syndrome:
• alcohol-induced or unspecified (F10.6)
• induced by other psychoactive substances (F11-F19 with
common fourth character .6)
F05 Delirium, not induced by alcohol and other psychoactive substances

An etiologically nonspecific organic cerebral syndrome characterized by concurrent
disturbances of consciousness and attention, perception, thinking, memory,
psychomotor behaviour, emotion, and the sleep-wake schedule. The duration is
variable and the degree of severity ranges from mild to very severe.
Includes: acute or subacute:

• brain syndrome
• confusional state (nonalcoholic)
• infective psychosis
• organic reaction
• psycho-organic syndrome
Excludes: delirium tremens, alcohol-induced or unspecified (F10.4)
F05.0 Delirium not superimposed on dementia, so described
F05.1 Delirium superimposed on dementia

Conditions meeting the above criteria but developing in the course of a dementia
(F00-F03)
V-6
F05.8 Other delirium

Delirium of mixed origin
F05.9 Delirium, unspecified
F06 Other mental disorders due to brain damage and dysfunction and to physical
disease
Includes miscellaneous conditions causally related to brain disorder due to primary
cerebral disease, to systemic disease affecting the brain secondarily, to exogenous
toxic substances or hormones, to endocrine disorders, or to other somatic illnesses.
Excludes: associated with:

• delirium (F05.-)
• dementia as classified in F00-F03
resulting from use of alcohol and other psychoactive substances
(F10-F19)
F06.0 Organic hallucinosis

A disorder of persistent or recurrent hallucinations, usually visual or auditory, that
occur in clear consciousness and may or may not be recognized by the subject as
such. Delusional elaboration of the hallucinations may occur, but delusions do not
dominate the clinical picture; insight may be preserved.
Organic hallucinatory state (nonalcoholic)
Excludes: alcoholic hallucinosis (F10.5)

schizophrenia (F20.-)
F06.1 Organic catatonic disorder

A disorder of diminished (stupor) or increased (excitement) psychomotor activity
associated with catatonic symptoms. The extremes of psychomotor disturbance may
alternate.
Excludes: catatonic schizophrenia (F20.2)

stupor:
• NOS (R40.1)
V-7
F06.2 Organic delusional [schizophrenia-like] disorder

A disorder in which persistent or recurrent delusions dominate the clinical picture.
The delusions may be accompanied by hallucinations. Some features suggestive of
schizophrenia, such as bizarre hallucinations or thought disorder, may be present.
Paranoid and paranoid-hallucinatory organic states

Schizophrenia-like psychosis in epilepsy
Excludes: disorder:
• acute and transient psychotic (F23.-)
• persistent delusional (F22.-)
• psychotic drug-induced (F11-F19 with common fourth character .5)
F06.3 Organic mood [affective] disorders

Disorders characterized by a change in mood or affect, usually accompanied by a
change in the overall level of activity, depressive, hypomanic, manic or bipolar (see
F30-F38), but arising as a consequence of an organic disorder.
Excludes: mood disorders, nonorganic or unspecified (F30-F39)
F06.4 Organic anxiety disorder

A disorder characterized by the essential descriptive features of a generalized anxiety
disorder (F41.1), a panic disorder (F41.0), or a combination of both, but arising as a
consequence of an organic disorder.
Excludes: anxiety disorders, nonorganic or unspecified (F41.-)
F06.5 Organic dissociative disorder

A disorder characterized by a partial or complete loss of the normal integration
between memories of the past, awareness of identity and immediate sensations, and
control of bodily movements (see F44.-), but arising as a consequence of an organic
disorder.
Excludes: dissociative [conversion] disorders, nonorganic or unspecified (F44.-)
V-8
F06.6 Organic emotionally labile [asthenic] disorder

A disorder characterized by emotional incontinence or lability, fatigability, and a
variety of unpleasant physical sensations (e.g. dizziness) and pains, but arising as a
consequence of an organic disorder.
Excludes: somatoform disorders, nonorganic or unspecified (F45.-)
F06.7 Mild cognitive disorder

A disorder characterized by impairment of memory, learning difficulties, and
reduced ability to concentrate on a task for more than brief periods. There is often a
marked feeling of mental fatigue when mental tasks are attempted, and new learning
is found to be subjectively difficult even when objectively successful. None of these
symptoms is so severe that a diagnosis of either dementia (F00-F03) or delirium
(F05.-) can be made. This diagnosis should be made only in association with a
specified physical disorder, and should not be made in the presence of any of the
mental or behavioural disorders classified to F10-F99. The disorder may precede,
accompany, or follow a wide variety of infections and physical disorders, both
cerebral and systemic, but direct evidence of cerebral involvement is not necessarily
present. It can be differentiated from postencephalitic syndrome (F07.1) and
postconcussional syndrome (F07.2) by its different etiology, more restricted range of
generally milder symptoms, and usually shorter duration.
F06.8 Other specified mental disorders due to brain damage and dysfunction and to
physical disease
Epileptic psychosis NOS
F06.9 Unspecified mental disorder due to brain damage and dysfunction and to
physical disease
Organic:
• brain syndrome NOS
• mental disorder NOS
F07 Personality and behavioural disorders due to brain disease, damage and
dysfunction
Alteration of personality and behaviour can be a residual or concomitant disorder of
brain disease, damage or dysfunction.
V-9
F07.0 Organic personality disorder

A disorder characterized by a significant alteration of the habitual patterns of
behaviour displayed by the subject premorbidly, involving the expression of
emotions, needs and impulses. Impairment of cognitive and thought functions, and
altered sexuality may also be part of the clinical picture.
Organic:
• pseudopsychopathic personality
• pseudoretarded personality
Syndrome:
• frontal lobe
• limbic epilepsy personality
• lobotomy
• postleucotomy
Excludes: enduring personality change after:

• catastrophic experience (F62.0)
• psychiatric illness (F62.1)
postconcussional syndrome (F07.2)
postencephalitic syndrome (F07.1)
specific personality disorder (F60.-)
F07.1 Postencephalitic syndrome

Residual nonspecific and variable behavioural change following recovery from either
viral or bacterial encephalitis. The principal difference between this disorder and the
organic personality disorders is that it is reversible.
Excludes: organic personality disorder (F07.0)
F07.2 Postconcussional syndrome

A syndrome that occurs following head trauma (usually sufficiently severe to result
in loss of consciousness) and includes a number of disparate symptoms such as
headache, dizziness, fatigue, irritability, difficulty in concentration and performing
mental tasks, impairment of memory, insomnia, and reduced tolerance to stress,
emotional excitement, or alcohol.
Postcontusional syndrome (encephalopathy)

Post-traumatic brain syndrome, nonpsychotic
V-10
F07.8 Other organic personality and behavioural disorders due to brain disease,
damage and dysfunction
Right hemispheric organic affective disorder
F07.9 Unspecified organic personality and behavioural disorder due to brain disease,
damage and dysfunction
Organic psychosyndrome
F09 Unspecified organic or symptomatic mental disorder

Psychosis:
• organic NOS
• symptomatic NOS
Excludes: psychosis NOS (F29)
Mental and behavioural disorders due to psychoactive substance use

(F10-F19)
This block contains a wide variety of disorders that differ in severity and clinical form but that are
all attributable to the use of one or more psychoactive substances, which may or may not have been
medically prescribed. The third character of the code identifies the substance involved, and the
fourth character specifies the clinical state. The codes should be used, as required, for each substance
specified, but it should be noted that not all fourth-character codes are applicable to all substances.
Identification of the psychoactive substance should be based on as many sources of information as

possible. These include self-report data, analysis of blood and other body fluids, characteristic
physical and psychological symptoms, clinical signs and behaviour, and other evidence such as a
drug being in the patient's possession or reports from informed third parties. Many drug users take
more than one type of psychoactive substance. The main diagnosis should be classified, whenever
possible, according to the substance or class of substances that has caused or contributed most to the
presenting clinical syndrome. Other diagnoses should be coded when other psychoactive substances
have been taken in intoxicating amounts (common fourth character .0) or to the extent of causing
harm (common fourth character .1), dependence (common fourth character .2) or other disorders
(common fourth character .3-.9).
Only in cases in which patterns of psychoactive substance-taking are chaotic and indiscriminate, or
in which the contributions of different psychoactive substances are inextricably mixed, should the
diagnosis of disorders resulting from multiple drug use (F19.-) be used.
Excludes: abuse of non-dependence-producing substances (F55)
V-11
The following fourth-character subdivisions are for use with categories F10-F19:
.0 Acute intoxication
A condition that follows the administration of a psychoactive substance resulting in
disturbances in level of consciousness, cognition, perception, affect or behaviour, or other
psycho-physiological functions and responses. The disturbances are directly related to the acute
pharmacological effects of the substance and resolve with time, with complete recovery, except
where tissue damage or other complications have arisen. Complications may include trauma,
inhalation of vomitus, delirium, coma, convulsions, and other medical complications. The
nature of these complications depends on the pharmacological class of substance and mode of
administration.
Acute drunkenness in alcoholism

"Bad trips" (drugs)
Drunkenness NOS
DUI
DWI
Excess, excessive
Hangover
Inebriated
Influence of (alcohol)
Intemperence
Intoxication
Pathological intoxication
Trance and possession disorders in psychoactive substance intoxication
.1 Harmful use
A pattern of psychoactive substance use that is causing damage to health. The damage may be
physical (as in cases of hepatitis from the self-administration of injected psychoactive substances)
or mental (e.g. episodes of depressive disorder secondary to heavy consumption of alcohol).
Abuse
Chronic use
Heavy intake
Misuse
Over indulgence
Overdose
Problem
Psychoactive substance abuse
V-12
.2 Dependence syndrome
A cluster of behavioural, cognitive, and physiological phenomena that develop after repeated
substance use and that typically include a strong desire to take the drug, difficulties in
controlling its use, persisting in its use despite harmful consequences, a higher priority given to
drug use than to other activities and obligations, increased tolerance, and sometimes a physical
withdrawal state.
The dependence syndrome may be present for a specific psychoactive substance (e.g. tobacco,
alcohol, or diazepam), for a class of substances (e.g. opioid drugs), or for a wider range of
pharmacologically different psychoactive substances.
Absinthemia
Absinthism
Addiction
Alcoholism
Chronic alcoholism
Chronic drunkenness
Continual excessive drinking
Dependence
Dipsomania
Drug addiction
Habit
Narcotism
Smoker’s syndrome
Tobaccoism
.3 Withdrawal state
A group of symptoms of variable clustering and severity occurring on absolute or relative
withdrawal of a psychoactive substance after persistent use of that substance. The onset and
course of the withdrawal state are time-limited and are related to the type of psychoactive
substance and dose being used immediately before cessation or reduction of use. The
withdrawal state may be complicated by convulsions.
.4 Withdrawal state with delirium

A condition where the withdrawal state as defined in the common fourth character .3 is
complicated by delirium as defined in F05.-. Convulsions may also occur. When organic
factors are also considered to play a role in the etiology, the condition should be classified to
F05.8.
Delirium tremens (alcohol-induced)
V-13
.5 Psychotic disorder
A cluster of psychotic phenomena that occur during or following psychoactive substance use
but that are not explained on the basis of acute intoxication alone and do not form part of a
withdrawal state. The disorder is characterized by hallucinations (typically auditory, but often
in more than one sensory modality), perceptual distortions, delusions (often of a paranoid or
persecutory nature), psychomotor disturbances (excitement or stupor), and an abnormal affect,
which may range from intense fear to ecstasy. The sensorium is usually clear but some degree
of clouding of consciousness, though not severe confusion, may be present.
Alcoholic:
• hallucinosis
• jealousy
• paranoia
• psychosis NOS
Excludes: alcohol- or other psychoactive substance-induced residual and late-onset

psychotic disorder (F10-F19 with common fourth character .7)
.6 Amnesic syndrome
A syndrome associated with chronic prominent impairment of recent and remote memory.
Immediate recall is usually preserved and recent memory is characteristically more disturbed
than remote memory. Disturbances of time sense and ordering of events are usually evident, as
are difficulties in learning new material. Confabulation may be marked but is not invariably
present. Other cognitive functions are usually relatively well preserved and amnesic defects are
out of proportion to other disturbances.
Amnestic disorder, alcohol- or drug-induced

Korsakov's psychosis or syndrome, alcohol- or other psychoactive substance-induced or
unspecified
Excludes: nonalcoholic Korsakov's psychosis or syndrome (F04)
V-14
.7 Residual and late-onset psychotic disorder

A disorder in which alcohol- or psychoactive substance-induced changes of cognition, affect,
personality, or behaviour persist beyond the period during which a direct psychoactive
substance-related effect might reasonably be assumed to be operating. Onset of the disorder
should be directly related to the use of the psychoactive substance. Cases in which initial onset
of the state occurs later than episode(s) of such substance use should be coded here only where
clear and strong evidence is available to attribute the state to the residual effect of the
psychoactive substance. Flashbacks may be distinguished from psychotic state partly by their
episodic nature, frequently of very short duration, and by their duplication of previous alcohol-
or other psychoactive substance-related experiences.
Alcoholic dementia NOS

Chronic alcoholic brain syndrome
Dementia and other milder forms of persisting impairment of cognitive functions
Flashbacks
Late-onset psychoactive substance-induced psychotic disorder
Posthallucinogen perception disorder
Residual:
• affective disorder
• disorder of personality and behaviour
Excludes: alcohol- or psychoactive substance-induced:

• Korsakov's syndrome (F10-F19 with common fourth character .6)
• psychotic state (F10-F19 with common fourth character .5)
.8 Other mental and behavioural disorders
.9 Unspecified mental and behavioural disorder
Consumption
Drinking NOS
Ingested, Ingestion
Intake
Smoking (chain)(former)(life long)(packs per day)
Use, user, usage
V-15
F10.- Mental and behavioural disorders due to use of alcohol

[See pages V-12—V-15 for subdivisions]
F11.- Mental and behavioural disorders due to use of opioids

F12.- Mental and behavioural disorders due to use of cannabinoids

F13.- Mental and behavioural disorders due to use of sedatives or hypnotics

F14.- Mental and behavioural disorders due to use of cocaine

F15.- Mental and behavioural disorders due to use of other stimulants, including
caffeine
F16.- Mental and behavioural disorders due to use of hallucinogens

F17.- Mental and behavioural disorders due to use of tobacco

F18.- Mental and behavioural disorders due to use of volatile solvents

F19.- Mental and behavioural disorders due to multiple drug use and use of other
psychoactive substances
This category should be used when two or more psychoactive substances are known
to be involved, but it is impossible to assess which substance is contributing most to
the disorders. It should also be used when the exact identity of some or even all the
psychoactive substances being used is uncertain or unknown, since many multiple
drug users themselves often do not know the details of what they are taking.
Includes: misuse of drugs NOS
V-16
Schizophrenia, schizotypal and delusional disorders

(F20-F29)
This block brings together schizophrenia, as the most important member of the group, schizotypal
disorder, persistent delusional disorders, and a larger group of acute and transient psychotic
disorders. Schizoaffective disorders have been retained here in spite of their controversial nature.
F20 Schizophrenia
The schizophrenic disorders are characterized in general by fundamental and
characteristic distortions of thinking and perception, and affects that are
inappropriate or blunted. Clear consciousness and intellectual capacity are usually
maintained although certain cognitive deficits may evolve in the course of time. The
most important psychopathological phenomena include thought echo; thought
insertion or withdrawal; thought broadcasting; delusional perception and delusions of
control; influence or passivity; hallucinatory voices commenting or discussing the
patient in the third person; thought disorders and negative symptoms.
The course of schizophrenic disorders can be either continuous, or episodic with

progressive or stable deficit, or there can be one or more episodes with complete or
incomplete remission. The diagnosis of schizophrenia should not be made in the
presence of extensive depressive or manic symptoms unless it is clear that
schizophrenic symptoms antedate the affective disturbance. Nor should
schizophrenia be diagnosed in the presence of overt brain disease or during states of
drug intoxication or withdrawal. Similar disorders developing in the presence of
epilepsy or other brain disease should be classified under F06.2, and those induced
by psychoactive substances under F10-F19 with common fourth character .5.
Excludes: schizophrenia:
• acute (undifferentiated) (F23.2)
• cyclic (F25.2)
schizophrenic reaction (F23.2)
schizotypal disorder (F21)
V-17
F20.0 Paranoid schizophrenia

Paranoid schizophrenia is dominated by relatively stable, often paranoid delusions,
usually accompanied by hallucinations, particularly of the auditory variety, and
perceptual disturbances. Disturbances of affect, volition and speech, and catatonic
symptoms, are either absent or relatively inconspicuous.
Paraphrenic schizophrenia
Excludes: involutional paranoid state (F22.8)

paranoia (F22.0)
F20.1 Hebephrenic schizophrenia

A form of schizophrenia in which affective changes are prominent, delusions and
hallucinations fleeting and fragmentary, behaviour irresponsible and unpredictable,
and mannerisms common. The mood is shallow and inappropriate, thought is
disorganized, and speech is incoherent. There is a tendency to social isolation.
Usually the prognosis is poor because of the rapid development of "negative"
symptoms, particularly flattening of affect and loss of volition. Hebephrenia should
normally be diagnosed only in adolescents or young adults.
Disorganized schizophrenia
Hebephrenia
F20.2 Catatonic schizophrenia

Catatonic schizophrenia is dominated by prominent psychomotor disturbances that
may alternate between extremes such as hyperkinesis and stupor, or automatic
obedience and negativism. Constrained attitudes and postures may be maintained for
long periods. Episodes of violent excitement may be a striking feature of the
condition. The catatonic phenomena may be combined with a dream-like (oneiroid)
state with vivid scenic hallucinations.
Catatonic stupor
Schizophrenic:
• catalepsy
• catatonia
• flexibilitas cerea
V-18
F20.3 Undifferentiated schizophrenia

Psychotic conditions meeting the general diagnostic criteria for schizophrenia but not
conforming to any of the subtypes in F20.0-F20.2, or exhibiting the features of more
than one of them without a clear predominance of a particular set of diagnostic
characteristics.
Atypical schizophrenia
Excludes: acute schizophrenia-like psychotic disorder (F23.2)

chronic undifferentiated schizophrenia (F20.5)
post-schizophrenic depression (F20.4)
F20.4 Post-schizophrenic depression

A depressive episode, which may be prolonged, arising in the aftermath of a
schizophrenic illness. Some schizophrenic symptoms, either "positive" or "negative",
must still be present but they no longer dominate the clinical picture. These
depressive states are associated with an increased risk of suicide. If the patient no
longer has any schizophrenic symptoms, a depressive episode should be diagnosed
(F32.-). If schizophrenic symptoms are still florid and prominent, the diagnosis
should remain that of the appropriate schizophrenic subtype (F20.0-F20.3).
F20.5 Residual schizophrenia

A chronic stage in the development of a schizophrenic illness in which there has
been a clear progression from an early stage to a later stage characterized by long-
term, though not necessarily irreversible, "negative" symptoms, e.g. psychomotor
slowing; underactivity; blunting of affect; passivity and lack of initiative; poverty of
quantity or content of speech; poor nonverbal communication by facial expression,
eye contact, voice modulation and posture; poor self-care and social performance.
Chronic undifferentiated schizophrenia

Restzustand (schizophrenic)
Schizophrenic residual state
F20.6 Simple schizophrenia

A disorder in which there is an insidious but progressive development of oddities of
conduct, inability to meet the demands of society, and decline in total performance.
The characteristic negative features of residual schizophrenia (e.g. blunting of affect
and loss of volition) develop without being preceded by any overt psychotic
symptoms.
V-19
F20.8 Other schizophrenia

Cenesthopathic schizophrenia
Schizophreniform:
• disorder NOS
• psychosis NOS
Excludes: brief schizophreniform disorders (F23.2)
F20.9 Schizophrenia, unspecified
F21 Schizotypal disorder

A disorder characterized by eccentric behaviour and anomalies of thinking and affect
which resemble those seen in schizophrenia, though no definite and characteristic
schizophrenic anomalies occur at any stage. The symptoms may include a cold or
inappropriate affect; anhedonia; odd or eccentric behaviour; a tendency to social
withdrawal; paranoid or bizarre ideas not amounting to true delusions; obsessive
ruminations; thought disorder and perceptual disturbances; occasional transient
quasi-psychotic episodes with intense illusions, auditory or other hallucinations, and
delusion-like ideas, usually occurring without external provocation. There is no
definite onset and evolution and course are usually those of a personality disorder.
Latent schizophrenic reaction

Schizophrenia:
• borderline
• latent
• prepsychotic
• prodromal
• pseudoneurotic
• pseudopsychopathic
Schizotypal personality disorder
Excludes: Asperger's syndrome (F84.5)

schizoid personality disorder (F60.1)
F22 Persistent delusional disorders

Includes a variety of disorders in which long-standing delusions constitute the only,
or the most conspicuous, clinical characteristic and which cannot be classified as
organic, schizophrenic or affective. Delusional disorders that have lasted for less
than a few months should be classified, at least temporarily, under F23.-.
V-20
F22.0 Delusional disorder

A disorder characterized by the development either of a single delusion or of a set of
related delusions that are usually persistent and sometimes lifelong. The content of
the delusion or delusions is very variable. Clear and persistent auditory
hallucinations (voices), schizophrenic symptoms such as delusions of control and
marked blunting of affect, and definite evidence of brain disease are all incompatible
with this diagnosis. However, the presence of occasional or transitory auditory
hallucinations, particularly in elderly patients, does not rule out this diagnosis,
provided that they are not typically schizophrenic and form only a small part of the
overall clinical picture.
Paranoia
Paranoid:
• psychosis
• state
Paraphrenia (late)
Sensitiver Beziehungswahn
Excludes: paranoid:
• personality disorder (F60.0)
• psychosis, psychogenic (F23.3)
• reaction (F23.3)
• schizophrenia (F20.0)
F22.8 Other persistent delusional disorders

Disorders in which the delusion or delusions are accompanied by persistent
hallucinatory voices or by schizophrenic symptoms that do not justify a diagnosis of
schizophrenia (F20.-).
Delusional dysmorphophobia
Involutional paranoid state
Paranoia querulans
F22.9 Persistent delusional disorder, unspecified
V-21
F23 Acute and transient psychotic disorders

A heterogeneous group of disorders characterized by the acute onset of psychotic
symptoms such as delusions, hallucinations, and perceptual disturbances, and by the
severe disruption of ordinary behaviour. Acute onset is defined as a crescendo
development of a clearly abnormal clinical picture in about two weeks or less. For
these disorders there is no evidence of organic causation. Perplexity and puzzlement
are often present but disorientation for time, place and person is not persistent or
severe enough to justify a diagnosis of organically caused delirium (F05.-). Complete
recovery usually occurs within a few months, often within a few weeks or even days.
If the disorder persists, a change in classification will be necessary. The disorder may
or may not be associated with acute stress, defined as usually stressful events
preceding the onset by one to two weeks.
F23.0 Acute polymorphic psychotic disorder without symptoms of schizophrenia

An acute psychotic disorder in which hallucinations, delusions or perceptual
disturbances are obvious but markedly variable, changing from day to day or even
from hour to hour. Emotional turmoil with intense transient feelings of happiness or
ecstasy, or anxiety and irritability, is also frequently present. The polymorphism and
instability are characteristic for the overall clinical picture and the psychotic features
do not justify a diagnosis of schizophrenia (F20.-). These disorders often have an
abrupt onset, developing rapidly within a few days, and they frequently show a rapid
resolution of symptoms with no recurrence. If the symptoms persist the diagnosis
should be changed to persistent delusional disorder (F22.-).
Bouffée délirante without symptoms of schizophrenia or unspecified

Cycloid psychosis without symptoms of schizophrenia or unspecified
F23.1 Acute polymorphic psychotic disorder with symptoms of schizophrenia

An acute psychotic disorder in which the polymorphic and unstable clinical picture is
present, as described in F23.0; despite this instability, however, some symptoms
typical of schizophrenia are also in evidence for the majority of the time. If the
schizophrenic symptoms persist the diagnosis should be changed to schizophrenia
(F20.-).
Bouffée délirante with symptoms of schizophrenia

Cycloid psychosis with symptoms of schizophrenia
V-22
F23.2 Acute schizophrenia-like psychotic disorder

An acute psychotic disorder in which the psychotic symptoms are comparatively
stable and justify a diagnosis of schizophrenia, but have lasted for less than about
one month; the polymorphic unstable features, as described in F23.0, are absent. If
the schizophrenic symptoms persist the diagnosis should be changed to
schizophrenia (F20.-).
Acute (undifferentiated) schizophrenia

Brief schizophreniform:
• disorder
• psychosis
Oneirophrenia
Schizophrenic reaction
Excludes: organic delusional [schizophrenia-like] disorder (F06.2)

schizophreniform disorders NOS (F20.8)
F23.3 Other acute predominantly delusional psychotic disorders

Acute psychotic disorders in which comparatively stable delusions or hallucinations
are the main clinical features, but do not justify a diagnosis of schizophrenia (F20.-).
If the delusions persist the diagnosis should be changed to persistent delusional
disorder (F22.-).
Paranoid reaction
Psychogenic paranoid psychosis
F23.8 Other acute and transient psychotic disorders

Any other specified acute psychotic disorders for which there is no evidence of
organic causation and which do not justify classification to F23.0-F23.3.
F23.9 Acute and transient psychotic disorder, unspecified

Brief reactive psychosis NOS
Reactive psychosis
V-23
F24 Induced delusional disorder

A delusional disorder shared by two or more people with close emotional links. Only
one of the people suffers from a genuine psychotic disorder; the delusions are
induced in the other(s) and usually disappear when the people are separated.
Folie à deux
Induced:
• paranoid disorder
• psychotic disorder
F25 Schizoaffective disorders

Episodic disorders in which both affective and schizophrenic symptoms are
prominent but which do not justify a diagnosis of either schizophrenia or depressive
or manic episodes. Other conditions in which affective symptoms are superimposed
on a pre-existing schizophrenic illness, or co-exist or alternate with persistent
delusional disorders of other kinds, are classified under F20-F29. Mood-incongruent
psychotic symptoms in affective disorders do not justify a diagnosis of
schizoaffective disorder.
F25.0 Schizoaffective disorder, manic type

A disorder in which both schizophrenic and manic symptoms are prominent so that
the episode of illness does not justify a diagnosis of either schizophrenia or a manic
episode. This category should be used for both a single episode and a recurrent
disorder in which the majority of episodes are schizoaffective, manic type.
Schizoaffective psychosis, manic type

Schizophreniform psychosis, manic type
F25.1 Schizoaffective disorder, depressive type

A disorder in which both schizophrenic and depressive symptoms are prominent so
that the episode of illness does not justify a diagnosis of either schizophrenia or a
depressive episode. This category should be used for both a single episode and a
recurrent disorder in which the majority of episodes are schizoaffective, depressive
type.
Schizoaffective psychosis, depressive type

Schizophreniform psychosis, depressive type
V-24
F25.2 Schizoaffective disorder, mixed type

Cyclic schizophrenia
Mixed schizophrenic and affective psychosis
F25.8 Other schizoaffective disorders
F25.9 Schizoaffective disorder, unspecified

Schizoaffective psychosis NOS
F28 Other nonorganic psychotic disorders

Delusional or hallucinatory disorders that do not justify a diagnosis of schizophrenia
(F20.-), persistent delusional disorders (F22.-), acute and transient psychotic
disorders (F23.-), psychotic types of manic episode (F30.2), or severe depressive
episode (F32.3).
Chronic hallucinatory psychosis
F29 Unspecified nonorganic psychosis

Psychosis NOS
Excludes: mental disorder NOS (F99)

organic or symptomatic psychosis NOS (F09)
V-25
Mood [affective] disorders

(F30-F39)
This block contains disorders in which the fundamental disturbance is a change in affect or mood to
depression (with or without associated anxiety) or to elation. The mood change is usually
accompanied by a change in the overall level of activity; most of the other symptoms are either
secondary to, or easily understood in the context of, the change in mood and activity. Most of these
disorders tend to be recurrent and the onset of individual episodes can often be related to stressful
events or situations.
F30 Manic episode

All the subdivisions of this category should be used only for a single episode.
Hypomanic or manic episodes in individuals who have had one or more previous
affective episodes (depressive, hypomanic, manic, or mixed) should be coded as
bipolar affective disorder (F31.-).
Includes: bipolar disorder, single manic episode
F30.0 Hypomania
A disorder characterized by a persistent mild elevation of mood, increased energy
and activity, and usually marked feelings of well-being and both physical and mental
efficiency. Increased sociability, talkativeness, over-familiarity, increased sexual
energy, and a decreased need for sleep are often present but not to the extent that
they lead to severe disruption of work or result in social rejection. Irritability,
conceit, and boorish behaviour may take the place of the more usual euphoric
sociability. The disturbances of mood and behaviour are not accompanied by
hallucinations or delusions.
F30.1 Mania without psychotic symptoms

Mood is elevated out of keeping with the patient's circumstances and may vary from
carefree joviality to almost uncontrollable excitement. Elation is accompanied by
increased energy, resulting in overactivity, pressure of speech, and a decreased need
for sleep. Attention cannot be sustained, and there is often marked distractibility.
Self-esteem is often inflated with grandiose ideas and overconfidence. Loss of
normal social inhibitions may result in behaviour that is reckless, foolhardy, or
inappropriate to the circumstances, and out of character.
V-26
F30.2 Mania with psychotic symptoms

In addition to the clinical picture described in F30.1, delusions (usually grandiose) or
hallucinations (usually of voices speaking directly to the patient) are present, or the
excitement, excessive motor activity, and flight of ideas are so extreme that the
subject is incomprehensible or inaccessible to ordinary communication.
Mania with:
• mood-congruent psychotic symptoms
• mood-incongruent psychotic symptoms
Manic stupor
F30.8 Other manic episodes
F30.9 Manic episode, unspecified

Mania NOS
F31 Bipolar affective disorder

A disorder characterized by two or more episodes in which the patient's mood and
activity levels are significantly disturbed, this disturbance consisting on some
occasions of an elevation of mood and increased energy and activity (hypomania or
mania) and on others of a lowering of mood and decreased energy and activity
(depression). Repeated episodes of hypomania or mania only are classified as
bipolar.
Includes: manic-depressive:
• illness
• psychosis
• reaction
Excludes: bipolar disorder, single manic episode (F30.-)

cyclothymia (F34.0)
F31.0 Bipolar affective disorder, current episode hypomanic

The patient is currently hypomanic, and has had at least one other affective episode
(hypomanic, manic, depressive, or mixed) in the past.
F31.1 Bipolar affective disorder, current episode manic without psychotic symptoms
The patient is currently manic, without psychotic symptoms (as in F30.1), and has
had at least one other affective episode (hypomanic, manic, depressive, or mixed) in
the past.
V-27
F31.2 Bipolar affective disorder, current episode manic with psychotic symptoms
The patient is currently manic, with psychotic symptoms (as in F30.2), and has had at
least one other affective episode (hypomanic, manic, depressive, or mixed) in the
past.
F31.3 Bipolar affective disorder, current episode mild or moderate depression

The patient is currently depressed, as in a depressive episode of either mild or
moderate severity (F32.0 or F32.1), and has had at least one authenticated
hypomanic, manic, or mixed affective episode in the past.
F31.4 Bipolar affective disorder, current episode severe depression without psychotic
symptoms
The patient is currently depressed, as in severe depressive episode without psychotic
symptoms (F32.2), and has had at least one authenticated hypomanic, manic, or
mixed affective episode in the past.
F31.5 Bipolar affective disorder, current episode severe depression with psychotic
symptoms
The patient is currently depressed, as in severe depressive episode with psychotic
symptoms (F32.3), and has had at least one authenticated hypomanic, manic, or
mixed affective episode in the past.
F31.6 Bipolar affective disorder, current episode mixed

The patient has had at least one authenticated hypomanic, manic, depressive, or
mixed affective episode in the past, and currently exhibits either a mixture or a rapid
alteration of manic and depressive symptoms.
Excludes: single mixed affective episode (F38.0)
F31.7 Bipolar affective disorder, currently in remission

The patient has had at least one authenticated hypomanic, manic, or mixed affective
episode in the past, and at least one other affective episode (hypomanic, manic,
depressive, or mixed) in addition, but is not currently suffering from any significant
mood disturbance, and has not done so for several months. Periods of remission
during prophylactic treatment should be coded here.
F31.8 Other bipolar affective disorders

Bipolar II disorder
Recurrent manic episodes NOS
F31.9 Bipolar affective disorder, unspecified
V-28
F32 Depressive episode

In typical mild, moderate, or severe depressive episodes, the patient suffers from
lowering of mood, reduction of energy, and decrease in activity. Capacity for
enjoyment, interest, and concentration is reduced, and marked tiredness after even
minimum effort is common. Sleep is usually disturbed and appetite diminished. Self-
esteem and self-confidence are almost always reduced and, even in the mild form,
some ideas of guilt or worthlessness are often present. The lowered mood varies little
from day to day, is unresponsive to circumstances and may be accompanied by so-
called "somatic" symptoms, such as loss of interest and pleasurable feelings, waking
in the morning several hours before the usual time, depression worst in the morning,
marked psychomotor retardation, agitation, loss of appetite, weight loss, and loss of
libido. Depending upon the number and severity of the symptoms, a depressive
episode may be specified as mild, moderate or severe.
Includes: single episodes of:

• depressive reaction
• psychogenic depression
• reactive depression
Excludes: adjustment disorder (F43.2)

recurrent depressive disorder (F33.-)
when associated with conduct disorders in F91.- (F92.0)
F32.0 Mild depressive episode

Two or three of the above symptoms are usually present. The patient is usually
distressed by these but will probably be able to continue with most activities.
F32.1 Moderate depressive episode

Four or more of the above symptoms are usually present and the patient is likely to
have great difficulty in continuing with ordinary activities.
F32.2 Severe depressive episode without psychotic symptoms

An episode of depression in which several of the above symptoms are marked and
distressing, typically loss of self-esteem and ideas of worthlessness or guilt. Suicidal
thoughts and acts are common and a number of "somatic" symptoms are usually
present.
Agitated depression
Major depression single episode without psychotic
Vital depression symptoms
V-29
F32.3 Severe depressive episode with psychotic symptoms

An episode of depression as described in F32.2, but with the presence of
hallucinations, delusions, psychomotor retardation, or stupor so severe that ordinary
social activities are impossible; there may be danger to life from suicide,
dehydration, or starvation. The hallucinations and delusions may or may not be
mood-congruent.
Single episodes of:

• major depression with psychotic symptoms
• psychogenic depressive psychosis
• psychotic depression
• reactive depressive psychosis
F32.8 Other depressive episodes
Atypical depression
Single episodes of "masked" depression NOS
F32.9 Depressive episode, unspecified

Depression NOS
Depressive disorder NOS
F33 Recurrent depressive disorder

A disorder characterized by repeated episodes of depression as described for
depressive episode (F32.-), without any history of independent episodes of mood
elevation and increased energy (mania). There may, however, be brief episodes of
mild mood elevation and overactivity (hypomania) immediately after a depressive
episode, sometimes precipitated by antidepressant treatment. The more severe forms
of recurrent depressive disorder (F33.2 and F33.3) have much in common with
earlier concepts such as manic-depressive depression, melancholia, vital depression
and endogenous depression. The first episode may occur at any age from childhood
to old age, the onset may be either acute or insidious, and the duration varies from a
few weeks to many months. The risk that a patient with recurrent depressive disorder
will have an episode of mania never disappears completely, however many
depressive episodes have been experienced. If such an episode does occur, the
diagnosis should be changed to bipolar affective disorder (F31.-).
Includes: recurrent episodes of:

• depressive reaction
• psychogenic depression
• reactive depression
seasonal depressive disorder
Excludes: recurrent brief depressive episodes (F38.1)
V-30
F33.0 Recurrent depressive disorder, current episode mild

A disorder characterized by repeated episodes of depression, the current episode
being mild, as in F32.0, and without any history of mania.
F33.1 Recurrent depressive disorder, current episode moderate

being of moderate severity, as in F32.1, and without any history of mania.
F33.2 Recurrent depressive disorder, current episode severe without psychotic

symptoms
being severe without psychotic symptoms, as in F32.2, and without any history of
mania.
Endogenous depression without psychotic symptoms

Major depression, recurrent without psychotic symptoms
Manic-depressive psychosis, depressed type without psychotic symptoms
Vital depression, recurrent without psychotic symptoms
F33.3 Recurrent depressive disorder, current episode severe with psychotic symptoms
being severe with psychotic symptoms, as in F32.3, and with no previous episodes of
mania.
Endogenous depression with psychotic symptoms

Manic-depressive psychosis, depressed type with psychotic symptoms
Recurrent severe episodes of:
• major depression with psychotic symptoms
• psychogenic depressive psychosis
• psychotic depression
• reactive depressive psychosis
F33.4 Recurrent depressive disorder, currently in remission

The patient has had two or more depressive episodes as described in F33.0-F33.3, in
the past, but has been free from depressive symptoms for several months.
F33.8 Other recurrent depressive disorders
F33.9 Recurrent depressive disorder, unspecified

Monopolar depression NOS
V-31
F34 Persistent mood [affective] disorders

Persistent and usually fluctuating disorders of mood in which the majority of the
individual episodes are not sufficiently severe to warrant being described as
hypomanic or mild depressive episodes. Because they last for many years, and
sometimes for the greater part of the patient's adult life, they involve considerable
distress and disability. In some instances, recurrent or single manic or depressive
episodes may become superimposed on a persistent affective disorder.
F34.0 Cyclothymia
A persistent instability of mood involving numerous periods of depression and mild
elation, none of which is sufficiently severe or prolonged to justify a diagnosis of
bipolar affective disorder (F31.-) or recurrent depressive disorder (F33.-). This
disorder is frequently found in the relatives of patients with bipolar affective
disorder. Some patients with cyclothymia eventually develop bipolar affective
disorder.
Affective personality disorder

Cycloid personality
Cyclothymic personality
F34.1 Dysthymia
A chronic depression of mood, lasting at least several years, which is not sufficiently
severe, or in which individual episodes are not sufficiently prolonged, to justify a
diagnosis of severe, moderate, or mild recurrent depressive disorder (F33.-).
Depressive:
• neurosis
• personality disorder
Neurotic depression
Persistent anxiety depression
Excludes: anxiety depression (mild or not persistent) (F41.2)
F34.8 Other persistent mood [affective] disorders
F34.9 Persistent mood [affective] disorder, unspecified
V-32
F38 Other mood [affective] disorders

Any other mood disorders that do not justify classification to F30-F34, because they
are not of sufficient severity or duration.
F38.0 Other single mood [affective] disorders

Mixed affective episode
F38.1 Other recurrent mood [affective] disorders

Recurrent brief depressive episodes
F38.8 Other specified mood [affective] disorders
F39 Unspecified mood [affective] disorder

Affective psychosis NOS
Neurotic, stress-related and somatoform disorders

(F40-F48)
Excludes: when associated with conduct disorder in F91.- (F92.8)
F40 Phobic anxiety disorders

A group of disorders in which anxiety is evoked only, or predominantly, in certain
well-defined situations that are not currently dangerous. As a result these situations
are characteristically avoided or endured with dread. The patient's concern may be
focused on individual symptoms like palpitations or feeling faint and is often
associated with secondary fears of dying, losing control, or going mad.
Contemplating entry to the phobic situation usually generates anticipatory anxiety.
Phobic anxiety and depression often coexist. Whether two diagnoses, phobic anxiety
and depressive episode, are needed, or only one, is determined by the time course of
the two conditions and by therapeutic considerations at the time of consultation.
V-33
F40.0 Agoraphobia
A fairly well-defined cluster of phobias embracing fears of leaving home, entering
shops, crowds and public places, or traveling alone in trains, buses or planes. Panic
disorder is a frequent feature of both present and past episodes. Depressive and
obsessional symptoms and social phobias are also commonly present as subsidiary
features. Avoidance of the phobic situation is often prominent, and some
agoraphobics experience little anxiety because they are able to avoid their phobic
situations.
Agoraphobia without history of panic disorder

Panic disorder with agoraphobia
F40.1 Social phobias

Fear of scrutiny by other people leading to avoidance of social situations. More
pervasive social phobias are usually associated with low self-esteem and fear of
criticism. They may present as a complaint of blushing, hand tremor, nausea, or
urgency of micturition, the patient sometimes being convinced that one of these
secondary manifestations of their anxiety is the primary problem. Symptoms may
progress to panic attacks.
Anthropophobia
Social neurosis
F40.2 Specific (isolated) phobias

Phobias restricted to highly specific situations such as proximity to particular
animals, heights, thunder, darkness, flying, closed spaces, urinating or defecating in
public toilets, eating certain foods, dentistry, or the sight of blood or injury. Though
the triggering situation is discrete, contact with it can evoke panic as in agoraphobia
or social phobia.
Acrophobia
Animal phobias
Claustrophobia
Simple phobia
Excludes: dysmorphophobia (nondelusional) (F45.2)

nosophobia (F45.2)
V-34
F40.8 Other phobic anxiety disorders
F40.9 Phobic anxiety disorder, unspecified

Phobia NOS
Phobic state NOS
F41 Other anxiety disorders

Disorders in which manifestation of anxiety is the major symptom and is not
restricted to any particular environmental situation. Depressive and obsessional
symptoms, and even some elements of phobic anxiety, may also be present, provided
that they are clearly secondary or less severe.
F41.0 Panic disorder [episodic paroxysmal anxiety]

The essential feature is recurrent attacks of severe anxiety (panic), which are not
restricted to any particular situation or set of circumstances and are therefore
unpredictable. As with other anxiety disorders, the dominant symptoms include
sudden onset of palpitations, chest pain, choking sensations, dizziness, and feelings
of unreality (depersonalization or derealization). There is often also a secondary fear
of dying, losing control, or going mad. Panic disorder should not be given as the
main diagnosis if the patient has a depressive disorder at the time the attacks start; in
these circumstances the panic attacks are probably secondary to depression.
Panic:
• attack
• state
Excludes: panic disorder with agoraphobia (F40.0)

F41.1 Generalized anxiety disorder
Anxiety that is generalized and persistent but not restricted to, or even strongly
predominating in, any particular environmental circumstances (i.e. it is "free-
floating"). The dominant symptoms are variable but include complaints of persistent
nervousness, trembling, muscular tensions, sweating, lightheadedness, palpitations,
dizziness, and epigastric discomfort. Fears that the patient or a relative will shortly
become ill or have an accident are often expressed.
Anxiety:
• neurosis
• reaction
• state
Excludes: neurasthenia (F48.0)
V-35
F41.2 Mixed anxiety and depressive disorder

This category should be used when symptoms of anxiety and depression are both
present, but neither is clearly predominant, and neither type of symptom is present to
the extent that justifies a diagnosis if considered separately. When both anxiety and
depressive symptoms are present and severe enough to justify individual diagnoses,
both diagnoses should be recorded and this category should not be used.
Anxiety depression (mild or not persistent)
F41.3 Other mixed anxiety disorders

Symptoms of anxiety mixed with features of other disorders in F42-F48. Neither type
of symptom is severe enough to justify a diagnosis if considered separately.
F41.8 Other specified anxiety disorders

Anxiety hysteria
F41.9 Anxiety disorder, unspecified

Anxiety NOS
F42 Obsessive-compulsive disorder

The essential feature is recurrent obsessional thoughts or compulsive acts.
Obsessional thoughts are ideas, images, or impulses that enter the patient's mind
again and again in a stereotyped form. They are almost invariably distressing and the
patient often tries, unsuccessfully, to resist them. They are, however, recognized as
his or her own thoughts, even though they are involuntary and often repugnant.
Compulsive acts or rituals are stereotyped behaviours that are repeated again and
again. They are not inherently enjoyable, nor do they result in the completion of
inherently useful tasks. Their function is to prevent some objectively unlikely event,
often involving harm to or caused by the patient, which he or she fears might
otherwise occur. Usually, this behaviour is recognized by the patient as pointless or
ineffectual and repeated attempts are made to resist. Anxiety is almost invariably
present. If compulsive acts are resisted the anxiety gets worse.
Includes: anankastic neurosis

obsessive-compulsive neurosis
Excludes: obsessive-compulsive personality (disorder) (F60.5)
V-36
F42.0 Predominantly obsessional thoughts or ruminations

These may take the form of ideas, mental images, or impulses to act, which are
nearly always distressing to the subject. Sometimes the ideas are an indecisive,
endless consideration of alternatives, associated with an inability to make trivial but
necessary decisions in day-to-day living. The relationship between obsessional
ruminations and depression is particularly close and a diagnosis of obsessive-
compulsive disorder should be preferred only if ruminations arise or persist in the
absence of a depressive episode.
F42.1 Predominantly compulsive acts [obsessional rituals]

The majority of compulsive acts are concerned with cleaning (particularly
handwashing), repeated checking to ensure that a potentially dangerous situation has
not been allowed to develop, or orderliness and tidiness. Underlying the overt
behaviour is a fear, usually of danger either to or caused by the patient, and the ritual
is an ineffectual or symbolic attempt to avert that danger.
F42.2 Mixed obsessional thoughts and acts
F42.8 Other obsessive-compulsive disorders
F42.9 Obsessive-compulsive disorder, unspecified
F43 Reaction to severe stress, and adjustment disorders

This category differs from others in that it includes disorders identifiable on the basis
of not only symptoms and course but also the existence of one or other of two
causative influences: an exceptionally stressful life event producing an acute stress
reaction, or a significant life change leading to continued unpleasant circumstances
that result in an adjustment disorder. Although less severe psychosocial stress ("life
events") may precipitate the onset or contribute to the presentation of a very wide
range of disorders classified elsewhere in this chapter, its etiological importance is
not always clear and in each case will be found to depend on individual, often
idiosyncratic, vulnerability, i.e. the life events are neither necessary nor sufficient to
explain the occurrence and form of the disorder. In contrast, the disorders brought
together here are thought to arise always as a direct consequence of acute severe
stress or continued trauma. The stressful events or the continuing unpleasant
circumstances are the primary and overriding causal factor and the disorder would
not have occurred without their impact. The disorders in this section can thus be
regarded as maladaptive responses to severe or continued stress, in that they interfere
with successful coping mechanisms and therefore lead to problems of social
functioning.
V-37
F43.0 Acute stress reaction

A transient disorder that develops in an individual without any other apparent mental
disorder in response to exceptional physical and mental stress and that usually
subsides within hours or days. Individual vulnerability and coping capacity play a
role in the occurrence and severity of acute stress reactions. The symptoms show a
typically mixed and changing picture and include an initial state of "daze" with some
constriction of the field of consciousness and narrowing of attention, inability to
comprehend stimuli, and disorientation. This state may be followed either by further
withdrawal from the surrounding situation (to the extent of a dissociative stupor-
F44.2), or by agitation and over-activity (flight reaction or fugue). Autonomic signs
of panic anxiety (tachycardia, sweating, flushing) are commonly present. The
symptoms usually appear within minutes of the impact of the stressful stimulus or
event, and disappear within two to three days (often within hours). Partial or
complete amnesia (F44.0) for the episode may be present. If the symptoms persist, a
change in diagnosis should be considered.
Acute:
• crisis reaction
• reaction to stress
Combat fatigue
Crisis state
Psychic shock
V-38
F43.1 Post-traumatic stress disorder

Arises as a delayed or protracted response to a stressful event or situation (of either
brief or long duration) of an exceptionally threatening or catastrophic nature, which
is likely to cause pervasive distress in almost anyone. Predisposing factors, such as
personality traits (e.g. compulsive, asthenic) or previous history of neurotic illness,
may lower the threshold for the development of the syndrome or aggravate its
course, but they are neither necessary nor sufficient to explain its occurrence. Typical
features include episodes of repeated reliving of the trauma in intrusive memories
("flashbacks"), dreams or nightmares, occurring against the persisting background of
a sense of "numbness" and emotional blunting, detachment from other people,
unresponsiveness to surroundings, anhedonia, and avoidance of activities and
situations reminiscent of the trauma. There is usually a state of autonomic
hyperarousal with hypervigilance, an enhanced startle reaction, and insomnia.
Anxiety and depression are commonly associated with the above symptoms and
signs, and suicidal ideation is not infrequent. The onset follows the trauma with a
latency period that may range from a few weeks to months. The course is fluctuating
but recovery can be expected in the majority of cases. In a small proportion of cases
the condition may follow a chronic course over many years, with eventual transition
to an enduring personality change (F62.0).
Traumatic neurosis
V-39
F43.2 Adjustment disorders

States of subjective distress and emotional disturbance, usually interfering with
social functioning and performance, arising in the period of adaptation to a
significant life change or a stressful life event. The stressor may have affected the
integrity of an individual's social network (bereavement, separation experiences) or
the wider system of social supports and values (migration, refugee status), or
represented a major developmental transition or crisis (going to school, becoming a
parent, failure to attain a cherished personal goal, retirement). Individual
predisposition or vulnerability plays an important role in the risk of occurrence and
the shaping of the manifestations of adjustment disorders, but it is nevertheless
assumed that the condition would not have arisen without the stressor. The
manifestations vary and include depressed mood, anxiety or worry (or mixture of
these), a feeling of inability to cope, plan ahead, or continue in the present situation,
as well as some degree of disability in the performance of daily routine. Conduct
disorders may be an associated feature, particularly in adolescents. The predominant
feature may be a brief or prolonged depressive reaction, or a disturbance of other
emotions and conduct.
Culture shock
Grief reaction
Hospitalism in children
Excludes: separation anxiety disorder of childhood (F93.0)
F43.8 Other reactions to severe stress
F43.9 Reaction to severe stress, unspecified
V-40
F44 Dissociative [conversion] disorders

The common themes that are shared by dissociative or conversion disorders are a
partial or complete loss of the normal integration between memories of the past,
awareness of identity and immediate sensations, and control of bodily movements.
All types of dissociative disorders tend to remit after a few weeks or months,
particularly if their onset is associated with a traumatic life event. More chronic
disorders, particularly paralyses and anaesthesias, may develop if the onset is
associated with insoluble problems or interpersonal difficulties. These disorders have
previously been classified as various types of "conversion hysteria". They are
presumed to be psychogenic in origin, being associated closely in time with
traumatic events, insoluble and intolerable problems, or disturbed relationships. The
symptoms often represent the patient's concept of how a physical illness would be
manifest. Medical examination and investigation do not reveal the presence of any
known physical or neurological disorder. In addition, there is evidence that the loss
of function is an expression of emotional conflicts or needs. The symptoms may
develop in close relationship to psychological stress, and often appear suddenly.
Only disorders of physical functions normally under voluntary control and loss of
sensations are included here. Disorders involving pain and other complex physical
sensations mediated by the autonomic nervous system are classified under
somatization disorder (F45.0). The possibility of the later appearance of serious
physical or psychiatric disorders should always be kept in mind.
Includes: conversion:
• hysteria
• reaction
hysteria
hysterical psychosis
Excludes: malingering [conscious simulation] (Z76.5)
V-41
F44.0 Dissociative amnesia

The main feature is loss of memory, usually of important recent events, that is not
due to organic mental disorder, and is too great to be explained by ordinary
forgetfulness or fatigue. The amnesia is usually centred on traumatic events, such as
accidents or unexpected bereavements, and is usually partial and selective. Complete
and generalized amnesia is rare, and is usually part of a fugue (F44.1). If this is the
case, the disorder should be classified as such. The diagnosis should not be made in
the presence of organic brain disorders, intoxication, or excessive fatigue.
Excludes: alcohol- or other psychoactive substance-induced

amnesic disorder (F10-F19 with common fourth character .6)
amnesia:
• NOS (R41.3)
• anterograde (R41.1)
• retrograde (R41.2)
nonalcoholic organic amnesic syndrome (F04)
postictal amnesia in epilepsy (G40.-)
F44.1 Dissociative fugue

Dissociative fugue has all the features of dissociative amnesia, plus purposeful travel
beyond the usual everyday range. Although there is amnesia for the period of the
fugue, the patient's behaviour during this time may appear completely normal to
independent observers.
Excludes: postictal fugue in epilepsy (G40.-)
F44.2 Dissociative stupor

Dissociative stupor is diagnosed on the basis of a profound diminution or absence of
voluntary movement and normal responsiveness to external stimuli such as light,
noise, and touch, but examination and investigation reveal no evidence of a physical
cause. In addition, there is positive evidence of psychogenic causation in the form of
recent stressful events or problems.
Excludes: organic catatonic disorder (F06.1)

stupor:
• NOS (R40.1)
• catatonic (F20.2)
• depressive (F31-F33)
• manic (F30.2)
V-42
F44.3 Trance and possession disorders

Disorders in which there is a temporary loss of the sense of personal identity and full
awareness of the surroundings. Include here only trance states that are involuntary or
unwanted, occurring outside religious or culturally accepted situations.
Excludes: states associated with:

• acute and transient psychotic disorders (F23.-)
• organic personality disorder (F07.0)
• postconcussional syndrome (F07.2)
• psychoactive substance intoxication (F10-F19 with common fourth
character .0)
• schizophrenia (F20.-)
F44.4 Dissociative motor disorders

In the commonest varieties there is loss of ability to move the whole or a part of a
limb or limbs. There may be close resemblance to almost any variety of ataxia,
apraxia, akinesia, aphonia, dysarthria, dyskinesia, seizures, or paralysis.
Psychogenic:
• aphonia
• dysphonia
F44.5 Dissociative convulsions

Dissociative convulsions may mimic epileptic seizures very closely in terms of
movements, but tongue-biting, bruising due to falling, and incontinence of urine are
rare, and consciousness is maintained or replaced by a state of stupor or trance.
F44.6 Dissociative anaesthesia and sensory loss

Anaesthetic areas of skin often have boundaries that make it clear that they are
associated with the patient's ideas about bodily functions, rather than medical
knowledge. There may be differential loss between the sensory modalities which
cannot be due to a neurological lesion. Sensory loss may be accompanied by
complaints of paraesthesia. Loss of vision and hearing are rarely total in dissociative
disorders.
Psychogenic deafness
F44.7 Mixed dissociative [conversion] disorders

Combination of disorders specified in F44.0-F44.6
V-43
F44.8 Other dissociative [conversion] disorders

Ganser's syndrome
Multiple personality
Psychogenic:
• confusion
• twilight state
F44.9 Dissociative [conversion] disorder, unspecified
F45 Somatoform disorders

The main feature is repeated presentation of physical symptoms together with
persistent requests for medical investigations, in spite of repeated negative findings
and reassurances by doctors that the symptoms have no physical basis. If any
physical disorders are present, they do not explain the nature and extent of the
symptoms or the distress and preoccupation of the patient.
Excludes: dissociative disorders (F44.-)

hair-plucking (F98.4)
lalling (F80.0)
lisping (F80.8)
nail-biting (F98.8)
psychological or behavioural factors associated with disorders or
diseases classified elsewhere (F54)
sexual dysfunction, not caused by organic disorder or disease (F52.-)
thumb-sucking (F98.8)
tic disorders (in childhood and adolescence) (F95.-)
Tourette's syndrome (F95.2)
trichotillomania (F63.3)
V-44
F45.0 Somatization disorder

The main features are multiple, recurrent and frequently changing physical
symptoms of at least two years' duration. Most patients have a long and complicated
history of contact with both primary and specialist medical care services, during
which many negative investigations or fruitless exploratory operations may have
been carried out. Symptoms may be referred to any part or system of the body. The
course of the disorder is chronic and fluctuating, and is often associated with
disruption of social, interpersonal, and family behaviour. Short-lived (less than two
years) and less striking symptom patterns should be classified under undifferentiated
somatoform disorder (F45.1).
Briquet’s disorder
Multiple psychosomatic disorder
Excludes: malingering [conscious simulation] (Z76.5)
F45.1 Undifferentiated somatoform disorder

When somatoform complaints are multiple, varying and persistent, but the complete
and typical clinical picture of somatization disorder is not fulfilled, the diagnosis of
undifferentiated somatoform disorder should be considered.
Undifferentiated psychosomatic disorder
F45.2 Hypochondriacal disorder

The essential feature is a persistent preoccupation with the possibility of having one
or more serious and progressive physical disorders. Patients manifest persistent
somatic complaints or a persistent preoccupation with their physical appearance.
Normal or commonplace sensations and appearances are often interpreted by patients
as abnormal and distressing, and attention is usually focused upon only one or two
organs or systems of the body. Marked depression and anxiety are often present, and
may justify additional diagnoses.
Body dysmorphic disorder

Dysmorphophobia (nondelusional)
Hypochondriacal neurosis
Hypochondriasis
Nosophobia
Excludes: delusional dysmorphophobia (F22.8)

fixed delusions about bodily functions or shape (F22.-)
V-45
F45.3 Somatoform autonomic dysfunction

Symptoms are presented by the patient as if they were due to a physical disorder of a
system or organ that is largely or completely under autonomic innervation and
control, i.e. the cardiovascular, gastrointestinal, respiratory and urogenital systems.
The symptoms are usually of two types, neither of which indicates a physical
disorder of the organ or system concerned. First, there are complaints based upon
objective signs of autonomic arousal, such as palpitations, sweating, flushing, tremor,
and expression of fear and distress about the possibility of a physical disorder.
Second, there are subjective complaints of a nonspecific or changing nature such as
fleeting aches and pains, sensations of burning, heaviness, tightness, and feelings of
being bloated or distended, which are referred by the patient to a specific organ or
system.
Cardiac neurosis
Da Costa's syndrome
Gastric neurosis
Neurocirculatory asthenia
Psychogenic forms of:
• aerophagy
• cough
• diarrhoea
• dyspepsia
• dysuria
• flatulence
• hiccough
• hyperventilation
• increased frequency of micturition
• irritable bowel syndrome
• pylorospasm
Excludes: psychological and behavioural factors associated with disorders or

diseases classified elsewhere (F54)
V-46
F45.4 Persistent somatoform pain disorder

The predominant complaint is of persistent, severe, and distressing pain, which
cannot be explained fully by a physiological process or a physical disorder, and
which occurs in association with emotional conflict or psychosocial problems that
are sufficient to allow the conclusion that they are the main causative influences. The
result is usually a marked increase in support and attention, either personal or
medical. Pain presumed to be of psychogenic origin occurring during the course of
depressive disorders or schizophrenia should not be included here.
Psychalgia
Psychogenic:
• backache
• headache
Somatoform pain disorder
Excludes: backache NOS (M54.9)

pain:
• NOS (R52.9)
• acute (R52.0)
• chronic (R52.2)
• intractable (R52.1)
tension headache (G44.2)
F45.8 Other somatoform disorders

Any other disorders of sensation, function and behaviour, not due to physical
disorders, which are not mediated through the autonomic nervous system, which are
limited to specific systems or parts of the body, and which are closely associated in
time with stressful events or problems.
Psychogenic:
• dysmenorrhoea
• dysphagia, including "globus hystericus"
• pruritus
• torticollis
Teeth-grinding
F45.9 Somatoform disorder, unspecified

Psychosomatic disorder NOS
V-47
F48 Other neurotic disorders
F48.0 Neurasthenia
Considerable cultural variations occur in the presentation of this disorder, and two
main types occur, with substantial overlap. In one type, the main feature is a
complaint of increased fatigue after mental effort, often associated with some
decrease in occupational performance or coping efficiency in daily tasks. The mental
fatiguability is typically described as an unpleasant intrusion of distracting
associations or recollections, difficulty in concentrating, and generally inefficient
thinking. In the other type, the emphasis is on feelings of bodily or physical
weakness and exhaustion after only minimal effort, accompanied by a feeling of
muscular aches and pains and inability to relax. In both types a variety of other
unpleasant physical feelings is common, such as dizziness, tension headaches, and
feelings of general instability. Worry about decreasing mental and bodily well-being,
irritability, anhedonia, and varying minor degrees of both depression and anxiety are
all common. Sleep is often disturbed in its initial and middle phases but hypersomnia
may also be prominent.
Fatigue syndrome
Use additional code, if desired, to identify previous physical illness.
Excludes: asthenia NOS (R53)

burn-out (Z73.0)
malaise and fatigue (R53)
postviral fatigue syndrome (G93.3)
psychasthenia (F48.8)
F48.1 Depersonalization-derealization syndrome

A rare disorder in which the patient complains spontaneously that his or her mental
activity, body, and surroundings are changed in their quality, so as to be unreal,
remote, or automatized. Among the varied phenomena of the syndrome, patients
complain most frequently of loss of emotions and feelings of estrangement or
detachment from their thinking, their body, or the real world. In spite of the dramatic
nature of the experience, the patient is aware of the unreality of the change. The
sensorium is normal and the capacity for emotional expression intact.
Depersonalization-derealization symptoms may occur as part of a diagnosable
schizophrenic, depressive, phobic, or obsessive-compulsive disorder. In such cases
the diagnosis should be that of the main disorder.
V-48
F48.8 Other specified neurotic disorders

Dhat syndrome
Occupational neurosis, including writer's cramp
Psychasthenia
Psychasthenic neurosis
Psychogenic syncope
F48.9 Neurotic disorder, unspecified

Neurosis NOS
Behavioural syndromes associated with physiological disturbances and physical factors

(F50-F59)
F50 Eating disorders

Excludes: anorexia NOS (R63.0)
feeding:
• difficulties and mismanagement (R63.3)
• disorder of infancy or childhood (F98.2)
polyphagia (R63.2)
F50.0 Anorexia nervosa

A disorder characterized by deliberate weight loss, induced and sustained by the
patient. It occurs most commonly in adolescent girls and young women, but
adolescent boys and young men may also be affected, as may children approaching
puberty and older women up to the menopause. The disorder is associated with a
specific psychopathology whereby a dread of fatness and flabbiness of body contour
persists as an intrusive overvalued idea, and the patients impose a low weight
threshold on themselves. There is usually undernutrition of varying severity with
secondary endocrine and metabolic changes and disturbances of bodily function. The
symptoms include restricted dietary choice, excessive exercise, induced vomiting and
purgation, and use of appetite suppressants and diuretics.
Excludes: loss of appetite (R63.0)

• psychogenic (F50.8)
V-49
F50.1 Atypical anorexia nervosa

Disorders that fulfill some of the features of anorexia nervosa but in which the
overall clinical picture does not justify that diagnosis. For instance, one of the key
symptoms, such as amenorrhoea or marked dread of being fat, may be absent in the
presence of marked weight loss and weight-reducing behaviour. This diagnosis
should not be made in the presence of known physical disorders associated with
weight loss.
F50.2 Bulimia nervosa

A syndrome characterized by repeated bouts of overeating and an excessive
preoccupation with the control of body weight, leading to a pattern of overeating
followed by vomiting or use of purgatives. This disorder shares many psychological
features with anorexia nervosa, including an over concern with body shape and
weight. Repeated vomiting is likely to give rise to disturbances of body electrolytes
and physical complications. There is often, but not always, a history of an earlier
episode of anorexia nervosa, the interval ranging from a few months to several years.
Bulimia NOS
Hyperorexia nervosa
F50.3 Atypical bulimia nervosa

Disorders that fulfill some of the features of bulimia nervosa, but in which the overall
clinical picture does not justify that diagnosis. For instance, there may be recurrent
bouts of overeating and overuse of purgatives without significant weight change, or
the typical over concern about body shape and weight may be absent.
F50.4 Overeating associated with other psychological disturbances

Overeating due to stressful events, such as bereavement, accident, childbirth, etc.
Psychogenic overeating
Excludes: obesity (E66.-)
V-50
F50.5 Vomiting associated with other psychological disturbances

Repeated vomiting that occurs in dissociative disorders (F44.-) and hypochondriacal
disorder (F45.2), and that is not solely due to conditions classified outside this
chapter. This subcategory may also be used in addition to O21.- (excessive vomiting
in pregnancy) when emotional factors are predominant in the causation of recurrent
nausea and vomiting in pregnancy.
Psychogenic vomiting
Excludes: nausea (R11)
vomiting NOS (R11)
F50.8 Other eating disorders
Pica in adults
Psychogenic loss of appetite
Excludes: pica of infancy and childhood (F98.3)
F50.9 Eating disorder, unspecified
F51 Nonorganic sleep disorders

In many cases, a disturbance of sleep is one of the symptoms of another disorder,
either mental or physical. Whether a sleep disorder in a given patient is an
independent condition or simply one of the features of another disorder classified
elsewhere, either in this chapter or in others, should be determined on the basis of its
clinical presentation and course as well as on the therapeutic considerations and
priorities at the time of the consultation. Generally, if the sleep disorder is one of the
major complaints and is perceived as a condition in itself, the present code should be
used along with other pertinent diagnoses describing the psychopathology and
pathophysiology involved in a given case. This category includes only those sleep
disorders in which emotional causes are considered to be a primary factor, and which
are not due to identifiable physical disorders classified elsewhere.
Excludes: sleep disorders (organic) (G47.-)
V-51
F51.0 Nonorganic insomnia

A condition of unsatisfactory quantity and/or quality of sleep, which persists for a
considerable period of time, including difficulty falling asleep, difficulty staying
asleep, or early final wakening. Insomnia is a common symptom of many mental and
physical disorders, and should be classified here in addition to the basic disorder only
if it dominates the clinical picture.
Excludes: insomnia (organic) (G47.0)
F51.1 Nonorganic hypersomnia

Hypersomnia is defined as a condition of either excessive daytime sleepiness and
sleep attacks (not accounted for by an inadequate amount of sleep) or prolonged
transition to the fully aroused state upon awakening. In the absence of an organic
factor for the occurrence of hypersomnia, this condition is usually associated with
mental disorders.
Excludes: hypersomnia (organic) (G47.1)

narcolepsy (G47.4)
F51.2 Nonorganic disorder of the sleep-wake schedule

A lack of synchrony between the sleep-wake schedule and the desired sleep-wake
schedule for the individual's environment, resulting in a complaint of either insomnia
or hypersomnia.
Psychogenic inversion of:

• circadian
• nyctohemeral rhythm
• sleep
Excludes: disorders of the sleep-wake schedule (organic) (G47.2)
F51.3 Sleepwalking [somnambulism]

A state of altered consciousness in which phenomena of sleep and wakefulness are
combined. During a sleepwalking episode the individual arises from bed, usually
during the first third of nocturnal sleep, and walks about, exhibiting low levels of
awareness, reactivity, and motor skill. Upon awakening, there is usually no recall of
the event.
V-52
F51.4 Sleep terrors [night terrors]

Nocturnal episodes of extreme terror and panic associated with intense vocalization,
motility, and high levels of autonomic discharge. The individual sits up or gets up,
usually during the first third of nocturnal sleep, with a panicky scream. Quite often
he or she rushes to the door as if trying to escape, although very seldom leaves the
room. Recall of the event, if any, is very limited (usually to one or two fragmentary
mental images).
F51.5 Nightmares
Dream experiences loaded with anxiety or fear. There is very detailed recall of the
dream content. The dream experience is very vivid and usually includes themes
involving threats to survival, security, or self-esteem. Quite often there is a
recurrence of the same or similar frightening nightmare themes. During a typical
episode there is a degree of autonomic discharge but no appreciable vocalization or
body motility. Upon awakening the individual rapidly becomes alert and oriented.
Dream anxiety disorder
F51.8 Other nonorganic sleep disorders
F51.9 Nonorganic sleep disorder, unspecified

Emotional sleep disorder NOS
F52 Sexual dysfunction, not caused by organic disorder or disease

Sexual dysfunction covers the various ways in which an individual is unable to
participate in a sexual relationship as he or she would wish. Sexual response is a
psychosomatic process and both psychological and somatic processes are usually
involved in the causation of sexual dysfunction.
Excludes: Dhat syndrome (F48.8)
F52.0 Lack or loss of sexual desire

Loss of sexual desire is the principal problem and is not secondary to other sexual
difficulties, such as erectile failure or dyspareunia.
Frigidity
Hypoactive sexual desire disorder
V-53
F52.1 Sexual aversion and lack of sexual enjoyment

Either the prospect of sexual interaction produces sufficient fear or anxiety that
sexual activity is avoided (sexual aversion) or sexual responses occur normally and
orgasm is experienced but there is a lack of appropriate pleasure (lack of sexual
enjoyment).
Anhedonia (sexual)
F52.2 Failure of genital response

The principal problem in men is erectile dysfunction (difficulty in developing or
maintaining an erection suitable for satisfactory intercourse). In women, the principal
problem is vaginal dryness or failure of lubrication.
Female sexual arousal disorder

Male erectile disorder
Psychogenic impotence
Excludes: impotence of organic origin (N48.4)
F52.3 Orgasmic dysfunction

Orgasm either does not occur or is markedly delayed.
Inhibited orgasm (male)(female)

Psychogenic anorgasmy
F52.4 Premature ejaculation

The inability to control ejaculation sufficiently for both partners to enjoy sexual
interaction.
F52.5 Nonorganic vaginismus

Spasm of the pelvic floor muscles that surround the vagina, causing occlusion of the
vaginal opening. Penile entry is either impossible or painful.
Psychogenic vaginismus
Excludes: vaginismus (organic) (N94.2)
V-54
F52.6 Nonorganic dyspareunia

Dyspareunia (or pain during sexual intercourse) occurs in both women and men. It
can often be attributed to local pathology and should then properly be categorized
under the pathological condition. This category is to be used only if there is no
primary nonorganic sexual dysfunction (e.g. vaginismus or vaginal dryness).
Psychogenic dyspareunia
Excludes: dyspareunia (organic) (N94.1)
F52.7 Excessive sexual drive

Nymphomania
Satyriasis
F52.8 Other sexual dysfunction, not caused by organic disorder or disease
F52.9 Unspecified sexual dysfunction, not caused by organic disorder or disease
F53 Mental and behavioural disorders associated with the puerperium, not
This category includes only mental disorders associated with the puerperium
(commencing within six weeks of delivery) that do not meet the criteria for disorders
classified elsewhere in this chapter, either because insufficient information is
available, or because it is considered that special additional clinical features are
present that make their classification elsewhere inappropriate.
F53.0 Mild mental and behavioural disorders associated with the puerperium, not
Depression:
• postnatal NOS
• postpartum NOS
F53.1 Severe mental and behavioural disorders associated with the puerperium, not
Puerperal psychosis NOS
F53.8 Other mental and behavioural disorders associated with the puerperium, not
F53.9 Puerperal mental disorder, unspecified
V-55
F54 Psychological and behavioural factors associated with disorders or diseases

classified elsewhere
This category should be used to record the presence of psychological or behavioural
influences thought to have played a major part in the etiology of physical disorders
which can be classified to other chapters. Any resulting mental disturbances are
usually mild, and often prolonged (such as worry, emotional conflict, apprehension)
and do not of themselves justify the use of any of the categories in this chapter.
Psychological factors affecting physical conditions

Examples of the use of this category are:
• asthma F54 and J45.-
• dermatitis F54 and L23-L25
• gastric ulcer F54 and K25.-
• mucous colitis F54 and K58.-
• ulcerative colitis F54 and K51.-
• urticaria F54 and L50.-
Use additional code, if desired, to identify the associated physical disorder.
Excludes: tension-type headache (G44.2)
V-56
F55 Abuse of non-dependence-producing substances

A wide variety of medicaments and folk remedies may be involved, but the
particularly important groups are: (a) psychotropic drugs that do not produce
dependence, such as antidepressants, (b) laxatives, and (c) analgesics that may be
purchased without medical prescription, such as aspirin and paracetamol.
Persistent use of these substances often involves unnecessary contacts with medical
professionals or supporting staff, and is sometimes accompanied by harmful physical
effects of the substances. Attempts to dissuade or forbid the use of the substance are
often met with resistance; for laxatives and analgesics this may be in spite of
warnings about (or even the development of) physical harm such as renal
dysfunction or electrolyte disturbances. Although it is usually clear that the patient
has a strong motivation to take the substance, dependence or withdrawal symptoms
do not develop as in the case of the psychoactive substances specified in F10-F19.
Abuse of:
• antacids
• herbal or folk remedies
• steroids or hormones
• vitamins
Laxative habit
Excludes: abuse of psychoactive substances (F10-F19)
F59 Unspecified behavioural syndromes associated with physiological disturbances

and physical factors
Psychogenic physiological dysfunction NOS
V-57
Disorders of adult personality and behaviour

(F60-F69)
This block includes a variety of conditions and behaviour patterns of clinical significance which tend
to be persistent and appear to be the expression of the individual's characteristic lifestyle and mode
of relating to himself or herself and others. Some of these conditions and patterns of behaviour
emerge early in the course of individual development, as a result of both constitutional factors and
social experience, while others are acquired later in life. Specific personality disorders (F60.-),
mixed and other personality disorders (F61.-), and enduring personality changes (F62.-) are deeply
ingrained and enduring behaviour patterns, manifesting as inflexible responses to a broad range of
personal and social situations. They represent extreme or significant deviations from the way in
which the average individual in a given culture perceives, thinks, feels and, particularly, relates to
others. Such behaviour patterns tend to be stable and to encompass multiple domains of behaviour
and psychological functioning. They are frequently, but not always, associated with various degrees
of subjective distress and problems of social performance.
F60 Specific personality disorders

These are severe disturbances in the personality and behavioural tendencies of the
individual; not directly resulting from disease, damage, or other insult to the brain, or
from another psychiatric disorder; usually involving several areas of the personality;
nearly always associated with considerable personal distress and social disruption;
and usually manifest since childhood or adolescence and continuing throughout
adulthood.
V-58
F60.0 Paranoid personality disorder

Personality disorder characterized by excessive sensitivity to setbacks, unforgiveness
of insults; suspiciousness and a tendency to distort experience by misconstruing the
neutral or friendly actions of others as hostile or contemptuous; recurrent suspicions,
without justification, regarding the sexual fidelity of the spouse or sexual partner;
and a combative and tenacious sense of personal rights. There may be excessive self-
importance, and there is often excessive self-reference.
Personality (disorder):
• expansive paranoid
• fanatic
• querulant
• paranoid
• sensitive paranoid
Excludes: paranoia (F22.0)

• querulans (F22.8)
paranoid:
• psychosis (F22.0)
• schizophrenia (F20.0)
• state (F22.0)
F60.1 Schizoid personality disorder

Personality disorder characterized by withdrawal from affectional, social and other
contacts with preference for fantasy, solitary activities, and introspection. There is a
limited capacity to express feelings and to experience pleasure.

delusional disorder (F22.0)
schizoid disorder of childhood (F84.5)
schizotypal disorder (F21)
V-59
F60.2 Dissocial personality disorder

Personality disorder characterized by disregard for social obligations, and callous
unconcern for the feelings of others. There is gross disparity between behaviour and
the prevailing social norms. Behaviour is not readily modifiable by adverse
experience, including punishment. There is a low tolerance to frustration and a low
threshold for discharge of aggression, including violence; there is a tendency to
blame others, or to offer plausible rationalizations for the behaviour bringing the
patient into conflict with society.
• amoral
• antisocial
• asocial
• psychopathic
• sociopathic
Excludes: conduct disorders (F91.-)

emotionally unstable personality disorder (F60.3)
F60.3 Emotionally unstable personality disorder

Personality disorder characterized by a definite tendency to act impulsively and
without consideration of the consequences; the mood is unpredictable and capricious.
There is a liability to outbursts of emotion and an incapacity to control the
behavioural explosions. There is a tendency to quarrelsome behaviour and to
conflicts with others, especially when impulsive acts are thwarted or censored. Two
types may be distinguished: the impulsive type, characterized predominantly by
emotional instability and lack of impulse control, and the borderline type,
characterized in addition by disturbances in self-image, aims, and internal
preferences, by chronic feelings of emptiness, by intense and unstable interpersonal
relationships, and by a tendency to self-destructive behaviour, including suicide
gestures and attempts.
• aggressive
• borderline
• explosive
Excludes: dissocial personality disorder (F60.2)
V-60
F60.4 Histrionic personality disorder

Personality disorder characterized by shallow and labile affectivity, self-
dramatization, theatricality, exaggerated expression of emotions, suggestibility,
egocentricity, self-indulgence, lack of consideration for others, easily hurt feelings,
and continuous seeking for appreciation, excitement and attention.
• hysterical
• psychoinfantile
F60.5 Anankastic personality disorder

Personality disorder characterized by feelings of doubt, perfectionism, excessive
conscientiousness, checking and preoccupation with details, stubbornness, caution,
and rigidity. There may be insistent and unwelcome thoughts or impulses that do not
attain the severity of an obsessive-compulsive disorder.
• compulsive
• obsessional
• obsessive-compulsive
Excludes: obsessive-compulsive disorder (F42.-)
F60.6 Anxious [avoidant] personality disorder

Personality disorder characterized by feelings of tension and apprehension, insecurity
and inferiority. There is a continuous yearning to be liked and accepted, a
hypersensitivity to rejection and criticism with restricted personal attachments, and a
tendency to avoid certain activities by habitual exaggeration of the potential dangers
or risks in everyday situations.
V-61
F60.7 Dependent personality disorder

Personality disorder characterized by pervasive passive reliance on other people to
make one's major and minor life decisions, great fear of abandonment, feelings of
helplessness and incompetence, passive compliance with the wishes of elders and
others, and a weak response to the demands of daily life. Lack of vigour may show
itself in the intellectual or emotional spheres; there is often a tendency to transfer
responsibility to others.
• asthenic
• inadequate
• passive
• self-defeating
F60.8 Other specific personality disorders

• eccentric
• "haltlose" type
• immature
• narcissistic
• passive-aggressive
• psychoneurotic
F60.9 Personality disorder, unspecified

Character neurosis NOS
Pathological personality NOS
F61 Mixed and other personality disorders

This category is intended for personality disorders that are often troublesome but do
not demonstrate the specific pattern of symptoms that characterize the disorders
described in F60.-. As a result they are often more difficult to diagnose than the
disorders in F60.-.
Examples include:
• mixed personality disorders with features of several of the disorders in F60.- but
without a predominant set of symptoms that would allow a more specific diagnosis
• troublesome personality changes, not classifiable to F60.- or F62.-, and regarded
as secondary to a main diagnosis of a coexisting affective or anxiety disorder.
Excludes: accentuated personality traits (Z73.1)
V-62
F62 Enduring personality changes, not attributable to brain damage and disease
Disorders of adult personality and behaviour that have developed in persons with no
previous personality disorder following exposure to catastrophic or excessive
prolonged stress, or following a severe psychiatric illness. These diagnoses should be
made only when there is evidence of a definite and enduring change in a person's
pattern of perceiving, relating to, or thinking about the environment and himself or
herself. The personality change should be significant and be associated with
inflexible and maladaptive behaviour not present before the pathogenic experience.
The change should not be a direct manifestation of another mental disorder or a
residual symptom of any antecedent mental disorder.
Excludes: personality and behavioural disorder due to brain disease, damage and
dysfunction (F07.-)
F62.0 Enduring personality change after catastrophic experience

Enduring personality change, present for at least two years, following exposure to
catastrophic stress. The stress must be so extreme that it is not necessary to consider
personal vulnerability in order to explain its profound effect on the personality. The
disorder is characterized by a hostile or distrustful attitude toward the world, social
withdrawal, feelings of emptiness or hopelessness, a chronic feeling of "being on
edge" as if constantly threatened, and estrangement. Post-traumatic stress disorder
(F43.1) may precede this type of personality change.
Personality change after:

• concentration camp experiences
• disasters
• prolonged:
• captivity with an imminent possibility of being killed
• exposure to life-threatening situations such as being a victim of terrorism
• torture
Excludes: post-traumatic stress disorder (F43.1)
V-63
F62.1 Enduring personality change after psychiatric illness

Personality change, persisting for at least two years, attributable to the traumatic
experience of suffering from a severe psychiatric illness. The change cannot be
explained by a previous personality disorder and should be differentiated from
residual schizophrenia and other states of incomplete recovery from an antecedent
mental disorder. This disorder is characterized by an excessive dependence on and a
demanding attitude towards others; conviction of being changed or stigmatized by
the illness, leading to an inability to form and maintain close and confiding personal
relationships and to social isolation; passivity, reduced interests, and diminished
involvement in leisure activities; persistent complaints of being ill, which may be
associated with hypochondriacal claims and illness behaviour; dysphoric or labile
mood, not due to the presence of a current mental disorder or antecedent mental
disorder with residual affective symptoms; and longstanding problems in social and
occupational functioning.
F62.8 Other enduring personality changes

Chronic pain personality syndrome
F62.9 Enduring personality change, unspecified
F63 Habit and impulse disorders

This category includes certain disorders of behaviour that are not classifiable under
other categories. They are characterized by repeated acts that have no clear rational
motivation, cannot be controlled, and generally harm the patient's own interests and
those of other people. The patient reports that the behaviour is associated with
impulses to action. The cause of these disorders is not understood and they are
grouped together because of broad descriptive similarities, not because they are
known to share any other important features.
Excludes: habitual excessive use of alcohol or psychoactive substances (F10-F19)

impulse and habit disorders involving sexual behaviour (F65.-)
F63.0 Pathological gambling

The disorder consists of frequent, repeated episodes of gambling that dominate the
patient's life to the detriment of social, occupational, material, and family values and
commitments.
Compulsive gambling
Excludes: excessive gambling by manic patients (F30.-)
gambling and betting NOS (Z72.6)
gambling in dissocial personality disorder (F60.2)
V-64
F63.1 Pathological fire-setting [pyromania]

Disorder characterized by multiple acts of, or attempts at, setting fire to property or
other objects, without apparent motive, and by a persistent preoccupation with
subjects related to fire and burning. This behaviour is often associated with feelings
of increasing tension before the act, and intense excitement immediately afterwards.
Excludes: fire-setting (by)(in):

• adult with dissocial personality disorder (F60.2)
• alcohol or psychoactive substance intoxication (F10-F19, with
common fourth character .0)
• as the reason for observation for suspected mental disorder (Z03.2)
• conduct disorders (F91.-)
• organic mental disorders (F00-F09)
• schizophrenia (F20.-)
F63.2 Pathological stealing [kleptomania]

Disorder characterized by repeated failure to resist impulses to steal objects that are
not acquired for personal use or monetary gain. The objects may instead be
discarded, given away, or hoarded. This behaviour is usually accompanied by an
increasing sense of tension before, and a sense of gratification during and
immediately after, the act.
Excludes: depressive disorder with stealing (F31-F33)

organic mental disorders (F00-F09)
shoplifting as the reason for observation for suspected mental disorder
(Z03.2)
F63.3 Trichotillomania
A disorder characterized by noticeable hair-loss due to a recurrent failure to resist
impulses to pull out hairs. The hair-pulling is usually preceded by mounting tension
and is followed by a sense of relief or gratification. This diagnosis should not be
made if there is a pre-existing inflammation of the skin, or if the hair-pulling is in
response to a delusion or a hallucination.
Excludes: stereotyped movement disorder with hair-plucking (F98.4)
V-65
F63.8 Other habit and impulse disorders

Other kinds of persistently repeated maladaptive behaviour that are not secondary to
a recognized psychiatric syndrome, and in which it appears that the patient is
repeatedly failing to resist impulses to carry out the behaviour. There is a prodromal
period of tension with a feeling of release at the time of the act.
Intermittent explosive disorder
F63.9 Habit and impulse disorder, unspecified
F64 Gender identity disorders
F64.0 Transsexualism
A desire to live and be accepted as a member of the opposite sex, usually
accompanied by a sense of discomfort with, or inappropriateness of, one's anatomic
sex, and a wish to have surgery and hormonal treatment to make one's body as
congruent as possible with one's preferred sex.
F64.1 Dual-role transvestism

The wearing of clothes of the opposite sex for part of the individual's existence in
order to enjoy the temporary experience of membership of the opposite sex, but
without any desire for a more permanent sex change or associated surgical
reassignment, and without sexual excitement accompanying the cross-dressing.
Gender identity disorder of adolescence or adulthood, nontranssexual type
Excludes: fetishistic transvestism (F65.1)
F64.2 Gender identity disorder of childhood

A disorder, usually first manifest during early childhood (and always well before
puberty), characterized by a persistent and intense distress about assigned sex,
together with a desire to be (or insistence that one is) of the other sex. There is a
persistent preoccupation with the dress and activities of the opposite sex and
repudiation of the individual's own sex. The diagnosis requires a profound
disturbance of the normal gender identity; mere tomboyishness in girls or girlish
behaviour in boys is not sufficient. Gender identity disorders in individuals who have
reached or are entering puberty should not be classified here but in F66.-.
Excludes: egodystonic sexual orientation (F66.1)

sexual maturation disorder (F66.0)
V-66
F64.8 Other gender identity disorders
F64.9 Gender identity disorder, unspecified

Gender-role disorder NOS
F65 Disorders of sexual preference
Includes: paraphilias
F65.0 Fetishism
Reliance on some non-living object as a stimulus for sexual arousal and sexual
gratification. Many fetishes are extensions of the human body, such as articles of
clothing or footwear. Other common examples are characterized by some particular
texture such as rubber, plastic or leather. Fetish objects vary in their importance to
the individual. In some cases they simply serve to enhance sexual excitement
achieved in ordinary ways (e.g. having the partner wear a particular garment).
F65.1 Fetishistic transvestism

The wearing of clothes of the opposite sex principally to obtain sexual excitement
and to create the appearance of a person of the opposite sex. Fetishistic transvestism
is distinguished from transsexual transvestism by its clear association with sexual
arousal and the strong desire to remove the clothing once orgasm occurs and sexual
arousal declines. It can occur as an earlier phase in the development of
transsexualism.
Transvestic fetishism
F65.2 Exhibitionism
A recurrent or persistent tendency to expose the genitalia to strangers (usually of the
opposite sex) or to people in public places, without inviting or intending closer
contact. There is usually, but not invariably, sexual excitement at the time of the
exposure and the act is commonly followed by masturbation.
F65.3 Voyeurism
A recurrent or persistent tendency to look at people engaging in sexual or intimate
behaviour such as undressing. This is carried out without the observed people being
aware, and usually leads to sexual excitement and masturbation.
F65.4 Paedophilia
A sexual preference for children, boys or girls or both, usually of prepubertal or early
pubertal age.
V-67
F65.5 Sadomasochism
A preference for sexual activity which involves the infliction of pain or humiliation,
or bondage. If the subject prefers to be the recipient of such stimulation this is called
masochism; if the provider, sadism. Often an individual obtains sexual excitement
from both sadistic and masochistic activities.
Masochism
Sadism
F65.6 Multiple disorders of sexual preference

Sometimes more than one abnormal sexual preference occurs in one person and there
is none of first rank. The most common combination is fetishism, transvestism and
sadomasochism.
F65.8 Other disorders of sexual preference

A variety of other patterns of sexual preference and activity, including making
obscene telephone calls, rubbing up against people for sexual stimulation in crowded
public places, sexual activity with animals, and use of strangulation or anoxia for
intensifying sexual excitement.
Frotteurism
Necrophilia
F65.9 Disorder of sexual preference, unspecified

Sexual deviation NOS
F66 Psychological and behavioural disorders associated with sexual development

and orientation
Note: Sexual orientation by itself is not to be regarded as a disorder.
F66.0 Sexual maturation disorder

The patient suffers from uncertainty about his or her gender identity or sexual
orientation, which causes anxiety or depression. Most commonly this occurs in
adolescents who are not certain whether they are homosexual, heterosexual or
bisexual in orientation, or in individuals who, after a period of apparently stable
sexual orientation (often within a longstanding relationship), find that their sexual
orientation is changing.
V-68
F66.1 Egodystonic sexual orientation

The gender identity or sexual preference (heterosexual, homosexual, bisexual, or
prepubertal) is not in doubt, but the individual wishes it were different because of
associated psychological and behavioural disorders, and may seek treatment in order
to change it.
F66.2 Sexual relationship disorder

The gender identity or sexual orientation (heterosexual, homosexual, or bisexual) is
responsible for difficulties in forming or maintaining a relationship with a sexual
partner.
F66.8 Other psychosexual development disorders
F66.9 Psychosexual development disorder, unspecified
F68 Other disorders of adult personality and behaviour
F68.0 Elaboration of physical symptoms for psychological reasons

Physical symptoms compatible with and originally due to a confirmed physical
disorder, disease or disability become exaggerated or prolonged due to the
psychological state of the patient. The patient is commonly distressed by this pain or
disability, and is often preoccupied with worries, which may be justified, of the
possibility of prolonged or progressive disability or pain.
Compensation neurosis
F68.1 Intentional production or feigning of symptoms or disabilities, either physical or

psychological [factitious disorder]
The patient feigns symptoms repeatedly for no obvious reason and may even inflict
self-harm in order to produce symptoms or signs. The motivation is obscure and
presumably internal with the aim of adopting the sick role. The disorder is often
combined with marked disorders of personality and relationships.
Hospital hopper syndrome

Münchhausen's syndrome
Peregrinating patient
Excludes: factitial dermatitis (L98.1)

person feigning illness (with obvious motivation) (Z76.5)
V-69
F68.8 Other specified disorders of adult personality and behaviour

Character disorder NOS
Relationship disorder NOS
F69 Unspecified disorder of adult personality and behaviour
Mental retardation
(F70-F79)
A condition of arrested or incomplete development of the mind, which is especially characterized by

impairment of skills manifested during the developmental period, skills which contribute to the
overall level of intelligence, i.e. cognitive, language, motor, and social abilities. Retardation can
occur with or without any other mental or physical condition.
Degrees of mental retardation are conventionally estimated by standardized intelligence tests. These
can be supplemented by scales assessing social adaptation in a given environment. These measures
provide an approximate indication of the degree of mental retardation. The diagnosis will also
depend on the overall assessment of intellectual functioning by a skilled diagnostician.
Intellectual abilities and social adaptation may change over time, and, however poor, may improve
as a result of training and rehabilitation. Diagnosis should be based on the current levels of
functioning.
The following fourth-character subdivisions are for use with categories F70-F79 to identify the
extent of impairment of behaviour:
.0 With the statement of no, or minimal, impairment of behaviour
.1 Significant impairment of behaviour requiring attention or treatment
.8 Other impairments of behaviour
.9 Without mention of impairment of behaviour
Use additional code, if desired, to identify associated conditions such as autism, other developmental
disorders, epilepsy, conduct disorders, or severe physical handicap.
V-70
F70 Mild mental retardation

Approximate IQ range of 50 to 69 (in adults, mental age from 9 to under 12 years).
Likely to result in some learning difficulties in school. Many adults will be able to
work and maintain good social relationships and contribute to society.
Includes: feeble-mindedness
mild mental subnormality
F71 Moderate mental retardation

Likely to result in marked developmental delays in childhood but most can learn to
develop some degree of independence in self-care and acquire adequate
communication and academic skills. Adults will need varying degrees of support to
live and work in the community.
Includes: moderate mental subnormality
F72 Severe mental retardation

Likely to result in continuous need of support.
Includes: severe mental subnormality
F73 Profound mental retardation

IQ under 20 (in adults, mental age below 3 years). Results in severe limitation in
self-care, continence, communication and mobility.
Includes: profound mental subnormality
F78 Other mental retardation
F79 Unspecified mental retardation
Includes: mental:
• deficiency NOS
• subnormality NOS
V-71
Disorders of psychological development

(F80-F89)
The disorders included in this block have in common: (a) onset invariably during infancy or
childhood; (b) impairment or delay in development of functions that are strongly related to
biological maturation of the central nervous system; and (c) a steady course without remissions and
relapses. In most cases, the functions affected include language, visuo-spatial skills, and motor
coordination. Usually, the delay or impairment has been present from as early as it could be detected
reliably and will diminish progressively as the child grows older, although milder deficits often
remain in adult life.
F80 Specific developmental disorders of speech and language

Disorders in which normal patterns of language acquisition are disturbed from the
early stages of development. The conditions are not directly attributable to
neurological or speech mechanism abnormalities, sensory impairments, mental
retardation, or environmental factors. Specific developmental disorders of speech and
language are often followed by associated problems, such as difficulties in reading
and spelling, abnormalities in interpersonal relationships, and emotional and
behavioural disorders.
F80.0 Specific speech articulation disorder

A specific developmental disorder in which the child's use of speech sounds is below
the appropriate level for its mental age, but in which there is a normal level of
language skills.
Developmental:
• phonological disorder
• speech articulation disorder
Dyslalia
Functional speech articulation disorder
Lalling
Excludes: speech articulation impairment (due to):

• aphasia NOS (R47.0)
• apraxia (R48.2)
• hearing loss (H90-H91)
• mental retardation (F70-F79)
• with language developmental disorder:
• expressive (F80.1)
• receptive (F80.2)
V-72
F80.1 Expressive language disorder

A specific developmental disorder in which the child's ability to use expressive
spoken language is markedly below the appropriate level for its mental age, but in
which language comprehension is within normal limits. There may or may not be
abnormalities in articulation.
Developmental dysphasia or aphasia, expressive type
Excludes: acquired aphasia with epilepsy [Landau-Kleffner] (F80.3)

developmental dysphasia or aphasia, receptive type (F80.2)
dysphasia and aphasia NOS (R47.0)
elective mutism (F94.0)
mental retardation (F70-F79)
pervasive developmental disorders (F84.-)
F80.2 Receptive language disorder

A specific developmental disorder in which the child's understanding of language is
below the appropriate level for its mental age. In virtually all cases expressive
language will also be markedly affected and abnormalities in word-sound production
are common.
Congenital auditory imperception

Developmental:
• dysphasia or aphasia, receptive type
• Wernicke's aphasia
Word deafness
Excludes: acquired aphasia with epilepsy [Landau-Kleffner] (F80.3)

autism (F84.0-F84.1)
dysphasia and aphasia:
• NOS (R47.0)
• expressive type (F80.1)
elective mutism (F94.0)
language delay due to deafness (H90-H91)
mental retardation (F70-F79)
V-73
F80.3 Acquired aphasia with epilepsy [Landau-Kleffner]

A disorder in which the child, having previously made normal progress in language
development, loses both receptive and expressive language skills but retains general
intelligence; the onset of the disorder is accompanied by paroxysmal abnormalities
on the EEG, and in the majority of cases also by epileptic seizures. Usually the onset
is between the ages of three and seven years, with skills being lost over days or
weeks. The temporal association between the onset of seizures and loss of language
is variable, with one preceding the other (either way round) by a few months to two
years. An inflammatory encephalitic process has been suggested as a possible cause
of this disorder. About two-thirds of patients are left with a more or less severe
receptive language deficit.
Excludes: aphasia (due to):

• NOS (R47.0)
• autism (F84.0-F84.1)
• disintegrative disorders of childhood (F84.2-F84.3)
F80.8 Other developmental disorders of speech and language

Lisping
F80.9 Developmental disorder of speech and language, unspecified

Language disorder NOS
F81 Specific developmental disorders of scholastic skills

Disorders in which the normal patterns of skill acquisition are disturbed from the
early stages of development. This is not simply a consequence of a lack of
opportunity to learn, it is not solely a result of mental retardation, and it is not due to
any form of acquired brain trauma or disease.
V-74
F81.0 Specific reading disorder

The main feature is a specific and significant impairment in the development of
reading skills that is not solely accounted for by mental age, visual acuity problems,
or inadequate schooling. Reading comprehension skill, reading word recognition,
oral reading skill, and performance of tasks requiring reading may all be affected.
Spelling difficulties are frequently associated with specific reading disorder and
often remain into adolescence even after some progress in reading has been made.
Specific developmental disorders of reading are commonly preceded by a history of
disorders in speech or language development. Associated emotional and behavioural
disturbances are common during the school age period.
"Backward reading"
Developmental dyslexia
Specific reading retardation
Excludes: alexia NOS (R48.0)

dyslexia NOS (R48.0)
reading difficulties secondary to emotional disorders (F93.-)
F81.1 Specific spelling disorder

The main feature is a specific and significant impairment in the development of
spelling skills in the absence of a history of specific reading disorder, which is not
solely accounted for by low mental age, visual acuity problems, or inadequate
schooling. The ability to spell orally and to write out words correctly are both
affected.
Specific spelling retardation (without reading disorder)
Excludes: agraphia NOS (R48.8)

spelling difficulties:
• associated with a reading disorder (F81.0)
• due to inadequate teaching (Z55.8)
V-75
F81.2 Specific disorder of arithmetical skills

Involves a specific impairment in arithmetical skills that is not solely explicable on
the basis of general mental retardation or of inadequate schooling. The deficit
concerns mastery of basic computational skills of addition, subtraction,
multiplication, and division rather than of the more abstract mathematical skills
involved in algebra, trigonometry, geometry, or calculus.
Developmental:
• acalculia
• arithmetical disorder
• Gerstmann's syndrome
Excludes: acalculia NOS (R48.8)

arithmetical difficulties:
• associated with a reading or spelling disorder (F81.3)
• due to inadequate teaching (Z55.8)
F81.3 Mixed disorder of scholastic skills

An ill-defined residual category of disorders in which both arithmetical and reading
or spelling skills are significantly impaired, but in which the disorder is not solely
explicable in terms of general mental retardation or of inadequate schooling. It
should be used for disorders meeting the criteria for both F81.2 and either F81.0 or
F81.1.
Excludes: specific:
• disorder of arithmetical skills (F81.2)
• reading disorder (F81.0)
• spelling disorder (F81.1)
F81.8 Other developmental disorders of scholastic skills

Developmental expressive writing disorder
F81.9 Developmental disorder of scholastic skills, unspecified

Knowledge acquisition disability NOS
Learning:
• disability NOS
• disorder NOS
V-76
F82 Specific developmental disorder of motor function

A disorder in which the main feature is a serious impairment in the development of
motor coordination that is not solely explicable in terms of general intellectual
retardation or of any specific congenital or acquired neurological disorder.
Nevertheless, in most cases a careful clinical examination shows marked
neurodevelopmental immaturities such as choreiform movements of unsupported
limbs or mirror movements and other associated motor features, as well as signs of
impaired fine and gross motor coordination.
Clumsy child syndrome

Developmental:
• coordination disorder
• dyspraxia
Excludes: abnormalities of gait and mobility (R26.-)

lack of coordination (R27.-)
• secondary to mental retardation (F70-F79)
F83 Mixed specific developmental disorders

A residual category for disorders in which there is some admixture of specific
developmental disorders of speech and language, of scholastic skills, and of motor
function, but in which none predominates sufficiently to constitute the prime
diagnosis. This mixed category should be used only when there is a major overlap
between each of these specific developmental disorders. The disorders are usually,
but not always, associated with some degree of general impairment of cognitive
functions. Thus, the category should be used when there are dysfunctions meeting
the criteria for two or more of F80.-, F81.- and F82.
V-77
F84 Pervasive developmental disorders

A group of disorders characterized by qualitative abnormalities in reciprocal social
interactions and in patterns of communication, and by a restricted, stereotyped,
repetitive repertoire of interests and activities. These qualitative abnormalities are a
pervasive feature of the individual's functioning in all situations.
Use additional code, if desired, to identify any associated medical condition and
mental retardation.
F84.0 Childhood autism

A type of pervasive developmental disorder that is defined by: (a) the presence of
abnormal or impaired development that is manifest before the age of three years, and
(b) the characteristic type of abnormal functioning in all the three areas of
psychopathology: reciprocal social interaction, communication, and restricted,
stereotyped, repetitive behaviour. In addition to these specific diagnostic features, a
range of other nonspecific problems are common, such as phobias, sleeping and
eating disturbances, temper tantrums, and (self-directed) aggression.
Autistic disorder
Infantile:
• autism
• psychosis
Kanner's syndrome
Excludes: autistic psychopathy (F84.5)
V-78
F84.1 Atypical autism

A type of pervasive developmental disorder that differs from childhood autism either
in age of onset or in failing to fulfill all three sets of diagnostic criteria. This
subcategory should be used when there is abnormal and impaired development that is
present only after age three years, and a lack of sufficient demonstrable abnormalities
in one or two of the three areas of psychopathology required for the diagnosis of
autism (namely, reciprocal social interactions, communication, and restricted,
stereotyped, repetitive behaviour) in spite of characteristic abnormalities in the other
area(s). Atypical autism arises most often in profoundly retarded individuals and in
individuals with a severe specific developmental disorder of receptive language.
Atypical childhood psychosis

Mental retardation with autistic features
Use additional code (F70-F79), if desired, to identify mental retardation.
F84.2 Rett's syndrome

A condition, so far found only in girls, in which apparently normal early
development is followed by partial or complete loss of speech and of skills in
locomotion and use of hands, together with deceleration in head growth, usually with
an onset between seven and 24 months of age. Loss of purposive hand movements,
hand-wringing stereotypies, and hyperventilation are characteristic. Social and play
development are arrested but social interest tends to be maintained. Trunk ataxia and
apraxia start to develop by age four years and choreoathetoid movements frequently
follow. Severe mental retardation almost invariably results.
V-79
F84.3 Other childhood disintegrative disorder

A type of pervasive developmental disorder that is defined by a period of entirely
normal development before the onset of the disorder, followed by a definite loss of
previously acquired skills in several areas of development over the course of a few
months. Typically, this is accompanied by a general loss of interest in the
environment, by stereotyped, repetitive motor mannerisms, and by autistic-like
abnormalities in social interaction and communication. In some cases the disorder
can be shown to be due to some associated encephalopathy but the diagnosis should
be made on the behavioural features.
Dementia infantilis
Disintegrative psychosis
Heller's syndrome
Symbiotic psychosis
Use additional code, if desired, to identify any associated neurological condition.
Excludes: Rett's syndrome (F84.2)
F84.4 Overactive disorder associated with mental retardation and stereotyped

movements
An ill-defined disorder of uncertain nosological validity. The category is designed to
include a group of children with severe mental retardation (IQ below 34) who show
major problems in hyperactivity and in attention, as well as stereotyped behaviours.
They tend not to benefit from stimulant drugs (unlike those with an IQ in the normal
range) and may exhibit a severe dysphoric reaction (sometimes with psychomotor
retardation) when given stimulants. In adolescence, the overactivity tends to be
replaced by underactivity (a pattern that is not usual in hyperkinetic children with
normal intelligence). This syndrome is also often associated with a variety of
developmental delays, either specific or global. The extent to which the behavioural
pattern is a function of low IQ or of organic brain damage is not known.
V-80
F84.5 Asperger's syndrome

A disorder of uncertain nosological validity, characterized by the same type of
qualitative abnormalities of reciprocal social interaction that typify autism, together
with a restricted, stereotyped, repetitive repertoire of interests and activities. It differs
from autism primarily in the fact that there is no general delay or retardation in
language or in cognitive development. This disorder is often associated with marked
clumsiness. There is a strong tendency for the abnormalities to persist into
adolescence and adult life. Psychotic episodes occasionally occur in early adult life.
Autistic psychopathy
Schizoid disorder of childhood
F84.8 Other pervasive developmental disorders
F84.9 Pervasive developmental disorder, unspecified
F88 Other disorders of psychological development

Developmental agnosia
F89 Unspecified disorder of psychological development

Developmental disorder NOS
V-81
Behavioural and emotional disorders with onset usually occurring in

childhood and adolescence
(F90-F98)
F90 Hyperkinetic disorders

A group of disorders characterized by an early onset (usually in the first five years of
life), lack of persistence in activities that require cognitive involvement, and a
tendency to move from one activity to another without completing any one, together
with disorganized, ill-regulated, and excessive activity. Several other abnormalities
may be associated. Hyperkinetic children are often reckless and impulsive, prone to
accidents, and find themselves in disciplinary trouble because of unthinking breaches
of rules rather than deliberate defiance. Their relationships with adults are often
socially disinhibited, with a lack of normal caution and reserve. They are unpopular
with other children and may become isolated. Impairment of cognitive functions is
common, and specific delays in motor and language development are
disproportionately frequent. Secondary complications include dissocial behaviour
and low self-esteem.
Excludes: anxiety disorders (F41.-)

mood [affective] disorders (F30-F39)
F90.0 Disturbance of activity and attention

Attention deficit:
• disorder with hyperactivity
• hyperactivity disorder
• syndrome with hyperactivity
Excludes: hyperkinetic disorder associated with conduct disorder (F90.1)
F90.1 Hyperkinetic conduct disorder

Hyperkinetic disorder associated with conduct disorder
F90.8 Other hyperkinetic disorders
F90.9 Hyperkinetic disorder, unspecified

Hyperkinetic reaction of childhood or adolescence NOS
Hyperkinetic syndrome NOS
V-82
F91 Conduct disorders

Disorders characterized by a repetitive and persistent pattern of dissocial, aggressive,
or defiant conduct. Such behaviour should amount to major violations of age-
appropriate social expectations; it should therefore be more severe than ordinary
childish mischief or adolescent rebelliousness and should imply an enduring pattern
of behaviour (six months or longer). Features of conduct disorder can also be
symptomatic of other psychiatric conditions, in which case the underlying diagnosis
should be preferred.
Examples of the behaviours on which the diagnosis is based include excessive levels
of fighting or bullying, cruelty to other people or animals, severe destructiveness to
property, fire-setting, stealing, repeated lying, truancy from school and running away
from home, unusually frequent and severe temper tantrums, and disobedience. Any
one of these behaviours, if marked, is sufficient for the diagnosis, but isolated
dissocial acts are not.
Excludes: mood [affective] (F30-F39)

when associated with:
• emotional disorders (F92.-)
• hyperkinetic disorders (F90.1)
F91.0 Conduct disorder confined to the family context

Conduct disorder involving dissocial or aggressive behaviour (and not merely
oppositional, defiant, disruptive behaviour), in which the abnormal behaviour is
entirely, or almost entirely, confined to the home and to interactions with members of
the nuclear family or immediate household. The disorder requires that the overall
criteria for F91.- be met; even severely disturbed parent-child relationships are not of
themselves sufficient for diagnosis.
F91.1 Unsocialized conduct disorder

Disorder characterized by the combination of persistent dissocial or aggressive
behaviour (meeting the overall criteria for F91.- and not merely comprising
oppositional, defiant, disruptive behaviour) with significant pervasive abnormalities
in the individual's relationships with other children.
Conduct disorder, solitary aggressive type

Unsocialized aggressive disorder
V-83
F91.2 Socialized conduct disorder

Disorder involving persistent dissocial or aggressive behaviour (meeting the overall
criteria for F91.- and not merely comprising oppositional, defiant, disruptive
behaviour) occurring in individuals who are generally well integrated into their peer
group.
Conduct disorder, group type

Group delinquency
Offences in the context of gang membership
Stealing in company with others
Truancy from school
F91.3 Oppositional defiant disorder

Conduct disorder, usually occurring in younger children, primarily characterized by
markedly defiant, disobedient, disruptive behaviour that does not include delinquent
acts or the more extreme forms of aggressive or dissocial behaviour. The disorder
requires that the overall criteria for F91.- be met; even severely mischievous or
naughty behaviour is not in itself sufficient for diagnosis. Caution should be
employed before using this category, especially with older children, because
clinically significant conduct disorder will usually be accompanied by dissocial or
aggressive behaviour that goes beyond mere defiance, disobedience, or
disruptiveness.
F91.8 Other conduct disorders
F91.9 Conduct disorder, unspecified

Childhood:
• behavioural disorder NOS
• conduct disorder NOS
V-84
F92 Mixed disorders of conduct and emotions

A group of disorders characterized by the combination of persistently aggressive,
dissocial or defiant behaviour with overt and marked symptoms of depression,
anxiety or other emotional upsets. The criteria for both conduct disorders of
childhood (F9l.-) and emotional disorders of childhood (F93.-) or an adult-type
neurotic diagnosis (F40-F48) or a mood disorder (F30-F39) must be met.
F92.0 Depressive conduct disorder

This category requires the combination of conduct disorder (F91.-) with persistent
and marked depression of mood (F32.-), as demonstrated by symptoms such as
excessive misery, loss of interest and pleasure in usual activities, self-blame, and
hopelessness; disturbances of sleep or appetite may also be present.
Conduct disorder in F91.- associated with depressive disorder in F32.-
F92.8 Other mixed disorders of conduct and emotions

This category requires the combination of conduct disorder (F91.-) with persistent
and marked emotional symptoms such as anxiety, obsessions or compulsions,
depersonalization or derealization, phobias, or hypochondriasis.
Conduct disorder in F91.- associated with:

• emotional disorder in F93.-
• neurotic disorder in F40-F48
F92.9 Mixed disorder of conduct and emotions, unspecified
V-85
F93 Emotional disorders with onset specific to childhood

Mainly exaggerations of normal developmental trends rather than phenomena that
are qualitatively abnormal in themselves. Developmental appropriateness is used as
the key diagnostic feature in defining the difference between these emotional
disorders, with onset specific to childhood, and the neurotic disorders (F40-F48).
Excludes: when associated with conduct disorder (F92.-)
F93.0 Separation anxiety disorder of childhood

Should be diagnosed when fear of separation constitutes the focus of the anxiety and
when such anxiety first arose during the early years of childhood. It is differentiated
from normal separation anxiety when it is of a degree (severity) that is statistically
unusual (including an abnormal persistence beyond the usual age period), and when
it is associated with significant problems in social functioning.
Excludes: mood [affective] disorders (F30-F39)

neurotic disorders (F40-F48)
phobic anxiety disorder of childhood (F93.l)
social anxiety disorder of childhood (F93.2)
F93.1 Phobic anxiety disorder of childhood

Fears in childhood that show a marked developmental phase specificity and arise (to
some extent) in a majority of children, but that are abnormal in degree. Other fears
that arise in childhood but that are not a normal part of psychosocial development
(for example agoraphobia) should be coded under the appropriate category in section
F40-F48.
Excludes: generalized anxiety disorder (F41.1)
F93.2 Social anxiety disorder of childhood

In this disorder there is a wariness of strangers and social apprehension or anxiety
when encountering new, strange, or socially threatening situations. This category
should be used only where such fears arise during the early years, and are both
unusual in degree and accompanied by problems in social functioning.
Avoidant disorder of childhood or adolescence
V-86
F93.3 Sibling rivalry disorder

Some degree of emotional disturbance usually following the birth of an immediately
younger sibling is shown by a majority of young children. A sibling rivalry disorder
should be diagnosed only if the degree or persistence of the disturbance is both
statistically unusual and associated with abnormalities of social interaction.
Sibling jealousy
F93.8 Other childhood emotional disorders

Identity disorder
Overanxious disorder
Excludes: gender identity disorder of childhood (F64.2)
F93.9 Childhood emotional disorder, unspecified
F94 Disorders of social functioning with onset specific to childhood and adolescence
A somewhat heterogeneous group of disorders that have in common abnormalities in
social functioning which begin during the developmental period, but which (unlike
the pervasive developmental disorders) are not primarily characterized by an
apparently constitutional social incapacity or deficit that pervades all areas of
functioning. In many instances, serious environmental distortions or privations
probably play a crucial role in etiology.
F94.0 Elective mutism

Characterized by a marked, emotionally determined selectivity in speaking, such that
the child demonstrates a language competence in some situations but fails to speak in
other (definable) situations. The disorder is usually associated with marked
personality features involving social anxiety, withdrawal, sensitivity, or resistance.
Selective mutism
Excludes: pervasive developmental disorders (F84.-)

specific developmental disorders of speech and language (F80.-)
transient mutism as part of separation anxiety in young children (F93.0)
V-87
F94.1 Reactive attachment disorder of childhood

Starts in the first five years of life and is characterized by persistent abnormalities in
the child's pattern of social relationships that are associated with emotional
disturbance and are reactive to changes in environmental circumstances (e.g.
fearfulness and hypervigilance, poor social interaction with peers, aggression
towards self and others, misery, and growth failure in some cases). The syndrome
probably occurs as a direct result of severe parental neglect, abuse, or serious
mishandling.
Use additional code, if desired, to identify any associated failure to thrive or growth
retardation.

disinhibited attachment disorder of childhood (F94.2)
maltreatment syndromes (T74.-)
normal variation in pattern of selective attachment
sexual or physical abuse in childhood, resulting in psychosocial
problems (Z61.4-Z61.6)
F94.2 Disinhibited attachment disorder of childhood

A particular pattern of abnormal social functioning that arises during the first five
years of life and that tends to persist despite marked changes in environmental
circumstances, e.g. diffuse, nonselectively focused attachment behaviour, attention-
seeking and indiscriminately friendly behaviour, poorly modulated peer interactions;
depending on circumstances there may also be associated emotional or behavioural
disturbance.
Affectionless psychopathy
Institutional syndrome

hospitalism in children (F43.2)
hyperkinetic disorders (F90.-)
reactive attachment disorder of childhood (F94.l)
F94.8 Other childhood disorders of social functioning
F94.9 Childhood disorder of social functioning, unspecified
V-88
F95 Tic disorders

Syndromes in which the predominant manifestation is some form of tic. A tic is an
involuntary, rapid, recurrent, nonrhythmic motor movement (usually involving
circumscribed muscle groups) or vocal production that is of sudden onset and that
serves no apparent purpose. Tics tend to be experienced as irresistible but usually
they can be suppressed for varying periods of time, are exacerbated by stress, and
disappear during sleep. Common simple motor tics include only eye-blinking, neck-
jerking, shoulder-shrugging, and facial grimacing. Common simple vocal tics include
throat-clearing, barking, sniffing, and hissing. Common complex tics include hitting
oneself, jumping, and hopping. Common complex vocal tics include the repetition of
particular words, and sometimes the use of socially unacceptable (often obscene)
words (coprolalia), and the repetition of one's own sounds or words (palilalia).
F95.0 Transient tic disorder

Meets the general criteria for a tic disorder but the tics do not persist longer than 12
months. The tics usually take the form of eye-blinking, facial grimacing, or head-
jerking.
F95.1 Chronic motor or vocal tic disorder

Meets the general criteria for a tic disorder, in which there are motor or vocal tics
(but not both), that may be either single or multiple (but usually multiple), and last
for more than a year.
F95.2 Combined vocal and multiple motor tic disorder [de la Tourette]
A form of tic disorder in which there are, or have been, multiple motor tics and one
or more vocal tics, although these need not have occurred concurrently. The disorder
usually worsens during adolescence and tends to persist into adult life. The vocal tics
are often multiple with explosive repetitive vocalizations, throat-clearing, and
grunting, and there may be the use of obscene words or phrases. Sometimes there is
associated gestural echopraxia which may also be of an obscene nature
(copropraxia).
F95.8 Other tic disorders
F95.9 Tic disorder, unspecified

Tic NOS
V-89
F98 Other behavioural and emotional disorders with onset usually occurring in
childhood and adolescence
A heterogeneous group of disorders that share the characteristic of an onset in
childhood but otherwise differ in many respects. Some of the conditions represent
well-defined syndromes but others are no more than symptom complexes that need
inclusion because of their frequency and association with psychosocial problems, and
because they cannot be incorporated into other syndromes.
Excludes: breath-holding spells (R06.8)

gender identity disorder of childhood (F64.2)
Kleine-Levin syndrome (G47.8)
obsessive-compulsive disorder (F42.-)
sleep disorders due to emotional causes (F51.-)
F98.0 Nonorganic enuresis

A disorder characterized by involuntary voiding of urine, by day and by night, which
is abnormal in relation to the individual's mental age, and which is not a consequence
of a lack of bladder control due to any neurological disorder, to epileptic attacks, or
to any structural abnormality of the urinary tract. The enuresis may have been
present from birth or it may have arisen following a period of acquired bladder
control. The enuresis may or may not be associated with a more widespread
emotional or behavioural disorder.
Enuresis (primary)(secondary) of nonorganic origin

Functional enuresis
Psychogenic enuresis
Urinary incontinence of nonorganic origin
Excludes: enuresis NOS (R32)
V-90
F98.1 Nonorganic encopresis

Repeated, voluntary or involuntary passage of faeces, usually of normal or near-
normal consistency, in places not appropriate for that purpose in the individual's own
sociocultural setting. The condition may represent an abnormal continuation of
normal infantile incontinence, it may involve a loss of continence following the
acquisition of bowel control, or it may involve the deliberate deposition of faeces in
inappropriate places in spite of normal physiological bowel control. The condition
may occur as a monosymptomatic disorder, or it may form part of a wider disorder,
especially an emotional disorder (F93.-) or a conduct disorder (F91.-).
Functional encopresis
Incontinence of faeces of nonorganic origin
Psychogenic encopresis
Use additional code, if desired, to identify the cause of any coexisting constipation.
Excludes: encopresis NOS (R15)
F98.2 Feeding disorder of infancy and childhood

A feeding disorder of varying manifestations usually specific to infancy and early
childhood. It generally involves food refusal and extreme faddiness in the presence
of an adequate food supply, a reasonably competent caregiver, and the absence of
organic disease. There may or may not be associated rumination (repeated
regurgitation without nausea or gastrointestinal illness).
Rumination disorder of infancy
Excludes: anorexia nervosa and other eating disorders (F50.-)

feeding:
• difficulties and mismanagement (R63.3)
• problems of newborn (P92.-)
pica of infancy or childhood (F98.3)
F98.3 Pica of infancy and childhood

Persistent eating of non-nutritive substances (such as soil, paint chippings, etc.). It
may occur as one of many symptoms that are part of a more widespread psychiatric
disorder (such as autism), or as a relatively isolated psychopathological behaviour;
only the latter is classified here. The phenomenon is most common in mentally
retarded children and, if mental retardation is also present, F70-F79 should be
selected as the main diagnosis.
V-91
F98.4 Stereotyped movement disorders

Voluntary, repetitive, stereotyped, nonfunctional (and often rhythmic) movements
that do not form part of any recognized psychiatric or neurological condition. When
such movements occur as symptoms of some other disorder, only the overall disorder
should be recorded. The movements that are of a non self-injurious variety include:
body-rocking, head-rocking, hair-plucking, hair-twisting, finger-flicking
mannerisms, and hand-flapping. Stereotyped self-injurious behaviour includes
repetitive head-banging, face-slapping, eye-poking, and biting of hands, lips or other
body parts. All the stereotyped movement disorders occur most frequently in
association with mental retardation (when this is the case, both should be recorded).
If eye-poking occurs in a child with visual impairment, both should be coded: eye-
poking under this category and the visual condition under the appropriate somatic
disorder code.
Stereotype/habit disorder
Excludes: abnormal involuntary movements (R25.-)

movement disorders of organic origin (G20-G25)
nail-biting (F98.8)
nose-picking (F98.8)
stereotypies that are part of a broader psychiatric condition (F00-F95)
thumb-sucking (F98.8)
tic disorders (F95.-)
trichotillomania (F63.3)
F98.5 Stuttering [stammering]

Speech that is characterized by frequent repetition or prolongation of sounds or
syllables or words, or by frequent hesitations or pauses that disrupt the rhythmic flow
of speech. It should be classified as a disorder only if its severity is such as to
markedly disturb the fluency of speech.
Excludes: cluttering (F98.6)

F98.6 Cluttering
A rapid rate of speech with breakdown in fluency, but no repetitions or hesitations,
of a severity to give rise to diminished speech intelligibility. Speech is erratic and
dysrhythmic, with rapid jerky spurts that usually involve faulty phrasing patterns.
Excludes: stuttering (F98.5)

V-92
F98.8 Other specified behavioural and emotional disorders with onset usually
occurring in childhood and adolescence
Attention deficit disorder without hyperactivity
Excessive masturbation
Nail-biting
Nose-picking
Thumb-sucking
F98.9 Unspecified behavioural and emotional disorders with onset usually occurring
in childhood and adolescence
Unspecified mental disorder

(F99)
F99 Mental disorder, not otherwise specified

Mental illness NOS
Excludes: organic mental disorder NOS (F06.9)
V-93
CHAPTER VI
____________________________________________________________________________________________
Diseases of the nervous system

(G00-G99)
Excludes: certain conditions originating in the perinatal period (P00-P96)

certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (000-099)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
neoplasms (C00-D48)
G00-G09 Inflammatory diseases of the central nervous system

G10-G13 Systemic atrophies primarily affecting the central nervous system
G20-G26 Extrapyramidal and movement disorders
G30-G32 Other degenerative diseases of the nervous system
G35-G37 Demyelinating diseases of the central nervous system
G40-G47 Episodic and paroxysmal disorders
G50-G59 Nerve, nerve root and plexus disorders
G60-G64 Polyneuropathies and other disorders of the peripheral nervous system
G70-G73 Diseases of myoneural junction and muscle
G80-G83 Cerebral palsy and other paralytic syndromes
G90-G99 Other disorders of the nervous system
G07* Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere
G13* Systemic atrophies primarily affecting central nervous system in diseases classified
elsewhere
G32* Other degenerative disorders of nervous system in diseases classified elsewhere
G46* Vascular syndromes of brain in cerebrovascular diseases
VI-1

Inflammatory diseases of the central nervous system

(G00-G09)
G00 Bacterial meningitis, not elsewhere classified

Includes: arachnoiditis
leptomeningitis
bacterial
meningitis
pachymeningitis
Excludes: bacterial:
• meningoencephalitis (G04.2)
• meningomyelitis (G04.2)
G00.0 Haemophilus meningitis

Meningitis due to Haemophilus influenzae
G00.1 Pneumococcal meningitis
G00.2 Streptococcal meningitis
G00.3 Staphylococcal meningitis
G00.8 Other bacterial meningitis

Meningitis due to:
• Escherichia coli
• Friedländer bacillus
• Klebsiella
G00.9 Bacterial meningitis, unspecified

Meningitis:
• purulent NOS
• pyogenic NOS
• suppurative NOS
VI-2
DISEASES OF THE NERVOUS SYSTEM

Meningitis (in):
• anthrax (A22.8)
• gonococcal (A54.8†)
• leptospirosis (A27.-†)
• listerial (A32.1†)
• Lyme disease (A69.2†)
• meningococcal (A39.0†)
• neurosyphilis (A52.1†)
• salmonella infection (A02.2†)
• syphilis:
• congenital (A50.4†)
• secondary (A51.4†)
• tuberculous (A17.0†)
• typhoid fever (A01.0†)
Excludes: meningoencephalitis and meningomyelitis in bacterial diseases classified

elsewhere (G05.0*)

Excludes: meningoencephalitis and meningomyelitis in other infectious and
parasitic diseases classified elsewhere (G05.1-G05.2*)
G02.0* Meningitis in viral diseases classified elsewhere

Meningitis (due to):
• adenoviral (A87.1†)
• enteroviral (A87.0†)
• herpesviral [herpes simplex] (B00.3†)
• infectious mononucleosis (B27.-†)
• measles (B05.1†)
• mumps (B26.1†)
• rubella (B06.0†)
• varicella [chickenpox] (B01.0†)
• zoster (B02.1†)
G02.1* Meningitis in mycoses

Meningitis (in):
• candidal (B37.5†)
• coccidioidomycosis (B38.4†)
• cryptococcal (B45.1†)
VI-3
G02.8* Meningitis in other specified infectious and parasitic diseases classified

elsewhere
Meningitis due to:
• African trypanosomiasis (B56.-†)
• Chagas' disease (chronic) (B57.4†)
G03 Meningitis due to other and unspecified causes

Includes: arachnoiditis
leptomeningitis due to other and unspecified
meningitis causes
pachymeningitis
Excludes: meningoencephalitis (G04.-)

meningomyelitis (G04.-)
G03.0 Nonpyogenic meningitis

Nonbacterial meningitis
G03.1 Chronic meningitis
G03.2 Benign recurrent meningitis [Mollaret]
G03.8 Meningitis due to other specified causes
G03.9 Meningitis, unspecified

Arachnoiditis (spinal) NOS
G04 Encephalitis, myelitis and encephalomyelitis

Includes: acute ascending myelitis
meningoencephalitis
meningomyelitis
Excludes: benign myalgic encephalomyelitis (G93.3)

encephalopathy:
• NOS (G93.4)
• alcoholic (G31.2)
• toxic (G92)
multiple sclerosis (G35)
myelitis:
• acute transverse (G37.3)
• subacute necrotizing (G37.4)
VI-4
G04.0 Acute disseminated encephalitis

Encephalitis
postimmunization
Encephalomyelitis
Use additional external cause code (Chapter XX), if desired, to identify vaccine.
G04.1 Tropical spastic paraplegia
G04.2 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
G04.8 Other encephalitis, myelitis and encephalomyelitis

Postinfectious encephalitis and encephalomyelitis NOS
G04.9 Encephalitis, myelitis and encephalomyelitis, unspecified

Ventriculitis (cerebral) NOS

Includes: meningoencephalitis and meningomyelitis in diseases classified
elsewhere
G05.0* Encephalitis, myelitis and encephalomyelitis in bacterial diseases classified

elsewhere
Encephalitis, myelitis or encephalomyelitis (in):
• syphilis:
• late (A52.1†)
VI-5
G05.1* Encephalitis, myelitis and encephalomyelitis in viral diseases classified

elsewhere
Encephalitis, myelitis or encephalomyelitis (in):
• adenoviral (A85.1†)
• cytomegaloviral (B25.8†)
• enteroviral (A85.0†)
• influenza (J10.8†, J11.8†)
• mumps (B26.2†)
• postchickenpox (B01.1†)
G05.2* Encephalitis, myelitis and encephalomyelitis in other infectious and parasitic

diseases classified elsewhere
Encephalitis, myelitis or encephalomyelitis in:
• African trypanosomiasis (B56.-†)
• naegleriasis (B60.2†)
• toxoplasmosis (B58.2†)
Eosinophilic meningoencephalitis (B83.2†)
G05.8* Encephalitis, myelitis and encephalomyelitis in other diseases classified

elsewhere
Encephalitis in systemic lupus erythematosus (M32.1†)
G06 Intracranial and intraspinal abscess and granuloma

G06.0 Intracranial abscess and granuloma

Abscess (embolic)(of):
• brain [any part]
• cerebellar
• cerebral
• otogenic
Intracranial abscess or granuloma:
• epidural
• extradural
• subdural
VI-6
G06.1 Intraspinal abscess and granuloma

Abscess (embolic) of spinal cord [any part]
Intraspinal abscess or granuloma:
• epidural
• extradural
• subdural
G06.2 Extradural and subdural abscess, unspecified
G07* Intracranial and intraspinal abscess and granuloma in diseases classified

elsewhere
Abscess of brain:
• amoebic (A06.6†)
Schistosomiasis granuloma of brain (B65.-†)
Tuberculoma of:
• brain (A17.8†)
• meninges (A17.1†)
G08 Intracranial and intraspinal phlebitis and thrombophlebitis

Septic:
• embolism
• endophlebitis
• phlebitis of intracranial or intraspinal
• thrombophlebitis venous sinuses and veins
• thrombosis
Excludes: intracranial phlebitis and thrombophlebitis:

• complicating:
• pregnancy, childbirth and the puerperium (O22.5, O87.3)
• of nonpyogenic origin (I67.6)
nonpyogenic intraspinal phlebitis and thrombophlebitis (G95.1)
VI-7
G09 Sequelae of inflammatory diseases of central nervous system

Note: This category is to be used to indicate conditions whose primary
classification is to G00-G08 (i.e. excluding those marked with an asterisk
(*)) as the cause of sequelae, themselves classifiable elsewhere. The
"sequelae" include conditions specified as such or as late effects, or those
present one year or more after onset of the causal condition. For use of
this category reference should be made to the relevant morbidity and
mortality coding rules and guidelines in Part 2a Instruction Manual
(NCHS).
Systemic atrophies primarily affecting the central nervous system

(G10-G13)
G10 Huntington's disease

Huntington's chorea
G11 Hereditary ataxia

Excludes: cerebral palsy (G80.-)
hereditary and idiopathic neuropathy (G60.-)
metabolic disorders (E70-E90)
G11.0 Congenital nonprogressive ataxia
G11.1 Early-onset cerebellar ataxia

Note: Onset usually before the age of 20
Early-onset cerebellar ataxia with:

• essential tremor
• myoclonus [Hunt's ataxia]
• retained tendon reflexes
Friedreich's ataxia (autosomal recessive)
X-linked recessive spinocerebellar ataxia
G11.2 Late-onset cerebellar ataxia

Note: Onset usually after the age of 20
VI-8
G11.3 Cerebellar ataxia with defective DNA repair

Ataxia telangiectasia [Louis-Bar]
Excludes: Cockayne's syndrome (Q87.1)

xeroderma pigmentosum (Q82.1)
G11.4 Hereditary spastic paraplegia
G11.8 Other hereditary ataxias
G11.9 Hereditary ataxia, unspecified

Hereditary cerebellar:
• ataxia NOS
• degeneration
• disease
• syndrome
G12 Spinal muscular atrophy and related syndromes
G12.0 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
G12.1 Other inherited spinal muscular atrophy

Progressive bulbar palsy of childhood [Fazio-Londe]
Spinal muscular atrophy:
• adult form
• childhood form, type II
• distal
• juvenile form, type III [Kugelberg-Welander]
• scapuloperoneal form
VI-9
G12.2 Motor neuron disease

Familial motor neuron disease
Lateral sclerosis:
• amyotrophic
• primary
Progressive:
• bulbar palsy
• spinal muscular atrophy
G12.20 Advanced motor neuron disease

Grave motor neuron disease
Severe motor neuron disease
G12.8 Other spinal muscular atrophies and related syndromes
G12.9 Spinal muscular atrophy, unspecified
G13* Systemic atrophies primarily affecting central nervous system in diseases

G13.0* Paraneoplastic neuromyopathy and neuropathy

Carcinomatous neuromyopathy (C00-C97†)
Sensorial paraneoplastic neuropathy [Denny Brown] (C00-D48†)
G13.1* Other systemic atrophy primarily affecting central nervous system in neoplastic
disease
Paraneoplastic limbic encephalopathy (C00-D48†)
G13.2* Systemic atrophy primarily affecting central nervous system in myxoedema

(E00.1†, E03.-†)
G13.8* Systemic atrophy primarily affecting central nervous system in other diseases
VI-10
Extrapyramidal and movement disorders

(G20-G26)
G20 Parkinson's disease

Hemiparkinsonism
Paralysis agitans
Parkinsonism or Parkinson's disease:
• NOS
• idiopathic
• primary
G20.00 Advanced Parkinson's disease

Grave Parkinson's disease
Severe Parkinson's disease
G21 Secondary parkinsonism
G21.0 Malignant neuroleptic syndrome

G21.1 Other drug- secondary parkinsonism

G21.2 Secondary parkinsonism due to other external agents

Use additional external cause code (Chapter XX), if desired, to identify external
agent.
G21.3 Postencephalitic parkinsonism
G21.8 Other secondary parkinsonism
G21.9 Secondary parkinsonism, unspecified

Syphilitic parkinsonism (A52.1†)
VI-11
G23 Other degenerative diseases of basal ganglia

Excludes: multi-system degeneration (G90.3)
G23.0 Hallervorden-Spatz disease

Pigmentary pallidal degeneration
G23.1 Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski]
G23.2 Striatonigral degeneration
G23.8 Other specified degenerative diseases of basal ganglia

Calcification of basal ganglia
G23.9 Degenerative disease of basal ganglia, unspecified
G24 Dystonia
Includes: dyskinesia
Excludes: athetoid cerebral palsy (G80.3)
G24.0 Drug-induced dystonia

G24.1 Idiopathic familial dystonia

Idiopathic dystonia NOS
G24.2 Idiopathic nonfamilial dystonia
G24.3 Spasmodic torticollis

Excludes: torticollis NOS (M43.6)
G24.4 Idiopathic orofacial dystonia

Orofacial dyskinesia
G24.5 Blepharospasm
G24.8 Other dystonia
G24.9 Dystonia, unspecified

Dyskinesia NOS
VI-12
G25 Other extrapyramidal and movement disorders
G25.0 Essential tremor

Familial tremor
Excludes: tremor NOS (R25.1)
G25.1 Drug-induced tremor

G25.2 Other specified forms of tremor

Intention tremor
G25.3 Myoclonus
Drug-induced myoclonus
drug-induced.
Excludes: facial myokymia (G51.4)

myoclonic epilepsy (G40.-)
G25.4 Drug-induced chorea

G25.5 Other chorea

Chorea NOS
Excludes: chorea NOS with heart involvement (I02.0)

Huntington's chorea (G10)
rheumatic chorea (I02.-)
Sydenham's chorea (I02.-)
G25.6 Drug-induced tics and other tics of organic origin

drug-induced.
Excludes: de la Tourette's syndrome (F95.2)

tic NOS (F95.9)
VI-13
G25.8 Other specified extrapyramidal and movement disorders

Restless legs syndrome
Stiff-man syndrome
G25.9 Extrapyramidal and movement disorder, unspecified
Other degenerative diseases of the nervous system

(G30-G32)
G30 Alzheimer's disease

Includes: senile and presenile forms
Excludes: senile:
• degeneration of brain NEC (G31.1)
• dementia NOS (F03)
senility NOS (R54)
G30.0 Alzheimer's disease with early onset

Note: Onset usually before the age of 65
G30.1 Alzheimer's disease with late onset

Note: Onset usually after the age of 65
G30.8 Other Alzheimer's disease
G30.9 Alzheimer's disease, unspecified
G30.90 Advanced Alzheimer's disease

Grave Alzheimer's disease
Severe Alzheimer's disease
G31 Other degenerative diseases of nervous system, not elsewhere classified

Excludes: Reye's syndrome (G93.7)
G31.0 Circumscribed brain atrophy

Pick's disease
Progressive isolated aphasia
VI-14
G31.1 Senile degeneration of brain, not elsewhere classified

Excludes: Alzheimer's disease (G30.-)
senility NOS (R54)
G31.2 Degeneration of nervous system due to alcohol

Alcoholic:
• cerebellar:
• ataxia
• degeneration
• cerebral degeneration
• encephalopathy
Dysfunction of autonomic nervous system due to alcohol
G31.8 Other specified degenerative diseases of nervous system

Grey-matter degeneration [Alpers]
Lewy body(ies) (dementia) (disease)
Subacute necrotizing encephalopathy [Leigh]
G31.9 Degenerative disease of nervous system, unspecified
G32* Other degenerative disorders of nervous system in diseases classified

elsewhere
G32.0* Subacute combined degeneration of spinal cord in diseases classified elsewhere

Subacute combined degeneration of spinal cord in vitamin B12 deficiency (E53.8†)
G32.8* Other specified degenerative disorders of nervous system in diseases

VI-15
Demyelinating diseases of the central nervous system

(G35-G37)
G35 Multiple sclerosis

Multiple sclerosis (of):
• NOS
• brain stem
• cord
• disseminated
• generalized
G35.00 Advanced multiple sclerosis

Grave multiple sclerosis
Severe multiple sclerosis
G36 Other acute disseminated demyelination

Excludes: postinfectious encephalitis and encephalomyelitis NOS (G04.8)
G36.0 Neuromyelitis optica [Devic]

Demyelination in optic neuritis
Excludes: optic neuritis NOS (H46)
G36.1 Acute and subacute haemorrhagic leukoencephalitis [Hurst]
G36.8 Other specified acute disseminated demyelination
G36.9 Acute disseminated demyelination, unspecified
G37 Other demyelinating diseases of central nervous system
G37.0 Diffuse sclerosis

Periaxial encephalitis
Schilder's disease
G37.1 Central demyelination of corpus callosum
G37.2 Central pontine myelinolysis
VI-16
G37.3 Acute transverse myelitis in demyelinating disease of central nervous system

Acute transverse myelitis NOS
Excludes: multiple sclerosis (G35)

neuromyelitis optica [Devic] (G36.0)
G37.4 Subacute necrotizing myelitis
G37.5 Concentric sclerosis [Baló]
G37.8 Other specified demyelinating diseases of central nervous system
G37.9 Demyelinating disease of central nervous system, unspecified
Episodic and paroxysmal disorders

(G40-G47)
G40 Epilepsy
Excludes: Landau-Kleffner syndrome (F80.3)
seizure (convulsive) NOS (R56.8)
status epilepticus (G41.-)
Todd's paralysis (G83.8)
G40.0 Localization-related (focal)(partial) idiopathic epilepsy and epileptic

syndromes with seizures of localized onset
Benign childhood epilepsy with centrotemporal EEG spikes
Childhood epilepsy with occipital EEG paroxysms
G40.1 Localization-related (focal)(partial) symptomatic epilepsy and epileptic

syndromes with simple partial seizures
Attacks without alteration of consciousness
Simple partial seizures developing into secondarily generalized seizures
G40.2 Localization-related (focal)(partial) symptomatic epilepsy and epileptic

syndromes with complex partial seizures
Attacks with alteration of consciousness, often with automatisms
Complex partial seizures developing into secondarily generalized seizures
VI-17
G40.3 Generalized idiopathic epilepsy and epileptic syndromes

Benign:
• myoclonic epilepsy in infancy
• neonatal convulsions (familial)
Childhood absence epilepsy [pyknolepsy]
Epilepsy with grand mal seizures on awakening
Juvenile:
• absence epilepsy
• myoclonic epilepsy [impulsive petit mal]
Nonspecific epileptic seizures:
• atonic
• clonic
• myoclonic
• tonic
• tonic-clonic
G40.4 Other generalized epilepsy and epileptic syndromes

Epilepsy with:
• myoclonic absences
• myoclonic-astatic seizures
Infantile spasms
Lennox-Gastaut syndrome
Salaam attacks
Symptomatic early myoclonic encephalopathy
West's syndrome
G40.5 Special epileptic syndromes

Epilepsia partialis continua [Kozhevnikof]
Epileptic seizures related to:
• alcohol
• drugs
• hormonal changes
• sleep deprivation
• stress
drug-induced.
G40.6 Grand mal seizures, unspecified (with or without petit mal)
VI-18
G40.7 Petit mal, unspecified, without grand mal seizures
G40.8 Other epilepsy

Epilepsies and epileptic syndromes undetermined as to whether they are focal or
generalized
G40.9 Epilepsy, unspecified

Epileptic:
• convulsions NOS
• fits NOS
• seizures NOS
G41 Status epilepticus
G41.0 Grand mal status epilepticus

Tonic-clonic status epilepticus
Excludes: epilepsia partialis continua [Kozhevnikof] (G40.5)
G41.1 Petit mal status epilepticus

Epileptic absence status
G41.2 Complex partial status epilepticus
G41.8 Other status epilepticus
G41.9 Status epilepticus, unspecified
G43 Migraine
drug-induced.
Excludes: headache NOS (R51)
G43.0 Migraine without aura [common migraine]
VI-19
G43.1 Migraine with aura [classical migraine]

Migraine:
• aura without headache
• basilar
• equivalents
• familial hemiplegic
• with:
• acute-onset aura
• prolonged aura
• typical aura
G43.2 Status migrainosus
G43.3 Complicated migraine
G43.8 Other migraine

Ophthalmoplegic migraine
Retinal migraine
G43.9 Migraine, unspecified
G44 Other headache syndromes

Excludes: atypical facial pain (G50.1)
headache NOS (R51)
trigeminal neuralgia (G50.0)
G44.0 Cluster headache syndrome

Chronic paroxysmal hemicrania
Cluster headache:
• chronic
• episodic
G44.1 Vascular headache, not elsewhere classified

Vascular headache NOS
G44.2 Tension-type headache

Chronic tension-type headache
Episodic tension headache
Tension headache NOS
VI-20
G44.3 Chronic post-traumatic headache
G44.4 Drug-induced headache, not elsewhere classified

G44.8 Other specified headache syndromes
G45 Transient cerebral ischaemic attacks and related syndromes

Excludes: neonatal cerebral ischaemia (P91.0)
G45.0 Vertebro-basilar artery syndrome
G45.1 Carotid artery syndrome (hemispheric)
G45.2 Multiple and bilateral precerebral artery syndromes
G45.3 Amaurosis fugax
G45.4 Transient global amnesia

Excludes: amnesia NOS (R41.3)
G45.8 Other transient cerebral ischaemic attacks and related syndromes
G45.9 Transient cerebral ischaemic attack, unspecified

Spasm of cerebral artery
Transient cerebral ischaemia NOS
G46* Vascular syndromes of brain in cerebrovascular diseases (I60-I67†)
G46.0* Middle cerebral artery syndrome (I66.0†)
G46.1* Anterior cerebral artery syndrome (I66.1†)
G46.2* Posterior cerebral artery syndrome (I66.2†)
VI-21
G46.3* Brain stem stroke syndrome (I60-I67†)

Syndrome:
• Benedikt
• Claude
• Foville
• Millard-Gubler
• Wallenberg
• Weber
G46.4* Cerebellar stroke syndrome (I60-I67†)
G46.5* Pure motor lacunar syndrome (I60-I67†)
G46.6* Pure sensory lacunar syndrome (I60-I67†)
G46.7* Other lacunar syndromes (I60-I67†)
G46.8* Other vascular syndromes of brain in cerebrovascular diseases (I60-I67†)
G47 Sleep disorders

Excludes: nightmares (F51.5)
nonorganic sleep disorders (F51.-)
sleep terrors (F51.4)
sleepwalking (F51.3)
G47.0 Disorders of initiating and maintaining sleep [insomnias]
G47.1 Disorders of excessive somnolence [hypersomnias]
G47.2 Disorders of the sleep-wake schedule

Delayed sleep phase syndrome
Irregular sleep-wake pattern
G47.3 Sleep apnoea

Sleep apnoea:
• central
• obstructive
Excludes: pickwickian syndrome (E66.2)

sleep apnoea of newborn (P28.3)
VI-22
G47.4 Narcolepsy and cataplexy
G47.8 Other sleep disorders

Kleine-Levin syndrome
G47.9 Sleep disorder, unspecified
Nerve, nerve root and plexus disorders

(G50-G59)
Excludes: current traumatic nerve, nerve root and plexus disorders - see nerve injury by
body region
neuralgia
NOS (M79.2)
neuritis
peripheral neuritis in pregnancy (O26.8)
radiculitis NOS (M54.1)
G50 Disorders of trigeminal nerve

Includes: disorders of 5th cranial nerve
G50.0 Trigeminal neuralgia

Syndrome of paroxysmal facial pain
Tic douloureux
G50.1 Atypical facial pain
G50.8 Other disorders of trigeminal nerve
G50.9 Disorder of trigeminal nerve, unspecified
G51 Facial nerve disorders

Includes: disorders of 7th cranial nerve
G51.0 Bell's palsy

Facial palsy
G51.1 Geniculate ganglionitis

Excludes: postherpetic geniculate ganglionitis (B02.2)
VI-23
G51.2 Melkersson's syndrome

Melkersson-Rosenthal syndrome
G51.3 Clonic hemifacial spasm
G51.4 Facial myokymia
G51.8 Other disorders of facial nerve
G51.9 Disorder of facial nerve, unspecified
G52 Disorders of other cranial nerves

Excludes: disorders of:
• acoustic [8th] nerve (H93.3)
• optic [2nd] nerve (H46, H47.0)
paralytic strabismus due to nerve palsy (H49.0-H49.2)
G52.0 Disorders of olfactory nerve

Disorder of 1st cranial nerve
G52.1 Disorders of glossopharyngeal nerve

Disorder of 9th cranial nerve
Glossopharyngeal neuralgia
G52.2 Disorders of vagus nerve

Disorder of pneumogastric [10th] nerve
G52.3 Disorders of hypoglossal nerve

G52.7 Disorders of multiple cranial nerves

Polyneuritis cranialis
G52.8 Disorders of other specified cranial nerves
G52.9 Cranial nerve disorder, unspecified
VI-24
G53.0* Postzoster neuralgia (B02.2†)

Postherpetic:
• geniculate ganglionitis
• trigeminal neuralgia
G53.1* Multiple cranial nerve palsies in infectious and parasitic diseases classified
elsewhere (A00-B99†)
G53.2* Multiple cranial nerve palsies in sarcoidosis (D86.8†)
G53.3* Multiple cranial nerve palsies in neoplastic disease (C00-D48†)
G53.8* Other cranial nerve disorders in other diseases classified elsewhere
G54 Nerve root and plexus disorders

Excludes: current traumatic nerve root and plexus disorders - see nerve injury by
body region
intervertebral disc disorders (M50-M51)
neuralgia or neuritis NOS (M79.2)
neuritis or radiculitis:
• brachial NOS
• lumbar NOS
• lumbosacral NOS (M54.1)
• thoracic NOS
radiculitis NOS
radiculopathy NOS
spondylosis (Μ47.−)
G54.0 Brachial plexus disorders

Thoracic outlet syndrome
G54.1 Lumbosacral plexus disorders
G54.2 Cervical root disorders, not elsewhere classified
G54.3 Thoracic root disorders, not elsewhere classified
G54.4 Lumbosacral root disorders, not elsewhere classified
VI-25
G54.5 Neuralgic amyotrophy

Parsonage-Aldren-Turner syndrome
Shoulder-girdle neuritis
G54.6 Phantom limb syndrome with pain
G54.7 Phantom limb syndrome without pain

Phantom limb syndrome NOS
G54.8 Other nerve root and plexus disorders
G54.9 Nerve root and plexus disorder, unspecified
G55.0* Nerve root and plexus compressions in neoplastic disease (C00-D48†)
G55.1* Nerve root and plexus compressions in intervertebral disc disorders

(M50-M51†)
G55.2* Nerve root and plexus compressions in spondylosis (M47.-†)
G55.3* Nerve root and plexus compressions in other dorsopathies (M45-M46†,

M48.-†, M53-M54†)
G55.8* Nerve root and plexus compressions in other diseases classified elsewhere
G56 Mononeuropathies of upper limb

Excludes: current traumatic nerve disorder - see nerve injury by body region
G56.0 Carpal tunnel syndrome
G56.1 Other lesions of median nerve
G56.2 Lesion of ulnar nerve

Tardy ulnar nerve palsy
G56.3 Lesion of radial nerve
G56.4 Causalgia
VI-26
G56.8 Other mononeuropathies of upper limb

Interdigital neuroma of upper limb
G56.9 Mononeuropathy of upper limb, unspecified
G57 Mononeuropathies of lower limb

Excludes: current traumatic nerve disorder - see nerve injury by body region
G57.0 Lesion of sciatic nerve

Excludes: sciatica:
• NOS (M54.3)
• attributed to intervertebral disc disorder (M51.1)
G57.1 Meralgia paraesthetica

Lateral cutaneous nerve of thigh syndrome
G57.2 Lesion of femoral nerve
G57.3 Lesion of lateral popliteal nerve

Peroneal nerve palsy
G57.4 Lesion of medial popliteal nerve
G57.5 Tarsal tunnel syndrome
G57.6 Lesion of plantar nerve

Morton's metatarsalgia
G57.8 Other mononeuropathies of lower limb

Interdigital neuroma of lower limb
G57.9 Mononeuropathy of lower limb, unspecified
G58 Other mononeuropathies
G58.0 Intercostal neuropathy
G58.7 Mononeuritis multiplex
VI-27
G58.8 Other specified mononeuropathies
G58.9 Mononeuropathy, unspecified
G59.0* Diabetic mononeuropathy (E10-E14† with common fourth character .4)
G59.8* Other mononeuropathies in diseases classified elsewhere
Polyneuropathies and other disorders of the peripheral nervous system

(G60-G64)
Excludes: neuralgia NOS (M79.2)

neuritis NOS (M79.2)
peripheral neuritis in pregnancy (O26.8)
radiculitis NOS (M54.1)
G60 Hereditary and idiopathic neuropathy
G60.0 Hereditary motor and sensory neuropathy

Disease:
• Charcot-Marie-Tooth
• Déjerine-Sottas
Hereditary motor and sensory neuropathy, types I-IV
Hypertrophic neuropathy of infancy
Peroneal muscular atrophy (axonal type)(hypertrophic type)
Roussy-Lévy syndrome
G60.1 Refsum's disease
G60.2 Neuropathy in association with hereditary ataxia
G60.3 Idiopathic progressive neuropathy
VI-28
G60.8 Other hereditary and idiopathic neuropathies

Morvan's disease
Nelaton's syndrome
Sensory neuropathy:
• dominantly inherited
• recessively inherited
G60.9 Hereditary and idiopathic neuropathy, unspecified
G61 Inflammatory polyneuropathy
G61.0 Guillain-Barré syndrome

Acute (post-)infective polyneuritis
G61.1 Serum neuropathy

G61.8 Other inflammatory polyneuropathies
G61.9 Inflammatory polyneuropathy, unspecified
G62 Other polyneuropathies
G62.0 Drug-induced polyneuropathy

G62.1 Alcoholic polyneuropathy
G62.2 Polyneuropathy due to other toxic agents

Use additional external cause code (Chapter XX), if desired, to identify toxic
agent.
G62.8 Other specified polyneuropathies

Radiation-induced polyneuropathy
G62.9 Polyneuropathy, unspecified

Neuropathy NOS
VI-29
G63.0* Polyneuropathy in infectious and parasitic diseases classified elsewhere

Polyneuropathy (in):
• diphtheria (A36.8†)
• infectious mononucleosis (B27.-†)
• leprosy (A30.-†)
• Lyme disease (A69.2†)
• mumps (B26.8†)
• postherpetic (B02.2†)
• syphilis, late (A52.1†)
G63.1* Polyneuropathy in neoplastic disease (C00-D48†)
G63.2* Diabetic polyneuropathy (E10-E14† with common fourth character .4)
G63.3* Polyneuropathy in other endocrine and metabolic diseases (E00-E07†,

E15-E16†, E20-E34†, E70-E89†)
G63.4* Polyneuropathy in nutritional deficiency (E40-E64†)
G63.5* Polyneuropathy in systemic connective tissue disorders (M30-M35†)
G63.6* Polyneuropathy in other musculoskeletal disorders (M00-M25†, M40-M96†)
G63.8* Polyneuropathy in other diseases classified elsewhere

Uraemic neuropathy (N18.8†)
G64 Other disorders of peripheral nervous system

Disorder of peripheral nervous system NOS
VI-30
Diseases of myoneural junction and muscle

(G70-G73)
G70 Myasthenia gravis and other myoneural disorders

Excludes: botulism (A05.1)
transient neonatal myasthenia gravis (P94.0)
G70.0 Myasthenia gravis

drug-induced.
G70.1 Toxic myoneural disorders

agent.
G70.2 Congenital and developmental myasthenia
G70.8 Other specified myoneural disorders
G70.9 Myoneural disorder, unspecified
G71 Primary disorders of muscles

Excludes: arthrogryposis multiplex congenita (Q74.3)
metabolic disorders (E70-E90)
myositis (M60.-)
VI-31
G71.0 Muscular dystrophy

Muscular dystrophy:
• autosomal recessive, childhood type, resembling Duchenne or Becker
• benign [Becker]
• benign scapuloperoneal with early contractures [Emery-Dreifuss]
• distal
• facioscapulohumeral
• limb-girdle
• ocular
• oculopharyngeal
• scapuloperoneal
• severe [Duchenne]
Excludes: congenital muscular dystrophy:

• NOS (G71.2)
• with specific morphological abnormalities of the muscle fibre (G71.2)
G71.1 Myotonic disorders

Dystrophia myotonica [Steinert]
Myotonia:
• chondrodystrophic
• drug-induced
• symptomatic
Myotonia congenita:
• NOS
• dominant [Thomsen]
• recessive [Becker]
Neuromyotonia [Isaacs]
Paramyotonia congenita
Pseudomyotonia
drug-induced.
VI-32
G71.2 Congenital myopathies

Congenital muscular dystrophy:
• NOS
• with specific morphological abnormalities of the muscle fibre
Disease:
• central core
• minicore
• multicore
Fibre-type disproportion
Myopathy:
• myotubular (centronuclear)
• nemaline
G71.3 Mitochondrial myopathy, not elsewhere classified
G71.8 Other primary disorders of muscles
G71.9 Primary disorder of muscle, unspecified

Hereditary myopathy NOS
G72 Other myopathies

Excludes: arthrogryposis multiplex congenita (Q74.3)
dermatopolymyositis (M33.-)
ischaemic infarction of muscle (M62.2)
myositis (M60.-)
polymyositis (M33.2)
G72.0 Drug-induced myopathy

G72.1 Alcoholic myopathy
G72.2 Myopathy due to other toxic agents

agent.
VI-33
G72.3 Periodic paralysis

Periodic paralysis (familial):
• hyperkalaemic
• hypokalaemic
• myotonic
• normokalaemic
G72.4 Inflammatory myopathy, not elsewhere classified
G72.8 Other specified myopathies
G72.9 Myopathy, unspecified
G73.0* Myasthenic syndromes in endocrine diseases

Myasthenic syndromes in:
• diabetic amyotrophy (E10-E14† with common fourth character .4)
• thyrotoxicosis [hyperthyroidism] (E05.-†)
G73.1* Eaton-Lambert syndrome (C80†)
G73.2* Other myasthenic syndromes in neoplastic disease (C00-D48†)
G73.3* Myasthenic syndromes in other diseases classified elsewhere
G73.4* Myopathy in infectious and parasitic diseases classified elsewhere
G73.5* Myopathy in endocrine diseases

Myopathy in:
• hyperparathyroidism (E21.0-E21.3†)
• hypoparathyroidism (E20.-†)
Thyrotoxic myopathy (E05.-†)
G73.6* Myopathy in metabolic diseases

Myopathy in:
• glycogen storage disease (E74.0†)
• lipid storage disorders (E75.-†)
VI-34
G73.7* Myopathy in other diseases classified elsewhere

Myopathy in:
• rheumatoid arthritis (M05-M06†)
• scleroderma (M34.8†)
• sicca syndrome [Sjögren] (M35.0†)
• systemic lupus erythematosus (M32.1†)
Cerebral palsy and other paralytic syndromes

(G80-G83)
G80 Cerebral palsy

Includes: Little’s disease
Excludes: hereditary spastic paraplegia (G11.4)
G80.0 Spastic quadriplegic cerebral palsy

Congenital spastic paralysis (cerebral)
Spastic tetraplegic cerebral palsy
G80.1 Spastic diplegic cerebral palsy

Spastic cerebral palsy NOS
G80.2 Spastic hemiplegic cerebral palsy
G80.3 Dyskinetic cerebral palsy

Athetoid cerebral palsy
Dystonic cerebral palsy
G80.4 Ataxic cerebral palsy
G80.8 Other cerebral palsy

Mixed cerebral palsy syndromes
G80.9 Cerebral palsy, unspecified

Cerebral palsy NOS
VI-35
G81 Hemiplegia
Note: For primary coding, this category is to be used only when hemiplegia
(complete) (incomplete) is reported without further specification, or is
stated to be old or longstanding but of unspecified cause. The category
is also for use in multiple coding to identify these types of hemiplegia
resulting from any cause.
Excludes: congenital cerebral palsy (G80.-)
G81.0 Flaccid hemiplegia
G81.1 Spastic hemiplegia
G81.9 Hemiplegia, unspecified
G82 Paraplegia and tetraplegia

Note: For primary coding, this category is to be used only when the listed
conditions are reported without further specification, or are stated to
be old or longstanding but of unspecified cause. The category is also
for use in multiple coding to identify these conditions resulting from
any cause.
Excludes: congenital cerebral palsy (G80.-)
G82.0 Flaccid paraplegia
G82.1 Spastic paraplegia
G82.2 Paraplegia, unspecified

Paralysis of both lower limbs NOS
Paraplegia (lower) NOS
G82.3 Flaccid tetraplegia
G82.4 Spastic tetraplegia
G82.5 Tetraplegia, unspecified

Quadriplegia NOS
VI-36
G83 Other paralytic syndromes

Note: For primary coding, this category is to be used only when the listed
conditions are reported without further specification, or are stated to
be old or longstanding but of unspecified cause. The category is also
for use in multiple coding to identify these conditions resulting from
any cause.
Includes: paralysis (complete)(incomplete), except as in G80-G82
G83.0 Diplegia of upper limbs

Diplegia (upper)
Paralysis of both upper limbs
G83.1 Monoplegia of lower limb

Paralysis of lower limb
G83.2 Monoplegia of upper limb

Paralysis of upper limb
G83.3 Monoplegia, unspecified
G83.4 Cauda equina syndrome

Neurogenic bladder due to cauda equina syndrome
Excludes: cord bladder NOS (G95.8)
G83.8 Other specified paralytic syndromes

Todd's paralysis (postepileptic)
G83.9 Paralytic syndrome, unspecified
Other disorders of the nervous system

(G90-G99)
G90 Disorders of autonomic nervous system

Excludes: dysfunction of autonomic nervous system due to alcohol (G31.2)
G90.0 Idiopathic peripheral autonomic neuropathy

Carotid sinus syncope
VI-37
G90.1 Familial dysautonomia [Riley-Day]
G90.2 Horner's syndrome

Bernard(-Horner) syndrome
G90.3 Multi-system degeneration

Neurogenic orthostatic hypotension [Shy-Drager]
Excludes: orthostatic hypotension NOS (I95.1)
G90.4 Autonomic dysreflexia
G90.8 Other disorders of autonomic nervous system
G90.9 Disorder of autonomic nervous system, unspecified
G91 Hydrocephalus
Includes: acquired hydrocephalus
Excludes: hydrocephalus:
• congenital (Q03.-)
• due to congenital toxoplasmosis (P37.1)
G91.0 Communicating hydrocephalus
G91.1 Obstructive hydrocephalus
G91.2 Normal-pressure hydrocephalus
G91.3 Post-traumatic hydrocephalus, unspecified
G91.8 Other hydrocephalus
G91.9 Hydrocephalus, unspecified
G92 Toxic encephalopathy

agent.
VI-38
G93 Other disorders of brain
G93.0 Cerebral cysts

Arachnoid cyst
Porencephalic cyst, acquired
Excludes: acquired periventricular cysts of newborn (P91.1)

congenital cerebral cysts (Q04.6)
G93.1 Anoxic brain damage, not elsewhere classified

Excludes: complicating:
• pregnancy, labour or delivery (O29.2, O74.3, O89.2)
• surgical and medical care (T80-T88)
neonatal anoxia (P21.9)
G93.2 Benign intracranial hypertension

Excludes: hypertensive encephalopathy (I67.4)
G93.3 Postviral fatigue syndrome

Benign myalgic encephalomyelitis
G93.4 Encephalopathy, unspecified

Excludes: encephalopathy:
• toxic (G92)
G93.5 Compression of brain

Compression
of brain (stem)
Herniation
Excludes: traumatic compression of brain (diffuse) (S06.2)

• focal (S06.3)
G93.6 Cerebral oedema

Excludes: cerebral oedema:
• due to birth injury (P11.0)
• traumatic (S06.1)
VI-39
G93.7 Reye's syndrome

G93.8 Other specified disorders of brain

Postradiation encephalopathy
G93.9 Disorder of brain, unspecified
G94.0* Hydrocephalus in infectious and parasitic diseases classified elsewhere

(A00-B99†)
G94.1* Hydrocephalus in neoplastic disease (C00-D48†)
G94.2* Hydrocephalus in other diseases classified elsewhere
G94.8* Other specified disorders of brain in diseases classified elsewhere
G95 Other diseases of spinal cord

Excludes: myelitis (G04.-)
G95.0 Syringomyelia and syringobulbia
G95.1 Vascular myelopathies

Acute infarction of spinal cord (embolic)(nonembolic)
Arterial thrombosis of spinal cord
Haematomyelia
Nonpyogenic intraspinal phlebitis and thrombophlebitis
Oedema of spinal cord
Subacute necrotic myelopathy
Excludes: intraspinal phlebitis and thrombophlebitis, except non-pyogenic (G08)
G95.2 Cord compression, unspecified
VI-40
G95.8 Other specified diseases of spinal cord

Cord bladder NOS
Myelopathy:
• drug-induced
• radiation-induced
agent.
Excludes: neurogenic bladder:

• NOS (N31.9)
• due to cauda equina syndrome (G83.4)
neuromuscular dysfunction of bladder without mention of spinal cord
lesion (N31.-)
G95.9 Disease of spinal cord, unspecified

Myelopathy NOS
G96 Other disorders of central nervous system
G96.0 Cerebrospinal fluid leak

Excludes: from spinal puncture (G97.0)
G96.1 Disorders of meninges, not elsewhere classified

Meningeal adhesions (cerebral)(spinal)
G96.8 Other specified disorders of central nervous system
G96.9 Disorder of central nervous system, unspecified
G97 Postprocedural disorders of nervous system, not elsewhere classified
G97.0 Cerebrospinal fluid leak from spinal puncture
G97.1 Other reaction to spinal and lumbar puncture
G97.2 Intracranial hypotension following ventricular shunting
G97.8 Other postprocedural disorders of nervous system
VI-41
G97.9 Postprocedural disorder of nervous system, unspecified
G98 Other disorders of nervous system, not elsewhere classified

Nervous system disorder NOS
G99.0* Autonomic neuropathy in endocrine and metabolic diseases

Amyloid autonomic neuropathy (E85.-†)
Diabetic autonomic neuropathy (E10-E14† with common fourth character .4)
G99.1* Other disorders of autonomic nervous system in other diseases classified

elsewhere
G99.2* Myelopathy in diseases classified elsewhere

Anterior spinal and vertebral artery compression syndromes (M47.0†)
Myelopathy in:
• intervertebral disc disorders (M50.0†, M51.0†)
• neoplastic disease (C00-D48†)
• spondylosis (M47.-†)
G99.8* Other specified disorders of nervous system in diseases classified elsewhere
VI-42
CHAPTER VII
__________________________________________________________________________
Diseases of the eye and adnexa

(H00-H59)

(Q00-Q99)
neoplasms (C00-D48)
H00-H06 Disorders of eyelid, lacrimal system and orbit

H10-H13 Disorders of conjunctiva
H15-H22 Disorders of sclera, cornea, iris and ciliary body
H25-H28 Disorders of lens
H30-H36 Disorders of choroid and retina
H40-H42 Glaucoma
H43-H45 Disorders of vitreous body and globe
H46-H48 Disorders of optic nerve and visual pathways
H49-H52 Disorders of ocular muscles, binocular movement, accommodation and refraction
H53-H54 Visual disturbances and blindness
H55-H59 Other disorders of eye and adnexa

H48* Disorders of optic nerve and visual pathways in diseases classified elsewhere
VII-1
Disorders of eyelid, lacrimal system and orbit

(H00-H06)
H00 Hordeolum and chalazion
H00.0 Hordeolum and other deep inflammation of eyelid

Abscess
Furuncle of eyelid
Stye
H00.1 Chalazion
H01 Other inflammation of eyelid
H01.0 Blepharitis
Excludes: blepharoconjunctivitis (H10.5)
H01.1 Noninfectious dermatoses of eyelid

Dermatitis:
• allergic
• contact
• eczematous of eyelid
Discoid lupus erythematosus
Xeroderma
H01.8 Other specified inflammation of eyelid
H01.9 Inflammation of eyelid, unspecified
H02 Other disorders of eyelid

Excludes: congenital malformations of eyelid (Q10.0-Q10.3)
H02.0 Entropion and trichiasis of eyelid
H02.1 Ectropion of eyelid
VII-2
DISEASES OF THE EYE AND ADNEXA
H02.2 Lagophthalmos
H02.3 Blepharochalasis
H02.4 Ptosis of eyelid
H02.5 Other disorders affecting eyelid function

Ankyloblepharon
Blepharophimosis
Lid retraction
Excludes: blepharospasm (G24.5)

tic (psychogenic) (F95.-)
• organic (G25.6)
H02.6 Xanthelasma of eyelid
H02.7 Other degenerative disorders of eyelid and periocular area

Chloasma
Madarosis of eyelid
Vitiligo
H02.8 Other specified disorders of eyelid

Hypertrichosis of eyelid
Retained foreign body in eyelid
H02.9 Disorder of eyelid, unspecified
H03.0* Parasitic infestation of eyelid in diseases classified elsewhere

Dermatitis of eyelid due to Demodex species (B88.0†)
Parasitic infestation of eyelid in:
• leishmaniasis (B55.-†)
• loiasis (B74.3†)
• onchocerciasis (B73†)
• phthiriasis (B85.3†)
VII-3
H03.1* Involvement of eyelid in other infectious diseases classified elsewhere

Involvement of eyelid in:
• herpesviral [herpes simplex] infection (B00.5†)
• leprosy (A30.-†)
• molluscum contagiosum (B08.1†)
• tuberculosis (A18.4†)
• yaws (A66.-†)
H03.8* Involvement of eyelid in other diseases classified elsewhere

Involvement of eyelid in impetigo (L01.0†)
H04 Disorders of lacrimal system

Excludes: congenital malformations of lacrimal system (Q10.4-Q10.6)
H04.0 Dacryoadenitis
Chronic enlargement of lacrimal gland
H04.1 Other disorders of lacrimal gland

Dacryops
Dry eye syndrome
Lacrimal:
• cyst
• gland atrophy
H04.2 Epiphora
H04.3 Acute and unspecified inflammation of lacrimal passages

Dacryocystitis (phlegmonous)
Dacryopericystitis acute, subacute or unspecified
Lacrimal canaliculitis
Excludes: neonatal dacryocystitis (P39.1)
H04.4 Chronic inflammation of lacrimal passages

Dacryocystitis
Lacrimal:
chronic
• canaliculitis
• mucocele
VII-4
H04.5 Stenosis and insufficiency of lacrimal passages

Dacryolith
Eversion of lacrimal punctum
Stenosis of lacrimal:
• canaliculi
• duct
• sac
H04.6 Other changes in lacrimal passages

Lacrimal fistula
H04.8 Other disorders of lacrimal system
H04.9 Disorder of lacrimal system, unspecified
H05 Disorders of orbit

Excludes: congenital malformation of orbit (Q10.7)
H05.0 Acute inflammation of orbit

Abscess
Cellulitis
of orbit
Osteomyelitis
Periostitis
Tenonitis
H05.1 Chronic inflammatory disorders of orbit

Granuloma of orbit
H05.2 Exophthalmic conditions

Displacement of globe (lateral) NOS
Haemorrhage
of orbit
Oedema
H05.3 Deformity of orbit

Atrophy
of orbit
Exostosis
H05.4 Enophthalmos
VII-5
H05.5 Retained (old) foreign body following penetrating wound of orbit

Retrobulbar foreign body
H05.8 Other disorders of orbit

Cyst of orbit
H05.9 Disorder of orbit, unspecified
H06.0* Disorders of lacrimal system in diseases classified elsewhere
H06.1* Parasitic infestation of orbit in diseases classified elsewhere

Echinococcus infection of orbit (B67.-†)
Myiasis of orbit (B87.2†)
H06.2* Dysthyroid exophthalmos (E05.-†)
H06.3* Other disorders of orbit in diseases classified elsewhere
Disorders of conjunctiva
(H10-H13)
H10 Conjunctivitis
Excludes: keratoconjunctivitis (H16.2)
H10.0 Mucopurulent conjunctivitis
H10.1 Acute atopic conjunctivitis
H10.2 Other acute conjunctivitis
H10.3 Acute conjunctivitis, unspecified

Excludes: ophthalmia neonatorum NOS (P39.1)
H10.4 Chronic conjunctivitis
H10.5 Blepharoconjunctivitis
VII-6
H10.8 Other conjunctivitis
H10.9 Conjunctivitis, unspecified
H11 Other disorders of conjunctiva

Excludes: keratoconjunctivitis (H16.2)
H11.0 Pterygium
Excludes: pseudopterygium (H11.8)
H11.1 Conjunctival degenerations and deposits

Conjunctival:
• argyrosis [argyria]
• concretions
• pigmentation
• xerosis NOS
H11.2 Conjunctival scars

Symblepharon
H11.3 Conjunctival haemorrhage

Subconjunctival haemorrhage
H11.4 Other conjunctival vascular disorders and cysts

Conjunctival:
• aneurysm
• hyperaemia
• oedema
H11.8 Other specified disorders of conjunctiva

Pseudopterygium
H11.9 Disorder of conjunctiva, unspecified
H13.0* Filarial infection of conjunctiva (B74.-†)
VII-7
H13.1* Conjunctivitis in infectious and parasitic diseases classified elsewhere

Conjunctivitis (due to):
• Acanthamoeba (B60.1†)
• adenoviral follicular (acute) (B30.1†)
• chlamydial (A74.0†)
• diphtheritic (A36.8†)
• haemorrhagic (acute)(epidemic) (B30.3†)
• Newcastle (B30.8†)
H13.2* Conjunctivitis in other diseases classified elsewhere
H13.3* Ocular pemphigoid (L12.-†)
H13.8* Other disorders of conjunctiva in diseases classified elsewhere
Disorders of sclera, cornea, iris and ciliary body

(H15-H22)
H15 Disorders of sclera
H15.0 Scleritis
H15.1 Episcleritis
H15.8 Other disorders of sclera

Equatorial staphyloma
Scleral ectasia
Excludes: degenerative myopia (H44.2)
H15.9 Disorder of sclera, unspecified
VII-8
H16 Keratitis
H16.0 Corneal ulcer

Ulcer:
• corneal:
• NOS
• central
• marginal
• perforated
• ring
• with hypopyon
• Mooren
H16.1 Other superficial keratitis without conjunctivitis

Keratitis:
• areolar
• filamentary
• nummular
• stellate
• striate
• superficial punctate
Photokeratitis
Snow blindness
H16.2 Keratoconjunctivitis
Keratoconjunctivitis:
• NOS
• exposure
• neurotrophic
• phlyctenular
Ophthalmia nodosa
Superficial keratitis with conjunctivitis
H16.3 Interstitial and deep keratitis
H16.4 Corneal neovascularization

Ghost vessels (corneal)
Pannus (corneal)
VII-9
H16.8 Other keratitis
H16.9 Keratitis, unspecified
H17 Corneal scars and opacities
H17.0 Adherent leukoma
H17.1 Other central corneal opacity
H17.8 Other corneal scars and opacities
H17.9 Corneal scar and opacity, unspecified
H18 Other disorders of cornea
H18.0 Corneal pigmentations and deposits

Haematocornea
Kayser-Fleischer ring
Krukenberg's spindle
Staehli's line
drug-induced.
H18.1 Bullous keratopathy
H18.2 Other corneal oedema
H18.3 Changes in corneal membranes

Fold
in Descemet's membrane
Rupture
H18.4 Corneal degeneration

Arcus senilis
Band keratopathy
Excludes: Mooren's ulcer (H16.0)
VII-10
H18.5 Hereditary corneal dystrophies

Dystrophy:
• corneal:
• epithelial
• granular
• lattice
• macular
• Fuchs
H18.6 Keratoconus
H18.7 Other corneal deformities

Corneal:
• ectasia
• staphyloma
Descemetocele
Excludes: congenital malformations of cornea (Q13.3-Q13.4)
H18.8 Other specified disorders of cornea

Anaesthesia
Hypaesthesia of cornea
Recurrent erosion
H18.9 Disorder of cornea, unspecified
H19.0* Scleritis and episcleritis in diseases classified elsewhere

Syphilitic episcleritis (A52.7†)
Tuberculous episcleritis (A18.5†)
Zoster scleritis (B02.3†)
H19.1* Herpesviral keratitis and keratoconjunctivitis (B00.5†)

Dendritic and disciform keratitis
VII-11
H19.2* Keratitis and keratoconjunctivitis in other infectious and parasitic diseases

Epidemic keratoconjunctivitis (B30.0†)
Keratitis and keratoconjunctivitis (interstitial) in:
• acanthamoebiasis (B60.1†)
• syphilis (A50.3†)
H19.3* Keratitis and keratoconjunctivitis in other diseases classified elsewhere

Keratoconjunctivitis sicca (M35.0†)
H19.8* Other disorders of sclera and cornea in diseases classified elsewhere

Keratoconus in Down's syndrome (Q90.-†)
H20 Iridocyclitis
H20.0 Acute and subacute iridocyclitis

Anterior uveitis
Cyclitis acute, recurrent or subacute
Iritis
H20.1 Chronic iridocyclitis
H20.2 Lens-induced iridocyclitis
H20.8 Other iridocyclitis
H20.9 Iridocyclitis, unspecified
H21 Other disorders of iris and ciliary body

Excludes: sympathetic uveitis (H44.1)
H21.0 Hyphaema
Excludes: traumatic hyphaema (S05.1)
H21.1 Other vascular disorders of iris and ciliary body

Neovascularization of iris or ciliary body
Rubeosis of iris
VII-12
H21.2 Degeneration of iris and ciliary body

Degeneration of:
• iris (pigmentary)
• pupillary margin
Iridoschisis
Iris atrophy (essential)(progressive)
Miotic pupillary cyst
Translucency of iris
H21.3 Cyst of iris, ciliary body and anterior chamber

Cyst of iris, ciliary body or anterior chamber:
• NOS
• exudative
• implantation
• parasitic
Excludes: miotic pupillary cyst (H21.2)
H21.4 Pupillary membranes

Iris bombé
Pupillary:
• occlusion
• seclusion
H21.5 Other adhesions and disruptions of iris and ciliary body

Goniosynechiae
Iridodialysis
Recession, chamber angle
Synechiae (iris):
• NOS
• anterior
• posterior
Excludes: corectopia (Q13.2)
H21.8 Other specified disorders of iris and ciliary body
H21.9 Disorder of iris and ciliary body, unspecified
VII-13
H22.0* Iridocyclitis in infectious and parasitic diseases classified elsewhere

Iridocyclitis in:
• gonococcal infection (A54.3†)
• syphilis (secondary) (A51.4†)
H22.1* Iridocyclitis in other diseases classified elsewhere

Iridocyclitis in:
• ankylosing spondylitis (M45†)
• sarcoidosis (D86.8†)
H22.8* Other disorders of iris and ciliary body in diseases classified elsewhere
Disorders of lens
(H25-H28)
H25 Senile cataract

Excludes: capsular glaucoma with pseudoexfoliation of lens (H40.1)
H25.0 Senile incipient cataract

Senile cataract:
• coronary
• cortical
• punctate
Subcapsular polar senile cataract (anterior)(posterior)
Water clefts
H25.1 Senile nuclear cataract

Cataracta brunescens
Nuclear sclerosis cataract
H25.2 Senile cataract, morgagnian type

Senile hypermature cataract
VII-14
H25.8 Other senile cataract

Combined forms of senile cataract
H25.9 Senile cataract, unspecified
H26 Other cataract

Excludes: congenital cataract (Q12.0)
H26.0 Infantile, juvenile and presenile cataract
H26.1 Traumatic cataract

H26.2 Complicated cataract

Cataract in chronic iridocyclitis
Cataract secondary to ocular disorders
Glaucomatous flecks (subcapsular)
H26.3 Drug-induced cataract

H26.4 After-cataract
Secondary cataract
Soemmerring's ring
H26.8 Other specified cataract
H26.9 Cataract, unspecified
H27 Other disorders of lens

Excludes: congenital lens malformations (Q12.-)
mechanical complications of intraocular lens (T85.2)
pseudophakia (Z96.1)
H27.0 Aphakia
H27.1 Dislocation of lens
H27.8 Other specified disorders of lens
H27.9 Disorder of lens, unspecified
VII-15
H28.0* Diabetic cataract (E10-E14† with common fourth character .3)
H28.1* Cataract in other endocrine, nutritional and metabolic diseases

Cataract in hypoparathyroidism (E20.-†)
Malnutrition-dehydration cataract (E40-E46†)
H28.2* Cataract in other diseases classified elsewhere

Myotonic cataract (G71.1†)
H28.8* Other disorders of lens in diseases classified elsewhere
Disorders of choroid and retina

(H30-H36)
H30 Chorioretinal inflammation
H30.0 Focal chorioretinal inflammation

Focal:
• chorioretinitis
• choroiditis
• retinitis
• retinochoroiditis
H30.1 Disseminated chorioretinal inflammation

Disseminated:
• chorioretinitis
• choroiditis
• retinitis
• retinochoroiditis
Excludes: exudative retinopathy (H35.0)
H30.2 Posterior cyclitis

Pars planitis
H30.8 Other chorioretinal inflammations

Harada's disease
VII-16
H30.9 Chorioretinal inflammation, unspecified

Chorioretinitis
Choroiditis
NOS
Retinitis
Retinochoroiditis
H31 Other disorders of choroid
H31.0 Chorioretinal scars

Macula scars of posterior pole (postinflammatory)(post-traumatic)
Solar retinopathy
H31.1 Choroidal degeneration

Atrophy
of choroid
Sclerosis
Excludes: angioid streaks (H35.3)
H31.2 Hereditary choroidal dystrophy

Choroideremia
Dystrophy, choroidal (central areolar)(generalized)(peripapillary)
Gyrate atrophy, choroid
Excludes: ornithinaemia (E72.4)
H31.3 Choroidal haemorrhage and rupture

Choroidal haemorrhage:
• NOS
• expulsive
H31.4 Choroidal detachment
H31.8 Other specified disorders of choroid
H31.9 Disorder of choroid, unspecified
VII-17
H32.0* Chorioretinal inflammation in infectious and parasitic diseases classified

elsewhere
Chorioretinitis:
• syphilitic, late (A52.7†)
• toxoplasma (B58.0†)
H32.8* Other chorioretinal disorders in diseases classified elsewhere
H33 Retinal detachments and breaks

Excludes: detachment of retinal pigment epithelium (H35.7)
H33.0 Retinal detachment with retinal break

Rhegmatogenous retinal detachment
H33.1 Retinoschisis and retinal cysts

Cyst of ora serrata
Parasitic cyst of retina NOS
Pseudocyst of retina
Excludes: congenital retinoschisis (Q14.1)

microcystoid degeneration of retina (H35.4)
H33.2 Serous retinal detachment

Retinal detachment:
• NOS
• without retinal break
Excludes: central serous chorioretinopathy (H35.7)
H33.3 Retinal breaks without detachment

Horseshoe tear
Round hole of retina, without detachment
Operculum
Retinal break NOS
Excludes: chorioretinal scars after surgery for detachment (H59.8)

peripheral retinal degeneration without break (H35.4)
VII-18
H33.4 Traction detachment of retina

Proliferative vitreo-retinopathy with retinal detachment
H33.5 Other retinal detachments
H34 Retinal vascular occlusions

Excludes: amaurosis fugax (G45.3)
H34.0 Transient retinal artery occlusion
H34.1 Central retinal artery occlusion
H34.2 Other retinal artery occlusions

Hollenhorst's plaque
Retinal:
• artery occlusion:
• branch
• partial
• microembolism
H34.8 Other retinal vascular occlusions

Retinal vein occlusion:
• central
• incipient
• partial
• tributary
H34.9 Retinal vascular occlusion, unspecified
VII-19
H35 Other retinal disorders
H35.0 Background retinopathy and retinal vascular changes

Changes in retinal vascular appearance
Retinal:
• micro-aneurysms
• neovascularization
• perivasculitis
• varices
• vascular sheathing
• vasculitis
Retinopathy:
• NOS
• background NOS
• Coats
• exudative
• hypertensive
H35.1 Retinopathy of prematurity

Retrolental fibroplasia
H35.2 Other proliferative retinopathy

Proliferative vitreo-retinopathy
Excludes: proliferative vitreo-retinopathy with retinal detachment (H33.4)
H35.3 Degeneration of macula and posterior pole

Angioid streaks
Cyst
Drusen (degenerative) of macula
Hole
Puckering
Kuhnt-Junius degeneration
Senile macular degeneration (atrophic)(exudative)
Toxic maculopathy
drug-induced.
VII-20
H35.4 Peripheral retinal degeneration

Degeneration, retina:
• NOS
• lattice
• microcystoid
• palisade
• paving stone
• reticular
Excludes: with retinal break (H33.3)
H35.5 Hereditary retinal dystrophy

Dystrophy:
• retinal (albipunctate)(pigmentary)(vitelliform)
• tapetoretinal
• vitreoretinal
Retinitis pigmentosa
Stargardt's disease
H35.6 Retinal haemorrhage
H35.7 Separation of retinal layers

Central serous chorioretinopathy
Detachment of retinal pigment epithelium
H35.8 Other specified retinal disorders
H35.9 Retinal disorder, unspecified
H36.0* Diabetic retinopathy (E10-E14† with common fourth character .3)
H36.8* Other retinal disorders in diseases classified elsewhere

Atherosclerotic retinopathy (I70.8†)
Proliferative sickle-cell retinopathy (D57.-†)
Retinal dystrophy in lipid storage disorders (E75.-†)
VII-21
Glaucoma
(H40-H42)
H40 Glaucoma
Excludes: absolute glaucoma (H44.5)
congenital glaucoma (Q15.0)
traumatic glaucoma due to birth injury (P15.3)
H40.0 Glaucoma suspect

Ocular hypertension
H40.1 Primary open-angle glaucoma

Glaucoma (primary)(residual stage):
• capsular with pseudoexfoliation of lens
• chronic simple
• low-tension
• pigmentary
H40.2 Primary angle-closure glaucoma

Angle-closure glaucoma (primary)(residual stage):
• acute
• chronic
• intermittent
H40.3 Glaucoma secondary to eye trauma

Use additional code, if desired, to identify cause.
H40.4 Glaucoma secondary to eye inflammation

H40.5 Glaucoma secondary to other eye disorders

H40.6 Glaucoma secondary to drugs

H40.8 Other glaucoma
H40.9 Glaucoma, unspecified
VII-22
H42.0* Glaucoma in endocrine, nutritional and metabolic diseases

Glaucoma in:
• amyloidosis (E85.-†)
• Lowe's syndrome (E72.0†)
H42.8* Glaucoma in other diseases classified elsewhere

Glaucoma in onchocerciasis (B73†)
Disorders of vitreous body and globe

(H43-H45)
H43 Disorders of vitreous body
H43.0 Vitreous prolapse

Excludes: vitreous syndrome following cataract surgery (H59.0)
H43.1 Vitreous haemorrhage
H43.2 Crystalline deposits in vitreous body
H43.3 Other vitreous opacities

Vitreous membranes and strands
H43.8 Other disorders of vitreous body

Vitreous:
• degeneration
• detachment
Excludes: proliferative vitreo-retinopathy with retinal detachment (H33.4)
H43.9 Disorder of vitreous body, unspecified
VII-23
H44 Disorders of globe

Includes: disorders affecting multiple structures of eye
H44.0 Purulent endophthalmitis

Panophthalmitis
Vitreous abscess
H44.1 Other endophthalmitis

Parasitic endophthalmitis NOS
Sympathetic uveitis
H44.2 Degenerative myopia
H44.3 Other degenerative disorders of globe

Chalcosis
Siderosis of eye
H44.4 Hypotony of eye
H44.5 Degenerated conditions of globe

Absolute glaucoma
Atrophy of globe
Phthisis bulbi
H44.6 Retained (old) intraocular foreign body, magnetic

Retained (old) magnetic foreign body (in):
• anterior chamber
• ciliary body
• iris
• lens
• posterior wall of globe
• vitreous body
VII-24
H44.7 Retained (old) intraocular foreign body, nonmagnetic

Retained (nonmagnetic)(old) foreign body (in):
• anterior chamber
• ciliary body
• iris
• lens
• posterior wall of globe
• vitreous body
H44.8 Other disorders of globe

Haemophthalmos
Luxation of globe
H44.9 Disorder of globe, unspecified
H45.0* Vitreous haemorrhage in diseases classified elsewhere
H45.1* Endophthalmitis in diseases classified elsewhere

Endophthalmitis in:
• cysticercosis (B69.1†)
• onchocerciasis (B73†)
• toxocariasis (B83.0†)
H45.8* Other disorders of vitreous body and globe in diseases classified elsewhere
Disorders of optic nerve and visual pathways

(H46-H48)
H46 Optic neuritis

Optic
• neuropathy, except ischaemic
• papillitis
Retrobulbar neuritis NOS
Excludes: ischaemic optic neuropathy (H47.0)

neuromyelitis optica [Devic] (G36.0)
VII-25
H47 Other disorders of optic [2nd] nerve and visual pathways
H47.0 Disorders of optic nerve, not elsewhere classified

Compression of optic nerve
Haemorrhage in optic nerve sheath
Ischaemic optic neuropathy
H47.1 Papilloedema, unspecified
H47.2 Optic atrophy

Temporal pallor of optic disc
H47.3 Other disorders of optic disc

Drusen of optic disc
Pseudopapilloedema
H47.4 Disorders of optic chiasm
H47.5 Disorders of other visual pathways

Disorders of optic tracts, geniculate nuclei and optic radiations
H47.6 Disorders of visual cortex
H47.7 Disorder of visual pathways, unspecified
H48* Disorders of optic [2nd] nerve and visual pathways in diseases classified
elsewhere
H48.0* Optic atrophy in diseases classified elsewhere

Optic atrophy in late syphilis (A52.1†)
H48.1* Retrobulbar neuritis in diseases classified elsewhere

Retrobulbar neuritis in:
• late syphilis (A52.1†)
• meningococcal infection (A39.8†)
• multiple sclerosis (G35†)
H48.8* Other disorders of optic nerve and visual pathways in diseases classified
elsewhere
VII-26
Disorders of ocular muscles, binocular movement, accommodation and refraction

(H49-H52)
Excludes: nystagmus and other irregular eye movements (H55)
H49 Paralytic strabismus

Excludes: ophthalmoplegia:
• internal (H52.5)
• internuclear (H51.2)
• progressive supranuclear (G23.1)
H49.0 Third [oculomotor] nerve palsy
H49.1 Fourth [trochlear] nerve palsy
H49.2 Sixth [abducent] nerve palsy
H49.3 Total (external) ophthalmoplegia
H49.4 Progressive external ophthalmoplegia
H49.8 Other paralytic strabismus

External ophthalmoplegia NOS
Kearns-Sayre syndrome
H49.9 Paralytic strabismus, unspecified
H50 Other strabismus
H50.0 Convergent concomitant strabismus

Esotropia (alternating)(monocular), except intermittent
H50.1 Divergent concomitant strabismus

Exotropia (alternating)(monocular), except intermittent
H50.2 Vertical strabismus

Hypertropia
Hypotropia
VII-27
H50.3 Intermittent heterotropia

Intermittent:
• esotropia
(alternating)(monocular)
• exotropia
H50.4 Other and unspecified heterotropia

Concomitant strabismus NOS
Cyclotropia
Microtropia
Monofixation syndrome
H50.5 Heterophoria
Alternating hyperphoria
Esophoria
Exophoria
H50.6 Mechanical strabismus

Brown's sheath syndrome
Strabismus due to adhesions
Traumatic limitation of duction of eye muscle
H50.8 Other specified strabismus

Duane's syndrome
H50.9 Strabismus, unspecified
H51 Other disorders of binocular movement
H51.0 Palsy of conjugate gaze
H51.1 Convergence insufficiency and excess
H51.2 Internuclear ophthalmoplegia
H51.8 Other specified disorders of binocular movement
H51.9 Disorder of binocular movement, unspecified
VII-28
H52 Disorders of refraction and accommodation
H52.0 Hypermetropia
H52.1 Myopia
Excludes: degenerative myopia (H44.2)
H52.2 Astigmatism
H52.3 Anisometropia and aniseikonia
H52.4 Presbyopia
H52.5 Disorders of accommodation

Internal ophthalmoplegia (complete)(total)
Paresis
of accommodation
Spasm
H52.6 Other disorders of refraction
H52.7 Disorder of refraction, unspecified
Visual disturbances and blindness

(H53-H54)
H53 Visual disturbances
H53.0 Amblyopia ex anopsia

Amblyopia:
• anisometropic
• deprivation
• strabismic
VII-29
H53.1 Subjective visual disturbances

Asthenopia
Day blindness
Hemeralopia
Metamorphopsia
Photophobia
Scintillating scotoma
Sudden visual loss
Visual halos
Excludes: visual hallucinations (R44.1)
H53.2 Diplopia
Double vision
H53.3 Other disorders of binocular vision

Abnormal retinal correspondence
Fusion with defective stereopsis
Simultaneous visual perception without fusion
Suppression of binocular vision
H53.4 Visual field defects

Enlarged blind spot
Generalized contraction of visual field
Hemianop(s)ia (heteronymous)(homonymous)
Quadrant anop(s)ia
Scotoma:
• arcuate
• Bjerrum
• central
• ring
VII-30
H53.5 Colour vision deficiencies

Achromatopsia
Acquired colour vision deficiency
Colour blindness
Deuteranomaly
Deuteranopia
Protanomaly
Protanopia
Tritanomaly
Tritanopia
Excludes: day blindness (H53.1)
H53.6 Night blindness

Excludes: due to vitamin A deficiency (E50.5)
H53.8 Other visual disturbances
H53.9 Visual disturbance, unspecified
H54 Blindness and low vision

Note: For definition of visual impairment categories see table below.
Excludes: amaurosis fugax (G45.3)
H54.0 Blindness, both eyes

Visual impairment categories 3, 4, 5 in both eyes.
H54.1 Blindness, one eye, low vision other eye

Visual impairment categories 3, 4, 5 in one eye, with categories 1 or 2 in the other
eye.
H54.2 Low vision, both eyes

Visual impairment categories 1 or 2 in both eyes.
H54.3 Unqualified visual loss, both eyes

Visual impairment category 9 in both eyes.
H54.4 Blindness, one eye

Visual impairment categories 3, 4, 5 in one eye [normal vision in other eye].
VII-31
H54.5 Low vision, one eye

Visual impairment categories 1 or 2 in one eye [normal vision in other eye].
H54.6 Unqualified visual loss, one eye

Visual impairment category 9 in one eye [normal vision in other eye].
H54.7 Unspecified visual loss

Visual impairment category 9 NOS.
Note: The table below gives a classification of severity of visual impairment

recommended by a WHO Study Group on the Prevention of Blindness, Geneva,
6-10 November l972.1
The term "low vision" in category H54 comprises categories 1 and 2 of the table,
the term "blindness" categories 3, 4 and 5, and the term "unqualified visual loss"
category 9.
If the extent of the visual field is taken into account, patients with a field no
greater than 10o but greater than 5o around central fixation should be placed in
category 3 and patients with a field no greater than 5o around central fixation
should be placed in category 4, even if the central acuity is not impaired.
1
WHO Technical Report Series, No. 518, 1973.
VII-32
Category Visual acuity with best possible correction

of visual _________________________________________________________
impairment Maximum less than: Minimum equal to or
better than:
6/18 6/60
1 3/10 (0.3) 1/10 (0.1)
20/70 20/200
6/60 3/60
2 1/10 (0.1) 1/20 (0.05)
20/200 20/400
3/60 1/60 (finger counting

3 1/20 (0.05) at 1 metre)
20/400 1/50 (20/1200)
5/300 (20/1200)
1/60 (finger counting Light perception

at 1 metre)
4 1/50 (0.02)
5/300
5 No light perception
9 Undetermined or unspecified
Other disorders of eye and adnexa

(H55-H59)
H55 Nystagmus and other irregular eye movements

Nystagmus:
• NOS
• congenital
• deprivation
• dissociated
• latent
VII-33
H57 Other disorders of eye and adnexa
H57.0 Anomalies of pupillary function
H57.1 Ocular pain
H57.8 Other specified disorders of eye and adnexa
H57.9 Disorder of eye and adnexa, unspecified
H58.0* Anomalies of pupillary function in diseases classified elsewhere

Argyll Robertson phenomenon or pupil, syphilitic (A52.1†)
H58.1* Visual disturbances in diseases classified elsewhere
H58.8* Other specified disorders of eye and adnexa in diseases classified elsewhere
Syphilitic oculopathy NEC:
• congenital:
• early (A50.0†)
• late (A50.3†)
• early (secondary) (A51.4†)
• late (A52.7†)
H59 Postprocedural disorders of eye and adnexa, not elsewhere classified

Excludes: mechanical complication of:
• intraocular lens (T85.2)
• other ocular prosthetic devices, implants and grafts (T85.3)
pseudophakia (Z96.1)
H59.0 Vitreous syndrome following cataract surgery
H59.8 Other postprocedural disorders of eye and adnexa

Chorioretinal scars after surgery for detachment
H59.9 Postprocedural disorder of eye and adnexa, unspecified
VII-34
CHAPTER VIII
__________________________________________________________________________
Diseases of the ear and mastoid process

(H60-H95)

(Q00-Q99)
neoplasms (C00-D48)
H60-H62 Diseases of external ear

H65-H75 Diseases of middle ear and mastoid
H80-H83 Diseases of inner ear
H90-H95 Other disorders of ear

VIII-1
Diseases of external ear

(H60-H62)
H60 Otitis externa
H60.0 Abscess of external ear

Boil
Carbuncle of auricle or external auditory canal
Furuncle
H60.1 Cellulitis of external ear

Cellulitis of:
• auricle
• external auditory canal
H60.2 Malignant otitis externa
H60.3 Other infective otitis externa

Otitis externa:
• diffuse
• haemorrhagic
Swimmer's ear
H60.4 Cholesteatoma of external ear

Keratosis obturans of external ear (canal)
H60.5 Acute otitis externa, noninfective

Acute otitis externa:
• NOS
• actinic
• chemical
• contact
• eczematoid
• reactive
H60.8 Other otitis externa

Chronic otitis externa NOS
H60.9 Otitis externa, unspecified
VIII-2
DISEASES OF THE EAR AND MASTOID PROCESS
H61 Other disorders of external ear
H61.0 Perichondritis of external ear

Chondrodermatitis nodularis chronica helicis
Perichondritis of:
• auricle
• pinna
H61.1 Noninfective disorders of pinna

Acquired deformity of:
• auricle
• pinna
Excludes: cauliflower ear (M95.1)
H61.2 Impacted cerumen

Wax in ear
H61.3 Acquired stenosis of external ear canal

Collapse of external ear canal
H61.8 Other specified disorders of external ear

Exostosis of external canal
H61.9 Disorder of external ear, unspecified
H62.0* Otitis externa in bacterial diseases classified elsewhere

Otitis externa in erysipelas (A46†)
H62.1* Otitis externa in viral diseases classified elsewhere

Otitis externa in:
H62.2* Otitis externa in mycoses

Otitis externa in:
• aspergillosis (B44.8†)
• candidiasis (B37.2†)
Otomycosis NOS (B36.9†)
VIII-3
H62.3* Otitis externa in other infectious and parasitic diseases classified elsewhere
H62.4* Otitis externa in other diseases classified elsewhere

Otitis externa in impetigo (L01.-†)
H62.8* Other disorders of external ear in diseases classified elsewhere
Diseases of middle ear and mastoid

(H65-H75)
H65 Nonsuppurative otitis media

Use additional code to identify presence of perforated tympanic membrane (H72.-)
Includes: with myringitis
H65.0 Acute serous otitis media

Acute and subacute secretory otitis media
H65.1 Other acute nonsuppurative otitis media

Otitis media, acute and subacute:
• allergic (mucoid)(sanguinous)(serous)
• mucoid
• nonsuppurative NOS
• sanguinous
• seromucinous
Excludes: otitic barotrauma (T70.0)

otitis media (acute) NOS (H66.9)
H65.2 Chronic serous otitis media

Chronic tubotympanal catarrh
H65.3 Chronic mucoid otitis media

Glue ear
Otitis media, chronic:
• mucinous
• secretory
• transudative
Excludes: adhesive middle ear disease (H74.1)
VIII-4
H65.4 Other chronic nonsuppurative otitis media

Otitis media, chronic:
• allergic
• exudative
• nonsuppurative NOS
• seromucinous
• with effusion (nonpurulent)
H65.9 Nonsuppurative otitis media, unspecified

Otitis media:
• allergic
• catarrhal
• exudative
• mucoid
• secretory
• seromucinous
• serous
• transudative
• with effusion (nonpurulent)
H66 Suppurative and unspecified otitis media

Use additional code to identify presence of perforated tympanic membrane (H72.-)
Includes: with myringitis
H66.0 Acute suppurative otitis media
H66.1 Chronic tubotympanic suppurative otitis media

Benign chronic suppurative otitis media
Chronic tubotympanic disease
H66.2 Chronic atticoantral suppurative otitis media

Chronic atticoantral disease
H66.3 Other chronic suppurative otitis media

Chronic suppurative otitis media NOS
H66.4 Suppurative otitis media, unspecified

Purulent otitis media NOS
VIII-5
H66.9 Otitis media, unspecified

Otitis media:
• NOS
• acute NOS
• chronic NOS
H67.0* Otitis media in bacterial diseases classified elsewhere

Otitis media in:
• scarlet fever (A38†)
H67.1* Otitis media in viral diseases classified elsewhere

Otitis media in:
• influenza (J10-J11†)
H67.8* Otitis media in other diseases classified elsewhere
H68 Eustachian salpingitis and obstruction
H68.0 Eustachian salpingitis
H68.1 Obstruction of Eustachian tube

Compression
Stenosis of Eustachian tube
Stricture
H69 Other disorders of Eustachian tube
H69.0 Patulous Eustachian tube
H69.8 Other specified disorders of Eustachian tube
H69.9 Eustachian tube disorder, unspecified
H70 Mastoiditis and related conditions
H70.0 Acute mastoiditis

Abscess
Empyema of mastoid
VIII-6
H70.1 Chronic mastoiditis

Caries
of mastoid
Fistula
H70.2 Petrositis
Inflammation of petrous bone (acute)(chronic)
H70.8 Other mastoiditis and related conditions
H70.9 Mastoiditis, unspecified
H71 Cholesteatoma of middle ear

Cholesteatoma tympani
Excludes: cholesteatoma of external ear (H60.4)

recurrent cholesteatoma of postmastoidectomy cavity (H95.0)
Perforation of tympanic membrane

Includes: perforation of ear drum:
• persistent post-traumatic
• postinflammatory
Excludes: traumatic rupture of ear drum (S09.2)
H72.0 Central perforation of tympanic membrane
H72.1 Attic perforation of tympanic membrane

Perforation of pars flaccida
H72.2 Other marginal perforations of tympanic membrane
H72.8 Other perforations of tympanic membrane

Perforation(s):
• multiple
• total of tympanic membrane
H72.9 Perforation of tympanic membrane, unspecified
VIII-7
H73 Other disorders of tympanic membrane
H73.0 Acute myringitis

Acute tympanitis
Bullous myringitis
Excludes: with otitis media (H65-H66)
H73.1 Chronic myringitis

Chronic tympanitis
Excludes: with otitis media (H65-H66)
H73.8 Other specified disorders of tympanic membrane
H73.9 Disorder of tympanic membrane, unspecified
H74 Other disorders of middle ear and mastoid
H74.0 Tympanosclerosis
H74.1 Adhesive middle ear disease

Adhesive otitis
Excludes: glue ear (H65.3)
H74.2 Discontinuity and dislocation of ear ossicles
H74.3 Other acquired abnormalities of ear ossicles

Ankylosis
of ear ossicles
Partial loss
H74.4 Polyp of middle ear
H74.8 Other specified disorders of middle ear and mastoid
H74.9 Disorder of middle ear and mastoid, unspecified
H75.0* Mastoiditis in infectious and parasitic diseases classified elsewhere

Tuberculous mastoiditis (A18.0†)
H75.8* Other specified disorders of middle ear and mastoid in diseases classified elsewhere
VIII-8
Diseases of inner ear

(H80-H83)
H80 Otosclerosis
Includes: otospongiosis
H80.0 Otosclerosis involving oval window, nonobliterative
H80.1 Otosclerosis involving oval window, obliterative
H80.2 Cochlear otosclerosis

Otosclerosis involving:
• otic capsule
• round window
H80.8 Other otosclerosis
H80.9 Otosclerosis, unspecified
H81 Disorders of vestibular function

Excludes: vertigo:
• NOS (R42)
• epidemic (A88.1)
H81.0 Ménière's disease

Labyrinthine hydrops
Ménière's syndrome or vertigo
H81.1 Benign paroxysmal vertigo
H81.2 Vestibular neuronitis
H81.3 Other peripheral vertigo

Lermoyez' syndrome
Vertigo:
• aural
• otogenic
• peripheral NOS
H81.4 Vertigo of central origin

Central positional nystagmus
VIII-9
H81.8 Other disorders of vestibular function
H81.9 Disorder of vestibular function, unspecified

Vertiginous syndrome NOS
H83 Other diseases of inner ear
H83.0 Labyrinthitis
H83.1 Labyrinthine fistula
H83.2 Labyrinthine dysfunction

Hypersensitivity
Hypofunction of labyrinth
Loss of function
H83.3 Noise effects on inner ear

Acoustic trauma
Noise-induced hearing loss
H83.8 Other specified diseases of inner ear
H83.9 Disease of inner ear, unspecified
Other disorders of ear

(H90-H95)
H90 Conductive and sensorineural hearing loss

Includes: congenital deafness
Excludes: deaf mutism NEC (H91.3)

deafness NOS (H91.9)
hearing loss:
• NOS (H91.9)
• noise-induced (H83.3)
• ototoxic (H91.0)
• sudden (idiopathic) (H91.2)
H90.0 Conductive hearing loss, bilateral
VIII-10
H90.1 Conductive hearing loss, unilateral with unrestricted hearing on the

contralateral side
H90.2 Conductive hearing loss, unspecified

Conductive deafness NOS
H90.3 Sensorineural hearing loss, bilateral
H90.4 Sensorineural hearing loss, unilateral with unrestricted hearing on the

contralateral side
H90.5 Sensorineural hearing loss, unspecified

Congenital deafness NOS
Hearing loss:
• central
• neural
• perceptive NOS
• sensory
Sensorineural deafness NOS
H90.6 Mixed conductive and sensorineural hearing loss, bilateral
H90.7 Mixed conductive and sensorineural hearing loss, unilateral with

unrestricted hearing on the contralateral side
H90.8 Mixed conductive and sensorineural hearing loss, unspecified
H91 Other hearing loss

Excludes: abnormal auditory perception (H93.2)
hearing loss as classified in H90.-
impacted cerumen (H61.2)
noise-induced hearing loss (H83.3)
psychogenic deafness (F44.6)
transient ischaemic deafness (H93.0)
H91.0 Ototoxic hearing loss

agent.
H91.1 Presbycusis
Presbyacusia
VIII-11
H91.2 Sudden idiopathic hearing loss

Sudden hearing loss NOS
H91.3 Deaf mutism, not elsewhere classified
H91.8 Other specified hearing loss
H91.9 Hearing loss, unspecified

Deafness:
• NOS
• high frequency
• low frequency
H92 Otalgia and effusion of ear
H92.0 Otalgia
H92.1 Otorrhoea
Excludes: leakage of cerebrospinal fluid through ear (G96.0)
H92.2 Otorrhagia
Excludes: traumatic otorrhagia - code by type of injury
H93 Other disorders of ear, not elsewhere classified
H93.0 Degenerative and vascular disorders of ear

Transient ischaemic deafness
Excludes: presbycusis (H91.1)
H93.1 Tinnitus
H93.2 Other abnormal auditory perceptions

Auditory recruitment
Diplacusis
Hyperacusis
Temporary auditory threshold shift
Excludes: auditory hallucinations (R44.0)
H93.3 Disorders of acoustic nerve

VIII-12
H93.8 Other specified disorders of ear
H93.9 Disorder of ear, unspecified
H94.0* Acoustic neuritis in infectious and parasitic diseases classified elsewhere

Acoustic neuritis in syphilis (A52.1†)
H94.8* Other specified disorders of ear in diseases classified elsewhere
H95 Postprocedural disorders of ear and mastoid process, not elsewhere classified
H95.0 Recurrent cholesteatoma of postmastoidectomy cavity
H95.1 Other disorders following mastoidectomy

Chronic inflammation
Granulation of postmastoidectomy cavity
Mucosal cyst
H95.8 Other postprocedural disorders of ear and mastoid process
H95.9 Postprocedural disorder of ear and mastoid process, unspecified
VIII-13
CHAPTER IX
____________________________________________________________________________
Diseases of the circulatory system

(I00-I99)

(Q00-Q99)
neoplasms (C00-D48)
systemic connective tissue disorders (M30-M36)
transient cerebral ischaemic attacks and related syndromes (G45.-)
I00-I02 Acute rheumatic fever

I05-I09 Chronic rheumatic heart diseases
I10-I15 Hypertensive diseases
I20-I25 Ischaemic heart diseases
I26-I28 Pulmonary heart disease and diseases of pulmonary circulation
I30-I52 Other forms of heart disease
I60-I69 Cerebrovascular diseases
I70-I79 Diseases of arteries, arterioles and capillaries
I80-I89 Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
I95-I99 Other and unspecified disorders of the circulatory system

I79* Disorders of arteries, arterioles and capillaries in diseases classified elsewhere
IX-1
Acute rheumatic fever

(I00-I02)
I00 Rheumatic fever without mention of heart involvement

Arthritis, rheumatic, acute or subacute
I01 Rheumatic fever with heart involvement

Excludes: chronic diseases of rheumatic origin (I05-I09) unless rheumatic
fever is also present or there is evidence of recrudescence or
activity of the rheumatic process. In cases where there is doubt as
to rheumatic activity at the time of death refer to the mortality
coding rules and guidelines in Part 2a Instruction Manual (NCHS).
I01.0 Acute rheumatic pericarditis

Any condition in I00 with pericarditis
Rheumatic pericarditis (acute)
Excludes: when not specified as rheumatic (I30.-)
I01.1 Acute rheumatic endocarditis

Any condition in I00 with endocarditis or valvulitis
Acute rheumatic valvulitis
I01.2 Acute rheumatic myocarditis

Any condition in I00 with myocarditis
I01.8 Other acute rheumatic heart disease

Any condition in I00 with other or multiple types of heart involvement
Acute rheumatic pancarditis
I01.9 Acute rheumatic heart disease, unspecified

Any condition in I00 with unspecified type of heart involvement
Rheumatic:
• carditis, acute
• heart disease, active or acute
IX-2
DISEASES OF THE CIRCULATORY SYSTEM
I02 Rheumatic chorea

Includes: Sydenham's chorea
Excludes: chorea:
• NOS (G25.5)
• Huntington (G10)
I02.0 Rheumatic chorea with heart involvement

Chorea NOS with heart involvement
Rheumatic chorea with heart involvement of any type classifiable under I01.-
I02.9 Rheumatic chorea without heart involvement

Rheumatic chorea NOS
Chronic rheumatic heart diseases

(I05-I09)
I05 Rheumatic mitral valve diseases

Includes: conditions classifiable to 105.0 and 105.2-105.9, whether
specified as rheumatic or not
Excludes: when specified as nonrheumatic (I34-.)
I05.0 Mitral stenosis

Mitral (valve) obstruction (rheumatic)
I05.1 Rheumatic mitral insufficiency

Rheumatic mitral:
• incompetence
• regurgitation
I05.2 Mitral stenosis with insufficiency

Mitral stenosis with incompetence or regurgitation
I05.8 Other mitral valve diseases

Mitral (valve) failure
I05.9 Mitral valve disease, unspecified

Mitral (valve) disorder (chronic) NOS
IX-3
I06 Rheumatic aortic valve diseases

I06.0 Rheumatic aortic stenosis

Rheumatic aortic (valve) obstruction
I06.1 Rheumatic aortic insufficiency

Rheumatic aortic:
• incompetence
• regurgitation
I06.2 Rheumatic aortic stenosis with insufficiency

Rheumatic aortic stenosis with incompetence or regurgitation
I06.8 Other rheumatic aortic valve diseases
I06.9 Rheumatic aortic valve disease, unspecified

Rheumatic aortic (valve) disease NOS
I07 Rheumatic tricuspid valve diseases

Includes: whether specified as rheumatic or of unspecified origin
Excludes: when specified as nonrheumatic (I36.-)
I07.0 Tricuspid stenosis

Tricuspid (valve) stenosis (rheumatic)
I07.1 Tricuspid insufficiency

Tricuspid (valve) insufficiency (rheumatic)
I07.2 Tricuspid stenosis with insufficiency
I07.8 Other tricuspid valve diseases
I07.9 Tricuspid valve disease, unspecified

Tricuspid valve disorder NOS
IX-4
I08 Multiple valve diseases

Includes: whether specified as rheumatic or of unspecified origin
Excludes: endocarditis, valve unspecified (I38)

multiple valve diseases of specified origin other than rheumatic heart
disease (use appropriate codes in I34-I38, Q22-Q23 and Q24.8)
rheumatic diseases of endocardium, valve unspecified (I09.1)
I08.0 Disorders of both mitral and aortic valves

Involvement of both mitral and aortic valves whether specified as rheumatic or of
unspecified origin
I08.1 Disorders of both mitral and tricuspid valves
I08.2 Disorders of both aortic and tricuspid valves
I08.3 Combined disorders of mitral, aortic and tricuspid valves
I08.8 Other multiple valve diseases
I08.9 Multiple valve disease, unspecified
I09 Other rheumatic heart diseases
I09.0 Rheumatic myocarditis

Excludes: myocarditis not specified as rheumatic (I51.4)
I09.1 Rheumatic diseases of endocardium, valve unspecified

Rheumatic:
• endocarditis (chronic)
• valvulitis (chronic)
Excludes: endocarditis, valve unspecified (I38)
I09.2 Chronic rheumatic pericarditis

Adherent pericardium, rheumatic
Chronic rheumatic:
• mediastinopericarditis
• myopericarditis
IX-5
I09.8 Other specified rheumatic heart diseases

Rheumatic disease of pulmonary valve
I09.9 Rheumatic heart disease, unspecified

Rheumatic:
• carditis
• heart failure
Excludes: rheumatoid carditis (M05.3)
Hypertensive diseases
(I10-I15)
Excludes: complicating pregnancy, childbirth and the puerperium (O10-O11, O13-O16)

involving coronary vessels (I20-I25)
neonatal hypertension (P29.2)
pulmonary hypertension (I27.0)
I10 Essential (primary) hypertension

High blood pressure
Hypertension (arterial)(benign)(essential)(malignant)(primary)(systemic)
Excludes: involving vessels of:

• brain (I60-I69)
• eye (H35.0)
I11 Hypertensive heart disease

Includes: any condition in I50.-, I51.4-I51.9 due to hypertension
I11.0 Hypertensive heart disease with (congestive) heart failure

Hypertensive heart failure
I11.9 Hypertensive heart disease without (congestive) heart failure

Hypertensive heart disease NOS
IX-6
I12 Hypertensive renal disease

Includes: any condition in N18.-, N19.- or N26.- with any condition in I10
arteriosclerosis of kidney
arteriosclerotic nephritis (chronic)(interstitial)
hypertensive nephropathy
nephrosclerosis
Excludes: secondary hypertension (I15.-)
I12.0 Hypertensive renal disease with renal failure

Hypertensive renal failure
I12.9 Hypertensive renal disease without renal failure

Hypertensive renal disease NOS
I13 Hypertensive heart and renal disease

Includes: any condition in I11.- with any condition in I12.-
disease:
• cardiorenal
• cardiovascular renal
I13.0 Hypertensive heart and renal disease with (congestive) heart failure
I13.1 Hypertensive heart and renal disease with renal failure
I13.2 Hypertensive heart and renal disease with both (congestive) heart failure and
renal failure
I13.9 Hypertensive heart and renal disease, unspecified
I15 Secondary hypertension

Excludes: involving vessels of:
• brain (I60-I69)
• eye (H35.0)
I15.0 Renovascular hypertension
I15.1 Hypertension secondary to other renal disorders
IX-7
I15.2 Hypertension secondary to endocrine disorders
I15.8 Other secondary hypertension
I15.9 Secondary hypertension, unspecified
Ischaemic heart diseases

(I20-I25)
Note: For morbidity, duration as used in categories I21-I25 refers to the interval
elapsing between onset of the ischaemic episode and admission to care. For
mortality, duration refers to the interval elapsing between onset and death.
Includes: with mention of hypertension (I10-I15)
Use additional code, if desired, to identify presence of hypertension.
I20 Angina pectoris
I20.0 Unstable angina

Angina:
• crescendo
• de novo effort
• worsening effort
Intermediate coronary syndrome
Preinfarction syndrome
I20.1 Angina pectoris with documented spasm

Angina:
• angiospastic
• Prinzmetal
• spasm-induced
• variant
IX-8
I20.8 Other forms of angina pectoris

Angina of effort
Stenocardia
I20.9 Angina pectoris, unspecified

Angina:
• NOS
• cardiac
Anginal syndrome
Ischaemic chest pain
I21 Acute myocardial infarction

Includes: myocardial infarction specified as acute or with a stated duration
of 4 weeks (28 days) or less from onset
Excludes: certain current complications following acute myocardial infarction
(I23.-)
myocardial infarction:
• old (I25.2)
• specified as chronic or with a stated duration of more than 4
weeks (more than 28 days) from onset (I25.8)
• subsequent (I22.-)
postmyocardial infarction syndrome (I24.1)
I21.0 Acute transmural myocardial infarction of anterior wall

Transmural infarction (acute)(of):
• anterior (wall) NOS
• anteroapical
• anterolateral
• anteroseptal
I21.1 Acute transmural myocardial infarction of inferior wall

• diaphragmatic wall
• inferior (wall) NOS
• inferolateral
• inferoposterior
IX-9
I21.2 Acute transmural myocardial infarction of other sites

• apical-lateral
• basal-lateral
• high lateral
• lateral (wall) NOS
• posterior (true)
• posterobasal
• posterolateral
• posteroseptal
• septal NOS
I21.3 Acute transmural myocardial infarction of unspecified site

Transmural myocardial infarction NOS
I21.4 Acute subendocardial myocardial infarction

Nontransmural myocardial infarction NOS
I21.9 Acute myocardial infarction, unspecified

Myocardial infarction (acute) NOS
I22 Subsequent myocardial infarction

Includes: recurrent myocardial infarction
Excludes: specified as chronic or with a stated duration of more than 4

I22.0 Subsequent myocardial infarction of anterior wall

Subsequent infarction (acute)(of):
• anterior (wall) NOS
• anteroapical
• anterolateral
• anteroseptal
I22.1 Subsequent myocardial infarction of inferior wall

Subsequent infarction (acute)(of):
• diaphragmatic wall
• inferior (wall) NOS
• inferolateral
• inferoposterior
IX-10
I22.8 Subsequent myocardial infarction of other sites

Subsequent myocardial infarction (acute)(of):
• apical-lateral
• basal-lateral
• high lateral
• lateral (wall) NOS
• posterior (true)
• posterobasal
• posterolateral
• posteroseptal
• septal NOS
I22.9 Subsequent myocardial infarction of unspecified site
I23 Certain current complications following acute myocardial infarction

Excludes: the listed conditions, when:
• concurrent with acute myocardial infarction (I21-I22)
• not specified as current complications following acute
myocardial infarction (I31.-, I51.-)
I23.0 Haemopericardium as current complication following acute myocardial

infarction
I23.1 Atrial septal defect as current complication following acute myocardial

infarction
I23.2 Ventricular septal defect as current complication following acute myocardial

infarction
I23.3 Rupture of cardiac wall without haemopericardium as current complication

following acute myocardial infarction
Excludes: with haemopericardium (I23.0)
I23.4 Rupture of chordae tendineae as current complication following acute

myocardial infarction
I23.5 Rupture of papillary muscle as current complication following acute

myocardial infarction
IX-11
I23.6 Thrombosis of atrium, auricular appendage, and ventricle as current

complications following acute myocardial infarction
I23.8 Other current complications following acute myocardial infarction
I24 Other acute ischaemic heart diseases

Excludes: angina pectoris (I20.-)
transient myocardial ischaemia of newborn (P29.4)
I24.0 Coronary thrombosis not resulting in myocardial infarction

Coronary (artery)(vein):
• embolism
• occlusion not resulting in myocardial infarction
• thromboembolism
Excludes: specified as chronic or with a stated duration of more than 4

I24.1 Dressler's syndrome

Postmyocardial infarction syndrome
I24.8 Other forms of acute ischaemic heart disease

Coronary:
• failure
• insufficiency
I24.9 Acute ischaemic heart disease, unspecified

Excludes: ischaemic heart disease (chronic) NOS (I25.9)
I25 Chronic ischaemic heart disease

Excludes: cardiovascular disease NOS (I51.6)
I25.0 Atherosclerotic cardiovascular disease, so described
I25.1 Atherosclerotic heart disease

Coronary (artery):
• atheroma
• atherosclerosis
• disease
• sclerosis
IX-12
I25.2 Old myocardial infarction

Healed myocardial infarction
Past myocardial infarction diagnosed by ECG or other special investigation,
but currently presenting no symptoms
I25.3 Aneurysm of heart

Aneurysm:
• mural
• ventricular
I25.4 Coronary artery aneurysm

Coronary arteriovenous fistula, acquired
Excludes: congenital coronary (artery) aneurysm (Q24.5)
I25.5 Ischaemic cardiomyopathy
I25.6 Silent myocardial ischaemia
I25.8 Other forms of chronic ischaemic heart disease

Any condition in I21-I22 and I24.- specified as chronic or with a stated
duration of more than 4 weeks (more than 28 days) from onset
I25.9 Chronic ischaemic heart disease, unspecified

Ischaemic heart disease (chronic) NOS
IX-13
Pulmonary heart disease and diseases of pulmonary circulation

(I26-I28)
I26 Pulmonary embolism

Includes: pulmonary (artery)(vein):
• infarction
• thromboembolism
• thrombosis
I26.0 Pulmonary embolism with mention of acute cor pulmonale

Acute cor pulmonale NOS
I26.9 Pulmonary embolism without mention of acute cor pulmonale

Pulmonary embolism NOS
I27 Other pulmonary heart diseases
I27.0 Primary pulmonary hypertension
I27.1 Kyphoscoliotic heart disease
I27.2 Other secondary pulmonary hypertension

Pulmonary (artery) hypertension
Use additional code, if desired, to identify the underlying disease.
I27.8 Other specified pulmonary heart diseases

Excludes: Eisenmenger’s defect (Q21.8)
I27.9 Pulmonary heart disease, unspecified

Chronic cardiopulmonary disease
Cor pulmonale (chronic) NOS
IX-14
I28 Other diseases of pulmonary vessels
I28.0 Arteriovenous fistula of pulmonary vessels
I28.1 Aneurysm of pulmonary artery
I28.8 Other specified diseases of pulmonary vessels

Rupture
Stenosis of pulmonary vessel
Stricture
I28.9 Disease of pulmonary vessels, unspecified
Other forms of heart disease

(I30-I52)
I30 Acute pericarditis

Includes: acute pericardial effusion
Excludes: rheumatic pericarditis (acute) (I01.0)
I30.0 Acute nonspecific idiopathic pericarditis
I30.1 Infective pericarditis

Pericarditis:
• pneumococcal
• purulent
• staphylococcal
• streptococcal
• viral
Pyopericarditis
I30.8 Other forms of acute pericarditis
I30.9 Acute pericarditis, unspecified
IX-15
I31 Other diseases of pericardium

Excludes: current complications following acute myocardial infarction (I23.-)
postcardiotomy syndrome (I97.0)
trauma (S26.-)
when specified as rheumatic (I09.2)
I31.0 Chronic adhesive pericarditis

Accretio cordis
Adherent pericardium
Adhesive mediastinopericarditis
I31.1 Chronic constrictive pericarditis

Concretio cordis
Pericardial calcification
I31.2 Haemopericardium, not elsewhere classified
I31.3 Pericardial effusion (noninflammatory)

Chylopericardium
I31.8 Other specified diseases of pericardium

Epicardial plaques
Focal pericardial adhesions
I31.9 Disease of pericardium, unspecified

Cardiac tamponade
Pericarditis (chronic) NOS
IX-16
I32.0* Pericarditis in bacterial diseases classified elsewhere

Pericarditis:
• syphilitic (A52.0†)
I32.1* Pericarditis in other infectious and parasitic diseases classified elsewhere
I32.8* Pericarditis in other diseases classified elsewhere

Pericarditis (in):
• rheumatoid (M05.3†)
• uraemic (N18.8†)
I33 Acute and subacute endocarditis

Excludes: acute rheumatic endocarditis (I01.1)
endocarditis NOS (I38)
I33.0 Acute and subacute infective endocarditis

Endocarditis (acute)(subacute):
• bacterial
• infective NOS
• lenta
• malignant
• septic
• ulcerative
I33.9 Acute endocarditis, unspecified

Endocarditis
Myoendocarditis acute or subacute
Periendocarditis
IX-17
I34 Nonrheumatic mitral valve disorders

Excludes: mitral (valve):
• disease (I05.9)
• failure (I05.8)
• stenosis (I05.0)
when of unspecified cause but with mention of:
• diseases of aortic valve (I08.0)
• mitral stenosis or obstruction (I05.0)
when specified as congenital (Q23.2-Q23.3)
when specified as rheumatic (I05.-)
I34.0 Mitral (valve) insufficiency

Mitral (valve):
• incompetence NOS or of specified cause, except
• regurgitation rheumatic
I34.1 Mitral (valve) prolapse

Floppy mitral valve syndrome
Excludes: Marfan's syndrome (Q87.4)
I34.2 Nonrheumatic mitral (valve) stenosis
I34.8 Other nonrheumatic mitral valve disorders
I34.9 Nonrheumatic mitral valve disorder, unspecified
I35 Nonrheumatic aortic valve disorders

Excludes: hypertrophic subaortic stenosis (I42.1)
when of unspecified cause but with mention of diseases of mitral
valve (I08.0)
when specified as congenital (Q23.0-Q23.1)
I35.0 Aortic (valve) stenosis
I35.1 Aortic (valve) insufficiency

Aortic (valve):
IX-18
I35.2 Aortic (valve) stenosis with insufficiency
I35.8 Other aortic valve disorders
I35.9 Aortic valve disorder, unspecified
I36 Nonrheumatic tricuspid valve disorders

Excludes: when of unspecified cause (I07.-)
when specified as congenital (Q22.4, Q22.8-Q22.9)
I36.0 Nonrheumatic tricuspid (valve) stenosis
I36.1 Nonrheumatic tricuspid (valve) insufficiency

Tricuspid (valve):
• incompetence of specified cause, except
I36.2 Nonrheumatic tricuspid (valve) stenosis with insufficiency
I36.8 Other nonrheumatic tricuspid valve disorders
I36.9 Nonrheumatic tricuspid valve disorder, unspecified
I37 Pulmonary valve disorders

Excludes: when specified as congenital (Q22.1-Q22.3)
I37.0 Pulmonary valve stenosis
I37.1 Pulmonary valve insufficiency

Pulmonary valve:
I37.2 Pulmonary valve stenosis with insufficiency
I37.8 Other pulmonary valve disorders
I37.9 Pulmonary valve disorder, unspecified
IX-19
I38 Endocarditis, valve unspecified

Endocarditis (chronic) NOS
Valvular:
• incompetence
• insufficiency
• regurgitation of
• stenosis unspecified NOS or of specified cause,
Valvulitis valve except rheumatic or congenital
(chronic)
Excludes: endocardial fibroelastosis (I42.4)

when specified as congenital (I42.4)

Includes: endocardial involvement in:
• candidal infection (B37.6†)
• gonococcal infection (A54.8†)
• Libman-Sacks disease (M32.1†)
• meningococcal infection (A39.5†)
• rheumatoid arthritis (M05.3†)
I39.0* Mitral valve disorders in diseases classified elsewhere
I39.1* Aortic valve disorders in diseases classified elsewhere
I39.2* Tricuspid valve disorders in diseases classified elsewhere
I39.3* Pulmonary valve disorders in diseases classified elsewhere
I39.4* Multiple valve disorders in diseases classified elsewhere
I39.8* Endocarditis, valve unspecified, in diseases classified elsewhere
IX-20
I40 Acute myocarditis
I40.0 Infective myocarditis

Septic myocarditis
I40.1 Isolated myocarditis
I40.8 Other acute myocarditis
I40.9 Acute myocarditis, unspecified
I41.0* Myocarditis in bacterial diseases classified elsewhere

Myocarditis:
• diphtheritic (A36.8†)
I41.1* Myocarditis in viral diseases classified elsewhere

Influenzal myocarditis (acute):
• virus identified (J10.8†)
• virus not identified (J11.8†)
Mumps myocarditis (B26.8†)
I41.2* Myocarditis in other infectious and parasitic diseases classified elsewhere

Myocarditis in:
• acute (B57.0†)
I41.8* Myocarditis in other diseases classified elsewhere

Rheumatoid myocarditis (M05.3†)
Sarcoid myocarditis (D86.8†)
IX-21
I42 Cardiomyopathy
Excludes: cardiomyopathy complicating:
• pregnancy (O99.4)
• puerperium (O90.3)
ischaemic cardiomyopathy (I25.5)
I42.0 Dilated cardiomyopathy

Congestive cardiomyopathy
I42.00 Familial dilated cardiomyopathy

Idiopathic dilated cardiomyopathy
Primary dilated cardiomyopathy
I42.1 Obstructive hypertrophic cardiomyopathy

Hypertrophic subaortic stenosis
I42.10 Familial obstructive hypertrophic cardiomyopathy

Idiopathic obstructive hypertrophic cardiomyopathy
Primary obstructive hypertrophic cardiomyopathy
I42.2 Other hypertrophic cardiomyopathy

Nonobstructive hypertrophic cardiomyopathy
I42.20 Familial other hypertrophic cardiomyopathy

Idiopathic other hypertrophic cardiomyopathy
Primary other hypertrophic cardiomyopathy
I42.3 Endomyocardial (eosinophilic) disease

Endomyocardial (tropical) fibrosis
Löffler's endocarditis
I42.4 Endocardial fibroelastosis

Congenital cardiomyopathy
I42.5 Other restrictive cardiomyopathy

Constrictive cardiomyopathy
I42.50 Familial other restrictive cardiomyopathy

Idiopathic other restrictive cardiomyopathy
Primary other restrictive cardiomyopathy
IX-22
I42.6 Alcoholic cardiomyopathy
I42.7 Cardiomyopathy due to drugs and other external agents

I42.8 Other cardiomyopathies
I42.80 Familial other cardiomyopathies

Idiopathic other cardiomyopathies
Primary other cardiomyopathies
I42.9 Cardiomyopathy, unspecified

Cardiomyopathy (primary)(secondary) NOS
I42.90 Familial cardiomyopathy

Idiopathic cardiomyopathy
Primary cardiomyopathy
I43.0* Cardiomyopathy in infectious and parasitic diseases classified elsewhere

Cardiomyopathy in diphtheria (A36.8†)
I43.1* Cardiomyopathy in metabolic diseases

Cardiac amyloidosis (E85.-†)
I43.2* Cardiomyopathy in nutritional diseases

Nutritional cardiomyopathy NOS (E63.9†)
I43.8* Cardiomyopathy in other diseases classified elsewhere

Gouty tophi of heart (M10.0†)
Thyrotoxic heart disease (E05.9†)
I44 Atrioventricular and left bundle-branch block
I44.0 Atrioventricular block, first degree
IX-23
I44.1 Atrioventricular block, second degree

Atrioventricular block, type I and II
Möbitz block, type I and II
Second-degree block, type I and II
Wenckebach's block
I44.2 Atrioventricular block, complete

Complete heart block NOS
Third-degree block
I44.3 Other and unspecified atrioventricular block

Atrioventricular block NOS
I44.4 Left anterior fascicular block
I44.5 Left posterior fascicular block
I44.6 Other and unspecified fascicular block

Left bundle-branch hemiblock NOS
I44.7 Left bundle-branch block, unspecified
I45 Other conduction disorders
I45.0 Right fascicular block
I45.1 Other and unspecified right bundle-branch block

Right bundle-branch block NOS
I45.2 Bifascicular block
I45.3 Trifascicular block
I45.4 Nonspecific intraventricular block

Bundle-branch block NOS
I45.5 Other specified heart block

Sinoatrial block
Sinoauricular block
Excludes: heart block NOS (I45.9)
IX-24
I45.6 Pre-excitation syndrome

Anomalous atrioventricular excitation
Atrioventricular conduction:
• accelerated
• accessory
• pre-excitation
Lown-Ganong-Levine syndrome
Wolff-Parkinson-White syndrome
I45.8 Other specified conduction disorders

Atrioventricular [AV] dissociation
Interference dissociation
I45.9 Conduction disorder, unspecified

Heart block NOS
Stokes-Adams syndrome
I46 Cardiac arrest

Excludes: cardiogenic shock (R57.0)
complicating:
• obstetric surgery and procedures (O75.4)
I46.0 Cardiac arrest with successful resuscitation
I46.1 Sudden cardiac death, so described

Excludes: sudden death:
• NOS (R96.-)
• with:
• conduction disorder (I44-I45)
• myocardial infarction (I21-I22)
I46.9 Cardiac arrest, unspecified
IX-25
I47 Paroxysmal tachycardia

tachycardia:
• NOS (R00.0)
• sinoauricular NOS (R00.0)
• sinus [sinusal] NOS (R00.0)
I47.0 Re-entry ventricular arrhythmia
I47.1 Supraventricular tachycardia

Paroxysmal tachycardia:
• atrial
• atrioventricular [AV]
• junctional
• nodal
I47.2 Ventricular tachycardia
I47.9 Paroxysmal tachycardia, unspecified

Bouveret(-Hoffmann) syndrome
I48 Atrial fibrillation and flutter
I49 Other cardiac arrhythmias

Excludes: bradycardia:
• NOS (R00.1)
• sinoatrial (R00.1)
• sinus (R00.1)
• vagal (R00.1)
complicating:
neonatal cardiac dysrhythmia (P29.1)
IX-26
I49.0 Ventricular fibrillation and flutter
I49.1 Atrial premature depolarization

Atrial premature beats
I49.2 Junctional premature depolarization
I49.3 Ventricular premature depolarization
I49.4 Other and unspecified premature depolarization

Ectopic beats
Extrasystoles
Extrasystolic arrhythmias
Premature:
• beats NOS
• contractions
I49.5 Sick sinus syndrome

Tachycardia-bradycardia syndrome
I49.8 Other specified cardiac arrhythmias

Rhythm disorder:
• coronary sinus
• ectopic
• nodal
I49.9 Cardiac arrhythmia, unspecified

Arrhythmia (cardiac) NOS
IX-27
I50 Heart failure

due to hypertension (I11.0)
• with renal disease (I13.-)
following cardiac surgery or due to presence of cardiac prosthesis
(I97.1)
neonatal cardiac failure (P29.0)
I50.0 Congestive heart failure

Congestive heart disease
Right ventricular failure (secondary to left heart failure)
I50.00 Advanced congestive heart failure

Grave congestive heart failure
Severe congestive heart failure
I50.1 Left ventricular failure

Acute oedema of lung with mention of heart
Acute pulmonary oedema disease NOS or heart failure
Cardiac asthma
Left heart failure
I50.9 Heart failure, unspecified

Cardiac, heart or myocardial failure NOS
IX-28
I51 Complications and ill-defined descriptions of heart disease
Includes: 5TH DIGIT TO IDENTIFY ANY TERM CLASSIFIABLE TO

I51 WHEN QUALIFIED AS ARTERIOSCLEROTIC
Excludes: any condition in I51.4-I51.9 due to hypertension (I11.-)

• with renal disease (I13.-)
complications following acute myocardial infarction (I23.-)
when specified as rheumatic (I00-I09)
I51.0 Cardiac septal defect, acquired

Acquired septal defect (old):
• atrial
• auricular
• ventricular
I51.1 Rupture of chordae tendineae, not elsewhere classified
I51.2 Rupture of papillary muscle, not elsewhere classified
I51.3 Intracardiac thrombosis, not elsewhere classified

Thrombosis (old):
• apical
• atrial
• auricular
• ventricular
I51.4 Myocarditis, unspecified

Myocardial fibrosis
Myocarditis:
• NOS
• chronic (interstitial)
I51.40 Arteriosclerotic myocarditis
IX-29
I51.5 Myocardial degeneration

Degeneration of heart or myocardium:
• fatty
• senile
Myocardial disease
I51.50 Arteriosclerotic myocardial degeneration
I51.6 Cardiovascular disease, unspecified

Cardiovascular accident NOS
Excludes: atherosclerotic cardiovascular disease, so described (I25.0)
I51.7 Cardiomegaly
Cardiac:
• dilatation
• hypertrophy
Ventricular dilatation
I51.8 Other ill-defined heart diseases

Carditis (acute)(chronic)
Pancarditis (acute)(chronic)
I51.9 Heart disease, unspecified

Excludes: cardiovascular disorders NOS in diseases classified elsewhere
(I98.-*)
I52.0* Other heart disorders in bacterial diseases classified elsewhere

Meningococcal carditis NEC (A39.5†)
I52.1* Other heart disorders in other infectious and parasitic diseases classified
elsewhere
Pulmonary heart disease in schistosomiasis (B65.-†)
I52.8* Other heart disorders in other diseases classified elsewhere

Rheumatoid carditis (M05.3†)
IX-30
Cerebrovascular diseases
(I60-I69)
Includes: with mention of hypertension (conditions in I10 and I15.-)
Use additional code, if desired, to identify presence of hypertension.
Excludes: transient cerebral ischaemic attacks and related syndromes (G45.-)

traumatic intracranial haemorrhage (S06.-)
vascular dementia (F01.-)
I60 Subarachnoid haemorrhage
Includes: 5TH DIGIT TO IDENTIFY RUPTURED ANEURYSMS OF

THE SPECIFIED SITES
Includes: ruptured cerebral aneurysm
Excludes: sequelae of subarachnoid haemorrhage (I69.0)
I60.0 Subarachnoid haemorrhage from carotid siphon and bifurcation
I60.00 Ruptured carotid aneurysm (into brain)
I60.1 Subarachnoid haemorrhage from middle cerebral artery
I60.2 Subarachnoid haemorrhage from anterior communicating artery
I60.3 Subarachnoid haemorrhage from posterior communicating artery
I60.4 Subarachnoid haemorrhage from basilar artery
I60.5 Subarachnoid haemorrhage from vertebral artery
I60.6 Subarachnoid haemorrhage from other intracranial arteries

Multiple involvement of intracranial arteries
I60.60 Ruptured aneurysm (congenital) circle of Willis
IX-31
I60.7 Subarachnoid haemorrhage from intracranial artery, unspecified

Ruptured (congenital) berry aneurysm NOS
Subarachnoid haemorrhage from:
• cerebral
artery NOS
• communicating
I60.70 Ruptured berry aneurysm (congenital) brain

Ruptured miliary aneurysm
I60.8 Other subarachnoid haemorrhage

Meningeal haemorrhage
Rupture of cerebral arteriovenous malformation
I60.80 Ruptured arteriovenous aneurysm (congenital) brain

Ruptured aneurysm brain meninges
Ruptured (congenital) arteriovenous aneurysm cavernous sinus
I60.9 Subarachnoid haemorrhage, unspecified
I60.90 Ruptured arteriosclerotic cerebral aneurysm

Ruptured (congenital) cerebral aneurysm NOS
Ruptured mycotic aneurysm brain
I61 Intracerebral haemorrhage

Excludes: sequelae of intracerebral haemorrhage (I69.1)
I61.0 Intracerebral haemorrhage in hemisphere, subcortical

Deep intracerebral haemorrhage
I61.1 Intracerebral haemorrhage in hemisphere, cortical

Cerebral lobe haemorrhage
Superficial intracerebral haemorrhage
I61.2 Intracerebral haemorrhage in hemisphere, unspecified
I61.3 Intracerebral haemorrhage in brain stem
I61.4 Intracerebral haemorrhage in cerebellum
I61.5 Intracerebral haemorrhage, intraventricular
IX-32
I61.6 Intracerebral haemorrhage, multiple localized
I61.8 Other intracerebral haemorrhage
I61.9 Intracerebral haemorrhage, unspecified
I62 Other nontraumatic intracranial haemorrhage

Excludes: sequelae of intracranial haemorrhage (I69.2)
I62.0 Subdural haemorrhage (acute)(nontraumatic)
I62.1 Nontraumatic extradural haemorrhage

Nontraumatic epidural haemorrhage
I62.9 Intracranial haemorrhage (nontraumatic), unspecified
I63 Cerebral infarction

Includes: occlusion and stenosis of cerebral and precerebral arteries,
resulting in cerebral infarction
Excludes: sequelae of cerebral infarction (I69.3)
I63.0 Cerebral infarction due to thrombosis of precerebral arteries
I63.1 Cerebral infarction due to embolism of precerebral arteries
I63.2 Cerebral infarction due to unspecified occlusion or stenosis of precerebral

arteries
I63.3 Cerebral infarction due to thrombosis of cerebral arteries
I63.4 Cerebral infarction due to embolism of cerebral arteries
I63.5 Cerebral infarction due to unspecified occlusion or stenosis of cerebral

arteries
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.8 Other cerebral infarction
I63.9 Cerebral infarction, unspecified
IX-33
I64 Stroke, not specified as haemorrhage or infarction

Cerebrovascular accident NOS
Excludes: sequelae of stroke (I69.4)
I65 Occlusion and stenosis of precerebral arteries, not resulting in cerebral

infarction
Includes: embolism
narrowing of basilar, carotid or vertebral
obstruction (complete) (partial) arteries, not resulting
thrombosis in cerebral infarction
Excludes: when causing cerebral infarction (I63.-)
I65.0 Occlusion and stenosis of vertebral artery
I65.1 Occlusion and stenosis of basilar artery
I65.2 Occlusion and stenosis of carotid artery
I65.3 Occlusion and stenosis of multiple and bilateral precerebral arteries
I65.8 Occlusion and stenosis of other precerebral artery
I65.9 Occlusion and stenosis of unspecified precerebral artery

Precerebral artery NOS
I66 Occlusion and stenosis of cerebral arteries, not resulting in cerebral

infarction
Includes: embolism of middle, anterior and posterior
narrowing cerebral arteries, and
obstruction (complete)(partial) cerebellar arteries, not
thrombosis resulting in cerebral infarction
Excludes: when causing cerebral infarction (I63.-)
I66.0 Occlusion and stenosis of middle cerebral artery
I66.1 Occlusion and stenosis of anterior cerebral artery
I66.2 Occlusion and stenosis of posterior cerebral artery
IX-34
I66.3 Occlusion and stenosis of cerebellar arteries
I66.4 Occlusion and stenosis of multiple and bilateral cerebral arteries
I66.8 Occlusion and stenosis of other cerebral artery

Occlusion and stenosis of perforating arteries
I66.9 Occlusion and stenosis of unspecified cerebral artery
I67 Other cerebrovascular diseases

Excludes: sequelae of the listed conditions (I69.8)
I67.0 Dissection of cerebral arteries, nonruptured

Excludes: ruptured cerebral arteries (I60.7)
I67.1 Cerebral aneurysm, nonruptured

Cerebral:
• aneurysm NOS
• arteriovenous fistula, acquired
Excludes: congenital cerebral aneurysm, nonruptured (Q28.-)

ruptured cerebral aneurysm (I60.9)
I67.2 Cerebral atherosclerosis

Atheroma of cerebral arteries
I67.3 Progressive vascular leukoencephalopathy

Binswanger's disease
Excludes: subcortical vascular dementia (F01.2)

I67.4 Hypertensive encephalopathy
I67.5 Moyamoya disease
I67.6 Nonpyogenic thrombosis of intracranial venous system
Nonpyogenic thrombosis of:
• cerebral vein
• intracranial venous sinus
Excludes: when causing infarction (I63.6)
IX-35
I67.7 Cerebral arteritis, not elsewhere classified
I67.8 Other specified cerebrovascular diseases

Acute cerebrovascular insufficiency NOS
Cerebral ischaemia (chronic)
I67.9 Cerebrovascular disease, unspecified
I68.0* Cerebral amyloid angiopathy (E85.-†)
I68.1* Cerebral arteritis in infectious and parasitic diseases classified elsewhere

Cerebral arteritis:
I68.2* Cerebral arteritis in other diseases classified elsewhere

Cerebral arteritis in systemic lupus erythematosus (M32.1†)
I68.8* Other cerebrovascular disorders in diseases classified elsewhere
I69 Sequelae of cerebrovascular disease

Note: This category is to be used to indicate conditions in I60-I67 as the
cause of sequelae, themselves classified elsewhere. The "sequelae"
include conditions specified as such or as late effects, or those present
one year or more after onset of the causal condition.
I69.0 Sequelae of subarachnoid haemorrhage
I69.1 Sequelae of intracerebral haemorrhage
I69.2 Sequelae of other nontraumatic intracranial haemorrhage
I69.3 Sequelae of cerebral infarction
I69.4 Sequelae of stroke, not specified as haemorrhage or infarction
I69.8 Sequelae of other and unspecified cerebrovascular diseases
IX-36
Diseases of arteries, arterioles and capillaries

(I70-I79)
I70 Atherosclerosis
Includes: arteriolosclerosis
arteriosclerosis
arteriosclerotic vascular disease
atheroma
degeneration:
• arterial
• arteriovascular
• vascular
endarteritis deformans or obliterans
senile:
• arteritis
• endarteritis
Excludes: cerebral (I67.2)

coronary (I25.1)
mesenteric (K55.1)
pulmonary (I27.0)
I70.0 Atherosclerosis of aorta
I70.1 Atherosclerosis of renal artery

Goldblatt's kidney
Excludes: atherosclerosis of renal arterioles (I12.-)
I70.2 Atherosclerosis of arteries of extremities

Atherosclerotic gangrene
Mönckeberg's (medial) sclerosis
I70.8 Atherosclerosis of other arteries
I70.9 Generalized and unspecified atherosclerosis
IX-37
I71 Aortic aneurysm and dissection
I71.0 Dissection of aorta [any part]

Dissecting aneurysm of aorta (ruptured) [any part]
I71.1 Thoracic aortic aneurysm, ruptured
I71.2 Thoracic aortic aneurysm, without mention of rupture
I71.3 Abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without mention of rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without mention of rupture
I71.8 Aortic aneurysm of unspecified site, ruptured

Rupture of aorta NOS
I71.9 Aortic aneurysm of unspecified site, without mention of rupture

Aneurysm
Dilatation of aorta
Hyaline necrosis
I72 Other aneurysm

Includes: aneurysm (cirsoid)(false)(ruptured)
Excludes: aneurysm (of):

• aorta (I71.-)
• arteriovenous NOS (Q27.3)
• acquired (I77.0)
• cerebral (nonruptured) (I67.1)
• ruptured (I60.-)
• coronary (I25.4)
• heart (I25.3)
• pulmonary artery (I28.1)
• retinal (H35.0)
• varicose (I77.0)
IX-38
I72.0 Aneurysm of carotid artery
I72.1 Aneurysm of artery of upper extremity
I72.2 Aneurysm of renal artery
I72.3 Aneurysm of iliac artery
I72.4 Aneurysm of artery of lower extremity
I72.8 Aneurysm of other specified arteries
I72.9 Aneurysm of unspecified site
I73 Other peripheral vascular diseases

Excludes: chilblains (T69.1)
frostbite (T33-T35)
immersion hand or foot (T69.0)
spasm of cerebral artery (G45.9)
I73.0 Raynaud's syndrome

Raynaud's:
• disease
• gangrene
• phenomenon (secondary)
I73.1 Thromboangiitis obliterans [Buerger]
I73.8 Other specified peripheral vascular diseases

Acrocyanosis
Acroparaesthesia:
• simple [Schultze's type]
• vasomotor [Nothnagel's type]
Erythrocyanosis
Erythromelalgia
I73.9 Peripheral vascular disease, unspecified

Intermittent claudication
Spasm of artery
IX-39
I74 Arterial embolism and thrombosis

Includes: infarction:
• embolic
• thrombotic
occlusion:
• embolic
• thrombotic
Excludes: embolism and thrombosis:

• basilar (I63.0-I63.2, I65.1)
• carotid (I63.0-I63.2, I65.2)
• cerebral (I63.3-I63.5, I66.9)
• complicating:
• coronary (I21-I25)
• mesenteric (K55.0)
• precerebral (I63.0-I63.2, I65.9)
• pulmonary (I26.-)
• renal (N28.0)
• retinal (H34.-)
• vertebral (I63.0-I63.2, I65.0)
I74.0 Embolism and thrombosis of abdominal aorta

Aortic bifurcation syndrome
Leriche's syndrome
I74.1 Embolism and thrombosis of other and unspecified parts of aorta
I74.2 Embolism and thrombosis of arteries of upper extremities
I74.3 Embolism and thrombosis of arteries of lower extremities
I74.4 Embolism and thrombosis of arteries of extremities, unspecified

Peripheral arterial embolism
I74.5 Embolism and thrombosis of iliac artery
I74.8 Embolism and thrombosis of other arteries
IX-40
I74.9 Embolism and thrombosis of unspecified artery
I77 Other disorders of arteries and arterioles

Excludes: collagen (vascular) diseases (M30-M36)
hypersensitivity angiitis (M31.0)
pulmonary artery (I28.-)
I77.0 Arteriovenous fistula, acquired

Aneurysmal varix
Arteriovenous aneurysm, acquired
Excludes: arteriovenous aneurysm NOS (Q27.3)
cerebral (I67.1)
coronary (I25.4)
traumatic - see injury of blood vessel by body region
I77.1 Stricture of artery
I77.2 Rupture of artery

Erosion
Fistula of artery
Ulcer
Excludes: traumatic rupture of artery - see injury of blood vessel by body region
I77.3 Arterial fibromuscular dysplasia

I77.4 Coeliac artery compression syndrome
I77.5 Necrosis of artery
I77.6 Arteritis, unspecified
Aortitis NOS
Endarteritis NOS
Excludes: arteritis or endarteritis:

• aortic arch [Takayasu] (M31.4)
• cerebral NEC (I67.7)
• coronary (I25.8)
• deformans (I70.-)
• giant cell (M31.5-M31.6)
• obliterans (I70.-)
• senile (I70.-)
IX-41
I77.8 Other specified disorders of arteries and arterioles
I77.9 Disorder of arteries and arterioles, unspecified
I78 Diseases of capillaries
I78.0 Hereditary haemorrhagic telangiectasia

Rendu-Osler-Weber disease
I78.1 Naevus, non-neoplastic

Naevus:
• araneus
• spider
• stellar
Excludes: naevus:
• NOS (D22.-)
• blue (D22.-)
• flammeus (Q82.5)
• hairy (D22.-)
• melanocytic (D22.-)
• pigmented (D22.-)
• portwine (Q82.5)
• sanguineous (Q82.5)
• strawberry (Q82.5)
• vascular NOS (Q82.5)
• verrucous (Q82.5)
I78.8 Other diseases of capillaries
I78.9 Disease of capillaries, unspecified
I79* Disorders of arteries, arterioles and capillaries in diseases classified

elsewhere
I79.0* Aneurysm of aorta in diseases classified elsewhere

Syphilitic aneurysm of aorta (A52.0†)
I79.1* Aortitis in diseases classified elsewhere

Syphilitic aortitis (A52.0†)
IX-42
I79.2* Peripheral angiopathy in diseases classified elsewhere

Diabetic peripheral angiopathy (E10-E14† with common fourth character .5)
I79.8* Other disorders of arteries, arterioles and capillaries in diseases classified

elsewhere
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified
(I80-I89)
I80 Phlebitis and thrombophlebitis

Includes: endophlebitis
inflammation, vein
periphlebitis
suppurative phlebitis
Excludes: phlebitis and thrombophlebitis (of):

• complicating:
• pregnancy, childbirth and the puerperium (O22.-, O87.-)
• intracranial and intraspinal, septic or NOS (G08)
• intracranial, nonpyogenic (I67.6)
• intraspinal, nonpyogenic (G95.1)
• portal (vein) (K75.1)
postphlebitic syndrome (I87.0)
thrombophlebitis migrans (I82.1)
drug-induced.
I80.0 Phlebitis and thrombophlebitis of superficial vessels of lower extremities
I80.1 Phlebitis and thrombophlebitis of femoral vein
I80.2 Phlebitis and thrombophlebitis of other deep vessels of lower extremities

Deep vein thrombosis NOS
I80.3 Phlebitis and thrombophlebitis of lower extremities, unspecified

Embolism or thrombosis of lower extremity NOS
IX-43
I80.8 Phlebitis and thrombophlebitis of other sites
I80.9 Phlebitis and thrombophlebitis of unspecified site
I81 Portal vein thrombosis

Portal (vein) obstruction
Excludes: phlebitis of portal vein (K75.1)
I82 Other venous embolism and thrombosis

Excludes: venous embolism and thrombosis (of):
• cerebral (I63.6, I67.6)
• complicating:
• pregnancy, childbirth and the puerperium (O22.-, O87.-)
• coronary (I21-I25)
• intracranial and intraspinal, septic or NOS (G08)
• intracranial, nonpyogenic (I67.6)
• intraspinal, nonpyogenic (G95.1)
• lower extremities (I80.-)
• mesenteric (K55.0)
• portal (I81)
• pulmonary (I26.-)
I82.0 Budd-Chiari syndrome
I82.1 Thrombophlebitis migrans
I82.2 Embolism and thrombosis of vena cava
I82.3 Embolism and thrombosis of renal vein
I82.8 Embolism and thrombosis of other specified veins
I82.9 Embolism and thrombosis of unspecified vein

Embolism of vein NOS
Thrombosis (vein) NOS
IX-44
I83 Varicose veins of lower extremities

I83.0 Varicose veins of lower extremities with ulcer

Any condition in I83.9 with ulcer or specified as ulcerated
Varicose ulcer (lower extremity, any part)
I83.1 Varicose veins of lower extremities with inflammation

Any condition in I83.9 with inflammation or specified as inflamed
Stasis dermatitis NOS
I83.2 Varicose veins of lower extremities with both ulcer and inflammation
Any condition in I83.9 with both ulcer and inflammation
I83.9 Varicose veins of lower extremities without ulcer or inflammation

Phlebectasia
Varicose veins of lower extremity [any part] or
Varix of unspecified site
I84 Haemorrhoids
Includes: piles
varicose veins of anus and rectum
• childbirth and the puerperium (O87.2)
I84.0 Internal thrombosed haemorrhoids
I84.1 Internal haemorrhoids with other complications

Internal haemorrhoids:
• bleeding
• prolapsed
• strangulated
• ulcerated
I84.2 Internal haemorrhoids without complication

Internal haemorrhoids NOS
IX-45
I84.3 External thrombosed haemorrhoids
I84.4 External haemorrhoids with other complications

External haemorrhoids:
• bleeding
• prolapsed
• strangulated
• ulcerated
I84.5 External haemorrhoids without complication

External haemorrhoids NOS
I84.6 Residual haemorrhoidal skin tags

Skin tags of anus or rectum
I84.7 Unspecified thrombosed haemorrhoids

Thrombosed haemorrhoids, unspecified whether internal or external
I84.8 Unspecified haemorrhoids with other complications

Haemorrhoids, unspecified whether internal or external:
• bleeding
• prolapsed
• strangulated
• ulcerated
I84.9 Unspecified haemorrhoids without complication

Haemorrhoids NOS
I85 Oesophageal varices
I85.0 Oesophageal varices with bleeding
I85.9 Oesophageal varices without bleeding

Oesophageal varices NOS
I86 Varicose veins of other sites

Excludes: retinal varices (H35.0)
varicose veins of unspecified site (I83.9)
I86.0 Sublingual varices
IX-46
I86.1 Scrotal varices

Varicocele
I86.2 Pelvic varices
I86.3 Vulval varices

• childbirth and the puerperium (O87.8)
I86.4 Gastric varices
I86.8 Varicose veins of other specified sites

Varicose ulcer of nasal septum
I87 Other disorders of veins
I87.0 Postphlebitic syndrome
I87.1 Compression of vein

Stricture of vein
Vena cava syndrome (inferior)(superior)
Excludes: pulmonary (I28.8)
I87.2 Venous insufficiency (chronic)(peripheral)
I87.8 Other specified disorders of veins
I87.9 Disorder of vein, unspecified
I88 Nonspecific lymphadenitis

Excludes: acute lymphadenitis, except mesenteric (L04.-)
enlarged lymph nodes NOS (R59.-)
human immunodeficiency virus [HIV] disease resulting in
generalized lymphadenopathy (B23.1)
I88.0 Nonspecific mesenteric lymphadenitis

Mesenteric lymphadenitis (acute)(chronic)
IX-47
I88.1 Chronic lymphadenitis, except mesenteric

Adenitis chronic, any lymph node except
Lymphadenitis mesenteric
I88.8 Other nonspecific lymphadenitis
I88.9 Nonspecific lymphadenitis, unspecified

Lymphadenitis NOS
I89 Other noninfective disorders of lymphatic vessels and lymph nodes

Excludes: chylocele:
• filarial (B74.-)
• tunica vaginalis (nonfilarial) NOS (N50.8)
enlarged lymph nodes NOS (R59.-)
hereditary lymphoedema (Q82.0)
postmastectomy lymphoedema (I97.2)
I89.0 Lymphoedema, not elsewhere classified

Lymphangiectasis
I89.1 Lymphangitis
Lymphangitis:
• NOS
• chronic
• subacute
Excludes: acute lymphangitis (L03.-)
I89.8 Other specified noninfective disorders of lymphatic vessels and lymph nodes
Chylocele (nonfilarial)
Lipomelanotic reticulosis
I89.9 Noninfective disorder of lymphatic vessels and lymph nodes, unspecified

Disease of lymphatic vessels NOS
IX-48
Other and unspecified disorders of the circulatory system

(I95-I99)
I95 Hypotension
Excludes: cardiovascular collapse (R57.9)
maternal hypotension syndrome (O26.5)
nonspecific low blood pressure reading NOS (R03.1)
I95.0 Idiopathic hypotension
I95.1 Orthostatic hypotension

Hypotension, postural
Excludes: neurogenic orthostatic hypotension [Shy-Drager] (G90.3)
I95.2 Hypotension due to drugs

I95.8 Other hypotension

Chronic hypotension
I95.9 Hypotension, unspecified
I97 Postprocedural disorders of circulatory system, not elsewhere classified

Excludes: postoperative shock (T81.1)
I97.0 Postcardiotomy syndrome
I97.1 Other functional disturbances following cardiac surgery

Cardiac insufficiency following cardiac surgery or due to
Heart failure presence of cardiac prosthesis
I97.2 Postmastectomy lymphoedema syndrome

Elephantiasis
due to mastectomy
Obliteration of lymphatic vessels
I97.8 Other postprocedural disorders of circulatory system, not elsewhere

classified
I97.9 Postprocedural disorder of circulatory system, unspecified
IX-49

Excludes: disorders classified to other asterisk categories within this chapter
I98.0* Cardiovascular syphilis

Cardiovascular syphilis:
• NOS (A52.0†)
• congenital, late (A50.5†)
I98.1* Cardiovascular disorders in other infectious and parasitic diseases classified

elsewhere
Cardiovascular:
• involvement NEC, in Chagas' disease (chronic) (B57.2†)
• lesions of pinta [carate] (A67.2†)
I98.2* Oesophageal varices in diseases classified elsewhere

Oesophageal varices in:
• liver disorders (K70-K71†, K74.-†)
• schistosomiasis (B65.-†)
I98.8* Other specified disorders of circulatory system in diseases classified

elsewhere
I99 Other and unspecified disorders of circulatory system
IX-50
CHAPTER X
Diseases of the respiratory system

(J00-J99)
Note: When a respiratory condition is described as occurring in more than one site and is
not specifically indexed, it should be classified to the lower anatomic site (e.g.,
tracheobronchitis to bronchitis in J40).

neoplasms (C00-D48)
J00-J06 Acute upper respiratory infections

J10-J18 Influenza and pneumonia
J20-J22 Other acute lower respiratory infections
J30-J39 Other diseases of upper respiratory tract
J40-J47 Chronic lower respiratory diseases
J60-J70 Lung diseases due to external agents
J80-J84 Other respiratory diseases principally affecting the interstitium
J85-J86 Suppurative and necrotic conditions of lower respiratory tract
J90-J94 Other diseases of pleura
J95-J99 Other diseases of the respiratory system

X-1
Acute upper respiratory infections

(J00-J06)
Excludes: chronic obstructive pulmonary disease with acute exacerbation NOS (J44.1)
J00 Acute nasopharyngitis [common cold]

Coryza (acute)
Nasal catarrh, acute
Nasopharyngitis:
• NOS
• acute
• infective NOS
Rhinitis:
• acute
• infective
Excludes: nasopharyngitis, chronic (J31.1)

pharyngitis:
• NOS (J02.9)
• acute (J02.-)
• chronic (J31.2)
rhinitis:
• NOS (J31.0)
• allergic (J30.1-J30.4)
• chronic (J31.0)
• vasomotor (J30.0)
sore throat:
• NOS (J02.9)
• acute (J02.-)
• chronic (J31.2)
X-2
DISEASES OF THE RESPIRATORY SYSTEM
J01 Acute sinusitis

Includes: abscess
empyema
infection acute, of sinus (accessory) (nasal)
inflammation
suppuration
Excludes: sinusitis, chronic or NOS (J32.-)
J01.0 Acute maxillary sinusitis

Acute antritis
J01.1 Acute frontal sinusitis
J01.2 Acute ethmoidal sinusitis
J01.3 Acute sphenoidal sinusitis
J01.4 Acute pansinusitis
J01.8 Other acute sinusitis

Acute sinusitis involving more than one sinus but not pansinusitis
J01.9 Acute sinusitis, unspecified
J02 Acute pharyngitis

Includes: acute sore throat
Excludes: abscess:
• peritonsillar (J36)
• pharyngeal (J39.1)
• retropharyngeal (J39.0)
acute laryngopharyngitis (J06.0)
chronic pharyngitis (J31.2)
X-3
J02.0 Streptococcal pharyngitis

Streptococcal sore throat
Excludes: scarlet fever (A38)
J02.8 Acute pharyngitis due to other specified organisms

Excludes: pharyngitis (due to):

• enteroviral vesicular (B08.5)
• herpesviral [herpes simplex] (B00.2)
• infectious mononucleosis (B27.-)
• influenza virus:
• identified (J10.1)
• not identified (J11.1)
J02.9 Acute pharyngitis, unspecified

Pharyngitis (acute):
• NOS
• gangrenous
• infective NOS
• suppurative
• ulcerative
Sore throat (acute) NOS
J03 Acute tonsillitis

Excludes: peritonsillar abscess (J36)
sore throat:
• NOS (J02.9)
• acute (J02.-)
• streptococcal (J02.0)
J03.0 Streptococcal tonsillitis
X-4
J03.8 Acute tonsillitis due to other specified organisms

Excludes: herpesviral [herpes simplex] pharyngotonsillitis (B00.2)
J03.9 Acute tonsillitis, unspecified

Tonsillitis (acute):
• NOS
• follicular
• gangrenous
• infective
• ulcerative
J04 Acute laryngitis and tracheitis

Excludes: acute obstructive laryngitis [croup] and epiglottitis (J05.-)

laryngismus (stridulus) (J38.5)
J04.0 Acute laryngitis

Laryngitis (acute):
• NOS
• oedematous
• subglottic
• suppurative
• ulcerative
Excludes: chronic laryngitis (J37.0)

influenzal laryngitis, influenza virus:
J04.1 Acute tracheitis

Tracheitis (acute):
• NOS
• catarrhal
Excludes: chronic tracheitis (J42)
X-5
J04.2 Acute laryngotracheitis

Laryngotracheitis NOS
Tracheitis (acute) with laryngitis (acute)
Excludes: chronic laryngotracheitis (J37.1)
J05 Acute obstructive laryngitis [croup] and epiglottitis

J05.0 Acute obstructive laryngitis [croup]

Obstructive laryngitis NOS
J05.1 Acute epiglottitis

Epiglottitis NOS
J06 Acute upper respiratory infections of multiple and unspecified sites

Excludes: acute respiratory infection NOS (J22)
influenza virus:
J06.0 Acute laryngopharyngitis
J06.8 Other acute upper respiratory infections of multiple sites
J06.9 Acute upper respiratory infection, unspecified

Upper respiratory:
• disease, acute
• infection NOS
X-6
Influenza and pneumonia

(J10-J18)
J10 Influenza due to identified influenza virus
Includes: 5TH DIGIT TO IDENTIFY INFLUENZA WITHOUT SPECIFIED

MANIFESTATION
Excludes: Haemophilus influenzae [H. influenzae]:

• infection NOS (A49.2)
• meningitis (G00.0)
• pneumonia (J14)
J10.0 Influenza with pneumonia, influenza virus identified

Influenzal (broncho) pneumonia, influenza virus identified
J10.1 Influenza with other respiratory manifestations, influenza virus identified

Influenza
Influenzal:
• acute upper respiratory infection influenza virus
• laryngitis identified
• pharyngitis
• pleural effusion
J10.10 Influenza, flu, grippe (viral), influenza virus identified
J10.8 Influenza with other manifestations, influenza virus identified

Encephalopathy due to influenza
Influenzal: influenza virus
• gastroenteritis identified
• myocarditis (acute)
J11 Influenza, virus not identified

Includes: influenza specific virus not stated to
viral influenza have been identified
Excludes: Haemophilus influenzae [H. influenzae]:

• infection NOS (A49.2)
• meningitis (G00.0)
• pneumonia (J14)
X-7
J11.0 Influenza with pneumonia, virus not identified

Influenzal (broncho) pneumonia, unspecified or specific virus not identified
J11.1 Influenza with other respiratory manifestations, virus not identified

Influenza NOS
Influenzal:
• acute upper respiratory infection unspecified or specific
• laryngitis virus not identified
• pharyngitis
• pleural effusion
J11.10 Influenza, flu, grippe (viral), virus not identified
J11.8 Influenza with other manifestations, virus not identified

Encephalopathy due to influenza
Influenzal: unspecified or specific
• gastroenteritis virus not identified
• myocarditis (acute)
J12 Viral pneumonia, not elsewhere classified

Includes: bronchopneumonia due to viruses other than influenza viruses
Excludes: congenital rubella pneumonitis (P35.0)

pneumonia:
• aspiration (due to):
• NOS (J69.0)
• anaesthesia during:
• labour and delivery (O74.0)
• solids and liquids (J69.-)
• congenital (P23.0)
• in influenza (J10.0, J11.0)
• interstitial NOS (J84.90)
• lipid (J69.1)
J12.0 Adenoviral pneumonia
J12.1 Respiratory syncytial virus pneumonia
X-8
J12.2 Parainfluenza virus pneumonia
J12.8 Other viral pneumonia
J12.9 Viral pneumonia, unspecified
J13 Pneumonia due to Streptococcus pneumoniae

Bronchopneumonia due to S. pneumoniae
Excludes: congenital pneumonia due to S. pneumoniae (P23.6)

pneumonia due to other streptococci (J15.3-J15.4)
J14 Pneumonia due to Haemophilus influenzae

Bronchopneumonia due to H. influenzae
Excludes: congenital pneumonia due to H. influenzae (P23.6)
J15 Bacterial pneumonia, not elsewhere classified

Includes: bronchopneumonia due to bacteria other than S. pneumoniae and
H. influenzae
Excludes: chlamydial pneumonia (J16.0)
congenital pneumonia (P23.-)
Legionnaires' disease (A48.1)
J15.0 Pneumonia due to Klebsiella pneumoniae
J15.1 Pneumonia due to Pseudomonas
J15.2 Pneumonia due to staphylococcus
J15.3 Pneumonia due to streptococcus, group B
J15.4 Pneumonia due to other streptococci

Excludes: pneumonia due to:
• streptococcus, group B (J15.3)
• Streptococcus pneumoniae (J13)
X-9
J15.5 Pneumonia due to Escherichia coli
J15.6 Pneumonia due to other aerobic Gram-negative bacteria

Pneumonia due to Serratia marcescens
J15.7 Pneumonia due to Mycoplasma pneumoniae
J15.8 Other bacterial pneumonia
J15.9 Bacterial pneumonia, unspecified
J16 Pneumonia due to other infectious organisms, not elsewhere classified

Excludes: ornithosis (A70)
pneumocystosis (B59)
pneumonia:
• NOS (J18.9)
• congenital (P23.-)
J16.0 Chlamydial pneumonia
J16.8 Pneumonia due to other specified infectious organisms
J17.0* Pneumonia in bacterial diseases classified elsewhere

Pneumonia (due to)(in):
• actinomycosis (A42.0†)
• anthrax (A22.1†)
• gonorrhoea (A54.8†)
• nocardiosis (A43.0†)
• tularaemia (A21.2†)
• whooping cough (A37.-†)
J17.1* Pneumonia in viral diseases classified elsewhere

Pneumonia in:
• cytomegalovirus disease (B25.0†)
• varicella (B01.2†)
X-10
J17.2* Pneumonia in mycoses

Pneumonia in:
• aspergillosis (B44.0-B44.1†)
• coccidioidomycosis (B38.0-B38.2†)
• histoplasmosis (B39.-†)
J17.3* Pneumonia in parasitic diseases

Pneumonia in:
• ascariasis (B77.8†)
• schistosomiasis (B65.-†)
J17.8* Pneumonia in other diseases classified elsewhere

Pneumonia (in):
• ornithosis (A70†)
• Q fever (A78†)
• rheumatic fever (I00†)
• spirochaetal, not elsewhere classified (A69.8†)
J18 Pneumonia, organism unspecified

Excludes: abscess of lung with pneumonia (J85.1)
drug-induced interstitial lung disorders (J70.2-J70.4)
pneumonia:
• aspiration (due to):
• NOS (J69.0)
• anaesthesia during:
• solids and liquids (J69.-)
• interstitial NOS (J84.9)
• lipid (J69.1)
pneumonitis, due to external agents (J67-J70)
J18.0 Bronchopneumonia, unspecified

Excludes: bronchiolitis (J21.-)
X-11
J18.1 Lobar pneumonia, unspecified
J18.2 Hypostatic pneumonia, unspecified
J18.8 Other pneumonia, organism unspecified
J18.9 Pneumonia, unspecified
Other acute lower respiratory infections

(J20-J22)
Excludes: chronic obstructive pulmonary disease with acute:

• exacerbation NOS (J44.1)
• lower respiratory infection (J44.0)
J20 Acute bronchitis

Includes: bronchitis:
• NOS, in those under l5 years of age
• acute and subacute (with):
• bronchospasm
• fibrinous
• membranous
• purulent
• septic
• tracheitis
tracheobronchitis, acute
Excludes: bronchitis:
• NOS, in those 15 years of age and above (J40)
• allergic NOS (J45.0)
• chronic:
• NOS (J42)
• mucopurulent (J41.1)
• obstructive (J44.-)
• simple (J41.0)
tracheobronchitis:
• NOS (J40)
• chronic (J42)
X-12
J20.0 Acute bronchitis due to Mycoplasma pneumoniae
J20.1 Acute bronchitis due to Haemophilus influenzae
J20.2 Acute bronchitis due to streptococcus
J20.3 Acute bronchitis due to coxsackievirus
J20.4 Acute bronchitis due to parainfluenza virus
J20.5 Acute bronchitis due to respiratory syncytial virus
J20.6 Acute bronchitis due to rhinovirus
J20.7 Acute bronchitis due to echovirus
J20.8 Acute bronchitis due to other specified organisms
J20.9 Acute bronchitis, unspecified
J21 Acute bronchiolitis

Includes: with bronchospasm
J21.0 Acute bronchiolitis due to respiratory syncytial virus
J21.8 Acute bronchiolitis due to other specified organisms
J21.9 Acute bronchiolitis, unspecified

Bronchiolitis (acute)
J22 Unspecified acute lower respiratory infection

Acute (lower) respiratory (tract) infection NOS
Excludes: upper respiratory infection (acute) (J06.9)
X-13
Other diseases of upper respiratory tract

(J30-J39)
J30 Vasomotor and allergic rhinitis

Includes: spasmodic rhinorrhoea
Excludes: allergic rhinitis with asthma (J45.0)

rhinitis NOS (J31.0)
J30.0 Vasomotor rhinitis
J30.1 Allergic rhinitis due to pollen

Allergy NOS due to pollen
Hay fever
Pollinosis
J30.2 Other seasonal allergic rhinitis
J30.3 Other allergic rhinitis

Perennial allergic rhinitis
J30.4 Allergic rhinitis, unspecified
J31 Chronic rhinitis, nasopharyngitis and pharyngitis
J31.0 Chronic rhinitis

Ozena
Rhinitis (chronic):
• NOS
• atrophic
• granulomatous
• hypertrophic
• obstructive
• purulent
• ulcerative
Excludes: rhinitis:
• allergic (J30.1-J30.4)
• vasomotor (J30.0)
J31.1 Chronic nasopharyngitis

Excludes: nasopharyngitis, acute or NOS (J00)
X-14
J31.2 Chronic pharyngitis

Chronic sore throat
Pharyngitis (chronic):
• atrophic
• granular
• hypertrophic
Excludes: pharyngitis, acute or NOS (J02.9)
J32 Chronic sinusitis

Includes: abscess
empyema (chronic) of sinus
infection (accessory)(nasal)
suppuration
Excludes: acute sinusitis (J01.-)
J32.0 Chronic maxillary sinusitis

Antritis (chronic)
Maxillary sinusitis NOS
J32.1 Chronic frontal sinusitis

Frontal sinusitis NOS
J32.2 Chronic ethmoidal sinusitis

Ethmoidal sinusitis NOS
J32.3 Chronic sphenoidal sinusitis

Sphenoidal sinusitis NOS
J32.4 Chronic pansinusitis

Pansinusitis NOS
J32.8 Other chronic sinusitis

Sinusitis (chronic) involving more than one sinus but not pansinusitis
J32.9 Chronic sinusitis, unspecified

Sinusitis (chronic) NOS
X-15
J33 Nasal polyp

Excludes: adenomatous polyps (D14.0)
J33.0 Polyp of nasal cavity

Polyp:
• choanal
• nasopharyngeal
J33.1 Polypoid sinus degeneration

Woakes' syndrome or ethmoiditis
J33.8 Other polyp of sinus

Polyp of sinus:
• accessory
• ethmoidal
• maxillary
• sphenoidal
J33.9 Nasal polyp, unspecified
J34 Other disorders of nose and nasal sinuses

Excludes: varicose ulcer of nasal septum (I86.8)
J34.0 Abscess, furuncle and carbuncle of nose

Cellulitis
Necrosis of nose (septum)
Ulceration
J34.1 Cyst and mucocele of nose and nasal sinus
J34.2 Deviated nasal septum

Deflection or deviation of septum (nasal)(acquired)
J34.3 Hypertrophy of nasal turbinates
J34.8 Other specified disorders of nose and nasal sinuses

Perforation of nasal septum NOS
Rhinolith
X-16
J35 Chronic diseases of tonsils and adenoids
J35.0 Chronic tonsillitis

Excludes: tonsillitis:
• NOS (J03.9)
• acute (J03.-)
J35.1 Hypertrophy of tonsils

Enlargement of tonsils
J35.2 Hypertrophy of adenoids

Enlargement of adenoids
J35.3 Hypertrophy of tonsils with hypertrophy of adenoids
J35.8 Other chronic diseases of tonsils and adenoids

Adenoid vegetations
Amygdalolith
Cicatrix of tonsil (and adenoid)
Tonsillar tag
Ulcer of tonsil
J35.9 Chronic disease of tonsils and adenoids, unspecified

Disease (chronic) of tonsils and adenoids NOS
J36 Peritonsillar abscess

Abscess of tonsil
Peritonsillar cellulitis
Quinsy
Excludes: retropharyngeal abscess (J39.0)

tonsillitis:
• NOS (J03.9)
• acute (J03.-)
• chronic (J35.0)
X-17
J37 Chronic laryngitis and laryngotracheitis

J37.0 Chronic laryngitis

Laryngitis:
• catarrhal
• hypertrophic
• sicca
Excludes: laryngitis:
• NOS (J04.0)
• acute (J04.0)
• obstructive (acute) (J05.0)
J37.1 Chronic laryngotracheitis

Laryngitis, chronic, with tracheitis (chronic)
Tracheitis, chronic, with laryngitis
Excludes: laryngotracheitis:
• NOS (J04.2)
• acute (J04.2)
tracheitis:
• NOS (J04.1)
• acute (J04.1)
• chronic (J42)
J38 Diseases of vocal cords and larynx, not elsewhere classified

• obstructive (acute) (J05.0)
• ulcerative (J04.0)
postprocedural subglottic stenosis (J95.5)
stridor:
• congenital laryngeal NOS (P28.8)
• NOS (R06.1)
J38.0 Paralysis of vocal cords and larynx

Laryngoplegia
Paralysis of glottis
X-18
J38.1 Polyp of vocal cord and larynx

Excludes: adenomatous polyps (D14.1)
J38.2 Nodules of vocal cords

Chorditis (fibrinous)(nodosa)(tuberosa)
Singer's nodes
Teacher's nodes
J38.3 Other diseases of vocal cords

Abscess
Cellulitis
Granuloma of vocal cord(s)
Leukokeratosis
Leukoplakia
J38.4 Oedema of larynx

Oedema (of):
• glottis
• subglottic
• supraglottic
• acute obstructive [croup] (J05.0)
• oedematous (J04.0)
J38.5 Laryngeal spasm

Laryngismus (stridulus)
J38.6 Stenosis of larynx
J38.7 Other diseases of larynx

Abscess
Cellulitis
Disease NOS
Necrosis of larynx
Pachyderma
Perichondritis
Ulcer
X-19
J39 Other diseases of upper respiratory tract

Excludes: acute respiratory infection NOS (J22)
• upper (J06.9)
upper respiratory inflammation due to chemicals, gases, fumes or
vapours (J68.2)
J39.0 Retropharyngeal and parapharyngeal abscess

Peripharyngeal abscess
Excludes: peritonsillar abscess (J36)
J39.1 Other abscess of pharynx

Cellulitis of pharynx
Nasopharyngeal abscess
J39.2 Other diseases of pharynx

Cyst
of pharynx or nasopharynx
Oedema
Excludes: pharyngitis:
• chronic (J31.2)
• ulcerative (J02.9)
J39.3 Upper respiratory tract hypersensitivity reaction, site unspecified
J39.8 Other specified diseases of upper respiratory tract
J39.9 Disease of upper respiratory tract, unspecified
X-20
Chronic lower respiratory diseases

(J40-J47)
Excludes: cystic fibrosis (E84.-)
J40 Bronchitis, not specified as acute or chronic

Note: Bronchitis not specified as acute or chronic in those under 15 years of
age can be assumed to be of acute nature and should be classified to
J20.-.
Bronchitis:
• NOS
• catarrhal
• with tracheitis NOS
Tracheobronchitis NOS
Excludes: bronchitis:
• allergic NOS (J45.0)
• asthmatic NOS (J45.9)
• chemical (acute) (J68.0)
J41 Simple and mucopurulent chronic bronchitis

Excludes: chronic bronchitis:
• NOS (J42)
J41.0 Simple chronic bronchitis
J41.1 Mucopurulent chronic bronchitis
J41.8 Mixed simple and mucopurulent chronic bronchitis
X-21
J42 Unspecified chronic bronchitis

Chronic:
• bronchitis NOS
• tracheitis
• tracheobronchitis
Excludes: chronic:
• asthmatic bronchitis (J44.-)
• bronchitis:
• simple and mucopurulent (J41.-)
• with airways obstruction (J44.-)
• emphysematous bronchitis (J44.-)
• obstructive pulmonary disease NOS (J44.9)
J43 Emphysema
Excludes: emphysema:
• compensatory (J98.3)
• due to inhalation of chemicals, gases, fumes or vapours (J68.4)
• interstitial (J98.2)
• mediastinal (J98.2)
• surgical (subcutaneous) (T81.8)
• traumatic subcutaneous (T79.7)
• with chronic (obstructive) bronchitis (J44.-)
emphysematous (obstructive) bronchitis (J44.-)
J43.0 MacLeod's syndrome

Unilateral:
• emphysema
• transparency of lung
J43.1 Panlobular emphysema

Panacinar emphysema
J43.2 Centrilobular emphysema
X-22
J43.8 Other emphysema
J43.9 Emphysema, unspecified

Emphysema (lung)(pulmonary):
• NOS
• bullous
• vesicular
Emphysematous bleb
J44 Other chronic obstructive pulmonary disease

Includes: chronic:
• bronchitis:
• asthmatic (obstructive)
• emphysematous
• with:
• airways obstruction
• emphysema
• obstructive:
• asthma
• bronchitis
• tracheobronchitis
Excludes: asthma (J45.-)

asthmatic bronchitis NOS (J45.9)
bronchiectasis (J47)
chronic:
• bronchitis:
• NOS (J42)
• simple and mucopurulent (J41.-)
• tracheitis (J42)
• tracheobronchitis (J42)
emphysema (J43.-)
lung diseases due to external agents (J60-J70)
J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection
Excludes: with influenza (J10-J11)
J44.1 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X-23
J44.8 Other specified chronic obstructive pulmonary disease

Chronic bronchitis:
• asthmatic (obstructive) NOS
• emphysematous NOS
• obstructive NOS
Excludes: with acute lower respiratory infection (J44.0)

with acute exacerbation (J44.1)
J44.9 Chronic obstructive pulmonary disease, unspecified

Chronic obstructive:
• airway disease NOS
• lung disease NOS
J45 Asthma
Excludes: acute severe asthma (J46)
chronic asthmatic (obstructive) bronchitis (J44.-)
chronic obstructive asthma (J44.-)
eosinophilic asthma (J82)
status asthmaticus (J46)
J45.0 Predominantly allergic asthma

Allergic:
• bronchitis NOS
• rhinitis with asthma
Atopic asthma
Extrinsic allergic asthma
Hay fever with asthma
J45.1 Nonallergic asthma

Idiosyncratic asthma
Intrinsic nonallergic asthma
J45.8 Mixed asthma

Combination of conditions listed in J45.0 and J45.1
J45.9 Asthma, unspecified

Asthmatic bronchitis NOS
Late-onset asthma
X-24
J46 Status asthmaticus

Acute severe asthma
J47 Bronchiectasis
Bronchiolectasis
Excludes: congenital bronchiectasis (Q33.4)

tuberculous bronchiectasis (current disease) (A15-A16)
Lung diseases due to external agents

(J60-J70)
Excludes: asthma classified to J45.-
J60 Coalworker's pneumoconiosis

Anthracosilicosis
Anthracosis
Coalworker's lung
Excludes: with tuberculosis in A15-A16 (J65)
J61 Pneumoconiosis due to asbestos and other mineral fibres

Asbestosis
Excludes: pleural plaque with asbestosis (J92.0)

with tuberculosis in A15-A16 (J65)
J62 Pneumoconiosis due to dust containing silica

Includes: silicotic fibrosis (massive) of lung
Excludes: pneumoconiosis with tuberculosis in A15-A16 (J65)
J62.0 Pneumoconiosis due to talc dust
J62.8 Pneumoconiosis due to other dust containing silica

Silicosis NOS
J63 Pneumoconiosis due to other inorganic dusts

X-25
J63.0 Aluminosis (of lung)
J63.1 Bauxite fibrosis (of lung)
J63.2 Berylliosis
J63.3 Graphite fibrosis (of lung)
J63.4 Siderosis
J63.5 Stannosis
J63.8 Pneumoconiosis due to other specified inorganic dusts
J64 Unspecified pneumoconiosis

J65 Pneumoconiosis associated with tuberculosis

Any condition in J60-J64 with tuberculosis, any type in A15-A16
J66 Airway disease due to specific organic dust

Excludes: bagassosis (J67.1)
farmer's lung (J67.0)
hypersensitivity pneumonitis due to organic dust (J67.-)
reactive airways dysfunction syndrome (J68.3)
J66.0 Byssinosis
Airway disease due to cotton dust
J66.1 Flax-dresser's disease
J66.2 Cannabinosis
J66.8 Airway disease due to other specific organic dusts
X-26
J67 Hypersensitivity pneumonitis due to organic dust

Includes: allergic alveolitis and pneumonitis due to inhaled organic
dust and particles of fungal, actinomycetic or other origin
Excludes: pneumonitis due to inhalation of chemicals, gases, fumes or vapours

(J68.0)
J67.0 Farmer's lung

Harvester's lung
Haymaker's lung
Mouldy hay disease
J67.1 Bagassosis
Bagasse:
• disease
• pneumonitis
J67.2 Bird fancier's lung

Budgerigar fancier's disease or lung
Pigeon fancier's disease or lung
J67.3 Suberosis
Corkhandler's disease or lung
Corkworker's disease or lung
J67.4 Maltworker's lung

Alveolitis due to Aspergillus clavatus
J67.5 Mushroom-worker's lung
J67.6 Maple-bark-stripper's lung

Alveolitis due to Cryptostroma corticale
Cryptostromosis
J67.7 Air-conditioner and humidifier lung

Allergic alveolitis due to fungi, thermophilic actinomycetes and other
organisms growing in ventilation [air-conditioning] systems
X-27
J67.8 Hypersensitivity pneumonitis due to other organic dusts

Cheese-washer's lung
Coffee-worker's lung
Fishmeal-worker's lung
Furrier's lung
Sequoiosis
J67.9 Hypersensitivity pneumonitis due to unspecified organic dust

Allergic alveolitis (extrinsic) NOS
Hypersensitivity pneumonitis NOS
J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapours
J68.0 Bronchitis and pneumonitis due to chemicals, gases, fumes and vapours
Chemical bronchitis (acute)
J68.1 Acute pulmonary oedema due to chemicals, gases, fumes and vapours
Chemical pulmonary oedema (acute)
J68.2 Upper respiratory inflammation due to chemicals, gases, fumes and vapours,
J68.3 Other acute and subacute respiratory conditions due to chemicals, gases, fumes
and vapours
Reactive airways dysfunction syndrome
J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapours
Emphysema (diffuse)(chronic)
due to inhalation of
Obliterative bronchiolitis
chemicals, gases
(chronic)(subacute)
fumes and vapours
Pulmonary fibrosis(chronic)
J68.8 Other respiratory conditions due to chemicals, gases, fumes and vapours
J68.9 Unspecified respiratory condition due to chemicals, gases, fumes and vapours
X-28
J69 Pneumonitis due to solids and liquids

Excludes: neonatal aspiration syndromes (P24.-)
J69.0 Pneumonitis due to food and vomit

Aspiration pneumonia (due to):
• NOS
• food (regurgitated)
• gastric secretions
• milk
• vomit
Excludes: Mendelson's syndrome (J95.4)
J69.1 Pneumonitis due to oils and essences

Lipid pneumonia
J69.8 Pneumonitis due to other solids and liquids

Pneumonitis due to aspiration of blood
J70 Respiratory conditions due to other external agents

J70.0 Acute pulmonary manifestations due to radiation

Radiation pneumonitis
J70.1 Chronic and other pulmonary manifestations due to radiation

Fibrosis of lung following radiation
J70.2 Acute drug-induced interstitial lung disorders
J70.3 Chronic drug-induced interstitial lung disorders
J70.4 Drug-induced interstitial lung disorders, unspecified
J70.8 Respiratory conditions due to other specified external agents
J70.9 Respiratory conditions due to unspecified external agent
X-29
Other respiratory diseases principally affecting the interstitium

(J80-J84)
J80 Adult respiratory distress syndrome

Adult hyaline membrane disease
J81 Pulmonary oedema

Acute oedema of lung
Pulmonary congestion (passive)
Excludes: hypostatic pneumonia (J18.2)

pulmonary oedema:
• chemical (acute) (J68.1)
• due to external agents (J60-J70)
• with mention of heart disease NOS or heart failure (I50.1)
J82 Pulmonary eosinophilia, not elsewhere classified

Eosinophilic asthma
Löffler's pneumonia
Tropical (pulmonary) eosinophilia NOS
Excludes: due to:

• aspergillosis (B44.-)
• drugs (J70.2-J70.4)
• specified parasitic infection (B50-B83)
• systemic connective tissue disorders (M30-M36)
J84 Other interstitial pulmonary diseases

Excludes: drug-induced interstitial lung disorders (J70.2-J70.4)
interstitial emphysema (J98.2)
lymphoid interstitial pneumonitis resulting from human
immunodeficiency virus [HIV] disease (B22.1)
J84.0 Alveolar and parietoalveolar conditions

Alveolar proteinosis
Pulmonary alveolar microlithiasis
X-30
J84.1 Other interstitial pulmonary diseases with fibrosis

Diffuse pulmonary fibrosis
Fibrosing alveolitis (cryptogenic)
Hamman-Rich syndrome
Idiopathic pulmonary fibrosis
Excludes: pulmonary fibrosis (chronic):

• due to inhalation of chemicals, gases, fumes or vapours (J68.4)
• following radiation (J70.1)
J84.10 Chronic pneumonia, not elsewhere classified
J84.8 Other specified interstitial pulmonary diseases
J84.9 Interstitial pulmonary disease, unspecified
J84.90 Interstitial pneumonia, not elsewhere classified
Suppurative and necrotic conditions of lower respiratory tract

(J85-J86)
J85 Abscess of lung and mediastinum
J85.0 Gangrene and necrosis of lung
J85.1 Abscess of lung with pneumonia

Excludes: with pneumonia due to specified organism (J10-J16)
J85.2 Abscess of lung without pneumonia

Abscess of lung NOS
J85.3 Abscess of mediastinum
X-31
J86 Pyothorax
Includes: abscess of:
• pleura
• thorax
empyema
pyopneumothorax
Excludes: due to tuberculosis (A15-A16)
J86.0 Pyothorax with fistula
J86.9 Pyothorax without fistula
Other diseases of pleura

(J90-J94)
J90 Pleural effusion, not elsewhere classified

Pleurisy with effusion
Excludes: chylous (pleural) effusion (J94.0)

pleurisy NOS (R09.1)
tuberculous (A15-A16)
J92 Pleural plaque

Includes: pleural thickening
J92.0 Pleural plaque with presence of asbestos
J92.9 Pleural plaque without asbestos

Pleural plaque NOS
X-32
J93 Pneumothorax
Excludes: pneumothorax:
• congenital or perinatal (P25.1)
• traumatic (S27.0)
• tuberculous (current disease) (A15-A16)
pyopneumothorax (J86.-)
J93.0 Spontaneous tension pneumothorax
J93.1 Other spontaneous pneumothorax
J93.8 Other pneumothorax
J93.9 Pneumothorax, unspecified
J94 Other pleural conditions

Excludes: pleurisy: NOS (R09.1)
traumatic:
• haemopneumothorax (S27.2)
• haemothorax (S27.1)
tuberculous pleural conditions (current disease) (A15-A16)
J94.0 Chylous effusion

Chyliform effusion
J94.1 Fibrothorax
J94.2 Haemothorax
Haemopneumothorax
J94.8 Other specified pleural conditions

Hydrothorax
J94.9 Pleural condition, unspecified
X-33
Other diseases of the respiratory system

(J95-J99)
J95 Postprocedural respiratory disorders, not elsewhere classified

Excludes: emphysema (subcutaneous) resulting from a procedure (T81.8)
pulmonary manifestations due to radiation (J70.0-J70.1)
J95.0 Tracheostomy malfunction

Haemorrhage from tracheostomy stoma
Obstruction of tracheostomy airway
Sepsis of tracheostomy stoma
Tracheo-oesophageal fistula following tracheostomy
J95.1 Acute pulmonary insufficiency following thoracic surgery
J95.2 Acute pulmonary insufficiency following nonthoracic surgery
J95.3 Chronic pulmonary insufficiency following surgery
J95.4 Mendelson's syndrome

J95.5 Postprocedural subglottic stenosis
J95.8 Other postprocedural respiratory disorders
J95.9 Postprocedural respiratory disorder, unspecified
X-34
J96 Respiratory failure, not elsewhere classified

Excludes: cardiorespiratory failure (R09.2)
postprocedural respiratory failure (J95.-)
respiratory:
• arrest (R09.2)
• distress syndrome:
• adult (J80)
• newborn (P22.0)
J96.0 Acute respiratory failure
J96.1 Chronic respiratory failure
J96.9 Respiratory failure, unspecified
J98 Other respiratory disorders
Includes: 5TH DIGIT TO IDENTIFY LUNG DISEASE NOS
Excludes: apnoea:
• NOS (R06.8)
• newborn (P28.4)
• sleep (G47.3)
• newborn (P28.3)
J98.0 Diseases of bronchus, not elsewhere classified

Broncholithiasis
Calcification
Stenosis of bronchus
Ulcer
Tracheobronchial:
• collapse
• dyskinesia
X-35
J98.1 Pulmonary collapse

Atelectasis
Collapse of lung
Excludes: atelectasis (of):

• newborn (P28.0-P28.1)
• tuberculous (current disease) (A15-A16)
J98.2 Interstitial emphysema

Mediastinal emphysema
Excludes: emphysema:
• NOS (J43.9)
• in fetus and newborn (P25.0)
• surgical (subcutaneous) (T81.8)
• traumatic subcutaneous (T79.7)
J98.3 Compensatory emphysema
J98.4 Other disorders of lung

Calcification of lung
Cystic lung disease (acquired)
Lung disease NOS
Pulmolithiasis
J98.40 Lung disease NOS
J98.5 Diseases of mediastinum, not elsewhere classified

Fibrosis
Hernia of mediastinum
Retraction
Mediastinitis
Excludes: abscess of mediastinum (J85.3)
X-36
J98.6 Disorders of diaphragm

Diaphragmatitis
Paralysis of diaphragm
Relaxation of diaphragm
Excludes: congenital malformation of diaphragm NEC (Q79.1)

diaphragmatic hernia (K44.-)
J98.8 Other specified respiratory disorders
J98.9 Respiratory disorder, unspecified

Respiratory disease (chronic) NOS
J99.0* Rheumatoid lung disease (M05.1†)
J99.1* Respiratory disorders in other diffuse connective tissue disorders

Respiratory disorders in:
• dermatomyositis (M33.0-M33.1†)
• polymyositis (M33.2†)
• systemic:
• lupus erythematosus (M32.1†)
• sclerosis (M34.8†)
• Wegener's granulomatosis (M31.3†)
J99.8* Respiratory disorders in other diseases classified elsewhere

Respiratory disorders in:
• amoebiasis (A06.5†)
• ankylosing spondylitis (M45†)
• cryoglobulinaemia (D89.1†)
• sporotrichosis (B42.0†)
X-37
CHAPTER XI
Diseases of the digestive system

(K00-K93)

neoplasms (C00-D48)
K00-K14 Diseases of oral cavity, salivary glands and jaws

K20-K31 Diseases of oesophagus, stomach and duodenum
K35-K38 Diseases of appendix
K40-K46 Hernia
K50-K52 Noninfective enteritis and colitis
K55-K63 Other diseases of intestines
K65-K67 Diseases of peritoneum
K70-K77 Diseases of liver
K80-K87 Disorders of gallbladder, biliary tract and pancreas
K90-K93 Other diseases of the digestive system

K87* Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
XI-1
Diseases of oral cavity, salivary glands and jaws

(K00-K14)
K00 Disorders of tooth development and eruption

Excludes: embedded and impacted teeth (K01.-)
K00.0 Anodontia
Hypodontia
Oligodontia
K00.1 Supernumerary teeth

Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth
K00.2 Abnormalities of size and form of teeth

Concrescence
Fusion of teeth
Gemination
Dens:
• evaginatus
• in dente
• invaginatus
Enamel pearls
Macrodontia
Microdontia
Peg-shaped [conical] teeth
Taurodontism
Tuberculum paramolare
Excludes: tuberculum Carabelli, which is regarded as a normal variation and

should not be coded
XI-2
DISEASES OF THE DIGESTIVE SYSTEM
K00.3 Mottled teeth

Dental fluorosis
Mottling of enamel
Nonfluoride enamel opacities
Excludes: deposits [accretions] on teeth (K03.6)
K00.4 Disturbances in tooth formation

Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal)(postnatal)(prenatal)
Regional odontodysplasia
Turner's tooth
Excludes: Hutchinson's teeth and mulberry molars in congenital syphilis (A50.5)

mottled teeth (K00.3)
K00.5 Hereditary disturbances in tooth structure, not elsewhere classified

Amelogenesis
Dentinogenesis imperfecta
Odontogenesis
Dentinal dysplasia
Shell teeth
K00.6 Disturbances in tooth eruption

Dentia praecox
Natal
tooth
Neonatal
Premature:
• eruption of tooth
• shedding of primary [deciduous] tooth
Retained [persistent] primary tooth
K00.7 Teething syndrome
K00.8 Other disorders of tooth development

Colour changes during tooth formation
Intrinsic staining of teeth NOS
K00.9 Disorder of tooth development, unspecified

Disorder of odontogenesis NOS
XI-3
K01 Embedded and impacted teeth

Excludes: embedded and impacted teeth with abnormal position of such teeth or
adjacent teeth (K07.3)
K01.0 Embedded teeth

An embedded tooth is a tooth that has failed to erupt without obstruction by another
tooth.
K01.1 Impacted teeth

An impacted tooth is a tooth that has failed to erupt because of obstruction by
another tooth.
K02 Dental caries
K02.0 Caries limited to enamel

White spot lesions [initial caries]
K02.1 Caries of dentine
K02.2 Caries of cementum
K02.3 Arrested dental caries
K02.4 Odontoclasia
Infantile melanodontia
Melanodontoclasia
K02.8 Other dental caries
K02.9 Dental caries, unspecified
K03 Other diseases of hard tissues of teeth

Excludes: bruxism (F45.8)
dental caries (K02.-)
teeth-grinding NOS (F45.8)
K03.0 Excessive attrition of teeth

Wear:
• approximal
of teeth
• occlusal
XI-4
K03.1 Abrasion of teeth

Abrasion:
• dentifrice
• habitual
• occupational of teeth
• ritual
• traditional
Wedge defect NOS
K03.2 Erosion of teeth

Erosion of teeth:
• NOS
• due to:
• diet
• drugs and medicaments
• persistent vomiting
• idiopathic
• occupational
K03.3 Pathological resorption of teeth

Internal granuloma of pulp
Resorption of teeth (external)
K03.4 Hypercementosis
Cementation hyperplasia
K03.5 Ankylosis of teeth
XI-5
K03.6 Deposits [accretions] on teeth

Dental calculus:
• subgingival
• supragingival
Deposits [accretions] on teeth:
• betel
• black
• green
• materia alba
• orange
• tobacco
Staining of teeth:
• NOS
• extrinsic NOS
K03.7 Posteruptive colour changes of dental hard tissues

Excludes: deposits [accretions] on teeth (K03.6)
K03.8 Other specified diseases of hard tissues of teeth

Irradiated enamel
Sensitive dentine
Use additional external cause code (Chapter XX), if desired, to identify radiation, if
radiation-induced.
K03.9 Disease of hard tissues of teeth, unspecified
K04 Diseases of pulp and periapical tissues
K04.0 Pulpitis
Pulpal:
• abscess
• polyp
Pulpitis:
• acute
• chronic (hyperplastic)(ulcerative)
• suppurative
XI-6
K04.1 Necrosis of pulp

Pulpal gangrene
K04.2 Pulp degeneration

Denticles
Pulpal:
• calcifications
• stones
K04.3 Abnormal hard tissue formation in pulp

Secondary or irregular dentine
K04.4 Acute apical periodontitis of pulpal origin

Acute apical periodontitis NOS
K04.5 Chronic apical periodontitis

Apical or periapical granuloma
Apical periodontitis NOS
K04.6 Periapical abscess with sinus

Dental
abscess with sinus
Dentoalveolar
K04.7 Periapical abscess without sinus

Dental
Dentoalveolar abscess NOS
Periapical
K04.8 Radicular cyst

Cyst:
• apical (periodontal)
• periapical
• residual radicular
Excludes: lateral periodontal cyst (K09.0)
K04.9 Other and unspecified diseases of pulp and periapical tissues
XI-7
K05 Gingivitis and periodontal diseases
K05.0 Acute gingivitis

Excludes: acute necrotizing ulcerative gingivitis (A69.1)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
K05.1 Chronic gingivitis

Gingivitis (chronic):
• NOS
• desquamative
• hyperplastic
• simple marginal
• ulcerative
K05.2 Acute periodontitis

Acute pericoronitis
Parodontal abscess
Periodontal abscess
Excludes: acute apical periodontitis (K04.4)

periapical abscess (K04.7)
• with sinus (K04.6)
K05.3 Chronic periodontitis

Chronic pericoronitis
Periodontitis:
• NOS
• complex
• simplex
K05.4 Periodontosis
Juvenile periodontosis
K05.5 Other periodontal diseases
K05.6 Periodontal disease, unspecified
XI-8
K06 Other disorders of gingiva and edentulous alveolar ridge

Excludes: atrophy of edentulous alveolar ridge (K08.2)
gingivitis:
• NOS (K05.1)
• acute (K05.0)
• chronic (K05.1)
K06.0 Gingival recession

Gingival recession (generalized)(localized)(postinfective)(post-operative)
K06.1 Gingival enlargement

Gingival fibromatosis
K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma
Irritative hyperplasia of edentulous ridge [denture hyperplasia]
K06.8 Other specified disorders of gingiva and edentulous alveolar ridge

Fibrous epulis
Flabby ridge
Giant cell epulis
Peripheral giant cell granuloma
Pyogenic granuloma of gingiva
K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified
K07 Dentofacial anomalies [including malocclusion]

Excludes: hemifacial atrophy or hypertrophy (Q67.4)
unilateral condylar hyperplasia or hypoplasia (K10.8)
K07.0 Major anomalies of jaw size

Hyperplasia, hypoplasia:
• mandibular
• maxillary
Macrognathism (mandibular)(maxillary)
Micrognathism (mandibular)(maxillary)
Excludes: acromegaly (E22.0)

Robin's syndrome (Q87.0)
XI-9
K07.1 Anomalies of jaw-cranial base relationship

Asymmetry of jaw
Prognathism (mandibular)(maxillary)
Retrognathism (mandibular)(maxillary)
K07.2 Anomalies of dental arch relationship

Crossbite (anterior)(posterior)
Disto-occlusion
Mesio-occlusion
Midline deviation of dental arch
Openbite (anterior)(posterior)
Overbite (excessive):
• deep
• horizontal
• vertical
Overjet
Posterior lingual occlusion of mandibular teeth
K07.3 Anomalies of tooth position

Crowding
Diastema
Displacement
of tooth or teeth
Rotation
Spacing, abnormal
Transposition
Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth
Excludes: embedded and impacted teeth without abnormal position (K01.-)
K07.4 Malocclusion, unspecified
K07.5 Dentofacial functional abnormalities

Abnormal jaw closure
Malocclusion due to:
• abnormal swallowing
• mouth breathing
• tongue, lip or finger habits
Excludes: bruxism (F45.8)

teeth-grinding NOS (F45.8)
XI-10
K07.6 Temporomandibular joint disorders

Costen's complex or syndrome
Derangement of temporomandibular joint
Snapping jaw
Temporomandibular joint-pain-dysfunction syndrome
Excludes: current temporomandibular joint:

• dislocation (S03.0)
• strain (S03.4)
K07.8 Other dentofacial anomalies
K07.9 Dentofacial anomaly, unspecified
K08 Other disorders of teeth and supporting structures
K08.0 Exfoliation of teeth due to systemic causes
K08.1 Loss of teeth due to accident, extraction or local periodontal disease
K08.2 Atrophy of edentulous alveolar ridge
K08.3 Retained dental root
K08.8 Other specified disorders of teeth and supporting structures

Enlargement of alveolar ridge NOS
Irregular alveolar process
Toothache NOS
K08.9 Disorder of teeth and supporting structures, unspecified
XI-11
K09 Cysts of oral region, not elsewhere classified

Includes: lesions showing histological features both of aneurysmal cyst and of
another fibro-osseous lesion:
Excludes: radicular cyst (K04.8)
K09.0 Developmental odontogenic cysts

Cyst:
• dentigerous
• eruption
• follicular
• gingival
• lateral periodontal
• primordial
Keratocyst
K09.1 Developmental (nonodontogenic) cysts of oral region

Cyst (of):
• globulomaxillary
• incisive canal
• median palatal
• nasopalatine
• palatine papilla
K09.2 Other cysts of jaw

Cyst of jaw:
• NOS
• aneurysmal
• haemorrhagic
• traumatic
Excludes: latent bone cyst of jaw (K10.0)

Stafne's cyst (K10.0)
XI-12
K09.8 Other cysts of oral region, not elsewhere classified

Dermoid cyst
Epidermoid cyst of mouth
Lymphoepithelial cyst
Epstein's pearl
Nasoalveolar cyst
Nasolabial cyst
K09.9 Cyst of oral region, unspecified
K10 Other diseases of jaws
K10.0 Developmental disorders of jaws

Latent bone cyst of jaw
Stafne's cyst
Torus:
• mandibularis
• palatinus
K10.1 Giant cell granuloma, central

Giant cell granuloma NOS
Excludes: peripheral giant cell granuloma (K06.8)
K10.2 Inflammatory conditions of jaws

Osteitis
Osteomyelitis (neonatal) of jaw (acute)(chronic)
Osteoradionecrosis (suppurative)
Periostitis
Sequestrum of jaw bone
Use additional external cause code (Chapter XX), if desired, to identify radiation, if
radiation-induced.
K10.3 Alveolitis of jaws

Alveolar osteitis
Dry socket
XI-13
K10.8 Other specified diseases of jaws

Cherubism
Exostosis
of jaw
Fibrous dysplasia
Unilateral condylar:
• hyperplasia
• hypoplasia
K10.9 Disease of jaws, unspecified
K11 Diseases of salivary glands
K11.0 Atrophy of salivary gland
K11.1 Hypertrophy of salivary gland
K11.2 Sialoadenitis
Excludes: epidemic parotitis (B26.-)
uveoparotid fever [Heerfordt] (D86.8)
K11.3 Abscess of salivary gland
K11.4 Fistula of salivary gland

Excludes: congenital fistula of salivary gland (Q38.4)
K11.5 Sialolithiasis
Calculus
of salivary gland or duct
Stone
K11.6 Mucocele of salivary gland

Mucous:
• extravasation cyst
of salivary gland
• retention cyst
Ranula
XI-14
K11.7 Disturbances of salivary secretion

Hypoptyalism
Ptyalism
Xerostomia
Excludes: dry mouth NOS (R68.2)
K11.8 Other diseases of salivary glands

Benign lymphoepithelial lesion of salivary gland
Mikulicz' disease
Necrotizing sialometaplasia
Sialectasia
Stenosis
of salivary duct
Stricture
Excludes: sicca syndrome [Sjögren] (M35.0)
K11.9 Disease of salivary gland, unspecified

Sialoadenopathy NOS
K12 Stomatitis and related lesions

Excludes: cancrum oris (A69.0)
cheilitis (K13.0)
gangrenous stomatitis (A69.0)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
noma (A69.0)
K12.0 Recurrent oral aphthae

Aphthous stomatitis (major)(minor)
Bednar's aphthae
Periadenitis mucosa necrotica recurrens
Recurrent aphthous ulcer
Stomatitis herpetiformis
K12.1 Other forms of stomatitis

Stomatitis:
• NOS
• denture
• ulcerative
• vesicular
XI-15
K12.2 Cellulitis and abscess of mouth

Cellulitis of mouth (floor)
Submandibular abscess
Excludes: abscess (of):

• periapical (K04.6-K04.7)
• periodontal (K05.2)
• peritonsillar (J36)
• salivary gland (K11.3)
• tongue (K14.0)
K13 Other diseases of lip and oral mucosa

Includes: epithelial disturbances of tongue
Excludes: certain disorders of gingiva and edentulous alveolar ridge (K05-K06)

cysts of oral region (K09.-)
diseases of tongue (K14.-)
stomatitis and related lesions (K12.-)
K13.0 Diseases of lips

Cheilitis:
• NOS
• angular
• exfoliative
• glandular
Cheilodynia
Cheilosis
Perlèche NEC
Excludes: ariboflavinosis (E53.0)

cheilitis due to radiation-related disorders (L55-L59)
perlèche due to:
• candidiasis (B37.8)
• riboflavin deficiency (E53.0)
K13.1 Cheek and lip biting
XI-16
K13.2 Leukoplakia and other disturbances of oral epithelium, including tongue

Erythroplakia of oral epithelium,
Leukoedema including tongue
Leukokeratosis nicotina palati
Smoker's palate
Excludes: hairy leukoplakia (K13.3)
K13.3 Hairy leukoplakia
K13.4 Granuloma and granuloma-like lesions of oral mucosa

Eosinophilic granuloma
Granuloma pyogenicum of oral mucosa
Verrucous xanthoma
K13.5 Oral submucous fibrosis

Submucous fibrosis of tongue
K13.6 Irritative hyperplasia of oral mucosa

Excludes: irritative hyperplasia of edentulous ridge [denture
hyperplasia] (K06.2)
K13.7 Other and unspecified lesions of oral mucosa

Focal oral mucinosis
K14 Diseases of tongue

Excludes: erythroplakia
focalepithelial hyperplasia
of tongue (K13.2)
leukoedema
leukoplakia
hairy leukoplakia (K13.3)
macroglossia (congenital) (Q38.2)
submucous fibrosis of tongue (K13.5)
K14.0 Glossitis
Abscess
of tongue
Ulceration (traumatic)
Excludes: atrophic glossitis (K14.4)
XI-17
K14.1 Geographic tongue

Benign migratory glossitis
Glossitis areata exfoliativa
K14.2 Median rhomboid glossitis
K14.3 Hypertrophy of tongue papillae

Black hairy tongue
Coated tongue
Hypertrophy of foliate papillae
Lingua villosa nigra
K14.4 Atrophy of tongue papillae

Atrophic glossitis
K14.5 Plicated tongue

Fissured
Furrowed tongue
Scrotal
Excludes: fissured tongue, congenital (Q38.3)
K14.6 Glossodynia
Glossopyrosis
Painful tongue
K14.8 Other diseases of tongue

Atrophy
Crenated
(of) tongue
Enlargement
Hypertrophy
K14.9 Disease of tongue, unspecified

Glossopathy NOS
XI-18
Diseases of oesophagus, stomach and duodenum

(K20-K31)
Excludes: hiatus hernia (K44.-)
K20 Oesophagitis
Abscess of oesophagus
Oesophagitis:
• NOS
• chemical
• peptic
Excludes: erosion of oesophagus (K22.1)

reflux oesophagitis (K21.0)
with gastro-oesophageal reflux disease (K21.0)
K21 Gastro-oesophageal reflux disease
K21.0 Gastro-oesophageal reflux disease with oesophagitis

Reflux oesophagitis
K21.9 Gastro-oesophageal reflux disease without oesophagitis

Oesophageal reflux NOS
K22 Other diseases of oesophagus

Excludes: oesophageal varices (I85.-)
K22.0 Achalasia of cardia

Achalasia NOS
Cardiospasm
Excludes: congenital cardiospasm (Q39.5)
XI-19
K22.1 Ulcer of oesophagus

Erosion of oesophagus
Ulcer of oesophagus:
• NOS
• due to ingestion of:
• chemicals
• drugs and medicaments
• fungal
• peptic
K22.2 Oesophageal obstruction

Compression
Constriction
of oesophagus
Stenosis
Stricture
Excludes: congenital stenosis or stricture of oesophagus (Q39.3)
K22.3 Perforation of oesophagus

Rupture of oesophagus
Excludes: traumatic perforation of (thoracic) oesophagus (S27.8)
K22.4 Dyskinesia of oesophagus

Corkscrew oesophagus
Diffuse oesophageal spasm
Spasm of oesophagus
Excludes: cardiospasm (K22.0)
K22.5 Diverticulum of oesophagus, acquired

Oesophageal pouch, acquired
Excludes: diverticulum of oesophagus (congenital) (Q39.6)
K22.6 Gastro-oesophageal laceration-haemorrhage syndrome

Mallory-Weiss syndrome
XI-20
K22.7 Barrett’s esophagus

Barrett’s:
• disease
• syndrome
Excludes: Barrett’s ulcer (K22.1)
K22.8 Other specified diseases of oesophagus

Haemorrhage of oesophagus NOS
K22.9 Disease of oesophagus, unspecified
K23.0* Tuberculous oesophagitis (A18.8†)
K23.1* Megaoesophagus in Chagas' disease (B57.3†)
K23.8* Disorders of oesophagus in other diseases classified elsewhere
The following fourth-character subdivisions are for use with categories K25-K28:
.0 Acute with haemorrhage

.1 Acute with perforation
.2 Acute with both haemorrhage and perforation
.3 Acute without haemorrhage or perforation
.4 Chronic or unspecified with haemorrhage
.5 Chronic or unspecified with perforation
.6 Chronic or unspecified with both haemorrhage and perforation
.7 Chronic without haemorrhage or perforation
.9 Unspecified as acute or chronic, without haemorrhage or perforation
XI-21
K25 Gastric ulcer

[See page XI-21 for subdivisions]
Includes: erosion (acute) of stomach

ulcer (peptic):
• pylorus
• stomach
drug-induced.
Excludes: acute haemorrhagic erosive gastritis (K29.0)

peptic ulcer NOS (K27.-)
K26 Duodenal ulcer

Includes: erosion (acute) of duodenum

ulcer (peptic):
• duodenal
• postpyloric
Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-
induced.
Excludes: peptic ulcer NOS (K27.-)
K27 Peptic ulcer, site unspecified

Includes: gastroduodenal ulcer NOS

peptic ulcer NOS
Excludes: peptic ulcer of newborn (P78.8)
XI-22
K28 Gastrojejunal ulcer

Includes: ulcer (peptic) or erosion:

• anastomotic
• gastrocolic
• gastrointestinal
• gastrojejunal
• jejunal
• marginal
• stomal
Excludes: primary ulcer of small intestine (K63.3)
K29 Gastritis and duodenitis

Excludes: eosinophilic gastritis or gastroenteritis (K52.8)
Zollinger-Ellison syndrome (E16.4)
K29.0 Acute haemorrhagic gastritis

Acute (erosive) gastritis with haemorrhage
Excludes: erosion (acute) of stomach (K25.-)
K29.1 Other acute gastritis
K29.2 Alcoholic gastritis
K29.3 Chronic superficial gastritis
K29.4 Chronic atrophic gastritis

Gastric atrophy
K29.5 Chronic gastritis, unspecified

Chronic gastritis:
• antral
• fundal
XI-23
K29.6 Other gastritis

Giant hypertrophic gastritis
Granulomatous gastritis
Ménétrier's disease
K29.7 Gastritis, unspecified
K29.8 Duodenitis
K29.9 Gastroduodenitis, unspecified
K30 Dyspepsia
Indigestion
Excludes: dyspepsia:
• nervous (F45.3)
• neurotic (F45.3)
heartburn (R12)
K31 Other diseases of stomach and duodenum
Includes: 5TH DIGIT TO IDENTIFY STOMACH DISEASE AND/OR

LESION NOS
Includes: functional disorders of stomach
Excludes: diverticulum of duodenum (K57.0-K57.1)

gastrointestinal haemorrhage (K92.0-K92.2)
K31.0 Acute dilatation of stomach

Acute distension of stomach
K31.1 Adult hypertrophic pyloric stenosis

Pyloric stenosis NOS
Excludes: congenital or infantile pyloric stenosis (Q40.0)
K31.2 Hourglass stricture and stenosis of stomach

Excludes: congenital hourglass stomach (Q40.2)
hourglass contraction of stomach (K31.8)
XI-24
K31.3 Pylorospasm, not elsewhere classified

Excludes: pylorospasm:
• congenital or infantile (Q40.0)
• neurotic (F45.3)
K31.4 Gastric diverticulum

Excludes: congenital diverticulum of stomach (Q40.2)
K31.5 Obstruction of duodenum

Constriction
Stenosis of duodenum
Stricture
Duodenal ileus (chronic)
Excludes: congenital stenosis of duodenum (Q41.0)
K31.6 Fistula of stomach and duodenum

Gastrocolic fistula
Gastrojejunocolic fistula
K31.7 Polyp of stomach and duodenum

Excludes: adenomatous polyp of stomach (D13.1)
K31.8 Other specified diseases of stomach and duodenum

Achlorhydria
Gastroptosis
Hourglass contraction of stomach
K31.9 Disease of stomach and duodenum, unspecified
K31.90 Disease, stomach NOS

Lesion, stomach NOS
XI-25
Diseases of appendix
(K35-K38)
K35 Acute appendicitis
K35.0 Acute appendicitis with generalized peritonitis

Appendicitis (acute) with:
• perforation
• peritonitis (generalized) (localized) following rupture or perforation
• rupture
K35.1 Acute appendicitis with peritoneal abscess

Abscess of appendix
K35.9 Acute appendicitis, unspecified

Acute appendicitis with peritonitis, localized or NOS
Acute appendicitis without:
• generalized peritonitis
• perforation
• peritoneal abscess
• rupture
K36 Other appendicitis

Appendicitis:
• chronic
• recurrent
K37 Unspecified appendicitis
K38 Other diseases of appendix
K38.0 Hyperplasia of appendix
K38.1 Appendicular concretions

Faecalith
of appendix
Stercolith
K38.2 Diverticulum of appendix
K38.3 Fistula of appendix
XI-26
K38.8 Other specified diseases of appendix

Intussusception of appendix
K38.9 Disease of appendix, unspecified
Hernia
(K40-K46)
Note: Hernia with both gangrene and obstruction is classified to hernia with gangrene.
Includes: hernia:
• acquired
• congenital [except diaphragmatic or hiatus]
• recurrent
K40 Inguinal hernia

Includes: bubonocele
inguinal hernia:
• NOS
• direct
• double
• indirect
• oblique
scrotal hernia
K40.0 Bilateral inguinal hernia, with obstruction, without gangrene
K40.1 Bilateral inguinal hernia, with gangrene
K40.2 Bilateral inguinal hernia, without obstruction or gangrene

Bilateral inguinal hernia NOS
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene

Inguinal hernia (unilateral):
• causing obstruction
• incarcerated
without gangrene
• irreducible
• strangulated
XI-27
K40.4 Unilateral or unspecified inguinal hernia, with gangrene

Inguinal hernia NOS with gangrene
K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene

Inguinal hernia (unilateral) NOS
K41 Femoral hernia
K41.0 Bilateral femoral hernia, with obstruction, without gangrene
K41.1 Bilateral femoral hernia, with gangrene
K41.2 Bilateral femoral hernia, without obstruction or gangrene

Bilateral femoral hernia NOS
K41.3 Unilateral or unspecified femoral hernia, with obstruction, without gangrene

Femoral hernia (unilateral):
• incarcerated
without gangrene
• irreducible
• strangulated
K41.4 Unilateral or unspecified femoral hernia, with gangrene
K41.9 Unilateral or unspecified femoral hernia, without obstruction or gangrene

Femoral hernia (unilateral) NOS
K42 Umbilical hernia

Includes: paraumbilical hernia
Excludes: omphalocele (Q79.2)
K42.0 Umbilical hernia with obstruction, without gangrene

Umbilical hernia:
• incarcerated
without gangrene
• irreducible
• strangulated
XI-28
K42.1 Umbilical hernia with gangrene

Gangrenous umbilical hernia
K42.9 Umbilical hernia without obstruction or gangrene

Umbilical hernia NOS
K43 Ventral hernia

Includes: hernia:
• epigastric
• incisional
K43.0 Ventral hernia with obstruction, without gangrene

Ventral hernia:
• incarcerated
without gangrene
• irreducible
• strangulated
K43.1 Ventral hernia with gangrene

Gangrenous ventral hernia
K43.9 Ventral hernia without obstruction or gangrene

Ventral hernia NOS
K44 Diaphragmatic hernia

Includes: hiatus hernia (oesophageal)(sliding)
paraoesophageal hernia
Excludes: congenital hernia:

• diaphragmatic (Q79.0)
• hiatus (Q40.1)
K44.0 Diaphragmatic hernia with obstruction, without gangrene

Diaphragmatic hernia:
• incarcerated
without gangrene
• irreducible
• strangulated
K44.1 Diaphragmatic hernia with gangrene

Gangrenous diaphragmatic hernia
XI-29
K44.9 Diaphragmatic hernia without obstruction or gangrene

Diaphragmatic hernia NOS
K45 Other abdominal hernia

Includes: hernia:
• abdominal, specified site NEC
• lumbar
• obturator
• pudendal
• retroperitoneal
• sciatic
K45.0 Other specified abdominal hernia with obstruction, without gangrene

Any condition listed under K45:
• incarcerated
without gangrene
• irreducible
• strangulated
K45.1 Other specified abdominal hernia with gangrene

Any condition listed under K45 specified as gangrenous
K45.8 Other specified abdominal hernia without obstruction or gangrene
K46 Unspecified abdominal hernia

Includes: enterocele
epiplocele
hernia:
• NOS
• interstitial
• intestinal
• intra-abdominal
Excludes: vaginal enterocele (N81.5)
XI-30
K46.0 Unspecified abdominal hernia with obstruction, without gangrene

Any condition listed under K46:
• incarcerated
without gangrene
• irreducible
• strangulated
K46.1 Unspecified abdominal hernia with gangrene

Any condition listed under K46 specified as gangrenous
K46.9 Unspecified abdominal hernia without obstruction or gangrene

Abdominal hernia NOS
Noninfective enteritis and colitis

(K50-K52)
Includes: noninfective inflammatory bowel disease
Excludes: irritable bowel syndrome (K58.-)

megacolon (K59.3)
K50 Crohn's disease [regional enteritis]

Includes: granulomatous enteritis
Excludes: ulcerative colitis (K51.-)
K50.0 Crohn's disease of small intestine

Crohn's disease [regional enteritis] of:
• duodenum
• ileum
• jejunum
Ileitis:
• regional
• terminal
Excludes: with Crohn's disease of large intestine (K50.8)
XI-31
K50.1 Crohn's disease of large intestine

Colitis:
• granulomatous
• regional
Crohn's disease [regional enteritis] of:
• colon
• large bowel
• rectum
Excludes: with Crohn's disease of small intestine (K50.8)
K50.8 Other Crohn's disease

Crohn's disease of both small and large intestine
K50.9 Crohn's disease, unspecified

Crohn’s disease NOS
Regional enteritis NOS
K51 Ulcerative colitis
K51.0 Ulcerative (chronic) enterocolitis
K51.1 Ulcerative (chronic) ileocolitis
K51.2 Ulcerative (chronic) proctitis
K51.3 Ulcerative (chronic) rectosigmoiditis
K51.4 Pseudopolyposis of colon
K51.5 Mucosal proctocolitis
K51.8 Other ulcerative colitis
K51.9 Ulcerative colitis, unspecified

Ulcerative enteritis NOS
K52 Other noninfective gastroenteritis and colitis
K52.0 Gastroenteritis and colitis due to radiation
XI-32
K52.1 Toxic gastroenteritis and colitis

Use additional external cause code (Chapter XX), if desired, to identify toxic agent.
K52.2 Allergic and dietetic gastroenteritis and colitis

Food hypersensitivity gastroenteritis or colitis
K52.8 Other specified noninfective gastroenteritis and colitis

Eosinophilic gastritis or gastroenteritis
K52.9 Noninfective gastroenteritis and colitis, unspecified

Diarrhoea
Enteritis specified as noninfective, or NOS in
Ileitis countries where the conditions can be
Jejunitis presumed to be of noninfectious origin
Sigmoiditis
Excludes: colitis, diarrhoea, enteritis, gastroenteritis:

• infectious (A09)
• unspecified, in countries where the condition can be presumed to be
of infectious origin (A09)
functional diarrhoea (K59.1)
neonatal diarrhoea (noninfective) (P78.3)
psychogenic diarrhoea (F45.3)
Other diseases of intestines

(K55-K63)
K55 Vascular disorders of intestine
Includes: 5TH DIGIT TO IDENTIFY TERMS QUALIFIED AS EMBOLIC
Excludes: necrotizing enterocolitis of fetus or newborn (P77)
XI-33
K55.0 Acute vascular disorders of intestine

Acute:
• fulminant ischaemic colitis
• intestinal infarction
• small intestine ischaemia
Mesenteric (artery) (vein):
• embolism
• infarction
• thrombosis
Subacute ischaemic colitis
K55.00 Acute embolic vascular disorders of intestine

Includes: Any term indexed to K55.0 when qualified as embolic
K55.1 Chronic vascular disorders of intestine

Chronic ischaemic:
• colitis
• enteritis
• enterocolitis
Ischaemic stricture of intestine
Mesenteric:
• atherosclerosis
• vascular insufficiency
K55.2 Angiodysplasia of colon
K55.8 Other vascular disorders of intestine
K55.9 Vascular disorder of intestine, unspecified

Ischaemic:
• colitis
• enteritis NOS
• enterocolitis
XI-34
K56 Paralytic ileus and intestinal obstruction without hernia

Excludes: congenital stricture or stenosis of intestine (Q41-Q42)
ischaemic stricture of intestine (K55.1)
meconium ileus (E84.1)
obstruction of duodenum (K31.5)
postoperative intestinal obstruction (K91.3)
stenosis of anus or rectum (K62.4)
with hernia (K40-K46)
K56.0 Paralytic ileus

Paralysis of:
• bowel
• colon
• intestine
Excludes: gallstone ileus (K56.3)

ileus NOS (K56.7)
obstructive ileus NOS (K56.6)
K56.1 Intussusception
Intussusception or invagination of:
• bowel
• colon
• intestine
• rectum
Excludes: intussusception of appendix (K38.8)
K56.2 Volvulus
Strangulation
Torsion of colon or intestine
Twist
K56.3 Gallstone ileus

Obstruction of intestine by gallstone
XI-35
K56.4 Other impaction of intestine

Enterolith
Impaction (of):
• colon
• faecal
K56.5 Intestinal adhesions [bands] with obstruction

Peritoneal adhesions [bands] with intestinal obstruction
K56.6 Other and unspecified intestinal obstruction

Enterostenosis
Obstructive ileus NOS
Occlusion
Stenosis of colon or intestine
Stricture
Excludes: other and unspecified neonatal intestinal obstructions classifiable to

P76.8, P76.9
K56.7 Ileus, unspecified
K57 Diverticular disease of intestine

Includes: diverticulitis
diverticulosis of (small)(large) intestine
diverticulum
Excludes: congenital diverticulum of intestine (Q43.8)

diverticulum of appendix (K38.2)
Meckel's diverticulum (Q43.0)
K57.0 Diverticular disease of small intestine with perforation and abscess

Diverticular disease of small intestine with peritonitis
Excludes: diverticular disease of both small and large intestine with perforation
and abscess (K57.4)
K57.1 Diverticular disease of small intestine without perforation or abscess

Diverticular disease of small intestine NOS
Excludes: diverticular disease of both small and large intestine without

perforation or abscess (K57.5)
XI-36
K57.2 Diverticular disease of large intestine with perforation and abscess

Diverticular disease of colon with peritonitis
Excludes: diverticular disease of both small and large intestine with perforation
and abscess (K57.4)
K57.3 Diverticular disease of large intestine without perforation or abscess

Diverticular disease of colon NOS
Excludes: diverticular disease of both small and large intestine without

perforation or abscess (K57.5)
K57.4 Diverticular disease of both small and large intestine with perforation and
abscess
Diverticular disease of both small and large intestine with peritonitis
K57.5 Diverticular disease of both small and large intestine without perforation or
abscess
Diverticular disease of both small and large intestine NOS
K57.8 Diverticular disease of intestine, part unspecified, with perforation and abscess
Diverticular disease of intestine NOS with peritonitis
K57.9 Diverticular disease of intestine, part unspecified, without perforation or

abscess
Diverticular disease of intestine NOS
K58 Irritable bowel syndrome

Includes: irritable colon
K58.0 Irritable bowel syndrome with diarrhoea
K58.9 Irritable bowel syndrome without diarrhoea

Irritable bowel syndrome NOS
K59 Other functional intestinal disorders

Excludes : change in bowel habit NOS (R19.4)
functional disorders of stomach (K31.-)
intestinal malabsorption (K90.-)
psychogenic intestinal disorders (F45.3)
XI-37
K59.0 Constipation
K59.1 Functional diarrhoea
K59.2 Neurogenic bowel, not elsewhere classified
K59.3 Megacolon, not elsewhere classified

Dilatation of colon
Toxic megacolon
Excludes: megacolon (in):

• Chagas' disease (B57.3)
• congenital (aganglionic) (Q43.1)
• Hirschsprung's disease (Q43.1)
K59.4 Anal spasm

Proctalgia fugax
K59.8 Other specified functional intestinal disorders

Atony of colon
K59.9 Functional intestinal disorder, unspecified
K60 Fissure and fistula of anal and rectal regions

Excludes: with abscess or cellulitis (K61.-)
K60.0 Acute anal fissure
K60.1 Chronic anal fissure
K60.2 Anal fissure, unspecified
K60.3 Anal fistula
XI-38
K60.4 Rectal fistula

Fistula of rectum to skin
Excludes: fistula:
• rectovaginal (N82.3)
• vesicorectal (N32.1)
K60.5 Anorectal fistula
K61 Abscess of anal and rectal regions

Includes: abscess of anal and rectal regions
cellulitis with or without fistula
K61.0 Anal abscess

Perianal abscess
Excludes: intrasphincteric abscess (K61.4)
K61.1 Rectal abscess

Perirectal abscess
Excludes: ischiorectal abscess (K61.3)
K61.2 Anorectal abscess
K61.3 Ischiorectal abscess

Abscess of ischiorectal fossa
K61.4 Intrasphincteric abscess
K62 Other diseases of anus and rectum

Includes: anal canal
Excludes: colostomy and enterostomy malfunction (K91.4)

faecal incontinence (R15)
haemorrhoids (I84.-)
ulcerative proctitis (K51.2)
K62.0 Anal polyp
XI-39
K62.1 Rectal polyp

Excludes: adenomatous polyp (D12.8)
K62.2 Anal prolapse

Prolapse of anal canal
K62.3 Rectal prolapse

Prolapse of rectal mucosa
K62.4 Stenosis of anus and rectum

Stricture of anus (sphincter)
K62.5 Haemorrhage of anus and rectum

Excludes: neonatal rectal haemorrhage (P54.2)
K62.6 Ulcer of anus and rectum

Ulcer:
• solitary
• stercoral
Excludes: fissure and fistula of anus and rectum (K60.-)

in ulcerative colitis (K51.-)
K62.7 Radiation proctitis
K62.8 Other specified diseases of anus and rectum

Proctitis NOS
K62.9 Disease of anus and rectum, unspecified
K63 Other diseases of intestine
Includes: 5th DIGIT TO IDENTIFY PERFORATION, RUPTURE, AND/OR

PENETRATION OF INTESTINE, UNSPECIFIED PART
K63.0 Abscess of intestine

Excludes: abscess of:
• anal and rectal regions (K61.-)
• appendix (K35.1)
with diverticular disease (K57.-)
XI-40
K63.1 Perforation of intestine (nontraumatic)

Excludes: perforation (nontraumatic) of:
• duodenum (K26.-)
with diverticular disease (K57.-)
K63.10 Intestinal perforation, rupture and/or penetration, unspecified part
K63.2 Fistula of intestine

Excludes: fistula (of):
• duodenum (K31.6)
• intestinal-genital, female (N82.2-N82.4)
• vesicointestinal (N32.1)
K63.3 Ulcer of intestine

Primary ulcer of small intestine
Excludes: ulcer (of):

• anus or rectum (K62.6)
• duodenal (K26.-)
• gastrointestinal (K28.-)
• gastrojejunal (K28.-)
• jejunal (K28.-)
• peptic, site unspecified (K27.-)
ulcerative colitis (K51.-)
K63.4 Enteroptosis
K63.5 Polyp of colon

Excludes: adenomatous polyp of colon (D12.6)
polyposis of colon (D12.6)
K63.8 Other specified diseases of intestine
K63.9 Disease of intestine, unspecified
XI-41
Diseases of peritoneum
(K65-K67)
K65 Peritonitis
Excludes: peritonitis:
• aseptic (T81.6)
• benign paroxysmal (E85.0)
• chemical (T81.6)
• due to talc or other foreign substance (T81.6)
• neonatal (P78.0-P78.1)
• pelvic, female (N73.3-N73.5)
• periodic familial (E85.0)
• puerperal (O85)
• with or following:
• appendicitis (K35.-)
• diverticular disease of intestine (K57.-)
K65.0 Acute peritonitis

Abscess (of):
• abdominopelvic
• mesenteric
• omentum
• peritoneum
• retrocaecal
• retroperitoneal
• subdiaphragmatic
• subhepatic
• subphrenic
Peritonitis (acute):
• generalized
• pelvic, male
• subphrenic
• suppurative
XI-42
K65.8 Other peritonitis

Chronic proliferative peritonitis
Mesenteric:
• fat necrosis
• saponification
Peritonitis due to:
• bile
• urine
K65.9 Peritonitis, unspecified
K66 Other disorders of peritoneum

Excludes: ascites (R18)
K66.0 Peritoneal adhesions

Adhesions (of):
• abdominal (wall)
• diaphragm
• intestine
• male pelvis
• mesenteric
• omentum
• stomach
Adhesive bands
Excludes: adhesions [bands] (of):

• female pelvis (N73.6)
• with intestinal obstruction (K56.5)
K66.1 Haemoperitoneum
Excludes: traumatic haemoperitoneum (S36.8)
K66.8 Other specified disorders of peritoneum
K66.9 Disorder of peritoneum, unspecified
K67.0* Chlamydial peritonitis (A74.8†)
XI-43
K67.1* Gonococcal peritonitis (A54.8†)
K67.2* Syphilitic peritonitis (A52.7†)
K67.3* Tuberculous peritonitis (A18.3†)
K67.8* Other disorders of peritoneum in infectious diseases classified elsewhere
Diseases of liver
(K70-K77)
Excludes: haemochromatosis (E83.1)

jaundice NOS (R17)
Reye's syndrome (G93.7)
viral hepatitis (B15-B19)
Wilson's disease (E83.0)
K70 Alcoholic liver disease
K70.0 Alcoholic fatty liver
K70.1 Alcoholic hepatitis
K70.2 Alcoholic fibrosis and sclerosis of liver
K70.3 Alcoholic cirrhosis of liver

Alcoholic cirrhosis NOS
Laennec's cirrhosis
K70.4 Alcoholic hepatic failure

Alcoholic hepatic failure:
• NOS
• acute
• chronic
• subacute
• with or without hepatic coma
K70.9 Alcoholic liver disease, unspecified
XI-44
K71 Toxic liver disease

Includes: drug-induced:
• idiosyncratic (unpredictable) liver disease
• toxic (predictable) liver disease
Excludes: alcoholic liver disease (K70.-)

Budd-Chiari syndrome (I82.0)
K71.0 Toxic liver disease with cholestasis

Cholestasis with hepatocyte injury
"Pure" cholestasis
K71.1 Toxic liver disease with hepatic necrosis

Hepatic failure (acute)(chronic) due to drugs
K71.2 Toxic liver disease with acute hepatitis
K71.3 Toxic liver disease with chronic persistent hepatitis
K71.4 Toxic liver disease with chronic lobular hepatitis
K71.5 Toxic liver disease with chronic active hepatitis

Toxic liver disease with lupoid hepatitis
K71.6 Toxic liver disease with hepatitis, not elsewhere classified
K71.7 Toxic liver disease with fibrosis and cirrhosis of liver
K71.8 Toxic liver disease with other disorders of liver

Toxic liver disease with:
• focal nodular hyperplasia
• hepatic granulomas
• peliosis hepatis
• veno-occlusive disease of liver
K71.9 Toxic liver disease, unspecified
XI-45
K72 Hepatic failure, not elsewhere classified
Includes: 5TH DIGIT TO IDENTIFY HEPATIC FAILURE
Includes: hepatic:
• coma NOS
• encephalopathy NOS
hepatitis:
• acute
• fulminant NEC, with hepatic failure
• malignant
liver (cell) necrosis with hepatic failure
yellow liver atrophy or dystrophy
Excludes: alcoholic hepatic failure (K70.4)

hepatic failure complicating:
• pregnancy, childbirth and the puerperium (O26.6)
icterus of fetus and newborn (P55-P59)
viral hepatitis (B15-B19)
with toxic liver disease (K71.1)
K72.0 Acute and subacute hepatic failure
K72.00 Acute hepatic failure
K72.1 Chronic hepatic failure
K72.10 Chronic hepatic failure
K72.9 Hepatic failure, unspecified
K72.90 Hepatic failure
XI-46
K73 Chronic hepatitis, not elsewhere classified

Excludes: hepatitis (chronic):
• alcoholic (K70.1)
• drug-induced (K71.-)
• granulomatous NEC (K75.3)
• reactive, nonspecific (K75.2)
• viral (B15-B19)
K73.0 Chronic persistent hepatitis, not elsewhere classified
K73.1 Chronic lobular hepatitis, not elsewhere classified
K73.2 Chronic active hepatitis, not elsewhere classified

Lupoid hepatitis NEC
K73.8 Other chronic hepatitis, not elsewhere classified
K73.9 Chronic hepatitis, unspecified
K74 Fibrosis and cirrhosis of liver

Excludes: alcoholic fibrosis of liver (K70.2)
cardiac sclerosis of liver (K76.1)
cirrhosis (of liver):
• alcoholic (K70.3)
Laennec's cirrhosis (K70.3)
with toxic liver disease (K71.7)
K74.0 Hepatic fibrosis
K74.1 Hepatic sclerosis
K74.2 Hepatic fibrosis with hepatic sclerosis
K74.3 Primary biliary cirrhosis

Chronic nonsuppurative destructive cholangitis
K74.4 Secondary biliary cirrhosis
K74.5 Biliary cirrhosis, unspecified
XI-47
K74.6 Other and unspecified cirrhosis of liver

Cirrhosis (of liver):
• NOS
• cryptogenic
• macronodular
• micronodular
• mixed type
• portal
• postnecrotic
K75 Other inflammatory liver diseases

Excludes: chronic hepatitis NEC (K73.-)
hepatitis:
• acute or subacute (K72.0)
• viral (B15-B19)
toxic liver disease (K71.-)
K75.0 Abscess of liver

Hepatic abscess:
• NOS
• cholangitic
• haematogenic
• lymphogenic
• pylephlebitic
Excludes: amoebic liver abscess (A06.4)

cholangitis without liver abscess (K83.0)
pylephlebitis without liver abscess (K75.1)
K75.1 Phlebitis of portal vein

Pylephlebitis
Excludes: pylephlebitic liver abscess (K75.0)
K75.2 Nonspecific reactive hepatitis
K75.3 Granulomatous hepatitis, not elsewhere classified
K75.4 Autoimmune hepatitis
XI-48
K75.8 Other specified inflammatory liver diseases
K75.9 Inflammatory liver disease, unspecified

Hepatitis NOS
K76 Other diseases of liver

Excludes: alcoholic liver disease (K70.-)
amyloid degeneration of liver (E85.-)
cystic disease of liver (congenital) (Q44.6)
hepatic vein thrombosis (I82.0)
hepatomegaly NOS (R16.0)
portal vein thrombosis (I81)
toxic liver disease (K71.-)
K76.0 Fatty (change of) liver, not elsewhere classified
K76.1 Chronic passive congestion of liver

Cardiac:
• cirrhosis (so called)
of liver
• sclerosis
K76.2 Central haemorrhagic necrosis of liver

Excludes: liver necrosis with hepatic failure (K72.-)
K76.3 Infarction of liver
K76.4 Peliosis hepatis

Hepatic angiomatosis
K76.5 Hepatic veno-occlusive disease

Excludes: Budd-Chiari syndrome (I82.0)
K76.6 Portal hypertension
K76.7 Hepatorenal syndrome

Excludes: following labour and delivery (O90.4)
XI-49
K76.8 Other specified diseases of liver

Focal nodular hyperplasia of liver
Hepatoptosis
K76.9 Liver disease, unspecified
K77.0* Liver disorders in infectious and parasitic diseases classified elsewhere

Hepatitis:
• cytomegaloviral (B25.1†)
• toxoplasma (B58.1†)
Hepatosplenic schistosomiasis (B65.-†)
Portal hypertension in schistosomiasis (B65.-†)
Syphilitic liver disease (A52.7†)
K77.8* Liver disorders in other diseases classified elsewhere

Hepatic granulomas in:
• berylliosis (J63.2†)
Disorders of gallbladder, biliary tract and pancreas

(K80-K87)
K80 Cholelithiasis
K80.0 Calculus of gallbladder with acute cholecystitis

Any condition listed in K80.2 with acute cholecystitis
K80.1 Calculus of gallbladder with other cholecystitis

Any condition listed in K80.2 with cholecystitis (chronic)
Cholecystitis with cholelithiasis NOS
XI-50
K80.2 Calculus of gallbladder without cholecystitis

Cholecystolithiasis
Cholelithiasis
Colic (recurrent) of
gallbladder unspecified or without
Gallstone (impacted) of: cholecystitis
• cystic duct
• gallbladder
K80.3 Calculus of bile duct with cholangitis

Any condition listed in K80.5 with cholangitis
K80.4 Calculus of bile duct with cholecystitis

Any condition listed in K80.5 with cholecystitis (with cholangitis)
K80.5 Calculus of bile duct without cholangitis or cholecystitis

Choledocholithiasis
Gallstone (impacted) of:
• bile duct NOS
• common duct unspecified or without
• hepatic duct cholangitis or cholecystitis
Hepatic:
• cholelithiasis
• colic (recurrent)
K80.8 Other cholelithiasis
K81 Cholecystitis
Excludes: with cholelithiasis (K80.-)
K81.0 Acute cholecystitis

Abscess of gallbladder
Angiocholecystitis
Cholecystitis:
• emphysematous (acute)
• gangrenous without calculus
• suppurative
Empyema of gallbladder
Gangrene of gallbladder
XI-51
K81.1 Chronic cholecystitis
K81.8 Other cholecystitis
K81.9 Cholecystitis, unspecified
K82 Other diseases of gallbladder

Excludes: nonvisualization of gallbladder (R93.2)
postcholecystectomy syndrome (K91.5)
K82.0 Obstruction of gallbladder

Occlusion
Stenosis of cystic duct or gallbladder
Stricture without calculus
K82.1 Hydrops of gallbladder

Mucocele of gallbladder
K82.2 Perforation of gallbladder

Rupture of cystic duct or gallbladder
K82.3 Fistula of gallbladder

Cholecystocolic
Cholecystoduodenal fistula
K82.4 Cholesterolosis of gallbladder

Strawberry gallbladder
K82.8 Other specified diseases of gallbladder

Adhesions
Atrophy
Cyst
Dyskinesia of cystic duct or gallbladder
Hypertrophy
Nonfunctioning
Ulcer
K82.9 Disease of gallbladder, unspecified
XI-52
K83 Other diseases of biliary tract

Excludes: the listed conditions involving the:
• cystic duct (K81-K82)
• gallbladder (K81-K82)
postcholecystectomy syndrome (K91.5)
K83.0 Cholangitis
Cholangitis:
• NOS
• ascending
• primary
• recurrent
• sclerosing
• secondary
• stenosing
• suppurative
Excludes: cholangitic liver abscess (K75.0)

cholangitis with choledocholithiasis (K80.3-K80.4)
chronic nonsuppurative destructive cholangitis (K74.3)
K83.1 Obstruction of bile duct

Occlusion
Stenosis of bile duct without calculus
Stricture
K83.2 Perforation of bile duct

Rupture of bile duct
K83.3 Fistula of bile duct

Choledochoduodenal fistula
K83.4 Spasm of sphincter of Oddi
K83.5 Biliary cyst
XI-53
K83.8 Other specified diseases of biliary tract

Adhesions
Atrophy
of bile duct
Hypertrophy
Ulcer
K83.9 Disease of biliary tract, unspecified
K85 Acute pancreatitis

Abscess of pancreas
Necrosis of pancreas:
• acute
• infective
Pancreatitis:
• NOS
• acute (recurrent)
• haemorrhagic
• subacute
• suppurative
K85.0 Idiopathic acute pancreatitis
K85.1 Biliary acute pancreatitis

Gallstone pancreatitis
K85.2 Alcohol-induced acute pancreatitis
K85.3 Drug-induced acute pancreatitis

Use additional external cause code (Chapter XX), if desired, to identify drug
K85.8 Other acute pancreatitis
K85.9 Acute pancreatitis, unspecified
K86 Other diseases of pancreas

Excludes: fibrocystic disease of pancreas (E84.-)
islet cell tumour (of pancreas) (D13.7)
pancreatic steatorrhoea (K90.3)
K86.0 Alcohol-induced chronic pancreatitis
XI-54
K86.1 Other chronic pancreatitis

Chronic pancreatitis:
• NOS
• infectious
• recurrent
• relapsing
K86.2 Cyst of pancreas
K86.3 Pseudocyst of pancreas
K86.8 Other specified diseases of pancreas

Atrophy
Calculus
of pancreas
Cirrhosis
Fibrosis
Pancreatic:
• infantilism
• necrosis:
• NOS
• aseptic
• fat
K86.9 Disease of pancreas, unspecified
K87* Disorders of gallbladder, biliary tract and pancreas in diseases classified

elsewhere
K87.0* Disorders of gallbladder and biliary tract in diseases classified elsewhere
K87.1* Disorders of pancreas in diseases classified elsewhere

Cytomegaloviral pancreatitis (B25.2†)
Mumps pancreatitis (B26.3†)
Other diseases of the digestive system

(K90-K93)
K90 Intestinal malabsorption

Excludes: following gastrointestinal surgery (K91.2)
XI-55
K90.0 Coeliac disease

Gluten-sensitive enteropathy
Idiopathic steatorrhoea
Nontropical sprue
K90.1 Tropical sprue

Sprue NOS
Tropical steatorrhoea
K90.2 Blind loop syndrome, not elsewhere classified

Blind loop syndrome NOS
Excludes: blind loop syndrome:

• postsurgical (K91.2)
K90.3 Pancreatic steatorrhoea
K90.4 Malabsorption due to intolerance, not elsewhere classified

Malabsorption due to intolerance to:
• carbohydrate
• fat
• protein
• starch
Excludes: gluten-sensitive enteropathy (K90.0)

lactose intolerance (E73.-)
K90.8 Other intestinal malabsorption

Whipple's disease† (M14.8*)
K90.9 Intestinal malabsorption, unspecified
K91 Postprocedural disorders of digestive system, not elsewhere classified

Excludes: gastrojejunal ulcer (K28.-)
radiation:
• colitis (K52.0)
• gastroenteritis (K52.0)
• proctitis (K62.7)
XI-56
K91.0 Vomiting following gastrointestinal surgery
K91.1 Postgastric surgery syndromes

Syndrome:
• dumping
• postgastrectomy
• postvagotomy
K91.2 Postsurgical malabsorption, not elsewhere classified

Postsurgical blind loop syndrome
Excludes: malabsorption:
• osteomalacia in adults (M83.2)
• osteoporosis, postsurgical (M81.3)
K91.3 Postoperative intestinal obstruction
K91.4 Colostomy and enterostomy malfunction
K91.5 Postcholecystectomy syndrome
K91.8 Other postprocedural disorders of digestive system, not elsewhere classified
K91.9 Postprocedural disorder of digestive system, unspecified
K92 Other diseases of digestive system

Excludes: neonatal gastrointestinal haemorrhage (P54.0-P54.3)
K92.0 Haematemesis
K92.1 Melaena
XI-57
K92.2 Gastrointestinal haemorrhage, unspecified

Haemorrhage:
• gastric NOS
• intestinal NOS
Excludes: acute haemorrhagic gastritis (K29.0)

haemorrhage of anus and rectum (K62.5)
with peptic ulcer (K25-K28)
K92.8 Other specified diseases of digestive system
K92.9 Disease of digestive system, unspecified
K93.0* Tuberculous disorders of intestines, peritoneum and mesenteric glands (A18.3†)

Excludes: tuberculous peritonitis (K67.3*)
K93.1* Megacolon in Chagas' disease (B57.3†)
K93.8* Disorders of other specified digestive organs in diseases classified elsewhere
XI-58
CHAPTER XII
_____________________________________________________________________________
Diseases of the skin and subcutaneous tissue

(L00-L99)

lipomelanotic reticulosis (I89.8)
neoplasms (C00-D48)
systemic connective tissue disorders (M30-M36)
L00-L08 Infections of the skin and subcutaneous tissue

L10-L14 Bullous disorders
L20-L30 Dermatitis and eczema
L40-L45 Papulosquamous disorders
L50-L54 Urticaria and erythema
L55-L59 Radiation-related disorders of the skin and subcutaneous tissue
L60-L75 Disorders of skin appendages
L80-L99 Other disorders of the skin and subcutaneous tissue

L54* Erythema in diseases classified elsewhere
L99* Other disorders of the skin and subcutaneous tissue in diseases classified elsewhere
XII-1
Infections of the skin and subcutaneous tissue

(L00-L08)
Excludes: hordeolum (H00.0)

infective dermatitis (L30.3)
local infections of skin classified in Chapter I, such as:
• erysipelas (A46)
• erysipeloid (A26.-)
• herpesviral [herpes simplex] infection (B00.-)
• anogenital (A60.-)
• molluscum contagiosum (B08.1)
• mycoses (B35-B49)
• pediculosis, acariasis and other infestations (B85-B89)
• viral warts (B07)
panniculitis (of):
• NOS (M79.3)
• lupus (L93.2)
• neck and back (M54.0)
• relapsing [Weber-Christian] (M35.6)
perlèche (due to):
• NOS (K13.0)
• candidiasis (B37.-)
• riboflavin deficiency (E53.0)
pyogenic granuloma (L98.0)
zoster (B02.-)
L00 Staphylococcal scalded skin syndrome

Pemphigus neonatorum
Ritter's disease
Excludes: toxic epidermal necrolysis [Lyell] (L51.2)
L01 Impetigo
Excludes: impetigo herpetiformis (L40.1)
pemphigus neonatorum (L00)
XII-2
DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE
L01.0 Impetigo [any organism] [any site]

Bockhart's impetigo
L01.1 Impetiginization of other dermatoses
L02 Cutaneous abscess, furuncle and carbuncle

Includes: boil
furunculosis
Excludes: anal and rectal regions (K61.-)

genital organs (external):
• female (N76.4)
• male (N48.2, N49.-)
L02.0 Cutaneous abscess, furuncle and carbuncle of face

Excludes: ear, external (H60.0)
eyelid (H00.0)
head [any part, except face] (L02.8)
lacrimal:
• gland (H04.0)
• passages (H04.3)
mouth (K12.2)
nose (J34.0)
orbit (H05.0)
submandibular (K12.2)
L02.1 Cutaneous abscess, furuncle and carbuncle of neck
L02.2 Cutaneous abscess, furuncle and carbuncle of trunk

Abdominal wall
Back [any part, except buttock]
Chest wall
Groin
Perineum
Umbilicus
Excludes: breast (N61)

hip (L02.4)
omphalitis of newborn (P38)
XII-3
L02.3 Cutaneous abscess, furuncle and carbuncle of buttock

Gluteal region
Excludes: pilonidal cyst with abscess (L05.0)
L02.4 Cutaneous abscess, furuncle and carbuncle of limb

Axilla
Hip
Shoulder
L02.8 Cutaneous abscess, furuncle and carbuncle of other sites

Head [any part, except face]
Scalp
L02.9 Cutaneous abscess, furuncle and carbuncle, unspecified

Furunculosis NOS
L03 Cellulitis
Includes: acute lymphangitis
Excludes: cellulitis of:

• external auditory canal (H60.1)
• external genital organs:
• female (N76.4)
• male (N48.2, N49.-)
• eyelid (H00.0)
• lacrimal apparatus (H04.3)
• mouth (K12.2)
• nose (J34.0)
eosinophilic cellulitis [Wells] (L98.3)
febrile neutrophilic dermatosis [Sweet] (L98.2)
lymphangitis (chronic)(subacute) (I89.1)
L03.0 Cellulitis of finger and toe

Infection of nail
Onychia
Paronychia
Perionychia
XII-4
L03.1 Cellulitis of other parts of limb

Axilla
Hip
Shoulder
L03.2 Cellulitis of face
L03.3 Cellulitis of trunk

Abdominal wall
Back [any part]
Chest wall
Groin
Perineum
Umbilicus
Excludes: omphalitis of newborn (P38)
L03.8 Cellulitis of other sites

Head [any part, except face]
Scalp
L03.9 Cellulitis, unspecified
L04 Acute lymphadenitis

Includes: abscess (acute) any lymph node,
lymphadenitis, acute except mesenteric
Excludes: enlarged lymph nodes (R59.-)

human immunodeficiency virus [HIV] disease resulting in generalized
lymphadenopathy (B23.1)
lymphadenitis:
• NOS (I88.9)
• chronic or subacute, except mesenteric (I88.1)
• mesenteric, nonspecific (I88.0)
L04.0 Acute lymphadenitis of face, head and neck
L04.1 Acute lymphadenitis of trunk
XII-5
L04.2 Acute lymphadenitis of upper limb

Axilla
Shoulder
L04.3 Acute lymphadenitis of lower limb

Hip
L04.8 Acute lymphadenitis of other sites
L04.9 Acute lymphadenitis, unspecified
L05 Pilonidal cyst

Includes: fistula
coccygeal or pilonidal
sinus
L05.0 Pilonidal cyst with abscess
L05.9 Pilonidal cyst without abscess

Pilonidal cyst NOS
L08 Other local infections of skin and subcutaneous tissue
L08.0 Pyoderma
Dermatitis:
• purulent
• septic
• suppurative
Excludes: pyoderma gangrenosum (L88)
L08.1 Erythrasma
L08.8 Other specified local infections of skin and subcutaneous tissue
L08.9 Local infection of skin and subcutaneous tissue, unspecified
XII-6
Bullous disorders
(L10-L14)
Excludes: benign familial pemphigus [Hailey-Hailey] (Q82.8)

staphylococcal scalded skin syndrome (L00)
toxic epidermal necrolysis [Lyell] (L51.2)
L10 Pemphigus
Excludes: pemphigus neonatorum (L00)
L10.0 Pemphigus vulgaris
L10.1 Pemphigus vegetans
L10.2 Pemphigus foliaceus
L10.3 Brazilian pemphigus [fogo selvagem]
L10.4 Pemphigus erythematosus

Senear-Usher syndrome
L10.5 Drug-induced pemphigus

L10.8 Other pemphigus
L10.9 Pemphigus, unspecified
L11 Other acantholytic disorders
L11.0 Acquired keratosis follicularis

Excludes: keratosis follicularis (congenital) [Darier-White] (Q82.8)
L11.1 Transient acantholytic dermatosis [Grover]
L11.8 Other specified acantholytic disorders
L11.9 Acantholytic disorder, unspecified
XII-7
L12 Pemphigoid
Excludes: herpes gestationis (O26.4)
impetigo herpetiformis (L40.1)
L12.0 Bullous pemphigoid
L12.1 Cicatricial pemphigoid

Benign mucous membrane pemphigoid
L12.2 Chronic bullous disease of childhood

Juvenile dermatitis herpetiformis
L12.3 Acquired epidermolysis bullosa

Excludes: epidermolysis bullosa (congenital) (Q81.-)
L12.8 Other pemphigoid
L12.9 Pemphigoid, unspecified
L13 Other bullous disorders
L13.0 Dermatitis herpetiformis

Duhring's disease
L13.1 Subcorneal pustular dermatitis

Sneddon-Wilkinson disease
L13.8 Other specified bullous disorders
L13.9 Bullous disorder, unspecified
XII-8
Dermatitis and eczema

(L20-L30)
Note: In this block the terms dermatitis and eczema are used synonymously and
interchangeably.
Excludes: chronic (childhood) granulomatous disease (D71)

dermatitis:
• dry skin (L85.3)
• factitial (L98.1)
• gangrenosa (L88)
• herpetiformis (L13.0)
• perioral (L71.0)
• stasis (I83.1-I83.2)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
L20 Atopic dermatitis

Excludes: circumscribed neurodermatitis (L28.0)
L20.0 Besnier's prurigo
L20.8 Other atopic dermatitis

Eczema:
• flexural NEC
• infantile (acute)(chronic)
• intrinsic (allergic)
Neurodermatitis:
• atopic
• diffuse
L20.9 Atopic dermatitis, unspecified
L21 Seborrhoeic dermatitis

Excludes: infective dermatitis (L30.3)
L21.0 Seborrhoea capitis

Cradle cap
L21.1 Seborrhoeic infantile dermatitis
XII-9
L21.8 Other seborrhoeic dermatitis
L21.9 Seborrhoeic dermatitis, unspecified
L22 Diaper [napkin] dermatitis

Diaper or napkin:
• erythema
• rash
Psoriasiform napkin rash
L23 Allergic contact dermatitis

Includes: allergic contact eczema
Excludes: allergy NOS (T78.4)

dermatitis (of):
• NOS (L30.9)
• contact NOS (L25.9)
• diaper [napkin] (L22)
• due to substances taken internally (L27.-)
• eyelid (H01.1)
• irritant contact (L24.-)
eczema of external ear (H60.5)
radiation-related disorders of the skin and
subcutaneous tissue (L55-L59)
L23.0 Allergic contact dermatitis due to metals

Chromium
Nickel
L23.1 Allergic contact dermatitis due to adhesives
L23.2 Allergic contact dermatitis due to cosmetics
L23.3 Allergic contact dermatitis due to drugs in contact with skin

Excludes: allergic reaction NOS due to drugs (T88.7)

dermatitis due to ingested drugs and medicaments (L27.0-L27.1)
L23.4 Allergic contact dermatitis due to dyes
XII-10
L23.5 Allergic contact dermatitis due to other chemical products

Cement
Insecticide
Plastic
Rubber
L23.6 Allergic contact dermatitis due to food in contact with skin

Excludes: dermatitis due to ingested food (L27.2)
L23.7 Allergic contact dermatitis due to plants, except food
L23.8 Allergic contact dermatitis due to other agents
L23.9 Allergic contact dermatitis, unspecified cause

Allergic contact eczema NOS
L24 Irritant contact dermatitis

Includes: irritant contact eczema

dermatitis (of):
• NOS (L30.9)
• allergic contact (L23.-)
• contact NOS (L25.9)
• diaper [napkin] (L22)
• eyelid (H01.1)
radiation-related disorders of the skin and subcutaneous
tissue (L55-L59)
L24.0 Irritant contact dermatitis due to detergents
L24.1 Irritant contact dermatitis due to oils and greases
XII-11
L24.2 Irritant contact dermatitis due to solvents

Solvents:
• chlorocompound
• cyclohexane
• ester
• glycol
• hydrocarbon
• ketone
L24.3 Irritant contact dermatitis due to cosmetics
L24.4 Irritant contact dermatitis due to drugs in contact with skin


L24.5 Irritant contact dermatitis due to other chemical products

Cement
Insecticide
L24.6 Irritant contact dermatitis due to food in contact with skin

L24.7 Irritant contact dermatitis due to plants, except food
L24.8 Irritant contact dermatitis due to other agents

Dyes
L24.9 Irritant contact dermatitis, unspecified cause

Irritant contact eczema NOS
XII-12
L25 Unspecified contact dermatitis

Includes: unspecified contact eczema

dermatitis (of):
• NOS (L30.9)
• allergic contact (L23.-)
• eyelid (H01.1)
• irritant contact (L24.-)
radiation-related disorders of the skin and subcutaneous tissue
(L55-L59)
L25.0 Unspecified contact dermatitis due to cosmetics
L25.1 Unspecified contact dermatitis due to drugs in contact with skin


L25.2 Unspecified contact dermatitis due to dyes
L25.3 Unspecified contact dermatitis due to other chemical products

Cement
Insecticide
L25.4 Unspecified contact dermatitis due to food in contact with skin

L25.5 Unspecified contact dermatitis due to plants, except food
L25.8 Unspecified contact dermatitis due to other agents
L25.9 Unspecified contact dermatitis, unspecified cause

Contact:
• dermatitis (occupational) NOS
• eczema (occupational) NOS
XII-13
L26 Exfoliative dermatitis

Hebra's pityriasis
Excludes: Ritter's disease (L00)
L27 Dermatitis due to substances taken internally

Excludes: adverse:
• effect NOS of drugs (T88.7)
• food reaction, except dermatitis (T78.0-T78.1)
allergy NOS (T78.4)
contact dermatitis (L23-L25)
drug:
• photoallergic response (L56.1)
• phototoxic response (L56.0)
urticaria (L50.-)
L27.0 Generalized skin eruption due to drugs and medicaments

L27.1 Localized skin eruption due to drugs and medicaments

L27.2 Dermatitis due to ingested food

Excludes: dermatitis due to food in contact with skin (L23.6, L24.6, L25.4)
L27.8 Dermatitis due to other substances taken internally
L27.9 Dermatitis due to unspecified substance taken internally
L28 Lichen simplex chronicus and prurigo
L28.0 Lichen simplex chronicus

Circumscribed neurodermatitis
Lichen NOS
L28.1 Prurigo nodularis
XII-14
L28.2 Other prurigo

Prurigo:
• NOS
• Hebra
• mitis
Urticaria papulosa
L29 Pruritus
Excludes: neurotic excoriation (L98.1)
psychogenic pruritus (F45.8)
L29.0 Pruritus ani
L29.1 Pruritus scroti
L29.2 Pruritus vulvae
L29.3 Anogenital pruritus, unspecified
L29.8 Other pruritus
L29.9 Pruritus, unspecified

Itch NOS
L30 Other dermatitis

Excludes: dermatitis:
• contact (L23-L25)
• dry skin (L85.3)
small plaque parapsoriasis (L41.3)
stasis dermatitis (I83.1-I83.2)
L30.0 Nummular dermatitis
L30.1 Dyshidrosis [pompholyx]
L30.2 Cutaneous autosensitization

Candidid [levurid]
Dermatophytid
Eczematid
XII-15
L30.3 Infective dermatitis

Infectious eczematoid dermatitis
L30.4 Erythema intertrigo
L30.5 Pityriasis alba
L30.8 Other specified dermatitis
L30.9 Dermatitis, unspecified

Eczema NOS
Papulosquamous disorders
(L40-L45)
L40 Psoriasis
L40.0 Psoriasis vulgaris

Nummular psoriasis
Plaque psoriasis
L40.1 Generalized pustular psoriasis

Impetigo herpetiformis
Von Zumbusch's disease
L40.2 Acrodermatitis continua
L40.3 Pustulosis palmaris et plantaris
L40.4 Guttate psoriasis
L40.5† Arthropathic psoriasis (M07.0-M07.3*, M09.0*)
L40.8 Other psoriasis

Flexural psoriasis
L40.9 Psoriasis, unspecified
XII-16
L41 Parapsoriasis
Excludes: poikiloderma vasculare atrophicans (L94.5)
L41.0 Pityriasis lichenoides et varioliformis acuta

Mucha-Habermann disease
L41.1 Pityriasis lichenoides chronica
L41.2 Lymphomatoid papulosis
L41.3 Small plaque parapsoriasis
L41.4 Large plaque parapsoriasis
L41.5 Retiform parapsoriasis
L41.8 Other parapsoriasis
L41.9 Parapsoriasis, unspecified
L42 Pityriasis rosea
L43 Lichen planus

Excludes: lichen planopilaris (L66.1)
L43.0 Hypertrophic lichen planus
L43.1 Bullous lichen planus
L43.2 Lichenoid drug reaction

L43.3 Subacute (active) lichen planus

Lichen planus tropicus
L43.8 Other lichen planus
L43.9 Lichen planus, unspecified
XII-17
L44 Other papulosquamous disorders
L44.0 Pityriasis rubra pilaris
L44.1 Lichen nitidus
L44.2 Lichen striatus
L44.3 Lichen ruber moniliformis
L44.4 Infantile papular acrodermatitis [Giannotti-Crosti]
L44.8 Other specified papulosquamous disorders
L44.9 Papulosquamous disorder, unspecified
Urticaria and erythema

(L50-L54)
Excludes: Lyme disease (A69.2)

rosacea (L71.-)
L50 Urticaria
Excludes: allergic contact dermatitis (L23.-)
angioneurotic oedema (T78.3)
hereditary angio-oedema (E84.1)
Quincke's oedema (T78.3)
urticaria:
• giant (T78.3)
• papulosa (L28.2)
• pigmentosa (Q82.2)
• serum (T80.6)
• solar (L56.3)
L50.0 Allergic urticaria
XII-18
L50.1 Idiopathic urticaria
L50.2 Urticaria due to cold and heat
L50.3 Dermatographic urticaria
L50.4 Vibratory urticaria
L50.5 Cholinergic urticaria
L50.6 Contact urticaria
L50.8 Other urticaria

Urticaria:
• chronic
• recurrent periodic
L50.9 Urticaria, unspecified
L51 Erythema multiforme
L51.0 Nonbullous erythema multiforme
L51.1 Bullous erythema multiforme

Stevens-Johnson syndrome
L51.2 Toxic epidermal necrolysis [Lyell]
L51.8 Other erythema multiforme
L51.9 Erythema multiforme, unspecified
L52 Erythema nodosum
L53 Other erythematous conditions

Excludes: erythema:
• ab igne (L59.0)
• due to external agents in contact with skin (L23-L25)
• intertrigo (L30.4)
XII-19
L53.0 Toxic erythema

agent.
Excludes: neonatal erythema toxicum (P83.1)
L53.1 Erythema annulare centrifugum
L53.2 Erythema marginatum
L53.3 Other chronic figurate erythema
L53.8 Other specified erythematous conditions
L53.9 Erythematous condition, unspecified

Erythema NOS
Erythroderma NOS
L54 Erythema in diseases classified elsewhere
L54.0* Erythema marginatum in acute rheumatic fever (I00†)
L54.8* Erythema in other diseases classified elsewhere
Radiation-related disorders of the skin and subcutaneous tissue

(L55-L59)
L55 Sunburn
L55.0 Sunburn of first degree
L55.1 Sunburn of second degree
L55.2 Sunburn of third degree
L55.8 Other sunburn
L55.9 Sunburn, unspecified
XII-20
L56 Other acute skin changes due to ultraviolet radiation
L56.0 Drug phototoxic response

L56.1 Drug photoallergic response

L56.2 Photocontact dermatitis [berloque dermatitis]
L56.3 Solar urticaria
L56.4 Polymorphous light eruption
L56.8 Other specified acute skin changes due to ultraviolet radiation
L56.9 Acute skin change due to ultraviolet radiation, unspecified
L57 Skin changes due to chronic exposure to nonionizing radiation
L57.0 Actinic keratosis

Keratosis:
• NOS
• senile
• solar
L57.1 Actinic reticuloid
L57.2 Cutis rhomboidalis nuchae
L57.3 Poikiloderma of Civatte
L57.4 Cutis laxa senilis

Elastosis senilis
L57.5 Actinic granuloma
XII-21
L57.8 Other skin changes due to chronic exposure to nonionizing radiation

Farmer's skin
Sailor's skin
Solar dermatitis
L57.9 Skin changes due to chronic exposure to nonionizing radiation, unspecified
L58 Radiodermatitis
L58.0 Acute radiodermatitis
L58.1 Chronic radiodermatitis
L58.9 Radiodermatitis, unspecified
L59 Other disorders of skin and subcutaneous tissue related to radiation
L59.0 Erythema ab igne [dermatitis ab igne]
L59.8 Other specified disorders of skin and subcutaneous tissue related to radiation
L59.9 Disorder of skin and subcutaneous tissue related to radiation, unspecified
Disorders of skin appendages

(L60-L75)
Excludes: congenital malformations of integument (Q84.-)
L60 Nail disorders

Excludes: clubbing of nails (R68.3)
onychia and paronychia (L03.0)
L60.0 Ingrowing nail
L60.1 Onycholysis
L60.2 Onychogryphosis
L60.3 Nail dystrophy
XII-22
L60.4 Beau's lines
L60.5 Yellow nail syndrome
L60.8 Other nail disorders
L60.9 Nail disorder, unspecified
L62.0* Clubbed nail pachydermoperiostosis (M89.4†)
L62.8* Nail disorders in other diseases classified elsewhere
L63 Alopecia areata
L63.0 Alopecia (capitis) totalis
L63.1 Alopecia universalis
L63.2 Ophiasis
L63.8 Other alopecia areata
L63.9 Alopecia areata, unspecified
L64 Androgenic alopecia

Includes: male-pattern baldness
L64.0 Drug-induced androgenic alopecia

L64.8 Other androgenic alopecia
L64.9 Androgenic alopecia, unspecified
XII-23
L65 Other nonscarring hair loss

drug-induced.
Excludes: trichotillomania (F63.3)
L65.0 Telogen effluvium
L65.1 Anagen effluvium
L65.2 Alopecia mucinosa
L65.8 Other specified nonscarring hair loss
L65.9 Nonscarring hair loss, unspecified

Alopecia NOS
L66 Cicatricial alopecia [scarring hair loss]
L66.0 Pseudopelade
L66.1 Lichen planopilaris

Follicular lichen planus
L66.2 Folliculitis decalvans
L66.3 Perifolliculitis capitis abscedens
L66.4 Folliculitis ulerythematosa reticulata
L66.8 Other cicatricial alopecia
L66.9 Cicatricial alopecia, unspecified
L67 Hair colour and hair shaft abnormalities

Excludes: monilethrix (Q84.1)
pili annulati (Q84.1)
telogen effluvium (L65.0)
L67.0 Trichorrhexis nodosa
XII-24
L67.1 Variations in hair colour

Canities
Greyness, hair (premature)
Heterochromia of hair
Poliosis:
• NOS
• circumscripta, acquired
L67.8 Other hair colour and hair shaft abnormalities

Fragilitas crinium
L67.9 Hair colour and hair shaft abnormality, unspecified
L68 Hypertrichosis
Includes: excess hair
Excludes: congenital hypertrichosis (Q84.2)

persistent lanugo (Q84.2)
L68.0 Hirsutism
drug-induced.
L68.1 Acquired hypertrichosis lanuginosa

drug-induced.
L68.2 Localized hypertrichosis
L68.3 Polytrichia
L68.8 Other hypertrichosis
L68.9 Hypertrichosis, unspecified
L70 Acne
Excludes: acne keloid (L73.0)
L70.0 Acne vulgaris
XII-25
L70.1 Acne conglobata
L70.2 Acne varioliformis

Acne necrotica miliaris
L70.3 Acne tropica
L70.4 Infantile acne
L70.5 Acné excoriée des jeunes filles
L70.8 Other acne
L70.9 Acne, unspecified
L71 Rosacea
L71.0 Perioral dermatitis

drug-induced.
L71.1 Rhinophyma
L71.8 Other rosacea
L71.9 Rosacea, unspecified
L72 Follicular cysts of skin and subcutaneous tissue
L72.0 Epidermal cyst
L72.1 Trichilemmal cyst

Pilar cyst
Sebaceous cyst
L72.2 Steatocystoma multiplex
L72.8 Other follicular cysts of skin and subcutaneous tissue
L72.9 Follicular cyst of skin and subcutaneous tissue, unspecified
XII-26
L73 Other follicular disorders
L73.0 Acne keloid
L73.1 Pseudofolliculitis barbae
L73.2 Hidradenitis suppurativa
L73.8 Other specified follicular disorders

Sycosis barbae
L73.9 Follicular disorder, unspecified
L74 Eccrine sweat disorders

Excludes: hyperhidrosis (R61.-)
L74.0 Miliaria rubra
L74.1 Miliaria crystallina
L74.2 Miliaria profunda

Miliaria tropicalis
L74.3 Miliaria, unspecified
L74.4 Anhidrosis
Hypohidrosis
L74.8 Other eccrine sweat disorders
L74.9 Eccrine sweat disorder, unspecified

Sweat gland disorder NOS
XII-27
L75 Apocrine sweat disorders

Excludes: dyshidrosis [pompholyx] (L30.1)
hidradenitis suppurativa (L73.2)
L75.0 Bromhidrosis
L75.1 Chromhidrosis
L75.2 Apocrine miliaria

Fox-Fordyce disease
L75.8 Other apocrine sweat disorders
L75.9 Apocrine sweat disorder, unspecified
Other disorders of the skin and subcutaneous tissue

(L80-L99)
L80 Vitiligo
L81 Other disorders of pigmentation

Excludes: birthmark NOS (Q82.5)
naevus - see Alphabetical Index
Peutz-Jeghers syndrome (Q85.8)
L81.0 Postinflammatory hyperpigmentation
L81.1 Chloasma
L81.2 Freckles
L81.3 Café au lait spots
L81.4 Other melanin hyperpigmentation

Lentigo
L81.5 Leukoderma, not elsewhere classified
L81.6 Other disorders of diminished melanin formation
XII-28
L81.7 Pigmented purpuric dermatosis

Angioma serpiginosum
L81.8 Other specified disorders of pigmentation

Iron pigmentation
Tattoo pigmentation
L81.9 Disorder of pigmentation, unspecified
L82 Seborrhoeic keratosis

Dermatosis papulosa nigra
Leser-Trélat disease
L83 Acanthosis nigricans

Confluent and reticulated papillomatosis
L84 Corns and callosities

Callus
Clavus
L85 Other epidermal thickening

Excludes: hypertrophic disorders of skin (L91.-)
L85.0 Acquired ichthyosis

Excludes: congenital ichthyosis (Q80.-)
L85.1 Acquired keratosis [keratoderma] palmaris et plantaris

Excludes: inherited keratosis palmaris et plantaris (Q82.8)
L85.2 Keratosis punctata (palmaris et plantaris)
L85.3 Xerosis cutis

Dry skin dermatitis
L85.8 Other specified epidermal thickening

Cutaneous horn
L85.9 Epidermal thickening, unspecified
XII-29

Follicular keratosis due to a vitamin A
Xeroderma deficiency (E50.8†)
L87 Transepidermal elimination disorders

Excludes: granuloma annulare (perforating) (L92.0)
L87.0 Keratosis follicularis et parafollicularis in cutem penetrans [Kyrle]

Hyperkeratosis follicularis penetrans
L87.1 Reactive perforating collagenosis
L87.2 Elastosis perforans serpiginosa
L87.8 Other transepidermal elimination disorders
L87.9 Transepidermal elimination disorder, unspecified
L88 Pyoderma gangrenosum

Dermatitis gangrenosa
Phagedenic pyoderma
L89 Decubitus ulcer

Bedsore
Plaster ulcer
Pressure ulcer
Excludes: decubitus (trophic) ulcer of cervix (uteri) (N86)
L90 Atrophic disorders of skin
L90.0 Lichen sclerosus et atrophicus

Excludes: lichen sclerosus of external genital organs:
• female (N90.4)
• male (N48.0)
L90.1 Anetoderma of Schweninger-Buzzi
L90.2 Anetoderma of Jadassohn-Pellizzari
XII-30
L90.3 Atrophoderma of Pasini and Pierini
L90.4 Acrodermatitis chronica atrophicans
L90.5 Scar conditions and fibrosis of skin

Adherent scar (skin)
Cicatrix
Disfigurement due to scar
Scar NOS
Excludes: hypertrophic scar (L91.0)

keloid scar (L91.0)
L90.6 Striae atrophicae
L90.8 Other atrophic disorders of skin
L90.9 Atrophic disorder of skin, unspecified
L91 Hypertrophic disorders of skin
L91.0 Keloid scar

Hypertrophic scar
Keloid
Excludes: acne keloid (L73.0)

scar NOS (L90.5)
L91.8 Other hypertrophic disorders of skin
L91.9 Hypertrophic disorder of skin, unspecified
L92 Granulomatous disorders of skin and subcutaneous tissue

Excludes: actinic granuloma (L57.5)
L92.0 Granuloma annulare

Perforating granuloma annulare
L92.1 Necrobiosis lipoidica, not elsewhere classified

Excludes: that associated with diabetes mellitus (E10-E14)
XII-31
L92.2 Granuloma faciale [eosinophilic granuloma of skin]
L92.3 Foreign body granuloma of skin and subcutaneous tissue
L92.8 Other granulomatous disorders of skin and subcutaneous tissue
L92.9 Granulomatous disorder of skin and subcutaneous tissue, unspecified
L93 Lupus erythematosus

Excludes: lupus:
• exedens (A18.4)
• vulgaris (A18.4)
scleroderma (M34.-)
systemic lupus erythematosus (M32.-)
drug-induced.
L93.0 Discoid lupus erythematosus

Lupus erythematosus NOS
L93.1 Subacute cutaneous lupus erythematosus
L93.2 Other local lupus erythematosus

Lupus:
• erythematosus profundus
• panniculitis
L94 Other localized connective tissue disorders

Excludes: systemic connective tissue disorders (M30-M36)
L94.0 Localized scleroderma [morphea]

Circumscribed scleroderma
L94.1 Linear scleroderma

En coup de sabre lesion
L94.2 Calcinosis cutis
L94.3 Sclerodactyly
XII-32
L94.4 Gottron's papules
L94.5 Poikiloderma vasculare atrophicans
L94.6 Ainhum
L94.8 Other specified localized connective tissue disorders
L94.9 Localized connective tissue disorder, unspecified
L95 Vasculitis limited to skin, not elsewhere classified

Excludes: angioma serpiginosum (L81.7)
Henoch(-Schönlein) purpura (D69.0)
hypersensitivity angiitis (M31.0)
panniculitis (of):
• NOS (M79.3)
• lupus (L93.2)
polyarteritis nodosa (M30.0)
rheumatoid vasculitis (M05.2)
serum sickness (T80.6)
urticaria (L50.-)
Wegener's granulomatosis (M31.3)
L95.0 Livedoid vasculitis

Atrophie blanche (en plaque)
L95.1 Erythema elevatum diutinum
L95.8 Other vasculitis limited to skin
L95.9 Vasculitis limited to skin, unspecified
L97 Ulcer of lower limb, not elsewhere classified

Excludes: decubitus ulcer (L89)
gangrene (R02)
skin infections (L00-L08)
specific infections classified to A00-B99
varicose ulcer (I83.0, I83.2)
XII-33
L98 Other disorders of skin and subcutaneous tissue, not elsewhere classified
L98.0 Pyogenic granuloma
L98.1 Factitial dermatitis

Neurotic excoriation
L98.2 Febrile neutrophilic dermatosis [Sweet]
L98.3 Eosinophilic cellulitis [Wells]
L98.4 Chronic ulcer of skin, not elsewhere classified

Chronic ulcer of skin NOS
Tropical ulcer NOS
Ulcer of skin NOS
Excludes: decubitus ulcer (L89)

gangrene (R02)
skin infections (L00-L08)
specific infections classified to A00-B99
ulcer of lower limb NEC (L97)
varicose ulcer (I83.0, I83.2)
L98.5 Mucinosis of skin

Focal mucinosis
Lichen myxoedematosus
Excludes: focal oral mucinosis (K13.7)

myxoedema (E03.9)
L98.6 Other infiltrative disorders of skin and subcutaneous tissue

Excludes: hyalinosis cutis et mucosae (E78.8)
L98.8 Other specified disorders of skin and subcutaneous tissue
L98.9 Disorder of skin and subcutaneous tissue, unspecified
XII-34
L99 Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
L99.0* Amyloidosis of skin (E85.-†)

Lichen amyloidosis
Macular amyloid
L99.8* Other specified disorders of skin and subcutaneous tissue in diseases classified
elsewhere
Syphilitic:
• alopecia (A51.3†)
• leukoderma (A51.3†, A52.7†)
XII-35
CHAPTER XIII
_____________________________________________________________________________
Diseases of the musculoskeletal system and connective tissue

(M00-M99)

certain disorders of the temporomandibular joint (K07.6)
compartment syndrome (T79.6)
neoplasms (C00-D48)
M00-M25 Arthropathies
M00-M03 Infectious arthropathies
M05-M14 Inflammatory polyarthropathies
M15-M19 Arthrosis
M20-M25 Other joint disorders
M30-M36 Systemic connective tissue disorders
M40-M54 Dorsopathies
M40-M43 Deforming dorsopathies
M45-M49 Spondylopathies
M50-M54 Other dorsopathies
M60-M79 Soft tissue disorders
M60-M63 Disorders of muscles
M65-M68 Disorders of synovium and tendon
M70-M79 Other soft tissue disorders
M80-M94 Osteopathies and chondropathies
M80-M85 Disorders of bone density and structure
M86-M90 Other osteopathies
M91-M94 Chondropathies
M95-M99 Other disorders of the musculoskeletal system and connective tissue
XIII-1
M73* Soft tissue disorders in diseases classified elsewhere
Site of musculoskeletal involvement
The following subclassification to indicate the site of involvement is provided for optional use with
appropriate categories in Chapter XIII. As local extensions or specialty adaptations may vary in the
number of characters used, it is suggested that the supplementary site subclassification be placed in
an identifiably separate position (e.g. in an additional box). Different subclassifications for use with
derangement of knee, dorsopathies, and biomechanical lesions not elsewhere classified are given on
pages XIII-18, XIII-26 and XIII-59 respectively.
0 Multiple sites
1 Shoulder region clavicle acromioclavicular

scapula glenohumeral joints
sternoclavicular
2 Upper arm humerus elbow joint
3 Forearm radius wrist joint

ulna
4 Hand carpus joints between these bones

fingers
metacarpus
XIII-2
DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
5 Pelvic region and thigh buttock hip (joint)

femur sacroiliac joint
pelvis
6 Lower leg fibula knee joint

tibia
7 Ankle and foot metatarsus ankle joint

tarsus other joints in foot
toes
8 Other head
neck
ribs
skull
trunk
vertebral column
9 Site unspecified
XIII-3
Arthropathies
(M00-M25)
Disorders affecting predominantly peripheral (limb) joints
Infectious arthropathies
(M00-M03)
Note: This block comprises arthropathies due to microbiological agents.

Distinction is made between the following types of etiological relationship:
(a) direct infection of joint, where organisms invade synovial tissue and microbial
antigen is present in the joint;
(b) indirect infection, which may be of two types: a reactive arthropathy, where
microbial infection of the body is established but neither organisms nor antigens can
be identified in the joint, and a postinfective arthropathy, where microbial antigen is
present but recovery of an organism is inconstant and evidence of local
multiplication is lacking.
M00 Pyogenic arthritis

[See site code pages XIII-2—XIII-3]
M00.0 Staphylococcal arthritis and polyarthritis
M00.1 Pneumococcal arthritis and polyarthritis
M00.2 Other streptococcal arthritis and polyarthritis
M00.8 Arthritis and polyarthritis due to other specified bacterial agents

Use additional code (B95-B96), if desired, to identify bacterial agent.
M00.9 Pyogenic arthritis, unspecified

Infective arthritis NOS
XIII-4
[See site code pages XIII-2–XIII-3]
Excludes: arthropathy in sarcoidosis (M14.8*)

postinfective and reactive arthropathy (M03.-*)
M01.0* Meningococcal arthritis (A39.8†)

Excludes: postmeningococcal arthritis (M03.0*)
M01.1* Tuberculous arthritis (A18.0†)

Excludes: of spine (M49.0*)
M01.2* Arthritis in Lyme disease (A69.2†)
M01.3* Arthritis in other bacterial diseases classified elsewhere

Arthritis in:
• leprosy [Hansen's disease] (A30.-†)
• localized salmonella infection (A02.2†)
• typhoid or paratyphoid fever (A01.-†)
Gonococcal arthritis (A54.4†)
M01.4* Rubella arthritis (B06.8†)
M01.5* Arthritis in other viral diseases classified elsewhere

Arthritis in:
• mumps (B26.8†)
• O'nyong-nyong fever (A92.1†)
M01.6* Arthritis in mycoses (B35-B49†)
M01.8* Arthritis in other infectious and parasitic diseases classified elsewhere
M02 Reactive arthropathies

Excludes: Behçet's disease (M35.2)

rheumatic fever (I00)
M02.0 Arthropathy following intestinal bypass
M02.1 Postdysenteric arthropathy
XIII-5
M02.2 Postimmunization arthropathy
M02.3 Reiter's disease
M02.8 Other reactive arthropathies
M02.9 Reactive arthropathy, unspecified

Excludes: direct infections of joint in infectious and parasitic diseases classified

elsewhere (M01.-*)
M03.0* Postmeningococcal arthritis (A39.8†)

Excludes: meningococcal arthritis (M01.0*)
M03.1* Postinfective arthropathy in syphilis

Clutton's joints (A50.5†)
Excludes: Charcot's or tabetic arthropathy (M14.6*)
M03.2* Other postinfectious arthropathies in diseases classified elsewhere

Postinfectious arthropathy in:
• enteritis due to Yersinia enterocolitica (A04.6†)
• viral hepatitis (B15-B19†)
Excludes: viral arthropathies (M01.4-M01.5*)
M03.6* Reactive arthropathy in other diseases classified elsewhere

Arthropathy in infective endocarditis (I33.0†)
XIII-6
Inflammatory polyarthropathies
(M05-M14)
M05 Seropositive rheumatoid arthritis

Excludes: rheumatic fever (I00)

rheumatoid arthritis (of):
• juvenile (M08.-)
• spine (M45)
M05.0 Felty's syndrome

Rheumatoid arthritis with splenoadenomegaly and leukopenia
M05.1† Rheumatoid lung disease (J99.0*)
M05.2 Rheumatoid vasculitis
M05.3† Rheumatoid arthritis with involvement of other organs and systems

Rheumatoid:
• carditis (I52.8*)
• endocarditis (I39.-*)
• myopathy (G73.7*)
M05.8 Other seropositive rheumatoid arthritis
M05.9 Seropositive rheumatoid arthritis, unspecified
M06 Other rheumatoid arthritis

M06.0 Seronegative rheumatoid arthritis
M06.1 Adult-onset Still's disease

Excludes: Still's disease NOS (M08.2)
M06.2 Rheumatoid bursitis
XIII-7
M06.3 Rheumatoid nodule
M06.4 Inflammatory polyarthropathy

Excludes: polyarthritis NOS (M13.0)
M06.8 Other specified rheumatoid arthritis
M06.9 Rheumatoid arthritis, unspecified

Excludes: juvenile psoriatic and enteropathic arthropathies (M09.-*)
M07.0* Distal interphalangeal psoriatic arthropathy (L40.5†)
M07.1* Arthritis mutilans (L40.5†)
M07.2* Psoriatic spondylitis (L40.5†)
M07.3* Other psoriatic arthropathies (L40.5†)
M07.4* Arthropathy in Crohn's disease [regional enteritis] (K50.-†)
M07.5* Arthropathy in ulcerative colitis (K51.-†)
M07.6* Other enteropathic arthropathies
M08 Juvenile arthritis

Includes: arthritis in children, with onset before 16th birthday and lasting longer
than 3 months
Excludes: Felty's syndrome (M05.0)

juvenile dermatomyositis (M33.0)
M08.0 Juvenile rheumatoid arthritis

Juvenile rheumatoid arthritis with or without rheumatoid factor
XIII-8
M08.1 Juvenile ankylosing spondylitis

Excludes: ankylosing spondylitis in adults (M45)
M08.2 Juvenile arthritis with systemic onset

Still's disease NOS
Excludes: adult-onset Still's disease (M06.1)
M08.3 Juvenile polyarthritis (seronegative)

Chronic juvenile polyarthritis
M08.4 Pauciarticular juvenile arthritis
M08.8 Other juvenile arthritis
M08.9 Juvenile arthritis, unspecified

Excludes: arthropathy in Whipple's disease (M14.8*)
M09.0* Juvenile arthritis in psoriasis (L40.5†)
M09.1* Juvenile arthritis in Crohn's disease [regional enteritis] (K50.-†)
M09.2* Juvenile arthritis in ulcerative colitis (K51.-†)
M09.8* Juvenile arthritis in other diseases classified elsewhere
M10 Gout
M10.0 Idiopathic gout

Gouty bursitis
Primary gout
Urate tophus of heart† (I43.8*)
M10.1 Lead-induced gout
M10.2 Drug-induced gout

XIII-9
M10.3 Gout due to impairment of renal function
M10.4 Other secondary gout
M10.9 Gout, unspecified
M11 Other crystal arthropathies

M11.0 Hydroxyapatite deposition disease
M11.1 Familial chondrocalcinosis
M11.2 Other chondrocalcinosis

Chondrocalcinosis NOS
M11.8 Other specified crystal arthropathies
M11.9 Crystal arthropathy, unspecified
M12 Other specific arthropathies

Excludes: arthropathy NOS (M13.9)

arthrosis (M15-M19)
cricoarytenoid arthropathy (J38.7)
M12.0 Chronic postrheumatic arthropathy [Jaccoud]
M12.1 Kaschin-Beck disease
M12.2 Villonodular synovitis (pigmented)
M12.3 Palindromic rheumatism
M12.4 Intermittent hydrarthrosis
XIII-10
M12.5 Traumatic arthropathy

Excludes: post-traumatic arthrosis (of):
• NOS (M19.1)
• first carpometacarpal joint (M18.2-M18.3)
• hip (M16.4-M16.5)
• knee (M17.2-M17.3)
• other single joints (M19.1)
M12.8 Other specific arthropathies, not elsewhere classified

Transient arthropathy
M13 Other arthritis

Excludes: arthrosis (M15-M19)
M13.0 Polyarthritis, unspecified
M13.1 Monoarthritis, not elsewhere classified
M13.8 Other specified arthritis

Allergic arthritis
M13.9 Arthritis, unspecified

Arthropathy NOS

Excludes: arthropathy in:
• haematological disorders (M36.2-M36.3*)
• hypersensitivity reactions (M36.4*)
• neoplastic disease (M36.1*)
neuropathic spondylopathy (M49.4*)
psoriatic and enteropathic arthropathies (M07.-*)
• juvenile (M09.-*)
M14.0* Gouty arthropathy due to enzyme defects and other inherited disorders
Gouty arthropathy in:
• Lesch-Nyhan syndrome (E79.1†)
• sickle-cell disorders (D57.-†)
M14.1* Crystal arthropathy in other metabolic disorders

Crystal arthropathy in hyperparathyroidism (E21.-†)
XIII-11
M14.2* Diabetic arthropathy (E10-E14† with common fourth character .6)

Excludes: diabetic neuropathic arthropathy (M14.6*)
M14.3* Lipoid dermatoarthritis (E78.8†)
M14.4* Arthropathy in amyloidosis (E85.-†)
M14.5* Arthropathies in other endocrine, nutritional and metabolic disorders

Arthropathy in:
• acromegaly and pituitary gigantism (E22.0†)
• haemochromatosis (E83.1†)
• hypothyroidism (E00-E03†)
• thyrotoxicosis [hyperthyroidism] (E05.-†)
M14.6* Neuropathic arthropathy

Charcot's or tabetic arthropathy (A52.1†)
Diabetic neuropathic arthropathy (E10-E14† with common fourth character .6)
M14.8* Arthropathies in other specified diseases classified elsewhere

Arthropathy in:
• erythema:
• multiforme (L51.-†)
• nodosum (L52†)
• Whipple's disease (K90.8†)
Arthrosis
(M15-M19)
Note: In this block the term osteoarthritis is used as a synonym for arthrosis or
osteoarthrosis. The term primary has been used with its customary clinical meaning
of no underlying or determining condition identified.
Excludes: osteoarthritis of spine (M47.-)
M15 Polyarthrosis
Includes: arthrosis with mention of more than one site
Excludes: bilateral involvement of single joint (M16-M19)
M15.0 Primary generalized (osteo)arthrosis
XIII-12
M15.1 Heberden's nodes (with arthropathy)
M15.2 Bouchard's nodes (with arthropathy)
M15.3 Secondary multiple arthrosis

Post-traumatic polyarthrosis
M15.4 Erosive (osteo)arthrosis
M15.8 Other polyarthrosis
M15.9 Polyarthrosis, unspecified

Generalized osteoarthritis NOS
M16 Coxarthrosis [arthrosis of hip]
M16.0 Primary coxarthrosis, bilateral
M16.1 Other primary coxarthrosis

Primary coxarthrosis:
• NOS
• unilateral
M16.2 Coxarthrosis resulting from dysplasia, bilateral
M16.3 Other dysplastic coxarthrosis

Dysplastic coxarthrosis:
• NOS
• unilateral
M16.4 Post-traumatic coxarthrosis, bilateral
M16.5 Other post-traumatic coxarthrosis

Post-traumatic coxarthrosis:
• NOS
• unilateral
M16.6 Other secondary coxarthrosis, bilateral
XIII-13
M16.7 Other secondary coxarthrosis

Secondary coxarthrosis:
• NOS
• unilateral
M16.9 Coxarthrosis, unspecified
M17 Gonarthrosis [arthrosis of knee]
M17.0 Primary gonarthrosis, bilateral
M17.1 Other primary gonarthrosis

Primary gonarthrosis:
• NOS
• unilateral
M17.2 Post-traumatic gonarthrosis, bilateral
M17.3 Other post-traumatic gonarthrosis

Post-traumatic gonarthrosis:
• NOS
• unilateral
M17.4 Other secondary gonarthrosis, bilateral
M17.5 Other secondary gonarthrosis

Secondary gonarthrosis:
• NOS
• unilateral
M17.9 Gonarthrosis, unspecified
M18 Arthrosis of first carpometacarpal joint
M18.0 Primary arthrosis of first carpometacarpal joints, bilateral
M18.1 Other primary arthrosis of first carpometacarpal joint

Primary arthrosis of first carpometacarpal joint:
• NOS
• unilateral
XIII-14
M18.2 Post-traumatic arthrosis of first carpometacarpal joints, bilateral
M18.3 Other post-traumatic arthrosis of first carpometacarpal joint

Post-traumatic arthrosis of first carpometacarpal joint:
• NOS
• unilateral
M18.4 Other secondary arthrosis of first carpometacarpal joints, bilateral
M18.5 Other secondary arthrosis of first carpometacarpal joint

Secondary arthrosis of first carpometacarpal joint:
• NOS
• unilateral
M18.9 Arthrosis of first carpometacarpal joint, unspecified
M19 Other arthrosis

Excludes: arthrosis of spine (M47.-)

hallux rigidus (M20.2)
polyarthrosis (M15.-)
M19.0 Primary arthrosis of other joints

Primary arthrosis NOS
M19.1 Post-traumatic arthrosis of other joints

Post-traumatic arthrosis NOS
M19.2 Other secondary arthrosis

Secondary arthrosis NOS
M19.8 Other specified arthrosis
M19.9 Arthrosis, unspecified
M19.90 Advanced arthrosis

Grave arthrosis
Severe arthrosis
XIII-15
Other joint disorders

(M20-M25)
Excludes: joints of the spine (M40-M54)
M20 Acquired deformities of fingers and toes
Excludes: acquired absence of fingers and toes (Z89.-)

congenital:
• absence of fingers and toes (Q71.3, Q72.3)
• deformities and malformations of fingers and toes (Q66.-,
Q68-Q70, Q74.-)
M20.0 Deformity of finger(s)

Boutonnière and swan-neck deformities
Excludes: clubbing of fingers (R68.3)

palmar fascial fibromatosis [Dupuytren] (M72.0)
trigger finger (M65.3)
M20.1 Hallux valgus (acquired)

Bunion
M20.2 Hallux rigidus
M20.3 Other deformity of hallux (acquired)

Hallux varus
M20.4 Other hammer toe(s) (acquired)
M20.5 Other deformities of toe(s) (acquired)
M20.6 Acquired deformity of toe(s), unspecified
XIII-16
M21 Other acquired deformities of limbs

Excludes: acquired absence of limb (Z89.-)

acquired deformities of fingers or toes (M20.-)
congenital:
• absence of limbs (Q71-Q73)
• deformities and malformations of limbs (Q65-Q66, Q68-Q74)
coxa plana (M91.2)
M21.0 Valgus deformity, not elsewhere classified

Excludes: metatarsus valgus (Q66.6)
talipes calcaneovalgus (Q66.4)
M21.1 Varus deformity, not elsewhere classified

Excludes: metatarsus varus (Q66.2)
tibia vara (M92.5)
M21.2 Flexion deformity
M21.3 Wrist or foot drop (acquired)
M21.4 Flat foot [pes planus] (acquired)

Excludes: congenital pes planus (Q66.5)
M21.5 Acquired clawhand, clubhand, clawfoot and clubfoot

Excludes: clubfoot, not specified as acquired (Q66.8)
M21.6 Other acquired deformities of ankle and foot

Excludes: deformities of toe (acquired) (M20.1-M20.6)
M21.7 Unequal limb length (acquired)
M21.8 Other specified acquired deformities of limbs
M21.9 Acquired deformity of limb, unspecified
M22 Disorders of patella

Excludes: dislocation of patella (S83.0)
M22.0 Recurrent dislocation of patella
XIII-17
M22.1 Recurrent subluxation of patella
M22.2 Patellofemoral disorders
M22.3 Other derangements of patella
M22.4 Chondromalacia patellae
M22.8 Other disorders of patella
M22.9 Disorder of patella, unspecified
M23 Internal derangement of knee

The following supplementary subclassification to indicate the site of involvement is
provided for optional use with appropriate subcategories in M23.-; see also note on
page XIII-2.
0 Multiple sites
1 Anterior cruciate ligament or Anterior horn of medial meniscus
2 Posterior cruciate ligament or Posterior horn of medial meniscus
3 Medial collateral ligament or Other and unspecified medial meniscus
4 Lateral collateral ligament or Anterior horn of lateral meniscus
5 Posterior horn of lateral meniscus
6 Other and unspecified lateral meniscus
7 Capsular ligament
9 Unspecified ligament or Unspecified meniscus
Excludes: ankylosis (M24.6)

current injury - see injury to the knee and lower leg (S80-S89)
deformity of knee (M21.-)
disorders of patella (M22.-)
osteochondritis dissecans (M93.2)
recurrent dislocation or subluxation (M24.4)
• patella (M22.0-M22.1)
M23.0 Cystic meniscus
M23.1 Discoid meniscus (congenital)
XIII-18
M23.2 Derangement of meniscus due to old tear or injury

Old bucket-handle tear
M23.3 Other meniscus derangements

Degenerate
Detached meniscus
Retained
M23.4 Loose body in knee
M23.5 Chronic instability of knee
M23.6 Other spontaneous disruption of ligament(s) of knee
M23.8 Other internal derangements of knee

Laxity of ligament of knee
Snapping knee
M23.9 Internal derangement of knee, unspecified
M24 Other specific joint derangements

Excludes: current injury - see injury of joint by body region

ganglion (M67.4)
snapping knee (M23.8)
temporomandibular joint disorders (K07.6)
M24.0 Loose body in joint

Excludes: loose body in knee (M23.4)
M24.1 Other articular cartilage disorders

Excludes: chondrocalcinosis (M11.1-M11.2)
internal derangement of knee (M23.-)
metastatic calcification (E83.5)
ochronosis (E70.2)
M24.2 Disorder of ligament

Instability secondary to old ligament injury
Ligamentous laxity NOS
Excludes: familial ligamentous laxity (M35.7)

knee (M23.5-M23.8)
XIII-19
M24.3 Pathological dislocation and subluxation of joint, not elsewhere classified

Excludes: dislocation or displacement of joint:
• congenital - see congenital malformations and deformations of the
musculoskeletal system (Q65-Q79)
• current injury - see injury of joints and ligaments by body region
• recurrent (M24.4)
M24.4 Recurrent dislocation and subluxation of joint

Excludes: patella (M22.0-M22.1)
vertebral subluxation (M43.3-M43.5)
M24.5 Contracture of joint

Excludes: acquired deformities of limbs (M20-M21)
contracture of tendon (sheath) without contracture of joint (M67.1)
Dupuytren's contracture (M72.0)
M24.6 Ankylosis of joint

Excludes: spine (M43.2)
stiffness of joint without ankylosis (M25.6)
M24.7 Protrusio acetabuli
M24.8 Other specific joint derangements, not elsewhere classified

Irritable hip
Excludes: that involving iliotibial band syndrome (M76.3)
M24.9 Joint derangement, unspecified
M25 Other joint disorders, not elsewhere classified

Excludes: abnormality of gait and mobility (R26.-)

calcification of:
• bursa (M71.4)
• shoulder (joint) (M75.3)
• tendon (M65.2)
deformities classified to M20-M21
difficulty in walking (R26.2)
M25.0 Haemarthrosis
Excludes: current injury - see injury of joint by body region
XIII-20
M25.1 Fistula of joint
M25.2 Flail joint
M25.3 Other instability of joint

Excludes: instability of joint secondary to:
• old ligament injury (M24.2)
• removal of joint prosthesis (M96.8)
M25.4 Effusion of joint

Excludes: hydrarthrosis of yaws (A66.6)
M25.5 Pain in joint
M25.6 Stiffness of joint, not elsewhere classified
M25.7 Osteophyte
M25.8 Other specified joint disorders
M25.9 Joint disorder, unspecified
Systemic connective tissue disorders

(M30-M36)
Includes: autoimmune disease:

• NOS
• systemic
collagen (vascular) disease:
• NOS
• systemic
Excludes: autoimmune disease, single organ or single cell-type (code to relevant condition
category)
M30 Polyarteritis nodosa and related conditions
M30.0 Polyarteritis nodosa
XIII-21
M30.1 Polyarteritis with lung involvement [Churg-Strauss]

Allergic granulomatous angiitis
M30.2 Juvenile polyarteritis
M30.3 Mucocutaneous lymph node syndrome [Kawasaki]
M30.8 Other conditions related to polyarteritis nodosa

Polyangiitis overlap syndrome
M31 Other necrotizing vasculopathies
M31.0 Hypersensitivity angiitis

Goodpasture's syndrome
M31.1 Thrombotic microangiopathy

Thrombotic thrombocytopenic purpura
M31.2 Lethal midline granuloma
M31.3 Wegener's granulomatosis

Necrotizing respiratory granulomatosis
M31.4 Aortic arch syndrome [Takayasu]
M31.5 Giant cell arteritis with polymyalgia rheumatica
M31.6 Other giant cell arteritis
M31.7 Microscopic polyangiitis

Microscopic polyarteritis
Excludes: polyarteritis nodosa (M30.0)
M31.8 Other specified necrotizing vasculopathies

Hypocomplementaemic vasculitis
M31.9 Necrotizing vasculopathy, unspecified
XIII-22
M32 Systemic lupus erythematosus

Excludes: lupus erythematosus (discoid) (NOS) (L93.0)
M32.0 Drug-induced systemic lupus erythematosus

M32.1† Systemic lupus erythematosus with organ or system involvement

Libman-Sacks disease (I39.-*)
Lupus pericarditis (I32.8*)
Systemic lupus erythematosus with:
• kidney involvement (N08.5*, N16.4*)
• lung involvement (J99.1*)
M32.8 Other forms of systemic lupus erythematosus
M32.9 Systemic lupus erythematosus, unspecified
M33 Dermatopolymyositis
M33.0 Juvenile dermatomyositis
M33.1 Other dermatomyositis
M33.2 Polymyositis
M33.9 Dermatopolymyositis, unspecified
M34 Systemic sclerosis

Includes: scleroderma
Excludes: scleroderma:
• circumscribed (L94.0)
M34.0 Progressive systemic sclerosis
M34.1 CR(E)ST syndrome

Combination of calcinosis, Raynaud's phenomenon, (o)esophageal dysfunction,
sclerodactyly, telangiectasia
XIII-23
M34.2 Systemic sclerosis induced by drugs and chemicals

M34.8 Other forms of systemic sclerosis

Systemic sclerosis with:
• lung involvement† (J99.1*)
• myopathy† (G73.7*)
M34.9 Systemic sclerosis, unspecified
M35 Other systemic involvement of connective tissue

Excludes: reactive perforating collagenosis (L87.1)
M35.0 Sicca syndrome [Sjögren]

Sjögren's syndrome with:
• lung involvement† (J99.1*)
• myopathy† (G73.7*)
• renal tubulo-interstitial disorders† (N16.4*)
M35.1 Other overlap syndromes

Mixed connective tissue disease
Excludes: polyangiitis overlap syndrome (M30.8)
M35.2 Behçet's disease
M35.3 Polymyalgia rheumatica

Excludes: polymyalgia rheumatica with giant cell arteritis (M31.5)
M35.4 Diffuse (eosinophilic) fasciitis
M35.5 Multifocal fibrosclerosis
M35.6 Relapsing panniculitis [Weber-Christian]

Excludes: panniculitis:
• NOS (M79.3)
• lupus (L93.2)
XIII-24
M35.7 Hypermobility syndrome

Familial ligamentous laxity
Excludes: Ehlers-Danlos syndrome (Q79.6)

ligamentous laxity NOS (M24.2)
M35.8 Other specified systemic involvement of connective tissue
M35.9 Systemic involvement of connective tissue, unspecified

Autoimmune disease (systemic) NOS
Collagen (vascular) disease NOS

Excludes: arthropathies in diseases classified elsewhere (M14.-*)
M36.0* Dermato(poly)myositis in neoplastic disease (C00-D48†)
M36.1* Arthropathy in neoplastic disease (C00-D48†)

Arthropathy in:
• leukaemia (C91-C95†)
• malignant histiocytosis (C96.1†)
• multiple myeloma (C90.0†)
M36.2* Haemophilic arthropathy (D66-D68†)
M36.3* Arthropathy in other blood disorders (D50-D76†)

Excludes: arthropathy in Henoch(-Schönlein) purpura (M36.4*)
M36.4* Arthropathy in hypersensitivity reactions classified elsewhere

Arthropathy in Henoch(-Schönlein) purpura (D69.0†)
M36.8* Systemic disorders of connective tissue in other diseases classified elsewhere

Systemic disorders of connective tissue in:
• hypogammaglobulinaemia (D80.-†)
• ochronosis (E70.2†)
XIII-25
Dorsopathies
(M40-M54)
The following supplementary subclassification to indicate the site of involvement is provided for
optional use with appropriate categories in the block on dorsopathies, except categories M50 and
M51; see also note on page XIII-2.
0 Multiple sites in spine

1 Occipito-atlanto-axial region
2 Cervical region
3 Cervicothoracic region
4 Thoracic region
5 Thoracolumbar region
6 Lumbar region
7 Lumbosacral region
8 Sacral and sacrococcygeal region
9 Site unspecified
Deforming dorsopathies
(M40-M43)
M40 Kyphosis and lordosis

[See site code above]
Excludes: kyphoscoliosis (M41.-)

kyphosis and lordosis:
• postprocedural (M96.-)
M40.0 Postural kyphosis

Excludes: osteochondrosis of spine (M42.-)
M40.1 Other secondary kyphosis
XIII-26
M40.2 Other and unspecified kyphosis
M40.3 Flatback syndrome
M40.4 Other lordosis

Lordosis:
• acquired
• postural
M40.5 Lordosis, unspecified
M41 Scoliosis
[See site code page XIII-26]
Includes: kyphoscoliosis
Excludes: congenital scoliosis:

• NOS (Q67.5)
• due to bony malformation (Q76.3)
• postural (Q67.5)
kyphoscoliotic heart disease (I27.1)
postprocedural (M96.-)
M41.0 Infantile idiopathic scoliosis
M41.1 Juvenile idiopathic scoliosis

Adolescent scoliosis
M41.2 Other idiopathic scoliosis
M41.3 Thoracogenic scoliosis
M41.4 Neuromuscular scoliosis

Scoliosis secondary to cerebral palsy, Friedreich's ataxia, poliomyelitis, and other
neuromuscular disorders.
M41.5 Other secondary scoliosis
XIII-27
M41.8 Other forms of scoliosis
M41.9 Scoliosis, unspecified
M42 Spinal osteochondrosis

M42.0 Juvenile osteochondrosis of spine

Calvé's disease
Scheuermann's disease
Excludes: postural kyphosis (M40.0)
M42.1 Adult osteochondrosis of spine
M42.9 Spinal osteochondrosis, unspecified
M43 Other deforming dorsopathies

Excludes: congenital spondylolysis and spondylolisthesis (Q76.2)

hemivertebra (Q76.3-Q76.4)
Klippel-Feil syndrome (Q76.1)
lumbarization and sacralization (Q76.4)
platyspondylisis (Q76.4)
spina bifida occulta (Q76.0)
spinal curvature in:
• osteoporosis (M80-M81)
• Paget's disease of bone [osteitis deformans] (M88.-)
M43.0 Spondylolysis
M43.1 Spondylolisthesis
M43.2 Other fusion of spine

Ankylosis of spinal joint
Excludes: ankylosing spondylitis (M45)

arthrodesis status (Z98.1)
pseudoarthrosis after fusion or arthrodesis (M96.0)
XIII-28
M43.3 Recurrent atlantoaxial subluxation with myelopathy
M43.4 Other recurrent atlantoaxial subluxation
M43.5 Other recurrent vertebral subluxation

Excludes: biomechanical lesions NEC (M99.-)
M43.6 Torticollis
Excludes: torticollis:
• congenital (sternomastoid) (Q68.0)
• current injury - see injury of spine by body region
• spasmodic (G24.3)
M43.8 Other specified deforming dorsopathies

Excludes: kyphosis and lordosis (M40.-)
scoliosis (M41.-)
M43.9 Deforming dorsopathy, unspecified

Curvature of spine NOS
Spondylopathies
(M45-M49)
M45 Ankylosing spondylitis

Rheumatoid arthritis of spine
Excludes: arthropathy in Reiter's disease (M02.3)

Behçet's disease (M35.2)
juvenile (ankylosing) spondylitis (M08.1)
M46 Other inflammatory spondylopathies

M46.0 Spinal enthesopathy

Disorder of ligamentous or muscular attachments of spine
XIII-29
M46.1 Sacroiliitis, not elsewhere classified
M46.2 Osteomyelitis of vertebra
M46.3 Infection of intervertebral disc (pyogenic)

M46.4 Discitis, unspecified
M46.5 Other infective spondylopathies
M46.8 Other specified inflammatory spondylopathies
M46.9 Inflammatory spondylopathy, unspecified
M47 Spondylosis
Includes: arthrosis or osteoarthritis of spine

degeneration of facet joints
M47.0† Anterior spinal and vertebral artery compression syndromes (G99.2*)
M47.1 Other spondylosis with myelopathy

Spondylogenic compression of spinal cord† (G99.2*)
Excludes: vertebral subluxation (M43.3-M43.5)
M47.2 Other spondylosis with radiculopathy
M47.8 Other spondylosis

Cervical spondylosis
Lumbosacral spondylosis without myelopathy or radiculopathy
Thoracic spondylosis
M47.9 Spondylosis, unspecified
XIII-30
M48 Other spondylopathies

M48.0 Spinal stenosis

Caudal stenosis
M48.1 Ankylosing hyperostosis [Forestier]

Diffuse idiopathic skeletal hyperostosis [DISH]
M48.2 Kissing spine
M48.3 Traumatic spondylopathy
M48.4 Fatigue fracture of vertebra

Stress fracture of vertebra
M48.5 Collapsed vertebra, not elsewhere classified

Collapsed vertebra NOS
Wedging of vertebra NOS
Excludes: collapsed vertebra in osteoporosis (M80.-)

current injury - see injury of spine by body region.
M48.8 Other specified spondylopathies

Ossification of posterior longitudinal ligament
M48.9 Spondylopathy, unspecified

Excludes: psoriatic and enteropathic arthropathies (M07.-*, M09.-*)
M49.0* Tuberculosis of spine (A18.0†)

Pott's curvature
M49.1* Brucella spondylitis (A23.-†)
M49.2* Enterobacterial spondylitis (A01-A04†)
XIII-31
M49.3* Spondylopathy in other infectious and parasitic diseases classified elsewhere

Excludes: neuropathic spondylopathy in tabes dorsalis (M49.4*)
M49.4* Neuropathic spondylopathy

Neuropathic spondylopathy in:
• syringomyelia and syringobulbia (G95.0†)
• tabes dorsalis (A52.1†)
M49.5* Collapsed vertebra in diseases classified elsewhere

Metastatic fracture of vertebra (C79.5†)
M49.8* Spondylopathy in other diseases classified elsewhere
Other dorsopathies
(M50-M54)
Excludes: current injury - see injury of spine by body region

discitis NOS (M46.4)
M50 Cervical disc disorders

Includes: cervical disc disorders with cervicalgia
cervicothoracic disc disorders
M50.0† Cervical disc disorder with myelopathy (G99.2*)
M50.1 Cervical disc disorder with radiculopathy

Excludes: brachial radiculitis NOS (M54.1)
M50.2 Other cervical disc displacement
M50.3 Other cervical disc degeneration
M50.8 Other cervical disc disorders
M50.9 Cervical disc disorder, unspecified
XIII-32
M51 Other intervertebral disc disorders

Includes: thoracic, thoracolumbar and lumbosacral disc disorders
M51.0† Lumbar and other intervertebral disc disorders with myelopathy (G99.2*)
M51.1† Lumbar and other intervertebral disc disorders with radiculopathy (G55.1*)
Sciatica due to intervertebral disc disorder
Excludes: lumbar radiculitis NOS (M54.1)
M51.2 Other specified intervertebral disc displacement

Lumbago due to displacement of intervertebral disc
M51.3 Other specified intervertebral disc degeneration
M51.4 Schmorl's nodes
M51.8 Other specified intervertebral disc disorders
M51.9 Intervertebral disc disorder, unspecified
M53 Other dorsopathies, not elsewhere classified

M53.0 Cervicocranial syndrome

Posterior cervical sympathetic syndrome
M53.1 Cervicobrachial syndrome

Excludes: cervical disc disorder (M50.-)
thoracic outlet syndrome (G54.0)
M53.2 Spinal instabilities
M53.3 Sacrococcygeal disorders, not elsewhere classified

Coccygodynia
M53.8 Other specified dorsopathies
M53.9 Dorsopathy, unspecified
XIII-33
M54 Dorsalgia
Excludes: psychogenic dorsalgia (F45.4)
M54.0 Panniculitis affecting regions of neck and back

• NOS (M79.3)
• lupus (L93.2)
M54.1 Radiculopathy
Neuritis or radiculitis:
• brachial NOS
• lumbar NOS
• lumbosacral NOS
• thoracic NOS
Radiculitis NOS
Excludes: neuralgia and neuritis NOS (M79.2)

radiculopathy with:
• cervical disc disorder (M50.1)
• lumbar and other intervertebral disc disorder (M51.1)
• spondylosis (M47.2)
M54.2 Cervicalgia
Excludes: cervicalgia due to intervertebral cervical disc disorder (M50.-)
M54.3 Sciatica
Excludes: lesion of sciatic nerve (G57.0)
sciatica:
• due to intervertebral disc disorder (M51.1)
• with lumbago (M54.4)
M54.4 Lumbago with sciatica

Excludes: that due to intervertebral disc disorder (M51.1)
XIII-34
M54.5 Low back pain

Loin pain
Low back strain
Lumbago NOS
Excludes: lumbago:
• due to intervertebral disc displacement (M51.2)
• with sciatica (M54.4)
M54.6 Pain in thoracic spine

Excludes: pain due to intervertebral disc disorder (M51.-)
M54.8 Other dorsalgia
M54.9 Dorsalgia, unspecified

Backache NOS
Soft tissue disorders

(M60-M79)
Disorders of muscles
(M60-M63)
Excludes: dermatopolymyositis (M33.-)

muscular dystrophies and myopathies (G71-G72)
myopathy in:
• amyloidosis (E85.-)
• polyarteritis nodosa (M30.0)
• rheumatoid arthritis (M05.3)
• scleroderma (M34.-)
• Sjögren's syndrome (M35.0)
• systemic lupus erythematosus (M32.-)
XIII-35
M60 Myositis
M60.0 Infective myositis

Tropical pyomyositis
M60.1 Interstitial myositis
M60.2 Foreign body granuloma of soft tissue, not elsewhere classified

Excludes: foreign body granuloma of skin and subcutaneous tissue (L92.3)
M60.8 Other myositis
M60.9 Myositis, unspecified
M61 Calcification and ossification of muscle

M61.0 Myositis ossificans traumatica
M61.1 Myositis ossificans progressiva

Fibrodysplasia ossificans progressiva
M61.2 Paralytic calcification and ossification of muscle

Myositis ossificans associated with quadriplegia or paraplegia
M61.3 Calcification and ossification of muscles associated with burns

Myositis ossificans associated with burns
M61.4 Other calcification of muscle

Excludes: calcific tendinitis (M65.2)
• of shoulder (M75.3)
M61.5 Other ossification of muscle
M61.9 Calcification and ossification of muscle, unspecified
XIII-36
M62 Other disorders of muscle

Excludes: cramp and spasm (R25.2)

myalgia (M79.1)
myopathy:
• drug-induced (G72.0)
stiff-man syndrome (G25.8)
M62.0 Diastasis of muscle
M62.1 Other rupture of muscle (nontraumatic)

Excludes: rupture of tendon (M66.-)
traumatic rupture of muscle - see injury of muscle by body region
M62.2 Ischaemic infarction of muscle

Compartment syndrome, nontraumatic
Excludes: compartment syndrome, traumatic (T79.6)

traumatic ischaemia of muscle (T79.6)
Volkmann's ischaemic contracture (T79.6)
M62.3 Immobility syndrome (paraplegic)
M62.4 Contracture of muscle

Excludes: contracture of joint (M24.5)
M62.5 Muscle wasting and atrophy, not elsewhere classified

Disuse atrophy NEC
M62.6 Muscle strain

Excludes: current injury - see injury of muscle by body region
M62.8 Other specified disorders of muscle

Muscle (sheath) hernia
M62.9 Disorder of muscle, unspecified
XIII-37

Excludes: myopathy in:
• endocrine diseases (G73.5*)
• metabolic diseases (G73.6*)
M63.0* Myositis in bacterial diseases classified elsewhere

Myositis in:
• leprosy [Hansen's disease] (A30.-†)
• syphilis (A51.4†, A52.7†)
M63.1* Myositis in protozoal and parasitic infections classified elsewhere

Myositis in:
• cysticercosis (B69.8†
• schistosomiasis [bilharziasis] (B65.-†)
• trichinellosis (B75†)
M63.2* Myositis in other infectious diseases classified elsewhere

Myositis in mycosis (B35-B49†)
M63.3* Myositis in sarcoidosis (D86.8†)
M63.8* Other disorders of muscle in diseases classified elsewhere
Disorders of synovium and tendon

(M65-M68)
M65 Synovitis and tenosynovitis

Excludes: chronic crepitant synovitis of hand and wrist (M70.0)

current injury - see injury of ligament or tendon by body region
soft tissue disorders related to use, overuse and pressure (M70.-)
M65.0 Abscess of tendon sheath

Use additional code (B95-B96), if desired, to identify bacterial agent.
M65.1 Other infective (teno)synovitis
XIII-38
M65.2 Calcific tendinitis

Excludes: of shoulder (M75.3)
specified tendinitis (M75-M77)
M65.3 Trigger finger

Nodular tendinous disease
M65.4 Radial styloid tenosynovitis [de Quervain]
M65.8 Other synovitis and tenosynovitis
M65.9 Synovitis and tenosynovitis, unspecified
M66 Spontaneous rupture of synovium and tendon

Includes: rupture that occurs when a normal force is applied to tissues that are
inferred to have less than normal strength
Excludes: rotator cuff syndrome (M75.1)

rupture where an abnormal force is applied to normal tissue - see injury
of tendon by body region
M66.0 Rupture of popliteal cyst
M66.1 Rupture of synovium

Rupture of synovial cyst
Excludes: rupture of popliteal cyst (M66.0)
M66.2 Spontaneous rupture of extensor tendons
M66.3 Spontaneous rupture of flexor tendons
M66.4 Spontaneous rupture of other tendons
M66.5 Spontaneous rupture of unspecified tendon

Rupture at musculotendinous junction, nontraumatic
XIII-39
M67 Other disorders of synovium and tendon

Excludes: palmar fascial fibromatosis [Dupuytren] (M72.0)
tendinitis NOS (M77.9)
xanthomatosis localized to tendons (E78.2)
M67.0 Short Achilles tendon (acquired)
M67.1 Other contracture of tendon (sheath)

Excludes: with contracture of joint (M24.5)
M67.2 Synovial hypertrophy, not elsewhere classified

Excludes: villonodular synovitis (pigmented) (M12.2)
M67.3 Transient synovitis

Toxic synovitis
Excludes: palindromic rheumatism (M12.3)
M67.4 Ganglion
Ganglion of joint or tendon (sheath)
Excludes: cyst of:

• bursa (M71.2-M71.3)
• synovium
ganglion in yaws (A66.6)
M67.8 Other specified disorders of synovium and tendon
M67.9 Disorder of synovium and tendon, unspecified
M68.0* Synovitis and tenosynovitis in bacterial diseases classified elsewhere

Synovitis or tenosynovitis in:
• gonorrhoea (A54.4†)
M68.8* Other disorders of synovium and tendon in diseases classified elsewhere
XIII-40
Other soft tissue disorders

(M70-M79)
M70 Soft tissue disorders related to use, overuse and pressure

Includes: soft tissue disorders of occupational origin
Excludes: bursitis (of):

• NOS (M71.9)
• shoulder (M75.5)
enthesopathies (M76-M77)
M70.0 Chronic crepitant synovitis of hand and wrist
M70.1 Bursitis of hand
M70.2 Olecranon bursitis
M70.3 Other bursitis of elbow
M70.4 Prepatellar bursitis
M70.5 Other bursitis of knee
M70.6 Trochanteric bursitis

Trochanteric tendinitis
M70.7 Other bursitis of hip

Ischial bursitis
M70.8 Other soft tissue disorders related to use, overuse and pressure
M70.9 Unspecified soft tissue disorder related to use, overuse and pressure
XIII-41
M71 Other bursopathies

Excludes: bunion (M20.1)

bursitis related to use, overuse and pressure (M70.-)
enthesopathies (M76-M77)
M71.0 Abscess of bursa
M71.1 Other infective bursitis
M71.2 Synovial cyst of popliteal space [Baker]

Excludes: with rupture (M66.0)
M71.3 Other bursal cyst

Synovial cyst NOS
Excludes: synovial cyst with rupture (M66.1)
M71.4 Calcium deposit in bursa

Excludes: of shoulder (M75.3)
M71.5 Other bursitis, not elsewhere classified

Excludes: bursitis (of):
• NOS (M71.9)
• tibial collateral [Pellegrini-Stieda] (M76.4)
M71.8 Other specified bursopathies
M71.9 Bursopathy, unspecified

Bursitis NOS
M72 Fibroblastic disorders

Excludes: retroperitoneal fibromatosis (D48.3)
M72.0 Palmar fascial fibromatosis [Dupuytren]
XIII-42
M72.1 Knuckle pads
M72.2 Plantar fascial fibromatosis

Plantar fasciitis
M72.4 Pseudosarcomatous fibromatosis

Nodular fasciitis
M72.6 Necrotizing fasciitis

Use additional code, if desired, to identify infectious agent.
M72.8 Other fibroblastic disorders

Abscess of fascia
Excludes: fasciitis:
• diffuse (eosinophilic) (M35.4)
• necrotizing (M72.6)
• nodular (M72.4)
• perirenal:
• NOS (N13.5)
• with infection (N13.6)
• plantar (M72.2)
M72.9 Fibroblastic disorder, unspecified

Fasciitis NOS
Fibromatosis NOS
M73* Soft tissue disorders in diseases classified elsewhere

M73.0* Gonococcal bursitis (A54.4†)
M73.1* Syphilitic bursitis (A52.7†)
M73.8* Other soft tissue disorders in diseases classified elsewhere
M75 Shoulder lesions

Excludes: shoulder-hand syndrome (M89.0)
XIII-43
M75.0 Adhesive capsulitis of shoulder

Frozen shoulder
Periarthritis of shoulder
M75.1 Rotator cuff syndrome

Rotator cuff or supraspinatus tear or rupture (complete)(incomplete), not specified
as traumatic
Supraspinatus syndrome
M75.2 Bicipital tendinitis
M75.3 Calcific tendinitis of shoulder

Calcified bursa of shoulder
M75.4 Impingement syndrome of shoulder
M75.5 Bursitis of shoulder
M75.8 Other shoulder lesions
M75.9 Shoulder lesion, unspecified
M76 Enthesopathies of lower limb, excluding foot

Note: The superficially specific terms bursitis, capsulitis and tendinitis tend to
be used indiscriminately for various disorders of peripheral
ligamentous or muscular attachments; most of these conditions have
been brought together as enthesopathies which is the generic term for
lesions at these sites.
Excludes: bursitis due to use, overuse and pressure (M70.-)
M76.0 Gluteal tendinitis
M76.1 Psoas tendinitis
M76.2 Iliac crest spur
M76.3 Iliotibial band syndrome
XIII-44
M76.4 Tibial collateral bursitis [Pellegrini-Stieda]
M76.5 Patellar tendinitis
M76.6 Achilles tendinitis

Achilles bursitis
M76.7 Peroneal tendinitis
M76.8 Other enthesopathies of lower limb, excluding foot

Anterior tibial syndrome
Posterior tibial tendinitis
M76.9 Enthesopathy of lower limb, unspecified
M77 Other enthesopathies

Excludes: bursitis:
• NOS (M71.9)
• due to use, overuse and pressure (M70.-)
osteophyte (M25.7)
spinal enthesopathy (M46.0)
M77.0 Medial epicondylitis
M77.1 Lateral epicondylitis

Tennis elbow
M77.2 Periarthritis of wrist
M77.3 Calcaneal spur
M77.4 Metatarsalgia
Excludes: Morton's metatarsalgia (G57.6)
M77.5 Other enthesopathy of foot
M77.8 Other enthesopathies, not elsewhere classified
XIII-45
M77.9 Enthesopathy, unspecified

Bone spur NOS
Capsulitis NOS
Periarthritis NOS
Tendinitis NOS
M79 Other soft tissue disorders, not elsewhere classified

Excludes: soft tissue pain, psychogenic (F45.4)
M79.0 Rheumatism, unspecified
Excludes: fibromyalgia (M79.7)

palindromic rheumatism (M12.3)
M79.1 Myalgia
Excludes: myositis (M60.-)
M79.2 Neuralgia and neuritis, unspecified

Excludes: mononeuropathies (G56-G58)
radiculitis:
• NOS
• brachial NOS (M54.1)
• lumbosacral NOS
sciatica (M54.3-M54.4)
M79.3 Panniculitis, unspecified

• lupus (L93.2)
M79.4 Hypertrophy of (infrapatellar) fat pad
M79.5 Residual foreign body in soft tissue

Excludes: foreign body granuloma of:
• skin and subcutaneous tissue (L92.3)
• soft tissue (M60.2)
XIII-46
M79.6 Pain in limb
M79.7 Fibromyalgia
Fibromyositis
Fibrositis
Myofibrositis
M79.8 Other specified soft tissue disorders
M79.9 Soft tissue disorder, unspecified
Osteopathies and chondropathies

(M80-M94)
Disorders of bone density and structure

(M80-M85)
M80 Osteoporosis with pathological fracture

Includes: osteoporotic vertebral collapse and wedging
Excludes: collapsed vertebra NOS (M48.5)

pathological fracture NOS (M84.4)
wedging of vertebra NOS (M48.5)
M80.0 Postmenopausal osteoporosis with pathological fracture
M80.1 Postoophorectomy osteoporosis with pathological fracture
M80.2 Osteoporosis of disuse with pathological fracture
M80.3 Postsurgical malabsorption osteoporosis with pathological fracture
M80.4 Drug-induced osteoporosis with pathological fracture

M80.5 Idiopathic osteoporosis with pathological fracture
XIII-47
M80.8 Other osteoporosis with pathological fracture
M80.9 Unspecified osteoporosis with pathological fracture
M81 Osteoporosis without pathological fracture

Excludes: osteoporosis with pathological fracture (M80.-)
M81.0 Postmenopausal osteoporosis
M81.1 Postoophorectomy osteoporosis
M81.2 Osteoporosis of disuse

Excludes: Sudeck's atrophy (M89.0)
M81.3 Postsurgical malabsorption osteoporosis
M81.4 Drug-induced osteoporosis

M81.5 Idiopathic osteoporosis
M81.6 Localized osteoporosis [Lequesne]

Excludes: Sudeck's atrophy (M89.0)
M81.8 Other osteoporosis

Senile osteoporosis
M81.9 Osteoporosis, unspecified

M82.0* Osteoporosis in multiple myelomatosis (C90.0†)
M82.1* Osteoporosis in endocrine disorders (E00-E34†)
M82.8* Osteoporosis in other diseases classified elsewhere
XIII-48
M83 Adult osteomalacia

Excludes: osteomalacia:
• infantile and juvenile (E55.0)
renal osteodystrophy (N25.0)
rickets (active) (E55.0)
• sequelae (E64.3)
M83.0 Puerperal osteomalacia
M83.1 Senile osteomalacia
M83.2 Adult osteomalacia due to malabsorption

Postsurgical malabsorption osteomalacia in adults
M83.3 Adult osteomalacia due to malnutrition
M83.4 Aluminium bone disease
M83.5 Other drug-induced osteomalacia in adults

M83.8 Other adult osteomalacia
M83.9 Adult osteomalacia, unspecified
M84 Disorders of continuity of bone

M84.0 Malunion of fracture
M84.1 Nonunion of fracture [pseudarthrosis]

Excludes: pseudarthrosis after fusion or arthrodesis (M96.0)
M84.2 Delayed union of fracture
XIII-49
M84.3 Stress fracture, not elsewhere classified

Stress fracture NOS
Excludes: stress fracture of vertebra (M48.4)
M84.4 Pathological fracture, not elsewhere classified

Pathological fracture NOS
Excludes: collapsed vertebra NEC (M48.5)

pathological fracture in osteoporosis (M80.-)
M84.8 Other disorders of continuity of bone
M84.9 Disorder of continuity of bone, unspecified
M85 Other disorders of bone density and structure

Excludes: osteogenesis imperfecta (Q78.0)

osteopetrosis (Q78.2)
osteopoikilosis (Q78.8)
polyostotic fibrous dysplasia (Q78.1)
M85.0 Fibrous dysplasia (monostotic)

Excludes: fibrous dysplasia of jaw (K10.8)
M85.1 Skeletal fluorosis
M85.2 Hyperostosis of skull
M85.3 Osteitis condensans
M85.4 Solitary bone cyst

Excludes: solitary cyst of jaw (K09.1-K09.2)
M85.5 Aneurysmal bone cyst

Excludes: aneurysmal cyst of jaw (K09.2)
XIII-50
M85.6 Other cyst of bone

Excludes: cyst of jaw NEC (K09.1-K09.2)
osteitis fibrosa cystica generalisata [von Recklinghausen's disease of
bone] (E21.0)
M85.8 Other specified disorders of bone density and structure

Hyperostosis of bones, except skull
Excludes: diffuse idiopathic skeletal hyperostosis [DISH] (M48.1)
M85.9 Disorder of bone density and structure, unspecified
Other osteopathies
(M86-M90)
Excludes: postprocedural osteopathies (M96.-)
M86 Osteomyelitis
Excludes: osteomyelitis (of):
• due to salmonella (A01-A02)
• jaw (K10.2)
• vertebra (M46.2)
M86.0 Acute haematogenous osteomyelitis
M86.1 Other acute osteomyelitis
M86.2 Subacute osteomyelitis
M86.3 Chronic multifocal osteomyelitis
M86.4 Chronic osteomyelitis with draining sinus
M86.5 Other chronic haematogenous osteomyelitis
M86.6 Other chronic osteomyelitis
XIII-51
M86.8 Other osteomyelitis

Brodie's abscess
M86.9 Osteomyelitis, unspecified

Infection of bone NOS
Periostitis without mention of osteomyelitis
M87 Osteonecrosis
Includes: avascular necrosis of bone
Excludes: osteochondropathies (M91-M93)
M87.0 Idiopathic aseptic necrosis of bone
M87.1 Osteonecrosis due to drugs

M87.2 Osteonecrosis due to previous trauma
M87.3 Other secondary osteonecrosis
M87.8 Other osteonecrosis
M87.9 Osteonecrosis, unspecified
M88 Paget's disease of bone [osteitis deformans]

M88.0 Paget's disease of skull
M88.8 Paget's disease of other bones
M88.9 Paget's disease of bone, unspecified
XIII-52
M89 Other disorders of bone

M89.0 Algoneurodystrophy
Shoulder-hand syndrome
Sudeck's atrophy
Sympathetic reflex dystrophy
M89.1 Epiphyseal arrest
M89.2 Other disorders of bone development and growth
M89.3 Hypertrophy of bone
M89.4 Other hypertrophic osteoarthropathy

Marie-Bamberger disease
Pachydermoperiostosis
M89.5 Osteolysis
M89.6 Osteopathy after poliomyelitis

Use additional code (B91), if desired, to identify previous poliomyelitis.
M89.8 Other specified disorders of bone

Infantile cortical hyperostoses
Post-traumatic subperiosteal ossification
M89.9 Disorder of bone, unspecified

M90.0* Tuberculosis of bone (A18.0†)

Excludes: tuberculosis of spine (M49.0*)
M90.1* Periostitis in other infectious diseases classified elsewhere

Secondary syphilitic periostitis (A51.4†)
XIII-53
M90.2* Osteopathy in other infectious diseases classified elsewhere

Osteomyelitis:
• echinococcal (B67.2†)
• salmonella (A02.2†)
Syphilitic osteopathy or osteochondropathy (A50.5†, A52.7†)
M90.3* Osteonecrosis in caisson disease (T70.3†)
M90.4* Osteonecrosis due to haemoglobinopathy (D50-D64†)
M90.5* Osteonecrosis in other diseases classified elsewhere
M90.6* Osteitis deformans in neoplastic disease (C00-D48†)

Osteitis deformans in malignant neoplasm of bone (C40-C41†)
M90.7* Fracture of bone in neoplastic disease (C00-D48†)

Excludes: collapse of vertebra in neoplastic disease (M49.5*)
M90.8* Osteopathy in other diseases classified elsewhere

Osteopathy in renal osteodystrophy (N25.0†)
Chondropathies
(M91-M94)
Excludes: postprocedural chondropathies (M96.-)
M91 Juvenile osteochondrosis of hip and pelvis

Excludes: slipped upper femoral epiphysis (nontraumatic) (M93.0)
M91.0 Juvenile osteochondrosis of pelvis

Osteochondrosis (juvenile) of:
• acetabulum
• iliac crest [Buchanan]
• ischiopubic synchondrosis [van Neck]
• symphisis pubis [Pierson]
XIII-54
M91.1 Juvenile osteochondrosis of head of femur [Legg-Calvé-Perthes]
M91.2 Coxa plana

Hip deformity due to previous juvenile osteochondrosis
M91.3 Pseudocoxalgia
M91.8 Other juvenile osteochondrosis of hip and pelvis

Juvenile osteochondrosis after reduction of congenital dislocation of hip
M91.9 Juvenile osteochondrosis of hip and pelvis, unspecified
M92 Other juvenile osteochondrosis
M92.0 Juvenile osteochondrosis of humerus

• capitulum of humerus [Panner]
• head of humerus [Haas]
M92.1 Juvenile osteochondrosis of radius and ulna

• lower ulna [Burns]
• radial head [Brailsford]
M92.2 Juvenile osteochondrosis of hand

• carpal lunate [Kienböck]
• metacarpal heads [Mauclaire]
M92.3 Other juvenile osteochondrosis of upper limb
M92.4 Juvenile osteochondrosis of patella

• primary patellar centre [Köhler]
• secondary patellar centre [Sinding-Larsen]
XIII-55
M92.5 Juvenile osteochondrosis of tibia and fibula

• proximal tibia [Blount]
• tibial tubercle [Osgood-Schlatter]
Tibia vara
M92.6 Juvenile osteochondrosis of tarsus

• calcaneum [Sever]
• os tibiale externum [Haglund]
• talus [Diaz]
• tarsal navicular [Köhler]
M92.7 Juvenile osteochondrosis of metatarsus

• fifth metatarsus [Iselin]
• second metatarsus [Freiberg]
M92.8 Other specified juvenile osteochondrosis

Calcaneal apophysitis
M92.9 Juvenile osteochondrosis, unspecified

Apophysitis
Epiphysitis specified as juvenile,
Osteochondritis of unspecified site
Osteochondrosis
M93 Other osteochondropathies

Excludes: osteochondrosis of spine (M42.-)
M93.0 Slipped upper femoral epiphysis (nontraumatic)
M93.1 Kienböck's disease of adults

Adult osteochondrosis of carpal lunate
M93.2 Osteochondritis dissecans
XIII-56
M93.8 Other specified osteochondropathies
M93.9 Osteochondropathy, unspecified

Apophysitis
Epiphysitis not specified as adult or juvenile, of
Osteochondritis unspecified site
Osteochondrosis
M94 Other disorders of cartilage

M94.0 Chondrocostal junction syndrome [Tietze]
M94.1 Relapsing polychondritis
M94.2 Chondromalacia
Excludes: chondromalacia patellae (M22.4)
M94.3 Chondrolysis
M94.8 Other specified disorders of cartilage
M94.9 Disorder of cartilage, unspecified
Other disorders of the musculoskeletal system and connective tissue

(M95-M99)
M95 Other acquired deformities of musculoskeletal system and connective tissue

Excludes: acquired:
• absence of limbs and organs (Z89-Z90)
• deformities of limbs (M20-M21)
congenital malformations and deformations of the musculoskeletal
system (Q65-Q79)
deforming dorsopathies (M40-M43)
dentofacial anomalies [including malocclusion] (K07.-)
postprocedural musculoskeletal disorders (M96.-)
M95.0 Acquired deformity of nose

Excludes: deviated nasal septum (J34.2)
XIII-57
M95.1 Cauliflower ear

Excludes: other acquired deformities of ear (H61.1)
M95.2 Other acquired deformity of head
M95.3 Acquired deformity of neck
M95.4 Acquired deformity of chest and rib
M95.5 Acquired deformity of pelvis

Excludes: maternal care for known or suspected disproportion (O33.-)
M95.8 Other specified acquired deformities of musculoskeletal system
M95.9 Acquired deformity of musculoskeletal system, unspecified
M96 Postprocedural musculoskeletal disorders, not elsewhere classified

Excludes: arthropathy following intestinal bypass (M02.0)
disorders associated with osteoporosis (M80-M81)
presence of functional implants and other devices (Z95-Z97)
M96.0 Pseudarthrosis after fusion or arthrodesis
M96.1 Postlaminectomy syndrome, not elsewhere classified
M96.2 Postradiation kyphosis
M96.3 Postlaminectomy kyphosis
M96.4 Postsurgical lordosis
M96.5 Postradiation scoliosis
M96.6 Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or

bone plate
Excludes: complication of internal orthopaedic devices, implants or grafts (T84.-)
XIII-58
M96.8 Other postprocedural musculoskeletal disorders

Instability of joint secondary to removal of joint prosthesis
M96.9 Postprocedural musculoskeletal disorder, unspecified
M99 Biomechanical lesions, not elsewhere classified

Note: This category should not be used if the condition can be classified
elsewhere.
The following supplementary subclassification to indicate the site of lesions is

provided for optional use with appropriate subcategories in M99.-; see also note on
page XIII-2.
0 Head region occipitocervical
1 Cervical region cervicothoracic
2 Thoracic region thoracolumbar
3 Lumbar region lumbosacral
4 Sacral region sacrococcygeal, sacroiliac
5 Pelvic region hip, pubic
6 Lower extremity
7 Upper extremity acromioclavicular, sternoclavicular
8 Rib cage costochondral, costovertebral, sternochondral
9 Abdomen and other
M99.0 Segmental and somatic dysfunction
M99.1 Subluxation complex (vertebral)
M99.2 Subluxation stenosis of neural canal
M99.3 Osseous stenosis of neural canal
XIII-59
M99.4 Connective tissue stenosis of neural canal
M99.5 Intervertebral disc stenosis of neural canal
M99.6 Osseous and subluxation stenosis of intervertebral foramina
M99.7 Connective tissue and disc stenosis of intervertebral foramina
M99.8 Other biomechanical lesions
M99.9 Biomechanical lesion, unspecified
XIII-60
CHAPTER XIV
Diseases of the genitourinary system

(N00-N99)

(Q00-Q99)
neoplasms (C00-D48)
N00-N08 Glomerular diseases

N10-N16 Renal tubulo-interstitial diseases
N17-N19 Renal failure
N20-N23 Urolithiasis
N25-N29 Other disorders of kidney and ureter
N30-N39 Other diseases of urinary system
N40-N51 Diseases of male genital organs
N60-N64 Disorders of breast
N70-N77 Inflammatory diseases of female pelvic organs
N80-N98 Noninflammatory disorders of female genital tract
N99 Other disorders of genitourinary tract

XIV-1
Glomerular diseases
(N00-N08)
Use additional code, if desired, to identify external cause (Chapter XX) or presence of renal
failure (N17-N19).
Excludes: hypertensive renal disease (I12.-)
The following fourth-character subdivisions classify morphological changes and are for use with
categories N00-N07. Subdivisions .0-.8 should not normally be used unless these have been
specifically identified (e.g. by renal biopsy or autopsy). The three-character categories relate to
clinical syndromes.
.0 Minor glomerular abnormality

Minimal change lesion
.1 Focal and segmental glomerular lesions

Focal and segmental:
• hyalinosis
• sclerosis
Focal glomerulonephritis
.2 Diffuse membranous glomerulonephritis
.3 Diffuse mesangial proliferative glomerulonephritis
.4 Diffuse endocapillary proliferative glomerulonephritis
.5 Diffuse mesangiocapillary glomerulonephritis

Membranoproliferative glomerulonephritis, types 1 and 3, or NOS
.6 Dense deposit disease

Membranoproliferative glomerulonephritis, type 2
.7 Diffuse crescentic glomerulonephritis

Extracapillary glomerulonephritis
.8 Other
Proliferative glomerulonephritis NOS
.9 Unspecified
XIV-2
DISEASES OF THE GENITOURINARY SYSTEM
N00 Acute nephritic syndrome

[See page XIV-2 for subdivisions]
Includes: acute:
• glomerular disease
• glomerulonephritis
• nephritis
• renal disease NOS
Excludes: acute infectious tubulo-interstitial nephritis (N10)

nephritic syndrome NOS (N05.-)
N01 Rapidly progressive nephritic syndrome

Includes: rapidly progressive:

• nephritis
Excludes: nephritic syndrome NOS (N05.-)
N02 Recurrent and persistent haematuria

Includes: haematuria:
• benign (familial)(of childhood)
• with morphological lesion specified in .0-.8 on page XIV-2
Excludes: haematuria NOS (R31)
XIV-3
N03 Chronic nephritic syndrome

Includes: chronic:
• nephritis
• renal disease NOS
Excludes: chronic tubulo-interstitial nephritis (N11.-)

diffuse sclerosing glomerulonephritis (N18.-)
nephritic syndrome NOS (N05.-)
N04 Nephrotic syndrome

Includes: congenital nephrotic syndrome

lipoid nephrosis
N05 Unspecified nephritic syndrome

Includes: glomerular disease

glomerulonephritis NOS
nephritis
nephropathy NOS and renal disease NOS with morphological lesion
specified in .0-.8 on page XIV-2
Excludes: nephropathy NOS with no stated morphological lesion (N28.9)

renal disease NOS with no stated morphological lesion (N28.9)
tubulo-interstitial nephritis NOS (N12)
XIV-4
N06 Isolated proteinuria with specified morphological lesion

Includes: proteinuria (isolated)(orthostatic)(persistent) with morphological

lesion specified in .0-.8 on page XIV-2
Excludes: proteinuria:
• NOS (R80)
• Bence Jones (R80)
• gestational (O12.1)
• isolated NOS (R80)
• orthostatic NOS (N39.2)
• persistent NOS (N39.1)
N07 Hereditary nephropathy, not elsewhere classified

Excludes: Alport's syndrome (Q87.8)

hereditary amyloid nephropathy (E85.0)
nail patella syndrome (Q87.2)
non-neuropathic heredofamilial amyloidosis (E85.0)

Includes: nephropathy in diseases classified elsewhere
Excludes: renal tubulo-interstitial disorders in diseases classified elsewhere

(N16.-*)
N08.0* Glomerular disorders in infectious and parasitic diseases classified elsewhere

Glomerular disorders in:
• Plasmodium malariae malaria (B52.0†)
• mumps (B26.8†)
• septicaemia (A40-A41†)
• strongyloidiasis (B78.-†)
XIV-5
N08.1* Glomerular disorders in neoplastic diseases

• Waldenström's macroglobulinaemia (C88.0†)
N08.2* Glomerular disorders in blood diseases and disorders involving the immune
mechanism
• cryoglobulinaemia (D89.1†)
• disseminated intravascular coagulation [defibrination syndrome] (D65†)
• haemolytic-uraemic syndrome (D59.3†)
• Henoch(-Schönlein) purpura (D69.0†)
• sickle-cell disorders (D57.-†)
N08.3* Glomerular disorders in diabetes mellitus (E10-E14† with common fourth

character .2)
N08.4* Glomerular disorders in other endocrine, nutritional and metabolic diseases

• amyloidosis (E85.-†)
• Fabry(-Anderson) disease (E75.2†)
• lecithin cholesterol acyltransferase deficiency (E78.6†)
N08.5* Glomerular disorders in systemic connective tissue disorders

• Goodpasture's syndrome (M31.0†)
• microscopic polyangiitis (M31.7†)
• thrombotic thrombocytopenic purpura (M31.1†)
• Wegener's granulomatosis (M31.3†)
N08.8* Glomerular disorders in other diseases classified elsewhere

Glomerular disorders in subacute bacterial endocarditis (I33.0†)
XIV-6
Renal tubulo-interstitial diseases

(N10-N16)
Includes: pyelonephritis
Excludes: pyeloureteritis cystica (N28.8)
N10 Acute tubulo-interstitial nephritis

Acute:
• infectious interstitial nephritis
• pyelitis
• pyelonephritis
N11 Chronic tubulo-interstitial nephritis

Includes: chronic:
• infectious interstitial nephritis
• pyelitis
• pyelonephritis
N11.0 Nonobstructive reflux-associated chronic pyelonephritis

Pyelonephritis (chronic) associated with (vesicoureteral) reflux
Excludes: vesicoureteral reflux NOS (N13.7)
N11.1 Chronic obstructive pyelonephritis

Pyelonephritis (chronic) associated with:
• anomaly
• kinking pelviureteric junction
of
• obstruction pyeloureteric junction
• stricture ureter
Excludes: calculous pyelonephritis (N20.9)

obstructive uropathy (N13.-)
XIV-7
N11.8 Other chronic tubulo-interstitial nephritis

Nonobstructive chronic pyelonephritis NOS
N11.9 Chronic tubulo-interstitial nephritis, unspecified

Chronic:
• interstitial nephritis NOS
• pyelitis NOS
• pyelonephritis NOS
N12 Tubulo-interstitial nephritis, not specified as acute or chronic

Interstitial nephritis NOS
Pyelitis NOS
Pyelonephritis NOS
Excludes: calculous pyelonephritis (N20.9)
N13 Obstructive and reflux uropathy

Excludes: calculus of kidney and ureter without hydronephrosis (N20.-)
congenital obstructive defects of renal pelvis and ureter
(Q62.0-Q62.3)
obstructive pyelonephritis (N11.1)
N13.0 Hydronephrosis with ureteropelvic junction obstruction

Excludes: with infection (N13.6)
N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified

N13.2 Hydronephrosis with renal and ureteral calculous obstruction

N13.3 Other and unspecified hydronephrosis

N13.4 Hydroureter
N13.5 Kinking and stricture of ureter without hydronephrosis

XIV-8
N13.6 Pyonephrosis
Conditions in N13.0-N13.5 with infection
Obstructive uropathy with infection
N13.7 Vesicoureteral-reflux-associated uropathy

Vesicoureteral reflux:
• NOS
• with scarring
Excludes: reflux-associated pyelonephritis (N11.0)
N13.8 Other obstructive and reflux uropathy
N13.9 Obstructive and reflux uropathy, unspecified

Urinary tract obstruction NOS
N14 Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions

agent.
N14.0 Analgesic nephropathy
N14.1 Nephropathy induced by other drugs, medicaments and biological substances
N14.2 Nephropathy induced by unspecified drug, medicament or biological

substance
N14.3 Nephropathy induced by heavy metals
N14.4 Toxic nephropathy, not elsewhere classified
N15 Other renal tubulo-interstitial diseases
N15.0 Balkan nephropathy

Balkan endemic nephropathy
N15.1 Renal and perinephric abscess
XIV-9
N15.8 Other specified renal tubulo-interstitial diseases
N15.9 Renal tubulo-interstitial disease, unspecified

Infection of kidney NOS
Excludes: urinary tract infection NOS (N39.0)
N16.0* Renal tubulo-interstitial disorders in infectious and parasitic diseases

Renal tubulo-interstitial disorders (due to)(in):
• brucellosis (A23.-†)
• diphtheria (A36.8†)
• septicaemia (A40-A41†)
N16.1* Renal tubulo-interstitial disorders in neoplastic diseases

Renal tubulo-interstitial disorders in:
• leukaemia (C91-C95†)
• lymphoma (C81-C85†, C96.-†)
N16.2* Renal tubulo-interstitial disorders in blood diseases and disorders involving

the immune mechanism
• mixed cryoglobulinaemia (D89.1†)
• sarcoidosis (D86.-†)
N16.3* Renal tubulo-interstitial disorders in metabolic diseases

• cystinosis (E72.0†)
• glycogen storage disease (E74.0†)
• Wilson's disease (E83.0†)
N16.4* Renal tubulo-interstitial disorders in systemic connective tissue disorders

XIV-10
N16.5* Renal tubulo-interstitial disorders in transplant rejection (T86.-†)
N16.8* Renal tubulo-interstitial disorders in other diseases classified elsewhere
Renal failure
(N17-N19)
Use additional external cause code (Chapter XX), if desired, to identify external agent.
Excludes: congenital renal failure (P96.0)

drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
extrarenal uraemia (R39.2)
haemolytic-uraemic syndrome (D59.3)
hepatorenal syndrome (K76.7)
• postpartum (O90.4)
prerenal uraemia (R39.2)
renal failure:
• complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
• following labour and delivery (O90.4)
• postprocedural (N99.0)
N17 Acute renal failure
N17.0 Acute renal failure with tubular necrosis

Tubular necrosis:
• NOS
• acute
• renal
N17.1 Acute renal failure with acute cortical necrosis

Cortical necrosis:
• NOS
• acute
• renal
XIV-11
N17.2 Acute renal failure with medullary necrosis

Medullary [papillary] necrosis:
• NOS
• acute
• renal
N17.8 Other acute renal failure
N17.9 Acute renal failure, unspecified
N18 Chronic renal failure

Includes: chronic uraemia
diffuse sclerosing glomerulonephritis
Excludes: chronic renal failure with hypertension (I12.0)
N18.0 End-stage renal disease
N18.8 Other chronic renal failure

Uraemic:
• neuropathy† (G63.8*)
• pericarditis† (I32.8*)
N18.9 Chronic renal failure, unspecified
N19 Unspecified renal failure

Uraemia NOS
Excludes: renal failure with hypertension (I12.0)

uraemia of newborn (P96.0)
XIV-12
Urolithiasis
(N20-N23)
N20 Calculus of kidney and ureter

Excludes: with hydronephrosis (N13.2)
N20.0 Calculus of kidney

Nephrolithiasis NOS
Renal calculus or stone
Staghorn calculus
Stone in kidney
N20.1 Calculus of ureter

Ureteric stone
N20.2 Calculus of kidney with calculus of ureter
N20.9 Urinary calculus, unspecified

Calculous pyelonephritis
N21 Calculus of lower urinary tract

Includes: with cystitis and urethritis
N21.0 Calculus in bladder

Calculus in diverticulum of bladder
Urinary bladder stone
Excludes: staghorn calculus (N20.0)
N21.1 Calculus in urethra
N21.8 Other lower urinary tract calculus
N21.9 Calculus of lower urinary tract, unspecified
N22.0* Urinary calculus in schistosomiasis [bilharziasis] (B65.-†)
N22.8* Calculus of urinary tract in other diseases classified elsewhere
XIV-13
N23 Unspecified renal colic
Other disorders of kidney and ureter

(N25-N29)
Excludes: with urolithiasis (N20-N23)
N25 Disorders resulting from impaired renal tubular function

Excludes: metabolic disorders classifiable to E70-E90
N25.0 Renal osteodystrophy

Azotaemic osteodystrophy
Phosphate-losing tubular disorders
Renal:
• rickets
• short stature
N25.1 Nephrogenic diabetes insipidus
N25.8 Other disorders resulting from impaired renal tubular function

Lightwood-Albright syndrome
Renal tubular acidosis NOS
Secondary hyperparathyroidism of renal origin
N25.9 Disorder resulting from impaired renal tubular function, unspecified
N26 Unspecified contracted kidney

Atrophy of kidney (terminal)
Renal sclerosis NOS
Excludes: contracted kidney with hypertension (I12.-)

diffuse sclerosing glomerulonephritis (N18.-)
hypertensive nephrosclerosis (arteriolar) (arteriosclerotic) (I12.-)
small kidney of unknown cause (N27.-)
XIV-14
N27 Small kidney of unknown cause
N27.0 Small kidney, unilateral
N27.1 Small kidney, bilateral
N27.9 Small kidney, unspecified
N28 Other disorders of kidney and ureter, not elsewhere classified

Excludes: hydroureter (N13.4)
renal disease:
• acute NOS (N00.9)
• chronic NOS (N03.9)
ureteric kinking and stricture:
• with hydronephrosis (N13.1)
• without hydronephrosis (N13.5)
N28.0 Ischaemia and infarction of kidney

Renal artery:
• embolism
• obstruction
• occlusion
• thrombosis
Renal infarct
Excludes: Goldblatt's kidney (I70.1)

renal artery (extrarenal part):
• atherosclerosis (I70.1)
• congenital stenosis (Q27.1)
N28.1 Cyst of kidney, acquired

Cyst (multiple) (solitary) of kidney, acquired
Excludes: cystic kidney disease (congenital) (Q61.-)
XIV-15
N28.8 Other specified disorders of kidney and ureter

Hypertrophy of kidney
Megaloureter
Nephroptosis
Pyelitis
Pyeloureteritis cystica
Ureteritis
Ureterocele
N28.9 Disorder of kidney and ureter, unspecified

Nephropathy NOS
Renal disease NOS
Excludes: nephropathy NOS and renal disease NOS with morphological lesion
specified in .0-.8 on page XIV-2 (N05.-)
N29.0* Late syphilis of kidney (A52.7†)
N29.1* Other disorders of kidney and ureter in infectious and parasitic diseases
Disorders of kidney and ureter in:
N29.8* Other disorders of kidney and ureter in other diseases classified elsewhere
XIV-16
Other diseases of urinary system

(N30-N39)
Excludes: urinary infection (complicating):

• pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2)
• with urolithiasis (N20-N23)
N30 Cystitis
Use additional code, if desired, to identify infectious agent (B95-B97) or
responsible external agent (Chapter XX).
Excludes: prostatocystitis (N41.3)
N30.0 Acute cystitis

Excludes: irradiation cystitis (N30.4)
trigonitis (N30.3)
N30.1 Interstitial cystitis (chronic)
N30.2 Other chronic cystitis
N30.3 Trigonitis
Urethrotrigonitis
N30.4 Irradiation cystitis
N30.8 Other cystitis

Abscess of bladder
N30.9 Cystitis, unspecified
N31 Neuromuscular dysfunction of bladder, not elsewhere classified

Excludes: cord bladder NOS (G95.8)
due to spinal cord lesion (G95.8)
neurogenic bladder due to cauda equina syndrome (G83.4)
urinary incontinence:
• NOS (R32)
• specified (N39.3-N39.4)
N31.0 Uninhibited neuropathic bladder, not elsewhere classified
XIV-17
N31.1 Reflex neuropathic bladder, not elsewhere classified
N31.2 Flaccid neuropathic bladder, not elsewhere classified

Neuropathic bladder:
• atonic (motor) (sensory)
• autonomous
• nonreflex
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified

Neurogenic bladder dysfunction NOS
N32 Other disorders of bladder

Excludes: calculus in bladder (N21.0)
cystocele (N81.1)
hernia or prolapse of bladder, female (N81.1)
N32.0 Bladder-neck obstruction

Bladder-neck stenosis (acquired)
N32.1 Vesicointestinal fistula

Vesicorectal fistula
N32.2 Vesical fistula, not elsewhere classified

Excludes: fistula between bladder and female genital tract (N82.0-N82.1)
N32.3 Diverticulum of bladder

Diverticulitis of bladder
Excludes: calculus in diverticulum of bladder (N21.0)
N32.4 Rupture of bladder, nontraumatic
N32.8 Other specified disorders of bladder

Bladder:
• calcified
• contracted
N32.9 Bladder disorder, unspecified
XIV-18
N33.0* Tuberculous cystitis (A18.1†)
N33.8* Bladder disorders in other diseases classified elsewhere

Bladder disorder in schistosomiasis [bilharziasis] (B65.-†)
N34 Urethritis and urethral syndrome

Excludes: Reiter's disease (M02.3)

urethritis in diseases with a predominantly sexual mode of
transmission (A50-A64)
urethrotrigonitis (N30.3)
N34.0 Urethral abscess

Abscess (of):
• Cowper's gland
• Littré's gland
• periurethral
• urethral (gland)
Excludes: urethral caruncle (N36.2)
N34.1 Nonspecific urethritis

Urethritis:
• nongonococcal
• nonvenereal
N34.2 Other urethritis

Meatitis, urethral
Ulcer of urethra (meatus)
Urethritis:
• NOS
• postmenopausal
N34.3 Urethral syndrome, unspecified
XIV-19
N35 Urethral stricture

Excludes: postprocedural urethral stricture (N99.1)
N35.0 Post-traumatic urethral stricture

Stricture of urethra as a sequela of:
• childbirth
• injury
N35.1 Postinfective urethral stricture, not elsewhere classified
N35.8 Other urethral stricture
N35.9 Urethral stricture, unspecified

Pinhole meatus NOS
N36 Other disorders of urethra
N36.0 Urethral fistula

False urethral passage
Fistula:
• urethroperineal
• urethrorectal
• urinary NOS
Excludes: fistula:
• urethroscrotal (N50.8)
• urethrovaginal (N82.1)
N36.1 Urethral diverticulum
N36.2 Urethral caruncle
N36.3 Prolapsed urethral mucosa

Prolapse of urethra
Urethrocele, male
Excludes: urethrocele, female (N81.0)

N36.8 Other specified disorders of urethra
N36.9 Urethral disorder, unspecified
XIV-20
N37.0* Urethritis in diseases classified elsewhere

Candidal urethritis (B37.4†)
N37.8* Other urethral disorders in diseases classified elsewhere
N39 Other disorders of urinary system

Excludes: haematuria:
• NOS (R31)
• recurrent and persistent (N02.-)
• with specified morphological lesion (N02.-)
proteinuria NOS (R80)
N39.0 Urinary tract infection, site not specified

N39.1 Persistent proteinuria, unspecified

Excludes: complicating pregnancy, childbirth and the puerperium (O11-O15)
with specified morphological lesion (N06.-)
N39.2 Orthostatic proteinuria, unspecified

Excludes: with specified morphological lesion (N06.-)
N39.3 Stress incontinence

Use additional code (N32.8), if desired, to identify overactive bladder or destrusor
muscle hyperactivity.
N39.4 Other specified urinary incontinence

Overflow
Reflex incontinence
Urge
Use additional code (N32.8), if desired, to identify overactive bladder or destrusor

muscle hyperactivity.
Excludes: enuresis NOS (R32)

urinary incontinence (of):
• NOS (R32)
• nonorganic origin (F98.0)
XIV-21
N39.8 Other specified disorders of urinary system
N39.9 Disorder of urinary system, unspecified
Diseases of male genital organs

(N40-N51)
N40 Hyperplasia of prostate

Adenofibromatous hypertrophy
Adenoma (benign)
Enlargement (benign)
Fibroadenoma of prostate
Fibroma
Hypertrophy (benign)
Myoma
Median bar (prostate)
Prostatic obstruction NOS
Excludes: benign neoplasms, except adenoma, fibroma and myoma of prostate

(D29.1)
N41 Inflammatory diseases of prostate

N41.0 Acute prostatitis
N41.1 Chronic prostatitis
N41.2 Abscess of prostate
N41.3 Prostatocystitis
N41.8 Other inflammatory diseases of prostate
N41.9 Inflammatory disease of prostate, unspecified

Prostatitis NOS
XIV-22
N42 Other disorders of prostate
N42.0 Calculus of prostate

Prostatic stone
N42.1 Congestion and haemorrhage of prostate
N42.2 Atrophy of prostate
N42.8 Other specified disorders of prostate
N42.9 Disorder of prostate, unspecified
N43 Hydrocele and spermatocele

Includes: hydrocele of spermatic cord, testis or tunica vaginalis
Excludes: congenital hydrocele (P83.5)
N43.0 Encysted hydrocele
N43.1 Infected hydrocele

N43.2 Other hydrocele
N43.3 Hydrocele, unspecified
N43.4 Spermatocele
N44 Torsion of testis

Torsion of:
• epididymis
• spermatic cord
• testicle
N45 Orchitis and epididymitis

N45.0 Orchitis, epididymitis and epididym-orchitis with abscess

Abscess of epididymis or testis
XIV-23
N45.9 Orchitis, epididymitis and epididymo-orchitis without abscess

Epididymitis NOS
Orchitis NOS
N46 Male infertility

Azoospermia NOS
Oligospermia NOS
N47 Redundant prepuce, phimosis and paraphimosis

Adherent prepuce
Tight foreskin
N48 Other disorders of penis
N48.0 Leukoplakia of penis

Balanitis xerotica obliterans
Kraurosis of penis
Excludes: carcinoma in situ of penis (D07.4)
N48.1 Balanoposthitis
Balanitis
N48.2 Other inflammatory disorders of penis

Abscess
Boil of corpus cavernosum and penis
Carbuncle
Cellulitis
Cavernitis (penis)
N48.3 Priapism
Painful erection
N48.4 Impotence of organic origin

Excludes: psychogenic impotence (F52.2)
XIV-24
N48.5 Ulcer of penis
N48.6 Induratio penis plastica

Peyronie's disease
Plastic induration of penis
N48.8 Other specified disorders of penis

Atrophy
Hypertrophy of corpus cavernosum and penis
Thrombosis
N48.9 Disorder of penis, unspecified
N49 Inflammatory disorders of male genital organs, not elsewhere classified

Excludes: inflammation of penis (N48.1-N48.2)

orchitis and epididymitis (N45.-)
N49.0 Inflammatory disorders of seminal vesicle

Vesiculitis NOS
N49.1 Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens
Vasitis
N49.2 Inflammatory disorders of scrotum
N49.8 Inflammatory disorders of other specified male genital organs

Inflammation of multiple sites in male genital organs
N49.9 Inflammatory disorder of unspecified male genital organ

Abscess
Boil of unspecified male
Carbuncle genital organ
Cellulitis
N50 Other disorders of male genital organs

Excludes: torsion of testis (N44)
N50.0 Atrophy of testis
XIV-25
N50.1 Vascular disorders of male genital organs

Haematocele NOS
Haemorrhage of male genital organs
Thrombosis
N50.8 Other specified disorders of male genital organs

Atrophy
Hypertrophy of scrotum, seminal vesicle, spermatic
Oedema cord, testis [except atrophy], tunica
Ulcer vaginalis and vas deferens
Chylocele, tunica vaginalis (nonfilarial) NOS
Fistula, urethroscrotal
Stricture of:
• spermatic cord
• tunica vaginalis
• vas deferens
N50.9 Disorder of male genital organs, unspecified
N51.0* Disorders of prostate in diseases classified elsewhere

Prostatitis:
• trichomonal (A59.0†)
N51.1* Disorders of testis and epididymis in diseases classified elsewhere

Chlamydial:
• epididymitis (A56.1†)
• orchitis (A56.1†)
Gonococcal:
• epididymitis (A54.2†)
• orchitis (A54.2†)
Mumps orchitis (B26.0†)
Tuberculosis of:
• epididymis (A18.1†)
• testis (A18.1†)
XIV-26
N51.2* Balanitis in diseases classified elsewhere

Balanitis:
• amoebic (A06.8†)
• candidal (B37.4†)
N51.8* Other disorders of male genital organs in diseases classified elsewhere

Filarial chylocele, tunica vaginalis (B74.-†)
Herpesviral [herpes simplex] infection of male genital tract (A60.0†)
Tuberculosis of seminal vesicle (A18.1†)
Disorders of breast
(N60-N64)
Excludes: disorders of breast associated with childbirth (O91-O92)
N60 Benign mammary dysplasia

Includes: fibrocystic mastopathy
N60.0 Solitary cyst of breast

Cyst of breast
N60.1 Diffuse cystic mastopathy

Cystic breast
Excludes: with epithelial proliferation (N60.3)
N60.2 Fibroadenosis of breast

Excludes: fibroadenoma of breast (D24)
N60.3 Fibrosclerosis of breast

Cystic mastopathy with epithelial proliferation
N60.4 Mammary duct ectasia
N60.8 Other benign mammary dysplasias
N60.9 Benign mammary dysplasia, unspecified
XIV-27
N61 Inflammatory disorders of breast

Abscess (acute) (chronic) (nonpuerperal) of:
• areola
• breast
Carbuncle of breast
Mastitis (acute) (subacute) (nonpuerperal):
• NOS
• infective
Excludes: neonatal infective mastitis (P39.0)
N62 Hypertrophy of breast

Gynaecomastia
Hypertrophy of breast:
• NOS
• massive pubertal
N63 Unspecified lump in breast

Nodule(s) NOS in breast
N64 Other disorders of breast
N64.0 Fissure and fistula of nipple
N64.1 Fat necrosis of breast

Fat necrosis (segmental) of breast
N64.2 Atrophy of breast
N64.3 Galactorrhoea not associated with childbirth
N64.4 Mastodynia
N64.5 Other signs and symptoms in breast

Induration of breast
Nipple discharge
Retraction of nipple
XIV-28
N64.8 Other specified disorders of breast

Galactocele
Subinvolution of breast (postlactational)
N64.9 Disorder of breast, unspecified
Inflammatory diseases of female pelvic organs

(N70-N77)
Excludes: those complicating:

• pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)
N70 Salpingitis and oophoritis

Includes: abscess (of):
• fallopian tube
• ovary
• tubo-ovarian
pyosalpinx
salpingo-oophoritis
tubo-ovarian inflammatory disease
N70.0 Acute salpingitis and oophoritis
N70.1 Chronic salpingitis and oophoritis

Hydrosalpinx
N70.9 Salpingitis and oophoritis, unspecified
XIV-29
N71 Inflammatory disease of uterus, except cervix

Includes: endo(myo)metritis
metritis
myometritis
pyometra
uterine abscess
N71.0 Acute inflammatory disease of uterus
N71.1 Chronic inflammatory disease of uterus
N71.9 Inflammatory disease of uterus, unspecified
N72 Inflammatory disease of cervix uteri

Cervicitis
Endocervicitis with or without erosion or ectropion
Exocervicitis
Excludes: erosion and ectropion of cervix without cervicitis (N86)
N73 Other female pelvic inflammatory diseases

N73.0 Acute parametritis and pelvic cellulitis

Abscess of:
• broad ligament
• parametrium specified as acute
Pelvic cellulitis, female
N73.1 Chronic parametritis and pelvic cellulitis

Any condition in N73.0 specified as chronic
N73.2 Unspecified parametritis and pelvic cellulitis

Any condition in N73.0 unspecified whether acute or chronic
N73.3 Female acute pelvic peritonitis
XIV-30
N73.4 Female chronic pelvic peritonitis
N73.5 Female pelvic peritonitis, unspecified
N73.6 Female pelvic peritoneal adhesions

Excludes: postprocedural pelvic peritoneal adhesions (N99.4)
N73.8 Other specified female pelvic inflammatory diseases
N73.9 Female pelvic inflammatory disease, unspecified

Female pelvic infection or inflammation NOS
N74.0* Tuberculous infection of cervix uteri (A18.1†)
N74.1* Female tuberculous pelvic inflammatory disease (A18.1†)

Tuberculous endometritis
N74.2* Female syphilitic pelvic inflammatory disease (A51.4†, A52.7†)
N74.3* Female gonococcal pelvic inflammatory disease (A54.2†)
N74.4* Female chlamydial pelvic inflammatory disease (A56.1†)
N74.8* Female pelvic inflammatory disorders in other diseases classified elsewhere
N75 Diseases of Bartholin's gland
N75.0 Cyst of Bartholin's gland
N75.1 Abscess of Bartholin's gland
N75.8 Other diseases of Bartholin's gland

Bartholinitis
N75.9 Disease of Bartholin's gland, unspecified
XIV-31
N76 Other inflammation of vagina and vulva

Excludes: senile (atrophic) vaginitis (N95.2)
N76.0 Acute vaginitis

Vaginitis NOS
Vulvovaginitis:
• NOS
• acute
N76.1 Subacute and chronic vaginitis

Vulvovaginitis:
• chronic
• subacute
N76.2 Acute vulvitis

Vulvitis NOS
N76.3 Subacute and chronic vulvitis
N76.4 Abscess of vulva

Furuncle of vulva
N76.5 Ulceration of vagina
N76.6 Ulceration of vulva
N76.8 Other specified inflammation of vagina and vulva
N77.0* Ulceration of vulva in infectious and parasitic diseases classified elsewhere

Ulceration of vulva in:
• herpesviral [herpes simplex] infection (A60.0†)
XIV-32
N77.1* Vaginitis, vulvitis and vulvovaginitis in infectious and parasitic diseases

Vaginitis, vulvitis and vulvovaginitis in:
• herpesviral [herpes simplex] infection (A60.0†)
• pinworm infection (B80†)
N77.8* Vulvovaginal ulceration and inflammation in other diseases classified

elsewhere
Ulceration of vulva in Behçet's disease (M35.2†)
Noninflammatory disorders of female genital tract

(N80-N98)
N80 Endometriosis
N80.0 Endometriosis of uterus

Adenomyosis
N80.1 Endometriosis of ovary
N80.2 Endometriosis of fallopian tube
N80.3 Endometriosis of pelvic peritoneum
N80.4 Endometriosis of rectovaginal septum and vagina
N80.5 Endometriosis of intestine
N80.6 Endometriosis in cutaneous scar
N80.8 Other endometriosis
N80.9 Endometriosis, unspecified
XIV-33
N81 Female genital prolapse

Excludes: genital prolapse complicating pregnancy, labour or delivery (O34.5)
prolapse and hernia of ovary and fallopian tube (N83.4)
prolapse of vaginal vault after hysterectomy (N99.3)
N81.0 Female urethrocele

Excludes: urethrocele with:
• cystocele (N81.1)
• prolapse of uterus (N81.2-N81.4)
N81.1 Cystocele
Cystocele with urethrocele
Prolapse of (anterior) vaginal (wall) NOS
Excludes: cystocele with prolapse of uterus (N81.2-N81.4)
N81.2 Incomplete uterovaginal prolapse

Prolapse of cervix NOS
Uterine prolapse:
• first degree
• second degree
N81.3 Complete uterovaginal prolapse

Procidentia (uteri) NOS
Third degree uterine prolapse
N81.4 Uterovaginal prolapse, unspecified

Prolapse of uterus NOS
N81.5 Vaginal enterocele

Excludes: enterocele with prolapse of uterus (N81.2-N81.4)
N81.6 Rectocele
Prolapse of posterior vaginal wall
Excludes: rectal prolapse (K62.3)

rectocele with prolapse of uterus (N81.2-N81.4)
XIV-34
N81.8 Other female genital prolapse

Deficient perineum
Old laceration of muscles of pelvic floor
N81.9 Female genital prolapse, unspecified
N82 Fistulae involving female genital tract

Excludes: vesicointestinal fistulae (N32.1)
N82.0 Vesicovaginal fistula
N82.1 Other female urinary-genital tract fistulae

Fistula:
• cervicovesical
• ureterovaginal
• urethrovaginal
• uteroureteric
• uterovesical
N82.2 Fistula of vagina to small intestine
N82.3 Fistula of vagina to large intestine

Rectovaginal fistula
N82.4 Other female intestinal-genital tract fistulae

Intestinouterine fistula
N82.5 Female genital tract-skin fistulae

Fistula:
• uterus to abdominal wall
• vaginoperineal
N82.8 Other female genital tract fistulae
N82.9 Female genital tract fistula, unspecified
XIV-35
N83 Noninflammatory disorders of ovary, fallopian tube and broad ligament

Excludes: hydrosalpinx (N70.1)
N83.0 Follicular cyst of ovary

Cyst of graafian follicle
Haemorrhagic follicular cyst (of ovary)
N83.1 Corpus luteum cyst

Haemorrhagic corpus luteum cyst
N83.2 Other and unspecified ovarian cysts

Retention
of ovary
Simple Cyst
Excludes: ovarian cyst:

• developmental (Q50.1)
• neoplastic (D27)
polycystic ovarian syndrome (E28.2)
N83.3 Acquired atrophy of ovary and fallopian tube

N83.4 Prolapse and hernia of ovary and fallopian tube
N83.5 Torsion of ovary, ovarian pedicle and fallopian tube
Torsion:
• accessory tube
• hydatid of Morgagni
N83.6 Haematosalpinx
Excludes: haematosalpinx with:
• haematocolpos (N89.7)
• haematometra (N85.7)
N83.7 Haematoma of broad ligament
N83.8 Other noninflammatory disorders of ovary, fallopian tube and broad

ligament
Broad ligament laceration syndrome [Allen-Masters]
N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament,

unspecified
XIV-36
N84 Polyp of female genital tract

Excludes: adenomatous polyp (D28.-)
placental polyp (O90.8)
N84.0 Polyp of corpus uteri

Polyp of:
• endometrium
• uterus NOS
Excludes: polypoid endometrial hyperplasia (N85.0)
N84.1 Polyp of cervix uteri

Mucous polyp of cervix
N84.2 Polyp of vagina
N84.3 Polyp of vulva

Polyp of labia
N84.8 Polyp of other parts of female genital tract
N84.9 Polyp of female genital tract, unspecified
N85 Other noninflammatory disorders of uterus, except cervix

Excludes: endometriosis (N80.-)
inflammatory diseases of uterus (N71.-)
noninflammatory disorders of cervix (N86-N88)
polyp of corpus uteri (N84.0)
uterine prolapse (N81.-)
N85.0 Endometrial glandular hyperplasia

Hyperplasia of endometrium:
• NOS
• cystic
• glandular-cystic
• polypoid
N85.1 Endometrial adenomatous hyperplasia

Hyperplasia of endometrium, atypical (adenomatous)
XIV-37
N85.2 Hypertrophy of uterus

Bulky or enlarged uterus
Excludes: puerperal hypertrophy of uterus (O90.8)
N85.3 Subinvolution of uterus

Excludes: puerperal subinvolution of uterus (O90.8)
N85.4 Malposition of uterus

Anteversion
Retroflexion of uterus
Retroversion
Excludes: that complicating pregnancy, labour or delivery (O34.5, O65.5)
N85.5 Inversion of uterus

Excludes: current obstetric trauma (O71.2)
postpartum inversion of uterus (O71.2)
N85.6 Intrauterine synechiae
N85.7 Haematometra
Haematosalpinx with haematometra
Excludes: haematometra with haematocolpos (N89.7)
N85.8 Other specified noninflammatory disorders of uterus

Atrophy of uterus, acquired
Fibrosis of uterus NOS
N85.9 Noninflammatory disorder of uterus, unspecified

Disorder of uterus NOS
N86 Erosion and ectropion of cervix uteri

Decubitus (trophic) ulcer
of cervix
Eversion
Excludes: with cervicitis (N72)
XIV-38
N87 Dysplasia of cervix uteri

Excludes: carcinoma in situ of cervix (D06.-)
N87.0 Mild cervical dysplasia

Cervical intraepithelial neoplasia [CIN], grade I
N87.1 Moderate cervical dysplasia

Cervical intraepithelial neoplasia [CIN], grade II
N87.2 Severe cervical dysplasia, not elsewhere classified

Severe cervical dysplasia NOS
Excludes: cervical intraepithelial neoplasia [CIN], grade III, with or without

mention of severe dysplasia (D06.-)
N87.9 Dysplasia of cervix uteri, unspecified
N88 Other noninflammatory disorders of cervix uteri

Excludes: inflammatory disease of cervix (N72)
polyp of cervix (N84.1)
N88.0 Leukoplakia of cervix uteri
N88.1 Old laceration of cervix uteri

Adhesions of cervix
N88.2 Stricture and stenosis of cervix uteri

Excludes: complicating labour (O65.5)
N88.3 Incompetence of cervix uteri

Investigation and management of (suspected) cervical incompetence in a
nonpregnant woman
Excludes: affecting fetus or newborn (P01.0)

complicating pregnancy (O34.3)
N88.4 Hypertrophic elongation of cervix uteri
XIV-39
N88.8 Other specified noninflammatory disorders of cervix uteri

N88.9 Noninflammatory disorder of cervix uteri, unspecified
N89 Other noninflammatory disorders of vagina

Excludes: carcinoma in situ of vagina (D07.2)
inflammation of vagina (N76.-)
senile (atrophic) vaginitis (N95.2)
trichomonal leukorrhoea (A59.0)
N89.0 Mild vaginal dysplasia

Vaginal intraepithelial neoplasia [VAIN], grade I
N89.1 Moderate vaginal dysplasia

Vaginal intraepithelial neoplasia [VAIN], grade II
N89.2 Severe vaginal dysplasia, not elsewhere classified

Severe vaginal dysplasia NOS
Excludes: vaginal intraepithelial neoplasia [VAIN], grade III, with or without

mention of severe dysplasia (D07.2)
N89.3 Dysplasia of vagina, unspecified
N89.4 Leukoplakia of vagina
N89.5 Stricture and atresia of vagina

Vaginal:
• adhesions
• stenosis
Excludes: postoperative adhesions of vagina (N99.2)
N89.6 Tight hymenal ring

Rigid hymen
Tight introitus
Excludes: imperforate hymen (Q52.3)
XIV-40
N89.7 Haematocolpos
Haematocolpos with haematometra or haematosalpinx
N89.8 Other specified noninflammatory disorders of vagina

Leukorrhoea NOS
Old vaginal laceration
Pessary ulcer of vagina
Excludes: current obstetric trauma (O70.-, O71.4, O71.7-O71.8)

old laceration involving muscles of pelvic floor (N81.8)
N89.9 Noninflammatory disorder of vagina, unspecified
N90 Other noninflammatory disorders of vulva and perineum

Excludes: carcinoma in situ of vulva (D07.1)
current obstetric trauma (O70.-, O71.7-O71.8)
inflammation of vulva (N76.-)
N90.0 Mild vulvar dysplasia

Vulvar intraepithelial neoplasia [VIN], grade I
N90.1 Moderate vulvar dysplasia

Vulvar intraepithelial neoplasia [VIN], grade II
N90.2 Severe vulvar dysplasia, not elsewhere classified

Severe vulvar dysplasia NOS
Excludes: vulvar intraepithelial neoplasia [VIN], grade III, with or without

mention of severe dysplasia (D07.1)
N90.3 Dysplasia of vulva, unspecified
N90.4 Leukoplakia of vulva

Dystrophy
Kraurosis of vulva
N90.5 Atrophy of vulva

Stenosis of vulva
XIV-41
N90.6 Hypertrophy of vulva

Hypertrophy of labia
N90.7 Vulvar cyst
N90.8 Other specified noninflammatory disorders of vulva and perineum

Adhesions of vulva
Hypertrophy of clitoris
N90.9 Noninflammatory disorder of vulva and perineum, unspecified
N91 Absent, scanty and rare menstruation

Excludes: ovarian dysfunction (E28.-)
N91.0 Primary amenorrhoea

Failure to start menstruation at puberty.
N91.1 Secondary amenorrhoea

Absence of menstruation in a woman who had previously menstruated.
N91.2 Amenorrhoea, unspecified

Absence of menstruation NOS
N91.3 Primary oligomenorrhoea

Menstruation which is scanty or rare from the start.
N91.4 Secondary oligomenorrhoea

Scanty and rare menstruation in a woman with previously normal periods.
N91.5 Oligomenorrhoea, unspecified

Hypomenorrhoea NOS
N92 Excessive, frequent and irregular menstruation

Excludes: postmenopausal bleeding (N95.0)
N92.0 Excessive and frequent menstruation with regular cycle

Heavy periods NOS
Menorrhagia NOS
Polymenorrhoea
XIV-42
N92.1 Excessive and frequent menstruation with irregular cycle

Irregular intermenstrual bleeding
Irregular, shortened intervals between menstrual bleeding
Menometrorrhagia
Metrorrhagia
N92.2 Excessive menstruation at puberty

Excessive bleeding associated with onset of menstrual periods
Pubertal menorrhagia
Puberty bleeding
N92.3 Ovulation bleeding

Regular intermenstrual bleeding
N92.4 Excessive bleeding in the premenopausal period

Menorrhagia or metrorrhagia:
• climacteric
• menopausal
• preclimacteric
• premenopausal
N92.5 Other specified irregular menstruation
N92.6 Irregular menstruation, unspecified

Irregular:
• bleeding NOS
• periods NOS
Excludes: irregular menstruation with:

• lengthened intervals or scanty bleeding (N91.3-N91.5)
• shortened intervals or excessive bleeding (N92.1)
N93 Other abnormal uterine and vaginal bleeding

Excludes: neonatal vaginal haemorrhage (P54.6)
pseudomenses (P54.6)
N93.0 Postcoital and contact bleeding
XIV-43
N93.8 Other specified abnormal uterine and vaginal bleeding

Dysfunctional or functional uterine or vaginal bleeding NOS
N93.9 Abnormal uterine and vaginal bleeding, unspecified
N94 Pain and other conditions associated with female genital organs and
menstrual cycle
N94.0 Mittelschmerz
N94.1 Dyspareunia
Excludes: psychogenic dyspareunia (F52.6)
N94.2 Vaginismus
Excludes: psychogenic vaginismus (F52.5)
N94.3 Premenstrual tension syndrome
N94.4 Primary dysmenorrhoea
N94.5 Secondary dysmenorrhoea
N94.6 Dysmenorrhoea, unspecified
N94.8 Other specified conditions associated with female genital organs and
menstrual cycle
N94.9 Unspecified condition associated with female genital organs and menstrual
cycle
N95 Menopausal and other perimenopausal disorders

Excludes: excessive bleeding in the premenopausal period (N92.4)
postmenopausal:
• osteoporosis (M81.0)
• with pathological fracture (M80.0)
• urethritis (N34.2)
premature menopause NOS (E28.3)
N95.0 Postmenopausal bleeding

Excludes: that associated with artificial menopause (N95.3)
XIV-44
N95.1 Menopausal and female climacteric states

Symptoms such as flushing, sleeplessness, headache, lack of concentration,
associated with menopause
Excludes: those associated with artificial menopause (N95.3)
N95.2 Postmenopausal atrophic vaginitis

Senile (atrophic) vaginitis
Excludes: that associated with artificial menopause (N95.3)
N95.3 States associated with artificial menopause

Post-artificial-menopause syndrome
N95.8 Other specified menopausal and perimenopausal disorders
N95.9 Menopausal and perimenopausal disorder, unspecified
N96 Habitual aborter

Investigation or care in a nonpregnant woman
Relative infertility
Excludes: currently pregnant (O26.2)

with current abortion (O03-O06)
N97 Female infertility

Includes: inability to achieve a pregnancy
sterility, female NOS
Excludes: relative infertility (N96)
N97.0 Female infertility associated with anovulation
N97.1 Female infertility of tubal origin

Associated with congenital anomaly of tube
Tubal:
• block
• occlusion
• stenosis
XIV-45
N97.2 Female infertility of uterine origin

Associated with congenital anomaly of uterus
Nonimplantation of ovum
N97.3 Female infertility of cervical origin
N97.4 Female infertility associated with male factors
N97.8 Female infertility of other origin
N97.9 Female infertility, unspecified
N98 Complications associated with artificial fertilization
N98.0 Infection associated with artificial insemination
N98.1 Hyperstimulation of ovaries

Hyperstimulation of ovaries:
• NOS
• associated with induced ovulation
N98.2 Complications of attempted introduction of fertilized ovum following in vitro

fertilization
N98.3 Complications of attempted introduction of embryo in embryo transfer
N98.8 Other complications associated with artificial fertilization

Complications of artificial insemination by:
• donor
• husband
N98.9 Complication associated with artificial fertilization, unspecified
XIV-46
Other disorders of the genitourinary system

(N99)
N99 Postprocedural disorders of genitourinary system, not elsewhere classified

Excludes: irradiation cystitis (N30.4)
postoophorectomy osteoporosis (M81.1)
• with pathological fracture (M80.1)
states associated with artificial menopause (N95.3)
N99.0 Postprocedural renal failure
N99.1 Postprocedural urethral stricture

Postcatheterization urethral stricture
N99.2 Postoperative adhesions of vagina
N99.3 Prolapse of vaginal vault after hysterectomy
N99.4 Postprocedural pelvic peritoneal adhesions
N99.5 Malfunction of external stoma of urinary tract
N99.8 Other postprocedural disorders of genitourinary system

Residual ovary syndrome
N99.9 Postprocedural disorder of genitourinary system, unspecified
XIV-47
CHAPTER XV
Pregnancy, childbirth and the puerperium

(O00-O99)
Excludes: human immunodeficiency virus [HIV] disease (B20-B24)

injury, poisoning and certain other consequences of external cause (S00-T98)
mental and behavioural disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)
supervision of:
• high-risk pregnancy (Z35.-)
• normal pregnancy (Z34.-)
O00-O08 Pregnancy with abortive outcome

O10-O16 Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the
puerperium
O20-O29 Other maternal disorders predominantly related to pregnancy
O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
O60-O75 Complications of labour and delivery
O80-O84 Delivery
O85-O92 Complications predominantly related to the puerperium
O94-O99 Other obstetric conditions, not elsewhere classified
XV-1
Pregnancy with abortive outcome

(O00-O08)
Excludes: continuing pregnancy in multiple gestation after abortion of one fetus or more
(O31.1)
O00 Ectopic pregnancy

Includes: ruptured ectopic pregnancy
Use additional code from category O08.-, if desired, to identify any associated
complication.
O00.0 Abdominal pregnancy

Excludes: delivery of viable fetus in abdominal pregnancy (O83.3)
maternal care for viable fetus in abdominal pregnancy (O36.7)
O00.1 Tubal pregnancy

Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy
Tubal abortion
O00.2 Ovarian pregnancy
O00.8 Other ectopic pregnancy

Pregnancy:
• cervical
• cornual
• intraligamentous
• mural
O00.9 Ectopic pregnancy, unspecified
O01 Hydatidiform mole

complication.
Excludes: malignant hydatidiform mole (D39.2)
O01.0 Classical hydatidiform mole

Complete hydatidiform mole
XV-2
PREGNANCY, CHILDBIRTH AND THE PUERPERIUM
O01.1 Incomplete and partial hydatidiform mole
O01.9 Hydatidiform mole, unspecified

Trophoblastic disease NOS
Vesicular mole NOS
O02 Other abnormal products of conception

complication.
Excludes: papyraceous fetus (O31.0)
O02.0 Blighted ovum and nonhydatidiform mole

Mole:
• carneous
• fleshy
• intrauterine NOS
Pathological ovum
O02.1 Missed abortion

Early fetal death with retention of dead fetus
Excludes: missed abortion with:

• blighted ovum (O02.0)
• mole:
• hydatidiform (O01.-)
• nonhydatidiform (O02.0)
O02.8 Other specified abnormal products of conception

Excludes: those with:
• blighted ovum (O02.0)
• mole:
• hydatidiform (O01.-)
• nonhydatidiform (O02.0)
O02.9 Abnormal product of conception, unspecified
XV-3
The following fourth-character subdivisions are for use with categories O03-O06:
Note: Incomplete abortion includes retained products of conception following abortion.
.0 Incomplete, complicated by genital tract and pelvic infection

With conditions in O08.0
.1 Incomplete, complicated by delayed or excessive haemorrhage

.2 Incomplete, complicated by embolism

.3 Incomplete, with other and unspecified complications

With conditions in O08.3-O08.9
.4 Incomplete, without complication
.5 Complete or unspecified, complicated by genital tract and pelvic infection

.6 Complete or unspecified, complicated by delayed or excessive haemorrhage

.7 Complete or unspecified, complicated by embolism

.8 Complete or unspecified, with other and unspecified complications

.9 Complete or unspecified, without complication
O03 Spontaneous abortion

[See above for subdivisions]
Includes: miscarriage
XV-4
O04 Medical abortion

Includes: termination of pregnancy:

• legal
• therapeutic
therapeutic abortion
O05 Other abortion

O06 Unspecified abortion

Includes: induced abortion NOS
O07 Failed attempted abortion

Includes: failure of attempted induction of abortion
Excludes: incomplete abortion (O03-O06)
O07.0 Failed medical abortion, complicated by genital tract and pelvic infection
O07.1 Failed medical abortion, complicated by delayed or excessive haemorrhage

O07.2 Failed medical abortion, complicated by embolism

O07.3 Failed medical abortion, with other and unspecified complications

O07.4 Failed medical abortion, without complication

Failed medical abortion NOS
O07.5 Other and unspecified failed attempted abortion, complicated by genital tract
and pelvic infection
XV-5
O07.6 Other and unspecified failed attempted abortion, complicated by delayed or

excessive haemorrhage
O07.7 Other and unspecified failed attempted abortion, complicated by embolism

O07.8 Other and unspecified failed attempted abortion, with other and unspecified
complications
O07.9 Other and unspecified failed attempted abortion, without complication

Failed attempted abortion NOS
O08 Complications following abortion and ectopic and molar pregnancy
Note: This code is provided primarily for morbidity coding. For use of this
category reference should be made to the morbidity coding rules and
guidelines in Part 2a Instruction Manual (NCHS).
O08.0 Genital tract and pelvic infection following abortion and ectopic and molar
pregnancy
Endometritis
Oophoritis
Parametritis
Pelvic peritonitis following conditions classifiable
Salpingitis to O00-O07
Salpingo-oophoritis
Sepsis
Septic shock
Septicaemia
Excludes: septic or septicopyaemic embolism (O08.2)

urinary tract infection (O08.8)
O08.1 Delayed or excessive haemorrhage following abortion and ectopic and molar
pregnancy
Afibrinogenaemia
Defibrination syndrome following conditions
Intravascular coagulation classifiable to O00-O07
XV-6
O08.2 Embolism following abortion and ectopic and molar pregnancy

Embolism:
• NOS
• air
• amniotic fluid following conditions
• blood-clot classifiable to O00-O07
• pulmonary
• pyaemic
• septic or septicopyaemic
• soap
O08.3 Shock following abortion and ectopic and molar pregnancy

Circulatory collapse following conditions classifiable
Shock (postoperative) to O00-O07
Excludes: septic shock (O08.0)
O08.4 Renal failure following abortion and ectopic and molar pregnancy
Oliguria
Renal:
• failure (acute) following conditions classifiable
• shutdown to O00-O07
• tubular necrosis
Uraemia
O08.5 Metabolic disorders following abortion and ectopic and molar pregnancy
Electrolyte imbalance following conditions classifiable to O00-O07
O08.6 Damage to pelvic organs and tissues following abortion and ectopic and molar
pregnancy
Laceration, perforation, tear or chemical damage of:
• bladder
• bowel
• broad ligament following conditions
• cervix classifiable to O00-O07
• periurethral tissue
• uterus
O08.7 Other venous complications following abortion and ectopic and molar
pregnancy
XV-7
O08.8 Other complications following abortion and ectopic and molar pregnancy
Cardiac arrest following conditions
Urinary tract infection classifiable to O00-O07
O08.9 Complication following abortion and ectopic and molar pregnancy, unspecified
Unspecified complication following conditions classifiable to O00-O07
Oedema, proteinuria and hypertensive disorders in pregnancy,

childbirth and the puerperium
(O10-O16)
O10 Pre-existing hypertension complicating pregnancy, childbirth and the

puerperium
Includes: the listed conditions with pre-existing proteinuria
Excludes: that with increased or superimposed proteinuria (O11)
O10.0 Pre-existing essential hypertension complicating pregnancy, childbirth and the

puerperium
Any condition in I10 specified as a reason for obstetric care during pregnancy,
childbirth or the puerperium
O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and

the puerperium
Any condition in I11.- specified as a reason for obstetric care during pregnancy,
O10.2 Pre-existing hypertensive renal disease complicating pregnancy, childbirth and

the puerperium
O10.3 Pre-existing hypertensive heart and renal disease complicating pregnancy,

XV-8
O10.4 Pre-existing secondary hypertension complicating pregnancy, childbirth and the

puerperium
O10.9 Unspecified pre-existing hypertension complicating pregnancy, childbirth and

the puerperium
O11 Pre-existing hypertensive disorder with superimposed proteinuria

Conditions in O10.- complicated by increased proteinuria
Superimposed pre-eclampsia
O12 Gestational [pregnancy-induced] oedema and proteinuria without hypertension
O12.0 Gestational oedema
O12.1 Gestational proteinuria
O12.2 Gestational oedema with proteinuria
O13 Gestational [pregnancy-induced] hypertension without significant proteinuria

Gestational hypertension NOS
Mild pre-eclampsia
O14 Gestational [pregnancy-induced] hypertension with significant proteinuria

Excludes: superimposed pre-eclampsia (O11)
O14.0 Moderate pre-eclampsia
O14.1 Severe pre-eclampsia
O14.9 Pre-eclampsia, unspecified
O15 Eclampsia
Includes: convulsions following conditions in O10-O14 and O16
eclampsia with pregnancy-induced or pre-existing hypertension
O15.0 Eclampsia in pregnancy
O15.1 Eclampsia in labour
XV-9
O15.2 Eclampsia in the puerperium
O15.9 Eclampsia, unspecified as to time period

Eclampsia NOS
O16 Unspecified maternal hypertension
Other maternal disorders predominantly related to pregnancy

(O20-O29)
Note: Categories O24.- and O25 include the listed conditions even if they occur during
childbirth or the puerperium.
Excludes: maternal:
• care related to the fetus and amniotic cavity and possible delivery problems
(O30-O48)
• diseases classifiable elsewhere but complicating pregnancy, labour and
delivery, and the puerperium (O98-O99)
O20 Haemorrhage in early pregnancy

Excludes: pregnancy with abortive outcome (O00-O08)
O20.0 Threatened abortion

Haemorrhage specified as due to threatened abortion
O20.8 Other haemorrhage in early pregnancy
O20.9 Haemorrhage in early pregnancy, unspecified
O21 Excessive vomiting in pregnancy
O21.0 Mild hyperemesis gravidarum

Hyperemesis gravidarum, mild or unspecified, starting before the end
of the 22nd week of gestation
XV-10
O21.1 Hyperemesis gravidarum with metabolic disturbance

Hyperemesis gravidarum, starting before the end of the 22nd week of
gestation, with metabolic disturbance such as:
• carbohydrate depletion
• dehydration
• electrolyte imbalance
O21.2 Late vomiting of pregnancy

Excessive vomiting starting after 22 completed weeks of gestation
O21.8 Other vomiting complicating pregnancy

Vomiting due to diseases classified elsewhere, complicating pregnancy
O21.9 Vomiting of pregnancy, unspecified
O22 Venous complications in pregnancy

Excludes: obstetric pulmonary embolism (O88.-)
the listed conditions as complications of:
• childbirth and the puerperium (O87.-)
O22.0 Varicose veins of lower extremity in pregnancy

Varicose veins NOS in pregnancy
O22.1 Genital varices in pregnancy

Perineal
Vaginal varices in pregnancy
Vulval
O22.2 Superficial thrombophlebitis in pregnancy

Thrombophlebitis of legs in pregnancy
O22.3 Deep phlebothrombosis in pregnancy

Deep-vein thrombosis, antepartum
O22.4 Haemorrhoids in pregnancy
XV-11
O22.5 Cerebral venous thrombosis in pregnancy

Cerebrovenous sinus thrombosis in pregnancy
O22.8 Other venous complications in pregnancy
O22.9 Venous complication in pregnancy, unspecified

Gestational:
• phlebitis NOS
• phlebopathy NOS
• thrombosis NOS
O23 Infections of genitourinary tract in pregnancy
O23.0 Infections of kidney in pregnancy
O23.1 Infections of bladder in pregnancy
O23.2 Infections of urethra in pregnancy
O23.3 Infections of other parts of urinary tract in pregnancy
O23.4 Unspecified infection of urinary tract in pregnancy
O23.5 Infections of the genital tract in pregnancy
O23.9 Other and unspecified genitourinary tract infection in pregnancy

Genitourinary tract infection in pregnancy NOS
O24 Diabetes mellitus in pregnancy

Includes: in childbirth and the puerperium
O24.0 Pre-existing diabetes mellitus, insulin-dependent
O24.1 Pre-existing diabetes mellitus, non-insulin-dependent
O24.2 Pre-existing malnutrition-related diabetes mellitus
O24.3 Pre-existing diabetes mellitus, unspecified
XV-12
O24.4 Diabetes mellitus arising in pregnancy

Gestational diabetes mellitus NOS
O24.9 Diabetes mellitus in pregnancy, unspecified
O25 Malnutrition in pregnancy

Malnutrition in childbirth and the puerperium
O26 Maternal care for other conditions predominantly related to pregnancy
O26.0 Excessive weight gain in pregnancy

Excludes: gestational oedema (O12.0, O12.2)
O26.1 Low weight gain in pregnancy
O26.2 Pregnancy care of habitual aborter

Excludes: habitual aborter:
• with current abortion (O03-O06)
• without current pregnancy (N96)
O26.3 Retained intrauterine contraceptive device in pregnancy
O26.4 Herpes gestationis
O26.5 Maternal hypotension syndrome

Supine hypotensive syndrome
O26.6 Liver disorders in pregnancy, childbirth and the puerperium

Excludes: hepatorenal syndrome following labour and delivery (O90.4)
O26.7 Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium

Excludes: traumatic separation of symphysis (pubis) during childbirth (O71.6)
O26.8 Other specified pregnancy-related conditions

Exhaustion and fatigue
Peripheral neuritis pregnancy-related
Renal disease
O26.9 Pregnancy-related condition, unspecified
XV-13
O28 Abnormal findings on antenatal screening of mother

Excludes: diagnostic findings classified elsewhere - see Alphabetical Index
maternal care related to the fetus and amniotic cavity and possible
delivery problems (O30-O48)
O28.0 Abnormal haematological finding on antenatal screening of mother
O28.1 Abnormal biochemical finding on antenatal screening of mother
O28.2 Abnormal cytological finding on antenatal screening of mother
O28.3 Abnormal ultrasonic finding on antenatal screening of mother
O28.4 Abnormal radiological finding on antenatal screening of mother
O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother
O28.8 Other abnormal findings on antenatal screening of mother
O28.9 Abnormal finding on antenatal screening of mother, unspecified
O29 Complications of anaesthesia during pregnancy

Includes: maternal complications arising from the administration of a general or
local anaesthetic, analgesic or other sedation during pregnancy
Excludes: complications of anaesthesia during:

• abortion or ectopic or molar pregnancy (O00-O08)
• labour and delivery (O74.-)
• puerperium (O89.-)
O29.0 Pulmonary complications of anaesthesia during pregnancy

Aspiration pneumonitis
Inhalation of stomach
contents or secretions NOS due to anaesthesia during
Mendelson's syndrome pregnancy
Pressure collapse of lung
XV-14
O29.1 Cardiac complications of anaesthesia during pregnancy

Cardiac:
• arrest
due to anaesthesia during pregnancy
• failure
O29.2 Central nervous system complications of anaesthesia during pregnancy

Cerebral anoxia due to anaesthesia during pregnancy
O29.3 Toxic reaction to local anaesthesia during pregnancy
O29.4 Spinal and epidural anaesthesia-induced headache during pregnancy
O29.5 Other complications of spinal and epidural anaesthesia during pregnancy
O29.6 Failed or difficult intubation during pregnancy
O29.8 Other complications of anaesthesia during pregnancy
O29.9 Complication of anaesthesia during pregnancy, unspecified
Maternal care related to the fetus and amniotic cavity and possible delivery problems
(O30-O48)
O30 Multiple gestation

Excludes: complications specific to multiple gestation (O31.-)
O30.0 Twin pregnancy
O30.1 Triplet pregnancy
O30.2 Quadruplet pregnancy
O30.8 Other multiple gestation
O30.9 Multiple gestation, unspecified

Multiple pregnancy NOS
XV-15
O31 Complications specific to multiple gestation

Excludes: conjoined twins causing disproportion (O33.7)
delayed delivery of second twin, triplet, etc. (O63.2)
malpresentation of one fetus or more (O32.5)
with obstructed labour (O64-O66)
O31.0 Papyraceous fetus

Fetus compressus
O31.1 Continuing pregnancy after abortion of one fetus or more
O31.2 Continuing pregnancy after intrauterine death of one fetus or more
O31.8 Other complications specific to multiple gestation
O32 Maternal care for known or suspected malpresentation of fetus

Includes: the listed conditions as a reason for observation, hospitalization or other
obstetric care of the mother, or for caesarean section before onset of
labour
Excludes: the listed conditions with obstructed labour (O64.-)
O32.0 Maternal care for unstable lie
O32.1 Maternal care for breech presentation
O32.2 Maternal care for transverse and oblique lie

Presentation:
• oblique
• transverse
O32.3 Maternal care for face, brow and chin presentation
O32.4 Maternal care for high head at term

Failure of head to enter pelvic brim
O32.5 Maternal care for multiple gestation with malpresentation of one fetus or more
O32.6 Maternal care for compound presentation
XV-16
O32.8 Maternal care for other malpresentation of fetus
O32.9 Maternal care for malpresentation of fetus, unspecified
O33 Maternal care for known or suspected disproportion

labour
Excludes: the listed conditions with obstructed labour (O65-O66)
O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones
Pelvic deformity causing disproportion NOS
O33.1 Maternal care for disproportion due to generally contracted pelvis

Contracted pelvis NOS causing disproportion
O33.2 Maternal care for disproportion due to inlet contraction of pelvis

Inlet contraction (pelvis) causing disproportion
O33.3 Maternal care for disproportion due to outlet contraction of pelvis

Mid-cavity contraction (pelvis)
causing disproportion
Outlet contraction (pelvis)
O33.4 Maternal care for disproportion of mixed maternal and fetal origin
O33.5 Maternal care for disproportion due to unusually large fetus

Disproportion of fetal origin with normally formed fetus
Fetal disproportion NOS
O33.6 Maternal care for disproportion due to hydrocephalic fetus
O33.7 Maternal care for disproportion due to other fetal deformities

Conjoined twins
Fetal:
• ascites
• hydrops causing disproportion
• meningomyelocele
• sacral teratoma
• tumour
XV-17
O33.8 Maternal care for disproportion of other origin
O33.9 Maternal care for disproportion, unspecified

Cephalopelvic disproportion NOS
Fetopelvic disproportion NOS
O34 Maternal care for known or suspected abnormality of pelvic organs

labour
Excludes: the listed conditions with obstructed labour (O65.5)
O34.0 Maternal care for congenital malformation of uterus

Maternal care for:
• double uterus
• uterus bicornis
O34.1 Maternal care for tumour of corpus uteri

Maternal care for:
• polyp of corpus uteri
• uterine fibroid
Excludes: maternal care for tumour of cervix (O34.4)
O34.2 Maternal care due to uterine scar from previous surgery

Maternal care for scar from previous
Excludes: vaginal delivery following previous caesarean section NOS (O75.7)
O34.3 Maternal care for cervical incompetence

Maternal care for:
• cerclage with or without mention of cervical
• Shirodkar suture incompetence
XV-18
O34.4 Maternal care for other abnormalities of cervix

Maternal care for:
• polyp of cervix
• previous surgery to cervix
• stricture or stenosis of cervix
• tumour of cervix
O34.5 Maternal care for other abnormalities of gravid uterus

Maternal care for:
• incarceration
• prolapse of gravid uterus
• retroversion
O34.6 Maternal care for abnormality of vagina

Maternal care for:
• previous surgery to vagina
• septate vagina
• stenosis of vagina (acquired)(congenital)
• stricture of vagina
• tumour of vagina
Excludes: maternal care for vaginal varices in pregnancy (O22.1)
O34.7 Maternal care for abnormality of vulva and perineum

Maternal care for:
• fibrosis of perineum
• previous surgery to perineum or vulva
• rigid perineum
• tumour of vulva
Excludes: maternal care for perineal and vulval varices in pregnancy (O22.1)
O34.8 Maternal care for other abnormalities of pelvic organs

Maternal care for:
• cystocele
• pelvic floor repair (previous)
• pendulous abdomen
• rectocele
• rigid pelvic floor
O34.9 Maternal care for abnormality of pelvic organ, unspecified
XV-19
O35 Maternal care for known or suspected fetal abnormality and damage
Includes: the listed conditions in the fetus as a reason for observation,
hospitalization or other obstetric care of the mother, or for termination
of pregnancy
Excludes: maternal care for known or suspected disproportion (O33.-)
O35.0 Maternal care for (suspected) central nervous system malformation in fetus
Maternal care for (suspected) fetal:
• anencephaly
• spina bifida
Excludes: chromosomal abnormality in fetus (O35.1)
O35.1 Maternal care for (suspected) chromosomal abnormality in fetus
O35.2 Maternal care for (suspected) hereditary disease in fetus

Excludes: chromosomal abnormality in fetus (O35.1)
O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother
Maternal care for (suspected) damage to fetus from maternal:
• cytomegalovirus infection
• rubella
O35.4 Maternal care for (suspected) damage to fetus from alcohol
O35.5 Maternal care for (suspected) damage to fetus by drugs

Maternal care for (suspected) damage to fetus from drug addiction
Excludes: fetal distress in labour and delivery due to drug administration (O68.-)
O35.6 Maternal care for (suspected) damage to fetus by radiation
XV-20
O35.7 Maternal care for (suspected) damage to fetus by other medical procedures
Maternal care for (suspected) damage to fetus by:
• amniocentesis
• biopsy procedures
• haematological investigation
• intrauterine contraceptive device
• intrauterine surgery
O35.8 Maternal care for other (suspected) fetal abnormality and damage
Maternal care for (suspected) damage to fetus from maternal:
• listeriosis
• toxoplasmosis
O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified
O36 Maternal care for other known or suspected fetal problems

Includes: the listed conditions in the fetus as a reason for observation,
hospitalization or other obstetric care of the mother, or for termination
of pregnancy
Excludes: labour and delivery complicated by fetal stress [distress] (O68.-)

placental transfusion syndromes (O43.0)
O36.0 Maternal care for rhesus isoimmunization

Anti-D [Rh] antibodies
Rh incompatibility (with hydrops fetalis)
O36.1 Maternal care for other isoimmunization

ABO isoimmunization
Isoimmunization NOS (with hydrops fetalis)
O36.2 Maternal care for hydrops fetalis

Hydrops fetalis:
• NOS
• not associated with isoimmunization
O36.3 Maternal care for signs of fetal hypoxia
O36.4 Maternal care for intrauterine death

Excludes: missed abortion (O02.1)
XV-21
O36.5 Maternal care for poor fetal growth

Maternal care for known or suspected:
• light-for-dates
• placental insufficiency
• small-for-dates
O36.6 Maternal care for excessive fetal growth

Maternal care for known or suspected large-for-dates
O36.7 Maternal care for viable fetus in abdominal pregnancy
O36.8 Maternal care for other specified fetal problems
O36.9 Maternal care for fetal problem, unspecified
O40 Polyhydramnios
Hydramnios
O41 Other disorders of amniotic fluid and membranes

Excludes: premature rupture of membranes (O42.-)
O41.0 Oligohydramnios
Oligohydramnios without mention of rupture of membranes
O41.1 Infection of amniotic sac and membranes

Amnionitis
Chorioamnionitis
Membranitis
Placentitis
O41.8 Other specified disorders of amniotic fluid and membranes
O41.9 Disorder of amniotic fluid and membranes, unspecified
O42 Premature rupture of membranes
O42.0 Premature rupture of membranes, onset of labour within 24 hours
O42.1 Premature rupture of membranes, onset of labour after 24 hours

Excludes: with labour delayed by therapy (O42.2)
XV-22
O42.2 Premature rupture of membranes, labour delayed by therapy
O42.9 Premature rupture of membranes, unspecified
O43 Placental disorders

Excludes: maternal care for poor fetal growth due to placental insufficiency (O36.5)
placenta praevia (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
O43.0 Placental transfusion syndromes

Transfusion:
• fetomaternal
• maternofetal
• twin-to-twin
O43.1 Malformation of placenta

Abnormal placenta NOS
Circumvallate placenta
O43.8 Other placental disorders

Placental:
• dysfunction
• infarction
O43.9 Placental disorder, unspecified
O44 Placenta praevia
O44.0 Placenta praevia specified as without haemorrhage

Low implantation of placenta specified as without haemorrhage
O44.1 Placenta praevia with haemorrhage

Low implantation of placenta, NOS or with haemorrhage
Placenta praevia:
• marginal
• partial NOS or with haemorrhage
• total
Excludes: labour and delivery complicated by haemorrhage from vasa praevia

(O69.4)
XV-23
O45 Premature separation of placenta [abruptio placentae]
O45.0 Premature separation of placenta with coagulation defect

Abruptio placentae with (excessive) haemorrhage associated with:
• afibrinogenaemia
• disseminated intravascular coagulation
• hyperfibrinolysis
• hypofibrinogenaemia
O45.8 Other premature separation of placenta
O45.9 Premature separation of placenta, unspecified

Abruptio placentae NOS
O46 Antepartum haemorrhage, not elsewhere classified

Excludes: haemorrhage in early pregnancy (O20.-)
intrapartum haemorrhage NEC (O67.-)
O46.0 Antepartum haemorrhage with coagulation defect

Antepartum haemorrhage (excessive) associated with:
O46.8 Other antepartum haemorrhage
O46.9 Antepartum haemorrhage, unspecified
O47 False labour
O47.0 False labour before 37 completed weeks of gestation
O47.1 False labour at or after 37 completed weeks of gestation
O47.9 False labour, unspecified
XV-24
O48 Prolonged pregnancy

Post-dates
Post-term
Complications of labour and delivery

(O60-O75)
O60 Preterm delivery

Onset (spontaneous) of delivery before 37 completed weeks of gestation
O61 Failed induction of labour
O61.0 Failed medical induction of labour

Failed induction (of labour) by:
• oxytocin
• prostaglandins
O61.1 Failed instrumental induction of labour

Failed induction (of labour):
• mechanical
• surgical
O61.8 Other failed induction of labour
O61.9 Failed induction of labour, unspecified
O62 Abnormalities of forces of labour
O62.0 Primary inadequate contractions

Failure of cervical dilatation
Primary hypotonic uterine dysfunction
O62.1 Secondary uterine inertia

Arrested active phase of labour
Secondary hypotonic uterine dysfunction
XV-25
O62.2 Other uterine inertia

Atony of uterus
Desultory labour
Hypotonic uterine dysfunction NOS
Irregular labour
Poor contractions
Uterine inertia NOS
O62.3 Precipitate labour
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions

Contraction ring dystocia
Dyscoordinate labour
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Tetanic contractions
Uterine dystocia NOS
Excludes: dystocia (fetal)(maternal) NOS (O66.9)
O62.8 Other abnormalities of forces of labour
O62.9 Abnormality of forces of labour, unspecified
O63 Long labour
O63.0 Prolonged first stage (of labour)
O63.1 Prolonged second stage (of labour)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labour, unspecified

Prolonged labour NOS
XV-26
O64 Obstructed labour due to malposition and malpresentation of fetus
O64.0 Obstructed labour due to incomplete rotation of fetal head

Deep transverse arrest
Obstructed labour due to persistent (position):
• occipitoiliac
• occipitoposterior
• occipitosacral
• occipitotransverse
O64.1 Obstructed labour due to breech presentation
O64.2 Obstructed labour due to face presentation

Obstructed labour due to chin presentation
O64.3 Obstructed labour due to brow presentation
O64.4 Obstructed labour due to shoulder presentation

Prolapsed arm
Excludes: impacted shoulders (O66.0)

shoulder dystocia (O66.0)
O64.5 Obstructed labour due to compound presentation
O64.8 Obstructed labour due to other malposition and malpresentation
O64.9 Obstructed labour due to malposition and malpresentation, unspecified
O65 Obstructed labour due to maternal pelvic abnormality
O65.0 Obstructed labour due to deformed pelvis
O65.1 Obstructed labour due to generally contracted pelvis
O65.2 Obstructed labour due to pelvic inlet contraction
O65.3 Obstructed labour due to pelvic outlet and mid-cavity contraction
XV-27
O65.4 Obstructed labour due to fetopelvic disproportion, unspecified

Excludes: dystocia due to abnormality of fetus (O66.2-O66.3)
O65.5 Obstructed labour due to abnormality of maternal pelvic organs

Obstructed labour due to conditions listed in O34.-
O65.8 Obstructed labour due to other maternal pelvic abnormalities
O65.9 Obstructed labour due to maternal pelvic abnormality, unspecified
O66 Other obstructed labour
O66.0 Obstructed labour due to shoulder dystocia

Impacted shoulders
O66.1 Obstructed labour due to locked twins
O66.2 Obstructed labour due to unusually large fetus
O66.3 Obstructed labour due to other abnormalities of fetus

Dystocia due to:
• conjoined twins
• fetal:
• ascites
• hydrops
• meningomyelocele
• sacral teratoma
• tumour
• hydrocephalic fetus
O66.4 Failed trial of labour, unspecified

Failed trial of labour with subsequent delivery by caesarean section
O66.5 Failed application of vacuum extractor and forceps, unspecified

Failed application of ventouse or forceps, with subsequent delivery by forceps or
caesarean section respectively
XV-28
O66.8 Other specified obstructed labour
O66.9 Obstructed labour, unspecified

Dystocia:
• NOS
• fetal NOS
• maternal NOS
O67 Labour and delivery complicated by intrapartum haemorrhage, not elsewhere

classified
Excludes: antepartum haemorrhage NEC (O46.-)
postpartum haemorrhage (O72.-)
O67.0 Intrapartum haemorrhage with coagulation defect

Intrapartum haemorrhage (excessive) associated with:
O67.8 Other intrapartum haemorrhage

Excessive intrapartum haemorrhage
O67.9 Intrapartum haemorrhage, unspecified
O68 Labour and delivery complicated by fetal stress [distress]

Includes: fetal distress in labour or delivery due to drug administration
O68.0 Labour and delivery complicated by fetal heart rate anomaly

Fetal:
• bradycardia
• heart rate irregularity
• tachycardia
Excludes: with meconium in amniotic fluid (O68.2)
O68.1 Labour and delivery complicated by meconium in amniotic fluid

Excludes: with fetal heart rate anomaly (O68.2)
XV-29
O68.2 Labour and delivery complicated by fetal heart rate anomaly with meconium in
amniotic fluid
O68.3 Labour and delivery complicated by biochemical evidence of fetal stress

Abnormal fetal:
• acidaemia
• acid-base balance
O68.8 Labour and delivery complicated by other evidence of fetal stress

Evidence of fetal distress:
• electrocardiographic
• ultrasonic
O68.9 Labour and delivery complicated by fetal stress, unspecified
O69 Labour and delivery complicated by umbilical cord complications
O69.0 Labour and delivery complicated by prolapse of cord
O69.1 Labour and delivery complicated by cord around neck, with compression
O69.2 Labour and delivery complicated by other cord entanglement

Entanglement of cords of twins in monoamniotic sac
Knot in cord
O69.3 Labour and delivery complicated by short cord
O69.4 Labour and delivery complicated by vasa praevia

Haemorrhage from vasa praevia
O69.5 Labour and delivery complicated by vascular lesion of cord

Cord:
• bruising
• haematoma
Thrombosis of umbilical vessels
O69.8 Labour and delivery complicated by other cord complications
O69.9 Labour and delivery complicated by cord complication, unspecified
XV-30
O70 Perineal laceration during delivery

Includes: episiotomy extended by laceration
Excludes: obstetric high vaginal laceration alone (O71.4)
O70.0 First degree perineal laceration during delivery

Perineal laceration, rupture or tear (involving):
• fourchette
• labia
• skin
during delivery
• slight
• vagina
• vulva
O70.1 Second degree perineal laceration during delivery

Perineal laceration, rupture or tear as in O70.0, also involving:
• pelvic floor
• perineal muscles during delivery
• vaginal muscles
Excludes: that involving anal sphincter (O70.2)
O70.2 Third degree perineal laceration during delivery

• anal sphincter
• rectovaginal septum during delivery
• sphincter NOS
Excludes: that involving anal or rectal mucosa (O70.3)
O70.3 Fourth degree perineal laceration during delivery

• anal mucosa
during delivery
• rectal mucosa
O70.9 Perineal laceration during delivery, unspecified
XV-31
O71 Other obstetric trauma

Includes: damage from instruments
O71.0 Rupture of uterus before onset of labour
O71.1 Rupture of uterus during labour

Rupture of uterus not stated as occurring before onset of labour
O71.2 Postpartum inversion of uterus
O71.3 Obstetric laceration of cervix

Annular detachment of cervix
O71.4 Obstetric high vaginal laceration alone

Laceration of vaginal wall without mention of perineal laceration
Excludes: with perineal laceration (O70.-)
O71.5 Other obstetric injury to pelvic organs

Obstetric injury to:
• bladder
• urethra
O71.6 Obstetric damage to pelvic joints and ligaments

Avulsion of inner symphyseal cartilage
Damage to coccyx obstetric
Traumatic separation of symphysis (pubis)
O71.7 Obstetric haematoma of pelvis

Obstetric haematoma of:
• perineum
• vagina
• vulva
O71.8 Other specified obstetric trauma
O71.9 Obstetric trauma, unspecified
XV-32
O72 Postpartum haemorrhage

Includes: haemorrhage after delivery of fetus or infant
O72.0 Third-stage haemorrhage

Haemorrhage associated with retained, trapped or adherent placenta
Retained placenta NOS
O72.1 Other immediate postpartum haemorrhage

Haemorrhage following delivery of placenta
Postpartum haemorrhage (atonic) NOS
O72.2 Delayed and secondary postpartum haemorrhage

Haemorrhage associated with retained portions of placenta or membranes
Retained products of conception NOS, following delivery
O72.3 Postpartum coagulation defects

Postpartum:
• fibrinolysis
O73 Retained placenta and membranes, without haemorrhage
O73.0 Retained placenta without haemorrhage

Placenta accreta without haemorrhage
O73.1 Retained portions of placenta and membranes, without haemorrhage

Retained products of conception following delivery, without haemorrhage
O74 Complications of anaesthesia during labour and delivery

local anaesthetic, analgesic or other sedation during labour and delivery
O74.0 Aspiration pneumonitis due to anaesthesia during labour and delivery

Mendelson's syndrome labour and delivery
O74.1 Other pulmonary complications of anaesthesia during labour and delivery

Pressure collapse of lung due to anaesthesia during labour and delivery
XV-33
O74.2 Cardiac complications of anaesthesia during labour and delivery

Cardiac:
• arrest due to anaesthesia during
• failure labour and delivery
O74.3 Central nervous system complications of anaesthesia during labour and delivery
Cerebral anoxia due to anaesthesia during labour and delivery
O74.4 Toxic reaction to local anaesthesia during labour and delivery
O74.5 Spinal and epidural anaesthesia-induced headache during labour and delivery
O74.6 Other complications of spinal and epidural anaesthesia during labour and
delivery
O74.7 Failed or difficult intubation during labour and delivery
O74.8 Other complications of anaesthesia during labour and delivery
O74.9 Complication of anaesthesia during labour and delivery, unspecified
O75 Other complications of labour and delivery, not elsewhere classified

Excludes: puerperal:
• infection (O86.-)
• sepsis (O85)
O75.0 Maternal distress during labour and delivery
O75.1 Shock during or following labour and delivery

Obstetric shock
O75.2 Pyrexia during labour, not elsewhere classified
O75.3 Other infection during labour

Septicaemia during labour
XV-34
O75.4 Other complications of obstetric surgery and procedures

Cardiac:
• arrest following caesarean or other obstetric
• failure surgery or procedures, including
Cerebral anoxia delivery NOS
Excludes: complications of anaesthesia during labour and delivery (O74.-)

obstetric (surgical) wound:
• disruption (O90.0-O90.1)
• haematoma (O90.2)
• infection (O86.0)
O75.5 Delayed delivery after artificial rupture of membranes
O75.6 Delayed delivery after spontaneous or unspecified rupture of membranes

Excludes: spontaneous premature rupture of membranes (O42.-)
O75.7 Vaginal delivery following previous caesarean section
O75.8 Other specified complications of labour and delivery
O75.9 Complication of labour and delivery, unspecified
Delivery
(O80-O84)
Note: Codes O80-O84 are provided for morbidity coding purposes. Codes from this block
should be used for primary morbidity coding only if no other condition classifiable to
Chapter XV is recorded. For use of these categories reference should be made to the
morbidity coding rules and guidelines in Part 2a Instruction Manual (NCHS).
O80 Single spontaneous delivery

Includes: cases with minimal or no assistance, with or without episiotomy
delivery in a completely normal case
O80.0 Spontaneous vertex delivery
O80.1 Spontaneous breech delivery
XV-35
O80.8 Other single spontaneous delivery
O80.9 Single spontaneous delivery, unspecified

Spontaneous delivery NOS
O81 Single delivery by forceps and vacuum extractor

Excludes: failed application of vacuum extractor or forceps (O66.5)
O81.0 Low forceps delivery
O81.1 Mid-cavity forceps delivery
O81.2 Mid-cavity forceps with rotation
O81.3 Other and unspecified forceps delivery
O81.4 Vacuum extractor delivery

Ventouse delivery
O81.5 Delivery by combination of forceps and vacuum extractor

Forceps and ventouse delivery
O82 Single delivery by caesarean section
O82.0 Delivery by elective caesarean section

Repeat caesarean section NOS
O82.1 Delivery by emergency caesarean section
O82.2 Delivery by caesarean hysterectomy
O82.8 Other single delivery by caesarean section
O82.9 Delivery by caesarean section, unspecified
XV-36
O83 Other assisted single delivery
O83.0 Breech extraction
O83.1 Other assisted breech delivery

Breech delivery NOS
O83.2 Other manipulation-assisted delivery

Version with extraction
O83.3 Delivery of viable fetus in abdominal pregnancy
O83.4 Destructive operation for delivery

Cleidotomy
Craniotomy to facilitate delivery
Embryotomy
O83.8 Other specified assisted single delivery
O83.9 Assisted single delivery, unspecified

Assisted delivery NOS
O84 Multiple delivery

Use additional code (O80-O83), if desired, to indicate the method of delivery of each
fetus or infant.
O84.0 Multiple delivery, all spontaneous
O84.1 Multiple delivery, all by forceps and vacuum extractor
O84.2 Multiple delivery, all by caesarean section
O84.8 Other multiple delivery

Multiple delivery by combination of methods
O84.9 Multiple delivery, unspecified
XV-37
Complications predominantly related to the puerperium

(O85-O92)
Note: Categories O88.-, O91.- and O92.- include the listed conditions even if they occur
during pregnancy and childbirth.
Excludes: mental and behavioural disorders associated with the puerperium (F53.-)
puerperal osteomalacia (M83.0)
O85 Puerperal sepsis

Puerperal:
• endometritis
• fever
• peritonitis
• septicaemia
Excludes: obstetric pyaemic and septic embolism (O88.3)

septicaemia during labour (O75.3)
O86 Other puerperal infections

Excludes: infection during labour (O75.3)
O86.0 Infection of obstetric surgical wound

Infected:
• caesarean section wound
following delivery
• perineal repair
O86.1 Other infection of genital tract following delivery

• Cervicitis
following delivery
• Vaginitis
O86.2 Urinary tract infection following delivery

Conditions in N10-N12, N15.-, N30.-, N34.-, N39.0 following delivery
XV-38
O86.3 Other genitourinary tract infections following delivery

Puerperal genitourinary tract infection NOS
O86.4 Pyrexia of unknown origin following delivery

Puerperal:
• infection NOS
• pyrexia NOS
Excludes: puerperal fever (O85)

pyrexia during labour (O75.2)
O86.8 Other specified puerperal infections
O87 Venous complications in the puerperium

Includes: in labour, delivery and the puerperium
Excludes: obstetric embolism (O88.-)

venous complications in pregnancy (O22.-)
O87.0 Superficial thrombophlebitis in the puerperium
O87.1 Deep phlebothrombosis in the puerperium

Deep-vein thrombosis, postpartum
Pelvic thrombophlebitis, postpartum
O87.2 Haemorrhoids in the puerperium
O87.3 Cerebral venous thrombosis in the puerperium

Cerebrovenous sinus thrombosis in the puerperium
O87.8 Other venous complications in the puerperium

Genital varices in the puerperium
O87.9 Venous complication in the puerperium, unspecified

Puerperal:
• phlebitis NOS
• phlebopathy NOS
• thrombosis NOS
XV-39
O88 Obstetric embolism

Includes: pulmonary emboli in pregnancy, childbirth or the puerperium
Excludes: embolism complicating abortion or ectopic or molar pregnancy (O00-O07,

O08.2)
O88.0 Obstetric air embolism
O88.1 Amniotic fluid embolism
O88.2 Obstetric blood-clot embolism

Obstetric (pulmonary) embolism NOS
Puerperal (pulmonary) embolism NOS
O88.3 Obstetric pyaemic and septic embolism
O88.8 Other obstetric embolism

Obstetric fat embolism
O89 Complications of anaesthesia during the puerperium

local anaesthetic, analgesic or other sedation during the puerperium
089.0 Pulmonary complications of anaesthesia during the puerperium

Aspiration pneumonitis
Mendelson's syndrome the puerperium
Pressure collapse of lung
O89.1 Cardiac complications of anaesthesia during the puerperium

Cardiac:
• arrest due to anaesthesia during
• failure the puerperium
O89.2 Central nervous system complications of anaesthesia during the puerperium

Cerebral anoxia due to anaesthesia during the puerperium
O89.3 Toxic reaction to local anaesthesia during the puerperium
O89.4 Spinal and epidural anaesthesia-induced headache during the puerperium
XV-40
O89.5 Other complications of spinal and epidural anaesthesia during the puerperium
O89.6 Failed or difficult intubation during the puerperium
O89.8 Other complications of anaesthesia during the puerperium
O89.9 Complication of anaesthesia during the puerperium, unspecified
O90 Complications of the puerperium, not elsewhere classified
O90.0 Disruption of caesarean section wound
O90.1 Disruption of perineal obstetric wound

Disruption of wound of:
• episiotomy
• perineal laceration
Secondary perineal tear
O90.2 Haematoma of obstetric wound
O90.3 Cardiomyopathy in the puerperium

Conditions in I42.-
O90.4 Postpartum acute renal failure

Hepatorenal syndrome following labour and delivery
O90.5 Postpartum thyroiditis
O90.8 Other complications of the puerperium, not elsewhere classified

Placental polyp
O90.9 Complication of the puerperium, unspecified
O91 Infections of breast associated with childbirth

Includes: the listed conditions during pregnancy, the puerperium or lactation
O91.0 Infection of nipple associated with childbirth

Abscess of nipple:
• gestational
• puerperal
XV-41
O91.1 Abscess of breast associated with childbirth

Mammary abscess
Purulent mastitis gestational or puerperal
Subareolar abscess
O91.2 Nonpurulent mastitis associated with childbirth

Lymphangitis of breast
Mastitis:
• NOS gestational or puerperal
• interstitial
• parenchymatous
O92 Other disorders of breast and lactation associated with childbirth

Includes: the listed conditions during pregnancy, the puerperium or lactation
O92.0 Retracted nipple associated with childbirth
O92.1 Cracked nipple associated with childbirth

Fissure of nipple, gestational or puerperal
O92.2 Other and unspecified disorders of breast associated with childbirth
O92.3 Agalactia
Primary agalactia
O92.4 Hypogalactia
O92.5 Suppressed lactation

Agalactia:
• elective
• secondary
• therapeutic
O92.6 Galactorrhoea
Excludes: galactorrhoea not associated with childbirth (N64.3)
O92.7 Other and unspecified disorders of lactation

Puerperal galac
XV-42
Other obstetric conditions, not elsewhere classified

(O94-O99)
Note: For use of categories O94-O97 reference should be made to the mortality coding
rules and guidelines in Part 2a Instruction Manual (NCHS).
O94 Sequelae of complication of pregnancy, childbirth and the puerperium
Note: This category is to be used for morbidity coding only to indicate

conditions in categories O00-O75 and O85-O92 as the cause of
sequelae, which are themselves classified elsewhere. The ‘sequalae’
include conditions specified as such or as late effects, or those present
one year or more after the onset of the causal condition.
Excludes: that resulting in death (O96, O97)
O95 Obstetric death of unspecified cause

Maternal death from unspecified cause occurring during pregnancy, labour and
delivery, or the puerperium
O96 Death from any obstetric cause occurring more than 42 days but less than one
year after delivery
Use additional code, if desired, to identify obstetric cause of death.
O97 Death from sequelae of direct obstetric causes

Death from any direct obstetric cause occurring one year or more after delivery
XV-43
O98 Maternal infectious and parasitic diseases classifiable elsewhere but

complicating pregnancy, childbirth and the puerperium
Includes: the listed conditions when complicating the pregnant state, when
aggravated by the pregnancy, or as a reason for obstetric care
Use additional code (Chapter I), if desired, to identify specific condition.
Excludes: asymptomatic human immunodeficiency virus [HIV] infection status

(Z21)
laboratory evidence of human immunodeficiency virus [HIV] (R75)
puerperal:
• infection (O86.-)
• sepsis (O85)
when the reason for maternal care is that the disease is known or suspected
to have affected the fetus (O35-O36)
O98.0 Tuberculosis complicating pregnancy, childbirth and the puerperium

Conditions in A15-A19
O98.1 Syphilis complicating pregnancy, childbirth and the puerperium

O98.2 Gonorrhoea complicating pregnancy, childbirth and the puerperium

Conditions in A54.-
O98.3 Other infections with a predominantly sexual mode of transmission

complicating pregnancy, childbirth and the puerperium
O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium

Conditions in B15-B19
O98.5 Other viral diseases complicating pregnancy, childbirth and the puerperium
Conditions in A80-B09, B25-B34
XV-44
O98.6 Protozoal diseases complicating pregnancy, childbirth and the puerperium

Conditions in B50-B64
O98.8 Other maternal infectious and parasitic diseases complicating pregnancy,

O98.9 Unspecified maternal infectious or parasitic disease complicating pregnancy,
O99 Other maternal diseases classifiable elsewhere but complicating pregnancy,

Note: This category includes conditions which complicate the pregnant state,
are aggravated by the pregnancy or are a main reason for obstetric care
and for which the Alphabetical Index does not indicate a specific rubric
in Chapter XV.
Use additional code, if desired, to identify specific condition.
Excludes: infectious and parasitic diseases (O98.-)

injury, poisoning and certain other consequences of external causes
(S00-T98)
when the reason for maternal care is that the condition is known or
suspected to have affected the fetus (O35-O36)
O99.0 Anaemia complicating pregnancy, childbirth and the puerperium

Conditions in D50-D64
O99.1 Other diseases of the blood and blood-forming organs and certain disorders
involving the immune mechanism complicating pregnancy, childbirth and the
puerperium
Conditions in D65-D89
Excludes: haemorrhage with coagulation defects (O46.0, O67.0, O72.3)
XV-45
O99.2 Endocrine, nutritional and metabolic diseases complicating pregnancy,

Conditions in E00-E90
Excludes: diabetes mellitus (O24.-)

malnutrition (O25)
postpartum thyroiditis (O90.5)
pregnancy-related peripheral neuritis (O26.8)

puerperal psychosis (F53.1)
O99.3 Mental disorders and diseases of the nervous system complicating pregnancy,
Conditions in F00-F99 and G00-G99
Excludes: postnatal depression (F53.0)
O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the
puerperium
Conditions in I00-I99
Excludes: cardiomyopathy in the puerperium (O90.3)

hypertensive disorders (O10-O16)
obstetric embolism (O88.-)
venous complications and cerebrovenous sinus thrombosis in:
• labour, childbirth and the puerperium (O87.-)
• pregnancy (O22.-)
O99.5 Diseases of the respiratory system complicating pregnancy, childbirth and the
puerperium
Conditions in J00-J99
O99.6 Diseases of the digestive system complicating pregnancy, childbirth and the
puerperium
Conditions in K00-K93
Excludes: liver disorders in pregnancy, childbirth and the puerperium (O26.6)
XV-46
O99.7 Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth
and the puerperium
Conditions in L00-L99
Excludes: herpes gestationis (O26.4)
O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and
the puerperium
Combination of conditions classifiable to O99.0-O99.7
Conditions in C00-D48, H00-H95, M00-M99, N00-N99, and Q00-Q99
Excludes: genitourinary infections in pregnancy (O23.-)

infection of genitourinary tract following delivery (O86.0-O86.3)
maternal care for known or suspected abnormality of maternal pelvic
organs (O34.-)
postpartum acute renal failure (O90.4)
XV-47
CHAPTER XVI
_____________________________________________________________________________
Certain conditions originating in the perinatal period

(P00-P96)
Includes: conditions that have their origin in the perinatal period even though death or
morbidity occurs later
Excludes: congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

neoplasms (C00-D48)
tetanus neonatorum (A33)
P00-P04 Fetus and newborn affected by maternal factors and by complications of pregnancy,
labour and delivery
P05-P08 Disorders related to length of gestation and fetal growth
P10-P15 Birth trauma
P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period
P35-P39 Infections specific to the perinatal period
P50-P61 Haemorrhagic and haematological disorders of fetus and newborn
P70-P74 Transitory endocrine and metabolic disorders specific to fetus and newborn
P75-P78 Digestive system disorders of fetus and newborn
P80-P83 Conditions involving the integument and temperature regulation of fetus and
newborn
P90-P96 Other disorders originating in the perinatal period
An asterisk category for this chapter is provided as follows:
P75* Meconium ileus
XVI-1
Fetus and newborn affected by maternal factors and by complications of pregnancy,

labour and delivery
(P00-P04)
Includes: the listed maternal conditions only when specified as a cause of mortality or
morbidity in fetus or newborn
P00 Fetus and newborn affected by maternal conditions that may be unrelated to
present pregnancy
Excludes: fetus and newborn affected by:

• maternal complications of pregnancy (P01.-)
• maternal endocrine and metabolic disorders (P70-P74)
• noxious influences transmitted via placenta or breast milk (P04.-)
P00.0 Fetus and newborn affected by maternal hypertensive disorders

Fetus or newborn affected by maternal conditions classifiable to O10-O11, O13-O16
P00.1 Fetus and newborn affected by maternal renal and urinary tract diseases
Fetus or newborn affected by maternal conditions classifiable to N00-N39
P00.2 Fetus and newborn affected by maternal infectious and parasitic diseases
Fetus or newborn affected by maternal infectious disease classifiable to A00-B99
and J10-J11, but not itself manifesting that disease
Excludes: infections specific to the perinatal period (P35-P39)

maternal genital tract and other localized infections (P00.8)
P00.3 Fetus and newborn affected by other maternal circulatory and respiratory
diseases
Fetus or newborn affected by maternal conditions classifiable to I00-I99, J00-J99,
Q20-Q34 and not included in P00.0, P00.2
P00.4 Fetus and newborn affected by maternal nutritional disorders

Fetus or newborn affected by maternal disorders classifiable to E40-E64
Maternal malnutrition NOS
P00.5 Fetus and newborn affected by maternal injury

Fetus or newborn affected by maternal conditions classifiable to S00-T79
XVI-2
CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD
P00.6 Fetus and newborn affected by surgical procedure on mother

Excludes: caesarean section for present delivery (P03.4)
damage to placenta from amniocentesis, caesarean section or surgical
induction (P02.1)
previous surgery to uterus or pelvic organs (P03.8)
termination of pregnancy, fetus (P96.4)
P00.7 Fetus and newborn affected by other medical procedures on mother, not
Fetus or newborn affected by radiology on mother
Excludes: damage to placenta from amniocentesis, caesarean section or surgical

induction (P02.1)
fetus or newborn affected by other complications of labour and delivery
(P03.-)
P00.8 Fetus and newborn affected by other maternal conditions

Fetus or newborn affected by:
• conditions classifiable to T80-T88
• maternal genital tract and other localized infections
• maternal systemic lupus erythematosus
Excludes: transitory neonatal endocrine and metabolic disorders (P70-P74)
P00.9 Fetus and newborn affected by unspecified maternal condition
P01 Fetus and newborn affected by maternal complications of pregnancy
P01.0 Fetus and newborn affected by incompetent cervix
P01.1 Fetus and newborn affected by premature rupture of membranes
P01.2 Fetus and newborn affected by oligohydramnios

Excludes: when due to premature rupture of membranes (P01.1)
P01.3 Fetus and newborn affected by polyhydramnios

Hydramnios
P01.4 Fetus and newborn affected by ectopic pregnancy

Abdominal pregnancy
XVI-3
P01.5 Fetus and newborn affected by multiple pregnancy

Triplet (pregnancy)
Twin (pregnancy)
P01.6 Fetus and newborn affected by maternal death
P01.7 Fetus and newborn affected by malpresentation before labour

Breech presentation
External version
Face presentation before labour
Transverse lie
Unstable lie
P01.8 Fetus and newborn affected by other maternal complications of pregnancy

Spontaneous abortion, fetus
P01.9 Fetus and newborn affected by maternal complication of pregnancy, unspecified
P02 Fetus and newborn affected by complications of placenta, cord and membranes
P02.0 Fetus and newborn affected by placenta praevia
P02.1 Fetus and newborn affected by other forms of placental separation and
haemorrhage
Abruptio placentae
Accidental haemorrhage
Antepartum haemorrhage
Damage to placenta from amniocentesis, caesarean section or surgical induction
Maternal blood loss
Premature separation of placenta
P02.2 Fetus and newborn affected by other and unspecified morphological and
functional abnormalities of placenta
Placental:
• dysfunction
• infarction
• insufficiency
XVI-4
P02.3 Fetus and newborn affected by placental transfusion syndromes

Placental and cord abnormalities resulting in twin-to-twin or other transplacental
transfusion
Use additional code, if desired, to indicate resultant condition in the fetus or

newborn.
P02.4 Fetus and newborn affected by prolapsed cord
P02.5 Fetus and newborn affected by other compression of umbilical cord

Cord (tightly) around neck
Entanglement of cord
Knot in cord
P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical
cord
Short cord
Vasa praevia
Excludes: single umbilical artery (Q27.0)
P02.7 Fetus and newborn affected by chorioamnionitis

Amnionitis
Membranitis
Placentitis
P02.8 Fetus and newborn affected by other abnormalities of membranes
P02.9 Fetus and newborn affected by abnormality of membranes, unspecified
P03 Fetus and newborn affected by other complications of labour and delivery
P03.0 Fetus and newborn affected by breech delivery and extraction
P03.1 Fetus and newborn affected by other malpresentation, malposition and

disproportion during labour and delivery
Contracted pelvis
Fetus or newborn affected by conditions classifiable to O64-O66
Persistent occipitoposterior
Transverse lie
XVI-5
P03.2 Fetus and newborn affected by forceps delivery
P03.3 Fetus and newborn affected by delivery by vacuum extractor [ventouse]
P03.4 Fetus and newborn affected by caesarean delivery
P03.5 Fetus and newborn affected by precipitate delivery

Rapid second stage
P03.6 Fetus and newborn affected by abnormal uterine contractions

Fetus or newborn affected by conditions classifiable to O62.-, except O62.3
Hypertonic labour
Uterine inertia
P03.8 Fetus and newborn affected by other specified complications of labour and
delivery
Abnormality of maternal soft tissues
Destructive operation to facilitate delivery
Fetus or newborn affected by conditions classifiable to O60-O75 and by procedures
used in labour and delivery not included in P02.- and P03.0-P03.6
Induction of labour
P03.9 Fetus and newborn affected by complication of labour and delivery, unspecified
P04 Fetus and newborn affected by noxious influences transmitted via placenta or
breast milk
Includes: nonteratogenic effects of substances transmitted via placenta
Excludes: congenital malformations (Q00-Q99)
neonatal jaundice from other excessive haemolysis due to drugs or
toxins transmitted from mother (P58.4)
P04.0 Fetus and newborn affected by maternal anaesthesia and analgesia in

pregnancy, labour and delivery
Reactions and intoxications from maternal opiates and tranquillizers administered
during labour and delivery
XVI-6
P04.1 Fetus and newborn affected by other maternal medication

Cancer chemotherapy
Cytotoxic drugs
Excludes: dysmorphism due to warfarin (Q86.2)

fetal hydantoin syndrome (Q86.1)
maternal use of drugs of addiction (P04.4)
P04.2 Fetus and newborn affected by maternal use of tobacco
P04.3 Fetus and newborn affected by maternal use of alcohol

Excludes: fetal alcohol syndrome (Q86.0)
P04.4 Fetus and newborn affected by maternal use of drugs of addiction

Excludes: maternal anaesthesia and analgesia (P04.0)
withdrawal symptoms from maternal use of drugs of addiction (P96.1)
P04.5 Fetus and newborn affected by maternal use of nutritional chemical substances
P04.6 Fetus and newborn affected by maternal exposure to environmental chemical

substances
P04.8 Fetus and newborn affected by other maternal noxious influences
P04.9 Fetus and newborn affected by maternal noxious influence, unspecified
Disorders related to length of gestation and fetal growth

(P05-P08)
P05 Slow fetal growth and fetal malnutrition
P05.0 Light for gestational age

Usually referred to as weight below but length above 10th centile for gestational age.
Light-for-dates
XVI-7
P05.1 Small for gestational age

Usually referred to as weight and length below 10th centile for gestational age.
Small-for-dates
Small-and-light-for-dates
P05.2 Fetal malnutrition without mention of light or small for gestational age
Infant, not light or small for gestational age, showing signs of fetal malnutrition, such
as dry, peeling skin and loss of subcutaneous tissue.
Excludes: fetal malnutrition with mention of:

• light for gestational age (P05.0)
• small for gestational age (P05.1)
P05.9 Slow fetal growth, unspecified

Fetal growth retardation NOS
P07 Disorders related to short gestation and low birth weight, not elsewhere
classified
Note: When both birth weight and gestational age are available, priority of
assignment should be given to birth weight.
Includes: the listed conditions, without further specification, as the cause

of mortality, morbidity or additional care, in newborn
Excludes: low birth weight due to slow fetal growth and fetal malnutrition (P05.-)
P07.0 Extremely low birth weight

Birth weight 999 g or less.
P07.1 Other low birth weight

Birth weight 1000-2499 g.
P07.2 Extreme immaturity

Less than 28 completed weeks (less than 196 completed days) of gestation.
P07.3 Other preterm infants

28 completed weeks or more but less than 37 completed weeks (196 completed days
but less than 259 completed days) of gestation.
Prematurity NOS
XVI-8
P08 Disorders related to long gestation and high birth weight
Note: When both birth weight and gestational age are available, priority of
assignment should be given to birth weight.
Includes: the listed conditions, without further specification, as causes of

mortality, morbidity or additional care, in fetus or newborn
P08.0 Exceptionally large baby

Usually implies a birth weight of 4500 g or more.
Excludes: syndrome of:

• infant of diabetic mother (P70.1)
• infant of mother with gestational diabetes (P70.0)
P08.1 Other heavy for gestational age infants

Other fetus or infant heavy- or large-for-dates regardless of period of gestation.
P08.2 Post-term infant, not heavy for gestational age

Fetus or infant with gestation period of 42 completed weeks or more (294 days or
more), not heavy- or large-for-dates.
Postmaturity NOS
Birth trauma
(P10-P15)
P10 Intracranial laceration and haemorrhage due to birth injury

Excludes: intracranial haemorrhage of fetus or newborn:
• NOS (P52.9)
• due to anoxia or hypoxia (P52.-)
P10.0 Subdural haemorrhage due to birth injury

Subdural haematoma (localized) due to birth injury
Excludes: subdural haemorrhage accompanying tentorial tear (P10.4)
P10.1 Cerebral haemorrhage due to birth injury
XVI-9
P10.2 Intraventricular haemorrhage due to birth injury
P10.3 Subarachnoid haemorrhage due to birth injury
P10.4 Tentorial tear due to birth injury
P10.8 Other intracranial lacerations and haemorrhages due to birth injury
P10.9 Unspecified intracranial laceration and haemorrhage due to birth injury
P11 Other birth injuries to central nervous system
P11.0 Cerebral oedema due to birth injury
P11.1 Other specified brain damage due to birth injury
P11.2 Unspecified brain damage due to birth injury
P11.3 Birth injury to facial nerve

Facial palsy due to birth injury
P11.4 Birth injury to other cranial nerves
P11.5 Birth injury to spine and spinal cord

Fracture of spine due to birth injury
P11.9 Birth injury to central nervous system, unspecified
P12 Birth injury to scalp
P12.0 Cephalhaematoma due to birth injury
P12.1 Chignon due to birth injury
P12.2 Epicranial subaponeurotic haemorrhage due to birth injury
P12.3 Bruising of scalp due to birth injury
XVI-10
P12.4 Monitoring injury of scalp of newborn

Sampling incision
Scalp clip (electrode) injury
P12.8 Other birth injuries to scalp
P12.9 Birth injury to scalp, unspecified
P13 Birth injury to skeleton

Excludes: birth injury to spine (P11.5)
P13.0 Fracture of skull due to birth injury
P13.1 Other birth injuries to skull

Excludes: cephalhaematoma (P12.0)
P13.2 Birth injury to femur
P13.3 Birth injury to other long bones
P13.4 Fracture of clavicle due to birth injury
P13.8 Birth injuries to other parts of skeleton
P13.9 Birth injury to skeleton, unspecified
P14 Birth injury to peripheral nervous system
P14.0 Erb's paralysis due to birth injury
P14.1 Klumpke's paralysis due to birth injury
P14.2 Phrenic nerve paralysis due to birth injury
P14.3 Other brachial plexus birth injuries
P14.8 Birth injuries to other parts of peripheral nervous system
P14.9 Birth injury to peripheral nervous system, unspecified
XVI-11
P15 Other birth injuries
P15.0 Birth injury to liver

Rupture of liver due to birth injury
P15.1 Birth injury to spleen

Rupture of spleen due to birth injury
P15.2 Sternomastoid injury due to birth injury
P15.3 Birth injury to eye

Subconjunctival haemorrhage
due to birth injury
Traumatic glaucoma
P15.4 Birth injury to face

Facial congestion due to birth injury
P15.5 Birth injury to external genitalia
P15.6 Subcutaneous fat necrosis due to birth injury
P15.8 Other specified birth injuries
P15.9 Birth injury, unspecified
XVI-12
Respiratory and cardiovascular disorders specific to the perinatal period

(P20-P29)
P20 Intrauterine hypoxia

Includes: abnormal fetal heart rate
fetal or intrauterine:
• acidosis
• anoxia
• asphyxia
• distress
• hypoxia
meconium in liquor
passage of meconium
Excludes: intracranial haemorrhage due to anoxia or hypoxia (P52.-)
P20.0 Intrauterine hypoxia first noted before onset of labour
P20.1 Intrauterine hypoxia first noted during labour and delivery
P20.9 Intrauterine hypoxia, unspecified
P21 Birth asphyxia
Note: This category is not to be used for low Apgar score without mention of
asphyxia or other respiratory problems.
Excludes: intrauterine hypoxia or asphyxia (P20.-)
P21.0 Severe birth asphyxia

Pulse less than 100 per minute at birth and falling or steady, respiration absent or
gasping, colour poor, tone absent.
Asphyxia with 1-minute Apgar score 0-3

White asphyxia
XVI-13
P21.1 Mild and moderate birth asphyxia

Normal respiration not established within one minute, but heart rate 100 or above,
some muscle tone present, some response to stimulation.
Asphyxia with 1-minute Apgar score 4-7

Blue asphyxia
P21.9 Birth asphyxia, unspecified

Anoxia
Asphyxia NOS
Hypoxia
P22 Respiratory distress of newborn

Excludes: respiratory failure of newborn (P28.5)
P22.0 Respiratory distress syndrome of newborn

Hyaline membrane disease
P22.1 Transient tachypnoea of newborn
P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified
P23 Congenital pneumonia

Includes: infective pneumonia acquired in utero or during birth
Excludes: neonatal pneumonia resulting from aspiration (P24.-)
P23.0 Congenital pneumonia due to viral agent

Excludes: congenital rubella pneumonitis (P35.0)
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to staphylococcus
P23.3 Congenital pneumonia due to streptococcus, group B
P23.4 Congenital pneumonia due to Escherichia coli
XVI-14
P23.5 Congenital pneumonia due to Pseudomonas
P23.6 Congenital pneumonia due to other bacterial agents

Haemophilus influenzae
Klebsiella pneumoniae
Mycoplasma
Streptococcus, except group B
P23.8 Congenital pneumonia due to other organisms
P23.9 Congenital pneumonia, unspecified
P24 Neonatal aspiration syndromes

Includes: neonatal pneumonia resulting from aspiration
P24.0 Neonatal aspiration of meconium
P24.1 Neonatal aspiration of amniotic fluid and mucus

Aspiration of liquor (amnii)
P24.2 Neonatal aspiration of blood
P24.3 Neonatal aspiration of milk and regurgitated food
P24.8 Other neonatal aspiration syndromes
P24.9 Neonatal aspiration syndrome, unspecified

Neonatal aspiration pneumonia NOS
P25 Interstitial emphysema and related conditions originating in the perinatal

period
P25.0 Interstitial emphysema originating in the perinatal period
P25.1 Pneumothorax originating in the perinatal period
P25.2 Pneumomediastinum originating in the perinatal period
P25.3 Pneumopericardium originating in the perinatal period
P25.8 Other conditions related to interstitial emphysema originating in the perinatal

period
XVI-15
P26 Pulmonary haemorrhage originating in the perinatal period
P26.0 Tracheobronchial haemorrhage originating in the perinatal period
P26.1 Massive pulmonary haemorrhage originating in the perinatal period
P26.8 Other pulmonary haemorrhages originating in the perinatal period
P26.9 Unspecified pulmonary haemorrhage originating in the perinatal period
P27 Chronic respiratory disease originating in the perinatal period
P27.0 Wilson-Mikity syndrome

Pulmonary dysmaturity
P27.1 Bronchopulmonary dysplasia originating in the perinatal period
P27.8 Other chronic respiratory diseases originating in the perinatal period

Congenital pulmonary fibrosis
Ventilator lung in newborn
P27.9 Unspecified chronic respiratory disease originating in the perinatal period
P28 Other respiratory conditions originating in the perinatal period

Excludes: congenital malformations of the respiratory system (Q30-Q34)
P28.0 Primary atelectasis of newborn

Primary failure to expand terminal respiratory units
Pulmonary:
• hypoplasia associated with short gestation
• immaturity NOS
P28.1 Other and unspecified atelectasis of newborn

Atelectasis:
• NOS
• partial
• secondary
Resorption atelectasis without respiratory distress syndrome
XVI-16
P28.2 Cyanotic attacks of newborn

Excludes: apnoea of newborn (P28.3-28.4)
P28.3 Primary sleep apnoea of newborn

Sleep apnoea of newborn NOS
P28.4 Other apnoea of newborn
P28.5 Respiratory failure of newborn
P28.8 Other specified respiratory conditions of newborn

Congenital (laryngeal) stridor NOS
Snuffles in newborn
Excludes: early congenital syphilitic rhinitis (A50.0)
P28.9 Respiratory condition of newborn, unspecified
P29 Cardiovascular disorders originating in the perinatal period

Excludes: congenital malformations of the circulatory system (Q20-Q28)
P29.0 Neonatal cardiac failure
P29.1 Neonatal cardiac dysrhythmia
P29.2 Neonatal hypertension
P29.3 Persistent fetal circulation

Delayed closure of ductus arteriosus
(Persistent) Pulmonary hypertension of newborn
P29.4 Transient myocardial ischaemia of newborn
P29.8 Other cardiovascular disorders originating in the perinatal period
P29.9 Cardiovascular disorder originating in the perinatal period, unspecified
XVI-17
Infections specific to the perinatal period

(P35-P39)
Includes: infections acquired in utero or during birth
Excludes: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)

congenital:
• gonococcal infection (A54.-)
• pneumonia (P23.-)
• syphilis (A50.-)
infectious diseases acquired after birth (A00-B99, J10-J11)
intestinal infectious diseases (A00-A09)
laboratory evidence of human immunodeficiency virus [HIV] (R75)
maternal infectious disease as a cause of mortality or morbidity in fetus or newborn
not itself manifesting the disease (P00.2)
P35 Congenital viral diseases
P35.0 Congenital rubella syndrome

Congenital rubella pneumonitis
P35.1 Congenital cytomegalovirus infection
P35.2 Congenital herpesviral [herpes simplex] infection
P35.3 Congenital viral hepatitis
P35.8 Other congenital viral diseases

Congenital varicella [chickenpox]
P35.9 Congenital viral disease, unspecified
P36 Bacterial sepsis of newborn

Includes: congenital septicaemia
P36.0 Sepsis of newborn due to streptococcus, group B
P36.1 Sepsis of newborn due to other and unspecified streptococci
XVI-18
P36.2 Sepsis of newborn due to Staphylococcus aureus
P36.3 Sepsis of newborn due to other and unspecified staphylococci
P36.4 Sepsis of newborn due to Escherichia coli
P36.5 Sepsis of newborn due to anaerobes
P36.8 Other bacterial sepsis of newborn
P36.9 Bacterial sepsis of newborn, unspecified
P37 Other congenital infectious and parasitic diseases

Excludes: congenital syphilis (A50.-)
necrotizing enterocolitis of fetus or newborn (P77)
neonatal diarrhoea:
• infectious (A00-A09)
• noninfective (P78.3)
ophthalmia neonatorum due to gonococcus (A54.3)
P37.0 Congenital tuberculosis
P37.1 Congenital toxoplasmosis

Hydrocephalus due to congenital toxoplasmosis
P37.2 Neonatal (disseminated) listeriosis
P37.3 Congenital falciparum malaria
P37.4 Other congenital malaria
P37.5 Neonatal candidiasis
P37.8 Other specified congenital infectious and parasitic diseases
P37.9 Congenital infectious and parasitic disease, unspecified
P38 Omphalitis of newborn with or without mild haemorrhage
XVI-19
P39 Other infections specific to the perinatal period
P39.0 Neonatal infective mastitis

Excludes: breast engorgement of newborn (P83.4)
noninfective mastitis of newborn (P83.4)
P39.1 Neonatal conjunctivitis and dacryocystitis

Neonatal chlamydial conjunctivitis
Ophthalmia neonatorum NOS
Excludes: gonococcal conjunctivitis (A54.3)
P39.2 Intra-amniotic infection of fetus, not elsewhere classified
P39.3 Neonatal urinary tract infection
P39.4 Neonatal skin infection

Neonatal pyoderma
Excludes: pemphigus neonatorum (L00)

P39.8 Other specified infections specific to the perinatal period
P39.9 Infection specific to the perinatal period, unspecified
Haemorrhagic and haematological disorders of fetus and newborn

(P50-P61)
Excludes: congenital stenosis and stricture of bile ducts (Q44.3)

Crigler-Najjar syndrome (E80.5)
Dubin-Johnson syndrome (E80.6)
Gilbert's syndrome (E80.4)
hereditary haemolytic anaemias (D55-D58)
P50 Fetal blood loss

Excludes: congenital anaemia from fetal blood loss (P61.3)
P50.0 Fetal blood loss from vasa praevia
XVI-20
P50.1 Fetal blood loss from ruptured cord
P50.2 Fetal blood loss from placenta
P50.3 Haemorrhage into co-twin
P50.4 Haemorrhage into maternal circulation
P50.5 Fetal blood loss from cut end of co-twin's cord
P50.8 Other fetal blood loss
P50.9 Fetal blood loss, unspecified

Fetal haemorrhage NOS
P51 Umbilical haemorrhage of newborn

Excludes: omphalitis with mild haemorrhage (P38)
P51.0 Massive umbilical haemorrhage of newborn
P51.8 Other umbilical haemorrhages of newborn

Slipped umbilical ligature NOS
P51.9 Umbilical haemorrhage of newborn, unspecified
P52 Intracranial nontraumatic haemorrhage of fetus and newborn

Includes: intracranial haemorrhage due to anoxia or hypoxia
Excludes: intracranial haemorrhage due to injury:

• birth (P10.-)
• maternal (P00.5)
• other (S06.-)
P52.0 Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn

Subependymal haemorrhage (without intraventricular extension)

Subependymal haemorrhage with intraventricular extension
XVI-21

Subependymal haemorrhage with both intraventricular and intracerebral
extension
P52.3 Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn
P52.4 Intracerebral (nontraumatic) haemorrhage of fetus and newborn
P52.5 Subarachnoid (nontraumatic) haemorrhage of fetus and newborn
P52.6 Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and

newborn
P52.8 Other intracranial (nontraumatic) haemorrhages of fetus and newborn
P52.9 Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified
P53 Haemorrhagic disease of fetus and newborn

Vitamin K deficiency of newborn
P54 Other neonatal haemorrhages

Excludes: fetal blood loss (P50.-)
pulmonary haemorrhage originating in the perinatal period (P26.-)
P54.0 Neonatal haematemesis

Excludes: that due to swallowed maternal blood (P78.2)
P54.1 Neonatal melaena

Excludes: that due to swallowed maternal blood (P78.2)
P54.2 Neonatal rectal haemorrhage
P54.3 Other neonatal gastrointestinal haemorrhage
P54.4 Neonatal adrenal haemorrhage
XVI-22
P54.5 Neonatal cutaneous haemorrhage

Bruising
Ecchymoses
in fetus or newborn
Petechiae
Superficial haematomata
Excludes: bruising of scalp due to birth injury (P12.3)

cephalhaematoma due to birth injury (P12.0)
P54.6 Neonatal vaginal haemorrhage

Pseudomenses
P54.8 Other specified neonatal haemorrhages
P54.9 Neonatal haemorrhage, unspecified
P55 Haemolytic disease of fetus and newborn
P55.0 Rh isoimmunization of fetus and newborn
P55.1 ABO isoimmunization of fetus and newborn
P55.8 Other haemolytic diseases of fetus and newborn
P55.9 Haemolytic disease of fetus and newborn, unspecified
P56 Hydrops fetalis due to haemolytic disease

Excludes: hydrops fetalis NOS (P83.2)
• not due to haemolytic disease (P83.2)
P56.0 Hydrops fetalis due to isoimmunization
P56.9 Hydrops fetalis due to other and unspecified haemolytic disease
P57 Kernicterus
P57.0 Kernicterus due to isoimmunization
XVI-23
P57.8 Other specified kernicterus

Excludes: Crigler-Najjar syndrome (E80.5)
P57.9 Kernicterus, unspecified
P58 Neonatal jaundice due to other excessive haemolysis

Excludes: jaundice due to isoimmunization (P55-P57)
P58.0 Neonatal jaundice due to bruising
P58.1 Neonatal jaundice due to bleeding
P58.2 Neonatal jaundice due to infection
P58.3 Neonatal jaundice due to polycythaemia
P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to
newborn
induced.
P58.5 Neonatal jaundice due to swallowed maternal blood
P58.8 Neonatal jaundice due to other specified excessive haemolysis
P58.9 Neonatal jaundice due to excessive haemolysis, unspecified
P59 Neonatal jaundice from other and unspecified causes

Excludes: due to inborn errors of metabolism (E70-E90)
kernicterus (P57.-)
P59.0 Neonatal jaundice associated with preterm delivery

Hyperbilirubinaemia of prematurity
Jaundice due to delayed conjugation associated with preterm delivery
P59.1 Inspissated bile syndrome
P59.2 Neonatal jaundice from other and unspecified hepatocellular damage

Excludes: congenital viral hepatitis (P35.3)
XVI-24
P59.3 Neonatal jaundice from breast milk inhibitor
P59.8 Neonatal jaundice from other specified causes
P59.9 Neonatal jaundice, unspecified

Physiological jaundice (intense)(prolonged) NOS
P60 Disseminated intravascular coagulation of fetus and newborn

Defibrination syndrome of fetus or newborn
P61 Other perinatal haematological disorders

Excludes: transient hypogammaglobulinaemia of infancy (D80.7)
P61.0 Transient neonatal thrombocytopenia

Neonatal thrombocytopenia due to:
• exchange transfusion
• idiopathic maternal thrombocytopenia
• isoimmunization
P61.1 Polycythaemia neonatorum
P61.2 Anaemia of prematurity
P61.3 Congenital anaemia from fetal blood loss
P61.4 Other congenital anaemias, not elsewhere classified

Congenital anaemia NOS
P61.5 Transient neonatal neutropenia
P61.6 Other transient neonatal disorders of coagulation
P61.8 Other specified perinatal haematological disorders
P61.9 Perinatal haematological disorder, unspecified
XVI-25
Transitory endocrine and metabolic disorders specific to fetus and newborn

(P70-P74)
Includes: transitory endocrine and metabolic disturbances caused by the infant's response to
maternal endocrine and metabolic factors, or its adjustment to extrauterine
existence
P70 Transitory disorders of carbohydrate metabolism specific to fetus and newborn
P70.0 Syndrome of infant of mother with gestational diabetes
P70.1 Syndrome of infant of a diabetic mother

Maternal diabetes mellitus (pre-existing) affecting fetus or newborn (with
hypoglycaemia)
P70.2 Neonatal diabetes mellitus
P70.3 Iatrogenic neonatal hypoglycaemia
P70.4 Other neonatal hypoglycaemia

Transitory neonatal hypoglycaemia
P70.8 Other transitory disorders of carbohydrate metabolism of fetus and newborn
P70.9 Transitory disorder of carbohydrate metabolism of fetus and newborn,

unspecified
P71 Transitory neonatal disorders of calcium and magnesium metabolism
P71.0 Cow's milk hypocalcaemia in newborn
P71.1 Other neonatal hypocalcaemia

Excludes: neonatal hypoparathyroidism (P71.4)
P71.2 Neonatal hypomagnesaemia
P71.3 Neonatal tetany without calcium or magnesium deficiency

Neonatal tetany NOS
P71.4 Transitory neonatal hypoparathyroidism
XVI-26
P71.8 Other transitory neonatal disorders of calcium and magnesium metabolism
P71.9 Transitory neonatal disorder of calcium and magnesium metabolism,

unspecified
P72 Other transitory neonatal endocrine disorders

Excludes: congenital hypothyroidism with or without goitre (E03.0-E03.1)
dyshormogenetic goitre (E07.1)
Pendred's syndrome (E07.1)
P72.0 Neonatal goitre, not elsewhere classified

Transitory congenital goitre with normal function
P72.1 Transitory neonatal hyperthyroidism

Neonatal thyrotoxicosis
P72.2 Other transitory neonatal disorders of thyroid function, not elsewhere classified
Transitory neonatal hypothyroidism
P72.8 Other specified transitory neonatal endocrine disorders
P72.9 Transitory neonatal endocrine disorder, unspecified
P74 Other transitory neonatal electrolyte and metabolic disturbances
P74.0 Late metabolic acidosis of newborn
P74.1 Dehydration of newborn
P74.2 Disturbances of sodium balance of newborn
P74.3 Disturbances of potassium balance of newborn
P74.4 Other transitory electrolyte disturbances of newborn
P74.5 Transitory tyrosinaemia of newborn
P74.8 Other transitory metabolic disturbances of newborn
P74.9 Transitory metabolic disturbance of newborn, unspecified
XVI-27
Digestive system disorders of fetus and newborn

(P75-P78)
P75* Meconium ileus (E84.1†)
P76 Other intestinal obstruction of newborn
P76.0 Meconium plug syndrome
P76.1 Transitory ileus of newborn

Excludes: Hirschsprung's disease (Q43.1)
P76.2 Intestinal obstruction due to inspissated milk
P76.8 Other specified intestinal obstruction of newborn

Excludes: intestinal obstruction classifiable to K56.0-K56.5
P76.9 Intestinal obstruction of newborn, unspecified
P77 Necrotizing enterocolitis of fetus and newborn
P78 Other perinatal digestive system disorders

Excludes: neonatal gastrointestinal haemorrhages (P54.0-P54.3)
P78.0 Perinatal intestinal perforation

Meconium peritonitis
P78.1 Other neonatal peritonitis

Neonatal peritonitis NOS
P78.2 Neonatal haematemesis and melaena due to swallowed maternal blood
P78.3 Noninfective neonatal diarrhoea

Neonatal diarrhoea NOS
Excludes: neonatal diarrhoea NOS in countries where the condition can be

presumed to be of infectious origin (A09)
XVI-28
P78.8 Other specified perinatal digestive system disorders

Congenital cirrhosis (of liver)
Peptic ulcer of newborn
P78.9 Perinatal digestive system disorder, unspecified
Conditions involving the integument and temperature regulation of fetus and newborn
(P80-P83)
P80 Hypothermia of newborn
P80.0 Cold injury syndrome

Severe and usually chronic hypothermia associated with a pink flushed appearance,
oedema and neurological and biochemical abnormalities.
Excludes: mild hypothermia of newborn (P80.8)
P80.8 Other hypothermia of newborn

Mild hypothermia of newborn
P80.9 Hypothermia of newborn, unspecified
P81 Other disturbances of temperature regulation of newborn
P81.0 Environmental hyperthermia of newborn
P81.8 Other specified disturbances of temperature regulation of newborn
P81.9 Disturbance of temperature regulation of newborn, unspecified

Fever of newborn NOS
XVI-29
P83 Other conditions of integument specific to fetus and newborn

Excludes: congenital malformations of skin and integument (Q80-Q84)
cradle cap (L21.0)
diaper [napkin] dermatitis (L22)
hydrops fetalis due to haemolytic disease (P56.-)
neonatal skin infection (P39.4)
P83.0 Sclerema neonatorum
P83.1 Neonatal erythema toxicum
P83.2 Hydrops fetalis not due to haemolytic disease

Hydrops fetalis NOS
P83.3 Other and unspecified oedema specific to fetus and newborn
P83.4 Breast engorgement of newborn

Noninfective mastitis of newborn
P83.5 Congenital hydrocele
P83.6 Umbilical polyp of newborn
P83.8 Other specified conditions of integument specific to fetus and newborn

Bronze baby syndrome
Neonatal scleroderma
Urticaria neonatorum
P83.9 Condition of integument specific to fetus and newborn, unspecified
XVI-30
Other disorders originating in the perinatal period

(P90-P96)
P90 Convulsions of newborn

Excludes: benign neonatal convulsions (familial) (G40.3)
P91 Other disturbances of cerebral status of newborn
P91.0 Neonatal cerebral ischaemia
P91.1 Acquired periventricular cysts of newborn
P91.2 Neonatal cerebral leukomalacia
P91.3 Neonatal cerebral irritability
P91.4 Neonatal cerebral depression
P91.5 Neonatal coma
P91.6 Hypoxic ischaemic encephalopathy of newborn
P91.8 Other specified disturbances of cerebral status of newborn
P91.9 Disturbance of cerebral status of newborn, unspecified
P92 Feeding problems of newborn
P92.0 Vomiting in newborn
P92.1 Regurgitation and rumination in newborn
P92.2 Slow feeding of newborn
P92.3 Underfeeding of newborn
P92.4 Overfeeding of newborn
P92.5 Neonatal difficulty in feeding at breast
P92.8 Other feeding problems of newborn
XVI-31
P92.9 Feeding problem of newborn, unspecified
P93 Reactions and intoxications due to drugs administered to fetus and newborn
Grey syndrome from chloramphenicol administration in newborn
Excludes: jaundice due to drugs or toxins transmitted from mother or given to

newborn (P58.4)
reactions and intoxications from maternal opiates, tranquillizers and
other medication (P04.0-P04.1, P04.4)
withdrawal symptoms from:
• maternal use of drugs of addiction (P96.1)
• therapeutic use of drugs in newborn (P96.2)
P94 Disorders of muscle tone of newborn
P94.0 Transient neonatal myasthenia gravis

Excludes: myasthenia gravis (G70.0)
P94.1 Congenital hypertonia
P94.2 Congenital hypotonia

Nonspecific floppy baby syndrome
P94.8 Other disorders of muscle tone of newborn
P94.9 Disorder of muscle tone of newborn, unspecified
P95 Fetal death of unspecified cause

Deadborn fetus NOS
Stillbirth NOS
P96 Other conditions originating in the perinatal period
P96.0 Congenital renal failure

Uraemia of newborn
P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction

Drug withdrawal syndrome in infant of dependent mother
Excludes: reactions and intoxications from maternal opiates and tranquillizers

administered during labour and delivery (P04.0)
XVI-32
P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn
P96.3 Wide cranial sutures of newborn

Neonatal craniotabes
P96.4 Termination of pregnancy, fetus and newborn

Excludes: termination of pregnancy (mother) (O04.-)
P96.5 Complications of intrauterine procedures, not elsewhere classified
P96.8 Other specified conditions originating in the perinatal period
P96.9 Condition originating in the perinatal period, unspecified

Congenital debility NOS
XVI-33
CHAPTER XVII
_____________________________________________________________________________
Congenital malformations, deformations and chromosomal abnormalities

(Q00-Q99)
Excludes: inborn errors of metabolism (E70-E90)
Q00-Q07 Congenital malformations of the nervous system

Q10-Q18 Congenital malformations of eye, ear, face and neck
Q20-Q28 Congenital malformations of the circulatory system
Q30-Q34 Congenital malformations of the respiratory system
Q35-Q37 Cleft lip and cleft palate
Q38-Q45 Other congenital malformations of the digestive system
Q50-Q56 Congenital malformations of genital organs
Q60-Q64 Congenital malformations of the urinary system
Q65-Q79 Congenital malformations and deformations of the musculoskeletal system
Q80-Q89 Other congenital malformations
Q90-Q99 Chromosomal abnormalities, not elsewhere classified
Congenital malformations of the nervous system

(Q00-Q07)
Q00 Anencephaly and similar malformations
Q00.0 Anencephaly
Acephaly
Acrania
Amyelencephaly
Hemianencephaly
Hemicephaly
Q00.1 Craniorachischisis
Q00.2 Iniencephaly
XVII-1
Q01 Encephalocele
Includes: encephalomyelocele
hydroencephalocele
hydromeningocele, cranial
meningocele, cerebral
meningoencephalocele
Excludes: Meckel-Gruber syndrome (Q61.9)
Q01.0 Frontal encephalocele
Q01.1 Nasofrontal encephalocele
Q01.2 Occipital encephalocele
Q01.8 Encephalocele of other sites
Q01.9 Encephalocele, unspecified
Q02 Microcephaly
Hydromicrocephaly
Micrencephalon
Q03 Congenital hydrocephalus

Includes: hydrocephalus in newborn
Excludes: Arnold-Chiari syndrome (Q07.0)

hydrocephalus:
• acquired (G91.-)
• due to congenital toxoplasmosis (P37.1)
• with spina bifida (Q05.0-Q05.4)
Q03.0 Malformations of aqueduct of Sylvius

Aqueduct of Sylvius:
• anomaly
• obstruction, congenital
• stenosis
XVII-2
MALFORMATIONS, DEFORMATIONS AND CHROMOSOMAL ABNORMALITIES
Q03.1 Atresia of foramina of Magendie and Luschka

Dandy-Walker syndrome
Q03.8 Other congenital hydrocephalus
Q03.9 Congenital hydrocephalus, unspecified
Q04 Other congenital malformations of brain

Excludes: cyclopia (Q87.0)
macrocephaly (Q75.3)
Q04.0 Congenital malformations of corpus callosum

Agenesis of corpus callosum
Q04.1 Arhinencephaly
Q04.2 Holoprosencephaly
Q04.3 Other reduction deformities of brain

Absence
Agenesis
of part of brain
Aplasia
Hypoplasia
Agyria
Hydranencephaly
Lissencephaly
Microgyria
Pachygyria
Excludes: congenital malformations of corpus callosum (Q04.0)
Q04.4 Septo-optic dysplasia
Q04.5 Megalencephaly
Q04.6 Congenital cerebral cysts

Porencephaly
Schizencephaly
Excludes: acquired porencephalic cyst (G93.0)
XVII-3
Q04.8 Other specified congenital malformations of brain

Macrogyria
Q04.9 Congenital malformation of brain, unspecified

Congenital:
• anomaly
• deformity
NOS of brain
• disease or lesion
• multiple anomalies
Q05 Spina bifida

Includes: hydromeningocele (spinal)
meningocele (spinal)
meningomyelocele
myelocele
myelomeningocele
rachischisis
spina bifida (aperta)(cystica)
syringomyelocele
Excludes: Arnold-Chiari syndrome (Q07.0)

spina bifida occulta (Q76.0)
Q05.0 Cervical spina bifida with hydrocephalus
Q05.1 Thoracic spina bifida with hydrocephalus

Spina bifida:
• dorsal
with hydrocephalus
• thoracolumbar
Q05.2 Lumbar spina bifida with hydrocephalus

Lumbosacral spina bifida with hydrocephalus
Q05.3 Sacral spina bifida with hydrocephalus
Q05.4 Unspecified spina bifida with hydrocephalus
Q05.5 Cervical spina bifida without hydrocephalus
XVII-4
Q05.6 Thoracic spina bifida without hydrocephalus

Spina bifida:
• dorsal NOS
• thoracolumbar NOS
Q05.7 Lumbar spina bifida without hydrocephalus

Lumbosacral spina bifida NOS
Q05.8 Sacral spina bifida without hydrocephalus
Q05.9 Spina bifida, unspecified
Q06 Other congenital malformations of spinal cord
Q06.0 Amyelia
Q06.1 Hypoplasia and dysplasia of spinal cord

Atelomyelia
Myelatelia
Myelodysplasia of spinal cord
Q06.2 Diastematomyelia
Q06.3 Other congenital cauda equina malformations
Q06.4 Hydromyelia
Hydrorachis
Q06.8 Other specified congenital malformations of spinal cord
Q06.9 Congenital malformation of spinal cord, unspecified

Congenital:
• anomaly
• deformity NOS of spinal cord or meninges
XVII-5
Q07 Other congenital malformations of nervous system

Excludes: familial dysautonomia [Riley-Day] (G90.1)
neurofibromatosis (nonmalignant) (Q85.0)
Q07.0 Arnold-Chiari syndrome
Q07.8 Other specified congenital malformations of nervous system

Agenesis of nerve
Displacement of brachial plexus
Jaw-winking syndrome
Marcus Gunn's syndrome
Q07.9 Congenital malformation of nervous system, unspecified

Congenital:
• anomaly
• deformity NOS of nervous system
Congenital malformations of eye, ear, face and neck

(Q10-Q18)
Excludes: cleft lip and cleft palate (Q35-Q37)

congenital malformation of:
• cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)
• larynx (Q31.-)
• lip NEC (Q38.0)
• nose (Q30.-)
• parathyroid gland (Q89.2)
• thyroid gland (Q89.2)
Q10 Congenital malformations of eyelid, lacrimal apparatus and orbit

Excludes: cryptophthalmos:
• NOS (Q11.2)
• syndrome (Q87.0)
Q10.0 Congenital ptosis
Q10.1 Congenital ectropion
XVII-6
Q10.2 Congenital entropion
Q10.3 Other congenital malformations of eyelid

Ablepharon
Absence or agenesis of:
• cilia
• eyelid
Accessory:
• eyelid
• eye muscle
Blepharophimosis, congenital
Coloboma of eyelid
Congenital malformation of eyelid NOS
Q10.4 Absence and agenesis of lacrimal apparatus

Absence of punctum lacrimale
Q10.5 Congenital stenosis and stricture of lacrimal duct
Q10.6 Other congenital malformations of lacrimal apparatus

Congenital malformation of lacrimal apparatus NOS
Q10.7 Congenital malformation of orbit
Q11 Anophthalmos, microphthalmos and macrophthalmos
Q11.0 Cystic eyeball
Q11.1 Other anophthalmos

Agenesis
of eye
Aplasia
Q11.2 Microphthalmos
Cryptophthalmos NOS
Dysplasia of eye
Hypoplasia of eye
Rudimentary eye
Excludes: cryptophthalmos syndrome (Q87.0)
Q11.3 Macrophthalmos
Excludes: macrophthalmos in congenital glaucoma (Q15.0)
XVII-7
Q12 Congenital lens malformations
Q12.0 Congenital cataract
Q12.1 Congenital displaced lens
Q12.2 Coloboma of lens
Q12.3 Congenital aphakia
Q12.4 Spherophakia
Q12.8 Other congenital lens malformations
Q12.9 Congenital lens malformation, unspecified
Q13 Congenital malformations of anterior segment of eye
Q13.0 Coloboma of iris

Coloboma NOS
Q13.1 Absence of iris

Aniridia
Q13.2 Other congenital malformations of iris

Anisocoria, congenital
Atresia of pupil
Congenital malformation of iris NOS
Corectopia
Q13.3 Congenital corneal opacity
Q13.4 Other congenital corneal malformations

Congenital malformation of cornea NOS
Microcornea
Peter's anomaly
Q13.5 Blue sclera
XVII-8
Q13.8 Other congenital malformations of anterior segment of eye

Rieger's anomaly
Q13.9 Congenital malformation of anterior segment of eye, unspecified
Q14 Congenital malformations of posterior segment of eye
Q14.0 Congenital malformation of vitreous humour

Congenital vitreous opacity
Q14.1 Congenital malformation of retina

Congenital retinal aneurysm
Q14.2 Congenital malformation of optic disc

Coloboma of optic disc
Q14.3 Congenital malformation of choroid
Q14.8 Other congenital malformations of posterior segment of eye

Coloboma of the fundus
Q14.9 Congenital malformation of posterior segment of eye, unspecified
Q15 Other congenital malformations of eye

Excludes: congenital nystagmus (H55)
ocular albinism (E70.3)
retinitis pigmentosa (H35.5)
Q15.0 Congenital glaucoma

Buphthalmos
Glaucoma of newborn
Hydrophthalmos
Keratoglobus, congenital, with glaucoma
Macrocornea with glaucoma
Macrophthalmos in congenital glaucoma
Megalocornea with glaucoma
XVII-9
Q15.8 Other specified congenital malformations of eye
Q15.9 Congenital malformation of eye, unspecified

Congenital:
• anomaly
NOS of eye
• deformity
Q16 Congenital malformations of ear causing impairment of hearing

Excludes: congenital deafness (H90.-)
Q16.0 Congenital absence of (ear) auricle
Q16.1 Congenital absence, atresia and stricture of auditory canal (external)

Atresia or stricture of osseous meatus
Q16.2 Absence of eustachian tube
Q16.3 Congenital malformation of ear ossicles

Fusion of ear ossicles
Q16.4 Other congenital malformations of middle ear

Congenital malformation of middle ear NOS
Q16.5 Congenital malformation of inner ear

Anomaly:
• membranous labyrinth
• organ of Corti
Q16.9 Congenital malformation of ear causing impairment of hearing, unspecified

Congenital absence of ear NOS
Q17 Other congenital malformations of ear

Excludes: preauricular sinus (Q18.1)
Q17.0 Accessory auricle

Accessory tragus
Polyotia
Preauricular appendage or tag
Supernumerary:
• ear
• lobule
XVII-10
Q17.1 Macrotia
Q17.2 Microtia
Q17.3 Other misshapen ear

Pointed ear
Q17.4 Misplaced ear

Low-set ears
Excludes: cervical auricle (Q18.2)
Q17.5 Prominent ear

Bat ear
Q17.8 Other specified congenital malformations of ear

Congenital absence of lobe of ear
Q17.9 Congenital malformation of ear, unspecified

Congenital anomaly of ear NOS
Q18 Other congenital malformations of face and neck

Excludes: cleft lip and cleft palate (Q35-Q37)
conditions classified to Q67.0-Q67.4
congenital malformations of skull and face bones (Q75.-)
cyclopia (Q87.0)
malformation syndromes affecting facial appearance (Q87.0)
persistent thyroglossal duct (Q89.2)
Q18.0 Sinus, fistula and cyst of branchial cleft

Branchial vestige
Q18.1 Preauricular sinus and cyst

Fistula (of):
• auricle, congenital
• cervicoaural
XVII-11
Q18.2 Other branchial cleft malformations

Branchial cleft malformation NOS
Cervical auricle
Otocephaly
Q18.3 Webbing of neck

Pterygium colli
Q18.4 Macrostomia
Q18.5 Microstomia
Q18.6 Macrocheilia
Hypertrophy of lip, congenital
Q18.7 Microcheilia
Q18.8 Other specified congenital malformations of face and neck

Medial:
• cyst
• fistula of face and neck
• sinus
Q18.9 Congenital malformation of face and neck, unspecified

Congenital anomaly NOS of face and neck
Congenital malformations of the circulatory system

(Q20-Q28)
Q20 Congenital malformations of cardiac chambers and connections

Excludes: dextrocardia with situs inversus (Q89.3)
mirror-image atrial arrangement with situs inversus (Q89.3)
Q20.0 Common arterial trunk

Persistent truncus arteriosus
Q20.1 Double outlet right ventricle

Taussig-Bing syndrome
XVII-12
Q20.2 Double outlet left ventricle
Q20.3 Discordant ventriculoarterial connection

Dextrotransposition of aorta
Transposition of great vessels (complete)
Q20.4 Double inlet ventricle

Common ventricle
Cor triloculare biatriatum
Single ventricle
Q20.5 Discordant atrioventricular connection

Corrected transposition
Laevotransposition
Ventricular inversion
Q20.6 Isomerism of atrial appendages

Isomerism of atrial appendages with asplenia or polysplenia
Q20.8 Other congenital malformations of cardiac chambers and connections
Q20.9 Congenital malformation of cardiac chambers and connections, unspecified
Q21 Congenital malformations of cardiac septa

Excludes: acquired cardiac septal defect (I51.0)
Q21.0 Ventricular septal defect
Q21.1 Atrial septal defect

Coronary sinus defect
Patent or persistent:
• foramen ovale
• ostium secundum defect (type II)
Sinus venosus defect
Q21.2 Atrioventricular septal defect

Common atrioventricular canal
Endocardial cushion defect
Ostium primum atrial septal defect (type I)
XVII-13
Q21.3 Tetralogy of Fallot

Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta
and hypertrophy of right ventricle.
Q21.4 Aortopulmonary septal defect

Aortic septal defect
Aortopulmonary window
Q21.8 Other congenital malformations of cardiac septa

Eisenmenger's defect
Pentalogy of Fallot
Excludes: Eisenmenger’s:
• complex (I27.8)
• syndrome (I27.8)
Q21.9 Congenital malformation of cardiac septum, unspecified

Septal (heart) defect NOS
Q22 Congenital malformations of pulmonary and tricuspid valves
Q22.0 Pulmonary valve atresia
Q22.1 Congenital pulmonary valve stenosis
Q22.2 Congenital pulmonary valve insufficiency

Congenital pulmonary valve regurgitation
Q22.3 Other congenital malformations of pulmonary valve

Congenital malformation of pulmonary valve NOS
Q22.4 Congenital tricuspid stenosis

Tricuspid atresia
Q22.5 Ebstein's anomaly
Q22.6 Hypoplastic right heart syndrome
Q22.8 Other congenital malformations of tricuspid valve
Q22.9 Congenital malformation of tricuspid valve, unspecified
XVII-14
Q23 Congenital malformations of aortic and mitral valves
Q23.0 Congenital stenosis of aortic valve

Congenital aortic:
• atresia
• stenosis
Excludes: congenital subaortic stenosis (Q24.4)

that in hypoplastic left heart syndrome (Q23.4)
Q23.1 Congenital insufficiency of aortic valve

Bicuspid aortic valve
Congenital aortic insufficiency
Q23.2 Congenital mitral stenosis

Congenital mitral atresia
Q23.3 Congenital mitral insufficiency
Q23.4 Hypoplastic left heart syndrome

Atresia, or marked hypoplasia of aortic orifice or valve, with hypoplasia of ascending
aorta and defective development of left ventricle (with mitral valve stenosis or
atresia).
Q23.8 Other congenital malformations of aortic and mitral valves
Q23.9 Congenital malformation of aortic and mitral valves, unspecified
Q24 Other congenital malformations of heart

Excludes: endocardial fibroelastosis (I42.4)
Q24.0 Dextrocardia
Excludes: dextrocardia with situs inversus (Q89.3)
isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
mirror-image atrial arrangement with situs inversus (Q89.3)
Q24.1 Laevocardia
Note: Location of heart in left hemithorax with apex pointing to the left, but with
situs inversus of other viscera and defects of the heart, or corrected
transposition of great vessels.
XVII-15
Q24.2 Cor triatriatum
Q24.3 Pulmonary infundibular stenosis
Q24.4 Congenital subaortic stenosis
Q24.5 Malformation of coronary vessels

Congenital coronary (artery) aneurysm
Q24.6 Congenital heart block
Q24.8 Other specified congenital malformations of heart

Congenital:
• diverticulum of left ventricle
• malformation of:
• myocardium
• pericardium
Malposition of heart
Uhl's disease
Q24.9 Congenital malformation of heart, unspecified

Congenital:
• anomaly
NOS of heart
• disease
Q25 Congenital malformations of great arteries
Q25.0 Patent ductus arteriosus

Patent ductus Botallo
Persistent ductus arteriosus
Q25.1 Coarctation of aorta

Coarctation of aorta (preductal)(postductal)
Q25.2 Atresia of aorta
Q25.3 Stenosis of aorta

Supravalvular aortic stenosis
Excludes: congenital aortic stenosis (Q23.0)
XVII-16
Q25.4 Other congenital malformations of aorta

Absence
Aplasia
Congenital: of aorta
• aneurysm
• dilatation
Aneurysm of sinus of Valsalva (ruptured)
Double aortic arch [vascular ring of aorta]
Hypoplasia of aorta
Persistent:
• convolutions of aortic arch
• right aortic arch
Excludes: hypoplasia of aorta in hypoplastic left heart syndrome (Q23.4)
Q25.5 Atresia of pulmonary artery
Q25.6 Stenosis of pulmonary artery
Q25.7 Other congenital malformations of pulmonary artery

Aberrant pulmonary artery
Agenesis
Aneurysm, congenital
of pulmonary artery
Anomaly
Hypoplasia
Pulmonary arteriovenous aneurysm
Q25.8 Other congenital malformations of great arteries
Q25.9 Congenital malformation of great arteries, unspecified
Q26 Congenital malformations of great veins
Q26.0 Congenital stenosis of vena cava

Congenital stenosis of vena cava (inferior)(superior)
Q26.1 Persistent left superior vena cava
Q26.2 Total anomalous pulmonary venous connection
XVII-17
Q26.3 Partial anomalous pulmonary venous connection
Q26.4 Anomalous pulmonary venous connection, unspecified
Q26.5 Anomalous portal venous connection
Q26.6 Portal vein-hepatic artery fistula
Q26.8 Other congenital malformations of great veins

Absence of vena cava (inferior)(superior)
Azygos continuation of inferior vena cava
Persistent left posterior cardinal vein
Scimitar syndrome
Q26.9 Congenital malformation of great vein, unspecified

Anomaly of vena cava (inferior)(superior) NOS
Q27 Other congenital malformations of peripheral vascular system
Includes: 5TH DIGIT TO IDENTIFY CONGENITAL ANEURYSMS
Excludes: anomalies of:

• cerebral and precerebral vessels (Q28.0-Q28.3)
• coronary vessels (Q24.5)
• pulmonary artery (Q25.5-Q25.7)
congenital retinal aneurysm (Q14.1)
haemangioma and lymphangioma (D18.-)
Q27.0 Congenital absence and hypoplasia of umbilical artery

Single umbilical artery
Q27.1 Congenital renal artery stenosis
Q27.2 Other congenital malformations of renal artery

Congenital malformation of renal artery NOS
Multiple renal arteries
XVII-18
Q27.3 Peripheral arteriovenous malformation

Arteriovenous aneurysm
Excludes: acquired arteriovenous aneurysm (I77.0)
Q27.4 Congenital phlebectasia
Q27.8 Other specified congenital malformations of peripheral vascular system

Aberrant subclavian artery
Absence
of artery or vein NEC
Atresia
Congenital:
• aneurysm (peripheral)
• stricture, artery
• varix
Q27.80 Congenital aneurysm NOS (peripheral)
Q27.9 Congenital malformation of peripheral vascular system, unspecified

Anomaly of artery or vein NOS
Q28 Other congenital malformations of circulatory system
Includes: 5th DIGIT TO IDENTIFY CONGENITAL ANEURYSM
Excludes: congenital aneurysm:

• NOS (Q27.8)
• coronary (Q24.5)
• peripheral (Q27.8)
• pulmonary (Q25.7)
• retinal (Q14.1)
ruptured:
• cerebral arteriovenous malformation (I60.8)
• malformation of precerebral vessels (I72.-)
Q28.0 Arteriovenous malformation of precerebral vessels

Congenital arteriovenous precerebral aneurysm (nonruptured)
XVII-19
Q28.1 Other malformations of precerebral vessels

Congenital:
• malformation of precerebral vessels NOS
• precerebral aneurysm (nonruptured)
Q28.2 Arteriovenous malformation of cerebral vessels

Arteriovenous malformation of brain NOS
Congenital arteriovenous cerebral aneurysm (nonruptured)
Q28.20 Congenital arteriovenous cerebral aneurysm (nonruptured)
Q28.3 Other malformations of cerebral vessels

Congenital:
• cerebral aneurysm (nonruptured)
• malformation of cerebral vessels NOS
Q28.30 Congenital cerebral aneurysm (nonruptured)
Q28.8 Other specified congenital malformations of circulatory system

Congenital aneurysm, specified site NEC
Q28.9 Congenital malformation of circulatory system, unspecified
Congenital malformations of the respiratory system

(Q30-Q34)
Q30 Congenital malformations of nose

Excludes: congenital deviation of nasal septum (Q67.4)
Q30.0 Choanal atresia

Absence
of nares (anterior)(posterior)
Congenital stenosis
Q30.1 Agenesis and underdevelopment of nose

Congenital absence of nose
Q30.2 Fissured, notched and cleft nose
Q30.3 Congenital perforated nasal septum
XVII-20
Q30.8 Other congenital malformations of nose

Accessory nose
Congenital anomaly of nasal sinus wall
Q30.9 Congenital malformation of nose, unspecified
Q31 Congenital malformations of larynx

Excludes: congenital laryngeal stridor NOS (P28.8)
Q31.0 Web of larynx

Web of larynx:
• NOS
• glottic
• subglottic
Q31.1 Congenital subglottic stenosis
Q31.2 Laryngeal hypoplasia
Q31.3 Laryngocele
Q31.5 Congenital laryngomalacia
Q31.8 Other congenital malformations of larynx

Absence
of cricoid cartilage, epiglottis, glottis, larynx
Agenesis
or thyroid cartilage
Atresia
Cleft thyroid cartilage
Congenital stenosis of larynx NEC
Fissure of epiglottis
Posterior cleft of cricoid cartilage
Q31.9 Congenital malformation of larynx, unspecified
Q32 Congenital malformations of trachea and bronchus

Excludes: congenital bronchiectasis (Q33.4)
Q32.0 Congenital tracheomalacia
XVII-21
Q32.1 Other congenital malformations of trachea

Anomaly of tracheal cartilage
Atresia of trachea
Congenital:
• dilatation
• malformation of trachea
• stenosis
• tracheocele
Q32.2 Congenital bronchomalacia
Q32.3 Congenital stenosis of bronchus
Q32.4 Other congenital malformations of bronchus

Absence
Agenesis
Atresia of bronchus
Congenital malformation NOS
Diverticulum
Q33 Congenital malformations of lung
Q33.0 Congenital cystic lung

Congenital:
• honeycomb lung
• lung disease:
• cystic
• polycystic
Excludes: cystic lung disease, acquired or unspecified (J98.4)
Q33.1 Accessory lobe of lung
Q33.2 Sequestration of lung
Q33.3 Agenesis of lung

Absence of lung (lobe)
Q33.4 Congenital bronchiectasis
XVII-22
Q33.5 Ectopic tissue in lung
Q33.6 Hypoplasia and dysplasia of lung

Excludes: pulmonary hypoplasia associated with short gestation (P28.0)
Q33.8 Other congenital malformations of lung
Q33.9 Congenital malformation of lung, unspecified
Q34 Other congenital malformations of respiratory system
Q34.0 Anomaly of pleura
Q34.1 Congenital cyst of mediastinum
Q34.8 Other specified congenital malformations of respiratory system

Atresia of nasopharynx
Q34.9 Congenital malformation of respiratory system, unspecified

Congenital:
• absence
of respiratory organ
• anomaly NOS
Cleft lip and cleft palate

(Q35-Q37)
Use additional code (Q30.2), if desired, to identify associated malformations of the nose.
Excludes: Robin's syndrome (Q87.0)
Q35 Cleft palate

Includes: fissure of palate
palatoschisis
Excludes: cleft palate with cleft lip (Q37.-)
Q35.1 Cleft hard palate
Q35.3 Cleft soft palate
XVII-23
Q35.5 Cleft hard palate with cleft soft palate
Q35.7 Cleft uvula
Q35.9 Cleft palate, unspecified

Cleft palate NOS
Q36 Cleft lip

Includes: cheiloschisis
congenital fissure of lip
harelip
labium leporinum
Excludes: cleft lip with cleft palate (Q37.-)
Q36.0 Cleft lip, bilateral
Q36.1 Cleft lip, median
Q36.9 Cleft lip, unilateral

Cleft lip NOS
Q37 Cleft palate with cleft lip
Q37.0 Cleft hard palate with bilateral cleft lip
Q37.1 Cleft hard palate with unilateral cleft lip

Cleft hard palate with cleft lip NOS
Q37.2 Cleft soft palate with bilateral cleft lip
Q37.3 Cleft soft palate with unilateral cleft lip

Cleft soft palate with cleft lip NOS
Q37.4 Cleft hard and soft palate with bilateral cleft lip
Q37.5 Cleft hard and soft palate with unilateral cleft lip
Cleft hard and soft palate with cleft lip NOS
XVII-24
Q37.8 Unspecified cleft palate with bilateral cleft lip
Q37.9 Unspecified cleft palate with unilateral cleft lip

Cleft palate with cleft lip NOS
Other congenital malformations of the digestive system

(Q38-Q45)
Q38 Other congenital malformations of tongue, mouth and pharynx

Excludes: macrostomia (Q18.4)
microstomia (Q18.5)
Q38.0 Congenital malformations of lips, not elsewhere classified

Congenital:
• fistula of lip
• malformation of lip NOS
Van der Woude's syndrome
Excludes: cleft lip (Q36.-)

• with cleft palate (Q37.-)
macrocheilia (Q18.6)
microcheilia (Q18.7)
Q38.1 Ankyloglossia
Tongue tie
Q38.2 Macroglossia
Q38.3 Other congenital malformations of tongue

Aglossia
Bifid tongue
Congenital:
• adhesion
• fissure of tongue
• malformation NOS
Hypoglossia
Hypoplasia of tongue
Microglossia
XVII-25
Q38.4 Congenital malformations of salivary glands and ducts

Absence
Accessory (of) salivary gland or duct
Atresia
Congenital fistula of salivary gland
Q38.5 Congenital malformations of palate, not elsewhere classified

Absence of uvula
Congenital malformation of palate NOS
High arched palate
Excludes: cleft palate (Q35.-)

• with cleft lip (Q37.-)
Q38.6 Other congenital malformations of mouth

Congenital malformation of mouth NOS
Q38.7 Pharyngeal pouch

Diverticulum of pharynx
Excludes: pharyngeal pouch syndrome (D82.1)
Q38.8 Other congenital malformations of pharynx

Congenital malformation of pharynx NOS
Q39 Congenital malformations of oesophagus
Q39.0 Atresia of oesophagus without fistula

Atresia of oesophagus NOS
Q39.1 Atresia of oesophagus with tracheo-oesophageal fistula

Atresia of oesophagus with broncho-oesophageal fistula
Q39.2 Congenital tracheo-oesophageal fistula without atresia

Congenital tracheo-oesophageal fistula NOS
Q39.3 Congenital stenosis and stricture of oesophagus
Q39.4 Oesophageal web
XVII-26
Q39.5 Congenital dilatation of oesophagus
Q39.6 Diverticulum of oesophagus

Oesophageal pouch
Q39.8 Other congenital malformations of oesophagus

Absent
Congenital displacement (of) oesophagus
Duplication
Q39.9 Congenital malformation of oesophagus, unspecified
Q40 Other congenital malformations of upper alimentary tract
Q40.0 Congenital hypertrophic pyloric stenosis

Congenital or infantile:
• constriction
• hypertrophy
• spasm of pylorus
• stenosis
• stricture
Q40.1 Congenital hiatus hernia

Displacement of cardia through oesophageal hiatus
Excludes: congenital diaphragmatic hernia (Q79.0)
Q40.2 Other specified congenital malformations of stomach

Congenital:
• displacement of stomach
• diverticulum of stomach
• hourglass stomach
Duplication of stomach
Megalogastria
Microgastria
Q40.3 Congenital malformation of stomach, unspecified
XVII-27
Q40.8 Other specified congenital malformations of upper alimentary tract
Q40.9 Congenital malformation of upper alimentary tract, unspecified

Congenital:
• anomaly
• deformity NOS of upper alimentary tract
Q41 Congenital absence, atresia and stenosis of small intestine

Includes: congenital obstruction, occlusion and stricture of small intestine or
intestine NOS
Excludes: meconium ileus (E84.1)
Q41.0 Congenital absence, atresia and stenosis of duodenum
Q41.1 Congenital absence, atresia and stenosis of jejunum

Apple peel syndrome
Imperforate jejunum
Q41.2 Congenital absence, atresia and stenosis of ileum
Q41.8 Congenital absence, atresia and stenosis of other specified parts of small
intestine
Q41.9 Congenital absence, atresia and stenosis of small intestine, part unspecified
Congenital absence, atresia and stenosis of intestine NOS
Q42 Congenital absence, atresia and stenosis of large intestine

Includes: congenital obstruction, occlusion and stricture of large intestine
Q42.0 Congenital absence, atresia and stenosis of rectum with fistula
Q42.1 Congenital absence, atresia and stenosis of rectum without fistula

Imperforate rectum
Q42.2 Congenital absence, atresia and stenosis of anus with fistula
Q42.3 Congenital absence, atresia and stenosis of anus without fistula

Imperforate anus
XVII-28
Q42.8 Congenital absence, atresia and stenosis of other parts of large intestine
Q42.9 Congenital absence, atresia and stenosis of large intestine, part unspecified
Q43 Other congenital malformations of intestine
Q43.0 Meckel's diverticulum

Persistent:
• omphalomesenteric duct
• vitelline duct
Q43.1 Hirschsprung's disease

Aganglionosis
Congenital (aganglionic) megacolon
Q43.2 Other congenital functional disorders of colon

Congenital dilatation of colon
Q43.3 Congenital malformations of intestinal fixation

Congenital adhesions [bands]:
• omental, anomalous
• peritoneal
Jackson's membrane
Malrotation of colon
Rotation:
• failure of
• incomplete of caecum and colon
• insufficient
Universal mesentery
Q43.4 Duplication of intestine
Q43.5 Ectopic anus
Q43.6 Congenital fistula of rectum and anus

Excludes: congenital fistula:
• rectovaginal (Q52.2)
• urethrorectal (Q64.7)
pilonidal fistula or sinus (L05.-)
with absence, atresia and stenosis (Q42.0, Q42.2)
XVII-29
Q43.7 Persistent cloaca

Cloaca NOS
Q43.8 Other specified congenital malformations of intestine

Congenital:
• blind loop syndrome
• diverticulitis, colon
• diverticulum, intestine
Dolichocolon
Megaloappendix
Megaloduodenum
Microcolon
Transposition of:
• appendix
• colon
• intestine
Q43.9 Congenital malformation of intestine, unspecified
Q44 Congenital malformations of gallbladder, bile ducts and liver
Q44.0 Agenesis, aplasia and hypoplasia of gallbladder

Congenital absence of gallbladder
Q44.1 Other congenital malformations of gallbladder

Congenital malformation of gallbladder NOS
Intrahepatic gallbladder
Q44.2 Atresia of bile ducts
Q44.3 Congenital stenosis and stricture of bile ducts
Q44.4 Choledochal cyst
Q44.5 Other congenital malformations of bile ducts

Accessory hepatic duct
Congenital malformation of bile duct NOS
Duplication:
• biliary duct
• cystic duct
XVII-30
Q44.6 Cystic disease of liver

Fibrocystic disease of liver
Q44.7 Other congenital malformations of liver

Accessory liver
Alagille's syndrome
Congenital:
• absence of liver
• hepatomegaly
• malformation of liver NOS
Q45 Other congenital malformations of digestive system

Excludes: congenital:
• diaphragmatic hernia (Q79.0)
• hiatus hernia (Q40.1)
Q45.0 Agenesis, aplasia and hypoplasia of pancreas

Congenital absence of pancreas
Q45.1 Annular pancreas
Q45.2 Congenital pancreatic cyst
Q45.3 Other congenital malformations of pancreas and pancreatic duct

Accessory pancreas
Congenital malformation of pancreas or pancreatic duct NOS
Excludes: diabetes mellitus:

• congenital (E10.-)
fibrocystic disease of pancreas (E84.-)
Q45.8 Other specified congenital malformations of digestive system

Absence (complete)(partial) of alimentary tract NOS
Duplication
of digestive organs NOS
Malposition, congenital
Q45.9 Congenital malformation of digestive system, unspecified

Congenital:
• anomaly
NOS of digestive system
• deformity
XVII-31
Congenital malformations of genital organs

(Q50-Q56)

syndromes associated with anomalies in the number and form of chromosomes
(Q90-Q99)
testicular feminization syndrome (E34.5)
Q50 Congenital malformations of ovaries, fallopian tubes and broad ligaments
Q50.0 Congenital absence of ovary

Excludes: Turner's syndrome (Q96.-)
Q50.1 Developmental ovarian cyst
Q50.2 Congenital torsion of ovary
Q50.3 Other congenital malformations of ovary

Accessory ovary
Congenital malformation of ovary NOS
Ovarian streak
Q50.4 Embryonic cyst of fallopian tube

Fimbrial cyst
Q50.5 Embryonic cyst of broad ligament

Cyst:
• epoophoron
• Gartner's duct
• parovarian
Q50.6 Other congenital malformations of fallopian tube and broad ligament

Absence
Accessory (of) fallopian tube or broad ligament
Atresia
Congenital malformation of fallopian tube or broad ligament NOS
XVII-32
Q51 Congenital malformations of uterus and cervix
Q51.0 Agenesis and aplasia of uterus

Congenital absence of uterus
Q51.1 Doubling of uterus with doubling of cervix and vagina
Q51.2 Other doubling of uterus

Doubling of uterus NOS
Q51.3 Bicornate uterus
Q51.4 Unicornate uterus
Q51.5 Agenesis and aplasia of cervix

Congenital absence of cervix
Q51.6 Embryonic cyst of cervix
Q51.7 Congenital fistulae between uterus and digestive and urinary tracts
Q51.8 Other congenital malformations of uterus and cervix

Hypoplasia of uterus and cervix
Q51.9 Congenital malformation of uterus and cervix, unspecified
Q52 Other congenital malformations of female genitalia
Q52.0 Congenital absence of vagina
Q52.1 Doubling of vagina

Septate vagina
Excludes: doubling of vagina with doubling of uterus and cervix (Q51.1)
Q52.2 Congenital rectovaginal fistula

Excludes: cloaca (Q43.7)
Q52.3 Imperforate hymen
XVII-33
Q52.4 Other congenital malformations of vagina

Congenital malformation of vagina NOS
Cyst:
• canal of Nuck, congenital
• embryonic vaginal
Q52.5 Fusion of labia
Q52.6 Congenital malformation of clitoris
Q52.7 Other congenital malformations of vulva

Congenital:
• absence
• cyst of vulva
• malformation NOS
Q52.8 Other specified congenital malformations of female genitalia
Q52.9 Congenital malformation of female genitalia, unspecified
Q53 Undescended testicle
Q53.0 Ectopic testis

Unilateral or bilateral ectopic testes
Q53.1 Undescended testicle, unilateral
Q53.2 Undescended testicle, bilateral
Q53.9 Undescended testicle, unspecified

Cryptorchism NOS
Q54 Hypospadias
Excludes: epispadias (Q64.0)
Q54.0 Hypospadias, balanic

Hypospadias:
• coronal
• glandular
Q54.1 Hypospadias, penile

XVII-34
Q54.2 Hypospadias, penoscrotal
Q54.3 Hypospadias, perineal
Q54.4 Congenital chordee
Q54.8 Other hypospadias
Q54.9 Hypospadias, unspecified
Q55 Other congenital malformations of male genital organs

Excludes: congenital hydrocele (P83.5)
hypospadias (Q54.-)
Q55.0 Absence and aplasia of testis

Monorchism
Q55.1 Hypoplasia of testis and scrotum

Fusion of testes
Q55.2 Other congenital malformations of testis and scrotum

Congenital malformation of testis or scrotum NOS
Polyorchism
Retractile testis
Testis migrans
Q55.3 Atresia of vas deferens
Q55.4 Other congenital malformations of vas deferens, epididymis, seminal vesicles

and prostate
Absence or aplasia of:
• prostate
• spermatic cord
Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate
NOS
Q55.5 Congenital absence and aplasia of penis
XVII-35
Q55.6 Other congenital malformations of penis

Congenital malformation of penis NOS
Curvature of penis (lateral)
Hypoplasia of penis
Q55.8 Other specified congenital malformations of male genital organs
Q55.9 Congenital malformation of male genital organ, unspecified

Congenital:
• anomaly
NOS of male genital organ
• deformity
Q56 Indeterminate sex and pseudohermaphroditism

Excludes: pseudohermaphroditism:
• female, with adrenocortical disorder (E25.-)
• male, with androgen resistance (E34.5)
• with specified chromosomal anomaly (Q96-Q99)
Q56.0 Hermaphroditism, not elsewhere classified

Ovotestis
Q56.1 Male pseudohermaphroditism, not elsewhere classified

Male pseudohermaphroditism NOS
Q56.2 Female pseudohermaphroditism, not elsewhere classified

Female pseudohermaphroditism NOS
Q56.3 Pseudohermaphroditism, unspecified
Q56.4 Indeterminate sex, unspecified

Ambiguous genitalia
XVII-36
Congenital malformations of the urinary system

(Q60-Q64)
Q60 Renal agenesis and other reduction defects of kidney

Includes: atrophy of kidney:
• congenital
• infantile
congenital absence of kidney
Q60.0 Renal agenesis, unilateral
Q60.1 Renal agenesis, bilateral
Q60.2 Renal agenesis, unspecified
Q60.3 Renal hypoplasia, unilateral
Q60.4 Renal hypoplasia, bilateral
Q60.5 Renal hypoplasia, unspecified
Q60.6 Potter's syndrome
Q61 Cystic kidney disease

Excludes: acquired cyst of kidney (N28.1)
Potter's syndrome (Q60.6)
Q61.0 Congenital single renal cyst

Cyst of kidney (congenital)(single)
Q61.1 Polycystic kidney, autosomal recessive

Polycystic kidney, infantile type
Q61.2 Polycystic kidney, autosomal dominant

Polycystic kidney, adult type
Q61.3 Polycystic kidney, unspecified
Q61.4 Renal dysplasia
XVII-37
Q61.5 Medullary cystic kidney

Sponge kidney NOS
Q61.8 Other cystic kidney diseases

Fibrocystic:
• kidney
• renal degeneration or disease
Q61.9 Cystic kidney disease, unspecified

Meckel-Gruber syndrome
Q62 Congenital obstructive defects of renal pelvis and congenital malformations of

ureter
Q62.0 Congenital hydronephrosis
Q62.1 Atresia and stenosis of ureter

Congenital occlusion of:
• ureter
• ureteropelvic junction
• ureterovesical orifice
Impervious ureter
Q62.2 Congenital megaloureter

Congenital dilatation of ureter
Q62.3 Other obstructive defects of renal pelvis and ureter

Congenital ureterocele
Q62.4 Agenesis of ureter

Absent ureter
Q62.5 Duplication of ureter

Accessory
ureter
Double
XVII-38
Q62.6 Malposition of ureter

Deviation
Displacement
(of) ureter or ureteric orifice
Ectopic
Implantation, anomalous
Q62.7 Congenital vesico-uretero-renal reflux
Q62.8 Other congenital malformations of ureter

Anomaly of ureter NOS
Q63 Other congenital malformations of kidney

Excludes: congenital nephrotic syndrome (N04.-)
Q63.0 Accessory kidney
Q63.1 Lobulated, fused and horseshoe kidney
Q63.2 Ectopic kidney

Congenital displaced kidney
Malrotation of kidney
Q63.3 Hyperplastic and giant kidney
Q63.8 Other specified congenital malformations of kidney

Congenital renal calculi
Q63.9 Congenital malformation of kidney, unspecified
Q64 Other congenital malformations of urinary system
Q64.0 Epispadias
Excludes: hypospadias (Q54.-)
Q64.1 Exstrophy of urinary bladder

Ectopia vesicae
Extroversion of bladder
Q64.2 Congenital posterior urethral valves
XVII-39
Q64.3 Other atresia and stenosis of urethra and bladder neck

Congenital:
• bladder neck obstruction
• stricture of:
• urethra
• urinary meatus
• vesicourethral orifice
Impervious urethra
Q64.4 Malformation of urachus

Cyst of urachus
Patent urachus
Prolapse of urachus
Q64.5 Congenital absence of bladder and urethra
Q64.6 Congenital diverticulum of bladder
Q64.7 Other congenital malformations of bladder and urethra

Accessory:
• bladder
• urethra
Congenital:
• hernia of bladder
• malformation of bladder or urethra NOS
• prolapse of:
• bladder (mucosa)
• urethra
• urinary meatus
• urethrorectal fistula
Double:
• urethra
• urinary meatus
Q64.8 Other specified congenital malformations of urinary system
Q64.9 Congenital malformation of urinary system, unspecified

Congenital:
• anomaly
NOS of urinary system
• deformity
XVII-40
Congenital malformations and deformations of the musculoskeletal system

(Q65-Q79)
Q65 Congenital deformities of hip

Excludes: clicking hip (R29.4)
Q65.0 Congenital dislocation of hip, unilateral
Q65.1 Congenital dislocation of hip, bilateral
Q65.2 Congenital dislocation of hip, unspecified
Q65.3 Congenital subluxation of hip, unilateral
Q65.4 Congenital subluxation of hip, bilateral
Q65.5 Congenital subluxation of hip, unspecified
Q65.6 Unstable hip

Dislocatable hip
Subluxatable hip
Q65.8 Other congenital deformities of hip

Anteversion of femoral neck
Congenital acetabular dysplasia
Congenital coxa:
• valga
• vara
Q65.9 Congenital deformity of hip, unspecified
Q66 Congenital deformities of feet

Excludes: reduction defects of feet (Q72.-)
valgus deformities (acquired) (M21.0)
varus deformities (acquired) (M21.1)
Q66.0 Talipes equinovarus
Q66.1 Talipes calcaneovarus
XVII-41
Q66.2 Metatarsus varus
Q66.3 Other congenital varus deformities of feet

Hallux varus, congenital
Q66.4 Talipes calcaneovalgus
Q66.5 Congenital pes planus

Flat foot:
• congenital
• rigid
• spastic (everted)
Q66.6 Other congenital valgus deformities of feet

Metatarsus valgus
Q66.7 Pes cavus
Q66.8 Other congenital deformities of feet

Clubfoot NOS
Hammer toe, congenital
Talipes:
• NOS
• asymmetric
Tarsal coalition
Vertical talus
Q66.9 Congenital deformity of feet, unspecified
Q67 Congenital musculoskeletal deformities of head, face, spine and chest

Excludes: congenital malformation syndromes classified to Q87.-
Potter's syndrome (Q60.6)
Q67.0 Facial asymmetry
Q67.1 Compression facies
Q67.2 Dolichocephaly
Q67.3 Plagiocephaly
XVII-42
Q67.4 Other congenital deformities of skull, face and jaw

Depressions in skull
Deviation of nasal septum, congenital
Hemifacial atrophy or hypertrophy
Squashed or bent nose, congenital
Excludes: dentofacial anomalies [including malocclusion] (K07.-)

syphilitic saddle nose (A50.5)
Q67.5 Congenital deformity of spine

Congenital scoliosis:
• NOS
• postural
Excludes: infantile idiopathic scoliosis (M41.0 )

scoliosis due to congenital bony malformation (Q76.3)
Q67.6 Pectus excavatum

Congenital funnel chest
Q67.7 Pectus carinatum

Congenital pigeon chest
Q67.8 Other congenital deformities of chest

Congenital deformity of chest wall NOS
Q68 Other congenital musculoskeletal deformities

Excludes: reduction defects of limb(s) (Q71-Q73)
Q68.0 Congenital deformity of sternocleidomastoid muscle

Congenital (sternomastoid) torticollis
Contracture of sternocleidomastoid (muscle)
Sternomastoid tumour (congenital)
Q68.1 Congenital deformity of hand

Congenital clubfinger
Spade-like hand (congenital)
XVII-43
Q68.2 Congenital deformity of knee

Congenital:
• dislocation of knee
• genu recurvatum
Q68.3 Congenital bowing of femur

Excludes: anteversion of femur (neck) (Q65.8)
Q68.4 Congenital bowing of tibia and fibula
Q68.5 Congenital bowing of long bones of leg, unspecified
Q68.8 Other specified congenital musculoskeletal deformities

Congenital:
• deformity of:
• clavicle
• elbow
• forearm
• scapula
• dislocation of:
• elbow
• shoulder
Q69 Polydactyly
Q69.0 Accessory finger(s)
Q69.1 Accessory thumb(s)
Q69.2 Accessory toe(s)

Accessory hallux
Q69.9 Polydactyly, unspecified

Supernumerary digit(s) NOS
Q70 Syndactyly
Q70.0 Fused fingers

Complex syndactyly of fingers with synostosis
XVII-44
Q70.1 Webbed fingers

Simple syndactyly of fingers without synostosis
Q70.2 Fused toes

Complex syndactyly of toes with synostosis
Q70.3 Webbed toes

Simple syndactyly of toes without synostosis
Q70.4 Polysyndactyly
Q70.9 Syndactyly, unspecified

Symphalangy NOS
Q71 Reduction defects of upper limb
Q71.0 Congenital complete absence of upper limb(s)
Q71.1 Congenital absence of upper arm and forearm with hand present
Q71.2 Congenital absence of both forearm and hand
Q71.3 Congenital absence of hand and finger(s)
Q71.4 Longitudinal reduction defect of radius

Clubhand (congenital)
Radial clubhand
Q71.5 Longitudinal reduction defect of ulna
Q71.6 Lobster-claw hand
Q71.8 Other reduction defects of upper limb(s)

Congenital shortening of upper limb(s)
Q71.9 Reduction defect of upper limb, unspecified
Q72 Reduction defects of lower limb
Q72.0 Congenital complete absence of lower limb(s)
XVII-45
Q72.1 Congenital absence of thigh and lower leg with foot present
Q72.2 Congenital absence of both lower leg and foot
Q72.3 Congenital absence of foot and toe(s)
Q72.4 Longitudinal reduction defect of femur

Proximal femoral focal deficiency
Q72.5 Longitudinal reduction defect of tibia
Q72.6 Longitudinal reduction defect of fibula
Q72.7 Split foot
Q72.8 Other reduction defects of lower limb(s)

Congenital shortening of lower limb(s)
Q72.9 Reduction defect of lower limb, unspecified
Q73 Reduction defects of unspecified limb
Q73.0 Congenital absence of unspecified limb(s)

Amelia NOS
Q73.1 Phocomelia, unspecified limb(s)

Phocomelia NOS
Q73.8 Other reduction defects of unspecified limb(s)

Longitudinal reduction deformity of unspecified limb(s)
Ectromelia NOS
Hemimelia NOS of limb(s) NOS
Reduction defect
XVII-46
Q74 Other congenital malformations of limb(s)

Excludes: polydactyly (Q69.-)
reduction defect of limb (Q71-Q73)
syndactyly (Q70.-)
Q74.0 Other congenital malformations of upper limb(s), including shoulder girdle

Accessory carpal bones
Cleidocranial dysostosis
Congenital pseudarthrosis of clavicle
Macrodactylia (fingers)
Madelung's deformity
Radioulnar synostosis
Sprengel's deformity
Triphalangeal thumb
Q74.1 Congenital malformation of knee

Congenital:
• absence of patella
• dislocation of patella
• genu:
• valgum
• varum
Rudimentary patella
Excludes: congenital:
• dislocation of knee (Q68.2)
• genu recurvatum (Q68.2)
nail patella syndrome (Q87.2)
Q74.2 Other congenital malformations of lower limb(s), including pelvic girdle

Congenital:
• fusion of sacroiliac joint
• malformation (of):
• ankle (joint)
• sacroiliac (joint)
Excludes: anteversion of femur (neck) (Q65.8)
Q74.3 Arthrogryposis multiplex congenital
XVII-47
Q74.8 Other specified congenital malformations of limb(s)
Q74.9 Unspecified congenital malformation of limb(s)

Congenital anomaly of limb(s) NOS
Q75 Other congenital malformations of skull and face bones

Excludes: congenital malformation of face NOS (Q18.-)
congenital malformation syndromes classified to Q87.-
musculoskeletal deformities of head and face (Q67.0-Q67.4)
skull defects associated with congenital anomalies of brain such as:
• anencephaly (Q00.0)
• encephalocele (Q01.-)
• hydrocephalus (Q03.-)
• microcephaly (Q02)
Q75.0 Craniosynostosis
Acrocephaly
Imperfect fusion of skull
Oxycephaly
Trigonocephaly
Q75.1 Craniofacial dysostosis

Crouzon's disease
Q75.2 Hypertelorism
Q75.3 Macrocephaly
Q75.4 Mandibulofacial dysostosis

Syndrome:
• Franceschetti
• Treacher Collins
Q75.5 Oculomandibular dysostosis
XVII-48
Q75.8 Other specified congenital malformations of skull and face bones

Absence of skull bone, congenital
Congenital deformity of forehead
Platybasia
Q75.9 Congenital malformation of skull and face bones, unspecified

Congenital anomaly of:
• face bones NOS
• skull NOS
Q76 Congenital malformations of spine and bony thorax

Excludes: congenital musculoskeletal deformities of spine and chest
(Q67.5-Q67.8)
Q76.0 Spina bifida occulta
Excludes: meningocele (spinal) (Q05.-)
spina bifida (aperta)(cystica) (Q05.-)
Q76.1 Klippel-Feil syndrome

Cervical fusion syndrome
Q76.2 Congenital spondylolisthesis

Congenital spondylolysis
Excludes: spondylolisthesis (acquired) (M43.1)

spondylolysis (acquired) (M43.0)
Q76.3 Congenital scoliosis due to congenital bony malformation

Hemivertebra fusion or failure of segmentation with scoliosis
Q76.4 Other congenital malformations of spine, not associated with scoliosis

Congenital:
• absence of vertebra
• fusion of spine
• kyphosis
• lordosis
• malformation of lumbosacral unspecified or not
(joint) (region) associated with
Hemivertebra scoliosis
Malformation of spine
Platyspondylisis
Supernumerary vertebra
XVII-49
Q76.5 Cervical rib

Supernumerary rib in cervical region
Q76.6 Other congenital malformations of ribs

Accessory rib
Congenital:
• absence of rib
• fusion of ribs
• malformation of ribs NOS
Excludes: short rib syndrome (Q77.2)
Q76.7 Congenital malformation of sternum

Congenital absence of sternum
Sternum bifidum
Q76.8 Other congenital malformations of bony thorax
Q76.9 Congenital malformation of bony thorax, unspecified
Q77 Osteochondrodysplasia with defects of growth of tubular bones and spine

Excludes: mucopolysaccharidosis (E76.0-E76.3)
Q77.0 Achondrogenesis
Hypochondrogenesis
Q77.1 Thanatophoric short stature
Q77.2 Short rib syndrome

Asphyxiating thoracic dysplasia [Jeune]
Q77.3 Chondrodysplasia punctata
Q77.4 Achondroplasia
Hypochondroplasia
Q77.5 Dystrophic dysplasia
Q77.6 Chondroectodermal dysplasia

Ellis-van Creveld syndrome
XVII-50
Q77.7 Spondyloepiphyseal dysplasia
Q77.8 Other osteochondrodysplasia with defects of growth of tubular bones and spine
Q77.9 Osteochondrodysplasia with defects of growth of tubular bones and spine,

unspecified
Q78 Other osteochondrodysplasias
Q78.0 Osteogenesis imperfecta

Fragilitas ossium
Osteopsathyrosis
Q78.1 Polyostotic fibrous dysplasia

Albright(-McCune)(-Sternberg) syndrome
Q78.2 Osteopetrosis
Albers-Schönberg syndrome
Q78.3 Progressive diaphyseal dysplasia

Camurati-Engelmann syndrome
Q78.4 Enchondromatosis
Maffucci's syndrome
Ollier's disease
Q78.5 Metaphyseal dysplasia

Pyle's syndrome
Q78.6 Multiple congenital exostoses

Diaphyseal aclasis
Q78.8 Other specified osteochondrodysplasias

Osteopoikilosis
Q78.9 Osteochondrodysplasia, unspecified

Chondrodystrophy NOS
Osteodystrophy NOS
XVII-51
Q79 Congenital malformations of the musculoskeletal system, not elsewhere

classified
Excludes: congenital (sternomastoid) torticollis (Q68.0)
Q79.0 Congenital diaphragmatic hernia

Excludes: congenital hiatus hernia (Q40.1)
Q79.1 Other congenital malformations of diaphragm

Absence of diaphragm
Congenital malformation of diaphragm NOS
Eventration of diaphragm
Q79.2 Exomphalos
Omphalocele
Excludes: umbilical hernia (K42.-)
Q79.3 Gastroschisis
Q79.4 Prune belly syndrome
Q79.5 Other congenital malformations of abdominal wall

Excludes: umbilical hernia (K42.-)
Q79.6 Ehlers-Danlos syndrome
Q79.8 Other congenital malformations of musculoskeletal system

Absence of:
• muscle
• tendon
Accessory muscle
Amyotrophia congenita
Congenital:
• constricting bands
• shortening of tendon
Poland's syndrome
Q79.9 Congenital malformation of musculoskeletal system, unspecified

Congenital:
• anomaly NOS
of musculoskeletal system NOS
• deformity NOS
XVII-52
Other congenital malformations

(Q80-Q89)
Q80 Congenital ichthyosis

Excludes: Refsum's disease (G60.1)
Q80.0 Ichthyosis vulgaris
Q80.1 X-linked ichthyosis
Q80.2 Lamellar ichthyosis

Collodion baby
Q80.3 Congenital bullous ichthyosiform erythroderma
Q80.4 Harlequin fetus
Q80.8 Other congenital ichthyosis
Q80.9 Congenital ichthyosis, unspecified
Q81 Epidermolysis bullosa
Q81.0 Epidermolysis bullosa simplex

Excludes: Cockayne's syndrome (Q87.1)
Q81.1 Epidermolysis bullosa letalis

Herlitz' syndrome
Q81.2 Epidermolysis bullosa dystrophica
Q81.8 Other epidermolysis bullosa
Q81.9 Epidermolysis bullosa, unspecified
XVII-53
Q82 Other congenital malformations of skin

Excludes: acrodermatitis enteropathica (E83.2)
congenital erythropoietic porphyria (E80.0)
pilonidal cyst or sinus (L05.-)
Sturge-Weber(-Dimitri) syndrome (Q85.8)
Q82.0 Hereditary lymphoedema
Q82.1 Xeroderma pigmentosum
Q82.2 Mastocytosis
Urticaria pigmentosa
Excludes: malignant mastocytosis (C96.2)
Q82.3 Incontinentia pigmenti
Q82.4 Ectodermal dysplasia (anhidrotic)

Excludes: Ellis-van Creveld syndrome (Q77.6)
Q82.5 Congenital non-neoplastic naevus

Birthmark NOS
Naevus:
• flammeus
• portwine
• sanguineous
• strawberry
• vascular NOS
• verrucous
Excludes: café au lait spots (L81.3)

lentigo (L81.4)
naevus:
• NOS (D22.-)
• araneus (I78.1)
• melanocytic (D22.-)
• pigmented (D22.-)
• spider (I78.1)
• stellar (I78.1)
XVII-54
Q82.8 Other specified congenital malformations of skin

Abnormal palmar creases
Accessory skin tags
Benign familial pemphigus [Hailey-Hailey]
Cutis laxa (hyperelastica)
Dermatoglyphic anomalies
Inherited keratosis palmaris et plantaris
Keratosis follicularis [Darier-White]
Excludes: Ehlers-Danlos syndrome (Q79.6)
Q82.9 Congenital malformation of skin, unspecified
Q83 Congenital malformations of breast

Excludes: absence of pectoral muscle (Q79.8)
Q83.0 Congenital absence of breast with absent nipple
Q83.1 Accessory breast

Supernumerary breast
Q83.2 Absent nipple
Q83.3 Accessory nipple

Supernumerary nipple
Q83.8 Other congenital malformations of breast

Hypoplasia of breast
Q83.9 Congenital malformation of breast, unspecified
XVII-55
Q84 Other congenital malformations of integument
Q84.0 Congenital alopecia

Congenital atrichosis
Q84.1 Congenital morphological disturbances of hair, not elsewhere classified

Beaded hair
Monilethrix
Pili annulati
Excludes: Menkes' kinky hair syndrome (E83.0)
Q84.2 Other congenital malformations of hair

Congenital:
• hypertrichosis
• malformation of hair NOS
Persistent lanugo
Q84.3 Anonychia
Excludes: nail patella syndrome (Q87.2)
Q84.4 Congenital leukonychia
Q84.5 Enlarged and hypertrophic nails

Congenital onychauxis
Pachyonychia
Q84.6 Other congenital malformations of nails

Congenital:
• clubnail
• koilonychia
• malformation of nail NOS
Q84.8 Other specified congenital malformations of integument

Aplasia cutis congenita
Q84.9 Congenital malformation of integument, unspecified

Congenital:
• anomaly NOS
of integument NOS
• deformity NOS
XVII-56
Q85 Phakomatoses, not elsewhere classified

familial dysautonomia [Riley-Day] (G90.1)
Q85.0 Neurofibromatosis (nonmalignant)

Von Recklinghausen's disease
Q85.1 Tuberous sclerosis

Bourneville's disease
Epiloia
Q85.8 Other phakomatoses, not elsewhere classified

Syndrome:
• Peutz-Jeghers
• Sturge-Weber(-Dimitri)
• von Hippel-Lindau
Q85.9 Phakomatosis, unspecified

Hamartosis NOS
Q86 Congenital malformation syndromes due to known exogenous causes, not

Excludes: iodine-deficiency-related hypothyroidism (E00-E02)
nonteratogenic effects of substances transmitted via placenta or breast
milk (P04.-)
Q86.0 Fetal alcohol syndrome (dysmorphic)
Q86.1 Fetal hydantoin syndrome

Meadow's syndrome
Q86.2 Dysmorphism due to warfarin
Q86.8 Other congenital malformation syndromes due to known exogenous causes
XVII-57
Q87 Other specified congenital malformation syndromes affecting multiple systems
Q87.0 Congenital malformation syndromes predominantly affecting facial appearance

Acrocephalopolysyndactyly
Acrocephalosyndactyly [Apert]
Cryptophthalmos syndrome
Cyclopia
Syndrome:
• Goldenhar
• Moebius
• oro-facial-digital
• Robin
Whistling face
Q87.1 Congenital malformation syndromes predominantly associated with short

stature
Syndrome:
• Aarskog
• Cockayne
• De Lange
• Dubowitz
• Noonan
• Prader-Willi
• Robinow-Silverman-Smith
• Russell-Silver
• Seckel
• Smith-Lemli-Opitz
Excludes: Ellis-van Creveld syndrome (Q77.6)
Q87.2 Congenital malformation syndromes predominantly involving limbs

Syndrome:
• Holt-Oram
• Klippel-Trénaunay-Weber
• nail patella
• Rubinstein-Taybi
• sirenomelia
• thrombocytopenia with absent radius [TAR]
• VATER
XVII-58
Q87.3 Congenital malformation syndromes involving early overgrowth

Syndrome:
• Beckwith-Wiedemann
• Sotos
• Weaver
Q87.4 Marfan's syndrome
Q87.5 Other congenital malformation syndromes with other skeletal changes
Q87.8 Other specified congenital malformation syndromes, not elsewhere classified

Syndrome:
• Alport
• Laurence-Moon(-Bardet)-Biedl
• Zellweger
Q89 Other congenital malformations, not elsewhere classified
Q89.0 Congenital malformations of spleen

Asplenia (congenital)
Congenital splenomegaly
Excludes: isomerism of atrial appendages (with asplenia or polysplenia) (Q20.6)
Q89.1 Congenital malformations of adrenal gland

Excludes: congenital adrenal hyperplasia (E25.0)
Q89.2 Congenital malformations of other endocrine glands

Congenital malformation of parathyroid or thyroid gland
Persistent thyroglossal duct
Thyroglossal cyst
XVII-59
Q89.3 Situs inversus

Dextrocardia with situs inversus
Mirror-image atrial arrangement with situs inversus
Situs inversus or transversus:
• abdominalis
• thoracis
Transposition of viscera:
• abdominal
• thoracic
Excludes: dextrocardia NOS (Q24.0)

laevocardia (Q24.1)
Q89.4 Conjoined twins

Craniopagus
Dicephaly
Double monster
Pygopagus
Thoracopagus
Q89.7 Multiple congenital malformations, not elsewhere classified

Monster NOS
Multiple congenital:
• anomalies NOS
• deformities NOS
Excludes: congenital malformation syndromes affecting multiple systems (Q87.-)
Q89.8 Other specified congenital malformations
Q89.9 Congenital malformation, unspecified

Congenital:
• anomaly NOS
• deformity NOS
XVII-60
Chromosomal abnormalities, not elsewhere classified

(Q90-Q99)
Q90 Down's syndrome
Q90.0 Trisomy 21, meiotic nondisjunction
Q90.1 Trisomy 21, mosaicism (mitotic nondisjunction)
Q90.2 Trisomy 21, translocation
Q90.9 Down's syndrome, unspecified

Trisomy 21 NOS
Q91 Edwards' syndrome and Patau's syndrome
Q91.3 Edwards' syndrome, unspecified
Q91.7 Patau's syndrome, unspecified
Q92 Other trisomies and partial trisomies of the autosomes, not elsewhere classified
Includes: unbalanced translocations and insertions
Excludes: trisomies of chromosomes 13, 18, 21 (Q90-Q91)
Q92.0 Whole chromosome trisomy, meiotic nondisjunction
Q92.1 Whole chromosome trisomy, mosaicism (mitotic nondisjunction)
XVII-61
Q92.2 Major partial trisomy

Whole arm or more duplicated.
Q92.3 Minor partial trisomy

Less than whole arm duplicated.
Q92.4 Duplications seen only at prometaphase
Q92.5 Duplications with other complex rearrangements
Q92.6 Extra marker chromosomes
Q92.7 Triploidy and polyploidy
Q92.8 Other specified trisomies and partial trisomies of autosomes
Q92.9 Trisomy and partial trisomy of autosomes, unspecified
Q93 Monosomies and deletions from the autosomes, not elsewhere classified
Q93.0 Whole chromosome monosomy, meiotic nondisjunction
Q93.1 Whole chromosome monosomy, mosaicism (mitotic nondisjunction)
Q93.2 Chromosome replaced with ring or dicentric
Q93.3 Deletion of short arm of chromosome 4

Wolff-Hirschorn syndrome
Q93.4 Deletion of short arm of chromosome 5

Cri-du-chat syndrome
Q93.5 Other deletions of part of a chromosome

Angelman syndrome
Q93.6 Deletions seen only at prometaphase
Q93.7 Deletions with other complex rearrangements
Q93.8 Other deletions from the autosomes
Q93.9 Deletion from autosomes, unspecified
XVII-62
Q95 Balanced rearrangements and structural markers, not elsewhere classified

Includes: Robertsonian and balanced reciprocal translocations and insertions
Q95.0 Balanced translocation and insertion in normal individual
Q95.1 Chromosome inversion in normal individual
Q95.2 Balanced autosomal rearrangement in abnormal individual
Q95.3 Balanced sex/autosomal rearrangement in abnormal individual
Q95.4 Individuals with marker heterochromatin
Q95.5 Individuals with autosomal fragile site
Q95.8 Other balanced rearrangements and structural markers
Q95.9 Balanced rearrangement and structural marker, unspecified
Q96 Turner's syndrome

Excludes: Noonan's syndrome (Q87.1)
Q96.0 Karyotype 45,X
Q96.1 Karyotype 46,X iso (Xq)
Q96.2 Karyotype 46,X with abnormal sex chromosome, except iso (Xq)
Q96.3 Mosaicism, 45,X/46,XX or XY
Q96.4 Mosaicism, 45,X/other cell line(s) with abnormal sex chromosome
Q96.8 Other variants of Turner's syndrome
Q96.9 Turner's syndrome, unspecified
XVII-63
Q97 Other sex chromosome abnormalities, female phenotype, not elsewhere

classified
Excludes: Turner's syndrome (Q96.-)
Q97.0 Karyotype 47,XXX
Q97.1 Female with more than three X chromosomes
Q97.2 Mosaicism, lines with various numbers of X chromosomes
Q97.3 Female with 46,XY karyotype
Q97.8 Other specified sex chromosome abnormalities, female phenotype
Q97.9 Sex chromosome abnormality, female phenotype, unspecified
Q98 Other sex chromosome abnormalities, male phenotype, not elsewhere classified
Q98.0 Klinefelter's syndrome karyotype 47,XXY
Q98.1 Klinefelter's syndrome, male with more than two X chromosomes
Q98.2 Klinefelter's syndrome, male with 46,XX karyotype
Q98.3 Other male with 46,XX karyotype
Q98.4 Klinefelter's syndrome, unspecified
Q98.5 Karyotype 47,XYY
Q98.6 Male with structurally abnormal sex chromosome
Q98.7 Male with sex chromosome mosaicism
Q98.8 Other specified sex chromosome abnormalities, male phenotype
Q98.9 Sex chromosome abnormality, male phenotype, unspecified
XVII-64
Q99 Other chromosome abnormalities, not elsewhere classified
Q99.0 Chimera 46,XX/46,XY

Chimera 46,XX/46,XY true hermaphrodite
Q99.1 46,XX true hermaphrodite

46,XX with streak gonads
46,XY with streak gonads
Pure gonadal dysgenesis
Q99.2 Fragile X chromosome

Fragile X syndrome
Q99.8 Other specified chromosome abnormalities
Q99.9 Chromosomal abnormality, unspecified
XVII-65
XVII-66
CHAPTER XVIII
_____________________________________________________________________________
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere
classified
(R00-R99)
This chapter includes symptoms, signs, abnormal results of clinical or other investigative
procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is
recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a
category in other chapters of the classification. In general, categories in this chapter include the less
well-defined conditions and symptoms that, without the necessary study of the case to establish a
final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body.
Practically all categories in the chapter could be designated "not otherwise specified", "unknown
etiology" or "transient". The Alphabetical Index should be consulted to determine which symptoms
and signs are to be allocated here and which to other chapters. The residual subcategories, numbered
.8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the
classification.
The conditions and signs or symptoms included in categories R00-R99 consist of: (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.
Excludes: abnormal findings on antenatal screening of mother (O28.-)

certain conditions originating in the perinatal period (P00-P96)
R00-R09 Symptoms and signs involving the circulatory and respiratory systems
R10-R19 Symptoms and signs involving the digestive system and abdomen
R20-R23 Symptoms and signs involving the skin and subcutaneous tissue
R25-R29 Symptoms and signs involving the nervous and musculoskeletal systems
R30-R39 Symptoms and signs involving the urinary system
R40-R46 Symptoms and signs involving cognition, perception, emotional state and behaviour
R47-R49 Symptoms and signs involving speech and voice
R50-R69 General symptoms and signs
XVIII-1
R70-R79 Abnormal findings on examination of blood, without diagnosis

R80-R82 Abnormal findings on examination of urine, without diagnosis
R83-R89 Abnormal findings on examination of other body fluids, substances and tissues,
without diagnosis
R90-R94 Abnormal findings on diagnostic imaging and in function studies, without diagnosis
R95-R99 Ill-defined and unknown causes of mortality
Symptoms and signs involving the circulatory and respiratory systems

(R00-R09)
R00 Abnormalities of heart beat

Excludes: abnormalities originating in the perinatal period (P29.1)
specified arrhythmias (I47-I49)
R00.0 Tachycardia, unspecified

Rapid heart beat
Tachycardia:
• sinoauricular NOS
• sinus [sinusal] NOS
R00.1 Bradycardia, unspecified

Bradycardia:
• sinoatrial
• sinus
• vagal
Slow heart beat
induced.
R00.2 Palpitations
Awareness of heart beat
R00.8 Other and unspecified abnormalities of heart beat
R01 Cardiac murmurs and other cardiac sounds

Excludes: those originating in the perinatal period (P29.8)
R01.0 Benign and innocent cardiac murmurs

Functional cardiac murmur
XVIII-2
SYMPTOMS, SIGNS AND ABNORMAL CLINICAL AND LABORATORY FINDINGS
R01.1 Cardiac murmur, unspecified

Cardiac bruit NOS
R01.2 Other cardiac sounds

Cardiac dullness, increased or decreased
Precordial friction
R02 Gangrene, not elsewhere classified

Excludes: gangrene in:
• atherosclerosis (I70.2)
• diabetes mellitus (E10-E14 with common fourth character .5)
• other peripheral vascular diseases (I73.-)
gangrene of certain specified sites - see Alphabetical Index
gas gangrene (A48.0)
pyoderma gangrenosum (L88)
R03 Abnormal blood-pressure reading, without diagnosis
R03.0 Elevated blood-pressure reading, without diagnosis of hypertension
Note: This category is to be used to record an episode of elevated blood

pressure in a patient in whom no formal diagnosis of hypertension has
been made, or as an isolated incidental finding.
R03.1 Nonspecific low blood-pressure reading

Excludes: hypotension (I95.-)
• neurogenic orthostatic (G90.3)
maternal hypotension syndrome (O26.5)
R04 Haemorrhage from respiratory passages
R04.0 Epistaxis
Haemorrhage from nose
Nosebleed
R04.1 Haemorrhage from throat

Excludes: haemoptysis (R04.2)
XVIII-3
R04.2 Haemoptysis
Blood-stained sputum
Cough with haemorrhage
R04.8 Haemorrhage from other sites in respiratory passages

Pulmonary haemorrhage NOS
Excludes: perinatal pulmonary haemorrhage (P26.-)
R04.9 Haemorrhage from respiratory passages, unspecified
R05 Cough
Excludes: cough with haemorrhage (R04.2)
psychogenic cough (F45.3)
R06 Abnormalities of breathing

Excludes: respiratory:
• arrest (R09.2)
• distress (syndrome)(of):
• adult (J80)
• newborn (P22.-)
• failure (J96.-)
• of newborn (P28.5)
R06.0 Dyspnoea
Orthopnoea
Shortness of breath
Excludes: transient tachypnoea of newborn (P22.1)
R06.1 Stridor
Excludes: congenital laryngeal stridor (P28.8)
laryngismus (stridulus) (J38.5)
R06.2 Wheezing
R06.3 Periodic breathing

Cheyne-Stokes breathing
XVIII-4
R06.4 Hyperventilation
Excludes: psychogenic hyperventilation (F45.3)
R06.5 Mouth breathing

Snoring
Excludes: dry mouth NOS (R68.2)
R06.6 Hiccough
Excludes: psychogenic hiccough (F45.3)
R06.7 Sneezing
R06.8 Other and unspecified abnormalities of breathing

Apnoea NOS
Breath-holding (spells)
Choking sensation
Sighing
Excludes: apnoea (of):

• newborn (P28.4)
• sleep (G47.3)
• newborn (primary) (P28.3)
R07 Pain in throat and chest

Excludes: dysphagia (R13)
epidemic myalgia (B33.0)
pain in:
• breast (N64.4)
• neck (M54.2)
sore throat (acute) NOS (J02.9)
R07.0 Pain in throat
R07.1 Chest pain on breathing

Painful respiration
R07.2 Precordial pain
XVIII-5
R07.3 Other chest pain

Anterior chest-wall pain NOS
R07.4 Chest pain, unspecified
R09 Other symptoms and signs involving the circulatory and respiratory systems
Excludes: respiratory:
• distress (syndrome)(of):
• adult (J80)
• newborn (P22.-)
• failure (J96.-)
• newborn (P28.5)
R09.0 Asphyxia
Excludes: asphyxia (due to):
• birth (P21.-)
• carbon monoxide (T58)
• foreign body in respiratory tract (T17.-)
• intrauterine (P20.-)
• traumatic (T71)
R09.1 Pleurisy
Excludes: pleurisy with effusion (J90)
R09.2 Respiratory arrest

Cardiorespiratory failure
R09.3 Abnormal sputum

Abnormal:
• amount
• colour (of) sputum
• odour
Excessive
Excludes: blood-stained sputum (R04.2)
XVIII-6
R09.8 Other specified symptoms and signs involving the circulatory and respiratory
systems
Bruit (arterial)
Chest:
• abnormal percussion
• friction sounds
• tympany
Rales
Weak pulse
Symptoms and signs involving the digestive system and abdomen

(R10-R19)
Excludes: gastrointestinal haemorrhage (K92.0-K92.2)

• newborn (P54.0-P54.3)
intestinal obstruction (K56.-)
• newborn (P76.-)
pylorospasm (K31.3)
• congenital or infantile (Q40.0)
symptoms and signs involving the urinary system (R30-R39)
symptoms referable to genital organs:
• female (N94.-)
• male (N48-N50)
R10 Abdominal and pelvic pain

Excludes: dorsalgia (M54.-)
flatulence and related conditions (R14)
renal colic (N23)
R10.0 Acute abdomen

Severe abdominal pain (generalized)(localized)(with abdominal rigidity)
R10.1 Pain localized to upper abdomen

Epigastric pain
R10.2 Pelvic and perineal pain
R10.3 Pain localized to other parts of lower abdomen
XVIII-7
R10.4 Other and unspecified abdominal pain

Abdominal tenderness NOS
Colic:
• NOS
• infantile
R11 Nausea and vomiting

Excludes: haematemesis (K92.0)
vomiting (of):
• excessive, in pregnancy (O21.-)
• following gastrointestinal surgery (K91.0)
• newborn (P92.0)
R12 Heartburn
Excludes: dyspepsia (K30)
R13 Dysphagia
Difficulty in swallowing
R14 Flatulence and related conditions

Abdominal distension (gaseous)
Bloating
Eructation
Gas pain
Tympanites (abdominal)(intestinal)
Excludes: psychogenic aerophagy (F45.3)
R15 Faecal incontinence

Encopresis NOS
Excludes: that of nonorganic origin (F98.1)
R16 Hepatomegaly and splenomegaly, not elsewhere classified
R16.0 Hepatomegaly, not elsewhere classified

Hepatomegaly NOS
XVIII-8
R16.1 Splenomegaly, not elsewhere classified

Splenomegaly NOS
R16.2 Hepatomegaly with splenomegaly, not elsewhere classified

Hepatosplenomegaly NOS
R17 Unspecified jaundice

Excludes: neonatal jaundice (P55, P57-P59)
R18 Ascites
Fluid in peritoneal cavity
R19 Other symptoms and signs involving the digestive system and abdomen
Excludes: acute abdomen (R10.0)
R19.0 Intra-abdominal and pelvic swelling, mass and lump

Diffuse or generalized swelling or mass:
• intra-abdominal NOS
• pelvic NOS
• umbilical
Excludes: abdominal distension (gaseous) (R14)

ascites (R18)
R19.1 Abnormal bowel sounds

Absent bowel sounds
Hyperactive bowel sounds
R19.2 Visible peristalsis

Hyperperistalsis
R19.3 Abdominal rigidity

Excludes: that with severe abdominal pain (R10.0)
R19.4 Change in bowel habit

Excludes: constipation (K59.0)
functional diarrhoea (K59.1)
XVIII-9
R19.5 Other faecal abnormalities

Abnormal stool colour
Bulky stools
Mucus in stools
Excludes: melaena (K92.1)

R19.6 Halitosis
R19.8 Other specified symptoms and signs involving the digestive system and
abdomen
Symptoms and signs involving the skin and subcutaneous tissue

(R20-R23)
R20 Disturbances of skin sensation

Excludes: dissociative anaesthesia and sensory loss (F44.6)
psychogenic disturbances (F45.8)
R20.0 Anaesthesia of skin
R20.1 Hypoaesthesia of skin
R20.2 Paraesthesia of skin

Formication
Pins and needles
Tingling skin
Excludes: acroparaesthesia (I73.8)
R20.3 Hyperaesthesia
R20.8 Other and unspecified disturbances of skin sensation
R21 Rash and other nonspecific skin eruption
XVIII-10
R22 Localized swelling, mass and lump of skin and subcutaneous tissue
Includes: subcutaneous nodules (localized)(superficial)
Excludes: abnormal findings on diagnostic imaging (R90-R93)

enlarged lymph nodes (R59.-)
localized adiposity (E65)
mass and lump:
• breast (N63)
• intra-abdominal or pelvic (R19.0)
oedema (R60.-)
swelling (of):
• intra-abdominal or pelvic (R19.0)
• joint (M25.4)
R22.0 Localized swelling, mass and lump, head
R22.1 Localized swelling, mass and lump, neck
R22.2 Localized swelling, mass and lump, trunk
R22.3 Localized swelling, mass and lump, upper limb
R22.4 Localized swelling, mass and lump, lower limb
R22.7 Localized swelling, mass and lump, multiple sites
R22.9 Localized swelling, mass and lump, unspecified
R23 Other skin changes
R23.0 Cyanosis
Excludes: acrocyanosis (I73.8)
cyanotic attacks of newborn (P28.2)
R23.1 Pallor
Clammy skin
XVIII-11
R23.2 Flushing
Excessive blushing
Excludes: menopausal and female climacteric states (N95.1)
R23.3 Spontaneous ecchymoses

Petechiae
Excludes: ecchymoses in fetus and newborn (P54.5)
purpura (D69.-)
R23.4 Changes in skin texture

Desquamation
Induration of skin
Scaling
Excludes: epidermal thickening NOS (L85.9)
R23.8 Other and unspecified skin changes
Symptoms and signs involving the nervous and musculoskeletal systems

(R25-R29)
R25 Abnormal involuntary movements

Excludes: specific movement disorders (G20-G26)
stereotyped movement disorders (F98.4)
R25.0 Abnormal head movements
R25.1 Tremor, unspecified

Excludes: chorea NOS (G25.5)
tremor:
• essential (G25.0)
• hysterical (F44.4)
• intention (G25.2)
R25.2 Cramp and spasm

Excludes: carpopedal spasm (R29.0)
infantile spasms (G40.4)
XVIII-12
R25.3 Fasciculation
Twitching NOS
R25.8 Other and unspecified abnormal involuntary movements
R26 Abnormalities of gait and mobility

Excludes: ataxia:
• NOS (R27.0)
• hereditary (G11.-)
• locomotor (syphilitic) (A52.1)
immobility syndrome (paraplegic) (M62.3)
R26.0 Ataxic gait

Staggering gait
R26.1 Paralytic gait

Spastic gait
R26.2 Difficulty in walking, not elsewhere classified
R26.8 Other and unspecified abnormalities of gait and mobility

Unsteadiness on feet NOS
R27 Other lack of coordination

Excludes: ataxic gait (R26.0)
hereditary ataxia (G11.-)
vertigo NOS (R42)
R27.0 Ataxia, unspecified
R27.8 Other and unspecified lack of coordination
XVIII-13
R29 Other symptoms and signs involving the nervous and musculoskeletal
systems
R29.0 Tetany
Carpopedal spasm
Excludes: tetany:
• hysterical (F44.5)
• parathyroid (E20.9)
• post-thyroidectomy (E89.2)
R29.1 Meningismus
R29.2 Abnormal reflex

Excludes: abnormal pupillary reflex (H57.0)
hyperactive gag reflex (J39.2)
vasovagal reaction or syncope (R55)
R29.3 Abnormal posture
R29.4 Clicking hip

Excludes: congenital deformities of hip (Q65.-)
R29.6 Tendency to fall, not elsewhere classified

Tendency to fall because of old age or other unclear health problems
Excludes: accidents (X59)

difficulty walking (R26.2)
dizziness and giddiness (R42)
falls causing injury (W00-W19)
falls due to diseases classified elsewhere
syncope and collapse (R55)
R29.8 Other and unspecified symptoms and signs involving the nervous and
musculoskeletal systems
XVIII-14
Symptoms and signs involving the urinary system

(R30-R39)
R30 Pain associated with micturition

Excludes: psychogenic pain (F45.3)
R30.0 Dysuria
Strangury
R30.1 Vesical tenesmus
R30.9 Painful micturition, unspecified

Painful urination NOS
R31 Unspecified haematuria

Excludes: recurrent or persistent haematuria (N02.-)
R32 Unspecified urinary incontinence

Enuresis NOS
Excludes: nonorganic enuresis (F98.0)

stress incontinence and other specified urinary incontinence
(N39.3-N39.4)
R33 Retention of urine
R34 Anuria and oliguria

Excludes: that complicating:
• pregnancy, childbirth and the puerperium (O26.8, O90.4)
R35 Polyuria
Frequency of micturition
Nocturia
Excludes: psychogenic polyuria (F45.3)
R36 Urethral discharge

Penile discharge
Urethrorrhoea
XVIII-15
R39 Other symptoms and signs involving the urinary system
R39.0 Extravasation of urine
R39.1 Other difficulties with micturition

Hesitancy of micturition
Poor urinary stream
Splitting of urinary stream
R39.2 Extrarenal uraemia

Prerenal uraemia
R39.8 Other and unspecified symptoms and signs involving the urinary system
Symptoms and signs involving cognition, perception, emotional state and behaviour
(R40-R46)
Excludes: those constituting part of a pattern of mental disorder (F00-F99)
R40 Somnolence, stupor and coma

Excludes: coma:
• diabetic (E10-E14 with common fourth character .0)
• hepatic (K72.-)
• hypoglycaemic (nondiabetic) (E15)
• uraemic (N19)
R40.0 Somnolence
Drowsiness
R40.1 Stupor
Semicoma
Excludes: stupor:
• catatonic (F20.2)
• depressive (F31-F33)
• manic (F30.2)
XVIII-16
R40.2 Coma, unspecified

Unconsciousness NOS
R41 Other symptoms and signs involving cognitive functions and awareness
Excludes: dissociative [conversion] disorders (F44.-)
R41.0 Disorientation, unspecified

Confusion NOS
Excludes: psychogenic disorientation (F44.8)
R41.1 Anterograde amnesia
R41.2 Retrograde amnesia
R41.3 Other amnesia

Amnesia NOS
Excludes: amnesic syndrome:

• due to psychoactive substance use (F10-F19 with common
fourth character .6)
• organic (F04)
transient global amnesia (G45.4)
R41.8 Other and unspecified symptoms and signs involving cognitive functions and
awareness
R42 Dizziness and giddiness

Light-headedness
Vertigo NOS
Excludes: vertiginous syndromes (H81.-)
R43 Disturbances of smell and taste
R43.0 Anosmia
R43.1 Parosmia
R43.2 Parageusia
XVIII-17
R43.8 Other and unspecified disturbances of smell and taste

Mixed disturbance of smell and taste
R44 Other symptoms and signs involving general sensations and perceptions
Excludes: disturbances of skin sensation (R20.-)
R44.0 Auditory hallucinations
R44.1 Visual hallucinations
R44.2 Other hallucinations
R44.3 Hallucinations, unspecified
R44.8 Other and unspecified symptoms and signs involving general sensations and
perceptions
R45 Symptoms and signs involving emotional state
R45.0 Nervousness
Nervous tension
R45.1 Restlessness and agitation
R45.2 Unhappiness
Worries NOS
R45.3 Demoralization and apathy
R45.4 Irritability and anger
R45.5 Hostility
R45.6 Physical violence
R45.7 State of emotional shock and stress, unspecified
R45.8 Other symptoms and signs involving emotional state

Suicidal ideation (tendencies)
Excludes: suicidal ideation constituting part of a mental disorder (F00-F99)
XVIII-18
R46 Symptoms and signs involving appearance and behaviour
R46.0 Very low level of personal hygiene
R46.1 Bizarre personal appearance
R46.2 Strange and inexplicable behaviour
R46.3 Overactivity
R46.4 Slowness and poor responsiveness

Excludes: stupor (R40.1)
R46.5 Suspiciousness and marked evasiveness
R46.6 Undue concern and preoccupation with stressful events
R46.7 Verbosity and circumstantial detail obscuring reason for contact
R46.8 Other symptoms and signs involving appearance and behaviour
Symptoms and signs involving speech and voice

(R47-R49)
R47 Speech disturbances, not elsewhere classified

Excludes: autism (F84.0-F84.1)
cluttering (F98.6)
specific developmental disorders of speech and language (F80-)
stuttering [stammering] (F98.5)
R47.0 Dysphasia and aphasia

Excludes: progressive isolated aphasia (G31.0)
R47.1 Dysarthria and anarthria
R47.8 Other and unspecified speech disturbances
XVIII-19
R48 Dyslexia and other symbolic dysfunctions, not elsewhere classified

Excludes: specific developmental disorders of scholastic skills (F81.-)
R48.0 Dyslexia and alexia
R48.1 Agnosia
R48.2 Apraxia
R48.8 Other and unspecified symbolic dysfunctions

Acalculia
Agraphia
R49 Voice disturbances

Excludes: psychogenic voice disturbance (F44.4)
R49.0 Dysphonia
Hoarseness
R49.1 Aphonia
Loss of voice
R49.2 Hypernasality and hyponasality
R49.8 Other and unspecified voice disturbances

Change in voice NOS
General symptoms and signs

(R50-R69)
R50 Fever of other and unknown origin

Excludes: fever of unknown origin (during)(in):
• labour (O75.2)
• newborn (P81.9)
puerperal pyrexia NOS (O86.4)
R50.2 Drug-induced fever

Use additional external cause code (Chapter XX), if desired, to identify drug
XVIII-20
R50.8 Other specified fever

Fever with chills
Fever with rigors
Persistent fever
R50.9 Fever, unspecified
Hyperpyrexia NOS
Pyrexia NOS
Excludes: malignant hyperthermia due to anaesthesia (T88.3)
R51 Headache
Facial pain NOS
Excludes: atypical facial pain (G50.1)

migraine and other headache syndromes (G43-G44)
trigeminal neuralgia (G50.0)
R52 Pain, not elsewhere classified

Includes: pain not referable to any one organ or body region
Excludes: chronic pain personality syndrome (F62.8)
headache (R51)
pain (in):
• abdomen (R10.-)
• back (M54.9)
• breast (N64.4)
• chest (R07.1-R07.4)
• ear (H92.0)
• eye (H57.1)
• joint (M25.5)
• limb (M79.6)
• lumbar region (M54.5)
• pelvic and perineal (R10.2)
• spine (M54.-)
• throat (R07.0)
• tongue (K14.6)
• tooth (K08.8)
renal colic (N23)
XVIII-21
R52.0 Acute pain

R52.1 Chronic intractable pain
R52.2 Other chronic pain
R52.9 Pain, unspecified
Generalized pain NOS
R53 Malaise and fatigue

Asthenia NOS
Debility:
• NOS
• chronic
• nervous
General physical deterioration
Lethargy
Tiredness
Excludes: debility:
• senile (R54)
exhaustion and fatigue (due to)(in):
• combat (F43.0)
• excessive exertion (T73.3)
• exposure (T73.2)
• heat (T67.-)
• neurasthenia (F48.0)
• senile asthenia (R54)
fatigue syndrome (F48.0)
• postviral (G93.3)
R54 Senility
Old age
without mention of psychosis
Senescence
Senile:
• asthenia
• debility
Excludes: senile psychosis (F03)
XVIII-22
R55 Syncope and collapse

Blackout
Fainting
Excludes: neurocirculatory asthenia (F45.3)

orthostatic hypotension (I95.1)
• neurogenic (G90.3)
shock:
• NOS (R57.9)
• cardiogenic (R57.0)
• complicating or following:
Stokes-Adams attack (I45.9)
syncope:
• carotid sinus (G90.0)
• heat (T67.1)
unconsciousness NOS (R40.2)
R56 Convulsions, not elsewhere classified

Excludes: convulsions and seizures (in):
• epilepsy (G40-G41)
• newborn (P90)
R56.0 Febrile convulsions
R56.8 Other and unspecified convulsions

Fit NOS
Seizure (convulsive) NOS
XVIII-23
R57 Shock, not elsewhere classified

Excludes: shock (due to):
• anaesthesia (T88.2)
• anaphylactic (due to):
• NOS (T78.2)
• adverse food reaction (T78.0)
• serum (T80.5)
• complicating or following abortion or ectopic or molar
pregnancy (O00-O07, O08.3)
• electric (T75.4)
• lightning (T75.0)
• obstetric (O75.1)
• psychic (F43.0)
• septic (A41.9)
toxic shock syndrome (A48.3)
R57.0 Cardiogenic shock
R57.1 Hypovolaemic shock
R57.8 Other shock

Endotoxic shock
R57.9 Shock, unspecified

Failure of peripheral circulation NOS
R58 Haemorrhage, not elsewhere classified
Includes: 5TH DIGIT TO IDENTIFY HEMORRHAGE OF

UNSPECIFIED SITE
R58.00 Hemorrhage NOS
XVIII-24
R59 Enlarged lymph nodes

Includes: swollen glands
Excludes: lymphadenitis:
• NOS (I88.9)
• acute (L04.-)
• chronic (I88.1)
• mesenteric (acute)(chronic) (I88.0)
R59.0 Localized enlarged lymph nodes
R59.1 Generalized enlarged lymph nodes

Lymphadenopathy NOS
Excludes: HIV disease resulting in (persistent) generalized lymphadenopathy

(B23.1)
R59.9 Enlarged lymph nodes, unspecified
R60 Oedema, not elsewhere classified

Excludes: ascites (R18)
hydrops fetalis NOS (P83.2)
hydrothorax (J94.8)
oedema (of):
• angioneurotic (T78.3)
• cerebral (G93.6)
• hereditary (Q82.0)
• larynx (J38.4)
• malnutrition (E40-E46)
• nasopharynx (J39.2)
• newborn (P83.3)
• pharynx (J39.2)
• pulmonary (J81)
R60.0 Localized oedema
XVIII-25
R60.1 Generalized oedema
R60.9 Oedema, unspecified

Fluid retention NOS
R61 Hyperhidrosis
R61.0 Localized hyperhidrosis
R61.1 Generalized hyperhidrosis
R61.9 Hyperhidrosis, unspecified

Excessive sweating
Night sweats
R62 Lack of expected normal physiological development

Excludes: delayed puberty (E30.0)
R62.0 Delayed milestone

Delayed attainment of expected physiological developmental stage
Late:
• talker
• walker
R62.8 Other lack of expected normal physiological development

Failure to:
• gain weight
• thrive
Infantilism NOS
Lack of growth
Physical retardation
Excludes: HIV disease resulting in failure to thrive (B22.2)

physical retardation due to malnutrition (E45)
R62.9 Lack of expected normal physiological development, unspecified
XVIII-26
R63 Symptoms and signs concerning food and fluid intake

Excludes: bulimia NOS (F50.2)
eating disorders of nonorganic origin (F50.-)
malnutrition (E40-E46)
R63.0 Anorexia
Loss of appetite
Excludes: anorexia nervosa (F50.0)

loss of appetite of nonorganic origin (F50.8)
R63.1 Polydipsia
Excessive thirst
R63.2 Polyphagia
Excessive eating
Hyperalimentation NOS
R63.3 Feeding difficulties and mismanagement

Feeding problem NOS
Excludes: feeding problems of newborn (P92.-)

infant feeding disorder of nonorganic origin (F98.2)
R63.4 Abnormal weight loss
R63.5 Abnormal weight gain

Excludes: excessive weight gain in pregnancy (O26.0)
obesity (E66.-)
R63.8 Other symptoms and signs concerning food and fluid intake
R64 Cachexia
Excludes: HIV disease resulting in wasting syndrome (B22.2)
malignant cachexia (C80)
nutritional marasmus (E41)
XVIII-27
R68 Other general symptoms and signs
R68.0 Hypothermia, not associated with low environmental temperature

Excludes: hypothermia (due to)(of):
• NOS (accidental) (T68)
• anaesthesia (T88.5)
• low environmental temperature (T68)
• newborn (P80.-)
R68.1 Nonspecific symptoms peculiar to infancy

Excessive crying of infant
Irritable infant
Excludes: neonatal cerebral irritability (P91.3)

teething syndrome (K00.7)
R68.2 Dry mouth, unspecified

Excludes: dry mouth due to:
• dehydration (E86)
• sicca syndrome [Sjögren] (M35.0)
salivary gland hyposecretion (K11.7)
R68.3 Clubbing of fingers

Clubbing of nails
Excludes: congenital clubfinger (Q68.1)
R68.8 Other specified general symptoms and signs
R69 Unknown and unspecified causes of morbidity

Illness NOS
Undiagnosed disease, not specified as to the site or system involved
XVIII-28
Abnormal findings on examination of blood, without diagnosis

(R70-R79)
Excludes: abnormalities (of)(on):

• antenatal screening of mother (O28.-)
• coagulation (D65-D68)
• lipids (E78.-)
• platelets and thrombocytes (D69.-)
• white blood cells classified elsewhere (D70-D72)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index
haemorrhagic and haematological disorders of fetus and newborn (P50-P61)
R70 Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity
R70.0 Elevated erythrocyte sedimentation rate
R70.1 Abnormal plasma viscosity
R71 Abnormality of red blood cells

Abnormal red-cell:
• morphology NOS
• volume NOS
Anisocytosis
Poikilocytosis
Excludes: anaemias (D50-D64)

polycythaemia:
• benign (familial) (D75.0)
• secondary (D75.1)
• vera (D45)
R72 Abnormality of white blood cells, not elsewhere classified

Abnormal leukocyte differential NOS
Excludes: leukocytosis (D72.8)
XVIII-29
R73 Elevated blood glucose level

Excludes: diabetes mellitus (E10-E14)
• in pregnancy, childbirth and the puerperium (O24.-)
neonatal disorders (P70.0-P70.2)
R73.0 Abnormal glucose tolerance test

Diabetes:
• chemical
• latent
Impaired glucose tolerance
Prediabetes
R73.9 Hyperglycaemia, unspecified
R74 Abnormal serum enzyme levels
R74.0 Elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
R74.8 Abnormal levels of other serum enzymes

Abnormal level of:
• acid phosphatase
• alkaline phosphatase
• amylase
• lipase [triacylglycerol lipase]
R74.9 Abnormal level of unspecified serum enzyme
R75 Laboratory evidence of human immunodeficiency virus [HIV]

Nonconclusive HIV-test finding in infants
Excludes: asymptomatic human immunodeficiency virus [HIV] infection status

(Z21)
R76 Other abnormal immunological findings in serum
R76.0 Raised antibody titre

Excludes: isoimmunization, in pregnancy (O36.0-O36.1)
• affecting fetus or newborn (P55.-)
XVIII-30
R76.1 Abnormal reaction to tuberculin test

Abnormal result of Mantoux test
R76.2 False-positive serological test for syphilis

False-positive Wassermann reaction
R76.8 Other specified abnormal immunological findings in serum

Raised level of immunoglobulins NOS
R76.9 Abnormal immunological finding in serum, unspecified
R77 Other abnormalities of plasma proteins

Excludes: disorders of plasma-protein metabolism (E88.0)
R77.0 Abnormality of albumin
R77.1 Abnormality of globulin

Hyperglobulinaemia NOS
R77.2 Abnormality of alphafetoprotein
R77.8 Other specified abnormalities of plasma proteins
R77.9 Abnormality of plasma protein, unspecified
R78 Findings of drugs and other substances, not normally found in blood
Excludes: mental and behavioural disorders due to psychoactive substance use
(F10-F19)
R78.0 Finding of alcohol in blood

Use additional external cause code (Y90.-), if desired, for detail regarding alcohol
level.
R78.1 Finding of opiate drug in blood
R78.2 Finding of cocaine in blood
R78.3 Finding of hallucinogen in blood
R78.4 Finding of other drugs of addictive potential in blood
XVIII-31
R78.5 Finding of psychotropic drug in blood
R78.6 Finding of steroid agent in blood
R78.7 Finding of abnormal level of heavy metals in blood
R78.8 Finding of other specified substances, not normally found in blood

Finding of abnormal level of lithium in blood
R78.9 Finding of unspecified substance, not normally found in blood
R79 Other abnormal findings of blood chemistry

Excludes: abnormality of fluid, electrolyte or acid-base balance (E86-E87)
asymptomatic hyperuricaemia (E79.0)
hyperglycaemia NOS (R73.9)
hypoglycaemia NOS (E16.2)
• neonatal (P70.3-P70.4)
specific findings indicating disorder of:
• amino-acid metabolism (E70-E72)
• carbohydrate metabolism (E73-E74)
• lipid metabolism (E75.-)
R79.0 Abnormal level of blood mineral

Abnormal blood level of:
• cobalt
• copper
• iron
• magnesium
• mineral NEC
• zinc
Excludes: abnormal level of lithium (R78.8)

disorders of mineral metabolism (E83.-)
neonatal hypomagnesaemia (P71.2)
nutritional mineral deficiency (E58-61)
R79.8 Other specified abnormal findings of blood chemistry

Abnormal blood-gas level
R79.9 Abnormal finding of blood chemistry, unspecified
XVIII-32
Abnormal findings on examination of urine, without diagnosis

(R80-R82)

specific findings indicating disorder of:
• amino-acid metabolism (E70-E72)
• carbohydrate metabolism (E73-E74)
R80 Isolated proteinuria

Albuminuria NOS
Bence Jones proteinuria
Proteinuria NOS
Excludes: proteinuria:
• isolated, with specified morphological lesion (N06.-)
• orthostatic (N39.2)
• persistent (N39.1)
R81 Glycosuria
Excludes: renal glycosuria (E74.8)
R82 Other abnormal findings in urine

Excludes: haematuria (R31)
R82.0 Chyluria
Excludes: filarial chyluria (B74.-)
R82.1 Myoglobinuria
R82.2 Biliuria
R82.3 Haemoglobinuria
Excludes: haemoglobinuria:
• due to haemolysis from external causes NEC (D59.6)
• paroxysmal nocturnal [Marchiafava-Micheli] (D59.5)
R82.4 Acetonuria
Ketonuria
XVIII-33
R82.5 Elevated urine levels of drugs, medicaments and biological substances

Elevated urine levels of:
• catecholamines
• indoleacetic acid
• 17-ketosteroids
• steroids
R82.6 Abnormal urine levels of substances chiefly nonmedicinal as to source

Abnormal urine level of heavy metals
R82.7 Abnormal findings on microbiological examination of urine

Positive culture findings
R82.8 Abnormal findings on cytological and histological examination of urine
R82.9 Other and unspecified abnormal findings in urine

Cells and casts in urine
Crystalluria
Melanuria
XVIII-34
Abnormal findings on examination of other body fluids, substances and tissues,

without diagnosis
(R83-R89)
Excludes: abnormal findings on:

• antenatal screening of mother (O28.-)
• examination of:
• blood, without diagnosis (R70-R79)
• urine, without diagnosis (R80-R82)
The following fourth-character subdivisions are for use with categories R83-R89:
.0 Abnormal level of enzymes

.1 Abnormal level of hormones
.2 Abnormal level of other drugs, medicaments and biological substances
.3 Abnormal level of substances chiefly nonmedicinal as to source
.4 Abnormal immunological findings
.5 Abnormal microbiological findings
Positive culture findings
.6 Abnormal cytological findings
Abnormal Papanicolaou smear
.7 Abnormal histological findings
.8 Other abnormal findings
Abnormal chromosomal findings
.9 Unspecified abnormal finding
R83 Abnormal findings in cerebrospinal fluid
R84 Abnormal findings in specimens from respiratory organs and thorax

Abnormal findings in:
• bronchial washings
• nasal secretions
• pleural fluid
• sputum
• throat scrapings
Excludes: blood-stained sputum (R04.2)
XVIII-35
R85 Abnormal findings in specimens from digestive organs and abdominal cavity
• peritoneal fluid
• saliva
Excludes: faecal abnormalities (R19.5)
R86 Abnormal findings in specimens from male genital organs

• prostatic secretions
• semen, seminal fluid
Abnormal spermatozoa
Excludes: azoospermia (N46)

oligospermia (N46)
R87 Abnormal findings in specimens from female genital organs

Abnormal findings in secretions and smears from:
• cervix uteri
• vagina
• vulva
Excludes: carcinoma in situ (D05-D07.3)

dysplasia of:
• cervix uteri (N87.-)
• vagina (N89.0-N89.3)
• vulva (N90.0-N90.3)
R89 Abnormal findings in specimens from other organs, systems and tissues
• nipple discharge
• synovial fluid
• wound secretions
XVIII-36
Abnormal findings on diagnostic imaging and in function studies, without diagnosis

(R90-R94)
Includes: nonspecific abnormal findings on diagnostic imaging by:

• computerized axial tomography [CAT scan]
• magnetic resonance imaging [MRI][NMR]
• positron emission tomography [PET scan]
• thermography
• ultrasound [echogram]
• X-ray examination

R90 Abnormal findings on diagnostic imaging of central nervous system
R90.0 Intracranial space-occupying lesion
R90.8 Other abnormal findings on diagnostic imaging of central nervous system

Abnormal echoencephalogram
R91 Abnormal findings on diagnostic imaging of lung

Coin lesion NOS
Lung mass NOS
R92 Abnormal findings on diagnostic imaging of breast
R93 Abnormal findings on diagnostic imaging of other body structures
R93.0 Abnormal findings on diagnostic imaging of skull and head, not elsewhere
classified
Excludes: intracranial space-occupying lesion (R90.0)
R93.1 Abnormal findings on diagnostic imaging of heart and coronary circulation

Abnormal:
• echocardiogram NOS
• heart shadow
R93.2 Abnormal findings on diagnostic imaging of liver and biliary tract

Nonvisualization of gallbladder
XVIII-37
R93.3 Abnormal findings on diagnostic imaging of other parts of digestive tract
R93.4 Abnormal findings on diagnostic imaging of urinary organs

Filling defect of:
• bladder
• kidney
• ureter
Excludes: hypertrophy of kidney (N28.8)
R93.5 Abnormal findings on diagnostic imaging of other abdominal regions,

including retroperitoneum
R93.6 Abnormal findings on diagnostic imaging of limbs

Excludes: abnormal finding in skin and subcutaneous tissue (R93.8)
R93.7 Abnormal findings on diagnostic imaging of other parts of musculoskeletal

system
Excludes: abnormal findings on diagnostic imaging of skull (R93.0)
R93.8 Abnormal findings on diagnostic imaging of other specified body structures

Abnormal radiological finding in skin and subcutaneous tissue
Mediastinal shift
R94 Abnormal results of function studies

Includes: abnormal results of:
• radionuclide [radioisotope] uptake studies
• scintigraphy
R94.0 Abnormal results of function studies of central nervous system

Abnormal electroencephalogram [EEG]
R94.1 Abnormal results of function studies of peripheral nervous system and

special senses
Abnormal:
• electromyogram [EMG]
• electro-oculogram [EOG]
• electroretinogram [ERG]
• response to nerve stimulation
• visually evoked potential [VEP]
XVIII-38
R94.2 Abnormal results of pulmonary function studies

Reduced:
• ventilatory capacity
• vital capacity
R94.3 Abnormal results of cardiovascular function studies

Abnormal:
• electrocardiogram [ECG][EKG]
• electrophysiological intracardiac studies
• phonocardiogram
• vectorcardiogram
R94.4 Abnormal results of kidney function studies

Abnormal renal function test
R94.5 Abnormal results of liver function studies
R94.6 Abnormal results of thyroid function studies
R94.7 Abnormal results of other endocrine function studies

Excludes: abnormal glucose tolerance test (R73.0)
R94.8 Abnormal results of function studies of other organs and systems

Abnormal:
• basal metabolic rate [BMR]
• bladder function test
• splenic function test
XVIII-39
Ill-defined and unknown causes of mortality

(R95-R99)
Excludes: fetal death of unspecified cause (P95)

obstetric death NOS (O95)
R95 Sudden infant death syndrome
R96 Other sudden death, cause unknown

Excludes: sudden:
• cardiac death, so described (I46.1)
• infant death syndrome (R95)
R96.0 Instantaneous death
R96.1 Death occurring less than 24 hours from onset of symptoms, not otherwise
explained
Death known not to be violent or instantaneous for which no cause can
be discovered
Death without sign of disease
R97 Unknown cause of mortality
R98 Unattended death

Death in circumstances where the body of the deceased was found and no cause
could be discovered
Found dead
R99 Other ill-defined and unspecified causes of mortality

Excludes: CREATED CODE R97 TO IDENTIFY CAUSE UNKNOWN
Death NOS
XVIII-40
CHAPTER XIX
_____________________________________________________________________________
Injury, poisoning and certain other consequences of external causes

(S00-T98)
Excludes: birth trauma (P10-P15)

obstetric trauma (O70-O71)
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 parts of trunk, limb or body region
T15-T19 Effects of foreign body entering through natural orifice
T20-T32 Burns and corrosions
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 Certain early complications of trauma
T80-T88 Complications of surgical and medical care, not elsewhere classified
T90-T98 Sequelae of injuries, of poisoning and of other consequences of external causes
The chapter uses the S-section for coding different types of injuries related to single body regions
and the T-section to cover injuries to multiple or unspecified body regions as well as poisoning and
certain other consequences of external causes.
Where multiple sites of injury are specified in the titles, the word "with" indicates involvement of
both sites, and the word "and" indicates involvement of either or both sites.
XIX-1
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 Part 2a Instruction Manual
(NCHS).
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:
• comminuted
• depressed
• elevated
• fissured
• greenstick with or without delayed healing
• impacted
• linear
• simple
• march
• slipped epiphysis
• spiral
• dislocated
• displaced
XIX-2
INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES
Fracture:
• open:
• compound
• infected
• missile with or without delayed healing
• puncture
• with foreign body
Excludes: fracture:
• pathological (M84.4)
• with osteoporosis (M80.-)
• stress (M84.3)
malunion of fracture (M84.0)
nonunion of fracture [pseudoarthrosis] (M84.1)
Dislocation, sprain and strain including:

avulsion
laceration
sprain
strain cartilage
traumatic: of joint (capsule)
• haemarthrosis 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
XIX-3
Injury to blood vessels including:

avulsion
cut
laceration
traumatic: of blood vessels
• aneurysm or fistula
(arteriovenous)
• arterial haematoma
• rupture
Injury to muscle, fascia and tendon including:

avulsion
cut
of muscle, fascia and tendon
laceration
traumatic rupture
Crushing injury
Traumatic amputation
Injury to internal organs including:

blast injuries
bruise
concussion injuries
crushing
laceration of internal organs
traumatic:
• haematoma
• puncture
• rupture
• tear
Other and unspecified injuries
XIX-4
Injuries to the head

(S00-S09)
Includes: injuries of:

• ear
• eye
• face [any part]
• gum
• jaw
• temporomandibular joint area
• oral cavity
• palate
• periocular area
• scalp
• tongue
• tooth
Excludes: burns and corrosions (T20-T32)

effects of foreign body:
• in:
• ear (T16)
• larynx (T17.3)
• mouth (T18.0)
• nose (T17.0-T17.1)
• pharynx (T17.2)
• on external eye (T15.-)
frostbite (T33-T35)
insect bite or sting, venomous (T63.4)
S00 Superficial injury of head

Excludes: cerebral contusion (diffuse) (S06.2)
• focal (S06.3)
injury of eye and orbit (S05.-)
S00.0 Superficial injury of scalp
S00.1 Contusion of eyelid and periocular area

Black eye
Excludes: contusion of eyeball and orbital tissues (S05.1)
XIX-5
S00.2 Other superficial injuries of eyelid and periocular area

Excludes: superficial injury of conjunctiva and cornea (S05.0)
S00.3 Superficial injury of nose
S00.4 Superficial injury of ear
S00.5 Superficial injury of lip and oral cavity
S00.7 Multiple superficial injuries of head
S00.8 Superficial injury of other parts of head
S00.9 Superficial injury of head, part unspecified
S01 Open wound of head

Excludes: decapitation (S18)
injury of eye and orbit (S05.-)
traumatic amputation of part of head (S08.-)
S01.0 Open wound of scalp

Excludes: avulsion of scalp (S08.0)
S01.1 Open wound of eyelid and periocular area

Open wound of eyelid and periocular area with or without involvement of lacrimal
passages
S01.2 Open wound of nose
S01.3 Open wound of ear
S01.4 Open wound of cheek and temporomandibular area
S01.5 Open wound of lip and oral cavity

Excludes: tooth:
• dislocation (S03.2)
• fracture (S02.5)
S01.7 Multiple open wounds of head
XIX-6
S01.8 Open wound of other parts of head
S01.9 Open wound of head, part unspecified
S02 Fracture of skull and facial bones
Note: For primary coding of fracture of skull and facial bones with associated
intracranial injury, reference should be made to the morbidity or mortality
coding rules and guidelines in Part 2a Instruction Manual (NCHS).
The following subdivisions are provided for optional use in a supplementary

character position where it is not possible or not desired to use multiple coding to
identify fracture and open wound; a fracture not indicated as closed or open should
be classified as closed.
0 closed
1 open
S02.0 Fracture of vault of skull

Frontal bone
Parietal bone
S02.1 Fracture of base of skull

Fossa:
• anterior
• middle
• posterior
Occiput
Orbital roof
Sinus:
• ethmoid
• frontal
Sphenoid
Temporal bone
Excludes: orbit NOS (S02.8)

orbital floor (S02.3)
S02.2 Fracture of nasal bones
XIX-7
S02.3 Fracture of orbital floor

Excludes: orbit NOS (S02.8)
orbital roof (S02.1)
S02.4 Fracture of malar and maxillary bones

Superior maxilla
Upper jaw (bone)
Zygoma
S02.5 Fracture of tooth

Broken tooth
S02.6 Fracture of mandible

Lower jaw (bone)
S02.7 Multiple fractures involving skull and facial bones
S02.8 Fractures of other skull and facial bones

Alveolus
Orbit NOS
Palate
Excludes: orbital:
• floor (S02.3)
• roof (S02.1)
S02.9 Fracture of skull and facial bones, part unspecified
S03 Dislocation, sprain and strain of joints and ligaments of head
S03.0 Dislocation of jaw

Jaw (cartilage)(meniscus)
Mandible
Temporomandibular (joint)
S03.1 Dislocation of septal cartilage of nose
S03.2 Dislocation of tooth
S03.3 Dislocation of other and unspecified parts of head
XIX-8
S03.4 Sprain and strain of jaw

Temporomandibular (joint)(ligament)
S03.5 Sprain and strain of joints and ligaments of other and unspecified parts of head
S04 Injury of cranial nerves
S04.0 Injury of optic nerve and pathways

Optic chiasm
2nd cranial nerve
Visual cortex
S04.1 Injury of oculomotor nerve

3rd cranial nerve
S04.2 Injury of trochlear nerve

4th cranial nerve
S04.3 Injury of trigeminal nerve

5th cranial nerve
S04.4 Injury of abducent nerve

6th cranial nerve
S04.5 Injury of facial nerve

7th cranial nerve
S04.6 Injury of acoustic nerve

Auditory nerve
8th cranial nerve
S04.7 Injury of accessory nerve

11th cranial nerve
S04.8 Injury of other cranial nerves

Glossopharyngeal [9th] nerve
Hypoglossal [12th] nerve
Olfactory [1st] nerve
Vagus [10th] nerve
S04.9 Injury of unspecified cranial nerve
XIX-9
S05 Injury of eye and orbit

Excludes: injury of:
• oculomotor [3rd] nerve (S04.1)
• optic [2nd] nerve (S04.0)
open wound of eyelid and periocular area (S01.1)
orbital bone fracture (S02.1, S02.3, S02.8)
superficial injury of eyelid (S00.1-S00.2)
S05.0 Injury of conjunctiva and corneal abrasion without mention of foreign body
Excludes: foreign body in:
• conjunctival sac (T15.1)
• cornea (T15.0)
S05.1 Contusion of eyeball and orbital tissues
Traumatic hyphaema
Excludes: black eye (S00.1)

contusion of eyelid and periocular area (S00.1)
S05.2 Ocular laceration and rupture with prolapse or loss of intraocular tissue
S05.3 Ocular laceration without prolapse or loss of intraocular tissue

Laceration of eye NOS
S05.4 Penetrating wound of orbit with or without foreign body

Excludes: retained (old) foreign body following penetrating wound of
orbit (H05.5)
S05.5 Penetrating wound of eyeball with foreign body
Excludes: retained (old) intraocular foreign body (H44.6-H44.7)
S05.6 Penetrating wound of eyeball without foreign body

Ocular penetration NOS
S05.7 Avulsion of eye

Traumatic enucleation
S05.8 Other injuries of eye and orbit

Lacrimal duct injury
S05.9 Injury of eye and orbit, unspecified

Injury of eye NOS
XIX-10
S06 Intracranial injury
Note: For primary coding of intracranial injuries with associated fractures,

reference should be made to the morbidity or mortality coding rules and
guidelines in Part 2a Instruction Manual (NCHS).

identify intracranial injury and open wound:
0 without open intracranial wound

1 with open intracranial wound
S06.0 Concussion
Commotio cerebri
S06.1 Traumatic cerebral oedema
S06.2 Diffuse brain injury

Cerebral:
• contusion NOS
• laceration NOS
Traumatic compression of brain NOS
S06.3 Focal brain injury

Focal:
• cerebral:
• contusion
• laceration
• traumatic intracerebral haemorrhage
S06.4 Epidural haemorrhage

Extradural haemorrhage (traumatic)
S06.5 Traumatic subdural haemorrhage
S06.6 Traumatic subarachnoid haemorrhage
S06.7 Intracranial injury with prolonged coma
XIX-11
S06.8 Other intracranial injuries

Traumatic haemorrhage:
• cerebellar
• intracranial NOS
S06.9 Intracranial injury, unspecified

Brain injury NOS
Excludes: head injury NOS (S09.9)
S07 Crushing injury of head
S07.0 Crushing injury of face
S07.1 Crushing injury of skull
S07.8 Crushing injury of other parts of head
S07.9 Crushing injury of head, part unspecified
S08 Traumatic amputation of part of head
S08.0 Avulsion of scalp
S08.1 Traumatic amputation of ear
S08.8 Traumatic amputation of other parts of head
S08.9 Traumatic amputation of unspecified part of head

S09 Other and unspecified injuries of head
S09.0 Injury of blood vessels of head, not elsewhere classified

• cerebral blood vessels (S06.-)
• precerebral blood vessels (S15.-)
S09.1 Injury of muscle and tendon of head
XIX-12
S09.2 Traumatic rupture of ear drum
S09.7 Multiple injuries of head

Injuries classifiable to more than one of the categories S00-S09.2
S09.8 Other specified injuries of head
S09.9 Unspecified injury of head

Injury of:
• face NOS
• ear NOS
• nose NOS
Injuries to the neck

(S10-S19)

• nape
• supraclavicular region
• throat

effects of foreign body in:
• larynx (T17.3)
• oesophagus (T18.1)
• pharynx (T17.2)
• trachea (T17.4)
fracture of spine NOS (T08)
frostbite (T33-T35)
injury of:
• spinal cord NOS (T09.3)
• trunk NOS (T09.-)
XIX-13
S10 Superficial injury of neck
S10.0 Contusion of throat

Cervical oesophagus
Larynx
Pharynx
Trachea
S10.1 Other and unspecified superficial injuries of throat
S10.7 Multiple superficial injuries of neck
S10.8 Superficial injury of other parts of neck
S10.9 Superficial injury of neck, part unspecified
S11 Open wound of neck

S11.0 Open wound involving larynx and trachea

Trachea:
• NOS
• cervical
Excludes: thoracic trachea (S27.5)
S11.1 Open wound involving thyroid gland
S11.2 Open wound involving pharynx and cervical oesophagus

Excludes: oesophagus NOS (S27.8)
S11.7 Multiple open wounds of neck
S11.8 Open wound of other parts of neck
S11.9 Open wound of neck, part unspecified
XIX-14
S12 Fracture of neck

Includes: cervical:
• neural arch
• spine
• spinous process
• transverse process
• vertebra
• vertebral arch

identify fracture and open wound; a fracture not indicated as closed or open
should be classified as closed.
0 closed
1 open
S12.0 Fracture of first cervical vertebra

Atlas
S12.1 Fracture of second cervical vertebra

Axis
S12.2 Fracture of other specified cervical vertebra

Excludes: multiple fractures of cervical spine (S12.7)
S12.7 Multiple fractures of cervical spine
S12.8 Fracture of other parts of neck

Hyoid bone
Larynx
Thyroid cartilage
Trachea
S12.9 Fracture of neck, part unspecified

Fracture of cervical:
• spine NOS
• vertebra NOS
XIX-15
S13 Dislocation, sprain and strain of joints and ligaments at neck level
Excludes: rupture or displacement (nontraumatic) of cervical intervertebral disc
(M50.-)
S13.0 Traumatic rupture of cervical intervertebral disc
S13.1 Dislocation of cervical vertebra

Cervical spine NOS
S13.2 Dislocation of other and unspecified parts of neck
S13.3 Multiple dislocations of neck
S13.4 Sprain and strain of cervical spine

Anterior longitudinal (ligament), cervical
Atlanto-axial (joints)
Atlanto-occipital (joints)
Whiplash injury
S13.5 Sprain and strain of thyroid region

Cricoarytenoid (joint)(ligament)
Cricothyroid (joint)(ligament)
Thyroid cartilage
S13.6 Sprain and strain of joints and ligaments of other and unspecified parts of
neck
S14 Injury of nerves and spinal cord at neck level
S14.0 Concussion and oedema of cervical spinal cord
S14.1 Other and unspecified injuries of cervical spinal cord

Injury of cervical spinal cord NOS
S14.2 Injury of nerve root of cervical spine
S14.3 Injury of brachial plexus
S14.4 Injury of peripheral nerves of neck
XIX-16
S14.5 Injury of cervical sympathetic nerves
S14.6 Injury of other and unspecified nerves of neck
S15 Injury of blood vessels at neck level
S15.0 Injury of carotid artery

Carotid artery (common) (external) (internal)
S15.1 Injury of vertebral artery
S15.2 Injury of external jugular vein
S15.3 Injury of internal jugular vein
S15.7 Injury of multiple blood vessels at neck level
S15.8 Injury of other blood vessels at neck level
S15.9 Injury of unspecified blood vessel at neck level
S16 Injury of muscle and tendon at neck level
S17 Crushing injury of neck
S17.0 Crushing injury of larynx and trachea
S17.8 Crushing injury of other parts of neck
S17.9 Crushing injury of neck, part unspecified
S18 Traumatic amputation at neck level

Decapitation
S19 Other and unspecified injuries of neck
S19.7 Multiple injuries of neck

Injuries classifiable to more than one of the categories S10-S18
S19.8 Other specified injuries of neck
S19.9 Unspecified injury of neck
XIX-17
Injuries to the thorax

(S20-S29)

• breast
• chest (wall)
• interscapular area

• bronchus (T17.5)
• lung (T17.8)
• oesophagus (T18.1)
• trachea (T17.4)
frostbite (T33-T35)
injuries of:
• axilla
• clavicle (S40-S49)
• scapular region
• shoulder
S20 Superficial injury of thorax
S20.0 Contusion of breast
S20.1 Other and unspecified superficial injuries of breast
S20.2 Contusion of thorax
S20.3 Other superficial injuries of front wall of thorax
S20.4 Other superficial injuries of back wall of thorax
S20.7 Multiple superficial injuries of thorax
S20.8 Superficial injury of other and unspecified parts of thorax

Thoracic wall NOS
XIX-18
S21 Open wound of thorax

Excludes: traumatic:
• haemopneumothorax (S27.2)
• haemothorax (S27.1)
• pneumothorax (S27.0)
S21.0 Open wound of breast
S21.1 Open wound of front wall of thorax
S21.2 Open wound of back wall of thorax
S21.7 Multiple open wounds of thoracic wall
S21.8 Open wound of other parts of thorax
S21.9 Open wound of thorax, part unspecified

Thoracic wall NOS
XIX-19
S22 Fracture of rib(s), sternum and thoracic spine

Includes: thoracic:
• neural arch
• spinous process
• vertebra
• vertebral arch

0 closed
1 open
Excludes: fracture of:

• clavicle (S42.0)
• scapula (S42.1)
S22.0 Fracture of thoracic vertebra

Fracture of thoracic spine NOS
S22.1 Multiple fractures of thoracic spine
S22.2 Fracture of sternum
S22.3 Fracture of rib
S22.4 Multiple fractures of ribs
S22.5 Flail chest
S22.8 Fracture of other parts of bony thorax
S22.9 Fracture of bony thorax, part unspecified
XIX-20
S23 Dislocation, sprain and strain of joints and ligaments of thorax

Excludes: dislocation, sprain and strain of sterno-clavicular joint (S43.2, S43.6)
rupture or displacement (nontraumatic) of thoracic intervertebral
disc (M51.-)
S23.0 Traumatic rupture of thoracic intervertebral disc
S23.1 Dislocation of thoracic vertebra

Thoracic spine NOS
S23.2 Dislocation of other and unspecified parts of thorax
S23.3 Sprain and strain of thoracic spine
S23.4 Sprain and strain of ribs and sternum
S23.5 Sprain and strain of other and unspecified parts of thorax
S24 Injury of nerves and spinal cord at thorax level

Excludes: injury of brachial plexus (S14.3)
S24.0 Concussion and oedema of thoracic spinal cord
S24.1 Other and unspecified injuries of thoracic spinal cord
S24.2 Injury of nerve root of thoracic spine
S24.3 Injury of peripheral nerves of thorax
S24.4 Injury of thoracic sympathetic nerves

Cardiac plexus
Oesophageal plexus
Pulmonary plexus
Stellate ganglion
Thoracic sympathetic ganglion
S24.5 Injury of other nerves of thorax
S24.6 Injury of unspecified nerve of thorax
XIX-21
S25 Injury of blood vessels of thorax
S25.0 Injury of thoracic aorta

Aorta NOS
S25.1 Injury of innominate or subclavian artery
S25.2 Injury of superior vena cava

Vena cava NOS
S25.3 Injury of innominate or subclavian vein
S25.4 Injury of pulmonary blood vessels
S25.5 Injury of intercostal blood vessels
S25.7 Injury of multiple blood vessels of thorax
S25.8 Injury of other blood vessels of thorax

Azygos vein
Mammary artery or vein
S25.9 Injury of unspecified blood vessel of thorax
S26 Injury of heart

Includes: contusion
laceration
of heart
puncture
traumatic rupture

character position where it is not possible or not desired to use multiple coding:
0 without open wound into thoracic cavity

1 with open wound into thoracic cavity
S26.0 Injury of heart with haemopericardium
S26.8 Other injuries of heart
S26.9 Injury of heart, unspecified
XIX-22
S27 Injury of other and unspecified intrathoracic organs

0 without open wound into thoracic cavity

1 with open wound into thoracic cavity

• cervical oesophagus (S10-S19)
• trachea (cervical) (S10-S19)
S27.0 Traumatic pneumothorax
S27.1 Traumatic haemothorax
S27.2 Traumatic haemopneumothorax
S27.3 Other injuries of lung
S27.4 Injury of bronchus
S27.5 Injury of thoracic trachea
S27.6 Injury of pleura
S27.7 Multiple injuries of intrathoracic organs
S27.8 Injury of other specified intrathoracic organs

Diaphragm
Lymphatic thoracic duct
Oesophagus (thoracic part)
Thymus gland
S27.9 Injury of unspecified intrathoracic organ
S28 Crushing injury of thorax and traumatic amputation of part of thorax
S28.0 Crushed chest

Excludes: flail chest (S22.5)
S28.1 Traumatic amputation of part of thorax

Excludes: transection of thorax (T05.8)
XIX-23
S29 Other and unspecified injuries of thorax
S29.0 Injury of muscle and tendon at thorax level
S29.7 Multiple injuries of thorax

S29.8 Other specified injuries of thorax
S29.9 Unspecified injury of thorax
Injuries to the abdomen, lower back, lumbar spine and pelvis

(S30-S39)
Includes: abdominal wall

anus
buttock
external genitalia
flank
groin

• anus and rectum (T18.5)
• genitourinary tract (T19.-)
• stomach, small intestine and colon (T18.2-T18.4)
frostbite (T33-T35)
injuries of:
• back NOS (T09.-)
XIX-24
S30 Superficial injury of abdomen, lower back and pelvis

Excludes: superficial injury of hip (S70.-)
S30.0 Contusion of lower back and pelvis

Buttock
S30.1 Contusion of abdominal wall

Flank
Groin
S30.2 Contusion of external genital organs

Labium (majus)(minus)
Penis
Perineum
Scrotum
Testis
Vagina
Vulva
S30.7 Multiple superficial injuries of abdomen, lower back and pelvis
S30.8 Other superficial injuries of abdomen, lower back and pelvis
S30.9 Superficial injury of abdomen, lower back and pelvis, part unspecified
S31 Open wound of abdomen, lower back and pelvis

Excludes: open wound of hip (S71.0)
traumatic amputation of part of abdomen, lower back and pelvis
(S38.2-S38.3)
S31.0 Open wound of lower back and pelvis

Buttock
S31.1 Open wound of abdominal wall

Flank
Groin
S31.2 Open wound of penis
S31.3 Open wound of scrotum and testes
XIX-25
S31.4 Open wound of vagina and vulva
S31.5 Open wound of other and unspecified external genital organs

Excludes: traumatic amputation of external genital organs (S38.2)
S31.7 Multiple open wounds of abdomen, lower back and pelvis
S31.8 Open wound of other and unspecified parts of abdomen
S32 Fracture of lumbar spine and pelvis

Includes: lumbosacral:
• neural arch
• spinous process
• vertebra
• vertebral arch

0 closed
1 open
Excludes: fracture of hip NOS (S72.0)
S32.0 Fracture of lumbar vertebra

Fracture of lumbar spine
S32.1 Fracture of sacrum
S32.2 Fracture of coccyx
S32.3 Fracture of ilium
S32.4 Fracture of acetabulum
S32.5 Fracture of pubis
XIX-26
S32.7 Multiple fractures of lumbar spine and pelvis
S32.8 Fracture of other and unspecified parts of lumbar spine and pelvis
Fracture of:
• ischium
• lumbosacral spine NOS
• pelvis NOS
S33 Dislocation, sprain and strain of joints and ligaments of lumbar spine and
pelvis
Excludes: dislocation, sprain and strain of joint and ligaments of hip (S73.-)
obstetric damage to pelvic joints and ligaments (O71.6)
rupture or displacement (nontraumatic) of lumbar intervertebral disc
(M51.-)
S33.0 Traumatic rupture of lumbar intervertebral disc
S33.1 Dislocation of lumbar vertebra

Dislocation of lumbar spine NOS
S33.2 Dislocation of sacroiliac and sacrococcygeal joint
S33.3 Dislocation of other and unspecified parts of lumbar spine and pelvis
S33.4 Traumatic rupture of symphysis pubis
S33.5 Sprain and strain of lumbar spine
S33.6 Sprain and strain of sacroiliac joint
S33.7 Sprain and strain of other and unspecified parts of lumbar spine and pelvis
S34 Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis
level
S34.0 Concussion and oedema of lumbar spinal cord
S34.1 Other injury of lumbar spinal cord
S34.2 Injury of nerve root of lumbar and sacral spine
XIX-27
S34.3 Injury of cauda equina
S34.4 Injury of lumbosacral plexus
S34.5 Injury of lumbar, sacral and pelvic sympathetic nerves

Coeliac ganglion or plexus
Hypogastric plexus
Mesenteric plexus (inferior)(superior)
Splanchnic nerve
S34.6 Injury of peripheral nerve(s) of abdomen, lower back and pelvis
S34.8 Injury of other and unspecified nerves at abdomen, lower back and pelvis
level
S35 Injury of blood vessels at abdomen, lower back and pelvis level
S35.0 Injury of abdominal aorta

Excludes: aorta NOS (S25.0)
S35.1 Injury of inferior vena cava

Hepatic vein
Excludes: vena cava NOS (S25.2)
S35.2 Injury of coeliac or mesenteric artery

Gastric artery
Gastroduodenal artery
Hepatic artery
Mesenteric artery (inferior)(superior)
Splenic artery
S35.3 Injury of portal or splenic vein

Mesenteric vein (inferior)(superior)
S35.4 Injury of renal blood vessels

Renal artery or vein
XIX-28
S35.5 Injury of iliac blood vessels

Hypogastric artery or vein
Iliac artery or vein
Uterine artery or vein
S35.7 Injury of multiple blood vessels at abdomen, lower back and pelvis level
S35.8 Injury of other blood vessels at abdomen, lower back and pelvis level
Ovarian artery or vein
S35.9 Injury of unspecified blood vessel at abdomen, lower back and pelvis level
S36 Injury of intra-abdominal organs

0 without open wound into cavity

1 with open wound into cavity
S36.0 Injury of spleen
S36.1 Injury of liver or gallbladder

Bile duct
S36.2 Injury of pancreas
S36.3 Injury of stomach
S36.4 Injury of small intestine
S36.5 Injury of colon
S36.6 Injury of rectum
S36.7 Injury of multiple intra-abdominal organs
S36.8 Injury of other intra-abdominal organs

Peritoneum
Retroperitoneum
S36.9 Injury of unspecified intra-abdominal organ
XIX-29
S37 Injury of urinary and pelvic organs

0 without open wound into cavity

1 with open wound into cavity
Excludes: peritoneum and retroperitoneum (S36.8)
S37.0 Injury of kidney
S37.1 Injury of ureter
S37.2 Injury of bladder
S37.3 Injury of urethra
S37.4 Injury of ovary
S37.5 Injury of fallopian tube
S37.6 Injury of uterus
S37.7 Injury of multiple pelvic organs
S37.8 Injury of other pelvic organs

Adrenal gland
Prostate
Seminal vesicle
Vas deferens
S37.9 Injury of unspecified pelvic organ
S38 Crushing injury and traumatic amputation of part of abdomen, lower back
and pelvis
S38.0 Crushing injury of external genital organs
S38.1 Crushing injury of other and unspecified parts of abdomen, lower back and
pelvis
XIX-30
S38.2 Traumatic amputation of external genital organs

Labium (majus)(minus)
Penis
Scrotum
Testis
Vulva
S38.3 Traumatic amputation of other and unspecified parts of abdomen, lower

back and pelvis
Excludes: transection of abdomen (T05.8)
S39 Other and unspecified injuries of abdomen, lower back and pelvis
S39.0 Injury of muscle and tendon of abdomen, lower back and pelvis
S39.6 Injury of intra-abdominal organ(s) with pelvic organ(s)
S39.7 Other multiple injuries of abdomen, lower back and pelvis

Excludes: injuries in S36.- with injuries in S37.- (S39.6)
S39.8 Other specified injuries of abdomen, lower back and pelvis
S39.9 Unspecified injury of abdomen, lower back and pelvis
Injuries to the shoulder and upper arm

(S40-S49)

• axilla
• scapular region
Excludes: bilateral involvement of shoulder and upper arm (T00-T07)

burns and corrosions (T20-T32)
frostbite (T33-T35)
injuries of:
• arm, level unspecified (T10-T11)
• elbow (S50-S59)
XIX-31
S40 Superficial injury of shoulder and upper arm
S40.0 Contusion of shoulder and upper arm
S40.7 Multiple superficial injuries of shoulder and upper arm
S40.8 Other superficial injuries of shoulder and upper arm
S40.9 Superficial injury of shoulder and upper arm, unspecified
S41 Open wound of shoulder and upper arm

Excludes: traumatic amputation of shoulder and upper arm (S48.-)
S41.0 Open wound of shoulder
S41.1 Open wound of upper arm
S41.7 Multiple open wounds of shoulder and upper arm
S41.8 Open wound of other and unspecified parts of shoulder girdle
S42 Fracture of shoulder and upper arm

0 closed
1 open
S42.0 Fracture of clavicle

Clavicle:
• acromial end
• shaft
Collar bone
S42.1 Fracture of scapula

Acromial process
Acromion (process)
Scapula (body)(glenoid cavity)(neck)
Shoulder blade
XIX-32
S42.2 Fracture of upper end of humerus

Anatomical neck
Great tuberosity
Proximal end
Surgical neck
Upper epiphysis
S42.3 Fracture of shaft of humerus

Humerus NOS
Upper arm NOS
S42.4 Fracture of lower end of humerus

Articular process
Distal end
External condyle
Intercondylar
Internal epicondyle
Lower epiphysis
Supracondylar
Excludes: fracture of elbow NOS (S52.0)
S42.7 Multiple fractures of clavicle, scapula and humerus
S42.8 Fracture of other parts of shoulder and upper arm
S42.9 Fracture of shoulder girdle, part unspecified

Fracture of shoulder NOS
S43 Dislocation, sprain and strain of joints and ligaments of shoulder girdle
S43.0 Dislocation of shoulder joint

Glenohumeral joint
S43.1 Dislocation of acromioclavicular joint
S43.2 Dislocation of sternoclavicular joint
S43.3 Dislocation of other and unspecified parts of shoulder girdle

Dislocation of shoulder girdle NOS
XIX-33
S43.4 Sprain and strain of shoulder joint

Coracohumeral (ligament)
Rotator cuff capsule
S43.5 Sprain and strain of acromioclavicular joint

Acromioclavicular ligament
S43.6 Sprain and strain of sternoclavicular joint
S43.7 Sprain and strain of other and unspecified parts of shoulder girdle
Sprain and strain of shoulder girdle NOS
S44 Injury of nerves at shoulder and upper arm level

Excludes: injury of brachial plexus (S14.3)
S44.0 Injury of ulnar nerve at upper arm level

Excludes: ulnar nerve NOS (S54.0)
S44.1 Injury of median nerve at upper arm level

Excludes: median nerve NOS (S54.1)
S44.2 Injury of radial nerve at upper arm level

Excludes: radial nerve NOS (S54.2)
S44.3 Injury of axillary nerve
S44.4 Injury of musculocutaneous nerve
S44.5 Injury of cutaneous sensory nerve at shoulder and upper arm level
S44.7 Injury of multiple nerves at shoulder and upper arm level
S44.8 Injury of other nerves at shoulder and upper arm level
S44.9 Injury of unspecified nerve at shoulder and upper arm level
XIX-34
S45 Injury of blood vessels at shoulder and upper arm level

Excludes: injury of subclavian:
• artery (S25.1)
• vein (S25.3)
S45.0 Injury of axillary artery
S45.1 Injury of brachial artery
S45.2 Injury of axillary or brachial vein
S45.3 Injury of superficial vein at shoulder and upper arm level
S45.7 Injury of multiple blood vessels at shoulder and upper arm level
S45.8 Injury of other blood vessels at shoulder and upper arm level
S45.9 Injury of unspecified blood vessel at shoulder and upper arm level
S46 Injury of muscle and tendon at shoulder and upper arm level
Excludes: injury of muscle and tendon at or below elbow (S56.-)
S46.0 Injury of tendon of the rotator cuff of shoulder
S46.1 Injury of muscle and tendon of long head of biceps
S46.2 Injury of muscle and tendon of other parts of biceps
S46.3 Injury of muscle and tendon of triceps
S46.7 Injury of multiple muscles and tendons at shoulder and upper arm level
S46.8 Injury of other muscles and tendons at shoulder and upper arm level
S46.9 Injury of unspecified muscle and tendon at shoulder and upper arm level
S47 Crushing injury of shoulder and upper arm

Excludes: crushing injury of elbow (S57.0)
XIX-35
S48 Traumatic amputation of shoulder and upper arm

Excludes: traumatic amputation:
• at elbow level (S58.0)
• of arm, level unspecified (T11.6)
S48.0 Traumatic amputation at shoulder joint
S48.1 Traumatic amputation at level between shoulder and elbow
S48.9 Traumatic amputation of shoulder and upper arm, level unspecified
S49 Other and unspecified injuries of shoulder and upper arm
S49.7 Multiple injuries of shoulder and upper arm

S49.8 Other specified injuries of shoulder and upper arm
S49.9 Unspecified injury of shoulder and upper arm
Injuries to the elbow and forearm

(S50-S59)
Excludes: bilateral involvement of elbow and forearm (T00-T07)

frostbite (T33-T35)
injuries of:
• arm, level unspecified (T10-T11)
• wrist and hand (S60-S69)
S50 Superficial injury of forearm

Excludes: superficial injury of wrist and hand (S60.-)
S50.0 Contusion of elbow
S50.1 Contusion of other and unspecified parts of forearm
S50.7 Multiple superficial injuries of forearm
XIX-36
S50.8 Other superficial injuries of forearm
S50.9 Superficial injury of forearm, unspecified

Superficial injury of elbow NOS
S51 Open wound of forearm

Excludes: open wound of wrist and hand (S61.-)
traumatic amputation of forearm (S58.-)
S51.0 Open wound of elbow
S51.7 Multiple open wounds of forearm
S51.8 Open wound of other parts of forearm
S51.9 Open wound of forearm, part unspecified
S52 Fracture of forearm

0 closed
1 open
Excludes: fracture at wrist and hand level (S62.-)
S52.0 Fracture of upper end of ulna

Coronoid process
Elbow NOS
Monteggia's fracture-dislocation
Olecranon process
Proximal end
S52.1 Fracture of upper end of radius

Head
Neck
Proximal end
XIX-37
S52.2 Fracture of shaft of ulna
S52.3 Fracture of shaft of radius
S52.4 Fracture of shafts of both ulna and radius
S52.5 Fracture of lower end of radius

Colles' fracture
Smith's fracture
S52.6 Fracture of lower end of both ulna and radius
S52.7 Multiple fractures of forearm

Excludes: fractures of both ulna and radius:
• lower end (S52.6)
• shafts (S52.4)
S52.8 Fracture of other parts of forearm

Lower end of ulna
Head of ulna
S52.9 Fracture of forearm, part unspecified
S53 Dislocation, sprain and strain of joints and ligaments of elbow
S53.0 Dislocation of radial head

Radiohumeral joint
Excludes: Monteggia's fracture-dislocation (S52.0)
S53.1 Dislocation of elbow, unspecified

Ulnohumeral joint
Excludes: dislocation of radial head alone (S53.0)
S53.2 Traumatic rupture of radial collateral ligament
S53.3 Traumatic rupture of ulnar collateral ligament
S53.4 Sprain and strain of elbow
XIX-38
S54 Injury of nerves at forearm level

Excludes: injury of nerves at wrist and hand level (S64.-)
S54.0 Injury of ulnar nerve at forearm level

Ulnar nerve NOS
S54.1 Injury of median nerve at forearm level

Median nerve NOS
S54.2 Injury of radial nerve at forearm level

Radial nerve NOS
S54.3 Injury of cutaneous sensory nerve at forearm level
S54.7 Injury of multiple nerves at forearm level
S54.8 Injury of other nerves at forearm level
S54.9 Injury of unspecified nerve at forearm level
S55 Injury of blood vessels at forearm level

• blood vessels at wrist and hand level (S65.-)
• brachial vessels (S45.1-S45.2)
S55.0 Injury of ulnar artery at forearm level
S55.1 Injury of radial artery at forearm level
S55.2 Injury of vein at forearm level
S55.7 Injury of multiple blood vessels at forearm level
S55.8 Injury of other blood vessels at forearm level
S55.9 Injury of unspecified blood vessel at forearm level
XIX-39
S56 Injury of muscle and tendon at forearm level

Excludes: injury of muscle and tendon at or below wrist (S66.-)
S56.0 Injury of flexor muscle and tendon of thumb at forearm level
S56.1 Injury of long flexor muscle and tendon of other finger(s) at forearm level
S56.2 Injury of other flexor muscle and tendon at forearm level
S56.3 Injury of extensor or abductor muscles and tendons of thumb at forearm

level
S56.4 Injury of extensor muscle and tendon of other finger(s) at forearm level
S56.5 Injury of other extensor muscle and tendon at forearm level
S56.7 Injury of multiple muscles and tendons at forearm level
S56.8 Injury of other and unspecified muscles and tendons at forearm level
S57 Crushing injury of forearm

Excludes: crushing injury of wrist and hand (S67.-)
S57.0 Crushing injury of elbow
S57.8 Crushing injury of other parts of forearm
S57.9 Crushing injury of forearm, part unspecified
S58 Traumatic amputation of forearm

Excludes: traumatic amputation of wrist and hand (S68.-)
S58.0 Traumatic amputation at elbow level
S58.1 Traumatic amputation at level between elbow and wrist
S58.9 Traumatic amputation of forearm, level unspecified
XIX-40
S59 Other and unspecified injuries of forearm

Excludes: other and unspecified injuries of wrist and hand (S69.-)
S59.7 Multiple injuries of forearm

S59.8 Other specified injuries of forearm
S59.9 Unspecified injury of forearm
Injuries to the wrist and hand

(S60-S69)
Excludes: bilateral involvement of wrist and hand (T00-T07)

frostbite (T33-T35)
injuries of arm, level unspecified (T10-T11)
S60 Superficial injury of wrist and hand
S60.0 Contusion of finger(s) without damage to nail

Contusion of finger(s) NOS
Excludes: contusion involving nail (matrix) (S60.1)
S60.1 Contusion of finger(s) with damage to nail
S60.2 Contusion of other parts of wrist and hand
S60.7 Multiple superficial injuries of wrist and hand
S60.8 Other superficial injuries of wrist and hand
S60.9 Superficial injury of wrist and hand, unspecified
XIX-41
S61 Open wound of wrist and hand

Excludes: traumatic amputation of wrist and hand (S68.-)
S61.0 Open wound of finger(s) without damage to nail

Open wound of finger(s) NOS
Excludes: open wound involving nail (matrix) (S61.1)
S61.1 Open wound of finger(s) with damage to nail
S61.7 Multiple open wounds of wrist and hand
S61.8 Open wound of other parts of wrist and hand
S61.9 Open wound of wrist and hand part, part unspecified
S62 Fracture at wrist and hand level

0 closed
1 open
Excludes: fracture of distal parts of ulna and radius (S52.-)
S62.0 Fracture of navicular [scaphoid] bone of hand
S62.1 Fracture of other carpal bone(s)

Capitate [os magnum]
Hamate [unciform]
Lunate [semilunar]
Pisiform
Trapezium [greater multangular]
Trapezoid [lesser multangular]
Triquetrum [cuneiform of carpus]
S62.2 Fracture of first metacarpal bone

Bennett's fracture
XIX-42
S62.3 Fracture of other metacarpal bone
S62.4 Multiple fractures of metacarpal bones
S62.5 Fracture of thumb
S62.6 Fracture of other finger
S62.7 Multiple fractures of fingers
S62.8 Fracture of other and unspecified parts of wrist and hand
S63 Dislocation, sprain and strain of joints and ligaments at wrist and hand level
S63.0 Dislocation of wrist

Carpal (bone)
Carpometacarpal (joint)
Metacarpal (bone), proximal end
Midcarpal (joint)
Radiocarpal (joint)
Radioulnar (joint), distal
Radius, distal end
Ulna, distal end
S63.1 Dislocation of finger

Interphalangeal (joint), hand
Metacarpal (bone), distal end
Metacarpophalangeal (joint)
Phalanx, hand
Thumb
S63.2 Multiple dislocations of fingers
S63.3 Traumatic rupture of ligament of wrist and carpus

Collateral, wrist
Radiocarpal (ligament)
Ulnocarpal (palmar)
XIX-43
S63.4 Traumatic rupture of ligament of finger at metacarpophalangeal and

interphalangeal joint(s)
Collateral
Palmar
Volar plate
S63.5 Sprain and strain of wrist

Carpal (joint)
Radiocarpal (joint) (ligament)
S63.6 Sprain and strain of finger(s)

Interphalangeal (joint), hand
Metacarpophalangeal (joint)
Phalanx, hand
Thumb
S63.7 Sprain and strain of other and unspecified parts of hand
S64 Injury of nerves at wrist and hand level
S64.0 Injury of ulnar nerve at wrist and hand level
S64.1 Injury of median nerve at wrist and hand level
S64.2 Injury of radial nerve at wrist and hand level
S64.3 Injury of digital nerve of thumb
S64.4 Injury of digital nerve of other finger
S64.7 Injury of multiple nerves at wrist and hand level
S64.8 Injury of other nerves at wrist and hand level
S64.9 Injury of unspecified nerve at wrist and hand level
XIX-44
S65 Injury of blood vessels at wrist and hand level
S65.0 Injury of ulnar artery at wrist and hand level
S65.1 Injury of radial artery at wrist and hand level
S65.2 Injury of superficial palmar arch
S65.3 Injury of deep palmar arch
S65.4 Injury of blood vessel(s) of thumb
S65.5 Injury of blood vessel(s) of other finger
S65.7 Injury of multiple blood vessels at wrist and hand level
S65.8 Injury of other blood vessels at wrist and hand level
S65.9 Injury of unspecified blood vessel at wrist and hand level
S66 Injury of muscle and tendon at wrist and hand level
S66.0 Injury of long flexor muscle and tendon of thumb at wrist and hand level
S66.1 Injury of flexor muscle and tendon of other finger at wrist and hand level
S66.2 Injury of extensor muscle and tendon of thumb at wrist and hand level
S66.3 Injury of extensor muscle and tendon of other finger at wrist and hand level
S66.4 Injury of intrinsic muscle and tendon of thumb at wrist and hand level
S66.5 Injury of intrinsic muscle and tendon of other finger at wrist and hand level
S66.6 Injury of multiple flexor muscles and tendons at wrist and hand level
S66.7 Injury of multiple extensor muscles and tendons at wrist and hand level
S66.8 Injury of other muscles and tendons at wrist and hand level
S66.9 Injury of unspecified muscle and tendon at wrist and hand level
XIX-45
S67 Crushing injury of wrist and hand
S67.0 Crushing injury of thumb and other finger(s)
S67.8 Crushing injury of other and unspecified parts of wrist and hand
S68 Traumatic amputation of wrist and hand
S68.0 Traumatic amputation of thumb (complete)(partial)
S68.1 Traumatic amputation of other single finger (complete)(partial)
S68.2 Traumatic amputation of two or more fingers alone (complete)(partial)
S68.3 Combined traumatic amputation of (part of) finger(s) with other parts of
wrist and hand
S68.4 Traumatic amputation of hand at wrist level
S68.8 Traumatic amputation of other parts of wrist and hand
S68.9 Traumatic amputation of wrist and hand, level unspecified
S69 Other and unspecified injuries of wrist and hand
S69.7 Multiple injuries of wrist and hand

S69.8 Other specified injuries of wrist and hand
S69.9 Unspecified injury of wrist and hand
XIX-46
Injuries to the hip and thigh

(S70-S79)
Excludes: bilateral involvement of hip and thigh (T00-T07)

frostbite (T33-T35)
injuries of leg, level unspecified (T12-T13)
S70 Superficial injury of hip and thigh
S70.0 Contusion of hip
S70.1 Contusion of thigh
S70.7 Multiple superficial injuries of hip and thigh
S70.8 Other superficial injuries of hip and thigh
S70.9 Superficial injury of hip and thigh, unspecified
S71 Open wound of hip and thigh

Excludes: traumatic amputation of hip and thigh (S78.-)
S71.0 Open wound of hip
S71.1 Open wound of thigh
S71.7 Multiple open wounds of hip and thigh
S71.8 Open wound of other and unspecified parts of pelvic girdle
XIX-47
S72 Fracture of femur

0 closed
1 open
S72.0 Fracture of neck of femur

Fracture of hip NOS
S72.1 Pertrochanteric fracture

Intertrochanteric fracture
Trochanteric fracture
S72.2 Subtrochanteric fracture
S72.3 Fracture of shaft of femur
S72.4 Fracture of lower end of femur
S72.7 Multiple fractures of femur
S72.8 Fractures of other parts of femur
S72.9 Fracture of femur, part unspecified
S73 Dislocation, sprain and strain of joint and ligaments of hip
S73.0 Dislocation of hip
S73.1 Sprain and strain of hip
XIX-48
S74 Injury of nerves at hip and thigh level
S74.0 Injury of sciatic nerve at hip and thigh level
S74.1 Injury of femoral nerve at hip and thigh level
S74.2 Injury of cutaneous sensory nerve at hip and thigh level
S74.7 Injury of multiple nerves at hip and thigh level
S74.8 Injury of other nerves at hip and thigh level
S74.9 Injury of unspecified nerve at hip and thigh level
S75 Injury of blood vessels at hip and thigh level

Excludes: popliteal artery (S85.0)
S75.0 Injury of femoral artery
S75.1 Injury of femoral vein at hip and thigh level
S75.2 Injury of greater saphenous vein at hip and thigh level

Excludes: greater saphenous vein NOS (S85.3)
S75.7 Injury of multiple blood vessels at hip and thigh level
S75.8 Injury of other blood vessels at hip and thigh level
S75.9 Injury of unspecified blood vessel at hip and thigh level
S76 Injury of muscle and tendon at hip and thigh level
S76.0 Injury of muscle and tendon of hip
S76.1 Injury of quadriceps muscle and tendon

Patellar ligament (tendon)
S76.2 Injury of adductor muscle and tendon of thigh
XIX-49
S76.3 Injury of muscle and tendon of the posterior muscle group at thigh level
S76.4 Injury of other and unspecified muscles and tendons at thigh level
S76.7 Injury of multiple muscles and tendons at hip and thigh level
S77 Crushing injury of hip and thigh
S77.0 Crushing injury of hip
S77.1 Crushing injury of thigh
S77.2 Crushing injury of hip with thigh
S78 Traumatic amputation of hip and thigh

Excludes: traumatic amputation of lower limb, level unspecified (T13.6)
S78.0 Traumatic amputation at hip joint
S78.1 Traumatic amputation at level between hip and knee
S78.9 Traumatic amputation of hip and thigh, level unspecified
S79 Other and specified injuries of hip and thigh
S79.7 Multiple injuries of hip and thigh

S79.8 Other specified injuries of hip and thigh
S79.9 Unspecified injury of hip and thigh
XIX-50
Injuries to the knee and lower leg

(S80-S89)
Includes: fracture of ankle and malleolus
Excludes: bilateral involvement of knee and lower leg (T00-T07)

frostbite (T33-T35)
injuries of:
• ankle and foot, except fracture of ankle and malleolus (S90-S99)
• leg, level unspecified (T12-T13)
S80 Superficial injury of lower leg

Excludes: superficial injury of ankle and foot (S90.-)
S80.0 Contusion of knee
S80.1 Contusion of other and unspecified parts of lower leg
S80.7 Multiple superficial injuries of lower leg
S80.8 Other superficial injuries of lower leg
S80.9 Superficial injury of lower leg, unspecified
S81 Open wound of lower leg

Excludes: open wound of ankle and foot (S91.-)
traumatic amputation of lower leg (S88.-)
S81.0 Open wound of knee
S81.7 Multiple open wounds of lower leg
S81.8 Open wound of other parts of lower leg
S81.9 Open wound of lower leg, part unspecified
XIX-51
S82 Fracture of lower leg, including ankle

Includes: malleolus

0 closed
1 open
Excludes: fracture of foot, except ankle (S92.-)
S82.0 Fracture of patella

Knee cap
S82.1 Fracture of upper end of tibia

Tibial:
• condyles
• head with or without mention of fracture of
• proximal end fibula
• tuberosity
S82.2 Fracture of shaft of tibia

With or without mention of fracture of fibula
S82.3 Fracture of lower end of tibia

With or without mention of fracture of fibula
Excludes: medial malleolus (S82.5)
S82.4 Fracture of fibula alone

Excludes: lateral malleolus (S82.6)
S82.5 Fracture of medial malleolus

Tibia involving:
• ankle
• malleolus
XIX-52
S82.6 Fracture of lateral malleolus

Fibula involving:
• ankle
• malleolus
S82.7 Multiple fractures of lower leg

Excludes: fractures of both tibia and fibula:
• lower end (S82.3)
• shafts (S82.2)
• upper end (S82.1)
S82.8 Fractures of other parts of lower leg

Fracture (of):
• ankle NOS
• bimalleolar
• trimalleolar
S82.9 Fracture of lower leg, part unspecified
S83 Dislocation, sprain and strain of joints and ligaments of knee

Excludes: derangement of:
• knee, internal (M23.-)
• patella (M22.0-M22.3)
dislocation of knee:
• old (M24.3)
• pathological (M24.3)
• recurrent (M24.4)
S83.0 Dislocation of patella
S83.1 Dislocation of knee

Tibiofibular (joint)
S83.2 Tear of meniscus, current

Bucket-handle tear (of):
• NOS
• lateral meniscus
• medial meniscus
Excludes: old bucket-handle tear (M23.2)
XIX-53
S83.3 Tear of articular cartilage of knee, current
S83.4 Sprain and strain involving (fibular)(tibial) collateral ligament of knee
S83.5 Sprain and strain involving (anterior)(posterior) cruciate ligament of knee
S83.6 Sprain and strain of other and unspecified parts of knee

Tibiofibular joint and ligament, superior
Excludes: sprain of patellar ligament (S76.1)
S83.7 Injury to multiple structures of knee

Injury to (lateral)(medial) meniscus in combination with (collateral)(cruciate)
ligaments
S84 Injury of nerves at lower leg level

Excludes: injury of nerves at ankle and foot level (S94.-)
S84.0 Injury of tibial nerve at lower leg level
S84.1 Injury of peroneal nerve at lower leg level
S84.2 Injury of cutaneous sensory nerve at lower leg level
S84.7 Injury of multiple nerves at lower leg level
S84.8 Injury of other nerves at lower leg level
S84.9 Injury of unspecified nerve at lower leg level
S85 Injury of blood vessels at lower leg level

Excludes: injury of blood vessels at ankle and foot level (S95.-)
S85.0 Injury of popliteal artery
S85.1 Injury of (anterior)(posterior) tibial artery
S85.2 Injury of peroneal artery
XIX-54
S85.3 Injury of greater saphenous vein at lower leg level

Greater saphenous vein NOS
S85.4 Injury of lesser saphenous vein at lower leg level
S85.5 Injury of popliteal vein
S85.7 Injury of multiple blood vessels at lower leg level
S85.8 Injury of other blood vessels at lower leg level
S85.9 Injury of unspecified blood vessel at lower leg level
S86 Injury of muscle and tendon at lower leg level

• muscle and tendon at or below ankle (S96.-)
• patellar ligament (S76.1)
S86.0 Injury of Achilles tendon
S86.1 Injury of other muscle(s) and tendon(s) of posterior muscle group at lower
leg level
S86.2 Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level
S86.3 Injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level
S86.7 Injury of multiple muscles and tendons at lower leg level
S86.8 Injury of other muscles and tendons at lower leg level
S86.9 Injury of unspecified muscle and tendon at lower leg level
S87 Crushing injury of lower leg

Excludes: crushing injury of ankle and foot (S97.-)
S87.0 Crushing injury of knee
S87.8 Crushing injury of other and unspecified parts of lower leg
XIX-55
S88 Traumatic amputation of lower leg

Excludes: traumatic amputation of:
• ankle and foot (S98.-)
• leg, level unspecified (T13.6)
S88.0 Traumatic amputation at knee level
S88.1 Traumatic amputation at level between knee and ankle
S88.9 Traumatic amputation of lower leg, level unspecified
S89 Other and unspecified injuries of lower leg

Excludes: other and unspecified injuries of ankle and foot (S99.-)
S89.7 Multiple injuries of lower leg

S89.8 Other specified injuries of lower leg
S89.9 Unspecified injury of lower leg
Injuries to the ankle and foot

(S90-S99)
Excludes: bilateral involvement of ankle and foot (T00-T07)

fracture of ankle and malleolus (S82.-)
frostbite (T33-T35)
injuries of leg, level unspecified (T12-T13)
S90 Superficial injury of ankle and foot
S90.0 Contusion of ankle
S90.1 Contusion of toe(s) without damage to nail

Contusion of toe(s) NOS
XIX-56
S90.2 Contusion of toe(s) with damage to nail
S90.3 Contusion of other and unspecified parts of foot
S90.7 Multiple superficial injuries of ankle and foot
S90.8 Other superficial injuries of ankle and foot
S90.9 Superficial injury of ankle and foot, unspecified
S91 Open wound of ankle and foot

Excludes: traumatic amputation of ankle and foot (S98.-)
S91.0 Open wound of ankle
S91.1 Open wound of toe(s) without damage to nail

Open wound of toe(s) NOS
S91.2 Open wound of toe(s) with damage to nail
S91.3 Open wound of other parts of foot

Open wound of foot NOS
S91.7 Multiple open wounds of ankle and foot
S92 Fracture of foot, except ankle

character position where it is not possible or not desired to use multiple cause
coding to identify fracture and open wound; a fracture not indicated as closed or
open should be classified as closed.
0 closed
1 open
Excludes: ankle (S82.-)

malleolus (S82.-)
S92.0 Fracture of calcaneus

Heel bone
Os calcis
XIX-57
S92.1 Fracture of talus

Astragalus
S92.2 Fracture of other tarsal bone(s)

Cuboid
Cuneiform, foot (intermediate)(lateral)(medial)
Navicular, foot
S92.3 Fracture of metatarsal bone
S92.4 Fracture of great toe
S92.5 Fracture of other toe
S92.7 Multiple fractures of foot
S92.9 Fracture of foot, unspecified
S93 Dislocation, sprain and strain of joints and ligaments at ankle and foot level
S93.0 Dislocation of ankle joint

Astragalus
Fibula, lower end
Talus
Tibia, lower end
S93.1 Dislocation of toe(s)

Interphalangeal (joint(s))
Metatarsophalangeal (joint(s))
S93.2 Rupture of ligaments at ankle and foot level
S93.3 Dislocation of other and unspecified parts of foot

Navicular, foot
Tarsal (joint(s))
Tarsometatarsal (joint(s))
XIX-58
S93.4 Sprain and strain of ankle

Calcaneofibular (ligament)
Deltoid (ligament)
Internal collateral (ligament)
Talofibular (ligament)
Tibiofibular (ligament), distal
Excludes: injury of Achilles tendon (S86.0)
S93.5 Sprain and strain of toe(s)

Interphalangeal (joint(s))
Metatarsophalangeal (joint(s))
S93.6 Sprain and strain of other and unspecified parts of foot

Tarsal (ligament)
Tarsometatarsal (ligament)
S94 Injury of nerves at ankle and foot level
S94.0 Injury of lateral plantar nerve
S94.1 Injury of medial plantar nerve
S94.2 Injury of deep peroneal nerve at ankle and foot level

Terminal, lateral branch of deep peroneal nerve
S94.3 Injury of cutaneous sensory nerve at ankle and foot level
S94.7 Injury of multiple nerves at ankle and foot level
S94.8 Injury of other nerves at ankle and foot level
S94.9 Injury of unspecified nerve at ankle and foot level
S95 Injury of blood vessels at ankle and foot level

Excludes: injury of posterior tibial artery and vein (S85.-)
S95.0 Injury of dorsal artery of foot
S95.1 Injury of plantar artery of foot
XIX-59
S95.2 Injury of dorsal vein of foot
S95.7 Injury of multiple blood vessels at ankle and foot level
S95.8 Injury of other blood vessels at ankle and foot level
S95.9 Injury of unspecified blood vessel at ankle and foot level
S96 Injury of muscle and tendon at ankle and foot level

Excludes: injury of Achilles tendon (S86.0)
S96.0 Injury of muscle and tendon of long flexor muscle of toe at ankle and foot
level
S96.1 Injury of muscle and tendon of long extensor muscle of toe at ankle and foot
level
S96.2 Injury of intrinsic muscle and tendon at ankle and foot level
S96.7 Injury of multiple muscles and tendons at ankle and foot level
S96.8 Injury of other muscles and tendons at ankle and foot level
S96.9 Injury of unspecified muscle and tendon at ankle and foot level
S97 Crushing injury of ankle and foot
S97.0 Crushing injury of ankle
S97.1 Crushing injury of toe(s)
S97.8 Crushing injury of other parts of ankle and foot

Crushing injury of foot NOS
S98 Traumatic amputation of ankle and foot
S98.0 Traumatic amputation of foot at ankle level
S98.1 Traumatic amputation of one toe
XIX-60
S98.2 Traumatic amputation of two or more toes
S98.3 Traumatic amputation of other parts of foot

Combined traumatic amputation of toe(s) and other parts of foot
S98.4 Traumatic amputation of foot, level unspecified
S99 Other and unspecified injuries of ankle and foot
S99.7 Multiple injuries of ankle and foot

S99.8 Other specified injuries of ankle and foot
S99.9 Unspecified injury of ankle and foot
XIX-61
Injuries involving multiple body regions

(T00-T07)
Includes: bilateral involvement of limbs of the same body region

injuries by type involving two or more body regions classifiable within S00-S99

frostbite (T33-T35)
multiple injuries involving only one body region - see S-section
sunburn (L55.-)
T00 Superficial injuries involving multiple body regions
T00.0 Superficial injuries involving head with neck

Superficial injuries of sites classifiable to S00.- and S10.-
Excludes: with involvement of other body region(s) (T00.8)
T00.1 Superficial injuries involving thorax with abdomen, lower back and pelvis
Superficial injuries of sites classifiable to S20.-, S30.- and T09.0
T00.2 Superficial injuries involving multiple regions of upper limb(s)

Superficial injuries of sites classifiable to S40.-, S50.-, S60.- and T11.0
Excludes: with involvement of:

• lower limb(s) (T00.6)
• thorax, abdomen, lower back and pelvis (T00.8)
T00.3 Superficial injuries involving multiple regions of lower limb(s)

Superficial injuries of sites classifiable to S70.-, S80.-, S90.- and T13.0

• upper limb(s) (T00.6)
XIX-62
T00.6 Superficial injuries involving multiple regions of upper limb(s) with lower
limb(s)
Superficial injuries of sites classifiable to T00.2 and T00.3
Excludes: with involvement of thorax, abdomen, lower back and pelvis (T00.8)
T00.8 Superficial injuries involving other combinations of body regions
T00.9 Multiple superficial injuries, unspecified

Multiple:
• abrasions
• blisters (nonthermal)
• bruises
NOS
• contusions
• haematomas
• insect bites (nonvenomous)
T01 Open wounds involving multiple body regions

Excludes: traumatic amputations involving multiple body regions (T05.-)
T01.0 Open wounds involving head with neck

Open wounds of sites classifiable to S01.- and S11.-
T01.1 Open wounds involving thorax with abdomen, lower back and pelvis
Open wounds of sites classifiable to S21.-, S31.- and T09.1
T01.2 Open wounds involving multiple regions of upper limb(s)

Open wounds of sites classifiable to S41.-, S51.-, S61.- and T11.1

XIX-63
T01.3 Open wounds involving multiple regions of lower limb(s)

Open wounds of sites classifiable to S71.-, S81.-, S91.- and T13.1

T01.6 Open wounds involving multiple regions of upper limb(s) with lower limb(s)
Open wounds of sites classifiable to T01.2 and T01.3
T01.8 Open wounds involving other combinations of body regions
T01.9 Multiple open wounds, unspecified

Multiple:
• animal bites
• cuts
NOS
• lacerations
• puncture wounds
T02 Fractures involving multiple body regions

0 closed
1 open
T02.0 Fractures involving head with neck

Fractures of sites classifiable to S02.- and S12.-
T02.1 Fractures involving thorax with lower back and pelvis

Fractures of sites classifiable to S22.-, S32.- and T08
Excludes: when combined with fractures of:

• limb(s) (T02.7)
• other body region(s) (T02.8)
XIX-64
T02.2 Fractures involving multiple regions of one upper limb

Fractures of sites classifiable to S42.-, S52.-, S62.- and T10 of one upper limb

• other upper limb (T02.4)
• thorax, lower back and pelvis (T02.7)
T02.3 Fractures involving multiple regions of one lower limb

Fractures of sites classifiable to S72.-, S82.-, S92.- and T12 of one lower limb

• other lower limb (T02.5)
T02.4 Fractures involving multiple regions of both upper limbs

Fractures of sites classifiable to S42.-, S52.-, S62.- and T10 specified as bilateral

T02.5 Fractures involving multiple regions of both lower limbs

Fractures of sites classifiable to S72.-, S82.-, S92.- and T12 specified as bilateral

T02.6 Fractures involving multiple regions of upper limb(s) with lower limb(s)
Excludes: when combined with fractures of thorax, lower back and pelvis
(T02.7)
T02.7 Fractures involving thorax with lower back and pelvis with limb(s)
T02.8 Fractures involving other combinations of body regions
T02.9 Multiple fractures, unspecified
XIX-65
T03 Dislocations, sprains and strains involving multiple body regions
T03.0 Dislocations, sprains and strains involving head with neck

Dislocations, sprains and strains of sites classifiable to S03.- and S13.-
Excludes: when combined with dislocations, sprains and strains of other body
region(s) (T03.8)
T03.1 Dislocations, sprains and strains involving thorax with lower back and pelvis
Dislocations, sprains and strains of sites classifiable to S23.-, S33.- and T09.2
Excludes: when combined with dislocations, sprains and strains of other body
region(s) (T03.8)
T03.2 Dislocations, sprains and strains involving multiple regions of upper limb(s)
Dislocations, sprains and strains of sites classifiable to S43.-, S53.-, S63.- and
T11.2
Excludes: when combined with dislocations, sprains and strains of:

T03.3 Dislocations, sprains and strains involving multiple regions of lower limb(s)
Dislocations, sprains and strains of sites classifiable to S73.-, S83.-,
S93.- and T13.2
Excludes: when combined with dislocations, sprains and strains of:

T03.4 Dislocations, sprains and strains involving multiple regions of upper limb(s)
with lower limb(s)
Excludes: when combined with dislocations, sprains and strains of thorax,
lower back and pelvis (T03.8)
T03.8 Dislocations, sprains and strains involving other combinations of body

regions
T03.9 Multiple dislocations, sprains and strains, unspecified
XIX-66
T04 Crushing injuries involving multiple body regions
T04.0 Crushing injuries involving head with neck

Crushing injuries of sites classifiable to S07.- and S17.-
T04.1 Crushing injuries involving thorax with abdomen, lower back and pelvis
Crushing injury of:
• sites classifiable to S28.- and S38.-
• trunk NOS

• limbs (T04.7)
• other body regions (T04.8)
T04.2 Crushing injuries involving multiple regions of upper limb(s)

Crushing injury of:
• sites classifiable to S47.-, S57.- and S67.-
• upper limb NOS

T04.3 Crushing injuries involving multiple regions of lower limb(s)

Crushing injury of:
• lower limb NOS
• sites classifiable to S77.-, S87.- and S97.-

T04.4 Crushing injuries involving multiple regions of upper limb(s) with lower
limb(s)
XIX-67
T04.7 Crushing injuries of thorax with abdomen, lower back and pelvis with
limb(s)
T04.8 Crushing injuries involving other combinations of body regions
T04.9 Multiple crushing injuries, unspecified
T05 Traumatic amputations involving multiple body regions

Includes: avulsion involving multiple body regions

open wounds involving multiple body regions (T01.-)
traumatic amputation of:
• arm NOS (T11.6)
• leg NOS (T13.6)
• trunk NOS (T09.6)
T05.0 Traumatic amputation of both hands
T05.1 Traumatic amputation of one hand and other arm [any level, except hand]
T05.2 Traumatic amputation of both arms [any level]
T05.3 Traumatic amputation of both feet
T05.4 Traumatic amputation of one foot and other leg [any level, except foot]
T05.5 Traumatic amputation of both legs [any level]
T05.6 Traumatic amputation of upper and lower limbs, any combination [any
level]
T05.8 Traumatic amputations involving other combinations of body regions

Transection of:
• abdomen
• thorax
T05.9 Multiple traumatic amputations, unspecified
XIX-68
T06 Other injuries involving multiple body regions, not elsewhere classified
T06.0 Injuries of brain and cranial nerves with injuries of nerves and spinal cord at
neck level
Injuries classifiable to S04.- and S06.- with injuries classifiable to S14.-
T06.1 Injuries of nerves and spinal cord involving other multiple body regions
T06.2 Injuries of nerves involving multiple body regions

Multiple injuries of nerves NOS
Excludes: with spinal cord involvement (T06.0-T06.1)
T06.3 Injuries of blood vessels involving multiple body regions
T06.4 Injuries of muscles and tendons involving multiple body regions
T06.5 Injuries of intrathoracic organs with intra-abdominal and pelvic organs
T06.8 Other specified injuries involving multiple body regions
T07 Unspecified multiple injuries

Excludes: injury NOS (T14.9)
XIX-69
Injuries to unspecified part of trunk, limb or body region

(T08-T14)

frostbite (T33-T35)
injuries involving multiple body regions (T00-T07)
T08 Fracture of spine, level unspecified

0 closed
1 open
Excludes: multiple fractures of spine, level unspecified (T02.1)
T09 Other injuries of spine and trunk, level unspecified

Excludes: crushing injury of trunk NOS (T04.1)
multiple injuries of trunk (T00-T06)
transection of trunk (T05.8)
T09.0 Superficial injury of trunk, level unspecified
T09.1 Open wound of trunk, level unspecified
T09.2 Dislocation, sprain and strain of unspecified joint and ligament of trunk
T09.3 Injury of spinal cord, level unspecified
T09.4 Injury of unspecified nerve, spinal nerve root and plexus of trunk
T09.5 Injury of unspecified muscle and tendon of trunk
T09.6 Traumatic amputation of trunk, level unspecified
T09.8 Other specified injuries of trunk, level unspecified
T09.9 Unspecified injury of trunk, level unspecified
XIX-70
T10 Fracture of upper limb, level unspecified

Broken arm NOS
Fracture of arm NOS

0 closed
1 open
Excludes: multiple fractures of arm, level unspecified (T02.-)
T11 Other injuries of upper limb, level unspecified

Excludes: crushing injury of upper limb NOS (T04.2)
fracture of upper limb, level unspecified (T10)
T11.0 Superficial injury of upper limb, level unspecified
T11.1 Open wound of upper limb, level unspecified
T11.2 Dislocation, sprain and strain of unspecified joint and ligament of upper
limb, level unspecified
T11.3 Injury of unspecified nerve of upper limb, level unspecified
T11.4 Injury of unspecified blood vessel of upper limb, level unspecified
T11.5 Injury of unspecified muscle and tendon of upper limb, level unspecified
T11.6 Traumatic amputation of upper limb, level unspecified

Traumatic amputation of arm NOS
T11.8 Other specified injuries of upper limb, level unspecified
T11.9 Unspecified injury of upper limb, level unspecified

Injury of arm NOS
XIX-71
T12 Fracture of lower limb, level unspecified

Broken leg NOS
Fracture of leg NOS

0 closed
1 open
Excludes: multiple fractures of leg, level unspecified (T02.-)
T13 Other injuries of lower limb, level unspecified

Excludes: crushing injury of lower limb NOS (T04.3)
fracture of lower limb, level unspecified (T12)
T13.0 Superficial injury of lower limb, level unspecified
T13.1 Open wound of lower limb, level unspecified
T13.2 Dislocation, sprain and strain of unspecified joint and ligament of lower
limb, level unspecified
T13.3 Injury of unspecified nerve of lower limb, level unspecified
T13.4 Injury of unspecified blood vessel of lower limb, level unspecified
T13.5 Injury of unspecified muscle and tendon of lower limb, level unspecified
T13.6 Traumatic amputation of lower limb, level unspecified

Traumatic amputation of leg NOS
T13.8 Other specified injuries of lower limb, level unspecified
T13.9 Unspecified injury of lower limb, level unspecified

Injury of leg NOS
XIX-72
T14 Injury of unspecified body region

Excludes: injuries involving multiple body regions (T00-T07)
T14.0 Superficial injury of unspecified body region

Abrasion
Blister (nonthermal)
Bruise
Contusion
Haematoma NOS
Injury from superficial foreign body
(splinter) without major open wound
Insect bite (nonvenomous)
Superficial injury
Excludes: multiple superficial injuries NOS (T00.9)
T14.1 Open wound of unspecified body region

Animal bite
Cut
Laceration NOS
Open wound
Puncture wound with (penetrating) foreign body
Excludes: multiple:
• open wounds NOS (T01.9)
• traumatic amputations NOS (T05.9)
traumatic amputation NOS (T14.7)
XIX-73
T14.2 Fracture of unspecified body region

0 closed
1 open
Fracture:
• NOS
• closed NOS
• dislocated NOS
• displaced NOS
• open NOS
Excludes: multiple fractures NOS (T02.9)
T14.3 Dislocation, sprain and strain of unspecified body region

Avulsion
Laceration
Sprain
Strain
Traumatic: joint (capsule)
of NOS
ligament
• haemarthrosis
• rupture
• subluxation
• tear
Excludes: multiple dislocations, sprains and strains NOS (T03.9)
T14.4 Injury of nerve(s) of unspecified body region

Injury of nerve
Traumatic:
• division of nerve NOS
• haematomyelia
• paralysis (transient)
Excludes: multiple injuries of nerves NOS (T06.2)
XIX-74
T14.5 Injury of blood vessel(s) of unspecified body region

Avulsion
Cut
Injury
Laceration
Traumatic: of blood vessel(s) NOS
• aneurysm or fistula
(arteriovenous)
• arterial haematoma
• rupture
Excludes: multiple injuries of blood vessels NOS (T06.3)
T14.6 Injury of muscles and tendons of unspecified body region

Avulsion
Cut
Injury of muscle(s) NOS and tendon(s) NOS
Laceration
Traumatic rupture
Excludes: multiple injuries of tendons and muscles NOS (T06.4)
T14.7 Crushing injury and traumatic amputation of unspecified body region

Crushing injury NOS
Traumatic amputation NOS
Excludes: multiple:
• crushing injuries NOS (T04.9)
• traumatic amputations NOS (T05.9)
T14.8 Other injuries of unspecified body region
T14.9 Injury, unspecified

Excludes: multiple injuries NOS (T07)
XIX-75
Effects of foreign body entering through natural orifice

(T15-T19)
Excludes: foreign body:

• accidentally left in operation wound (T81.5)
• in puncture wound - see open wound by body region
• residual, in soft tissue (M79.5)
splinter, without major open wound - see superficial injury by body region
T15 Foreign body on external eye

Excludes: foreign body in penetrating wound of:
• orbit and eyeball (S05.4-S05.5)
• retained (old) (H05.5, H44.6-H44.7)
retained foreign body in eyelid (H02.8)
T15.0 Foreign body in cornea
T15.1 Foreign body in conjunctival sac
T15.8 Foreign body in other and multiple parts of external eye

Foreign body in lacrimal punctum
T15.9 Foreign body on external eye, part unspecified
T16 Foreign body in ear

Auditory canal
T17 Foreign body in respiratory tract

Includes: asphyxia due to foreign body
choked on:
• food (regurgitated)
• phlegm
inhalation of liquid or vomitus NOS
T17.0 Foreign body in nasal sinus
T17.1 Foreign body in nostril

Nose NOS
XIX-76
T17.2 Foreign body in pharynx

Nasopharynx
Throat NOS
T17.3 Foreign body in larynx
T17.4 Foreign body in trachea
T17.5 Foreign body in bronchus
T17.8 Foreign body in other and multiple parts of respiratory tract

Bronchioles
Lung
T17.9 Foreign body in respiratory tract, part unspecified
T18 Foreign body in alimentary tract

Excludes: foreign body in pharynx (T17.2)
T18.0 Foreign body in mouth
T18.1 Foreign body in oesophagus
T18.2 Foreign body in stomach
T18.3 Foreign body in small intestine
T18.4 Foreign body in colon
T18.5 Foreign body in anus and rectum

Rectosigmoid (junction)
T18.8 Foreign body in other and multiple parts of alimentary tract
T18.9 Foreign body in alimentary tract, part unspecified

Digestive system NOS
Swallowed foreign body NOS
XIX-77
T19 Foreign body in genitourinary tract

Excludes: contraceptive device (intrauterine)(vaginal):
• mechanical complication of (T83.3)
• presence of (Z97.5)
T19.0 Foreign body in urethra
T19.1 Foreign body in bladder
T19.2 Foreign body in vulva and vagina
T19.3 Foreign body in uterus [any part]
T19.8 Foreign body in other and multiple parts of genitourinary tract
T19.9 Foreign body in genitourinary tract, part unspecified
Burns and corrosions

(T20-T32)
Includes: burns (thermal) from:

• electrical heating appliances
• electricity
• flame
• friction
• hot air and hot gases
• hot objects
• lightning
• radiation
chemical burns [corrosions] (external)(internal)
scalds
Excludes: erythema [dermatitis] ab igne (L59.0)

radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
sunburn (L55.-)
XIX-78
Burns and corrosions of external body surface, specified by site

(T20-T25)
Includes: burns and corrosions of:

• first degree [erythema]
• second degree [blisters] [epidermal loss]
• third degree [deep necrosis of underlying tissue] [full-thickness skin loss]
T20 Burn and corrosion of head and neck

Includes: ear [any part]
eye with other parts of face, head and neck
lip
nose (septum)
scalp [any part]
temple (region)
Excludes: burn and corrosion (of):

• confined to eye and adnexa (T26.-)
• mouth and pharynx (T28.-)
T20.0 Burn of unspecified degree of head and neck
T20.1 Burn of first degree of head and neck
T20.2 Burn of second degree of head and neck
T20.3 Burn of third degree of head and neck
T20.4 Corrosion of unspecified degree of head and neck
T20.5 Corrosion of first degree of head and neck
T20.6 Corrosion of second degree of head and neck
T20.7 Corrosion of third degree of head and neck
XIX-79
T21 Burn and corrosion of trunk

Includes: abdominal wall
anus
back [any part]
breast
buttock
chest wall
flank
groin
interscapular region
labium (majus)(minus)
penis
perineum
scrotum
testis
vulva
Excludes: burn and corrosion of:

• axilla (T22.-)
• scapular region (T22.-)
T21.0 Burn of unspecified degree of trunk
T21.1 Burn of first degree of trunk
T21.2 Burn of second degree of trunk
T21.3 Burn of third degree of trunk
T21.4 Corrosion of unspecified degree of trunk
T21.5 Corrosion of first degree of trunk
T21.6 Corrosion of second degree of trunk
T21.7 Corrosion of third degree of trunk
XIX-80
T22 Burn and corrosion of shoulder and upper limb, except wrist and hand
Includes: arm [any part, except wrist and hand alone]
axilla
scapular region
Excludes: burn and corrosion of:

• interscapular region (T21.-)
• wrist and hand alone (T23.-)
T22.0 Burn of unspecified degree of shoulder and upper limb, except wrist and
hand
T22.1 Burn of first degree of shoulder and upper limb, except wrist and hand
T22.2 Burn of second degree of shoulder and upper limb, except wrist and hand
T22.3 Burn of third degree of shoulder and upper limb, except wrist and hand
T22.4 Corrosion of unspecified degree of shoulder and upper limb, except wrist
and hand
T22.5 Corrosion of first degree of shoulder and upper limb, except wrist and hand
T22.6 Corrosion of second degree of shoulder and upper limb, except wrist and
hand
T22.7 Corrosion of third degree of shoulder and upper limb, except wrist and hand
T23 Burn and corrosion of wrist and hand

Includes: finger (nail)
palm
thumb (nail)
T23.0 Burn of unspecified degree of wrist and hand
T23.1 Burn of first degree of wrist and hand
T23.2 Burn of second degree of wrist and hand
T23.3 Burn of third degree of wrist and hand
XIX-81
T23.4 Corrosion of unspecified degree of wrist and hand
T23.5 Corrosion of first degree of wrist and hand
T23.6 Corrosion of second degree of wrist and hand
T23.7 Corrosion of third degree of wrist and hand
T24 Burn and corrosion of hip and lower limb, except ankle and foot
Includes: leg [any part, except ankle and foot alone]
Excludes: burn and corrosion of ankle and foot alone (T25.-)
T24.0 Burn of unspecified degree of hip and lower limb, except ankle and foot
T24.1 Burn of first degree of hip and lower limb, except ankle and foot
T24.2 Burn of second degree of hip and lower limb, except ankle and foot
T24.3 Burn of third degree of hip and lower limb, except ankle and foot
T24.4 Corrosion of unspecified degree of hip and lower limb, except ankle and foot
T24.5 Corrosion of first degree of hip and lower limb, except ankle and foot
T24.6 Corrosion of second degree of hip and lower limb, except ankle and foot
T24.7 Corrosion of third degree of hip and lower limb, except ankle and foot
T25 Burn and corrosion of ankle and foot

Includes: toe(s)
T25.0 Burn of unspecified degree of ankle and foot
T25.1 Burn of first degree of ankle and foot
T25.2 Burn of second degree of ankle and foot
T25.3 Burn of third degree of ankle and foot
XIX-82
T25.4 Corrosion of unspecified degree of ankle and foot
T25.5 Corrosion of first degree of ankle and foot
T25.6 Corrosion of second degree of ankle and foot
T25.7 Corrosion of third degree of ankle and foot
Burns and corrosions confined to eye and internal organs

(T26-T28)
T26 Burn and corrosion confined to eye and adnexa
T26.0 Burn of eyelid and periocular area
T26.1 Burn of cornea and conjunctival sac
T26.2 Burn with resulting rupture and destruction of eyeball
T26.3 Burn of other parts of eye and adnexa
T26.4 Burn of eye and adnexa, part unspecified
T26.5 Corrosion of eyelid and periocular area
T26.6 Corrosion of cornea and conjunctival sac
T26.7 Corrosion with resulting rupture and destruction of eyeball
T26.8 Corrosion of other parts of eye and adnexa
T26.9 Corrosion of eye and adnexa, part unspecified
T27 Burn and corrosion of respiratory tract
T27.0 Burn of larynx and trachea
T27.1 Burn involving larynx and trachea with lung

Excludes: blast injury syndrome (T70.8)
XIX-83
T27.2 Burn of other parts of respiratory tract

Thoracic cavity
T27.3 Burn of respiratory tract, part unspecified
T27.4 Corrosion of larynx and trachea
T27.5 Corrosion involving larynx and trachea with lung
T27.6 Corrosion of other parts of respiratory tract
T27.7 Corrosion of respiratory tract, part unspecified
T28 Burn and corrosion of other internal organs
T28.0 Burn of mouth and pharynx
T28.1 Burn of oesophagus
T28.2 Burn of other parts of alimentary tract
T28.3 Burn of internal genitourinary organs
T28.4 Burn of other and unspecified internal organs
T28.5 Corrosion of mouth and pharynx
T28.6 Corrosion of oesophagus
T28.7 Corrosion of other parts of alimentary tract
T28.8 Corrosion of internal genitourinary organs
T28.9 Corrosion of other and unspecified internal organs
XIX-84
Burns and corrosions of multiple and unspecified body regions

(T29-T32)
T29 Burns and corrosions of multiple body regions

Includes: burns and corrosions classifiable to more than one of the categories
T20-T28
T29.0 Burns of multiple regions, unspecified degree

Multiple burns NOS
T29.1 Burns of multiple regions, no more than first-degree burns mentioned
T29.2 Burns of multiple regions, no more than second-degree burns mentioned
T29.3 Burns of multiple regions, at least one burn of third degree mentioned
T29.4 Corrosions of multiple regions, unspecified degree

Multiple corrosions NOS
T29.5 Corrosions of multiple regions, no more than first-degree corrosions

mentioned
T29.6 Corrosions of multiple regions, no more than second-degree corrosions

mentioned
T29.7 Corrosions of multiple regions, at least one corrosion of third degree

mentioned
T30 Burn and corrosion, body region unspecified

Excludes: burn and corrosion with statement of the extent of body surface
involved (T31-T32)
T30.0 Burn of unspecified body region, unspecified degree

Burn NOS
T30.1 Burn of first degree, body region unspecified

First-degree burn NOS
T30.2 Burn of second degree, body region unspecified

Second-degree burn NOS
XIX-85
T30.3 Burn of third degree, body region unspecified

Third-degree burn NOS
T30.4 Corrosion of unspecified body region, unspecified degree

Corrosion NOS
T30.5 Corrosion of first degree, body region unspecified

First-degree corrosion NOS
T30.6 Corrosion of second degree, body region unspecified

Second-degree corrosion NOS
T30.7 Corrosion of third degree, body region unspecified

Third-degree corrosion NOS
T31 Burns classified according to extent of body surface involved
Note: This category is to be used as the primary code only when the site of
the burn is unspecified. It may be used as a supplementary code, if
desired, with categories T20-T29 when the site is specified.
T31.0 Burns involving less than 10% of body surface
T31.1 Burns involving 10-19% of body surface
T31.9 Burns involving 90% or more of body surface
XIX-86
T32 Corrosions classified according to extent of body surface involved
Note: This category is to be used as the primary code only when the site of
the corrosion is unspecified. It may be used as a supplementary
code, if desired, with categories T20-T29 when the site is specified.
T32.0 Corrosions involving less than 10% of body surface
T32.1 Corrosions involving 10-19% of body surface
T32.9 Corrosions involving 90% or more of body surface
Frostbite
(T33-T35)
Excludes: hypothermia and other effects of reduced temperature (T68-T69)
T33 Superficial frostbite

Includes: frostbite with partial-thickness skin loss
Excludes: superficial frostbite involving multiple body regions (T35.0)
T33.0 Superficial frostbite of head
T33.1 Superficial frostbite of neck
XIX-87
T33.2 Superficial frostbite of thorax
T33.3 Superficial frostbite of abdominal wall, lower back and pelvis
T33.4 Superficial frostbite of arm

Excludes: superficial frostbite of wrist and hand alone (T33.5)
T33.5 Superficial frostbite of wrist and hand
T33.6 Superficial frostbite of hip and thigh
T33.7 Superficial frostbite of knee and lower leg

Excludes: superficial frostbite of ankle and foot alone (T33.8)
T33.8 Superficial frostbite of ankle and foot
T33.9 Superficial frostbite of other and unspecified sites

Superficial frostbite (of):
• NOS
• leg NOS
• trunk NOS
T34 Frostbite with tissue necrosis

Excludes: frostbite with tissue necrosis involving multiple body regions
(T35.1)
T34.0 Frostbite with tissue necrosis of head
T34.1 Frostbite with tissue necrosis of neck
T34.2 Frostbite with tissue necrosis of thorax
T34.3 Frostbite with tissue necrosis of abdominal wall, lower back and pelvis
T34.4 Frostbite with tissue necrosis of arm

Excludes: frostbite with tissue necrosis of wrist and hand alone (T34.5)
T34.5 Frostbite with tissue necrosis of wrist and hand
T34.6 Frostbite with tissue necrosis of hip and thigh
XIX-88
T34.7 Frostbite with tissue necrosis of knee and lower leg

Excludes: frostbite with tissue necrosis of ankle and foot alone (T34.8)
T34.8 Frostbite with tissue necrosis of ankle and foot
T34.9 Frostbite with tissue necrosis of other and unspecified sites

Frostbite with tissue necrosis (of):
• NOS
• leg NOS
• trunk NOS
T35 Frostbite involving multiple body regions and unspecified frostbite
T35.0 Superficial frostbite involving multiple body regions

Multiple superficial frostbite NOS
T35.1 Frostbite with tissue necrosis involving multiple body regions

Multiple frostbite with tissue necrosis NOS
T35.2 Unspecified frostbite of head and neck
T35.3 Unspecified frostbite of thorax, abdomen, lower back and pelvis

Frostbite of trunk NOS
T35.4 Unspecified frostbite of upper limb
T35.5 Unspecified frostbite of lower limb
T35.6 Unspecified frostbite involving multiple body regions

Multiple frostbite NOS
T35.7 Unspecified frostbite of unspecified site

Frostbite NOS
XIX-89
Poisoning by drugs, medicaments and biological substances

(T36-T50)
Includes: overdose of these substances

wrong substance given or taken in error
Excludes: abuse of non-dependence-producing substances (F55)

adverse effects ["hypersensitivity", "reaction", etc.] of correct substance properly
administered; such cases are to be classified according to the nature of the
adverse effect, such as:
• aspirin gastritis (K29.-)
• blood disorders (D50-D76)
• dermatitis:
• contact (L23-L25)
• nephropathy (N14.0-N14.2)
• unspecified adverse effect of drug (T88.7)
drug dependence and related mental and behavioural disorders due to
psychoactive substance use (F10-F19)
drug reaction and poisoning affecting the fetus and newborn (P00-P96)
pathological drug intoxication (F10-F19)
T36 Poisoning by systemic antibiotics

Excludes: antibiotics:
• antineoplastic (T45.1)
• locally applied NEC (T49.0)
• topically used for:
• ear, nose and throat (T49.6)
• eye (T49.5)
T36.0 Penicillins
T36.1 Cefalosporins and other β-lactam antibiotics
T36.2 Chloramphenicol group
T36.3 Macrolides
T36.4 Tetracyclines
XIX-90
T36.5 Aminoglycosides
Streptomycin
T36.6 Rifamycins
T36.7 Antifungal antibiotics, systemically used
T36.8 Other systemic antibiotics
T36.9 Systemic antibiotic, unspecified
T37 Poisoning by other systemic anti-infectives and antiparasitics

Excludes: anti-infectives:
• locally applied NEC (T49.0)
• topically used (for):
• ear, nose and throat (T49.6)
• eye (T49.5)
T37.0 Sulfonamides
T37.1 Antimycobacterial drugs

Excludes: rifamycins (T36.6)
streptomycin (T36.5)
T37.2 Antimalarials and drugs acting on other blood protozoa

Excludes: hydroxyquinoline derivatives (T37.8)
T37.3 Other antiprotozoal drugs
T37.4 Anthelminthics
T37.5 Antiviral drugs

Excludes: amantadine (T42.8)
cytarabine (T45.1)
T37.8 Other specified systemic anti-infectives and antiparasitics

Hydroxyquinoline derivatives
Excludes: antimalarial drugs (T37.2)
T37.9 Systemic anti-infective and antiparasitic, unspecified
XIX-91
T38 Poisoning by hormones and their synthetic substitutes and antagonists, not
Excludes: mineralocorticoids and their antagonists (T50.0)
oxytocic hormones (T48.0)
parathyroid hormones and derivatives (T50.9)
T38.0 Glucocorticoids and synthetic analogues

Excludes: glucocorticoids, topically used (T49.-)
T38.1 Thyroid hormones and substitutes
T38.2 Antithyroid drugs
T38.3 Insulin and oral hypoglycaemic [antidiabetic] drugs
T38.4 Oral contraceptives

Multiple-and single-ingredient preparations
T38.5 Other estrogens and progestogens

Mixtures and substitutes
T38.6 Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified

Tamoxifen
T38.7 Androgens and anabolic congeners
T38.8 Other and unspecified hormones and their synthetic substitutes

Anterior pituitary [adenohypophyseal] hormones
T38.9 Other and unspecified hormone antagonists
T39 Poisoning by nonopioid analgesics, antipyretics and antirheumatics
T39.0 Salicylates
T39.1 4-Aminophenol derivatives
T39.2 Pyrazolone derivatives
T39.3 Other nonsteroidal anti-inflammatory drugs [NSAID]
XIX-92
T39.4 Antirheumatics, not elsewhere classified

Excludes: glucocorticoids (T38.0)
salicylates (T39.0)
T39.8 Other nonopioid analgesics and antipyretics, not elsewhere classified
T39.9 Nonopioid analgesic, antipyretic and antirheumatic, unspecified
T40 Poisoning by narcotics and psychodysleptics [hallucinogens]

Excludes: drug dependence and related mental and behavioural disorders due
to psychoactive substance use (F10-F19)
T40.0 Opium
T40.1 Heroin
T40.2 Other opioids

Codeine
Morphine
T40.3 Methadone
T40.4 Other synthetic narcotics

Pethidine
T40.5 Cocaine
T40.6 Other and unspecified narcotics
T40.7 Cannabis (derivatives)
T40.8 Lysergide [LSD]
T40.9 Other and unspecified psychodysleptics [hallucinogens]

Mescaline
Psilocin
Psilocybine
XIX-93
T41 Poisoning by anaesthetics and therapeutic gases

Excludes: benzodiazepines (T42.4)
cocaine (T40.5)
opioids (T40.0-T40.2)
T41.0 Inhaled anaesthetics

Excludes: oxygen (T41.5)
T41.1 Intravenous anaesthetics

Thiobarbiturates
T41.2 Other and unspecified general anaesthetics
T41.3 Local anaesthetics
T41.4 Anaesthetic, unspecified
T41.5 Therapeutic gases

Carbon dioxide
Oxygen
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs

Excludes: drug dependence and related mental and behavioural disorders due
T42.0 Hydantoin derivatives
T42.1 Iminostilbenes
Carbamazepine
T42.2 Succinimides and oxazolidinediones
T42.3 Barbiturates
Excludes: thiobarbiturates (T41.1)
T42.4 Benzodiazepines
T42.5 Mixed antiepileptics, not elsewhere classified
XIX-94
T42.6 Other antiepileptic and sedative-hypnotic drugs

Methaqualone
Valproic acid
Excludes: carbamazepine (T42.1)
T42.7 Antiepileptic and sedative-hypnotic drugs, unspecified

Sleeping:
• draught
• drug NOS
• tablet
T42.8 Antiparkinsonism drugs and other central muscle-tone depressants

Amantadine
T43 Poisoning by psychotropic drugs, not elsewhere classified

Excludes: appetite depressants (T50.5)
barbiturates (T42.3)
benzodiazepines (T42.4)
drug dependence and related mental and behavioural disorders due
methaqualone (T42.6)
psychodysleptics [hallucinogens] (T40.7-T40.9)
T43.0 Tricyclic and tetracyclic antidepressants
T43.1 Monoamine-oxidase-inhibitor antidepressants
T43.2 Other and unspecified antidepressants
T43.3 Phenothiazine antipsychotics and neuroleptics
T43.4 Butyrophenone and thioxanthene neuroleptics
T43.5 Other and unspecified antipsychotics and neuroleptics

Excludes: rauwolfia (T46.5)
T43.6 Psychostimulants with abuse potential

Excludes: cocaine (T40.5)
XIX-95
T43.8 Other psychotropic drugs, not elsewhere classified
T43.9 Psychotropic drug, unspecified
T44 Poisoning by drugs primarily affecting the autonomic nervous system
T44.0 Anticholinesterase agents
T44.1 Other parasympathomimetics [cholinergics]
T44.2 Ganglionic blocking drugs, not elsewhere classified
T44.3 Other parasympatholytics [anticholinergics and antimuscarinics] and

spasmolytics, not elsewhere classified
Papaverine
T44.4 Predominantly α-adrenoreceptor agonists, not elsewhere classified

Metaraminol
T44.5 Predominantly β-adrenoreceptor agonists, not elsewhere classified

Excludes: β-adrenoreceptor agonists used in asthma therapy (T48.6)
T44.6 α-Adrenoreceptor antagonists, not elsewhere classified

Excludes: ergot alkaloids (T48.0)
T44.7 β-Adrenoreceptor antagonists, not elsewhere classified
T44.8 Centrally acting and adrenergic-neuron-blocking agents, not elsewhere

classified
Excludes: clonidine (T46.5)
guanethidine (T46.5)
T44.9 Other and unspecified drugs primarily affecting the autonomic nervous
system
Drug stimulating both α- and β-adrenoreceptors
T45 Poisoning by primarily systemic and haematological agents, not elsewhere

classified
T45.0 Antiallergic and antiemetic drugs

Excludes: phenothiazine-based neuroleptics (T43.3)
XIX-96
T45.1 Antineoplastic and immunosuppressive drugs

Antineoplastic antibiotics
Cytarabine
Excludes: tamoxifen (T38.6)
T45.2 Vitamins, not elsewhere classified

Excludes: nicotinic acid (derivatives) (T46.7)
vitamin K (T45.7)
T45.3 Enzymes, not elsewhere classified
T45.4 Iron and its compounds
T45.5 Anticoagulants
T45.6 Fibrinolysis-affecting drugs
T45.7 Anticoagulant antagonists, vitamin K and other coagulants
T45.8 Other primarily systemic and haematological agents

Liver preparations and other antianaemic agents
Natural blood and blood products
Plasma substitute
Excludes: immunoglobulin (T50.9)

iron (T45.4)
T45.9 Primarily systemic and haematological agent, unspecified
T46 Poisoning by agents primarily affecting the cardiovascular system

Excludes: metaraminol (T44.4)
T46.0 Cardiac-stimulant glycosides and drugs of similar action
T46.1 Calcium-channel blockers
T46.2 Other antidysrhythmic drugs, not elsewhere classified

Excludes: β-adrenoreceptor antagonists (T44.7)
XIX-97
T46.3 Coronary vasodilators, not elsewhere classified

Dipyridamole

calcium-channel blockers (T46.1)
T46.4 Angiotensin-converting-enzyme inhibitors
T46.5 Other antihypertensive drugs, not elsewhere classified

Clonidine
Guanethidine
Rauwolfia

calcium-channel blockers (T46.1)
diuretics (T50.0-T50.2)
T46.6 Antihyperlipidaemic and antiarteriosclerotic drugs
T46.7 Peripheral vasodilators

Nicotinic acid (derivatives)
Excludes: papaverine (T44.3)
T46.8 Antivaricose drugs, including sclerosing agents
T46.9 Other and unspecified agents primarily affecting the cardiovascular system
T47 Poisoning by agents primarily affecting the gastrointestinal system
T47.0 Histamine H2-receptor antagonists
T47.1 Other antacids and anti-gastric-secretion drugs
T47.2 Stimulant laxatives
T47.3 Saline and osmotic laxatives
T47.4 Other laxatives

Intestinal atonia drugs
XIX-98
T47.5 Digestants
T47.6 Antidiarrhoeal drugs

Excludes: systemic antibiotics and other anti-infectives (T36-T37)
T47.7 Emetics
T47.8 Other agents primarily affecting the gastrointestinal system
T47.9 Agent primarily affecting the gastrointestinal system, unspecified
T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the
respiratory system
T48.0 Oxytocic drugs

Excludes: estrogens, progestogens and antagonists (T38.4-T38.6)
T48.1 Skeletal muscle relaxants [neuromuscular blocking agents]
T48.2 Other and unspecified agents primarily acting on muscles
T48.3 Antitussives
T48.4 Expectorants
T48.5 Anti-common-cold drugs
T48.6 Antiasthmatics, not elsewhere classified

β-adrenoreceptor agonists used in asthma therapy
Salbutamol
Excludes: β-adrenoreceptor agonists not used in asthma therapy

anterior pituitary [adenohypophyseal] hormones (T38.8)
T48.7 Other and unspecified agents primarily acting on the respiratory system
XIX-99
T49 Poisoning by topical agents primarily affecting skin and mucous membrane
and by ophthalmological, otorhinolaryngological and dental drugs
Includes: glucocorticoids, topically used
T49.0 Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere

classified
T49.1 Antipruritics
T49.2 Local astringents and local detergents
T49.3 Emollients, demulcents and protectants
T49.4 Keratolytics, keratoplastics and other hair treatment drugs and preparations
T49.5 Ophthalmological drugs and preparations

Eye anti-infectives
T49.6 Otorhinolaryngological drugs and preparations

Ear, nose and throat anti-infectives
T49.7 Dental drugs, topically applied
T49.8 Other topical agents

Spermicides
T49.9 Topical agent, unspecified
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and
biological substances
T50.0 Mineralocorticoids and their antagonists
T50.1 Loop [high-ceiling] diuretics
T50.2 Carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics

Acetazolamide
T50.3 Electrolytic, caloric and water-balance agents

Oral rehydration salts
XIX-100
T50.4 Drugs affecting uric acid metabolism
T50.5 Appetite depressants
T50.6 Antidotes and chelating agents, not elsewhere classified

Alcohol deterrents
T50.7 Analeptics and opioid receptor antagonists
T50.8 Diagnostic agents
T50.9 Other and unspecified drugs, medicaments and biological substances

Acidifying agents
Alkalizing agents
Immunoglobulin
Immunologicals
Lipotropic drugs
Parathyroid hormones and derivatives
Toxic effects of substances chiefly nonmedicinal as to source

(T51-T65)
Excludes: corrosions (T20-T32)

localized toxic effects classified elsewhere (A00-R99)
respiratory conditions due to external agents (J60-J70)
T51 Toxic effect of alcohol
T51.0 Ethanol
Ethyl alcohol
Excludes: acute alcohol intoxication or "hangover" effects (F10.0)

drunkenness (F10.0)
pathological alcohol intoxication (F10.0)
T51.1 Methanol
Methyl alcohol
XIX-101
T51.2 2-Propanol
Isopropyl alcohol
T51.3 Fusel oil

Alcohol:
• amyl
• butyl [1-butanol]
• propyl [1-propanol]
T51.8 Other alcohols
T51.9 Alcohol, unspecified
T52 Toxic effect of organic solvents

Excludes: halogen derivatives of aliphatic and aromatic hydrocarbons (T53.-)
T52.0 Petroleum products

Gasoline [petrol]
Kerosine [paraffin oil]
Paraffin wax
Petroleum:
• ether
• naphtha
• spirits
T52.1 Benzene
Excludes: homologues of benzene (T52.2)
nitroderivatives and aminoderivatives of benzene and its
homologues (T65.3)
T52.2 Homologues of benzene

Toluene [methylbenzene]
Xylene [dimethylbenzene]
T52.3 Glycols
T52.4 Ketones
T52.8 Other organic solvents
T52.9 Organic solvent, unspecified
XIX-102
T53 Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons
T53.0 Carbon tetrachloride

Tetrachloromethane
T53.1 Chloroform
Trichloromethane
T53.2 Trichloroethylene
Trichloroethene
T53.3 Tetrachloroethylene
Perchloroethylene
Tetrachloroethene
T53.4 Dichloromethane
Methylene chloride
T53.5 Chlorofluorocarbons
T53.6 Other halogen derivatives of aliphatic hydrocarbons
T53.7 Other halogen derivatives of aromatic hydrocarbons
T53.9 Halogen derivative of aliphatic and aromatic hydrocarbons, unspecified
T54 Toxic effect of corrosive substances
T54.0 Phenol and phenol homologues
T54.1 Other corrosive organic compounds
T54.2 Corrosive acids and acid-like substances

Acid:
• hydrochloric
• sulfuric
T54.3 Corrosive alkalis and alkali-like substances

Potassium hydroxide
Sodium hydroxide
T54.9 Corrosive substance, unspecified
XIX-103
T55 Toxic effect of soaps and detergents
T56 Toxic effect of metals

Includes: fumes and vapours of metals
metals from all sources, except medicinal substances
Excludes: arsenic and its compounds (T57.0)

manganese and its compounds (T57.2)
thallium (T60.4)
T56.0 Lead and its compounds
T56.1 Mercury and its compounds
T56.2 Chromium and its compounds
T56.3 Cadmium and its compounds
T56.4 Copper and its compounds
T56.5 Zinc and its compounds
T56.6 Tin and its compounds
T56.7 Beryllium and its compounds
T56.8 Other metals
T56.9 Metal, unspecified
T57 Toxic effect of other inorganic substances
T57.0 Arsenic and its compounds
T57.1 Phosphorus and its compounds

Excludes: organophosphate insecticides (T60.0)
T57.2 Manganese and its compounds
XIX-104
T57.3 Hydrogen cyanide
T57.8 Other specified inorganic substances
T57.9 Inorganic substance, unspecified
T58 Toxic effect of carbon monoxide

From all sources
T59 Toxic effect of other gases, fumes and vapours

Includes: aerosol propellants
Excludes: chlorofluorocarbons (T53.5)
T59.0 Nitrogen oxides
T59.1 Sulfur dioxide
T59.2 Formaldehyde
T59.3 Lacrimogenic gas

Tear gas
T59.4 Chlorine gas
T59.5 Fluorine gas and hydrogen fluoride
T59.6 Hydrogen sulfide
T59.7 Carbon dioxide
T59.8 Other specified gases, fumes and vapours
T59.9 Gases, fumes and vapours, unspecified
XIX-105
T60 Toxic effect of pesticides

Includes: wood preservatives
T60.0 Organophosphate and carbamate insecticides
T60.1 Halogenated insecticides

Excludes: chlorinated hydrocarbons (T53.-)
T60.2 Other insecticides
T60.3 Herbicides and fungicides
T60.4 Rodenticides
Thallium
Excludes: strychnine and its salts (T65.1)
T60.8 Other pesticides
T60.9 Pesticide, unspecified
T61 Toxic effect of noxious substances eaten as seafood

Excludes: allergic reaction to food, such as:
• anaphylactic shock due to adverse food reaction (T78.0)
• dermatitis (L23.6, L25.4, L27.2)
• gastroenteritis (noninfective) (K52.-)
bacterial foodborne intoxications (A05.-)
toxic effect of food contaminants, such as:
• aflatoxin and other mycotoxins (T64)
• cyanides (T65.0)
• hydrogen cyanide (T57.3)
• mercury (T56.1)
T61.0 Ciguatera fish poisoning
T61.1 Scombroid fish poisoning

Histamine-like syndrome
XIX-106
T61.2 Other fish and shellfish poisoning
T61.8 Toxic effect of other seafoods
T61.9 Toxic effect of unspecified seafood
T62 Toxic effect of other noxious substances eaten as food

Excludes: allergic reaction to food, such as:
• anaphylactic shock due to adverse food reaction (T78.0)
• dermatitis (L23.6, L25.4, L27.2)
• gastroenteritis (noninfective) (K52.-)
bacterial foodborne intoxications (A05.-)
toxic effect of food contaminants, such as:
• aflatoxin and other mycotoxins (T64)
• cyanides (T65.0)
• hydrogen cyanide (T57.3)
• mercury (T56.1)
T62.0 Ingested mushrooms
T62.1 Ingested berries
T62.2 Other ingested (parts of) plant(s)
T62.8 Other specified noxious substances eaten as food
T62.9 Noxious substance eaten as food, unspecified
T63 Toxic effect of contact with venomous animals
T63.0 Snake venom

Sea-snake venom
T63.1 Venom of other reptiles

Lizard venom
T63.2 Venom of scorpion
T63.3 Venom of spider
XIX-107
T63.4 Venom of other arthropods

Insect bite or sting, venomous
T63.5 Toxic effect of contact with fish

Excludes: poisoning by ingestion of fish (T61.0-T61.2)
T63.6 Toxic effect of contact with other marine animals

Jellyfish
Sea anemone
Shellfish
Starfish
Excludes: poisoning by ingestion of shellfish (T61.2)

sea-snake venom (T63.0)
T63.8 Toxic effect of contact with other venomous animals

Venom of amphibian
T63.9 Toxic effect of contact with unspecified venomous animal
T64 Toxic effect of aflatoxin and other mycotoxin food contaminants
T65 Toxic effect of other and unspecified substances
T65.0 Cyanides
Excludes: hydrogen cyanide (T57.3)
T65.1 Strychnine and its salts
T65.2 Tobacco and nicotine
T65.3 Nitroderivatives and aminoderivatives of benzene and its homologues

Aniline [benzenamine]
Nitrobenzene
Trinitrotoluene
T65.4 Carbon disulfide
T65.5 Nitroglycerin and other nitric acids and esters

1,2,3-Propanetriol trinitrate
XIX-108
T65.6 Paints and dyes, not elsewhere classified
T65.8 Toxic effect of other specified substances
T65.9 Toxic effect of unspecified substance

Poisoning NOS
Other and unspecified effects of external causes

(T66-T78)
T66 Unspecified effects of radiation

Radiation sickness
Excludes: specified adverse effects of radiation, such as:

• burns (T20-T31)
• leukaemia (C91-C95)
• radiation:
• gastroenteritis and colitis (K52.0)
• pneumonitis (J70.0)
• related disorders of the skin and subcutaneous tissue (L55-L59)
• sunburn (L55.-)
T67 Effects of heat and light

Excludes: burns (T20-T31)
erythema [dermatitis] ab igne (L59.0)
malignant hyperthermia due to anaesthesia (T88.3)
radiation-related disorders of the skin and subcutaneous tissue
(L55-L59)
sunburn (L55.-)
sweat disorders due to heat (L74-L75)
T67.0 Heatstroke and sunstroke

Heat:
• apoplexy
• pyrexia
Siriasis
Thermoplegia
XIX-109
T67.1 Heat syncope

Heat collapse
T67.2 Heat cramp
T67.3 Heat exhaustion, anhydrotic

Heat prostration due to water depletion
Excludes: heat exhaustion due to salt depletion (T67.4)
T67.4 Heat exhaustion due to salt depletion

Heat prostration due to salt (and water) depletion
T67.5 Heat exhaustion, unspecified

Heat prostration NOS
T67.6 Heat fatigue, transient
T67.7 Heat oedema
T67.8 Other effects of heat and light
T67.9 Effect of heat and light, unspecified
T68 Hypothermia
Accidental hypothermia
Excludes: frostbite (T33-T35)

hypothermia (of):
• following anaesthesia (T88.5)
• newborn (P80.-)
• not associated with low environmental temperature (R68.0)
T69 Other effects of reduced temperature

Excludes: frostbite (T33-T35)
T69.0 Immersion hand and foot

Trench foot
T69.1 Chilblains
XIX-110
T69.8 Other specified effects of reduced temperature
T69.9 Effect of reduced temperature, unspecified
T70 Effects of air pressure and water pressure
T70.0 Otitic barotrauma

Aero-otitis media
Effects of change in ambient atmospheric pressure or water pressure on ears
T70.1 Sinus barotrauma

Aerosinusitis
Effects of change in ambient atmospheric pressure on sinuses
T70.2 Other and unspecified effects of high altitude

Alpine sickness
Anoxia due to high altitude
Barotrauma NOS
Hypobaropathy
Mountain sickness
Excludes: polycythaemia due to high altitude (D75.1)
T70.3 Caisson disease [decompression sickness]

Compressed-air disease
Diver's palsy or paralysis
T70.4 Effects of high-pressure fluids

Traumatic jet injection (industrial)
T70.8 Other effects of air pressure and water pressure

Blast injury syndrome
T70.9 Effect of air pressure and water pressure, unspecified
XIX-111
T71 Asphyxiation
Suffocation (by strangulation)
Systemic oxygen deficiency due to:
• low oxygen content in ambient air
• mechanical threat to breathing
Excludes: anoxia due to high altitude (T70.2)

asphyxia from:
• carbon monoxide (T58)
• inhalation of food or foreign body ((T17.-)
• other gases, fumes and vapours (T59.-)
respiratory distress (syndrome) in:
• adult (J80)
• newborn (P22.-)
T73 Effects of other deprivation
T73.0 Effects of hunger

Deprivation of food
Starvation
T73.1 Effects of thirst

Deprivation of water
T73.2 Exhaustion due to exposure
T73.3 Exhaustion due to excessive exertion

Overexertion
T73.8 Other effects of deprivation
T73.9 Effect of deprivation, unspecified
XIX-112
T74 Maltreatment syndromes

Use additional code, if desired, to identify current injury.
T74.0 Neglect or abandonment
T74.1 Physical abuse

Battered:
• baby or child syndrome NOS
• spouse syndrome NOS
T74.2 Sexual abuse
T74.3 Psychological abuse
T74.8 Other maltreatment syndromes

Mixed forms
T74.9 Maltreatment syndrome, unspecified

Effects of:
• abuse of adult NOS
• child abuse NOS
T75 Effects of other external causes

Excludes: adverse effects NEC (T78.-)
burns (electric) (T20-T31)
T75.0 Effects of lightning

Shock from lightning
Struck by lightning NOS
T75.1 Drowning and nonfatal submersion

Immersion
Swimmer's cramp
T75.2 Effects of vibration

Pneumatic hammer syndrome
Traumatic vasospastic syndrome
Vertigo from infrasound
XIX-113
T75.3 Motion sickness

Airsickness
Seasickness
Travel sickness
T75.4 Effects of electric current

Electrocution
Shock from electric current
T75.8 Other specified effects of external causes

Effects of:
• abnormal gravitation [G] forces
• weightlessness
T78 Adverse effects, not elsewhere classified
Note: This category is to be used as the primary code to identify the

effects, not elsewhere classifiable, of unknown, undetermined or ill-
defined causes. For multiple coding purposes this category may be
used as an additional code to identify the effects of conditions
classified elsewhere.
Excludes: complications of surgical and medical care NEC (T80-T88)
T78.0 Anaphylactic shock due to adverse food reaction
T78.1 Other adverse food reactions, not elsewhere classified

Excludes: bacterial foodborne intoxications (A05.-)
dermatitis due to food (L27.2)
• in contact with the skin (L23.6, L24.6, L25.4)
T78.2 Anaphylactic shock, unspecified

Allergic shock
Anaphylactic reaction NOS
Anaphylaxis
Excludes: anaphylactic shock due to:

• adverse effect of correct medicinal substance properly
administered (T88.6)
• serum (T80.5)
XIX-114
T78.3 Angioneurotic oedema

Giant urticaria
Quincke's oedema
Excludes: urticaria (L50.-)

• serum (T80.6)
T78.4 Allergy, unspecified

Allergic reaction NOS
Hypersensitivity NOS
Idiosyncracy NOS
Excludes: allergic reaction NOS to correct medicinal substance properly

specified types of allergic reaction such as:
• allergic gastroenteritis and colitis (K52.2)
• dermatitis (L23-L25, L27.-)
• hay fever (J30.1)
T78.8 Other adverse effects, not elsewhere classified
T78.9 Adverse effect, unspecified

Excludes: adverse effect of surgical and medical care NOS (T88.9)
Certain early complications of trauma

(T79)
T79 Certain early complications of trauma, not elsewhere classified

Excludes: complications of surgical and medical care NEC (T80-T88)
respiratory distress syndrome of:
• adult (J80)
• newborn (P22.0)
when occurring during or following medical procedures (T80-T88)
T79.0 Air embolism (traumatic)

Excludes: air embolism complicating:
XIX-115
T79.1 Fat embolism (traumatic)

Excludes: fat embolism complicating:
T79.2 Traumatic secondary and recurrent haemorrhage
T79.3 Post-traumatic wound infection, not elsewhere classified

T79.4 Traumatic shock

Shock (immediate)(delayed) following injury
Excludes: shock:
• anaesthetic (T88.2)
• anaphylactic:
• NOS (T78.2)
• due to:
• correct medicinal substance properly administered (T88.6)
• serum (T80.5)
• complicating abortion or ectopic or molar pregnancy (O00-O07,
O08.3)
• lightning (T75.0)
• nontraumatic NEC (R57.-)
T79.5 Traumatic anuria

Crush syndrome
Renal failure following crushing
T79.6 Traumatic ischaemia of muscle

Compartment syndrome
Volkmann's ischaemic contracture
Excludes: anterior tibial syndrome (M76.8)
XIX-116
T79.7 Traumatic subcutaneous emphysema

Excludes: emphysema (subcutaneous) resulting from a procedure (T81.8)
T79.8 Other early complications of trauma
T79.9 Unspecified early complication of trauma
Complications of surgical and medical care, not elsewhere classified

(T80-T88)
Use additional external cause code (Chapter XX), if desired, to identify devices involved and
details of circumstances.
Excludes: adverse effects of drugs and medicaments (A00-R99, T78.-)

any encounters with medical care for postoperative conditions in which no
complications are present, such as:
• artificial opening status (Z93.-)
• closure of external stoma (Z43.-)
• fitting and adjustment of external prosthetic device (Z44.-)
burns and corrosions from local applications and irradiation (T20-T32)
complications of surgical procedures during pregnancy, childbirth and the
puerperium (O00-O99)
poisoning and toxic effects of drugs and chemicals (T36-T65)
specified complications classified elsewhere, such as:
• cerebrospinal fluid leak from spinal puncture (G97.0)
• colostomy malfunction (K91.4)
• disorders of fluid and electrolyte balance (E86-E87)
• functional disturbances following cardiac surgery (I97.0-I97.1)
• postgastric surgery syndromes (K91.1)
• postlaminectomy syndrome NEC (M96.1)
• postmastectomy lymphoedema syndrome (I97.2)
• postsurgical blind-loop syndrome (K91.2)
XIX-117
T80 Complications following infusion, transfusion and therapeutic injection

Includes: perfusion
Excludes: bone-marrow transplant rejection (T86.0)
T80.0 Air embolism following infusion, transfusion and therapeutic injection
T80.1 Vascular complications following infusion, transfusion and therapeutic

injection
Phlebitis following infusion, transfusion and
Thromboembolism therapeutic injection
Thrombophlebitis
Excludes: the listed conditions when specified as:

• due to prosthetic devices, implants and grafts (T82.8, T83.8,
T84.8, T85.8)
T80.2 Infections following infusion, transfusion and therapeutic injection

Infection
Sepsis following infusion, transfusion and
Septicaemia therapeutic injection
Septic shock
Excludes: the listed conditions when specified as:

• due to prosthetic devices, implants and grafts
(T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)
T80.3 ABO incompatibility reaction

Incompatible blood transfusion
Reaction to blood-group incompatibility in infusion or transfusion
T80.4 Rh incompatibility reaction

Reaction due to Rh factor in infusion or transfusion
XIX-118
T80.5 Anaphylactic shock due to serum

Excludes: shock:
• allergic NOS (T78.2)
• anaphylactic:
• NOS (T78.2)
• due to adverse effect of correct medicinal substance properly
T80.6 Other serum reactions

Intoxication by serum
Protein sickness
Serum:
• rash
• sickness
• urticaria
Excludes: serum hepatitis (B16.-)
T80.8 Other complications following infusion, transfusion and therapeutic injection
T80.9 Unspecified complication following infusion, transfusion and therapeutic

injection
Transfusion reaction NOS
XIX-119
T81 Complications of procedures, not elsewhere classified

Excludes: adverse effect of drug NOS (T88.7)
complication following:
• immunization (T88.0-T88.1)
• infusion, transfusion and therapeutic injection (T80.-)
• complications of prosthetic devices, implants and grafts
(T82-T85)
• dermatitis due to drugs and medicaments
(L23.3, L24.4, L25.1, L27.0-L27.1)
• poisoning and toxic effects of drugs and chemicals (T36-T65)
T81.0 Haemorrhage and haematoma complicating a procedure, not elsewhere

classified
Haemorrhage at any site resulting from a procedure
Excludes: haematoma of obstetric wound (O90.2)

haemorrhage due to prosthetic devices, implants and grafts
(T82.8, T83.8, T84.8, T85.8)
T81.1 Shock during or resulting from a procedure, not elsewhere classified

Collapse NOS
Shock (endotoxic)(hypovolaemic) during or following a procedure
(septic)
Postoperative shock NOS
Excludes: shock:
• anaesthetic (T88.2)
• anaphylactic:
• NOS (T78.2)
• due to:
• correct medicinal substance properly administered (T88.6)
• serum (T80.5)
• following abortion or ectopic or molar pregnancy
(O00-O07, O08.3)
XIX-120
T81.2 Accidental puncture and laceration during a procedure, not elsewhere

classified
Accidental perforation of:
• blood vessel catheter
• nerve endoscope
by during a procedure
• organ instrument
probe
Excludes: damage from instruments during delivery (O70-O71)

perforation, puncture or laceration caused by device or implant
intentionally left in operation wound (T82-T85)
specified complications classified elsewhere, such as broad ligament
laceration syndrome [Allen-Masters] (N83.8)
T81.3 Disruption of operation wound, not elsewhere classified

Dehiscence
of operation wound
Rupture
Excludes: disruption of:

• caesarean-section wound (O90.0)
• perineal obstetric wound (O90.1)
T81.4 Infection following a procedure, not elsewhere classified

Abscess:
intra-abdominal
• stitch
• subphrenic postprocedural
• wound
Septicaemia
Excludes: infection due to:

• infusion, transfusion and therapeutic injection (T80.2)
• prosthetic devices, implants and grafts (T82.6-T82.7,
T83.5-T83.6, T84.5-T84.7, T85.7)
obstetric surgical wound infection (O86.0)
XIX-121
T81.5 Foreign body accidentally left in body cavity or operation wound following a
procedure
Adhesions due to foreign body accidentally left in
Obstruction operation wound or body cavity
Perforation
Excludes: obstruction or perforation due to prosthetic devices and implants

intentionally left in body (T82.0-T82.5, T83.0-T83.4,
T84.0-T84.4, T85.0-T85.6)
T81.6 Acute reaction to foreign substance accidentally left during a procedure

Peritonitis:
• aseptic
• chemical
T81.7 Vascular complications following a procedure, not elsewhere classified

Air embolism following procedure NEC
Excludes: embolism:
• complicating:
• due to prosthetic devices, implants and grafts (T82.8, T83.8,
T84.8, T85.8)
• following infusion, transfusion and therapeutic injection (T80.0)
T81.8 Other complications of procedures, not elsewhere classified

Complication of inhalation therapy
Emphysema (subcutaneous) resulting from a procedure
Persistent postoperative fistula
Excludes: hypothermia following anaesthesia (T88.5)

malignant hyperthermia due to anaesthesia (T88.3)
T81.9 Unspecified complication of procedure
XIX-122
T82 Complications of cardiac and vascular prosthetic devices, implants and

grafts
Excludes: failure and rejection of transplanted organs and tissues (T86.-)
T82.0 Mechanical complication of heart valve prosthesis

Breakdown (mechanical)
Displacement
Failure
Leakage due to heart valve prosthesis
Malposition
Obstruction, mechanical
Perforation
Protrusion
Rupture
T82.1 Mechanical complication of cardiac electronic device

Conditions listed in T82.0 due to:
• electrodes
• pulse generator (battery)
T82.2 Mechanical complication of coronary artery bypass and valve grafts

Conditions listed in T82.0 due to coronary artery bypass and valve grafts
T82.3 Mechanical complication of other vascular grafts

• aortic (bifurcation) graft (replacement)
• arterial (carotid) (femoral) graft (bypass)
T82.4 Mechanical complication of vascular dialysis catheter

Conditions listed in T82.0 due to vascular dialysis catheter
Excludes: mechanical complication of intraperitoneal dialysis catheter (T85.6)
XIX-123
T82.5 Mechanical complication of other cardiac and vascular devices and implants
• arteriovenous:
• fistula
surgically created
• shunt
• artificial heart
• balloon (counterpulsation) device
• infusion catheter
• umbrella device
Excludes: mechanical complication of epidural and subdural infusion catheter

(T85.6)
T82.6 Infection and inflammatory reaction due to cardiac valve prosthesis
T82.7 Infection and inflammatory reaction due to other cardiac and vascular
devices, implants and grafts
T82.8 Other complications of cardiac and vascular prosthetic devices, implants and
grafts
Complication
Embolism
Fibrosis due to cardiac and vascular prosthetic
Haemorrhage devices, implants and grafts
Pain
Stenosis
Thrombosis
T82.9 Unspecified complication of cardiac and vascular prosthetic device, implant

and graft
T83 Complications of genitourinary prosthetic devices, implants and grafts

T83.0 Mechanical complication of urinary (indwelling) catheter

• catheter:
• cystostomy
• urethral, indwelling
XIX-124
T83.1 Mechanical complication of other urinary devices and implants

• urinary:
• electronic stimulator device
• sphincter implant
• stent
T83.2 Mechanical complication of graft of urinary organ

Conditions listed in T82.0 due to graft of urinary organ
T83.3 Mechanical complication of intrauterine contraceptive device

Conditions listed in T82.0 due to intrauterine contraceptive device
T83.4 Mechanical complication of other prosthetic devices, implants and grafts in

genital tract
Conditions listed in T82.0 due to (implanted) penile prosthesis
T83.5 Infection and inflammatory reaction due to prosthetic device, implant and
graft in urinary system
T83.6 Infection and inflammatory reaction due to prosthetic device, implant and
graft in genital tract
T83.8 Other complications of genitourinary prosthetic devices, implants and grafts

Conditions listed in T82.8 due to genitourinary prosthetic devices, implants and
grafts
T83.9 Unspecified complication of genitourinary prosthetic device, implant and

graft
T84 Complications of internal orthopaedic prosthetic devices, implants and grafts

fracture of bone following insertion of orthopaedic implant, joint
prosthesis or bone plate (M96.6)
T84.0 Mechanical complication of internal joint prosthesis

Conditions listed in T82.0 due to joint prosthesis
T84.1 Mechanical complication of internal fixation device of bones of limb

Conditions listed in T82.0 due to internal fixation device of bones of limb
XIX-125
T84.2 Mechanical complication of internal fixation device of other bones

Conditions listed in T82.0 due to internal fixation device of other bones
T84.3 Mechanical complication of other bone devices, implants and grafts

• bone graft
• electronic bone stimulator
T84.4 Mechanical complication of other internal orthopaedic devices, implants and

grafts
Conditions listed in T82.0 due to muscle and tendon graft
T84.5 Infection and inflammatory reaction due to internal joint prosthesis
T84.6 Infection and inflammatory reaction due to internal fixation device [any site]
T84.7 Infection and inflammatory reaction due to other internal orthopaedic

prosthetic devices, implants and grafts
T84.8 Other complications of internal orthopaedic prosthetic devices, implants and

grafts
Conditions listed in T82.8 due to internal orthopaedic prosthetic devices, implants
and grafts
T84.9 Unspecified complication of internal orthopaedic prosthetic device, implant

and graft
T85 Complications of other internal prosthetic devices, implants and grafts

T85.0 Mechanical complication of ventricular intracranial (communicating) shunt

Conditions listed in T82.0 due to ventricular intracranial (communicating) shunt
T85.1 Mechanical complication of implanted electronic stimulator of nervous

system
Conditions listed in T82.0 due to electronic neurostimulator (electrode) of:
• brain
• peripheral nerve
• spinal cord
XIX-126
T85.2 Mechanical complication of intraocular lens

Conditions listed in T82.0 due to intraocular lens
T85.3 Mechanical complication of other ocular prosthetic devices, implants and

grafts
• corneal graft
• prosthetic orbit of eye
T85.4 Mechanical complication of breast prosthesis and implant

Conditions listed in T82.0 due to breast prosthesis and implant
T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and

grafts
• bile-duct prosthesis
• oesophageal anti-reflux device
T85.6 Mechanical complication of other specified internal prosthetic devices,

implants and grafts
• epidural and subdural infusion catheter
• intraperitoneal dialysis catheter
• nonabsorbable surgical material NOS
• permanent sutures
Excludes: mechanical complication of permanent (wire) suture used in bone

repair (T84.1-T84.2)
T85.7 Infection and inflammatory reaction due to other internal prosthetic devices,
implants and grafts
T85.8 Other complications of internal prosthetic devices, implants and grafts, not
Conditions listed in T82.8 due to internal prosthetic devices, implants and grafts
NEC
T85.9 Unspecified complication of internal prosthetic device, implant and graft

Complication of internal prosthetic device, implant and graft NOS
XIX-127
T86 Failure and rejection of transplanted organs and tissues
T86.0 Bone-marrow transplant rejection

Graft-versus-host reaction or disease
T86.1 Kidney transplant failure and rejection
T86.2 Heart transplant failure and rejection

Excludes: complication of:
• artificial heart device (T82.5)
• heart-lung transplant (T86.3)
T86.3 Heart-lung transplant failure and rejection
T86.4 Liver transplant failure and rejection
T86.8 Failure and rejection of other transplanted organs and tissues

Transplant failure or rejection of:
• bone
• intestine
• lung
• pancreas
• skin (allograft) (autograft)
T86.9 Failure and rejection of unspecified transplanted organ and tissue
T87 Complications peculiar to reattachment and amputation
T87.0 Complications of reattached (part of) upper extremity
T87.1 Complications of reattached (part of) lower extremity
T87.2 Complications of other reattached body part
T87.3 Neuroma of amputation stump
T87.4 Infection of amputation stump
XIX-128
T87.5 Necrosis of amputation stump
T87.6 Other and unspecified complications of amputation stump

Amputation stump:
• contracture (flexion)(of next proximal joint)
• haematoma
• oedema
Excludes: phantom limb syndrome (G54.6-G54.7)
T88 Other complications of surgical and medical care, not elsewhere classified
Excludes: accidental puncture or laceration during a procedure (T81.2)
complications following:
• infusion, transfusion and therapeutic injection (T80.-)
• procedure NEC (T81.-)
• complications of:
• anaesthesia in:
• devices, implants and grafts (T82-T85)
• dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1,
L27.0-L27.1)
• poisoning and toxic effects of drugs and chemicals (T36-T65)
T88.0 Infection following immunization

Sepsis
following immunization
Septicaemia
T88.1 Other complications following immunization, not elsewhere classified

Rash following immunization
Excludes: anaphylactic shock due to serum (T80.5)

other serum reactions (T80.6)
postimmunization:
• arthropathy (M02.2)
• encephalitis (G04.0)
XIX-129
T88.2 Shock due to anaesthesia

Shock due to anaesthesia in which the correct substance was properly
administered
Excludes: complications of anaesthesia (in):

• from overdose or wrong substance given (T36-T50)
postoperative shock NOS (T81.1)
T88.3 Malignant hyperthermia due to anaesthesia
T88.4 Failed or difficult intubation
T88.5 Other complications of anaesthesia

Hypothermia following anaesthesia
T88.6 Anaphylactic shock due to adverse effect of correct drug or medicament

properly administered
Excludes: anaphylactic shock due to serum (T80.5)
T88.7 Unspecified adverse effect of drug or medicament

Adverse effect of
Allergic reaction to correct drug or medicament
Hypersensitivity to properly administered
Idiosyncracy to
Drug:
• hypersensitivity NOS
• reaction NOS
Excludes: specified adverse effects of drugs and medicaments

(A00-R99,T80-T88.6, T88.8)
T88.8 Other specified complications of surgical and medical care, not elsewhere
classified
T88.9 Complication of surgical and medical care, unspecified

Excludes: adverse effect NOS (T78.9)
XIX-130
Sequelae of injuries, of poisoning and of other consequences of external causes

(T90-T98)
Note: These categories are to be used to indicate conditions in S00-S99 and T00-T88 as
the cause of late effects, which are themselves classified elsewhere. The
"sequelae" include those specified as such, or as late effects, and those present
one year or more after the acute injury.
T90 Sequelae of injuries of head
T90.0 Sequelae of superficial injury of head

Sequelae of injury classified to S00.-
T90.1 Sequelae of open wound of head

Sequelae of injury classifiable to S01.-
T90.2 Sequelae of fracture of skull and facial bones

T90.3 Sequelae of injury of cranial nerves

T90.4 Sequelae of injury of eye and orbit

T90.5 Sequelae of intracranial injury

T90.8 Sequelae of other specified injuries of head

Sequelae of injury classifiable to S03.-, S07-S08 and S09.0-S09.8
T90.9 Sequelae of unspecified injury of head

Sequelae of injury classifiable to S09.9
XIX-131
T91 Sequelae of injuries of neck and trunk
T91.0 Sequelae of superficial injury and open wound of neck and trunk
Sequelae of injury classifiable to S10-S11, S20-S21, S30-S31 and T09.0-T09.1
T91.1 Sequelae of fracture of spine

Sequelae of injury classifiable to S12.-, S22.0-S22.1, S32.0, S32.7 and T08
T91.2 Sequelae of other fracture of thorax and pelvis

Sequelae of injury classifiable to S22.2-S22.9, S32.1-S32.5 and S32.8
T91.3 Sequelae of injury of spinal cord

Sequelae of injury classifiable to S14.0-S14.1, S24.0-S24.1, S34.0-S34.1 and
T09.3
T91.4 Sequelae of injury of intrathoracic organs

Sequelae of injury classifiable to S26-S27
T91.5 Sequelae of injury of intra-abdominal and pelvic organs

Sequelae of injury classifiable to S36-S37
T91.8 Sequelae of other specified injuries of neck and trunk

Sequelae of injury classifiable to S13.-, S14.2-S14.6, S15-S18, S19.7-S19.8,
S23.-, S24.2-S24.6, S25.-, S28.-, S29.0-S29.8, S33.-, S34.2-S34.8, S35.-, S38.-,
S39.0-S39.8, T09.2 and T09.4 -T09.8
T91.9 Sequelae of unspecified injury of neck and trunk

Sequelae of injury classifiable to S19.9, S29.9, S39.9 and T09.9
T92 Sequelae of injuries of upper limb
T92.0 Sequelae of open wound of upper limb

Sequelae of injury classifiable to S41.-, S51.-, S61.- and T11.1
T92.1 Sequelae of fracture of arm

Sequelae of injury classifiable to S42.-, S52.- and T10
T92.2 Sequelae of fracture at wrist and hand level

XIX-132
T92.3 Sequelae of dislocation, sprain and strain of upper limb

T92.4 Sequelae of injury of nerve of upper limb

T92.5 Sequelae of injury of muscle and tendon of upper limb

T92.6 Sequelae of crushing injury and traumatic amputation of upper limb

Sequelae of injury classifiable to S47-S48, S57-S58, S67-S68 and T11.6
T92.8 Sequelae of other specified injuries of upper limb

Sequelae of injury classifiable to S40.-, S45.-, S49.7-S49.8, S50.-, S55.-,
S59.7-S59.8, S60.-, S65.-, S69.7-S69.8, T11.0, T11.4 and T11.8
T92.9 Sequelae of unspecified injury of upper limb

T93 Sequelae of injuries of lower limb
T93.0 Sequelae of open wound of lower limb

T93.1 Sequelae of fracture of femur

Sequelae of injury classifiable S72.-
T93.2 Sequelae of other fractures of lower limb

Sequelae of injury classifiable to S82.-, S92.- and T12
T93.3 Sequelae of dislocation, sprain and strain of lower limb

T93.4 Sequelae of injury of nerve of lower limb

T93.5 Sequelae of injury of muscle and tendon of lower limb

XIX-133
T93.6 Sequelae of crushing injury and traumatic amputation of lower limb

Sequelae of injury classifiable to S77-S78, S87-S88, S97-S98 and T13.6
T93.8 Sequelae of other specified injuries of lower limb

Sequelae of injury classifiable to S70.-, S75.-, S79.7-S79.8, S80.-, S85.-,
S89.7-S89.8, S90.-, S95.-, S99.7-S99.8, T13.0, T13.4 and T13.8
T93.9 Sequelae of unspecified injury of lower limb

T94 Sequelae of injuries involving multiple and unspecified body regions
T94.0 Sequelae of injuries involving multiple body regions

Sequelae of injury classifiable to T00-T07
T94.1 Sequelae of injuries, not specified by body regions

Sequelae of injury classifiable to T14.-
T95 Sequelae of burns, corrosions and frostbite
T95.0 Sequelae of burn, corrosion and frostbite of head and neck

Sequelae of injury classifiable to T20.-, T33.0-.1, T34.0-.1 and T35.2
T95.1 Sequelae of burn, corrosion and frostbite of trunk

Sequelae of injury classifiable to T21.-, T33.2-.3, T34.2-.3 and T35.3
T95.2 Sequelae of burn, corrosion and frostbite of upper limb

Sequelae of injury classifiable to T22-T23, T33.4-.5, T34.4-.5 and T35.4
T95.3 Sequelae of burn, corrosion and frostbite of lower limb

Sequelae of injury classifiable to T24-T25, T33.6-.8, T34.6-.8 and T35.5
T95.4 Sequelae of burn and corrosion classifiable only according to extent of body
surface involved
Sequelae of injury classifiable to T31-T32
T95.8 Sequelae of other specified burn, corrosion and frostbite

Sequelae of injury classifiable T26-T29, T35.0-T35.1 and T35.6
T95.9 Sequelae of unspecified burn, corrosion and frostbite

Sequelae of injury classifiable to T30.-, T33.9, T34.9 and T35.7
XIX-134
T96 Sequelae of poisoning by drugs, medicaments and biological substances

Sequelae of poisoning classifiable to T36-T50
T97 Sequelae of toxic effects of substances chiefly nonmedicinal as to source

Sequelae of toxic effects classifiable to T51-T65
T98 Sequelae of other and unspecified effects of external causes
T98.0 Sequelae of effects of foreign body entering through natural orifice

Sequelae of effects classifiable to T15-T19
T98.1 Sequelae of other and unspecified effects of external causes

Sequelae of effects classifiable to T66-T78
T98.2 Sequelae of certain early complications of trauma

Sequelae of complications classifiable to T79.-
T98.3 Sequelae of complications of surgical and medical care, not elsewhere

classified
Sequelae of complications classifiable to T80-T88
XIX-135
CHAPTER XX
_____________________________________________________________________________
External causes of morbidity and mortality

(V01-Y89)
This chapter, which in previous revisions of ICD constituted a supplementary classification, permits
the classification of environmental events and circumstances as the cause of injury, poisoning and
other adverse effects. Where a code from this section is applicable, it is intended that it shall be used
in addition to a code from another chapter of the Classification indicating the nature of the condition.
Most often, the condition will be classifiable to Chapter XIX, Injury, poisoning and certain other
consequences of external causes (S00-T98). Causes of death should preferably be tabulated
according to both Chapter XIX and Chapter XX, but if only one code is tabulated then the code from
Chapter XX should be used in preference. Other conditions that may be stated to be due to external
causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter XX should be
used to provide additional information for multiple-condition analysis only.
Categories for sequelae of external causes of morbidity and mortality are included at Y85-Y89.
V01-X59 Accidents
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
XX-1
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 complication, without mention of misadventure at the
time of the procedure
Y85-Y89 Sequelae of external causes of morbidity and mortality
XX-2
EXTERNAL CAUSES OF MORBIDITY AND MORTALITY
Place of occurrence code
The following fourth-character subdivisions are for use with categories W00-Y34 except Y06.- and
Y07.- to identify the place of occurrence of the external cause where relevant:
.0 Home
Apartment
Boarding-house
Caravan [trailer] park, residential
Farmhouse
Home premises
House (residential)
Noninstitutional place of residence
Private:
• driveway to home
• garage
• garden to home
• yard to home
Swimming-pool in private house or garden
Excludes: abandoned or derelict house (.8)

home under construction but not yet occupied (.6)
institutional place of residence (.1)
.1 Residential institution
Children's home
Dormitory
Home for the sick
Hospice
Military camp
Nursing home
Old people's home
Orphanage
Pensioner's home
Prison
Reform school
XX-3
.2 School, other institution and public administrative area

Building (including adjacent grounds) used by the general public or by a particular group of
the public such as:
• assembly hall
• campus
• church
• cinema
• clubhouse
• college
• court-house
• dancehall
• day nursery
• gallery
• hospital
• institute for higher education
• kindergarten
• library
• movie-house
• museum
• music-hall
• opera-house
• post office
• public hall
• school (private)(public)(state)
• theatre
• university
• youth centre
Excludes: building under construction (.6)

residential institution (.1)
sports and athletics area (.3)
XX-4
.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
Excludes: swimming-pool or tennis-court in private home or garden (.0)
.4 Street and highway

Freeway
Motorway
Pavement
Road
Sidewalk
XX-5
.5 Trade and service area

Airport
Bank
Café
Casino
Garage (commercial)
Gas station
Hotel
Market
Office building
Petrol station
Radio or television station
Restaurant
Service station
Shop (commercial)
Shopping mall
Station (bus)(railway)
Store
Supermarket
Warehouse
Excludes: garage in private home (.0)
.6 Industrial and construction area

Building [any] under construction
Dockyard
Dry dock
Factory:
• building
• premises
Gasworks
Industrial yard
Mine
Oil rig and other offshore installations
Pit (coal)(gravel)(sand)
Power-station (coal)(nuclear)(oil)
Shipyard
Tunnel under construction
Workshop
XX-6
.7 Farm
Farm:
• buildings
• land under cultivation
Ranch
Excludes: farmhouse and home premises of farm (.0)
.8 Other specified places

Beach
Campsite
Canal
Caravan site NOS
Derelict house
Desert
Dock NOS
Forest
Harbour
Hill
Lake
Marsh
Military training ground
Mountain
Park (amusement) (public)
Parking-lot and parking-place
Pond or pool
Prairie
Public place NOS
Railway line
River
Sea
Seashore
Stream
Swamp
Water reservoir
Zoo
.9 Unspecified place
XX-7
Activity code
The following subclassification is provided for optional use in a supplementary character position
with categories V01-Y34 to indicate the activity of the injured person at the time the event occurred.
This subclassification should not be confused with, or be used instead of, the recommended fourth-
character subdivisions provided to indicate the place of occurrence of events classifiable to
W00-Y34.
0 While engaged in sports activity

Physical exercise with a described functional element such as:
• golf
• jogging
• riding
• school athletics
• skiing
• swimming
• trekking
• water-skiing
1 While engaged in leisure activity
Hobby activities
Leisure-time activities with an entertainment element such as going to the cinema, to a dance
or to a party
Participation in sessions and activities of voluntary organizations
Excludes: sports activities (0)
2 While working for income

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

Domestic duties such as:
• caring for children and relatives
• cleaning
• cooking
• gardening
• household maintenance
Duties for which one would not normally gain an income
Learning activities, e.g. attending school session or lesson
Undergoing education
XX-8
4 While resting, sleeping, eating or engaging in other vital activities

Personal hygiene
8 While engaged in other specified activities
9 During unspecified activity
Transport accidents
(V01-V99)
Note: This section is structured in 12 groups. Those relating to land transport accidents
(V01-V89) reflect the victim's mode of transport and are subdivided to identify the
victim's "counterpart" or the type of event. The vehicle of which the injured person is
an occupant is identified in the first two characters since it is seen as the most
important factor to identify for prevention purposes.
Excludes: accidents to persons engaged in the maintenance or repair of transport equipment or

vehicle not in motion not on a public highway (W00-X59)
assault by crashing of motor vehicle (Y03.-)
event of undetermined intent (Y32-Y33)
intentional self-harm (X82-X83)
transport accidents due to cataclysm (X34-X38)
Definitions related to transport accidents
(a) A transport accident (V01-V99) is any accident involving a device designed primarily for,
or being used at the time primarily for, conveying persons or goods from one place to
another. Any object such as a coaster, skateboard, sled, trailer, or wagon being towed by any
such device is considered a part of the specified device.
(b) A public highway [trafficway] or street is the entire width between property lines (or other
boundary lines) of land open to the public as a matter of right or custom for purposes of
moving persons or property from one place to another. A roadway is that part of the public
highway designed, improved and customarily used for vehicular traffic.
(c) A traffic accident is any vehicle accident occurring on the public highway [i.e. originating
on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is
assumed to have occurred on the public highway unless another place is specified, except in
the case of accidents involving only off-road motor vehicles, which are classified as
nontraffic accidents unless the contrary is stated.
XX-9
(d) A nontraffic accident is any vehicle accident that occurs entirely in any place other than a
public highway.
(e) A pedestrian is any person involved in an accident who was not at the time of the accident
riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or
on a pedal cycle or animal.
Includes: person:
• changing tire of vehicle
• making adjustment to motor of vehicle
• on foot
user of a pedestrian conveyance such as:
• baby carriage
• ice-skates
• perambulator
• push-cart
• push-chair
• roller-skates
• scooter
• skateboard
• skis
• sled
• wheelchair (powered)
(f) A driver is an occupant of a transport vehicle who is operating or intending to operate it.
(g) A passenger is any occupant of a transport vehicle other than the driver.
Excludes: person travelling on outside of vehicle - see definition (h)
(h) A person on outside of vehicle is any person being transported by a vehicle but not
occupying the space normally reserved for the driver or passengers, or the space intended for
the transport of property.
Includes: person (travelling on):

• bodywork
• bumper [fender]
• hanging on outside
• roof (rack)
• running-board
• step
XX-10
(i) A pedal cycle is any land transport vehicle operated solely by pedals.
Includes: bicycle
tricycle
Excludes: motorized bicycle - see definition (k)
(j) A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such
a vehicle.
(k) A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes
with a third wheel for the support of a sidecar. The sidecar is considered part of the
motorcycle.
Includes: moped
motor scooter
motorcycle:
• NOS
• combination
• with sidecar
motorized bicycle
speed-limited motor-driven cycle
Excludes: motor-driven tricycle - see definition (n)
(l) A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to
such a vehicle.
(m) A motorcyclist is the driver of a motorcycle.
(n) A three-wheeled motor vehicle is a motorized tricycle designed primarily for on-road use.
Includes: motor-driven tricycle

motorized rickshaw
three-wheeled motor car
Excludes: motorcycle with sidecar - see definition (k)

special all-terrain vehicle - see definition (y)
XX-11
(o) A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10
persons.
Includes: minibus
(p) A motor vehicle may refer to various transport vehicles. The local usage of the terms should
be established to determine the appropriate code. If the terms are used ambiguously, use the
code for “unspecified.”
(q) A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for
carrying property, weighing less than the local limit for classification as a heavy goods
vehicle, and not requiring a special driver's license.
(r) A heavy transport vehicle is a motor vehicle designed primarily for carrying property,
meeting local criteria for classification as a heavy goods vehicle in terms of curbside weight
(usually above 3500 kg), and requiring a special driver's license.
(s) A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons,
and requiring a special driver's license.
Includes: coach
(t) A railway train or railway vehicle is any device, with or without cars coupled to it, designed
for traffic on a railway.
Includes: interurban:
• electric car (operated chiefly on its own right-of-way,
• streetcar not open to other traffic)
railway train, any power [diesel] [electric] [steam]:
• funicular
• monorail or two-rail
• subterranean or elevated
other vehicle designed to run on a railway track
Excludes: interurban electric cars [streetcars] specified to be operating on a

right-of-way that forms part of the public street or highway -
see definition (u)
XX-12
(u) A streetcar is a device designed and used primarily for transporting persons within a
municipality, running on rails, usually subject to normal traffic control signals, and operated
principally on a right-of-way that forms part of the roadway. A trailer being towed by a
streetcar is considered a part of the streetcar.
Includes: interurban electric car or streetcar, when specified to be operating on a

street or public highway
tram (car)
trolley (car)
(v) A special vehicle mainly used on industrial premises is a motor vehicle designed primarily
for use within the buildings and premises of industrial or commercial establishments.
Includes: battery-powered:
• airport passenger vehicle
• truck (baggage) (mail)
coal-car in mine
forklift (truck)
logging car
self-propelled truck, industrial
station baggage truck (powered)
tram, truck or tub (powered) in mine or quarry
Excludes: accident(s) not occurring on highway (W31)
(w) A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use
in farming and agriculture (horticulture), for example to work the land, tend and harvest
crops and transport materials on the farm.
Includes: combine harvester

self-propelled farm machinery
tractor (and trailer)
XX-13
(x) A special construction vehicle is a motor vehicle designed specifically for use in the
construction (and demolition) of roads, buildings and other structures.
Includes: bulldozer
digger
dumper truck
earth-leveller
mechanical shovel
road-roller
(y) A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate
rough or soft terrain or snow. Examples of special design are high construction, special
wheels and tires, tracks, and support on a cushion of air.
Includes: hovercraft on land or swamp

snowmobile
Excludes: hovercraft on open water - see definition (aa)
(z) A vehicle is considered to be a motor vehicle when accident occurred on a public highway
[i.e., originating, terminating or involving vehicle partially on the highway].
(aa) A watercraft is any device for transporting passengers or goods on water.

Includes: hovercraft NOS
(bb) An aircraft is any device for transporting passengers or goods in the air.
Classification and coding instructions for transport accidents
1. If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed

to be:
(a) A traffic accident when the event is classifiable to categories V02-V04, V10-V82 and
V87.
(b) A nontraffic accident when the event is classifiable to categories V83-V86. For these
categories the victim is either a pedestrian, or an occupant of a vehicle designed
primarily for off-road use.
XX-14
2. When accidents involving more than one kind of transport are reported, the following order
of precedence should be used:
aircraft and spacecraft (V95-V97)

watercraft (V90-V94)
other modes of transport (V01-V89, V98-V99)
3. Where transport accident descriptions do not specify the victim as being a vehicle occupant
and the victim is described as:
animal being ridden

animal-drawn vehicle
bicycle
bulldozer
bus
crushed car
dragged motorcycle
hit motorized tricycle
injured by any vehicle including pick-up (truck)
killed recreational vehicle
knocked down streetcar
run over tractor
struck train
tram
truck
van
classify the victim as a pedestrian (categories V01-V09).
XX-15
4. Where transport accident descriptions do not indicate the victim's role, such as:
airplane
bicycle
boat
bulldozer
bus
car
motorcycle
motorized tricycle accident
pick-up (truck) collision
recreational vehicle crash NOS
spacecraft wreck
streetcar
tractor
train
tram
truck
van
watercraft
classify the victim as an occupant or rider of the vehicle mentioned.
If more than one vehicle is mentioned, do not make any assumption as to which vehicle was
occupied by the victim unless the vehicles are the same. Instead, code to the appropriate
categories V87-V88, V90-V94, V95-V97, taking into account the order of precedence given
in note 2.
5. Where a transport accident, such as:

vehicle (motor) (nonmotor):
• failing to make curve
• going out of control (due to):
• burst tire [blowout]
• driver falling asleep
• driver inattention
• excessive speed
• failure of mechanical part
resulted in a subsequent collision, classify the accident as a collision. If an accident other
than a collision resulted, classify it as a noncollision accident according to the vehicle type
involved.
XX-16
6. Where a transport accident involving a vehicle in motion for these listed conditions:
accidental poisoning from exhaust gas generated by

breakage of any part of
explosion of any part of
fall, jump or being accidentally pushed from
fire starting in vehicle in motion
hit by object thrown into or onto
injured by being thrown against
some part of, or object in
injury from moving part of
object falling in or on
resulted in a subsequent collision, classify the accident as a collision. If an accident other

than a collision resulted, classify it as a noncollision accident according to the vehicle type
involved.
7. Land transport accidents described as:

collision (due to loss of control) (on highway) between vehicle and:
abutment (bridge) (overpass)
fallen stone
guard rail or boundary fence
inter-highway divider
landslide (not moving) are included in
object thrown in front of motor vehicle V17.-, V27.-,
safety island V37.-, V47.-, V57.-,
tree V67.- and V77.-
traffic sign or marker (temporary)
utility pole
wall of cut made for road
other object, fixed, movable or moving
overturning (without collision) are included in V18.-, V28.-, V38.-, V48.-, V58.-, V68.-, and
V78.-
collision with animal (herded) (unattended) are included in V10.-, V20.-, V30.-, V40.-,
V50.-, V60.-, and V70.-
collision with animal-drawn vehicle or animal being ridden are included in V16.-, V26.-,
V36.-, V46.-, V56.-, V66.-, and V76.-.
XX-17
Pedestrian injured in transport accident

(V01-V09)
Excludes: collision of pedestrian (conveyance) with other pedestrian (conveyance) (W51.-)

• with subsequent fall (W03.-)
The following fourth-character subdivisions are for use with categories V01-V06:
.0 Nontraffic accident
.1 Traffic accident
.9 Unspecified whether traffic or nontraffic accident
V01 Pedestrian injured in collision with pedal cycle
V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle
V03 Pedestrian injured in collision with car, pick-up truck or van
V04 Pedestrian injured in collision with heavy transport vehicle or bus
V05 Pedestrian injured in collision with railway train or railway vehicle
V06 Pedestrian injured in collision with other nonmotor vehicle

Includes: collision with animal-drawn vehicle, animal being ridden, streetcar
V09 Pedestrian injured in other and unspecified transport accidents

Includes: pedestrian injured by special vehicle
V09.0 Pedestrian injured in nontraffic accident involving other and unspecified motor
vehicles
V09.1 Pedestrian injured in unspecified nontraffic accident
V09.2 Pedestrian injured in traffic accident involving other and unspecified motor
vehicles
V09.3 Pedestrian injured in unspecified traffic accident
V09.9 Pedestrian injured in unspecified transport accident
XX-18
Pedal cyclist injured in transport accident

(V10-V19)
.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident
.2 Unspecified pedal cyclist injured in nontraffic accident
.3 Person injured while boarding or alighting
.4 Driver injured in traffic accident
.5 Passenger injured in traffic accident
.9 Unspecified pedal cyclist injured in traffic accident
V10 Pedal cyclist injured in collision with pedestrian or animal

Excludes: collision with animal-drawn vehicle or animal being ridden (V16.-)
V11 Pedal cyclist injured in collision with other pedal cycle
V12 Pedal cyclist injured in collision with two- or three-wheeled motor vehicle
V13 Pedal cyclist injured in collision with car, pick-up truck or van
V14 Pedal cyclist injured in collision with heavy transport vehicle or bus
V15 Pedal cyclist injured in collision with railway train or railway vehicle
V16 Pedal cyclist injured in collision with other nonmotor vehicle

V17 Pedal cyclist injured in collision with fixed or stationary object
V18 Pedal cyclist injured in noncollision transport accident

Includes: fall or thrown from pedal cycle (without antecedent collision)
overturning:
• NOS
• without collision
XX-19
V19 Pedal cyclist injured in other and unspecified transport accidents
V19.0 Driver injured in collision with other and unspecified motor vehicles in
nontraffic accident
V19.1 Passenger injured in collision with other and unspecified motor vehicles in
nontraffic accident
V19.2 Unspecified pedal cyclist injured in collision with other and unspecified motor
vehicles in nontraffic accident
Pedal cycle collision NOS, nontraffic
V19.3 Pedal cyclist [any] injured in unspecified nontraffic accident

Pedal cycle accident NOS, nontraffic
Pedal cyclist injured in nontraffic accident NOS
V19.4 Driver injured in collision with other and unspecified motor vehicles in traffic
accident
traffic accident
V19.6 Unspecified pedal cyclist injured in collision with other and unspecified motor
vehicles in traffic accident
Pedal cycle collision NOS (traffic)
V19.8 Pedal cyclist [any] injured in other specified transport accidents

Trapped by part of pedal cycle
V19.9 Pedal cyclist [any] injured in unspecified traffic accident

Pedal cycle accident NOS
XX-20
Motorcycle rider injured in transport accident

(V20-V29)
Includes: moped
motorcycle with sidecar
motorized bicycle
motor scooter
Excludes: three-wheeled motor vehicle (V30-V39)

.2 Unspecified motorcycle rider injured in nontraffic accident
.9 Unspecified motorcycle rider injured in traffic accident
V20 Motorcycle rider injured in collision with pedestrian or animal

V21 Motorcycle rider injured in collision with pedal cycle
V22 Motorcycle rider injured in collision with two- or three-wheeled motor vehicle
V23 Motorcycle rider injured in collision with car, pick-up truck or van
V24 Motorcycle rider injured in collision with heavy transport vehicle or bus
V25 Motorcycle rider injured in collision with railway train or railway vehicle
V26 Motorcycle rider injured in collision with other nonmotor vehicle

V27 Motorcycle rider injured in collision with fixed or stationary object
XX-21
V28 Motorcycle rider injured in noncollision transport accident

Includes: fall or thrown from motorcycle (without antecedent collision)
overturning:
• NOS
V29 Motorcycle rider injured in other and unspecified transport accidents
nontraffic accident
nontraffic accident
V29.2 Unspecified motorcycle rider injured in collision with other and unspecified
motor vehicles in nontraffic accident
Motorcycle collision NOS, nontraffic
V29.3 Motorcycle rider [any] injured in unspecified nontraffic accident

Motorcycle accident NOS, nontraffic
Motorcycle rider injured in nontraffic accident NOS
accident
traffic accident
V29.6 Unspecified motorcycle rider injured in collision with other and unspecified
motor vehicles in traffic accident
Motorcycle collision NOS (traffic)
V29.8 Motorcycle rider [any] injured in other specified transport accidents

Trapped by part of motorcycle
V29.9 Motorcycle rider [any] injured in unspecified traffic accident

Motorcycle accident NOS
XX-22
Occupant of three-wheeled motor vehicle injured in transport accident

(V30-V39)
Includes: motorized tricycle
Excludes: motorcycle with sidecar (V20-V29)

vehicle designed primarily for off-road use (V86.-)

.2 Person on outside of vehicle injured in nontraffic accident
.3 Unspecified occupant of three-wheeled motor vehicle injured in nontraffic accident
.7 Person on outside of vehicle injured in traffic accident
.9 Unspecified occupant of three-wheeled motor vehicle injured in traffic accident
V30 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or

animal
V31 Occupant of three-wheeled motor vehicle injured in collision with pedal cycle
V32 Occupant of three-wheeled motor vehicle injured in collision with two- or three-
wheeled motor vehicle
V33 Occupant of three-wheeled motor vehicle injured in collision with car, pick-up
truck or van
V34 Occupant of three-wheeled motor vehicle injured in collision with heavy

transport vehicle or bus
V35 Occupant of three-wheeled motor vehicle injured in collision with railway train
or railway vehicle
V36 Occupant of three-wheeled motor vehicle injured in collision with other

nonmotor vehicle
XX-23
V37 Occupant of three-wheeled motor vehicle injured in collision with fixed or

stationary object
V38 Occupant of three-wheeled motor vehicle injured in noncollision transport

accident
Includes: fall or thrown from three-wheeled motor vehicle
overturning:
• NOS
V39 Occupant of three-wheeled motor vehicle injured in other and unspecified

transport accidents
nontraffic accident
nontraffic accident
V39.2 Unspecified occupant of three-wheeled motor vehicle injured in collision with

other and unspecified motor vehicles in nontraffic accident
Collision NOS involving three-wheeled motor vehicle, nontraffic
V39.3 Occupant [any] of three-wheeled motor vehicle injured in unspecified nontraffic

accident
Accident NOS involving three-wheeled motor vehicle, nontraffic
Occupant of three-wheeled motor vehicle injured in nontraffic accident NOS
accident
traffic accident
V39.6 Unspecified occupant of three-wheeled motor vehicle injured in collision with

other and unspecified motor vehicles in traffic accident
Collision NOS involving three-wheeled motor vehicle (traffic)
XX-24
V39.8 Occupant [any] of three-wheeled motor vehicle injured in other specified

transport accidents
Trapped by door or other part of three-wheeled motor vehicle
V39.9 Occupant [any] of three-wheeled motor vehicle injured in unspecified traffic

accident
Accident NOS involving three-wheeled motor vehicle
Car occupant injured in transport accident

(V40-V49)
Includes: minibus
The following fourth-character subdivisions are for use with categories V40-V48.

.3 Unspecified car occupant injured in nontraffic accident
.9 Unspecified car occupant injured in traffic accident
V40 Car occupant injured in collision with pedestrian or animal

V41 Car occupant injured in collision with pedal cycle
V42 Car occupant injured in collision with two- or three-wheeled motor vehicle
V43 Car occupant injured in collision with car, pick-up truck or van
V44 Car occupant injured in collision with heavy transport vehicle or bus
V45 Car occupant injured in collision with railway train or railway vehicle
V46 Car occupant injured in collision with other nonmotor vehicle

XX-25
V47 Car occupant injured in collision with fixed or stationary object
V48 Car occupant injured in noncollision transport accident

Includes: overturning:
• NOS
V49 Car occupant injured in other and unspecified transport accidents
nontraffic accident
nontraffic accident
V49.2 Unspecified car occupant injured in collision with other and unspecified motor
Car collision NOS, nontraffic
V49.3 Car occupant [any] injured in unspecified nontraffic accident

Car accident NOS, nontraffic
Car occupant injured in nontraffic accident NOS
accident
traffic accident
V49.6 Unspecified car occupant injured in collision with other and unspecified motor
Car collision NOS (traffic)
V49.8 Car occupant [any] injured in other specified transport accidents

Trapped by door or other part of car
V49.9 Car occupant [any] injured in unspecified traffic accident

Car accident NOS
XX-26
Occupant of pick-up truck or van injured in transport accident

(V50-V59)
Excludes: heavy transport vehicle (V60-V69)

.3 Unspecified occupant of pick-up truck or van injured in nontraffic accident
.9 Unspecified occupant of pick-up truck or van injured in traffic accident
V50 Occupant of pick-up truck or van injured in collision with pedestrian or animal
V51 Occupant of pick-up truck or van injured in collision with pedal cycle
V52 Occupant of pick-up truck or van injured in collision with two- or three-
wheeled motor vehicle
V53 Occupant of pick-up truck or van injured in collision with car, pick-up truck or
van
V54 Occupant of pick-up truck or van injured in collision with heavy transport
vehicle or bus
V55 Occupant of pick-up truck or van injured in collision with railway train or
railway vehicle
V56 Occupant of pick-up truck or van injured in collision with other nonmotor
vehicle
V57 Occupant of pick-up truck or van injured in collision with fixed or stationary
object
XX-27
V58 Occupant of pick-up truck or van injured in noncollision transport accident

• NOS
V59 Occupant of pick-up truck or van injured in other and unspecified transport
accidents
nontraffic accident
nontraffic accident
V59.2 Unspecified occupant of pick-up truck or van injured in collision with other and
unspecified motor vehicles in nontraffic accident
Collision NOS involving pick-up truck or van, nontraffic
V59.3 Occupant [any] of pick-up truck or van injured in unspecified nontraffic

accident
Accident NOS involving pick-up truck or van, nontraffic
Occupant of pick-up truck or van injured in nontraffic accident NOS
accident
traffic accident
V59.6 Unspecified occupant of pick-up truck or van injured in collision with other and
unspecified motor vehicles in traffic accident
Collision NOS involving pick-up truck or van (traffic)
V59.8 Occupant [any] of pick-up truck or van injured in other specified transport
accidents
Trapped by door or other part of pick-up truck or van
V59.9 Occupant [any] of pick-up truck or van injured in unspecified traffic accident
Accident NOS involving pick-up truck or van
XX-28
Occupant of heavy transport vehicle injured in transport accident

(V60-V69)

.3 Unspecified occupant of heavy transport vehicle injured in nontraffic accident
.9 Unspecified occupant of heavy transport vehicle injured in traffic accident
V60 Occupant of heavy transport vehicle injured in collision with pedestrian or

animal
V61 Occupant of heavy transport vehicle injured in collision with pedal cycle
V62 Occupant of heavy transport vehicle injured in collision with two- or

three-wheeled motor vehicle
V63 Occupant of heavy transport vehicle injured in collision with car, pick-up truck
or van
V64 Occupant of heavy transport vehicle injured in collision with heavy transport
vehicle or bus
V65 Occupant of heavy transport vehicle injured in collision with railway train or
railway vehicle
V66 Occupant of heavy transport vehicle injured in collision with other nonmotor
vehicle
V67 Occupant of heavy transport vehicle injured in collision with fixed or stationary
object
XX-29
V68 Occupant of heavy transport vehicle injured in noncollision transport accident

• NOS
V69 Occupant of heavy transport vehicle injured in other and unspecified transport
accidents
nontraffic accident
nontraffic accident
V69.2 Unspecified occupant of heavy transport vehicle injured in collision with other
and unspecified motor vehicles in nontraffic accident
Collision NOS involving heavy transport vehicle, nontraffic
V69.3 Occupant [any] of heavy transport vehicle injured in unspecified nontraffic

accident
Accident NOS involving heavy transport vehicle, nontraffic
Occupant of heavy transport vehicle injured in nontraffic accident NOS
accident
traffic accident
V69.6 Unspecified occupant of heavy transport vehicle injured in collision with other
and unspecified motor vehicles in traffic accident
Collision NOS involving heavy transport vehicle (traffic)
V69.8 Occupant [any] of heavy transport vehicle injured in other specified transport
accidents
Trapped by door or other part of heavy transport vehicle
V69.9 Occupant [any] of heavy transport vehicle injured in unspecified traffic

accident
Accident NOS involving heavy transport vehicle
XX-30
Bus occupant injured in transport accident

(V70-V79)
Excludes: minibus (V40-V49)

.3 Unspecified bus occupant injured in nontraffic accident
.9 Unspecified bus occupant injured in traffic accident
V70 Bus occupant injured in collision with pedestrian or animal

V71 Bus occupant injured in collision with pedal cycle
V72 Bus occupant injured in collision with two- or three-wheeled motor vehicle
V73 Bus occupant injured in collision with car, pick-up truck or van
V74 Bus occupant injured in collision with heavy transport vehicle or bus
V75 Bus occupant injured in collision with railway train or railway vehicle
V76 Bus occupant injured in collision with other nonmotor vehicle

V77 Bus occupant injured in collision with fixed or stationary object
V78 Bus occupant injured in noncollision transport accident

• NOS
XX-31
V79 Bus occupant injured in other and unspecified transport accidents
nontraffic accident
nontraffic accident
V79.2 Unspecified bus occupant injured in collision with other and unspecified motor
Bus collision NOS, nontraffic
V79.3 Bus occupant [any] injured in unspecified nontraffic accident

Bus accident NOS, nontraffic
Bus occupant injured in nontraffic accident NOS
accident
traffic accident
V79.6 Unspecified bus occupant injured in collision with other and unspecified motor
Bus collision NOS (traffic)
V79.8 Bus occupant [any] injured in other specified transport accidents

Trapped by door or other part of bus
V79.9 Bus occupant [any] injured in unspecified traffic accident

Bus accident NOS
XX-32
Other land transport accidents

(V80-V89)
V80 Animal-rider or occupant of animal-drawn vehicle injured in transport accident
V80.0 Rider or occupant injured by fall from or being thrown from animal or animal-
drawn vehicle in noncollision accident
Overturning:
• NOS
V80.1 Rider or occupant injured in collision with pedestrian or animal

Excludes: collision with animal-drawn vehicle or animal being ridden (V80.7)
V80.2 Rider or occupant injured in collision with pedal cycle
V80.3 Rider or occupant injured in collision with two-or three-wheeled motor vehicle
V80.4 Rider or occupant injured in collision with car, pick-up truck, van, heavy
transport vehicle or bus
V80.5 Rider or occupant injured in collision with other specified motor vehicle
V80.6 Rider or occupant injured in collision with railway train or railway vehicle
V80.7 Rider or occupant injured in collision with other nonmotor vehicle

Collision with:
• animal being ridden
• animal-drawn vehicle
• streetcar
V80.8 Rider or occupant injured in collision with fixed or stationary object
V80.9 Rider or occupant injured in other and unspecified transport accidents

Animal-drawn vehicle accident NOS
Animal-rider accident NOS
XX-33
V81 Occupant of railway train or railway vehicle injured in transport accident

Includes: person on outside of train
V81.0 Occupant of railway train or railway vehicle injured in collision with motor
vehicle in nontraffic accident
V81.1 Occupant of railway train or railway vehicle injured in collision with motor
vehicle in traffic accident
V81.2 Occupant of railway train or railway vehicle injured in collision with or hit by
rolling stock
V81.3 Occupant of railway train or railway vehicle injured in collision with other
object
Railway collision NOS
V81.4 Person injured while boarding or alighting from railway train or railway
vehicle
V81.5 Occupant of railway train or railway vehicle injured by fall in railway train or
railway vehicle
Excludes: fall:
• during derailment:
• with antecedent collision (V81.0-V81.3)
• without antecedent collision (V81.7)
• while boarding or alighting (V81.4)
V81.6 Occupant of railway train or railway vehicle injured by fall from railway train
or railway vehicle
Excludes: fall:
• during derailment:
V81.7 Occupant of railway train or railway vehicle injured in derailment without

antecedent collision
XX-34
V81.8 Occupant of railway train or railway vehicle injured in other specified

railway accidents
Explosion or fire
Hit by falling:
• earth
• rock
• tree
Excludes: derailment:
V81.9 Occupant of railway train or railway vehicle injured in unspecified railway

accident
Railway accident NOS
V82 Occupant of streetcar injured in transport accident

Includes: person on outside of streetcar
V82.0 Occupant of streetcar injured in collision with motor vehicle in nontraffic

accident
V82.1 Occupant of streetcar injured in collision with motor vehicle in traffic accident
V82.2 Occupant of streetcar injured in collision with or hit by rolling stock
V82.3 Occupant of streetcar injured in collision with other object

Excludes: collision with animal-drawn vehicle or animal being ridden (V82.8)
V82.4 Person injured while boarding or alighting from streetcar
V82.5 Occupant of streetcar injured by fall in streetcar

Excludes: fall:
V82.6 Occupant of streetcar injured by fall from streetcar

Excludes: fall:
XX-35
V82.7 Occupant of streetcar injured in derailment without antecedent collision
V82.8 Occupant of streetcar injured in other specified transport accidents

Collision with train or other nonmotor vehicle
V82.9 Occupant of streetcar injured in unspecified traffic accident

Streetcar accident NOS
V83 Occupant of special vehicle mainly used on industrial premises injured in

transport accident
Excludes: vehicle in stationary use or maintenance (W31.-)
V83.0 Driver of special industrial vehicle injured in traffic accident
V83.1 Passenger of special industrial vehicle injured in traffic accident
V83.2 Person on outside of special industrial vehicle injured in traffic accident
V83.3 Unspecified occupant of special industrial vehicle injured in traffic accident
V83.4 Person injured while boarding or alighting from special industrial vehicle
V83.5 Driver of special industrial vehicle injured in nontraffic accident
V83.6 Passenger of special industrial vehicle injured in nontraffic accident
V83.7 Person on outside of special industrial vehicle injured in nontraffic accident
V83.9 Unspecified occupant of special industrial vehicle injured in nontraffic accident

Special-industrial-vehicle accident NOS
V84 Occupant of special vehicle mainly used in agriculture injured in transport

accident
V84.0 Driver of special agricultural vehicle injured in traffic accident
V84.1 Passenger of special agricultural vehicle injured in traffic accident
V84.2 Person on outside of special agricultural vehicle injured in traffic accident
XX-36
V84.3 Unspecified occupant of special agricultural vehicle injured in traffic accident
V84.4 Person injured while boarding or alighting from special agricultural vehicle
V84.5 Driver of special agricultural vehicle injured in nontraffic accident
V84.6 Passenger of special agricultural vehicle injured in nontraffic accident
V84.7 Person on outside of special agricultural vehicle injured in nontraffic accident
V84.9 Unspecified occupant of special agricultural vehicle injured in nontraffic

accident
Special-agricultural-vehicle accident NOS
V85 Occupant of special construction vehicle injured in transport accident

V85.0 Driver of special construction vehicle injured in traffic accident
V85.1 Passenger of special construction vehicle injured in traffic accident
V85.2 Person on outside of special construction vehicle injured in traffic accident
V85.3 Unspecified occupant of special construction vehicle injured in traffic accident
V85.4 Person injured while boarding or alighting from special construction vehicle
V85.5 Driver of special construction vehicle injured in nontraffic accident
V85.6 Passenger of special construction vehicle injured in nontraffic accident
V85.7 Person on outside of special construction vehicle injured in nontraffic accident
V85.9 Unspecified occupant of special construction vehicle injured in nontraffic

accident
Special-construction-vehicle accident NOS
XX-37
V86 Occupant of special all-terrain or other motor vehicle designed primarily for
off-road use, injured in transport accident
V86.0 Driver of all-terrain or other off-road motor vehicle injured in traffic accident
V86.1 Passenger of all-terrain or other off-road motor vehicle injured in traffic

accident
V86.2 Person on outside of all-terrain or other off-road motor vehicle injured in traffic
accident
V86.3 Unspecified occupant of all-terrain or other off-road motor vehicle injured in

traffic accident
V86.4 Person injured while boarding or alighting from all-terrain or other off-road
motor vehicle
V86.5 Driver of all-terrain or other off-road motor vehicle injured in nontraffic

accident
V86.6 Passenger of all-terrain or other off-road motor vehicle injured in nontraffic

accident
V86.7 Person on outside of all-terrain or other off-road motor vehicle injured in

nontraffic accident
V86.9 Unspecified occupant of all-terrain or other off-road motor vehicle injured in

nontraffic accident
All-terrain motor-vehicle accident NOS
Off-road motor-vehicle accident NOS
XX-38
V87 Traffic accident of specified type but victim's mode of transport unknown
Excludes: collision involving:
• pedal cyclist (V10-V19)
• pedestrian (V01-V09)
V87.0 Person injured in collision between car and two- or three-wheeled motor vehicle
(traffic)
V87.1 Person injured in collision between other motor vehicle and two-or three-
wheeled motor vehicle (traffic)
V87.2 Person injured in collision between car and pick-up truck or van (traffic)
V87.3 Person injured in collision between car and bus (traffic)
V87.4 Person injured in collision between car and heavy transport vehicle (traffic)
V87.5 Person injured in collision between heavy transport vehicle and bus (traffic)
V87.6 Person injured in collision between railway train or railway vehicle and car
(traffic)
V87.7 Person injured in collision between other specified motor vehicles (traffic)
V87.8 Person injured in other specified noncollision transport accidents involving

motor vehicle (traffic)
V87.9 Person injured in other specified (collision)(noncollision) transport accidents

involving nonmotor vehicle (traffic)
V88 Nontraffic accident of specified type but victim's mode of transport unknown
Excludes: collision involving:
• pedal cyclist (V10-V19)
• pedestrian (V01-V09)
V88.0 Person injured in collision between car and two- or three-wheeled motor
vehicle, nontraffic
V88.1 Person injured in collision between other motor vehicle and two- or three-
wheeled motor vehicle, nontraffic
XX-39
V88.2 Person injured in collision between car and pick-up truck or van, nontraffic
V88.3 Person injured in collision between car and bus, nontraffic
V88.4 Person injured in collision between car and heavy transport vehicle, nontraffic
V88.5 Person injured in collision between heavy transport vehicle and bus, nontraffic
V88.6 Person injured in collision between railway train or railway vehicle and car,
nontraffic
V88.7 Person injured in collision between other specified motor vehicles, nontraffic
V88.8 Person injured in other specified noncollision transport accidents involving

motor vehicle, nontraffic
V88.9 Person injured in other specified (collision)(noncollision) transport accidents

involving nonmotor vehicle, nontraffic
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
V89.0 Person injured in unspecified motor-vehicle accident, nontraffic

Motor-vehicle accident NOS, nontraffic
V89.1 Person injured in unspecified nonmotor-vehicle accident, nontraffic

Nonmotor-vehicle accident NOS (nontraffic)
V89.2 Person injured in unspecified motor-vehicle accident, traffic

Motor-vehicle accident [MVA] NOS
Road (traffic) accident [RTA] NOS
V89.3 Person injured in unspecified nonmotor-vehicle accident, traffic

Nonmotor-vehicle traffic accident NOS
V89.9 Person injured in unspecified vehicle accident

Collision NOS
XX-40
Water transport accidents

(V90-V94)
Includes: watercraft accidents in the course of recreational activities
.0 Merchant ship
.1 Passenger ship
Ferry-boat
Liner
.2 Fishing boat
.3 Other powered watercraft
Hovercraft (on open water)
Jet skis
.4 Sailboat
Yacht
.5 Canoe or kayak
.6 Inflatable craft (nonpowered)
.7 Water-skis
.8 Other unpowered watercraft
Surf-board
Windsurfer
.9 Unspecified watercraft
Boat (motor) (powered) NOS
Ship NOS
Watercraft NOS
V90 Accident to watercraft causing drowning and submersion

Includes: drowning and submersion due to:
• boat:
• overturning
• sinking
• falling or jumping from:
• burning ship
• crushed watercraft
• other accident to watercraft
Excludes: water-transport-related drowning or submersion without accident to

watercraft (V92.-)
XX-41
V91 Accident to watercraft causing other injury

Includes: any injury except drowning and submersion as a result of an accident
to watercraft
burned while ship on fire
crushed between ships by collision
crushed by lifeboat after abandoning ship
fall due to collision or other accident to watercraft
hit by falling object due to accident to watercraft
injured in watercraft accident involving collision of watercraft
struck by boat or part thereof after fall or jump from damaged boat
Excludes: burns from localized fire or explosion on board ship (V93.-)
V92 Water-transport-related drowning and submersion without accident to

watercraft
Includes: drowning and submersion as a result of an accident, such as:
• fall:
• from gangplank
• from ship
• overboard
• thrown overboard by motion of ship
• washed overboard
Excludes: drowning or submersion of swimmer or diver who voluntarily jumps

from boat not involved in an accident (W69.-, W73.-)
XX-42
V93 Accident on board watercraft without accident to watercraft, not causing

drowning and submersion
Includes: accidental poisoning by gases or fumes on ship
atomic reactor malfunction in watercraft
crushed by falling object on ship
excessive heat in:
• boiler room
• engine room
• evaporator room
• fire room
explosion of boiler on steamship
fall from one level to another in watercraft
fall on stairs or ladders in watercraft
injuries in watercraft caused by:
• deck
• engine room
• galley machinery
• laundry
• loading
localized fire on ship
machinery accident in watercraft
V94 Other and unspecified water transport accidents

Includes: accident to nonoccupant of watercraft
hit by boat while water-skiing
Air and space transport accidents

(V95-V97)
V95 Accident to powered aircraft causing injury to occupant

Includes: collision with any object,
fixed, movable or moving
crash of or on (powered)
explosion aircraft
fire
forced landing
V95.0 Helicopter accident injuring occupant
V95.1 Ultralight, microlight or powered-glider accident injuring occupant
XX-43
V95.2 Accident to other private fixed-wing aircraft, injuring occupant
V95.3 Accident to commercial fixed-wing aircraft, injuring occupant
V95.4 Spacecraft accident injuring occupant
V95.8 Other aircraft accidents injuring occupant
V95.9 Unspecified aircraft accident injuring occupant

Aircraft accident NOS
Air transport accident NOS
V96 Accident to nonpowered aircraft causing injury to occupant

Includes: collision with any object,
fixed, movable or moving
crash of or on nonpowered
explosion aircraft
fire
forced landing
V96.0 Balloon accident injuring occupant
V96.1 Hang-glider accident injuring occupant
V96.2 Glider (nonpowered) accident injuring occupant
V96.8 Other nonpowered-aircraft accidents injuring occupant

Kite carrying a person
V96.9 Unspecified nonpowered-aircraft accident injuring occupant

Nonpowered-aircraft accident NOS
V97 Other specified air transport accidents

Includes: accidents to nonoccupants of aircraft
V97.0 Occupant of aircraft injured in other specified air transport accidents

Fall in, on or from aircraft in air transport accident
Excludes: accident while boarding or alighting (V97.1)
V97.1 Person injured while boarding or alighting from aircraft
XX-44
V97.2 Parachutist injured in air transport accident

Excludes: person making descent after accident to aircraft (V95-V96)
V97.3 Person on ground injured in air transport accident

Hit by object falling from aircraft
Injured by rotating propeller
Sucked into jet
V97.8 Other air transport accidents, not elsewhere classified

Injury from machinery on aircraft
Excludes: aircraft accident NOS (V95.9)

exposure to changes in air pressure during ascent or descent (W94.-)
Other and unspecified transport accidents

(V98-V99)
Excludes: vehicle accident, type of vehicle unspecified (V89.-)
V98 Other specified transport accidents

Includes: accident to, on or involving:
• cable-car, not on rails
• ice-yacht
• land-yacht
• ski chair-lift
• ski-lift with gondola
caught or dragged by
fall or jump from cable-car, not on rails
object thrown from or in
V99 Unspecified transport accident
XX-45
Other external causes of accidental injury

(W00-X59)
Falls
(W00-W19)
[See pages XX-3—XX-7 for fourth-character place of occurrence codes]
Excludes: assault (Y01-Y02)

fall (in)(from):
• animal (V80.-)
• burning building (X00.-)
• into fire (X00-X04, X08-X09)
• into water (with drowning or submersion) (W65-W74)
• machinery (in operation) (W28-W31)
• repeated falls not resulting from accident (R29.6)
• transport vehicle (V01-V99)
W00 Fall on same level involving ice and snow

Excludes: fall with mention of:
• ice-skates and skis (W02.-)
• stairs and steps (W10.-)
W01 Fall on same level from slipping, tripping and stumbling

Excludes: fall involving ice or snow (W00.-)
W02 Fall involving ice-skates, skis, roller-skates or skateboards
W03 Other fall on same level due to collision with, or pushing by, another person
Includes: fall due to collision of pedestrian (conveyance) with another pedestrian
(conveyance)
Excludes: crushed or pushed by crowd or human stampede (W52.-)

fall involving ice or snow (W00.-)
W04 Fall while being carried or supported by other persons

Includes: accidentally dropped while being carried
XX-46
W05 Fall involving wheelchair
W06 Fall involving bed
W07 Fall involving chair
W08 Fall involving other furniture
W09 Fall involving playground equipment

Excludes: fall involving recreational machinery (W31.-)
W10 Fall on and from stairs and steps

Includes: fall (on)(from):
• escalator
• incline
• involving ice or snow on stairs and steps
• ramp
W11 Fall on and from ladder
W12 Fall on and from scaffolding
W13 Fall from, out of or through building or structure

Includes: fall from, out of or through:
• balcony
• bridge
• building
• flag-pole
• floor
• railing
• roof
• tower
• turret
• viaduct
• wall
• window
Excludes: collapse of a building or structure (W20.-)

fall or jump from burning building (X00.-)
XX-47
W14 Fall from tree
W15 Fall from cliff
W16 Diving or jumping into water causing injury other than drowning or
submersion
Includes: striking or hitting:
• against bottom when jumping or diving into shallow water
• wall or diving board of swimming-pool
• water surface
Excludes: accidental drowning and submersion (W65-W74)

diving with insufficient air supply (W81.-)
effects of air pressure from diving (W94.-)
W17 Other fall from one level to another

Includes: fall from or into:
• cavity
• dock
• haystack
• hole
• pit
• quarry
• shaft
• tank
• well
W18 Other fall on same level

Includes: fall:
• from bumping against object
• from or off toilet
• on same level NOS
W19 Unspecified fall

Includes: accidental fall NOS
XX-48
Exposure to inanimate mechanical forces

(W20-W49)
Excludes: assault (X85-Y09)

contact or collision with animals or persons (W50-W64)
W20 Struck by thrown, projected or falling object

Includes: cave-in without asphyxiation or suffocation
collapse of building, except on fire
falling:
• rock
• stone
• tree
Excludes: collapse or burning building (X00.-)

falling object in:
• cataclysm (X34-X39)
• machinery accident (W24.-, W28-W31)
• transport accident (V01-V99)
object set in motion by:
• explosion (W35-W40)
• firearm (W32-W34)
sports equipment (W21.-)
W21 Striking against or struck by sports equipment

Includes: struck by:
• hit or thrown ball
• hockey stick or puck
W22 Striking against or struck by other objects

Includes: walked into wall
XX-49
W23 Caught, crushed, jammed or pinched in or between objects

Includes: caught, crushed, jammed or pinched:
• between: folding object
• moving objects sliding door and door-frame
• stationary and such as packing crate and floor,
moving objects after losing grip
• in object washing-machine wringer
Excludes: injury caused by:

• cutting or piercing instruments (W25-W27)
• lifting and transmission devices (W24.-)
• machinery (W28-W31)
• nonpowered hand tools (W27.-)
• transport vehicle (V01-V99)
struck by thrown, projected or falling object (W20.-)
W24 Contact with lifting and transmission devices, not elsewhere classified
Includes: chain hoist
drive belt
pulley (block)
rope
transmission belt or cable
winch
wire
Excludes: transport accidents (V01-V99)
W25 Contact with sharp glass

Excludes: fall involving glass (W00-W19)
flying glass due to explosion or firearm discharge (W32-W40)
W26 Contact with knife, sword or dagger
XX-50
W27 Contact with nonpowered hand tool

Includes: axe
can-opener NOS
chisel
fork
handsaw
hoe
ice-pick
needle
paper-cutter
pitchfork
rake
scissors
screwdriver
sewing-machine, nonpowered
shovel
Excludes: hypodermic needle (W46.-)
W28 Contact with powered lawnmower

Excludes: exposure to electric current (W86.-)
W29 Contact with other powered hand tools and household machinery
Includes: blender
powered:
• can-opener
• chain-saw
• do-it-yourself tool
• garden tool
• hedge-trimmer
• knife
• sewing-machine
• spin-drier
washing-machine
Excludes: exposure to electric current (W86.-)
XX-51
W30 Contact with agricultural machinery

Includes: animal-powered farm machine
combine harvester
derrick, hay
farm machinery NOS
reaper
thresher
Excludes: accident(s) involving agricultural machinery occurring on

highway (V01-V99)
exposure to electric current (W86.-)
W31 Contact with other and unspecified machinery

Includes: machine NOS
recreational machinery
Excludes: accident(s) involving machinery occurring on highway (V01-V99)

exposure to electric current (W86.-)
W32 Handgun discharge

Includes: gun for single hand use
pistol
revolver
Excludes: Very pistol (W34.-)
W33 Rifle, shotgun and larger firearm discharge

Includes: army rifle
hunting rifle
machine gun
Excludes: airgun (W34.-)
W34 Discharge from other and unspecified firearms

Includes: airgun
BB gun
gunshot wound NOS
shot NOS
Very pistol [flare]
XX-52
W35 Explosion and rupture of boiler
W36 Explosion and rupture of gas cylinder

Includes: aerosol can
air tank
pressurized-gas tank
W37 Explosion and rupture of pressurized tire, pipe or hose
W38 Explosion and rupture of other specified pressurized devices
W39 Discharge of firework
W40 Explosion of other materials

Includes: blasting material
explosion (in):
• NOS
• dump
• factory
• grain store
• munitions
explosive gas
W41 Exposure to high-pressure jet

Includes: hydraulic jet
pneumatic jet
W42 Exposure to noise

Includes: sound waves
supersonic waves
W43 Exposure to vibration

Includes: infrasound waves
W44 Foreign body entering into or through eye or natural orifice

Excludes: corrosive fluid (X49.-)
inhalation or ingestion of foreign body with obstruction of respiratory
tract (W78-W80)
XX-53
W45 Foreign body or object entering through skin

Includes: edge of stiff paper
nail
splinter
tin-can lid
Excludes: contact with:

• hand tools (nonpowered)(powered) (W27-W29)
• knife, sword or dagger (W26.-)
• sharp glass (W25.-)
struck by objects (W20-W22)
W46 Contact with hypodermic needle
W49 Exposure to other and unspecified inanimate mechanical forces

Includes: abnormal gravitational [G] forces
Exposure to animate mechanical forces

(W50-W64)
Excludes: bites, venomous (X20-X29)

stings (venomous) (X20-X29)
W50 Hit, struck, kicked, twisted, bitten or scratched by another person

struck by objects (W20-W22)
W51 Striking against or bumped into by another person

Excludes: fall due to collision of pedestrian (conveyance) with another
pedestrian (conveyance) (W03.-)
W52 Crushed, pushed or stepped on by crowd or human stampede
W53 Bitten by rat
W54 Bitten or struck by dog
XX-54
W55 Bitten or struck by other mammals

Excludes: contact with marine mammal (W56.-)
W56 Contact with marine animal

Bitten or struck by marine animal
W57 Bitten or stung by nonvenomous insect and other nonvenomous arthropods
W58 Bitten or struck by crocodile or alligator
W59 Bitten or crushed by other reptiles

Includes: lizard
snake, nonvenomous
W60 Contact with plant thorns and spines and sharp leaves
W64 Exposure to other and unspecified animate mechanical forces
Accidental drowning and submersion

(W65-W74)
Excludes: drowning and submersion due to:

• cataclysm (X34-X39)
• transport accidents (V01-V99)
• water transport accident (V90.-, V92.-)
W65 Drowning and submersion while in bath-tub
W66 Drowning and submersion following fall into bath-tub
W67 Drowning and submersion while in swimming-pool
W68 Drowning and submersion following fall into swimming-pool
XX-55
W69 Drowning and submersion while in natural water

Includes: lake
open sea
river
stream
W70 Drowning and submersion following fall into natural water
W73 Other specified drowning and submersion

Includes: quenching tank
reservoir
W74 Unspecified drowning and submersion

Includes: drowning NOS
fall into water NOS
Other accidental threats to breathing

(W75-W84)
W75 Accidental suffocation and strangulation in bed

Includes: suffocation and strangulation due to:
• bed linen
• mother's body
• pillow
W76 Other accidental hanging and strangulation
W77 Threat to breathing due to cave-in, falling earth and other substances
Includes: cave-in NOS
Excludes: cave-in caused by cataclysm (X34-X39)

cave-in without asphyxiation or suffocation (W20.-)
XX-56
W78 Inhalation of gastric contents

Includes: asphyxia by
choked on vomitus [regurgitated food]
suffocation by
aspiration and inhalation of vomitus (into respiratory tract) NOS
compression of trachea
interruption of respiration by vomitus in oesophagus
obstruction of respiration
Excludes: injury, except asphyxia or obstruction of respiratory tract, caused by

vomitus (W44.-)
obstruction of oesophagus by vomitus without mention of asphyxia or
obstruction of respiratory tract (W44.-)
W79 Inhalation and ingestion of food causing obstruction of respiratory tract

choked on food [including bone or seed]
suffocation by
aspiration and inhalation of food [any] (into respiratory tract) NOS
interruption of respiration by food in oesophagus
obstruction of pharynx by food (bolus)
Excludes: inhalation of vomitus (W78.-)

injury, except asphyxia or obstruction of respiratory tract, caused by
food (W44.-)
obstruction of oesophagus by food without mention of asphyxia or
obstruction of respiratory tract (W44.-)
XX-57
W80 Inhalation and ingestion of other objects causing obstruction of respiratory

tract
any object, except food or vomitus
choked on
entering by nose or mouth
suffocation by
aspiration NOS
aspiration and inhalation of foreign body, except food or vomitus
(into respiratory tract), NOS
by foreign body
interruption of respiration
in oesophagus
foreign object in nose
obstruction of pharynx by foreign body
Excludes: inhalation of vomitus or food (W78-W79)

injury, except asphyxia or obstruction of respiratory tract, caused
by foreign body (W44.-)
obstruction of oesophagus by foreign body without mention of
asphyxia or obstruction of respiratory tract (W44.-)
W81 Confined to or trapped in a low-oxygen environment

Includes: accidentally shut in refrigerator or other airtight space
diving with insufficient air supply
Excludes: suffocation by plastic bag (W83.-)
W83 Other specified threats to breathing

Includes: suffocation by plastic bag
W84 Unspecified threat to breathing

Includes: asphyxiation NOS
suffocation NOS
XX-58
Exposure to electric current, radiation and extreme ambient air temperature and
pressure
(W85-W99)
Excludes: abnormal reaction to a complication of treatment,

without mention of misadventure (Y84.2)
exposure to:
• natural:
• cold (X31.-)
• heat (X30.-)
• radiation NOS (X39.-)
• sunlight (X32.-)
misadventure to patient in surgical and medical procedures (Y63.2-Y63.5)
victim of lightning (X33.-)
W85 Exposure to electric transmission lines
W86 Exposure to other specified electric current
W87 Exposure to unspecified electric current

Includes: burns or other injury from electric current NOS
electric shock NOS
electrocution NOS
W88 Exposure to ionizing radiation

Includes: radioactive isotopes
X-rays
W89 Exposure to man-made visible and ultraviolet light

Includes: welding light (arc)
W90 Exposure to other nonionizing radiation

Includes: infrared
laser radiation
radiofrequency
W91 Exposure to unspecified type of radiation
XX-59
W92 Exposure to excessive heat of man-made origin
W93 Exposure to excessive cold of man-made origin

Includes: contact with or inhalation of:
• dry ice
• liquid:
• air
• hydrogen
• nitrogen
prolonged exposure in deep-freeze unit
W94 Exposure to high and low air pressure and changes in air pressure
Includes: high air pressure from rapid descent in water
reduction in atmospheric pressure while surfacing from:
• deep-water diving
• underground
residence or prolonged visit at high altitude as the cause of:
• anoxia
• barodontalgia
• barotitis
• hypoxia
• mountain sickness
sudden change in air pressure in aircraft during ascent or descent
W99 Exposure to other and unspecified man-made environmental factors
XX-60
Exposure to smoke, fire and flames

(X00-X09)
Includes: fire caused by lightning
Excludes: arson (X97.-)

secondary fire resulting from explosion (W35-W40)
transport accidents (V01-V99)
X00 Exposure to uncontrolled fire in building or structure

collapse of
fall from burning building or
hit by object falling from structure
jump from
conflagration
fire
fittings
melting of
furniture
smoldering
X01 Exposure to uncontrolled fire, not in building or structure

Includes: forest fire
X02 Exposure to controlled fire in building or structure

Includes: fire in:
• fireplace
• stove
X03 Exposure to controlled fire, not in building or structure

Includes: camp-fire
X04 Exposure to ignition of highly flammable material

Includes: ignition of:
• gasoline
• kerosene
• petrol
X05 Exposure to ignition or melting of nightwear
XX-61
X06 Exposure to ignition or melting of other clothing and apparel

Includes: ignition
of plastic jewelry
melting
X08 Exposure to other specified smoke, fire and flames
X09 Exposure to unspecified smoke, fire and flames

Includes: burning NOS
incineration NOS
Contact with heat and hot substances

(X10-X19)
Excludes: exposure to:

• excessive natural heat (X30.-)
• fire and flames (X00-X09)
X10 Contact with hot drinks, food, fats and cooking oils
X11 Contact with hot tap-water

Includes: hot water in:
• bath
• bucket
• tub
hot water running out of:
• hose
• tap
X12 Contact with other hot fluids

Includes: water heated on stove
Excludes: hot (liquid) metals (X18.-)
X13 Contact with steam and hot vapours
XX-62
X14 Contact with hot air and gases

Includes: inhalation of hot air and gases
X15 Contact with hot household appliances

Includes: cooker
hotplate
kettle
saucepan (glass)(metal)
stove (kitchen)
toaster
Excludes: heating appliances (X16.-)
X16 Contact with hot heating appliances, radiators and pipes
X17 Contact with hot engines, machinery and tools
Excludes: hot heating appliances, radiators and pipes (X16.-)

hot household appliances (X15.-)
X18 Contact with other hot metals

Includes: liquid metal
X19 Contact with other and unspecified heat and hot substances
Excludes: objects that are not normally hot, e.g., an object made hot by a house
fire (X00-X09)
XX-63
Contact with venomous animals and plants

(X20-X29)
Includes: chemical released by:

• animal
• insect
release of venom through fangs, hairs, spines, tentacles and other venom apparatus
venomous bites and stings
Excludes: ingestion of poisonous animals or plants (X49.-)
X20 Contact with venomous snakes and lizards

Includes: cobra
fer de lance
Gila monster
krait
rattlesnake
sea snake
snake (venomous)
viper
Excludes: lizard (nonvenomous) (W59.-)

snake, nonvenomous (W59.-)
X21 Contact with venomous spiders

Includes: black widow spider
tarantula
X22 Contact with scorpions
X23 Contact with hornets, wasps and bees

Includes: yellow jacket
X24 Contact with centipedes and venomous millipedes (tropical)
X25 Contact with other venomous arthropods

Includes: ant
caterpillar
XX-64
X26 Contact with venomous marine animals and plants

Includes: coral
jellyfish
nematocysts
sea:
• anemone
• cucumber
• urchin
Excludes: nonvenomous marine animals (W56.-)

sea snakes (X20.-)
X27 Contact with other specified venomous animals
X28 Contact with other specified venomous plants

Includes: injection of poisons or toxins into or through skin by plant thorns, spines
or other mechanisms
Excludes: ingestion of poisonous plants (X49.-)

puncture wound NOS caused by plant thorns or spines (W60.-)
X29 Contact with unspecified venomous animal or plant

Includes: sting (venomous) NOS
venomous bite NOS
Exposure to forces of nature

(X30-X39)
X30 Exposure to excessive natural heat

Includes: excessive heat as the cause of sunstroke
exposure to heat NOS
Excludes: excessive heat of man-made origin (W92.-)
XX-65
X31 Exposure to excessive natural cold

Includes: excessive cold as the cause of:
• chilblains NOS
• immersion foot or hand
exposure to:
• cold NOS
• weather conditions
Excludes: cold of man-made origin (W93.-)

contact with or inhalation of:
• dry ice (W93.-)
• liquefied gas (W93.-)
X32 Exposure to sunlight
X33 Victim of lightning

Excludes: fire caused by lightning (X00-X09)
injury from fall of tree or other object caused by lightning (W20.-)
X34 Victim of earthquake
X35 Victim of volcanic eruption
X36 Victim of avalanche, landslide and other earth movements

Includes: mudslide of cataclysmic nature
Excludes: earthquake (X34.-)

transport accident involving collision with avalanche or landslide not in
motion (V01-V99)
XX-66
X37 Victim of cataclysmic storm

Includes: blizzard
cloudburst
cyclone
hurricane
tidal wave caused by storm
tornado
torrential rain
transport vehicle washed off road by storm
Excludes: collapse of dam or man-made structure causing earth movement (X36.-)

transport accident occurring after storm (V01-V99)
X38 Victim of flood

Includes: flood:
• arising from remote storm
• of cataclysmic nature arising from melting snow
• resulting directly from storm
Excludes: collapse of dam or man-made structure causing earth movement (X36.-)

tidal wave:
• NOS (X39.-)
• caused by storm (X37.-)
X39 Exposure to other and unspecified forces of nature

Includes: exposure NOS
natural radiation NOS
tidal wave NOS
tsunami NOS
XX-67
Accidental poisoning by and exposure to noxious substances

(X40-X49)
Note: For list of specific drugs and other substances classified under the three-character
categories, see Table of drugs and chemicals in Alphabetical Index.
Includes: accidental overdose of drug, wrong drug given or taken in error, and drug taken
inadvertently
accidents in the use of drugs, medicaments and biological substances in medical
and surgical procedures
(self-inflicted) poisoning, when not specified whether accidental or with intent to
harm. Follow legal rulings when available (see note following “Event of
undetermined intent (Y10-Y34)”)
Excludes: administration with suicidal or homicidal intent, or intent to harm, or in other

circumstances classifiable to X60-X69, X85-X90, Y10-Y19
correct drug properly administered in therapeutic or prophylactic dosage as the cause
of any adverse effect (Y40-Y59)
X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and

antirheumatics
Includes: 4-aminophenol derivatives
nonsteroidal anti-inflammatory drugs [NSAID]
pyrazolone derivatives
salicylates
X41 Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic,

Includes: antidepressants
barbiturates
hydantoin derivatives
iminostilbenes
methaqualone compounds
neuroleptics
psychostimulants
succinimides and oxazolidinediones
tranquillizers
XX-68
X42 Accidental poisoning by and exposure to narcotics and psychodysleptics

Includes: cannabis (derivatives)
cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)
X43 Accidental poisoning by and exposure to other drugs acting on the autonomic
nervous system
Includes: parasympatholytics [anticholinergics and antimuscarinics] and
spasmolytics
parasympathomimetics [cholinergics]
sympatholytics [antiadrenergics]
sympathomimetics [adrenergics]
X44 Accidental poisoning by and exposure to other and unspecified drugs,

medicaments and biological substances
Includes: agents primarily acting on smooth and skeletal muscles and the
respiratory system
anaesthetics (general)(local)
drugs affecting the:
• cardiovascular system
• gastrointestinal system
hormones and synthetic substitutes
systemic and haematological agents
systemic antibiotics and other anti-infectives
therapeutic gases
topical preparations
vaccines
water-balance agents and drugs affecting mineral and uric acid
metabolism
XX-69
X45 Accidental poisoning by and exposure to alcohol

Includes: alcohol:
• NOS
• ethyl [ethanol]
• isopropyl [2-propanol]
• methyl [methanol]
fusel oil
X46 Accidental poisoning by and exposure to organic solvents and halogenated

Includes: benzene and homologues
carbon tetrachloride [tetrachloromethane]
chlorofluorocarbons
petroleum (derivatives)
X47 Accidental poisoning by and exposure to other gases and vapours

Includes: carbon monoxide
lacrimogenic gas [tear gas]
motor (vehicle) exhaust gas
nitrogen oxides
sulfur dioxide
utility gas
Excludes: metal fumes and vapours (X49.-)
X48 Accidental poisoning by and exposure to pesticides

Includes: fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excludes: plant foods and fertilizers (X49.-)
XX-70
X49 Accidental poisoning by and exposure to other and unspecified chemicals and
noxious substances
Includes: corrosive aromatics, acids and caustic alkalis
glues and adhesives
metals including fumes and vapours
paints and dyes
plant foods and fertilizers
poisoning NOS
poisonous foodstuffs and poisonous plants
soaps and detergents
Excludes: contact with venomous animals and plants (X20-X29)
Overexertion, travel and privation

(X50-X57)

transport accidents (V01-V99)
X50 Overexertion and strenuous or repetitive movements

Includes: lifting:
• heavy objects
• weights
marathon running
rowing
X51 Travel and motion
X52 Prolonged stay in weightless environment

Includes: weightlessness in spacecraft (simulator)
X53 Lack of food

Includes: lack of food as the cause of:
• inanition
• insufficient nourishment
• starvation
Excludes: neglect or abandonment (Y06.-)
XX-71
X54 Lack of water

Includes: lack of water as the cause of:
• dehydration
• inanition
Excludes: neglect or abandonment (Y06.-)
X57 Unspecified privation

Includes: destitution
Accidental exposure to other and unspecified factors

(X58-X59)
X58 Exposure to other specified factors
X59 Exposure to unspecified factor

Includes: accident NOS
Intentional self-harm
(X60-X84)
Includes: purposely self-inflicted poisoning or injury

suicide (attempted)
X60 Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics

and antirheumatics
salicylates
XX-72
X61 Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic,

barbiturates
iminostilbenes
neuroleptics
psychostimulants
tranquillizers
X62 Intentional self-poisoning by and exposure to narcotics and psychodysleptics

cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)
X63 Intentional self-poisoning by and exposure to other drugs acting on the

autonomic nervous system
Includes: parasympatholytics [anticholinergics] and antimuscarinics] and
spasmolytics
XX-73
X64 Intentional self-poisoning by and exposure to other and unspecified drugs,

medicaments and biological substances
respiratory system
therapeutic gases
vaccines
metabolism
X65 Intentional self-poisoning by and exposure to alcohol

Includes: alcohol:
• NOS
• ethyl [ethanol]
fusel oil
X66 Intentional self-poisoning by and exposure to organic solvents and halogenated

chlorofluorocarbons
XX-74
X67 Intentional self-poisoning by and exposure to other gases and vapours

nitrogen oxides
sulfur dioxide
utility gas
Excludes: metal fumes and vapours (X69.-)
X68 Intentional self-poisoning by and exposure to pesticides

Includes: fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excludes: plant foods and fertilizers (X69.-)
X69 Intentional self-poisoning by and exposure to other and unspecified chemicals

and noxious substances
glues and adhesives
paints and dyes
X70 Intentional self-harm by hanging, strangulation and suffocation
X71 Intentional self-harm by drowning and submersion
X72 Intentional self-harm by handgun discharge
X73 Intentional self-harm by rifle, shotgun and larger firearm discharge
X74 Intentional self-harm by other and unspecified firearm discharge
XX-75
X75 Intentional self-harm by explosive material
X76 Intentional self-harm by smoke, fire and flames
X77 Intentional self-harm by steam, hot vapours and hot objects
X78 Intentional self-harm by sharp object
X79 Intentional self-harm by blunt object
X80 Intentional self-harm by jumping from a high place

Includes: intentional fall from one level to another
X81 Intentional self-harm by jumping or lying before moving object
X82 Intentional self-harm by crashing of motor vehicle

Includes: intentional collision with:
• motor vehicle
• train
• tram (streetcar)
Excludes: crashing of aircraft (X83.-)
X83 Intentional self-harm by other specified means

Includes: intentional self-harm by:
• caustic substances, except poisoning
• crashing of aircraft
• electrocution
X84 Intentional self-harm by unspecified means
XX-76
Assault
(X85-Y09)
Includes: homicide
injuries inflicted by another person with intent to injure or kill, by any means
Excludes: injuries due to:

• legal intervention (Y35.-)
• operations of war (Y36.-)
X85 Assault by drugs, medicaments and biological substances

Includes: homicidal poisoning by (any):
• biological substance
• drug
• medicament
X86 Assault by corrosive substance

Excludes: corrosive gas (X88.-)
X87 Assault by pesticides

Includes: wood preservatives
Excludes: plant food and fertilizers (X89.-)
X88 Assault by gases and vapours
X89 Assault by other specified chemicals and noxious substances

Includes: plant food and fertilizers
X90 Assault by unspecified chemical or noxious substance

Includes: homicidal poisoning NOS
X91 Assault by hanging, strangulation and suffocation
X92 Assault by drowning and submersion
XX-77
X93 Assault by handgun discharge
X94 Assault by rifle, shotgun and larger firearm discharge
X95 Assault by other and unspecified firearm discharge
X96 Assault by explosive material

Excludes: incendiary device (X97.-)
X97 Assault by smoke, fire and flames

Includes: arson
cigarettes
incendiary device
X98 Assault by steam, hot vapours and hot objects
X99 Assault by sharp object

Includes: stabbed NOS
XX-78
Y00 Assault by blunt object
Y01 Assault by pushing from high place
Y02 Assault by pushing or placing victim before moving object
Y03 Assault by crashing of motor vehicle

Includes: deliberately hitting or running over with motor vehicle
Y04 Assault by bodily force

Includes: unarmed brawl or fight
Excludes: assault by:

• strangulation (X91.-)
• submersion (X92.-)
• use of weapon (X93-X95, X99.-, Y00.-)
sexual assault by bodily force (Y05.-)
Y05 Sexual assault by bodily force

Includes: rape (attempted)
sodomy (attempted)
Y06 Neglect and abandonment
Y06.0 By spouse or partner
Y06.1 By parent
Y06.2 By acquaintance or friend
Y06.8 By other specified persons
Y06.9 By unspecified person
XX-79
Y07 Other maltreatment syndromes

Includes: mental cruelty
physical abuse
sexual abuse
torture
Excludes: neglect and abandonment (Y06.-)

sexual assault by bodily force (Y05.-)
Y07.0 By spouse or partner
Y07.1 By parent
Y07.2 By acquaintance or friend
Y07.3 By official authorities
Y07.8 By other specified persons
Y07.9 By unspecified person
Y08 Assault by other specified means
Y09 Assault by unspecified means

Includes: assassination (attempt) NOS
homicide (attempt) NOS
manslaughter (nonaccidental)
murder (attempt) NOS
XX-80
Event of undetermined intent

(Y10-Y34)
Note: This section covers events where available information is insufficient to enable a
medical or legal authority to make a distinction between accident, self-harm and
assault. It includes self-inflicted injuries, but not poisoning, when not specified
whether accidental or with intent to harm (X40-X49). Follow legal rulings when
available.
Y10 Poisoning by and exposure to nonopioid analgesics, antipyretics and

antirheumatics, undetermined intent
salicylates
Y11 Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism

and psychotropic drugs, not elsewhere classified, undetermined intent
barbiturates
iminostilbenes
neuroleptics
psychostimulants
tranquillizers
Y12 Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens],

not elsewhere classified, undetermined intent
cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)
XX-81
Y13 Poisoning by and exposure to other drugs acting on the autonomic nervous
system, undetermined intent
Includes: parasympatholytics [anticholinergics and antimuscarinics] spasmolytics
Y14 Poisoning by and exposure to other and unspecified drugs, medicaments and
biological substances, undetermined intent
respiratory system
therapeutic gases
vaccines
metabolism
Y15 Poisoning by and exposure to alcohol, undetermined intent

Includes: alcohol:
• NOS
• ethyl [ethanol]
fusel oil
Y16 Poisoning by and exposure to organic solvents and halogenated hydrocarbons

and their vapours, undetermined intent
chlorofluorocarbons
XX-82
Y17 Poisoning by and exposure to other gases and vapours, undetermined intent
nitrogen oxides
sulfur dioxide
utility gas
Excludes: metal fumes and vapours (Y19.-)
Y18 Poisoning by and exposure to pesticides, undetermined intent

Includes: fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excludes: plant foods and fertilizers (Y19.-)
Y19 Poisoning by and exposure to other and unspecified chemicals and noxious
substances, undetermined intent
glues and adhesives
paints and dyes
Y20 Hanging, strangulation and suffocation, undetermined intent
Y21 Drowning and submersion, undetermined intent
Y22 Handgun discharge, undetermined intent
Y23 Rifle, shotgun and larger firearm discharge, undetermined intent
Y24 Other and unspecified firearm discharge, undetermined intent
XX-83
Y25 Contact with explosive material, undetermined intent
Y26 Exposure to smoke, fire and flames, undetermined intent
Y27 Contact with steam, hot vapours and hot objects, undetermined intent
Y28 Contact with sharp object, undetermined intent
Y29 Contact with blunt object, undetermined intent
Y30 Falling, jumping or pushed from a high place, undetermined intent

Includes: victim falling from one level to another, undetermined intent
Y31 Falling, lying or running before or into moving object, undetermined intent
Y32 Crashing of motor vehicle, undetermined intent
Y33 Other specified events, undetermined intent
Y34 Unspecified event, undetermined intent
Legal intervention and operations of war

(Y35-Y36)
Y35 Legal intervention

Includes: injuries inflicted by the police or other law-enforcing agents,
including military on duty, in the course of arresting or attempting to
arrest lawbreakers, suppressing disturbances, maintaining order, and
other legal action
legal execution
Excludes: injuries to military personnel and civilians caused by war and civil
insurrection (Y36.0-Y36.9)
Y35.0 Legal intervention involving firearm discharge

Legal intervention with:
• machine gun
• revolver
• rifle pellet or rubber bullet
XX-84
Y35.1 Legal intervention involving explosives

Legal intervention with:
• dynamite
• explosive shell
• grenade
• mortar bomb
Y35.2 Legal intervention involving gas

Asphyxiation by gas
Injury by tear gas due to legal intervention
Poisoning by gas
Y35.3 Legal intervention involving blunt objects

Hit, struck by:
• baton
• blunt object during legal intervention
• stave
Y35.4 Legal intervention involving sharp objects

Cut
Injured by bayonet during legal intervention
Stabbed
Y35.5 Legal execution

Any execution performed at the behest of the judiciary or ruling
authority [whether permanent or temporary], such as:
• asphyxiation by gas
• beheading, decapitation (by guillotine)
• capital punishment
• electrocution
• hanging
• poisoning
• shooting
Y35.6 Legal intervention involving other specified means

Manhandling
Y35.7 Legal intervention, means unspecified
XX-85
Y36 Operations of war
Note: Injuries due to operations of war occurring after cessation of hostilities

are classified to Y36.8.
Includes: injuries to military personnel and civilians caused by war and civil
insurrection
Y36.0 War operations involving explosion of marine weapons

Depth-charge
Marine mine
Mine NOS, at sea or in harbour
Sea-based artillery shell
Torpedo
Underwater blast
Y36.1 War operations involving destruction of aircraft

Aircraft:
• burned
• exploded
• shot down
Crushed by falling aircraft
XX-86
Y36.2 War operations involving other explosions and fragments

Accidental explosion of:
• munitions being used in war
• own weapons
Antipersonnel bomb (fragments)
Explosion (of):
• artillery shell
• breech-block
• cannon block
• mortar bomb
Fragments from:
• artillery shell during war operations
• bomb
• grenade
• guided missile
• land-mine
• rocket
• shell
• shrapnel
Mine NOS
Y36.3 War operations involving fires, conflagrations and hot substances

Asphyxia originating from fire caused directly by
Burns a fire-producing device or indirectly
Other injury by any conventional weapon
Petrol bomb
Y36.4 War operations involving firearm discharge and other forms of conventional
warfare
Battle wounds
Bayonet injury
Bullet:
• carbine
• machine gun
• pistol
• rifle
• rubber (rifle)
Drowned in war operations NOS
Pellets (shotgun)
XX-87
Y36.5 War operations involving nuclear weapons

Blast effects
Exposure to ionizing radiation from nuclear weapon
Fireball effects
Heat
Other direct and secondary effects of nuclear weapons
Y36.6 War operations involving biological weapons
Y36.7 War operations involving chemical weapons and other forms of unconventional
warfare
Gases, fumes and chemicals
Lasers
Y36.8 War operations occurring after cessation of hostilities

Injuries by explosion of bombs or mines placed in the course of
operations of war, if the explosion occurred after cessation of
hostilities
Injuries due to operations of war and classifiable to Y36.0-Y36.7 or
Y36.9 but occurring after cessation of hostilities
Y36.9 War operations, unspecified
Complications of medical and surgical care

(Y40-Y84)
Includes: complications of medical devices

correct drug properly administered in therapeutic or prophylactic dosage as the cause
of any adverse effect
misadventures to patients during surgical and medical care
surgical and 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
Excludes: accidental overdose of drug or wrong drug given or taken in error (X40-X44)
XX-88
Drugs, medicaments and biological substances causing adverse effects in therapeutic

use
(Y40-Y59)
Note: For list of specific drugs classified under the fourth-character place of occurrence
codes, see Table of drugs and chemicals in Alphabetical Index.
Excludes: accidents in the technique of administration of drugs, medicaments and biological

substances in medical and surgical procedures (Y60-Y69)
Y40 Systemic antibiotics

Excludes: antibiotics, topically used (Y56.-)
antineoplastic antibiotics (Y43.3)
Y40.0 Penicillins
Y40.1 Cefalosporins and other β-lactam antibiotics
Y40.2 Chloramphenicol group
Y40.3 Macrolides
Y40.4 Tetracyclines
Y40.5 Aminoglycosides
Streptomycin
Y40.6 Rifamycins
Y40.7 Antifungal antibiotics, systemically used
Y40.8 Other systemic antibiotics
Y40.9 Systemic antibiotic, unspecified
XX-89
Y41 Other systemic anti-infectives and antiparasitics

Excludes: anti-infectives, topically used (Y56.-)
Y41.0 Sulfonamides
Y41.1 Antimycobacterial drugs

Excludes: rifamycins (Y40.6)
streptomycin (Y40.5)
Y41.2 Antimalarials and drugs acting on other blood protozoa

Excludes: hydroxyquinoline derivatives (Y41.8)
Y41.3 Other antiprotozoal drugs
Y41.4 Anthelminthics
Y41.5 Antiviral drugs

Excludes: amantadine (Y46.7)
cytarabine (Y43.1)
Y41.8 Other specified systemic anti-infectives and antiparasitics

Hydroxyquinoline derivatives
Excludes: antimalarial drugs (Y41.2)
Y41.9 Systemic anti-infective and antiparasitic, unspecified
Y42 Hormones and their synthetic substitutes and antagonists, not elsewhere
classified
Excludes: mineralocorticoids and their antagonists (Y54.0-Y54.1)
oxytocic hormones (Y55.0)
parathyroid hormones and derivatives (Y54.7)
Y42.0 Glucocorticoids and synthetic analogues

Excludes: glucocorticoids, topically used (Y56.-)
Y42.1 Thyroid hormones and substitutes
Y42.2 Antithyroid drugs
XX-90
Y42.3 Insulin and oral hypoglycaemic [antidiabetic] drugs
Y42.4 Oral contraceptives

Multiple- and single-ingredient preparations
Y42.5 Other estrogens and progestogens

Mixtures and substitutes
Y42.6 Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified

Tamoxifen
Y42.7 Androgens and anabolic congeners
Y42.8 Other and unspecified hormones and their synthetic substitutes

Anterior pituitary [adenohypophyseal] hormones
Y42.9 Other and unspecified hormone antagonists
Y43 Primarily systemic agents

Excludes: vitamins NEC (Y57.7)
Y43.0 Antiallergic and antiemetic drugs

Excludes: phenothiazine-based neuroleptics (Y49.3)
Y43.1 Antineoplastic antimetabolites

Cytarabine
Y43.2 Antineoplastic natural products
Y43.3 Other antineoplastic drugs

Antineoplastic antibiotics
Excludes: tamoxifen (Y42.6)
Y43.4 Immunosuppressive agents
Y43.5 Acidifying and alkalizing agents
Y43.6 Enzymes, not elsewhere classified
XX-91
Y43.8 Other primarily systemic agents, not elsewhere classified

Heavy-metal antagonists
Y43.9 Primarily systemic agent, unspecified
Y44 Agents primarily affecting blood constituents
Y44.0 Iron preparations and other anti-hypochromic-anaemia preparations
Y44.1 Vitamin B12, folic acid and other anti-megaloblastic-anaemia preparations
Y44.2 Anticoagulants
Y44.3 Anticoagulant antagonists, vitamin K and other coagulants
Y44.4 Antithrombotic drugs [platelet-aggregation inhibitors]

Excludes: acetylsalicylic acid (Y45.1)
dipyridamole (Y52.3)
Y44.5 Thrombolytic drugs
Y44.6 Natural blood and blood products

Excludes: immunoglobulin (Y59.3)
Y44.7 Plasma substitutes
Y44.9 Other and unspecified agents affecting blood constituents
Y45 Analgesics, antipyretics and anti-inflammatory drugs
Y45.0 Opioids and related analgesics
Y45.1 Salicylates
Y45.2 Propionic acid derivatives

Propanoic acid derivatives
Y45.3 Other nonsteroidal anti-inflammatory drugs [NSAID]
XX-92
Y45.4 Antirheumatics
Excludes: chloroquine (Y41.2)
glucocorticoids (Y42.0)
salicylates (Y45.1)
Y45.5 4-Aminophenol derivatives
Y45.8 Other analgesics and antipyretics
Y45.9 Analgesic, antipyretic and anti-inflammatory drug, unspecified
Y46 Antiepileptics and antiparkinsonism drugs

Excludes: acetazolamide (Y54.2)
barbiturates NEC (Y47.0)
benzodiazepines (Y47.1)
paraldehyde (Y47.3)
Y46.0 Succinimides
Y46.1 Oxazolidinediones
Y46.2 Hydantoin derivatives
Y46.3 Deoxybarbiturates
Y46.4 Iminostilbenes
Carbamazepine
Y46.5 Valproic acid
Y46.6 Other and unspecified antiepileptics
Y46.7 Antiparkinsonism drugs

Amantadine
Y46.8 Antispasticity drugs

Excludes: benzodiazepines (Y47.1)
XX-93
Y47 Sedatives, hypnotics and antianxiety drugs
Y47.0 Barbiturates, not elsewhere classified

Excludes: deoxybarbiturates (Y46.3)
thiobarbiturates (Y48.1)
Y47.1 Benzodiazepines
Y47.2 Cloral derivatives
Y47.3 Paraldehyde
Y47.4 Bromine compounds
Y47.5 Mixed sedatives and hypnotics, not elsewhere classified
Y47.8 Other sedatives, hypnotics and antianxiety drugs

Methaqualone
Y47.9 Sedative, hypnotic and antianxiety drug, unspecified

Sleeping:
• draught
• drug NOS
• tablet
Y48 Anaesthetics and therapeutic gases
Y48.0 Inhaled anaesthetics
Y48.1 Parenteral anaesthetics

Thiobarbiturates
Y48.2 Other and unspecified general anaesthetics
Y48.3 Local anaesthetics
Y48.4 Anaesthetic, unspecified
Y48.5 Therapeutic gases
XX-94
Y49 Psychotropic drugs, not elsewhere classified

Excludes: appetite depressants [anorectics] (Y57.0)
barbiturates NEC (Y47.0)
benzodiazepines (Y47.1)
caffeine (Y50.2)
cocaine (Y48.3)
methaqualone (Y47.8)
Y49.0 Tricyclic and tetracyclic antidepressants
Y49.1 Monoamine-oxidase-inhibitor antidepressants
Y49.2 Other and unspecified antidepressants
Y49.3 Phenothiazine antipsychotics and neuroleptics
Y49.4 Butyrophenone and thioxanthene neuroleptics
Y49.5 Other antipsychotics and neuroleptics

Excludes: rauwolfia (Y52.5)
Y49.6 Psychodysleptics [hallucinogens]
Y49.7 Psychostimulants with abuse potential
Y49.8 Other psychotropic drugs, not elsewhere classified
Y49.9 Psychotropic drug, unspecified
Y50 Central nervous system stimulants, not elsewhere classified
Y50.0 Analeptics
Y50.1 Opioid receptor antagonists
Y50.2 Methylxanthines, not elsewhere classified

Caffeine
Excludes: aminophylline (Y55.6)

theobromine (Y55.6)
theophylline (Y55.6)
XX-95
Y50.8 Other central nervous system stimulants
Y50.9 Central nervous system stimulant, unspecified
Y51 Drugs primarily affecting the autonomic nervous system
Y51.0 Anticholinesterase agents
Y51.1 Other parasympathomimetics [cholinergics]
Y51.2 Ganglionic blocking drugs, not elsewhere classified
Y51.3 Other parasympatholytics [anticholinergics and antimuscarinics] and

spasmolytics, not elsewhere classified
Papaverine
Y51.4 Predominantly α-adrenoreceptor agonists, not elsewhere classified

Metaraminol
Y51.5 Predominantly β-adrenoreceptor agonists, not elsewhere classified

Excludes: salbutamol (Y55.6)
Y51.6 α-Adrenoreceptor antagonists, not elsewhere classified

Excludes: ergot alkaloids (Y55.0)
Y51.7 β-Adrenoreceptor antagonists, not elsewhere classified
Y51.8 Centrally acting and adrenergic-neuron-blocking agents, not elsewhere

classified
Excludes: clonidine (Y52.5)
guanethidine (Y52.5)
Y51.9 Other and unspecified drugs primarily affecting the autonomic nervous system
Drugs stimulating both α- and β-adrenoreceptors
Y52 Agents primarily affecting the cardiovascular system

Excludes: metaraminol (Y51.4)
Y52.0 Cardiac-stimulant glycosides and drugs of similar action
Y52.1 Calcium-channel blockers
XX-96
Y52.2 Other antidysrhythmic drugs, not elsewhere classified

Excludes: β-adrenoreceptor antagonists (Y51.7)
Y52.3 Coronary vasodilators, not elsewhere classified

Dipyridamole

calcium-channel blockers (Y52.1)
Y52.4 Angiotensin-converting-enzyme inhibitors
Y52.5 Other antihypertensive drugs, not elsewhere classified

Clonidine
Guanethidine
Rauwolfia

calcium-channel blockers (Y52.1)
diuretics (Y54.0-Y54.5)
Y52.6 Antihyperlipidaemic and antiarteriosclerotic drugs
Y52.7 Peripheral vasodilators

Nicotinic acid (derivatives)
Excludes: papaverine (Y51.3)
Y52.8 Antivaricose drugs, including sclerosing agents
Y52.9 Other and unspecified agents primarily affecting the cardiovascular system
Y53 Agents primarily affecting the gastrointestinal system
Y53.0 Histamine H2-receptor antagonists
Y53.1 Other antacids and anti-gastric-secretion drugs
Y53.2 Stimulant laxatives
Y53.3 Saline and osmotic laxatives
XX-97
Y53.4 Other laxatives

Intestinal atonia drugs
Y53.5 Digestants
Y53.6 Antidiarrhoeal drugs

Excludes: systemic antibiotics and other anti-infectives (Y40-Y41)
Y53.7 Emetics
Y53.8 Other agents primarily affecting the gastrointestinal system
Y53.9 Agent primarily affecting the gastrointestinal system, unspecified
Y54 Agents primarily affecting water-balance and mineral and uric acid metabolism
Y54.0 Mineralocorticoids
Y54.1 Mineralocorticoid antagonists [aldosterone antagonists]
Y54.2 Carbonic-anhydrase inhibitors

Acetazolamide
Y54.3 Benzothiadiazine derivatives
Y54.4 Loop [high-ceiling] diuretics
Y54.5 Other diuretics
Y54.6 Electrolytic, caloric and water-balance agents

Oral rehydration salts
Y54.7 Agents affecting calcification

Parathyroid hormones and derivatives
Vitamin D group
Y54.8 Agents affecting uric acid metabolism
Y54.9 Mineral salts, not elsewhere classified
XX-98
Y55 Agents primarily acting on smooth and skeletal muscles and the respiratory
system
Y55.0 Oxytocic drugs

Ergot alkaloids
Excludes: estrogens, progestogens and antagonists (Y42.5-Y42.6)
Y55.1 Skeletal muscle relaxants [neuromuscular blocking agents]

Excludes: antispasticity drugs (Y46.8)
Y55.2 Other and unspecified agents primarily acting on muscles
Y55.3 Antitussives
Y55.4 Expectorants
Y55.5 Anti-common-cold drugs
Y55.6 Antiasthmatics, not elsewhere classified

Aminophylline
Salbutamol
Theobromine
Theophylline
Excludes: β-adrenoreceptor agonists (Y51.5)

anterior pituitary [adenohypophyseal] hormones (Y42.8)
Y55.7 Other and unspecified agents primarily acting on the respiratory system
Y56 Topical agents primarily affecting skin and mucous membrane and
ophthalmological, otorhinolaryngological and dental drugs
Includes: glucocorticoids, topically used
Y56.0 Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere

classified
Y56.1 Antipruritics
Y56.2 Local astringents and local detergents
XX-99
Y56.3 Emollients, demulcents and protectants
Y56.4 Keratolytics, keratoplastics and other hair treatment drugs and preparations
Y56.5 Ophthalmological drugs and preparations
Y56.6 Otorhinolaryngological drugs and preparations
Y56.7 Dental drugs, topically applied
Y56.8 Other topical agents

Spermicides
Y56.9 Topical agent, unspecified
Y57 Other and unspecified drugs and medicaments
Y57.0 Appetite depressants [anorectics]
Y57.1 Lipotropic drugs
Y57.2 Antidotes and chelating agents, not elsewhere classified
Y57.3 Alcohol deterrents
Y57.4 Pharmaceutical excipients
Y57.5 X-ray contrast media
Y57.6 Other diagnostic agents
Y57.7 Vitamins, not elsewhere classified

Excludes: nicotinic acid (Y52.7)
vitamin B12 (Y44.1)
vitamin D (Y54.7)
vitamin K (Y44.3)
Y57.8 Other drugs and medicaments
Y57.9 Drug or medicament, unspecified
XX-100
Y58 Bacterial vaccines
Y58.0 BCG vaccine
Y58.1 Typhoid and paratyphoid vaccine
Y58.2 Cholera vaccine
Y58.3 Plague vaccine
Y58.4 Tetanus vaccine
Y58.5 Diphtheria vaccine
Y58.6 Pertussis vaccine, including combinations with a pertussis component
Y58.8 Mixed bacterial vaccines, except combinations with a pertussis component
Y58.9 Other and unspecified bacterial vaccines
Y59 Other and unspecified vaccines and biological substances
Y59.0 Viral vaccines
Y59.1 Rickettsial vaccines
Y59.2 Protozoal vaccines
Y59.3 Immunoglobulin
Y59.8 Other specified vaccines and biological substances
Y59.9 Vaccine or biological substance, unspecified
XX-101
Misadventures to patients during surgical and medical care

(Y60-Y69)
Excludes: medical devices associated with adverse incidents in diagnostic and therapeutic use
(Y70-Y82)
surgical and medical procedures as the cause of abnormal reaction of the patient,
without mention of misadventure at the time of the procedure (Y83-Y84)
Y60 Unintentional cut, puncture, perforation or haemorrhage during surgical and

medical care
Y60.0 During surgical operation
Y60.1 During infusion or transfusion
Y60.2 During kidney dialysis or other perfusion
Y60.3 During injection or immunization
Y60.4 During endoscopic examination
Y60.5 During heart catheterization
Y60.6 During aspiration, puncture and other catheterization
Y60.7 During administration of enema
Y60.8 During other surgical and medical care
Y60.9 During unspecified surgical and medical care
Y61 Foreign object accidentally left in body during surgical and medical care
XX-102
Y61.7 During removal of catheter or packing
Y62 Failure of sterile precautions during surgical and medical care
Y63 Failure in dosage during surgical and medical care

Excludes: accidental overdose of drug or wrong drug given in error (X40-X44)
Y63.0 Excessive amount of blood or other fluid given during transfusion or infusion
Y63.1 Incorrect dilution of fluid used during infusion
Y63.2 Overdose of radiation given during therapy
XX-103
Y63.3 Inadvertent exposure of patient to radiation during medical care
Y63.4 Failure in dosage in electroshock or insulin-shock therapy
Y63.5 Inappropriate temperature in local application and packing
Y63.6 Nonadministration of necessary drug, medicament or biological substance
Y63.8 Failure in dosage during other surgical and medical care
Y63.9 Failure in dosage during unspecified surgical and medical care
Y64 Contaminated medical or biological substances
Y64.0 Contaminated medical or biological substance, transfused or infused
Y64.1 Contaminated medical or biological substance, injected or used for

immunization
Y64.8 Contaminated medical or biological substance administered by other means
Y64.9 Contaminated medical or biological substance administered by unspecified

means
Administered contaminated medical or biological substance NOS
Y65 Other misadventures during surgical and medical care
Y65.0 Mismatched blood used in transfusion
Y65.1 Wrong fluid used in infusion
Y65.2 Failure in suture or ligature during surgical operation
Y65.3 Endotracheal tube wrongly placed during anaesthetic procedure
Y65.4 Failure to introduce or to remove other tube or instrument
Y65.5 Performance of inappropriate operation
Y65.8 Other specified misadventures during surgical and medical care
XX-104
Y66 Nonadministration of surgical and medical care

Premature cessation of surgical and medical care
Y69 Unspecified misadventure during surgical and medical care
Medical devices associated with adverse incidents in diagnostic and therapeutic use
(Y70-Y82)
The following fourth-character place of occurrence codes are for use with categories Y70-Y82:
.0 Diagnostic and monitoring devices

.1 Therapeutic (nonsurgical) and rehabilitative devices
.2 Prosthetic and other implants, materials and accessory devices
.3 Surgical instruments, materials and devices (including sutures)
.8 Miscellaneous devices, not elsewhere classified
Y70 Anaesthesiology devices associated with adverse incidents
Y71 Cardiovascular devices associated with adverse incidents
Y72 Otorhinolaryngological devices associated with adverse incidents
Y73 Gastroenterology and urology devices associated with adverse incidents
Y74 General hospital and personal-use devices associated with adverse incidents
Y75 Neurological devices associated with adverse incidents
Y76 Obstetric and gynaecological devices associated with adverse incidents
Y77 Ophthalmic devices associated with adverse incidents
Y78 Radiological devices associated with adverse incidents
Y79 Orthopaedic devices associated with adverse incidents
Y80 Physical medicine devices associated with adverse incidents
XX-105
Y81 General- and plastic-surgery devices associated with adverse incidents
Y82 Other and unspecified medical devices associated with adverse incidents
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
(Y83-Y84)
Y83 Surgical operation and other surgical procedures as the cause of abnormal
reaction of the patient, or of later complication, without mention of
misadventure at the time of the procedure
Y83.0 Surgical operation with transplant of whole organ
Y83.1 Surgical operation with implant of artificial internal device
Y83.2 Surgical operation with anastomosis, bypass or graft
Y83.3 Surgical operation with formation of external stoma
Y83.4 Other reconstructive surgery
Y83.5 Amputation of limb(s)
Y83.6 Removal of other organ (partial) (total)
Y83.8 Other surgical procedures
Y83.9 Surgical procedure, unspecified
Y84 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
Y84.0 Cardiac catheterization
Y84.1 Kidney dialysis
Y84.2 Radiological procedure and radiotherapy
XX-106
Y84.3 Shock therapy
Y84.4 Aspiration of fluid
Y84.5 Insertion of gastric or duodenal sound
Y84.6 Urinary catheterization
Y84.7 Blood-sampling
Y84.8 Other medical procedures
Y84.9 Medical procedure, unspecified
Sequelae of external causes of morbidity and mortality

(Y85-Y89)
Note: Categories Y85-Y89 are to be used to indicate circumstances as the cause of death,
impairment or disability from sequelae or "late effects", which are themselves
classified elsewhere. The sequelae include conditions reported as such, or occurring
as "late effects" one year or more after the originating event.
Y85 Sequelae of transport accidents
Y85.0 Sequelae of motor-vehicle accident (V01-V89)
Y85.9 Sequelae of other and unspecified transport accidents (V90-V99)
Y86 Sequelae of other accidents
Y87 Sequelae of intentional self-harm, assault and events of undetermined intent
Y87.0 Sequelae of intentional self-harm (X60-X84)
Y87.1 Sequelae of assault (X85-Y09)
Y87.2 Sequelae of events of undetermined intent (Y10-Y34)
XX-107
Y88 Sequelae with surgical and medical care as external cause
Y88.0 Sequelae of adverse effects caused by drugs, medicaments and biological

substances in therapeutic use (Y40-Y59)
Y88.1 Sequelae of misadventures to patients during surgical and medical procedures

(Y60-Y69)
Y88.2 Sequelae of adverse incidents associated with medical devices in diagnostic and
therapeutic use (Y70-Y82)
Y88.3 Sequelae of surgical and 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 (Y83-Y84)
Y89 Sequelae of other external causes
Y89.0 Sequelae of legal intervention
Y89.1 Sequelae of war operations
Y89.9 Sequelae of unspecified external cause
XX-108
________________________________________________________________________
Morphology of neoplasms
________________________________________________________________________
Morphology of neoplasms
The second edition of the International Classification of Diseases for Oncology (ICD-O) was
published in 1990. It contains a coded nomenclature for the morphology of neoplasms, which is
reproduced here for those who wish to use it in conjunction with Chapter II.
The morphology code numbers consist of five digits; the first four identify the histological type of
the neoplasm and the fifth, following a slash or solidus, indicates its behaviour. The one-digit
behaviour code is as follows:
/0 Benign
/1 Uncertain whether benign or malignant

Borderline malignancy1
Low malignant potential1
/2 Carcinoma in situ
Intraepithelial
Noninfiltrating
Noninvasive
/3 Malignant, primary site
/6 Malignant, metastatic site

Malignant, secondary site
/9 Malignant, uncertain whether primary or metastatic site
In the nomenclature given here, the morphology code numbers include the behaviour code
appropriate to the histological type of neoplasm; this behaviour code should be changed if the other
reported information makes this appropriate. For example, chordoma is assumed to be malignant and
is therefore assigned the code number M9370/3; the term "benign chordoma" should, however, be
coded M9370/0. Similarly, superficial spreading adenocarcinoma (M8143/3) should be coded
M8143/2 when described as "noninvasive", and melanoma (M8720/3), when described as
"secondary", should be coded M8720/6.
1
Except cystadenomas of ovary in M844-M849, which are considered to be malignant.
Μorphology-1
The following table shows the correspondence between the behaviour code and the different sections
of Chapter II:
_____________________________________________________________________________
Behaviour Chapter II
code categories
_____________________________________________________________________________
/0 Benign neoplasms D10-D36

/1 Neoplasms of uncertain and unknown behaviour D37-D48
/2 In situ neoplasms D00-D09
/3 Malignant neoplasms, stated or C00-C76
presumed to be primary C80-C97
/6 Malignant neoplasms, stated or presumed C77-C79
to be secondary
_____________________________________________________________________________
The ICD-O behaviour digit /9 is not applicable in the ICD context, since all malignant neoplasms are
presumed to be primary (/3) or secondary (/6), according to other information on the medical record.
Only the first-listed term of the full ICD-O morphology nomenclature appears against each code
number in the list given here. The Alphabetical Index (Volume 3), however, includes all the ICD-O
synonyms as well as a number of other morphological descriptions still likely to be encountered on
medical records but omitted from ICD-O as outdated or otherwise undesirable.
Some types of neoplasm are specific to certain sites or types of tissue. For example, nephroblastoma
(M8960/3), by definition, always arises in the kidney; hepatocellular carcinoma (M8170/3) is always
primary in the liver; and basal cell carcinoma (M8090/3) usually arises in the skin. For such terms
the appropriate code from Chapter II has been added in parentheses in the nomenclature. Thus
nephroblastoma is followed by the code for malignant neoplasm of kidney (C64). For basal cell
carcinoma the code for malignant neoplasm of skin (C44.-) is given with the fourth character left
open. The appropriate fourth character for the reported site should be used. The Chapter II codes
assigned to the morphologic terms should be used when the site of the neoplasm is not given in the
diagnosis. Chapter II codes have not been assigned to many of the morphology terms because the
histologic types can arise in more than one organ or type of tissue. For example, "Adenocarcinoma
NOS" (M8140/3) has no assigned Chapter II code because it can be primary in many different
organs.
Μorphology-2
MORPHOLOGY OF NEOPLASMS
Occasionally a problem arises when a site given in a diagnosis is different from the site indicated by
the site-specific code. In such instances, the given Chapter II code should be ignored and the
appropriate code for the site included in the diagnosis should be used. For example, C50.- (breast) is
added to the morphologic term Infiltrating duct carcinoma (M8500/3), because this type of
carcinoma usually arises in the breast. However, if the term "Infiltrating duct carcinoma" is used for
a primary carcinoma arising in the pancreas, the correct code would be C25.9 (Pancreas,
unspecified).
For neoplasms of lymphoid, haematopoietic and related tissue (M959-M998), the relevant codes
from C81-C96 and D45-D47 are given. These Chapter II codes should be used irrespective of the
stated site of the neoplasm.
A coding difficulty sometimes arises where a morphological diagnosis contains two qualifying
adjectives that have different code numbers. An example is "transitional cell epidermoid carcinoma".
"Transitional cell carcinoma NOS" is M8120/3 and "epidermoid carcinoma NOS" is M8070/3. In
such circumstances, the higher number (M8120/3 in this example) should be used, as it is usually
more specific. For other information about the coding of morphology see Part 2a Instruction Manual
(NCHS).
Coded nomenclature for morphology of neoplasms
M800 Neoplasms NOS

M8000/0 Neoplasm, benign
M8000/1 Neoplasm, uncertain whether benign or malignant
M8000/3 Neoplasm, malignant
M8000/6 Neoplasm, metastatic
M8001/0 Tumour cells, benign
M8001/1 Tumour cells, uncertain whether benign or malignant
M8001/3 Tumour cells, malignant
M8002/3 Malignant tumour, small cell type
M8003/3 Malignant tumour, giant cell type
M8004/3 Malignant tumour, fusiform cell type
M801-M804 Epithelial neoplasms NOS

M8010/0 Epithelial tumour, benign
M8010/2 Carcinoma in situ NOS
M8010/3 Carcinoma NOS
M8010/6 Carcinoma, metastatic NOS
M8011/0 Epithelioma, benign
M8011/3 Epithelioma, malignant
Μorphology-3
M8012/3 Large cell carcinoma NOS

M8020/3 Carcinoma, undifferentiated NOS
M8021/3 Carcinoma, anaplastic NOS
M8022/3 Pleomorphic carcinoma
M8030/3 Giant cell and spindle cell carcinoma
M8031/3 Giant cell carcinoma
M8032/3 Spindle cell carcinoma
M8033/3 Pseudosarcomatous carcinoma
M8034/3 Polygonal cell carcinoma
M8040/1 Tumorlet
M8041/3 Small cell carcinoma NOS
M8042/3 Oat cell carcinoma (C34.-)
M8043/3 Small cell carcinoma, fusiform cell (C34.-)
M8044/3 Small cell carcinoma, intermediate cell (C34.-)
M8045/3 Small cell-large cell carcinoma (C34.-)
M805-M808 Squamous cell neoplasms

M8050/0 Papilloma NOS (except Papilloma of urinary bladder M8120/1)
M8050/2 Papillary carcinoma in situ
M8050/3 Papillary carcinoma NOS
M8051/0 Verrucous papilloma
M8051/3 Verrucous carcinoma NOS
M8052/0 Squamous cell papilloma
M8052/3 Papillary squamous cell carcinoma
M8053/0 Inverted papilloma
M8060/0 Papillomatosis NOS
M8070/2 Squamous cell carcinoma in situ NOS
M8070/3 Squamous cell carcinoma NOS
M8070/6 Squamous cell carcinoma, metastatic NOS
M8071/3 Squamous cell carcinoma, keratinizing NOS
M8072/3 Squamous cell carcinoma, large cell, nonkeratinizing
M8073/3 Squamous cell carcinoma, small cell, nonkeratinizing
M8074/3 Squamous cell carcinoma, spindle cell
M8075/3 Adenoid squamous cell carcinoma
M8076/2 Squamous cell carcinoma in situ with questionable stromal invasion (D06.-)
M8076/3 Squamous cell carcinoma, microinvasive (C53.-)
M8077/2 Intraepithelial neoplasia, grade III, of cervix, vulva and vagina
M8080/2 Queyrat's erythroplasia (D07.4)
M8081/2 Bowen's disease
M8082/3 Lymphoepithelial carcinoma
Μorphology-4
M809-M811 Basal cell neoplasms

M8090/1 Basal cell tumour (D48.5)
M8090/3 Basal cell carcinoma NOS (C44.-)
M8091/3 Multicentric basal cell carcinoma (C44.-)
M8092/3 Basal cell carcinoma, morphoea (C44.-)
M8093/3 Basal cell carcinoma, fibroepithelial (C44.-)
M8094/3 Basosquamous carcinoma (C44.-)
M8095/3 Metatypical carcinoma (C44.-)
M8096/0 Intraepidermal epithelioma of Jadassohn (D23.-)
M8100/0 Trichoepithelioma (D23.-)
M8101/0 Trichofolliculoma (D23.-)
M8102/0 Tricholemmoma (D23.-)
M8110/0 Pilomatrixoma NOS (D23.-)
M8110/3 Pilomatrix carcinoma (C44.-)
M812-M813 Transitional cell papillomas and carcinomas

M8120/0 Transitional cell papilloma NOS
M8120/1 Urothelial papilloma
M8120/2 Transitional cell carcinoma in situ
M8120/3 Transitional cell carcinoma NOS
M8121/0 Schneiderian papilloma
M8121/1 Transitional cell papilloma, inverted
M8121/3 Schneiderian carcinoma
M8122/3 Transitional cell carcinoma, spindle cell
M8123/3 Basaloid carcinoma (C21.1)
M8124/3 Cloacogenic carcinoma (C21.2)
M8130/3 Papillary transitional cell carcinoma
M814-M838 Adenomas and adenocarcinomas

M8140/0 Adenoma NOS
M8140/1 Bronchial adenoma NOS (D38.1)
M8140/2 Adenocarcinoma in situ NOS
M8140/3 Adenocarcinoma NOS
M8140/6 Adenocarcinoma, metastatic NOS
M8141/3 Scirrhous adenocarcinoma
M8142/3 Linitis plastica (C16.-)
M8143/3 Superficial spreading adenocarcinoma
M8144/3 Adenocarcinoma, intestinal type (C16.-)
M8145/3 Carcinoma, diffuse type (C16.-)
M8146/0 Monomorphic adenoma
Μorphology-5
M8147/0 Basal cell adenoma (D11.-)

M8147/3 Basal cell adenocarcinoma (C07.-, C08.-)
M8150/0 Islet cell adenoma (D13.7)
M8150/3 Islet cell carcinoma (C25.4)
M8151/0 Insulinoma NOS (D13.7)
M8151/3 Insulinoma, malignant (C25.4)
M8152/0 Glucagonoma NOS (D13.7)
M8152/3 Glucagonoma, malignant (C25.4)
M8153/1 Gastrinoma NOS
M8153/3 Gastrinoma, malignant
M8154/3 Mixed islet cell and exocrine adenocarcinoma (C25.-)
M8155/3 Vipoma
M8160/0 Bile duct adenoma (D13.4, D13.5)
M8160/3 Cholangiocarcinoma (C22.1)
M8161/0 Bile duct cystadenoma
M8161/3 Bile duct cystadenocarcinoma
M8162/3 Klatskin's tumour (C22.1)
M8170/0 Liver cell adenoma (D13.4)
M8170/3 Hepatocellular carcinoma NOS (C22.0)
M8171/3 Hepatocellular carcinoma, fibrolamellar (C22.0)
M8180/3 Combined hepatocellular carcinoma and cholangiocarcinoma (C22.0)
M8190/0 Trabecular adenoma
M8190/3 Trabecular adenocarcinoma
M8191/0 Embryonal adenoma
M8200/0 Eccrine dermal cylindroma (D23.-)
M8200/3 Adenoid cystic carcinoma
M8201/3 Cribriform carcinoma
M8202/0 Microcystic adenoma (D13.7)
M8210/0 Adenmatous polyp NOS
M8210/2 Adenocarcinoma in situ in adenomatous polyp
M8210/3 Adenocarcinoma in adenomatous polyp
M8211/0 Tubular adenoma NOS
M8211/3 Tubular adenocarcinoma
M8220/0 Adenomatous polyposis coli (D12.-)
M8220/3 Adenocarcinoma in adenomatous polyposis coli (C18.-)
M8221/0 Multiple adenomatous polyps
M8221/3 Adenocarcinoma in multiple adenomatous polyps
M8230/3 Solid carcinoma NOS
M8231/3 Carcinoma simplex
M8240/1 Carcinoid tumour NOS, of appendix (D37.3)
Μorphology-6
M8240/3 Carcinoid tumour NOS (except of appendix M8240/1)

M8241/1 Carcinoid tumour, argentaffin NOS
M8241/3 Carcinoid tumour, argentaffin, malignant
M8243/3 Goblet cell carcinoid (C18.1)
M8244/3 Composite carcinoid
M8245/3 Adenocarcinoid tumour
M8246/3 Neuroendocrine carcinoma
M8247/3 Merkel cell carcinoma (C44.-)
M8248/1 Apudoma
M8250/1 Pulmonary adenomatosis (D38.1)
M8250/3 Bronchiolo-alveolar adenocarcinoma (C34.-)
M8251/0 Alveolar adenoma (D14.3)
M8251/3 Alveolar adenocarcinoma (C34.-)
M8260/0 Papillary adenoma NOS
M8260/3 Papillary adenocarcinoma NOS
M8261/1 Villous adenoma NOS
M8261/2 Adenocarcinoma in situ in villous adenoma
M8261/3 Adenocarcinoma in villous adenoma
M8262/3 Villous adenocarcinoma
M8263/0 Tubulovillous adenoma NOS
M8263/2 Adenocarcinoma in situ in tubulovillous adenoma
M8263/3 Adenocarcinoma in tubulovillous adenoma
M8270/0 Chromophobe adenoma (D35.2)
M8270/3 Chromophobe carcinoma (C75.1)
M8271/0 Prolactinoma (D35.2)
M8280/0 Acidophil adenoma (D35.2)
M8280/3 Acidophil carcinoma (C75.1)
M8281/0 Mixed acidophil-basophil adenoma (D35.2)
M8281/3 Mixed acidophil-basophil carcinoma (C75.1)
M8290/0 Oxyphilic adenoma
M8290/3 Oxyphilic adenocarcinoma
M8300/0 Basophil adenoma (D35.2)
M8300/3 Basophil carcinoma (C75.1)
M8310/0 Clear cell adenoma
M8310/3 Clear cell adenocarcinoma NOS
M8311/1 Hypernephroid tumour
M8312/3 Renal cell carcinoma (C64)
M8313/0 Clear cell adenofibroma
M8314/3 Lipid-rich carcinoma (C50.-)
M8315/3 Glycogen-rich carcinoma (C50.-)
Μorphology-7
M8320/3 Granular cell carcinoma

M8321/0 Chief cell adenoma (D35.1)
M8322/0 Water-clear cell adenoma (D35.1)
M8322/3 Water-clear cell adenocarcinoma (C75.0)
M8323/0 Mixed cell adenoma
M8323/3 Mixed cell adenocarcinoma
M8324/0 Lipoadenoma
M8330/0 Follicular adenoma (D34)
M8330/3 Follicular adenocarcinoma NOS (C73)
M8331/3 Follicular adenocarcinoma, well differentiated (C73)
M8332/3 Follicular adenocarcinoma, trabecular (C73)
M8333/0 Microfollicular adenoma (D34)
M8334/0 Macrofollicular adenoma (D34)
M8340/3 Papillary carcinoma, follicular variant (C73)
M8350/3 Nonencapsulated sclerosing carcinoma (C73)
M8360/1 Multiple endocrine adenomas
M8361/1 Juxtaglomerular tumour (D41.0)
M8370/0 Adrenal cortical adenoma NOS (D35.0)
M8370/3 Adrenal cortical carcinoma (C74.0)
M8371/0 Adrenal cortical adenoma, compact cell (D35.0)
M8372/0 Adrenal cortical adenoma, heavily pigmented variant (D35.0)
M8373/0 Adrenal cortical adenoma, clear cell (D35.0)
M8374/0 Adrenal cortical adenoma, glomerulosa cell (D35.0)
M8375/0 Adrenal cortical adenoma, mixed cell (D35.0)
M8380/0 Endometrioid adenoma NOS (D27)
M8380/1 Endometrioid adenoma, borderline malignancy (D39.1)
M8380/3 Endometrioid carcinoma (C56)
M8381/0 Endometrioid adenofibroma NOS (D27)
M8381/1 Endometrioid adenofibroma, borderline malignancy (D39.1)
M8381/3 Endometrioid adenofibroma, malignant (C56)
M839-M842 Adnexal and skin appendage neoplasms

M8390/0 Skin appendage adenoma (D23.-)
M8390/3 Skin appendage carcinoma (C44.-)
M8400/0 Sweat gland adenoma (D23.-)
M8400/1 Sweat gland tumour NOS (D48.5)
M8400/3 Sweat gland adenocarcinoma (C44.-)
M8401/0 Apocrine adenoma
M8401/3 Apocrine adenocarcinoma
M8402/0 Eccrine acrospiroma (D23.-)
Μorphology-8
M8403/0 Eccrine spiradenoma (D23.-)

M8404/0 Hidrocystoma (D23.-)
M8405/0 Papillary hidradenoma (D23.-)
M8406/0 Papillary syringadenoma (D23.-)
M8407/0 Syringoma NOS (D23.-)
M8408/0 Eccrine papillary adenoma (D23.-)
M8410/0 Sebaceous adenoma (D23.-)
M8410/3 Sebaceous adenocarcinoma (C44.-)
M8420/0 Ceruminous adenoma (D23.2)
M8420/3 Ceruminous adenocarcinoma (C44.2)
M843 Mucoepidermoid neoplasms

M8430/1 Mucoepidermoid tumour
M8430/3 Mucoepidermoid carcinoma
M844-M849 Cystic, mucinous and serous neoplasms

M8440/0 Cystadenoma NOS
M8440/3 Cystadenocarcinoma NOS
M8441/0 Serous cystadenoma NOS (D27)
M8441/3 Serous cystadenocarcinoma NOS (C56)
M8442/3 Serous cystadenoma, borderline malignancy (C56)
M8450/0 Papillary cystadenoma NOS (D27)
M8450/3 Papillary cystadenocarcinoma NOS (C56)
M8451/3 Papillary cystadenoma, borderline malignancy (C56)
M8452/1 Papillary cystic tumour (D37.7)
M8460/0 Papillary serous cystadenoma NOS (D27)
M8460/3 Papillary serous cystadenocarcinoma (C56)
M8461/0 Serous surface papilloma (D27)
M8461/3 Serous surface papillary carcinoma (C56)
M8462/3 Papillary serous cystadenoma, borderline malignancy (C56)
M8470/0 Mucinous cystadenoma NOS (D27)
M8470/3 Mucinous cystadenocarcinoma NOS (C56)
M8471/0 Papillary mucinous cystadenoma NOS (D27)
M8471/3 Papillary mucinous cystadenocarcinoma (C56)
M8472/3 Mucinous cystadenoma, borderline malignancy (C56)
M8473/3 Papillary mucinous cystadenoma, borderline malignancy (C56)
M8480/0 Mucinous adenoma
M8480/3 Mucinous adenocarcinoma
M8480/6 Pseudomyxoma peritonei (C78.6)
M8481/3 Mucin-producing adenocarcinoma
Μorphology-9
M8490/3 Signet ring cell carcinoma

M8490/6 Metastatic signet ring cell carcinoma
M850-M854 Ductal, lobular and medullary neoplasms

M8500/2 Intraductal carcinoma, noninfiltrating NOS
M8500/3 Infiltrating duct carcinoma (C50.-)
M8501/2 Comedocarcinoma, noninfiltrating (D05.-)
M8501/3 Comedocarcinoma NOS (C50.-)
M8502/3 Juvenile carcinoma of breast (C50.-)
M8503/0 Intraductal papilloma
M8503/2 Noninfiltrating intraductal papillary adenocarcinoma (D05.-)
M8503/3 Intraductal papillary adenocarcinoma with invasion (C50.-)
M8504/0 Intracystic papillary adenoma
M8504/2 Noninfiltrating intracystic carcinoma
M8504/3 Intracystic carcinoma NOS
M8505/0 Intraductal papillomatosis NOS
M8506/0 Adenoma of nipple (D24)
M8510/3 Medullary carcinoma NOS
M8511/3 Medullary carcinoma with amyloid stroma (C73)
M8512/3 Medullary carcinoma with lymphoid stroma (C50.-)
M8520/2 Lobular carcinoma in situ (D05.0)
M8520/3 Lobular carcinoma NOS (C50.-)
M8521/3 Infiltrating ductular carcinoma (C50.-)
M8522/2 Intraductal carcinoma and lobular carcinoma in situ (D05.7)
M8522/3 Infiltrating duct and lobular carcinoma (C50.-)
M8530/3 Inflammatory carcinoma (C50.-)
M8540/3 Paget's disease, mammary (C50.-)
M8541/3 Paget's disease and infiltrating duct carcinoma of breast (C50.-)
M8542/3 Paget's disease, extramammary (except Paget's disease of bone)
M8543/3 Paget's disease and intraductal carcinoma of breast (C50.-)
M855 Acinar cell neoplasms

M8550/0 Acinar cell adenoma
M8550/1 Acinar cell tumour
M8550/3 Acinar cell carcinoma
M856-M858 Complex epithelial neoplasms

M8560/3 Adenosquamous carcinoma
M8561/0 Adenolymphoma (D11.-)
M8562/3 Epithelial-myoepithelial carcinoma
Μorphology-10
M8570/3 Adenocarcinoma with squamous metaplasia

M8571/3 Adenocarcinoma with cartilaginous and osseous metaplasia
M8572/3 Adenocarcinoma with spindle cell metaplasia
M8573/3 Adenocarcinoma with apocrine metaplasia
M8580/0 Thymoma, benign (D15.0)
M8580/3 Thymoma, malignant (C37)
M859-M867 Specialized gonadal neoplasms

M8590/1 Sex cord-stromal tumour
M8600/0 Thecoma NOS (D27)
M8600/3 Thecoma, malignant (C56)
M8601/0 Thecoma, luteinized (D27)
M8602/0 Sclerosing stromal tumour (D27)
M8610/0 Luteoma NOS (D27)
M8620/1 Granulosa cell tumour NOS (D39.1)
M8620/3 Granulosa cell tumour, malignant (C56)
M8621/1 Granulosa cell-theca cell tumour (D39.1)
M8622/1 Juvenile granulosa cell tumour (D39.1)
M8623/1 Sex cord tumour with annular tubules (D39.1)
M8630/0 Androblastoma, benign
M8630/1 Androblastoma NOS
M8630/3 Androblastoma, malignant
M8631/0 Sertoli-Leydig cell tumour
M8632/1 Gynandroblastoma (D39.1)
M8640/0 Sertoli cell tumour NOS
M8640/3 Sertoli cell carcinoma (C62.-)
M8641/0 Sertoli cell tumour with lipid storage (D27)
M8650/0 Leydig cell tumour, benign (D29.2)
M8650/1 Leydig cell tumour NOS (D40.1)
M8650/3 Leydig cell tumour, malignant (C62.-)
M8660/0 Hilus cell tumour (D27)
M8670/0 Lipid cell tumour of ovary (D27)
M8671/0 Adrenal rest tumour
M868-M871 Paragangliomas and glomus tumours

M8680/1 Paraganglioma NOS
M8680/3 Paraganglioma, malignant
M8681/1 Sympathetic paraganglioma
M8682/1 Parasympathetic paraganglioma
M8683/0 Gangliocytic paraganglioma (D13.2)
Μorphology-11
M8690/1 Glomus jugulare tumour (D44.7)

M8691/1 Aortic body tumour (D44.7)
M8692/1 Carotid body tumour (D44.6)
M8693/1 Extra-adrenal paraganglioma NOS
M8693/3 Extra-adrenal paraganglioma, malignant
M8700/0 Phaeochromocytoma NOS (D35.0)
M8700/3 Phaeochromocytoma, malignant (C74.1)
M8710/3 Glomangiosarcoma
M8711/0 Glomus tumour
M8712/0 Glomangioma
M8713/0 Glomangiomyoma
M872-M879 Naevi and melanomas

M8720/0 Pigmented naevus NOS (D22.-)
M8720/2 Melanoma in situ (D03.-)
M8720/3 Malignant melanoma NOS
M8721/3 Nodular melanoma (C43.-)
M8722/0 Balloon cell naevus (D22.-)
M8722/3 Balloon cell melanoma (C43.-)
M8723/0 Halo naevus (D22.-)
M8723/3 Malignant melanoma, regressing (C43.-)
M8724/0 Fibrous papule of nose (D22.3)
M8725/0 Neuronaevus (D22.-)
M8726/0 Magnocellular naevus (D31.4)
M8727/0 Dysplastic naevus (D22.-)
M8730/0 Nonpigmented naevus (D22.-)
M8730/3 Amelanotic melanoma (C43.-)
M8740/0 Junctional naevus NOS (D22.-)
M8740/3 Malignant melanoma in junctional naevus (C43.-)
M8741/2 Precancerous melanosis NOS (D03.-)
M8741/3 Malignant melanoma in precancerous melanosis (C43.-)
M8742/2 Hutchinson's melanotic freckle NOS (D03.-)
M8742/3 Malignant melanoma in Hutchinson's melanotic freckle (C43.-)
M8743/3 Superficial spreading melanoma (C43.-)
M8744/3 Acral lentiginous melanoma, malignant (C43.-)
M8745/3 Desmoplastic melanoma, malignant (C43.-)
M8750/0 Intradermal naevus (D22.-)
M8760/0 Compound naevus (D22.-)
M8761/1 Giant pigmented naevus NOS (D48.5)
M8761/3 Malignant melanoma in giant pigmented naevus (C43.-)
Μorphology-12
M8770/0 Epithelioid and spindle cell naevus (D22.-)

M8770/3 Mixed epithelioid and spindle cell melanoma
M8771/0 Epithelioid cell naevus (D22.-)
M8771/3 Epithelioid cell melanoma
M8772/0 Spindle cell naevus (D22.-)
M8772/3 Spindle cell melanoma NOS
M8773/3 Spindle cell melanoma, type A (C69.4)
M8774/3 Spindle cell melanoma, type B (C69.4
M8780/0 Blue naevus NOS (D22.-)
M8780/3 Blue naevus, malignant (C43.-)
M8790/0 Cellular blue naevus (D22.-)
M880 Soft tissue tumours and sarcomas NOS

M8800/0 Soft tissue tumour, benign
M8800/3 Sarcoma NOS
M8800/6 Sarcomatosis NOS
M8801/3 Spindle cell sarcoma
M8802/3 Giant cell sarcoma (except of bone M9250/3)
M8803/3 Small cell sarcoma
M8804/3 Epithelioid sarcoma
M881-M883 Fibromatous neoplasms

M8810/0 Fibroma NOS
M8810/3 Fibrosarcoma NOS
M8811/0 Fibromyxoma
M8811/3 Fibromyxosarcoma
M8812/0 Periosteal fibroma (D16.-)
M8812/3 Periosteal fibrosarcoma (C40.-, C41.-)
M8813/0 Fascial fibroma
M8813/3 Fascial fibrosarcoma
M8814/3 Infantile fibrosarcoma
M8820/0 Elastofibroma
M8821/1 Aggressive fibromatosis
M8822/1 Abdominal fibromatosis
M8823/1 Desmoplastic fibroma
M8824/1 Myofibromatosis
M8830/0 Fibrous histiocytoma NOS
M8830/1 Atypical fibrous histiocytoma
M8830/3 Fibrous histiocytoma, malignant
M8832/0 Dermatofibroma NOS (D23.-)
Μorphology-13
M8832/3 Dermatofibrosarcoma NOS (C44.-)

M8833/3 Pigmented dermatofibrosarcoma protuberans
M884 Myxomatous neoplasms

M8840/0 Myxoma NOS
M8840/3 Myxosarcoma
M8841/1 Angiomyxoma
M885-M888 Lipomatous neoplasms

M8850/0 Lipoma NOS (D17.-)
M8850/3 Liposarcoma NOS
M8851/0 Fibrolipoma (D17.-)
M8851/3 Liposarcoma, well differentiated
M8852/0 Fibromyxolipoma (D17.-)
M8852/3 Myxoid liposarcoma
M8853/3 Round cell liposarcoma
M8854/0 Pleomorphic lipoma (D17.-)
M8854/3 Pleomorphic liposarcoma
M8855/3 Mixed liposarcoma
M8856/0 Intramuscular lipoma (D17.-)
M8857/0 Spindle cell lipoma (D17.-)
M8858/3 Dedifferentiated liposarcoma
M8860/0 Angiomyolipoma (D17.-)
M8861/0 Angiolipoma NOS (D17.-)
M8870/0 Myelolipoma (D17.-)
M8880/0 Hibernoma (D17.-)
M8881/0 Lipoblastomatosis (D17.-)
M889-M892 Myomatous neoplasms

M8890/0 Leiomyoma NOS
M8890/1 Leiomyomatosis NOS
M8890/3 Leiomyosarcoma NOS
M8891/0 Epithelioid leiomyoma
M8891/3 Epithelioid leiomyosarcoma
M8892/0 Cellular leiomyoma
M8893/0 Bizarre leiomyoma
M8894/0 Angiomyoma
M8894/3 Angiomyosarcoma
M8895/0 Myoma
M8895/3 Myosarcoma
M8896/3 Myxoid leiomyosarcoma
Μorphology-14
M8897/1 Smooth muscle tumour NOS

M8900/0 Rhabdomyoma NOS
M8900/3 Rhabdomyosarcoma NOS
M8901/3 Pleomorphic rhabdomyosarcoma
M8902/3 Mixed type rhabdomyosarcoma
M8903/0 Fetal rhabdomyoma
M8904/0 Adult rhabdomyoma
M8910/3 Embryonal rhabdomyosarcoma
M8920/3 Alveolar rhabdomyosarcoma
M893-M899 Complex mixed and stromal neoplasms

M8930/0 Endometrial stromal nodule (D26.1)
M8930/3 Endometrial stromal sarcoma (C54.-)
M8931/1 Endolymphatic stromal myosis (D39.0)
M8932/0 Adenomyoma
M8933/3 Adenosarcoma
M8940/0 Pleomorphic adenoma
M8940/3 Mixed tumour, malignant NOS
M8941/3 Carcinoma in pleomorphic adenoma (C07, C08.-)
M8950/3 Müllerian mixed tumour (C54.-)
M8951/3 Mesodermal mixed tumour
M8960/1 Mesoblastic nephroma
M8960/3 Nephroblastoma NOS (C64)
M8963/3 Rhabdoid sarcoma
M8964/3 Clear cell sarcoma of kidney (C64)
M8970/3 Hepatoblastoma (C22.0)
M8971/3 Pancreatoblastoma (C25.-)
M8972/3 Pulmonary blastoma (C34.-)
M8980/3 Carcinosarcoma NOS
M8981/3 Carcinosarcoma, embryonal
M8982/0 Myoepithelioma
M8990/0 Mesenchymoma, benign
M8990/1 Mesenchymoma NOS
M8990/3 Mesenchymoma, malignant
M8991/3 Embryonal sarcoma
M900-M903 Fibroepithelial neoplasms

M9000/0 Brenner tumour NOS (D27)
M9000/1 Brenner tumour, borderline malignancy (D39.1)
M9000/3 Brenner tumour, malignant (C56)
Μorphology-15
M9010/0 Fibroadenoma NOS (D24)

M9011/0 Intracanalicular fibroadenoma (D24)
M9012/0 Pericanalicular fibroadenoma (D24)
M9013/0 Adenofibroma NOS (D27)
M9014/0 Serous adenofibroma (D27)
M9015/0 Mucinous adenofibroma (D27)
M9016/0 Giant fibroadenoma (D24)
M9020/0 Phyllodes tumour, benign (D24)
M9020/1 Phyllodes tumour NOS (D48.6)
M9020/3 Phyllodes tumour, malignant (C50.-)
M9030/0 Juvenile fibroadenoma (D24)
M904 Synovial-like neoplasms

M9040/0 Synovioma, benign
M9040/3 Synovial sarcoma NOS
M9041/3 Synovial sarcoma, spindle cell
M9042/3 Synovial sarcoma, epithelioid cell
M9043/3 Synovial sarcoma, biphasic
M9044/3 Clear cell sarcoma (except of kidney M8964/3)
M905 Mesothelial neoplasms

M9050/0 Mesothelioma, benign (D19.-)
M9050/3 Mesothelioma, malignant (C45.-)
M9051/0 Fibrous mesothelioma, benign (D19.-)
M9051/3 Fibrous mesothelioma, malignant (C45.-)
M9052/0 Epithelioid mesothelioma, benign (D19.-)
M9052/3 Epithelioid mesothelioma, malignant (C45.-)
M9053/0 Mesothelioma, biphasic, benign (D19.-)
M9053/3 Mesothelioma, biphasic, malignant (C45.-)
M9054/0 Adenomatoid tumour NOS (D19.-)
M9055/1 Cystic mesothelioma
M906-M909 Germ cell neoplasms

M9060/3 Dysgerminoma
M9061/3 Seminoma NOS (C62.-)
M9062/3 Seminoma, anaplastic (C62.-)
M9063/3 Spermatocytic seminoma (C62.-)
M9064/3 Germinoma
M9070/3 Embryonal carcinoma NOS
M9071/3 Endodermal sinus tumour
Μorphology-16
M9072/3 Polyembryoma
M9073/1 Gonadoblastoma
M9080/0 Teratoma, benign
M9080/1 Teratoma NOS
M9080/3 Teratoma, malignant NOS
M9081/3 Teratocarcinoma
M9082/3 Malignant teratoma, undifferentiated
M9083/3 Malignant teratoma, intermediate
M9084/0 Dermoid cyst NOS
M9084/3 Teratoma with malignant transformation
M9085/3 Mixed germ cell tumour
M9090/0 Struma ovarii NOS (D27)
M9090/3 Struma ovarii, malignant (C56)
M9091/1 Strumal carcinoid (D39.1)
M910 Trophoblastic neoplasms

M9100/0 Hydatidiform mole NOS (O01.9)
M9100/1 Invasive hydatidiform mole (D39.2)
M9100/3 Choriocarcinoma NOS
M9101/3 Choriocarcinoma combined with other germ cell elements
M9102/3 Malignant teratoma, trophoblastic (C62.-)
M9103/0 Partial hydatidiform mole (O01.1)
M9104/1 Placental site trophoblastic tumour (D39.2)
M911 Mesonephromas
M9110/0 Mesonephroma, benign
M9110/1 Mesonephric tumour
M9110/3 Mesonephroma, malignant
M912-M916 Blood vessel tumours

M9120/0 Haemangioma NOS (D18.0)
M9120/3 Haemangiosarcoma
M9121/0 Cavernous haemangioma (D18.0)
M9122/0 Venous haemangioma (D18.0)
M9123/0 Racemose haemangioma (D18.0)
M9124/3 Kupffer cell sarcoma (C22.3)
M9125/0 Epithelioid haemangioma (D18.0)
M9126/0 Histiocytoid haemangioma (D18.0)
M9130/0 Haemangioendothelioma, benign (D18.0)
M9130/1 Haemangioendothelioma NOS
Μorphology-17
M9130/3 Haemangioendothelioma, malignant

M9131/0 Capillary haemangioma (D18.0)
M9132/0 Intramuscular haemangioma (D18.0)
M9133/1 Epithelioid haemangioendothelioma NOS
M9133/3 Epithelioid haemangioendothelioma, malignant
M9134/1 Intravascular bronchial alveolar tumour (D38.1)
M9140/3 Kaposi's sarcoma (C46.-)
M9141/0 Angiokeratoma
M9142/0 Verrucous keratotic haemangioma (D18.0)
M9150/0 Haemangiopericytoma, benign
M9150/1 Haemangiopericytoma NOS
M9150/3 Haemangiopericytoma, malignant
M9160/0 Angiofibroma NOS
M9161/1 Haemangioblastoma
M917 Lymphatic vessel tumours

M9170/0 Lymphangioma NOS (D18.1)
M9170/3 Lymphangiosarcoma
M9171/0 Capillary lymphangioma (D18.1)
M9172/0 Cavernous lymphangioma (D18.1)
M9173/0 Cystic lymphangioma (D18.1)
M9174/0 Lymphangiomyoma (D18.1)
M9174/1 Lymphangiomyomatosis
M9175/0 Haemolymphangioma (D18.1)
M918-M924 Osseous and chondromatous neoplasms

M9180/0 Osteoma NOS (D16.-)
M9180/3 Osteosarcoma NOS (C40.-, C41.-)
M9181/3 Chondroblastic osteosarcoma (C40.-, C41.-)
M9182/3 Fibroblastic osteosarcoma (C40.-, C41.-)
M9183/3 Telangiectatic osteosarcoma (C40.-, C41.-)
M9184/3 Osteosarcoma in Paget's disease of bone (C40.-, C41.-)
M9185/3 Small cell osteosarcoma (C40.-, C41.-)
M9190/3 Juxtacortical osteosarcoma (C40.-, C41.-)
M9191/0 Osteoid osteoma NOS (D16.-)
M9200/0 Osteoblastoma NOS (D16.-)
M9200/1 Aggressive osteoblastoma (D48.0)
M9210/0 Osteochondroma (D16.-)
M9210/1 Osteochondromatosis NOS (D48.0)
M9220/0 Chondroma NOS (D16.-)
Μorphology-18
M9220/1 Chondromatosis NOS

M9220/3 Chondrosarcoma NOS (C40.-, C41.-)
M9221/0 Juxtacortical chondroma (D16.-)
M9221/3 Juxtacortical chondrosarcoma (C40.-, C41.-)
M9230/0 Chondroblastoma NOS (D16.-)
M9230/3 Chondroblastoma, malignant (C40.-, C41.-)
M9231/3 Myxoid chondrosarcoma
M9240/3 Mesenchymal chondrosarcoma
M9241/0 Chondromyxoid fibroma (D16.-)
M925 Giant cell tumours

M9250/1 Giant cell tumour of bone NOS (D48.0)
M9250/3 Giant cell tumour of bone, malignant (C40.-, C41.-)
M9251/1 Giant cell tumour of soft parts NOS
M9251/3 Malignant giant cell tumour of soft parts
M926 Miscellaneous bone tumours

M9260/3 Ewing's sarcoma (C40.-, C41.-)
M9261/3 Adamantinoma of long bones (C40.-)
M9262/0 Ossifying fibroma (D16.-)
M927-M934 Odontogenic tumours

M9270/0 Odontogenic tumour, benign (D16.4, D16.5)
M9270/1 Odontogenic tumour, NOS (D48.0)
M9270/3 Odontogenic tumour, malignant (C41.0, C41.1)
M9271/0 Dentinoma (D16.4, D16.5)
M9272/0 Cementoma NOS (D16.4, D16.5
M9273/0 Cementoblastoma, benign (D16.4, D16.5)
M9274/0 Cementifying fibroma (D16.4, D16.5)
M9275/0 Gigantiform cementoma (D16.4, D16.5)
M9280/0 Odontoma NOS (D16.4, D16.5)
M9281/0 Compound odontoma (D16.4, D16.5)
M9282/0 Complex odontoma (D16.4, D16.5)
M9290/0 Ameloblastic fibro-odontoma (D16.4, D16.5)
M9290/3 Ameloblastic odontosarcoma (C41.0, C41.1)
M9300/0 Adenomatoid odontogenic tumour (D16.4, D16.5)
M9301/0 Calcifying odontogenic cyst (D16.4, D16.5)
M9302/0 Odontogenic ghost cell tumour (D16.4, D16.5)
M9310/0 Ameloblastoma NOS (D16.4, D16.5)
M9310/3 Ameloblastoma, malignant (C41.0, C41.1)
Μorphology-19
M9311/0 Odontoameloblastoma (D16.4, D16.5)

M9312/0 Squamous odontogenic tumour (D16.4, D16.5)
M9320/0 Odontogenic myxoma (D16.4, D16.5)
M9321/0 Central odontogenic fibroma (D16.4, D16.5)
M9322/0 Peripheral odontogenic fibroma (D16.4, D16.5)
M9330/0 Ameloblastic fibroma (D16.4, D16.5)
M9330/3 Ameloblastic fibrosarcoma (C41.0, C41.1)
M9340/0 Calcifying epithelial odontogenic tumour (D16.4, D16.5)
M935-M937 Miscellaneous tumours

M9350/1 Craniopharyngioma (D44.3, D44.4)
M9360/1 Pinealoma (D44.5)
M9361/1 Pineocytoma (D44.5)
M9362/3 Pineoblastoma (C75.3)
M9363/0 Melanotic neuroectodermal tumour
M9364/3 Peripheral neuroectodermal tumour
M9370/3 Chordoma
M938-M948 Gliomas
M9380/3 Glioma, malignant (C71.-)
M9381/3 Gliomatosis cerebri (C71.-)
M9382/3 Mixed glioma (C71.-)
M9383/1 Subependymal glioma (D43.-)
M9384/1 Subependymal giant cell astrocytoma (D43.-)
M9390/0 Choroid plexus papilloma NOS (D33.0)
M9390/3 Choroid plexus papilloma, malignant (C71.5)
M9391/3 Ependymoma NOS (C71.-)
M9392/3 Ependymoma, anaplastic (C71.-)
M9393/1 Papillary ependymoma (D43.-)
M9394/1 Myxopapillary ependymoma (D43.-)
M9400/3 Astrocytoma NOS (C71.-)
M9401/3 Astrocytoma, anaplastic (C71.-)
M9410/3 Protoplasmic astrocytoma (C71.-)
M9411/3 Gemistocytic astrocytoma (C71.-)
M9420/3 Fibrillary astrocytoma (C71.-)
M9421/3 Pilocytic astrocytoma (C71.-)
M9422/3 Spongioblastoma NOS (C71.-)
M9423/3 Spongioblastoma polare (C71.-)
M9424/3 Pleomorphic xanthoastrocytoma (C71.-)
M9430/3 Astroblastoma (C71.-)
Μorphology-20
M9440/3 Glioblastoma NOS (C71.-)

M9441/3 Giant cell glioblastoma (C71.-)
M9442/3 Gliosarcoma (C71.-)
M9443/3 Primitive polar spongioblastoma (C71.-)
M9450/3 Oligodendroglioma NOS (C71.-)
M9451/3 Oligodendroglioma, anaplastic (C71.-)
M9460/3 Oligodendroblastoma (C71.-)
M9470/3 Medulloblastoma NOS (C71.6)
M9471/3 Desmoplastic medulloblastoma (C71.6)
M9472/3 Medullomyoblastoma (C71.6)
M9473/3 Primitive neuroectodermal tumour (C71.-)
M9480/3 Cerebellar sarcoma NOS (C71.6)
M9481/3 Monstrocellular sarcoma (C71.-)
M949-M952 Neuroepitheliomatous neoplasms

M9490/0 Ganglioneuroma
M9490/3 Ganglioneuroblastoma
M9491/0 Ganglioneuromatosis
M9500/3 Neuroblastoma NOS
M9501/3 Medulloepithelioma NOS
M9502/3 Teratoid medulloepithelioma
M9503/3 Neuroepithelioma NOS
M9504/3 Spongioneuroblastoma
M9505/1 Ganglioglioma
M9506/0 Neurocytoma
M9507/0 Pacinian tumour
M9510/3 Retinoblastoma NOS (C69.2)
M9511/3 Retinoblastoma, differentiated (C69.2)
M9512/3 Retinoblastoma, undifferentiated (C69.2)
M9520/3 Olfactory neurogenic tumour
M9521/3 Esthesioneurocytoma (C30.0)
M9522/3 Esthesioneuroblastoma (C30.0)
M9523/3 Esthesioneuroepithelioma (C30.0)
M953 Meningiomas
M9530/0 Meningioma NOS (D32.-)
M9530/1 Meningiomatosis NOS (D42.-)
M9530/3 Meningioma, malignant (C70.-)
M9531/0 Meningotheliomatous meningioma (D32.-)
M9532/0 Fibrous meningioma (D32.-)
Μorphology-21
M9533/0 Psammomatous meningioma (D32.-)

M9534/0 Angiomatous meningioma (D32.-)
M9535/0 Haemangioblastic meningioma (D32.-)
M9536/0 Haemangiopericytic meningioma (D32.-)
M9537/0 Transitional meningioma (D32.-)
M9538/1 Papillary meningioma (D42.-)
M9539/3 Meningeal sarcomatosis (C70.-)
M954-M957 Nerve sheath tumours

M9540/0 Neurofibroma NOS
M9540/1 Neurofibromatosis NOS (Q85.0)
M9540/3 Neurofibrosarcoma
M9541/0 Melanotic neurofibroma
M9550/0 Plexiform neurofibroma
M9560/0 Neurilemmoma NOS
M9560/1 Neurinomatosis
M9560/3 Neurilemmoma, malignant
M9561/3 Triton tumour, malignant
M9562/0 Neurothekeoma
M9570/0 Neuroma NOS
M958 Granular cell tumours and alveolar soft part sarcoma

M9580/0 Granular cell tumour NOS
M9580/3 Granular cell tumour, malignant
M9581/3 Alveolar soft part sarcoma
M959-M971 Hodgkin's and non-Hodgkin's lymphoma
M959 Malignant lymphomas NOS or diffuse

M9590/3 Malignant lymphoma NOS (C84.5, C85.9)
M9591/3 Malignant lymphoma, non-Hodgkin's NOS (C85.9)
M9592/3 Lymphosarcoma NOS (C85.0)
M9593/3 Reticulosarcoma NOS (C83.3, C83.9)
M9594/3 Microglioma (C85.7)
M9595/3 Malignant lymphoma, diffuse NOS (C83.9)
M965-M966 Hodgkin's disease

M9650/3 Hodgkin's disease NOS (C81.9)
M9652/3 Hodgkin's disease, mixed cellularity NOS (C81.2)
M9653/3 Hodgkin's disease, lymphocytic depletion NOS (C81.3)
Μorphology-22
M9654/3 Hodgkin's disease, lymphocytic depletion, diffuse fibrosis (C81.3)

M9655/3 Hodgkin's disease, lymphocytic depletion, reticular (C81.3)
M9657/3 Hodgkin's disease, lymphocytic predominance NOS (C81.0)
M9658/3 Hodgkin's disease, lymphocytic predominance, diffuse (C81.0)
M9659/3 Hodgkin's disease, lymphocytic predominance, nodular (C81.0)
M9660/3 Hodgkin's paragranuloma NOS (C81.7)
M9661/3 Hodgkin's granuloma (C81.7)
M9662/3 Hodgkin's sarcoma (C81.7)
M9663/3 Hodgkin's disease, nodular sclerosis NOS (C81.1)
M9664/3 Hodgkin's disease, nodular sclerosis, cellular phase (C81.1)
M9665/3 Hodgkin's disease, nodular sclerosis, lymphocytic predominance (C81.1)
M9666/3 Hodgkin's disease, nodular sclerosis, mixed cellularity (C81.1)
M9667/3 Hodgkin's disease, nodular sclerosis, lymphocytic depletion (C81.1)
M967-M968 Malignant lymphoma, diffuse or NOS, specified type

M9670/3 Malignant lymphoma, small lymphocytic NOS (C83.0)
M9671/3 Malignant lymphoma, lymphoplasmacytic (C83.8)
M9672/3 Malignant lymphoma, small cleaved cell, diffuse (C83.1)
M9673/3 Malignant lymphoma, lymphocytic, intermediate differentiation, diffuse (C83.8)
M9674/3 Malignant lymphoma, centrocytic (C83.8)
M9675/3 Malignant lymphoma, mixed small and large cell, diffuse (C83.2)
M9676/3 Malignant lymphoma, centroblastic-centrocytic, diffuse (C83.8)
M9677/3 Malignant lymphomatous polyposis (C83.8)
M9680/3 Malignant lymphoma, large cell, diffuse NOS (C83.3)
M9681/3 Malignant lymphoma, large cell, cleaved, diffuse (C83.3)
M9682/3 Malignant lymphoma, large cell, noncleaved, diffuse (C83.3)
M9683/3 Malignant lymphoma, centroblastic, diffuse (C83.8)
M9684/3 Malignant lymphoma, immunoblastic NOS (C83.4)
M9685/3 Malignant lymphoma, lymphoblastic (C83.5)
M9686/3 Malignant lymphoma, small cell, noncleaved, diffuse (C83.0, C83.6)
M9687/3 Burkitt's lymphoma NOS (C83.7)
M969 Malignant lymphoma, follicular or nodular, with or without diffuse areas

M9690/3 Malignant lymphoma, follicular NOS (C82.9)
M9691/3 Malignant lymphoma, mixed small cleaved and large cell, follicular (C82.1)
M9692/3 Malignant lymphoma, centroblastic-centrocytic, follicular (C82.7)
M9693/3 Malignant lymphoma, lymphocytic, well differentiated, nodular (C82.7)
M9694/3 Malignant lymphoma, lymphocytic, intermediate differentiation, nodular (C82.7)
M9695/3 Malignant lymphoma, small cleaved cell, follicular (C82.0)
Μorphology-23
M9696/3 Malignant lymphoma, lymphocytic, poorly differentiated, nodular (C82.7)

M9697/3 Malignant lymphoma, centroblastic, follicular (C82.7)
M9698/3 Malignant lymphoma, large cell, follicular NOS (C82.2)
M970 Specified cutaneous and peripheral T-cell lymphomas

M9700/3 Mycosis fungoides (C84.0)
M9701/3 Sézary's disease (C84.1)
M9702/3 Peripheral T-cell lymphoma NOS (C84.4)
M9703/3 T-zone lymphoma (C84.2)
M9704/3 Lymphoepithelioid lymphoma (C84.3)
M9705/3 Peripheral T-cell lymphoma, AILD (angioimmunoblastic lymphadenopathy with
dysproteinaemia) (C84.4)
M9706/3 Peripheral T-cell lymphoma, pleomorphic small cell (C84.4)
M9707/3 Peripheral T-cell lymphoma, pleomorphic medium and large cell (C84.4)
M9709/3 Cutaneous lymphoma (C84.5)
M971 Other specified non-Hodgkin's lymphomas

M9711/3 Monocytoid B-cell lymphoma (C85.7)
M9712/3 Angioendotheliomatosis (C85.7)
M9713/3 Angiocentric T-cell lymphoma (C85.7)
M9714/3 Large cell (Ki-1+) lymphoma (C85.7)
M972 Other lymphoreticular neoplasms

M9720/3 Malignant histiocytosis (C96.1)
M9722/3 Letterer-Siwe disease (C96.0)
M9723/3 True histiocytic lymphoma (C96.3)
M973 Plasma cell tumours

M9731/3 Plasmacytoma NOS (C90.2)
M9732/3 Multiple myeloma (C90.0)
M974 Mast cell tumours

M9740/1 Mastocytoma NOS (D47.0)
M9740/3 Mast cell sarcoma (C96.2)
M9741/3 Malignant mastocytosis (C96.2)
M976 Immunoproliferative diseases

M9760/3 Immunoproliferative disease NOS (C88.9)
M9761/3 Waldenström's macroglobulinaemia (C88.0)
M9762/3 Alpha heavy chain disease (C88.1)
Μorphology-24
M9763/3 Gamma heavy chain disease (C88.2)

M9764/3 Immunoproliferative small intestinal disease (C88.3)
M9765/1 Monoclonal gammopathy (D47.2)
M9766/1 Angiocentric immunoproliferative lesion (D47.7)
M9767/1 Angioimmunoblastic lymphadenopathy (D47.7)
M9768/1 T-gamma lymphoproliferative disease (D47.7)
M980-M994 Leukaemias
M980 Leukaemias NOS

M9800/3 Leukaemia NOS (C95.9)
M9801/3 Acute leukaemia NOS (C95.0)
M9802/3 Subacute leukaemia NOS (C95.2)
M9803/3 Chronic leukaemia NOS (C95.1)
M9804/3 Aleukaemic leukaemia NOS (C95.7)
M982 Lymphoid leukaemias

M9820/3 Lymphoid leukaemia NOS (C91.9)
M9821/3 Acute lymphoblastic leukaemia NOS (C91.0)
M9822/3 Subacute lymphoid leukaemia (C91.2)
M9823/3 Chronic lymphocytic leukaemia (C91.1)
M9824/3 Aleukaemic lymphoid leukaemia (C91.7)
M9825/3 Prolymphocytic leukaemia (C91.3)
M9826/3 Burkitt's cell leukaemia (C91.7)
M9827/3 Adult T-cell leukaemia/lymphoma (C91.5)
M983 Plasma cell leukaemia

M9830/3 Plasma cell leukaemia (C90.1)
M984 Erythroleukaemias
M9840/3 Erythroleukaemia (C94.0)
M9841/3 Acute erythraemia (C94.0)
M9842/3 Chronic erythraemia (C94.1)
M985 Lymphosarcoma cell leukaemia

M9850/3 Lymphosarcoma cell leukaemia (C94.7)
M986 Myeloid (granulocytic) leukaemias

M9860/3 Myeloid leukaemia NOS (C92.9)
M9861/3 Acute myeloid leukaemia (C92.0)
Μorphology-25
M9862/3 Subacute myeloid leukaemia (C92.2)

M9863/3 Chronic myeloid leukaemia (C92.1)
M9864/3 Aleukaemic myeloid leukaemia (C92.7)
M9866/3 Acute promyelocytic leukaemia (C92.4)
M9867/3 Acute myelomonocytic leukaemia (C92.5)
M9868/3 Chronic myelomonocytic leukaemia (C92.7)
M987 Basophilic leukaemia

M9870/3 Basophilic leukaemia (C92.-)
M988 Eosinophilic leukaemia

M9880/3 Eosinophilic leukaemia (C92.-)
M989 Monocytic leukaemias

M9890/3 Monocytic leukaemia NOS (C93.9)
M9891/3 Acute monocytic leukaemia (C93.0)
M9892/3 Subacute monocytic leukaemia (C93.2)
M9893/3 Chronic monocytic leukaemia (C93.1)
M9894/3 Aleukaemic monocytic leukaemia (C93.7)
M990-M994 Other leukaemias

M9900/3 Mast cell leukaemia (C94.3)
M9910/3 Acute megakaryoblastic leukaemia (C94.2)
M9930/3 Myeloid sarcoma (C92.3)
M9931/3 Acute panmyelosis (C94.4)
M9932/3 Acute myelofibrosis (C94.5)
M9940/3 Hairy cell leukaemia (C91.4)
M9941/3 Leukaemic reticuloendotheliosis (C91.4)
M995-M997 Miscellaneous myeloproliferative and lymphoproliferative disorders

M9950/1 Polycythaemia vera (D45)
M9960/1 Chronic myeloproliferative disease (D47.1)
M9961/1 Myelosclerosis with myeloid metaplasia (D47.1)
M9962/1 Idiopathic thrombocythaemia (D47.3)
M9970/1 Lymphoproliferative disease NOS (D47.9)
M998 Myelodysplastic syndrome

M9980/1 Refractory anaemia NOS (D46.4)
M9981/1 Refractory anaemia without sideroblasts (D46.0)
Μorphology-26
M9982/1 Refractory anaemia with sideroblasts (D46.1)

M9983/1 Refractory anaemia with excess of blasts (D46.2)
M9984/1 Refractory anaemia with excess of blasts with transformation (D46.3)
M9989/1 Myelodysplastic syndrome NOS (D46.9)
Μorphology-27

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Contents

WHO Collaborating Centres for Classification of Diseases ......................................................5

Report of the International Conference for the Tenth

List of three-character categories...............................................................................................25

Tabular list of inclusions and four-character subcategories

Content of the three volumes of ICD-10

The Forty-third World Health Assembly,

1. ADOPTS the following, recommended by the Conference:

2. REQUESTS the Director-General to issue the Manual of the International Statistical

3. ENDORSES the recommendations of the Conference concerning:

Australian Institute of Health

Office of Population and Censuses and Surveys

National Center for Health Statistics

Peking Union Medical College Hospital

Department of Social Medicine

Faculdade de Saúde Publica/Universidade de São Paulo

The N.A. Semaško Institute,

Centro Venezolano de Clasificación de Enfermedades

The Conference elected the following officers:

Dr R.H.C. Wells, Australia (Chairman)

The secretariat of the Conference was as follows:

Dr J.-P. Jardel, Assistant Director-General, WHO, Geneva, Switzerland

1. History and development of uses of the

2. Review of activities in the preparation of proposals

3. General characteristics and content of the

V. Mental and behavioural disorders

4. Standards and definitions related to maternal and child health

RECOMMENDED that countries consider the inclusion on death certificates of questions

5. Coding and selection rules and tabulation lists

5.1 Coding and selection rules for mortality

The Conference therefore

5.2 Coding and selection rules for morbidity

The Conference accordingly

RECOMMENDED that additional guidance on the recording and coding of morbidity

The Conference also

5.3 Lists for tabulation of mortality and morbidity

6.1 Concept of the family of classifications

RECOMMENDED that the concept of the family of disease and health-related

RECOMMENDED that, in the interests of international comparability, no changes

about the intention to produce translations and adaptations or other ICD-related

Family of disease and health-related classifications

INFORMATION SUPPORT TO ICD-3 CHARACTER CORE SPECIALITY-BASED

• Lay reporting • Diagnoses • Oncology

OTHER HEALTH RELATED INTERNATIONAL

6.2 Specialty-based adaptations

6.3 Information support to primary health care

6.4 Impairments, disabilities and handicaps

6.5 Procedures in medicine

6.6 International Nomenclature of Diseases

The Conference recognized that an authoritative, up-to-date and international nomenclature of

RECOMMENDED that WHO and CIOMS be encouraged to explore cost-efficient ways

7. Implementation of the Tenth Revision of the ICD

RECOMMENDED that the Tenth Revision of the International Classification of Diseases

8. Future revision of the ICD

9. Adoption of the Tenth Revision of the ICD

The Conference made the following recommendation:

RECOMMENDED that the proposed revised chapters, with their three-character

1. International Classification of Diseases, 1975 Revision, Volume 1. Geneva, World