CLASSIFICATION OF DISEASES AND INJURIES



         I.  INFECTIOUS AND PARASITIC DISEASES (001-139)

Includes:    diseases generally recognized as communicable or transmissible
                  as well as a few diseases of unknown but possibly
                  infectious origin

Excludes:    acute respiratory infections (460-466)
             influenza (487.-)
             certain localized infections

Note:    Categories for "late effects" of infectious and parasitic diseases
         are to be found at 137.- to 139.-


        INTESTINAL INFECTIOUS DISEASES (001-009)

Excludes:    helminthiases (120-129)

001     Cholera

001.0   Due to Vibrio cholerae

001.1   Due to Vibrio cholerae el tor

001.9   Unspecified

002     Typhoid and paratyphoid fevers

002.0   Typhoid fever

Typhoid (fever) (infection) [any site]

002.1   Paratyphoid fever A

002.2   Paratyphoid fever B

002.3   Paratyphoid fever C

002.9   Paratyphoid fever, unspecified

003     Other salmonella infections

Includes:    infection or food poisoning by Salmonella [any serotype]

003.0   Salmonella gastroenteritis

Salmonellosis

003.1   Salmonella septicaemia

003.2   Localized salmonella infections

Salmonella:                       Salmonella:
    arthritis                         osteomyelitis
    meningitis                        pneumonia

003.8   Other

003.9   Unspecified

Salmonella infection NOS

004     Shigellosis

Includes:    bacillary dysentery

004.0   Shigella dysenteriae

Infection by group A Shigella (Schmitz) (Shiga)

004.1   Shigella flexneri

Infection by group B Shigella

004.2   Shigella boydii

Infection by group C Shigella

004.3   Shigella sonnei

Infection by group D Shigella

004.8   Other

004.9   Unspecified

005     Other food poisoning (bacterial)

Excludes:    salmonella infections (003.-)
             toxic effect of noxious foodstuffs (988.-)

005.0   Staphylococcal food poisoning

Staphylococcal toxaemia specified as due to food

005.1   Botulism

Food poisoning due to Clostridium botulinum

005.2   Food poisoning due to Clostridium perfringens

[Cl. welchii]
Enteritis necroticans

005.3   Food poisoning due to other Clostridia

005.4   Food poisoning due to Vibrio parahaemolyticus

005.8   Other bacterial food poisoning

Food poisoning due to Bacillus cereus

Excludes:    salmonella food poisoning (003.-)

005.9   Food poisoning, unspecified

006     Amoebiasis

Includes:    infection due to Entamoeba histolytica

Excludes:    amoebiasis due to organisms other than Entamoeba histolytica
                  (007.8)

006.0   Acute amoebic dysentery without mention of abscess

Acute amoebiasis

006.1   Chronic intestinal amoebiasis without mention of abscess

Chronic:
    amoebiasis
    amoebic dysentery

006.2   Amoebic nondysenteric colitis

006.3   Amoebic liver abscess

006.4   Amoebic lung abscess

Amoebic abscess of lung (and liver)

006.5   Amoebic brain abscess

Amoebic abscess of brain (and liver) (and lung)

006.6   Amoebic skin ulceration

006.8   Amoebic infection of other sites

Amoebic:                          Amoeboma
    appendicitis
    balanitis

Excludes:    specific infections by free-living amoebae (136.2)

006.9   Amoebiasis, unspecified

Amoebiasis NOS

007     Other protozoal intestinal diseases

Includes:    protozoal:
                  colitis
                  diarrhea
                  dysentery

007.0   Balantidiasis

Infection by Balantidium coli

007.1   Giardiasis

Infection by Giardia lamblia
Lambliasis

007.2   Coccidiosis

Infection by Isospora belli and Isospora hominis
Isosporosis

007.3   Intestinal trichomoniasis

007.8   Other protozoal intestinal diseases

007.9   Unspecified

Flagellate diarrhea
Protozoal dysentery NOS

008     Intestinal infections due to other organisms

Includes:    any terms listed in 009.-with mention of the responsible
                  organisms

Excludes:    food poisoning by these organisms (005.-)

008.0   Escherichia coli [E. coli]

008.1   Arizona

008.2   Aerobacter aerogenes

008.3   Proteus (mirabilis) (morganii)

008.4   Other specified bacteria

Staphylococcal enterocolitis

008.5   Bacterial enteritis, unspecified

008.6   Enteritis due to specified virus

Enteritis due to:
    adenovirus
    enterovirus

008.8   Other organism, not elsewhere classified

Viral:
    enteritis NOS
    gastroenteritis

Excludes:    influenza with involvement of gastrointestinal tract (487.8)

009     Ill-defined intestinal infections

Excludes:    diarrheal disease due to specified organism (001-008)
             diarrhea following gastrointestinal surgery (564.4)
             intestinal malabsorption (579.-)
             ischaemic enteritis (557.-)
             other noninfective gastroenteritis and colitis (558)
             regional enteritis (555.-)
             ulcerative colitis (556)

009.0   Infectious colitis, enteritis, and gastroenteritis

Colitis (septic)                  Dysentery:
Enteritis (septic)                     NOS
Gastroenteritis (septic)               catarrhal
                                       hemorrhagic

009.2   Infectious diarrhea

Diarrhea:
    dysenteric
    epidemic
Infectious diarrheal disease NOS


                       TUBERCULOSIS (010-018)

Includes:    infection by Mycobacterium tuberculosis (human) (bovine)

Excludes:    congenital tuberculosis (771.2)

010     Primary tuberculous infection

010.0   Primary tuberculous complex

010.1   Tuberculous pleurisy in primary progressive tuberculosis

010.8   Other primary progressive tuberculosis

Excludes:    tuberculous erythema nodosum (017.1)

010.9   Unspecified

011     Pulmonary tuberculosis

Use additional code, if desired, to identify any associated silicosis (502)

011.0   Tuberculosis of lung, infiltrative

011.1   Tuberculosis of lung, nodular

011.2   Tuberculosis of lung with cavitation

011.3   Tuberculosis of bronchus

Excludes:    isolated bronchial tuberculosis (012.2)

011.4   Tuberculous fibrosis of lung

011.5   Tuberculous bronchiectasis

011.6   Tuberculous pneumonia [any form]

011.7   Tuberculous pneumothorax

011.8   Other pulmonary tuberculosis

011.9   Unspecified

Respiratory tuberculosis NOS
Tuberculosis of lung NOS

012     Other respiratory tuberculosis

Excludes:    respiratory tuberculosis, unspecified (011.9)

012.0   Tuberculous pleurisy

Tuberculosis of pleura
Tuberculous empyema
Tuberculous hydrothorax

Excludes:    pleurisy with effusion without mention of cause (511.9)
             tuberculous pleurisy in primary progressive tuberculosis (010.1)

012.1   Tuberculosis of intrathoracic lymph nodes

Tuberculosis of lymph nodes:
    hilar
    mediastinal
    tracheobronchial

Excludes:    when specified as primary (010.-)

012.2   Isolated tracheal or bronchial tuberculosis

012.3   Tuberculous laryngitis
        Tuberculosis of glottis

012.8   Other
        Tuberculosis of:
          mediastinum
          nasopharynx
          nose (septum)
          sinus [any nasal]

013     Tuberculosis of meninges and central nervous system

013.0   Tuberculous meningitis

Tuberculosis of meninges (cerebral) (spinal)
Tuberculous:
    leptomeningitis
    meningoencephalitis

Excludes:    tuberculoma of meninges (013.1)

013.1   Tuberculoma of meninges

013.8   Other

Tuberculoma  }  of
Tuberculosis }  brain
Tuberculous:
    abscess of brain
    myelitis

013.9   Unspecified

Tuberculosis of central nervous system NOS

014     Tuberculosis of intestines, peritoneum, and mesenteric glands

Tuberculosis (of):                Tuberculous
    anus                              ascites
    intestine (large) (small)         enteritis
    rectum                            peritonitis
    retroperitoneal (lymph nodes)

015     Tuberculosis of bones and joints

Includes:    tuberculous:
                  arthritis
                  necrosis of bone
                  osteitis
                  osteomyelitis
                  synovitis
                  tenosynovitis

015.0   Vertebral column

Pott's:                           Tuberculous:
    curvature                         kyphosis
    disease                           spondylitis

015.1   Hip

015.2   Knee

015.7   Other bone

Tuberculous dactylitis            Tuberculous mastoiditis

015.8   Other joint

015.9   Unspecified

016     Tuberculosis of genitourinary system

016.0   Kidney

Tuberculous pyelitis              Tuberculous pyelonephritis

016.1   Other urinary organs

Tuberculosis of bladder           Tuberculosis of ureter

016.2   Epididymis

016.3   Other male genital organs

Tuberculosis of:
    prostate
    seminal vesicle
    testis

016.4   Female genital organs

Tuberculous:
    oophoritis
    salpingitis

016.9   Unspecified

017     Tuberculosis of other organs

017.0   Skin and subcutaneous cellular tissue

Lupus:                            Tuberculosis:
    NOS                               colliquativa
    exedens                           cutis
    vulgaris                           lichenoides
Scrofuloderma                         papulonecrotica
                                      verrucosa cutis

Excludes:    lupus erythematosus (695.4)
                  disseminated (710.0)
                  lupus NOS (710.0)

017.1   Erythema nodosum with hypersensitivity reaction in tuberculosis

Bazin's disease
Erythema:
    induratum
    nodosum, tuberculous
Tuberculosis indurativa

Excludes:    erythema nodosum NOS (695.2)

017.2   Peripheral lymph nodes

Scrofula
Scrofulous abscess
Tuberculous adenitis

Excludes:    tuberculosis of lymph nodes:
                  bronchial and mediastinal (012.1)
                  mesenteric and retroperitoneal (014)
             tuberculous tracheobronchial adenopathy (012.1)

017.3   Eye

Tuberculous:
    chorioretinitis, disseminated
    episcleritis
    interstitial keratitis
    iridocyclitis, chronic
    keratoconjunctivitis (phlyctenular)

017.4   Ear

Tuberculosis of ear
Tuberculous otitis media

Excludes:    tuberculous mastoiditis (015.7)

017.5   Thyroid gland

017.6   Adrenal glands

Addison's disease, tuberculous

017.7   Spleen

017.8   Other

Tuberculosis of:
    endocardium [any valve]
    esophagus
    myocardium
    pericardium

018     Miliary tuberculosis

Includes:    tuberculosis:
                  disseminated
                  generalized
                  miliary, whether of a single specified site, multiple
                      sites, or unspecified site
                  polyserositis

018.0   Acute

018.8   Other

018.9   Unspecified


                    ZOONOTIC BACTERIAL DISEASES (020-027)

020     Plague

Includes:    infection by Yersinia pestis

020.0   Bubonic

020.1   Cellulocutaneous

020.2   Septicaemic

020.3   Primary pneumonic

020.4   Secondary pneumonic

020.5   Pneumonic, unspecified

020.8   Other

Abortive plague
Ambulatory plague
Pestis minor

020.9   Unspecified

021     Tularemia

Includes:    infection by Francisella tularensis

Deer fly fever                    rabbit fever

022     Anthrax

022.0   Cutaneous anthrax

Malignant pustule

022.1   Pulmonary anthrax

Respiratory anthrax               Wool-sorters' disease

022.2   Gastrointestinal anthrax

022.3   Anthrax septicaemia

022.8   Other manifestations

022.9   Unspecified

023     Brucellosis

Includes:    fever:
                 Malta
                 Mediterranean
                 undulant

023.0   Brucella melitensis

023.1   Brucella abortus

023.2   Brucella suis

023.3   Brucella canis

023.8   Other

Infection by more than one organism

023.9   Unspecified

024     Glanders

Infection by:
    Actinobacillus mallei         Farcy
    Malleomyces mallei            Malleus
    Pseudomonas mallei

025     Melioidosis

Infection by:
    Malleomyces pseudomallei
    Pseudomonas pseudomallei
    Whitmore's bacillus
    Pseudoglanders

026     Rat-bite fever

026.0   Spirillary fever

Rat-bite fever due to Spirillum minor [S. minus]
Sodoku

026.1   Streptobacillary fever

Epidemic arthritic erythema
Haverhill fever
Rat-bite fever due to Streptobacillus moniliformis

026.9   Unspecified

027     Other zoonotic bacterial diseases

027.0   Listeriosis

Infection by Listeria monocytogenes
Meningitis by Listeria monocytogenes
Meningoencephalitis by Listeria monocytogenes
Septicaemia by Listeria monocytogenes

Excludes:    congenital listeriosis (771.2)

027.1   Erysipelothrix infection

Erysipeloid (of Rosenbach)
Infection by Erysipelothrix insidiosa [E. rhusiopathiae]
Septicaemia by Erysipelothrix insidiosa [E. rhusiopathiae]

027.2   Pasteurellosis

Pasteurella pseudotuberculosis infection
Mesenteric adenitis by Pasteurella multocida [P. septica]
Septic infection (cat bite) (dog bite) by Pasteurella multocida [P. septica]

Excludes:    infection by:
                  Francisella tularensis (021)
                  Yersinia pestis (020.-)

027.8   Other

027.9   Unspecified

        OTHER BACTERIAL DISEASES (030-041)

Excludes:    bacterial venereal diseases (098.-, 099.-)
             bartonellosis (088.0)

030     Leprosy

Includes:    Hansen's disease
             Infection by Mycobacterium leprae

030.0   Lepromatous [type L]

Lepromatous leprosy (macular) (diffuse) (infiltrated) (nodular) (neuritic)

030.1   Tuberculoid [type T]

Tuberculoid leprosy (macular) (maculoanesthetic) (major) (minor) (neuritic)

030.2   Indeterminate [group I]

Indeterminate leprosy (macular) (neuritic)

030.3   Borderline [group B]

Borderline or dimorphous leprosy (infiltrated) (neuritic)

030.8   Other

030.9   Unspecified

031     Diseases due to other mycobacteria

031.0   Pulmonary

Infection by Mycobacterium:
    avium
    intracellulare [Battey bacillus]
    kansasii
Battey disease

031.1   Cutaneous

Buruli ulcer
Infection by Mycobacterium:
    marinum [M. balnei]
    ulcerans

031.8   Other

031.9   Unspecified

Atypical mycobacterium infection NOS

032     Diphtheria

Includes:    infection by Corynebacterium diphtheriae

032.0   Faucial diphtheria

Membranous angina, diphtheritic

032.1   Nasopharyngeal diphtheria

032.2   Anterior nasal diphtheria

032.3   Laryngeal diphtheria

Laryngotracheitis, diphtheritic

032.8   Other

Cutaneous diphtheria

032.9   Diphtheria, unspecified

033     Whooping cough

033.0   Bordetella pertussis [B. pertussis]

033.1   Bordetella parapertussis [B. parapertussis]

033.8   Other specified organism

033.9   Whooping cough, unspecified organism

034     Streptococcal sore throat and scarlatina

034.0   Streptococcal sore throat

Streptococcal:                    Septic:
    angina                            angina
    laryngitis                        sore throat
    pharyngitis
    tonsillitis

034.1   Scarlatina

Scarlet fever

035     Erysipelas

Excludes:    postpartum or puerperal erysipelas (670)

036     Meningococcal infection

036.0   Meningococcal meningitis

Cerebrospinal fever (meningococcal)
Meningitis:
    cerebrospinal
    epidemic

036.1   Meningococcal encephalitis

036.2   Meningococcaemia

Meningococcal septicaemia

036.3   Waterhouse-Friderichsen syndrome, meningococcal

Meningococcal hemorrhagic adrenalitis
Meningococcic adrenal syndrome
Waterhouse-Friderichsen syndrome NOS

036.4   Meningococcal carditis

Meningococcal:
    endocarditis
    pericarditis

036.8   Other

Meningococcal optic neuritis

036.9   Unspecified

Meningococcal infection NOS

037     Tetanus

Excludes:    tetanus:
                  complicating abortion (634-638 with fourth digit .0, 639.0)
                  complicating ectopic or molar pregnancy (639.0)
                  neonatorum (771.3)
                  puerperal (670)

038     Septicaemia

Excludes:    during labor (659.3)
             following ectopic or molar pregnancy (639.0)
             following infusion, injection, transfusion, or vaccination
                  (999.3)
             postoperative (998.5)
             postpartum, puerperal (670)
             when complicating abortion (634-638 with fourth digit .0, 639.0)

038.0   Streptococcal septicaemia

038.1   Staphylococcal septicaemia

038.2   Pneumococcal septicaemia

038.3   Septicaemia due to anaerobes

Excludes:    gas gangrene (040.0)
             anaerobic streptococci (038.0)

038.4   Septicaemia due to other gram-negative organisms

Gram-negative septicaemia NOS

038.8   Other specified septicaemias

Excludes:    septicaemia (due to):
                  anthrax (022.3)
                  gonococcal (098.8)
                  herpetic (054.5)
                  meningococcal (036.2)
             septicaemic plague (020.2)

038.9   Unspecified septicaemia

Septicaemia NOS

Excludes:    bacteremia NOS (790.7)

039     Actinomycotic infections

Includes:   actinomycotic mycetoma
            infection by Actinomycetales such as species of Actinomyces,
                  Actinomadura, Nocardia, Streptomyces
            maduromycosis (actinomycotic)

039.0   Cutaneous

Erythrasma                        Trichomycosis axillaris

039.1   Pulmonary

039.2   Abdominal

039.3   Cervicofacial

039.4   Madura foot

Excludes:    madura foot due to mycotic infection (117.4)

039.8   Of other specified sites

039.9   Of unspecified site

Actinomycosis NOS
Maduromycosis NOS
Nocardiosis NOS

040     Other bacterial diseases

Excludes:    bacteraemia NOS (790.7)
             bacterial infection NOS (041.9)

040.0   Gas gangrene

Gas bacillus infection or gangrene
Malignant edema
Myositis, clostridial
Infection by Clostridium:
    histolyticum
    oedematiens
    perfringens [welchii]
    septicum
    sordellii

040.1   Rhinoscleroma

040.2   Whipple's disease

Intestinal lipodystrophy

040.3   Necrobacillosis

040.8   Other bacterial diseases

Tropical pyomyositis

041     Bacterial infection in conditions classified elsewhere and of
             unspecified site

Note:    This category will rarely be used for primary coding.  It is
         provided as an additional code where it is desired to identify the
         bacterial agent in diseases classified elsewhere.  This category
         will also be used in primary coding to classify bacterial infections
         of unspecified nature or site.

Excludes:    bacteraemia NOS (790.7)
             septicaemia (038.-)

041.0   Streptococcus

041.1   Staphylococcus

041.2   Pneumococcus

041.3   Friedlander's bacillus

041.4   Escherichia coli [E.coli]

041.5   Haemophilus influenzae [H. influenzae]

041.6   Proteus (mirabilis) (morganii)

041.7   Pseudomonas

041.8   Other

Aerobacter aerogenes              Other cocci, not elsewhere classified
Eaton's agent                     Pleuropneumonia-like organisms [PPLO]
Mima polymorpha
Mycoplasma

041.9   Bacterial infection, unspecified


          HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION (042-044)

Note:    Beginning with data for 1987, the National Center for Health
         Statistics introduced categories 042-044 for classifying and
         coding HIV infection.

Note:    In this classification, the following terms are used to
         define and to represent other terms that are referable to
         these categories 042-044.

         1. AIDS: Acquired immune deficiency syndrome
              Acquired immunodeficiency syndrome

         2. AIDS-like syndrome:
              AIDS-like disease (illness) (syndrome)         ARC
              AIDS-related complex                           Pre-AIDS
              AIDS-related conditions                        Prodromal-AIDS

         3. HIV infection (disease) (illness)
              AAV (disease) (illness) (infection)
              AIDS-associated retrovirus (disease) (illness) (infection)
              AIDS-associated virus (disease) (illness) (infection)
              AIDS-related virus (disease) (illness) (infection)
              AIDS virus (disease) (illness) (infection)
              ARV (disease) (illness) (infection)
              Human immunodeficiency virus (disease) (illness) (infection)
              Human immunovirus (disease) (illness) (infection)
              Human T-cell lymphotropic virus-III
                  (disease) (illness) (infection)
              HTLV-III (disease) (illness) (infection)
              HTLV-III/LAV (disease) (illness) (infection)
              LAV (disease) (illness) (infection)
              LAV/HTLV-III (disease) (illness) (infection)
              Lymphadenopathy-associated virus (disease) (illness) (infection)

042     Human immunodeficiency virus infection with specified conditions

Includes:    acquired immunodeficiency syndrome
             AIDS

042.0   With specified infections

Includes only:
    candidiasis of lung (112.4)                         }
    coccidiosis (007.2)                                 }
        cryptosporidiosis (007.2)                       }   With
        isosporiasis (007.2)                            }   HIV
    cryptococcosis (117.5)                              }   infection
    pneumocystosis (136.3)                              }
    progressive multifocal leukoencephalopathy (046.3)  }
    toxoplasmosis (130)                                 }

042.1   Causing other specified infections

Includes only:
    candidiasis                                         }
         disseminated (112.5)                           }
         of: mouth (112.0)                              }
             skin and nails (112.3)                     }
             other and unspecified sites (112.8,112.9)  }
                  (excludes:112.1,112.2,112.4)          }
    coccidioidomycosis (114)                            }
    cytomegalic inclusion disease (078.5)               }
    herpes simplex (054)                                }
    herpes zoster (053)                                 }
    histoplasmosis (115)                                } Due to
    mycobacteriosis, other and unspecified              } HIV
      (031.8,031.9) (excludes: 031.0,031.1)             } infection
    Nocardia infection (039)                            }
    opportunistic mycoses (118)                         }
    pneumonia:                                          }
         NOS (486)                                      }
         viral NOS (480.9)                              }
    Salmonella infections (003.1-003.9)                 }
         (excludes: gastroenteritis 003.0)              }
    septicemia (038)                                    }
    strongyloidiasis (127.2)                            }
    tuberculosis (010-018)                              }

042.2   With specified malignant neoplasms

Includes only:
    Burkitt's tumor or lymphoma (200.2)                 }
    Kaposi's sarcoma (173)                              } Due to
    immunoblastic sarcoma (200.8)                       } HIV
    primary lymphoma of the brain (202.8)               } infection
    reticulosarcoma (200.0)                             }

042.9   Acquired immunodeficiency syndrome, unspecified

AIDS with other conditions classifiable elsewhere except as in 042.0-042.2

043     Human immunodeficiency virus infection causing other specified
        conditions

Includes:    AIDS-like syndrome
             AIDS-related complex
             ARC

Excludes:    HIV infection classifiable to 042

043.0   Causing lymphadenopathy

Enlarged lymph nodes (785.6)                            } Due to HIV
Swollen glands (785.6)                                  } infection

043.1   Causing specified diseases of the central nervous system

Includes only:
    central nervous system:                             }
         demyelinating disease NOS (341.9)              }
         disorders NOS (348.9,349.9)                    }
         non-arthropod borne viral diseases, other      }
              and unspecified (049.8,049.9)             }
         slow virus infection, other and unspecified    }
              (046.8,046.9)                             }
    dementia:                                           }
         NOS (298.9)                                    } Due to
         organic (294.9)                                } HIV
         presenile (290.1)                              } infection
    encephalitis (323.9)                                }
    encephalomyelitis (323.9)                           }
    encephalopathy (348.3)                              }
    myelitis (323.9)                                    }
    myelopathy (336.9)                                  }
    organic brain syndrome NOS                          }
         (nonpsychotic) (310.9)                         }
         psychotic (294.9)                              }

043.2   Causing other disorders involving the immune mechanism

043.3   Causing other specified conditions

Includes only:
    abnormal weight loss (783.2)                        }
    abnormality,respiratory (786.0)                     } Due to
    agranulocytosis (288.0)                             } HIV
    anemia:                                             } infection
         NOS (285.9)                                    }
         aplastic, other and unspecified (284.8,284.9)  }
         deficiency (280-281)                           }
         hemolytic, acquired (283)                      }
    arthritis:                                          }
    pyogenic (711.0)                                    }
    infective (711.9)                                   }
    blindness or low vision (369)                       }
    blood and blood-forming organs,                     }
         unspecified disease (289.9)                    }
    cachexia (799.4)                                    }
    dermatomycosis (111)                                }
    dermatophytosis (110)                               }
    diarrhea (noninfectious) (558),                     }
         infectious (009)                               }
    disease or disorder NOS:                            }
         Blood and blood-forming organs (289.9)         }
         salivary gland (527.9)                         }
         skin and subcutaneous tissue (709.9)           }
    dyspnea (786.0)                                     }
    fatigue (780.7)                                     }
    fever (780.6)                                       } Due to
    gastroenteritis (noninfectious (558),               } HIV
         infectious (009)                               } infection
    hepatomegaly (789.1)                                }
    hyperhidrosis (780.8)                               }
    hypersplenism (289.4)                               }
    infection: intestinal, ill-defined (009)            }
    lack of expected physiological                      }
         development in infant (783.4)                  }
    leukoplakia of oral mucosa(tongue) (528.6)          }
    malabsorption, intestinal (579.9)                   }
    malaise (780.7)                                     }
    neuralgia NOS (729.2)                               }
    neuritis NOS (729.2)                                }
    nutritional deficiencies (260-269)                  }
    pneumonitis,lymphoid,interstitial (516.8)           }
    polyneuropathy (357.0,357.8,357.9)                  }
    pyrexia (780.6)                                     }
    radiculitis NOS (729.2)                             }
    rash NOS (782.1)                                    }
    retinal vascular changes (362.1)                    }
    retinopathy, background (362.1)                     }
    splenomegaly (789.2)                                }
    thrombocytopenia, secondary and                     }
         unspecified (287.4,287.5)                      }
    volume depletion (276.5)                            }

043.9   Acquired immunodeficiency syndrome-related complex, unspecified

AIDS-related complex (ARC) with other conditions classifiable elsewhere
    except as in 042.0-043.3

044     Other human immunodeficiency virus infection

Excludes:    HIV infection classifiable to 042 or 043

044.0   Causing specified acute infections

Includes only:
    acute lymphadenitis (683)                           } Due
    aseptic meningitis (047.9)                          } to
    viral infection ("infectious mononucleosis-like     } HIV
         syndrome") (079.9)                             } infection

044.9   Human immunodeficiency virus infection, unspecified

HIV infection with other conditions classifiable elsewhere except as in
    042.0-044.0


        POLIOMYELITIS AND OTHER NON-ARTHROPOD-BORNE VIRAL DISEASES
                   OF CENTRAL NERVOUS SYSTEM (045-049)

045     Acute poliomyelitis

045.0   Acute paralytic poliomyelitis specified as bulbar

Infantile paralysis (acute) specified as bulbar
Poliomyelitis (acute) (anterior) specified as bulbar
Polioencephalitis (acute) (bulbar)
Polioencephalomyelitis (acute) (anterior) (bulbar)

045.1   Acute poliomyelitis with other paralysis

Paralysis:
    acute atrophic, spinal
    infantile, paralytic
Poliomyelitis (acute) with paralysis except bulbar
    anterior with paralysis except bulbar
    epidemic with paralysis except bulbar

045.2   Acute nonparalytic poliomyelitis

Poliomyelitis (acute) specified as nonparalytic
    anterior specified as nonparalytic
    epidemic specified as nonparalytic

045.9   Acute poliomyelitis, unspecified

Infantile paralysis
Poliomyelitis (acute) unspecified whether paralytic or nonparalytic
    anterior unspecified whether paralytic or nonparalytic
    epidemic unspecified whether paralytic or nonparalytic

046     Slow virus infection of central nervous system

046.0   Kuru

046.1   Jakob-Creutzfeldt disease

Subacute spongioform encephalopathy

046.2   Subacute sclerosing panencephalitis

Dawson's inclusion body encephalitis
Van Bogaert's sclerosing leucoencephalitis

046.3   Progressive multifocal leucoencephalopathy

Multifocal leucoencephalopathy NOS

046.8   Other

046.9   Unspecified

047     Meningitis due to enterovirus

Includes:    meningitis:
                  abacterial
                  aseptic
                  viral

Excludes:    meningitis due to:
                  adenovirus (049.1)
                  arthropod-borne virus (060-066)
                  leptospira (100.8)
                  virus of:
                       herpes simplex (054.7)
                       herpes zoster (053.0)
                       lymphocytic choriomeningitis (049.0)
                       mumps (072.1)
                       poliomyelitis (045.-)
                  any other infection specifically classified elsewhere

047.0  Coxsackie virus

047.1   ECHO virus

047.8   Other

047.9   Unspecified

Viral meningitis NOS

048     Other enterovirus diseases of central nervous system

Boston exanthem

049     Other non-arthropod-borne viral diseases of central nervous system

049.0   Lymphocytic choriomeningitis

Lymphocytic:
    meningitis (serous)
    meningoencephalitis (serous)

049.1   Meningitis due to adenovirus

049.8   Other

Encephalitis:
    acute:
        inclusion body
        necrotizing
    epidemic
    lethargica
    Rio Bravo
    von Economo's disease

049.9   Unspecified

Viral encephalitis NOS


            VIRAL DISEASES ACCOMPANIED BY EXANTHEM (050-057)

Excludes:    arthropod-borne viral diseases (060-066)

050     Smallpox

050.0   Variola major

Hemorrhagic (pustular) smallpox
Malignant smallpox
Purpura variolosa

050.1   Alastrim

Variola minor

050.2   Modified smallpox

050.9   Smallpox, unspecified

051     Cowpox and paravaccinia

051.0   Cowpox

Vaccinia not from vaccination

Excludes:    vaccinia (generalized) (from vaccination) (999.0)

051.1   Pseudocowpox

Milkers' node

051.2   Contagious pustular dermatitis

Ecthyma contagiosum               Orf

051.9   Paravaccinia, unspecified

052     Chickenpox

Varicella

053     Herpes zoster

Includes:    shingles
             zona

053.0   With meningitis

053.1   With other nervous system complications

Geniculate herpes zoster          Post-herpetic:
Herpetic geniculate ganglionitis       polyneuropathy
                                       trigeminal neuralgia

053.2   With ophthalmic complications

Herpes zoster:
    dermatitis of eyelids
    iridocyclitis
    keratoconjunctivitis

053.7   With other complications

053.8   With unspecified complication

053.9   Herpes zoster without mention of complication

054     Herpes simplex

Excludes:    congenital herpes simplex (771.2)

054.0   Eczema herpeticum

Kaposi's varicelliform eruption

054.1   Genital herpes

Herpetic vulvovaginitis
Herpetic ulceration of vulva

054.2   Herpetic gingivostomatitis

054.3   Herpetic meningoencephalitis

Herpes encephalitis
Simian B disease

054.4   With ophthalmic complications

Herpes simplex:                   Keratitis:
    dermatitis of eyelids             dendritic
    keratitis                         disciform
    keratoconjunctivitis
Iritis due to herpes simplex

054.5   Herpetic septicaemia

054.6   Herpetic whitlow

054.7   With other complications

Meningitis due to herpes simplex
Visceral herpes simplex

054.8   With unspecified complication

054.9   Herpes simplex without mention of complication

055     Measles

Includes:    morbilli
             rubeola

055.0   Postmeasles encephalitis

055.1   Postmeasles pneumonia

055.2   Postmeasles otitis

055.7   With other complications

055.8   With unspecified complication

055.9   Measles without mention of complication

056     Rubella

Includes:    German measles

Excludes:    congenital rubella (771.0)

056.0   With neurological complications

Encephalomyelitis

056.7   With other complications

Rubella arthritis

056.8   With unspecified complications

056.9   Rubella without mention of complication

057     Other viral exanthemata

057.0   Erythema infectiosum [fifth disease]

057.8   Other

Dukes(-Filatow) disease
Exanthema subitum
Fourth disease
Parascarlatina
Pseudoscarlatina
Roseola infantum
Sixth disease

057.9   Unspecified

              ARTHROPOD-BORNE VIRAL DISEASES (060-066)

060     Yellow fever

060.0   Sylvatic

Jungle yellow fever

060.1   Urban

060.9   Unspecified

061     Dengue

Breakbone fever

Excludes:    hemorrhagic fever caused by dengue virus (065.4)

062     Mosquito-borne viral encephalitis

062.0   Japanese encephalitis

062.1   Western equine encephalitis

062.2   Eastern equine encephalitis

Excludes:    Venezuelan equine encephalitis (066.2)

062.3   St. Louis encephalitis

062.4   Australian encephalitis

Australian arboencephalitis
Australian X disease

062.5   California virus encephalitis

Encephalitis:
    California
    La Crosse
    Tahyna fever

062.8   Other

Encephalitis by Ilheus virus

062.9   Unspecified

063     Tick-borne viral encephalitis

Includes:    diphasic meningoencephalitis

063.0   Russian spring-summer [taiga] encephalitis

063.1   Louping ill

063.2   Central European encephalitis

063.8   Other

Langat encephalitis
Powassan encephalitis

063.9   Unspecified

064     Viral encephalitis transmitted by other and unspecified arthropods

Arthropod-borne viral encephalitis, vector unknown
Negishi virus encephalitis

Excludes:    viral encephalitis NOS (049.9)

065     Arthropod-borne hemorrhagic fever

065.0   Crimean hemorrhagic fever [CHF Congo virus]

Central Asian hemorrhagic fever

065.1   Omsk hemorrhagic fever

065.2   Kyasanur Forest disease

065.3   Other tick-borne hemorrhagic fever

065.4   Mosquito-borne hemorrhagic fever

Chikungunya hemorrhagic fever
Dengue hemorrhagic fever

Excludes:    Chikungunya fever (066.3)
             dengue (061)
             yellow fever (060.-)

065.8   Other

065.9   Unspecified

Arbovirus hemorrhagic fever NOS

066     Other arthropod-borne viral diseases

066.0   Phlebotomus fever

Changuinola fever                 Sandfly fever

066.1   Tick-borne fever

Nairobi sheep disease
Tick fever:                       Tick fever:
    American mountain                 Kemerovo
    Colorado                          Quaranfil

066.2   Venezuelan equine fever

066.3   Other mosquito-borne fever

Fever (viral):                    Fever (viral):
    Bunyamwera                            Oropouche
    Bwamba                                Pixuna
    Chikungunya                           Rift valley
    Guama                                 Wesselsbron
    Mayaro                                West Nile
    Mucambo                               Zika
    O'nyong-Nyong

Excludes:    dengue (061)
             yellow fever (060.-)

066.8   Other

Chandipura fever                  Piry fever

066.9   Unspecified

Arbovirus infection NOS


        OTHER DISEASES DUE TO VIRUSES AND CHLAMYDIAE (070-079)

070     Viral hepatitis

Excludes:    cytomegalic inclusion virus hepatitis (078.5)

070.0   Viral hepatitis A with hepatic coma

070.1   Viral hepatitis A without mention of hepatic coma

Infectious hepatitis

070.2   Viral hepatitis B with hepatic coma

070.3   Viral hepatitis B without mention of hepatic coma

Serum hepatitis

070.4   Other specified viral hepatitis with hepatic coma

070.5   Other specified viral hepatitis without mention of hepatic coma

070.6   Unspecified viral hepatitis with hepatic coma

070.9   Unspecified viral hepatitis without mention of hepatic coma

Viral hepatitis NOS

071     Rabies

Hydrophobia                       Lyssa

072     Mumps

072.0   Mumps orchitis

072.1   Mumps meningitis

072.2   Mumps encephalitis

Mumps meningoencephalitis

072.3   Mumps pancreatitis

072.7   Mumps with other complications

072.8   Mumps with unspecified complication

072.9   Mumps without mention of complication

Epidemic parotitis                Infectious parotitis

073     Ornithosis

Parrot fever
Psittacosis

074     Specific diseases due to Coxsackie virus

Excludes:    Coxsackie virus:
                 infection NOS (079.2)
                 meningitis (047.0)

074.0   Herpangina

Vesicular pharyngitis

074.1   Epidemic pleurodynia

Bornholm disease
Devil's grip
Epidemic:
    myalgia
    myositis

074.2    Coxsackie carditis

Aseptic myocarditis of newborn
Coxsackie:
    endocarditis
    myocarditis
    pericarditis

074.3   Hand, foot and mouth disease

Vesicular stomatitis and exanthem

074.8   Other

Acute lymphonodular pharyngitis

075     Infectious mononucleosis

Glandular fever
Monocytic angina
Pfeiffer's disease

076     Trachoma

Excludes:    late effect of trachoma; see category 139.1

076.0   Initial stage

Trachoma dubium

076.1   Active stage

Granular conjunctivitis           Trachomatous:
    (trachomatous)                    follicular conjunctivitis
                                      pannus

076.9   Unspecified

Trachoma NOS

077     Other diseases of conjunctiva due to viruses and Chlamydiae

Excludes:    ophthalmic complications of viral diseases classified elsewhere

077.0   Inclusion conjunctivitis

Paratrachoma                      Swimming pool conjunctivitis

Excludes:    inclusion blennorrhoea (neonatal) (771.6)

077.1   Epidemic keratoconjunctivitis

Shipyard eye

077.2   Pharyngoconjunctival fever

Viral pharyngoconjunctivitis

077.3   Other adenoviral conjunctivitis

Acute adenoviral follicular conjunctivitis

077.4   Epidemic hemorrhagic conjunctivitis

Apollo:
    conjunctivitis
    disease
    Conjunctivitis due to enterovirus type 70
    Hemorrhagic conjunctivitis (acute) (epidemic)

077.8   Other viral conjunctivitis

Newcastle conjunctivitis

077.9   Unspecified

Viral conjunctivitis NOS

078     Other diseases due to viruses and Chlamydiae

Excludes:    Viral infection NOS (079.-)
             Viraemia NOS (790.8)

078.0   Molluscum contagiosum

078.1   Viral warts

Condyloma acuminatum
Verruca (vulgaris) (plana) (plantaris)
Warts (infectious)

078.2   Sweating fever

Miliary fever
Sweating disease

078.3   Cat-scratch disease

Benign lymphoreticulosis (of inoculation)
Cat-scratch fever

078.4   Foot and mouth disease

Epizootic:
    aphthae
    stomatitis

078.5   Cytomegalic inclusion disease

Cytomegalic inclusion virus hepatitis
Salivary gland virus disease

Excludes:    congenital cytomegalovirus infection (771.1)

078.6   Hemorrhagic nephrosonephritis

Hemorrhagic fever:
    epidemic
    Korean
    Russian with renal syndrome

078.7   Arenaviral hemorrhagic fever

Hemorrhagic fever:
    Argentine
    Bolivian
    Junin virus
    Machupo virus

078.8   Other

Epidemic:                         Marburg disease
    cervical myalgia              Tanapox
    vertigo                       Winter vomiting disease
    vomiting syndrome

079     Viral infection in conditions classified elsewhere and of
        unspecified site

Note:   This category will rarely be used for primary coding.  It is provided
        as an additional code where it is desired to identify the viral agent
        in diseases classified elsewhere.  This category will also be used in
        primary coding to classify virus infection of unspecified nature or
        site.

079.0   Adenovirus

079.1   ECHO virus

079.2   Coxsackie virus

079.3   Rhinovirus

079.8   Other

079.9   Unspecified

Viral infection NOS

Excludes:    viraemia NOS (790.8)

         RICKETTSIOSES AND OTHER ARTHROPOD-BORNE DISEASES (080-088)

Excludes:    arthropod-borne viral diseases (060-066)

080     Louse-borne [epidemic] typhus

Typhus (fever):
    classical
    epidemic
    exanthematic NOS
    louse-borne

081     Other typhus

081.0   Murine [endemic] typhus

Typhus (fever):
    endemic
    flea-borne

081.1   Brill's disease

Brill-Zinsser disease             Recrudescent typhus (fever)

081.2   Scrub typhus

Japanese river fever              Mite-borne typhus
Kedani fever                      Tsutsugamushi

081.9   Unspecified

Typhus (fever) NOS

082     Tick-borne rickettsioses

082.0   Spotted fevers

Rocky mountain spotted fever      Sao Paulo fever

082.1   Boutonneuse fever

African tick typhus               Marseilles fever
India tick typhus                 Mediterranean tick fever
Kenya tick typhus

082.2   North Asian tick fever

Siberian tick typhus

082.3   Queensland tick typhus

082.8   Other

Lone star fever

082.9   Unspecified

Tick-borne typhus NOS

083     Other rickettsioses

083.0   Q-fever

083.1   Trench fever

Quintan fever                     Wolhynian fever

083.2   Rickettsialpox

Vesicular rickettsiosis

083.8   Other

083.9   Unspecified

084     Malaria

Excludes:    congenital malaria (771.2)

Note:   Subcategories 084.0-084.6 exclude the listed conditions with mention
        of pernicious complications (084.8, 084.9).

084.0   Falciparum malaria [malignant tertian]

Malaria (fever):
    by Plasmodium falciparum
    subtertian

084.1   Vivax malaria [benign tertian]

Malaria (fever) by Plasmodium vivax

084.2   Quartan malaria

Malaria (fever) by Plasmodium malariae
Malariae malaria

084.3   Ovale malaria

Malaria (fever) by Plasmodium ovale

084.4   Other malaria

Monkey malaria

084.5   Mixed

Malaria (fever) by more than one parasite

084.6   Unspecified

Malaria (fever) NOS

084.7   Induced malaria

Therapeutically induced malaria

Excludes:    accidental infection from syringe, blood transfusion, etc.
                  (084.0-084.6, above, according to parasite species)
             transmission from mother to child during delivery (771.2)

084.8   Blackwater fever

Hemoglobinuric:                   Malarial hemoglobinuria
    fever (bilious)
    malaria

084.9   Other pernicious complications of malaria

Algid malaria                     Malarial:
Cerebral malaria                      hepatitis
                                      nephrosis

085     Leishmaniasis

085.0   Visceral [kala-azar]

Dumdum fever                      Leishmaniasis:
Infection by Leishmania:              dermal, post-kala-azar
    donovani                          Mediterranean
    infantum                          visceral (Indian)

085.1   Cutaneous, urban

Aleppo boil                       Leishmaniasis, cutaneous:
Baghdad boil                           dry form
Delhi boil                             late
Infection by Leishmania tropica        recurrent
Oriental sore                          ulcerating

085.2   Cutaneous, Asian desert

Infection by Leishmania tropica major
Leishmaniasis, cutaneous:         Leishmaniasis, cutaneous:
    acute necrotizing                 wet form
    rural                             zoonotic form

085.3   Cutaneous, Ethiopian

Infection by Leishmania ethiopica
Leishmaniasis, cutaneous:
    diffuse
    lepromatous

085.4   Cutaneous, American

Chiclero ulcer
Infection by Leishmania mexicana
Leishmaniasis tegumentaria diffusa

085.5   Mucocutaneous (American)

Espundia                          Uta
Infection by Leishmania brasiliensis

085.9   Unspecified

086     Trypanosomiasis

Includes:    with meningoencephalitis

086.0   Chagas's disease with heart involvement

Any condition in 086.2 with heart involvement

086.1   Chagas's disease with other organ involvement

Any condition in 086.2 with involvement of organ other than heart

086.2   Chagas's disease without mention of organ involvement

American trypanosomiasis
Infection by Trypanosoma cruzi

086.3   Gambian trypanosomiasis

Gambian sleeping sickness         Infection by Trypanosoma gambiense

086.4   Rhodesian trypanosomiasis

Infection by Trypanosoma rhodesiense
Rhodesian sleeping sickness

086.5   African trypanosomiasis, unspecified

Sleeping sickness NOS

086.9   Unspecified

087     Relapsing fever

Recurrent fever

087.0   Louse-borne

087.1   Tick-borne

087.9   Unspecified

088     Other arthropod-borne diseases

088.0   Bartonellosis

Carrion's disease
Oroya fever
Verruga peruana

088.8   Other

088.9   Unspecified

Arthropod-borne disease, not elsewhere classified


         SYPHILIS AND OTHER VENEREAL DISEASES (090-099)

Excludes:    nonvenereal endemic syphilis (104.0)
             urogenital trichomoniasis (131.0)

090     Congenital syphilis

090.0   Early congenital syphilis, symptomatic

Congenital syphilitic:            Syphilitic (congenital):
    choroiditis                       epiphysitis
    coryza (chronic)                  osteochondritis
    hepatomegaly                      pemphigus
    mucous patches                Any congenital syphilitic condition
    periostitis                       specified as early or manifest less
    splenomegaly                      than two years after birth

090.1   Early congenital syphilis, latent

[Not to be used for underlying cause of death]

Congenital syphilis without clinical manifestations, with positive
    serological reaction and negative spinal fluid test, less than two
    years after birth

090.2   Early congenital syphilis, unspecified

Congenital syphilis NOS, less than two years after birth

090.3   Syphilitic interstitial keratitis

Syphilitic keratitis:
    parenchymatous
    punctata profunda

Excludes:    interstitial keratitis NOS (370.5)

090.4   Juvenile neurosyphilis

Congenital:                       Dementia paralytica juvenilis
    neurosyphilis                      Juvenile:
    syphilitic:                             general paresis
         encephalitis                       tabes
         meningitis                         taboparesis

Use additional code, if desired, to identify any associated mental disorder.

090.5   Other late congenital syphilis, symptomatic

Gumma due to congenital syphilis
Hutchinson's teeth
Syphilitic saddle nose
Any congenital syphilitic condition specified as late or manifest two
    years or more after birth

090.6   Late congenital syphilis, latent

[Not to be used for underlying cause of death]

Congenital syphilis without clinical manifestations, with positive
    serological reaction and negative spinal fluid test, two years or
    more after birth

090.7   Late congenital syphilis, unspecified

Congenital syphilis NOS, two years or more after birth

090.9   Congenital syphilis, unspecified

091     Early syphilis, symptomatic

Excludes:    early cardiovascular syphilis (093.-)
             early neurosyphilis (094.-)

091.0   Genital syphilis (primary)

Genital chancre

091.1   Primary anal syphilis

091.2   Other primary syphilis

Primary syphilis of:
    fingers                       lip                      tonsils

091.3   Secondary syphilis of skin or mucous membranes

Condyloma latum
Secondary syphilis of:            Secondary syphilis of:
    anus                              skin
    mouth                             tonsils
    pharynx                           vulva

091.4   Adenopathy due to secondary syphilis

Syphilitic adenopathy (secondary)
Syphilitic lymphadenitis (secondary)

091.5   Uveitis due to secondary syphilis

Syphilitic chorioretinitis (secondary)
Syphilitic iridocyclitis (secondary)

091.6   Secondary syphilis of viscera and bone

Secondary syphilis of liver
Secondary syphilitic:             Secondary syphilitic:
    hepatitis                         periostitis

091.7   Secondary syphilis, relapse

Secondary syphilis, relapse (treated) (untreated)

091.8   Other forms of secondary syphilis

Acute syphilitic meningitis
Syphilitic alopecia

091.9   Unspecified secondary syphilis

092     Early syphilis, latent

[Not to be used for underlying cause of death]

Includes:    syphilis (acquired) without clinical manifestations, with
                  positive serological reaction and negative spinal fluid
                  test, less than two years after infection

092.0   Early syphilis, latent, serological relapse after treatment

092.9   Early syphilis, latent, unspecified

093     Cardiovascular syphilis

093.0   Aneurysm of aorta, specified as syphilitic

Dilatation of aorta, specified as syphilitic

093.1   Syphilitic aortitis

093.2   Syphilitic endocarditis

Syphilitic:
    aortic incompetence or stenosis
    ostial coronary disease

093.8   Other

Syphilitic:
    myocarditis
    pericarditis

093.9   Unspecified

094     Neurosyphilis

094.0   Tabes dorsalis

Arthropathy:
    neurogenic (Charcot)
    tabetic
Charcot's joint disease
Locomotor ataxia (progressive)
Posterior spinal sclerosis (syphilitic)
Tabetic neurosyphilis

094.1   General paresis

Dementia paralytica
General paralysis (of insane) (progressive)
Paretic neurosyphilis
Taboparesis

094.2   Syphilitic meningitis

Meningovascular syphilis

094.3   Asymptomatic neurosyphilis

[Not to be used for underlying cause of death]

094.8   Other

Syphilitic:
    acoustic neuritis
    disseminated retinochoroiditis
    encephalitis
    optic atrophy
    Parkinsonism
    retrobulbar neuritis
    ruptured cerebral aneurysm

094.9   Unspecified

Gumma (syphilitic) of central nervous system NOS
Syphilis (early) (late) of central nervous system NOS
Syphiloma of central nervous system NOS

095     Other forms of late syphilis, with symptoms

Gumma (syphilitic)         }  any site except those classifiable in
Syphilis, late or tertiary }  093.- and 094.-
Gumma (syphilitic) NOS
Syphilis [stage unspecified]:     Syphilitic:
    bone                              episcleritis
    kidney                            peritonitis
    liver
    lung
    muscle

096     Late syphilis, latent

[Not to be used for underlying cause of death]

Syphilis (acquired) without clinical manifestations, with positive
    serological reaction and negative spinal fluid test, two years or more
    after infection

097     Other and unspecified syphilis

097.0   Late syphilis, unspecified

097.1   Latent syphilis, unspecified

[Not to be used for underlying cause of death]

Positive serological reaction for syphilis

097.9   Syphilis, unspecified

Syphilis (acquired) NOS

Excludes:    syphilis NOS causing death under two years of age (090.9)

098     Gonococcal infections

098.0   Acute, of lower genitourinary tract

Gonococcal:                       Gonorrhea (acute):
    Bartholinitis (acute)             NOS
    urethritis (acute)                genitourinary (tract) NOS
    vulvovaginitis (acute)

098.1   Acute, of upper genitourinary tract

Gonococcal:                       Gonorrhea (acute):
    endometritis (acute)              bladder
    orchitis (acute)                  cervix
    prostatitis (acute)               seminal vesicle
    salpingitis, acute

098.2   Chronic, of lower genitourinary tract

Any condition in 098.0 specified as chronic or with duration of two months
    or over

098.3   Chronic, of upper genitourinary tract

Any condition in 098.1 specified as chronic or with duration of two months
    or over Gonococcal salpingitis (chronic)

098.4   Of eye

Gonococcal:
    conjunctivitis (neonatorum)
    iridocyclitis (364.0*)
    ophthalmia (neonatorum)

098.5   Of joint

Gonococcal:                       Gonococcal:
    arthritis                          synovitis
    bursitis                           tenosynovitis

098.6   Of pharynx

098.7   Of anus and rectum

098.8   Of other sites

Gonococcaemia                     Gonococcal:
Gonococcal:                            meningitis
    endocarditis                       peritonitis
    keratosis (blenorrhagica)

099     Other venereal diseases

099.0   Chancroid

Bubo (inguinal):                  Chancre:
    chancroidal                        Ducrey's
    due to Hemophilus ducreyi          simple
Ulcus molle (cutis) (skin)             soft

099.1   Lymphogranuloma venereum

Climatic or tropical bubo
(Durand-) Nicolas-Favre disease
Esthiomene
Lymphogranuloma inguinale

099.2   Granuloma inguinale

Donovanosis
Granuloma pudendi (ulcerating)
Granuloma venereum

099.3   Reiter's disease

Reiter's syndrome

099.4   Other nongonococcal urethritis

Nonspecific and nongonococcal urethritis so stated

099.8   Other

099.9   Unspecified



                   OTHER SPIROCHETAL DISEASES (100-104)

100     Leptospirosis

100.0   Leptospirosis icterohemorrhagica

Leptospiral or spirochetal jaundice (hemorrhagic)
Weil's disease

100.8   Other

Fever:
    Fort Bragg
    pretibial
    swamp
Infection by Leptospira:
    australis
    bataviae
    pyrogenes
Leptospiral meningitis (aseptic)

100.9   Unspecified

101     Vincent's angina

Acute necrotizing ulcerative:
    gingivitis
    stomatitis
Fusospirochaetal pharyngitis
Spirochetal stomatitis
Trench mouth
Vincent's:
    gingivitis
    infection [any site]

102     Yaws

Includes:    frambesia
             pian

102.0   Initial lesions

Chancre of yaws                   Initial framboesial ulcer
Framboesia, initial or primary    Mother yaw

102.1   Multiple papillomata and wet crab yaws

Butter yaws
Framboesioma
Pianoma
Plantar or palmar papilloma of yaws

102.2   Other early skin lesions

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

102.3   Hyperkeratosis

Ghoul hand
Hyperkeratosis, palmar or plantar (early) (late) due to yaws
Worm-eaten soles

102.4   Gummata and ulcers

Nodular late yaws (ulcerated)
Gummatous framboeside

102.5   Gangosa

Rhinopharyngitis mutilans

102.6   Bone and joint lesions

Goundou of yaws (late)
Gumma, bone of yaws (late)
Gummatous osteitis or periostitis of yaws (late)
Ganglion
Hydrarthrosis of yaws (early) (late)
Osteitis of yaws (early) (late)
Periostitis (hypertrophic) of yaws (early) (late)

102.7   Other manifestations

Juxta-articular nodules of yaws
Mucosal yaws

102.8   Latent yaws

[Not to be used for underlying cause of death]

Yaws without clinical manifestations, with positive serology

102.9   Yaws, unspecified

103     Pinta

103.0   Primary lesions

Chancre (primary) of pinta [carate]
Papule (primary) of pinta [carate]
Pintid of pinta [carate]

103.1   Intermediate lesions

Erythematous plaques of pinta [carate]
Hyperchromic lesions of pinta [carate]
Hyperkeratosis of pinta [carate]

103.2   Late lesions

Cardiovascular lesions of pinta [carate]
Skin lesions of pinta [carate]:
    achromic of pinta [carate]
    cicatricial of pinta [carate]
    dyschromic of pinta [carate]
Vitiligo of pinta [carate]

103.3   Mixed lesions

Achromic and hyperchromic skin lesions of pinta [carate]

103.9   Unspecified

104     Other spirochaetal infection

104.0   Nonvenereal endemic syphilis

Bejel
Njovera

104.8   Other

Excludes:    relapsing fever (087.-)
             syphilis (090-097)

104.9   Unspecified


        MYCOSES (110-118)

Excludes:    infection by Actinomycetales such as species of Actinomyces,
                  Actinomadura, Nocardia, Streptomyces (039.-)

110     Dermatophytosis

Includes:    infection by species of Epidermophyton, Microsporum, and
                  Trichophyton
             tinea, any type except those in 111

110.0   Of scalp and beard

Kerion
Sycosis, mycotic
Trichophytic tinea scalp [black dot tinea]

110.1   Of nail

Dermatophytic onychia
Onychomycosis
Tinea unguium

110.2   Of hand

Tinea manuum

110.3   Of groin and perianal area

Dhobie itch                       Eczema marginatum

110.4   Of foot

Athlete's foot                    Tinea pedis

110.5   Of the body

Herpes circinatus                 Tinea imbricata [Tokelau]

110.6   Deep seated dermatophytosis

Granuloma trichophyticum          Majocchi's granuloma

110.8   Of other sites

110.9   Of unspecified site

Favus NOS
Microsporic tinea NOS
Ringworm NOS

111     Dermatomycosis, other and unspecified

111.0   Pityriasis versicolor

Infection by Malassezia [Pityrosporum] furfur
Tinea flava
Tinea versicolor

111.1   Tinea nigra

Infection by Cladosporium species
Keratomycosis nigricans
Microsporosis nigra
Pityriasis nigra
Tinea palmaris nigra

111.2   Tinea blanca

Infection by Trichosporon (beigelii) cutaneum
White piedra

111.3   Black piedra

Infection by Piedraia hortai

111.8   Other

111.9   Unspecified

112     Candidiasis

Includes:    infection by Candida species
             candidiasis
             moniliasis

Excludes:    neonatal monilial infection (771.7)

112.0   Of mouth

Thrush

112.1   Of vulva and vagina

Candidal vulvovaginitis           Monilial vulvovaginitis

112.2   Of other urogenital sites

112.3   Of skin and nails

Candidal intertrigo               Candidal perionyxis [paronychia]
Candidal onychia

112.4   Of lung

112.5   Disseminated

Systemic candidiasis

112.8   Of other sites

Candidal endocarditis

112.9   Of unspecified site

114     Coccidioidomycosis

Coccidioidal granuloma            Posada-Wernicke disease
Desert rheumatism                 San Joaquin Valley fever
Infection by Coccidioides (immitis)

115     Histoplasmosis

115.0   Infection by Histoplasma capsulatum

American histoplasmosis           Reticuloendothelial cytomycosis
Darling's disease                 Small form histoplasmosis

115.1   Infection by Histoplasma duboisii

African histoplasmosis
Large form histoplasmosis

115.9   Unspecified

Histoplasmosis NOS

116     Blastomycotic infection

116.0   Blastomycosis

Blastomycetic dermatitis
Chicago disease
Cutaneous blastomycosis
Disseminated blastomycosis
Gilchrist's disease
Infection by Blastomyces [Ajellomyces] dermatitidis
North American blastomycosis
Primary pulmonary blastomycosis

116.1   Paracoccidioidomycosis

Brazilian blastomycosis
Infection by Paracoccidioides [Blastomyces] brasiliensis
Lutz-Splendore-Almeida disease
Mucocutaneous-lymphangitic paracoccidioidomycosis
Pulmonary paracoccidioidomycosis
South American blastomycosis
Visceral paracoccidioidomycosis

116.2   Lobomycosis

Infections by Loboa [Blastomyces] loboi
Keloidal blastomycosis
Lobo's disease

117     Other mycoses

117.0   Rhinosporidiosis

Infection by Rhinosporidium seeberi

117.1   Sporotrichosis

Cutaneous sporotrichosis
Disseminated sporotrichosis
Infection by Sporothrix [Sporotrichum] schenckii
Lymphocutaneous sporotrichosis
Pulmonary sporotrichosis
Sporotrichosis of the bones

117.2   Chromoblastomycosis

Chromomycosis
Infection by Cladosporidium carrionii, Fonsecaea compactum, Fonsecaea
    pedrosoi, Phialophora verrucosa

117.3   Aspergillosis

Infection by Aspergillus species, mainly A. fumigatus, A. flavus group,
    A. terreus group

117.4   Mycotic mycetomas

Infection by various genera and species of Ascomycetes and Deuteromycetes,
    such as Acremonium [Cephalosporium] falciforme, Neotestudina rosatii,
    Madurella grisea, Madurella mycetomii, Pyrenochaeta romeroi, Zopfia
    [Leptosphaeria] senegalensis
Madura foot, mycotic
Maduromycosis, mycotic

Excludes:    actinomycotic mycetomas (039.-)

117.5   Cryptococcosis

Busse-Buschke's disease           Pulmonary cryptococcosis
Cryptococcal meningitis           Systemic cryptococcosis
European cryptococcosis           Torula
Infection by Cryptococcus neoformans

117.6   Allescheriosis [Petriellidosis]

Infections by Allescheria [Petriellidium] boydii [Monosporium apiospermum]

Excludes:    mycotic mycetoma (117.4)

117.7   Zygomycosis [Phycomycosis or Mucormycosis]

Infection by species of Absidia, Basidiobolus, Conidiobolus, Cunninghamella,
    Entomophthora, Mucor, Rhizopus, Saksenaea

117.8   Infection by dematiacious fungi [Phaehyphomycosis]

Infection by dematiacious fungi such as Cladosporium trichoides [bantianum],
    Dreschlera hawaiiensis, Phialophora gougerotii, Phialophora jeanselmei

117.9   Other and unspecified

118  Opportunistic mycoses

Infection of skin, subcutaneous tissues and/or organs by a wide variety of
    fungi generally considered to be pathogenic to compromised hosts only,
    e.g., infection by species of Alternaria, Dreschlera, Fusarium


HELMINTHIASES (120-129)

120  Schistosomiasis[bilharziasis]

120.0   Schistosoma haematobium

Vesical schistosomiasis NOS

120.1   Schistosoma mansoni

Intestinal schistosomiasis NOS

120.2   Schistosoma japonicum

Asiatic schistosomiasis NOS
Katayama disease or fever

120.3   Cutaneous

Cercarial dermatitis
Infection by cercariae of Schistosoma
Schistosome dermatitis

120.8   Other

Infection by Schistosoma:
    bovis
    intercalatum
    mattheii
Spindale
Schistosomiasis chestermani

120.9   Unspecified

Blood flukes NOS
Haemic distomiasis

121     Other trematode infections

121.0   Opisthorchiasis

Infection by:
    cat liver fluke
    Opisthorchis (felineus) (tenuicollis) (viverrini)

121.1   Clonorchiasis

Biliary cirrhosis due to clonorchiasis
Chinese liver fluke disease
Hepatic distomiasis due to Clonorchis sinensis
Oriental liver fluke disease

121.2   Paragonimiasis

Infection by Paragonimus
Lung fluke disease (oriental)
Pulmonary distomiasis

121.3   Fascioliasis

Infection by Fasciola:
    gigantica
    hepatica
    Liver flukes NOS
    Sheep liver fluke infection

121.4   Fasciolopsiasis

Infection by Fasciolopsis (buski)
Intestinal distomiasis

121.5   Metagonimiasis

Infection by Metagonimus yokogawai

121.6   Heterophyiasis

Infection by:
    Heterophyes heterophyes
    Stellantchasmus falcatus

121.8   Other

Infection by:
    Dicrocoelium dendriticum
    Echinostomum ilocanum
    Gastrodiscoides hominis

121.9   Unspecified

Distomiasis NOS
Fluke disease NOS

122     Echinococcosis

Includes:    echinococciasis
             hydatid disease
             hydatidosis

122.0   Echinococcus granulosus infection of liver

122.1   Echinococcus granulosus infection of lung

122.2   Echinococcus granulosus infection of thyroid


122.3   Echinococcus granulosus infection, other

122.4   Echinococcus granulosus infection, unspecified

122.5   Echinococcus multilocularis infection of liver

122.6   Echinococcus multilocularis infection, other

122.7   Echinococcus multilocularis infection, unspecified

122.8   Echinococcosis, unspecified, of liver

122.9   Echinococcosis, other and unspecified

123     Other cestode infection

123.0   Taenia solium infection, intestinal form

Pork tapeworm (adult) (infection)

123.1   Cysticercosis

Cysticerciasis
Infection by:
    Cysticercus cellulosae [larval form of Taenia solium]

123.2   Taenia saginata infection

Beef tapeworm (infection)
Infection by Taeniarhyuchus saginatus

123.3   Taeniasis, unspecified

123.4   Diphyllobothriasis, intestinal

Diphyllobothrium (adult) (latum) (pacificum) infection
Fish tapeworm (infection)

123.5   Sparganosis [larval diphyllobothriasis]

Infection by:
    Diphyllobothrium larvae
    Sparganum (mansoni) (proliferum)
    Spirometra larvae

123.6   Hymenolepiasis

Dwarf tapeworm (infection)
Hymenolepis (diminuta) (nana) infection
Rat tapeworm (infection)

123.8   Other

Diplogonoporus (grandis) infection
Dipylidium (caninum) infection
Dog tapeworm (infection)

123.9   Unspecified

Tapeworm (infection) NOS

124     Trichinosis

Trichinella spiralis infection
Trichinellosis
Trichiniasis

125     Filarial infection and dracontiasis

125.0   Bancroftian filariasis

Chyluria due to Wuchereria bancrofti
Elephantiasis due to Wuchereria bancrofti
Infection due to Wuchereria bancrofti
Lymphadenitis due to Wuchereria bancrofti
Lymphangitis due to Wuchereria bancrofti
Wuchereriasis due to Wuchereria bancrofti

125.1   Malayan filariasis

Brugia filariasis due to Brugia [Wuchereria] malayi
Chyluria due to Brugia [Wuchereria] malayi
Elephantiasis due to Brugia [Wuchereria] malayi
Infection due to Brugia [Wuchereria] malayi
Lymphadenitis due to Brugia [Wuchereria] malayi
Lymphangitis due to Brugia [Wuchereria] malayi

125.2   Loiasis

Eyeworm disease of Africa         Loa loa infection

125.3   Onchocerciasis

Onchocerca volvulus infection     Onchocercosis

125.4   Dipetalonemiasis

Infection by:
    Acanthocheilonema perstans
    Dipetalonema perstans

125.5   Mansonella ozzardi infection

Filariasis ozzardi

125.6   Other specified filariasis

Dirofilaria infection
Infection by:
    Acanthocheilonema streptocerca
    Dipetalonema streptocerca

125.7   Dracontiasis

Guinea-worm infection             Infection by Dracunculus medinensis

125.9   Unspecified filariasis

126     Ancylostomiasis and necatoriasis

Includes:    cutaneous larva migrans due to Ancylostoma
             hookworm (disease) (infection)
             uncinariasis

126.0   Ancylostoma duodenale

126.1   Necator americanus

126.2   Ancylostoma braziliense

126.3   Ancylostoma ceylanicum

126.8   Other specified Ancylostoma

126.9   Unspecified

Creeping eruption NOS
Cutaneous larva migrans NOS

127     Other intestinal helminthiases

127.0   Ascariasis

Ascaridiasis
Infection by Ascaris lumbricoides
Roundworm infection

127.1   Anisakiasis

Infection by Anisakis larva

127.2   Strongyloidiasis

Infection by Strongyloides stercoralis

Excludes:    trichostrongyliasis (127.6)

127.3   Trichuriasis

Infection by Trichuris trichiura
Trichocephaliasis
Whipworm (disease) (infection)

127.4   Enterobiasis

Infection by Enterobius vermicularis
Oxyuriasis
Oxyuris vermicularis infection
Pinworm (disease) (infection)
Threadworm infection

127.5   Capillariasis

Infection by Capillaria philippinensis

Excludes:    infection by Capillaria hepatica (128.8)

127.6   Trichostrongyliasis

Infection by Trichostrongylus species

127.7   Other intestinal helminthiasis

Infection by:
    Oesophagostomum apiostomum and related species
    Ternidens diminutus
    other specified intestinal helminth
Physalopteriasis

127.8   Mixed intestinal helminthiasis

Infection by intestinal helminths classified to more than one of the
    categories 120.0-127.7
Mixed helminthiasis NOS

127.9   Intestinal helminthiasis, unspecified

128     Other and unspecified helminthiases

128.0   Toxocariasis

Larva migrans visceralis
Toxocara (canis) (cati) infection
Visceral larva migrans syndrome

128.1   Gnathostomiasis

Infection by Gnathostoma spinigerum and related species

128.8   Other

Infection by:
    Angiostrongylus cantonensis
    Capillaria hepatica
    other specified helminth

128.9   Unspecified

Helminthiasis NOS                 Worms NOS

129     Intestinal parasitism, unspecified


              OTHER INFECTIOUS AND PARASITIC DISEASES (130-136)

130     Toxoplasmosis

Infection by Toxoplasma gondii
Chorioretinitis                }
Hepatitis                      }
Meningoencephalitis            }   Due to acquired toxoplasmosis
Myocarditis                    }
Pneumonitis                    }

Excludes:    congenital toxoplasmosis (771.2)

131     Trichomoniasis

131.0   Urogenital trichomoniasis

Fluor (vaginalis)        }
Leukorrhoea (vaginalis)  }
Prostatitis              }   trichomonal or due to Trichomonas (vaginalis)
Urethritis               }
Vaginitis                }
Vulvovaginitis           }

131.8   Other sites

Excludes:    intestinal (007.3)

131.9   Unspecified

132     Pediculosis and phthirus infestation

132.0   Pediculus capitis [head louse]

132.1   Pediculus corporis [body louse]

132.2   Phthirus pubis [pubic louse]

132.3   Mixed

Infestation classifiable to more than one of the categories 132.0-132.2

132.9   Pediculosis, unspecified

133     Acariasis

133.0   Scabies

Infestation by Sarcoptes scabiei
Sarcoptic itch

133.8   Other

Chiggers
Infestation by:
    Demodex folliculorum
    Trombiculae

133.9   Unspecified

Infestation by mites NOS

134     Other infestation

134.0   Myiasis

Infestation by:                   Infestation by:
    Dermatobia (hominis)              maggots
    fly larvae                        Oestrus ovis
    Gasterophilus (intestinalis)

134.1   Other arthropod infestation

Infestation by:
    chigoe
    sand flea
    Tunga penetrans
    Jigger disease
    Scarabiasis

134.2   Hirudiniasis

Hirudiniasis (external) (internal)
Leeches (aquatic) (land)

134.8   Other

134.9   Unspecified

Infestation (skin) NOS            Skin parasites NOS

135     Sarcoidosis

Besnier-Boeck-Schaumann disease
Lupoid (miliary) of Boeck
Lupus pernio (Besnier)
Lymphogranulomatosis, benign (Schaumann)
Sarcoid (any site):
    NOS
    Boeck
    Darier-Roussy
Uveoparotid fever

136     Other and unspecified infectious and parasitic diseases

136.0   Ainhum

Dactylolysis spontanea

136.1   Behcet's syndrome

136.2   Specific infections by free-living amoebae

Meningoencephalitis due to Naegleria

136.3   Pneumocystosis

Pneumonia due to Pneumocystis carinii

136.4   Psorospermiasis

136.5   Sarcosporidiosis

136.8   Other

Candiru infestation

136.9   Unspecified


         LATE EFFECTS OF INFECTIOUS AND PARASITIC DISEASES (137-139)

137     Late effects of tuberculosis

Note:   This category is to be used to indicate conditions in 010-018 as the
        cause of late effects, which are themselves classified elsewhere.
        The "late effects" include those specified as such, as sequelae, or
        as due to old or inactive tuberculosis, without evidence of active
        disease.

137.0   Late effects of respiratory or unspecified tuberculosis

137.1   Late effects of central nervous system tuberculosis

137.2   Late effects of genitourinary tuberculosis

137.3   Late effects of tuberculosis of bones and joints

137.4   Late effects of tuberculosis of other specified organs

138     Late effects of acute poliomyelitis

Note:   This category is to be used to indicate conditions in to 045.- as the
        cause of late effects, which are themselves classified elsewhere.  The
        "late effects" include conditions specified as such, or as sequelae,
        or those which are present one year or more after the onset of the
        acute poliomyelitis.

139     Late effects of other infectious and parasitic diseases

Note:   This category is to be used to indicate conditions in categories
        001-009, 020-041, 046-136 as the cause of late effects, which are
        themselves classified elsewhere. The "late effects" include conditions
        specified as such; they also include sequela of diseases classifiable
        to the above categories if there is evidence that the disease itself
        is no longer present.

139.0   Late effects of viral encephalitis

Late effects of conditions classifiable to 049.8, 049.9, 062-064

139.1   Late effects of trachoma

Late effects of conditions classifiable to 076.-

139.8   Late effects of other and unspecified infectious and parasitic
        diseases

                           II.  NEOPLASMS

Notes:

1.  Content:

    This chapter contains the following broad groups:--

    140-195   Malignant neoplasms, stated or presumed to be primary, of
              specified sites, except of lymphatic and hematopoietic tissue
    196-198   Malignant neoplasms, stated or presumed to be secondary, of
              specified sites
    199       Malignant neoplasms without specification of site
    200-208   Malignant neoplasms, stated or presumed to be primary, of
              lymphatic and hematopoietic tissue
    210-229   Benign neoplasms
    230-234   Carcinoma in situ
    235-238   Neoplasms of uncertain behavior [see Note, page 140]
    239       Neoplasms of unspecified nature

2.  Functional activity

    All neoplasms are classified in this chapter, whether or not
    functionally active.

3.  Malignant neoplasms overlapping site boundaries

    Categories 140-195 are for the classification of primary malignant
    neoplasms according to their point of origin.  A malignant neoplasm
    that overlaps two or more subcategories within a three-digit rubric
    and whose point of origin cannot be determined should be classified to
    the subcategory .8 "Other."  For example:  "carcinoma involving tip and
    ventral surface of tongue" should be assigned to 141.8.  On the other
    hand, "carcinoma of tip of tongue extending to involve the ventral
    surface" should be coded to 141.2 as the point of origin, the tip, is
    known.  Three subcategories (149.8, 159.8, 165.8) have been provided
    for malignant neoplasms that overlap the boundaries of three-digit
    rubrics within certain systems.  Overlapping malignant neoplasms that
    cannot be classified as indicated above should be assigned to the
    appropriate subdivision of category 195 (Malignant neoplasm of other
    and ill-defined sites).

         MALIGNANT NEOPLASM OF LIP, ORAL CAVITY, AND PHARYNX (140-149)

140     Malignant neoplasm of lip

Excludes:    skin of lip (173.0)

140.0   Upper lip, vermilion border

Upper lip:
    NOS
    external
    lipstick area

140.1   Lower lip, vermilion border

Lower lip:
    NOS
    external
    lipstick area

140.3   Upper lip, inner aspect

Upper lip:
    buccal aspect
    frenulum
    mucosa
    oral aspect

140.4   Lower lip, inner aspect

Lower lip:
    buccal aspect
    frenulum
    mucosa
    oral aspect

140.5   Lip, unspecified, inner aspect

Lip, not specified whether upper or lower:
    buccal aspect
    frenulum
    mucosa
    oral aspect

140.6   Commissure of lip

140.8   Other [see Note 3 at beginning of Chapter II]

140.9   Lip, unspecified, vermilion border

Lip, not specified as upper or lower:

NOS
external
lipstick area

141     Malignant neoplasm of tongue

141.0   Base of tongue

        Dorsal surface of base of tongue
        Fixed part of tongue NOS

141.1   Dorsal surface of tongue

Anterior two-thirds of tongue, dorsal surface

Excludes:    dorsal surface of base of tongue (141.0)

141.2   Tip and lateral border of tongue

141.3   Ventral surface of tongue

Anterior two-thirds of tongue, ventral surface
Frenulum linguae

141.4   Anterior two-thirds of tongue, part unspecified

Mobile part of tongue NOS

141.5   Junctional zone

Border of tongue at junction of fixed and mobile parts at insertion of
anterior tonsillar pillar

141.6   Lingual tonsil

141.8   Other [see Note 3 at beginning of Chapter II]

141.9   Tongue, unspecified

Tongue NOS

142     Malignant neoplasm of major salivary glands

Excludes:    malignant neoplasm of minor salivary glands, which are to be
                  classified according to their anatomical location; if
                  location is not specified, classify to 145.9.

142.0   Parotid gland

142.1   Submandibular gland

Submaxillary gland

142.2   Sublingual gland

142.8   Other [see Note 3 at beginning of Chapter II]

142.9   Site unspecified

Salivary gland (major) NOS

143     Malignant neoplasm of gum

Includes:    alveolar (ridge) mucosa
             gingiva

Excludes:    malignant odontogenic neoplasms (170.-)

143.0   Upper gum

143.1   Lower gum

143.8   Other [see Note 3 at beginning of Chapter II]

143.9   Gum, unspecified

144     Malignant neoplasm of floor of mouth

144.0   Anterior portion

Anterior to the premolar-canine junction

144.1   Lateral portion

144.8   Other [see Note 3 at beginning of Chapter II]

144.9   Part unspecified

145     Malignant neoplasm of other and unspecified parts of mouth

Excludes:    mucosa of lips (140.-)

145.0   Cheek mucosa

Buccal mucosa
Internal cheek

145.1   Vestibule of mouth

Buccal sulcus (upper) (lower)
Labial sulcus (upper) (lower)

145.2   Hard palate

145.3   Soft palate

Excludes:    nasopharyngeal [posterior] [superior] surface of soft palate
                  (147.3)

145.4   Uvula

145.5   Palate, unspecified

Junction of hard and soft palate
Roof of mouth

145.6   Retromolar area

145.8   Other [see Note 3 at beginning of Chapter II]

145.9   Mouth, unspecified

Minor salivary gland, unspecified site
Oral cavity NOS

146     Malignant neoplasm of oropharynx

146.0   Tonsil

Tonsil:
    NOS
    faucial
    palatine

Excludes:    lingual tonsil (141.6)
             pharyngeal tonsil (147.1)

146.1   Tonsillar fossa

146.2   Tonsillar pillars (anterior) (posterior)

Palatoglossal arch
Palatopharyngeal arch

146.3   Vallecula

Anterior and medial surface of the pharyngoepiglottic fold

146.4   Anterior aspect of epiglottis

Epiglottis, free border [margin]
Glossoepiglottic fold(s)

Excludes:    epiglottis:
                  NOS (161.1)
                  suprahyoid portion (161.1)

146.5   Junctional region

Junction of the free margin of the epiglottis, the aryepiglottic fold, and
    the pharyngoepiglottic fold

146.6   Lateral wall of oropharynx

146.7   Posterior wall of oropharynx

146.8   Other [see Note 3 at beginning of Chapter II]

146.9   Oropharynx, unspecified

147     Malignant neoplasm of nasopharynx

147.0   Superior wall

Roof of nasopharynx

147.1   Posterior wall

Adenoid                           Pharyngeal tonsil

147.2   Lateral wall

Fossa of Rosenmller              Pharyngeal recess
Opening of auditory tube

147.3   Anterior wall

Floor of nasopharynx
Nasopharyngeal [posterior] [superior] surface of soft palate
Posterior margin of nasal septum and choanae

147.8   Other [see Note 3 at beginning of Chapter II]

147.9   Nasopharynx, unspecified

Nasopharyngeal wall NOS

148     Malignant neoplasm of hypopharynx

148.0   Postcricoid region

148.1   Pyriform sinus

Pyriform fossa

148.2   Aryepiglottic fold, hypopharyngeal aspect

Aryepiglottic fold or interarytenoid fold:
    NOS
    marginal zone

Excludes:    aryepiglottic fold or interarytenoid fold, laryngeal aspect
                  (161.1)

148.3   Posterior hypopharyngeal wall

148.8   Other [see Note 3 at beginning of Chapter II]

148.9   Hypopharynx, unspecified

Hypopharyngeal wall NOS           Hypopharynx NOS

149     Malignant neoplasm of other and ill-defined sites within the lip,
        oral cavity, and pharynx


149.0   Pharynx, unspecified

149.1   Waldeyer's ring

149.8   Other [see Note 3 at beginning of Chapter II]

Malignant neoplasms of lip, oral cavity, and pharynx whose point of origin
    cannot be assigned to any one of the categories 140-148

149.9   Ill-defined


         MALIGNANT NEOPLASM OF DIGESTIVE ORGANS AND PERITONEUM (150-159)

150     Malignant neoplasm of esophagus

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
        currently encountered on medical records.

150.0   Cervical part

150.1   Thoracic part

150.2   Abdominal part

150.3   Upper third

150.4   Middle third

150.5   Lower third

150.8   Other [see Note 3 at beginning of Chapter II]

150.9   Esophagus, unspecified

151     Malignant neoplasm of stomach

151.0   Cardia

Cardiac orifice                   Cardio-esophageal junction

151.1   Pylorus

Prepylorus                        Pyloric canal

151.2   Pyloric antrum

Antrum of stomach NOS

151.3   Fundus of stomach

151.4   Body of stomach

151.5   Lesser curvature, unspecified

Lesser curvature, not classifiable to 151.1-151.4

151.6   Greater curvature, unspecified

Greater curvature, not classifiable to 151.0-151.4

151.8   Other [see Note 3 at beginning of Chapter II]

Anterior wall, not classifiable to 151.0-151.4
Posterior wall, not classifiable to 151.0-151.4

151.9   Stomach, unspecified

Carcinoma ventriculi              Gastric cancer

152     Malignant neoplasm of small intestine, including duodenum

152.0   Duodenum

152.1   Jejunum

152.2   Ileum

Excludes:    ileocaecal valve (153.4)

152.3   Meckel's diverticulum

152.8   Other [see Note 3 at beginning of Chapter II]

Duodenojejunal junction

152.9   Small intestine, unspecified

153     Malignant neoplasm of colon

153.0   Hepatic flexure

153.1   Transverse colon

153.2   Descending colon

153.3   Sigmoid colon

Sigmoid (flexure)

Excludes:    rectosigmoid junction (154.0)

153.4   Caecum

Ileocecal valve

153.5   Appendix

153.6   Ascending colon

153.7   Splenic flexure

153.8   Other [see Note 3 at beginning of Chapter II]

153.9   Colon, unspecified

Large intestine NOS

154     Malignant neoplasm of rectum, rectosigmoid junction, and anus

154.0   Rectosigmoid junction

Colon and rectum
Rectosigmoid (colon)

154.1   Rectum

Rectal ampulla

154.2   Anal canal

Anal sphincter

154.3   Anus, unspecified

Excludes:    anus:
                  margin (172.5, 173.5)
                  skin (172.5, 173.5)
             perianal skin (172.5, 173.5)

154.8   Other [see Note 3 at beginning of Chapter II]

Anorectum
Cloacogenic zone

155     Malignant neoplasm of liver and intrahepatic bile ducts

155.0   Liver, primary

Carcinoma:
    liver, specified as primary
    hepatocellular
    liver cell
Hepatoblastoma

155.1   Intrahepatic bile ducts

Canaliculi biliferi               Intrahepatic:
Interlobular:                         biliary passages
    bile ducts                        canaliculi
    biliary canals                    gall duct

155.2   Liver, not specified as primary or secondary

156     Malignant neoplasm of gallbladder and extrahepatic bile ducts

156.0   Gallbladder

156.1   Extrahepatic bile ducts

Biliary duct or passage NOS       Cystic duct
Common bile duct                  Hepatic duct

156.2   Ampulla of Vater

156.8   Other [see Note 3 at beginning of Chapter II]

156.9   Biliary tract, part unspecified

Malignant neoplasm involving both intrahepatic and extrahepatic bile ducts

157     Malignant neoplasm of pancreas

157.0   Head of pancreas

157.1   Body of pancreas

157.2   Tail of pancreas

157.3   Pancreatic duct

Duct of:
    Santorini
    Wirsung

157.4   Islets of Langerhans

Islets of Langerhans, any part of pancreas

157.8   Other [see Note 3 at beginning of Chapter II]

157.9   Part unspecified

158     Malignant neoplasm of retroperitoneum and peritoneum

158.0   Retroperitoneum

158.8   Specified parts of peritoneum [see Note 3 at beginning of Chapter II]

Mesentery                         Peritoneum:
Mesocolon                              parietal
Omentum                                pelvic

158.9   Peritoneum, unspecified

159     Malignant neoplasm of other and ill-defined sites within the
        digestive organs and peritoneum

159.0   Intestinal tract, part unspecified

Intestine NOS

159.1   Spleen, not elsewhere classified

Angiosarcoma of spleen
Fibrosarcoma of spleen

Excludes:    Hodgkin's disease (201.-)
             lymphosarcoma (200.1)
             reticulosarcoma (200.0)

159.8   Other [see Note 3 at beginning of Chapter II]

Malignant neoplasm of digestive organs and peritoneum whose point of origin
    cannot be assigned to any one of the categories 150-158

Excludes:    cardio-esophageal junction (151.0)
             colon and rectum (154.0)

159.9   Ill-defined

Alimentary canal or tract NOS     Gastrointestinal tract NOS


    MALIGNANT NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS
(160-165)

160     Malignant neoplasm of nasal cavities, middle ear, and accessory
        sinuses

160.0   Nasal cavities

Cartilage of nose                 Septum of nose
Conchae, nasal                    Vestibule of nose
Internal nose

Excludes:    nasal bone (170.0)
             nose NOS (195.0)
             olfactory bulb (192.0)
             posterior margin of septum and choanae (147.3)
             skin of nose (172.3, 173.3)

160.1   Auditory tube, middle ear, and mastoid air cells

Antrum tympanicum                 Tympanic cavity
Eustachian tube

Excludes:    auricular canal (external) (172.2, 173.2)
             bone of ear (meatus) (170.0)
             cartilage of ear (171.0)
             ear (external) (skin) (172.2, 173.2)

160.2   Maxillary sinus

Antrum (Highmore) (maxillary)

160.3   Ethmoidal sinus

160.4   Frontal sinus

160.5   Sphenoidal sinus

160.8   Other [see Note 3 at beginning of Chapter II]

160.9   Accessory sinus, unspecified

161     Malignant neoplasm of larynx

161.0   Glottis

Intrinsic larynx                  True vocal cord
Laryngeal commissure              Vocal cord NOS
    (anterior) (posterior)

161.1   Supraglottis

Aryepiglottic fold or interarytenoid fold, laryngeal aspect
Epiglottis (suprahyoid portion) NOS
Extrinsic larynx
False vocal cords
Posterior (laryngeal) surface of epiglottis
Ventricular bands

Excludes:    anterior aspect of epiglottis (146.4)
             aryepiglottic fold or interarytenoid fold:
                  NOS (148.2)
                  hypopharyngeal aspect (148.2)
                  marginal zone (148.2)

161.2   Subglottis

161.3   Laryngeal cartilages
            Cartilage:                    Cartilage:
                arytenoid                     cuneiform
                cricoid                       thyroid

161.8   Other [see Note 3 at beginning of Chapter II]

161.9   Larynx, unspecified

162     Malignant neoplasm of trachea, bronchus, and lung

162.0   Trachea

162.2   Main bronchus

Carina                            Hilus

162.3   Upper lobe, bronchus or lung

162.4   Middle lobe, bronchus or lung

162.5   Lower lobe, bronchus or lung

162.8   Other [see Note 3 at beginning of Chapter II]

162.9   Bronchus and lung, unspecified

163     Malignant neoplasm of pleura

163.0   Parietal

163.1   Visceral

163.8   Other [see Note 3 at beginning of Chapter II]

163.9   Pleura, unspecified

164     Malignant neoplasm of thymus, heart, and mediastinum

164.0   Thymus

164.1   Heart

Pericardium

Excludes:    great vessels (171.4)

164.2   Anterior mediastinum

164.3   Posterior mediastinum

164.8   Other [see Note 3 at beginning of Chapter II]

164.9   Mediastinum, part unspecified

165     Malignant neoplasm of other and ill-defined sites within the
        respiratory system and intrathoracic organs

165.0   Upper respiratory tract, part unspecified

165.8   Other [see Note 3 at beginning of Chapter II]

Malignant neoplasms of respiratory and intrathoracic organs whose point of
    origin cannot be assigned to any one of the categories 160-164

165.9   Ill-defined sites within the respiratory system

Respiratory tract NOS

Excludes:    intrathoracic NOS (195.1)
             thoracic NOS (195.1)


      MALIGNANT NEOPLASM OF BONE, CONNECTIVE TISSUE, SKIN, AND BREAST
                             (170-175)

170     Malignant neoplasm of bone and articular cartilage

Excludes:    bone marrow NOS (202.9)
             cartilage:
                  ear (171.0)
                  eyelid (171.0)
                  larynx (161.3)
                  nose (160.0)
             synovia (171.-)

170.0   Bones of skull and face

Bone:                             Bone:
    ethmoid                           sphenoid
    frontal                           temporal
    malar                             zygomatic
    nasal                         Maxilla
    occipital                     Turbinate
    orbital                       Vomer
    parietal

Excludes:    carcinoma, any type other than intraosseous or odontogenic:
                  maxilla, maxillary (sinus) (160.2)
                  upper jaw bone (143.0)
             jaw bone (lower) (170.1)

170.1   Lower jaw bone

Mandible                          Jaw bone NOS

Excludes:    carcinoma, any type other than intraosseous or odontogenic:
                  jaw bone NOS (143.9)
                       lower (143.1)
             upper jaw bone (170.0)

170.2   Vertebral column, excluding sacrum and coccyx

Spinal column                     Vertebra
Spine

170.3   Ribs, sternum, and clavicle

Costal cartilage                  Xiphoid process

170.4   Long bones of upper limb and scapula

Acromion process                  Radius
Bones NOS of upper limb           Ulna
Humerus

170.5   Upper limbs, Short bones

Carpal                            Scaphoid (of hand)
Cuneiform, wrist                  Semilunar or lunate
Metacarpal                        Trapezium
Phalanges of hand                 Trapezoid
Pisiform                          Unciform

170.6   Pelvic bones, sacrum, and coccyx

Coccygeal vertebra
Ilium
Ischium
Pubic bone
Sacral vertebra

170.7   Lower limb, long bones

Bones NOS of lower limb
Femur
Fibula
Tibia

170.8   Lower limb, short bones

Astragalus                        Navicular (of ankle)
Calcaneus                         Patella
Cuboid                            Phalanges of foot
Cuneiform, ankle                  Tarsal
Metatarsal

170.9   Site unspecified

Chondrosarcoma            }
Chondromyxosarcoma        }   site unspecified
Ewing's sarcoma or tumor  }
Osteosarcoma              }

171     Malignant neoplasm of connective and other soft tissue

Includes:    blood vessel                        peripheral, sympathetic, and
             bursa                                    parasympathetic nerves
             fascia                                   and ganglia
             fat                                 synovia
             ligament, except uterine            tendon (sheath)
             muscle

Excludes:    cartilage (of):
                  articular (170.-)
                  larynx (161.3)
                  nose (160.0)
             connective tissue of breast (174.-)
             heart (164.1)

171.0   Head, face, and neck

Cartilage of:
    ear
    eyelid

171.2   Upper limb, including shoulder

171.3   Lower limb, including hip

171.4   Thorax

Axilla
Diaphragm
Great vessels

Excludes:    thymus, heart and mediastinum (164.-)

171.5   Abdomen

Abdominal wall
Hypochondrium

171.6   Pelvis

Buttock
Groin
Perineum

Excludes:    uterine ligament, any (183.-)

171.7   Trunk, unspecified

Back NOS

171.8   Other [see Note 3 at beginning of Chapter II]

171.9   Site unspecified

Fibrosarcoma         }
Hemangiosarcoma      }
Leiomysarcoma        }
Liposarcoma          }
Lymphangiosarcoma    }    site unspecified
Myosarcoma           }
Myxosarcoma          }
Rhabdomyosarcoma     }
Sarcoma              }
Sarcomatosis         }

172     Malignant melanoma of skin

Includes:    melanocarcinoma
             melanoma (skin) NOS

Excludes:    skin of genital organs (184.-)

172.0   Lip

Excludes:    vermilion border of lip (140.-)

172.1   Eyelid, including canthus

172.2   Ear and external auditory canal

Auricle (ear)                     Pinna
External meatus

172.3   Other and unspecified parts of face

Cheek (external)                  Nose, external
Eyebrow                           Temple

172.4   Scalp and neck

172.5   Trunk, except scrotum

Axilla                            Perianal skin
Breast                            Perineum
Buttock                           Umbilicus
Groin

Excludes:    anus NOS (154.3)
             scrotum (187.7)

172.6   Upper limb, including shoulder

172.7   Lower limb, including hip

172.8   Other [see Note 3 at beginning of Chapter II]

172.9   Site unspecified

173     Other malignant neoplasm of skin

Includes:    malignant neoplasm of:
                  sebaceous glands
                  sweat glands

Excludes:    malignant melanoma of skin (172.-)
             skin of genital organs (184.-, 187.-)

173.0   Skin of lip

Excludes:    vermilion border of lip (140.-)

173.1   Eyelid, including canthus

Excludes:    cartilage of eyelid (171.0)

173.2   Ear and external auricular canal

Auricle (ear)                     Pinna
External meatus

Excludes:    cartilage of ear (171.0)

173.3   Skin of other and unspecified parts of face

Cheek, external                   Nose, external
Eyebrow                           Temple

173.4   Scalp and skin of neck

173.5   Skin of trunk, except scrotum

Axillary fold
Perianal skin
Umbilicus
Skin of:
    abdominal wall
    anus
    back
    breast
    buttock
    chest wall
    groin
    perineum

Excludes:    anal canal (154.2)
             anus NOS (154.3)
             skin of scrotum (187.7)

173.6   Skin of upper limb, including shoulder

173.7   Skin of lower limb, including hip

173.8   Other [see Note 3 at beginning of Chapter II]

173.9   Site unspecified

174     Malignant neoplasm of female breast

Includes:    breast (female)
                  connective tissue
                  soft parts
             Paget's disease of:
                  breast
                  nipple

Excludes:    skin of breast (172.5, 173.5)

174.0   Nipple and areola

174.1   Central portion

174.2   Upper-inner quadrant

174.3   Lower-inner quadrant

174.4   Upper-outer quadrant

174.5   Lower-outer quadrant

174.6   Axillary tail

174.8   Other [see Note 3 at beginning of Chapter II]

Ectopic sites

174.9   Breast, unspecified

175     Malignant neoplasm of male breast

Excludes:    skin of breast (172.5, 173.5)

              MALIGNANT NEOPLASM OF GENITOURINARY ORGANS (179-189)

179     Malignant neoplasm of uterus, part unspecified

180     Malignant neoplasm of cervix uteri

180.0   Endocervix

Cervical canal NOS                Endocervical gland
Endocervical canal

180.1   Exocervix

180.8   Other [see Note 3 at beginning of Chapter II]

180.9   Cervix uteri, unspecified

181     Malignant neoplasm of placenta

Choriocarcinoma NOS
Chorioepithelioma NOS

Excludes:    chorioadenoma (destruens) (236.1)
             hydatidiform mole (630)
                  malignant (236.1)

182     Malignant neoplasm of body of uterus

182.0   Corpus uteri, except isthmus

Cornu                             Fundus
Endometrium                       Myometrium

182.1   Isthmus

Lower uterine segment

182.8   Other [see Note 3 at beginning of Chapter II]

183     Malignant neoplasm of ovary and other uterine adnexa

183.0   Ovary

183.2   Fallopian tube

Oviduct
Uterine tube

183.3   Broad ligament

183.4   Parametrium

Uterine ligament NOS

183.5   Round ligament

183.8   Other [see Note 3 at beginning of Chapter II]

183.9   Uterine adnexa, unspecified

184     Malignant neoplasm of other and unspecified female genital organs

184.0   Vagina

184.1   Labia majora

Greater vestibular [Bartholin's] gland

184.2   Labia minora

184.3   Clitoris

184.4   Vulva, unspecified

External female genitalia NOS
Pudendum

184.8   Other [see Note 3 at beginning of Chapter II]

184.9   Site unspecified

Female genitourinary tract NOS

185     Malignant neoplasm of prostate

186     Malignant neoplasm of testis

186.0   Undescended

Ectopic testis                    Retained testis

186.9   Other and unspecified

Testis:
    NOS
    descended
    scrotal

187     Malignant neoplasm of penis and other male genital organs

187.1   Prepuce

Foreskin

187.2   Glans penis

187.3   Body of penis

Corpus cavernosum

187.4   Penis, part unspecified

Skin of penis NOS

187.5   Epididymis

187.6   Spermatic cord

187.7   Scrotum

Skin of scrotum

187.8   Other [see Note 3 at beginning of Chapter II]

187.9   Site unspecified

Male genital organ or tract NOS

188     Malignant neoplasm of bladder

188.0   Trigone

188.1   Dome

188.2   Lateral wall

188.3   Anterior wall

188.4   Posterior wall

188.5   Bladder neck

Internal urethral orifice

188.6   Ureteric orifice

188.7   Urachus

188.8   Other [see Note 3 at beginning of Chapter II]

188.9   Part unspecified

189     Malignant neoplasm of kidney and other and unspecified urinary organs

189.0   Kidney, except pelvis

189.1   Renal pelvis

Renal calyces                     Pelviureteric junction

189.2   Ureter

Excludes:    ureteric orifice of bladder (188.6)

189.3   Urethra

Excludes:    urethral orifice of bladder (188.5)

189.4   Paraurethral glands

189.8   Other [see Note 3 at beginning of Chapter II]

189.9   Site unspecified

Urinary system NOS


         MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES (190-199)

190     Malignant neoplasm of eye

Excludes:    eyelid (skin) (172.1, 173.1)
             cartilage of eyelid (171.0)
             optic nerve (192.0)
             orbital bone (170.0)

190.0   Eyeball, except conjunctiva, cornea, retina, and choroid

Ciliary body

190.1   Orbit

Connective tissue of orbit        Retrobulbar
Extraocular muscle

Excludes:    orbit bone (170.0)

190.2   Lacrimal gland

190.3   Conjunctiva

190.4   Cornea

190.5   Retina

190.6   Choroid

190.7   Lacrimal duct

Lacrimal sac                      Nasolacrimal duct

190.8   Other [see Note 3 at beginning of Chapter II]

190.9   Part unspecified

191     Malignant neoplasm of brain

Excludes:    cranial nerves (192.-)
             retrobulbar area (190.1)

191.0   Cerebrum, except lobes and ventricles

191.1   Frontal lobe

191.2   Temporal lobe

191.3   Parietal lobe

191.4   Occipital lobe

191.5   Ventricles

Floor of ventricle

191.6   Cerebellum

191.7   Brain stem

191.8   Other [see Note 3 at beginning of Chapter II]

191.9   Brain, unspecified

Astrocytoma           }
Astroblastoma         }
Ependymoma            }   site unspecified
Glioma                }
Medulloblastoma       }
Neuroepithelioma      }
Oligodendroblastoma   }

192     Malignant neoplasm of other and unspecified parts of nervous system

Excludes:    peripheral, sympathetic, and parasympathetic nerves and
                  ganglia (171.-)

192.0   Cranial nerves

192.1   Cerebral meninges

Meninges NOS

192.2   Spinal cord

192.3   Spinal meninges

192.8   Other [see Note 3 at beginning of Chapter II]

192.9   Part unspecified

Nervous system (central) NOS

Excludes:    meninges NOS (192.1)

193     Malignant neoplasm of thyroid gland

194     Malignant neoplasm of other endocrine glands and related structures

Excludes:    islets of Langerhans (157.4)

194.0   Suprarenal gland

Adrenal gland

194.1   Parathyroid gland

194.3   Pituitary gland and craniopharyngeal duct

194.4   Pineal gland

194.5   Carotid body

194.6   Aortic body and other paraganglia

194.8   Other

Pluriglandular involvement NOS

Note:   If the sites of multiple involvements are known, they should be
        coded separately.

194.9   Site unspecified

Endocrine gland NOS

195     Malignant neoplasm of other and ill-defined sites

Includes:    overlapping neoplasms, not elsewhere classified [see Note 3
                  at beginning of Chapter II]

Excludes:    malignant neoplasm:
                  lymphatic and hematopoietic tissue (200-208)
                  unspecified site (199.-)

195.0   Head, face, and neck

Cheek NOS                         Nose NOS

195.1   Thorax

Axilla

195.2   Abdomen

195.3   Pelvis

Groin
Sites overlapping systems within pelvis, such as:
    rectovaginal (septum)
    rectovesical (septum)

195.4   Upper limb

195.5   Lower limb

195.8   Other specified sites

196     Secondary and unspecified malignant neoplasm of lymph nodes

[Not to be used for underlying cause of death]

Excludes:    any malignant neoplasm of lymph nodes, specified as primary
                  (200-202)
             Hodgkin's disease (201.-)
             lymphosarcoma (200.1)
             other forms of lymphoma (202.-)
             reticulosarcoma (200.0)

196.0   Head, face, and neck

Cervicofacial                     Supraclavicular

196.1   Intrathoracic

Bronchopulmonary                  Tracheobronchial
Mediastinal

196.2   Intra-abdominal

Intestinal                        Retroperitoneal
Mesenteric

196.3   Axilla and upper limb

Brachial                          Pectoral
Epitrochlear

196.5   Inguinal and lower limb

Groin                             Tibial
Popliteal

196.6   Intrapelvic lymph nodes

Iliac                             Obturator

196.8   Multiple sites

196.9   Site unspecified

Lymph nodes NOS

197     Secondary malignant neoplasm of respiratory and digestive systems

[Not to be used for underlying cause of death].

197.0   Lung

197.1   Mediastinum

197.2   Pleura

197.3   Other respiratory organs

197.4   Small intestine, including duodenum

197.5   Large intestine and rectum

197.6   Retroperitoneum and peritoneum

197.7   Liver

197.8   Other digestive organs

198     Secondary malignant neoplasm of other specified sites

[Not to be used for underlying cause of death]

198.0   Kidney

198.1   Other urinary organs

198.2   Skin

198.3   Brain and spinal cord

198.4   Other parts of nervous system

Meninges (cerebral) (spinal)

198.5   Bone and bone marrow

198.6   Ovary

198.7   Suprarenal gland

198.8   Other specified sites

199     Malignant neoplasm without specification of site

199.0   Disseminated

Carcinomatosis unspecified site (primary) (secondary)
Generalized:
    cancer unspecified site (primary) (secondary)
    malignancy unspecified site (primary) (secondary)
Multiple cancer unspecified site (primary) (secondary)

199.1   Other

Cancer unspecified site (primary) (secondary)
Carcinoma unspecified site (primary) (secondary)
Malignancy unspecified site (primary) (secondary)



     MALIGNANT NEOPLASM OF LYMPHATIC AND HEMATOPOIETIC TISSUE
(200-208)

Excludes:    secondary and unspecified neoplasm of lymph nodes (196.-)

200     Lymphosarcoma and reticulosarcoma

200.0   Reticulosarcoma

200.1   Lymphosarcoma

Excludes:    lymphosarcoma cell leukemia (207.8)

200.2   Burkitt's tumor

200.8   Other named variants

Reticulolymphosarcoma

201     Hodgkin's disease

Note:  Two alternative sub-classifications are given:
           .0-.2  Parker-Jackson
           .4-.7  Rye modification of Lukes-Butler
       This departure from the principle that categories should be
       mutually exclusive is deliberate, since both forms of
       terminology are currently encountered on medical records.

201.0   Hodgkin's paragranuloma

201.1   Hodgkin's granuloma

201.2   Hodgkin's sarcoma

201.4   Lymphocytic-histiocytic predominance

201.5   Nodular sclerosis

201.6   Mixed cellularity

201.7   Lymphocytic depletion

201.9   Unspecified

202     Other malignant neoplasms of lymphoid and histiocytic tissue

202.0   Nodular lymphoma

Brill-Symmers disease             Follicular lymphoma

202.1   Mycosis fungoides

202.2   Szary's disease

202.3   Malignant histiocytosis

202.4   Leukemic reticuloendotheliosis

Hairy-cell leukemia

202.5   Letterer-Siwe disease

Acute:
    differentiated progressive histiocytosis
    progressive histiocytosis X
    infantile reticuloendotheliosis
    reticulosis of infancy

Excludes:    histiocytosis (acute) (chronic) (277.8)
             histiocytosis X (chronic) (277.8)

202.6   Malignant mast-cell tumors

Malignant:                            Mast-cell sarcoma
    mastocytoma
    mastocytosis

Excludes:    mast-cell leukemia (207.8)

202.8   Other lymphomas

Lymphoma (malignant):
    NOS
    diffuse

202.9   Other and unspecified

203     Multiple myeloma and immunoproliferative neoplasms

203.0   Multiple myeloma

Kahler's disease                  Myelomatosis

Excludes:    solitary myeloma (238.6)

203.1   Plasma cell leukemia

203.8   Other immunoproliferative neoplasms

204     Lymphoid leukemia

Includes:    leukemia:
                  lymphatic
                  lymphocytic

204.0   Acute

Excludes:    acute exacerbation of chronic lymphoid leukemia (204.1)

204.1   Chronic

204.2   Subacute

204.8   Other

204.9   Unspecified

205     Myeloid leukemia

Includes:       leukemia:
                   granulocytic
                   myelogenous

205.0   Acute

Excludes:    acute exacerbation of chronic myeloid leukemia (205.1)

205.1   Chronic

205.2   Subacute

205.3   Myeloid sarcoma

Chloroma                          Granulocytic sarcoma

205.8   Other

205.9   Unspecified

206     Monocytic leukemia

Includes:    monocytoid leukemia

206.0   Acute

Excludes:    acute exacerbation of chronic monocytic leukemia (206.1)

206.1   Chronic

206.2   Subacute

206.8   Other

206.9   Unspecified

207     Other specified leukemia

Excludes:    leukemic reticuloendotheliosis (202.4)
             plasma cell leukemia (203.1)

207.0   Acute erythremia and erythroleukemia

Acute erythremic myelosis         Di Guglielmo's disease

207.1   Chronic erythremia

Heilmeyer-Schner disease

207.2   Megakaryocytic leukemia

207.8   Other

Lymphosarcoma cell leukemia

208     Leukemia of unspecified cell type

208.0   Acute

Acute leukemia NOS                Stem cell leukemia
Blast cell leukemia

Excludes:    acute exacerbation of unspecified leukemia (208.1)

208.1   Chronic

Chronic leukemia NOS

208.2   Subacute

Subacute leukemia NOS

208.8   Other

208.9   Unspecified

Leukemia NOS



                        BENIGN NEOPLASMS (210-229)

210     Benign neoplasm of lip, oral cavity, and pharynx

Excludes:    cyst of jaw (522.-, 526.-)
             cyst of oral soft tissue (528.-)

210.0   Lip

Frenulum labii
Lip (inner aspect) (mucosa) (vermilion border)

Excludes:    labial commissure (210.4)
             skin of lip (216.0)

210.1   Tongue

Lingual tonsil

210.2   Major salivary glands

Gland:
    parotid
    sublingual
    submandibular

Excludes:    benign neoplasms of minor salivary glands which are to be
                  classified according to their anatomical location; if
                  location is not specified, classify to 210.4

210.3   Floor of mouth

210.4   Other and unspecified parts of mouth

Gingiva                           Oral mucosa
Labial commissure                 Palate (hard) (soft)
Oral cavity NOS                   Uvula

Excludes:    benign odontogenic neoplasms (213.-)
             mucosa of lips (210.0)
             nasopharyngeal [posterior] [superior] surface of soft palate
                  (210.7)

210.5   Tonsil

Tonsil (faucial) (palatine)

Excludes:    lingual tonsil (210.1)
             pharyngeal tonsil (210.7)
             tonsillar:
                  fossa (210.6)
                  pillars (210.6)

210.6   Other parts of oropharynx

Epiglottis, anterior aspect       Vallecula
Tonsillar:
    fossa
    pillars

Excludes:    epiglottis:
                  NOS (212.1)
                  suprahyoid portion (212.1)

210.7   Nasopharynx

210.8   Hypopharynx

210.9   Pharynx, unspecified

211     Benign neoplasm of other parts of digestive system

211.0   Esophagus

211.1   Stomach

211.2   Small intestine, including duodenum

Excludes:    ampulla of Vater (211.5)
             ileocecal valve (211.3)

211.3   Colon

Excludes:    rectosigmoid junction (211.4)

211.4   Rectum and anal canal

Anus NOS

Excludes:    anus:
                  margin (216.5)
                  skin (216.5)
             perianal skin (216.5)

211.5   Liver and biliary passages

211.6   Pancreas, except islets of Langerhans

211.7   Islets of Langerhans

Islet cell tumor

211.8   Retroperitoneum and peritoneum

211.9   Other and unspecified site

Alimentary canal or tract NOS     Intestine NOS
Gastrointestinal tract NOS        Spleen, not elsewhere classified

212     Benign neoplasm of respiratory and intrathoracic organs

212.0   Nasal cavities, middle ear, and accessory sinuses

Excludes:    auricular canal (external) (216.2)
             bone of:
                  ear (213.0)
                  nose (213.0)
             cartilage of ear (215.0)
             ear (external) (skin) (216.2)
             nose NOS (229.8)
                  skin (216.3)
             olfactory bulb (225.1)
             polyp of:
                  accessory sinus (471.8)
                  ear (387.9)
                  nasal cavity (471.0)
             posterior margin of septum and choanae (210.7)

212.1   Larynx

Excludes:    epiglottis, anterior aspect (210.6)
             polyp of vocal cord or larynx (478.4)

212.2   Trachea

212.3   Bronchus and lung

212.4   Pleura

212.5   Mediastinum

212.6   Thymus

212.7   Heart

Excludes:    great vessels (215.4)

212.8   Other specified sites

212.9   Site unspecified

Respiratory organ NOS             Upper respiratory tract NOS

Excludes:    intrathoracic NOS (229.8)
             thoracic NOS (229.8)

213     Benign neoplasm of bone and articular cartilage

Excludes:    cartilage of:
                  ear (215.0)
                  eyelid (215.0)
                  larynx (212.1)
                  nose (212.0)
             synovia (215.-)

213.0   Bones of skull and face

Excludes:    lower jaw bone (213.1)

213.1   Lower jaw bone

213.2   Vertebral column, excluding sacrum and coccyx

213.3   Ribs, sternum, and clavicle

213.4   Long bones of upper limb and scapula

213.5   Upper limb, short bones

213.6   Pelvic bones, sacrum, and coccyx

213.7   Lower limb, long bones

213.8   Lower limb, short bones

213.9   Site unspecified

Chondroma   }    site
Osteoma     }    unspecified

214     Lipoma

Any site:    Angiolipoma
             Fibrolipoma
             Hibernoma
             Lipoma (fetal) (infiltrating) (intramuscular)
             Myxolipoma

215     Other benign neoplasm of connective and other soft tissue

Includes:    blood vessel         peripheral, sympathetic, and
             bursa                     parasympathetic nerves and ganglia
             fascia               synovia
             ligament             tendon (sheath)
             muscle

Excludes:    cartilage:
                  articular (213.-)
                  larynx (212.1)
                  nose (212.0)
             connective tissue of breast (217)

215.0   Head, face, and neck

215.2   Upper limb, including shoulder

215.3   Lower limb, including hip

215.4   Thorax

Excludes:    heart (212.7)
             mediastinum (212.5)
             thymus (212.6)

215.5   Abdomen

215.6   Pelvis

Excludes:    uterine:
                  leiomyoma (218)
                  ligament, any (221.0)

215.7   Trunk, unspecified

Back NOS

215.8   Other specified sites

215.9   Site unspecified
        Leiomyoma        }
        Myoma            }    site
        Myxofibroma      }    unspecified
        Myxoma           }
        Rhabdomyoma      }

216     Benign neoplasm of skin

Includes:    blue naevus
             dermatofibroma
             hydrocystoma
             pigmented naevus
             syringoadenoma
             syringoma

Excludes:    skin of genital organs (221.-, 222.-)

216.0   Skin of lip

Excludes:    vermilion border of lip (210.0)

216.1   Eyelid, including canthus

Excludes:    cartilage of eyelid (215.0)

216.2   Ear and external auditory canal

Auricle (ear)                     Pinna
External meatus

Excludes:    cartilage of ear (215.0)

216.3   Skin of other and unspecified parts of face

Cheek, external                   Nose, external
Eyebrow                           Temple

216.4   Scalp and skin of neck

216.5   Skin of trunk, except scrotum

Axillary fold                     Skin of:
Perianal skin                         abdominal wall
Umbilicus                             anus
                                      back
                                      breast
                                      buttock
                                      chest wall
                                      groin
                                      perineum

Excludes:    anal canal (211.4)
             anus NOS (211.4)
             skin of scrotum (222.4)

216.6   Skin of upper limb, including shoulder

216.7   Skin of lower limb, including hip

216.8   Other

216.9   Site unspecified

217     Benign neoplasm of breast

Breast (male) (female)
    connective tissue
    soft parts

Excludes:    benign cyst of breast (610.-)
             skin of breast (216.5)

218     Uterine leiomyoma

Fibroid (uterus)                  Fibromyoma      }   uterus
                                  Myoma           }

219     Other benign neoplasm of uterus

219.0   Cervix uteri

219.1   Corpus uteri

219.8   Other specified parts

219.9   Part unspecified

220     Benign neoplasm of ovary

221     Benign neoplasm of other female genital organs

Includes:    adenomatous polyp
             benign teratoma

221.0   Uterine tube and ligaments

Fallopian tube
Oviduct
Uterine ligament (broad) (round)

221.1   Vagina

221.2   Vulva

Clitoris
External female genitalia NOS
Greater vestibular [Bartholin's] gland
Labia (majora) (minora)
Pudendum

221.8   Other specified sites

221.9   Site unspecified

222     Benign neoplasm of male genital organs

222.0   Testis

222.1   Penis

Corpus cavernosum
Glans penis
Prepuce

222.2   Prostate

Excludes:    adenomatous hyperplasia of prostate (600)
             prostatic:
                  adenoma (600)
                  enlargement (600)
                  hypertrophy (600)

222.3   Epididymis

222.4   Scrotum

Skin of scrotum

222.8   Other specified sites

Seminal vesicle                   Spermatic cord

222.9   Site unspecified

223     Benign neoplasm of kidney and other urinary organs

223.0   Kidney, except pelvis

Excludes:    renal:
                  calyces (223.1)
                  pelvis (223.1)

223.1   Renal pelvis

223.2   Ureter

Excludes:    ureteric orifice of bladder (223.3)

223.3   Bladder

223.8   Other specified sites

Paraurethral glands               Urethra

Excludes:    urethral orifice of bladder(223.3)

223.9   Site unspecified

Urinary system NOS

224     Benign neoplasm of eye

Excludes:    cartilage of eyelid (215.0)
             eyelid (skin) (216.1)
             optic nerve (225.1)
             orbital bone (213.0)

224.0   Eyeball, except conjunctiva, cornea, retina, and choroid

224.1   Orbit

224.2   Lacrimal gland

224.3   Conjunctiva

224.4   Cornea

224.5   Retina

Excludes:    haemangioma of retina (228.0)

224.6   Choroid

224.7   Lacrimal duct

Lacrimal sac                      Nasolacrimal duct

224.8   Other specified parts

224.9   Part unspecified

225     Benign neoplasm of brain and other parts of nervous system

Excludes:    haemangioma (228.0)
             peripheral, sympathetic, and parasympathetic nerves and
                  ganglia (215.-)
             retrobulbar (224.1)

225.0   Brain

225.1   Cranial nerves

225.2   Cerebral meninges

Meninges NOS                      Meningioma (cerebral)

225.3   Spinal cord

225.4   Spinal meninges

Spinal meningioma

225.8   Other

225.9   Part unspecified

Nervous system (central) NOS

Excludes:    meninges NOS (225.2)

226     Benign neoplasm of thyroid glands

227     Benign neoplasm of other endocrine glands and related structures

227.0   Suprarenal gland

Adrenal gland

227.1   Parathyroid gland

227.3   Pituitary gland and craniopharyngeal duct

227.4   Pineal gland

227.5   Carotid body

227.6   Aortic body and other paraganglia

227.8   Other

227.9   Site unspecified

Endocrine gland NOS

228     Hemangioma and lymphangioma, any site

Excludes:    blue or pigmented naevus (216.-)

228.0   Haemangioma, any site

Angioma (benign) (cavernous) (congenital) NOS
Glomus tumor
Haemangioma (benign) (congenital)
Naevus:
    NOS
    cavernous
    vascular
Systemic angiomatosis

228.1   Lymphangioma, any site

Congenital lymphangioma           Lymphatic nevus

229     Benign neoplasm of other and unspecified sites

229.0   Lymph nodes

229.8   Other specified sites

229.9   Site unspecified


                        CARCINOMA IN SITU (230-234)

Includes:    Bowen's disease
             erythroplasia
             Queyrat's erythroplasia

230     Carcinoma in situ of digestive organs

230.0   Lip, oral cavity, and pharynx

Gingiva                           Oropharynx
Hypopharynx                       Salivary gland or duct
Mouth [any part]                  Tongue
Nasopharynx

Excludes:    aryepiglottic fold or interarytenoid fold, laryngeal
             aspect (231.0)
             epiglottis:
                  NOS (231.0)
                  suprahyoid portion (231.0)
             skin of lip (232.0)

230.1   Esophagus

230.2   Stomach

230.3   Colon

Excludes:    rectosigmoid junction (230.4)

230.4   Rectum

230.5   Anal canal

230.6   Anus, unspecified

Excludes:    anus:
                  margin (232.5)
                  skin (232.5)
             perianal skin (232.5)

230.7   Other and unspecified parts of intestine

Excludes:    ampulla of Vater (230.8)

230.8   Liver and biliary system

230.9   Other and unspecified digestive organs

Digestive organ NOS               Pancreas

231     Carcinoma in situ of respiratory system

231.0   Larynx

Excludes:    aryepiglottic fold or interarytenoid fold:
                  NOS (230.0)
                  hypopharyngeal aspect (230.0)
                  marginal zone (230.0)

231.1   Trachea

231.2   Bronchus and lung

231.8   Other specified parts

Accessory sinuses                 Nasal cavities
Middle ear

Excludes:    ear (external) (skin) (232.2)
             nose NOS (234.8)
                  skin (232.3)

231.9   Part unspecified

Respiratory organ NOS

232     Carcinoma in situ of skin

Includes:    pigment cells

232.0   Skin of lip

Excludes:    vermilion border of lip (230.0)

232.1   Eyelid, including canthus

232.2   Ear and external auditory canal

232.3   Skin of other and unspecified parts of face

232.4   Scalp and skin of neck

232.5   Skin of trunk, except scrotum

Anus, margin                      Skin of:
Axillary fold                              abdominal wall
Perianal skin                              anus
Umbilicus                                  back
                                           breast
                                           buttock
                                           chest wall
                                           groin
                                           perineum

Excludes:    anal canal (230.5)
             anus NOS (230.6)
             skin of genital organs (233.3, 233.5, 233.6)

232.6   Skin of upper limb, including shoulder

232.7   Skin of lower limb, including hip

232.8   Other specified sites

232.9   Site unspecified

233     Carcinoma in situ of breast and genitourinary system

233.0   Breast

Excludes:    skin of breast (232.5)

233.1   Cervix uteri

233.2   Other and unspecified parts of uterus

233.3   Other and unspecified female genital organs

233.4   Prostate

233.5   Penis

233.6   Other and unspecified male genital organs

233.7   Bladder

233.9   Other and unspecified urinary organs

234     Carcinoma in situ of other and unspecified sites

234.0   Eye

Excludes:    eyelid (skin) (232.1)

234.8   Other specified sites

Endocrine gland [any]

234.9   Site unspecified

Carcinoma in situ NOS


                   NEOPLASMS OF UNCERTAIN BEHAVIOR (235-238)

Note:   Categories 235-238 classify by site certain histo-morphologically
        well-defined neoplasms the subsequent behavior of which cannot be
        predicted from the present appearance.

235     Neoplasm of uncertain behavior of digestive and respiratory systems

235.0   Major salivary glands

Gland:
    parotid
    sublingual
    submandibular

235.1   Lip, oral cavity, and pharynx

Gingiva                           Nasopharynx
Hypopharynx                       Oropharynx
Mouth                             Tongue

Excludes:    aryepiglottic fold or interarytenoid fold, laryngeal
             aspect (235.6)
             epiglottis:
                  NOS (235.6)
                  suprahyoid portion (235.6)
             skin of lip (238.2)

235.2   Stomach, intestines, and rectum

235.3   Liver and biliary passages

Ampulla of Vater                  Gallbladder
Bile ducts [any]                  Liver

235.4   Retroperitoneum and peritoneum

235.5   Other and unspecified digestive organs

Anal:
    canal
    sphincter
    Anus NOS
    Esophagus
    Pancreas

Excludes:    anus:
                  margin (238.2)
                  skin (238.2)
             perianal skin (238.2)

235.6   Larynx

Excludes:    aryepiglottic fold or interarytenoid fold:
                  NOS (235.1)
                  hypopharyngeal aspect (235.1)
                  marginal zone (235.1)

235.7   Trachea, bronchus, and lung

235.8   Pleura, thymus, and mediastinum

235.9   Other and unspecified respiratory organs

Accessory sinuses                 Nasal cavities
Middle ear                        Respiratory organ NOS

Excludes:    ear (external) (skin) (238.2)
             nose (238.8)
                  skin (238.2)

236     Neoplasm of uncertain behavior of genitourinary organs

236.0   Uterus

236.1   Placenta

Chorioadenoma (destruens)         Malignant hydatid(iform) mole

236.2   Ovary

236.3   Other and unspecified female genital organs

236.4   Testis

236.5   Prostate

236.6   Other and unspecified male genital organs

236.7   Bladder

236.9   Other and unspecified urinary organs

Kidney                            Urethra
Ureter

237     Neoplasm of uncertain behavior of endocrine glands and nervous system

237.0   Pituitary gland and craniopharyngeal duct

237.1   Pineal gland

237.2   Suprarenal gland

Adrenal gland

237.3   Paraganglia

237.4   Other and unspecified endocrine glands

Parathyroid gland                 Thyroid gland

237.5   Brain and spinal cord

237.6   Meninges

Meninges:
    NOS
    cerebral
    spinal

237.7   Neurofibromatosis

von Recklinghausen's disease

237.9   Other and unspecified parts of nervous system

Cranial nerves

238     Neoplasm of uncertain behavior of other and unspecified sites and
        tissues

238.0   Bone and articular cartilage

Excludes:    cartilage:
                  ear (238.1)
                  eyelid (238.1)
                  larynx (235.6)
                  nose (235.9)
             synovia (238.1)

238.1   Connective and other soft tissue

Excludes:    cartilage (of):
                  articular (238.0)
                  larynx (235.6)
                  nose (235.9)
             connective tissue of breast (238.3)

238.2   Skin

Excludes:    anus NOS (235.5)
             skin of genital organs (236.3, 236.6)
             vermilion border of lip (235.1)

238.3   Breast

Excludes:    skin of breast (238.2)

238.4   Polycythemia vera

238.5   Histiocytic and mast cells

Mast cell tumor NOS               Mastocytoma NOS

238.6   Plasma cells

Plasmacytoma NOS                  Solitary myeloma

238.7   Other lymphatic and hematopoietic tissues

Disease:
    lymphoproliferative (chronic) NOS
    myeloproliferative (chronic) NOS
Idiopathic thrombocythemia
Megakaryocytic myelosclerosis
Myelosclerosis with myeloid metaplasia
Panmyelosis (acute)

Excludes:    myelofibrosis (298.8)
             myelosclerosis NOS (289.8)
             myelosis:
                  NOS (205.9)
                  megakaryocytic (207.2)

238.8   Other specified sites

Eye                               Heart

Excludes:    eyelid (skin) (238.2)
                  cartilage (238.1)

238.9   Site unspecified



                   NEOPLASMS OF UNSPECIFIED NATURE (239)

Note:   Category 239 classifies by site neoplasms of unspecified morphology
        and behavior.

239     Neoplasms of unspecified nature

Includes:    "growth" NOS
             neoplasm NOS
             new growth NOS
             tumor NOS

239.0   Digestive system

Excludes:    anus:
                  margin (239.2)
                  skin (239.2)
             perianal skin (239.2)

239.1   Respiratory system

239.2   Bone, soft tissue, and skin

Excludes:    anal canal (239.0)
             anus NOS (239.0)
             cartilage:
                  larynx (239.1)
                  nose (239.1)
             connective tissue of breast (239.3)
             skin of genital organs (239.5)
             vermilion border of lip (239.8)

239.3   Breast

Excludes:    skin of breast (239.2)

239.4   Bladder

239.5   Other genitourinary organs

239.6   Brain

Excludes:    cerebral meninges (239.7)
             cranial nerves (239.7)

239.7   Endocrine glands and other parts of nervous system

Excludes:    peripheral, sympathetic, and parasympathetic nerves and ganglia
                  (239.2)

239.8   Other specified sites

Excludes:    eyelid (skin) (239.2)
                  cartilage (239.2)
             great vessels (239.2)
             optic nerve (239.7)

239.9   Site unspecified
        III.  ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES, AND
                            IMMUNITY DISORDERS

Excludes:    endocrine and metabolic disturbances specific to the fetus and
                  newborn (775.-)

Note:   All neoplasms, whether functionally active or not, are classified in
        Chapter 2. Codes in Chapter 3 (i.e., 242.8, 246.0, 251-253, 255-259)
        may be used, if desired, to identify such functional activity
        associated with any neoplasm, or by ectopic endocrine tissue.


                DISORDERS OF THYROID GLAND (240-246)

240     Simple and unspecified goiter

240.0   Goiter, specified as simple

Includes:    conditions in 240.9, specified as simple

240.9   Goiter, unspecified

Enlargement of thyroid
Goiter or struma:
    NOS
    diffuse colloid
    endemic
    hyperplastic
    parenchymatous

Excludes:    congenital (dyshormonogenic) goiter (246.1)

241     Nontoxic nodular goiter

Excludes:    adenoma of thyroid (226)
             cystadenoma of thyroid (226)

241.0   Nontoxic uninodular goiter

Thyroid nodule                    Uninodular goiter (nontoxic)

241.1   Nontoxic multinodular goiter

Multinodular goiter (nontoxic)

241.9   Unspecified

Adenomatous goiter                Struma nodosa (simplex)
Nodular goiter (nontoxic) NOS

242     Thyrotoxicosis with or without goiter

Excludes:    neonatal thyrotoxicosis (775.3)

242.0   Toxic diffuse goiter

Exophthalmic or toxic goiter NOS

242.1   Toxic uninodular goiter

Thyroid nodule, toxic or with hyperthyroidism
Uninodular goiter, toxic or with hyperthyroidism

242.2   Toxic multinodular goiter

242.3   Toxic nodular goiter, unspecified

Any condition in 241.9 specified as toxic or with hyperthyroidism

242.4   Thyrotoxicosis from ectopic thyroid nodule

242.8   Thyrotoxicosis of other specified origin

Overproduction of thyroid-stimulating hormone
Thyrotoxicosis:
    factitia
    from ingestion of excessive thyroid material

Use additional E code, if desired, to identify cause, if drug-induced

242.9   Thyrotoxicosis without mention of goiter or other cause

Hyperthyroidism NOS

243     Congenital hypothyroidism

Congenital thyroid insufficiency
Cretinism

Use additional code, if desired, to identify associated mental retardation

Excludes:    congenital (dyshormonogenic) goiter (246.1)

244     Acquired hypothyroidism

[Not to be used for underlying cause of death]

Includes:    hypothyroidism (acquired)
             myxedema (adult) (juvenile)

244.0   Postsurgical hypothyroidism

244.1   Other postablative hypothyroidism

Hypothyroidism following therapy, such as irradiation

244.2   Iodine hypothyroidism

Hypothyroidism resulting from administration or ingestion of iodide

Use additional E code, if desired, to identify drug

244.3   Other iatrogenic hypothyroidism

Hypothyroidism resulting from:
    P-aminosalicylic acid [PAS]
    Phenylbutazone
    Resorcinol

Use additional E code, if desired, to identify drug

244.8   Other

244.9   Unspecified hypothyroidism

Hypothyroidism, primary or NOS
Myxedema, primary or NOS

245     Thyroiditis

245.0   Acute thyroiditis

Abscess of thyroid
Thyroiditis:
    pyogenic
    suppurative

Use additional code, if desired, to identify organism

245.1   Subacute thyroiditis

Thyroiditis:
    de Quervain's
    giant-cell
    granulomatous

245.2   Chronic lymphocytic thyroiditis

Autoimmune thyroiditis
Lymphocytic thyroiditis (chronic)
Hashimoto's disease
Struma lymphomatosa

245.3   Chronic fibrous thyroiditis

Thyroiditis:
    ligneous
    Riedel's

245.4   Iatrogenic thyroiditis

Use additional code, if desired, to identify cause

245.8   Other and unspecified chronic thyroiditis

Chronic thyroiditis NOS

245.9   Unspecified

Thyroiditis NOS

246     Other disorders of thyroid

246.0   Disorders of thyrocalcitonin secretion

Hypersecretion of calcitonin or thyrocalcitonin

246.1   Dyshormonogenic goiter

Congenital goiter
Goiter due to enzyme defect in synthesis of thyroid hormone

246.2   Cyst of thyroid

Excludes:    cystadenoma (226)

246.3   Hemorrhage and infarction of thyroid

246.8   Other

Abnormality of thyroid-binding globulin
Atrophy of thyroid

246.9   Unspecified


                   DISEASES OF OTHER ENDOCRINE GLANDS (250-259)

250     Diabetes mellitus

Excludes:    neonatal diabetes mellitus (775.1)
             nonclinical diabetes (790.2)
             when complicating pregnancy, childbirth, or the puerperium
                  (648.0)

250.0   Diabetes mellitus without mention of complication

Diabetes mellitus without mention of complication or manifestation
    classifiable to 250.1-250.9
Diabetes (mellitus) NOS

250.1   Diabetes with ketoacidosis

Diabetic:
    acidosis without mention of coma
    ketosis without mention of coma

250.2   Diabetes with coma

Diabetic coma (with ketoacidosis)
Diabetes with hyperosmolar coma

250.3   Diabetes with renal manifestations

Diabetic nephropathy
Intercapillary glomerulosclerosis
Kimmelstiel-Wilson syndrome

250.4   Diabetes with ophthalmic manifestations

Diabetic:
    cataract
    retinopathy

250.5   Diabetes with neurological manifestations

Diabetic:                         Diabetic polyneuropathy
    amyotrophy
    mononeuropathy

250.6   Diabetes with peripheral circulatory disorders

Diabetic:
    gangrene
    peripheral angiopathy

250.7   Diabetes with other specified manifestations

Excludes:    intercurrent infections in diabetic patients

250.9   Diabetes with unspecified complications

251     Other disorders of pancreatic internal secretion

251.0   Hypoglycemic coma

Iatrogenic hyperinsulinism
Insulin coma

Use additional E code, if desired, to identify cause, if drug-induced

251.1   Other hyperinsulinism

Hyperinsulinism:                  Hyperplasia of pancreatic islet beta cells
    NOS                               NOS
    ectopic
    functional

251.2   Hypoglycemia, unspecified

251.3   Postsurgical hypoinsulinemia

[Not to be used for underlying cause of death]

Postpancreatectomy hyperglycemia

251.4   Abnormality of secretion of glucagon

Hyperplasia of pancreatic islet alpha cells with glucagon excess

251.5   Abnormality of secretion of gastrin

Hyperplasia of pancreatic alpha cells with
    gastrin excess
Zollinger-Ellison syndrome

251.8   Other

251.9   Unspecified

Islet cell hyperplasia NOS

252     Disorders of parathyroid gland

252.0   Hyperparathyroidism

Hyperplasia of parathyroid
Osteitis fibrosa cystica generalisata [von Recklinghausen's disease of bone]

Excludes:    secondary hyperparathyroidism (of renal origin) (588.8)

252.1   Hypoparathyroidism

Parathyroiditis (autoimmune)
Tetany:
    parathyroid
    parathyroprival

Excludes:    pseudohypoparathyroidism (275.4)
             pseudopseudohypoparathyroidism (275.4)
             tetany NOS (781.7)
             transitory neonatal hypoparathyroidism (775.4)

252.8   Other

252.9   Unspecified

253     Disorders of the pituitary gland and its hypothalamic control

Includes:    the listed conditions whether the disorder is in the pituitary
                  or the hypothalamus

Excludes:    Cushing's syndrome (255.0)

253.0   Acromegaly and gigantism

Arthropathy associated with acromegaly
Overproduction of growth hormone

253.1   Other anterior pituitary hyperfunction

Excludes:    overproduction of:
                  ACTH (255.3)
                  thyroid-stimulating hormone (242.8)

253.2   Panhypopituitarism

Cachexia, pituitary
Necrosis of pituitary (post-partum)
Pituitary insufficiency NOS
Sheehan's syndrome
Simmonds's disease

Excludes:    iatrogenic hypopituitarism (253.7)

253.3   Pituitary dwarfism

Isolated deficiency of growth hormone
Lorain-Levi dwarfism

253.4   Other anterior pituitary disorders

Isolated or partial deficiency of an anterior pituitary hormone, other than
    growth hormone

253.5   Diabetes insipidus

Excludes:    nephrogenic diabetes insipidus (588.1)

253.6   Other disorders of neurohypophysis

Syndrome of inappropriate secretion of antidiuretic hormone

253.7   Iatrogenic pituitary disorders

Hypopituitarism:
    hormone-induced
    hypophysectomy-induced
    radiotherapy-induced

Use additional E code, if desired, to identify cause

253.8   Other disorders of the pituitary and other syndromes of
        diencephalohypophyseal origin

Abscess of pituitary              Cyst of Rathke's pouch
Adiposogenital dystrophy          Frhlich's syndrome

253.9   Unspecified

Dyspituitarism

254     Diseases of thymus gland

Excludes:    aplasia or dysplasia with immunodeficiency (279.2)
             myasthenia gravis (358.0)

254.0   Persistent hyperplasia of thymus

Hypertrophy of thymus

254.1   Abscess of thymus

254.8   Other

254.9   Unspecified

255     Disorders of adrenal glands

Includes:    the listed conditions whether the basic disorder is in the
                  adrenals or is pituitary induced

255.0   Cushing's syndrome:

Cushing's syndrome:
    NOS
    iatrogenic
    idiopathic
    pituitary-dependent
Ectopic ACTH syndrome
Overproduction of cortisol

Use additional E code, if desired, to identify cause, if drug-induced

255.1   Hyperaldosteronism

Conn's syndrome

255.2   Adrenogenital disorders

Adrenogenital syndromes, virilizing or feminizing, whether acquired or
    associated with congenital adrenal hyperplasia consequent on inborn
    enzyme defects in hormone synthesis
Adrenogenital syndrome
Female adrenal pseudohermaphroditism
Male:
   macrogenitosomia praecox
   sexual precocity with adrenal hyperplasia
Virilization (female)

255.3   Other corticoadrenal overactivity

Overproduction of ACTH

255.4   Corticoadrenal insufficiency

Addisonian crisis
Addison's disease:
    NOS
    tuberculous
Adrenal:
    atrophy (autoimmune)
    calcification
    crisis
    hemorrhage
    infarction
    insufficiency NOS

255.5   Other adrenal hypofunction

255.6   Medulloadrenal hyperfunction

Catecholamine secretion by pheochromocytoma

Note:   Not to be used as the primary code for phaeochromocytoma.
        See note at beginning of Chapter III.

255.8   Other

Abnormality of cortisol-binding globulin

255.9   Unspecified

256     Ovarian dysfunction

256.0   Hyperestrogenism

256.1   Other ovarian hyperfunction

Hypersecretion of ovarian androgens

256.2   Postablative ovarian failure

Ovarian failure:
    iatrogenic
    postirradiation
    postsurgical

256.3   Other ovarian failure

Premature menopause NOS           Primary ovarian failure

256.4   Polycystic ovaries

Stein-Leventhal syndrome

256.8   Other

256.9   Unspecified

257     Testicular dysfunction

257.0   Testicular hyperfunction

Hypersecretion of testicular hormones

257.1   Postablative testicular hypofunction

Testicular hypofunction:
    iatrogenic
    postirradiation
    postsurgical

257.2   Other testicular hypofunction

Defective biosynthesis of testicular androgen
Testicular hypogonadism

Excludes:    azoospermia (606.0)

257.8   Other

Goldberg-Maxwell syndrome
Male pseudohermaphroditism with testicular feminization
Testicular feminization

257.9   Unspecified

258     Polyglandular dysfunction and related disorders

258.0   Polyglandular activity in multiple endocrine adenomatosis

Wermer's syndrome

Note:   Not to be used as the primary code for multiple endocrine
        adenomatosis.  See note at beginning of Chapter III.

258.1   Other combinations of endocrine dysfunction

Lloyd's syndrome                  Schmidt's syndrome

258.8   Other

258.9   Polyglandular dysfunction, unspecified

259     Other endocrine disorders

259.0   Delay in sexual development and puberty, not elsewhere classified

Delayed puberty

259.1   Precocious sexual development and puberty, not elsewhere classified

Sexual precocity:
    NOS
    constitutional
    cryptogenic
    idiopathic

259.2   Carcinoid syndrome

Hormone secretion by carcinoid tumors

Note:   Not to be used as the primary code for carcinoid tumor.
        See note at beginning of Chapter III.

259.3   Ectopic hormone secretion, not elsewhere classified

259.4   Dwarfism, not elsewhere classified

Dwarfism:
    NOS
    constitutional

Excludes:    dwarfism:
                  achondroplastic (756.4)
                  intrauterine (759.7)
                  nutritional (263.2)
                  pituitary (253.3)
                  renal (588.0)
             progeria (259.8)

259.8   Other

Pineal gland dysfunction          Werner's syndrome
Progeria

259.9   Unspecified

Disturbance:
    endocrine NOS
    hormone NOS
Infantilism NOS


                     NUTRITIONAL DEFICIENCIES (260-269)

Excludes:    deficiency anemias (280.-, 281.-)

260     Kwashiorkor

Nutritional edema with dyspigmentation of skin and hair

261     Nutritional marasmus

Nutritional atrophy
Severe calorie deficiency
Severe malnutrition NOS

262     Other severe protein-calorie malnutrition

Malnutrition of third degree according to Gomez classification [weight for
    age less than 60% of standard]
Nutritional edema without mention of dyspigmentation of skin and hair

263     Other and unspecified protein-calorie malnutrition

263.0   Malnutrition of moderate degree

Malnutrition of second degree according to Gomez classification [weight for
    age 60% to less than 75% of standard]

263.1   Malnutrition of mild degree

Malnutrition of first degree according to Gomez classification [weight for
    age 75% to less than 90% of standard]

263.2   Arrested development following protein-calorie malnutrition

Nutritional dwarfism              Physical retardation due to malnutrition

263.8   Other protein-calorie malnutrition

263.9   Unspecified

Dystrophy due to malnutrition     Malnutrition (calorie) NOS

Excludes:    nutritional deficiency NOS (269.9)

264     Vitamin A deficiency

264.0   With conjunctival xerosis

264.1   With conjunctival xerosis and Bitot's spot

Bitot's spot in the young child

264.2   With corneal xerosis

264.3   With corneal ulceration and xerosis

264.4   With keratomalacia

264.5   With night blindness

264.6   With xerophthalmic scars of cornea

264.7   Other ocular manifestations of vitamin A deficiency

Xerophthalmia due to vitamin A deficiency

264.8   Other manifestations of vitamin A deficiency

Follicular keratosis due to vitamin A deficiency
Xeroderma due to vitamin A deficiency

264.9   Unspecified

Hypovitaminosis A NOS

265     Thiamine and niacin deficiency states

265.0   Beriberi

265.1   Other and unspecified manifestations of thiamine deficiency

Other vitamin B1 deficiency states

265.2   Pellagra

Deficiency:
    niacin (-tryptophan)
    nicotinamide
    nicotinic acid
    vitamin PP
Pellagra (alcoholic)

266     Deficiency of B-complex components

266.0   Ariboflavinosis

Riboflavin deficiency

266.1   Vitamin B6 deficiency

Deficiency:
    pyridoxal
    pyridoxamine
    pyridoxine
Vitamin B6 deficiency syndrome

Excludes:    vitamin B6-responsive sideroblastic anemia (285.0)

266.2   Other B-complex deficiencies

Deficiency:
    cyanocobalamin
    folic acid
    vitamin B12

Excludes:    deficiency anemias (281.-)

266.9   Unspecified vitamin B deficiency

267     Ascorbic acid deficiency

Deficiency of vitamin C           Scurvy

Excludes:    scorbutic anemia (281.8)

268     Vitamin D deficiency

Excludes:    vitamin D-resistant rickets and osteomalacia (275.3)

268.0   Rickets, active

Excludes:    coeliac rickets (579.0)
             renal rickets (588.0)

268.1   Rickets, late effect

Any condition specified as rachitic or due to rickets and present one year
    or more after onset, or stated to be a late effect or sequela of rickets

268.2   Osteomalacia

268.9   Unspecified

Avitaminosis D

269     Other nutritional deficiencies

269.0   Deficiency of vitamin K

Excludes:    deficiency of coagulation factor due to vitamin K deficiency
                  (286.7)
             vitamin K deficiency of newborn (776.0)

269.1   Deficiency of other vitamins

Deficiency:
    vitamin E
    vitamin P

269.2   Unspecified vitamin deficiency

269.3   Mineral deficiency, not elsewhere classified

Excludes:    deficiency:
                  potassium (276.8)
                  sodium (276.1)

269.8   Other nutritional deficiency

Excludes:    failure to thrive (783.4)
             feeding problems (783.3)
                  newborn (779.3)

269.9   Unspecified



        OTHER METABOLIC DISORDERS AND IMMUNITY DISORDERS (270-279)

Use additional code, if desired, to identify any associated mental
retardation

270     Disorders of amino-acid transport and metabolism

Excludes:    abnormal findings without manifest disease (791-796)
             disorders of purine and pyrimidine metabolism (277.2)
             gout (274.-)

270.0   Disturbances of amino-acid transport

Cystinosis                        Glycinuria (renal)
Cystinuria                        Hartnup disease
Fanconi (-de Toni) (-Debr82) syndrome

270.1   Phenylketonuria

Hyperphenylalaninemia

270.2   Other disturbances of aromatic amino-acid metabolism

Albinism                          Hypertyrosinemia
Alkaptonuria                      Oasthouse urine disease
Disturbances of metabolism of     Ochronotic arthritis
    tyrosine and tryptophan       Tyrosinosis
Hydroxykynureninuria              Tyrosinuria

Excludes:    vitamin B6-deficiency syndrome (266.1)

270.3   Disturbances of branched-chain amino-acid metabolism

Disturbances of metabolism of leucine, isoleucine, and valine
Hypervalinemia
Leucinosis
Maple syrup urine disease

270.4   Disturbances of sulphur-bearing amino-acid metabolism

Cystathioninuria                  Homocystinuria
Disturbances of metabolism of     Hypermethioninemia
    methionine, homocystine,
    and cystathionine

270.5   Disturbances of histidine metabolism

Histidinemia
Hyperhistidinemia
Imidazole amino aciduria

270.6   Disorders of urea cycle metabolism

Argininosuccinic aciduria         Hyperammonemia
Citrullinemia                     Hyperornithinemia
Disorders of metabolism of
    ornithine, citrulline,
    argininosuccinic acid,
    arginine, and ammonia

270.7   Other disturbances of straight-chain amino-acid metabolism

Hyperglycinemia                   Other disturbances of metabolism of
Hyperlysinemia                         glycine, threonine, serine,
Pipecolic acidemia                     glutamine, and lysine
Saccharopinuria

270.8   Other

Ethanolaminuria                   Iminoacidopathy
Hydroxyprolinemia                 Sarcosinemia
Hyperprolinemia

270.9   Unspecified

271     Disorders of carbohydrate transport and metabolism

Excludes:    abnormality of secretion of glucagon (251.4)
             diabetes mellitus (250.-)
             hypoglycemia NOS (251.2)
             mucopolysaccharidosis (277.5)

271.0   Glycogenosis

Glycogen-storage disease

271.1   Galactosemia

271.2   Hereditary fructose intolerance

271.3   Intestinal disaccharidase deficiencies and disaccharide malabsorption

Intolerance or malabsorption (congenital):
    glucose-galactose
    lactose
    sucrose-isomaltose

271.4   Renal glycosuria

Renal diabetes

271.8   Other

Hyperoxaluria (primary)           Oxalosis

271.9   Unspecified

272     Disorders of lipoid metabolism

Excludes:    localized cerebral lipidoses (330.1)

272.0   Pure hypercholesterolemia

Familial hypercholesterolemia
Fredrickson's Type IIa hyperlipoproteinemia
Hyper-beta-lipoproteinemia
Hyperlipidemia, Group A
Low-density-lipoid-type [LDL] hyperlipoproteinemia

272.1   Pure hyperglyceridemia

Endogenous hyperglyceridemia
Fredrickson's Type IV hyperlipoproteinemia
Hyperlipidemia, Group B
Hyper-pre-beta-lipoproteinemia
Hypertriglyceridemia, essential
Very-low-density-lipoid-type [VLDL] hyperlipoproteinemia

272.2   Mixed hyperlipidemia

Broad- or floating-beta-lipoproteinemia
Fredrickson's Type IIb or III hyperlipoproteinemia
Hypercholesterolemia with endogenous hyperglyceridemia
Hyper-beta-lipoproteinemia with pre-beta-lipoproteinemia
Hyperlipidaemia, Group C
Tubo-eruptive xanthoma
Xanthoma tuberosum

272.3   Hyperchylomicronemia

Fredrickson's type I or V         Hyperlipidemia, Group D
    hyperlipoproteinemia            Mixed hyperglyceridemia

272.4   Other and unspecified hyperlipidemia

Alpha-lipoproteinemia             Hyperlipidemia NOS
Combined hyperlipidemia

272.5   Lipoprotein deficiencies

A-beta-lipoproteinemia            Hypo-beta-lipoproteinemia (familial
High-density lipoid deficiency    Lecithin cholesterol acyltransferase
Hypo-alpha-lipoproteinemia             deficiency
                                  Tangier disease

272.6   Lipodystrophy

Barraquer-Simons disease          Progressive lipodystrophy

Use additional E code, if desired, to identify cause, if iatrogenic

Excludes:    intestinal lipodystrophy (040.2)

272.7   Lipidoses

Chemically induced lipidosis      Disease:
Disease:                               pseudo-Hurler's or mucolipidosis III
    Anderson's                         Sandhoff's
    Fabry's                            triglyceride-storage, Type I or II
    Gaucher's                          Wolman's or triglyceride-storage,
    I-cell or mucolipidosis I          Type III
    lipoid-storage NOS            Mucolipidosis II
    Niemann-Pick                  Primary familial xanthomatosis

272.8   Other disorders of lipoid metabolism

Hoffa's disease or liposynovitis prepatellaris
Launois-Bensaude's lipomatosis

272.9   Unspecified disorders of lipoid metabolism

273     Disorders of plasma protein metabolism

Excludes:    agammaglobulinemia and hypogammaglobulinemia (279.-)
             coagulation defects (286.-)
             hereditary hemolytic anemias (282.-)

273.0   Polyclonal hypergammaglobulinemia

Waldenstrm's hypergammaglobulinemic purpura:

273.1   Monoclonal paraproteinemia

Monoclonal gammopathy:
    NOS
    associated with lymphoplasmacytic dyscrasias
    benign
Paraproteinemia:
    benign (familial)
    secondary to malignant or inflammatory disease

273.2   Other paraproteinemias

Cryoglobulinemic:
    purpura
    vasculitis
Mixed cryoglobulinemia

273.3   Macroglobulinemia

Macroglobulinemia (idiopathic) (primary)
Waldenstrm's macroglobulinemia

273.8   Other

Abnormality of transport protein
Bisalbuminemia

273.9   Unspecified

274     Gout

Excludes:    lead gout (984.-)

274.0   Gouty arthropathy

274.1   Gouty nephropathy

Gouty nephropathy NOS             Uric acid nephrolithiasis

274.8   Gout with other manifestations

Gouty tophi of:
    ear
    heart

274.9   Gout, unspecified

275     Disorders of mineral metabolism

Excludes:    abnormal findings without clinical significance (790.-)

275.0   Disorders of iron metabolism

Hemochromatosis

Excludes:    anemia:
                  iron deficiency (280.-)
                  sideroblastic (285.0)

275.1   Disorders of copper metabolism

Hepatolenticular degeneration     Wilson's disease

275.2   Disorders of magnesium metabolism

Hypermagnesemia                   Hypomagnesemia

275.3   Disorders of phosphorus metabolism

Familial hypophosphatemia
Hypophosphatasia
Vitamin D-resistant:
    osteomalacia
    rickets

275.4   Disorders of calcium metabolism

Calcinosis                        Nephrocalcinosis
Hypercalcemia                     Pseudohypoparathyroidism
Hypercalcinuria                   Pseudopseudohypoparathyroidism

Excludes:    parathyroid disorders (252.-)
             vitamin D deficiency (268.-)

275.8   Other

275.9   Unspecified

276     Disorders of fluid, electrolyte, and acid-base balance

Excludes:    diabetes insipidus (253.5)
             familial periodic paralysis (359.3)

276.0   Hyperosmolality and/or hypernatremia

Na excess                         Na overload

276.1   Hyposmolality and/or hyponatremia

Na deficiency

276.2   Acidosis

Acidosis:
    NOS
    lactic
    metabolic
    respiratory

Excludes:    diabetic acidosis (250.1)

276.3   Alkalosis

Alkalosis:
    NOS
    metabolic
    respiratory

276.4   Mixed acid-base balance disorder

276.5   Volume depletion

Dehydration
Depletion of volume of plasma or extracellular fluid
Hypovolemia

Excludes:    hypovolemic shock:
                  postoperative (998.0)
                  traumatic (958.4)

276.6   Fluid overload

Fluid retention

276.7   Hyperpotassemia

K overload                        K excess

276.8   Hypopotassemia

K deficiency

276.9   Electrolyte and fluid disorders not elsewhere classified

Electrolyte imbalance             Hypochloremia
Hyperchloremia

Excludes:    electrolyte imbalance:
                  associated with hyperemesis gravidarum (643.1)
                  following abortion and ectopic or molar pregnancy
                       (634-638 with fourth digit .4, 639.4)

277     Other and unspecified disorders of metabolism

277.0   Cystic fibrosis

Fibrocystic disease of the pancreas
Mucoviscidosis

277.1   Disorders of porphyrin metabolism

Porphyria                         Porphyrinuria

277.2   Other disorders of purine and pyrimidine metabolism

Hypoxanthine-guanine-phosphoribosyltransferase deficiency [HG-PRT deficiency]
Lesch-Nyhan syndrome

Excludes:    gout (274.-)
             orotaciduria anemia (281.4)

277.3   Amyloidosis

Amyloidosis:
    NOS
    inherited systemic
    nephropathic
    neuropathic (Portuguese) (Swiss)
    secondary
    Familial Mediterranean fever
    Hereditary cardiac amyloid

277.4   Disorders of bilirubin excretion

Syndrome:
    Crigler-Najjar
    Dubin-Johnson
    Gilbert's
    Rotor's

Excludes:    hyperbilirubinemias specific to the perinatal period (774.-)

277.5   Mucopolysaccharidosis

Gargoylism                        Hurler's syndrome
Hunter's syndrome

277.6   Other deficiencies of circulating enzymes

Alpha 1-antitrypsin deficiency    Hereditary angioedema

277.8   Other

277.9   Unspecified

278     Obesity and other hyperalimentation

Excludes:    hyperalimentation NOS (783.6)
             poisoning by vitamin preparations (963.5)

278.0   Obesity

Excludes:    adiposogenital dystrophy (253.8)
             obesity of endocrine origin NOS (259.9)

278.1   Localized adiposity

Fat pad

278.2   Hypervitaminosis A

278.3   Hypercarotinemia

278.4   Hypervitaminosis D

278.8   Other

279     Disorders involving the immune mechanism

279.0   Deficiency of humoral immunity

Agammaglobulinaemia:              Hypogammaglobulinaemia
    NOS
    brulous

279.1   Deficiency of cell-mediated immunity

Di George syndrome                Wiskott-Aldrich syndrome
Nezelof syndrome

Excludes:    ataxia-telangiectasia (334.8)

279.2   Combined immunity deficiency

Agammaglobulinemia, Swiss type
Combined immunity deficiency syndrome
Reticular dysgenesis
Thymic:
    alymphoplasia
    aplasia or dysplasia with immunodeficiency

279.3   Unspecified immunity deficiency

279.4   Autoimmune disease, not elsewhere classified

Autoimmune disease NOS

279.8   Other

279.9   Unspecified
          IV.  DISEASES OF THE BLOOD AND BLOOD-FORMING ORGANS


Excludes:    anemia complicating pregnancy or puerperium (648.2)

280     Iron deficiency anemias

Anemia:                           Anemia:
    asiderotic                             Kelly-Paterson syndrome
    hypochromic                            Plummer-Vinson syndrome
    due to blood loss (chronic)            Sideropenic dysphagia
    posthaemorrhagic

Excludes:    acute posthaemorrhagic anemia (285.1)

281      Other deficiency anemias

281.0   Pernicious anemia

Anemia:
    Addison's
    Biermer's
    congenital pernicious
Congenital intrinsic factor deficiency

281.1   Other vitamin B12 deficiency anemia

Anemia:
    vegan's
    vitamin B12 deficiency (dietary)
    due to selective vitamin B12 malabsorption with proteinuria
Syndrome:
    Imerslund's
    Imerslund-Grsbeck

281.2   Folate-deficiency anemia

Folate or folic acid deficiency anemia:
    NOS
    dietary
    drug-induced
Nutritional megaloblastic anemia

Use additional E code, if desired, to identify drug

281.3   Other specified megaloblastic anemias not elsewhere classified

281.4   Protein-deficiency anemia

Amino-acid-deficiency anemia

281.8   Anemia associated with other specified nutritional deficiency

Scorbutic anemia

281.9   Unspecified

Anemia:
    megaloblastic NOS
    nutritional NOS
    simple chronic

282     Hereditary hemolytic anemias

282.0   Hereditary spherocytosis

Acholuric (familial) jaundice
Congenital spherocytosis
Minkowski-Chauffard syndrome

282.1   Hereditary elliptocytosis

Elliptocytosis (congenital)
Ovalocytosis (congenital) (hereditary)

282.2   Anemias due to disorders of glutathione metabolism

Anemia:
    enzyme-deficiency, drug induced
    erythrocytic glutathione deficiency
    glucose-6-phosphate dehydrogenase [G-6-PD] deficiency
    glutathione-reductase deficiency
    hemolytic nonspherocytic (hereditary), type I
Favism

282.3   Other hemolytic anemias due to enzyme deficiency

Anemia:
    hemolytic nonspherocytic (hereditary), type II
    hexokinase deficiency
    pyruvate-kinase [PK] deficiency
    triose phosphate isomerase deficiency

282.4   Thalassemias

Cooley's anemia
Mediterranean anemia (with other hemoglobinopathy)
Sickle-cell thalassemia
Thalassemia (alpha) (beta) (intermedia) (major) (minor) (mixed) (trait)
    (with other hemoglobinopathy)

282.5   Sickle-cell trait

Hb-AS genotype
Hemoglobin S [Hb-S] trait
Heterozygous:
    hemoglobin S
    Hb-S

Excludes:    with other hemoglobinopathy (282.6-)
             with thalassemia (282.4)

282.6   Sickle-cell anemia

Hb-S disease                      Sickle-cell/Hb-C disease
Hb-S/Hb-C disease                 Sickle-cell/Hb-D disease
Hb-S/Hb-D disease                 Sickle-cell/Hb-E disease
Hb-S/Hb-E disease

Excludes:    sickle-cell thalassemia (282.4)

282.7   Other hemoglobinopathies

Abnormal hemoglobin NOS           Hemoglobinopathy NOS
Congenital Heinz-body anemia      Hereditary persistence of fetal
Disease:                               hemoglobin [HPFH]
    Hb-C                          Unstable hemoglobin hemolytic disease
    Hb-D
    Hb-E

Excludes:    familial polycythemia (289.6)
             Hb-M disease (289.7)
             high-oxygen-affinity hemoglobin (289.0)

282.8   Other

Stomatocytosis

282.9   Unspecified

Hereditary hemolytic anemia NOS

283     Acquired hemolytic anemias

283.0   Autoimmune hemolytic anemias

Autoimmune hemolytic disease (cold type) (warm type)
Chronic cold hemagglutinin disease
Cold agglutinin disease or hemoglobinuria
Hemolytic anemia:
    cold type (secondary) (symptomatic)
    warm type (secondary) (symptomatic)

Excludes:    Evans' syndrome (287.3)
             hemolytic disease of newborn (773.-)

283.1   Non-autoimmune hemolytic anemias

Hemolytic anemia:                 Hemolytic anemia:
    mechanical                        toxic
    microangiopathic              Hemolytic-uraemic syndrome

Use additional E code, if desired, to identify cause

283.2   Hemoglobinuria due to hemolysis from external causes

Hemoglobinuria:
    from exertion
    march
    paroxysmal (cold) (nocturnal)
    due to other hemolysis
Marchiafava-Micheli syndrome

Use additional E code, if desired, to identify cause

283.9   Unspecified

Acquired hemolytic anemia NOS     Chronic idiopathic hemolytic anemia

284     Aplastic anemia

284.0   Constitutional aplastic anemia

Aplasia, (pure) red cell:         Blackfan-Diamond syndrome
    congenital                    Familial hypoplastic anemia
    of infants                    Fanconi's anemia
    primary                       Pancytopenia with malformations

284.8   Other

Aplastic anemia (due to):         Pancytopenia (acquired)
    drugs                         Red cell aplasia (acquired)
    infection                          (adult) (pure) (with thymoma)
    radiation
    toxic

Use additional E code, if desired, to identify cause

284.9   Unspecified

Anemia:                           Medullary hypoplasia
    aplastic (idiopathic) NOS
    hypoplastic NOS

285     Other and unspecified anemias

285.0   Sideroblastic anemia

Anemia:                           Anemia, sideroblastic
    pyridoxine-responsive              primary
    sidero-achrestic                   refractory
    sideroblastic                      secondary (drug-induced)
         acquired                           (due to disease)
         congenital                    sex-linked hypochromic
         hereditary                    vitamin B6-responsive

Use additional E code, if desired, to identify cause if drug-induced

285.1   Acute posthemorrhagic anemia

285.8   Other specified anemias

Anemia:
    dyserythropoietic (congenital)
    dyshematopoietic (congenital)
    leukoerythroblastic
Infantile pseudoleukemia

285.9   Anemia, unspecified

286     Coagulation defects

286.0   Congenital factor VIII disorder

Factor VIII (functional)          Hemophilia:
    deficiency                        NOS
                                      A

Excludes:    factor VIII deficiency with vascular defect (286.4)

286.1   Congenital factor IX disorder

Christmas disease                 Hemophilia B
Deficiency:
    factor IX (functional)
    plasma thromboplastin component [PTC]

286.2   Congenital factor XI deficiency

Hemophilia C
Plasma thromboplastin antecedent [PTA] deficiency

286.3   Congenital deficiency of other clotting factors

Congenital afibrinogenemia        Deficiency:
Deficiency of factor:                 AC globulin
    I or fibrinogen                   proaccelerin
    II or prothrombin             Disease:
    V or labile                       Owren's
    VII or stable                     Stuart-Prower
    X or Stuart-Prower            Dysfibrinogenemia (congenital)
    XII or Hageman                Hypoproconvertinemia
    XIII or fibrin stabilizing

286.4   von Willebrand's disease

Angiohemophilia
Factor VIII deficiency with vascular defect
Vascular hemophilia

Excludes:    factor VIII deficiency:
                  NOS (286.0)
                  with functional defect (286.0)
             hereditary capillary fragility (287.8)

286.5   Hemorrhagic disorder due to circulating anticoagulants

Hyperheparinemia
Increase in:
    anti-VIIIa
    anti-IXa
    anti-Xa
    anti-XIa
    antithrombin
Systemic lupus erythematosus inhibitor

Use additional E code, if desired, to identify any administered anticoagulant

286.6   Defibrination syndrome

Afibrinogenemia, acquired
Consumption coagulopathy
Diffuse or disseminated intravascular coagulation
Fibrinolytic hemorrhage, acquired
Purpura:
    fibrinolytic
    fulminans

Excludes:    complicating abortion, pregnancy or the puerperium
                  (634-638 with fourth digit .1, 639.1, 641.3, 666.3)
             disseminated intravascular coagulation in newborn (776.2)

286.7   Acquired coagulation factor deficiency

Deficiency of coagulation factor due to:
    liver disease
    vitamin K deficiency

Excludes:    vitamin K deficiency of newborn (776.0)

286.9   Other and unspecified coagulation defects

Defective coagulation NOS
Deficiency, coagulation factor NOS
Delay, coagulation
Disorder:
    coagulation
    hemostasis
Prolongation of time of:
    bleeding
    coagulation

Excludes:    complicating abortion, pregnancy or the puerperium
                  (634-638 with fourth digit .1, 639.1, 641.3, 666.3)

287     Purpura and other hemorrhagic conditions

Excludes:    hemorrhagic thrombocythemia (238.7)
             purpura fulminans (286.6)

287.0   Allergic purpura

Purpura:
    anaphylactoid
    Henoch (-Schnlein)
    nonthrombocytopenic:
         hemorrhagic
         idiopathic
Vascular purpura
Vasculitis, allergic

287.1   Qualitative platelet defects

Thrombasthenia (hemorrhagic) (hereditary)
Thrombocytopathy

Excludes:    von Willebrand's disease (286.4)

287.2   Other nonthrombocytopenic purpuras

Purpura:
    NOS
    senile
    simplex

287.3   Primary thrombocytopenia

Megakaryocytic hypoplasia         Thrombocytopenia:
Purpura, thrombocytopenic             congenital
    congenital                        hereditary
    hereditary                        primary
    idiopathic

287.4   Secondary thrombocytopenia

Thrombocytopenia (due to):
    dilutional
    drugs
    extracorporeal circulation of blood
    massive blood transfusion
    platelet alloimmunization

Use additional E code, if desired, to identify cause

287.5   Thrombocytopenia, unspecified

287.8   Other specified hemorrhagic conditions

Capillary fragility (hereditary)
Vascular pseudohemophilia

287.9   Unspecified hemorrhagic conditions

288     Diseases of white blood cells

288.0   Agranulocytosis

Agranulocytic angina
Infantile genetic agranulocytosis
Kostmann's syndrome
Neutropenia:
    NOS
    cyclic
    drug-induced
    periodic
    splenic (primary)
    toxic
Neutropenic splenomegaly

Use additional code, if desired, to identify drug

288.1   Functional disorders of neutrophils polymorphonuclears

Chronic (childhood) granulomatous disease
Congenital dysphagocytosis
Progressive septic granulomatosis

288.2   Genetic anomalies of leucocytes

Anomaly (granulation) (granulocyte) or syndrome:
    Alder's
    Chediak-Steinbrink
    May-Hegglin
    Pelger-Hut
Hereditary:
    hypersegmentation
    hyposegmentation
    leukomelanopathy

288.3   Eosinophilia

Eosinophilia
    allergic
    hereditary

Excludes:    pulmonary eosinophilia (518.3)

288.8   Other

Leukemoid reaction                Lymphocytosis (symptomatic)
    lymphocytic                   Lymphopenia
    monocytic                     Monocytosis (symptomatic)
    myelocytic                    Plasmacytosis
Leukocytosis

Excludes:    immunity disorders (279.-)

288.9   Unspecified

289     Other diseases of blood and blood-forming organs

289.0   Secondary polycythemia

Polycythemia:                     Polycythemia, due to
    acquired                          erythropoietin
    due to:                           hypoxemic
         fall in plasma volume        nephrogenous
         high altitude                relative
    emotional                         stress

Excludes:    polycythemia neonatorum (776.4)
             polycythemia vera (238.4)

289.1   Chronic lymphadenitis

Chronic:
    adenitis, any lymph node except mesenteric
    lymphadenitis, any lymph node except mesenteric

Excludes:    acute lymphadenitis (683)
                  mesenteric (289.2)
             enlarged glands NOS (785.6)

289.2   Nonspecific mesenteric lymphadenitis

Mesenteric lymphadenitis (acute) (chronic)

289.3   Lymphadenitis, unspecified, except mesenteric

289.4   Hypersplenism

289.5   Other diseases of spleen

Atrophy of spleen                 Chronic congestive splenomegaly
Cyst of spleen                    Fibrosis of spleen:
Infarction of spleen                NOS
Rupture, nontraumatic of spleen   Perisplenitis

Excludes:    splenomegaly NOS (789.2)

289.6   Familial polycythemia

Familial:
    benign polycythemia
    erythrocytosis

289.7   Methemoglobinemia

Congenital NADH-methemoglobin-reductase deficiency
Hemoglobin M disease
Methemoglobinemia:
    NOS
    acquired (with sulfhemoglobinemia)
    hereditary
    toxic

Use additional E code, if desired, to identify cause

289.8   Other

289.9   Unspecified
                          V.  MENTAL DISORDERS


This section of the Classification differs from the others in that it includes
a glossary, prepared after consultation with experts from many different
countries, defining the contents of the rubrics.  This difference is
considered to be justified because of the special problems posed for
psychiatrists by the relative lack of independent laboratory information upon
which to base their diagnoses.  The diagnosis of many of the most important
mental disorders still relies largely upon descriptions of abnormal experience
and behavior, and without some guidance in the form of a glossary that can
serve as a common frame of reference, psychiatric communications easily become
unsatisfactory at both clinical and statistical levels.

Many well-known terms have different meanings in current use.  It is important
for the user to use the glossary descriptions and not merely the category
titles when searching for the best fit for the condition he is trying to code.
This is particularly important if a separate national glossary also exists.

The instructions "Use additional code to identify..." are important because
of the nature of many psychiatric conditions in which two or more codes are
necessary to describe the condition and the associated or causal factors.
It should be used whenever possible.


PSYCHOSES (290-299)

Mental disorders in which impairment of mental function has developed to a
degree that interferes grossly with insight, ability to meet some ordinary
demands of life or to maintain adequate contact with reality.  It is not an
exact or well defined term.  Mental retardation is excluded.


ORGANIC PSYCHOTIC CONDITIONS (290-294)

Syndromes in which there is impairment of orientation, memory, comprehension,
calculation, learning capacity and judgement.  These are the essential
features but there may also be shallowness or lability of affect, or a more
persistent disturbance of mood, lowering of ethical standards and exaggeration
or emergence of personality traits, and diminished capacity for independent
decision.

Psychoses of the types classifiable to 295-298 and without the above features
are excluded even though they may be associated with organic conditions.

The term "dementia" in this glossary includes organic psychoses as just
specified, of a chronic or progressive nature, which if untreated are usually
irreversible and terminal.

The term "delirium" in this glossary includes organic psychoses with a short
course in which the above features are overshadowed by clouded consciousness,
confusion, disorientation, delusions, illusions and often vivid
hallucinations.

Includes:    psychotic organic brain syndrome

Excludes:    nonpsychotic syndromes of organic etiology (see 310.-)
             psychoses classifiable to 295-298 and without the above
                  features but associated with physical disease, injury, or
                  condition affecting the brain [e.g., following childbirth]
                  code to 295-298 and use additional code to identify the
                  associated physical condition.

290     Senile and presenile organic psychotic conditions

Excludes:    psychoses classifiable to 295-298.8 occurring in the senium
                  without dementia or delirium (295.0-298.8)
             transient organic psychotic conditions (293.-)
             dementia not classified as senile, presenile, or arterio-
                  sclerotic (294.1)

290.0   Senile dementia, simple type

Dementia occurring usually after the age of 65 in which any cerebral pathology
other than that of senile atrophic change can be reasonably excluded.

Excludes:    mild memory disturbances, not amounting to dementia, associated
                  with senile brain disease (310.1)
             senile dementia:
                 depressed or paranoid type (290.2)
                 with confusion and/or delirium (290.3)

290.1   Presenile dementia

Dementia occurring usually before the age of 65 in patients with the
relatively rare forms of diffuse or lobar cerebral atrophy.  Use additional
code to identify the associated neurological condition.

Brain syndrome with presenile brain disease
Circumscribed atrophy of the brain
Dementia in:
    Alzheimer's disease
    Pick's disease of the brain

Excludes:    arteriosclerotic dementia (290.4)
             dementia associated with other cerebral conditions (294.1)

290.2   Senile dementia, depressed or paranoid type

A type of senile dementia characterized by development of advanced old age,
progressive in nature, in which a variety of delusions and hallucinations of a
persecutory, depressive and somatic content are also present.  Disturbance of
the sleep/waking cycle and preoccupation with dead people are often
particularly prominent.

Senile psychosis NOS

Excludes:    senile dementia:
                  NOS (290.0)
                  with delirium and/or confusion (290.3)

290.3   Senile dementia with acute confusional state

Senile dementia with a superimposed reversible episode of acute confusional
state

Excludes:    senile:
                  dementia NOS (290.0)
                  psychosis NOS (290.2)

290.4   Arteriosclerotic dementia

Dementia attributable, because of physical signs [on examination of the
central nervous system] to degenerative arterial disease of the brain.
Symptoms suggesting a focal lesion in the brain are common.  There may be a
fluctuating or patchy intellectual defect with insight, and an intermittent
course is common.  Clinical differentiation from senile or presenile dementia,
which may coexist with it, may be very difficult or impossible.  Use
additional code to identify cerebral atherosclerosis (437.0).

Excludes:   suspected cases with no clear evidence of arteriosclerosis (290.9)

290.8   Other

290.9   Unspecified

291     Alcoholic psychoses

Organic psychotic states due mainly to excessive consumption of alcohol;
defects of nutrition are taught to play an important role.  In some of these
states, withdrawal of alcohol can be of aetiological significance.

Excludes:    alcoholism without psychosis (303)

291.0   Delirium tremens

Acute or subacute organic psychotic states in alcoholics, characterized by
clouded consciousness, disorientation, fear, illusions, delusions,
hallucinations of any kind, notably visual and tactile, and restlessness,
tremor and sometimes fever.

Alcoholic delirium

291.1   Korsakoff's psychosis, alcoholic

A syndrome of prominent and lasting reduction of memory span, including
striking loss of recent memory, disordered time appreciation and
confabulation, occurring in alcoholics as the sequel to an acute alcoholic
psychosis [especially delirium tremens] or, more rarely, in the course of
chronic alcoholism.  It is usually accompanied by peripheral neuritis and may
be associated with Wernicke's encephalopathy.

Alcoholic polyneuritic psychosis

Excludes:    Korsakov's psychosis:
                  NOS (294.0)
                  nonalcoholic (294.0)

291.2   Other alcoholic dementia

Nonhallucinatory dementias occurring in association with alcoholism but not
characterized by the features of either delirium tremens or Korsakov's
psychosis.

Alcoholic dementia NOS
Chronic alcoholic brain syndrome

291.3   Other alcoholic hallucinosis

A psychosis usually of less than six months' duration, with slight or no
clouding of consciousness and much anxious restlessness in which auditory
hallucinations, mostly of voices uttering insults and threats, predominate.

Excludes:    schizophrenia (295.-) and paranoid states (297.-) taking the
                  form of chronic hallucinosis with clear consciousness in
                  an alcoholic

291.4   Pathological drunkenness

Acute psychotic episodes induced by relatively small amounts of alcohol.
These are regarded as individual idiosyncratic reactions to alcohol, not due
to excessive consumption and without conspicuous neurological signs of
intoxication.

Excludes:    simple drunkenness (305.0)

291.5   Alcoholic jealousy

Chronic paranoid psychosis characterized by delusional jealousy and associated
with alcoholism.

Alcoholic paranoia

Excludes:    nonalcoholic paranoid states (297.-)
             schizophrenia, paranoid type (295.3)

291.8   Other

Alcohol withdrawal syndrome

Excludes:    delirium tremens (291.0)

291.9   Unspecified

Alcoholic:                        Alcoholism (chronic) with psychosis
    mania NOS
    psychosis NOS

292     Drug psychoses

Syndromes that do not fit the descriptions given in 295-298 (nonorganic
psychoses) and which are due to consumption of drugs [notably
amphetamines, barbiturates and the opiate and LSD groups] and solvents.
Some of the syndromes in this group are not as severe as most conditions
labeled "psychotic" but they are included here for practical reasons.
Use additional E code to identify the drug and also code drug dependence
(304.-) if present.

292.0   Drug withdrawal syndrome

States associated with drug withdrawal ranging from severe, as specified
for alcohol under 291.0 (delirium tremens) to less severe states
characterized by one or more symptoms such as convulsions, tremor,
anxiety, restlessness, gastrointestinal and muscular complaints, and
mild disorientation and memory disturbance.

292.1   Paranoid and/or hallucinatory states induced by drugs

States or more than a few days but not usually of more than a few months
duration, associated with large or prolonged intake of drugs, notably of
the amphetamine and LSD groups.  Auditory hallucinations usually
predominate, and there maybe anxiety and restlessness.

Excludes:    the described conditions with confusion or delirium (293.-)
             states following LSD or other hallucinogens, lasting only a
                  few days or less ["bad trips"] (305.3)

292.2   Pathological drug intoxication

Individual idiosyncratic reactions to comparatively small quantities of
a drug, which take the form of acute, brief psychotic states of any
type.

Excludes:    expected brief psychotic reactions to hallucinogens
                  ["bad trips"] (305.3)
             physiological side-effects of drugs (e.g., dystonias)

292.8   Other

292.9   Unspecified

293     Transient organic psychotic conditions

States characterized by clouded consciousness, confusion, disorientation,
illusions and often vivid hallucinations.  They are usually due to some intra-
or extracerebral toxic, infectious, metabolic or other systemic disturbance
and are generally reversible.  Depressive and paranoid symptoms may also be
present but are not the main feature.  Use additional code to identify the
associated physical or neurological condition.

Excludes:    confusional state or delirium superimposed on senile dementia
                  (290.3)
             dementia due to:
                  alcohol (291.-)
                  arteriosclerosis (290.4)
                  senility (290.0)

293.0   Acute delirium

Short-lived states, lasting hours or days, of the above type.

Acute:                            Acute:
    delirium                           psychosis associated with endocrine,
    infective psychosis                     metabolic, or cerebrovascular
    organic reaction                        disorder
    post-traumatic organic        Epileptic:
         psychosis                    confusional state
    psycho-organic syndrome           twilight state

293.1   Subacute confusional state

States of the above type in which the symptoms, usually less florid, last for
several weeks or longer, during which they may show marked fluctuations in
intensity.

Subacute:                         Subacute:
    delirium                          psycho-organic syndrome
    infective psychosis               psychosis associated with endocrine or
    organic reaction                       metabolic disorder
    post-traumatic organic psychosis

293.8   Other

293.9   Unspecified

294     Other organic psychotic conditions (chronic)

294.0   Korsakoff's psychosis or syndrome (nonalcoholic)

Syndromes as described under 291.1 but not due to alcohol.

294.8   Other

States that fulfill the criteria of an organic psychosis but do not take the
form of a confusional state (293.-), a nonalcoholic Korsakov's psychosis
(294.0) or a dementia (294.1).


Epileptic psychosis NOS           Mixed paranoid and affective organic
    (code also 345.-)                 psychotic states

Excludes:   mild memory disturbances, not amounting to dementia (310.1)

294.9   Unspecified


                         OTHER PSYCHOSES (295-299)

295     Schizophrenic disorders

A group of psychoses in which there is a fundamental disturbance of
personality, a characteristic distortion of thinking, often a sense of being
controlled by alien forces, delusions which may be bizarre, disturbed
perception, abnormal affect out of keeping with the real situation, and
autism.  Nevertheless, clear consciousness and intellectual capacity are
usually maintained.  The disturbance of personality involves its most basic
functions which give the normal person his feeling of individuality,
uniqueness and self-direction.  The most intimate thoughts, feelings and acts
are often felt to be known to or shared by others and explanatory delusions
may develop, to the effect that natural or supernatural forces are at work to
influence the schizophrenic person's thoughts and actions in ways that are
often bizarre.  He may see himself as the pivot of all that happens.
Hallucinations, especially of hearing, are common and may comment on the
patient or address him.  Perception is frequently disturbed in other ways;
there may be perplexity, irrelevant features may become all-important and,
accompanied by passivity feelings, may lead the patient to believe that
everyday objects and situations possess a special, usually sinister, meaning
intended for him.  In the characteristic schizophrenic disturbance of
thinking, peripheral and irrelevant features of a total concept, which are
inhibited in normal directed mental activity, are brought to the forefront and
utilized in place of the elements relevant and appropriate to the situation.
Thus thinking becomes vague, elliptical and obscure, and its expression in
speech sometimes incomprehensible.  Breaks and interpolations in the flow of
consecutive thought are frequent, and the patient may be convinced that his
thoughts are being withdrawn by some outside agency.  Mood may be shallow,
capricious or incongruous.  Ambivalence and disturbance of volition may appear
as inertia, negativism or stupor.  Catatonia may be present.  The diagnosis
"schizophrenia" should not be made unless there is, or has been evident during
the same illness, characteristic disturbance of thought, perception, mood,
conduct, or personality--preferably in at least two of these areas.  The
diagnosis should not be restricted to conditions running a protracted,
deteriorating, or chronic course.  In addition to making the diagnosis on the
criteria just given, effort should be made to specify one of the following
subdivisions of schizophrenia, according to the predominant symptoms.

Includes:    schizophrenia of the types described in 295.0-295.9 occurring
                  in children

Excludes:    childhood type schizophrenia (299.9)
             infantile autism (299.0)

295.0   Simple type

A psychosis in which there is insidious development of oddities of conduct,
inability to meet the demands of society, and decline in total performance.
Delusions and hallucinations are not in evidence and the condition is less
obviously psychotic than are the hebephrenic, catatonic and paranoid types of
schizophrenia.  With increasing social impoverishment vagrancy may ensue and
the patient becomes self-absorbed, idle and aimless.  Because the
schizophrenic symptoms are not clear-cut, diagnosis of this form should be
made sparingly, if at all.

Schizophrenia simplex

Excludes:    latent schizophrenia (295.5)

295.1   Hebephrenic type

A form of schizophrenia in which affective changes are prominent, delusions
and hallucinations fleeting and fragmentary, behavior irresponsible and
unpredictable and mannerisms common.  The mood is shallow and inappropriate,
accompanied by giggling or self-satisfied, self-absorbed smiling, or by a
lofty manner, grimaces, mannerisms, pranks, hypochondriacal complaints and
reiterated phrases.  Thought is disorganized.  There is a tendency to remain
solitary, and behavior seems empty of purpose and feeling. This form of
schizophrenia usually starts between the ages of 15 and 25 years.

Hebephrenia

295.2   Catatonic type

Includes as an essential feature prominent psychomotor disturbances often
alternating between extremes such as hyperkinesis and stupor, or automatic
obedience and negativism.  Constrained attitudes may be maintained for long
periods:  if the patient's limbs are put in some unnatural position they may
be held there for some time after the external force has been removed. Severe
excitement may be a striking feature of the condition.  Depressive or
hypomanic concomitants may be present.

Catatonic:                        Schizophrenic:
    agitation                         catalepsy
    excitation                        catatonia
    stupor                            flexibilitas cerea

295.3   Paranoid type

The form of schizophrenia in which relatively stable delusions, which may be
accompanied by hallucinations, dominate the clinical picture.  The delusions
are frequently of persecution but may take other forms [for example of
jealousy, exalted birth, Messianic mission, or bodily change].  Hallucinations
and erratic behavior may occur; in some cases conduct is seriously disturbed
from the outset, thought disorder may be gross, and affective flattening with
fragmentary delusions and hallucinations may develop.

Paraphrenic schizophrenia

Excludes:    paraphrenia, involutional paranoid state (297.2)
             paranoia (297.1)

295.4   Acute schizophrenic episode

Schizophrenic disorders, other than those listed above, in which there is a
dream-like state with slight clouding of consciousness and perplexity.
External things, people and events may become charged with personal
significance for the patient.  There may be ideas of reference and emotional
turmoil.  In many such cases remission occurs within a few weeks or months,
even without treatment.

Oneirophrenia
Schizophreniform:
    attack
    psychosis, confusional type

Excludes:    acute forms of schizophrenia of:
                  catatonic type (295.2)
                  hebephrenic type (295.1)
                  paranoid type (295.3)
                  simple type (295.0)

295.5   Latent schizophrenia

It has not been possible to produce a generally acceptable description for
this condition.  It is not recommended for general use, but a description is
provided for those who believe it to be useful:  a condition of eccentric or
inconsequent behavior and anomalies of affect which give the impression of
schizophrenia though no definite and characteristic schizophrenic anomalies,
present or past, have been manifest.  The inclusion terms indicate that this
is the best place to classify some other poorly defined varieties of
schizophrenia.

Latent schizophrenic reaction
Schizophrenia:
    borderline
    prepsychotic
    prodromal
    pseudoneurotic
    pseudopsychopathic

Excludes:    schizoid personality (301.2)

295.6   Residual schizophrenia

A chronic form of schizophrenia in which the symptoms that persist from the
acute phase have mostly lost their sharpness.  Emotional response is blunted
and thought disorder, even when gross, does not prevent the accomplishment of
routine work.

Chronic undifferentiated          Restzustand (schizophrenic)
    schizophrenia                 Schizophrenic residual state

295.7   Schizo-affective type

A psychosis in which pronounced manic or depressive features are intermingled
with schizophrenic features and which tends towards remission without
permanent defect, but which is prone to recur.  The diagnosis should be made
only when both the affective and schizophrenic symptoms are pronounced.

Cyclic schizophrenia              Schizo-affective psychosis
Mixed schizophrenic and           Schizophreniform psychosis, affective type
    affective psychosis

295.8   Other

Schizophrenia of specified types not classifiable under 259.0-295.7.

Acute (undifferentiated)          Atypical schizophrenia
    schizophrenia                 Cenesthopathic schizophrenia

Excludes:    infantile autism (299.0)

295.9   Unspecified

To be used only as a last resort.

Schizophrenia NOS                 Schizophreniform psychosis NOS
Schizophrenic reaction NOS

296     Affective psychoses

Mental disorders, usually recurrent, in which there is a severe disturbance of
mood [mostly compounded of depression and anxiety but also manifested as
elation and excitement] which is accompanied by one or more of the following:
delusions, perplexity, disturbed attitude to self, disorder of perception and
behavior; these are all in keeping with the patient's prevailing mood [as are
hallucinations when they occur].  There is a strong tendency to suicide.  For
practical reasons, mild disorders of mood may also be included here if the
symptoms match closely the descriptions given; this applies particularly to
mild hypomania.

Excludes:    neurotic depression (300.4)
             reactive depressive psychosis (298.0)
             reactive excitation (298.1)

296.0   Manic-depressive psychosis, manic type

Mental disorders characterized by states of elation or excitement out of
keeping with the patient's circumstances and varying from enhanced liveliness
[hypomania] to violent, almost uncontrollable excitement.  Aggression and
anger, flight of ideas, distractibility, impaired judgement, and grandiose
ideas are common.

Hypomania NOS                     Manic psychosis
Hypomanic psychosis               Manic-depressive psychosis or reaction:
Mania (monopolar) NOS                  hypomanic
Manic disorder                         manic

Excludes:    circular type, if there was a previous attack of depression
                  (296.4)

296.1   Manic-depressive psychosis, depressed type

An affective psychosis in which there is a widespread depressed mood of gloom
and wretchedness with some degree of anxiety.  There is often reduced activity
but there may be restlessness and agitation.  There is a marked tendency to
recurrence; in a few cases this may be at regular intervals.

Depressive psychosis              Manic-depressive psychosis or reaction
Endogenous depression             Monopolar depression
Involutional melancholia          Psychotic depression

Excludes:    circular type, if previous attack was of manic type (296.3)
             depression NOS (311)

296.2   Manic-depressive psychosis, circular type but currently manic

An affective psychosis which has appeared in both the depressive and the manic
form, either alternating or separated by an interval of normality, but in
which the manic form is currently present.  [The manic phase is far less
frequent than the depressive.]

Bipolar disorder, now manic

Excludes:    brief compensatory or rebound mood swings (296.8)

296.3   Manic-depressive psychosis, circular type but currently depressed

Circular type (see 296.2) in which the depressive form is currently present.

Bipolar disorder, now depressed

Excludes:    brief compensatory or rebound mood swings (296.8)

296.4   Manic-depressive psychosis, circular type, mixed

An affective psychosis in which both manic and depressive symptoms are present
at the same time.

296.5   Manic-depressive psychosis, circular type, current condition not
        specified

Circular type (see 296.2) in which the current condition is not specified as
either manic or depressive.

296.6   Manic-depressive psychosis, other and unspecified

Use this code for cases where no other information is available, except the
unspecified term, manic-depressive psychosis, or for syndromes corresponding
to the descriptions of depressed (296.1) or manic (296.0) types but which for
other reasons cannot be classified under 296.0-296.5.

Manic-depressive:                 Manic-depressive psychosis:
    reaction NOS                      NOS
    syndrome NOS                      mixed type

296.8   Other

Excludes:    psychogenic affective psychoses (298.-)

296.9   Unspecified

Affective psychosis NOS
Melancholia NOS

297     Paranoid states

Excludes:    acute paranoid reaction (298.3)
             alcoholic jealousy (291.5)
             paranoid schizophrenia (295.3)

297.0   Paranoid state, simple

A psychosis, acute or chronic, not classifiable as schizophrenia or affective
psychosis, in which delusions, especially of being influenced, persecuted or
treated in some special way, are the main symptoms. The delusions are of a
fairly fixed, elaborate and systematized kind.

297.1   Paranoia

A rare chronic psychosis in which logically constructed systematized delusions
have developed gradually without concomitant hallucinations or the
schizophrenic type of disordered thinking.  The delusions are mostly of
grandeur [the paranoiac prophet or inventor], persecution or somatic
abnormality.

Excludes:    paranoid personality disorder (301.0)

297.2        Paraphrenia

Paranoid psychosis in which there are conspicuous hallucinations, often in
several modalities. Affective symptoms and disordered thinking, if present, do
not dominate the clinical picture and the personality is well preserved.

Involutional paranoid state
Late paraphrenia

297.3   Induced psychosis

Mainly delusions psychosis, usually chronic and often without florid features,
which appears to have developed as a result of a close, if not dependent,
relationship with another person who already has an established similar
psychosis.  The delusions are at least partly shared.  The rare cases in which
several persons are affected should also be included here.

Folie  deux
Induced paranoid disorder

297.8   Other

Paranoid states which, though in many ways akin to schizophrenic or affective
states, cannot readily be classified under any of the preceding rubrics, nor
under 298.4.

Paranoia querulans
Sensitiver Beziehungswahn

Excludes:    senile paranoid state (297.2)

297.9   Unspecified

Paranoid:
    psychosis NOS
    reaction NOS
    state NOS

298     Other nonorganic psychoses

Categories 298.0-298.8 should be restricted to the small group of psychotic
conditions that are largely or entirely attributable to a recent life
experience.  They should not be used for the wider range of psychoses in which
environmental factors play some [but not the major] part in aetiology.

298.0   Depressive type

A depressive psychosis which can be similar in its symptoms to
manic-depressive psychosis, depressed type (296.1) but is apparently provoked
by saddening stress such as a bereavement, or a severe disappointment or
frustration.  There may be less diurnal variation of symptoms than in 296.1,
and the delusions are more often understandable in the context of the life
experiences.  There is usually a serious disturbance of behavior, e.g., major
suicidal attempt.

Psychogenic depressive psychosis
Reactive depressive psychosis

Excludes:    manic-depressive psychosis, depressed type (296.1)
             neurotic depression (300.4)

298.1   Excitative type

An affective psychosis similar in its symptoms to manic-depressive psychosis,
manic type, but apparently provoked by emotional stress.

Excludes:    manic-depressive psychosis, manic type (296.0)

298.2   Reactive confusion

Mental disorders with clouded consciousness, disorientation [though less
marked than in organic confusion] and diminished accessibility often
accompanied by excessive activity and apparently provoked by emotional stress.

Psychogenic confusion             Psychogenic twilight state

Excludes:    acute confusional state (293.0)

298.3   Acute paranoid reaction

Paranoid states apparently provoked by some emotional stress.  The stress is
often misconstrued as an attack or threat.  Such states are particularly prone
to occur in prisoners or as acute reactions to a strange and threatening
environment, e.g., in immigrants.

Bouffe dlirante

Excludes:    paranoid states (297.-)

298.4   Psychogenic paranoid psychosis

Psychogenic or reactive paranoid psychosis of any type which is more
protracted than the acute reactions covered in 298.3.  Where there is a
diagnosis of psychogenic paranoid psychosis which does not specify "acute"
this coding should be made.

Protracted reactive paranoid psychosis

298.8   Other and unspecified reactive psychosis

Hysterical psychosis              Psychogenic stupor
Psychogenic psychosis NOS

298.9   Unspecified psychosis

To be used only as a last resort, when no other term can be used.

Psychosis NOS

299     Psychoses with origin specific to childhood

This category should be used only for psychoses which always begin before
puberty.  Adult type psychoses such as schizophrenia or manic-depressive
psychoses when occurring in childhood should be coded elsewhere under the
appropriate heading--i.e., 295 and 296 for the examples given.

299.0   Infantile autism

A syndrome present from birth or beginning almost invariably in the first 30
months.  Responses to auditory and sometimes to visual stimuli are abnormal
and there are usually severe problems in the understanding of spoken language.
Speech is delayed and, if it develops, is characterized by echolalia, the
reversal of pronouns, immature grammatical structure and inability to use
abstract terms.  There is generally an impairment in the social use of both
verbal and gestural language.  Problems in social relationships are most
severe before the age of five years and include an impairment in the
development of eye-to-eye gaze, social attachments, and cooperative play.
Ritualistic behavior is usual and may include abnormal routines, resistance to
change, attachment to odd objects and stereotyped patterns of play.  The
capacity for abstract or symbolic thought and for imaginative play is
diminished.  Intelligence ranges from severely subnormal to normal or above.
Performance is usually better on tasks involving rote memory or visuospatial
skills than on those requiring symbolic or linguistic skills.

Childhood autism                  Kanner's syndrome
Infantile psychosis

Excludes:    disintegrative psychosis (299.1)
             Heller's syndrome (299.1)
             schizophrenic syndrome of childhood (299.9)

299.1   Disintegrative psychosis

A disorder in which normal or near-normal development for the first few years
is followed by a loss of social skills and of speech, together with a severe
disorder of emotions, behavior and relationships. Usually this loss of speech
and of social competence takes place over a period of a few months and is
accompanied by the emergence of overactivity and of stereotypies.  In most
cases there is intellectual impairment, but this is not a necessary part of
the disorder.  The condition may follow overt brain disease--such as measles
encephalitis--but it may also occur in the absence of any known organic brain
disease or damage.  Use additional code to identify any associated
neurological disorder.

Heller's syndrome

Excludes:    infantile autism (299.0)
             schizophrenic syndrome of childhood (299.9)

299.8   Other

A variety of atypical infantile psychoses which may show some, but not all, of
the features of infantile autism.  Symptoms may include stereotyped repetitive
movements, hyperkinesis, self-injury, retarded speech development, echolalia
and impaired social relationships.  Such disorders may occur in children of
any level of intelligence but are particularly common in those with mental
retardation.

Atypical childhood psychosis

Excludes:    simple stereotypies without psychotic disturbance (307.3)

299.9   Unspecified

Child psychosis NOS
Schizophrenia, childhood type NOS
Schizophrenic syndrome of childhood NOS

Excludes:    schizophrenia of adult type occurring in childhood (295.0-295.8)



        NEUROTIC DISORDERS, PERSONALITY DISORDERS,
      AND OTHER NONPSYCHOTIC MENTAL DISORDERS (300-316)

300      Neurotic disorders

The distinction between neurosis and psychosis is difficult and remains
subject to debate.  However, it has been retained in view of its wide use.

Neurotic disorders are mental disorders without any demonstrable organic basis
in which the patient may have considerable insight and has unimpaired reality
testing, in that he usually does not confuse his morbid subjective experiences
and fantasies with external reality.  Behavior may be greatly affected
although usually remaining within socially acceptable limits, but personality
is not disorganized.  The principal manifestations include excessive anxiety,
hysterical symptoms, phobias, obsessional and compulsive symptoms, and
depression.

300.0   Anxiety states

Various combinations of physical and mental manifestations of anxiety, not
attributable to real danger and occurring either in attacks or as a persisting
state.  The anxiety is usually diffuse and may extend to panic.  Other
neurotic features such as obsessional or hysterical symptoms may be present
but do not dominate the clinical picture.

Anxiety:                          Panic:
    neurosis                          attack
    reaction                          disorder
    reaction                          state
    state (neurotic)

Excludes:
    neurasthenia (300.5)
    psychophysiologic disorders (306.-)

300.1      Hysteria

Mental disorders in which motives, of which the patient seems unaware, produce
either a restriction of the field of consciousness or disturbances of motor or
sensory function which may seem to have psychological advantage or symbolic
value.  It may be characterized by conversion phenomena or dissociative
phenomena.  In the conversion form the chief or only symptoms consist of
psychogenic disturbance of function in some part of the body, e.g., paralysis,
tremor, blindness, deafness, seizures.  In the dissociative variety, the most
prominent feature is a narrowing of the field of consciousness which seems to
serve an unconscious purpose and is commonly accompanied or followed by a
selective amnesia.  There may be dramatic but essentially superficial changes
of personality sometimes taking the form of a fugue [wandering state].
Behavior may mimic psychosis or, rather, the patient's idea of psychosis.

Astasia-abasia, hysterical        Dissociative reaction of state
Compensation neurosis             Ganser's syndrome, hysterical
Conversion hysteria               Hysteria NOS
Conversion reaction               Multiple personality

Excludes:    adjustment reaction (309.-)
             anorexia nervosa (307.1)
             gross stress reaction (308.-)
             hysterical personality (301.5)
             psychophysiologic disorders (306.-)

300.2   Phobic state

Neurotic states with abnormally intense dread of certain objects or specific
situations which would not normally have that effect.  If the anxiety tends to
spread from a specified situation or object to a wider range of circumstances,
it becomes akin to or identical with anxiety state, and should be classified
as such (300.0)

Agoraphobia                       Claustrophobia
Animal phobias                    Phobia NOS
Anxiety-hysteria

Excludes:    anxiety state (300.0)
             obsessional phobias (300.3)

300.3   Obsessive-compulsive disorders

States in which the outstanding symptom is a feeling of subjective
compulsion--which must be resisted--to carry out some action, to dwell on an
idea, to recall an experience, or to ruminate on an abstract topic.  Unwanted
thoughts which intrude, the insistency of words or ideas, ruminations or
trains of thought are perceived by the patient to be inappropriate or
nonsensical. The obsessional urge or idea is recognized as alien to the
personality but as coming from within the self.  Obsessional actions may be
quasi-ritual performances designed to relieve anxiety, e.g., washing the hands
to cope with contamination.  Attempts to dispel the unwelcome thoughts or
urges may lead to a severe inner struggle, with intense anxiety.

Anankastic neurosis               Compulsive neurosis

Excludes:    obsessive-compulsive symptoms occurring in:
                  endogenous depression (296.1)
                  schizophrenia (295.-)
                  organic states (e.g., encephalitis)

300.4   Neurotic depression

A neurotic disorder characterized by disproportionate depression which has
usually recognizably ensued on a distressing experience; it does not include
among its features delusions or hallucinations, and there is often
preoccupation with the psychic trauma which preceded the illness, e.g., loss
of a cherished person or possession.  Anxiety is also frequently present and
mixed states of anxiety and depression should be included here.  The
distinction between depressive neurosis and psychosis should be made not only
upon the degree of depression but also on the presence or absence of other
neurotic and psychotic characteristics and upon the degree of disturbance of
the patient's behavior.

Anxiety depression                Reactive depression
    Depressive reaction
    Neurotic depressive state

Excludes:    adjustment reaction with depressive symptoms (309.0)
             depression NOS (311)
             manic-depressive psychosis, depressed type (296.1)
             reactive depressive psychosis (298.0)

300.5   Neurasthenia

A neurotic disorder characterized by fatigue, irritability, headache,
depression, insomnia, difficulty in concentration, and lack of capacity for
enjoyment [anhedonia].  It may follow or accompany an infection or exhaustion,
or arise from continued emotional stress.  If neurasthenia is associated with
a physical disorder, the latter should also be coded.

Nervous debility

Excludes:    anxiety state (300.0)
             neurotic depression (300.4)
             psychophysiological disorders (306.-)
             specific nonpsychotic mental disorders following organic brain
                  damage (310.-)

300.6   Depersonalization syndrome

A neurotic disorder with an unpleasant state of disturbed perception in which
external objects or parts of one's own body are experienced as changed in
their quality, unreal, remote or automatized.  The patient is aware of the
subjective nature of the change he experiences.  Depersonalization may occur
as a feature of several mental disorders including depression, obsessional
neurosis, anxiety and schizophrenia; in that case the condition should not be
classified here but in the corresponding major category.

Derealization (neurotic)

300.7   Hypochondriasis

A neurotic disorder in which the conspicuous features are excessive concern
with one's health in general or the integrity and functioning of some part of
one's body, or, less frequently, one's mind.  It is usually associated with
anxiety and depression.  It may occur as a feature of severe mental disorder
and in that case should not be classified here but in the corresponding major
category.

Excludes:    hysteria (300.1)
             manic-depressive psychosis, depressed type (296.1)
             neurasthenia (300.5)
             obsessional disorder (300.3)
             schizophrenia (295.-)

300.8   Other neurotic disorders

Neurotic disorders not classified elsewhere, e.g., occupational neurosis.
Patients with mixed neuroses should not be classified in this category but
according to the most prominent symptoms they display.

Briquet's disorder                Psychasthenia
Occupational neurosis,            Psychasthenic neurosis
    including writer's cramp

300.9   Unspecified

To be used only as a last resort.

Neurosis NOS                      Psychoneurosis NOS

301     Personality disorders

Deeply ingrained maladaptive patterns of behavior generally recognizable by
the time of adolescence or earlier and continuing throughout most of adult
life, although often becoming less obvious in middle or old age.  The
personality is abnormal either in the balance of components, their quality and
expression or in its total aspect. Because of this deviation or psychopathy
the patient suffers or others have to suffer and there is an adverse effect
upon the individual or on society.  It includes what is sometimes called
psychopathic personality, but if this is determined primarily by
malfunctioning of the brain, it should not be classified here but as one of
the nonpsychotic organic brain syndromes (310).  When the patient exhibits an
anomaly of personality directly related to his neurosis or psychosis, e.g.,
schizoid personality and schizophrenia or anankastic personality and obsessive
compulsive neurosis, the relevant neurosis or psychosis which is in evidence
should be diagnosed in addition.

Character neurosis

301.0   Paranoid personality disorder

Personality disorder in which there is excessive sensitiveness to setbacks or
to what are taken to be humiliations and rebuffs, a tendency to distort
experience by misconstruing the neutral or friendly actions of others as
hostile or contemptuous, and a combative and tenacious sense of personal
rights.  There may be a proneness to jealousy or excessive self-importance.
Such persons may feel helplessly humiliated and put upon; others, likewise
excessively sensitive, are aggressive and insistent.  In all cases there is
excessive self-reference.

Fanatic personality               Paranoid traits
Paranoid personality (disorder)

Excludes:    acute paranoid reaction (298.3)
             alcoholic paranoia (291.5)
             paranoid schizophrenia (295.3)
             paranoid states (297.-)

301.1   Affective personality disorder

Personality disorder characterized by lifelong predominance of a pronounced
mood which may be persistently depressive, persistently elated, or alternately
one then the other.  During periods of elation there is unshakeable optimism
and an enhanced zest for life and activity, whereas periods of depression are
marked by worry, pessimism, low output of energy and a sense of futility.

Cycloid personality               Depressive personality
Cyclothymic personality

Excludes:    affective psychoses (296.-)
             cyclothymia(296.2-296.5)
             neurasthenia (300.5)
             neurotic depression (300.4)

301.2   Schizoid personality disorder

Personality disorder in which there is withdrawal from
affectional, social and other contacts with autistic
preference for fantasy and introspective reserve.  Behavior
may be slightly eccentric or indicate avoidance of
competitive situations.  Apparent coolness and detachment may
mask an incapacity to express feeling.

Excludes:    schizophrenia (295.-)

301.3   Explosive personality disorder

Personality disorder characterized by instability of mood with liability to
intemperate outbursts of anger, hate, violence or affection.  Aggression may
be expressed in words or in physical violence.  The outbursts cannot readily
be controlled by the affected persons, who are not otherwise prone to
antisocial behavior.

Aggressive:                       Emotional instability
    personality                       (excessive)
    reaction                      Pathological emotionality
Aggressiveness                    Quarrelsomeness

Excludes:    dyssocial personality (301.7)
             hysterical neurosis (300.1)

301.4   Anankastic personality disorder

Personality disorder characterized by feelings of personal insecurity, doubt
and incompleteness leading to excessive conscientiousness, checking,
stubbornness and caution.  There may be insistent and unwelcome thoughts or
impulses which do not attain the severity of an obsessional neurosis.  There
is perfectionism and meticulous accuracy and a need to check repeatedly in an
attempt to ensure this.  Rigidity and excessive doubt may be conspicuous.

Compulsive personality            Obsessional personality

Excludes:    obsessive-compulsive disorder (300.3)
             phobic state (300.2)

301.5   Hysterical personality disorder

Personality disorder characterized by shallow, labile affectivity, dependence
on others, craving for appreciation and attention, suggestibility and
theatricality.  There is often sexual immaturity, e.g., frigidity and over-
responsiveness to stimuli.  Under stress hysterical symptoms [neurosis] may
develop.

Psychoinfantile personality       Histrionic personality

Excludes:    hysterical neurosis (300.1)

301.6   Asthenic personality disorder

Personality disorder characterized by passive compliance with the wishes of
elders and others and a weak inadequate response to the demands of daily life.
Lack of vigor may show itself in the intellectual or emotional spheres; there
is little capacity for enjoyment.

Dependent personality             Passive personality
Inadequate personality

Excludes:    neurasthenia (300.5)

301.7   Personality disorder with predominantly sociopathic or asocial
        manifestation

Personality disorder characterized by disregard for social obligations, lack
of feeling for others, and impetuous violence or callous unconcern.  There is
a gross disparity between behavior and the prevailing social norms.
Behavior is not readily modifiable by experience, including punishment.
People with this personality are often affectively cold and may be abnormally
aggressive or irresponsible.  Their tolerance to frustration is low; they
blame others or offer plausible rationalizations for the behavior which
brings them into conflict with society.

Amoral personality
Asocial personality
Antisocial personality

Excludes:    disturbance of conduct without specifiable personality disorder
                  (312.-)
             explosive personality (301.3)

301.8   Other personality disorders

Personality:
    eccentric
    "haltlose" type
    immature
    passive-aggressive
    psychoneurotic

Excludes:    psychoinfantile personality (301.5)

301.9   Unspecified

Pathological personality NOS      Psychopathic:
Personality disorder NOS              constitutional state
                                      personality (disorder)

302      Sexual deviations and disorders

Abnormal sexual inclinations or behavior which are part of a referral
problem. The limits and features of normal sexual inclination and behavior
have not been stated absolutely in different societies and cultures but are
broadly such as serve approved social and biological purposes.  The sexual
activity of affected persons is directed primarily either towards people not
of the opposite sex, or towards sexual acts not associated with coitus
normally, or towards coitus performed under abnormal circumstances.  If the
anomalous behavior becomes manifest only during psychosis or other mental
illness the condition should be classified under the major illness.  It is
common for more than one anomaly to occur together in the same individual; in
that case the predominant deviation is classified.  It is preferable not to
include in this category individuals who perform deviant sexual acts when
normal sexual outlets are not available to them.

302.0   Homosexuality

Exclusive or predominant sexual attraction for persons of the same sex with or
without physical relationship.  Code homosexuality here whether or not it is
considered as a mental disorder.

Lesbianism

Excludes:    homosexual paedophilia (302.2)

302.1   Bestiality

Sexual or anal intercourse with animals.

302.2   Paedophilia

Sexual deviations in which an adult engages in sexual activity with a child of
the same or opposite sex.

302.3   Transvestism

Sexual deviation in which sexual pleasure is derived from dressing in clothes
of the opposite sex.  There is no consistent attempt to take on the identity
or behavior of the opposite sex.

Excludes:    trans-sexualism (302.5)

302.4   Exhibitionism

Sexual deviation in which the main sexual pleasure and gratification is
derived from exposure of the genitals to a person of the opposite sex.

302.5   Trans-sexualism

Sexual deviation centered around fixed beliefs that the overt bodily sex is
wrong.  The resulting behavior is directed towards either changing the sexual
organs by operation or completely concealing the bodily sex by adopting both
the dress and behavior of the opposite sex.

Excludes:    transvestism (302.3)

302.6   Disorders of psychosexual identity

Behavior occurring in preadolescents of immature psychosexuality which is
similar to that shown in the sexual deviations described under transvestism
(302.3) and trans-sexualism (302.5).  Cross-dressing is intermittent, although
it may be frequent, and identification with the behavior and appearance of
the opposite sex is not yet fixed.  The commonest form is feminism in boys.

Gender-role disorder

Excludes:    homosexuality (302.0)
             trans-sexualism (302.5)
             transvestism (302.3)

302.7   Frigidity and impotence

Frigidity--dislike of or aversion to sexual intercourse, of
psychological origin, of sufficient intensity to lead, if
not to active avoidance, to marked anxiety, discomfort or pain
when normal sexual intercourse takes place.  Less severe
degrees of this disorder that also give rise to consultation
should also be coded here.

Impotence--sustained inability, due to psychological causes,
to maintain an erection which will allow normal heterosexual
penetration and ejaculation to take place.

Dyspareunia, psychogenic

Excludes:    impotence of organic origin
             normal transient symptoms from ruptured hymen
             transient or occasional failures of erection due to fatigue,
                  anxiety, alcohol or drugs

302.8   Other

Fetishism                         Sadism
Masochism

302.9   Unspecified

303     Alcohol dependence syndrome

A state, psychic and usually also physical, resulting from taking alcohol,
characterized by behavioral and other responses that always include a
compulsion to take alcohol on a continuous or periodic basis in order to
experience its psychic effects, and sometimes to avoid the discomfort of its
absence; tolerance may or may not be present.  A person may be dependent on
alcohol and other drugs; if so also make the appropriate 304 coding.  If
dependence is associated with alcoholic psychosis or with physical
complications, both should be coded.

Acute drunkenness in              Chronic alcoholism
    alcoholism                    Dipsomania

Excludes:    alcoholic psychoses (291.-)
             drunkenness NOS (305.0)
             physical complications of alcohol, such as:
                  cirrhosis of liver (571.2)
                  epilepsy (345.-)
                  gastritis (535.3)

304     Drug dependence

A state, psychic and sometimes also physical, resulting from taking a drug,
characterized by behavioral and other responses that always include a
compulsion to take a drug on a continuous or periodic basis in order to
experience its psychic effects, and sometimes to avoid the discomfort of its
absence.  Tolerance may or may not be present.  A person may be dependent on
more than one drug.

Excludes:    nondependent abuse of drugs (305.-)

304.0   Morphine type

Heroin                            Opium alkaloids and their derivatives
Methadone                         Synthetics with morphine-like effect
Opium

304.1   Barbiturate type

Barbiturates
Nonbarbiturate sedatives and tranquilizers with a similar effect:
    chlordiazepoxide
    diazepam
    glutethimide
    meprobamate

304.2   Cocaine

Coca leaves and derivatives

304.3   Cannabis

Hashish                           Marijuana
Hemp

304.4   Amphetamine type and other psychostimulants

Methylphenidate                   Phenmetrazine

304.5   Hallucinogens

LSD and derivatives               Psilocybin
Mescaline

304.6   Other

Absinthe addiction                Glue sniffing

Excludes:    tobacco dependence (305.1)

304.7   Combinations of morphine type drug with any other

304.8   Combinations of drug dependence excluding morphine type drug

304.9   Unspecified

Drug addiction NOS                Drug dependence NOS

305      Nondependent abuse of drugs

Includes cases where a person, for whom no other diagnosis is possible, has
come under medical care because of the maladaptive effect of a drug on which
he is not dependent (as defined in 304.-) and that he has taken on his own
initiative to the detriment of his health or social functioning.  When drug
abuse is secondary to a psychiatric disorder, code the disorder.

Excludes:    alcohol dependence syndrome (303)
             drug dependence (304.-)
             drug withdrawal syndrome (292.0)
             poisoning by drugs or medicinal substances (960-979)

305.0   Alcohol

Cases of acute intoxication or "hangover" effects.
    Drunkenness NOS
    Excessive drinking of alcohol NOS
    "Hangover" (alcohol)
    Inebriety NOS

Excludes:    alcoholic psychoses (291.-)
             physical complications of alcohol, such as:
                  cirrhosis of liver (571.2)
                  epilepsy (345.-)
                  gastritis (535.3)

305.1   Tobacco

Cases in which tobacco is used to the detriment of a person's health or social
functioning or in which there is tobacco dependence. Dependence is included
here rather than under 304.- because tobacco differs from other drugs of
dependence in its psychotoxic effects.

Tobacco dependence

305.2   Cannabis

305.3   Hallucinogens

Cases of acute intoxication or "bad trips".

LSD reaction

305.4   Barbiturates and tranquillizers

Cases where a person has taken the drug to the detriment of his health or
social functioning, in doses above or for periods beyond those normally
regarded as therapeutic.

305.5   Morphine type

305.6   Cocaine type

305.7   Amphetamine type

305.8   Antidepressants

305.9   Other, mixed, or unspecified

"Laxative habit"                  Nonprescribed use of drugs or
Misuse of drugs NOS                   patent medicinals

306     Physiological malfunction arising from mental factors

A variety of physical symptoms or types of physiological malfunction of mental
origin, not involving tissue damage and usually mediated through the autonomic
nervous system.  The disorders are grouped according to body system.  Codes
306.0-306.9 should not be used if the physical symptom is secondary to a
psychiatric disorder classifiable elsewhere.  If tissue damage is involved,
code under 316.

Excludes:    hysteria (300.1)
             psychic factors associated with physical conditions involving
                  tissue damage classified elsewhere (316)
             specific nonpsychotic mental disorders following organic brain
                  damage (310.-)

306.0   Musculoskeletal

Psychogenic torticollis

Excludes:    Gilles de la Tourette's syndrome (307.2)
             tics (307.2)

306.1   Respiratory

Air hunger                        Psychogenic cough
Hiccough (psychogenic)            Yawning
Hyperventilation

Excludes:    psychogenic asthma (316 and 493.9)

306.2   Cardiovascular

Cardiac neurosis                  Neurocirculatory asthenia
Cardiovascular neurosis           Psychogenic cardiovascular disorder

Excludes:    psychogenic paroxysmal tachycardia (316 and 427.9

306.3   Skin

Psychogenic pruritus

Excludes:    psychogenic:
                  alopecia (316 and 704.0)
                  dermatitis (316 and 692.-)
                  eczema (316 and 691.9 or 692.-)
                  urticaria (316 and 708.-)

306.4   Gastrointestinal

Aerophagy                         Cyclical vomiting, psychogenic

Excludes:    cyclical vomiting NOS (536.2)
             globus hystericus (300.11)
             mucous colitis (316 and 564.1)
             psychogenic:
                  cardiospasm (316 and 530.0)
                  duodenal ulcer (316 and 532.-)
                  gastric ulcer (316 and 531.-)
                  peptic ulcer (316 and 533.-)

306.5   Genitourinary

Psychogenic dysmenorrhoea

Excludes:    dyspareunia (302.7)
             enuresis (307.6)
             frigidity (302.7)
             impotence (302.7)

306.6   Endocrine

306.7   Organs of special sense

Excludes:    hysterical blindness or deafness (300.1)

306.8   Other

Teeth grinding

306.9   Unspecified

Psychophysiologic disorder NOS    Psychosomatic disorder NOS

307     Special symptoms or syndromes, not elsewhere classified

Conditions in which an outstanding symptom or group of symptoms is not
manifestly part of a more fundamental classifiable condition.

Excludes:    when due to mental disorders classified elsewhere
             when of organic origin

307.0   Stammering and stuttering

Disorders in the rhythm of speech, in which the individual knows precisely
what he wishes to say, but at the time is unable to say it because of an
involuntary, repetitive prolongation or cessation of a sound.

Excludes:    dysphasia (784.5)
             lisping or lalling (307.9)
             retarded development of speech (315.3)

307.1   Anorexia nervosa

A disorder in which the main features are persistent active refusal to eat and
marked loss of weight.  The level of activity and alertness is
characteristically high in relation to the degree of emaciation.  Typically
the disorder begins in teenage girls but it may sometimes begin before puberty
and rarely it occurs in males.  Amenorrhoea is usual and there may be a variety
of other physiological changes including slow pulse and respiration, low body
temperature and dependent oedema. Unusual eating habits and attitudes toward
food are typical and sometimes starvation follows or alternates with periods
of overeating.  The accompanying psychiatric symptoms are diverse.

Excludes:    eating disturbance NOS (307.5)
             loss of appetite (783.0)
                  of nonorganic origin (307.5)

307.2   Tics

Disorders of no known organic origin in which the outstanding feature consists
of quick, involuntary, apparently purposeless, and frequently repeated
movements which are not due to any neurological condition.  Any part of the
body may be involved but the face is most frequently affected.  Only one form
of tic may be present, or there may be a combination of tics which are carried
out simultaneously, alternatively or consecutively.  Gilles de la Tourette's
syndrome refers to a rare disorder occurring in individuals of any level of
intelligence in which facial tics and tic-like throat noises become more
marked and more generalized and in which later, whole words or short sentences
[often with an obscene content] are ejaculated spasmodically and
involuntarily.  There is some overlap with other varieties of tic.

Excludes:    nail-biting or thumb-sucking (307.9)
             stereotypies occurring in isolation (307.3)
             tics of organic origin (333.3)

307.3   Stereotyped repetitive movements

Disorders in which voluntary repetitive stereotyped movements, which are not
due to any psychiatric or neurological condition, constitute the main feature.
Includes head-banging, spasmus nutans, rocking, twirling, finger-flicking
mannerisms and eye poking.  Such movements are particularly common in cases of
mental retardation with sensory impairment or with environmental monotony.

Stereotypies NOS

Excludes:    tics:
                  NOS (307.2)
                  of organic origin (333.3)

307.4   Specific disorders of sleep

This category should only be used when a more precise medical or psychiatric
diagnosis cannot be made.

Of nonorganic origin:             Of nonorganic origin:
    Hypersomnia                       Nightmares
    Insomnia                          Night terrors
    Inversion of sleep rhythm         Sleepwalking

Excludes:    narcolepsy (347)
             when of unspecified cause (780.5)

307.5   Other and unspecified disorders of eating

This category should only be used when a more precise medical or psychiatric
diagnosis cannot be made.

Of nonorganic origin:             Of nonorganic origin:
    Infantile feeding                 Overeating
         disturbances                 Pica
    Loss of appetite                  Psychogenic vomiting

Excludes:    anorexia:
                  nervosa (307.1)
                  of unspecified cause (783.0)
             overeating of unspecified cause (783.6)
                  vomiting:
                       NOS (787.0)
                       cyclical (536.2)
                       psychogenic (306.4)

307.6   Enuresis

A disorder in which the main manifestation is a persistent involuntary voiding
of urine by day or night which is considered abnormal for the age of the
individual.  Sometimes the child will have failed to gain bladder control and
in other cases he will have gained control and then lost it. Episodic or
fluctuating enuresis should be included. The disorder would not usually be
diagnosed under the age of four years.

Enuresis (primary) (secondary) of nonorganic origin

Excludes:    enuresis of unspecified cause (788.3)

307.7   Encopresis

A disorder in which the main manifestation is the persistent voluntary or
involuntary passage of formed motions of normal or near-normal consistency
into places not intended for that purpose in the individual's own
sociocultural setting. Sometimes the child has failed to gain bowel control,
and sometimes he has gained control but then later again became encopretic.
There may be a variety of associated psychiatric symptoms and there may be
smearing of faeces.  The condition would not usually be diagnosed under the
age of four years.

Encopresis (continuous) (discontinuous) of nonorganic origin

Excludes:    encopresis of unspecified cause (787.6)

307.8   Psychalgia

Cases in which there are pains of mental origin, e.g., headache or backache,
when a more precise medical or psychiatric diagnosis cannot be made.

Psychogenic backache              Tension headache

Excludes:    migraine (346.-)
             pains not specifically attributable to a psychological cause
                  (in):
                       back (784.5)
                       headache (784.0)
                       joint (719.4)
                       limb (729.5)
                       lumbago (724.2)
                       rheumatic (729.0)

307.9   Other and unspecified

The use of this category should be discouraged.  Most of the items listed in
the inclusion terms are not indicative of psychiatric disorder and are
included only because such terms may sometimes still appear as diagnoses.

Hair plucking                     Masturbation
Lalling                           Nail-biting
Lisping                           Thumb-sucking

308     Acute reaction to stress

Very transient disorders of any severity and nature which occur in individuals
without any apparent mental disorder in response to exceptional physical or
mental stress, such as natural catastrophe or battle, and which usually sub-
side within hours or days.

Catastrophic stress               Exhaustion delirium
Combat fatigue

Excludes:    adjustment reaction (309.-)

308.0   Predominant disturbance of emotions

Panic states, excitability, fear, depressions and anxiety fulfilling the above
criteria.

308.1   Predominant disturbance of consciousness

Fugues fulfilling the above criteria.

308.2   Predominant psychomotor disturbance

Agitation states, stupor fulfilling the above criteria.

308.3   Other

Acute situational disturbance

308.4   Mixed

Many gross stress reactions include several elements but whenever possible a
specific coding under .0, .1, .2, or .3 should be made according to the
preponderant type of disturbance.  The category of mixed disorders should only
be used when there is such an admixture that this cannot be done.

308.9   Unspecified

309     Adjustment reaction

Mild or transient disorders lasting longer than acute stress reactions (308.-)
which occur in individuals of any age without any apparent pre-existing mental
disorder.  Such disorders are often relatively circumscribed or situation-
specific, are generally reversible, and usually last only a few months.  They
are usually closely related in time and content to stresses such as bereave-
ment, migration or separation experiences.  Reactions to major stress that
last longer than a few days are also included here.  In children such
disorders are associated with no significant distortion of development.

Excludes:    acute reaction to major stress (308.-)
             neurotic disorders (300.-)

309.0   Brief depressive reaction

States of depression, not specifiable as manic-depressive, psychotic or
neurotic, generally transient, in which the depressive symptoms are usually
closely related in time and content to some stressful event.

Grief reaction

Excludes:    affective psychoses (296.-)
             neurotic depression (300.4)
             prolonged depressive reaction (309.1)
             psychogenic depressive psychosis (298.0)

309.1   Prolonged depressive reaction

States of depression, not specifiable as manic-depressive, psychotic or
neurotic, generally long-lasting; usually developing in association with
prolonged exposure to a stressful situation.

Excludes:    affective psychoses (296.-)
             brief depressive reaction (309.0)
             neurotic depression (300.4)
             psychogenic depressive psychosis (298.0)

309.2   With predominant disturbance of other emotions

States, fulfilling the general criteria for adjustment reaction, in which the
main symptoms are emotional in type [anxiety, fear, worry, etc.] but not
specifically depressive.

Abnormal separation anxiety       Culture shock

309.3   With predominant disturbance of conduct

Mild or transient disorders, fulfilling the general criteria for adjustment
reaction, in which the main disturbance predominantly involves a disturbance
of conduct.  For example, an adolescent grief reaction resulting in aggressive
or antisocial disorder would be included here.

Excludes:    disturbance of conduct NOS (312.-)
             personality disorder with predominantly sociopathic or asocial
                  manifestations (301.7)

309.4   With mixed disturbance of emotions and conduct

Disorders fulfilling the general definition in which both
emotional disturbance and disturbance of conduct are prominent
features.

309.8   Other

Adjustment reaction with elective mutism
Hospitalism in children NOS

309.9   Unspecified

Adaptation reaction NOS           Adjustment reaction NOS

310     Specific nonpsychotic mental disorders following organic brain damage

Note:  This category should be used only for conditions where the form of the
       disorder is determined by the brain pathology.

Excludes:    neuroses, personality disorders, or other nonpsychotic conditions
                  occurring in a form similar to that seen with functional
                  disorders but in association with a physical condition; code
                  to 300.-, 300.-, etc., and use additional code to identify
                  the physical condition

310.0   Frontal lobe syndrome

Changes in behavior following damage to the frontal areas of the brain or
following interference with the connections of those areas. There is a general
diminution of self-control, foresight, creativity and spontaneity, which may
be manifest as increased irritability, selfishness, restlessness and lack of
concern for others. Conscientiousness and powers of concentration are often
diminished, but measurable deterioration of intellect or memory is not
necessarily present. The overall picture is often one of emotional dullness,
lack of drive and slowness; but, particularly in persons previously with
energetic, restless or aggressive characteristics, there may be a change
towards impulsiveness, boastfulness, temper outbursts, silly fatuous humour,
and the development of unrealistic ambitions; the direction of change usually
depends upon the previous personality.  A considerable degree of recovery is
possible and continue over the course of several years.

Lobotomy syndrome                 Postleucotomy syndrome [state]

Excludes:    postcontusional syndrome (310.2)

310.1   Cognitive or personality change of other type

Chronic, mild states of memory disturbance and intellectual deterioration,
often accompanied by increased irritability, querulousness, lassitude and
complaints of physical weakness.  These states are often associated with old
age, and may precede more severe states due to brain damage classifiable under
dementia of any type (290.-,and  294.-) or any condition in 293.-(Transient
organic psychotic conditions).

Mild memory disturbance
Organic psychosyndrome of nonpsychotic severity

310.2   Postconcussional syndrome

States occurring after generalized contusion of the brain, in which the
symptom picture may resemble that of the frontal lobe syndrome (310.0) or that
of any of the neurotic disorders (300.0-300.9), but in which in addition,
headache, giddiness, fatigue, insomnia and a subjective feeling of impaired
intellectual ability are usually prominent.  Mood may fluctuate, and quite
ordinary stress may produce exaggerated fear and apprehension.  There may be
marked intolerance of mental and physical exertion, undue sensitivity to
noise, and hypochondriacal preoccupation.  The symptoms are more common in
persons who have previously suffered from neurotic or personality disorders or
when there is a possibility of compensation.  This syndrome is particularly
associated with the closed type of head injury when signs of localized brain
damage are slight or absent, but it may also occur in other conditions.

Postcontusional syndrome (encephalopathy)
Post-traumatic brain syndrome, nonpsychotic
Status postcommotio cerebri

Excludes:    frontal lobe syndrome (310.0)
             postencephalitic syndrome (310.8)
             any organic psychotic conditions following head injury
                  (290.- to 294.0)

310.8   Other

Include here disorders resembling the postcontusional syndrome(310.2),
associated with infective or other diseases of the brain or surrounding
tissues.

Other focal (partial) organic psychosyndromes

310.9   Unspecified

311     Depressive disorder, not elsewhere classified

States of depression, usually of moderate but occasionally of marked
intensity, which have no specifically manic-depressive or other psychotic
depressive features and which do not appear to be associated with stressful
events or other features specified under neurotic depression.

Depressive disorder NOS
Depressive state NOS
Depression NOS

Excludes:    acute reaction to major stress with depressive symptoms (308.0)
             affective personality disorder (301.1)
             affective psychoses (296.-)
             brief depressive reaction (309.0)
             disturbance of emotions specific to childhood and adolescence,
                  with misery and unhappiness (313.1)
             mixed adjustment reaction with depressive symptoms (309.4)
             neurotic depression (300.4)
             prolonged depressive adjustment reaction (309.1)
             psychogenic depressive psychosis (298.0)

312     Disturbance of conduct, not elsewhere classified

Disorders mainly involving aggressive and destructive behavior and disorders
involving delinquency.  It should be used for abnormal behavior, in
individuals of any age, which gives rise to social disapproval but which is
not part of any other psychiatric condition.  Minor emotional disturbances may
also be present. To be included, the behavior--as judged by its frequency,
severity and type of associations with other symptoms--must be abnormal in its
context.  Disturbances of conduct are distinguished from an adjustment
reaction by a longer duration and by a lack of close relationship in time and
content to some stress.  They differ from a personality disorder by the
absence of deeply ingrained maladaptive patterns of behavior present from
adolescence or earlier.

Excludes:     adjustment reaction with disturbance of conduct (309.3)
              drug dependence (304.-)
              personality disorder with predominantly sociopathic or
                asocial manifestations (301.7)
              sexual deviations (302.-)

312.0   Unsocialized disturbance of conduct

Disorders characterized by behaviors such as defiance, disobedience,
quarrelsomeness, aggression, destructive behavior, tantrums, solitary
stealing, lying, teasing, bullying and disturbed relationships with others.
The defiance may sometimes take the form of sexual misconduct.

Unsocialized aggressive disorder

312.1   Socialized disturbance of conduct

Disorders in individuals who have acquired the values or behavior of a
delinquent peer group to whom they are loyal and with whom they
characteristically steal, play truant, and stay out late at night. There may
also be promiscuity.

Group delinquency

312.2   Compulsive conduct disorder

Disorder of conduct or delinquent act which is specifically compulsive in
origin.

Kleptomania

312.3   Mixed disturbance of conduct and emotions

Disorders involving behaviors listed for 312.0 and 312.1 but in which there
is also considerable emotional disturbance as shown for example by anxiety,
misery or obsessive manifestations.

Neurotic delinquency

Excludes:    compulsive conduct disorder (312.2)

312.8   Other

312.9   Unspecified

313     Disturbance of emotions specific to childhood and adolescence

Less well differentiated emotional disorders characteristic of the childhood
period.  Where the emotional disorder takes the form of a neurotic disorder
described under 300.-, the appropriate 300.- coding should be made.  This
category differs from category 308.- in terms of longer duration and by the
lack of close relationship in time and content to some stress.

Excludes:    adjustment reaction (309.-)
             masturbation, nail-biting, thumb-sucking, and other isolated
                  symptoms (307.-)

313.0   With anxiety and fearfulness

Ill-defined emotional disorders characteristic of childhood in which the main
symptoms involve anxiety and fearfulness.  Many cases of school refusal or
elective mutism might be included here.

Overanxious reaction of childhood and adolescence

Excludes:    abnormal separation anxiety (309.2)
             anxiety states (300.0)
             hospitalism in children (309.8)
             phobic state (300.2)

313.1   With misery and unhappiness

Emotional disorders characteristic of childhood in which the main symptoms
involve misery and unhappiness.  There may also be eating and sleep
disturbances.

Excludes:    depressive neurosis (300.4)

313.2   With sensitivity, shyness, and social withdrawal

Emotional disorders characteristic of childhood in which the main symptoms
involve sensitivity, shyness, or social withdrawal. Some cases of elective
mutism might be included here.

Withdrawing reaction of childhood or adolescence

Excludes:    infantile autism (299.0)
             schizoid personality (301.2)
             schizophrenia (295.-)

313.3   Relationship problems

Emotional disorders characteristic of childhood in which the main symptoms
involve relationship problems.

Sibling jealousy

Excludes:    relationship problems associated with aggression, destruction,
                  or other forms of conduct disturbance (312.-)

313.8   Other or mixed

Many emotional disorders of childhood include several elements but whenever
possible a specific coding under .0, .1, .2 or .3 should be made according to
the preponderant type of disturbance.  The category of mixed disorders should
only be used when there is such an admixture that this cannot be done.

313.9   Unspecified

314     Hyperkinetic syndrome of childhood

Disorders in which the essential features are short attention-span and
distractibility. In early childhood the most striking symptom is disinhibited,
poorly organized and poorly regulated extreme overactivity but in adolescence
this may be replaced by underactivity.  Impulsiveness, marked mood fluctua-
tions and aggression are also common symptoms.  Delays in the development of
specific skills are often present and disturbed, poor relationships are
common.  If the hyperkinesis is symptomatic of an underlying disorder, code
the underlying disorder instead.

314.0   Simple disturbance of activity and attention

Cases in which short attention span, distractibility, and overactivity are the
main manifestations without significant disturbance of conduct or delay in
specific skills.

Overactivity NOS

314.1   Hyperkinesis with developmental delay

Cases in which the hyperkinetic syndrome is associated with speech delay,
clumsiness, reading difficulties or other delays in specific skills.

Developmental disorder of hyperkinesis

Use additional code to identify any associated neurological disorder

314.2   Hyperkinetic conduct disorder

Cases in which the hyperkinetic syndrome is associated with marked conduct
disturbance but not developmental delay.

Hyperkinetic conduct disorder

Excludes:    hyperkinesis with significant delays in specific skills (314.1)

314.8   Other

314.9   Unspecified

Hyperkinetic reaction of childhood or adolescence NOS
Hyperkinetic syndrome NOS

315     Specific delays in development

A group of disorders in which a specific delay in development is the main
feature.  In each case development is related to biological maturation but it
is also influenced by nonbiological factors and the coding carries no
aetiological implications.

Excludes:    when due to a neurological disorder (320-389)

315.0   Specific reading retardation

Disorders in which the main feature is a serious impairment in the development
of reading or spelling skills which is not explicable in terms of general
intellectual retardation or of inadequate schooling.  Speech or language
difficulties, impaired right-left differentiation, perceptuo-motor problems,
and coding difficulties are frequently associated.  Similar problems are often
present in other members of the family.  Adverse psychosocial factors may be
present.

Developmental dyslexia            Specific spelling difficulty

315.1   Specific arithmetical retardation

Disorders in which the main feature is a serious impairment in the development
of arithmetical skills which is not explicable in terms of general
intellectual retardation or of inadequate schooling.

Dyscalculia

315.2   Other specific learning difficulties

Disorders in which the main feature is a serious impairment in the development
of other learning skills which are not explicable in terms of general
intellectual retardation or of inadequate schooling.

Excludes:    specific arithmetical retardation (315.1)
             specific reading retardation (315.0)

315.3   Developmental speech or language disorder

Disorders in which the main feature is a serious impairment in the development
of speech or language [syntax or semantics] which is not explicable in terms
of general intellectual retardation.  Most commonly there is a delay in the
development of normal word-sound production resulting in defects of
articulation.  Omissions or substitutions of consonants are most frequent.
There may also be a delay in the production of spoken language.  Rarely, there
is also a developmental delay in the comprehension of sounds.  Includes cases
in which delay is largely due to environmental privation.

Developmental aphasia             Dyslalia

Excludes:    acquired aphasia (784.3)
             elective mutism (309.8, 313.0, 313.2)
             lisping and lalling (307.9)
             stammering and stuttering (307.0)

315.4   Specific motor retardation

Disorders in which the main feature is a serious impairment in the development
of motor coordination which is not explicable in terms of general intellectual
retardation.  The clumsiness is commonly associated with perceptual
difficulties.

Clumsiness syndrome               Dyspraxia syndrome

315.5      Mixed development disorder

A delay in the development of one specific skill [e.g., reading, arithmetic,
speech or coordination] is frequently associated with lesser delays in other
skills.  When this occurs the coding should be made according to the skill
most seriously impaired.  The mixed category should be used only where the
mixture of delayed skills is such that no one skill is preponderantly
affected.

315.8   Other

315.9   Unspecified

Developmental disorder NOS

316     Psychic factors associated with diseases classified elsewhere

Mental disturbances or psychic factors of any type thought to have played a
major part in the aetiology of physical conditions, usually involving tissue
damage, classified elsewhere.  The mental disturbance is usually mild and
nonspecific and psychic factors [worry, fear, conflict, etc.] may be present
without any overt psychiatric disorder. Use an additional code to identify the
physical condition.  In the rare instance that an overt psychiatric disorder
is thought to have caused a physical condition, use a second additional code
to record the psychiatric diagnosis.

Examples of the use of this category are:

    psychogenic:
         asthma (316 and 493.9)
         dermatitis (316 and 692.-)
         eczema (316 and 691.-, or 692.-)
         gastric ulcer (316 and 531.-)
         mucous colitis (316 and 564.1)
         ulcerative colitis (316 and 556)
         urticaria (316 and 708.-)
    psychosocial dwarfism (316 and 259.4)

Excludes:    physical symptoms and physiological malfunctions, not involving
                  tissue damage, of mental origin (306.-)



                       MENTAL RETARDATION (317-319)

A condition of arrested or incomplete development of mind which is especially
characterized by subnormality of intelligence.  The coding should be made on
the individual's current level of functioning without regard to its nature or
causation such as psychosis, cultural deprivation, Down's syndrome etc.
Where there is a specific cognitive handicap, such as in speech, the
four-digit coding should be based on assessments of cognition outside the area
of specific handicap.  The assessment of intellectual level should be based on
whatever information is available, including clinical evidence, adaptive
behavior and psychometric findings.  The IQ levels given are based on a test
with a mean of 100 and a standard deviation of 15-such as the Wechsler scales.
They are provided only as a guide and should not be applied rigidly.  Mental
retardation often involves psychiatric disturbances and may often develop as a
result of some physical disease or injury.  In these cases, an additional code
or codes should be used to identify any associated condition, psychiatric or
physical.  The Impairment and Handicap codes should also be consulted.

317     Mild mental retardation

Feeble-minded                     Mild mental subnormality
High-grade defect                 Moron
IQ 50-70

318     Other specified mental retardation

318.0   Moderate mental retardation

Imbecile
IQ 35-49
Moderate mental subnormality

318.1   Severe mental retardation

IQ 20-34                          Severe mental subnormality

318.2   Profound mental retardation

Idiocy                            Profound mental subnormality
IQ under 20

319     Unspecified mental retardation

Mental deficiency NOS             Mental subnormality NOS
          VI.  DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS


      INFLAMMATORY DISEASES OF THE CENTRAL NERVOUS SYSTEM (320-326)

320     Bacterial meningitis

Includes:    arachnoiditis bacterial
             leptomeningitis bacterial
             meningitis bacterial
             meningoencephalitis bacterial
             meningomyelitis bacterial
             pachymeningitis bacterial

320.0   Hemophilus meningitis

Meningitis due to Hemophilus influenzae [H. influenzae]

320.1   Pneumococcal meningitis

320.2   Streptococcal meningitis

320.3   Staphylococcal meningitis

320.8   Meningitis due to other specified bacteria

Meningitis due to:
    escherichia coli [E. coli]
    Friedlnder bacillus

320.9   Meningitis due to unspecified bacterium

Meningitis:
    bacterial NOS
    purulent NOS
    pyogenic NOS
    suppurative NOS

322     Meningitis of unspecified cause

Includes:    arachnoiditis with no organism specified as cause
             leptomeningitis with no organism specified as cause
             meningitis with no organism specified as cause
             pachymeningitis with no organism specified as cause

322.0   Nonpyogenic meningitis

Meningitis with clear cerebrospinal fluid

322.1   Eosinophilic meningitis

322.2   Chronic meningitis

322.9   Meningitis, unspecified

323     Encephalitis, myelitis, and encephalomyelitis

Includes:    acute disseminated encephalomyelitis
             meningoencephalitis, except bacterial
             meningomyelitis, except bacterial
             myelitis (acute):
                  ascending
                  transverse

Excludes:    bacterial:
                  meningoencephalitis
                  meningomyelitis

323.5   Encephalitis following immunization procedures

Encephalitis postimmunization or postvaccinal
Encephalomyelitis postimmunization or postvaccinal

Use additional E code, if desired, to identify vaccine

323.8   Other

323.9   Unspecified cause

324     Intracranial and intraspinal abscess

324.0   Intracranial abscess

Abscess (embolic) of brain        Abscess (embolic):
    [any part]:                        cerebellar
    epidural                           cerebral
    extradural
    otogenic
    subdural

324.1   Intraspinal abscess

Abscess (embolic) of spinal cord [any part]:
    epidural
    extradural
    subdural

324.9   Of unspecified site

Extradural or subdural abscess NOS

325     Phlebitis and thrombophlebitis of intracranial venous sinuses

Embolism                         }
Endophlebitis                    }   of cavernous, lateral, or other
Phlebitis, septic or suppurative }       intracranial or unspecified
Thrombophlebitis                 }       intracranial venous sinus
Thrombosis                       }

Excludes:    when specified as:
                  complicating pregnancy, childbirth, or the puerperium
                      (671.5)
                  of nonpyogenic origin (437.6)

326     Late effects of intracranial abscess or pyogenic infection

Note:   This category is to be used to indicate conditions whose primary
        classification is to 320-325 as the cause of late effects, themselves
        classifiable elsewhere. The "late effects" include conditions
        specified as such, or as sequelae, which may occur at any time after
        the resolution of the causal condition.



 HEREDITARY AND DEGENERATIVE DISEASES OF THE CENTRAL NERVOUS
SYSTEM (330-337)

Excludes:    hepatolenticular degeneration (275.1)
             multiple sclerosis (340)
             other demyelinating diseases of central nervous system (341.-)

330     Cerebral degenerations usually manifest in childhood

Use additional code, if desired, to identify associated mental retardation

330.0   Leukodystrophy

Krabbe's disease
Leukodystrophy:
    NOS
    globoid cell
    metachromatic
    sudanophilic

330.1   Cerebral lipidoses

Amaurotic (family) idiocy
Disease:
    Batten
    Jansky-Bielschowsky
    Kufs
    Spielmeyer-Vogt
    Tay-Sachs
Gangliosidosis

330.8   Other cerebral degenerations in childhood

Alpers' disease or gray-matter degeneration
Leigh's disease or subacute necrotizing encephalopathy

330.9   Unspecified

331     Other cerebral degenerations

Use additional code, if desired, to identify associated mental disorder

331.0   Alzheimer's disease

331.1   Pick's disease

331.2   Senile degeneration of brain

Excludes:    senility NOS (797)

331.3   Communicating hydrocephalus

Excludes:    congenital hydrocephalus (741.0, 742.3)

331.4   Obstructive hydrocephalus

Acquired hydrocephalus NOS

Excludes:    congenital hydrocephalus (741.0, 742.3)

331.8   Other cerebral degeneration

331.9   Unspecified

332     Parkinson's disease

332.0   Paralysis agitans

Parkinsonism or Parkinson's disease:
    NOS
    idiopathic
    primary

332.1   Secondary Parkinsonism

Parkinsonism:
    due to drugs

Use additional E code, if desired, to identify drug, if drug-induced

333     Other extrapyramidal disease and abnormal movement disorders

Includes:    other forms of extrapyramidal, basal ganglia, or striatopallidal
                  disease

Excludes:    abnormal movements of head NOS (781.0)

333.0   Other degenerative diseases of the basal ganglia

Atrophy or degeneration:
    Hallervorden-Spatz disease or pigmentary pallidal degeneration
    Olivopontocerebellar degeneration
    Parkinsonian syndrome associated with:
         idiopathic orthostatic hypotension
         symptomatic orthostatic hypotension
    Progressive supranuclear ophthalmoplegia
    Shy-Drager syndrome
    Striatonigral degeneration

333.1   Essential and other specified forms of tremor

Benign essential tremor           Familial tremor

Use additional E code, if desired, to identify drug, if drug-induced

Excludes:    tremor NOS (781.0)

333.2   Myoclonus

Familial essential myoclonus      Unverricht-Lundborg disease
Progressive myoclonic epilepsy

Use additional E code, if desired, to identify drug, if drug-induced

333.3   Tics of organic origin

Excludes:    Gilles de la Tourette's syndrome (307.2)
             habit spasm (307.2)
             tic NOS (307.2)

Use additional E code, if desired, to identify drug, if drug-induced

333.4   Huntington's chorea

333.5   Other choreas

Hemiballism(us)                   Paroxysmal choreo-athetosis

Excludes:    Sydenham's or rheumatic chorea (392.-)

Use additional E code, if desired, to identify drug, if drug-induced

333.6   Idiopathic torsion dystonia

Dystonia musculorum deformans or (Schwalbe-) Ziehen-Oppenheim disease

333.7   Symptomatic torsion dystonia

Athetoid cerebral palsy or Vogt's disease
Double athetosis

Use additional E code, if desired, to identify drug, if drug-induced

333.8   Fragments of torsion dystonia

Blepharospasm                    Orofacial dyskinesia
Organic writer' cramp             Spasmodic torticollis

Use additional E code, if desired, to identify drug, if drug-induced

333.9   Other and unspecified

Restless legs                     Stiff man syndrome

334     Spinocerebellar disease

Excludes:    olivopontocerebellar degeneration (333.0)
             peroneal muscular atrophy (356.1)

334.0   Friedreich's ataxia

334.1   Hereditary spastic paraplegia

334.2   Primary cerebellar degeneration

Primary cerebellar degeneration:
    NOS
    hereditary
    sporadic

334.3   Other cerebellar ataxia

Cerebellar ataxia NOS

Use additional E code to identify drug, if drug-induced

334.8   Other

Ataxia-telangiectasia or Louis-Bar syndrome

334.9   Unspecified

335     Anterior horn cell disease

335.0   Werdnig-Hoffmann disease

Infantile spinal muscular atrophy

335.1   Spinal muscular atrophy

Kugelberg-Welander disease        Adult spinal muscular atrophy

335.2   Motor neuron disease

Amyotrophic lateral sclerosis     Progressive muscular atrophy (pure)
Motor neuron disease (bulbar) (mixed type)

335.8   Other

335.9   Unspecified

336     Other diseases of spinal cord

336.0   Syringomyelia and syringobulbia

336.1   Vascular myelopathies

Acute infarction of spinal cord (embolic) (nonembolic)
Arterial thrombosis of spinal cord
Edema of spinal cord
Hematomyelia
Subacute necrotic myelopathy

336.8   Other myelopathy

Myelopathy:
    drug-induced
    radiation-induced

Use additional E code, if desired, to identify cause

336.9   Unspecified diseases of spinal cord

Cord compression NOS              Myelopathy NOS

Excludes:    myelitis (323.-)

337     Disorders of the autonomic nervous system

Includes:    disorders of peripheral autonomic, sympathetic,
             parasympathetic, or vegetative system

Excludes:    familial dysautonomia [Riley-Day syndrome] (742.8)

337.0   Idiopathic peripheral autonomic neuropathy

337.9   Unspecified



      OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349)

340     Multiple sclerosis

Disseminated or multiple sclerosis:
    NOS
    brain stem
    cord
    generalized

341     Other demyelinating diseases of central nervous system

341.0   Neuromyelitis optica

341.1   Schilder's disease

Balo's concentric sclerosis       Encephalitis periaxialis:
                                      concentrica
                                      diffusa

341.8   Other

341.9   Unspecified

342     Hemiplegia

Note:   For primary coding, this category is to be used only when hemiplegia
        (complete) (incomplete), except of types listed in 343.1 and 343.4, is
        reported without further specification, or is stated to be old or
        long-standing but of unspecified cause. The category is also for use
        in multiple coding to identify these types of hemiplegia resulting
        from any cause.

342.0   Flaccid hemiplegia

342.1   Spastic hemiplegia

342.9   Unspecified

343     Infantile cerebral palsy

Includes:    cerebral:
                  palsy NOS
                  spastic infantile paralysis
             congenital spastic paralysis (cerebral)
             Little's disease
             paralysis (spastic) due to birth injury:
                  intracranial
                  spinal

Excludes:    hereditary cerebral paralysis, such as:
                  hereditary spastic paraplegia (334.1)
                  Vogt's disease (333.7)

343.0   Diplegic

Congenital diplegia               Congenital paraplegia

343.1   Hemiplegic

Congenital hemiplegia

Excludes:    infantile hemiplegia NOS (343.4)

343.2   Quadriplegic

Tetraplegic

343.3   Monoplegic

343.4   Infantile hemiplegia

Infantile hemiplegia (postnatal) NOS

343.8   Other

343.9   Unspecified

344     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 342.- and 343.-

344.0   Quadriplegia

344.1   Paraplegia

Paralysis of both lower limbs     Paraplegia (lower)

344.2   Diplegia of upper limbs

Diplegia (upper)                  Paralysis of both upper limbs

344.3   Monoplegia of lower limb

Paralysis of lower limb

344.4   Monoplegia of upper limb

Paralysis of upper limb

344.5   Unspecified monoplegia

344.6   Cauda equina syndrome

Cord bladder                      Neurogenic bladder

344.8   Other

344.9   Unspecified

345     Epilepsy

Excludes:    progressive myoclonic epilepsy (333.2)

345.0   Generalized nonconvulsive epilepsy

Absences:                         Seizures:
    atonic                            akinetic
    typical                           atonic
Petit mal

345.1   Generalized convulsive epilepsy

Epileptic seizures:               Grand mal
    clonic                        Major epilepsy
    myoclonic
    tonic
    tonic-clonic

Excludes:    infantile spasms (345.6)

345.2   Petit mal status

Epileptic absence status

345.3   Grand mal status

Status epilepticus NOS

Excludes:    epilepsia partialis continua (345.7)

345.4   Partial epilepsy, with impairment of consciousness

Epilepsy:                         Epileptic automatism
    partial:
         secondarily generalized
         with memory and ideational disturbances
    psychomotor
    psychosensory

345.5   Partial epilepsy, without mention of impairment of consciousness

Epilepsy:                         Epilepsy:
    Bravais-Jacksonian NOS            somatomotor
    focal (motor) NOS                 somatosensory
    Jacksonian NOS                    visceral
    motor partial                     visual
    partial NOS

345.6   Infantile spasms

Hypsarrhythmia                    Salaam attacks
Lightning spasms

Excludes:    salaam tic (781.0)

345.7   Epilepsia partialis continua

Kojevnikov's epilepsy

345.8   Other

345.9   Unspecified

Epileptic convulsions, fits, or seizures NOS

346     Migraine

346.0   Classical migraine

Migraine preceded or accompanied by transient focal neurological phenomena
Migraine with aura

346.1   Common migraine

346.2   Variants of migraine

Cluster headache                  Neuralgia:
Migraine:                             ciliary
    basilar                           migrainous
    lower half
    retinal

346.8   Other

Migraine:
    hemiplegic
    ophthalmoplegic

346.9   Unspecified

347     Cataplexy and narcolepsy

348     Other conditions of brain

348.0   Cerebral cysts

Arachnoid cyst                    Porencephalic cyst

348.1   Anoxic brain damage

Excludes:    when attributable to medical care for abortion, ectopic or
                  molar pregnancy, labor or delivery (634-638) with fourth
                  digit .7, 639.8, 668.2, 669.4)
             when of newborn (767.0, 768.-, 772.1-772.2)

Use additional E code, if desired, to identify cause [e.g., anaesthesia]


348.2   Benign intracranial hypertension

348.3   Encephalopathy, unspecified

348.4   Compression of brain

Compression brain (stem)          Herniation brain (stem)

348.5   Cerebral edema

348.8   Other

Cerebral:
    calcification
    fungus

348.9   Unspecified

349     Other and unspecified disorders of the nervous system

349.0   Reaction to spinal or lumbar puncture

Headache following lumbar puncture

349.1   Nervous system complications from surgically implanted device

Excludes:    immediate postoperative complications (997.0)
             mechanical complications classifiable to 996.2 (996.2)

349.2   Disorders of meninges, not elsewhere classified

Adhesions, meningeal (cerebral) (spinal)

349.8   Other

349.9   Unspecified


           DISORDERS OF THE PERIPHERAL NERVOUS SYSTEM (350-359)

Excludes:    diseases of:
                  acoustic [8th] nerve (388.5)
                  oculomotor [3rd, 4th, 6th] nerves (378.-)
                  optic [2nd] nerve (377.-)
                  neuralgia NOS or "rheumatic" (729.2)
                  neuritis NOS or "rheumatic" (729.2)
                  radiculitis NOS or "rheumatic" (729.2)
                  peripheral neuritis in pregnancy (646.4)

350     Trigeminal nerve disorders

Includes:    disorders of 5th cranial nerve

350.1   Other trigeminal neuralgia

350.2   Atypical face pain

350.8   Other

350.9   Unspecified

351     Facial nerve disorders

Includes:    disorders of 7th cranial nerve

351.0   Bell's palsy

Facial palsy

351.1   Geniculate ganglionitis

Geniculate ganglionitis:
    NOS

351.8   Other

351.9   Unspecified

352     Disorders of other cranial nerves

352.0   Disorders of olfactory [1st] nerve

352.1   Glossopharyngeal neuralgia

352.2   Other disorders of glossopharyngeal [9th] nerve

352.3   Disorders of pneumogastric [10th] nerve

352.4   Disorders of accessory [11th] nerve

352.5   Disorders of hypoglossal [12th] nerve

352.6   Multiple cranial nerve palsies

Polyneuritis cranialis

352.9   Unspecified

353     Nerve root and plexus disorders

Excludes:    conditions due to:
                  intervertebral disc disorders (722.-)
                  spondylosis (720.-, 721.-)
             vertebrogenic disorders (723.-, 724.-)

353.0   Brachial plexus lesions

Excludes:    brachial neuritis or radiculitis NOS (723.4)

353.1   Lumbosacral plexus lesions

353.2   Cervical root lesions, not elsewhere classified

353.3   Thoracic root lesions, not elsewhere classified

353.4   Lumbosacral root lesions, not elsewhere classified

353.5   Neuralgic amyotrophy

Parsonage-Aldren-Turner syndrome

353.6   Phantom limb

353.8   Other

353.9   Unspecified

354     Mononeuritis of upper limb and mononeuritis multiplex

354.0   Carpal tunnel syndrome

354.1   Other lesion of median nerve

354.2   Lesion of ulnar nerve

Tardy ulnar nerve palsy

354.3   Lesion of radial nerve

354.4   Causalgia

354.5   Mononeuritis multiplex

Combinations of single conditions classifiable to 354.- or to 355.-

354.8   Other

354.9   Unspecified

355     Mononeuritis of lower limb

355.0   Lesion of sciatic nerve

Excludes:    sciatica NOS (724.3)

355.1   Meralgia paresthetica

Lateral cutaneous nerve of thigh syndrome

355.2   Lesion of femoral nerve

355.3   Lesion of lateral popliteal nerve

355.4   Lesion of medial popliteal nerve

355.5   Tarsal tunnel syndrome

355.6   Lesion of plantar nerve

Morton's metatarsalgia

355.7   Other

355.8   Unspecified

Mononeuritis of lower limb

355.9   Mononeuritis of unspecified site

356     Hereditary and idiopathic peripheral neuropathy

356.0   Hereditary peripheral neuropathy

Dejerine-Sottas disease

356.1   Peroneal muscular atrophy

Charcot-Marie-Tooth disease

356.2   Hereditary sensory neuropathy

356.3   Refsum's disease

356.4   Idiopathic progressive polyneuropathy

356.8   Other specified idiopathic peripheral neuropathy

356.9   Unspecified

357     Inflammatory and toxic neuropathy

357.0   Acute infective polyneuritis

Guillain-Barre syndrome

357.5   Alcoholic polyneuropathy

357.6   Polyneuropathy due to drugs

Use additional E code, if desired, to identify drug

357.7   Polyneuropathy due to other toxic agents

Use additional E code, if desired, to identify toxic agent

357.8   Other

357.9   Unspecified

358     Myoneural disorders

358.0   Myasthenia gravis

358.2   Toxic myoneural disorders

Use additional E code, if desired, to identify toxic agent

358.8   Other

358.9   Unspecified

359     Muscular dystrophies and other myopathies

Excludes:    idiopathic polymyositis (710.4)

359.0   Congenital hereditary muscular dystrophy

Benign congenital myopathy        Myotubular myopathy
Central core disease              Nemaline body disease

Excludes:    arthrogryposis multiplex congenita (755.8)

359.1   Hereditary progressive muscular dystrophy

Muscular dystrophy:               Muscular dystrophy:
    NOS                               Landouzy-Dejerine
    distal                            limb-girdle
    Duchenne                          ocular
    Erb's                             oculopharyngeal
    fascioscapulohumeral

359.2   Myotonic disorders

Dystrophia myotonica              Paramyotonia congenita
Myotonia congenita                Steinert's disease

359.3   Familial periodic paralysis

Hypokalemic familial periodic paralysis

359.4   Toxic myopathy

Use additional E code, if desired, to identify toxic agent

359.8   Other

359.9   Unspecified


                 DISORDERS OF THE EYE AND ADNEXA (360-379)

360     Disorders of the globe

Includes:    disorders affecting multiple structures of eye

360.0   Purulent endophthalmitis

 Panophthalmitis                  Vitreous abscess

360.1   Other endophthalmitis

Ophthalmia nodosa                 Sympathetic uveitis
Parasitic endophthalmitis NOS

360.2   Degenerative disorders of globe

Chalcosis                         Siderosis of eye
Malignant myopia

360.3   Hypotony of eye

360.4   Degenerated conditions of globe

Absolute glaucoma                 Haemophthalmos
Atrophy of globe                  Phthisis bulbi

360.5   Retained (old) intraocular foreign body, magnetic

Retained (old) magnetic foreign body (in):
    anterior chamber
    ciliary body
    iris
    lens
    vitreous
    posterior wall

360.6   Retained (old) intraocular foreign body, nonmagnetic

Retained (old) foreign body in sites listed in 360.5:
    NOS
    nonmagnetic

360.8   Other disorders of globe

Luxation of globe

360.9   Unspecified

361     Retinal detachments and defects

361.0   Retinal detachment with retinal defect

Giant tear of retina (with detachment)
Rhegmatogenous retinal detachment

361.1   Retinoschisis and retinal cysts

Cyst of ora serrata               Pseudocyst of retina

Excludes:    microcystoid degeneration of retina (362.6)
             parasitic cyst of retina (360.1)

361.2   Serous retinal detachment

Retinal detachment without retinal defect

361.3   Retinal defects without detachment

Horseshoe tear   }
Round hole       }    of retina, without mention of detachment
Operculum        }

361.8   Other forms of retinal detachment

Traction detachment of retina

361.9   Unspecified

362     Other retinal disorders

Excludes:    chorioretinal scars (363.3)
             chorioretinitis (363.-)

362.1   Other background retinopathy and retinal vascular changes

Changes in retinal vascular       Retinopathy:
    appearance                        NOS
Retinal:                              atherosclerotic(440.8)
    micro-aneurysms NOS              background NOS
    neovascularization NOS            Coat's
    perivasculitis                     exudative
    varices
    vascular sheathing
    vasculitis

362.2   Other proliferative retinopathy

Retrolental fibroplasia

362.3   Retinal vascular occlusion

Microembolism, retinal
Occlusion (partial) (total) (transient):
    retinal artery (branch) (central)
    retinal vein (central) (tributary)
Venous engorgement, retina

362.4   Separation of retinal layers

Central serous chorioretinopathy
Detachment of retinal pigment epithelium

Excludes:    serous retinal detachment (361.2)

362.5   Degeneration of macula and posterior pole

Cyst       }                      Kuhnt-Junius degeneration
Hole       }  of macula           Senile macular generation
Puckering  }                          (atrophic)(exudative)
Drusen (degenerative)             Toxic maculopathy

Use additional E code, if desired, to identify drug, if drug-induced

362.6   Peripheral retinal degenerations

Degeneration, retina:             Degeneration, retina:
    lattice                           paving stone
    microcystoid                      peripheral
    palisade                          reticular

362.7   Hereditary retinal dystrophies

Dystrophy:                        Retinitis pigmentosa
    retinal (albipunctate)        Stargardt's disease
          (pigmentary)
    (vitelliform)
    tapetoretinal
    vitreoretinal

362.8   Other retinal disorders

Hemorrhage:                       Retinal:
    preretinal                        cotton wool spots
    retinal (deep)                    edema (localized) (macular) (peripheral)
         (superficial)                exudes
    subretinal                        ischemia

Excludes:    chorioretinal inflammations and scars (363.-)

362.9   Unspecified

363     Chorioretinal inflammations, scars, and other disorders of choroid

363.0   Focal chorioretinitis and focal retinochoroiditis

Focal:
    chorioretinitis or choroiditis
    retinochoroiditis or retinitis:
         NOS

363.1   Disseminated chorioretinitis and disseminated retinochoroiditis

Disseminated:
    choroiditis or chorioretinitis
         NOS
    retinitis or retinochoroiditis
         NOS

Excludes:    retinal:
                  perivasculitis (362.1)
                  vasculitis (362.1)

363.2   Other and unspecified forms of chorioretinitis and retinochoroiditis

Pars planitis                     Posterior cyclitis

Excludes:    panophthalmitis (360.02)
             sympathetic uveitis (360.11)

363.3   Chorioretinal scars

Scar (postinflammatory) (postsurgical) (posttraumatic):
    choroid
    macula
    posterior pole
    retina
Solar retinopathy

363.4   Choroidal degenerations

Angioid streaks of choroid
Atrophy of choroid
Sclerosis of choroid

363.5   Hereditary choroidal dystrophies

Choroideremia
Dystrophy, choroidal (central areolar) (generalized) (gyrate) (peripapillary)
Gyrate atrophy, choroid

363.6   Choroidal hemorrhage and rupture

Choroidal hemorrhage:
    NOS
    expulsive

363.7   Choroidal detachment

363.8   Other disorders of choroid

363.9   Unspecified

364     Disorders of iris and ciliary body

364.0   Acute and subacute iridocyclitis

Anterior uveitis  }       acute
Cyclitis          }       recurrent
Iridocyclitis     }       subacute
Iritis            }       with hypopyon

364.1   Chronic iridocyclitis

Iridocyclitis:
    chronic

364.2   Certain types of iridocyclitis

Fuchs's heterochromic cyclitis    Lens-induced iridocyclitis
Glaucomatocyclitic crises

364.3   Unspecified iridocyclitis

364.4   Vascular disorders of iris and ciliary body

Hemorrhage of iris or ciliary body
Neovascularization of iris or ciliary body
Hyphaema
Rubeosis of iris

364.5   Degenerations of iris and ciliary body

Degeneration:                     Miotic pupillary cyst
    iris (pigmentary)             Translucency of iris
    pupillary margin              Iris atrophy (essential) (progressive)
Iridoschisis

364.6   Cysts of iris, ciliary body, and anterior chamber

Cyst of iris, ciliary body or anterior chamber:
    NOS
    exudative
    implantation

Excludes:    miotic pupillary cyst (364.5)
             parasitic cyst (360.1)

364.7   Adhesions and disruptions of iris and ciliary body

Ectopic pupil                     Recession, chamber angle
Goniosynechiae                    Synechiae (iris):
Iridodialysis                         NOS
Pupillary:                            anterior
    membranes                         posterior
    occlusion
    seclusion

364.8   Other disorders of iris and ciliary body

364.9   Unspecified

365     Glaucoma

Excludes:    glaucoma:
                  absolute (360.4)
                  congenital (743.2)

365.0   Borderline glaucoma

Anatomical narrow angle           Open-angle with:
    Ocular hypertension               borderline intraocular pressure
    Steroid responder                  cupping of discs

365.1   Open-angle glaucoma

Glaucoma (primary) (residual stage):
    chronic simple
    low tension
    open angle
    pigmentary

365.2   Primary angle-closure glaucoma

Angle-closure glaucoma (primary) (residual stage):
    acute
    chronic
    intermittent

365.3   Corticosteroid-induced glaucoma

Corticosteroid-induced glaucoma (glaucomatous stage) (residual stage)

Use additional E code, if desired, to identify drug

365.4   Glaucoma associated with congenital anomalies, with dystrophies, and
        with systemic syndromes

365.5   Glaucoma associated with disorders of the lens

Glaucoma (in):                    Glaucoma (in):
    hypermature cataract               pseudoexfoliation of capsule
    postdislocation of lens            phacolytic glaucoma

365.6   Glaucoma associated with other ocular disorders

Glaucoma in:                      Glaucoma (in):
    concussion of globe               rubeosis of iris
    iridocyclitis                     tumours of globe
    retinal vein occlusion

365.8   Other glaucoma

Hypersecretion glaucoma

365.9   Unspecified

366     Cataract

Excludes:    congenital cataract (743.3)

366.0   Infantile, juvenile, and presenile cataract

366.1   Senile cataract

Senile cataract (hypermature) (incipient) (mature)
Pseudoexfoliation of (lens) capsule

366.2   Traumatic cataract

366.3   Cataract secondary to ocular disorders

Cataracta complicata
Cataract in chronic iridocyclitis
Glaucomatous flecks (subcapsular)

366.4   Cataract associated with other disorders

Cataract:
    drug-induced

Use additional E code, if desired, to identify cause if due to drug or other
    toxic substance

366.5   After-cataract

Secondary cataract                Soemering's ring

366.8   Other cataract

366.9   Unspecified

367     Disorders of refraction and accommodation

367.0   Hypermetropia


367.1   Myopia

367.2   Astigmatism

367.3   Anisometropia and aniseikonia

367.4   Presbyopia

367.5   Disorders of accommodation

Internal ophthalmoplegia          Paresis of accommodation
    (complete) (total)            Spasm of accommodation

367.8   Other

367.9   Unspecified

368     Visual disturbances

Excludes:    electrophysiological disturbances (794.1)

368.0   Amblyopia ex anopsia

Amblyopia:                        Amblyopia:
   deprivation                       suppression
   strabismic

368.1   Subjective visual disturbances

Asthenopia                        Sudden visual loss
Metamorphopsia                    Visual:
Photophobia                            hallucinations
Scintillating scotoma                  halos

368.2   Diplopia

Double vision

368.3   Other disorders of binocular vision

Abnormal retinal correspondence
Fusion with defective stereopsis
Simultaneous visual perception without fusion
Suppression of binocular vision

368.4   Visual field defects

Enlarged blind spot               Scotoma:
Generalized contraction of          arcuate
    visual field                    Bjerrum
Hemianop(s)ia (heteronymous)        central
    (homonymous)                    ring
Quadrant anop(s)ia

368.5   Color vision deficiencies

Achromatopsia                     Protanopia
Deuteranomaly                     Tritanomaly
Deuteranopia                      Tritanopia
Protanomaly

368.6   Night blindness

Night blindness:
    NOS

368.8   Other visual disturbances

368.9   Unspecified

369     Blindness and low vision

369.0   Blindness, both eyes

369.1   Blindness, one eye, low vision other eye

369.2   Low vision, both eyes

369.3   Unqualified visual loss, both eyes

369.6   Blindness, one eye

369.7   Low vision, one eye

369.8   Unqualified visual loss, one eye

369.9   Unspecified visual loss

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 1972.1  The term "low vision" in the
        above category comprises categories 1 and 2 of the table below, the
        term "blindness" categories 3, 4 and 5 and the term "unqualified
        visual loss" category 9.

370     Keratitis

370.0   Corneal ulcer

Ulcer:
    cornea (central) (marginal) (perforated) (ring)
    hypopyon
    Mooren's

_________________________________________________________________________
Category of |             Visual acuity with best possible correction
  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 at
   3        |                              |         1 metre)
            |  1/20 (0.05)                 |   1/50 (0.02)
            | 20/400                       |   5/300 (20/1200)
____________|______________________________|_________________________________
            |                              |
            |  1/60 (finger counting at    |
   4        |        1 metre)              |   Light perception
            |  1/50 (0.02)                 |
            |  5/300 (20/1200)             |
____________|______________________________|_________________________________
            |
   5        |                   No light perception
____________|________________________________________________________________
            |
   9        |               Undetermined or unspecified
____________|________________________________________________________________



If the extent of the visual field is taken into account, patients with a field
no greater than 10 but greater than 5 around central fixation should be
placed in category 3 and patients with a field no greater than 5 around
central fixation should be placed in category 4, even if the central acuity is
not impaired.



370.2   Other superficial keratitis without conjunctivitis

Keratitis:                        Keratitis:
    areolar                           striate
    filamentary                       superficial punctate
    nummular                      Photokeratitis
    stellate                      Snow blindness

370.3   Certain types of keratoconjunctivitis

Keratoconjunctivitis:
    exposure
    neurotrophic
    phlyctenular

370.4   Other and unspecified keratoconjunctivitis

Keratitis or keratoconjunctivitis
    in other exanthemata
    NOS
Superficial keratitis with conjunctivitis

370.5   Interstitial and deep keratitis

Corneal abscess                   Keratitis:
Interstitial keratitis:               sclerosing
    NOS
    nonsyphilitic

370.6   Corneal neovascularization

Ghost vessels (corneal)
Pannus (corneal)

370.8   Other forms of keratitis

370.9   Unspecified

371     Corneal opacity and other disorders of cornea

371.0   Corneal scars and opacities

Corneal:
    leucoma (adherent))
    macula
    nebula

371.1   Corneal pigmentations and deposits

Haematocornea                     Krukenberg spindle
Kayser-Fleischer ring             Staehli's line

371.2   Corneal edema

Bullous keratopathy

371.3   Changes of corneal membranes

Fold in Descemet's membrane
Rupture in Descemet's membrane

371.4   Corneal degenerations

Arcus senilis                     Recurrent corneal erosion
Band-shaped keratopathy

Excludes:    Mooren's ulcer (370.0)

371.5   Hereditary corneal dystrophies

Corneal dystrophy (epithelial) (granular) (lattice) (macular)
Fuchs's endothelial dystrophy

371.6   Keratoconus

371.7   Other corneal deformities

Corneal ectasia                   Descemetocele
Corneal staphyloma

371.8   Other corneal disorders

Anesthesia    }   of
Hypoesthesia  }   cornea

371.9   Unspecified

372     Disorders of conjunctiva

Excludes:    keratoconjunctivitis (370.3, 370.4)

372.0   Acute conjunctivitis

Conjunctivitis:
    mucopurulent
    serous

Excludes:    ophthalmia neonatorum NOS

372.1   Chronic conjunctivitis

Vernal conjunctivitis

372.2   Blepharoconjunctivitis

372.3   Other and unspecified conjunctivitis

372.4   Pterygium

Excludes:    pseudopterygium (372.5)

372.5   Conjunctival degenerations and deposits

Conjunctival:                     Conjunctival xerosis:
    argyrosis                         NOS
    concretions                   Pseudopterygium
    pigmentation

372.6   Conjunctival scars

Symblepharon

372.7   Conjunctival vascular disorders and cysts

Aneurysm of conjunctiva           Hyposphagma
Chemosis of conjunctiva           Subconjunctival hemorrhage

372.8   Other disorders of conjunctiva

372.9   Unspecified

373     Inflammation of eyelids

373.0   Blepharitis

Excludes:    blepharoconjunctivitis (372.2)

373.1   Hordeolum and other deep inflammation of eyelid

Abscess of eyelid                 Stye
Furuncle of eyelid

373.2   Chalazion

Meibomian (gland) cyst

373.3   Noninfectious dermatoses of eyelid

Dermatitis:                  }
  allergic                   }
  contact                    }   of eyelid
  eczematous                 }
Discoid lupus erythematosus  }
Xeroderma                    }

373.8   Other

373.9   Unspecified

374     Other disorders of eyelids

374.0   Entropion and trichiasis of eyelid

374.1   Ectropion

374.2   Lagophthalmos

374.3   Ptosis of eyelid

Blepharochalasis

374.4   Other disorders affecting eyelid function

Ankyloblepharon                   Lid retraction
Blepharophimosis

Excludes:    blepharospasm (333.8)
             tic (psychogenic) (307.2)
             organic (333.3)

374.5   Degenerative disorders of eyelid and periocular area

Chloasma        }
Hypertrichosis  } of eyelid
Vitiligo        }
Madarosis

374.8   Other disorders of eyelid

Retained foreign body in eyelid

374.9   Unspecified

375     Disorders of lacrimal system

375.0   Dacryoadenitis

Chronic enlargement of lacrimal gland

375.1   Other disorders of lacrimal gland

Dacryops                          Lacrimal:
Dry eye syndrome                     atrophy
                                     cyst

375.2   Epiphora

375.3   Acute and unspecified inflammation of lacrimal passages

Canaliculitis, lacrimal      } NOS
Dacryocystitis (phlegmonous) } acute
Dacryopericystitis           } subacute

Excludes:    neonatal dacryocystitis (771.6)

375.4   Chronic inflammation of lacrimal passages

Canaliculitis, lacrimal      }
Dacryocystitis (phlegmonous) } chronic
Mucocele, lacrimal           }

375.5   Stenosis and insufficiency of lacrimal passages

Dacryolith
Eversion of lacrimal punctum
Stenosis:
    lacrimal
         canaliculi
         punctum
         sac
    nasolacrimal duct

375.6   Other changes of lacrimal passages

Lacrimal fistula

375.8   Other disorders of lacrimal system

375.9   Unspecified

376     Disorders of the orbit

376.0   Acute inflammation of orbit

Cellulitis    }                   Tenonitis
Abscess       }    of orbit
periostitis   }
Osteomyelitis }

376.1   Chronic inflammatory disorders of orbit

Granuloma     }
Pseudotumor   }    of orbit
Myositis      }

376.3   Other exophthalmic conditions

Displacement of globe             Hemorrhage      }    of orbit
    (lateral) NOS                 Edema           }
Exophthalmos

376.4   Deformity of orbit

Atrophy of orbit                  Exostosis of orbit

376.5   Enophthalmos

376.6   Retained (old) foreign body following penetrating wound of orbit

Retrobulbar foreign body

376.8   Other disorders of orbit

Cyst of orbit                     Myopathy of extraocular muscles

376.9   Unspecified

377     Disorders of optic nerve and visual pathways

377.0   Papilledema

377.1   Optic atrophy

Optic atrophy:
    NOS
Temporal pallor, optic disc

377.2   Other disorders of optic disc

Drusen of optic disc              Pseudopapilledema
Coloboma of optic disc


377.3   Optic neuritis

Optic neuropathy, except          Retrobulbar neuritis:
    ischemic                           NOS
Optic papillitis
                                  
377.4   Other disorders of optic nerve

Compression of optic nerve
Hemorrhage in optic nerve sheath
Optic neuropathy, ischaemic

377.5   Disorders of optic chiasm

377.6   Disorders of other visual pathways

Disorders of optic tracts, geniculate nuclei and optic radiations

377.7   Disorders of visual cortex

377.9   Unspecified

378     Strabismus and other disorders of binocular eye movements

Excludes:    nystagmus and other irregular eye movements (379.5)

378.0   Convergent concomitant strabismus

Esotropia (alternating) (monocular), except intermittent

378.1   Divergent concomitant strabismus

Exotropia (alternating) (monocular), except intermittent

378.2   Intermittent heterotropia

Intermittent:
     esotropia     } (alternating)
     exotropia     } (monocular)

378.3   Other and unspecified heterotropia

Hypertropia                       Microtropia
Vertical heterotropia             Monofixation syndrome
Hypotropia                        Concomitant strabismus NOS
Cyclotropia

378.4   Heterophoria

Esophoria                         Alternating hyperphoria
Exophoria

378.5   Paralytic strabismus

Strabismus due to palsy:          Total (external) ophthalmoplegia
    Third or oculomotor nerve
    Fourth or trochlear nerve
    Sixth or abducent nerve

378.6   Mechanical strabismus

Brown's sheath syndrome           Traumatic limitation of duction of
Strabismus due to adhesions            eye muscle

378.7   Other strabismus

Duane's syndrome                  Progressive external ophthalmoplegia

378.8   Other disorders of binocular eye movements

Conjugate gaze palsy or spasm     Dissociated deviation of eye movements
Convergence:                      Internuclear ophthalmoplegia
    excess
    insufficiency

378.9   Unspecified

Ophthalmoplegia NOS               Strabismus NOS

379     Other disorders of eye

379.0   Scleritis and episcleritis

Episcleritis:                     Scleromalacia perforans
    NOS                           Sclerotenonitis

379.1   Other disorders of sclera

Equatorial staphyloma             Scleral ectasia

379.2   Disorders of vitreous body

Asteroid hyalitis                 Vitreous:
Synchysis scintillans                 detachment
                                      floaters
                                      hemorrhage
                                      opacities
                                      prolapse

379.3   Aphakia and other disorders of lens

Dislocation of lens               Subluxation of lens

379.4   Anomalies of pupillary function

Adie pupil                        Miosis (persistent), not due to
Anisocoria                             mydriatics
Argyll Robertson phenomenon       Pupillary reaction:
    or pupil (syphilitic)              abnormal
         atypical(nonsyphilitic)       tonic
Hippus                                 unequal

379.5   Nystagmus and other irregular eye movements

Nystagmus:                        Nystagmus:
    NOS                               dissociated
    congenital                        latent
    deprivation

379.8   Other disorders of eye and adnexa

379.9   Unspecified


              DISEASES OF THE EAR AND MASTOID PROCESS (380-389)

380     Disorders of external ear

380.0   Perichondritis of pinna

Perichondritis of auricle

380.1   Infective otitis externa

Otitis externa:                   Swimmer's ear
    NOS
    diffuse
    hemorrhagica
    malignant

380.2   Other otitis externa

Cholesteatoma of external ear (canal)
Eczema or external ear (canal)
Keratosis obturans

380.3   Noninfective disorders of pinna

Acquired deformity:               Hematoma:
    auricle                           auricle
    pinna                             pinna

380.4   Impacted cerumen

Wax in ear

380.5   Acquired stenosis of external ear canal

Collapse of external ear canal

380.8   Other disorders of external ear

Exostosis of external ear canal

380.9   Unspecified

381     Nonsuppurative otitis media and Eustachian tube disorders

381.0   Acute nonsuppurative otitis media

Acute tubotympanic catarrh        Otitis media, acute:
Otitis media, acute:                  secretory
    allergic                          seromucinous
    catarrhal                         serous
    exudative                         transudative
    mucoid                            with effusion

381.1   Chronic serous otitis media

Chronic tubotympanal catarrh

381.2   Chronic mucoid otitis media

Glue ear                          Otitis media, chronic mucinous

Excludes:    adhesive middle ear disease (385.1)

381.3   Other and unspecified chronic nonsuppurative otitis media

Otitis media, chronic:            Otitis media, chronic:
    allergic                          seromucinous
    exudative                         transudative
    secretory                         with effusion

381.4   Nonsuppurative otitis media, not specified as acute or chronic

Otitis media:                     Otitis media:
    allergic                          seromucinous
    catarrhal                         serous
    exudative                         transudative
    mucoid                            with effusion
    secretory

381.5   Eustachian salpingitis

381.6   Obstruction of Eustachian tube

Compression of Eustachian tube    Stricture of Eustachian tube
Stenosis of Eustachian tube

381.7   Patulous Eustachian tube

381.8   Other disorders of Eustachian tube

381.9   Unspecified Eustachian tube disorder

382     Suppurative and unspecified otitis media

382.0   Acute suppurative otitis media

Otitis media, acute necrotizing (in):
    NOS
Otitis media, acute purulent

382.1   Chronic tubotympanic suppurative otitis media

Benign chronic suppurative otitis media
Chronic tubotympanic disease

382.2   Chronic atticoantral suppurative otitis media

Chronic atticoantral disease

382.3   Unspecified chronic suppurative otitis media

Chronic purulent otitis media

382.4   Unspecified suppurative otitis media

Purulent otitis media NOS

382.9   Unspecified otitis media

Otitis media:
    NOS
    acute NOS
    chronic NOS

383     Mastoiditis and related conditions

383.0   Acute mastoiditis

Abscess of mastoid                Empyema of mastoid

383.1   Chronic mastoiditis

Caries of mastoid                 Fistula of mastoid

383.2   Petrositis

Inflammation of petrous bone (acute) (chronic)

383.3   Complications following mastoidectomy

[Not to be used for underlying cause of death]

Cyst          }
Granulations  }  of postmastoidectomy cavity
Inflammation  }

383.8   Other

383.9   Unspecified mastoiditis

384     Other disorders of tympanic membrane

384.0   Acute myringitis without mention of otitis media

Acute tympanitis                  Bullous myringitis

384.1   Chronic myringitis without mention of otitis media

Chronic tympanitis

384.2   Perforation of tympanic membrane

Perforation of ear drum:
    NOS
    persistent post-traumatic
    postinflammatory

384.8   Other

384.9   Unspecified

385     Other disorders of middle ear and mastoid

385.0   Tympanosclerosis

385.1   Adhesive middle ear disease

Adhesive otitis

Excludes:    glue ear (381.2)

385.2   Other acquired abnormality of ear ossicles

Ankylosis          }
Impaired mobility  } of ear ossicles
Partial loss       }

385.3   Cholesteatoma of middle ear and mastoid

Polyp of (middle) ear

385.8   Other

385.9   Unspecified

386     Vertiginous syndromes and other disorders of vestibular system

Excludes:    vertigo NOS (780.4)

386.0   Mnire's disease

Endolymphatic hydrops
Lermoyez's syndrome
Mnire's syndrome or vertigo

386.1   Other and unspecified peripheral vertigo

Aural vertigo
Benign paroxysmal vertigo or nystagmus
Otogenic vertigo
Vestibular neuronitis

386.2   Vertigo of central origin

Central positional nystagmus

386.3   Labyrinthitis

386.4   Labyrinthine fistula

386.5   Labyrinthine dysfunction

Hypofunction      }
Hypersensitivity  } of labyrinth
Loss of function  }

386.8   Other disorders of labyrinth

386.9   Unspecified vertiginous syndromes and labyrinthine disorders

387     Otosclerosis

Includes:    otospongiosis

387.0   Otosclerosis involving oval window, nonobliterative

387.1   Otosclerosis involving oval window, obliterative

387.2   Cochlear otosclerosis

Otosclerosis involving:
     otic capsule
     round window

387.8   Other

387.9   Unspecified

388     Other disorders of ear

388.0   Degenerative and vascular disorders of ear

Presbyacusis                      Transient ischemic deafness

388.1   Noise effects on inner ear

Acoustic trauma (explosive) to ear
Noise-induced hearing loss

388.2   Sudden hearing loss, unspecified

388.3   Tinnitus

388.4   Other abnormal auditory perception

Auditory recruitment              Hyperacusis
Diplacusis                        Impairment of auditory discrimination

388.5   Disorders of acoustic nerve

Acoustic neuritis:                Degeneration of acoustic or eighth nerve
     NOS                          Disorder of acoustic or eighth nerve

388.6   Otorrhea

Discharging ear

388.7   Otalgia

Earache

388.8   Other

388.9   Unspecified

389     Deafness

389.0   Conductive deafness

Conductive hearing loss

389.1   Sensorineural deafness

Deafness:                         Hearing loss:
    central                           central
    neural                            neural
    perceptive                        perceptive
    sensory                           sensorineural
                                      sensory

Excludes:    abnormal auditory perception (388.4)
             psychogenic deafness (306.7)

389.2   Mixed conductive and sensorineural deafness

Deafness or hearing loss of type in 389.0 with type in 389.1

389.7   Deaf mutism, not elsewhere classifiable

389.8   Other specified forms of deafness

389.9   Unspecified deafness

Hearing loss NOS
                  VII.  DISEASES OF THE CIRCULATORY SYSTEM


                       ACUTE RHEUMATIC FEVER (390-392)

390     Rheumatic fever without mention of heart involvement

Arthritis, rheumatic, acute or subacute
Rheumatic fever (active) (acute)
Rheumatism, articular, acute or subacute

391     Rheumatic fever with heart involvement

Excludes:    chronic heart diseases of rheumatic origin (393-398) unless
                  rheumatic fever is also present or there is evidence of
                  recrudescence or activity of the rheumatic process.

391.0   Acute rheumatic pericarditis

Rheumatic pericarditis (acute)
Any condition in 390 with pericarditis

Excludes:    when not specified as rheumatic (420.-)

391.1   Acute rheumatic endocarditis

Rheumatic:
    endocarditis, acute
    valvulitis acute
Any condition in 390 with endocarditis or valvulitis

391.2   Acute rheumatic myocarditis

Any condition in 390 with myocarditis

391.8   Other acute rheumatic heart disease

Rheumatic pancarditis, acute
Any condition in 390 with other or multiple types of heart involvement

391.9   Acute rheumatic heart disease, unspecified

Rheumatic:
    carditis, acute
    heart disease, active or acute
Any condition in 390 with unspecified type of heart involvement

392     Rheumatic chorea

Includes:    Sydenham's chorea

Excludes:    Chorea:
                  NOS (333.5)
                  Huntington's (333.4)

392.0   With heart involvement

Rheumatic chorea with heart involvement of any type classifiable under 391.-

392.9   Without mention of heart involvement


                  CHRONIC RHEUMATIC HEART DISEASE (393-398)

393     Chronic rheumatic pericarditis

Adherent pericardium, rheumatic
Chronic rheumatic:
    mediastinopericarditis
    myopericarditis

Excludes:    when not specified as rheumatic (423.9)

394     Diseases of mitral valve

394.0   Mitral stenosis

Mitral (valve) obstruction (rheumatic)

394.1   Rheumatic mitral insufficiency

Rheumatic mitral:                 Rheumatic mitral:
    incompetence                      regurgitation

Excludes:    when not specified as rheumatic (424.0)

394.2   Mitral stenosis with insufficiency

Mitral stenosis with incompetence or regurgitation

394.9   Other and unspecified

Mitral (valve):                   Mitral (valve):
    disease (chronic)                 failure

395     Diseases of aortic valve

Excludes:    when not specified as rheumatic (424.1)

395.0   Rheumatic aortic stenosis

Rheumatic aortic (valve) obstruction

395.1   Rheumatic aortic insufficiency

Rheumatic aortic:
    incompetence
    regurgitation

395.2   Rheumatic aortic stenosis with insufficiency

Rheumatic aortic stenosis with incompetence or regurgitation

395.9   Other and unspecified

Rheumatic aortic (valve) disease

396     Diseases of mitral and aortic valves

Involvement of both mitral and aortic valves whether specified as rheumatic
    or not

397     Diseases of other endocardial structures

397.0   Diseases of tricuspid valve

Tricuspid (valve) (rheumatic):
    disease
    obstruction
    stenosis

397.1   Rheumatic diseases of pulmonary valve

Excludes:    when not specified as rheumatic (424.3)

397.9   Rheumatic diseases of endocardium, valve unspecified

Rheumatic:
    endocarditis (chronic)
    valvulitis (chronic)

Excludes:    when not specified as rheumatic (424.9)

398     Other rheumatic heart disease

398.0   Rheumatic myocarditis

Excludes:    myocarditis not specified as rheumatic (429.0)

398.9   Other and unspecified

Rheumatic:
    carditis
    heart disease NOS

Excludes:    carditis not specified as rheumatic (429.8)
             heart disease NOS not specified as rheumatic (429.9)


                      HYPERTENSIVE DISEASE (401-404)

The following fourth-digit subdivisions are for use with categories 401-404:
    .0 Specified as malignant
    .1 Specified as benign
    .9 Not specified as malignant or benign

Excludes:    when complicating pregnancy, childbirth, or the puerperium
                  (642.-) when involving coronary vessels (410-414)

401     Essential hypertension

[See 401-404 for fourth-digit subdivisions.]

Includes:    high blood pressure
             hyperpiesia
             hyperpiesis
             hypertension (arterial) (essential) (primary) (systemic)

Excludes:    when involving vessels of:
                  brain (430-438)
                  eye (362.1)

402     Hypertensive heart disease

[See 401-404 for fourth-digit subdivisions.]

Includes:    hypertensive heart (disease) (failure)
             any condition in 428, 429.0-429.3, 429.8, 429.9 due to
                  hypertension

403     Hypertensive renal disease

[See 401-404 for fourth-digit subdivisions.]

Includes:    arteriolar nephritis
             arteriosclerosis of kidney
             arteriosclerotic nephritis (chronic) (interstitial)
             hypertensive:
                  nephropathy
                  renal failure
             nephrosclerosis
             any condition in 585, 586, or 587 with any condition in 401
      
404     Hypertensive heart and renal disease

[See 401-404 for fourth-digit subdivisions.]

Includes:    disease:
                  cardiorenal
                  cardiovascular renal
             any condition in 402.- with any condition in 403.-

                     ISCHEMIC HEART DISEASE (410-414)

Includes:    mention of hypertension (conditions in 401-404)

Use additional code, if desired, to identify presence of hypertension

410     Acute myocardial infarction

Cardiac infarction                Rupture:
Coronary (artery):                    heart
    embolism                          myocardium
    occlusion                     Subendocardial infarction
    rupture                       Any condition in 414.1-414.9 specified
    thrombosis                        as acute or with a stated duration
Infarction:                           of 8 weeks or less
    heart
    myocardium
    ventricle

411     Other acute and subacute forms of ischemic heart disease

Coronary:                         Microinfarct of heart
    failure                       Preinfarction syndrome
    insufficiency (acute)         Postmyocardial infarction or
Intermediate coronary syndrome      Dressler's syndrome

412     Old myocardial infarction

Healed myocardial infarction
Past myocardial infarction diagnosed on ECG or other special investigation,
    but currently presenting no symptoms

413     Angina pectoris

Angina:                           Anginal syndrome
    NOS                           Stenocardia
    cardiac
    decubitus
    of effort

414     Other forms of chronic ischemic heart disease

Excludes:    cardiovascular arteriosclerosis, degeneration, disease or
                  sclerosis (429.2)
                                
414.0   Coronary atherosclerosis

Atherosclerotic heart disease
Coronary atheroma
Coronary (artery) sclerosis

414.1   Aneurysm of heart

Aneurysm:
    coronary
    mural
    ventricular aneurysm

414.8   Other

Ischemia, myocardial (chronic)
Any condition in 410 specified as chronic, or with a stated duration of
    over 8 weeks

414.9   Unspecified

Ischemic heart disease NOS
 

                    DISEASES OF PULMONARY CIRCULATION (415-417)

415     Acute pulmonary heart disease

415.0   Acute cor pulmonale

415.1   Pulmonary embolism

Pulmonary (artery) (vein):
    apoplexy
    infarction (hemorrhagic)
    thrombosis

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .6, 639.6)
                  ectopic or molar pregnancy (639.6)
                  pregnancy, childbirth, or the puerperium (673.-)

416     Chronic pulmonary heart disease

416.0   Primary pulmonary hypertension

Pulmonary hypertension (idiopathic) (primary)

416.1   Kyphoscoliotic heart disease

416.8   Other

416.9   Pulmonary heart disease, unspecified

Chronic cardiopulmonary disease   Cor pulmonale (chronic) NOS

417     Other diseases of pulmonary circulation

417.0   Arteriovenous fistula of pulmonary vessels

417.1   Aneurysm of pulmonary artery

417.8   Other

Rupture of pulmonary vessel       Stricture of pulmonary vessel

417.9   Unspecified


                    OTHER FORMS OF HEART DISEASE (420-429)
              
420     Acute pericarditis

Includes:    acute:
                  mediastinopericarditis
                  myopericarditis
                  pericardial effusion
                  pleuropericarditis
                  pneumopericarditis

420.9   Other and unspecified acute pericarditis

Pericarditis:                     Pericarditis:
    infective                         streptococcal
    pneumococcal                      viral
    purulent                      Pyopericarditis
    staphylococcal

421     Acute and subacute endocarditis

421.0   Acute and subacute bacterial endocarditis

Endocarditis (acute) (chronic) (subacute):
    bacterial
    infective NOS
    lenta
    malignant
    septic
    ulcerative
    vegetative
Infective aneurysm

Use additional code, if desired, to identify infectious organism [e.g.,
    Streptococcus 041.0, Staphylococcus 041.1]

421.9   Acute endocarditis, unspecified

Endocarditis, acute or subacute
Myoendocarditis, acute or subacute
Periendocarditis, acute or subacute

Excludes:    acute rheumatic endocarditis (391.1)

422     Acute myocarditis

422.9   Other and unspecified acute myocarditis

Acute or subacute                 Septic myocarditis
    (interstitial) myocarditis    Toxic myocarditis

423     Other diseases of pericardium

Excludes:    when specified as rheumatic (393)

423.0   Hemopericardium

423.1   Adhesive pericarditis

Adherent pericardium

423.2   Constrictive pericarditis

423.8   Other

423.9   Unspecified

424     Other diseases of endocardium

424.0   Mitral valve disorders

Mitral (valve):
    incompetence NOS of specified cause, except rheumatic
    insufficiency NOS of specified cause, except rheumatic
    regurgitation NOS of specified cause, except rheumatic

Excludes:    mitral (valve):
                  disease (394.9)
                  failure (394.9)
                  stenosis (394.0)
             the listed conditions:
                  when specified as rheumatic (394.1)
                  when of unspecified cause but with mention of:
                       diseases of aortic valve (396)
                       mitral stenosis or obstruction (394.2)

424.1   Aortic valve disorders

Aortic (valve):    }
    incompetence   }  NOS
    insufficiency  }  of specified cause,
    regurgitation  }       except rheumatic
    stenosis       }

Excludes:    hypertrophic subaortic stenosis (425.1)
             when specified as rheumatic (395.-)
             when of unspecified cause but with mention of diseases of
                  mitral valve (396)

424.2   Tricuspid valve disorders, specified as nonrheumatic

Tricuspid valve:   }
    incompetence   }  of specified cause,
    insufficiency  }       except rheumatic
    regurgitation  }
    stenosis       }

Excludes:    when of unspecified cause (397.0)

424.3   Pulmonary valve disorders

Pulmonic regurgitation:           Pulmonic regurgitation:
    NOS                               syphilitic

Excludes:    when specified as rheumatic (397.1)

424.9   Endocarditis, valve unspecified

Endocarditis (chronic )
Valvular:             }
    incompetence      } of un-     { specified cause,
    insufficiency     } specified  {      except rheumatic
    regurgitation     } valve      { unspecified cause
    stenosis          }
Valvulitis (chronic)  }

Excludes:    when specified as rheumatic (397.9)
             endocardial fibroelastosis (425.3)

425     Cardiomyopathy

Includes:    myocardiopathy

Excludes:    cardiomyopathy arising during pregnancy or the puerperium (674.8)

425.0   Endomyocardial fibrosis

425.1   Hypertrophic obstructive cardiomyopathy

Hypertrophic subaortic stenosis

425.2   Obscure cardiomyopathy of Africa

Becker's disease

425.3   Endocardial fibroelastosis

425.4   Other primary cardiomyopathies

Cardiovascular collagenosis
Cardiomyopathy:                   Cardiomyopathy:
    NOS                               hypertrophic nonobstructive
    constrictive                      idiopathic
    familial                          obstructive

425.5   Alcoholic cardiomyopathy

425.9   Secondary cardiomyopathy, unspecified

426     Conduction disorders

426.0   Atrioventricular block, complete

426.1   Atrioventricular block, other and unspecified

Atrioventricular block NOS        Wenkebach's phenomenon
    (incomplete) (partial)        Incomplete atrioventricular block

426.2   Left bundle branch hemiblock

426.3   Other left bundle branch block

426.4   Right bundle branch block

426.5   Bundle branch block, unspecified

426.6   Other heart block

Sinoatrial block                  Sinoauricular block

426.7   Anomalous atrioventricular excitation

Atrioventricular conduction:      Wolff-Parkinson-White syndrome
     accelerated
     accessory
     pre-excitation

426.8   Other specified conduction disorders

Atrioventricular [AV]             Interference dissociation
    dissociation                  Lown-Ganong-Levine syndrome

426.9   Unspecified

Heart block NOS                   Stokes-Adams syndrome

427     Cardiac dysrhythmias

Excludes:    postoperative (997.1)
             when attributable to medical care for abortion, ectopic or
                  molar pregnancy, labor or delivery (634-638 with fourth
                  digit .7, 639.8, 668.1, 669.4)

427.0   Paroxysmal supraventricular tachycardia

Paroxysmal tachycardia:           Paroxysmal tachycardia:
    atrial                            junctional
    atrioventricular [AV]             nodal

427.1   Paroxysmal ventricular tachycardia
                                 
427.2   Paroxysmal tachycardia, unspecified

Bouveret-Hoffman syndrome

427.3   Atrial fibrillation and flutter

427.4   Ventricular fibrillation and flutter

427.5   Cardiac arrest

427.6   Premature beats

Ectopic beats                     Premature:
Extrasystoles                         beats
extrasystolic arrhythmia                   atrial
                                           nodal
                                           supraventricular
                                           ventricular
                                      contractions

427.8   Other

Rhythm disorder:                  Syndrome:
    coronary sinus                    sick sinus
    ectopic                           tachycardia-bradycardia
    nodal                         Wandering pacemaker

427.9   Unspecified

Arrhythmia (cardiac) NOS

428     Heart failure

Excludes:    postoperative (997.1)
             when attributable to medical care for abortion, ectopic or
                  molar pregnancy, labor or delivery (634-638 with fourth
                  digit .7, 639.8, 668.1, 669.4)
             when due to hypertension (402.-)

428.0   Congestive heart failure

Congestive heart disease
Right heart failure (secondary to left heart failure)

428.1   Left heart failure

Acute edema of lung       }  with mention of heart disease
Acute pulmonary edema     }       NOS or heart failure
Cardiac asthma
Left ventricular failure

428.9   Unspecified

Cardiac, heart or myocardial failure NOS
Weak heart

429     Ill-defined descriptions and complications of heart disease

Excludes:    any condition in 429.0-429.3,429.8, 429.9 due to hypertension
                  (402.-)

429.0   Myocarditis, unspecified

Myocarditis                }
    NOS                    }
    chronic (interstitial) } (with mention of arteriosclerosis)
    fibroid                }
    senile                 }

Use additional code, if desired, to identify presence of arteriosclerosis

429.1   Myocardial degeneration

Degeneration of heart or myocardium:  }
    fatty                             }
    mural                             }
    muscular                          }  (with mention of arteriosclerosis)
Myocardial                            }
    degeneration                      }
    disease                           }

Use additional code, if desired, to identify presence of arteriosclerosis

429.2   Cardiovascular disease, unspecified

Cardiovascular arteriosclerosis
Cardiovascular      }
    degeneration    } (with mention of arteriosclerosis)
    disease         }
    sclerosis       }

Use additional code, if desired, to identify presence of arteriosclerosis

429.3   Cardiomegaly

Cardiac:
    dilatation
    hypertrophy
Ventricular dilatation

429.4   Functional disturbances following cardiac surgery

[Not to be used for underlying cause of death]

Cardiac insufficiency following cardiac surgery or due to presence of
    prosthesis
Heart failure following cardiac surgery or due to presence of prosthesis
Postcardiotomy syndrome

Excludes:    cardiac failure in the immediate postoperative period (997.1)

429.5   Rupture of chordae tendineae

429.6   Rupture of papillary muscle

429.8   Other

Carditis

429.9   Unspecified

Heart disease (organic) NOS       Morbus cordis NOS


                      CEREBROVASCULAR DISEASE (430-438)

Includes:    with mention of hypertension (conditions in 401)

Use additional code, if desired, to identify presence of hypertension

Excludes:    any condition in 430-434, 436, 437 occurring during pregnancy,
                  childbirth, or the puerperium, or specified as puerperal
                  (674.0)

430     Subarachnoid hemorrhage

Meningeal hemorrhage
    Ruptured (congenital) cerebral aneurysm:
         NOS

431     Intracerebral hemorrhage

Hemorrhage (of):                  Hemorrhage (of):
    basilar                           internal capsule
    bulbar                            intrapontine
    cerebral                          pontine
    cerebromeningeal                  subcortical
    cerebellar                        ventricular
    cortical                      Rupture of blood vessel in brain

432     Other and unspecified intracranial hemorrhage

432.0   Nontraumatic extradural hemorrhage

Nontraumatic epidural hemorrhage

432.1   Subdural hemorrhage

Subdural hemorrhage (nontraumatic)

432.9   Unspecified intracranial hemorrhage
                        
433     Occlusion and stenosis of precerebral arteries

Includes:    embolism of basilar, carotid, and vertebral arteries
             narrowing of basilar, carotid, and vertebral arteries
             obstruction (complete) (partial) of basilar, carotid, and
                  vertebral arteries
             thrombosis of basilar, carotid, and vertebral arteries

Excludes:    insufficiency NOS of precerebral arteries (435)

433.0   Basilar artery

433.1   Carotid artery

433.2   Vertebral artery

433.3   Multiple and bilateral

433.8   Other

433.9   Unspecified

Precerebral artery NOS

434     Occlusion of cerebral arteries

434.0   Cerebral thrombosis

Thrombosis of cerebral arteries

434.1   Cerebral embolism

434.9   Unspecified

Cerebral infarction NOS

435     Transient cerebral ischemia

Basilar artery syndrome           Intermittent cerebral ischemia
Cerebrovascular insufficiency    Spasm of cerebral arteries
    (acute) with transient        Subclavian steal syndrome
    focal neurological            Vertebral artery syndrome
    signs and symptoms            Transient ischemic attack [TIA]
Insufficiency:
    basilar artery
    carotid artery
    vertebral artery

Excludes:    acute cerebrovascular insufficiency NOS (437.1)
             when due to any conditions in 433.- (433.-)

436     Acute but ill-defined cerebrovascular disease

Apoplexy, apoplectic:             Cerebrovascular accident NOS
    NOS                           Stroke
    attack
    seizure

437     Other and ill-defined cerebrovascular disease

437.0   Cerebral atherosclerosis

Atheroma of cerebral arteries

437.1   Other generalized ischemic cerebrovascular disease

Acute cerebrovascular insufficiency NOS
Cerebral ischemia (chronic)

437.2   Hypertensive encephalopathy

437.3   Cerebral aneurysm, nonruptured

437.4   Cerebral arteritis

437.5   Moyamoya disease

437.6   Nonpyogenic thrombosis of intracranial venous sinus

437.8   Other

437.9   Unspecified

438     Late effects of cerebrovascular disease

Note:   This category is to be used to indicate conditions in 430-437 as the
        cause of late effects, themselves classifiable elsewhere.  The "late
        effects" include conditions specified as such, as sequelae, or present
        one year or more after the onset of the causal condition.


         DISEASES OF ARTERIES, ARTERIOLES, AND CAPILLARIES (440-448)

440     Atherosclerosis

Includes:    arteriolosclerosis
             arteriosclerosis
             arteriosclerotic vascular disease
             atheroma
             degeneration:
                  arterial
                  arteriovascular
                  vascular
             endarteritis deformans or obliterans
             senile:
                  arteritis
                  endarteritis

440.0   Of aorta

440.1   Of renal artery

Excludes:    atherosclerosis of renal arterioles (403.0)

440.2   Of arteries of the extremities

Mnckeberg's (medial) sclerosis

440.8   Of other specified arteries

Excludes:    cerebral (437.0)
             coronary (414.0)
             mesenteric (557.1)
             pulmonary (416.0)

440.9   Generalized and unspecified

441     Aortic aneurysm

441.0   Dissecting aneurysm [any part]

441.1   Thoracic aneurysm, ruptured

441.2   Thoracic aneurysm without mention of rupture

441.3   Abdominal aneurysm, ruptured

441.4   Abdominal aneurysm without mention of rupture

441.5   Aortic aneurysm of unspecified site, ruptured

Rupture of aorta NOS

441.6   Aortic aneurysm of unspecified site without mention of rupture

Aneurysm           }
Dilatation         }  of aorta
Hyaline necrosis   }

442     Other aneurysm

Includes:    aneurysm (rupture) (cirsoid) (false) (varicose)
             aneurysmal varix

Excludes:    arteriovenous aneurysm, acquired (447.0)

442.0   Of artery of upper extremity

442.1   Of renal artery

442.2   Of iliac artery

442.3   Of artery of lower extremity

442.8   Of other specified artery

Excludes:    cerebral (nonruptured) (437.3)
                  ruptured (430)
             coronary (414.1)
             heart (414.1)
             pulmonary (417.1)

442.9   Of unspecified site

443     Other peripheral vascular disease

443.0   Raynaud's syndrome

Raynaud's:                        Raynaud's:
    disease                           phenomenon (secondary)

443.1   Thromboangiitis obliterans [Buerger's disease]

443.8   Other

Acrocyanosis                      Erythrocyanosis
Acroparaesthesia:                 Erythromelalgia
    simple [Schulze's type]
    vasomotor [Nothnagel's type]

Excludes:    chilblains (991.5)
             frostbite (991.0 - 991.3, E901.-)
             immersion foot (991.4, E901.0)

443.9   Unspecified

Intermittent claudication NOS     Spasm of artery
Peripheral vascular disease NOS

Excludes:    spasm of cerebral artery (435)

444     Arterial embolism and thrombosis

Includes:    infarction:
                  embolic
                  thrombotic
             occlusion

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .6, 639.6)
                  ectopic or molar pregnancy (639.6)
                  pregnancy, childbirth, or the puerperium (673.-)

444.0   Of abdominal aorta

Aortic bifurcation syndrome       Leriche's syndrome

444.1   Of other aorta

444.2   Of arteries of the extremities

Peripheral arterial embolism

444.8   Of other specified artery

Excludes:    basilar (433.0)
             carotid (433.1)
             cerebral (434.-)
             coronary (410)
             mesenteric (557.0)
             ophthalmic (362.3)
             precerebral (433.-)
             pulmonary (415.1)
             renal (593.8)
             retinal (362.3)
             vertebral (433.2)

444.9   Of unspecified artery

446     Polyarteritis nodosa and allied conditions

446.0   Polyarteritis nodosa

Disseminated necrotizing periarteritis
Panarteritis
Periarteritis (nodosa)

446.1   Acute febrile mucocutaneous lymph node syndrome [MCLS]

446.2   Hypersensitivity angiitis

Goodpasture's syndrome

446.3   Lethal midline granuloma

446.4   Wegener's granulomatosis

446.5   Giant cell arteritis

Cranial arteritis                 Temporal arteritis
Horton's disease

446.6   Thrombotic microangiopathy

Thrombotic thrombocytopenic purpura

446.7   Takayasu's disease

Aortic arch arteritis             Pulseless disease

447     Other disorders of arteries and arterioles

447.0   Arteriovenous fistula, acquired

Arteriovenous aneurysm, acquired

Excludes:    cerebral (437.3)
             coronary (414.1)
             pulmonary (417.0)
             traumatic (900-904)

447.1   Stricture of artery

447.2   Rupture of artery

Erosion of artery
Fistula of artery
Ulcer of artery

Excludes:    traumatic rupture of artery (900.-904.-)

447.3   Hyperplasia of renal artery

447.4   Coeliac artery compression syndrome

447.5   Necrosis of artery

447.6   Arteritis, unspecified

Aortitis NOS                      Endarteritis NOS

Excludes:    arteritis, endarteritis:
                  aortic arch (446.7)
                  cerebral (437.4)
                  coronary (414.8)
                  deformans (440.-)
                  obliterans (440.-)
                  senile (440.-)

447.8   Other

Fibromuscular hyperplasia of arteries

447.9   Unspecified

448     Diseases of capillaries

448.0   Hereditary hemorrhagic telangiectasia

Rendu-Osler-Weber disease

448.1   Nevus, non-neoplastic

Nevus:
    araneus
    senile
    spider
    stellar

448.9   Other and unspecified


           DISEASES OF VEINS AND LYMPHATICS, AND OTHER DISEASES
                     OF CIRCULATORY SYSTEM (451-459)

451     Phlebitis and thrombophlebitis

Includes:    endophlebitis
             inflammation, vein
             periphlebitis
             suppurative phlebitis

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .7, 639.8)
                  ectopic or molar pregnancy (639.8)
                  pregnancy, childbirth, or the puerperium (671.-)

451.0   Of superficial vessels of lower extremities

451.1   Of deep vessels of lower extremities

451.2   Of lower extremities, unspecified

451.8   Of other sites

Use additional E code, if desired, to identify drug, if drug-induced

Excludes:    intracranial venous sinus (325)
                  nonpyogenic (437.6)
             portal (vein) (572.1)

451.9   Of unspecified site

452     Portal vein thrombosis

Portal (vein) obstruction

Excludes:    phlebitis of portal vein (572.1)

453     Other venous embolism and thrombosis

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .7, 639.8)
                  ectopic or molar pregnancy (639.8)
                  pregnancy, childbirth, or the puerperium (671.-)

453.0   Budd-Chiari syndrome

453.1   Thrombophlebitis migrans

453.2   Of vena cava

453.3   Of renal vein

453.8   Of other specified veins

Excludes:    cerebral (434.-)
             coronary (410)
             intracranial venous sinus (325)
                  nonpyogenic (437.6)
             lower extremities (451.0-451.2)
             mesenteric (557.0)
             portal (452)
             precerebral (433.-)
             pulmonary (415.1)

453.9   Of unspecified site

Embolism of vein                  Thrombosis (vein)

454     Varicose veins of lower extremities

Excludes:    when complicating pregnancy or the puerperium (671.0)

454.0   With ulcer

Varicose ulcer (lower extremity, any part)
Any condition in 454.9 with ulcer or specified as ulcerated

454.1   With inflammation

Any condition in 454.9 with inflammation or specified as inflamed

454.2   With ulcer and inflammation

Any condition in 454.9 with ulcer and inflammation

454.9   Without mention of ulcer or inflammation

Phlebectasia of lower extremity [any part] or of unspecified site
Varicose veins of lower extremity [any part] or of unspecified site
Varix of lower extremity [any part] or of unspecified site

455     Hemorrhoids

Includes:    hemorrhoids (rectum)
             piles
             varicose veins, anus or rectum

Excludes:    when complicating pregnancy, childbirth, or the puerperium
                  (671.8)

455.0   Internal hemorrhoids without mention of complication

455.1   Internal thrombosed hemorrhoids

455.2   Internal hemorrhoids with other complication

Internal hemorrhoids:
    bleeding
    prolapsed
    strangulated
    ulcerated

455.3   External hemorrhoids without mention of complication

455.4   External thrombosed hemorrhoids

455.5   External hemorrhoids with other complication

External hemorrhoids:
    bleeding
    prolapsed
    strangulated
    ulcerated

455.6   Unspecified hemorrhoids without mention of complication

Hemorrhoids NOS

455.7   Unspecified thrombosed hemorrhoids

Thrombosed hemorrhoids, unspecified whether internal or external

455.8   Unspecified hemorrhoids with other complication

Hemorrhoids, unspecified whether internal or external:
    bleeding
    prolapsed
    strangulated
    ulcerated

455.9   Residual hemorrhoidal skin tags

Skin tags, anus or rectum

456     Varicose veins of other sites

456.0   Esophageal varices with bleeding

456.1   Esophageal varices without mention of bleeding

456.3   Sublingual varices

456.4   Scrotal varices

Varicocele

456.5   Pelvic varices

456.6   Vulval varices

Excludes:    when complicating pregnancy, childbirth, or the puerperium
                  (671.1)

456.8   Other

Excludes:    retinal varices (362.1)
             varicose veins of unspecified site (454.9)

457     Noninfective disorders of lymphatic channels

457.0   Postmastectomy lymphedema syndrome

[Not to be used for underlying cause of death]

Elephantiasis due to mastectomy operation
Obliteration of lymphatic vessel due to mastectomy operation

457.1   Other lymphedema

Elephantiasis (nonfilarial) NOS
Lymphangiectasis
Obliteration, lymphatic vessel

Excludes:    elephantiasis (nonfilarial):
                  congenital (757.0)
                  eyelid (374.8)
                  vulva (624.8)

457.2   Lymphangitis

Lymphangitis:
    NOS
    chronic
    subacute

Excludes:    acute lymphangitis (682.-)

457.8   Other noninfective disorders of lymphatic channels

Chylocele (nonfilarial)

Excludes:    chylocele:
                  filarial (125.-)
                  tunica vaginalis (nonfilarial) (608.8)

457.9   Unspecified

458     Hypotension

Includes:    hypopiesis

Excludes:    cardiovascular collapse (785.5)
             maternal hypotension syndrome (669.2)
             Shy-Drager syndrome (333.0)

458.0   Orthostatic hypotension

Hypotension:
    orthostatic (chronic)
    postural

458.1   Chronic hypotension

Permanent idiopathic hypotension

458.9   Unspecified

Hypotension (arterial) NOS

459     Other disorders of circulatory system

459.0   Hemorrhage, unspecified

Excludes:    hemorrhage:
                  gastrointestinal (578.9)
                  in newborn NOS (772.9)

459.1   Postphlebitic syndrome

459.2   Compression of vein

Stricture of vein                 Vena cava syndrome (inferior) (superior)

459.8   Other

Collateral circulation (venous), any site
Phlebosclerosis

459.9   Unspecified
                 VIII.  DISEASES OF THE RESPIRATORY SYSTEM

Use additional code, if desired, to identify infectious organism


                   ACUTE RESPIRATORY INFECTIONS (460-466)

Excludes:    pneumonia and influenza (480-487)

460     Acute nasopharyngitis [common cold]

Coryza (acute)                    Rhinitis:
Nasal catarrh, acute                  acute
Nasopharyngitis:                      infective
    NOS
    acute
    infective NOS

Excludes:    nasopharyngitis, chronic (472.2)
             pharyngitis:
                  acute or unspecified (462)
                  chronic (472.1)
             rhinitis:
                  allergic (477.-)
                  chronic or unspecified (472.0)
             sore throat:
                  acute or unspecified (462)
                  chronic (472.1)

461     Acute sinusitis

Includes:    abscess, acute, of sinus (accessory) (nasal)
             empyema, acute, of sinus (accessory) (nasal)
             infection, acute, of sinus (accessory) (nasal)
             inflammation, acute, of sinus (accessory) (nasal)
             suppuration, acute, of sinus (accessory) (nasal)

Excludes:    chronic or unspecified (473.-)

461.0   Maxillary

Acute antritis

461.1   Frontal

461.2   Ethmoidal

461.3   Sphenoidal

461.8   Other

Acute pansinusitis

461.9   Unspecified

Acute sinusitis NOS

462     Acute pharyngitis

Acute sore throat NOS             Pharyngitis (acute):
Pharyngitis (acute):
    NOS                               staphylococcal
    gangrenous                        suppurative
    infective                         ulcerative
    phlegmonous                   Sore throat (viral) NOS
    pneumococcal                  Viral pharyngitis

Excludes:    abscess:
                  peritonsillar [quinsy] (475)
                  pharyngeal (478.2)
                  retropharyngeal (478.2)
             chronic pharyngitis (472.1)
             that conditions if specified as (due to):
                  Coxsackie (virus) (074.0)
                  herpes simplex (054.7)
                  influenzal (487.1)
                  septic (034.0)
                  streptococcal (034.0)

463     Acute tonsillitis

Tonsillitis (acute):              Tonsillitis (acute):
    NOS                               septic
    follicular                        staphylococcal
    gangrenous                        suppurative
    infective                         ulcerative
    pneumococcal                      viral

Excludes:    peritonsillar abscess [quinsy] (475)
             sore throat:
                  acute or NOS (462)
                  septic (034.0)
             streptococcal tonsillitis (034.0)

464     Acute laryngitis and tracheitis

Excludes:    when specified as due to Streptococcus (034.0)

464.0   Acute laryngitis

Laryngitis (acute):               Laryngitis (acute):
    NOS                               pneumococcal
    Hemophilus influenzae             septic
         [H. influenzae]              suppurative
    oedematous                        ulcerative

Excludes:    chronic laryngitis (476.-)
             influenzal laryngitis (487.1)

464.1   Acute tracheitis

Tracheitis (acute):
    NOS
    catarrhal
    viral

Excludes:    chronic tracheitis (491.8)

464.2   Acute laryngotracheitis

Laryngotracheitis (acute)         Tracheitis (acute) with laryngitis (acute)

464.3   Acute epiglottitis

464.4   Croup

465     Acute upper respiratory infections of multiple or unspecified sites

465.0   Acute laryngopharyngitis

465.8   Other multiple sites

465.9   Unspecified site

Upper respiratory:
    disease (acute)
    infection (acute)

Excludes:    upper respiratory infection due to:
                  influenza (487.1)
                  streptococcus (034.0)

466     Acute bronchitis and bronchiolitis

Includes:    the listed conditions with or without mention of obstruction
                   or bronchospasm

Excludes:    for single-condition coding, acute exacerbation of chronic
                  bronchitis (491.-)

466.0   Acute bronchitis

Bronchitis, acute or subacute:    Bronchitis, acute or subacute:
    fibrinous                         viral
    membranous                        with tracheitis
    pneumococcal                  Croupous bronchitis
    purulent                      Tracheobronchitis, acute
    septic

466.1   Acute bronchiolitis

Bronchiolitis (acute)             Capillary pneumonia



            OTHER DISEASES OF THE UPPER RESPIRATORY TRACT (470-478)

470     Deflected nasal septum

Deflection or deviation of septum (nasal) (acquired)

471     Nasal polyps

Excludes:    adenomatous polyps (212.0)

471.0   Polyp of nasal cavity

Polyp:
    choanal
    nasopharyngeal

471.1   Polypoid sinus degeneration

Woakes' syndrome or ethmoiditis

471.8   Other polyp of sinus

Polyp of sinus:
    accessory
    ethmoidal
    maxillary
    sphenoidal

471.9   Unspecified

Nasal polyp NOS

472     Chronic pharyngitis and nasopharyngitis

472.0   Chronic rhinitis

Ozena
Rhinitis:
    NOS
    atrophic
    granulomatous
    hypertrophic
    obstructive
    purulent
    ulcerative

Excludes:    allergic rhinitis (477.-)

472.1   Chronic pharyngitis

Chronic sore throat
Pharyngitis:
    atrophic
    granular (chronic)
    hypertrophic

472.2   Chronic nasopharyngitis

Excludes:    acute or unspecified nasopharyngitis (460)

473     Chronic sinusitis

Includes:
    abscess (chronic) of sinus (accessory) (nasal)
    empyema (chronic) of sinus (accessory) (nasal)
    infection (chronic) of sinus (accessory) (nasal)
    suppuration (chronic) of sinus (accessory) (nasal)

Excludes:    acute sinusitis (461.-)

473.0   Maxillary

Antritis (chronic)

473.1   Frontal

473.2   Ethmoidal

473.3   Sphenoidal

473.8   Other

Pansinusitis (chronic)

473.9   Unspecified

Sinusitis (chronic) NOS

474     Chronic disease of tonsils and adenoids

474.0   Chronic tonsillitis

Excludes:    acute or unspecified tonsillitis (463)

474.1   Hypertrophy of tonsils and adenoids

Enlargement of tonsils (and adenoids)
Hyperplasia of tonsils (and adenoids)
Hypertrophy of tonsils (and adenoids)

474.2   Adenoid vegetations

474.8   Other chronic disease of tonsils and adenoids

Amygdalolith                      Tonsillar tag
Calculus, tonsil                  Ulcer, tonsil
Cicatrix of tonsil (and adenoid)

474.9   Unspecified

Disease (chronic) of tonsils (and adenoids)

475     Peritonsillar abscess

Abscess of tonsil
Peritonsillar cellulitis
Quinsy

Excludes:    tonsillitis:
                  acute or NOS (463)
                  chronic (474.0)

476     Chronic laryngitis and laryngotracheitis

476.0   Chronic laryngitis

Laryngitis:
    catarrhal
    hypertrophic
    sicca

476.1   Chronic laryngotracheitis

Laryngitis, chronic, with tracheitis (chronic)
Tracheitis, chronic, with laryngitis

Excludes:    chronic tracheitis (491.8)
             laryngitis and tracheitis, acute or unspecified (464.-)

477     Allergic rhinitis

Includes:    allergic rhinitis (nonseasonal) (seasonal)
             hay fever
             pollinosis
             spasmodic rhinorrhea

Excludes:    allergic rhinitis with asthma (bronchial) (493.0)

477.0   Due to pollen

477.8   Due to other allergen

477.9   Cause unspecified

478     Other diseases of upper respiratory tract

478.0   Hypertrophy of nasal turbinates

478.1   Other diseases of nasal cavity and sinuses

Abscess of nose (septum)          Cyst or mucocele of sinus (nasal)
Necrosis of nose (septum)         Rhinolith
Ulceration of nose (septum)

Excludes:    varicose ulcer of nasal septum (456.8)

478.2   Other diseases of pharynx, not elsewhere classified

Abscess of pharynx or nasopharynx
Cellulitis of pharynx or nasopharynx
Cyst of pharynx or nasopharynx
Edema of pharynx or nasopharynx
Retropharyngeal abscess

Excludes:    ulcerative pharyngitis (462)

478.3   Paralysis of vocal cords or larynx

Laryngoplegia                     Paralysis of glottis

478.4   Polyp of vocal cord or larynx

Excludes:    adenomatous polyps (212.1)

478.5   Other diseases of vocal cords

Abscess of vocal cords            Leukoplakia of vocal cords
Cellulitis of vocal cords         Chorditis (fibrinous) (nodosa) (tuberosa)
Granuloma of vocal cords          Singers' nodes

478.6   Edema of larynx

Edema (of):
    glottis
    subglottic
    supraglottic

478.7   Other diseases of larynx, not elsewhere classified

Abscess of larynx                 Perichondritis of larynx
Cellulitis of larynx              Spasm of larynx
Necrosis of larynx                Stenosis of larynx
Obstruction of larynx             Ulcer of larynx
Pachyderma of larynx              Laryngismus (stridulus)

Excludes:    ulcerative laryngitis (464.0)

478.8   Upper respiratory tract hypersensitivity reaction, site unspecified

478.9   Other and unspecified diseases of upper respiratory tract

Abscess of trachea                Cicatrix of trachea


                      PNEUMONIA AND INFLUENZA (480-487)

Excludes:    pneumonia:
                  allergic or eosinophilic (518.3)
             aspiration:
                  NOS (507.0)
                  newborn (770.1)
                  solids and liquids (507.-)
             congenital (770.0)
             lipoid (507.1)
             passive (514)
             postoperative (997.3)
             rheumatic (390)

480     Viral pneumonia

480.0   Pneumonia due to adenovirus

480.1   Pneumonia due to respiratory syncytial virus

480.2   Pneumonia due to parainfluenza virus

480.8   Pneumonia due to other virus, not elsewhere classified

Excludes:    congenital rubella pneumonitis (771.0)
             influenza with pneumonia, any form (487.0)
             pneumonia complicating viral diseases classified elsewhere
                  (045-079)

480.9   Viral pneumonia, unspecified

481     Pneumococcal pneumonia

Lobar pneumonia, organism unspecified

482     Other bacterial pneumonia

482.0   Pneumonia due to Klebsiella pneumoniae

482.1   Pneumonia due to Pseudomonas

482.2   Pneumonia due to Hemophilus influenzae [H. influenzae]

482.3   Pneumonia due to Streptococcus

482.4   Pneumonia due to Staphylococcus

482.8   Pneumonia due to other specified bacteria

Pneumonia due to:
    Escherichia coli [E. coli]
    Proteus

Excludes:    pneumonia complicating infectious diseases classified elsewhere
                  (001-136)

482.9   Bacterial pneumonia, unspecified

483     Pneumonia due to other specified organism

Pneumonia due to:
    Eaton's agent
    Mycoplasma(pneumoniae)
    Pleuropneumonia-like organisms [PPLO]

485     Bronchopneumonia, organism unspecified

Excludes:    bronchiolitis (466.1)
             lipoid pneumonia (507.1)

486     Pneumonia, organism unspecified

Excludes:    hypostatic or passive pneumonia (514)
             influenza with pneumonia, any form (487.0)
             inhalation or aspiration pneumonia due to foreign material
                  (507.-)
             pneumonitis due to fumes and vapors (506.0)

487     Influenza

Excludes:    Hemophilus influenzae [H. influenzae]:
                  infection NOS (041.5)
                  meningitis (320.0)
                  pneumonia (482.2)

487.0   With pneumonia

Influenza with pneumonia, any form
Influenzal:
    bronchopneumonia
    pneumonia

487.1   With other respiratory manifestations

Influenza NOS                     Influenzal:
Influenzal:                           pharyngitis
    laryngitis                        respiratory infection (upper) (acute)

487.8   With other manifestations

Encephalopathy due to influenza
Influenza with involvement of gastrointestinal tract

     CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ALLIED CONDITIONS
(490-496)

490     Bronchitis, not specified as acute or chronic

Bronchitis NOS:
    catarrhal
    with tracheitis NOS
Tracheobronchitis NOS

Excludes:    bronchitis:
                  allergic NOS (493.9)
                  asthmatic NOS (493.9)
                  due to fumes and vapors (506.0)

491     Chronic bronchitis

Includes:    in single-condition coding, acute exacerbation of chronic
                  bronchitis

491.0   Simple chronic bronchitis

Catarrhal bronchitis, chronic     Smokers' cough

491.1   Mucopurulent chronic bronchitis

Bronchitis (chronic) (recurrent):
    mucopurulent
    purulent

491.2   Obstructive chronic bronchitis

Bronchitis:                       Bronchitis:
    asthmatic, chronic                obstructive (chronic) (diffuse)
    emphysematous                     with airways obstruction

491.8   Other chronic bronchitis

Chronic:
    tracheitis
    tracheobronchitis

491.9   Unspecified

492     Emphysema

Emphysema (lung or pulmonary):    Emphysematous bleb
    bullous                       MacLeod's syndrome or unilateral emphysema
    centriacinar
    centrilobular
    obstructive
    panacinar
    panlobular
    vesicular

Excludes:    emphysema:
                  compensatory (518.2)
                  due to fumes and vapours (506.4)
                  interstitial (518.1)
                       newborn (770.2)
                  mediastinal (518.1)
                  surgical (subcutaneous) (998.8)
                  traumatic (958.7)

493     Asthma

493.0   Extrinsic asthma

Asthma:
    allergic, stated cause
    atopic
    childhood
    hay
    platinum
Hayfever with asthma

Excludes:    asthma:
                  allergic NOS (493.9)
                  detergent (507.8)
                  miners' (500)
                  wood (495.8)

493.1   Intrinsic asthma

Asthma due to internal immunological process
Late-onset asthma

493.9   Asthma, unspecified

Asthma (bronchial) (allergic NOS)
Bronchitis:
    allergic
    asthmatic
Status asthmaticus

494     Bronchiectasis

Bronchiectasis (fusiform) (postinfectional) (recurrent)
Bronchiolectasis

Excludes:    tuberculous bronchiectasis (current disease) (011.5)

495     Extrinsic allergic alveolitis

Includes:    allergic alveolitis and pneumonitis due to inhaled organic dust
                  particles of fungal, thermophilic actinomycete, or other
                  origin

495.0   Farmers' lung

495.1   Bagassosis

495.2   Bird-fanciers' lung

Budgerigar-fanciers' disease or lung
Pigeon-fanciers' disease or lung

495.3   Suberosis

Corkhandlers' disease or lung

495.4   Malt workers' lung

Alveolitis due to Aspergillus clavatus

495.5   Mushroom workers' lung

495.6   Maple bark-strippers' lung

Alveolitis due to Cryptostroma corticale

495.7   "Ventilation" pneumonitis

Allergic alveolitis due to fungal, thermophilic actinomycete, and other
    organisms growing in ventilation [air conditioning] systems

495.8   Other allergic pneumonitis

Cheese-washers' lung              Grain-handlers' disease or lung
Coffee workers' lung              Pituitary snuff-takers' disease
Fish-meal workers' lung           Sequoiosis or red-cedar asthma
Furriers' lung

495.9   Unspecified allergic alveolitis

Alveolitis, allergic (extrinsic)
Hypersensitivity pneumonitis

496     Chronic airway obstruction, not elsewhere classified

Chronic:
    nonspecific lung disease
    obstructive lung disease

Excludes:    that with mention of:
                  allergic alveolitis (495.-)
                  asthma (493.-)
                  bronchiectasis (494)
                  bronchitis (491.2)
                  emphysema (492)


   PNEUMOCONIOSES AND OTHER LUNG DISEASES DUE TO EXTERNAL AGENTS
(500-508)

500     Coal workers' pneumoconiosis

Anthracosilicosis                 Coal workers' lung
Anthracosis                       Miners' asthma

501     Asbestosis

502     Pneumoconiosis due to other silica or silicates

Pneumoconiosis due to talc
Silicotic fibrosis (massive) of lung
Silicosis (simple) (complicated)

503     Pneumoconiosis due to other inorganic dust

Aluminosis (of lung)              Graphite fibrosis (of lung)
Bauxite fibrosis (of lung)        Siderosis
Berylliosis                       Stannosis

504     Pneumonopathy due to inhalation of other dust

Byssinosis                        Flax-dressers' disease
Cannabinosis

Excludes:    allergic alveolitis (495.-)
             asbestosis (501)
             bagassosis (495.1)
             farmers' lung (495.0)

505     Pneumoconiosis, unspecified

506     Respiratory conditions due to chemical fumes and vapors

Use additional E code, if desired, to identify cause

506.0   Bronchitis and pneumonitis due to fumes and vapors

Chemical bronchitis (acute)

506.1   Acute pulmonary edema due to fumes and vapors

Chemical pulmonary edema (acute)

506.2   Upper respiratory inflammation due to fumes and vapors

506.3   Other acute and subacute respiratory conditions due to fumes and
        vapors

506.4   Chronic respiratory conditions due to fumes and vapors

Emphysema (diffuse) (chronic) due to inhalation of chemical fumes and vapors

Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemical
    fumes and vapors
Pulmonary fibrosis (chronic) due to inhalation of chemical fumes and vapors

506.9   Unspecified

Silo-fillers' disease

507 Pneumonitis due to solids and liquids

Excludes:    fetal aspiration pneumonitis (770.1)

507.0   Due to inhalation of food or vomit

Aspiration pneumonia (due to):
    NOS
    food (regurgitated)
    gastric secretions
    milk
    vomit

Excludes:    pneumonia due to aspiration of microorganisms(480.-)
             postoperative [Mendelson's syndrome] (997.3)

507.1   Due to inhalation of oils and essences

Lipoid pneumonia (exogenous)

Excludes:    endogenous lipoid pneumonia (516.8)

507.8   Other

Detergent asthma

508     Respiratory conditions due to other and unspecified external agents

Use additional E code, if desired, to identify cause

508.0   Acute pulmonary manifestations due to radiation

Radiation pneumonitis

508.1   Chronic and other pulmonary manifestations due to radiation

Fibrosis of lung following radiation

508.8   Other

508.9   Unspecified


                OTHER DISEASES OF RESPIRATORY SYSTEM (510-519)

510     Empyema

Use additional code, if desired, to identify infectious organism

510.0   With fistula

Any condition in 510.9 with       Fistula:
    fistula                          mediastinal
Fistula:                             pleural
   bronchocutaneous                  thoracic
   hepatopleural

510.9   Without mention of fistula

Abscess:                          Pleurisy:
    pleura                            fibrinopurulent
    thorax                            purulent
Empyema (chest) (lung) (pleura)       septic
Fibrinopurulent pleurisy              seropurulent
Pyopneumothorax                       suppurative
Pyothorax

511     Pleurisy

Excludes:    pleurisy with mention of tuberculosis, current disease (012.0)

511.0   Without mention of effusion or current tuberculosis

Adhesion, lung or pleura          Pleurisy:
Calcification of pleura               NOS
Pleurisy (acute) (sterile):           pneumococcal
    diaphragmatic                     staphylococcal
    fibrinous                         streptococcal
    interlobar                    Thickening of pleura

511.1   With effusion, with mention of a bacterial cause other than
        tuberculosis

Pleurisy (with effusion) (exudative) (serous) (serofibrinous):
    pneumococcal
    staphylococcal
    streptococcal
    other specified nontuberculous bacterial cause

511.8   Other specified forms of effusion, except tuberculous

Encysted pleurisy                 Hydropneumothorax
Hemopneumothorax                  Hydrothorax
Hemothorax

511.9   Unspecified pleural effusion

Pleural effusion NOS
Pleurisy:
    exudative
    serofibrinous
    serous
    with effusion NOS

512     Pneumothorax

Pneumothorax:
    NOS
    acute
    chronic
    spontaneous
    tension

Excludes:    pneumothorax:
                  congenital (770.2)
                  traumatic (860.-)
                  tuberculous, current disease (011.7)

513     Abscess of lung and mediastinum

513.0   Abscess of lung

Abscess (multiple) of lung
Gangrenous or necrotic pneumonia
Pulmonary gangrene or necrosis

513.1   Abscess of mediastinum

514     Pulmonary congestion and hypostasis

Hypostatic:                       Pulmonary congestion (passive)
    bronchopneumonia              Pulmonary edema:
    pneumonia                         NOS
Passive pneumonia                     chronic

Excludes:    acute pulmonary edema:
                  NOS (518.4)
                  with mention of heart disease or failure (428.1)

515     Postinflammatory pulmonary fibrosis

Cirrhosis of lung, chronic or unspecified
Fibrosis of lung (atrophic) (confluent) (massive) (perialveolar)
    (peribronchial), chronic or unspecified
Induration of lung, chronic or unspecified

516     Other alveolar and parietoalveolar pneumonopathy

516.0   Pulmonary alveolar proteinosis

516.2   Pulmonary alveolar microlithiasis

516.3   Idiopathic fibrosing alveolitis

Alveolarcapillary block           Diffuse (idiopathic) (interstitial)
Hamman-Rich syndrome                   pulmonary fibrosis

516.8   Other

516.9   Unspecified

518     Other diseases of lung

518.0   Pulmonary collapse

Atelectasis                       Collapse of lung

Excludes:    congenital atelectasis (770.4)
                  partial (770.5)
             tuberculous atelectasis, current disease (011.8)

518.1   Interstitial emphysema

Mediastinal emphysema

Excludes:    in fetus or newborn (770.2)
             surgical (subcutaneous) emphysema (998.8)
             traumatic emphysema (958.7)

518.2   Compensatory emphysema

518.3   Pulmonary eosinophilia

Eosinophilic asthma               Pneumonia:
Loeffler's syndrome                   allergic
Tropical eosinophilia                 eosinophilic

518.4   Acute edema of lung, unspecified

Excludes:    pulmonary edema:
                  acute, with mention of heart disease or failure (428.1)
                  chronic or unspecified (514)
                  due to external agents (506-508)

518.5   Pulmonary insufficiency following trauma and surgery

Adult respiratory distress        Shock lung
    syndrome                      Pulmonary insufficiency
Pulmonary insufficiency               following:
    following:                            surgery
         shock                            trauma

518.8   Other diseases of lung, not elsewhere classified

Broncholithiasis
Calcification of lung
Pulmolithiasis

519     Other diseases of respiratory system

519.0   Tracheostomy malfunction

Hemorrhage from tracheostomy stoma
Sepsis of tracheostomy stoma
Obstruction of tracheostomy airway
Tracheoesophageal fistula following tracheostomy
Tracheostomy:
    hemorrhage
    obstruction
    sepsis

519.1   Other diseases of trachea and bronchus, not elsewhere classified

Calcification of bronchus or trachea
Stenosis of bronchus or trachea
Ulcer of bronchus or trachea

519.2   Mediastinitis

519.3   Other diseases of mediastinum, not elsewhere classified

Fibrosis of mediastinum
Hernia of mediastinum
Retraction of mediastinum

519.4   Disorders of diaphragm

Diaphragmatitis
Paralysis of diaphragm
Relaxation of diaphragm

Excludes:    congenital defect of diaphragm (756.6)
             diaphragmatic hernia (553.3)
                  congenital (756.6)

519.8   Other diseases of respiratory system, not elsewhere classified

519.9   Unspecified

Respiratory disease (chronic) NOS
                   IX.  DISEASES OF THE DIGESTIVE SYSTEM


     DISEASES OF ORAL CAVITY, SALIVARY GLANDS, AND JAWS (520-529)

520     Disorders of tooth development and eruption

520.0   Anodontia

Hypodontia                        Oligodontia

520.1   Supernumerary teeth

Distomolar                        Paramolar
Fourth molar                      Supplemental teeth
Mesiodens

520.2   Abnormalities of size and form

Concrescence of teeth             Enamel pearls
Fusion of teeth                   Macrodontia
Gemination of teeth               Microdontia
Dens evaginatus                   Peg-shaped [conical] teeth
Dens in dente                     Taurodontism
Dens invaginatus                  Tuberculum paramolare

Excludes:    tuberculum Carabelli, which is regarded as a normal variation

520.3   Mottled teeth

Dental fluorosis                  Nonfluoride enamel opacities
Mottling of enamel

520.4   Disturbances of tooth formation

Aplasia and hypoplasia of         Regional odontodysplasia
    cementum                      Turner tooth
Dilaceration of tooth
Enamel hypoplasia (neonatal)
    (postnatal) (prenatal)

Excludes:    Hutchinson's teeth and mulberry molars in congenital syphilis
                  (090.5)
             mottled teeth (520.3)

520.5   Hereditary disturbances in tooth structure, not elsewhere classified

Amelogenesis imperfecta           Dentinal dysplasia
Dentinogenesis imperfecta         Shell teeth
Odontogenesis imperfecta

520.6   Disturbances in tooth eruption

Teeth:                            Tooth eruption:
    embedded                          late
    impacted                          premature
    natal
    neonatal
    primary [deciduous]:
         persistent
         shedding, premature

Excludes:    exfoliation of teeth (attributable to disease of surrounding
                  tissues) (525.0, 525.1)
             impacted or embedded teeth with abnormal position of such teeth
                  or adjacent teeth (524.3)

520.7   Teething syndrome

520.8   Other disorders of tooth development

Color changes during tooth formation

520.9   Unspecified

521     Diseases of hard tissues of teeth

521.0   Dental caries

Caries (of):                      Infantile melanodontia
    arrested                      Odontoclasia
    cementum                      White spot lesions of teeth
    dentine (acute) (chronic)
    enamel (acute) (chronic)
         (incipient)

521.1   Excessive attrition

Approximal wear                   Occlusal wear

521.2   Abrasion

Abrasion of teeth:                Abrasion of teeth:
    dentifrice                        ritual
    habitual                          traditional
    occupational                  Wedge defect NOS of teeth

521.3   Erosion

Erosion of teeth:
    NOS
    due to:
         medicine
         persistent vomiting
    idiopathic
    occupational

521.4   Pathological resorption

Internal granuloma of pulp        Resorption of teeth (external)

521.5   Hypercementosis

Cementation hyperplasia

521.6   Ankylosis of teeth

521.7   Posteruptive color changes

Staining of teeth

Excludes:    accretions [deposits] on teeth (523.6)

521.8   Other diseases of hard tissues of teeth

Irradiated enamel                 Sensitive dentine

521.9   Unspecified

522     Diseases of pulp and periapical tissues

522.0   Pulpitis

Pulpal:                           Pulpitis:
    abscess                           acute
    polyp                             chronic (hyperplastic) (ulcerative)
                                      suppurative

522.1   Necrosis of the pulp

Pulp gangrene

522.2   Pulp degeneration

Denticles                         Pulp stones
Pulp calcifications

522.3   Abnormal hard tissue formation in pulp

Secondary or irregular dentine

522.4   Acute apical periodontitis of pulpal origin

522.5   Periapical abscess without sinus

Dental abscess                    Dentoalveolar abscess

522.6   Chronic apical periodontitis

Apical or periapical granuloma    Apical periodontitis NOS

522.7   Periapical abscess with sinus

522.8   Radicular cyst

Cyst:                             Residual radicular cyst
    apical (periodontal)
    periapical

Excludes:    lateral developmental cyst (526.0)

522.9   Other and unspecified

523     Gingival and periodontal diseases

523.0   Acute gingivitis

Excludes:    acute necrotizing ulcerative gingivitis (101)
             herpetic gingivostomatitis (054.2)

523.1   Chronic gingivitis

Gingivitis (chronic):
    NOS
    desquamative
    hyperplastic
    simple marginal
    ulcerative

523.2   Gingival recession

Gingival recession (generalized) (localized) (postinfective) (postoperative)

523.3   Acute periodontitis

Acute pericoronitis               Periodontal abscess
Paradontal abscess

Excludes:    acute apical periodontitis (522.4)
             periapical abscess (522.5, 522.7)

523.4   Chronic periodontitis

Chronic pericoronitis
Periodontitis:
    NOS
    complex
    simplex

523.5   Periodontosis

523.6   Accretions on teeth

Dental calculus:                  Deposit on teeth:
    subgingival                       betel
    supragingival                     black
                                      green
                                      materia alba
                                      orange
                                      tobacco

523.8   Other periodontal diseases

Giant cell:
    epulis
    peripheral granuloma
Gingival:
    cysts
    enlargement NOS
    fibromatosis
    polyp
Periodontal lesions due to traumatic occlusion

523.9   Unspecified

524     Dentofacial anomalies, including malocclusion

524.0   Major anomalies of jaw size

Hyperplasia, hypoplasia:
    mandibular
    maxillary
Macrognathism (mandibular) (maxillary)
Micrognathism (mandibular) (maxillary)

Excludes:    hemifacial atrophy or hypertrophy (754.0)
             unilateral condylar hyperplasia (526.8)

524.1   Anomalies of relationship of jaw to cranial base

Asymmetry of jaw
Prognathism, mandibular,, maxillary
Retrognathism, mandibular, maxillary

524.2   Anomalies of dental arch relationship

Crossbite (anterior)              Overbite (excessive):
    (posterior)                       deep
Disto-occlusion                       horizontal
Mesio-occlusion                       vertical
Midline deviation                 Overjet
Open bite (anterior)              Posterior lingual occlusion of
    (posterior)                        mandibular teeth
                                  Soft tissue impingement

Excludes:    hemifacial atrophy or hypertrophy (754.0)
             unilateral condylar hyperplasia (526.8)

524.3   Anomalies of tooth position

Crowding of tooth, teeth          Transposition of tooth, teeth
Diastema of tooth, teeth          Impacted or embedded teeth with
Displacement of tooth, teeth          abnormal position of such teeth or
Rotation of tooth, teeth              adjacent teeth
Spacing, abnormal, of tooth,
    teeth

524.4   Malocclusion, unspecified

524.5   Dentofacial functional abnormalities

Abnormal jaw closure
Malocclusion due to:
    abnormal swallowing
    mouth breathing
    tongue, lip, or finger habits

524.6   Temporomandibular joint disorders

Costen's complex or syndrome
Derangement of temporomandibular joint
Snapping jaw
Temporomandibular joint-pain-dysfunction syndrome

Excludes:    current temporomandibular joint:
                  dislocation (830.-)
                  strain (848.1)

524.8   Other dentofacial anomalies

524.9   Unspecified

525     Other diseases and conditions of the teeth and supporting structures

525.0   Exfoliation of teeth due to systemic causes

525.1   Loss of teeth due to accident, extraction, or local periodontal
        disease

525.2   Atrophy of edentulous alveolar ridge

525.3   Retained dental root

525.8   Other

Enlargement of alveolar ridge NOS
Irregular alveolar process

525.9   Unspecified

526     Diseases of the jaws

526.0   Developmental odontogenic cysts

Cyst:                             Cyst:
    dentigerous                       lateral periodontal
    eruption                          primordial
    follicular                    Keratocyst

Excludes:    radicular cyst (522.8)

526.1   Fissural cysts of jaw

Cyst:                             Cyst:
    globulomaxillary                  nasopalatine
    incisor canal                     palatine of papilla
    median palatal

526.2   Other cysts of jaws

Cyst of jaw:
    NOS
    aneurysmal
    hemorrhagic
    traumatic

526.3   Central giant cell (reparative) granuloma

Excludes:    peripheral giant cell granuloma (523.8)

526.4   Inflammatory conditions

Osteitis of jaw (acute) (chronic) (suppurative)
Osteomyelitis (neonatal) of jaw (acute) (chronic) (suppurative)
Periostitis of jaw (acute) (chronic) (suppurative)
Sequestrum of jaw bone

526.5   Alveolitis of jaw

Alveolar osteitis                 Dry socket

526.6   Other diseases of the jaws

Cherubism                         Torus:
Exostosis of jaw                      mandibularis
Fibrous dysplasia of jaw(s)           palatinus
Latent bone cyst of jaw(s)        Unilateral condylar hyperplasia
Osteoradionecrosis of jaw(s)          or hypoplasia of mandible

526.9   Unspecified

527     Diseases of the salivary glands

527.0   Atrophy

527.1   Hypertrophy

527.2   Sialoadenitis

Excludes:    epidemic parotitis (072.9)
             uveoparotid fever (135)

527.3   Abscess

527.4   Fistula

Excludes:    congenital fistula of salivary gland (750.2)

527.5   Sialolithiasis

Calculus of salivary gland or duct
Stone of salivary gland or duct

527.6   Mucocele

Mucous:
    extravasation cyst of salivary gland
    retention cyst of salivary gland
Ranula

527.7   Disturbance of salivary secretion

Hyposecretion
Ptyalism
Xerostomia

527.8   Other

Benign lymphoepithelial           Sialosis
    lesion of salivary gland      Stenosis of salivary duct
Sialectasia                       Stricture of salivary duct

527.9   Unspecified

528     Diseases of the oral soft tissues, excluding lesions specific for
        gingiva and tongue

528.0   Stomatitis

Stomatitis:
    NOS
    ulcerative
Stomatitis, vesicular

Excludes:    stomatitis:
                  acute necrotizing ulcerative (101)
                  aphthous (528.2)
                  gangrenous (528.1)
                  herpetic (054.2)

528.1   Cancrum oris

Gangrenous stomatitis             Noma

528.2   Oral aphthae

Aphthous stomatitis               Recurrent aphthous ulcer
Periadenitis mucosa necrotica     Stomatitis herpetiformis
    recurrens

528.3   Cellulitis and abscess

Cellulitis of mouth (floor)

528.4   Cysts

Dermoid cyst of mouth             Nasoalveolar cyst of mouth
Epidermoid cyst of mouth          Nasolabial cyst of mouth
Epstein's pearl of mouth          Palatal papilla cyst of mouth
Lymphoepithelial cyst of mouth

528.5   Diseases of lips

Cheilitis:                        Cheilodynia
    NOS                           Cheilosis
    angular

Excludes:    actinic cheilitis (692.8)

528.6   Leukoplakia of oral mucosa, including tongue

Excludes:    leukokeratosis nicotina palati (528.7)

528.7   Other disturbances of oral epithelium, including tongue

Erythroplakia of mouth or tongue
Focal epithelial hyperplasia of mouth or tongue
Leukoedema of mouth or tongue
Leukokeratosis nicotina palati

Excludes:    white sponge naevus (750.2)

528.8   Oral submucosal fibrosis, including of tongue

528.9   Other and unspecified

Cheek and lip biting              Eosinophilic granuloma of oral mucosa
Denture sore mouth                Irritative hyperplasia of oral mucosa
Denture stomatitis                Pyogenic granuloma of oral mucosa
Melanoplakia                      Ulcer (traumatic) of oral mucosa
Papillary hyperplasia of palate

529     Diseases and other conditions of the tongue

529.0   Glossitis

Abscess of tongue                 Ulceration (traumatic) of tongue

529.1   Geographic tongue

Benign migratory glossitis        Glossitis areata exfoliativa

529.2   Median rhomboid glossitis

529.3   Hypertrophy of tongue papillae

Black hairy tongue                Hypertrophy of foliate papillae
Coated tongue                     Lingua villosa nigra

529.4   Atrophy of tongue papillae

529.5   Plicated tongue

Fissured tongue
Furrowed tongue
Scrotal tongue

Excludes:    fissure of tongue, congenital (750.1)

529.6   Glossodynia

Glossopyrosis                     Painful tongue

529.8   Other conditions of the tongue

Atrophy (of) tongue               Enlargement of tongue
Crenated (of) tongue              Hypertrophy of tongue

Excludes:    congenital macroglossia (750.1)

529.9   Unspecified



           DISEASES OF ESOPHAGUS, STOMACH, AND DUODENUM (530-537)

530     Diseases of esophagus

Excludes:    esophageal varices (456.0, 456.1)

530.0   Achalasia and cardiospasm

Achalasia (of cardia)

Excludes:    congenital cardiospasm (750.7)

530.1   Esophagitis

Abscess of esophagus
Esophagitis:
    NOS
    chemical
    peptic
    postoperative
    reflux
Esophageal reflux

Use additional E code, if desired, to identify cause, if induced by chemical

530.2   Ulcer of esophagus

Ulcer of esophagus
    fungal
    peptic
Ulcer of esophagus due to ingestion of:
    aspirin
    chemicals
    medicines

Use additional E code, if desired, to identify cause, if induced by chemical
or drug

530.3   Stricture and stenosis of esophagus

Compression of esophagus          Obstruction of esophagus

Excludes:    congenital stricture of esophagus (750.3)

530.4   Perforation of esophagus

Rupture of esophagus

Excludes:    traumatic perforation of esophagus (862.-, 874.4)

530.5   Dyskinesia of esophagus

Corkscrew esophagus
Diffuse esophageal spasm
Spasm of esophagus

Excludes:    cardiospasm (530.0)

530.6   Diverticulum of esophagus, acquired

Esophageal pouch, acquired

Excludes:    congenital diverticulum of esophagus (750.4)

530.7   Gastroesophageal laceration-hemorrhage syndrome

Mallory-Weiss syndrome

530.8   Other disorders of esophagus

Hemorrhage of esophagus

530.9   Unspecified

The following fourth-digit subdivisions are for use with categories 531-534:
    .0  acute with hemorrhage
    .1  acute with perforation
    .2  acute with hemorrhage and perforation
    .3  acute without mention of hemorrhage or perforation
    .4  chronic or unspecified with hemorrhage
    .5  chronic or unspecified with perforation
    .6  chronic or unspecified with hemorrhage and perforation
    .7  chronic or unspecified without mention of hemorrhage or perforation
    .9  unspecified as acute or chronic, without mention of hemorrhage or
            perforation

531     Gastric ulcer

[See fourth-digit subdivisions listed prior to 531]

Includes:    erosion (acute) of stomach
             ulcer (peptic):
                  pylorus
                  stomach

Excludes:    peptic ulcer NOS (533.-)

Use additional E code, if desired, to identify drug, if drug-induced

532     Duodenal ulcer

[See fourth-digit subdivisions listed prior to 531]

Includes:    erosion (acute) of duodenum
             ulcer (peptic):
                  duodenum
                  postpyloric

Excludes:    peptic ulcer NOS (533.-)

Use additional E code, if desired, to identify drug, if drug-induced
 
533     Peptic ulcer, site unspecified

[See fourth-digit subdivisions listed prior to 531]

Includes:    gastroduodenal ulcer NOS
             peptic ulcer NOS

Use additional E code, if desired, to identify drug, if drug-induced

534     Gastrojejunal ulcer

[See fourth-digit subdivisions listed prior to 531]

Includes:    ulcer (peptic) or erosion:
                  anastomotic
                  gastrocolic
                  gastrointestinal
                  gastrojejunal
                  jejunal
                  marginal
                  stomal

Excludes:    primary ulcer of small intestine (569.8)

535     Gastritis and duodenitis

535.0   Acute gastritis

Use additional code, if desired, to identify any associated hemorrhage (578.-)

535.1   Atrophic gastritis

Chronic (atrophic) gastritis

535.2   Gastric mucosal hypertrophy

535.3   Alcoholic gastritis

535.4   Other gastritis

Superficial gastritis

535.5   Unspecified gastritis and gastroduodenitis

535.6   Duodenitis

536     Disorders of function of stomach

Excludes:    functional disorders of stomach specified as psychogenic (306.4)

536.0   Achlorhydria

536.1   Acute dilatation of stomach

Acute distention of stomach

536.2   Habit vomiting

Persistent vomiting [not of pregnancy]

Excludes:    excessive vomiting in pregnancy (643.-)

536.8   Dyspepsia and other disorders of function of stomach

Achylia gastrica                  Hyperchlorhydria
Hourglass contraction of          Hypochlorhydria
    stomach                       Indigestion
Hyperacidity

536.9   Unspecified

Functional gastrointestinal:
    disorder
    disturbance
    irritation

537     Other disorders of stomach and duodenum

537.0   Acquired hypertrophic pyloric stenosis

Excludes:    congenital or infantile pyloric stenosis (750.5)

537.1   Gastric diverticulum

Excludes:    congenital diverticulum of stomach (750.7)

537.2   Chronic duodenal ileus

537.3   Other obstruction of duodenum

537.4   Fistula of stomach or duodenum

Gastrocolic fistula               Gastrojejunocolic fistula

537.5   Gastroptosis

537.6   Hourglass stricture or stenosis of stomach

Excludes:    congenital hourglass stomach (750.7)
             hourglass contraction of stomach (536.8)

537.8   Other

Intestinal metaplasia of gastric mucosa

Excludes:    diverticula of duodenum(562.0)
             gastrointestinal hemorrhage(578.-)

537.9   Unspecified


                            APPENDICITIS (540-543)

540     Acute appendicitis

540.0   With generalized peritonitis

Appendicitis (acute) with:  perforation, peritonitis (generalized), rupture
Caecitis (acute) with:  perforation, peritonitis (generalized), rupture
Rupture of appendix

540.1   With peritoneal abscess

Abscess, appendix

540.9   Without mention of peritonitis

Acute:
    appendicitis without mention of perforation, peritonitis, or rupture
    caecitis without mention of perforation, peritonitis, or rupture

541     Appendicitis, unqualified

542     Other appendicitis

Chronic appendicitis              Recurrent appendicitis

543     Other diseases of appendix

Appendicular or appendiceal:      Hyperplasia of appendix
    colic                         Intussusception of appendix
    concretion                    Mucocele of appendix
    fistula                       Stercolith of appendix
Diverticulum of appendix



                 HERNIA OF ABDOMINAL CAVITY (550-553)

Includes:    hernia:
                  acquired
                  bilateral
                  congenital (except diaphragmatic or hiatal)
                  recurrent
                  unilateral

550     Inguinal hernia

Includes:    bubonocele
             inguinal hernia:
                  NOS
                  direct
                  double
                  indirect
                  oblique
                  sliding
             scrotal hernia

550.0   Inguinal hernia, with gangrene

550.1   Inguinal hernia, with obstruction, without mention of gangrene

Inguinal hernia with mention of incarceration, irreducibility or strangulation

550.9   Inguinal hernia, without mention of obstruction or gangrene

551     Other hernia of abdominal cavity, with gangrene

551.0   Femoral, with gangrene

551.1   Umbilical, with gangrene

 Umbilical hernia as defined in 553.1 if specified as gangrenous

551.2   Ventral [incisional], with gangrene

Ventral hernia as defined in 553.2 if specified as gangrenous

551.3   Diaphragmatic, with gangrene

Diaphragmatic hernia as defined in 553.3 if specified as gangrenous

551.8   Of other specified sites, with gangrene

Any condition in 553.8 if specified as gangrenous

551.9   Of unspecified site, with gangrene

Any condition in 553.9 if specified as gangrenous

552     Other hernia of abdominal cavity with obstruction, without mention
        of gangrene

Excludes:    with mention of gangrene (551.-)

552.0   Femoral, with obstruction

Femoral hernia specified as incarcerated, irreducible, strangulated, or
    causing obstruction

552.1   Umbilical, with obstruction

Umbilical hernia as defined in 553.1 if specified as incarcerated,
    irreducible, strangulated, or causing obstruction

552.2   Ventral [incisional], with obstruction

Ventral hernia as defined in 553.2 if specified as incarcerated,
    irreducible, strangulated, or causing obstruction

552.3   Diaphragmatic, with obstruction

Diaphragmatic hernia as defined in 553.3 if specified as incarcerated,
    irreducible, strangulated, or causing obstruction

552.8   Of other specified sites, with obstruction

Any condition in 553.8 if specified as incarcerated, irreducible,
    strangulated, or causing obstruction

552.9   Of unspecified site, with obstruction

Any condition in 553.9 if specified as incarcerated, irreducible,
    strangulated, or causing obstruction

553     Other hernia of abdominal cavity without mention of obstruction or
        gangrene

Excludes:    the listed conditions with mention of:
                  gangrene (551.-)
                  obstruction (552.-)

553.0   Femoral

553.1   Umbilical

Parumbilical hernia               Omphalocele

553.2   Ventral [incisional]

Epigastric hernia

553.3   Diaphragmatic

Hiatal hernia (esophageal) (sliding)
Paraesophageal hernia

Excludes:    congenital hernia:
                  diaphragmatic (756.6)
                  hiatus (750.6)

553.8   Of other specified sites

Hernia:
    lumbar
    obturator
    pudendal
    retroperitoneal
    sciatic
Other abdominal hernia of specified site

Excludes:    vaginal enterocele (618.6)

553.9   Of unspecified site

Enterocele
Epiplocele
Hernia:
    NOS
    interstitial
    intestinal
    intra-abdominal
Rupture (nontraumatic)
Sarcoepiplocele



                  NONINFECTIVE ENTERITIS AND COLITIS (555-558)

555     Regional enteritis

Includes:    Crohn's disease

555.0   Small intestine

Ileitis:
    regional
    terminal
Regional enteritis or Crohn's disease of:
    duodenum
    ileum
    jejunum

555.1   Large intestine

Colitis:                          Regional enteritis or Crohn's disease of:
    granulomatous                     colon
    regional                          large bowel
                                      large intestine
                                      rectum

555.2   Small intestine with large intestine

555.9   Unspecified site

Crohn's disease NOS               Regional enteritis NOS

556     Idiopathic proctocolitis

Pseudopolyposis of colon          Ulcerative (chronic):
Toxic megacolon                       colitis
                                      enteritis NOS
                                      enterocolitis
                                      ileocolitis
                                      proctitis
                                      rectosigmoiditis

557     Vascular insufficiency of intestine

Excludes:    necrotizing enterocolitis of the newborn (777.5)

557.0   Acute

Acute:                            Intestinal infarction
    hemorrhagic enterocolitis         acute
    ischemic colitis,                 agnogenic
         enteritis, or                hemorrhagic
         enterocolitis                nonocclusive
    massive necrosis of           Mesenteric infarction
         intestine                    embolic
Embolism of mesenteric artery         thrombotic
Fulminant enterocolitis           Terminal hemorrhagic
Hemorrhagic necrosis of               enteropathy
    intestine                     Thrombosis of mesenteric artery
Intestinal gangrene

557.1   Chronic

Chronic ischemic colitis,         Mesenteric:
    enteritis, or enterocolitis       angina
Ischemic stricture of intestine       artery syndrome (superior)
                                      vascular insufficiency

557.9   Unspecified

Alimentary pain due to vascular insufficiency
Ischemic colitis, enteritis, or enterocolitis NOS

558     Other noninfectious gastroenteritis and colitis

Colitis         }
Diarrhea        }
Enteritis       }    specified as allergic, dietetic, noninfectious
Enterocolitis   }         or toxic
Gastroenteritis }    unspecified, in countries where the conditions can be
Ileitis         }         presumed to be of noninfectious origin
Jejunitis       }
Sigmoiditis     }

Excludes:    colitis, diarrhea, enteritis, gastroenteritis:
                  infectious (009.0, 009.2)
                  unspecified, in countries where presumed to be of
                       noninfectious origin (009.1, 009.3)
             functional diarrhea (564.5)
             psychogenic diarrhea (306.4)


             OTHER DISEASES OF INTESTINES AND PERITONEUM (560-569)

560     Intestinal obstruction without mention of hernia

Excludes:    inguinal hernia with obstruction (550.1)
             intestinal obstruction complicating hernia (552.-)
             mesenteric:
                  embolism (557.0)
                  infarction (557.0)
                  thrombosis (557.0)
             neonatal intestinal obstruction (777.-)

560.0   Intussusception

Intussusception (colon) (intestine) (rectum)
Invagination of intestine or colon

Excludes:    intussusception of appendix (543)

560.1   Paralytic ileus

Ileus (of intestine) (of bowel) (of colon)
Paralysis of intestine or colon

560.2   Volvulus

Strangulation of intestine, bowel, or colon
Torsion of intestine, bowel, or colon
Twist of intestine, bowel, or colon

560.3   Impaction of intestine

Enterolith                        Impaction of colon
Faecal impaction                  Obstruction of intestine by gallstone

560.8   Other intestinal obstruction

Intestinal adhesions with obstruction

560.9   Unspecified intestinal obstruction

Enterostenosis                    Occlusion of intestine or colon
Obstruction of intestine          Stenosis of intestine or colon
    or colon                      Stricture of intestine or colon

Excludes:    congenital stricture or stenosis of intestine (751.1-751.2)

562     Diverticula of intestine

Excludes:    congenital diverticulum of colon (751.5)
             Meckel's diverticulum (751.0)

562.0   Small intestine

Diverticulitis, diverticulosis:
    duodenum
    jejunum

562.1   Colon

Diverticular disease, diverticulitis, diverticulosis:
    NOS
    colon
    large intestine

Use additional code, if desired, to identify any associated hemorrhage
    (578.-) or peritonitis (567.-)

564     Functional digestive disorders, not elsewhere classified

Excludes:    functional disorders of stomach (536.-)
             when specified as psychogenic (306.4)

564.0   Constipation

564.1   Irritable colon

Enterospasm
Irritable bowel syndrome
Mucous colitis
Spastic colon

564.2   Postgastric surgery syndromes

[Not to be used for underlying cause of death]

Dumping syndrome
Postgastrectomy syndrome
Postvagotomy syndrome

Excludes:    postgastrojejunostomy ulcer (534.-)

564.3   Vomiting following gastrointestinal surgery

[Not to be used for underlying cause of death]

Vomiting (bilious) following gastrointestinal surgery

564.4   Other postoperative functional disorders

Diarrhea following gastrointestinal surgery

564.5   Functional diarrhea

Excludes:    Psychogenic diarrhea (306.4)

564.6   Anal spasm

Proctalgia fugax

564.7   Megacolon, other than Hirschsprung's

Dilatation of colon

Excludes:    megacolon:
                  congenital (751.3)
                  toxic (556)

564.8   Other functional disorders of intestine

Atony of colon

Excludes:    malabsorption (579.-)

564.9   Unspecified

565     Anal fissure and fistula

565.0   Anal fissure

Tear of anus, nontraumatic

565.1   Anal fistula

Fistula of rectum to skin

566     Abscess of anal and rectal regions

Cellulitis of anus or rectum
Ischiorectal abscess or fistula
Perianal abscess
Perirectal abscess or cellulitis

567     Peritonitis

Excludes:    peritonitis:
                  benign paroxysmal (277.3)
                  chronic proliferative (567.8)
                  pelvic, female (614.5, 614.7)
                  periodic familial (277.3)
                  puerperal (670)
                  with or following:
                       abortion (634-638 with fourth digit .0, 639.0)
                       appendicitis (540.0, 540.1)
                       ectopic or molar pregnancy (639.0)

567.1   Pneumococcal peritonitis

567.2   Other suppurative peritonitis

Abscess (of):                     Peritonitis (acute):
    abdominopelvic                    general
    mesenteric                        pelvic, male
    omentum                           subphrenic
    peritoneum                        suppurative
    retrocecal
    retroperitoneal
    subdiaphragmatic
    subhepatic
    subphrenic

567.8   Other peritonitis

Chronic proliferative             Peritonitis due to:
    peritonitis                       bile
Fat necrosis of peritoneum            urine
Mesenteric saponification

Excludes:    peritonitis (postoperative):
                  chemical (998.7)
                  due to talc (998.7)

567.9   Unspecified

Peritonitis:
    NOS
    of unspecified cause

568     Other disorders of peritoneum

568.0   Peritoneal adhesions

Adhesions (of):                   Adhesive bands
    abdominal (wall)
    diaphragm
    intestine
    male pelvis
    mesenteric
    omentum
    stomach

Excludes:    adhesions:
                  pelvic, female (614.6)
                  with intestinal obstruction (560.8)

568.8   Other

568.9   Unspecified

569     Other disorders of intestine

569.0   Anal and rectal polyp

569.1   Rectal prolapse

Prolapse:
    anal canal
    rectal mucosa

569.2   Stenosis of rectum and anus

Stricture of anus (sphincter)

569.3   Hemorrhage of rectum and anus

569.4   Other disorders of rectum and anus

Solitary ulcer of anus (sphincter) or rectum (sphincter)
Stercoral ulcer of anus (sphincter) or rectum (sphincter)

Excludes:    fistula of rectum to:
                  skin (565.1)
                  internal organs - see Alphabetical Index
                  hemorrhoids (455.-)
                  incontinence of sphincter ani (787.6)

569.5   Abscess of intestine

Excludes:    appendiceal abscess (540.9)

569.6   Colostomy and enterostomy malfunction

[Not to be used for underlying cause of death]

569.8   Other

Pericolitis
Perisigmoiditis
Ulcer of colon
Visceroptosis

Excludes:    gangrene of intestine, mesentery or omentum (557.0)
             hemorrhage of intestine NOS (578.9)

569.9   Unspecified


                 OTHER DISEASES OF DIGESTIVE SYSTEM (570-579)

570     Acute and subacute necrosis of liver

Acute hepatic failure
Acute or subacute hepatitis, not specified as infective
Necrosis of liver (acute) (subacute) (diffuse) (massive)
Yellow atrophy (liver) (acute) (subacute)

Excludes:    the listed conditions complicating:
                  abortion (634-638 with fourth digit .7, 639.8)
                  ectopic or molar pregnancy (639.8)
                  pregnancy, childbirth, or the puerperium (646.7)
                  icterus gravis of newborn (773.-)
                  postoperative (997.4)
                  serum hepatitis (070.-, E875.-)
                  viral hepatitis (070.-)

571     Chronic liver disease and cirrhosis

571.0   Alcoholic fatty liver

571.1   Acute alcoholic hepatitis

571.2   Alcoholic cirrhosis of liver

Lannec's cirrhosis

571.3   Alcoholic liver damage, unspecified

571.4   Chronic hepatitis

Chronic hepatitis:
    NOS
    active
    aggressive
    persistent
Recurrent hepatitis

571.5   Cirrhosis of liver without mention of alcohol

Cirrhosis of liver:
    NOS
    cryptogenic
    macronodular
    micronodular
    postnecrotic
Portal cirrhosis

571.6   Biliary cirrhosis

Chronic nonsuppurative destructive cholangitis

571.8   Other chronic nonalcoholic liver disease

Chronic yellow atrophy (liver)
Fatty liver, without mention of alcohol

571.9   Unspecified chronic liver disease without mention of alcohol

572     Liver abscess and sequelae of chronic liver disease

572.0   Abscess of liver

Excludes:    amoebic liver abscess (006.3)

572.1   Portal pyemia

Phlebitis of portal vein          Pylephlebitis

572.2   Hepatic coma

Portosystemic encephalopathy

572.3   Portal hypertension

572.4   Hepatorenal syndrome

Excludes:    postoperative (997.4)

572.8   Other sequelae of chronic liver disease

573     Other disorders of liver

Excludes:    amyloid or lardaceous degeneration of liver (277.3)
             congenital cystic disease of liver (751.6)
             glycogen infiltration of liver (271.0)
             hepatomegaly NOS (789.1)
             portal vein obstruction (452)

573.0   Chronic passive congestion of liver

573.3   Hepatitis unspecified

Toxic (noninfectious) hepatitis

573.4   Hepatic infarction

573.8   Other

Hepatoptosis

573.9   Unspecified

574     Cholelithiasis

574.0   Calculus of gallbladder with acute cholecystitis

Any condition in 574.2 with acute cholecystitis

574.1   Calculus of gallbladder with other cholecystitis

Cholecystitis with cholelithiasis NOS
Any condition in 574.2 with cholecystitis (chronic)

574.2   Calculus of gallbladder without mention of cholecystitis

Biliary:                          Cholelithiasis NOS
    calculus NOS                  Colic (recurrent) of gallbladder
    colic NOS                     Gallstone (impacted)
Calculus of cystic duct

574.3   Calculus of bile duct with acute cholecystitis

Any condition in 574.5 with acute cholecystitis

574.4   Calculus of bile duct with other cholecystitis

Any condition in 574.5 with cholecystitis (chronic)

574.5   Calculus of bile duct without mention of cholecystitis

Calculus of:                      Choledocholithiasis
    bile duct [any]               Hepatic:
    common duct                       colic (recurrent)
    hepatic duct                      lithiasis

575     Other disorders of gallbladder

575.0   Acute cholecystitis

Abscess of gallbladder without mention of calculus
Angiocholecystitis without mention of calculus
Cholecystitis without mention of calculus:
    emphysematous (acute)
    gangrenous
    suppurative
Empyema of gallbladder without mention of calculus
Gangrene of gallbladder without mention of calculus

Excludes:    with cholelithiasis (574.-)

575.1   Other cholecystitis

Cholecystitis without mention of calculus:
    NOS without mention of calculus
    chronic without mention of calculus

Excludes:    with cholelithiasis (574.-)

575.2   Obstruction of gallbladder

Occlusion of cystic duct or gallbladder without mention of calculus
Stenosis of cystic duct or gallbladder without mention of calculus
Stricture of cystic duct or gallbladder without mention of calculus

Excludes:    with cholelithiasis (574.-)

575.3   Hydrops of gallbladder

Mucocele of gallbladder

575.4   Perforation of gallbladder

Rupture of cystic duct or gallbladder

575.5   Fistula of gallbladder

Cholecystoduodenal fistula

575.6   Cholesterolosis of gallbladder

Strawberry gallbladder

575.8   Other

Adhesions (of) cystic duct, gallbladder
Atrophy (of) cystic duct, gallbladder
Cyst (of) cystic duct, gallbladder
Hypertrophy (of) cystic duct, gallbladder
Nonfunctioning (of) cystic duct, gallbladder
Ulcer (of) cystic duct, gallbladder
Biliary dyskinesia

Excludes:    nonvisualization of gallbladder (793.3)

575.9   Unspecified

576     Other disorders of biliary tract

Excludes:    the listed conditions involving the:
                  cystic duct (575.-)
                  gallbladder (575.-)

576.0   Postcholecystectomy syndrome

[Not to be used for underlying cause of death]

576.1   Cholangitis

Cholangitis:
    NOS
    ascending
    primary
    recurrent
    sclerosing
    secondary
    stenosing
    suppurative

576.2   Obstruction of bile duct

Occlusion of bile duct [any] without mention of calculus
Stenosis of bile duct [any] without mention of calculus
Stricture of bile duct [any] without mention of calculus

Excludes:    with cholelithiasis (574.-)

576.3   Perforation of bile duct

Rupture of [any] bile duct

576.4   Fistula of bile duct

Choledochoduodenal fistula

576.5   Spasm of sphincter of Oddi

576.8   Other

Adhesions of [any] duct           Hypertrophy of [any] duct
Atrophy of [any] duct             Ulcer of [any] duct
Cyst of [any] duct

576.9   Unspecified

577     Diseases of pancreas

577.0   Acute pancreatitis

Abscess of pancreas               Pancreatitis:
Necrosis of pancreas:                 NOS
    acute                             acute (recurrent)
    infective                         apoplectic
                                      hemorrhagic
                                      subacute
                                      suppurative

577.1   Chronic pancreatitis

Chronic pancreatitis:             Pancreatitis:
    NOS                               painless
    infectious                        recurrent
    interstitial                      relapsing

577.2   Cyst and pseudocyst of pancreas

577.8   Other diseases of pancreas

Atrophy of pancreas               Pancreatic:
Calculus of pancreas                  infantilism
Cirrhosis of pancreas                 necrosis:
Fibrosis of pancreas                       NOS
                                           aseptic
                                           fat

Excludes:    fibrocystic disease of pancreas (277.0)
             islet cell tumor of pancreas (211.7)
             pancreatic steatorrhea (579.4)

577.9   Unspecified

578     Gastrointestinal hemorrhage

Excludes:    with mention of duodenal, gastric, gastrojejunal or peptic ulcer
                  (531-534)

578.0   Hematemesis

Vomiting of blood

578.1   Melaena

Excludes:    melaena of the newborn (772.4, 777.3)

578.9   Hemorrhage of gastrointestinal tract, unspecified

Gastric hemorrhage                Intestinal hemorrhage

579     Intestinal malabsorption

579.0   Coeliac disease

Gluten enteropathy
Idiopathic steatorrhea
Nontropical sprue

579.1   Tropical sprue

Sprue:
    NOS
    tropical
Tropical steatorrhea

579.2   Blind loop syndrome

[Not to be used for underlying cause of death]

Postoperative blind loop syndrome

579.3   Other and unspecified postsurgical nonabsorption

[Not to be used for underlying cause of death]

Hypoglycemia following gastrointestinal surgery
Malnutrition following gastrointestinal surgery

579.4   Pancreatic steatorrhea

579.8   Other

579.9   Unspecified
                   X.  DISEASES OF THE GENITOURINARY SYSTEM

           NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS (580-589)


Excludes:    hypertensive renal disease (403.-)

Note:   The fourth-digit subdivisions which indicate the pathological lesion
        in categories 580-584 have been standardized, but they do not all
        apply to each three-digit category.

580     Acute glomerulonephritis

Includes:    acute nephritis

580.0   With lesion of proliferative glomerulonephritis

Acute (diffuse) proliferative glomerulonephritis

580.4   With lesion of rapidly progressive glomerulonephritis

Acute nephritis with lesion of necrotizing glomerulitis

580.8   With other specified pathological lesion in kidney

580.9   Unspecified

581     Nephrotic syndrome

581.0   With lesion of proliferative glomerulonephritis

581.1   With lesion of membranous glomerulonephritis

Idiopathic membranous glomerular disease

581.2   With lesion of membranoproliferative glomerulonephritis

Nephrotic syndrome with lesion (of):
    hypocomplementemic persistent glomerulonephritis
    lobular glomerulonephritis
    mesangiocapillary glomerulonephritis
    mixed membranous and proliferative glomerulonephritis

581.3   With lesion of minimal change glomerulonephritis

Lipoid nephrosis
Minimal change:
    glomerular disease
    glomerulitis
    nephrotic syndrome

581.8   With other specified pathological lesion in kidney

581.9   Unspecified

Nephrosis NOS

582     Chronic glomerulonephritis

Includes:    chronic nephritis

582.0   With lesion of proliferative glomerulonephritis

Chronic (diffuse) proliferative glomerulonephritis

582.1   With lesion of membranous glomerulonephritis

Chronic membranous glomerulonephritis

582.2   With lesion of membranoproliferative glomerulonephritis

Chronic glomerulonephritis:
    hypocomplementaemic persistent
    lobular
    membranoproliferative
    mesangiocapillary
    mixed membranous and proliferative

582.4   With lesion of rapidly progressive glomerulonephritis

Chronic nephritis with lesion of necrotizing glomerulitis

582.8   With other specified pathological lesion in kidney

582.9   Unspecified

583     Nephritis and nephropathy, not specified as acute or chronic

Includes:    "renal disease" so described, not specified as acute or chronic
             but with stated pathology or cause

583.0   With lesion of proliferative glomerulonephritis

Proliferative:
    glomerulonephritis NOS
    nephritis NOS
Proliferative nephropathy NOS

583.1   With lesion of membranous glomerulonephritis

Membranous:
    glomerulonephritis NOS
    nephritis NOS
    Membranous nephropathy NOS

583.2   With lesion of membranoproliferative glomerulonephritis

Membranoproliferative:
    glomerulonephritis NOS
    nephritis NOS
    nephropathy NOS
Nephritis NOS, with lesion of:
    hypocomplementemic persistent glomerulonephritis
    lobular glomerulonephritis
    mesangiocapillary glomerulonephritis
    mixed membranous and proliferative glomerulonephritis

583.4   With lesion of rapidly progressive glomerulonephritis

Necrotizing or rapidly progressive:
    glomerulitis NOS
    glomerulonephritis NOS
    nephritis NOS
    nephropathy NOS
Nephritis, unspecified, with lesion of necrotizing glomerulitis

583.6   With lesion of renal cortical necrosis

Nephritis NOS with (renal) cortical necrosis
Nephropathy NOS with (renal) cortical necrosis
Renal cortical necrosis NOS

583.7   With lesion of renal medullary necrosis

Nephritis NOS with (renal) medullary [papillary] necrosis
Nephropathy NOS with (renal) medullary [papillary] necrosis

583.8   With other specified pathological lesion in kidney

Glomerulitis     }
Glomerulonephritis}   with:
Nephritis        }       lesion of interstitial nephritis
Nephropathy      }
Renal disease    }

583.9   With unspecified pathological lesion in kidney

Glomerulitis NOS
Glomerulonephritis NOS
Nephritis NOS
Nephropathy NOS

Excludes:    nephropathy complicating pregnancy, labor, or the puerperium
                  (642.-, 646.2)
             renal disease NOS with no stated cause (593.9)

584     Acute renal failure

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .3, 639.3)
                  ectopic or molar pregnancy (639.3)
             following labor and delivery (669.3)
             postoperative (997.5)

584.5   With lesion of tubular necrosis

Renal failure with (acute) tubular necrosis
Tubular necrosis:
    NOS
    acute

584.6   With lesion of renal cortical necrosis

584.7   With lesion of renal medullary [papillary] necrosis

584.8   With other specified pathological lesion in kidney

584.9   Unspecified

585     Chronic renal failure

Chronic uremia
Uremic:
    neuropathy
    pericarditis

Excludes:    with any condition in 401.- (403.-)

586     Renal failure, unspecified

Uremia NOS

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .3, 639.3)
                  ectopic or molar pregnancy (639.3)
             following labor and delivery (669.3)
             postoperative renal failure (997.5)
             uremia:
                  extrarenal (788.9)
                  prerenal (788.9)
             with any condition in 401.- (403.-)

587     Renal sclerosis, unspecified

Atrophy of kidney                 Contracted kidney

Excludes:    nephrosclerosis (arteriolar) (arteriosclerotic) (403.-)
             with hypertension (403.-)

588     Disorders resulting from impaired renal function

588.0   Renal osteodystrophy

Azotemic osteodystrophy
Phosphate-losing tubular disorders
Renal:
    dwarfism
    rickets

588.1   Nephrogenic diabetes insipidus

588.8   Other

Secondary hyperparathyroidism (of renal origin)

Excludes:    secondary hypertension (405.-)

588.9   Unspecified

589     Small kidney of unknown cause

589.0   Unilateral

589.1   Bilateral

589.9   Unspecified



                 OTHER DISEASES OF URINARY SYSTEM (590-599)

Excludes:    urinary infections (conditions in 590, 595, 597, 599.0)
                  complicating:
                       abortion (634-638 with fourth digit.7, 639.8)
                       ectopic or molar pregnancy (639.8)
                       pregnancy, childbirth, and the puerperium (646.6)

590     Infections of kidney

Use additional code, if desired, to identify organism, such as Escherichia
    coli (041.4)

590.0   Chronic pyelonephritis and chronic pyonephrosis

590.1   Acute pyelonephritis and acute pyonephrosis

Acute pyelitis

590.2   Renal and perinephric abscess

590.3   Pyeloureteritis cystica

Infection of renal pelvis and ureter

590.8   Other pyelonephritis or pyonephrosis, not specified as acute or
        chronic

Pyelitis:
    NOS
Pyelonephritis:
    NOS

Excludes:    calculous pyelonephritis (592.9)

590.9   Infection of kidney, unspecified

Excludes:    urinary tract infection NOS (599.0)

591     Hydronephrosis

592     Calculus of kidney and ureter

Excludes:    nephrocalcinosis (275.4)

592.0   Calculus of kidney

Nephrolithiasis:
    NOS
Renal calculus or stone
Staghorn calculus
Stone in kidney

592.1   Calculus of ureter

Ureteric stone

592.9   Urinary calculus, unspecified

Calculous pyelonephritis

593     Other disorders of kidney and ureter

593.0   Nephroptosis

Mobile kidney

593.1   Hypertrophy of kidney

593.2   Cyst of kidney, acquired

Cyst (multiple) (solitary) of kidney, not congenital

Excludes:    congenital cyst of kidney (753.1)

593.3   Stricture or kinking of ureter

Stricture of pelviureteric junction


593.4   Other ureteric obstruction

593.5   Hydroureter

Excludes:    congenital (753.2)

593.6   Postural proteinuria

593.7   Vesicoureteric reflux

593.8   Other

Intestinoureteric fistula
Renal infarction

Excludes:    fistula between ureter and female genital tract (619.0)

593.9   Unspecified

Renal disease NOS

Excludes:    cystic kidney disease (753.1)
             nephropathy, so described (583.-)
             renal disease:
                  acute (580.-)
                  arising in pregnancy or the puerperium (642.-, 646.2)
                  chronic (582.-)
                  not specified as acute or chronic but with stated pathology
                       or cause (583.-)

594     Calculus of lower urinary tract

594.0   Calculus in diverticulum of bladder

594.1   Other calculus in bladder

Urinary bladder stone

Excludes:    staghorn calculus (592.0)

594.2   Calculus in urethra

594.8   Other lower urinary tract calculus

594.9   Unspecified

595     Cystitis

Excludes:    prostatocystitis (601.3)

Use additional code, if desired, to identify organism, such as Escherichia
    coli (041.4)

595.0   Acute cystitis

Excludes:    trigonitis (595.3)

595.1   Chronic interstitial cystitis

595.2   Other chronic cystitis

595.3   Trigonitis

Urethrotrigonitis

595.8   Other

Abscess of bladder                Irradiation cystitis

Use additional E code, if desired, to identify any external cause

595.9   Unspecified

596     Other disorders of bladder

596.0   Bladder-neck obstruction

Bladder-neck obstruction or stenosis (acquired)

596.1   Intestinovesical fistula

596.2   Vesical fistula, not elsewhere classified

Excludes:    fistula between bladder and female genital tract (619.0)

596.3   Diverticulum of bladder

Diverticulitis of bladder

596.4   Atony of bladder

596.5   Other functional disorders of bladder

Relaxation of bladder sphincter

596.6   Rupture of bladder, nontraumatic

596.7   Hemorrhage into bladder wall

Hyperemia of bladder

596.8   Other

Bladder:
    calcified
    contracted

Excludes:    cystocele, female (618.-)
             hernia or prolapse of bladder, female (618.0)

596.9   Unspecified

597     Urethritis, not sexually transmitted, and urethral syndrome

Excludes:    nonspecific urethritis so stated (099.4)

597.0   Urethral abscess

Abscess of:
    Cowper's gland
    Littr's gland
    periurethral
    urethral (gland)

Excludes:    urethral caruncle (599.3)

597.8   Other urethritis

Adenitis, Skene's glands          Urethritis:
Cowperitis                            NOS
Meatitis, urethral                    nonvenereal
Ulcer, urethra (meatus)               trichomonal
Urethral syndrome NOS

598     Urethral stricture

Includes:    pinhole meatus
             stricture of urinary meatus

Excludes:    congenital stricture of urethra and urinary meatus (753.6)

598.0   Infective

598.1   Traumatic

Stricture of urethra:
     late effect of injury
     postobstetric

598.2   Postoperative

Postcatheterization

598.8   Other

598.9   Unspecified

599     Other disorders of urethra and urinary tract

599.0   Urinary tract infection, site not specified

Use additional code, if desired, to identify organism

599.1   Urethral fistula

Fistula:
    urethroperineal
    urethrorectal
    Urinary fistula NOS

Excludes:    fistula:
                  urethroscrotal (608.89)
                  urethrovaginal (619.0)

599.2   Urethral diverticulum

599.3   Urethral caruncle

599.4   Urethral false passage

599.5   Prolapsed urethral mucosa

Prolapse of urethra               Urethrocele, male

Excludes:       urethrocele, female (618.-)

599.6   Urinary obstruction, unspecified

Urinary (tract) obstruction NOS

599.7   Hematuria

599.8   Other

599.9   Unspecified


                 DISEASES OF MALE GENITAL ORGANS (600-608)

600     Hyperplasia of prostate

Adenofibromatous hypertrophy of prostate
Adenoma (benign) of prostate
Enlargement of prostate (benign)
Fibroma of prostate
Fibroadenoma of prostate
Hypertrophy of prostate (benign)
Median bar (prostate)
Myoma of prostate
Prostatic obstruction NOS

Excludes:    benign neoplasms of prostate (222.2)

601     Inflammatory diseases of prostate

Use additional code, if desired, to identify infectious organism

601.0   Acute prostatitis

601.1   Chronic prostatitis

601.2   Abscess of prostate

601.3   Prostatocystitis

601.8   Other

601.9   Unspecified

Prostatitis NOS

602     Other disorders of prostate

602.0   Calculus of prostate

Prostatic stone

602.1   Congestion or hemorrhage of prostate

602.2   Atrophy of prostate

602.8   Other

602.9   Unspecified

603     Hydrocele

Includes:    hydrocele of spermatic cord, testis, or tunica vaginalis

Excludes:    congenital (778.6)

603.0   Encysted hydrocele

603.1   Infected hydrocele

Use additional code, if desired, to identify organism

603.8   Other

603.9   Unspecified

604     Orchitis and epididymitis

Use additional code, if desired, to identify organism such as Escherichia coli
    (041.4), Staphylococcus (041.1), or Streptococcus (041.0)

604.0   Orchitis, epididymitis, and epididymo-orchitis, with abscess

Abscess of epididymis or testis

604.9   Other orchitis, epididymitis, and epididymo-orchitis, without
        mention of abscess

Orchitis:
    NOS

605     Redundant prepuce and phimosis

Adherent prepuce                  Phimosis (congenital)
Paraphimosis                      Tight foreskin

606     Infertility, male

Azoospermia                       Oligospermia

607     Disorders of penis

607.0   Leukoplakia of penis

Kraurosis of penis

Excludes:    carcinoma in situ of penis (233.5)

607.1   Balanoposthitis

Balanitis

Use additional code, if desired, to identify organism

607.2   Other inflammatory disorders of penis

Abscess of corpus cavernosum or penis       Cellulitis of corpus cavernosum
Boil of corpus cavernosum or penis               or penis
Carbuncle of corpus cavernosum or penis     Cavernitis (penis)

Use additional code, if desired, to identify organism

607.3   Priapism

Painful erection

607.8   Other

Atrophy       }                   Balanitis xerotica obliterans
Fibrosis      }                   Induration penis plastica
Hematoma      }  of corpus
Hypertrophy   }      cavernosum
Thrombosis    }      or penis
Ulcer         }

607.9   Unspecified

608     Other disorders of male genital organs

608.0   Seminal vesiculitis

Vesiculitis (seminal)

Use additional code, if desired, to identify organism

608.1   Spermatocele

608.2   Torsion of testis

Torsion of:
    epididymis
    spermatic cord
    testicle

608.3   Atrophy of testis

608.4   Other inflammatory disorders of male genital organs

Abscess       }
Boil          }      of scrotum, spermatic cord, testis
Carbuncle     }          [except abscess], tunica vaginalis, or vas deferens
Cellulitis    }
Vasitis

Use additional code, if desired, to identify organism

Excludes:    abscess of testis (604.0)

608.8   Other specified disorders of male genital organs

Atrophy       }
Fibrosis      }
Hematoma      }      of seminal vesicle, spermatic cord, testis
Hemorrhage    }          (except atrophy), scrotum, tunica vaginalis or
Hypertrophy   }          vas deferens
Oedema        }
Thrombosis    }
Ulcer         }
Chylocele, tunica vaginalis:
    NOS
Hematocele NOS, male
Stricture of:
    spermatic cord
    tunica vaginalis
    vas deferens

608.9   Unspecified


                        DISORDERS OF BREAST (610-611)

610     Benign mammary dysplasias

610.0   Solitary cyst of breast

Cyst (solitary) of breast

610.1   Diffuse cystic mastopathy

Cystic breast

610.2   Fibroadenosis of breast

Fibroadenosis of breast:
    NOS
    chronic
    cystic
    diffuse
    periodic
    segmental

610.3   Fibrosclerosis of breast

610.4   Mammary duct ectasia

Duct ectasia

610.8   Other

610.9   Unspecified

611     Other disorders of breast

Excludes:    when associated with lactation or the puerperium (675.-, 676.-)

611.0   Inflammatory disease of breast

Abscess (acute) (chronic)         Mammillary fistula
    (nonpuerperal) of:            Mastitis (acute) (subacute) (nonpuerperal):
         areola                       NOS
         breast                       infective
Antibioma of breast

Excludes:    carbuncle of breast (680.2)
             neonatal infective mastitis (771.5)
             thrombophlebitis of breast, or Mondor's disease (451.8)

611.1   Hypertrophy of breast

Gynecomastia                      Hypertrophy of breast:
                                      NOS
                                      massive pubertal

611.2   Fissure of nipple

611.3   Fat necrosis of breast

Fat necrosis (segmental) of breast

611.4   Atrophy of breast

611.5   Galactocele

611.6   Galactorrhea not associated with childbirth

611.7   Signs and symptoms in breast

Induration of breast
Lump in breast
Mastodynia
Nipple discharge
Retraction of nipple

611.8   Other

Subinvolution of breast (postlactational) (postpartum)

611.9   Unspecified



          INFLAMMATORY DISEASE OF FEMALE PELVIC ORGANS (614-616)

Excludes:    when associated with pregnancy, abortion, childbirth, or the
                  puerperium (630-676)

614     Inflammatory disease of ovary, fallopian tube, pelvic cellular
        tissue, and peritoneum

Excludes:    endometritis (615.-)
             major infection following delivery (670)
             when complicating:
                  abortion (634-638 with fourth digit .0,
                    639.0)
                  ectopic or molar pregnancy (639.0)
                  pregnancy or labor (646.6)

614.0   Acute salpingitis and oophoritis

Any condition in 614.2 specified as acute or subacute

614.1   Chronic salpingitis and oophoritis

Any condition in 614.2 specified as chronic
Hydrosalpinx

614.2   Salpingitis and oophoritis, not specified as acute, subacute, or
        chronic

Abscess (of):
    fallopian tube
    ovary
    tubo-ovarian
Oophoritis
Pyosalpinx
Salpingitis
Salpingo-oophoritis
Tubo-ovarian inflammatory disease

Use additional code, if desired, to identify organism, such as Staphylococcus
    (041.0) or Streptococcus (041.0)

614.3   Acute parametritis and pelvic cellulitis

Any condition in 614.4 specified as acute

614.4   Chronic or unspecified parametritis and pelvic cellulitis

Abscess (of):
    broad ligament, chronic or NOS
    parametrium, chronic or NOS
    pouch of Douglas, chronic or NOS
Pelvis cellulitis, female

Use additional code, if desired, to identify organism, such as Staphylococcus
    (041.1) or Streptococcus (041.0)

614.5   Acute or unspecified pelvic peritonitis, female

614.6   Pelvic peritoneal adhesions, female

Infertility associated with peritubal adhesions

614.7   Other chronic pelvic peritonitis, female

614.8   Other specified inflammatory disease of female pelvic organs and
        tissues

614.9   Unspecified inflammatory disease of female pelvic organs and tissues

Pelvic infection or inflammation, female, NOS

615     Inflammatory diseases of uterus, except cervix

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .0, 639.0)
                  ectopic or molar pregnancy (639.0)
                  pregnancy or labor (646.6)
             following delivery (670)

615.0   Acute

Any condition in 615.9 specified as acute or subacute

615.1   Chronic

Any condition in 615.9 specified as chronic

615.9   Unspecified

Endometritis
    gonococcal
Endomyometritis
Metritis
Myometritis
Perimetritis
Pyometra
Uterine abscess

616     Inflammatory disease of cervix, vagina, and vulva

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .0, 639.0)
                  ectopic or molar pregnancy (639.0)
                  pregnancy, childbirth, or the puerperium (646.6)

616.0   Cervicitis and endocervicitis

Cervicitis with or without mention of erosion or ectropion
Endocervicitis with or without mention of erosion or ectropion

Excludes:    erosion or ectropion of cervix without mention of cervicitis
                  (622.0)

616.1   Vaginitis and vulvovaginitis

Vaginitis, vulvitis or vulvovaginitis:
    NOS

Use additional code, if desired, to identify organism, such as Escherichia
    coli (041.4), Staphylococcus (041.1), or Streptococcus (041.0)

Excludes:    noninfective leukorrhea (623.5)
             postmenopausal or senile vaginitis (627.3)

616.2   Cyst of Bartholin's gland

616.3   Abscess of Bartholin's gland

616.4   Other abscess of vulva

Abscess of vulva                  Furuncle of vulva


616.5   Ulceration of vulva

Ulceration of vulva:
    NOS

Excludes:    gonococcal (098.0)
             syphilitic (091.0)
             tuberculous (016.4)

616.8   Other

Excludes:    noninflammatory disorders of:
                  cervix (622.-)
                  vagina (623.-)
                  vulva (624.-)

616.9   Unspecified


               OTHER DISORDERS OF FEMALE GENITAL TRACT (617-629)

617     Endometriosis

617.0   Uterus

Adenomyosis

617.1   Ovary

Chocolate cyst of ovary           Endometrial cystoma of ovary

617.2   Fallopian tube

617.3   Pelvic peritoneum

617.4   Rectovaginal septum and vagina

617.5   Intestine

617.6   Endometriosis in scar of skin

617.8   Other specified sites

617.9   Site unspecified

618     Genital prolapse

Excludes:    when complicating pregnancy, labor, or delivery (654.4)

618.0   Prolapse of vaginal walls, without mention of uterine prolapse

Cystocele, without mention of uterine prolapse
Rectocele, without mention of uterine prolapse
Urethrocele, without mention of uterine prolapse
Vaginal prolapse, without mention of uterine prolapse

618.1   Uterine prolapse without mention of vaginal wall prolapse

618.2   Uterovaginal prolapse, incomplete

618.3   Uterovaginal prolapse, complete

618.4   Uterovaginal prolapse, unspecified

618.5   Prolapse of vaginal vault after hysterectomy

618.6   Vaginal enterocele, congenital or acquired

618.7   Old laceration of muscles of pelvic floor

618.8   Other

Incompetence or weakening of pelvic fundus

618.9   Unspecified

619     Fistula involving female genital tract

Excludes:    vesicorectal and intestinovesical fistula (596.-)

619.0   Urinary-genital tract fistula, female

Fistula:
    cervicovesical
    ureterovaginal
    urethrovaginal
    uteroureteric
    uterovesical
    vesicovaginal

619.1   Digestive-genital tract fistula, female

Fistula:
    intestinouterine
    intestinovaginal
Fistula, rectovaginal

619.2   Genital tract-skin fistula, female

Fistula:
    uterus to abdominal wall
    vaginoperineal

619.8   Other

619.9   Unspecified fistula involving female genital tract

620     Noninflammatory disorders of ovary, fallopian tube, and broad ligament

Excludes:    hydrosalpinx (614.1)

620.0   Follicular cyst of ovary

Cyst of graafian follicle

620.1   Corpus luteum cyst or hematoma

620.2   Other and unspecified ovarian cyst

Retention cyst of ovary NOS       Serous cyst of ovary

Excludes:    developmental cysts (752.0)
             neoplastic cysts (220.-)
             polycystic ovaries (256.4)
             Stein-Leventhal syndrome (256.4)

620.3   Acquired atrophy of ovary and fallopian tube

620.4   Prolapse or hernia of ovary and fallopian tube

620.5   Torsion of ovary, ovarian pedicle, or fallopian tube

Torsion:                          Torsion:
    accessory tube                    hydatid of Morgagni

620.6   Broad ligament laceration syndrome

Masters-Allen syndrome

620.7   Hematoma of broad ligament

Haematosalpinx

Excludes:    in ectopic pregnancy (639.2)

620.8   Other

620.9   Unspecified

621     Disorders of uterus, not elsewhere classified

621.0   Polyp of corpus uteri

Polyp:                            Polyp:
    endometrium                       uterus NOS

621.1   Chronic subinvolution of uterus

Excludes:    puerperal (674.8)

621.2   Hypertrophy of uterus

Bulky or enlarged uterus

Excludes:    puerperal (674.8)

621.3   Endometrial cystic hyperplasia

Hyperplasia (cystic) (glandular) of endometrium

621.4   Hematometra

Hemometra

Excludes:    in congenital anomaly (752.-)

621.5   Intrauterine synechiae

Adhesions of uterus               Band(s) of uterus

621.6   Malposition of uterus

Anteversion of uterus             Retroversion of uterus
Retroflexion of uterus

Excludes:    malposition complicating pregnancy, labor, or delivery
                  (654.3, 654.4)
             prolapse of uterus (618.-)

621.7   Chronic inversion of uterus

Excludes:    current obstetrical trauma (665.2)
             prolapse of uterus (618.-)

621.8   Other

Atrophy of uterus, acquired       Fibrosis of uterus:
                                      NOS

Excludes:    endometriosis (617.0)
             inflammatory diseases (615.-)

621.9   Unspecified disorders of uterus

622     Noninflammatory disorders of cervix

Excludes:    abnormality of cervix complicating pregnancy, labor, or
                  delivery (654.5, 654.6)
             fistula (619.-)

622.0   Erosion and ectropion of cervix

Eversion of cervix

Excludes:    in chronic cervicitis (616.0)

622.1   Dysplasia of cervix (uteri)

Excludes:    carcinoma in situ of cervix (233.1)

622.2   Leukoplakia of cervix (uteri)

Excludes:    carcinoma in situ of cervix (233.1)

622.3   Old laceration of cervix

Adhesions of cervix

Excludes:    current obstetrical trauma (665.3)

622.4   Stricture and stenosis of cervix

Excludes:    complicating labor (654.6)

622.5   Incompetence of cervix

Excludes:    complicating pregnancy (654.5)
             that affecting fetus or newborn (761.0)

622.6   Hypertrophic elongation of cervix

622.7   Mucous polyp of cervix

Polyp NOS of cervix

Excludes:    adenomatous polyp of cervix (219.0)

622.8   Other

Excludes:    inflammatory diseases (616.0)

622.9   Unspecified

623     Noninflammatory disorders of vagina

Excludes:    abnormality of vagina complicating pregnancy, labor, or
                  delivery (654.7)
             congenital absence of vagina (752.49)
             congenital diaphragm or bands (752.49)
             fistulas involving vagina (619.0-619.8)

623.0   Dysplasia of vagina

Excludes:    carcinoma in situ of vagina (233.3)

623.1   Leukoplakia of vagina

623.2   Stricture or atresia of vagina

Adhesions (postoperative) (postradiation) of vagina
Stenosis, vagina

Use additional E code, if desired, to identify any external cause

623.3   Tight hymenal ring

Rigid hymen acquired or           Tight hymenal ring acquired or congenital
    congenital                    Tight introitus acquired or congenital

Excludes:    imperforate hymen (752.4)

623.4   Old vaginal laceration

Excludes:    old laceration involving muscles of pelvic floor (618.7)

623.5   Leukorrhea, not specified as infective

Excludes:    trichomonal (131.0)

623.6   Vaginal hematoma

Excludes:    current obstetrical trauma (665.7)

623.7   Polyp of vagina

623.8   Other

623.9   Unspecified

624     Noninflammatory disorders of vulva and perineum

Excludes:    abnormality of vulva and perineum complicating pregnancy,
                  labor, or delivery (654.8)
             condyloma acuminatum (078.1)
             fistulas involving:
                  perineum - see Alphabetic Index
                  vulva (619.-)
             vulval involvement in skin conditions (690-709)

624.0   Dystrophy of vulva

Kraurosis of vulva                Leukoplakia of vulva

Excludes:    carcinoma in situ of vulva (233.3)

624.1   Atrophy of vulva

624.2   Hypertrophy of clitoris

Excludes:    in endocrine disorders (255.2, 256.1)

624.3   Hypertrophy of labia

Hypertrophy of vulva NOS

624.4   Old laceration or scarring of vulva

624.5   Hematoma of vulva

Excludes:    that complication of delivery (664.5)

624.6   Polyp of labia and vulva

624.8   Other

624.9   Unspecified

625     Pain and other symptoms associated with female genital organs

625.0   Dyspareunia

Excludes:    when associated with frigidity (302.7)

625.1   Vaginismus

Excludes:    psychogenic vaginismus (306.5)

625.2   Mittelschmerz

625.3   Dysmenorrhea

Excludes:    psychogenic dysmenorrhea (306.5)

625.4   Premenstrual tension syndromes

Menstrual migraine

625.5   Pelvic congestion syndrome

625.6   Stress incontinence, female

625.8   Other

625.9   Unspecified

626     Disorders of menstruation and other abnormal bleeding from female
        genital tract

Excludes:    menopausal and premenopausal bleeding (627.0)
             pain and other symptoms associated with menstrual cycle (625.-)
             postmenopausal bleeding (627.1)

626.0   Absence of menstruation

Amenorrhea (primary) (secondary)

626.1   Scanty or infrequent menstruation

Hypomenorrhea                     Oligomenorrhea

626.2   Excessive or frequent menstruation

Heavy periods                     Menorrhagia
Menometrorrhagia                  Polymenorrhea

Excludes:    premenopausal (627.0)
             in puberty (626.3)

626.3   Puberty bleeding

Excessive bleeding associated with onset of menstrual periods
Pubertal menorrhagia

626.4   Irregular menstrual cycle

Irregular:
    bleeding NOS
    menstruation
    periods

626.5   Ovulation bleeding

Regular intermenstrual bleeding

626.6   Metrorrhagia

Bleeding unrelated to menstrual cycle
Irregular intermenstrual bleeding

626.7   Postcoital bleeding

626.8   Other

Dysfunctional or functional uterine hemorrhage NOS

626.9   Unspecified

627     Menopausal and postmenopausal disorders

627.0   Premenopausal menorrhagia

Menorrhagia:
    climacteric
    menopausal
    preclimacteric

627.1   Postmenopausal bleeding

627.2   Menopausal or female climacteric states

Symptoms such as flushing, sleeplessness, headache, lack of concentration,
    associated with the menopause

627.3   Postmenopausal atrophic vaginitis

Senile (atrophic) vaginitis

627.4   States associated with artificial menopause

Any condition in 627.1, .2, or .3 which follows induced menopause
Post-artificial-menopause syndromes

627.8   Other

Excludes:    premature menopause NOS (256.3)

627.9   Unspecified

628     Infertility, female

Includes:    primary and secondary sterility

628.0   Associated with anovulation

628.2   Of tubal origin

Associated with:
    congenital anomaly of tube
Tubal:
    block
    occlusion
    stenosis

628.3   Of uterine origin

Associated with:
    congenital anomaly of uterus
Nonimplantation

628.4   Of cervical or vaginal origin

Associated with:
    anomaly or cervical mucus
    congenital structural anomaly

628.8   Of other specified origin

628.9   Of unspecified origin

629     Other disorders of female genital organs

629.0   Hematocele, female

Excludes:    when associated with ectopic pregnancy (633.-)

629.1   Hydrocele, canal of Nuck

Cyst of canal of Nuck

629.8   Other

629.9   Unspecified
        XI.  COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM

                    PREGNANCY WITH ABORTIVE OUTCOME (630-639)

630     Hydatidiform mole

Trophoblastic disease NOS
Vesicular mole

Excludes:    chorionepithelioma (181)

631     Other abnormal product of conception

Blighted ovum
Mole:
    NOS
    carneous
    fleshy

Excludes:    with mention of conditions in 630 (630)

632     Missed abortion

Early fetal death with retention of dead fetus
Retained products of conception, not following spontaneous or induced
    abortion or delivery

Excludes:    failed induced abortion (638)
             missed delivery (656.4)
             with abnormal product of conception (630, 631)

633     Ectopic pregnancy

Includes:    ruptured ectopic pregnancy

633.0   Abdominal pregnancy

633.1   Tubal pregnancy

Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy
Tubal abortion

633.2   Ovarian pregnancy

633.8   Other ectopic pregnancy

Pregnancy:                                Pregnancy:
    cervical                                  intraligamentous
    combined                                  mesometric
    cornual                                   mural

633.9   Unspecified

The following fourth-digit subdivisions are for use with categories 634-638:

    .0   Complicated by genital tract and pelvic infection [any condition
             listed in 639.0]

    .1   Complicated by delayed or excessive hemorrhage [any condition
             listed in 639.1]

    .2   Complicated by damage to pelvic organs and tissues [any condition
             listed in 639.2]

    .3   Complicated by renal failure [any condition listed in 639.3]

    .4   Complicated by metabolic disorder [any condition listed in 639.4]

    .5   Complicated by shock [any condition listed in 639.5]

    .6   Complicated by embolism [any condition listed in 639.6]

    .7   With other specified complications [any condition listed in 639.8]

    .8   With unspecified complications

    .9   Without mention of complication

634     Spontaneous abortion

[See fourth-digit subdivisions listed prior to 634]

Includes:    spontaneous abortion (complete) (incomplete)

635     Legally induced abortion

[See fourth-digit subdivisions listed prior to 634]

Includes:    abortion:
                  legal
                  therapeutic
             termination of pregnancy:
                  legal
                  therapeutic

Excludes:    menstrual extraction or regulation 

636     Illegally induced abortion

[See fourth-digit subdivisions listed prior to 634]

Includes:    abortion (complete) (incomplete):
                  criminal
                  illegal

637     Unspecified abortion

[See fourth-digit subdivisions listed prior to 634]

Includes:    abortion (complete) (incomplete) NOS
             retained products of conception following abortion, not
                  classifiable elsewhere

638     Failed attempted abortion

[See fourth-digit subdivisions listed prior to 634]

Includes:    failure of attempted induction of (legal) abortion

Excludes:    incomplete abortion (634-637)

639     Complications following abortion and ectopic and molar pregnancies

[Not to be used for underlying cause of death]

Note:   This category is provided for use when it is required to classify
        separately the complications listed at fourth-digit level in
        categories 634-638; for example:
        a)   when the complication itself was responsible for an episode
             of medical care, the abortion, ectopic or molar pregnancy
             itself having been dealt with at a previous episode
        b)   when these conditions are immediate complications of ectopic
             or molar pregnancies classifiable to 630-633 where they
             cannot be identified at fourth-digit level.

639.0   Genital tract and pelvic infection

Endometritis following conditions classifiable to 630-638
Parametritis following conditions classifiable to 630-638
Pelvic peritonitis following conditions classifiable to 630-638
Salpingitis following conditions classifiable to 630-638
Salpingo-oophoritis following conditions classifiable to 630-638
Sepsis NOS following conditions classifiable to 630-638
Septicemia NOS following conditions classifiable to 630-638

Excludes:    urinary tract infection (639.8)

639.1   Delayed or excessive hemorrhage

Afibrinogenemia following conditions classifiable to 630-638
Defibrination syndrome following conditions classifiable to 630-638
Intravascular hemolysis following conditions classifiable to 630-638

639.2   Damage to pelvic organs and tissues

Laceration, perforation, or tear of:
    bladder following conditions classifiable to 630-638
    bowel following conditions classifiable to 630-638
    broad ligament following conditions classifiable to 630-638
    cervix following conditions classifiable to 630-638
    periurethral tissue following conditions classifiable to 630-638
    uterus following conditions classifiable to 630-638

639.3   Renal failure

Oliguria following conditions classifiable to 630-638
Renal:
    failure (acute) following conditions classifiable to 630-638
    shutdown following conditions classifiable to 630-638
    tubular necrosis following conditions classifiable to 630-638
Uremia following conditions classifiable to 630-638

639.4   Metabolic disorders

Electrolyte imbalance following conditions classifiable to 630-638

639.5   Shock

Circulatory collapse following conditions classifiable to 630-638
Shock (postoperative) (septic) following conditions classifiable to 630-638

639.6   Embolism

Embolism:
    NOS following conditions classifiable to 630-638
    air following conditions classifiable to 630-638
    amniotic fluid following conditions classifiable to 630-638
    blood-clot following conditions classifiable to 630-638
    pulmonary following conditions classifiable to 630-638
    pyemic following conditions classifiable to 630-638
    septic following conditions classifiable to 630-638
    soap following conditions classifiable to 630-638

639.8   Other specified complications

Cardiac arrest or failure following conditions classifiable to 630-638
Cerebral anoxia following conditions classifiable to 630-638

639.9   Unspecified complications following conditions classifiable to
        630-638



        COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-648)

Includes:    the listed conditions even if they arose or were present during
                  labor, delivery, or the puerperium

640     Hemorrhage in early pregnancy

[Do not use fourth digit for underlying cause of death]

Includes:    hemorrhage before completion of 22 weeks' gestation

640.0   Threatened abortion

640.8   Other

640.9   Unspecified

641     Antepartum hemorrhage, abruptio placentae, and placenta previa

[Do not use fourth digit for underlying cause of death]

641.0   Placenta previa without hemorrhage

Low implantation of placenta without hemorrhage
Placenta previa noted:
    during pregnancy
    before labor (and delivered by cesarean section) without mention of
         hemorrhage

641.1   Hemorrhage from placenta previa

Low-lying placenta NOS or with hemorrhage (intrapartum)
Placenta previa NOS or with hemorrhage (intrapartum)
    marginal NOS or with hemorrhage (intrapartum)
    partial NOS or with hemorrhage (intrapartum)
    total NOS or with hemorrhage (intrapartum)

Excludes:    hemorrhage from vasa previa (663.5)

641.2   Premature separation of placenta

Ablatio placentae
Abruptio placentae
Accidental antepartum hemorrhage
Premature separation of normally implanted placenta

641.3   Antepartum hemorrhage associated with coagulation defects

Antepartum or intrapartum hemorrhage associated with:
    afibrinogenemia
    hyperfibrinolysis
    hypofibrinogenemia

641.8   Other antepartum hemorrhage

Antepartum or intrapartum hemorrhage associated with:
    trauma
    uterine leiomyoma

641.9   Unspecified antepartum hemorrhage

Hemorrhage:
    antepartum NOS
    intrapartum NOS
    of pregnancy NOS

642     Hypertension complicating pregnancy, childbirth, and the puerperium

642.0   Benign essential hypertension complicating pregnancy, childbirth,
        and the puerperium

Hypertension:
    benign essential specified as complicating, or as a reason for obstetric
         care during pregnancy, childbirth, or the puerperium
    chronic NOS specified as complicating, or as a reason for obstetric care
         during pregnancy, childbirth, or the puerperium
    essential specified as complicating, or as a reason for obstetric care
         during pregnancy, childbirth, or the puerperium
    pre-existing NOS specified as complicating, or as a reason for obstetric
         care during pregnancy, childbirth, or the puerperium

642.1   Hypertension secondary to renal disease, complicating pregnancy,
        childbirth, and the puerperium

Hypertension secondary to renal disease, specified as complicating, or as a
    reason for obstetric care during pregnancy, childbirth, or the puerperium

642.2   Other pre-existing hypertension complicating pregnancy, childbirth,
        and the puerperium

Malignant hypertension specified as complicating, or as a reason for
    obstetric care during pregnancy, childbirth, or the puerperium
Hypertensive:
    heart disease specified as complicating, or as a reason for obstetric
         care during pregnancy, childbirth, or the puerperium
    heart and renal disease specified as complicating, or as a reason for
         obstetric care during pregnancy, childbirth, or the puerperium
    renal disease specified as complicating, or as a reason for obstetric
         care during pregnancy, childbirth, or the puerperium

642.3   Transient hypertension of pregnancy

Transient hypertension, so described, in pregnancy, childbirth, or the
    puerperium

642.4   Mild or unspecified pre-eclampsia

Hypertension in pregnancy, childbirth, or the puerperium, not specified as
    pre-existing, with either albuminuria or edema, or both; mild or
    unspecified

Pre-eclampsia:                            Toxemia (pre-eclamptic):
    NOS                                       NOS
    mild                                      mild

Excludes:    albuminuria in pregnancy, without mention of hypertension (646.2)
             edema in pregnancy, without mention of hypertension (646.1)

642.5   Severe pre-eclampsia

Hypertension in pregnancy, childbirth, or the puerperium, not specified as
    pre-existing, with either albuminuria or edema, or both; specified as
    severe
         Pre-eclampsia, severe
         Toxemia (pre-eclamptic), severe

642.6   Eclampsia

Toxemia:
    eclamptic
    with convulsions

642.7   Pre-eclampsia or eclampsia superimposed on pre-existing hypertension

Conditions in 642.4-642.6, with conditions in 642.0-642.2

642.9   Unspecified hypertension complicating pregnancy, childbirth, and the
        puerperium

Hypertension NOS, without mention of albuminuria or edema, complicating
    pregnancy, childbirth, or the puerperium

643     Excessive vomiting in pregnancy

[Do not use fourth digit for underlying cause of death]

643.0   Mild hyperemesis gravidarum

Hyperemesis gravidarum, mild or unspecified, starting before the end of the
    22nd week

643.1   Hyperemesis gravidarum with metabolic disturbance

Hyperemesis gravidarum, starting before the end of the 22nd, with metabolic
    disturbance, such as:
         carbohydrate depletion
         dehydration
         electrolyte imbalance

643.2   Late vomiting of pregnancy

Excessive vomiting starting after 22 completed weeks of gestation

643.8   Other vomiting complicating pregnancy

Vomiting due to organic disease or other cause, specified as complicating
    pregnancy, or as a reason for obstetric care during pregnancy

Use additional code, if desired to identify cause

643.9   Unspecified vomiting of pregnancy

Vomiting as a reason for care during pregnancy, length of gestation
    unspecified

644     Early or threatened labor

[Do not use fourth digit for underlying cause of death]

644.0   Threatened labor

False labor

644.1   Early onset of delivery

Onset (spontaneous) of delivery before 37 completed weeks of gestation

645     Prolonged pregnancy

Post-dates                              Post-term

646     Other complications of pregnancy, not elsewhere classified

646.0   Papyraceous fetus

646.1   Edema or excessive weight gain in pregnancy, without mention of
        hypertension

Gestational edema

Excludes:    with mention of hypertension (642.-)

646.2   Unspecified renal disease in pregnancy, without mention of
        hypertension

Albuminuria in pregnancy without mention of hypertension
Nephropathy NOS in pregnancy without mention of hypertension
Renal disease NOS in pregnancy without mention of hypertension
Gestational proteinuria

Excludes:    with mention of hypertension (642.-)

646.3   Habitual aborter

Excludes:    with current abortion (634.-)
             without current pregnancy (629.9)

646.4   Peripheral neuritis in pregnancy

646.5   Asymptomatic bacteriuria in pregnancy

646.6   Infections of genitourinary tract in pregnancy

Conditions in 590, 595, 597, 599.0, 614-616 complicating pregnancy or labor

Excludes:    major puerperal infection (670)

646.7   Liver disorders in pregnancy

Excludes:    hepatorenal syndrome following delivery (674.8)

646.8   Other specified complications of pregnancy

Fatigue during pregnancy
Herpes gestationis

646.9   Unspecified complication of pregnancy

647     Infective and parasitic conditions in the mother classifiable
        elsewhere but complicating pregnancy, childbirth, or the puerperium

Includes:    the listed conditions when complicating the pregnant state,
                  aggravated by the pregnancy, or when a main reason for
                  obstetric care

Excludes:    when the reason for the mother's medical care is that the
                  condition is known or suspected to have affected the
                  fetus (655.-)

647.0   Syphilis

Conditions in 090-097

647.1   Gonorrhea

Conditions in 098

647.2   Other venereal diseases

Conditions in 099

647.3   Tuberculosis

Conditions in 010-018

647.4   Malaria

Conditions in 084

647.5   Rubella

Conditions in 056

647.6   Other viral diseases

Conditions in 042 and 050-079, except 056

647.8   Other specified infectious and parasitic diseases

647.9   Unspecified infection or infestation

648     Other current conditions in the mother classifiable elsewhere, but
        complicating pregnancy, childbirth, and the puerperium

Includes:    the listed conditions when complicating the pregnant state,
                  aggravated by the pregnancy, or when a main reason for
                  obstetric care

Excludes:    when the main reason for the mother's medical care is that the
                  condition is known or suspected to have affected the fetus
                  (655.-)

648.0   Diabetes mellitus

Conditions in 250

648.1   Thyroid dysfunction

Conditions in 240-246

648.2   Anemia

Conditions in 280-285

648.3   Drug dependence

Conditions in 304.-

648.4   Mental disorders

Conditions in 290-303, 305-316, 317-319

648.5   Congenital cardiovascular disorders

Conditions in 745-747

648.6   Other cardiovascular diseases

Conditions in 390-398, 410-459

Excludes:    cerebral hemorrhage in the puerperium (674.0)
             venous complications (671.-)

648.7   Bone and joint disorders of back, pelvis, and lower
        limbs

Conditions in 720-724, and those in 711-719 or 725-738, specified as
    affecting the lower limbs

648.8   Abnormal glucose tolerance

Conditions in 790.2

648.9   Other

Nutritional deficiencies (conditions in 260-269)


        NORMAL DELIVERY, AND OTHER INDICATIONS FOR
              CARE IN PREGNANCY, LABOR, AND DELIVERY (650-659)

650     Delivery in a completely normal case

Delivery without abnormality or complication classifiable elsewhere in
    categories 630-676, and with spontaneous cephalic delivery, without
    mention of manipulation or instrumentation

Excludes:    delivery by vacuum extractor, forceps, cesarean section, or
                  breech extraction, without specified complication
                  (669.5-669.7)

651     Multiple gestation

[Do not use fourth digit for underlying cause of death]

651.0   Twin pregnancy

651.1   Triplet pregnancy

651.2   Quadruplet pregnancy

651.8   Other

651.9   Unspecified

652     Malposition and malpresentation of fetus

[Do not use fourth digit for underlying cause of death]

Excludes:     with obstructed labor (660.0)

652.0   Unstable lie

652.1   Breech or other malpresentation successfully converted to cephalic
        presentation

Cephalic version NOS

652.2   Breech presentation without mention of version

Breech delivery (assisted) (spontaneous) NOS

652.3   Transverse or oblique presentation

        Oblique lie
        Transverse lie

Excludes:    transverse arrest of fetal head (660.3)

652.4   Face or brow presentation

Mentum presentation

652.5   High head at term

Failure of head to enter pelvic brim

652.6   Multiple gestation with malpresentation of one fetus or more

652.7   Prolapsed arm

652.8   Other specified malposition or malpresentation

Compound presentation

652.9   Unspecified malposition or malpresentation

653     Disproportion

[Do not use fourth digit for underlying cause of death]

Code also any associated obstructed labor (660.1)

653.0   Major abnormality of bony pelvis, not further
        specified

Pelvic deformity NOS

653.1   Generally contracted pelvis

Contracted pelvis NOS

653.2   Inlet contraction of pelvis

Inlet contraction (pelvis)

653.3   Outlet contraction of pelvis

Outlet contraction (pelvis)

653.4   Fetopelvic disproportion

Cephalopelvic disproportion NOS
Disproportion of mixed maternal and fetal origin, with normally formed fetus

653.5   Unusually large fetus causing disproportion

Disproportion of fetal origin with normally formed fetus
Fetal disproportion NOS

Excludes:    when the reason for medical care was concern for the fetus
                  (656.6)

653.6   Hydrocephalic fetus causing disproportion

Excludes:    that when the reason for medical care was concern for the fetus
                  (655.0)

653.7   Other fetal abnormality causing disproportion

Conjoined twins
Fetal:
    ascites
    hydrops
    myelomeningocele
    sacral teratoma
    tumor

653.8   Disproportion of other origin

653.9   Unspecified

654     Abnormality of organs and soft tissues of pelvis

[Do not use fourth digit for underlying cause of death]

Includes:    the listed conditions during pregnancy, childbirth, or the
                  puerperium

Excludes:    with obstructed labor (660.2)

654.0   Congenital abnormalities of uterus

Double uterus                                    Uterus bicornis

654.1   Tumors of body of uterus

Uterine fibroids

654.2   Uterine scar from previous surgery

Previous cesarean section NOS

654.3   Retroverted and incarcerated gravid uterus

654.4   Other abnormalities in shape or position of gravid uterus and of
        neighboring structures

Cystocele
Pelvic floor repair
Pendulous abdomen
Prolapse of gravid uterus
Rectocele
Rigid pelvic floor

654.5   Cervical incompetence

Shirodkar suture with or without mention of cervical incompetence

654.6   Other congenital or acquired abnormality of cervix

Polyp of cervix
Previous surgery to cervix
Tumor of cervix

654.7   Congenital or acquired abnormality of vagina

Previous surgery to vagina
Septate vagina
Stenosis of vagina (acquired) (congenital)
Stricture of vagina
Tumor of vagina

654.8   Congenital or acquired abnormality of vulva

Fibrosis of perineum
Persistent hymen
Previous surgery to perineum or vulva
Rigid perineum
Tumor of vulva

Excludes:    varicose veins of vulva (671.1)

654.9   Unspecified

655     Known or suspected fetal abnormality affecting management of mother

[Do not use fourth digit for underlying cause of death]

Includes:    the listed conditions in the fetus as a reason for observation
                  or obstetrical care to the mother, or for termination of
                  pregnancy

655.0   Central nervous system malformation in fetus

Fetal or suspected fetal:
    anencephaly
    hydrocephalus
    spina bifida

655.1   Chromosomal abnormality in fetus

655.2   Hereditary disease in family possibly affecting fetus

655.3   Suspected damage to fetus from viral disease in the mother

Suspected damage to fetus from maternal rubella

655.4   Suspected damage to fetus from other disease in the mother

Suspected damage to fetus from maternal:
    alcohol addiction
    listeriosis
    toxoplasmosis

655.5   Suspected damage to fetus from drugs

Excludes:    fetal distress in labor and delivery due to drug administration
                  (656.3)

655.6   Suspected damage to fetus from radiation

655.8   Other known or suspected fetal abnormality, not elsewhere classified

Suspected damage to fetus from intrauterine contraceptive device

655.9   Unspecified

656     Other fetal and placental problems affecting management of mother

[Do not use fourth digit for underlying cause of death]

656.0   Fetal-maternal hemorrhage

Leakage (microscopic) of fetal blood into maternal circulation

656.1   Rhesus isoimmunization

Anti-D [Rh] antibodies
Rh incompatibility

656.2   Isoimmunization from other and unspecified blood-group
        incompatibility

ABO isoimmunization

656.3   Fetal distress
 
Abnormal fetal:
    acid-base balance
    heart rate or rhythm
Fetal:
    acidemia
    bradycardia
Meconium in liquor

656.4   Intrauterine death

656.5   Poor fetal growth

"Light-for-dates"
"Placental insufficiency"
"Small-for-dates"

656.6   Excessive fetal growth

"Large-for-dates"

656.7   Other placental conditions

Abnormal placenta
Placental infarct

656.8   Other

656.9   Unspecified

657     Polyhydramnios

Hydramnios

658     Other problems associated with amniotic cavity and membranes

[Do not use fourth digit for underlying cause of death]

Excludes:    amniotic fluid embolism (673.1)

658.0   Oligohydramnios

Oligohydramnios without mention of rupture of membranes

658.1   Premature rupture of membranes

658.2   Delayed delivery after spontaneous or unspecified rupture of
        membranes

658.3   Delayed delivery after artificial rupture of membranes

658.4   Infection of amniotic cavity

Amnionitis
Chorioamnionitis
Membranitis
Placentitis

658.8   Other

658.9   Unspecified

659     Other indications for care or intervention related to labor and
        delivery, not elsewhere classified

[Do not use fourth digit for underlying cause of death]

Requires fifth digit; valid digits are in [brackets] under each code.
See beginning of section 650-659 for definitions.

659.0   Failed mechanical induction

Failure of induction of labor by surgical or other instrumental methods

659.1   Failed medical or unspecified induction

Failed induction NOS
Failure of induction of labor by medical methods, such as oxytocic drugs

659.2   Maternal pyrexia during labor, unspecified

659.3   Generalized infection during labor

Septicemia during labor

659.4   Grand multiparity

659.5   Elderly primigravida

659.8   Other

659.9   Unspecified


     COMPLICATIONS OCCURRING MAINLY IN THE
                   COURSE OF LABOR AND DELIVERY (660-669)

660     Obstructed labor

[Do not use fourth digit for underlying cause of death]

660.0   Obstruction caused by malposition of fetus at onset of labor

Any condition in 652.-, causing obstruction during labor

Use additional code from 652.-, if desired, to identify condition

660.1   Obstruction by bony pelvis

Any condition in 653.-, if desired, causing obstruction during labor

Use additional code from 653.-, if desired, to identify condition

660.2   Obstruction by abnormal pelvic soft tissues

Any condition in 654.-, causing obstruction during labor
Prolapse of anterior lip of cervix

Use additional code from 654.-, if desired, to identify condition

660.3   Deep transverse arrest and persistent occipitoposterior or
        occipitoanterior position

660.4   Shoulder dystocia

Impacted shoulders

660.5   Locked twins

660.6   Failed trial of labor, unspecified

Failed trial of labor, without mention of condition or suspected condition,
    and with subsequent delivery by caesarean section

660.7   Failed forceps or ventouse, unspecified

Application of ventouse or forceps, without mention of condition, with
    subsequent delivery by forceps or caesarean section respectively

660.8   Other

660.9   Unspecified

Dystocia:
    NOS
    fetal NOS
    maternal NOS

661     Abnormality of forces of labor

[Do not use fourth digit for underlying cause of death]

661.0   Primary uterine inertia

Failure of cervical dilatation
Hypotonic uterine dysfunction, primary

661.1   Secondary uterine inertia

Arrested active phase of labor
Hypotonic uterine dysfunction, secondary

661.2   Other and unspecified uterine inertia

Atony of uterus
Desultory labor
Irregular labor
Poor contractions

661.3   Precipitate labor

661.4   Hypertonic, incoordinate, or prolonged uterine contractions

Cervical spasm
Contraction ring (dystocia)
Dyscoordinate labor
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Retraction ring (Bandl's) (pathological)
Tetanic contractions
Uterine dystocia NOS
Uterine spasm

661.9   Unspecified

662     Long labor

[Do not use fourth digit for underlying cause of death]

662.0   Prolonged first stage

662.1   Prolonged labor, unspecified

662.2   Prolonged second stage

662.3   Delayed delivery of second twin, triplet, etc.

663     Umbilical cord complications

[Do not use fourth digit for underlying cause of death]

663.0   Prolapse of cord

Presentation of cord

663.1   Cord around neck, with compression

Cord tightly around neck


663.2   Other and unspecified cord entanglement, with compression

Entanglement of cords of twins in mono-amniotic sac
Knot in cord

663.3   Other and unspecified cord entanglement, without mention of
        compression

663.4   Short cord

663.5   Vasa previa

663.6   Vascular lesions of cord

Bruising of cord
Hematoma of cord
Thrombosis of vessels of cord

663.8   Other

663.9   Unspecified

664     Trauma to perineum and vulva during delivery

[Do not use fourth digit for underlying cause of death]

664.0   First-degree perineal laceration

Perineal laceration, rupture, or tear (involving):
    fourchette
    hymen
    labia
    skin
    slight
    vagina
    vulva

664.1   Second-degree perineal laceration

Perineal laceration, rupture, or tear (following episiotomy) involving:
    pelvic floor
    perineal muscles
    vaginal muscles

Excludes:    involving anal sphincter (664.2)

664.2   Third-degree perineal laceration

Perineal laceration, rupture, or tear (following episiotomy) involving:
    anal sphincter
    rectovaginal septum
    sphincter NOS

Excludes:    with anal or rectal mucosal (664.3)

664.3   Fourth-degree perineal laceration

Perineal laceration, rupture, or tear as in 664.2 and involving also:
    anal mucosa
    rectal mucosa

664.4   Unspecified perineal laceration

Central laceration

664.5   Vulval and perineal hematoma

664.8   Other

664.9   Unspecified

665     Other obstetrical trauma

[Do not use fourth digit for underlying cause of death]

Includes:    damage from instruments

665.0   Rupture of uterus before onset of labor

665.1   Rupture of uterus during and after labor

Rupture of uterus NOS

665.2   Inversion of uterus

665.3   Laceration of cervix

665.4   High vaginal laceration

Laceration of vaginal wall without mention of perineal laceration

665.5   Other injury to pelvic organs

Injury to:
    bladder
    urethra

665.6   Damage to pelvic joints and ligaments

Avulsion of inner symphyseal cartilage
Damage to coccyx
Separation of symphysis (pubis)

665.7   Pelvic hematoma

Hematoma of vagina

665.8   Other

665.9   Unspecified

666     Postpartum hemorrhage

[Do not use fourth digit for underlying cause of death]

666.0   Third-stage hemorrhage

Hemorrhage associated with retained, trapped, or adherent placenta
Retained placenta NOS

666.1   Other immediate postpartum hemorrhage

Hemorrhage following delivery of placenta
Postpartum hemorrhage (atonic) NOS

666.2   Delayed and secondary postpartum hemorrhage

Hemorrhage associated with retained portions of placenta or membranes
Postpartum hemorrhage specified as delayed or secondary
Retained products of conception, NOS, following delivery

666.3   Postpartum coagulation defects

Postpartum:
    afibrinogenemia
    fibrinolysis

667     Retained placenta or membranes, without hemorrhage

[Do not use fourth digit for underlying cause of death]

667.0   Retained placenta without hemorrhage

Placenta accreta without hemorrhage
Retained placenta without hemorrhage:
    NOS without hemorrhage
    total without hemorrhage

667.1   Retained portions of placenta or membranes, without hemorrhage

Retained products of conception following delivery, without hemorrhage

668     Complications of the administration of anesthetic or other sedation
        in labor and delivery

[Do not use fourth digit for underlying cause of death]

Includes:    complications arising from the administration of a general or
                  local anesthetic, analgesic, or other sedation in labor
                  and delivery

668.0   Pulmonary complications

Inhalation of stomach contents or secretions
Mendelson's syndrome
Pressure collapse of lung

668.1   Cardiac complications

Cardiac:
    arrest
    failure

668.2   Central nervous system complications

Cerebral anoxia

668.8   Other

668.9   Unspecified

669     Other complications of labor and delivery, not elsewhere classified

[Do not use fourth digit for underlying cause of death]

669.0   Maternal distress

669.1   Shock during or following labor and delivery

Obstetric shock

669.2   Maternal hypotension syndrome

669.3   Acute renal failure following labor and delivery

669.4   Other complications of obstetrical surgery and procedures

Cardiac:           }  following cesarean or other
    arrest         }  obstetrical surgery or
    failure        }  procedure, including delivery
Cerebral anoxia    }  NOS

Excludes:    complications of obstetrical surgical wounds (674.3)

669.5   Forceps or ventouse delivery without mention of indication

Delivery by vacuum extractor, without mention of indication

669.6   Breech extraction, without mention of indication

Excludes:    breech delivery NOS (652.2)

669.7   Cesarean delivery, without mention of indication

669.8   Other

669.9   Unspecified


                   COMPLICATIONS OF THE PUERPERIUM (670-676)

Note:   Categories 671 and 673-676 include the listed conditions even if
        they occur during pregnancy or childbirth.

670     Major puerperal infection

Puerperal:
    endometritis
    fever
    pelvic cellulitis
    pelvic sepsis
    peritonitis

Excludes:    infection following abortion (639.0)
             minor genital tract infection following delivery (646.6)
             urinary tract infection following delivery (646.6)

671     Venous complications in pregnancy and the puerperium

[Do not use fourth digit for underlying cause of death]

671.0   Varicose veins of legs

Varicose veins NOS

671.1   Varicose veins of vulva and perineum

671.2   Superficial thrombophlebitis

Thrombophlebitis (superficial)

671.3   Deep phlebothrombosis, antepartum

Deep-vein thrombosis, antepartum

671.4   Deep phlebothrombosis, postpartum

Deep-vein thrombosis, postpartum
Pelvic thrombophlebitis, postpartum

671.5   Other phlebitis and thrombosis

Cerebral venous thrombosis

671.8   Other

Hemorrhoids

671.9   Unspecified

Phlebitis NOS
Thrombosis NOS

672     Pyrexia of unknown origin during the puerperium

Puerperal pyrexia NOS

673     Obstetrical pulmonary embolism

[Do not use fourth digit for underlying cause of death]

Includes:    pulmonary emboli in pregnancy, childbirth, or the puerperium,
                  or specified as puerperal

Excludes:    embolism following abortion (639.6)

673.0   Obstetrical air embolism

673.1   Amniotic fluid embolism

673.2   Obstetrical blood-clot embolism

Puerperal pulmonary embolism NOS

673.3   Obstetrical pyemic and septic embolism

673.8   Other

Fat embolism

674     Other and unspecified complications of the puerperium, not elsewhere
        classified

[Do not use fourth digit for underlying cause of death]

674.0   Cerebrovascular disorders in the puerperium

Any condition in 430-434, 436-437 occurring during pregnancy, childbirth,
    or the puerperium, or specified as puerperal

674.1   Disruption of cesarean wound

674.2   Disruption of perineal wound

Breakdown of perineum
Disruption of wound of:
    episiotomy
    perineal laceration
Secondary perineal tear

674.3   Other complications of obstetrical surgical wounds

Hematoma of cesarean section or perineal wound
Hemorrhage of cesarean section or perineal wound
Infection of cesarean section or perineal wound

Excludes:    damage from instruments in delivery (664.-, 665.-)

674.4   Placental polyp

674.8   Other

Hepatorenal syndrome, following delivery
Postpartum:
    cardiomyopathy
    subinvolution of uterus

674.9   Unspecified

Sudden death of unknown cause during the puerperium

675     Infections of the breast and nipple associated with childbirth

[Do not use fourth digit for underlying cause of death]

675.0   Infections of nipple

Abscess of nipple

675.1   Abscess of breast

Mammary abscess
Subareolar abscess
Purulent mastitis

675.2   Nonpurulent mastitis

Lymphangitis of breast
Mastitis:
    NOS
    interstitial
    parenchymatous

675.8   Other

675.9   Unspecified

676     Other disorders of the breast associated with childbirth and
        disorders of lactation

[Do not use fourth digit for underlying cause of death]

Includes:    the listed conditions during pregnancy, the puerperium, or
                  lactation

676.0   Retracted nipple

676.1   Cracked nipple

Fissure of nipple

676.2   Engorgement of breasts

676.3   Other and unspecified disorder of breast

676.4   Failure of lactation

Agalactia

676.5   Suppressed lactation

676.6   Galactorrhea

Excludes:    galactorrhea not associated with childbirth (611.6)

676.8   Other disorders of lactation

Galactocele

676.9   Unspecified disorder of lactation
        XII.  DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE

              INFECTIONS OF SKIN AND SUBCUTANEOUS TISSUE (680-686)

Excludes:    certain local infections of skin classified under "Infectious
                  and Parasitic Diseases," such as:
                       erysipelas (035)
                       erysipeloid of Rosenbach (027.1)
                       herpes:
                            simplex (054.-)
                            zoster (053.-)
                       molluscum contagiosum (078.0)
                       viral warts (078.1)

680     Carbuncle and furuncle

Includes:    boil                 furunculosis

680.0   Face

Ear [any part]                    Nose (septum)
Face [any part, except eye]       Temple (region)

Excludes:    eyelid (373.1)
             lacrimal glands or sac (375.3)
             orbit (376.0)

680.1   Neck

680.2   Trunk

Abdominal wall                    Chest wall
Back [any part, except            Groin
    buttocks]                     Perineum
Breast                            Umbilicus

680.3   Upper arm and forearm

Arm [any part, except hand]       Shoulder
Axilla

680.4   Hand

Finger                            Wrist
Thumb

680.5   Buttock

Anus                              Gluteal region

680.6   Leg, except foot

Ankle                             Knee
Hip                               Thigh

680.7   Foot

Heel                              Toe

680.8   Other specified sites

Head [any part, except face]      Scalp

Excludes:    genital organs (external) (607.2, 608.4, 616.4)

680.9   Unspecified site

Boil NOS                          Furuncle NOS

681     Cellulitis and abscess of finger and toe

Includes:    cellulitis of finger or toe }
             felon                       }
             infection, nail             } (with
             onychia                     } lymphangitis)
             panaritium                  }
             paronychia                  }
             perionychia                 }

Use additional code, if desired, to identify infectious organism

681.0   Finger

681.1   Toe

681.9   Unspecified digit

682     Other cellulitis and abscess

Includes:    abscess (acute) (with lymphangitis) except of
               finger or toe
             cellulitis (diffuse) (with lymphangitis)
               except of finger or toe
             lymphangitis, acute (with lymphangitis)
               except of finger or toe

Excludes:    cellulitis or abscess of:
                  anal and rectal regions (566)
                  external auditory canal (380.1)
                  external genital organs:
                       female (616.4)
                       male (607.2, 608.4)
                  eyelid (373.1)
                  lacrimal apparatus (375.3)
                  nose, except external (478.1)
                  orbit (376.01)
             lymphangitis (chronic) (subacute) (457.2)

Use additional code, if desired, to identify infectious organism

682.0   Face

Cheek                             Nose
Chin                              Submandibular
Forehead                          Temple (region)

Excludes:    ear (380.1)

682.1   Neck

682.2   Trunk

Abdominal wall                    Groin
Back [any part, except            Pectoral region
    buttock]                      Perineum
Chest wall                        Umbilicus

Excludes:    of umbilicus in newborn (771.4)

682.3   Upper arm and forearm

Arm [any part, except hand]       Shoulder
Axilla

Excludes:    hand (682.4)

682.4   Hand, except fingers

Hand [except finger or thumb]     Wrist

Excludes:    finger and thumb (681.0)

682.5   Buttock

Gluteal region

682.6   Leg, except foot

Ankle                             Knee
Hip                               Thigh

682.7   Foot, except toes

Heel

Excludes:    toe (681.1)

682.8   Other specified sites

Head [except face]                Scalp

682.9   Unspecified site

Abscess NOS                       Cellulitis NOS

683     Acute lymphadenitis

Abscess (acute)       }
Adenitis, acute       }  any lymph node except mesenteric
Lymphadenitis, acute  }

Excludes:    enlarged glands NOS (785.6)
             lymphadenitis:
                  chronic or subacute, except mesenteric (289.1)
                  mesenteric (acute) (chronic) (subacute) (289.2)
                  unspecified (289.3)

Use additional code, if desired, to identify infectious organism

684     Impetigo

Impetiginization of other dermatoses
Impetigo (contagiosa) [any site] [any organism]:
    bullous
    circinate
    neonatorum
    simplex
Pemphigus neonatorum

Excludes:    impetigo herpetiformis (694.3)

685     Pilonidal cyst

Includes:    fistula, coccygeal or pilonidal
             sinus, coccygeal or pilonidal

685.0   With abscess

685.1   Without mention of abscess

686     Other local infections of skin and subcutaneous tissue

Use additional code, if desired, to identify any infectious organism

686.0   Pyoderma

Dermatitis:                       Dermatitis, suppurative
    purulent
    septic

686.1   Pyogenic granuloma

Granuloma:                        Granuloma telangiectaticum
    septic
    suppurative

686.8   Other local infections of skin and subcutaneous tissue

Dermatitis vegetans               Perleche
Ecthyma

Excludes:    dermatitis infectiosa eczematoides (690) panniculitis (729.3)

686.9   Unspecified local infection of skin and subcutaneous tissue



    OTHER INFLAMMATORY CONDITIONS OF SKIN AND SUBCUTANEOUS TISSUE
(690-698)

Excludes:    panniculitis (729.3)

690     Erythematosquamous dermatosis

Dermatitis infectiosa             Seborrheic:
    eczematoides                       dermatitis
Parakeratosis                          eczema
Pityriasis:
    capitis
    simplex

Excludes:    eczematous dermatitis of eyelid (373.3)
             psoriasis (696.0-696.1)

691     Atopic dermatitis and related conditions

691.0   Diaper or napkin rash

Diaper or napkin:                 Psoriasiform napkin eruption
    dermatitis
    erythema
    rash

691.8   Other

Atopic dermatitis                 Neurodermatitis:
Eczema:                               atopic
    atopic                            diffuse (Brocq)
    flexural
    infantile (acute) (chronic)
    intrinsic (allergic)

692     Contact dermatitis and other eczema

Includes:    dermatitis:                        eczema (acute) (chronic):
                  NOS                                NOS
                  contact                            allergic
                  occupational                       erythematous
                  venenata                           occupational

Excludes:    allergy NOS (995.3)
             contact dermatitis of eyelids (373.3)
             dermatitis due to ingested substances (693.-)
             eczema of external ear (380.2)
             perioral dermatitis (695.3)

692.0   Due to detergents

692.1   Due to oils and greases

692.2   Due to solvents

Solvents of:
    chlorocompound group
    cyclohexane group
    ester group
    glycol group
    hydrocarbon group
    ketone group

692.3   Due to drugs and medicines in contact with skin

Arnica                            Neomycin
Fungicides                        Phenol
Iodine                            Scabicides
Keratolytics                      Any drug causing contact
Mercury                                dermatitis

Excludes:    allergy NOS due to drugs (995.2, E930-E949)
             dermatitis due to ingested drugs (693.0)

Use additional E code, if desired, to identify drug

692.4   Due to other chemical products

Acids                             Insecticide
Adhesive plaster                  Nylon
Alkalis                           Plastic
Caustics                          Rubber
Dichromate

692.5   Due to food in contact with skin

Cereals                           Fruit
Fish                              Meat
Flour                             Milk

Excludes:    dermatitis due to:
                  dyes (692.8)
                  ingested foods (693.1)
                  preservatives (692.8)

692.6   Due to plants [except food]

Lacquer tree [Rhus verniciflua]
Poison:
    ivy [Rhus toxicodendron]
    oak [Rhus diversiloba]
    sumac [Rhus venenata]
    vine [Rhus radicans]
Primrose [Primula]
Ragweed [Senecio jacobaea]

Excludes:    allergy NOS due to pollen (477.0)

692.7   Due to solar radiation

Hydroa (aestivale) Sunburn


692.8   Due to other specified agents

Due to:                     Due to:
    cold weather                light
    cosmetics                   preservatives
    dyes                        Radiation NOS
    furs                        Ultraviolet rays
    hot weather                 X-rays
    Infra-red rays

Excludes:    allergy NOS due to animal hair, dander (animal), or dust (477.8)

692.9   Unspecified cause

Dermatitis:
    NOS
    contact NOS
    venenata NOS
Eczema NOS

693     Dermatitis due to substances taken internally

Excludes:    adverse effect NOS of drugs and medicines (995.2)
             allergy NOS (995.3)
             contact dermatitis (692.-)
             urticarial reactions (708.0, 995.1)

693.0   Due to drugs and medicines

Use additional E code, if desired, to identify drug

693.1   Due to food

693.8   Due to other specified substances

693.9   Due to unspecified substance

Excludes:    dermatitis NOS (692.9)

694     Bullous dermatoses

694.0   Dermatitis herpetiformis

Dermatosis herpetiformis
Duhring's disease
Hydroa herpetiformis

Excludes:    senile dermatitis herpetiformis (694.5)

694.1   Subcorneal pustular dermatosis

Sneddon-Wilkinson disease or syndrome

694.2   Juvenile dermatitis herpetiformis

694.3   Impetigo herpetiformis

694.4   Pemphigus

Pemphigus:
    erythematosus
    foliaceus
    malignant
    vegetans
    vulgaris
Pemphigus NOS

Excludes:    pemphigus neonatorum (684)

694.5   Pemphigoid

Benign pemphigus NOS              Herpes circinatus bullosus
Bullous pemphigoid                Senile dermatitis herpetiformis

694.6   Benign mucous membrane pemphigoid

Mucosynechial atrophic bullous dermatitis
Ocular pemphigoid

694.8   Other bullous dermatoses

Excludes:    herpes gestationis (646.8)

694.9   Unspecified

695     Erythematous conditions

695.0   Toxic erythema

695.1   Erythema multiforme

Erythema iris                     Stevens-Johnson syndrome
Herpes iris                       Toxic epidermal necrolysis

695.2   Erythema nodosum

Excludes:    tuberculous erythema nodosum (017.1)

695.3   Rosacea

Acne rosacea                      Rhinophyma
Perioral dermatitis

695.4   Lupus erythematosus

Lupus:
    erythematodes (discoid)
    erythematosus (discoid), not disseminated

Excludes:    lupus NOS or vulgaris (017.0)
             disseminated lupus erythematosus (710.0)

695.8   Other erythematous conditions

Erythema intertrigo               Pityriasis rubra (Hebra)
Intertrigo                        Ritter's disease

Excludes:    mycotic intertrigo (111.-)

695.9   Unspecified

Erythema NOS                      Erythroderma (secondary)

696     Psoriasis and similar disorders

696.0   Psoriatic arthropathy

696.1   Other psoriasis

Acrodermatitis continua           Psoriasis any type, except arthropathic

696.2   Parapsoriasis

Pityriasis lichenoides et varioliformis

696.3   Pityriasis rosea

Pityriasis circinata (et maculata)

696.4   Pityriasis rubra pilaris

Devergie's disease

Excludes:    pityriasis rubra (Hebra) (695.8)

696.5   Other and unspecified pityriasis

Excludes:    pityriasis:
                  simplex (690)
                  versicolor (111.0)

696.8   Other

697     Lichen

Excludes:    lichen:
                  pilaris (757.3)
                  sclerosus et atrophicus (701.0)
                  scrofulosus (017.0)
                  simplex chronicus (698.3)
                  spinulosus (congenital) (757.3)

697.0   Lichen planus

Lichen ruber planus

697.1   Lichen nitidus

697.8   Other lichen, not elsewhere classified

Lichen:
    ruber moniliforme
    striata

697.9   Unspecified

698     Pruritus and related conditions

Excludes:    pruritus specified as psychogenic (306.3)

698.0   Pruritus ani

698.1   Pruritus of genital organs

698.2   Prurigo

Prurigo:                          Prurigo mitis
     NOS
     Hebra's

698.3   Lichenification and lichen simplex chronicus

Hyde's disease                    Prurigo nodularis
Neurodermatitis (circumscripta) (local)

Excludes:    neurodermatitis diffuse (Brocq) (691.8)

698.4   Dermatitis factitia [artefacta]

Neurotic excoriation

Use additional code, if desired, to identify any associated mental disorder

698.8   Other pruritic conditions

Pruritus senilis

698.9   Unspecified

Itch NOS


          OTHER DISEASES OF SKIN AND SUBCUTANEOUS TISSUE (700-709)

Excludes:    congenital conditions of skin, hair, and nails (757.-)

700     Corns and callosities

Callus                            Clavus

701     Other hypertrophic and atrophic conditions of skin

Excludes:    dermatomyositis (710.3)
             hereditary edema of legs (757.0)
             scleroderma (generalized) (710.1)

701.0   Circumscribed scleroderma

Dermatosclerosis, localized       Morphea
Lichen sclerosus et atrophicus    Scleroderma or localized

701.1   Keratoderma, acquired

Acquired:
    ichthyosis
    keratoderma palmaris et
         plantaris
Elastosis perforans serpiginosa
Hyperkeratosis:
    NOS
    follicularis in cutem penetrans
    palmoplantaris climacterica
Keratoderma:
    climactericum
    tylodes, progressive
Keratosis (blennorrhagica)
    NOS


Excludes:    Darier's disease (757.3)
             dyskeratosis follicularis (757.3)
             keratosis:
                  arsenical (692.4)
                  follicularis (757.3)

701.2   Acquired acanthosis nigricans

Keratosis nigricans

701.3   Striae atrophicae

Atrophic spots of skin            Degenerative colloid atrophy
Atrophoderma maculatum            Senile degenerative atrophy
Atrophy blanche (of Milian)       Striae distensae

701.4   Keloid scar

Cheloid                           Keloid
Hypertrophic scar

701.5   Other abnormal granulation tissue

Excessive granulation

701.8   Other hypertrophic and atrophic conditions of skin

Acrodermatitis atrophicans        Cutis laxa senilis
    chronica                      Elastosis senilis
Atrophia cutis senilis            Folliculitis ulerythematosa reticulata
Atrophoderma neuriticum           Gougerot-Carteaud syndrome or disease
Confluent and reticulate
    papillomatosis

701.9   Unspecified

702     Other dermatoses

Cutaneous horn                    Leukokeratosis
Hyperkeratosis, senile            Leukoplakia
Keratoma, senile

Excludes:    carcinoma in situ (232.-)

703     Diseases of nail

703.0   Ingrowing nail

703.8   Other diseases of nail

Dystrophia unguium                Onychogryposis
Hypertrophy of nail               Onycholysis
Leukonychia (punctata) (striata)

703.9   Unspecified

Excludes:    onychia and paronychia (681.-)

704     Diseases of hair and hair follicles

704.0   Alopecia

Baldness                          Ophiasis
Folliculitis decalvans            Pseudopelade
Hypotrichosis:
    NOS
    postinfectional NOS

Excludes:    madarosis (374.5)
             syphilitic alopecia (091.8)

704.1   Hirsutism

Hypertrichosis:
    NOS
    lanuginosa, acquired
Polytrichia

704.2   Abnormalities of the hair

Atrophic hair                     Trichiasis:
Clastothrix                           NOS
Fragilitas crinium                    cicatricial
                                  Trichorrhexis (nodosa)

Excludes:    trichiasis of eyelid (374.0)

704.3   Variations in hair color

Canities (premature)
Grayness, hair (premature)
Heterochromia of hair
Poliosis:
    NOS
    circumscripta, acquired

704.8   Other diseases of hair and hair follicles

Folliculitis:
    NOS
    abscedens et suffodiens
    pustular
Perifolliculitis:
    NOS
    capitis abscedens et suffodiens
    scalp
Sycosis:
    NOS
    barbae [not parasitic]
    lipoides
    vulgaris

704.9   Unspecified

705     Disorders of sweat glands

705.0   Anhidrosis

Hypohidrosis                      Oligohidrosis

705.1   Prickly heat

Heat rash
Miliaria rubra (tropicalis)
Sudamina

705.8   Other disorders of sweat glands

Bromhidrosis                      Pompholyx
Cheiropompholyx                   Urhidrosis
Chromhidrosis

Excludes:    hidrocystoma (216.-)
             hyperhidrosis (780.8)

705.9   Unspecified

706     Diseases of sebaceous glands

706.0   Acne varioliformis

Acne necrotica

706.1   Other acne

Acne:
    NOS
    conglobata
    cystic
    pustular
    vulgaris
Comedo

Excludes:    acne rosacea (695.3)

706.2   Sebaceous cyst

Atheroma, skin                    Wen

706.3   Seborrhea

Excludes:    seborrhea:
                  capilitii (704.8)
                  sicca (690)
             seborrheic keratosis (702)

706.8   Other diseases of sebaceous glands

Xerosis cutis

706.9   Unspecified

707     Chronic ulcer of skin

Excludes:    gangrene (785.4)
             skin infections (680-686)
             specific infections classified under "Infectious and
                  Parasitic Diseases" (001-136)
             varicose ulcer (454.-)

707.0   Decubitus ulcer

Decubitus ulcer, any site         Pressure ulcer
Plaster ulcer

707.1   Ulcer of lower limbs, except decubitus

707.8   Chronic ulcer of other specified sites

707.9   Chronic ulcer of unspecified site

Chronic ulcer NOS                 Ulcer of skin NOS
Tropical ulcer NOS

708     Urticaria

Excludes:    angioneurotic edema (995.1)
             hereditary angio-edema (277.6)
             Quincke's edema (995.1)
             urticaria:
                  giant (995.1)
                  papulosa (Hebra) (698.2)
                  pigmentosa (757.3)

708.0   Allergic urticaria

708.1   Idiopathic urticaria

708.2   Urticaria due to cold and heat

Thermal urticaria

708.3   Dermatographic urticaria

Factitial urticaria

708.4   Vibratory urticaria

708.5   Cholinergic urticaria

708.8   Other specified urticaria

Urticaria:
    chronic
    recurrent periodic

708.9   Unspecified

709     Other disorders of skin and subcutaneous tissue

709.0   Dyschromia

Caf au lait spots                Anomalous pigmentation NOS
Chloasma:                         Hyperpigmentation
    NOS                           Tattoo
    idiopathic                    Vitiligo
    symptomatic

709.1   Vascular disorders of skin

Angioma serpiginosum
Purpura (primary) annularis telangiectodes

709.2   Scar conditions and fibrosis of skin

Adherent scar (skin)              Fibrosis, skin NOS
Cicatrix                          Scar NOS
Disfigurement (due to scar)

709.3   Degenerative skin disorders

Calcinosis:                       Degeneration, skin
     circumscripta                Deposits, skin
     cutis                        Senile dermatosis NOS
Colloid milium                    Subcutaneous calcification

709.4   Foreign body granuloma of skin and subcutaneous tissue

709.8   Other diseases of skin

Epithelial hyperplasia            Vesicular eruption
Menstrual dermatosis

709.9   Unspecified
       XIII.  DISEASES OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE
TISSUE

                   ARTHROPATHIES AND RELATED DISORDERS (710-719)

Excludes:    disorders of spine (720-724)

710     Diffuse diseases of connective tissue

Includes:    all collagen diseases whose effects are not mainly confined
                  to a single system

Excludes:    those affecting mainly the cardiovascular system, i.e.,
                  polyarteritis nodosa and allied conditions (446)

710.0   Systemic lupus erythematosus

Disseminated lupus erythematosus

Excludes:    lupus erythematosus (discoid) NOS (695.4)

710.1   Systemic sclerosis

Scleroderma

Excludes:    circumscribed scleroderma (701.0)

710.2   Sicca syndrome

Keratoconjunctivitis sicca        Sjgren's disease

710.3   Dermatomyositis

Polymyositis with skin involvement

710.4   Polymyositis

710.8   Other

710.9   Unspecified

Collagen disease NOS

711     Arthropathy associated with infections

Excludes:    rheumatic fever (390)

711.0   Pyogenic arthritis

Arthritis or polyarthritis (due to):
    coliform [Escherichia coli]
    Hemophilus influenzae [H. influenzae]
    Pseudomonas
    staphylococcal
    streptococcal

Use additional code, if desired, to identify infectious organism

711.9   Unspecified infective arthritis

Infective arthritis or polyarthritis (acute) (chronic) (subacute) NOS

712     Crystal arthropathies

Includes:    crystal-induced arthritis and synovitis

712.8   Other crystal arthropathies

712.9   Unspecified crystal arthropathy

714     Rheumatoid arthritis and other inflammatory polyarthropathies

Excludes:    rheumatic fever (390)
             rheumatoid arthritis of spine NOS (720.-)

714.0   Rheumatoid arthritis

714.1   Felty's syndrome

Rheumatoid arthritis with splenoadenomegaly and leukopenia

714.2   Other rheumatoid arthritis with visceral or systemic involvement

714.3   Juvenile chronic polyarthritis

Juvenile rheumatoid arthritis     Still's disease

714.4   Chronic postrheumatic arthropathy

Jaccoud's syndrome

714.8   Other

714.9   Unspecified

Inflammatory polyarthropathy or polyarthritis NOS

715     Osteoarthrosis and allied disorders

Note:   Localized, in the subcategories below, includes bilateral involvement
        of the same site.

Excludes:    osteoarthrosis of spine

715.0   Generalized

715.1   Localized, primary

715.2   Localized, secondary

715.3   Localized, not specified whether primary or secondary

715.8   Involving or with mention of more than one site but not specified
        as generalized

715.9   Unspecified whether generalized or localized

716     Other and unspecified arthropathies

Excludes:    cricoarytenoid arthropathy (478.7)

716.0   Kaschin-Beck disease

716.1   Traumatic arthropathy

716.2   Allergic arthritis

Excludes:    arthritis associated with Henoch-Schnlein purpura or serum
                  sickness

716.3   Climacteric arthritis

716.4   Transient arthropathy

Excludes:    palindromic rheumatism (719.3)

716.5   Unspecified polyarthropathy or polyarthritis

716.6   Unspecified monoarthritis

716.8   Other specified arthropathy

716.9   Unspecified

717     Internal derangement of knee

Excludes:    ankylosis (718.5)
             contracture (718.4)
             current injury (836.-)
             deformity (736.6)
             recurrent dislocation (718.3)

717.0   Old bucket handle tear of medial meniscus

Old bucket handle tear of unspecified cartilage

717.1   Derangement of anterior horn of medial meniscus

717.2   Derangement of posterior horn of medial meniscus

717.3   Other and unspecified derangement of medial meniscus

717.4   Derangement of lateral meniscus

717.5   Derangement of meniscus, not elsewhere classified

Congenital discoid meniscus

717.6   Loose body in knee

717.7   Chondromalacia of patellae

717.8   Other

Old disruption of ligament(s) of knee

717.9   Unspecified

Derangement NOS of knee

718     Other derangement of joint

Excludes:    current injury (830.- to 848.-)

718.0   Articular cartilage disorder

Meniscus disorder

Excludes:    chondrocalcinosis (275.4)
             in ochronosis (270.2)
             knee (717.-)
             metastatic calcification (275.4)

718.1   Loose body in joint

Excludes:    knee (717.6)

718.2   Pathological dislocation

Dislocation or displacement of joint, not recurrent and not current injury
Spontaneous dislocation (joint)

718.4   Contracture of joint

718.5   Ankylosis of joint

Excludes:    spine (724.9)
             stiffness of joint without mention of ankylosis (719.5)

718.6   Unspecified protrusio acetabuli

718.8   Other joint derangement not elsewhere classified

Excludes:    deformities classifiable to 736.- (736.-)

718.9   Unspecified

719     Other and unspecified disorders of joint

719.0   Effusion of joint

Swelling of joint, with or without pain

719.1   Hemarthrosis

Excludes:    current injury (840-848)
             in hemophilia (286.0-286.2)

719.2   Villonodular synovitis

719.3   Palindromic rheumatism

719.4   Pain in joint

719.5   Stiffness of joint, not elsewhere classified

719.6   Other symptoms referable to joint

719.7   Difficulty in walking

719.8   Other

Excludes:    temporomandibular joint-pain-dysfunction syndrome
                  [Costen's syndrome] (524.6)

719.9   Unspecified


                         DORSOPATHIES (720-724)

Excludes:    curvature of spine (737.-)
             osteochondrosis of spine (732.-)

720     Ankylosing spondylitis and other inflammatory spondylopathies

720.0   Ankylosing spondylitis

Rheumatoid arthritis of spine NOS

720.1   Spinal enthesopathy

Disorder of peripheral ligamentous or muscular attachments of spine
Romanus lesion

720.2   Sacroiliitis, not elsewhere classified

720.8   Other inflammatory spondylopathies

720.9   Unspecified inflammatory spondylopathy

721     Spondylosis and allied disorders

721.0   Cervical spondylosis without myelopathy

721.1   Cervical spondylosis with myelopathy

Anterior spinal artery compression syndrome
Spondylogenic compression of cervical spinal cord
Vertebral artery compression syndrome

721.2   Thoracic spondylosis without myelopathy

721.3   Lumbosacral spondylosis without myelopathy

721.4   Thoracic or lumbar spondylosis with myelopathy

Spondylogenic compression of thoracic or lumbar spinal cord

721.5   Kissing spine

Baastrup's syndrome

721.6   Ankylosing vertebral hyperostosis

721.7   Traumatic spondylopathy

Kmmell's disease or spondylitis

721.8   Other

721.9   Spondylosis of unspecified site

Spondylogenic compression of spinal cord NOS

722     Intervertebral disc disorders

722.0   Displacement of cervical intervertebral disc without myelopathy

Neuritis (brachial) or radiculitis due to displacement or rupture of
    cervical intervertebral disc

722.1   Displacement of thoracic or lumbar intervertebral disc without
        myelopathy

Lumbago or sciatica due to displacement of intervertebral disc
Neuritis or radiculitis due to displacement or rupture of thoracolumbar
    intervertebral disc

722.2   Displacement of intervertebral disc, site unspecified, without
        myelopathy

Neuritis or radiculitis due to displacement or rupture of intervertebral disc

722.3   Schmorl's nodes

722.4   Degeneration of cervical intervertebral disc

Degeneration of cervicothoracic intervertebral disc

722.5   Degeneration of thoracic or lumbar intervertebral disc

Degeneration of thoracolumbar or lumbosacral intervertebral disc

722.6   Degeneration of intervertebral disc, site unspecified

722.7   Intervertebral disc disorder with myelopathy

722.8   Postlaminectomy syndrome

722.9   Other and unspecified disc disorder

723     Other disorders of cervical region

Excludes:    conditions due to:
                  intervertebral disc disorders (722.-)
                  spondylosis (721.-)

723.0   Spinal stenosis in cervical region

723.1   Cervicalgia

723.2   Cervicocranial syndrome

Posterior cervical sympathetic syndrome

723.3   Cervicobrachial syndrome (diffuse)

723.4   Brachia neuritis or radiculitis NOS

723.5   Torticollis, unspecified

Excludes:    congenital (756.8)
             due to birth injury (767.8)
             hysterical (300.1)
             psychogenic (306.0)
             spasmodic (333.8)
             traumatic, current (847.0)

723.6   Panniculitis specified as affecting neck

723.7   Ossification of posterior longitudinal ligament in  cervical region

723.8   Other syndromes affecting cervical region

723.9   Unspecified disorders and symptoms referable to neck

724     Other and unspecified disorders or back

Excludes:    collapsed vertebra (code to cause, e.g., osteoporosis, 733.0)
             conditions due to:
                  intervertebral disc disorders (722.-)
                  spondylosis (721.-)

724.0   Spinal stenosis, other than cervical

724.1   Pain in thoracic spine

724.2   Lumbago

724.3   Sciatica

Excludes:    specified lesion of sciatic nerve (355.0)

724.4   Thoracic or lumbosacral neuritis or radiculitis NOS

724.5   Backache, unspecified

724.6   Disorders of sacrum

724.7   Disorders of coccyx

724.8   Other symptoms referable to back

Ossification of posterior longitudinal ligament NOS
Panniculitis specified as sacral or affecting back

724.9   Unspecified back disorders

Affection of sacroiliac joint NOS
Ankylosis of spine NOS

Excludes:   sacroiliitis (720.2)



                   RHEUMATISM, EXCLUDING THE BACK (725-729)

Includes:   disorders of muscles and tendons and their attachments, and of
                  other soft tissues

725     Polymyalgia rheumatica

726     Peripheral enthesopathies and allied syndromes

Note:   Enthesopathies are disorders of peripheral ligamentous or
        muscular attachments.

Excludes:    spinal enthesopathy (720.1)

726.0   Adhesive capsulitis of shoulder

726.1   Rotator cuff syndrome of shoulder and allied disorders

Disorders of bursae and tendons in shoulder region

726.2   Other affections of shoulder region, not elsewhere classified

Periarthritis of shoulder         Scapulohumeral fibrositis

726.3   Enthesopathy of elbow region

Epicondylitis                     Tennis elbow

726.4   Enthesopathy of wrist and carpus

Periarthritis of wrist

726.5   Enthesopathy of hip region

Gluteal tendinitis                Psoas tendinitis
Iliac crest spur                  Trochanteric tendinitis

726.6   Enthesopathy of knee

Patellar tendinitis               Pellegrini-Stieda syndrome

726.7   Enthesopathy of ankle and tarsus

Achilles bursitis or tendinitis   Metatarsalgia NOS
Calcaneal spur                    Tibialis tendinitis

Excludes:    Morton's metatarsalgia (355.6)

726.8   Other peripheral enthesopathies

726.9   Unspecified enthesopathy

Bone spur NOS                     Periarthritis NOS
Capsulitis NOS                    Tendinitis NOS

727     Other disorders of synovium, tendon and bursa

727.0   Synovitis and tenosynovitis

Synovitis:
    NOS

Excludes:    crystal-induced (275.4)
             gouty (274.0)

727.1   Bunion

727.2   Specific bursitides often of occupational origin

Beat:                             Chronic crepitant synovitis of wrist
    elbow                         Miners':
    hand                              elbow
    knee                              knee

727.3   Other bursitis

Bursitis:
    NOS

Excludes:    bursitis:
                  subacromial (726.1)
                  subcoracoid (726.1)
                  subdeltoid (726.1)
                  "frozen shoulder" (726.0)

727.4   Ganglion and cyst of synovium, tendon, and bursa

Cyst, bursal or synovial          Ganglion of joint or tendon

727.5   Rupture of synovium

727.6   Rupture of tendon, nontraumatic

727.8   Other

Abscess of bursa or tendon        Calcium deposits
Calcification of tendon NOS       Contracture of tendon (sheath)
Calcific tendinitis NOS           Short tendon

Excludes:    xanthomatosis localized to tendons (272.7)

727.9   Unspecified

728     Disorders of muscle, ligament, and fascia

Excludes:    disruption of ligaments of knee (717.8)
             muscular dystrophies (359.-)
             myoneural disorders (358.-)
             myopathies (359.-)

728.0   Infective myositis

Myositis:                         Myositis:
    purulent                          suppurative

Excludes:    epidemic myositis (074.1)

728.1   Muscular calcification and ossification

Massive calcification (paraplegic)
Myositis ossificans
Polymyositis ossificans

728.2   Muscular wasting and disuse atrophy, not elsewhere classified

Myofibrosis

Excludes:    neuralgic amyotrophy (353.5)
             progressive muscular atrophy (335.-)

728.3   Other specific muscle disorders

Arthrogryposis                    Immobility syndrome (paraplegic)

Excludes:    arthrogryposis multiplex congenita (755.8)
             stiff-man syndrome (333.9)

728.4   Laxity of ligament

728.5   Hypermobility syndrome

728.6   Contracture of palmar fascia

Dupuytren's contracture

728.7   Other fibromatoses

Garrod's or knuckle pads
Nodular fasciitis
Plantar fasciitis (traumatic)
Pseudosarcomatous Fibromatosis (proliferative) (subcutaneous)

728.8   Other disorders of muscle, ligament, and fascia

Foreign-body granuloma
Interstitial myositis
Talc granuloma of muscle

728.9   Unspecified

729     Other disorders of soft tissues

Excludes:    acroparesthesia (443.8)
             carpal tunnel syndrome (354.0)
             disorders of the back (720-724)
             entrapment syndromes (354.-, 355.-)
             palindromic rheumatism (719.3)
             periarthritis (726.-)
             psychogenic rheumatism (306.0)

729.0   Rheumatism, unspecified and fibrositis

729.1   Myalgia and myositis, unspecified

729.2   Neuralgia, neuritis, and radiculitis, unspecified

Excludes:    brachia radiculitis (723.4)
             lumbosacral radiculitis (724.4)
             mononeuritis (354.-, 355.-)
             sciatica (724.3)

729.3   Panniculitis, unspecified

Excludes:    panniculitis specified as (affecting):
                  back (724.8)
                  neck (723.6)
                  sacral (724.8)

729.4   Fasciitis, unspecified

Excludes:    nodular fasciitis (728.7)

729.5   Pain in limb

729.6   Residual foreign body in soft tissue

729.8   Other symptoms referable to limbs

Cramp                             Swelling of limb

729.9   Other and unspecified disorders of soft tissue

Polyalgia


         OSTEOPATHIES, CHONDROPATHIES, AND ACQUIRED MUSCULOSKELETAL
                          DEFORMITIES (730-739)

730     Osteomyelitis, periostitis, and other infections involving bone

Excludes:    jaw (526.4, 526.5)
             petrous bone, i.e., mastoiditis (383.-)

Use additional code, if desired, to identify infectious organism, e.g.,
    Staphylococcus (041.1)

730.0   Acute osteomyelitis

Abscess of any bone except accessory sinus or mastoid
Acute or subacute osteomyelitis, with or without mention of periostitis

730.1   Chronic osteomyelitis

Chronic or old osteomyelitis, with or without mention of periostitis

730.2   Unspecified osteomyelitis

Osteitis or osteomyelitis NOS, with or without mention of periostitis

730.3   Periostitis without mention of ostemyelitis

730.9   Unspecified infection of bone

731     Osteitis deformans and osteopathies associated with other disorders
        classified elsewhere

731.0   Osteitis deformans without mention of bone tumor

Paget's disease of bone

731.2   Hypertrophic pulmonary osteoarthropathy

Bamberger-Marie disease

732     Osteochondropathies

732.0   Juvenile osteochondrosis of spine

Juvenile osteochondrosis:
    marginal or vertebral epiphysis (of Schuermann)
    spine NOS
    vertebral body (of Calv)

Excludes:    adolescent postural kyphosis (737.0)

732.1   Juvenile osteochondrosis of hip and pelvis

Osteochondrosis (juvenile):
    acetabulum
    head of femur (of Legg-Calv-Perthes)
    iliac crest (of Buchanan)
    ischiopubic synchondrosis (of van Neck)
    symphysis pubis (of Pierson)

732.2   Nontraumatic slipped upper femoral epiphysis

Slipped upper femoral epiphysis NOS

732.3   Juvenile osteochondrosis of upper extremity

Osteochondrosis (juvenile):
    capitulum of humerus (of Panner)
    carpal lunate (of Kienbock)
    hand NOS
    head of humerus (of Hass)
    heads of metacarpals (of Mauclaire)
    lower ulna (of Burns)
    upper extremity NOS

732.4   Juvenile osteochondrosis of lower extremity, excluding foot

Osteochondrosis (juvenile):
    lower extremity NOS
    primary patellar center (of Khler)
    proximal tibia (of Blount)
    secondary patellar centre (of Sinding-Larsen)
    tibial tubercle (of Osgood-Schlatter)

732.5   Juvenile osteochondrosis of foot

Calcaneal apophysitis
Osteochondrosis (juvenile):
    astragalus (of Diaz)
    calcaneum (of Sever)
    foot NOS
    metatarsal:
         fifth (of Iselin)
         second (of Freiberg)
    os tibiale externum (of Haglund)
    tarsal navicular (of Khler)

732.6   Other juvenile osteochondrosis

Apophysitis      }
Epiphysitis      }  specified as juvenile, of
Osteochondritis  }  other site, or site NOS
Osteochondrosis  }

732.7   Osteochondritis dissecans

732.8   Other specified forms of osteochondropathy

Adult osteochondrosis of spine

732.9   Unspecified osteochondropathy

Apophysitis      }
Epiphysitis      }  not specified as adult or
Osteochondritis  }  juvenile, of unspecified site
Osteochondrosis  }

733     Other disorders of bone and cartilage

Excludes:    bone spur (726.9)
             cartilage  or loose body in joint (717.-, 718.-)
             giant cell granuloma of jaw (526.3)
             osteitis fibrosa cystica generalisata (252.0)
             osteomalacia (268.2)
             polyostotic fibrous dysplasia of bone (756.5)
             prognathism, retrognathism (524.1)
             xanthomatosis localized to bone (272.7)

733.0   Osteoporosis

733.1   Pathologic fracture

Spontaneous fracture

733.2   Cyst of bone

Cyst of bone (localized)

Excludes:    cyst of jaw (526.-)
             osteitis fibrosa cystica (252.0)

733.3   Hyperostosis of skull

733.4   Aseptic necrosis of bone

Excludes:    necrosis of bone, NOS (730.1)
             osteochondropathies (732.-)

733.5   Osteitis condensans

733.6   Tietze's disease

733.7   Algoneurodystrophy

733.8   Malunion and nonunion of fracture

Pseudoarthrosis

733.9   Other and unspecified

Diaphysitis                       Relapsing polychondritis

734     Flat foot

Pes planus (acquired)

Excludes:    congenital (754.6)
             rigid flat foot (754.6)
             spastic (everted) flat foot (754.6)

735     Acquired deformities of toe

Excludes:    congenital (754.6, 755.6)

735.0   Hallux valgus (acquired)

735.1   Hallux varus (acquired)

735.2   Hallux rigidus

735.3   Hallux malleus

735.4   Other hammer toe (acquired)

735.5   Claw toe (acquired)

735.8   Other

735.9   Unspecified

736     Other acquired deformities of limbs

Excludes:    congenital (754.-, 755.-)

736.0   Acquired deformities of forearm, excluding fingers

Claw hand
Club hand, acquired
Cubitus valgus or varus (acquired)
Deformity of elbow, forearm, hand, or wrist (acquired) NOS

Excludes:    lobster-claw hand (755.5)

736.1   Mallet finger

736.2   Other acquired deformities of finger

Deformity of finger (acquired) NOS
clubbing of fingers (781.5)

Excludes:    trigger finger (727.0)

736.3   Acquired deformities of hip

Coxa valga or vara (acquired)
Deformity of hip (acquired) NOS

736.4   Genu valgum or varum (acquired)

736.5   Genu recurvatum (acquired)

736.6   Other acquired deformities of knee

Deformity of knee (acquired) NOS
Genu extrorsum

736.7   Other acquired deformities of ankle and foot

Acquired:
    clawfoot
    clubfoot
    deformity of ankle or foot
    equinovarus
    pes, except planus
    talipes, except planus

Excludes:    clubfoot not specified as acquired (754.-)
             deformities of toe (acquired) (735.-)
             pes planus (acquired) (734)

736.8   Acquired deformities of other parts of limbs

Deformity (acquired):
    arm or leg, not elsewhere classified
    shoulder

736.9   Acquired deformity of limb, site unspecified

737     Curvature of spine

Excludes:    congenital (754.2)

737.0   Adolescent postural kyphosis

Excludes:    osteochondrosis of spine (732.0, 732.8)

737.1   Kyphosis (acquired)

737.2   Lordosis (acquired) (postural)

737.3   Kyphoscoliosis and scoliosis

Excludes:    in kyphoscoliotic heart disease (416.1)

737.8   Other

737.9   Unspecified

Curvature of spine (acquired) (idiopathic) NOS
Hunchback, acquired

Excludes:    deformity of spine NOS (738.5)

738     Other acquired deformity

Excludes:    congenital (754-756 and 758-759)
             dentofacial anomalies (524.-)

738.0   Acquired deformity of nose

Deformity of nose (acquired)      Overdevelopment of nasal bones

Excludes:    deflected nasal septum (470)

738.1   Other acquired deformity of head

738.2   Acquired deformity of neck

738.3   Acquired deformity of chest and rib


Deformity:
    chest (acquired)
    rib (acquired)

738.4   Acquired spondylolisthesis

Degenerative spondylolisthesis

Excludes:    congenital (756.1)

738.5   Other acquired deformity of back or spine

Excludes:    curvature of spine (737.-)

738.6   Acquired deformity of pelvis

Excludes:    in relation to labor and delivery (653.-)

738.7   Cauliflower ear

738.8   Acquired deformity of other specified site

738.9   Acquired deformity of unspecified site

739     Nonallopathic lesions, not elsewhere classified

Includes:    segmental dysfunction
             somatic dysfunction

739.0   Head region

739.1   Cervical region

Cervicothoracic region

739.2   Thoracic region

Thoracolumbar region

739.3   Lumbar region

Lumbosacral region

739.4   Sacral region

Sacrococcygeal region             Sacroiliac region

739.5   Pelvic region

Hip region                        Pubic region

739.6   Lower extremities

739.7   Upper extremities

Acromioclavicular region          Sternoclavicular region

739.8   Rib cage

Costochondral region              Sternochondral region
Costovertebral region

739.9   Abdomen and other
                    XIV.  CONGENITAL ANOMALIES (740-759)

740     Anencephalus and similar anomalies

740.0   Anencephalus

Acrania                           Hemianencephaly
Amyelencephalus                   Hemicephaly

740.1   Craniorachischisis

740.2   Iniencephaly

741     Spina bifida

Excludes:    spina bifida occulta (756.1)

741.0   With hydrocephalus

Arnold-Chiari syndrome, type II
Any condition in 741.9 with any condition in 742.3

741.9   Without mention of hydrocephalus

Hydromeningocele (spinal)         Myelocystocele
Meningocele (spinal)              Rachischisis
Meningomyelocele                  Spina bifida (aperta)
Myelocele                         Syringomyelocele

742     Other congenital anomalies of nervous system

742.0   Encephalocele

Encephalomyelocele                Meningocele, cerebral
Hydroencephalocele                Meningoencephalocele
Hydromeningocele, cranial

742.1   Microcephalus

Hydromicrocephaly                 Micrencephalon

742.2   Reduction deformities of brain

Absence of part of brain          Arhinencephaly
Agenesis of part of brain         Hypoplasia of part of brain
Agyria                            Microgyria
Aplasia of part of brain

742.3   Congenital hydrocephalus

Aqueduct of Sylvius:
    anomaly
    obstruction, congenital
    stenosis
Atresia of foramina of Magendie and Luschka
Hydrocephalus in newborn

Excludes:    hydrocephalus:
                  acquired (331.4)
                  due to congenital toxoplasmosis (771.2)
                  with any condition in 741.9 (741.0)

742.4   Other specified anomalies of brain

Congenital cerebral cyst          Multiple anomalies of brain NOS
Lissencephaly                     Porencephaly
Macrogyria                        Ulegyria
Megalencephaly

742.5   Other specified anomalies of spinal cord

Amyelia
Atelomyelia
Congenital anomaly of spinal meninges
Defective development of cauda equina
Hydromyelia
Hydrorhachis
Hypoplasia of spinal cord
Myelatelia

742.8   Other specified anomalies of nervous system

Agenesis of nerve                 Familial dysautonomia
Displacement of brachial plexus

Excludes:    neurofibromatosis (237.7)

742.9   Unspecified anomalies of brain, spinal cord, and nervous system

Anomaly               }    {
Congenital disease or } of { brain
    lesion            }    { nervous system
Deformity             }    { spinal cord

743     Congenital anomalies of eye

743.0   Anophthalmos

Agenesis of eye                   Cryptophthalmos

743.1   Microphthalmos

Aplasia of eye                    Hypoplasia of eye
Dysplasia of eye                  Rudimentary eye

743.2   Buphthalmos

Glaucoma:                         Hydrophthalmos
     congenital                   Keratoglobus, congenital
     newborn                      Megalocornea

743.3   Congenital cataract and lens anomalies

Congenital aphakia                Spherophakia

743.4   Coloboma and other anomalies of anterior segments

Aniridia                          Corneal opacity, congenital
Anisocoria, congenital            Microcornea
Atresia of pupil                  Peters' anomaly
Coloboma of iris                  Rieger's anomaly
Corectopia

743.5   Congenital anomalies of posterior segment

Coloboma:                         Congenital:
      fundus                           retinal aneurysm
      optic disc                       vitreous opacity

743.6   Congenital anomalies of eyelids, lacrimal system and orbit

Ablepharon                        Accessory:
Absence, agenesis of                   eyelid
     cilia                             eye muscles
     eyelid                       Congenital:
     lacrimal apparatus                entropion
     punctum lacrimale                 ptosis

743.8   Other specified anomalies of eye

Ocular albinism

Excludes:    congenital nystagmus (379.5)
             retinitis pigmentosa (362.7)

743.9   Unspecified anomalies of eye

Congenital:
    anomaly NOS of eye [any part]
    deformity NOS of eye [any part]

744     Congenital anomalies of ear, face, and neck

Excludes:    anomaly of:
                  cervical spine (754.2, 756.1)
                  larynx (748.2, 748.3)
                  parathyroid gland (759.2)
                  thyroid gland (759.2)
             cleft lip (749.1)

744.0   Anomalies of ear causing impairment of hearing

Absence of:                       Congenital anomaly of:
     auditory canal (external)         membranous labyrinth
     auricle (ear)                     middle ear
     ear, congenital                   organ of Corti
Atresia or stricture of:          Fusion, ear ossicles
     auditory canal (external)
     osseous meatus (ear)

Excludes:    congenital deafness without mention of cause (389.-)

744.1   Accessory auricle

Accessory tragus                  Supernumerary:
Polyotia                              ear
Preauricular appendage                lobule

744.2   Other specified anomalies of ear

Absence:                          Darwin's tubercle
    Eustachian tube               Macrotia
    lobe, congenital              Microtia
Bat ear                           Pointed ear

Excludes:    preauricular sinus (744.4)

744.3   Unspecified anomalies of ear

Congenital:
    anomaly NOS of ear [any part]
    deformity NOS of ear [any part]

744.4   Branchial cleft, cyst or fistula; preauricular sinus
Branchial:                        Fistula of:
    sinus (internal)                  auricle, congenital
         (external)                   cervicoaural
    vestige                       Preauricular cyst
Cervical auricle

744.5   Webbing of neck

Pterygium colli

744.8   Other specified anomalies of face and neck

Hypertrophy of lip,               Macrostomia
    congenital                    Microcheilia
Macrocheilia                      Microstomia

Excludes:    those conditions classified to 754.-

744.9   Unspecified anomalies of face and neck

Congenital:
    anomaly NOS of face [any part] or neck [any part]
    deformity NOS of face [any part] or neck [any part]

745     Bulbus cordis anomalies and anomalies of cardiac septal closure

745.0   Common truncus

Absent septum between aorta and pulmonary artery
Communication (abnormal) between aorta and pulmonary artery
Aortic septal defect
Persistent truncus arteriosus

745.1   Transposition of great vessels

Dextra transposition of aorta
Origin of both great vessels from right ventricle
Taussig-Bing syndrome
Transposition of great vessels (complete) (corrected) (incomplete)

745.2   Tetralogy of Fallot

Ventricular septal defect with pulmonary stenosis or atresia,
    dextraposition of aorta and hypertrophy of right ventricle

745.3   Common ventricle

Cor triloculare biatriatum        Single ventricle

745.4   Ventricular septal defect

Eisenmenger defect               Left ventricular-right atrial
Gerbode defect                         communication
Interventricular septal defect    Roger's disease

Excludes:    common atrioventricular canal type (745.6)

745.5   Ostium secundum type atrial septal defect

Patent or persistent:
    foramen ovale
    ostium secundum

745.6   Endocardial cushion defects

Atrioventricular canal type       Common atrium
    ventricular septal defect     Persistent ostium primum
Common atrioventricular canal

745.7   Cor biloculare

745.8   Other

745.9   Unspecified defect of septal closure

Septal defect NOS

746     Other congenital anomalies of heart

Excludes:    endocardial fibroelastosis (425.3)

746.0   Anomalies of pulmonary valve

Congenital:        }
    atresia        } of pulmonary valve
    insufficiency  }
    stenosis       }

746.1   Tricuspid atresia and stenosis, congenital

746.2   Ebstein's anomaly

746.3   Congenital stenosis of aortic valve

Congenital aortic stenosis

746.4   Congenital insufficiency of aortic valve

Bicuspid aortic valve             Congenital aortic insufficiency

746.5   Congenital mitral stenosis

746.6   Congenital mitral insufficiency

746.7   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 atresia)

746.8   Other specified anomalies of heart

Congenital:                       Dextrocardia
    heart block                   Ectopia cordis
    diverticulum, left ventricle  Levocardia (isolated)
    pericardial defect            Malposition of heart
Cor triatriatum                   Pulmonary infundibular stenosis
Coronary artery anomaly           Uhl's disease

746.9   Unspecified anomalies of heart

Congenital:
    anomaly, heart NOS
    heart disease NOS

747     Other congenital anomalies of circulatory system

747.0   Patent ductus arteriosus

Patent ductus Botalli             Persistent ductus arteriosus

747.1   Coarctation of aorta

Coarctation of aorta (preductal) (postductal)
Interruption of aortic arch

747.2   Other anomalies of aorta

Absence of aorta                  Hypoplasia of aorta
Aplasia of aorta                  Overriding aorta
Atresia of aorta                  Persistent:
Congenital of aorta:                  convolutions, aortic arch
    aneurysm of aorta                 right aortic arch
    dilation of aorta             Stenosis of aorta (ascending)
Aneurysm of sinus of Valsalva     Stricture of aorta (ascending)
Dextraposition of aorta           Supra-aortic stenosis

Excludes:    congenital aortic stenosis or stricture, so described (746.3)
             hypoplasia of aorta in hypoplastic left heart syndrome (746.7)

747.3   Anomalies of pulmonary artery

Agenesis of pulmonary artery      Hypoplasia of pulmonary artery
Anomaly of pulmonary artery       Stenosis of pulmonary artery
Atresia of pulmonary artery       Pulmonary arteriovenous aneurysm

747.4   Anomalies of great veins

Absence               }  of vena cava
Anomaly               }  (inferior)
Congenital stenosis   }  (superior)
Persistent:
    left posterior cardinal vein
    left superior vena cava
Total anomalous pulmonary venous connection

747.5   Absence or hypoplasia of umbilical artery

Single umbilical artery

747.6   Other anomalies of peripheral vascular system

Absence of artery or vein   }   not
Anomaly of artery or vein   }   elsewhere
Atresia of artery or vein   }   classified
Arteriovenous aneurysm (peripheral)
Congenital:
    aneurysm (peripheral)
    phlebectasia
    stricture, artery
    varix
Multiple renal arteries

Excludes:    anomalies of:
                  cerebral vessels (747.8)
                  pulmonary artery (747.3)
             congenital retinal aneurysm (743.8)
             hemangioma and lymphangioma (228.-)

747.8   Other specified anomalies of circulatory system

Aneurysm:
    arteriovenous, congenital of brain
    congenital, specified site not elsewhere classified
Congenital anomalies of cerebral vessels

Excludes:    congenital aneurysm:
                  coronary (746.8)
                  peripheral (747.6)
                  pulmonary (747.3)
                  retinal (743.8)
                  ruptured:
                       cerebral arteriovenous aneurysm (430)
                       congenital cerebral aneurysm (430)

747.9   Unspecified anomalies of circulatory system

748     Congenital anomalies of respiratory system

Excludes:    congenital defect of diaphragm (756.6)

748.0   Choanal atresia

Atresia of nares (anterior) (posterior)
Congenital stenosis of nares (anterior) (posterior)

748.1   Other anomalies of nose

Absent nose
Accessory nose
Cleft nose
Deformity of wall of nasal sinus
Congenital:
    deformity of nose
    notching of tip of nose
    perforation of wall of nasal sinus

Excludes:    congenital deviation of nasal septum (754.0)

748.2   Web of larynx

Web of larynx:
    NOS
    glottic
    subglottic

748.3   Other anomalies of larynx, trachea, and bronchus

Absence or agenesis of:
    bronchus
    larynx
    trachea
Anomaly (of):
    cricoid cartilage
    epiglottis
    thyroid cartilage
    tracheal cartilage
Atresia (of):
    epiglottis
    glottis
    larynx
    trachea
Cleft thyroid, cartilage, congenital
Congenital:
    dilation, trachea
    stenosis:
         larynx
         trachea
    tracheocele
Diverticulum:
    bronchus
    trachea
Fissure of epiglottis
Laryngocele
Posterior cleft of cricoid cartilage (congenital)
Rudimentary tracheal bronchus
Stridor, laryngeal, congenital

748.4   Congenital cystic lung

Disease, lung:
    cystic, congenital
    polycystic, congenital
Honeycomb lung, congenital

Excludes:    acquired or unspecified cystic lung (518.8)

748.5   Agenesis, hypoplasia, and dysplasia of lung

Absence of lung (lobe)            Hypoplasia of lung (lobe)
Aplasia of lung                   Sequestration of lung

748.6   Other anomalies of lung

Congenital bronchiectasis

748.8   Other specified anomalies of respiratory system

Anomaly, pleural folds
Atresia of nasopharynx
Congenital cyst of mediastinum

748.9   Unspecified anomaly of respiratory system

Absence of respiratory system NOS
Anomaly of respiratory system NOS

749     Cleft palate

749.0   Cleft palate

Cleft uvula                       Palatoschisis
Fissure, palate

749.1   Cleft lip

Cheiloschisis                     Harelip
Congenital fissure of lip         Labium leporinum

749.2   Cleft palate with cleft lip

750     Other congenital anomalies of upper alimentary tract

750.0   Tongue tie

Ankyloglossia

750.1   Other anomalies of tongue

Aglossia                          Fissure of tongue
Congenital:                       Hypoplasia of tongue
    adhesions of tongue           Macroglossia
    hypertrophy of tongue         Microglossia

750.2   Other specified anomalies of mouth and pharynx

Absence:                          Congenital fistula of:
    salivary gland                    lip
    uvula                             salivary gland
Accessory salivary gland          Diverticulum of pharynx
Atresia, salivary gland           Pharyngeal pouch

750.3   Tracheoesophageal fistula, esophageal atresia and stenosis

Absent esophagus                  Congenital:
Atresia of esophagus                  stenosis of esophagus
Congenital fistula:                   stricture of esophagus
    esophagobronchial             Imperforate esophagus
    esophagotracheal              Webbed esophagus

750.4   Other specified anomalies of esophagus

Dilatation, congenital, of esophagus
Displacement, congenital, of esophagus
Diverticulum of esophagus
Duplication of esophagus
Giant of esophagus
Esophageal pouch of esophagus

750.5   Congenital hypertrophic pyloric stenosis

Congenital or infantile:
    constriction of pylorus
    hypertrophy of pylorus
    spasm of pylorus
    stenosis of pylorus
    stricture of pylorus

750.6   Congenital hiatus hernia

Displacement of cardia through esophageal hiatus

Excludes:    congenital diaphragmatic hernia (756.6)

750.7   Other specified anomalies of stomach

Congenital:                       Duplication of stomach
    cardiospasm                   Megalogastria
    hourglass stomach             Microgastria
Displacement of stomach           Transposition of stomach
Diverticulum of stomach, congenital

750.8   Other specified anomalies of upper alimentary tract

750.9   Unspecified anomalies of upper alimentary tract

Congenital:
    anomaly NOS of upper alimentary tract [any part, except tongue]
    deformity NOS of upper alimentary tract [any part, except tongue]

751     Other congenital anomalies of digestive system

751.0   Meckel's diverticulum

Meckel's diverticulum             Persistent:
    (displaced)                       omphalomesenteric duct
    (hypertrophic)                    vitelline duct

751.1   Atresia and stenosis of small intestine

Atresia of:
    duodenum
    ileum
    intestine NOS
Imperforate jejunum
Congenital:
    absence of small intestine or intestine NOS
    obstruction of small intestine or intestine NOS
    stenosis of small intestine or intestine NOS
    stricture of small intestine or intestine NOS

751.2   Atresia and stenosis of large intestine, rectum, and anal canal

Absence:                          Congenital or infantile:
    anus (congenital)                 obstruction of large intestine
    appendix, congenital              occlusion of anus
    large intestine,                  stricture of anus
         congenital               Imperforate:
    rectum                            anus
Atresia of:                           rectum
    anus                          Stricture of rectum, congenital
    colon
    rectum

751.3   Hirschsprung's disease and other congenital functional disorders
        of colon

Aganglionosis                     Congenital megacolon
Congenital dilation of colon      Macrocolon

751.4   Anomalies of intestinal fixation

Congenital adhesions:             Rotation of cecum or colon:
    omental, anomalous                failure of
    peritoneal                        incomplete
Jackson's membrane                    insufficient
Malrotation of colon              Universal mesentery

751.5   Other anomalies of intestine

Congenital diverticulitis,        Megaloappendix
    colon                         Megaloduodenum
Dolichocolon                      Microcolon
Duplication of:                   Persistent cloaca
    anus                          Transposition of:
    appendix                          appendix
    cecum                             colon
    intestine                         intestine
Ectopic anus

Excludes:    congenital pilonidal cyst or sinus (685)

751.6   Anomalies of gallbladder, bile ducts and liver

Absence of:                       Congenital:
    bile duct, congenital             polycystic disease of liver
    gallbladder, congenital           stricture of:
    liver                                  bile duct
Accessory:                                 common duct
    hepatic ducts                 Duplication of:
    liver                             biliary duct
Atresia of bile duct                  cystic duct
Congenital:                           gallbladder
    cystic disease of liver           liver
    hepatomegaly                  Fibrocystic disease of liver
    obstruction, bile duct        Intrahepatic gallbladder
         or passage

751.7   Anomalies of pancreas

Absence of pancreas               Annular pancreas
Accessory pancreas                Hypoplasia of pancreas
Agenesis of pancreas

Excludes:    diabetes mellitus:
                  congenital (250.-)
                  neonatal (775.1)
             fibrocystic disease of pancreas (277.0)

751.8   Other specified anomalies of digestive system

Absence (complete) (partial) of alimentary tract NOS
Duplication of digestive organs NOS
Malposition, congenital of digestive organs NOS

Excludes:    congenital diaphragmatic hernia (756.6)
             congenital hiatus hernia (750.6)

751.9   Unspecified anomalies of digestive system

Congenital of digestive system NOS:
    anomaly NOS of digestive system NOS
    deformity NOS of digestive system NOS

752     Congenital anomalies of genital organs

Excludes:    syndromes associated with anomalies in the
                  number and form of chromosomes (758.-)
             testicular feminization syndrome (251.8)

752.0   Anomalies of ovaries

Absence (of) ovary                Streak (of) ovary
Agenesis (of) ovary

752.1   Anomalies of fallopian tubes and broad ligaments

Absence (of) fallopian tube or broad ligament
Accessory (of) fallopian tube or broad ligament
Atresia (of) fallopian tube or broad ligament
Cyst:
    epoophoron
    fimbrial
    Gartner's duct
    parovarian

752.2   Doubling of uterus

Doubling of uterus [any degree] (associated with doubling of cervix
    and vagina)

752.3   Other anomalies of uterus

Absence of uterus                 Bicornuate uterus
Agenesis of uterus                Uterus unicornis
Aplasia of uterus                 Uterus with only one functioning horn

752.4   Anomalies of cervix, vagina, and external female genitalia

Absence of cervix, clitoris, vagina, or vulva
Agenesis of cervix, clitoris, vagina, or vulva
Anomalous development of cervix, clitoris, vagina, or vulva
Cyst of:
    canal of Nuck, congenital
    vagina, embryonal
    vulva, congenital
Imperforate hymen

Excludes:    double vagina associated with total duplication (752.2)

752.5   Undescended testicle

Cryptorchism                      Ectopic testis

752.6   Hypospadias and epispadias

Anaspadias                        Congenital chordee

752.7   Indeterminate sex and pseudohermaphroditism

Gynandrism                        Pseudohermaphroditism (male) (female)
Hermaphroditism                   Pure gonadal dysgenesis
Ovotestis

Excludes:    pseudohermaphroditism:
                  female, with adrenocortical disorder (255.2)
                  male, with gonadal disorder (257.9)
                  with specified chromosomal anomaly (758.-)

752.8   Other specified anomalies of genital organs

Absence of:                       Curvature of penis (lateral)
    penis                         Fusion of testes
    prostate                      Hypoplasia of:
    spermatic cord                    penis
Aplasia (congenital) of:              testis
    prostate                      Monorchism
    round ligament                Paraspadias
    testicle                      Polyorchism
Atresia of:
    ejaculatory duct
    vas deferens

Excludes:    congenital hydrocele (778.6)

752.9   Unspecified anomalies of genital organs

Congenital:
    anomaly NOS of genital organ, not elsewhere classified
    deformity NOS of genital organ, not elsewhere classified

753     Congenital anomalies of urinary system

753.0   Renal agenesis and dysgenesis

Atrophy of kidney:                Congenital absence of kidney(s)
    congenital                    Hypoplasia of kidney(s)
    infantile

753.1   Cystic kidney disease

Cystic of kidney (congenital)     Renal degeneration or disease:
    (multiple)                        fibrocystic
Fibrocystic kidney                    polycystic
Polycystic (disease of) kidney

Excludes:    acquired cyst of kidney (593.2)

753.2   Obstructive defects of renal pelvis and ureter

Atresia of ureter                 Congenital:
Congenital:                           stricture of:
    dilatation of ureter                   ureter
    hydronephrosis                         ureteropelvic junction
    megaloureter                           ureterovesical orifice
    occlusion of ureter               ureterocele
                                  Impervious ureter

753.3   Other specified anomalies of kidney

Accessory kidney                  Fusion of kidneys
Congenital:                       Giant kidney
    calculus of kidney            Horseshoe kidney
    displaced kidney              Hyperplasia of kidney
Double kidney with double         Lobulation of kidney, foetal
    pelvis                        Malrotation of kidney
Ectopic kidney

753.4   Other specified anomalies of ureter

Absent ureter                     Double ureter
Accessory ureter                  Ectopic ureter
Deviation of ureter                Implantation, anomalous of ureter
Displaced ureteric orifice

753.5   Exstrophy of urinary bladder

Ectopia vesicae                   Extroversion of bladder

753.6   Atresia and stenosis of urethra and bladder neck

Congenital bladder neck obstruction
Congenital stricture of:
     urethra (valvular)
     urinary meatus
     vesicourethral orifice
Impervious urethra

753.7   Anomalies of urachus

Cyst of urachus                   Patent of urachus

753.8   Other specified anomalies of bladder and urethra

Absence, congenital of:           Congenital urethrorectal fistula
    bladder                       Congenital prolapse of:
    urethra                           bladder (mucosa)
Accessory:                            urethra
    bladder                       Double:
    urethra                           urethra
Congenital:                           urinary meatus
    diverticulum of bladder
    hernia of bladder

753.9   Unspecified anomalies of urinary system

Congenital:         }   of urinary system
    anomaly NOS     }   [any part,
    deformity NOS   }   except urachus]

754     Certain congenital musculoskeletal deformities

754.0   Of skull, face and jaw

Asymmetry of face                 Dolichocephaly
Compression facies                Plagiocephaly
Depressions in skull              Potter's facies
Deviation of nasal septum,        Squashed or bent nose, congenital
    congenital

Excludes:    dentofacial anomalies (524.-)
             syphilitic saddle nose (090.5)

754.1   Of sternocleidomastoid muscle

Congenital sternomastoid torticollis
Contracture of sternocleidomastoid (muscle)
Sternomastoid tumor

754.2   Of spine

Congenital postural:              Congenital postural:
    lordosis                          scoliosis

754.3   Congenital dislocation of hip

Congenital:                       Predislocation status of hip at birth
    dislocatable hip
    preluxation hip

754.4   Congenital genu recurvatum and bowing of long bones of leg

Congenital bowing:                Congenital dislocation of knee
    femur
    tibia and fibula

754.5   Varus deformities of feet

Metatarsus varus                  Talipes equinovarus
Talipes calcaneovarus

Excludes:    acquired (736.7)

754.6   Valgus deformities of feet

Congenital pes planus             Congenital valgus deformity of foot
Talipes calcaneovarus

Excludes:    pes planus (acquired) (734)
             valgus deformity of foot (acquired) (736.7)

754.7   Other deformities of feet

Asymmetric talipes                Congenital deformity of foot NOS
Clubfoot NOS                      Talipes NOS

Excludes:    acquired (736.7)

754.8   Other specified

Congenital:                       Club hand (congenital)
    deformity of chest wall       Generalized flexion contractures of
    dislocation of elbow              lower limb joints, congenital
    funnel chest                  Pectus excavatum
    pigeon chest                  Spade-like hand (congenital)

755     Other congenital anomalies of limbs

Excludes:    those deformities classified to 754.-

755.0   Polydactyly

Accessory fingers or toes         Supernumerary digits

755.1   Syndactyly

Fusion of fingers or toes         Webbed fingers or toes
Symphalangy

755.2   Reduction deformities of upper limb

Absence, congenital (complete     Amelia of upper limb
    or partial) of:               Ectromelia of upper limb
         arm                      Hemimelia of upper limb
         finger                   Phocomelia of upper limb
         hand                     Rudimentary arm
         radius                   Shortening of arm, congenital

755.3   Reduction deformities of lower limb

Absence, congenital (complete     Amelia of lower limb
    or partial) of:               Ectromelia of lower limb
         femur                    Hemimelia of lower limb
         foot                     Phocomelia of lower limb
         leg                      Shortening of arm, congenital
         toe

755.4   Reduction deformities, unspecified limb

Absence, congenital (complete     Ectromelia of unspecified limb
    or partial) of limb NOS       Hemimelia of unspecified limb
Amelia of unspecified limb        Phocomelia of unspecified limb

755.5   Other anomalies of upper limb, including shoulder girdle

Accessory carpal bones            Lobster-claw hand
Acrocephalosyndactyly             Macrodactylia (fingers)
Cleidocranial dysostosis          Madelung's deformity
Congenital deformity of:          Radio-ulnar synostosis
    clavicle                      Sprengel's deformity
    scapula

755.6   Other anomalies of lower limb, including pelvic girdle

Astragalo-scaphoid synostosis     Congenital:
Congenital:                           deformity (of):
    absence of patella                     sacroiliac (joint)
    angulation of tibia               fusion of sacroiliac joint
    anteversion of femur              genu valgum
    coxa valga                        genu varum
    coxa vara                         hallux varus
    deformity (of):                   hammer toe
         ankle (joint)            Rudimentary patella
         knee (joint)

755.8   Other specified anomalies of unspecified limb

Arthrogryposis multiplex congenita

755.9   Unspecified anomalies of unspecified limb

Congenital:
    anomaly NOS of unspecified limb
    deformity NOS of unspecified limb

Excludes:    reduction deformity of unspecified limb (755.4)

756     Other congenital musculoskeletal anomalies

Excludes:    those deformities classified to 754.-

756.0   Anomalies of skull and face bones

Absence of skull bones            Hypertelorism
Acrocephaly                       Imperfect fusion of skull
Congenital deformity of           Oxycephaly
    forehead                      Platybasia
Craniosynostosis                  Trigonocephaly
Crouzon's disease

Excludes:    dentofacial anomalies (524.-)
             skull defects associated with anomalies of brain, such as:
                  anencephalus (740.0)
                  encephalocele (742.0)
                  hydrocephalus (742.3)
                  microcephalus (742.1)

756.1   Anomalies of spine

Congenital:                       Hemivertebra
    absence of vertebra           Klippel-Feil syndrome
    deformity, lumbosacral        Spina bifida occulta
         (joint) (region)         Supernumerary vertebra
    fusion of spine
    spondylolisthesis

756.2   Cervical

Supernumerary rib in cervical region

756.3   Other anomalies of ribs and sternum

Congenital                        Congenital
    absence of:                       fusion of ribs
         rib                      Sternum bifidum
         sternum

756.4   Chondrodystrophy

Achondroplasia                    Dyschondroplasia
Chondrodystrophia (fetalis)       Ollier's disease

Excludes:    lipochondrodystrophy (277.5)

756.5   Osteodystrophies

Albright (-McCune)-Sternberg      Osteogenesis imperfecta
    syndrome                      Osteopetrosis
Chondroectodermal dysplasia       Osteopoikilosis
Fragilitas ossium                 Osteopsathyrosis
Multiple epiphyseal dysplasia     Polyostotic fibrous dysplasia

756.6   Anomalies of diaphragm

Absence of diaphragm              Eventration of diaphragm
Congenital diaphragmatic hernia

Excludes:    congenital hiatus hernia (750.6)

756.7   Anomalies of abdominal wall

Exomphalos                        Prune belly (syndrome)
Gastroschisis

Excludes:    umbilical hernia (553.1)

756.8   Other specified anomalies of muscle, tendon, fascia, and connective
        tissue

Absence of:                       Amyotrophia congenita
    muscle (pectoral)             Congenital shortening of tendon
    tendon                        Ehlers-Danlos syndrome
Accessory muscle

756.9   Unspecified anomalies of musculoskeletal system

Congenital:
    anomaly NOS of musculoskeletal system, not elsewhere classified
    deformity NOS of musculoskeletal system, not elsewhere classified

757     Congenital anomalies of the integument

Includes:    anomalies of skin, subcutaneous tissue, hair, nails, and breast

757.0   Hereditary edema of legs

Hereditary trophedema

757.1   Ichthyosis congenita

757.2   Dermatoglyphic anomalies

Abnormal palmar creases

757.3   Other specified anomalies of skin

Accessory skin tags               Epidermolysis bullosa
Birthmarks                        Harlequin foetus
Congenital:                       Keratoderma (congenital)
    ectodermal dysplasia          Urticaria pigmentosa
    poikiloderma                  Xeroderma pigmentosum
    scar

757.4   Specified anomalies of hair

Congenital:                       Persistent lanugo
    alopecia
    atrichosis
    beaded hair
    hypertrichosis
    monilethrix

757.5   Specified anomalies of nails

Anonychia                         Congenital:
Congenital:                           leukonychia
    clubnail                          onychauxis
    koilonychia                       pachyonychia

757.6   Specified anomalies of breast

Absent breast or nipple           Supernumerary breast or nipple
Accessory breast or nipple        Hypoplasia of breast

Excludes:    absence of pectoral muscle (756.8)

757.8   Other specified anomalies of the integument

757.9   Unspecified anomalies of the integument

Congenital:
    anomaly NOS of integument
    deformity NOS of integument

758     Chromosomal anomalies

Includes:    syndromes associated with anomalies in the number and form of
                  chromosomes

758.0   Down's syndrome

Trisomy:                          Translocation Down's syndrome
    21 or 22
    G

758.1   Patau's syndrome

Trisomy:
    13
    D1

758.2   Edward's syndrome

Trisomy:
    18
    E3

758.3   Autosomal deletion syndromes

Antimongolism syndrome            Cri-du-chat syndrome

758.4   Balanced autosomal translocation in normal individual

758.5   Other conditions due to autosomal anomalies

758.6   Gonadal dysgenesis

Turner's syndrome                 XO syndrome

Excludes:    pure gonadal dysgenesis (752.7)

758.7   Klinefelter's syndrome

XYY syndrome

758.8   Other conditions due to sex chromosome anomalies

758.9   Conditions due to anomaly of unspecified chromosome

759     Other and unspecified congenital anomalies

759.0   Anomalies of spleen

759.1   Anomalies of adrenal gland

759.2   Anomalies of other endocrine glands

759.3   Situs inversus

Situs inversus or transversus:    Transposition of viscera:
    abdominalis                       abdominal
    thoracis                          thoracic

Excludes:    dextrocardia (746.8) unless associated with complete
                  transposition

759.4   Conjoined twins

Craniopagus                       Pygopagus
Dicephalus                        Thoracopagus
Double monster                    Xiphopagus

759.5   Tuberous sclerosis

Bourneville's disease             Epiloia

759.6   Other hamartoses, not elsewhere classified

Syndrome:
    Peutz-Jeghers
    Sturge-Weber(-Dimitri)
    von Hippel-Lindau

Excludes:    neurofibromatosis (237.7)

759.7   Multiple congenital anomalies, so described

Congenital:
    anomaly, multiple NOS
    deformity, multiple NOS
Monster NOS

759.8   Other specified anomalies

Monster (single), specified type
Congenital malformation syndromes affecting multiple systems, not elsewhere
    classified

759.9   Congenital anomaly, unspecified
         XV.  CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD

Includes:    conditions which have their origin in the perinatal period
                  even though death or morbidity occurs later

760     Fetus or newborn affected by material conditions which may be
        unrelated to present pregnancy

Includes:    the listed maternal conditions only when specified as a cause
                  of mortality or morbidity of the fetus or newborn

Excludes:    maternal endocrine and metabolic disorders influencing fetus
                  (775.-)

760.0   Maternal hypertensive disorders

Fetus or newborn affected by maternal conditions classifiable to 642.-

760.1   Maternal renal and urinary tract diseases

Fetus or newborn affected by maternal conditions classifiable to 580-599

760.2   Maternal infections

Fetus or newborn affected by maternal infectious disease classifiable to
    001-136 and 487, but not manifesting that disease

Excludes:    congenital infectious diseases (771.-)
             maternal genital tract, and other localized, infections (760.8)

760.3   Other chronic maternal circulatory and respiratory diseases

Fetus or newborn affected by chronic maternal conditions classifiable to
    390-459, 490-519, 745-748

760.4   Maternal nutritional disorders

Fetus or newborn affected by maternal disorders classifiable to 260-269
Maternal malnutrition NOS

760.5   Maternal injury

Fetus or newborn affected by maternal conditions classifiable to 800-996

760.6   Surgical operation on mother

Excludes:    cesarean section for present delivery (763.4)
             previous surgery to uterus or pelvic organs (763.8)

760.7   Noxious influences transmitted via placenta or breast milk

Excludes:    anesthetic and analgesic drugs administered during labor and
                  delivery (763.5)
             drug withdrawal syndrome in newborn (779.5)

760.8   Other

760.9   Unspecified

761     Fetus or newborn affected by maternal complications of pregnancy

Includes:    the listed maternal conditions only when specified as a cause of
                  mortality or morbidity of the fetus or newborn

761.0   Incompetent cervix

761.1   Premature rupture of membranes

761.2   Oligohydramnios

Excludes:    when due to premature rupture of membranes (761.1)

761.3   Polyhydramnios

Hydramnios

761.4   Ectopic pregnancy

Abdominal pregnancy

761.5   Multiple pregnancy

Triplet (pregnancy)               Twin (pregnancy)

761.6   Maternal death

761.7   Malpresentation before labor

Breech presentation before labor
External version before labor
Transverse lie before labor
Unstable lie before labor

761.8   Other

Spontaneous abortion, fetus

761.9   Unspecified

762     Fetus or newborn affected by complications of placenta, cord, and
        membranes

Includes:    the listed maternal conditions only when specified as a cause of
                  mortality or morbidity in the fetus or newborn

762.0   Placenta previa

762.1   Other forms of placental separation and hemorrhage

Abruptio placentae
Accidental hemorrhage
Antepartum hemorrhage
Damage to placenta from amniocentesis, cesarean section, or surgical induction
Maternal blood loss
Premature separation of placenta

762.2   Other and unspecified morphological and functional abnormalities of
        placenta

Placental:
    dysfunction
    infarction
    insufficiency

762.3   Placental transfusion syndromes

Placental and cord abnormality resulting in twin-to-twin or other
    transplacental transfusion

Use code 772.0 or 776.4, in addition, if desired, to indicate resultant
    condition in fetus or newborn

762.4   Prolapsed cord

762.5   Other compression of umbilical cord

Cord around neck                  Knot in cord
Entanglement of cord

762.6   Other and unspecified conditions of umbilical cord

Short cord                        Vasa previa

Excludes:    single umbilical artery (747.5)

762.7   Chorioamnionitis

Membranitis                       Placentitis

762.8   Other abnormalities of chorion and amnion

762.9   Unspecified abnormality of chorion and amnion

763     Fetus or newborn affected by other complications of labor and delivery

Includes:    the listed conditions only when specified as a cause of
                  mortality or morbidity in the fetus or newborn

763.0   Breech delivery and extraction

763.1   Other malpresentation, malposition, and disproportion during labor
        and delivery

Fetus or newborn affected by conditions classifiable to 652, 653, and 660
Contracted pelvis
Persistent occipitoposterior
Transverse lie

763.2   Forceps delivery

763.3   Delivery by vacuum extractor

763.4   Cesarean delivery

763.5   Maternal anesthesia and analgesia

Reactions and intoxications from maternal opiates and tranquillizers
    during labor and delivery

Excludes:    drug-withdrawal syndrome in newborn (779.5)

763.6   Precipitate delivery

Rapid second stage

763.7   Abnormal uterine contractions
                
Fetus or newborn affected by conditions classifiable to 661.-, except 661.3
Hypertonic labor
Uterine inertia

763.8   Other complications of labor and delivery

Fetus or newborn affected by other conditions classifiable to 650-669 and
    by other procedures used in labor and delivery
Abnormality of maternal soft tissues
Destructive operation to facilitate delivery
Induction of labor

763.9   Unspecified

764     Slow fetal growth and fetal malnutrition

764.0   "Light-for-dates" without mention of fetal malnutrition

Infants underweight for gestational age
"Small-for-dates"

764.1   "Light-for-dates" with signs of fetal malnutrition

Infants "light-for-dates" as in .0, who in addition show signs of fetal
    malnutrition, such as dry, peeling skin and loss of subcutaneous tissue

764.2   Fetal malnutrition without mention of "light-for-dates"

Infants, not underweight for gestational age, showing signs of fetal
    malnutrition, such as dry, peeling skin and loss of subcutaneous tissue

764.9   Fetal growth retardation, unspecified

765     Disorders relating to short gestation and unspecified low birthweight

Includes:    the listed conditions, without further specification, as causes
                  of mortality, morbidity or additional care, in fetus or
                  newborn

Excludes:    low birthweight due to slow fetal growth and fetal malnutrition
                  (764.-)

765.0   Extreme immaturity

Note:   Usually implies a birthweight of less than 1000 g. and/or a
        gestation of less than 28 completed weeks.

765.1   Other preterm infants

Prematurity or small size, not classifiable to 765.0 or as "light-for-dates"
    in 764.-
Prematurity NOS

766     Disorders relating to long gestation and high birthweight

Includes:    the listed conditions, without further specification, as causes
                  of mortality, morbidity or additional care, in fetus or
                  newborn

766.0   Exceptionally large baby

Note:   Usually implies a birthweight of 4500 g. or more.

766.1   Other "heavy-for-dates" infants

Other fetus or infant heavy- or large-for-dates regardless of period of
    gestation

766.2   Post-term infant, not "heavy-for-dates"

Fetus or infant with gestation period of 294 days or more [42 or more
    completed weeks], not heavy- or large-for-dates
Postmaturity NOS

767     Birth trauma

767.0   Subdural and cerebral hemorrhage

Subdural and cerebral hemorrhage, whether described as due to birth trauma
    or to intrapartum anoxia or hypoxia
Subdural hematoma (localized)
Tentorial tear

Use additional code, if desired, to identify cause

Excludes:    intraventricular hemorrhage (772.1)
             subarachnoid hemorrhage (772.2)

767.1   Injuries to scalp

Cephalhematoma
Chignon (from vacuum extraction)
Massive epicranial subaponeurotic hemorrhage

767.2   Fracture of clavicle

767.3   Other injuries to skeleton

Fracture of:                      Fracture of:
    long bones                        skull

Excludes:    fracture of spine (767.4)

767.4   Injury to spine and spinal cord

767.5   Facial nerve injury

Facial palsy

767.6   Injury to brachial plexus

Erb's palsy
Klumpke's palsy

767.7   Other cranial and peripheral nerve injuries

767.8   Other

Eye damage                        Rupture of:
Hematoma of:                           liver
    liver (subcapsular)                spleen
    testes                        Scalpel wound
    vulva                         Traumatic glaucoma

767.9   Unspecified

768     Intrauterine hypoxia and birth asphyxia

768.2   Fetal distress before onset of labor, in liveborn infant

Liveborn infant showing evidence of intrauterine hypoxia before onset of labor

Abnormal fetal heart rate       }
Fetal or intrauterine:          }
    acidosis                    }
    anoxia                      }      first noted before onset of
    asphyxia                    }           labor, liveborn infant
    distress                    }
    hypoxia                     }
Meconium in liquor              }
Passage of meconium             }

768.3   Fetal distress first noted during labor, in liveborn infant

Liveborn infant showing evidence of intrauterine hypoxia during labor or
    delivery
Abnormal fetal heart rate       }
Fetal or intrauterine:          }
    acidosis                    }
    anoxia                      }      first noted during labor or
    asphyxia                    }           delivery, liveborn infant
    distress                    }
    hypoxia                     }
Meconium in liquor              }
Passage of meconium             }

768.4   Fetal distress, unspecified, in liveborn infant

Liveborn infant showing evidence of intrauterine hypoxia before delivery, but
    not stated whether before or after onset of labor
Abnormal fetal heart rate       }
Fetal or intrauterine:          }
    acidosis                    }
    anoxia                      }      not stated whether first noted
    asphyxia                    }           before or after onset of
    distress                    }           labor, liveborn infant
    hypoxia                     }
Meconium in liquor              }
Passage of meconium             }

768.5   Severe birth asphyxia

Pulse less than 100 per minute at birth and falling or steady, respiration
    absent or gasping, color poor, tone absent
1-minute Apgar score 0-3     1/
"White asphyxia"

768.6   Mild or moderate birth asphyxia

Normal respiration not established within one minute, but heart rate 100 or
    above, some muscle tone present, some response to stimulation
1-minute Apgar score 4-7     1/
"Blue asphyxia"

1/ The Apgar scoring system is described in: Apgar, V.  Anesthesia and
   Analgesia...Current Researches, 32: 260 (1953)

768.9   Unspecified birth asphyxia in liveborn infant

Anoxia NOS, in liveborn infant
Asphyxia NOS, in liveborn infant
Hypoxia NOS, in liveborn infant

769     Respiratory distress syndrome

Hyaline membrane (disease) (pulmonary)
Idiopathic respiratory distress syndrome of newborn [IRDS or RDS]

Excludes:    transient tachypnea of newborn (770.6)

770     Other respiratory conditions of fetus and newborn

770.0   Congenital pneumonia

Infective pneumonia acquired prenatally

770.1   Massive aspiration syndrome

Meconium aspiration syndrome
Pneumonitis:                      Pneumonitis:
    fetal aspiration                  meconium

770.2   Interstitial emphysema and related conditions

Pneumomediastinum               }      originating
Pneumopericardium               }      in the
Pneumothorax                    }      perinatal period

770.3   Pulmonary hemorrhage

Hemorrhage:
    alveolar (lung)             }      originating
    intra-alveolar (lung)       }      in the
    massive pulmonary           }      perinatal period

770.4   Primary atelectasis

Pulmonary immaturity NOS

770.5   Other and unspecified atelectasis

Atelectasis:                    }      originating
    NOS                         }      in the
    partial                     }      perinatal
Pulmonary collapse              }      period

770.6   Transitory tachypnea of newborn

Tachypnea commencing to resolve, usually, within 6 hours of birth

Excludes:    respiratory distress syndrome (769)

770.7   Chronic respiratory disease arising in the perinatal period

Bronchopulmonary dysplasia        Wilson-Mikity syndrome

770.8   Other respiratory problems after birth

Apneic spells NOS               }      originating
Cyanotic attacks NOS            }      in the
Respiratory distress NOS        }      perinatal
Respiratory failure NOS         }      period

770.9   Unspecified

771     Infections specific to the perinatal period

Includes:    infections acquired before or during birth or via the umbilicus

Excludes:    congenital pneumonia (770.0)
             congenital syphilis (090.-)
             ophthalmia neonatorum due to gonococcus (098.4)
             other infections acquired after birth (001-136, 480-486, etc.)
             maternal infectious disease as a cause of mortality or morbidity
                  in fetus or newborn not itself manifesting the disease
                  (760.2)

771.0   Congenital rubella

Congenital rubella pneumonitis

771.1   Congenital cytomegalovirus infection

771.2   Other congenital infections

Congenital:
    herpes simplex
    listeriosis
    malaria
    toxoplasmosis
    tuberculosis

771.3   Tetanus neonatorum

771.4   Omphalitis of the newborn

Excludes:    tetanus omphalitis (771.3)

771.5   Neonatal infective mastitis

771.6   Neonatal conjunctivitis and dacryocystitis

Ophthalmia neonatorum NOS

Excludes:    ophthalmia neonatorum due to gonococcus (098.4)

771.7   Neonatal Candida infection

Neonatal Monilia infection

771.8   Other infection specific to the perinatal period

Intra-amniotic infection of fetus:
    NOS
    Clostridial
    Escherichia coli
Intrauterine sepsis of fetus
Neonatal urinary tract infection
Septicemia [sepsis] of newborn

772     Fetal and neonatal hemorrhage

Excludes:    hematological disorders of fetus and newborn (776.-)

772.0   Fetal blood loss

Fetal blood loss from:            Fetal exsanguination
    cut end of co-twin's cord     Fetal hemorrhage into:
    placenta                          co-twin
    ruptured cord                     mother's circulation
    vasa previa

772.1   Intraventricular hemorrhage

Intraventricular hemorrhage from any perinatal cause

772.2   Subarachnoid hemorrhage

Subarachnoid hemorrhage from any perinatal cause

772.3   Umbilical hemorrhage after birth

Slipped umbilical ligature

772.4   Gastrointestinal hemorrhage

Excludes:    swallowed maternal blood (777.3)

772.5   Adrenal hemorrhage

772.6   Cutaneous hemorrhage

Bruising in fetus or newborn
Ecchymoses in fetus or newborn
Petechiae in fetus or newborn
Superficial hematoma in fetus or newborn

772.8   Other

Excludes:    hemorrhagic disease of newborn (776.0)
             pulmonary hemorrhage (770.3)

772.9   Unspecified

773     Hemolytic disease of fetus or newborn, due to isoimmunization

773.0   Hemolytic disease due to Rh isoimmunization

Anemia due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Erythroblastosis (fetalis) due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Hemolytic disease (fetus) (newborn) due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Jaundice due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Rh hemolytic disease
Rh isoimmunization

773.1   Hemolytic disease due to ABO isoimmunization

ABO hemolytic disease
ABO isoimmunization
Anemia due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Erythroblastosis (fetalis) due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Hemolytic disease (fetus)(newborn) due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Jaundice due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility

773.2   Hemolytic disease due to other and unspecified isoimmunization

Erythroblastosis (fetalis) NOS
Hemolytic disease (fetus) (newborn) NOS
Jaundice or anemia due to other or unspecified blood-group incompatibility

773.3   Hydrops fetalis due to isoimmunization

773.4   Kernicterus due to isoimmunization

773.5   Late anemia due to isoimmunization

774     Other perinatal jaundice

774.1   Perinatal jaundice from other excessive hemolysis

Fetal or neonatal jaundice from:
    bruising
    drugs or toxins transmitted from mother
    infection
    polycythemia
    swallowed maternal blood

Use additional code, if desired, to identify cause

Excludes:    jaundice due to isoimmunization (773.0, 773.1, 773.2)

774.2   Neonatal jaundice associated with preterm delivery

Hyperbilirubinemia of prematurity
Jaundice due to delayed conjugation associated with preterm delivery

774.3   Neonatal jaundice due to delayed conjugation from other causes

Jaundice due to delayed conjugation from causes such as breast milk
    inhibitors, congenital hypothyroidism, and congenital absence or
    deficiency of enzyme systems for bilirubin conjugation

774.4   Perinatal jaundice due to hepatocellular damage

Fetal or neonatal hepatitis       Inspissated bile syndrome

774.5   Perinatal jaundice from other causes

774.6   Unspecified fetal and neonatal jaundice

Physiologic jaundice NOS in newborn

774.7   Kernicterus not due to isoimmunization

Kernicterus NOS

Excludes:    kernicterus due to isoimmunization (773.4)

775     Endocrine and metabolic disturbances specific to the fetus and newborn

Includes:    transitory endocrine and metabolic disturbances caused by the
                  infant's response to maternal endocrine and metabolic
                  factors, its removal from them, or its adjustment to
                  extrauterine existence

775.0   Syndrome of "infant of a diabetic mother"

Maternal diabetes mellitus affecting fetus or newborn (with hypoglycemia)

775.1   Neonatal diabetes mellitus

775.2   Neonatal myasthenia gravis

775.3   Neonatal thyrotoxicosis

775.4   Hypocalcemia and hypomagnesemia of newborn

Cow's milk hypocalcemia
Neonatal hypoparathyroidism
Phosphate-loading hypocalcemia

775.5   Other transitory neonatal electrolyte disturbances

775.6   Neonatal hypoglycemia

Excludes:    infant of mother with diabetes mellitus (775.0)

775.7   Late metabolic acidosis of newborn

775.8   Other transitory neonatal endocrine and metabolic disturbances

Amino-acid metabolic disorders described as transitory

775.9   Unspecified

776     Hematological disorders of fetus and newborn

Includes:    disorders specific to the fetus or newborn

776.0   Hemorrhagic disease of newborn

Vitamin K deficiency of newborn

776.1   Transient neonatal thrombocytopenia

Neonatal thrombocytopenia due to:
    exchange transfusion
    idiopathic maternal thrombocytopenia
    isoimmunization

776.2   Disseminated intravascular coagulation in newborn

776.3   Other transient neonatal disorders of coagulation

776.4   Polycythemia neonatorum

776.5   Congenital anemia

Anemia following fetal blood loss

Excludes:    anemia due to isoimmunization (773.-)
             hereditary hemolytic anemias (282.-)

776.6   Anemia of prematurity

776.7   Transient neonatal neutropenia

Isoimmune neutropenia             Maternal transfer neutropenia

776.8   Other specified transient hematological disorders

776.9   Unspecified

777     Perinatal disorders of digestive system

Includes:    disorders specific to the fetus and newborn

Excludes:    intestinal obstruction classifiable to 560.-

777.1   Other meconium obstruction

Congenital fecaliths              Meconium plug syndrome

777.2   Intestinal obstruction due to inspissated milk

777.3   Hematemesis and melena due to swallowed maternal blood

777.4   Transitory ileus of newborn

Excludes:    Hirschsprung's disease (751.3)

777.5   Necrotizing enterocolitis in fetus or newborn

777.6   Perinatal intestinal perforation

Meconium peritonitis

777.8   Other

777.9   Unspecified

778     Conditions involving the integument and temperature regulation of
        fetus and newborn

778.0   Hydrops fetalis not due to isoimmunization

Idiopathic hydrops

Excludes:    hydrops fetalis due to isoimmunization (773.3)

778.1   Sclerema neonatorum

778.2   Cold injury syndrome of newborn

778.3   Other hypothermia of newborn

778.4   Other disturbances of temperature regulation of newborn

Environmentally induced pyrexia and dehydration fever in newborn

778.5   Other and unspecified edema of newborn

778.6   Congenital hydrocele

778.7   Breast engorgement in newborn

Noninfective mastitis of newborn

778.8   Other

Urticaria neonatorum

Excludes:    impetigo neonatorum (684)
             pemphigus neonatorum (684)

778.9   Unspecified

779     Other and ill-defined conditions originating in the perinatal period

779.0   Convulsions in newborn

Fits in newborn                   Seizures in newborn

779.1   Other and unspecified cerebral irritability in newborn

779.2   Cerebral depression, coma, and other abnormal cerebral signs

779.3   Feeding problems in newborn

Regurgitation of feeds in newborn
Slow feeding in newborn
Vomiting in newborn

779.4   Drug reactions and intoxications specific to newborn

Gray syndrome from chloramphenicol administration in newborn

Excludes:    reactions and intoxications from maternal opiates and
                  tranquilizers (763.5)

779.5   Drug withdrawal syndrome in newborn

Drug withdrawal syndrome in infant of dependent mother

779.6   Termination of pregnancy (fetus)

779.8   Other

779.9   Unspecified

Congenital debility NOS
              XVI.  SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS


This section includes symptoms, signs, abnormal results of laboratory 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 are
assigned to some category in the preceding part of the classification.  In
general, categories 780-796 include the more ill-defined conditions and
symptoms that point with perhaps equal suspicion to two or more diseases or to
two or more systems of the body, and without the necessary study of the case
to make a final diagnosis.  Practically all categories in this group could be
designated as "not otherwise specified," or as "unknown etiology," or as
"transient."

The conditions and signs or symptoms included in categories 780-796 consist
of: (a) cases for which no more specific diagnosis can be made even after all
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 which represent important problems in medical
care and which it might be desired to classify in addition to a known cause.


                            SYMPTOMS (780-789)

780     General symptoms

780.0   Coma and stupor

Drowsiness                        Somnolence
Semicoma                          Unconsciousness

Excludes:    coma originating in the perinatal period (779.2)

780.1   Hallucinations

Excludes:    visual hallucinations (368.1)
             when part of a pattern of mental disorder

780.2   Syncope and collapse

Blackout                          Vasovagal attack
Fainting

Excludes:    carotid sinus syncope (337.0)
             neurocirculatory asthenia (306.2)
             orthostatic hypotension (458.0)
             shock NOS (785.5)

780.3   Convulsions

Convulsions:
    NOS
    febrile
    infantile
Fit NOS

Excludes:    convulsions in newborn (779.0)
             epileptic convulsions (345.-)

780.4   Dizziness and giddiness

Vertigo NOS

Excludes:    Mnire's disease and other specified vertiginous syndromes
                  (386.-)

780.5   Sleep disturbances

Insomnia                          Inversion of sleep rhythm

Excludes:    when of nonorganic origin (307.4)

780.6   Pyrexia of unknown origin

Chills with fever                 Hyperpyrexia NOS
Fever NOS

Excludes:    pyrexia of unknown origin during:
                  labor (659.2)
                  the puerperium (672)

780.7   Malaise and fatigue

Asthenia NOS                      Postviral (asthenic) syndrome
Lethargy                          Tiredness

Excludes:    combat fatigue (308.-)
             fatigue during pregnancy (646.8)
             neurasthenia (300.5)
             senile asthenia (797)

780.8   Hyperhidrosis

Excessive sweating

780.9   Other general symptoms

Amnesia (retrograde)              Hypothermia, not associated with low
Generalized pain                       environmental temperature

Excludes:    hypothermia:
                  NOS (accidental) (991.6)
                  due to anesthesia (995.8)
             memory disturbance when part of a pattern of mental disorder

781     Symptoms involving nervous and musculoskeletal systems

Excludes:    depression NOS (311)
             disorders specifically relating to:
                  back (724.-)
                  hearing (388.-, 389.-)
                  joint (718.-, 719.-)
                  limb (729.-)
                  neck (723.-)
                  vision (368.-, 369.-)
             pain in limb (729.5)

781.0   Abnormal involuntary movements

Abnormal head movements           Spasms NOS
Fasciculation                     Tremor NOS

Excludes:    chorea NOS (333.5)
             infantile spasms (345.6)
             spastic paralysis (342-344)
             specified movement disorders classifiable to 333.- (333.-)
             when of nonorganic origin (307.2, 307.3)

781.1   Disturbances of sensation of smell and taste

Anosmia                           Parosmia

781.2   Abnormality of gait

Gait:                             Gait:
    ataxic                            spastic
    paralytic                         staggering

Excludes:    difficulty in walking (719.7)
             locomotor ataxia (094.2)

781.3   Lack of coordination

Ataxia NOS                        Muscular incoordination

Excludes:    ataxic gait (781.2)
             cerebellar ataxia (334.-)
             vertigo NOS (780.4)

781.4   Transient paralysis of limb

Monoplegia, transient NOS

Excludes:    paralysis (342-344)

781.5   Clubbing of fingers

781.6   Meningismus

781.7   Tetany

Carpopedal spasm

Excludes:    hysterical (300.1)
             psychogenic (306.0)

781.9   Other

Abnormal posture

782     Symptoms involving skin and other integumentary tissue

782.0   Disturbance of skin sensation

Anesthesia of skin                Hypoesthesia
Burning or prickling              Numbness
    sensation                     Paresthesia
Hyperesthesia                     Tingling

782.1   Rash and other nonspecific skin eruption

782.2   Localized superficial swelling, mass or lump

Subcutaneous nodules

Excludes:    localized adiposity (278.1)

782.3   Edema

Localized edema

Excludes:    ascites (789.5)
             edema of:
                  newborn NOS (778.5)
                  pregnancy (642.-, 646.1)
             fluid retention (276.6)
             hydrops fetalis (773.3, 778.0)
             hydrothorax (511.8)
             nutritional edema (262)

782.4   Jaundice unspecified, not of newborn

Cholemia NOS                      Icterus NOS

782.5   Cyanosis

Excludes:    newborn (770.8)

782.6   Pallor and flushing

782.7   Spontaneous ecchymoses

Petechiae

Excludes:    ecchymosis in fetus or newborn (772.6)
             purpura (287.-)

782.8   Changes in skin texture

Induration of skin                Thickening of skin

782.9   Other

783     Symptoms concerning nutrition, metabolism and development

783.0   Anorexia

Loss of appetite

Excludes:    anorexia nervosa (307.1)
             loss of appetite of nonorganic origin (307.5)

783.1   Abnormal weight gain

Excludes:    excessive weight gain in pregnancy (646.1)
             obesity (278.0)

783.2   Abnormal loss of weight

783.3   Feeding difficulties and mismanagement

Feeding problem (infant) (elderly)

Excludes:     feeding problems in newborn (779.3)
              infantile feeding disturbance of nonorganic origin (307.5)

783.4   Lack of expected normal physiological development

Delayed milestone                 Physical retardation
Failure to thrive                 Short stature
Lack of growth

Excludes:    delay in sexual development and puberty (259.0)
             specific delays in mental development (315.-)

783.5   Polydipsia

Excessive thirst

783.6   Polyphagia

Excessive eating                  Hyperalimentation NOS

Excludes:    disorders of eating of nonorganic origin (307.5)

783.9   Other

Excludes:    abnormal basal metabolic rate (794.7)
             dehydration (276.5)
             other disorders of fluid, electrolyte, and acid-base balance
                  (276.-)

784     Symptoms involving head and neck

Excludes:    encephalopathy NOS (348.3)

784.0   Headache

Facial pain

Excludes:    atypical face pain (350.2)
             migraine (346.-)
             tension headache (307.8)

784.1   Throat pain

Excludes:    dysphagia (787.2)
             neck pain (723.1)
             sore throat (462, 472.1)

784.2   Swelling, mass, or lump in head and neck

Space-occupying lesion, intracranial NOS

784.3   Aphasia

Excludes:    developmental aphasia (315.3)

784.4   Voice disturbance

Aphonia                           Hypernasality
Hoarseness                        Hyponasality

784.5   Other speech disturbance

Dysarthria                        Slurred speech
Dysphasia

Excludes:    stammering and stuttering (307.0)
             when of nonorganic origin (307.0, 307.9)

784.6   Other symbolic dysfunction


Acalculia                         Apraxia
Agnosia                           Dyslexia
Agraphia

Excludes:    developmental learning retardations (315.-)

784.7   Epistaxis

Hemorrhage from nose              Nosebleed

784.8   Hemorrhage from throat

Excludes:    hemoptysis (786.3)

784.9   Other

Choking sensation                 Mouth breathing
Halitosis                         Sneezing

785     Symptoms involving cardiovascular system

Excludes:    heart failure NOS (428.9)

785.0   Tachycardia, unspecified

Excludes:    paroxysmal tachycardia (427.0-427.2)

785.1   Palpitations

Awareness of heart beat

Excludes:    specified dysrhythmias (427.-)

785.2   Functional and undiagnosed cardiac murmurs

Heart murmur (benign) (innocent) NOS

785.3   Other abnormal heart sounds

Cardiac dullness, increased or decreased
Friction fremitus, cardiac
Precordial friction

785.4   Gangrene

Gangrene:
    NOS
    spreading cutaneous
Phagedena

Excludes:    gangrene of certain sites
             gas gangrene (040.0)

785.5   Shock without mention of trauma

Failure of peripheral circulation
Shock:
    NOS
    cardiogenic
    endotoxic
    hypovolemic
    septic

Excludes:    shock:
                  anesthetic (995.4)
                  anaphylactic (995.0)
                       due to serum (999.4)
                  electric (994.8)
                  following abortion (639.5)
                  lightning (994.0)
                  obstetrical (669.1)
                  postoperative (998.0)
                  traumatic (958.4)

785.6   Enlargement of lymph nodes

Lymphadenopathy                   "Swollen glands"

Excludes:    lymphadenitis (289.-, 683)

785.9   Other

Bruit NOS

786     Symptoms involving respiratory system and other chest symptoms

786.0   Dyspnea and respiratory abnormalities

Orthopnea                         Shortness of breath
Respiratory:                      Tachypnea
    distress                      Wheezing
    insufficiency

Excludes:    hyperventilation, psychogenic (306.1)
             respiratory distress of newborn (770.8)
             respiratory distress syndrome (newborn) (769)
             respiratory failure (799.1)
                  newborn (770.8)

786.1   Stridor

Excludes:    congenital stridor (748.3)

786.2   Cough

Excludes:    psychogenic cough (306.1)

786.3   Hemoptysis

Cough with hemorrhage             Pulmonary hemorrhage NOS

Excludes:    pulmonary hemorrhage of newborn (770.3)

786.4   Abnormal sputum

Excessive sputum

786.5   Chest pain

Pain:                             Painful respiration
    anterior chest wall           Pleurodynia
    pleuritic
    precordial

Excludes:    epidemic pleurodynia (074.1)
             pain in breast (611.7)

786.6   Swelling, mass or lump in chest

Excludes:    lump in breast (611.7)

786.7   Abnormal chest sounds

Abnormal percussion, chest        Rales
Friction sounds, chest            Tympany, chest

Excludes:    wheezing (786.0)

786.8   Hiccough

Excludes:    psychogenic hiccough (306.1)

786.9   Other

Breath-holding spell

787     Symptoms involving digestive system

Excludes:    pylorospasm (537.8)
                  congenital (750.5)

787.0   Nausea and vomiting

Excludes:    hematemesis NOS (531.- to 534.-, 578.0)
             vomiting:
                  bilious, following gastrointestinal surgery (564.3)
                  cyclical (536.2)
                       psychogenic (306.4)
                  excessive, in pregnancy (643.-)
                  habit (536.2)
                  of newborn (779.3)
                  psychogenic NOS (307.5)

787.1   Heartburn

Excludes:    dyspepsia (536.8)

787.2   Dysphagia

Difficulty in swallowing

787.3   Flatulence, eructation, and gas pain

Bloating

Excludes:    aerophagy (306.4)

787.4   Visible peristalsis

787.5   Abnormal bowel sounds

787.6   Incontinence of feces

Encopresis NOS

Excludes:    when of nonorganic origin (307.7)

787.7   Abnormal feces

Excludes:    melaena:
                  NOS (578.1)
                  newborn (772.4)

787.9   Other

Excludes:    gastrointestinal hemorrhage (578.-)
             intestinal obstruction (560.-)
             specific functional digestive disorders (530.-, 536.-, 564.-)

788     Symptoms involving urinary system

Excludes:    hematuria (599.7)
             small kidney of unknown cause (589.-)
             uremia NOS (586.-)

788.0   Renal colic

788.1   Dysuria

788.2   Retention of urine

788.3   Incontinence of urine

Enuresis NOS

Excludes:    when of nonorganic origin (307.6)
             stress incontinence (female) (625.6)

788.4   Frequency of urination and polyuria

Frequency of micturition          Nocturia

788.5   Oliguria and anuria

Excludes:    when complicating:
                  abortion (634-638 with fourth digit .3, 639.3)
                  ectopic or molar pregnancy (639.3)
                  pregnancy, childbirth, or the puerperium (646.2)

788.6   Other abnormality of urination

Slowing of urinary stream         Splitting of urinary stream

788.7   Urethral discharge

788.8   Extravasation of urine

788.9   Other

Extrarenal uremia

789     Other symptoms involving abdomen and pelvis

Excludes:    symptoms referable to genital organs:
                  female (625.-)
                  male (302.7, 607.-, 608.-)

789.0   Abdominal pain

Abdominal tenderness              Colic:
Epigastric pain                        NOS
Umbilical pain                         infantile

Excludes:    renal colic (788.0)

789.1   Hepatomegaly

789.2   Splenomegaly

789.3   Abdominal or pelvic swelling, mass, or lump

789.4   Abdominal rigidity

789.5   Ascites

Fluid in peritoneal cavity

789.9   Other


                   NONSPECIFIC ABNORMAL FINDINGS (790-796)

790     Nonspecific findings on examination of blood

Excludes:    abnormality of:
                  coagulation (286.-)
                  platelets (287.-)
                  thrombocytes (287.-)
                  white blood cells (288.-)

790.0   Abnormality of red blood cells

Abnormal red cell:                Anisocytosis
    morphology NOS                Poikilocytosis
    volume NOS

Excludes:    anemias (280-285, 776.5, 776.6)
             polycythemia (238.4, 289.0, 289.6, 776.4)

790.1   Elevated sedimentation rate

790.2   Abnormal glucose tolerance test

Diabetes:                         Prediabetes
    chemical
    latent

Excludes:    when complicating pregnancy, childbirth, or the puerperium
                  (648.8)

790.3   Excessive blood level of alcohol

790.4   Other nonspecific elevation of levels of transaminase or lactic acid
        dehydrogenase [LDH]

790.5   Other nonspecific abnormal serum enzyme levels

Abnormal serum level of:
    acid phosphatase
    alkaline phosphatase
    amylase
    lipase

Excludes:    deficiency of circulating enzymes (277.6)

790.6   Other abnormal blood chemistry

Abnormal blood levels of:
    cobalt
    copper
    iron
    lithium
    magnesium
    mineral
    zinc

Excludes:    abnormality of electrolyte or acid-base balance (276.-)
             hyperglycemia NOS (250.9)
             hypoglycemia NOS (251.2)
             specific findings indicating abnormality of:
                  amino-acid transport and metabolism (270.-)
                  carbohydrate transport and metabolism (271.-)
                  lipid metabolism (272.-)
             uremia NOS (586)

790.7   Bacteremia, unspecified

790.8   Viremia, unspecified

790.9   Other

791     Nonspecific findings on examination of urine

Excludes:    bacteriuria (599.0)
             hematuria NOS (599.7)
             specific findings indicating abnormality of:
                  amino-acid transport and metabolism (270.-)
                  carbohydrate transport and metabolism (271.-)

791.0   Proteinuria

Albuminuria                       Bence-Jones proteinuria

Excludes:    when arising during pregnancy or the puerperium (642.-, 646.2)
             postural proteinuria (593.6)

791.1   Chyluria

Excludes:    filarial (125.-)

791.2   Hemoglobinuria

791.3   Myoglobinuria

791.4   Biliuria

791.5   Glycosuria

791.6   Acetonuria

791.7   Other cells and casts in urine

791.9   Other

Crystalluria

792     Nonspecific abnormal findings in other body substances

Excludes:    chromosomal studies (795.2)

792.0   Cerebrospinal fluid

792.1   Stool contents

Abnormal stool color              Mucus in stool
Fat in stool                      Pus in stool

792.2   Semen

Abnormal spermatozoa

Excludes:    azoospermia (606)
             oligospermia (606)

792.3   Amniotic fluid

792.4   Saliva

Excludes:    chromosomal studies (795.2)

792.9   Other

Peritoneal fluid                  Synovial fluid
Pleural fluid                     Vaginal fluids

793     Nonspecific abnormal findings on radiological and other examination
        of body structure

Includes:    nonspecific abnormal findings of:
                  thermography
                  ultrasound examination [echogram]
                  x-ray examination

Excludes:    abnormal results of function studies (794.-)

793.0   Skull and head

793.1   Lung field

Coin lesion, lung                 Shadow, lung

793.2   Other intrathoracic organ

Abnormal heart shadow             Mediastinal shift

793.3   Biliary tract

Nonvisualization of gallbladder

793.4   Gastrointestinal tract

793.5   Genitourinary organs

Filling defect:
    bladder
    kidney
    ureter

793.6   Abdominal area, including retroperitoneum

793.7   Musculoskeletal system

793.8   Breast

793.9   Other

794     Nonspecific abnormal results of function studies

794.0   Brain and central nervous system

Abnormal echoencephalogram        Abnormal electroencephalogram [EEG]

794.1   Peripheral nervous system and special senses

Abnormal electro-oculogram [EOG]
Abnormal electroretinogram [ERG]
Abnormal response to nerve stimulation
Abnormal visually evoked potential (VEP)

794.2   Pulmonary

Reduced:
    ventilatory capacity
    vital capacity

794.3   Cardiovascular

Abnormal electrocardiogram [ECG] [EKG]
Abnormal phonocardiogram

794.4   Kidney

Abnormal renal function test

794.5   Thyroid

794.6   Other endocrine function study

794.7   Basal metabolism

Abnormal basal metabolic rate [BMR]

794.8   Liver

794.9   Other

Bladder                           Spleen

795     Nonspecific abnormal histological and immunological findings

Excludes:    nonspecific abnormalities of red blood cells (790.0)

795.0   Nonspecific abnormal Papanicolaou smear of cervix

Dyskaryotic cervical smear

795.1   Nonspecific abnormal Papanicolaou smear of other origin

795.2   Nonspecific abnormal findings on chromosomal analysis

Abnormal karyotype

795.3   Nonspecific positive culture findings

Positive culture findings in:
    nose
    sputum
    throat
    wound

795.4   Other nonspecific abnormal histological findings

795.5   Nonspecific reaction to tuberculin test

Abnormal result of Mantoux test

795.6   False positive serological test for syphilis

False positive Wassermann reaction

795.7   Other nonspecific immunological findings

Raised antibody titre             Raised level of immunoglobulins

Excludes:    isoimmunization, in pregnancy (656.1, 656.2)
                  affecting fetus or newborn (773.0-773.2)

795.8   Positive serological or viral culture findings for human
        immunodeficiency virus (HIV)

[Not to be used for underlying cause of death]

796     Other nonspecific abnormal findings

796.0   Nonspecific abnormal toxicological findings

796.1   Abnormal reflex

796.2   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 incidental finding.

796.3   Nonspecific low blood pressure reading

796.4   Other abnormal clinical findings

796.9   Other


     ILL-DEFINED AND UNKNOWN CAUSES OF MORBIDITY AND MORTALITY
(797-799)

797     Senility without mention of psychosis

Old age

Excludes:    senile psychoses (290.-)

798     Sudden death, cause unknown

798.0   Sudden infant death syndrome

Cot death
Crib death
Sudden death of nonspecific cause in infancy

798.1   Instantaneous death

798.2   Death occurring in less than 24 hours from onset of symptoms, not
        otherwise explained

Death not known to be violent or instantaneous, for which no cause could be
    discovered
Died without sign of disease

798.9   Unattended death

Death in circumstances where the body of the deceased was found and no
    cause could be discovered
Found dead

799     Other ill-defined and unknown causes of morbidity and mortality

799.0   Asphyxia

Excludes:    asphyxia (due to):
                  carbon monoxide (986)
                  inhalation of food or foreign body (932-934)
                  newborn (768.-)
                  traumatic (994.7)

799.1   Respiratory failure

Cardiorespiratory failure         Respiratory arrest

Excludes:    cardiac arrest (427.5)
             failure of peripheral circulation (785.5)
             respiratory failure, newborn (770.8)
             respiratory insufficiency (786.0)

799.2   Nervousness

"Nerves"

799.3   Debility, unspecified

Excludes:    asthenia (780.7)
             nervous debility (300.5)
             neurasthenia (300.5)
             senile asthenia (797)

799.4   Cachexia

799.8   Other ill-defined conditions

799.9   Other unknown and unspecified cause

Undiagnosed disease, not specified as to site or system involved
Unknown cause of morbidity or mortality
   SUPPLEMENTARY CLASSIFICATION OF EXTERNAL CAUSES OF INJURY AND
POISONING


    This section is provided to permit the classification of environmental
events, circumstances and conditions 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 one of the main
chapters of the International Classification of Diseases, Injuries and Causes
of Death, indicating the nature of the condition.  Most often, the nature of
the condition will be classifiable to Chapter XVII, Injuries, Poisoning and
Violence, and for the classification of the underlying cause of death these
will always require an "E" code in addition.  Causes of death should
preferably be tabulated according to both the Chapter XVII and the "E" codes,
but if only one code is tabulated then the "E" code should be used in
preference to the Chapter XVII code.  Certain other conditions which may be
stated to be due to external causes are classified in Chapters I to XVI of
ICD, and for these  the "E" code classification should be used as an
additional code for multiple-condition analysis only.
    Machinery accidents [other than connected with transport] are classifiable
to category E919, in which the fourth digit allows a broad classification of
the type of machinery involved.  If a more detailed classification of type of
machinery is required, it is suggested that the "Classification of Industrial
Accidents according to Agency," prepared by the International Labor Office, be
used in addition.
    Categories for "late effects" of accidents and other external causes are
to be found at E929, E959, E969, E977, E989, and E999.

Definitions and examples related to transport accidents

(a)  A transport accident (E800-E848) 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.

Includes:    accidents involving:
                  aircraft and spacecraft (E840-E848)
                  watercraft (E830-E838)
                  motor vehicle (E810-E825)
                  railway (E800-E807)
                  other road vehicles (E826-E829)

In classifying accidents which involve more than one kind of transport, the
above order of precedence of transport accidents should be used.

Accidents involving agricultural and construction machines, such as tractors,
cranes and bulldozers, are regarded as transport accidents only when these
vehicles are under their own power on a highway [otherwise the vehicles are
regarded as machinery].  Vehicles which can travel on land or water, such as
hovercraft and other amphibious vehicles, are regarded as watercraft when on
the water, as motor vehicles when on the highway, and as off-road motor
vehicles when on land, but off the highway.

Excludes:    accidents:
                  in sports which involve the use of transport but where the
                        transport vehicle itself is not involved in the
                        accident
                  involving vehicles which are part of industrial equipment
                        used entirely on industrial premises
                  occurring during transportation but unrelated to the hazards
                        associated with the means of transportation [e.g.,
                        injuries received in a fight on board ship; transport
                        vehicle involved in a cataclysm such as an earthquake]
                  to persons engaged in the maintenance or repair of transport
                        equipment or vehicle not in motion, unless injured by
                        another vehicle in motion

(b)  A railway accident is a transport accident involving a railway train or
other railway vehicle operated on rails, whether in motion or not.

Excludes:    accidents:
                  in repair shops
                  in roundhouse or on turntable
                  on railway premises but not involving a train or other
                        railway vehicle

(c)  A railway train or railway vehicle is any device with or without cars
coupled to it, designed for traffic on a railway.

Includes:    railway train, any power [steam] [electric] [diesel]
                  subterranean or elevated
                  monorail or two-rail
                  funicular

             interurban:
                  electric car  } (operated chiefly on its own right-of-way,
                  streetcar     )      not open to other traffic)
             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 [definition (n)]

(d)  A railway or railroad is a right-of-way designed for traffic on rails,
which is used by carriages or wagons transporting passengers or freight, and
by other rolling stock, and which is not open to other public vehicular
traffic.

(e)  A motor vehicle accident is a transport accident involving a motor
vehicle.  It is defined as a motor vehicle traffic accident or as a motor
vehicle nontraffic accident according to whether the accident occurs on a
public highway or elsewhere.

Excludes:    injury or damage due to cataclysm
             injury or damage while a motor vehicle, not under its own power,
                  is being loaded on, or unloaded from, another conveyance

(f)  A motor vehicle traffic accident is any motor vehicle accident occurring
on a public highway [i.e., originating, terminating or involving vehicle
partially on the highway].  A motor vehicle accident is assumed to have
occurred on the 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.

(g)  A motor vehicle nontraffic accident is any motor vehicle accident which
occurs entirely in any place other than a public highway.

(h)  A public highway [trafficway] or street is the entire width between
property lines [or other boundary lines] of every way or place, of which any
part is open to the use of the public for purposes of vehicular traffic as a
matter of right or custom.  A roadway is that part of the public highway
designed, improved and ordinarily used, for vehicular travel.

Includes:    approaches (public) to:
                  docks
                  public building
                  station

Excludes:    driveway (private)                  roads in:
                  parking lot                         industrial premises
                  ramp                                mine
                  roads in:                           private grounds
                       airfield                       quarry
                       farm

(i)  A motor vehicle is any mechanically or electrically powered device, not
operated on rails, upon which any person or property may be transported or
drawn upon a highway.  Any object such as a trailer, coaster, sled, or wagon
being towed by a motor vehicle is considered a part of the motor vehicle.

Includes:    automobile [any type]
             bus
             construction machinery, farm and industrial machinery, steam
                  roller, tractor, army tank, highway grader or similar
                  vehicle on wheels or treads, while in transport under own
                  power
             fire engine (motorized)
             motorcycle
             motorized bicycle [moped] or scooter
             trolley bus not operating on rails
             truck
             van

Excludes:    devices used solely to move persons or materials within the
                  confines of a building and its premises, such as:
             building elevator
             coal car in mine
             electric baggage or mail truck used solely within a railroad
                  station
             electric truck used solely within an industrial plant
             moving overhead crane

(j)  A motorcycle is a two-wheeled motor vehicle having one or two riding
saddles and sometimes having a third wheel for the support of a sidecar.  The
sidecar is considered part of the motorcycle.

Includes:    motorized:
                  bicycle
                  scooter
                  tricycle

(k)  An off-road motor 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, drive by tracks, or support on a
cushion of air.

Includes:    army tank
             hovercraft, on land or swamp
             snowmobile

(l)  A driver of a motor vehicle is the occupant of the motor vehicle
operating it or intending to operate it.  A motorcyclist is the driver of a
motor cycle.  Other authorized occupants of a motor vehicle are passengers.

(m)  An other road vehicle is any device, except a motor vehicle, in, on, or
by which any person or property may be transported on a highway.

Includes:    animal carrying a person or goods
             animal-drawn vehicle
             animal harnessed to conveyance
             bicycle [pedal cycle]
             street car
             tricycle (pedal)

Excludes:    pedestrian conveyance [definition (q)]

(n)  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 operating principally on a right-of-way that
forms part of the traffic way.  A trailer being towed by a streetcar is
considered a part of the streetcar.

Includes:    interurban electric or streetcar, when specified to be operating
                  on a street or public highway
             tram (car)
             trolley (car)

(o)  A pedal cycle is any road transport vehicle operated solely by pedals.

Includes:    bicycle
             pedal cycle
             tricycle

Excludes:    motorized bicycle [definition (i)]

(p)  A pedal cyclist is any person riding on a pedal cycle or in a sidecar
attached to such vehicle.

(q)  A pedestrian conveyance is any human powered device by which a pedestrian
may move other than by walking or by which a walking person may move another
pedestrian.

Includes:    baby carriage                  roller skates
             coaster wagon                  scooter
             ice skates                     skateboard
             perambulator                   skis
             pushcart                       sled
             pushchair                      wheelchair

(r)  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, railroad train,
streetcar, animal-drawn or other vehicle, or on a bicycle or animal.

Includes:    person:
                  changing tire of vehicle
                  in or operating a pedestrian conveyance
                  making adjustment to motor of vehicle
                  on foot

(s)  A watercraft is any device for transporting passengers or goods on the
water.

(t)  A small boat is any watercraft propelled by paddle, oars, or small motor,
with a passenger capacity of less than ten.

Includes:    boat NOS                       row boat
             canoe                          rowing shell
             coble                          scull
             dinghy                         skiff
             punt                           small motorboat
             raft

Excludes:    barge
             lifeboat (used after abandoning ship)
             raft (anchored) being used as a diving platform
             yacht

(u)  An aircraft is any device for transporting passengers or goods in the
air.

Includes:    airplane [any type]            glider
             balloon                        military aircraft
             bomber                         parachute
             dirigible

(v)  A commercial transport aircraft is any device for collective passenger or
freight transportation by air, whether run on commercial lines for profit or
by government authorities, with the exception of military craft.


                        RAILWAY ACCIDENTS (E800-E807)

For definitions of railway accident and related terms see definitions (a) to
(d).

Excludes:    accidents involving railway train and:
                  aircraft (E840-E845)
                  motor vehicle (E810-E825)
                  watercraft (E830-E838)

The following fourth digits are for use with categories E800-E807 to identify
the injured person.

    .0   Railway employee
         Any person who by virtue of his employment in connection with
         a railway, whether by the railway company or not, is at
         increased risk of involvement in a railway accident.

Includes:    catering staff on train
             driver
             railway fireman
             guard
             porter
             postal staff on train
             shunter
             sleeping car attendant

    .1   Passenger on railway
         Any person traveling on a train, except a railway employee.

Excludes:    intending passenger waiting at station (.8)
             unauthorized rider on railway vehicle (.8)

    .2   Pedestrian
         See definition (n)
    .3   Pedal cyclist
         See definition (p)
    .8   Other specified person

Includes:    intending passenger waiting at station
             unauthorized rider on railway vehicle

    .9   Unspecified person
                           
E800    Railway accident involving collision with rolling stock

Includes:    collision between railway trains or railway vehicles, any kind
             collision NOS on railway
             derailment with antecedent collision with rolling stock or NOS

E801    Railway accident involving collision with other object

Includes:    collision of railway train with:
                  buffers
                  fallen tree on railway
                  gates
                  platform
                  rock on railway
                  streetcar
                  other nonmotor vehicle
                  other object

Excludes:    collision with:
                  aircraft (E840-E842)
                  motor vehicle (E810.-, E820-E822)

E802    Railway accident involving derailment without antecedent collision

E803    Railway accident involving explosion, fire, or burning

Excludes:    explosion or fire, with mention of antecedent collision
                  (E800.-, E801.-)
             explosion or fire, with antecedent derailment (E802.-)

E804    Fall in, on, or from railway train

Includes:    fall while alighting from or boarding railway train

Excludes:    fall related to collision, derailment, or explosion of railway
                  train (E800-E803)

E805    Hit by rolling stock

Includes:    crushed by railway train or part of it
             injured by railway train or part of it
             killed by railway train or part of it
             knocked down by railway train or part of it
             run over by railway train or part of it

Excludes:    pedestrian hit by object set in motion by railway train (E806.-)

E806    Other specified railway accident

Includes:    hit by object falling in railway train
             injured by door or window on railway train
             nonmotor road vehicle or pedestrian hit by object set in motion
                  by railway train
             railway train hit by falling:
                  earth NOS
                  rock
                  tree
                  other object

Excludes:    railway accident due to cataclysm (E908-E909)

E807    Railway accident of unspecified nature

Includes:    found dead on railway right-of-way NOS
             injured on railway right-of-way NOS
             railway accident NOS


                   MOTOR VEHICLE TRAFFIC ACCIDENTS (E810-E819)

For definitions of motor vehicle traffic accident, and related terms, see
definitions (e) to (k).

Excludes:    accidents involving motor vehicle and aircraft (E840-E845)

The following fourth-digits are for use with categories E810-E819 to identify
the injured person:

    .0   Driver of motor vehicle other than motorcycle
         See definition (l)
    .1   Passenger in motor vehicle other than motorcycle
         See definition (l)
    .2   Motorcyclist
         See definition (l)
    .3   Passenger on motorcycle
         See definition (l)
    .4   Occupant of streetcar
    .5   Rider of animal; occupant of animal-drawn vehicle
    .6   Pedal cyclist
         See definition (p)
    .7   Pedestrian
         See definition (r)
    .8   Other specified person

Includes:    occupant of vehicle other than above
             person in railway train involved in accident
             unauthorized rider of motor vehicle

    .9   Unspecified person

E810    Motor vehicle traffic accident involving collision with train

Excludes:    motor vehicle collision with object set in motion by railway
                  train (E815.-)
             railway train hit by object set in motion by motor vehicle
                  (E818.-)

E811    Motor vehicle traffic accident involving re-entrant collision with
        another motor vehicle

Includes:    collision between motor vehicle which accidentally leaves the
                  roadway then re-enters the same roadway, or the opposite
                  roadway on a divided highway, and another motor vehicle

Excludes:    collision on the same roadway when none of the motor vehicles
                  involved have left and re-entered the roadway (E812.-)

E812    Other motor vehicle traffic accident involving collision with motor
        vehicle

Includes:    collision with another motor vehicle parked, stopped, stalled,
                  disabled, or abandoned on the highway
             motor vehicle collision NOS

Excludes:    collision with object set in motion by another motor vehicle
                  (E815.-)
             re-entrant collision with another motor vehicle (E811.-)

E813    Motor vehicle traffic accident involving collision with other vehicle

Includes:    collision between motor vehicle, any kind, and:
                  other road (nonmotor transport) vehicle, such as:
                        animal carrying a person
                        animal-drawn vehicle
                        pedal cycle
                  streetcar

Excludes:    collision with:
                  object set in motion by nonmotor road vehicle (E815.-)
                  pedestrian (E814.-)
             nonmotor road vehicle hit by object set in motion by motor
                  vehicle (E818.-)

E814    Motor vehicle traffic accident involving collision with pedestrian

Includes:    collision between motor vehicle, any kind, and pedestrian
             pedestrian dragged, hit, or run over by motor vehicle, any kind

Excludes:    pedestrian hit by object set in motion by motor vehicle (E818.-)

E815    Other motor vehicle traffic accident involving collision on the
        highway

Includes:    collision (due to loss of control) (on highway) between motor
                  vehicle, any kind, and:
                        abutment (bridge) (overpass)
                        animal (herded) (unattended)
                        fallen stone, traffic sign, tree, utility pole
                        guard rail or boundary fence
                        inter-highway divider
                        landslide (not moving)
                        object set in motion by railway train or road vehicle
                             (motor) (nonmotor)
                        object thrown in front of motor vehicle
                        safety island
                        temporary traffic sign or marker
                        wall of cut made for road
                        other object, fixed, movable, or moving

Excludes:    collision with:
                  any object off the highway (resulting from loss of control)
                        (E816.-)
                  any object which normally would have been off the highway
                        and is not stated to have been on it (E816.-)
                  motor vehicle parked, stopped, stalled, disabled, or
                        abandoned on highway (E812.-)
                  moving landslide (E909)
             motor vehicle hit by object:
                  set in motion by railway train or road vehicle
                        (motor) (nonmotor) (E818.-)
                  thrown into or on vehicle (E818.-)

E816    Motor vehicle traffic accident due to loss of control, without
        collision on the highway

Includes:    motor vehicle:
                  failing to make curve             } and:
                  going out of control (due to)     }    overturning
                        burst tire, blowout         }    colliding with
                        driver falling asleep       }       object off
                        driver inattention          }       the highway
                        excessive speed             }    stopping abruptly
                        failure of mechanical part  }       off the highway

Excludes:    collision on highway following loss of control (E810-E815)
             loss of control of motor vehicle following collision on the
                  highway (E810-E815)

E817    Noncollision motor vehicle traffic accident while boarding or
        alighting

Includes:    fall down stairs of motor bus          }
             fall from car in street                } while boarding
             injured by moving part of the vehicle  } or alighting
             trapped by door of motor bus           }

E818    Other noncollision motor vehicle traffic accident

Includes:    accidental poisoning from exhaust gas  }
                  generated by                      }
             breakage of any part of                }
             explosion of any part of               }
             fall, jump, or being accidentally      }
               pushed from                          } motor vehicle
             fire starting in                       }   while in motion
             hit by object thrown into or on        }
             injured by being thrown against some   }
                  part of, or object in             }
             injury from moving part of             }
             object falling in or on                }
             object thrown on                       }
             collision of railway train or road vehicle except motor vehicle,
                  with object set in motion by motor vehicle
             motor vehicle hit by object set in motion by railway train or
                  road vehicle (motor) (nonmotor)
             pedestrian, railway train, or road vehicle (motor) (nonmotor)
                  hit by object set in motion by motor vehicle

Excludes:    collision between motor vehicle and:
                  object set in motion by railway train or road vehicle
                        (motor) (nonmotor) (E815.-)
                  object thrown towards the motor vehicle (E815.-)
                  person overcome by carbon monoxide generated by stationary
                        motor vehicle off the roadway with motor running
                        (E868.2)

E819    Motor vehicle traffic accident of unspecified nature

Includes:    motor vehicle traffic accident NOS
             traffic accident NOS
         

                 MOTOR VEHICLE NONTRAFFIC ACCIDENTS (E820-E825)

For definitions of motor vehicle nontraffic accident and related terms see
definition (a) to (k).

Includes:    accidents involving motor vehicles being used in recreational or
                  sporting activities off the highway
             collision and noncollision motor vehicle accidents occurring
                  entirely off the highway

Excludes:    accidents involving motor vehicle and:
                  aircraft (E840-E845)
                  watercraft (E830-E838)
             accidents, not on the public highway, involving agricultural and
                  construction machinery but not involving another motor
                  vehicle (E919.0, E919.2, E919.7)

The following fourth-digit subdivisions are for use with categories E820-E825
to identify the injured person:

    .0   Driver of motor vehicle other than motorcycle
         See definition (l)
    .1   Passenger in motor vehicle other than motorcycle
         See definition (l)
    .2   Motorcyclist
         See definition (l)
    .3   Passenger on motorcycle
         See definition (l)
    .4   Occupant of streetcar
    .5   Rider of animal; occupant of animal-drawn vehicle
    .6   Pedal cyclist
         See definition (p)
    .7   Pedestrian
         See definition (r)
    .8   Other specified person

Includes:    occupant of vehicle other than above
             person on railway train involved in accident
             unauthorized rider of motor vehicle

    .9   Unspecified person

E820    Nontraffic accident involving motor-driven snow vehicle

Includes:    breakage of part of                    }
             fall from                              } motor-driven snow
             hit by                                 }     vehicle (not on
             overturning of                         }     public highway)
             run over or dragged by                 }
             collision of motor-driven snow vehicle with:
                  animal (being ridden) (-drawn vehicle)
                  another off-road motor vehicle
                  other motor vehicle, not on public highway
                  railway train
                  other object, fixed or movable
             injury caused by rough landing of motor-driven snow
                  vehicle (after leaving ground on rough terrain)

Excludes:    accident on the public highway, involving motor-driven snow
                  vehicle (E810-E819)

E821    Nontraffic accident involving other off-road motor vehicle

Includes:    breakage of part of                    }
             fall from                              }
             hit by                                 } off-road motor vehicle
             overturning of                         }     snow vehicle (not
             run over or dragged by                 }     on public highway)
             thrown against some part of or object  }
                  in                                }
             collision with:
                  animal (being ridden)
                  animal-drawn vehicle
                  another off-road motor vehicle, except snow vehicle
                  other motor vehicle, not on public highway
                  other object, fixed or movable

Excludes:    accident on public highway involving off-road motor vehicle
                  (E810-E819)
             collision between motor-driven snow vehicle and other off-road
                  motor vehicle (E820.-)
             hovercraft accident on water (E830-E838)

E822    Other motor vehicle nontraffic accident involving collision with
        moving object

Includes:    collision, not on public highway, between motor vehicle, except
                  off-road motor vehicle and:
                        animal
                        nonmotor vehicle
                        other motor vehicle, except off-road motor vehicle
                        pedestrian
                        railway train
                        other moving object

Excludes:    collision with:
                  motor-driven snow vehicle (E820.-)
                  other off-road motor vehicle (E821.-)

E823    Other motor vehicle nontraffic accident involving collision with
        stationary object

Includes:    collision, not on public highway, between motor vehicle, except
                  off-road motor vehicle, and any object, fixed or movable,
                  but not in motion

E824    Other motor vehicle nontraffic accident while boarding and alighting

Includes:    fall                                } while boarding or alighting
             injury from moving part of motor    }     from motor vehicle
                  vehicle                        }     except off-road motor
             trapped by door of motor vehicle    }     vehicle, not on public
                  vehicle                        }     highway

E825    Other motor vehicle nontraffic accident of other and unspecified
        nature

Includes:    accidental poisoning from carbon    }
                  monoxide generated by          }
             breakage of any part of             }
             explosion of any part of            } motor vehicle,
             fall, jump, or being accidentally   }     except off-road
                  pushed from                    }     motor vehicle,
             fire starting in                    }     while in motion,
             hit by object thrown into, towards, }     not on public
               towards, or on                    }     highway
             injured by being thrown against     }
                  some part of, or object in     }
             injury from moving part of          }
             object falling in or on             }
             motor vehicle nontraffic accident NOS

Excludes:    fall from or in stationary motor vehicle(E884.9, E885)
             overcome by carbon monoxide or exhaust gas generated by
                  stationary motor vehicle off the roadway with motor running
                  (E868.2)
             struck by falling object from or in stationary motor vehicle
                  (E916)


                   OTHER ROAD VEHICLE ACCIDENTS (E826-E829)

Other road vehicle accidents are transport accidents involving road vehicles
other than motor vehicles.

For definitions of other road vehicle and related terms see definitions (m)
to (o).

Includes:    accidents involving other road vehicles being used in
                  recreational or sporting activities

Excludes:    collision of other road vehicle [any] with:
                  aircraft (E840-E845)
                  motor vehicle (E813.-, E820-E822)
                  railway train (E801.-)

The following fourth digits are for use with categories E826-E829 to identify
the injured person:

    .0   Pedestrian
         See definition (r)
    .1   Pedal cyclist
         See definition (p)
    .2   Rider of animal
    .3   Occupant of animal-drawn vehicle
    .4   Occupant of streetcar
    .8   Other specified person
    .9   Unspecified person

E826    Pedal cycle accident

Includes:    breakage of any part of pedal cycle
             collision between pedal cycle and:
                  animal (being ridden) (herded) (unattended)
                  another pedal cycle
                  nonmotor road vehicle, any
                  pedestrian
                  other object, fixed, movable, or moving, not set in motion
                        by motor vehicle, railway train, or aircraft
             entanglement in wheel of pedal cycle
             fall from pedal cycle
             hit by object falling or thrown on the pedal cycle
             pedal cycle accident NOS
             pedal cycle overturned

E827    Animal-drawn vehicle accident

Includes:    breakage of any part of vehicle
             collision between animal-drawn vehicle and:
                  animal (being ridden) (herded) (unattended)
                  nonmotor road vehicle, except pedal cycle
                  pedestrian, pedestrian conveyance, or pedestrian vehicle
                  other object, fixed, movable, or moving, not set in motion
                        by motor vehicle, railway train, or aircraft
             fall from animal-drawn vehicle
             knocked down by animal-drawn vehicle
             overturning of animal-drawn vehicle
             run over by animal-drawn vehicle
             thrown from animal-drawn vehicle

Excludes:    collision of animal-drawn vehicle with pedal cycle (E826.-)

E828    Accident involving animal being ridden

Includes:    collision between animal being ridden and:
                  another animal
                  nonmotor road vehicle, except pedal cycle, and animal-
                        drawn vehicle
                  pedestrian, pedestrian conveyance, or pedestrian vehicle
                  other object, fixed, movable, or moving, not set in
                        motion by motor vehicle, railway train, or aircraft
             fall from animal being ridden
             knocked down by animal being ridden
             thrown from animal being ridden
             trampled by animal being ridden
             ridden animal stumbled and fell

Excludes:    collision of animal being ridden with:
                  animal-drawn vehicle (E827.-)
                  pedal cycle (E826.-)

E829    Other road vehicle accidents

Includes:    accident while boarding or          }
                  alighting from                 } streetcar
             blow from object in                 } nonmotor road
             breakage of any part of             }      vehicle not
             caught in door of                   }      classifiable
             derailment of                       }      to E826 to
             fall in, on, or from                }      E828
             fire in                             }
             collision between streetcar or nonmotor road vehicle, except as
                  in E826 to E828, and:
                        animal (not being ridden)
                        another nonmotor road vehicle not classifiable to
                             E826-E828
                        pedestrian
                        other object, fixed, movable, or moving, not set in
                             motion by motor vehicle, railway train, or
                             aircraft
             nonmotor road vehicle accident NOS
             streetcar accident NOS

Excludes:    collision with:
                  animal being ridden (E828.-)
                  animal-drawn vehicle (E827.-)
                  pedal cycle (E826.-)


                        WATER TRANSPORT ACCIDENTS (E830-E838)

For definitions of water transport accident and related terms see definitions
(a), (s), and (t).

Includes:    watercraft accidents in the course of recreational activities

Excludes:    accidents involving both aircraft, including objects set in
                  motion by aircraft, and watercraft (E840-E845)

The following fourth digits are for use with categories E830-E838 to identify
the injured person:

    .0   Occupant of small boat, unpowered
    .1   Occupant of small boat, powered
         See definition (t)

         Excludes:    water skier (.3)

    .2   Occupant of other watercraft  crew

         Includes:    persons:
                          engaged in operation of watercraft
                          providing passenger services [cabin attendants,
                               ship's physician, catering personnel]
                          working on ship during voyage in other capacity
                               [musician in band, operators of shops and
                               beauty parlors]

    .3   Occupant of other watercraft  other than crew

         Includes:    passenger
                      occupant of lifeboat, other than crew, after abandoning
                          ship

    .4   Water skier
    .5   Swimmer
    .6   Dockers, stevedores

         Includes:    longshoreman employed on the dock in loading and
                          unloading ships

    .8   Other specified person

         Includes:    immigration and custom officials on board ship person:
                          accompanying passenger or member of crew
                          visiting boat
                      pilot (guiding ship into port)

    .9   Unspecified person

E830    Accident to watercraft causing submersion

Includes:    submersion and drowning due to:
                  boat overturning
                  boat submerging
                  falling or jumping from burning ship
                  falling or jumping from crushed watercraft
                  ship sinking
                  other accident to watercraft

E831    Accident to watercraft causing other injury

Includes:    any injury, except submersion and drowning, as a result of an
                  accident to watercraft
             burned while ship on fire
             crushed between ships in 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
             struck by boat or part thereof after fall or jump from damaged
                  boat

Excludes:    burns from localized fire or explosion on board ship (E837.-)

E832    Other accidental submersion or drowning in water transport accident

Includes:    submersion or drowning as a result of an accident other than
                  accident to the watercraft, such as:
                  fall:
                        from gangplank
                        from ship
                        overboard
                  thrown overboard by motion of ship
                  washed overboard

Excludes:    submersion or drowning of swimmer or diver who voluntarily jumps
                  from boat not involved in an accident (E910.-)

E833    Fall on stairs or ladders in water transport

Excludes:    fall due to accident to watercraft (E831.-)

E834    Other fall from one level to another in water transport

Excludes:    fall due to accident to watercraft (E831.-)

E835    Other and unspecified fall in water transport

Excludes:    fall due to accident to watercraft (E831.-)

E836    Machinery accident in water transport

Includes:    injuries in water transport caused by:
                  deck machinery
                  engine room machinery
                  galley machinery
                  laundry machinery
                  loading machinery

E837    Explosion, fire or burning in watercraft

Includes:    explosion of boiler on steamship
             localized fire on ship

Excludes:    burning ship (due to collision or explosion) resulting in:
                  submersion or drowning (E830.-)
                  other injury (E831.-)

E838    Other and unspecified water transport accident

Includes:    accidental poisoning by gases or fumes on ship
             atomic power plant malfunction in watercraft
             crushed between ships without accident to watercraft
             crushed by falling object on ship or while loading or unloading
             excessive heat in:
                  boiler room
                  engine room
                  evaporator room
                  fire room
             hit by boat while water skiing
             struck by boat or part thereof (after fall from boat)
             watercraft accident NOS


                   AIR AND SPACE TRANSPORT ACCIDENTS (E840-E845)

For definition of aircraft and related terms see definitions (u) and (v).
The following fourth digits are for use with categories E840-E845 to identify
the injured person:

    .0   Occupant of spacecraft

    .1   Occupant of military aircraft, any

         Includes:    crew                       } in military aircraft
                      passenger (civilian)       }     [air force] [army]
                           (military)            }     [national guard]]
                      troops                     }     [navy]

         Excludes:    occupants of aircraft operated under jurisdiction of
                          police departments (.5)
                      parachutist (.7)

    .2   Crew of commercial aircraft (powered) in surface-to-surface transport

    .3   Other occupant of commercial aircraft (powered) in surface-to-surface
         transport

         Includes:    flight personnel:
                          not part of crew
                          on familiarization flight
                      passenger on aircraft (powered) NOS

    .4   Occupant of commercial aircraft (powered) in surface-to-air
         transport

         Includes:    occupant [crew] [passenger] of aircraft (powered)
                          engaged in activities such as:
                               aerial spraying (crops) (fire retardants)
                               air drops of emergency supplies
                               air drops of parachutists, except from
                                    military craft
                               crop dusting
                               lowering of construction material [bridge or
                                    telephone pole]
                               sky writing

    .5   Occupant of other powered aircraft

         Includes:    occupant [crew] [passenger] of aircraft [powered]
                          engaged in activities, such as:
                               aerobatic flying
                               aircraft racing
                               rescue operation
                               storm surveillance
                               traffic surveillance
                      occupant of private plane NOS

    .6   Occupant of unpowered aircraft, except parachutist

         Includes:    occupant of aircraft listed in E842

    .7   Parachutist (military) (other)

         Includes:    person making voluntary descent

         Excludes:    person making descent after accident to aircraft (.1-.6)

    .8   Ground crew, airline employee

         Includes:    persons employed at airfields (civil) (military) or
                          launching pads, not occupants of aircraft

    .9   Other person

E840    Accident to powered aircraft at takeoff or landing

Includes:    collision of aircraft with any object, fixed, movable, or moving
                  while taking off or landing
             crash while taking off or landing
             explosion on aircraft while taking off or landing
             fire on aircraft while taking off or landing
             forced landing

E841    Accident to powered aircraft, other and unspecified

Includes:    aircraft accident NOS
             aircraft crash or wreck NOS
             any accident to powered aircraft while in transit or when not
                  specified whether in transit, taking off, or landing
             collision of aircraft with another aircraft, bird, or any object,
                  while in transit
             explosion on aircraft while in transit
             fire on aircraft while in transit

E842    Accident to unpowered aircraft

Includes:    any accident, except collision with powered aircraft, to:
                  balloon
                  glider
                  hang glider
                  kite carrying a person
             hit by object falling from unpowered aircraft

E843    Fall in, on, or from aircraft

Includes:    accident in boarding or alighting from aircraft, any kind
             fall in, on, or from aircraft [any kind], while in transit,
                  taking off, or landing, except when as a result of an
                  accident to aircraft

E844    Other specified air transport accidents

Includes:    hit by:
                  aircraft                       }
                  object falling from aircraft   }
             injury by or from:                  }
                  machinery on aircraft          }
                  rotating propeller             }  without accident to
                  voluntary parachute descent    }      aircraft
             poisoning by carbon monoxide from   }
                  aircraft while in transit      }
             sucked into jet                     }
             any accident involving other transport vehicle (motor) (nonmotor)
                   due to being hit by object set in motion by aircraft
                   (powered)

Excludes:    air sickness (E903)
             effects of:
                  high altitude (E902.-)
                  pressure change (E902.-)
             injury in parachute descent due to accident to aircraft
                  (E840-E842)

E845    Accident involving spacecraft

Includes:    launching pad accident

Excludes:    effects of weightlessness in spacecraft (E928.0)



         VEHICLE ACCIDENTS NOT ELSEWHERE CLASSIFIABLE (E846-E848)

E846    Accidents involving powered vehicles used solely within the buildings
        and premises of industrial or commercial establishment

Includes:    accident to, on, or involving:
                  battery-powered airport passenger vehicle
                  battery-powered trucks (baggage) (mail)
                  coal car in mine
                  logging car
                  self-propelled truck, industrial
                  station baggage truck (powered)
                  tram, truck, or tub (powered) in mine or quarry
             breakage of any part of vehicle
             collision with:
                  pedestrian
                  other vehicle or object within premises
             explosion of    }
             fall from       } powered vehicle,
             overturning of  }     industrial or commercial
             struck by       }

Excludes:    accidental poisoning by exhaust gas from vehicle not elsewhere
                  classifiable (E868.2)
             injury by crane, lift (fork), or elevator (E919.2)
        
E847    Accidents involving cable cars not running on rails

Includes:    accident to, on, or involving:
                  cable car, not on rails
                  ski chair-lift
                  ski-lift with gondola
                  tlfrique
             breakage of cable
             caught or dragged by     }
             fall or jump from        } cable car, not on rails
             object thrown from or in }

E848    Accidents involving other vehicles, not elsewhere classifiable

Includes:    accident to, on, or involving:
                  ice yacht
                  land yacht
                  nonmotor, nonroad vehicle NOS


   ACCIDENTAL POISONING BY DRUGS, MEDICAMENTS, AND BIOLOGICALS
(E850-E858)

Includes:    accidental overdose of drug, wrong drug given or taken in error,
                  and drug taken inadvertently
             accidents in the use of drugs and biologicals in medical and
                  surgical procedure

Excludes:    correct drug properly administered in therapeutic or prophylactic
                  dosage, as the cause of any adverse effect (E930-E949)
             administration with suicidal or homicidal intent, or intent to
                  harm, or in circumstances classifiable to E980-E989 (E950.0
                  to E950.4, E962.0, E980.0 to E980.4)

E850    Accidental poisoning by analgesics, antipyretics, and antirheumatics

E850.0  Opiates and related narcotics

Codeine [methylmorphine]          Morphine
Heroin [diacetylmorphine]         Opium (alkaloids)
Methadone                         Pethidine [meperidine]

E850.1  Salicylates

Acetylsalicylic acid [aspirin]
Amino derivatives of salicylic acid
Salicylic acid salts

E850.2  Aromatic analgesics, not elsewhere classified

Acetanilid                        Phenacetin [acetophenetidin]
Paracetamol [acetaminophen]

E850.3  Pyrazole derivatives

Aminophenazone [amidopyrine]      Phenylbutazone

E850.4  Antirheumatics [antiphlogistics]

Gold salts                        Indomethacin

Excludes:    salicylates (E850.1)
             steroids (E858.0)

E850.5  Other non-narcotic analgesics

Pyrabital

E850.8  Other

Pentazocine

E850.9  Unspecified

E851    Accidental poisoning by barbiturates

Amobarbital [amylobarbitone]      Phenobarbital [phenobarbitone]
Barbital [barbitone]              Secobarbital [quinalbarbitone]
Pentobarbital [pentobarbitone]

Excludes:    thiobarbiturates (E855.1)

E852    Accidental poisoning by other sedatives and hypnotics

E852.0  Chloral hydrate group

E852.1  Paraldehyde

E852.2  Bromine compounds

Bromides                          Carbromal (derivatives)
Carbamic esters

E852.3  Methaqualone compounds

E852.4  Glutethimide group

E852.5  Mixed sedatives, not elsewhere classified

E852.8  Other

E852.9  Unspecified

Sleeping:
    draught NOS
    drug NOS
    tablet NOS

E853    Accidental poisoning by tranquillizers

E853.0  Phenothiazine-based tranquillizers

Chlorpromazine                    Prochlorperazine
Fluphenazine                      Promazine

E853.1  Butyrophenone-based tranquillizers

Haloperidol                       Trifluperidol
Spiperone

E853.2  Benzodiazepine based

Chlordiazepoxide                  Lorazepam
Diazepam                          Medazepam
Flurazepam                        Nitrazepam

E853.8  Other

E853.9  Unspecified

E854    Accidental poisoning by other psychotropic agents

E854.0  Antidepressants

Amitriptyline                     Monoamine oxidase inhibitors
Imipramine

E854.1  Psychodysleptics [hallucinogens]

Cannabis (derivatives)            Mescaline
Lysergide [LSD]                   Psilocin
Marihuana (derivatives)           Psilocybine

E854.2  Psychostimulants

Amphetamine                       Caffeine

Excludes:    central appetite depressants (E858.8)

E854.3  Central nervous system stimulants

Analeptics                        Opiate antagonists

E855    Accidental poisoning by other drugs acting on central and autonomic
        nervous system

E855.0  Anticonvulsant and anti-Parkinsonism drugs

Amantadine                        Oxazolidine derivatives
Hydantoin derivatives                 [paramethadione]
Levodopa                              [trimethadione]
                                  Succinimides

E855.1  Other central nervous system depressants

Ether                             Intravenous anesthetics
Gaseous anesthetics               Thiobarbiturates, such as thiopental
Halogenated hydrocarbon                sodium
    derivatives

E855.2  Local anesthetics

Cocaine                           Procaine
Lidocaine [lignocaine]            Tetracaine

E855.3  Parasympathomimetics [cholinergics]

Acetylcholine                     Pilocarpine
Anticholinesterase:
    organophosphorus
    reversible

E855.4  Parasympatholytics [anticholinergics and antimuscarinics] and
        spasmolytics

Atropine                          Hyoscine [scopolamine]
Homatropine                       Quaternary ammonium derivatives

E855.5  Sympathomimetics [adrenergics]

Epinephrine [adrenalin]           Levarterenol [noradrenalin]

E855.6  Sympatholytics [antiadrenergics]

Phenoxybenzamine                  Tolazoline hydrochloride

E855.8  Other

E855.9  Unspecified

E856    Accidental poisoning by antibiotics

E857    Accidental poisoning by other anti-infectives

E858    Accidental poisoning by other drugs

E858.0  Hormones and synthetic substitutes

E858.1  Primarily systemic agents

E858.2  Agents primarily affecting blood constituents

E858.3  Agents primarily affecting cardiovascular system

E858.4  Agents primarily affecting gastrointestinal system

E858.5  Water, mineral, and uric acid metabolism drugs

E858.6  Agents primarily acting on the smooth and skeletal muscles and
        respiratory system

E858.7  Agents primarily affecting skin and mucous membrane, ophthalmological,
        otorhinolaryngological, and dental drugs

E858.8  Other

E858.9  Unspecified

 
         ACCIDENTAL POISONING BY OTHER SOLID AND LIQUID SUBSTANCES,
                        GASES, AND VAPORS (E860-E869)

E860    Accidental poisoning by alcohol, not elsewhere classified

E860.0  Alcoholic beverages

Alcohol in preparations intended for consumption

E860.1  Other and unspecified ethyl alcohol and its products

Denatured alcohol                 Grain alcohol NOS
Ethanol NOS

E860.2  Methyl alcohol

Methanol                          Wood alcohol
Methylated spirit

E860.3  Isopropyl alcohol

Dimethylcarbinol                  Rubbing alcohol substitute
Isopropanol                       Secondary propyl alcohol

E860.4  Fusel oil

Fusel oil:
    amyl
    butyl
    propyl

E860.8  Other

E860.9  Unspecified

E861    Accidental poisoning by cleansing and polishing agents, disinfectants,
        paints, and varnishes

E861.0  Synthetic detergents and shampoos

E861.1  Soap products

E861.2  Polishes

E861.3  Other cleansing and polishing agents

Scouring powders

E861.4  Disinfectants

Household and other disinfectants not ordinarily used on the person

Excludes:    carbolic acid or phenol (E864.1)

E861.5  Lead paints

E861.6  Other paints and varnishes

Lacquers                          Paints, other than lead
Oil colors                        White washes

E861.9  Unspecified

E862    Accidental poisoning by petroleum products, other solvents and their
        vapors, not elsewhere classified

E862.0  Petroleum solvents

Petroleum:
    ether
    benzine
    naphtha

E862.1  Petroleum fuels and cleaners

Antiknock additives to            Gas oils
    petroleum fuels               Gasoline or petrol
Benzine                           Kerosene or paraffin

Excludes:    kerosene insecticides (E863.4)

E862.2  Lubricating oils

E862.3  Petroleum solids

Paraffin wax

E862.4  Other solvents

Benzene                           Solvent naphtha

E862.9  Unspecified

E863    Accidental poisoning by agricultural and horticultural chemical and
        pharmaceutical preparations other than plant foods and fertilizers

Excludes:       plant foods and fertilizers (E866.5)

E863.0  Insecticides of organochlorine compounds

Benzene hexachloride              Dieldrin
Chlordane                         Endrine
DDT                               Toxaphene

E863.1  Insecticides of organophosphorus compounds

Demeton                           Parathion
Diazinon                          Phenylsulphthion
Dichlorvos                        Phorate
Malathion                         Phosdrin
Methyl parathion

E863.2  Carbamates

Aldicarb                          Propoxur
Carbaryl

E863.3  Mixtures of insecticides

E863.4  Other and unspecified insecticides

E863.5  Herbicides

Chlorates                         Paraquat
Diquat                            2,4 - D
Mixtures of plant foods and       2,4,5 - T
    fertilizers with herbicides

E863.6  Fungicides

Organic mercurials (used in seed dressing)
Pentachlorphenols

E863.7  Rodenticides

Fluoroacetates                    Warfarin
Squill and derivatives            Zinc phosphide
Thallium

E863.8  Fumigants

Cyanides                          Phosphine
Methyl bromide

E863.9  Other and unspecified

E864    Accidental poisoning by corrosives and caustics, not elsewhere
        classified

Excludes:    when component of disinfectant (E861.4)

E864.0  Corrosive aromatics

E864.1  Acids

Carbolic acid or phenol

E864.2  Caustic alkalis

E864.3  Other

E864.4  Unspecified

E865    Accidental poisoning from foodstuffs and poisonous plants

Includes:    any meat, fish, or shellfish
             food additives and contaminants
             plants, berries, and fungi eaten as, or in mistake for, food
                  or by a child

Excludes:    food poisoning (bacterial) (005.-)
             poisoning and toxic reactions to venomous plants (E905.6, E905.7)

E865.0  Meat

E865.1  Shellfish

E865.2  Other fish

E865.3  Berries and seeds

E865.4  Other plants

E865.5  Mushrooms and other fungi

E865.8  Other foods

E865.9  Unspecified

E866    Accidental poisoning by other and unspecified solid and liquid
        substances

Excludes:    these substances as a component of:
                  food contaminants (E865.-)
                  medicines (E850-E858)
                  paints (E861.5, E861.6)
                  pesticides (E863.-)
                  petroleum fuels (E862.1)

E866.0  Lead and its compounds and fumes

E866.1  Mercury and its compounds and fumes

E866.2  Antimony and its compounds and fumes

E866.3  Arsenic and its compounds and fumes

E866.4  Other metals and their compounds and fumes

Beryllium and its compounds       Iron compounds
Brass fumes                       Manganese and its compounds
Cadmium and its compounds         Nickel compounds
Copper salts                      Thallium compounds

E866.5  Plant foods and fertilizers

Excludes:    mixtures with herbicides (E863.5)

E866.6  Glues and adhesives

E866.7  Cosmetics

E866.8  Other

E866.9  Unspecified

E867    Accidental poisoning by gas distributed by pipeline

Includes:    carbon monoxide from incomplete combustion of piped gas
             coal gas NOS
             liquefied petroleum gas distributed through pipes (pure or mixed
                  with air)
             piped gas (natural) (manufactured)

E868    Accidental poisoning by other utility gas and other carbon monoxide

E868.0  Liquefied petroleum gas distributed in mobile containers

Butane
Liquefied hydrocarbon gas NOS
Carbon monoxide from incomplete combustion of these gases
Propane

E868.1  Other and unspecified utility gas

Acetylene
Gas NOS used for lighting, heating, or cooking
Carbon monoxide from incomplete combustion of above gases
Water gas

E868.2  Motor vehicle exhaust gas

Exhaust gas from:
    farm tractor, not in transit
    gas engine
    motor pump
    motor vehicle, not in transit
    any type of combustion engine not in watercraft

Excludes:    poisoning by carbon monoxide from:
                  aircraft while in transit (E844)
                  motor vehicle while in transit (E818)
                  watercraft whether or not in transit (E838)

E868.3  Carbon monoxide from incomplete combustion of other domestic fuels

Carbon monoxide from incomplete combustion of:
    coal                 }
    coke                 } in domestic stove
    kerosene or paraffin }      or fireplace
    wood                 }

Excludes:    carbon monoxide from smoke and fumes due to conflagration
                  (E890-E893)

E868.8  Carbon monoxide from other sources

Carbon monoxide from:
    blast furnace gas
    incomplete combustion of fuels in industrial use
    kiln vapor

E868.9  Unspecified carbon monoxide

E869    Accidental poisoning by other gases and vapors

Excludes:    effects of gases used as anesthetics (E855.1, E938.2)
             fumes from heavy metals (E866.0-E866.4)
             smoke and fumes due to conflagration or explosion (E890-E899)

E869.0  Nitrogen oxides

E869.1  Sulfur dioxide

E869.2  Freon

E869.3  Lacrimogenic gas [tear gas]

Bromobenzyl cyanide               Ethyliodoacetate
Chloroacetophenone

E869.8  Other specified gases and vapors

Chlorine                          Hydrocyanic acid gas

E869.9  Unspecified gases and vapors


   MISADVENTURES TO PATIENTS DURING SURGICAL AND MEDICAL CARE
(E870-E876)

Excludes:    accidental overdose of drug and wrong drug given in error
                  (E850-E858)
             surgical and medical procedures as the cause of abnormal
                  reaction by the patient, without mention of misadventure
                  at the time of procedure (E878-E879)

E870    Accidental cut, puncture, perforation, or hemorrhage during medical
        care

E870.0  Surgical operation

E870.1  Infusion or transfusion

E870.2  Kidney dialysis or other perfusion

E870.3  Injection or vaccination

E870.4  Endoscopic examination

E870.5  Aspiration of fluid or tissue, puncture, and catheterization [any,
        except heart catheterization]

Abdominal paracentesis            Lumbar puncture
Aspirating needle biopsy          Thoracentesis
Blood sampling

E870.6  Heart catheterization

E870.7  Administration of enema

E870.8  Other

E870.9  Unspecified

E871    Foreign object left in body during procedure

E871.0  Surgical operation

E871.1  Infusion or transfusion

E871.2  Kidney dialysis or other perfusion

E871.3  Injection or vaccination

E871.4  Endoscopic examination

E871.5  Aspiration of fluid or tissue, puncture, and catheterization [any,
        except heart catheterization]

Abdominal paracentesis            Lumbar puncture
Aspiration needle biopsy          Thoracentesis
Blood sampling

E871.6  Heart catheterization

E871.7  Removal of catheter or packing

E871.8  Other

E871.9  Unspecified

E872    Failure of sterile precautions during procedure

E872.0  Surgical operation

E872.1  Infusion or transfusion

E872.2  Kidney dialysis and other perfusion

E872.3  Injection or vaccination

E872.4  Endoscopic examination

E872.5  Aspiration of fluid or tissue, puncture, and catheterization [any,
        except heart catheterization]

Abdominal paracentesis            Lumbar puncture
Aspirating needle biopsy          Thoracentesis
Blood sampling

E872.6  Heart catheterization

E872.8  Other

E872.9  Unspecified

E873    Failure in dosage

Excludes:    accidental overdose of drug, medicament or biological substance
                  (E850-E858)

E873.0  Excessive amount of blood or other fluid during transfusion or
        infusion

E873.1  Incorrect dilution of fluid during infusion

E873.2  Overdose of radiation in therapy

E873.3  Inadvertent exposure of patient to radiation during medical care

E873.4  Failure in dosage in electroshock or insulin-shock therapy

E873.5  Inappropriate [too hot or too cold] temperature in local application
        and packing

E873.6  Nonadministration of necessary drug or medicament

E873.8  Other

E873.9  Unspecified

E874    Mechanical failure of instrument or apparatus during procedure

E874.0  Surgical operation

E874.1  Infusion and transfusion

Air in system

E874.2  Kidney dialysis and other perfusion

E874.3  Endoscopic examination

E874.4  Aspiration of fluid or tissue, puncture, and catheterization [any,
        except heart catheterization]

Abdominal paracentesis            Lumbar puncture
Aspirating needle biopsy          Thoracentesis
Blood sampling

E874.5  Heart catheterization

E874.8  Other

E874.9  Unspecified

E875    Contaminated or infected blood, other fluid, drug, or biological
        substance

Presence of:
    bacterial pyrogens
    endotoxin-producing bacteria
    serum hepatitis-producing agent

E875.0  Contaminated substance transfused or infused

E875.1  Contaminated substance injected or used for vaccination

E875.2  Contaminated drug or biological substance administered by other means

E875.8  Other

E875.9  Unspecified

E876    Other and unspecified misadventures during medical care

E876.0  Mismatched blood in transfusion

E876.1  Wrong fluid in infusion

E876.2  Failure in suture and ligature during surgical operation

E876.3  Endotracheal tube wrongly placed during anesthetic procedure

E876.4  Failure to introduce or to remove other tube or instrument

Excludes:    foreign object left in body during procedure (E871.-)

E876.5  Performance of inappropriate operation

E876.8  Other specified misadventures

E876.9  Unspecified misadventure


    SURGICAL AND MEDICAL PROCEDURES AS THE CAUSE OF ABNORMAL
REACTION OF
    PATIENT OR LATER COMPLICATION, WITHOUT MENTION OF MISADVENTURE
AT THE
                        TIME OF PROCEDURE (E878-E879)

Includes:    procedures as the cause of abnormal reaction, such as:
                  displacement or malfunction of prosthetic device
                  hepatorenal failure, postoperative
                  malfunction of external stoma
                  postoperative intestinal obstruction
                  rejection of transplanted organ

Excludes:    anesthetic management properly carried out as the cause of
                  adverse effect (E937-E938)
             infusion and transfusion, without mention of misadventure in
                  the technique of procedure (E930-E949)

E878    Surgical operation and other surgical procedures as the cause of
        abnormal reaction of patient, or of later complication, without
        mention of misadventure at the time of operation

E878.0  Surgical operation with transplant of whole organ

Transplantation of:
    heart
    kidney
    liver

E878.1  Surgical operation with implant of artificial internal device

Cardiac pacemaker                 Heart valve prosthesis
Electrodes implanted in brain     Internal orthopedic device

E878.2  Surgical operation with anastomosis, bypass or graft, with natural
        or artificial tissues used as implant

Anastomosis:                      Graft of blood vessel, tendon, or
        arteriovenous                  skin
        gastrojejunal

Excludes:    external stoma (E878.3)


E878.3  Surgical operation with formation of external stoma

Colostomy                         Gastrostomy
Cystostomy                        Ureterostomy
Duodenostomy

E878.4  Other restorative surgery

E878.5  Amputation of limb(s)

E878.6  Removal of other organ (partial) (total)

E878.8  Other

E878.9  Unspecified type of surgery

E879    Other procedures, without mention of misadventure at the time of
        procedure, as the cause of abnormal reaction of patient, or of
        later complication

E879.0  Cardiac catheterization

E879.1  Kidney dialysis

E879.2  Radiological procedure and radiotherapy

Excludes:    radio-opaque dyes for diagnostic x-ray procedures (E947.8)

E879.3  Shock therapy

Electroshock therapy              Insulin-shock therapy

E879.4  Aspiration of fluid

Lumbar puncture                   Thoracentesis

E879.5  Insertion of gastric or duodenal sound

E879.6  Urinary catheterization

E879.7  Blood sampling

E879.8  Other

Blood transfusion

E879.9  Unspecified


                        ACCIDENTAL FALLS (E880-E888)

Excludes:    falls (in or from):
                  burning building (E890.8, E891.8)
                  into fire (E890-E899)
                  into water (with submersion or drowning) (E910.-)
                  machinery (in operation) (E919.-)
                  on edged, pointed, sharp object (E920.-)
                  transport vehicle (E800-E845)
                  vehicle not elsewhere classifiable (E846-E848)

E880    Fall on or from stairs or steps

E880.0  Escalator

E880.9  Other stairs or steps

E881    Fall on or from ladders or scaffolding

E881.0  Fall from ladder

E881.1  Fall from scaffolding

E882    Fall from or out of building or other structure

Fall from:
    balcony
    bridge
    building
    flagpole
    tower
    turret
    viaduct
    wall
    window
Fall through roof

Excludes:    collapse of a building or structure (E916)
             fall or jump from burning building (E890.8, E891.8)

E883    Fall into hole or other opening in surface

Fall into:
    cavity
    dock
    hole
    pit
    quarry
    shaft
    swimming pool
    tank
    well

Excludes:    fall into water NOS (E910.9)
             resulting in drowning or submersion without mention of injury
                  (E910.-)

E883.0  Accident from diving or jumping into water [swimming pool]

Strike or hit:
    against bottom when jumping or diving into water
    wall or board of swimming pool
    water surface

Excludes:    diving with insufficient air supply (E913.2)
             effects of air pressure from diving (E902.2)

E883.1  Accidental fall into well

E883.2  Accidental fall into storm drain or manhole

E883.9  Fall into other hole or other opening in surface

E884    Other fall from one level to another

E884.0  Fall from playground equipment

Excludes:    recreational machinery (E919.-)

E884.1  Fall from cliff

E884.2  Fall from chair or bed

E884.9  Other fall from one level to another

Fall from:
    embankment
    haystack
    stationary vehicle
    tree

E885    Fall on same level from slipping, tripping, or stumbling

E886    Fall on same level from collision, pushing, or shoving, by or
        with other person

Excludes:    crushed or pushed by a crowd or human stampede (E917.1)

E886.0  In sports

Tackles in sports

Excludes:    kicked, stepped on, struck by object, in sports (E917.0)

E886.9  Other and unspecified

Fall from collision of pedestrian (conveyance) with another pedestrian
    (conveyance)

E887    Fracture, cause unspecified

E888    Other and unspecified fall

Accidental fall NOS               Fall from bumping against object
Fall on same level NOS


                 ACCIDENTS CAUSED BY FIRE AND FLAMES (E890-E899)

Includes:    asphyxia or poisoning due to conflagration or ignition
             burning by fire
             secondary fires resulting from explosion

Excludes:    arson (E968.0)
             fire in or on:
                  machinery (in operation) (E919.-)
                  transport vehicle other than stationary vehicle (E800-E845)
                  vehicle not elsewhere classifiable (E846-E848)

E890    Conflagration in private dwelling

Includes:    conflagration in:
                  apartment
                  boarding house
                  camping place
                  caravan
                  farmhouse
                  house
                  lodging house
                  private garage
                  rooming house
                  tenement
             conflagration originating from sources classifiable to
                  E893-E898 in the above buildings

E890.0  Explosion caused by conflagration

E890.1  Fumes from combustion of polyvinylchloride [PVC] and similar material
        in conflagration

E890.2  Other smoke and fumes from conflagration

Carbon monoxide                   } from conflagration
Fumes NOS                         }     in private
Smoke NOS                         }     building

E890.3  Burning caused by conflagration

E890.8  Other accident resulting from conflagration

Collapse of                       }
Fall from                         } burning private
Hit by object falling from        }     building
Jump from                         }

E890.9  Unspecified

E891    Conflagration in other and unspecified building or structure

Conflagration in:
    barn
    church
    convalescent and other residential home
    dormitory of educational institution
    factory
    farm outbuildings
    hospital
    hotel
    school
    store
    theater
Conflagration originating from sources classifiable to E893-E898 in the
    above buildings

E891.0  Explosion caused by conflagration

E891.1  Fumes from combustion of polyvinylchloride [PVC] and similar
        material in conflagration

E891.2  Other smoke and fumes from conflagration

Carbon monoxide                   }
Fumes NOS                         } from conflagration in building
Smoke NOS                         }     or structure

E891.3  Burning caused by conflagration

E891.8  Other accident resulting from conflagration

Collapse of                       }
Fall from                         } burning building
Hit by object falling from        }     or structure
Jump from                         }

E891.9  Unspecified

E892    Conflagration not in building or structure

Fire (uncontrolled) (in) (of):
    forest
    grass
    hay
    lumber
    mine
    prairie
    transport vehicle [any] except while in transit
    tunnel

E893    Accident caused by ignition of clothing

Excludes:       ignition of clothing:
                       from highly inflammable material (E894)
                       with conflagration (E890-E892)

E893.0  From controlled fire in private dwelling

Ignition of clothing from:             }
    normal fire (charcoal) (coal)      }
         (electric) (gas) (wood) in:   }
    brazier                            } in private dwelling
    fireplace                          }      (as listed in E890)
    furnace                            }
    stove                              }

E893.1  From controlled fire in other building or structure

Ignition of clothing from:             }
    normal fire (charcoal) (coal)      }
         (electric) (gas) (wood) in:   } in other building or structure
    brazier                            }     (as listed in E891)
    fireplace                          }
    furnace                            }
    stove                              }

E893.2  From controlled fire not in building or structure

Ignition of clothing from:
    bonfire (controlled)
    brazier fire (controlled), not in building or structure
    trash fire (controlled)

Excludes:    conflagration not in building (E892)
             trash fire out of control (E892)

E893.8  From other sources

Ignition of clothing from:
    blowlamp
    blowtorch
    burning bedspread
    candle
    cigar
    cigarette
    lighter
    matches
    pipe
    welding torch

E893.9  Unspecified

Includes:    ignition of clothing (from controlled fire NOS) (in building NOS)
                  NOS

E894    Ignition of highly inflammable material

Ignition of:
    benzine (with ignition of clothing)
    gasoline (with ignition of clothing)
    fat (with ignition of clothing)
    kerosene (with ignition of clothing)
    paraffin (with ignition of clothing)
    petrol (with ignition of clothing)
    
Excludes:    ignition of highly inflammable material with:
                  conflagration (E890-E892)
                  explosion (E923.-)

E895    Accident caused by controlled fire in private dwelling

Burning by (flame of) normal fire (charcoal) (coal) (electric) (gas) (wood)
    in:
         brazier                  }
         fireplace                } in private dwelling
         furnace                  }     (as listed in E890)
         stove                    }
        
Excludes:    burning by hot objects not producing fire or flames (E924.-)
             ignition of clothing from these sources (E893.0)
             poisoning by carbon monoxide from incomplete combustion of fuel
                  (E867-E868)
             with conflagration (E890)

E896    Accident caused by controlled fire in other and unspecified building
        or structure

Burning by (flame of) normal fire (charcoal) (coal) (electric) (gas) (wood)
    in:
         brazier                  }
         fireplace                } in other building or
         furnace                  }     structure (as listed in E891)
         stove                    }

Excludes:    burning by hot objects not producing fire or flames (E924.-)
             ignition of clothing from these sources (E893.1)
             poisoning by carbon monoxide from incomplete combustion of fuel
                  (E867-E868)
             with conflagration (E891)

E897    Accident caused by controlled fire not in building or structure

Burns from flame of:
    bonfire (controlled)
    brazier fire (controlled), not in building or structure
    trash fire (controlled)

Excludes:    ignition of clothing from these sources (E893.2)
             trash fire out of control (E892)
             with conflagration (E892)

E898    Accident caused by other specified fire and flames

Excludes:    conflagration (E890-E892)
                  ignition of:
                       clothing (E893.8)    } originating
                       highly inflammable   }     from these
                       material (E894)      }     sources

E898.0  Burning bedclothes

Bed set on fire NOS

E898.1  Other

Burning by:
    blowlamp
    blowtorch
    candle
    cigar
    cigarette
    fire in room NOS
    lamp
    lighter
    matches
    pipe
    welding torch

E899    Accident caused by unspecified fire

Burning NOS


        ACCIDENTS DUE TO NATURAL AND ENVIRONMENTAL FACTORS (E900-E909)

E900    Excessive heat

E900.0  Due to weather conditions

Excessive heat as the external cause of:
    ictus solaris
    siriasis
    sunstroke

E900.1  Of man-made origin

Heat (in):                        Heat (in):
    boiler room                       furnace room
    drying room                       generated in transport vehicle
    factory                           kitchen

E900.9  Of unspecified origin

E901    Excessive cold

E901.0  Due to weather conditions

Excessive cold as the cause of:
    chilblains NOS
    immersion foot

E901.1  Of man-made origin

Contact with or inhalation of:    Prolonged exposure in:
    dry ice                           deep freeze unit
    liquid air                        refrigerator
    liquid hydrogen
    liquid nitrogen

E901.8  Other

E901.9  Of unspecified origin

E902    High and low air pressure and changes in air pressure

E902.0  Residence or prolonged visit at high altitude

Residence or prolonged visit at high altitude as the cause of:
    Acosta syndrome
    Alpine sickness
    altitude sickness
    Andes disease
    anoxia, hypoxia
    barotitis, barodontalgia,
         baro-sinusitis,
         barotrauma otitic
    hypobarism, hypobaropathy
    mountain sickness
    range disease

E902.1  In aircraft

Sudden change in air pressure in aircraft during ascent or descent as the
    cause of:
         aeroneurosis
         aviators' disease

E902.2  Due to diving

High air pressure from rapid descent in water as the cause of:
    caisson disease
    divers' disease
    divers' palsy or paralysis
Reduction in atmospheric pressure while surfacing from deep water diving as
    the cause of:
    caisson disease
    divers' disease
    divers' palsy or paralysis

E902.8  Due to other specified causes

Reduction in atmospheric pressure while surfacing from underground

E902.9  Unspecified

E903    Travel and motion

E904    Hunger, thirst, exposure, and neglect

Excludes:    any condition resulting from homicidal intent (E968.-)
             hunger, thirst, and exposure resulting from accidents connected
                  with transport (E800-E848)

E904.0  Abandonment or neglect of infants and helpless persons

Exposure to weather conditions resulting from abandonment or neglect
Hunger or thirst resulting from abandonment or neglect
Desertion of newborn
Inattention at or after birth
Lack of care (helpless person) (infant)

Excludes:    criminal neglect (E968.5)

E904.1  Lack of food

Lack of food as the cause of:
    inanition
    insufficient nourishment
    starvation

Excludes:    hunger resulting from abandonment or neglect (E904.0)

E904.2  Lack of water

Lack of water as the cause of:
    dehydration
    inanition

Excludes:    dehydration due to acute fluid loss (276.5)

E904.3  Exposure (to weather conditions), not elsewhere classifiable

Exposure NOS                      Struck by hailstones
Humidity

Excludes:    struck by lightning (E907)

E904.9  Privation, unqualified

Destitution

E905    Venomous animals and plants as the cause of poisoning and toxic
        reactions

Includes:    chemical released by animal
             insects
             release of venom through fangs, hairs, spines, tentacles, and
                  other venom apparatus

Excludes:    eating of poisonous animals or plants (E865.-)

E905.0  Venomous snakes and lizards

Cobra                             Rattlesnake
Fer de lance                      Sea snake
Gila monster                      Snake (venomous)
Krait                             Viper

Excludes:    bites of snakes and lizards known to be nonvenomous (E906.2)

E905.1  Venomous spiders

Black widow spider                Tarantula (venomous)

E905.2  Scorpion

E905.3  Hornets, wasps, and bees

Yellow jacket

E905.4  Centipede and venomous millipede (tropical)

E905.5  Other venomous arthropods

Sting of:
    ant
    caterpillar

E905.6  Venomous marine animals and plants

Puncture by sea urchin spine
Sting of:
    coral
    jelly fish
    nematocysts
    sea anemone
    sea cucumber
    other marine animal or plant

Excludes:    bites and other injuries caused by nonvenomous marine animal
                  (E906.-)
             bite of sea snake (venomous) (E905.0)

E905.7  Poisoning and toxic reactions caused by other plants

Injection of poisons or toxins into or through skin by plant thorns, spines,
    or other mechanisms

Excludes:    puncture wound NOS by plant thorns or spines (E920.8)

E905.8  Other specified

E905.9  Unspecified

Sting NOS                         Venomous bite NOS

E906    Other injury caused by animals

Excludes:    poisoning and toxic reactions caused by venomous animals and
                  insects (E905.-)
             tripping, falling over an animal (E885)

E906.0  Dog bite

E906.1  Rat bite

E906.2  Bite of nonvenomous snakes and lizards

E906.3  Bite of other animal except arthropod

Cats                              Rodents, except rats
Moray eel                         Shark

E906.4  Bite of nonvenomous arthropod

Insect bite NOS

E906.8  Other specified injury caused by animal

Butted by animal
Fallen on by horse or other animal, not being ridden
Gored by animal
Implantation of quills of porcupine
Pecked by bird
Run over by animal, not being ridden
Stepped on by animal, not being ridden

Excludes:    injury by animal being ridden (E828.-)

E906.9  Unspecified injury caused by animal

E907    Lightning

Excludes:    injury from:
                  fall of tree or other object caused by lightning (E916)
             fire caused by lightning (E890-E892)

E908    Cataclysmic storms, and floods resulting from storms

Blizzard
Cloudburst
Cyclone
Flood
    arising from remote storm
    of cataclysmic nature arising from melting snow
    resulting directly from storm
Hurricane
Tornado
Torrential rain
Transport vehicle washed off road by storm
    
Excludes:    collapse of dam or man-made structure causing flood (E909)
             transport accident occurring after storm (E800-E848)

E909    Cataclysmic earth surface movements and eruptions

Avalanche
Collapse of dam or man-made structure causing flood
Earthquake
Landslide
Mud slide of cataclysmic nature
Tidal wave
Volcanic eruption
    
Excludes:    "tidal wave" caused by storm action (E908)
             transport accident involving collision with avalanche or
                  landslide not in motion (E800-E848)


 ACCIDENTS CAUSED BY SUBMERSION, SUFFOCATION, AND FOREIGN BODIES
(E910-E915)

E910    Accidental drowning and submersion

Includes:    immersion
             swimmers' cramp

Excludes:    diving accident (NOS) (resulting in injury except drowning)
                  (E883.0)
             diving with insufficient air supply (E913.2)
             drowning and submersion due to:
                  cataclysm (E908, E909)
                  machinery accident (E919.-)
                  transport accident (E800-E845)
             effect of high and low air pressure (E902.2)
             injury from striking against objects while in running water
                  (E917.2)

E910.0  While water-skiing

Fall from water skis with submersion or drowning

Excludes:    accident to water-skier involving a watercraft and resulting in
                  submersion or other injury (E830.4, E831.4)

E910.1  While engaged in other sport or recreational activity with diving
        equipment

Scuba diving NOS                  Underwater spear fishing NOS
Skin diving NOS

E910.2  While engaged in other sport or recreational activity without diving
        equipment

Fishing, except from boat or with diving equipment
Hunting, except from boat or with diving equipment
Ice skating
Playing in water
Swimming NOS
Surfboarding
Voluntarily jumping from boat, not involved in accident, for swim NOS
Wading in water

Excludes:    jumping into water to rescue another person (E910.3)

E910.3  While swimming or diving for purposes other than recreation or sport

Marine salvage (with diving equipment)
Pearl diving (with diving equipment)
Placement of fishing nets (with diving equipment)
Rescue (attempt) of another person (with diving equipment)
Underwater construction or repairs (with diving equipment)

E910.4  In bathtub

E910.8  Other

Drowning in:
    NOS
    quenching tank
    swimming pool

E910.9  Unspecified

Accidental fall into water NOS

E911    Inhalation and ingestion of food causing obstruction of respiratory
        tract or suffocation

Asphyxia by food [including bone, seed in food, regurgitated food]
Choked on food [including bone, seed in food, regurgitated food]
Suffocation by food [including bone, seed in food, regurgitated food]
Aspiration and inhalation of food [any] (into respiratory tract) NOS
Compression of trachea by food lodged in esophagus
Interruption of respiration by food lodged in esophagus
Obstruction of respiration by food lodged in esophagus
Obstruction of pharynx by food (bolus)
    
Excludes:    injury, except asphyxia and obstruction of respiratory passage,
                  caused by food (E915)
             obstruction of esophagus by food without mention of asphyxia or
                  obstruction of respiratory passage (E915)

E912    Inhalation and ingestion of other object causing obstruction of
        respiratory tract or suffocation

Asphyxia by any object, except food, entering by nose or mouth, mucus, phlegm
Choked on any object, except food, entering by nose or mouth, mucus, phlegm
Suffocation by any object, except food, entering by nose or mouth, mucus,
    phlegm
Aspiration and inhalation of foreign body except food (into respiratory tract)
    NOS
Foreign object [bean] [marble] in nose
Obstruction of pharynx by foreign body
Compression by foreign body in esophagus
Interruption of respiration by foreign body in esophagus
Obstruction of respiration by foreign body in esophagus

Excludes:    injury, except asphyxia and obstruction of respiratory passage,
                  caused by foreign body (E915)
             obstruction of esophagus by foreign body without mention of
                  asphyxia or obstruction in respiratory passage (E915)

E913    Accidental mechanical suffocation

Excludes:    mechanical suffocation from or by:
                  accidental inhalation or ingestion of:
                        food (E911)
                        foreign object (E912)
                  cataclysm (E908-E909)
                  explosion (E921.-, E923.-)
                  machinery accident (E919.-)

E913.0  In bed or cradle

Excludes:    suffocation by plastic bag (E913.1)

E913.1  By plastic bag

E913.2  Due to lack of air (in closed place)

Accidentally closed up in refrigerator or other airtight enclosed space

Excludes:    suffocation by plastic bag (E913.1)

E913.3  By falling earth or other substance

Cave-in NOS

Excludes:    cave-in caused by cataclysmic earth surface movements and
                  eruptions (E909)
             struck by cave-in without asphyxiation or suffocation (E916)

E913.8  Other specified means

Accidental hanging, except in bed or cradle

E913.9  Unspecified

Asphyxia, mechanical NOS          Suffocation NOS
Strangulation NOS

E914    Foreign body accidentally entering eye and adnexa

Excludes:    corrosive liquid

E915    Foreign body accidentally entering other orifice

Excludes:    aspiration and inhalation of foreign body, any, (into
                  respiratory tract) NOS (E911-E912)



                        OTHER ACCIDENTS (E916-E928)

E916    Struck accidentally by falling object

Collapse of building, except on fire
Falling:                          Falling:
    rock                              stone
    snowslide NOS                     tree

Object falling from:
    machine, not in operation
    stationary vehicle
    
Excludes:    collapse of building on fire (E890-E891)
             falling object in:
                  cataclysm (E908-E909)
                  machinery accidents (E919.-)
                  transport accidents (E800-E845)
                  vehicle accidents not elsewhere classifiable (E846-E848)
             object set in motion by:
                  explosion (E921.-, E923.-)
                  firearm (E922.-)
             projected object (E917.-)

E917    Striking against or struck accidentally by objects or persons

Includes:    bumping into or against
                  object (moving) (projected) (stationary)
                  pedestrian conveyance
                  person
             colliding with
                  object (moving) (projected) (stationary)
                  pedestrian conveyance
                  person
             kicking against
                  object (moving) (projected) (stationary)
                  pedestrian conveyance
                  person
             stepping on
                  object (moving) (projected) (stationary)
                  pedestrian conveyance
                  person
             struck by
                  object (moving) (projected) (stationary)
                  pedestrian conveyance
                  person

Excludes:    fall from:
                  bumping into or against object (E888)
                  collision with another person, except when caused
                        by a crowd (E886.-)
                  stumbling over object (E885)
             injury caused by:
                  assault (E960.-, E967.-)
                  cutting or piercing instrument (E920.-)
                  explosion (E921.-, E923.-)
                  firearm (E922.-)
                  machinery (E919.-)
                  transport vehicle (E800-E845)
                  vehicle not elsewhere classifiable (E846-E848)

E917.0  In sports

Kicked or stepped on during game (football) (rugby)
Knocked down while boxing
Struck by hit or thrown ball
Struck by hockey stick or puck

E917.1  Caused by a crowd, by collective fear or panic

Crushed by crowd or human stampede
Pushed by crowd or human stampede
Stepped on by crowd or human stampede

E917.2  In running water

Excludes:    drowning or submersion (E910.-)
             in sports (E917.0)

E917.9  Other

E918    Caught accidentally in or between objects

Caught, crushed, jammed, or pinched:
                                }         { escalator
                                }         { folding object
    between                     }         { hand tools, appliances, or
         moving objects         }         {      implements, not causing
         stationary and moving  } such as {      cut or puncture
              object            }         { sliding door and door frame
    in object                   }         { under packing crate due to
                                }         {      losing grip
                                }         { washing machine wringer

Excludes:    injury caused by:
                  cutting or piercing instrument (E920.-)
                  machinery (E919.-)
                  transport vehicle (E800-E845)
                  vehicle not elsewhere classifiable (E846-E848)
             struck accidentally by:
                  falling object (E916)
                  object (moving) (projected) (E917.-)

E919    Accidents caused by machinery

Includes:    burned by machinery (accident)
             caught in (moving parts of) machinery (accident)
             collapse of machinery (accident)
             crushed by machinery (accident)
             cut or pierced by machinery (accident)
             drowning or submersion caused by machinery (accident)
             explosion of, on, in machinery (accident)
             fall from or into moving part of machinery (accident)
             fire starting in or on machinery (accident)
             mechanical suffocation caused by machinery (accident)
             object falling from, on, set in motion by machinery (accident)
             overturning of machinery (accident)
             pinned under machinery (accident)
             run over by machinery (accident)
             struck by machinery (accident)
             thrown from machinery (accident)
             caught between machinery and other object
             collision of machinery with:
                  object (fixed) (movable) (moving) not set in motion by
                        transport vehicle
                  pedestrian
             machinery accident NOS

Excludes:    accidents involving machinery, not in operation (E884.9,
                  E916-E918)
             injury caused by:
                  electric current in connection with machinery (E925.-)
                  escalator (E880.0, E918)
                  explosion of pressure vessel in connection with machinery
                        (E921.-)
                  moving sidewalk (E885)
                  powered hand tools, appliances, and implements (E916-E918,
                        E920, E921, E923-E926)
                  transport vehicle accidents involving machinery (E800-E848)
                  poisoning by carbon monoxide generated by machine (E868.8)

E919.0  Agricultural machines

Animal-powered agricultural       Farm tractor
    machine                       Harvester
Combine                           Hay mower or rake
Derrick, hay                      Reaper
Farm machinery NOS                Thresher

Excludes:    when in transport under own power on the highway (E810-E819)
             when being towed by another vehicle on the highway
                  (E810-E819, E827, E829)
             when involved in accident classifiable to E820-E829 (E820-E829)

E919.1  Mining and earth-drilling machinery

Bore or drill (land) (seabed)     Shaft lift
Shaft hoist                       Under-cutter

Excludes:    coal car, tram, truck, and tub in mine (E846.-)

E919.2  Lifting machines and appliances

Chain hoist                     }
Crane                           }
Derrick                         } except in agricultural
Elevator (building) (grain)     }      or mining operations
Forklift truck                  }
Lift                            }
Pulley block                    }
Winch                           }

Excludes:    when in transport under own power on the highway (E810-E819)
             when being towed by another vehicle on the highway (E810-E819,
                  E827, E829)
             when involved in accident classifiable to E820-E829 (E820-E829)

E919.3  Metalworking machines

Abrasive wheel
Forging machine
Lathe
Mechanical shears
Metal:
    drilling machine
    milling machine
    power press
    rolling-mill
    sawing machine

E919.4  Woodworking and forming machines

Band saw                          Overhead plane
Bench saw                         Powered saw, except hand
Circular saw                      Radial saw
Molding machine                   Sander

E919.5  Prime movers, except electrical motors

Gas turbine                       Steam engine
Internal combustion engine        Water driven turbine

Excludes:    when being towed by other vehicle on the highway (E810-E819,
                  E827, E829)
             when in transport under own power on the highway (E810-E819)

E919.6  Transmission machinery

Transmission:
    belt
    cable
    chain
    gear
    pinion
    pulley
    shaft

E919.7  Earth moving, scraping, and other excavating machines

Bulldozer                         Steam shovel
Road scraper

Excludes:    when being towed by other vehicle on the highway
                  (E810-E819, E827, E829)
             when in transport under own power on the highway (E810-E819)

E919.8  Other

Machines for manufacture of:      Printing machine
    clothing                      Spinning, weaving, and textile machines
    foodstuffs and beverages
    paper

E919.9  Unspecified

E920    Accidents caused by cutting and piercing instruments or objects

                                  } object:
Includes:    fall on              }     edged
             accidental injury by }     pointed
                                  }     sharp

E920.0  Powered lawn mower

E920.1  Other powered hand tools

Any powered hand tool [compressed air] [electric] [explosive cartridge]
    [hydraulic power], such as:
         drill                    rivet gun
         hand saw                 staple gun
         hedge clipper

Excludes:    band saw (E919.4)
             bench saw (E919.4)

E920.2  Powered household appliances and implements

Blender                           Electric:
Electric:                             knife
    beater or mixer                   sewing machine
    can opener                    Garbage disposal appliance
    fan

E920.3  Knives, swords, and daggers

E920.4  Other hand tools and implements

Axe                               Paper cutter
Can opener NOS                    Pitchfork
Chisel                            Rake
Fork                              Scissors
Hand saw                          Screwdriver
Hoe                               Sewing machine, not powered
Ice pick                          Shovel
Needle

E920.8  Other

Arrow                             Nail
Broken glass                      Plant thorn
Dart                              Splinter
Edge of stiff paper               Tin can lid
Lathe turnings

Excludes:    animal spines or quills (E906.8)
             flying glass due to explosion (E921-E923)

E920.9  Unspecified

E921    Accident caused by explosion of pressure vessel

Includes:    accidental explosion of pressure vessels, whether or not part
                  of machinery

Excludes:    explosion of pressure vessel on transport vehicle (E800-E845)

E921.0  Boilers

E921.1  Gas cylinders

Air tank                          Pressure gas tank

E921.8  Other

Aerosol can                       Pressure cooker
Automobile tire

E921.9  Unspecified

E922    Accident caused by firearm missile

E922.0  Handgun

Pistol                            Revolver

Excludes:    Verey pistol (E922.8)

E922.1  Shotgun (automatic)

E922.2  Hunting rifle

Excludes:    air rifle [BB gun] (E917.9)

E922.3  Military firearms

Army rifle                        Machine gun

E922.8  Other

Verey pistol [flare]

E922.9  Unspecified

Gunshot wound NOS                 Shot NOS

E923    Accident caused by explosive material

Includes:    flash burns and other injuries resulting from explosion of
                  explosive material
             ignition of highly explosive material with explosion

Excludes:    explosion:
                  in or on machinery (E919.-)
                  on any transport vehicle, except stationary motor vehicle
                        (E800-E848)
                  secondary fires resulting from explosion (E890-E899)
                  with conflagration (E892, E890-E892)

E923.0  Fireworks

E923.1  Blasting materials

Blasting cap                      Explosive [any] used in blasting
Detonator                              operations
Dynamite

E923.2  Explosive gases

Acetylene                         Fire damp
Butane                            Gasoline fumes
Coal gas                          Methane
Explosion in mine NOS             Propane

E923.8  Other

Bomb                              Explosion in:
Explosive missile                      grain store
Grenade                                munitions:
Mine                                        dump
Shell                                       factory
Torpedo

E923.9  Unspecified

Includes:    explosion NOS

E924    Accident caused by hot substance or object, caustic or corrosive
        material and steam

Excludes:    burning NOS (E899.-)
             chemical burn resulting from swallowing a corrosive substance
                  (E860-E864)
             fire caused by these substances and objects (E890-E894)
             radiation burns (E926.-)
             therapeutic misadventures (E870-E876)

E924.0  Hot liquids and vapors, including steam

Burning or scalding by:
    boiling water
    hot or boiling liquids not primarily caustic or corrosive
    liquid metal
    steam
    other hot vapor

E924.1  Caustic and corrosive substances

Burning by:
    acid [any kind]
    ammonia
    caustic oven cleaner or other substance
    corrosive substance
    lye
    vitriol

E924.8  Other

Burning by:
    heat from electric heating appliance
    hot object NOS
    steam pipe

E924.9  Unspecified

E925    Accident caused by electric current

Includes:    electric current from:    }      {  burning
                  exposed wire         } as   {  cardiac fibrillation
                  faulty appliance or  } the  {  convulsions
                     electric machine  } cause{  electric shock
                  high voltage cable   } of:  {  electrocution
                  live rail            }      {  puncture wound
                  open electric socket }      {  respiratory paralysis

Excludes:    burn by heat from electrical appliance (E924.8)
             lightning (E907)

E925.0  Domestic wiring and appliances

E925.1  Electric power generating plants, distribution stations, transmission
        lines

Broken power line

E925.2  Industrial wiring, appliances, and electrical machinery

Conductors                        Electrical equipment and machines
Control apparatus                 Transformers

E925.8  Other electric current

Wiring and appliances in or on:
    farm [not farmhouse]
    outdoors
    public building
    residential institutions
    schools

E925.9  Unspecified

Burns or other injury from        Electric shock NOS
    electric current NOS          Electrocution NOS

E926    Exposure to radiation

Excludes:    abnormal reaction to or complication of treatment without
                  mention of misadventure (E879.2)
             atomic power plant malfunction in water transport (E838.-)
             misadventure to patient in surgical and medical procedures
                  (E873.2-E873.3)
             use of radiation in war operations (E996, E997)

E926.0  Radiofrequency radiation

Overexposure to:                       } from:
    microwave radiation                }    high-powered radio and
    radar radiation                    }         television transmitters
    radiofrequency                     }    industrial radiofrequency
         radiation [any]               }         induction heaters
                                       }    radar installations

E926.1  Infrared heaters and lamps

                                       } blistering
Exposure to infrared radiation from    } burning
    heaters and lamps as the cause of: } charring
                                       } inflammatory change

Excludes:    physical contact with heater or lamp (E924.8)

E926.2  Visible and ultraviolet light sources

Arc lamps                         Oxygas welding torch
Black light sources               Sun rays
Electrical welding arc

Excludes:    excessive heat from these sources (E900.-)

E926.3  X-rays and other electromagnetic ionizing radiation

Gamma rays                        X-rays (hard) (soft)

E926.4  Lasers

E926.5  Radioactive isotopes

Radiobiologicals                  Radiopharmaceuticals

E926.8  Other specified

Artificially accelerated beams of ionized particles, generated by:

    betatrons                         synchrotrons

E926.9  Unspecified

Radiation NOS

E927    Overexertion and strenuous movements

Excessive physical exercise       Strenuous movements in:
Overexertion (from):                  recreational activities
    lifting                           other activities
    pulling
    pushing

E928    Other and unspecified environmental and accidental causes

E928.0  Prolonged stay in weightless environment

Weightlessness in spacecraft (simulator)

E928.1  Exposure to noise

Noise (pollution)                 Supersonic waves
Sound waves

E928.2  Vibration

E928.8  Other

E928.9  Unspecified accidents

Accident NOS                                }
Blow NOS                                    }
Casualty (not due to war)                   }
Decapitation                                } stated as accidentally inflicted
Injury [any part of body, or unspecified]   }     but not otherwise specified
Killed                                      }
Knocked down                                }
Mangled                                     }
Wound                                       }

Excludes:    fracture, cause unspecified (E887)
             injuries undetermined whether accidentally or purposely
                  inflicted (E980-E989)


                   LATE EFFECTS OF ACCIDENTAL INJURY (E929)

Note:   This category is to be used to indicate accidental injury as the cause
        of death or disability from late effects, which are themselves
        classifiable elsewhere. The "late effects" include conditions reported
        as such, or occurring as sequelae one year or more after accidental
        injury.

E929    Late effects of accidental injury

Excludes:    late effects of:
                  surgical and medical procedures (E870-E879)
                  therapeutic use of drugs and medicaments (E930-E949)

E929.0  Late effects of motor vehicle accident

Late effects of accidents classifiable to E810-E825

E929.1  Late effects of other transport accident

Late effects of accidents classifiable to E800-E807, E826-E838, E840-E848

E929.2  Late effects of accidental poisoning

Late effects of accidents classifiable to E850-E858, E860-E869

E929.3  Late effects of accidental fall

Late effects of accidents classifiable to E880-E888

E929.4  Late effects of accident caused by fire

Late effects of accidents classifiable to E890-E899

E929.5  Late effects of accident due to natural and environmental factors

Late effects of accidents classifiable to E900-E909

E929.8  Late effects of other accidents

Late effects of accidents classifiable to E910-E928.8

E929.9  Late effects of unspecified accident

Late effects of accidents classifiable to E928.9


              DRUGS, MEDICINAL AND BIOLOGICAL SUBSTANCES CAUSING
                ADVERSE EFFECTS IN THERAPEUTIC USE (E930-E949)

Includes:    correct drug properly administered in therapeutic or prophylactic
                  dosage, as the cause of any adverse effect

Excludes:    accidental overdose of drug and wrong drug given or taken in
                  error (E850-E858)
             accidents in the technique of administration of drug or
                  biological substance, such as accidental puncture during
                  injection, or contamination of drug (E870-E876)
             administration with suicidal or homicidal intent or intent to
                  harm, or in circumstances classifiable to E980-E989
                  (E950.0 to E950.4, E962.0, E980.0 to E980.4)

E930    Antibiotics

Excludes:    if used as eye, ear, nose, and throat [ENT], and local anti-
                  infectives (E946.-)

E930.0  Penicillins

Natural                           Semisynthetic, such as:
Synthetic                             ampicillin
                                      cloxacillin
                                      nafcillin
                                      oxacillin

E930.1  Antifungal antibiotics

Amphotericin B                    Hachimycin [trichomycin]
Griseofulvin                      Nystatin

E930.2  Chloramphenicol group

Chloramphenicol                   Thiamphenicol

E930.3  Erythromycin and other macrolides

Oleandomycin                      Spiramycin

E930.4  Tetracycline group

Doxycycline                       Oxytetracycline
Minocycline

E930.5  Cephalosporin group

Cephalexin                        Cephaloridine
Cephaloglycin                     Cephalothin

E930.6  Antimycobacterial antibiotics

Cycloserine                       Rifampicin
Kanamycin                         Streptomycin

E930.7  Antineoplastic antibiotics

Actinomycins, such as:
    cactinomycin
    dactinomycin
    bleomycin
    daunorubicin
    mitomycin

Excludes:    other antineoplastic drugs (E933.1)

E930.8  Other specified antibiotics

E930.9  Unspecified

E931    Other anti-infectives

Excludes:    ENT, and local anti-infectives (E946.-)

E931.0  Sulfonamides

Sulfadiazine                      Sulfamethoxazole
Sulfadimethoxine                  Sulfamethoxypyridazine
Sulfafurazole

E931.1  Arsenical anti-infectives

E931.2  Heavy metal anti-infectives

Compounds of:
    antimony
    bismuth
    lead
    mercury

Excludes:    mercurial diuretics (E944.0)

E931.3  Quinoline and hydroxyquinoline derivatives

Chiniofon                         Diiodohydroxyquinoline

Excludes:    antimalarial drugs (E931.4)

E931.4  Antimalarials and drugs acting on other blood protozoa

Chloroquine phosphate             Proguanil [chloroguanide]
Cycloguanil                       Pyrimethamine
Primaquine                        Quinine (sulphate)

E931.5  Other antiprotozoal drugs

Emetine

E931.6  Anthelmintics

Hexylresorcinol                   Piperazine
Male fern oleoresin               Tiabendazole

E931.7  Antiviral drugs

Metisazone

Excludes:    amantadine (E936.4)
             cytarabine (E933.1)
             idoxuridine (E946.5)

E931.8  Other antimycobacterial drugs

Ethambutol                        Para-aminosalicylic acid derivatives
Ethionamide                       Sulfones
Isoniazid

E931.9  Other and unspecified anti-infectives

Flucytosine                       Nitrofuran derivatives

E932    Hormones and synthetic substitutes

E932.0  Adrenal cortical steroids

Cortisone derivatives             Fluorinated corticosteroids
Desoxycortone derivatives

E932.1  Androgens and anabolic congeners

Metandienone                      Oxymetholone
Nandrolone phenylpropionate       Testosterone and preparations
Norethandrolone

E932.2  Ovarian hormones and synthetic substitutes

Contraceptives, oral              Progestogens combined
Estrogens                         Estrogens and progestogens, combined

E932.3  Insulins and antidiabetic agents

Acetohexamide                     Insulin
Biguanide derivatives, oral       Phenformin
Chlorpropamide                    Sulfonylurea derivatives, oral
Glucagon                          Tolbutamide

Excludes:    adverse effect of insulin administered for shock therapy (E879.3)

E932.4  Anterior pituitary hormones

Corticotropin                     Somatotropin
Gonadotropin

E932.5  Posterior pituitary hormones

Vasopressin

Excludes:    oxytocic agents (E945.0)

E932.6  Parathyroid and parathyroid derivatives

E932.7  Thyroid and thyroid derivatives

Dextrothyroxine                   Liothyronine
Levothyroxine sodium              Thyroglobulin

E932.8  Antithyroid agents

Iodides                           Thiourea
Thiouracil

E932.9  Other and unspecified hormones and synthetic substitutes

E933    Primarily systemic agents

E933.0  Antiallergic and antiemetic drugs

Antihistamines                    Diphenylpyraline
Chlorphenamine                    Thonzylamine
Diphenhydramine                   Tripelennamine

Excludes:    phenothiazine-based tranquillizers (E939.1)

E933.1  Antineoplastic and immunosuppressive drugs

Azathioprine                      Cytarabine
Busulfan                          Fluorouracil
Chlorambucil                      Mercaptopurine
Chlormethine hydrochloride        Thiotepa
Cyclophosphamide

Excludes:    antineoplastic antibiotics (E930.7)

E933.2  Acidifying agents

E933.3  Alkalizing agents

E933.4  Enzymes, not elsewhere classified

Penicillinase

E933.5  Vitamins, not elsewhere classified

Excludes:    nicotinic acid (E942.5)
             vitamin K (E934.3)

E933.8  Other systemic agents, not elsewhere classified

Heavy metal antagonists

E933.9  Unspecified

E934    Agents primarily affecting blood constituents

E934.0  Iron and its compounds

Ferric salts                      Ferrous sulphate and other ferrous salts

E934.1  Liver preparations and other antianemic agents

Folic acid

E934.2  Anticoagulants

Coumarin                          Prothrombin synthesis inhibitor
Heparin                           Warfarin sodium
Phenindione

E934.3  Vitamin K [phytomenadione]

E934.4  Fibrinolysis-affecting drugs

Aminocaproic acid                 Streptokinase
Streptodornase                    Urokinase

E934.5  Anticoagulant antagonists and other coagulants

Hexadimethrine bromide
Protamine sulfate

E934.6  Gamma globulin

E934.7  Natural blood and blood products

Blood plasma                      Packed red cells
Human fibrinogen                  Whole blood

E934.8  Other

Macromolecular blood substitutes

E934.9  Unspecified

E935    Analgesics, antipyretics and antirheumatics

E935.0  Opiates and related narcotics

Codeine [methylmorphine]
Heroin (diacetylmorphine)
Methadone
Morphine
Opium (alkaloids)
Pethidine (meperidine)

E935.1  Salicylates

Acetylsalicylic acid [aspirin]
Amino derivatives of salicylic acid
Salicylic acid salts

E935.2  Aromatic analgesics, not elsewhere classified

Acetanilide                       Phenacetin [acetophenetidin]
Paracetamol [acetaminophen]

E935.3  Pyrazole derivatives

Aminophenazone [aminopyrine]      Phenylbutazone

E935.4  Antirheumatics [antiphlogistics]

Gold salts                        Indomethacin

Excludes:    salicylates (E935.3)
             steroids (E932.0)

E935.5  Other non-narcotic analgesics

Pyrabital

E935.8  Other

Pentazocine

E935.9  Unspecified

E936    Anticonvulsants and anti-Parkinsonism drugs

E936.0  Oxazolidine derivatives

Paramethadione                    Trimethadione

E936.1  Hydantoin derivatives

Phenytoin

E936.2  Succinimides

Ethosuximide                      Phensuximide

E936.3  Other and unspecified anticonvulsants

Beclamide                         Primidone

E936.4  Anti-Parkinsonism drugs

Amantadine                        Levodopa
Profenamine (ethopropazine)

E937    Sedatives and hypnotics

E937.0  Barbiturates

Amobarbital [amylobarbitone]      Pentobarbital [pentobarbitone]
Barbital [barbitone]              Phenobarbital [phenobarbitone]
Butobarbital [butobarbitone]      Secobarbital [quinalbarbitone]

Excludes:    thiobarbiturates (E938.3)

E937.1  Chloral hydrate group

E937.2  Paraldehyde

E937.3  Bromine compounds

Bromide                           Carbromal (derivatives)
Carbamic esters

E937.4  Methaqualone compounds

E937.5  Glutethimide group

E937.6  Mixed sedatives, not elsewhere classified

E937.8  Other

E937.9  Unspecified

Sleeping:
    draught NOS
    drug NOS
    tablet NOS

E938    Other central nervous system depressants

E938.0  Central nervous system muscle-tone depressants

Chlorphenesin (carbamate)         Methocarbamol
Mephenesin

E938.1  Halothane

E938.2  Other gaseous anesthetics

Ether
Halogenated hydrocarbon derivatives, except halothane
Nitrous oxide

E938.3  Intravenous anesthetics

Ketamine                          Thiobarbiturates, such as thiopental
Methohexital [methohexitone]           sodium

E938.4  Other and unspecified general anesthetics


E938.5  Surface and infiltration anesthetics

Cocaine                           Procaine
Lidocaine [lignocaine]            Tetracaine

E938.6  Peripheral nerve- and plexus-blocking anesthetics

E938.7  Spinal anesthetics

E938.9  Other and unspecified local anesthetics

E939    Psychotropic agents

E939.0  Antidepressants

Amitriptyline                     Monoamine oxidase inhibitors
Imipramine

E939.1  Phenothiazine-based tranquillizers

Chlorpromazine                    Prochlorperazine
Fluphenazine                      Promazine
Phenothiazine

E939.2  Butyrophenone-based tranquillizers

Haloperidol                       Trifluperidol
Spiperone

E939.3  Other antipsychotics, neuroleptics, and major tranquillizers

E939.4  Benzodiazepine-based tranquillizers

Chlordiazepoxide                  Lorazepam
Diazepam                          Medazepam
Flurazepam                        Nitrazepam

E939.5  Other tranquillizers

Hydroxyzine                       Meprobamate

E939.6  Psychodysleptics [hallucinogens]

Cannabis (derivatives)            Mescaline
Lysergide [LSD]                   Psilocin
Marihuana (derivatives)           Psilocybin

E939.7  Psychostimulants

Amphetamine                       Caffeine

Excludes:       central appetite depressants (E947.8)

E939.8  Other psychotropic agents

E939.9  Unspecified

E940    Central nervous system stimulants

E940.0  Analeptics

Lobeline                          Nikethamide

E940.1  Opiate antagonists

Levallorphan                      Naloxone
Nalorphine

E940.8  Other

E940.9  Unspecified

E941    Drugs primarily affecting the autonomic nervous system

E941.0  Parasympathomimetics [cholinergics]

Acetylcholine                     Pilocarpine
Anticholinesterase:
    organophosphorus
    reversible

E941.1  Parasympatholytics [anticholinergics and antimuscarinics] and
        spasmolytics

Atropine                          Hyoscine [scopolamine]
Homatropine                       Quaternary ammonium derivatives

Excludes:    papaverine (E942.5)

E941.2  Sympathomimetics [adrenergics]

Epinephrine [adrenalin]           Levarterenol [noradrenalin]

E941.3  Sympatholytics [antiadrenergics]

Phenoxybenzamine                  Tolazoline hydrochloride

E941.9  Unspecified

E942    Agents primarily affecting the cardiovascular system

E942.0  Cardiac rhythm regulators

Practolol                         Propranolol
Procainamide                      Quinidine

E942.1  Cardiotonic glycosides and drugs of similar action

Digitalis glycosides              Strophanthins
Digoxin

E942.2  Antilipemic and antiarteriosclerotic drugs

Clofibrate                        Nicotinic acid derivatives
Cholestyramine                    Sitosterols

Excludes:    dextrothyroxine (E932.7)

E942.3  Ganglion-blocking agents

Pentamethonium bromide

E942.4  Coronary vasodilators

Dipyridamole                      Nitrites
Nitrates [nitroglycerin]          Prenylamine

E942.5  Other vasodilators

Cyclandelate                      Nicotinic acid
Diazoxide                         Papaverine
Hydralazine

E942.6  Other antihypertensive agents

Clonidine                         Rauwolfia alkaloids
Guanethidine                      Reserpine

E942.7  Antivaricose drugs, including sclerosing agents

Monoethanolamine                  Zinc salts

E942.8  Capillary-active drugs

Adrenochrome derivatives          Metaraminol
Bioflavonoids

E942.9  Other and unspecified

E943    Agents primarily affecting gastrointestinal system

E943.0  Antacids and anti-gastric-secretion drugs

Aluminum hydroxide                Magnesium trisilicate

E943.1  Irritant cathartics

Bisacodyl                         Phenolphthalein
Castor oil

E943.2  Emollient cathartics

Sodium dioctyl sulfosuccinate

E943.3  Other cathartics, including intestinal atonia drugs

Magnesium sulfate

E943.4  Digestants

Pancreatin                        Pepsin
Papain

E943.5  Antidiarrheal drugs

Bismuth subcarbonate              Pectin
Kaolin

Excludes:    anti-infectives (E930-E931)

E943.6  Emetics

E943.8  Other

E943.9  Unspecified

E944    Water, mineral and uric acid metabolism drugs

E944.0  Mercurial diuretics

Chlormerodrin                     Mercurophylline
Mercaptomerin                     Mersalyl

E944.1  Purine derivative diuretics

Theobromine                       Theophylline

Excludes:    aminophylline [theophylline ethylenediamine] (E945.7)

E944.2  Carbonic acid anhydrase inhibitors

Acetazolamide

E944.3  Saluretics

Chlorothiazide group

E944.4  Other diuretics

Etacrynic acid                    Furosemide

E944.5  Electrolytic, caloric and water-balance agents

E944.6  Other mineral salts, not elsewhere classified

E944.7  Uric acid metabolism drugs

Cinchophen and congeners          Phenoquin
Colchicine                        Probenecid

E945    Agents primarily acting on the smooth and skeletal muscles and
        respiratory system

E945.0  Oxytocic agents

Ergot alkaloids

E945.1  Smooth muscle relaxants

Adiphenine                        Orciprenaline [metaproterenol]

Excludes:    papaverine (E942.5)

E945.2  Skeletal muscle relaxants

Alcuronium chloride               Suxamethonium chloride

E945.3  Other and unspecified drugs acting on muscles

E945.4  Antitussives

Dextromethorphan                  Pipazetate hydrochloride

E945.5  Expectorants

Acetylcysteine                    Ipecacuanha
Cocillana                         Terpin hydrate
Glyceryl guaiacolate

E945.6  Anti-common cold drugs

E945.7  Antiasthmatics

Aminophylline [theophylline ethylenediamine]

E945.8  Other and unspecified respiratory drugs

E946    Agents primarily affecting skin and mucous membrane,
        ophthalmological, otorhinolaryngological, and dental drugs

E946.0  Local anti-infectives and anti-inflammatory drugs

E946.1  Antipruritics

E946.2  Local astringents and local detergents

E946.3  Emollients, demulcents, and protectants

E946.4  Keratolytics, keratoplastics, other hair treatment drugs and
        preparations

E946.5  Eye anti-infectives and other eye drugs

Idoxuridine

E946.6  Anti-infectives and other drugs and preparations for ear, nose, and
        throat

E946.7  Dental drugs topically applied

E946.8  Other

Spermicides

E946.9  Unspecified

E947    Other and unspecified drugs and medicaments

E947.0  Dietetics

E947.1  Lipotropic drugs

E947.2  Antidotes and chelating agents, not elsewhere classified

E947.3  Alcohol deterrents

E947.4  Pharmaceutical excipients

E947.8  Other drugs and medicaments

Contrast media used for diagnostic x-ray procedures
Diagnostic agents and kits

E947.9  Unspecified drug or medicament

E948    Bacterial vaccines

E948.0  BCG vaccine

E948.1  Typhoid and paratyphoid

E948.2  Cholera

E948.3  Plague

E948.4  Tetanus

E948.5  Diphtheria

E948.6  Pertussis vaccine, including combinations with a pertussis component

E948.8  Other and unspecified bacterial vaccines

E948.9  Mixed bacterial vaccines, except combinations with a pertussis
        component

E949    Other vaccines and biological substances

Excludes:    gamma globulin (E934.6)

E949.0  Smallpox vaccine

E949.1  Rabies vaccine

E949.2  Typhus vaccine

E949.3  Yellow fever vaccine

E949.4  Measles vaccine

E949.5  Poliomyelitis vaccine

E949.6  Other and unspecified viral and rickettsial vaccines

E949.7  Mixed viral-rickettsial and bacterial vaccines, except combinations
        with a pertussis component

E949.9  Other and unspecified vaccines and biological substances


                   SUICIDE AND SELF-INFLICTED INJURY (E950-E959)

Includes:    injuries in suicide and attempted suicide
             self-inflicted injuries specified as intentional

E950    Suicide and self-inflicted poisoning by solid or liquid substances

E950.0  Analgesics, antipyretics, and antirheumatics

E950.1  Barbiturates

E950.2  Other sedatives and hypnotics

E950.3  Tranquillizers and other psychotropic agents

E950.4  Other specified drugs and medicaments

E950.5  Unspecified drug or medicament

E950.6  Agricultural and horticultural chemical and pharmaceutical
        preparations other than plant foods and fertilizers

E950.7  Corrosive and caustic substances

Suicide and self-inflicted poisoning by substances classifiable to E864.-

E950.8  Arsenic and its compounds

E950.9  Other and unspecified solid and liquid substances

E951    Suicide and self-inflicted poisoning by gases in domestic use

E951.0  Gas distributed by pipeline

E951.1  Liquefied petroleum gas distributed in mobile containers

E951.8  Other utility gas

E952    Suicide and self-inflicted poisoning by other gases and vapors

E952.0  Motor vehicle exhaust gas

E952.1  Other carbon monoxide

E952.8  Other specified gases and vapors

E952.9  Unspecified gases and vapors

E953    Suicide and self-inflicted injury by hanging, strangulation, and
        suffocation

E953.0  Hanging

E953.1  Suffocation by plastic bag

E953.8  Other specified means

E953.9  Unspecified means

E954    Suicide and self-inflicted injury by submersion [drowning]

E955    Suicide and self-inflicted injury by firearms and explosives

E955.0  Handgun

E955.1  Shotgun

E955.2  Hunting rifle

E955.3  Military firearms

E955.4  Other and unspecified firearm

Gunshot NOS                       Shot NOS

E955.5  Explosives

E955.9  Unspecified

E956    Suicide and self-inflicted injury by cutting and piercing instrument

E957    Suicide and self-inflicted injuries by jumping from high place

E957.0  Residential premises

E957.1  Other man-made structures

E957.2  Natural sites

E957.9  Unspecified

E958    Suicide and self-inflicted injury by other and unspecified means

E958.0  Jumping or lying before moving object

E958.1  Burns, fire

E958.2  Scald

E958.3  Extremes of cold

E958.4  Electrocution

E958.5  Crashing of motor vehicle

E958.6  Crashing of aircraft

E958.7  Caustic substances, except poisoning

E958.8  Other specified means

E958.9  Unspecified means

E959    Late effects of self-inflicted injury

Note:   This category is to be used to indicate circumstances classifiable to
        E950-E958 as the cause of death or disability from late effects, which
        are themselves classifiable elsewhere.  The "late effects" include
        conditions reported as such, or occurring as sequelae one year or more
        after attempted suicide or self-inflicted injury.


    HOMICIDE AND INJURY PURPOSELY INFLICTED BY OTHER PERSONS
(E960-E969)

Includes:    injuries inflicted by another person with intent to injure or
                  kill, by any means

Excludes:    injuries due to:
                  legal intervention (E970-E978)
                  operations of war (E990-E999)

E960    Fight, brawl, rape

E960.0  Unarmed fight or brawl

Brawl or fight with hands, fists, feet
Injured or killed in fight NOS

Excludes:    homicidal:
                  injury by weapons (E965, E966, E969)
                  strangulation (E963)
                  submersion (E964)

E960.1  Rape

E961    Assault by corrosive or caustic substance, except poisoning

Injury or death purposely caused by corrosive or caustic substance, such as:
    acid [any]
    corrosive substance
    vitriol

Excludes:    burns from hot liquid (E968)
             chemical burns from swallowing a corrosive substance (E962)

E962    Assault by poisoning

E962.0  Drugs and medicaments

Homicidal poisoning by any drug or medicament

E962.1  Other solid and liquid substances

E962.2  Other gases and vapors

E962.9  Unspecified poisoning

E963    Assault by hanging and strangulation

Homicidal (attempt):              Homicidal (attempt):
    garrotting or ligature            strangulation
    hanging                           suffocation

E964    Assault by submersion [drowning]

E965    Assault by firearms and explosives

E965.0  Handgun

Pistol                            Revolver

E965.1  Shotgun

E965.2  Hunting rifle

E965.3  Military firearms

E965.4  Other and unspecified firearm

E965.5  Antipersonnel bomb

E965.6  Petrol bomb

E965.7  Letter bomb

E965.8  Other specified explosive

Bomb NOS (placed in):             Dynamite
    car
    house

E965.9  Unspecified explosive

E966    Assault by cutting and piercing instrument

Assassination (attempt), homicide (attempt) by any instrument classifiable
    under E920
Homicidal:
     cut any part of body
     puncture any part of body
     stab any part of body
Stabbed

E967    Child battering and other maltreatment

E967.0  By parent

E967.1  By other specified person

E967.9  By unspecified person

E968    Assault by other and unspecified means

E968.0  Fire

Arson                             Homicidal burns NOS

Excludes:    burns from hot liquid (E968.3)

E968.1  Pushing from a high place

E968.2  Striking by blunt or thrown object

E968.3  Hot liquid

Homicidal burns by scalding

E968.4  Criminal neglect

Abandonment of child or infant with intent to injure or kill

E968.8  Other specified means

Bite of human being

E968.9  Unspecified means

Assassination (attempt) NOS       Manslaughter (nonaccidental)
Homicidal (attempt):              Murder (attempt) NOS
    injury NOS                    Violence, nonaccidental
    wound NOS

E969    Late effects of injury purposely inflicted by other person

Note:   This category is to be used to indicate circumstances classifiable to
        E960-E968 as the cause of death or disability from late effects, which
        are themselves classifiable elsewhere.  The "late effects" include
        conditions reported as such, or occurring as sequelae one year or more
        after injury purposely inflicted by another person.


                        LEGAL INTERVENTION (E970-E978)

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 caused by civil insurrections (E990-E999)

E970    Injury due to legal intervention by firearms

Gunshot wound                     Injury by:
                                      machine gun
                                      revolver
                                      rifle pellet or rubber bullet
                                      shot NOS

E971    Injury due to legal intervention by explosives

Injury by:
    dynamite
    explosive shell
    grenade
    motor bomb


E972    Injury due to legal intervention by gas

Asphyxiation by gas               Poisoning by gas
Injury by tear gas

E973    Injury due to legal intervention by blunt object

Hit, struck by:
    baton
    blunt object
    stave

E974    Injury due to legal intervention by cutting and piercing instrument

Cut                               Injured by bayonet
Incised wound                     Stab wound

E975    Injury due to legal intervention by other specified means

Blow                              Manhandling

E976    Injury due to legal intervention by unspecified means

E977    Late effects of injuries due to legal intervention

Note:   This category is to be used to indicate circumstances classifiable to
        E970-E976 as the cause of death or disability from late effects, which
        are themselves classifiable elsewhere.  The "late effects" include
        conditions reported as such, or occurring as sequelae one year or more
        after injury due to legal intervention.

E978    Legal execution

All executions performed at the behest of the judiciary or ruling authority
[whether permanent or temporary] as:
    asphyxiation by gas
    beheading, decapitation (by guillotine)
    capital punishment
    electrocution
    hanging
    poisoning
    shooting
    other specified means


        INJURY UNDETERMINED WHETHER ACCIDENTALLY OR PURPOSELY
INFLICTED
                                (E980-E989)

Note:   Categories E980-E989 are for use when it is stated that an
        investigation by a medical or legal authority has not determined
        whether the injuries are accidental, suicidal, or homicidal.  They
        include self-inflicted injuries, but not poisoning, when not specified
        whether accidental or with intent to harm.

E980    Poisoning by solid or liquid substances, undetermined whether
        accidentally or purposely inflicted

E980.0  Analgesics, antipyretics, and antirheumatics

E980.1  Barbiturates

E980.2  Other sedatives and hypnotics

E980.3  Tranquillizers and other psychotropic agents

E980.4  Other specified drugs and medicaments

E980.5  Unspecified drug or medicament

E980.6  Corrosive and caustic substances

Poisoning, undetermined whether accidental or purposeful, by substances
    classifiable to E864.-

E980.7  Agricultural and horticultural chemical and pharmaceutical
        preparations other than plant foods and fertilizers

E980.8  Arsenic and its compounds

E980.9  Other and unspecified solid and liquid substances

E981    Poisoning by gases in domestic use, undetermined whether accidentally
        or purposely inflicted

E981.0  Gas distributed by pipeline

E981.1  Liquefied petroleum gas distributed in mobile containers

E981.8  Other utility gas

E982    Poisoning by other gases, undetermined whether accidentally or
        purposely inflicted

E982.0  Motor vehicle exhaust gas

E982.1  Other carbon monoxide

E982.8  Other specified gases and vapors

E982.9  Unspecified gases and vapors

E983    Hanging, strangulation, or suffocation, undetermined whether
        accidentally or purposely inflicted

E983.0  Hanging

E983.1  Suffocation by plastic bag

E983.8  Other specified means

E983.9  Unspecified means

E984    Submersion [drowning], undetermined whether accidentally or
        purposely inflicted

E985    Injury by firearms and explosives, undetermined whether
        accidentally or purposely inflicted

E985.0  Handgun

E985.1  Shotgun

E985.2  Hunting rifle

E985.3  Military firearms

E985.4  Other and unspecified firearm

E985.5  Explosives

E986    Injury by cutting and piercing instruments, undetermined whether
        accidentally or purposely inflicted

E987    Falling from high place, undetermined whether accidentally or
        purposely inflicted

E987.0  Residential premises

E987.1  Other man-made structures

E987.2  Natural sites

E987.9  Unspecified site

E988    Injury by other and unspecified means, undetermined whether
        accidentally or purposely inflicted

E988.0  Jumping or lying before moving object

E988.1  Burns, fire

E988.2  Scald

E988.3  Extremes of cold

E988.4  Electrocution

E988.5  Crashing of motor vehicle

E988.6  Crashing of aircraft

E988.7  Caustic substances, except poisoning

E988.8  Other specified means

E988.9  Unspecified means

E989    Late effects of injury, undetermined whether accidentally or
        purposely inflicted

Note:   This category is to be used to indicate circumstances classifiable to
        E980-E988 as the cause of death or disability from late effects, which
        are themselves classifiable elsewhere.  The "late effects" include
        conditions reported as such, or occurring as sequelae one year or more
        after injury undetermined whether accidentally or purposely inflicted.


              INJURY RESULTING FROM OPERATIONS OF WAR (E990-E999)

Includes:    injuries to military personnel and civilians caused by war and
                  civil insurrections and occurring during the time of war and
                  insurrection

             injury due to operations of war, occurring after cessation of
                  hostilities

Excludes:    accidents during training of military personnel, manufacture of
                  war material and transport, unless attributable to enemy
                  action

E990    Injury due to war operations by fires and conflagrations

Includes:    asphyxia        } originating from fire caused by a fire-
             burns           }     producing device or indirectly by any
             other injury    }     conventional weapon

E990.0  From gasoline bomb

E990.9  From other and unspecified source

E991    Injury due to war operations by bullets and fragments

E991.0  Rubber bullets (rifle)

E991.1  Pellets (rifle)

E991.2  Other bullets

Bullet [any except rubber bullets, and pellets]
    carbine
    machine gun
    pistol
    rifle
    shotgun

E991.3  Antipersonnel bomb (fragments)

E991.9  Other and unspecified fragments

Fragments from:
    artillery shell
    bombs, except antipersonnel
    grenade
    guided missile
    land mine
    rockets
    shell
    shrapnel

E992    Injury due to war operations by explosion of marine weapons

Depth charge                      Sea-based artillery shell
Marine mines                      Torpedo
Mine NOS, at sea or in harbor     Underwater blast

E993    Injury due to war operations by other explosion

Accidental explosion of           Explosion NOS
    munitions being used          Explosion of:
    in war                            artillery shell
Accidental explosion of own           breech block
    weapons                           cannon block
Air blast NOS                         mortar bomb
Blast NOS                         Injury by weapon burst

E994    Injury due to war operations by destruction of aircraft

Airplane:                         Crushed by falling airplane
    burned
    exploded
    shot down

E995    Injury due to war operations by other and unspecified forms of
        conventional warfare

Battle wounds                     Drowned in war operations
Bayonet injury

E996    Injury due to war operations by nuclear weapons

Blast effects
Exposure to ionizing radiation from nuclear weapons
Fireball effects
Heat
Other direct and secondary effects of nuclear weapons

E997    Injury due to war operations by other forms of unconventional warfare

E997.0  Lasers

E997.1  Biological warfare

E997.2  Gases, fumes, and chemicals

E997.8  Other

E997.9  Unspecified

E998    Injury due to war operations but occurring after cessation of
        hostilities

Injuries due to operations of war but occurring after cessation of
    hostilities by any means classifiable under E990-E997
Injuries by explosion of bombs or mines placed in the course of operations
    of war, if the explosion occurred after cessation of hostilities

E999    Late effect of injury due to war operations

Note:   This category is to be used to indicate circumstances classifiable to
        E990-E998 as the cause of death or disability from late effects, which
        are themselves classifiable elsewhere.  The "late effects" include
        conditions reported as such, or occurring as sequelae one year or more
        after injury resulting from operations of war.