ICD 10 || Tabular list of inclusions and four-character subcategories || CHAPTER XX External causes of morbidity and mortality (V01–Y98) - CHAPTER XXII Codes for special purposes (U00–U99)

CHAPTER XX

External causes of morbidity and mortality

(V01–Y98)

This chapter, which in previous revisions of the ICD constituted a supplementary classification, permits the classification of environmental events and circumstances as the cause of injury, poisoning and other adverse effects. Where a code from this section is applicable, it is intended that it will be used in addition to a code from another chapter of the classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter XIX, Injury, poisoning and certain other consequences of external causes (S00–T98). Causes of death should preferably be tabulated according to both Chapter XIX and Chapter XX, but if only one code is tabulated, then the code from Chapter XX should be used in preference. Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter XX should be used to provide additional information for multiple-condition analysis only.

Categories for sequelae of external causes of morbidity and mortality are included at Y85–Y89.

This chapter contains the following blocks:

V01–X59 Accidents

V01–V99 Transport accidents

V01–V09   Pedestrian injured in transport accident V10–V19 Pedal cyclist injured in transport accident V20–V29 Motorcycle rider injured in transport accident V30–V39 Occupant of three-wheeled motor vehicle injured

in transport accident

V40–V49 Car occupant injured in transport accident V50–V59 Occupant of pick-up truck or van injured in

transport accident

V60–V69 Occupant of heavy transport vehicle injured in transport accident

V70–V79 Bus occupant injured in transport accident V80–V89 Other land transport accidents

V90–V94 Water transport accidents V95–V97 Air and space transport accidents

V98–V99 Other and unspecified transport accidents W00–X59 Other external causes of accidental injury

W00–W19 Falls

W20–W49 Exposure to inanimate mechanical forces W50–W64 Exposure to animate mechanical forces W65–W74 Accidental drowning and submersion W75–W84 Other accidental threats to breathing

W85–W99 Exposure to electric current, radiation and extreme ambient air temperature and pressure

X00–X09 Exposure to smoke, fire and flames X10–X19 Contact with heat and hot substances X20–X29 Contact with venomous animals and plants X30–X39 Exposure to forces of nature

X40–X49 Accidental poisoning by and exposure to noxious substances

X50–X57 Overexertion, travel and privation

X58–X59 Accidental exposure to other and unspecified factors

X60–X84 Intentional self-harm X85–Y09 Assault

Y10–Y34 Event of undetermined intent

Y35–Y36 Legal intervention and operations of war Y40–Y84 Complications of medical and surgical care

Y40–Y59 Drugs, medicaments and biological substances causing adverse effects in therapeutic use

Y60–Y69 Misadventures to patients during surgical and medical care Y70–Y82 Medical devices associated with adverse incidents in

diagnostic and therapeutic use

Y83–Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y85–Y89 Sequelae of external causes of morbidity and mortality

Y90–Y98 Supplementary factors related to causes of morbidity and mortality classified elsewhere

Place of occurrence code

The following categories are provided to to be used as separate variables in addition  to ICD categories W00–Y34, to identify the place of occurrence of the external cause where relevant:

0 Home Apartment Boarding-house

Caravan [trailer] park, residential Farmhouse

Home premises House (residential)

Noninstitutional place of residence Private:

• driveway to home

• garage

• garden to home

• yard to home

Swimming-pool in private house or garden

Excl.: abandoned or derelict house (8)

home under construction but not yet occupied (6) institutional place of residence (1)

1 Residential institution Children’s home Dormitory

Home for the sick Hospice

Military camp Nursing home

Old people’s home Orphanage Pensioner’s home Prison

Reform school

2 School, other institution and public administrative area

Building (including adjacent grounds) used by the general public or by a particular group of the public such as:

• assembly hall

• campus

• church

• cinema

• clubhouse

• college

• court-house

• dancehall

• day nursery

• gallery

• hospital

• institute for higher education

• kindergarten

• library

• movie-house

• museum

• music-hall

• opera-house

• post office

• public hall

• school (private)(public)(state)

• theatre

• university

• youth centre

Excl.: building under construction (6) residential institution (1) sports and athletics area (3)

3 Sports and athletics area

Baseball field Basketball-court Cricket ground Football field Golf-course Gymnasium Hockey field Riding-school Skating-rink Squash-court Stadium

Swimming-pool, public Tennis-court

Excl.: swimming-pool or tennis-court in private home or garden (0)

4 Street and highway

Freeway Motorway Pavement Road Sidewalk

5 Trade and service area

Airport Bank Café Casino

Garage (commercial) Gas station

Hotel Market

Office building Petrol station

Radio or television station Restaurant

Service station Shop (commercial) Shopping mall

Station (bus)(railway) Store

Supermarket Warehouse

Excl.: garage in private home (0)

6 Industrial and construction area Building [any] under construction Dockyard

Dry dock Factory:

• building

• premises Gasworks Industrial yard Mine

Oil rig and other offshore installations Pit (coal)(gravel)(sand)

Power-station (coal)(nuclear)(oil) Shipyard

Tunnel under construction Workshop

7 Farm

Farm:

• buildings

• land under cultivation Ranch

Excl.: farmhouse and home premises of farm (0)

8 Other specified places

Beach Campsite Canal

Caravan site NOS Derelict house Desert

Dock NOS Forest Harbour Hill

Lake Marsh

Military training ground Mountain

Park (amusement) (public) Parking-lot and parking-place Pond or pool

Prairie

Public place NOS Railway line River

Sea Seashore Stream Swamp

Water reservoir Zoo

9 Unspecified place

 

Activity code

The following categories are provided to be used as separate variables in addition to categories V01–Y34, to indicate the activity of the injured person at the time the event occurred. This supplementary classification should not be confused with, or be used instead of, the recommended categories provided to indicate the place of occurrence of events classifiable to W00–Y34.

0 While engaged in sports activity

Physical exercise with a described functional element, such as:

• golf

• jogging

• riding

• school athletics

• skiing

• swimming

• trekking

• water-skiing

1 While engaged in leisure activity

Hobby activities

Leisure-time activities with an entertainment element such as going to the cinema, to a dance or to a party

Participation in sessions and activities of voluntary organizations

Excl.: sports activities (0)

2 While working for income

Paid work (manual)(professional) Transportation (time) to and from such activities

Work for salary, bonus and other types of income

3 While engaged in other types of work

Domestic duties such as:

• caring for children and relatives

• cleaning

• cooking

• gardening

• household maintenance

Duties for which one would not normally gain an income Learning activities, e.g. attending school session or lesson Undergoing education

4 While resting, sleeping, eating or engaging in other vital activities

Personal hygiene

8 While engaged in other specified activities

9 During unspecified activity

 

Accidents (V01–X59)

Transport accidents (V01–V99)

Note: This section is structured in 12 groups. Those relating to land transport  accidents (V01–V89) reflect the victim’s mode of transport and are subdivided to identify the victim’s ‘counterpart’ or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters, since it is seen as the most important factor to identify for prevention purposes.

Excl.: accidents to persons engaged in the maintenance or repair of transport equipment or vehicle (not in motion) unless injured by another vehicle in motion (W00–X59)

accidents involving vehicles, 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; finger crushed when shutting car door (W00–X59)

assault by crashing of motor vehicle (Y03) event of undetermined intent (Y31–Y33) intentional self-harm (X81–X83)

Definitions related to transport accidents

a) A transport accident (V01–V99) is any accident involving a device designed primarily for, or being used at the time primarily for, conveying persons or goods from one place to another.

b) A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom, for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.

c) A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.

 

d) A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.

e) A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal.

Incl.: person:

• changing tyre of vehicle

• making adjustment to motor of vehicle

• on foot

user of a pedestrian conveyance such as:

• baby carriage

• ice-skates

• perambulator

• push-cart

• push-chair

• roller-skates

• scooter

• skateboard

• skis

• sled

• wheelchair (powered)

f) A driver is an occupant of a transport vehicle who is operating or intending to operate it.

g) A passenger is any occupant of a transport vehicle other than the driver.

Excl.: person travelling on outside of vehicle – see definition (h)

h) A person on outside of vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property.

Incl.: person (travelling on):

• bodywork

• bumper [fender]

• hanging on outside

• roof (rack)

• running-board

• step

i) A pedal cycle is any land transport vehicle operated solely by pedals.

Incl.: bicycle

tricycle

Excl.: motorized bicycle – see definition (k)

j) A pedal cyclist is any person riding on a pedal cycle or in a sidecar or trailer attached to such a vehicle.

 

k) A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.

Incl.: moped

motor scooter motorcycle:

• NOS

• combination

• with sidecar motorized bicycle

speed-limited motor-driven cycle

Excl.: motor-driven tricycle – see definition (m)

l) A motorcycle rider is any person riding on a motorcycle or in a sidecar or trailer attached to such a vehicle.

m) A three-wheeled motor vehicle is a motorized tricycle designed primarily for on- road use.

Incl.: motor-driven tricycle motorized rickshaw three-wheeled motor car

Excl.: motorcycle with sidecar – see definition (k) special all-terrain vehicle – see definition (x)

n) A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 10 persons. A trailer or caravan being towed by a car is considered a part of the car.

Incl.: minibus

o) A motor vehicle or vehicle may refer to various transport vehicles. The local usage of the terms should be established to determine the appropriate code. If the terms are used ambiguously, use the code for ‘unspecified’. A trailer or caravan being towed by a vehicle is considered a part of the vehicle.

p) A pick-up truck or van is a four- or six-wheeled motor vehicle designed primarily for carrying property, weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver’s licence.

q) A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of kerbside weight (usually above 3500 kg), and requiring a special driver’s licence.

r) A bus is a motor vehicle designed or adapted primarily for carrying more than 10 persons, and requiring a special driver’s licence.

Incl.: coach

 

s) A railway train or railway vehicle is any device, with or without cars coupled to it, designed for traffic on a railway.

Incl.: interurban:

• electric car

• streetcar (operated chiefly on its own right-of-way, not open to other traffic)

railway train, any power [diesel][electric][steam]:

• funicular

• monorail or two-rail

• subterranean or elevated

other vehicle designed to run on a railway track

Excl.: interurban electric cars [streetcars] specified to be operating on a right-of- way that forms part of the public street or highway – see definition (t)

t) A streetcar is a device designed and used primarily for transporting persons within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. A trailer being towed by a streetcar is considered a part of the streetcar.

Incl.: interurban electric car or streetcar, when specified to be operating on a street or public highway

tram (car) trolley (car)

u) A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments.

Incl.: battery-powered:

• airport passenger vehicle

• truck (baggage)(mail) coal-car in mine

forklift (truck) logging car

self-propelled truck, industrial station baggage truck (powered)

tram, truck or tub (powered) in mine or quarry

v) A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), for example to work the land, tend and harvest crops and transport materials on the farm.

Incl.: combine harvester

self-propelled farm machinery tractor (and trailer)

 

w) A special construction vehicle is a motor vehicle designed specifically for use in the construction (and demolition) of roads, buildings and other structures.

Incl.: bulldozer

digger dumper truck earth-leveller

mechanical shovel road-roller

x)    A special all-terrain vehicle is a motor vehicle of special design to enable it        to negotiate rough or soft terrain or snow. Examples of special design are high construction, special wheels and tyres, tracks, and support on a cushion of air.

Incl.: hovercraft on land or swamp snowmobile

Excl.: hovercraft on open water – see definition (y)

y) A watercraft is any device for transporting passengers or goods on water.

Incl.: hovercraft NOS

z) An aircraft is any device for transporting passengers or goods in the air.

Classification and coding instructions for transport accidents

1. If an event is unspecified as to whether it was a traffic or a nontraffic accident, it is assumed to be:

a) a traffic accident when the event is classifiable to categories V10–V82 and V87.

b) a nontraffic accident when the event is classifiable to categories V83–V86. For these categories, the victim is either a pedestrian or an occupant of a vehicle designed primarily for off-road use.

2. When accidents involving more than one kind of transport are reported, the following order of precedence should be used:

aircraft and spacecraft (V95–V97) watercraft (V90–V94)

other modes of transport (V01–V89, V98–V99)

 

3. Where transport accident descriptions do not specify the victim as being a vehicle occupant and the victim is described as:

crushed dragged hit injured killed

knocked down run over

by any vehicle including animal being ridden animal-drawn vehicle bicycle

bulldozer bus

car motorcycle

motorized tricycle pick-up (truck) recreational vehicle streetcar

tractor train tram truck

van

classify the victim as a pedestrian (categories V01–V09).

4. Where transport accident descriptions do not indicate the victim’s role, such as:

aeroplane bicycle boat bulldozer bus

car motorcycle

motorized tricycle pick-up (truck) recreational vehicle spacecraft

streetcar tractor train tram truck van

watercraft

accident collision crash wreck

NOS

classify the victim as an occupant or rider of the vehicle mentioned.

 

If more than one vehicle is mentioned, do not make any assumption as to which vehicle was occupied by the victim unless the vehicles are the same. Instead, code to the appropriate categories V87–V88, V90–V94, V95–V97, taking into account the order of precedence given in note 2 above.

5. Where a transport accident, such as: vehicle (motor)(nonmotor):

• failing to make curve

• going out of control (due to):

– burst tyre [blowout]

– driver falling asleep

– driver inattention

– excessive speed failure of mechanical part

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident, according to the vehicle type involved.

6. Where a transport accident involving a vehicle in motion, such as:

accidental poisoning from exhaust gas generated by breakage of any part of

explosion of any part of

fall, jump or being accidentally pushed from fire starting in

hit by object thrown into or onto

injured by being thrown against some part of, or object in injury from moving part of

object falling in or on

vehicle in motion

resulted in a subsequent collision, classify the accident as a collision. If an accident other than a collision resulted, classify it as a noncollision accident, according to the vehicle type involved.

 

7. Land transport accidents described as:

collision (due to loss of control)(on highway) between vehicle and:

• abutment (bridge)(overpass)

• fallen stone

• guard rail or boundary fence

• inter-highway divider

• landslide (not moving)

• object thrown in front of motor vehicle

• safety island

• tree

• traffic sign or marker (temporary)

• utility pole

• wall of cut made for road

• other object, fixed, movable or moving

are included in V17, V27, V37, V47, V57, V67 and V77

overturning (without collision) are included in V18, V28, V38, V48, V58, V68, and V78

collision with animal (herded)(unattended) are included in V10, V20, V30, V40,

V50, V60 and V70

collision with animal-drawn vehicle or animal being ridden are included in V16, V26, V36, V46, V56, V66 and V76.

Pedestrian injured in transport accident (V01–V09)

Excl.: collision of pedestrian (conveyance) with other pedestrian (conveyance) (W51)

collision of pedestrian (conveyance) with other pedestrian (conveyance):

• with subsequent fall (W03)

The following fourth-character subdivisions are for use with categories V01–V06:

.0 Nontraffic accident

.1 Traffic accident

9 Unspecified whether traffic or nontraffic accident

 

  V01 Pedestrian injured in collision with pedal cycle

[See before V01 for subdivisions]

  V02 Pedestrian injured in collision with two- or three- wheeled motor vehicle

[See before V01 for subdivisions]

  V03 Pedestrian injured in collision with car, pick-up truck or van

[See before V01 for subdivisions]

  V04 Pedestrian injured in collision with heavy transport vehicle or bus

[See before V01 for subdivisions]

  V05 Pedestrian injured in collision with railway train or railway vehicle

[See before V01 for subdivisions]

  V06 Pedestrian injured in collision with other nonmotor vehicle

[See before V01 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

  V09 Pedestrian injured in other and unspecified transport accidents

Incl.: pedestrian injured by special vehicle

V09.0 Pedestrian injured in nontraffic accident involving other and unspecified motor vehicles

V09.1 Pedestrian injured in unspecified nontraffic accident V09.2 Pedestrian injured in traffic accident involving other and

unspecified motor vehicles

V09.3 Pedestrian injured in unspecified traffic accident V09.9 Pedestrian injured in unspecified transport accident

 

Pedal cyclist injured in transport accident (V10–V19)

The following fourth-character subdivisions are for use with categories V10–V18:

.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident

.2 Unspecified pedal cyclist injured in nontraffic accident

.3 Person injured while boarding or alighting

.4 Driver injured in traffic accident

.5 Passenger injured in traffic accident

.9 Unspecified pedal cyclist injured in traffic accident

  V10 Pedal cyclist injured in collision with pedestrian or animal

[See before V10 for subdivisions]

Excl.: collision with animal-drawn vehicle or animal being ridden (V16.-)

  V11 Pedal cyclist injured in collision with other pedal cycle

[See before V10 for subdivisions]

  V12 Pedal cyclist injured in collision with two- or three- wheeled motor vehicle

[See before V10 for subdivisions]

  V13 Pedal cyclist injured in collision with car, pick-up truck or van

[See before V10 for subdivisions]

  V14 Pedal cyclist injured in collision with heavy transport vehicle or bus

[See before V10 for subdivisions]

  V15 Pedal cyclist injured in collision with railway train or railway vehicle

[See before V10 for subdivisions]

 

  V16 Pedal cyclist injured in collision with other nonmotor vehicle

[See before V10 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

  V17 Pedal cyclist injured in collision with fixed or stationary object

[See before V10 for subdivisions]

  V18 Pedal cyclist injured in noncollision transport accident

[See before V10 for subdivisions]

Incl.: fall or thrown from pedal cycle (without antecedent collision) overturning:

• NOS

• without collision

  V19 Pedal cyclist injured in other and unspecified transport accidents

V19.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V19.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V19.2 Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in nontraffic accident

Pedal cycle collision NOS, nontraffic

V19.3 Pedal cyclist [any] injured in unspecified nontraffic accident

Pedal cycle accident NOS, nontraffic

Pedal cyclist injured in nontraffic accident NOS

V19.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident

V19.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V19.6 Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in traffic accident

Pedal cycle collision NOS (traffic)

V19.8 Pedal cyclist [any] injured in other specified transport accidents

Trapped by part of pedal cycle

V19.9 Pedal cyclist [any] injured in unspecified traffic accident

Pedal cycle accident NOS

 

Motorcycle rider injured in transport accident (V20–V29)

Incl.: moped

motorcycle with sidecar motorized bicycle motor scooter

Excl.: three-wheeled motor vehicle (V30–V39)

The following fourth-character subdivisions are for use with categories V20–V28:

.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident

.2 Unspecified motorcycle rider injured in nontraffic accident

.3 Person injured while boarding or alighting

.4 Driver injured in traffic accident

.5 Passenger injured in traffic accident

.9 Unspecified motorcycle rider injured in traffic accident

  V20 Motorcycle rider injured in collision with pedestrian or animal

[See before V20 for subdivisions]

Excl.: collision with animal-drawn vehicle or animal being ridden (V26.-)

  V21 Motorcycle rider injured in collision with pedal cycle

[See before V20 for subdivisions]

  V22 Motorcycle rider injured in collision with two- or three- wheeled motor vehicle

[See before V20 for subdivisions]

  V23 Motorcycle rider injured in collision with car, pick-up truck or van

[See before V20 for subdivisions]

  V24 Motorcycle rider injured in collision with heavy transport vehicle or bus

[See before V20 for subdivisions]

 

  V25 Motorcycle rider injured in collision with railway train or railway vehicle

[See before V20 for subdivisions]

  V26 Motorcycle rider injured in collision with other nonmotor vehicle

[See before V20 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

  V27 Motorcycle rider injured in collision with fixed or stationary object

[See before V20 for subdivisions]

  V28 Motorcycle rider injured in noncollision transport accident

[See before V20 for subdivisions]

Incl.: fall or thrown from motorcycle (without antecedent collision) overturning:

• NOS

• without collision

  V29 Motorcycle rider injured in other and unspecified transport accidents

V29.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V29.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V29.2 Unspecified motorcycle rider injured in collision with other and unspecified motor vehicles in nontraffic accident Motorcycle collision NOS, nontraffic

V29.3 Motorcycle rider [any] injured in unspecified nontraffic accident

Motorcycle accident NOS, nontraffic

Motorcycle rider injured in nontraffic accident NOS

V29.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident

V29.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V29.6 Unspecified motorcycle rider injured in collision with other and unspecified motor vehicles in traffic accident Motorcycle collision NOS (traffic)

 

V29.8 Motorcycle rider [any] injured in other specified transport accidents

Trapped by part of motorcycle

V29.9 Motorcycle rider [any] injured in unspecified traffic accident

Motorcycle accident NOS

Occupant of three-wheeled motor vehicle injured in transport accident

(V30–V39)

Incl.: motorized tricycle

Excl.: motorcycle with sidecar (V20–V29)

vehicle designed primarily for off-road use (V86.-)

The following fourth-character subdivisions are for use with categories V30–V38:

.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident

.2 Person on outside of vehicle injured in nontraffic accident

.3 Unspecified occupant of three-wheeled motor vehicle injured in nontraffic accident

.4 Person injured while boarding or alighting

.5 Driver injured in traffic accident

.6 Passenger injured in traffic accident

.7 Person on outside of vehicle injured in traffic accident

.9 Unspecified occupant of three-wheeled motor vehicle injured in traffic accident

  V30 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal

[See before V30 for subdivisions]

Excl.: collision with animal-drawn vehicle or animal being ridden (V36.-)

  V31 Occupant of three-wheeled motor vehicle injured in collision with pedal cycle

[See before V30 for subdivisions]

 

V39.0 V39.1 V39.2

 

Occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle [See before V30 for subdivisions]

Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van

[See before V30 for subdivisions]

Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus

[See before V30 for subdivisions]

Occupant of three-wheeled motor vehicle injured in collision with railway train or railway vehicle

[See before V30 for subdivisions]

Occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle

[See before V30 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

Occupant of three-wheeled motor vehicle injured in collision with fixed or stationary object

[See before V30 for subdivisions]

Occupant of three-wheeled motor vehicle injured in noncollision transport accident

[See before V30 for subdivisions]

Incl.: fall or thrown from three-wheeled motor vehicle overturning:

• NOS

• without collision

Occupant of three-wheeled motor vehicle injured in other and unspecified transport accidents

Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident

Collision NOS involving three-wheeled motor vehicle, nontraffic

 

V39.3 Occupant [any] of three-wheeled motor vehicle injured in unspecified nontraffic accident

Accident NOS involving three-wheeled motor vehicle, nontraffic Occupant of three-wheeled motor vehicle injured in nontraffic accident NOS

V39.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident

V39.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V39.6 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in traffic accident

Collision NOS involving three-wheeled motor vehicle (traffic)

V39.8 Occupant [any] of three-wheeled motor vehicle injured in other specified transport accidents

Trapped by door or other part of three-wheeled motor vehicle

V39.9 Occupant [any] of three-wheeled motor vehicle injured in unspecified traffic accident

Accident NOS involving three-wheeled motor vehicle

Car occupant injured in transport accident (V40–V49)

Incl.: minibus

The following fourth-character subdivisions are for use with categories V40–V48:

.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident

.2 Person on outside of vehicle injured in nontraffic accident

.3 Unspecified car occupant injured in nontraffic accident

.4 Person injured while boarding or alighting

.5 Driver injured in traffic accident

.6 Passenger injured in traffic accident

.7 Person on outside of vehicle injured in traffic accident

.9 Unspecified car occupant injured in traffic accident

 

  V40 Car occupant injured in collision with pedestrian or animal

[See before V40 for subdivisions]

Excl.: collision with animal-drawn vehicle or animal being ridden (V46.-)

  V41 Car occupant injured in collision with pedal cycle

[See before V40 for subdivisions]

  V42 Car occupant injured in collision with two- or three- wheeled motor vehicle

[See before V40 for subdivisions]

  V43 Car occupant injured in collision with car, pick-up truck or van

[See before V40 for subdivisions]

  V44 Car occupant injured in collision with heavy transport vehicle or bus

[See before V40 for subdivisions]

  V45 Car occupant injured in collision with railway train or railway vehicle

[See before V40 for subdivisions]

  V46 Car occupant injured in collision with other nonmotor vehicle

[See before V40 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

  V47 Car occupant injured in collision with fixed or stationary object

[See before V40 for subdivisions]

  V48 Car occupant injured in noncollision transport accident

[See before V40 for subdivisions]

Incl.: overturning:

• NOS

• without collision

  V49 Car occupant injured in other and unspecified transport accidents

V49.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

 

V49.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V49.2 Unspecified car occupant injured in collision with other and unspecified motor vehicles in nontraffic accident

Car collision NOS, nontraffic

V49.3 Car occupant [any] injured in unspecified nontraffic accident

Car accident NOS, nontraffic

Car occupant injured in nontraffic accident NOS

V49.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident

V49.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V49.6 Unspecified car occupant injured in collision with other and unspecified motor vehicles in traffic accident

Car collision NOS (traffic)

V49.8 Car occupant [any] injured in other specified transport accidents

Trapped by door or other part of car

V49.9 Car occupant [any] injured in unspecified traffic accident

Car accident NOS

Occupant of pick-up truck or van injured in transport accident (V50–V59)

Excl.: heavy transport vehicle (V60–V69)

The following fourth-character subdivisions are for use with categories V50–V58:

.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident

.2 Person on outside of vehicle injured in nontraffic accident

.3 Unspecified occupant of pick-up truck or van injured in nontraffic accident

.4 Person injured while boarding or alighting

.5 Driver injured in traffic accident

.6 Passenger injured in traffic accident

.7 Person on outside of vehicle injured in traffic accident

.9 Unspecified occupant of pick-up truck or van injured in traffic accident

 

  V50 Occupant of pick-up truck or van injured in collision with pedestrian or animal

[See before V50 for subdivisions]

Excl.: collision with animal-drawn vehicle or animal being ridden (V56.-)

  V51 Occupant of pick-up truck or van injured in collision with pedal cycle

[See before V50 for subdivisions]

  V52 Occupant of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle

[See before V50 for subdivisions]

  V53 Occupant of pick-up truck or van injured in collision with car, pick-up truck or van

[See before V50 for subdivisions]

  V54 Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus

[See before V50 for subdivisions]

  V55 Occupant of pick-up truck or van injured in collision with railway train or railway vehicle

[See before V50 for subdivisions]

  V56 Occupant of pick-up truck or van injured in collision with other nonmotor vehicle

[See before V50 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

  V57 Occupant of pick-up truck or van injured in collision with fixed or stationary object

[See before V50 for subdivisions]

  V58 Occupant of pick-up truck or van injured in noncollision transport accident

[See before V50 for subdivisions]

Incl.: overturning:

• NOS

• without collision

 

  V59 Occupant of pick-up truck or van injured in other and unspecified transport accidents

V59.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V59.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V59.2 Unspecified occupant of pick-up truck or van injured in collision with other and unspecified motor vehicles in nontraffic accident

Collision NOS involving pick-up truck or van, nontraffic

V59.3 Occupant [any] of pick-up truck or van injured in unspecified nontraffic accident

Accident NOS involving pick-up truck or van, nontraffic

Occupant of pick-up truck or van injured in nontraffic accident NOS

V59.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident

V59.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V59.6 Unspecified occupant of pick-up truck or van injured in collision with other and unspecified motor vehicles in traffic accident

Collision NOS involving pick-up truck or van (traffic)

V59.8 Occupant [any] of pick-up truck or van injured in other specified transport accidents

Trapped by door or other part of pick-up truck or van

V59.9 Occupant [any] of pick-up truck or van injured in unspecified traffic accident

Accident NOS involving pick-up truck or van

Occupant of heavy transport vehicle injured in transport accident (V60–V69)

The following fourth-character subdivisions are for use with categories V60–V68:

.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident

.2 Person on outside of vehicle injured in nontraffic accident

.3 Unspecified occupant of heavy transport vehicle injured in nontraffic accident

 

.4 Person injured while boarding or alighting

.5 Driver injured in traffic accident

.6 Passenger injured in traffic accident

.7 Person on outside of vehicle injured in traffic accident

.9 Unspecified occupant of heavy transport vehicle injured in traffic accident

  V60 Occupant of heavy transport vehicle injured in collision with pedestrian or animal

[See before V60 for subdivisions]

Excl.: collision with animal-drawn vehicle or animal being ridden (V66.-)

  V61 Occupant of heavy transport vehicle injured in collision with pedal cycle

[See before V60 for subdivisions]

  V62 Occupant of heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle

[See before V60 for subdivisions]

  V63 Occupant of heavy transport vehicle injured in collision with car, pick-up truck or van

[See before V60 for subdivisions]

  V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus

[See before V60 for subdivisions]

  V65 Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle

[See before V60 for subdivisions]

  V66 Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle

[See before V60 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

  V67 Occupant of heavy transport vehicle injured in collision with fixed or stationary object

[See before V60 for subdivisions]

 

  V68 Occupant of heavy transport vehicle injured in noncollision transport accident

[See before V60 for subdivisions]

Incl.: overturning:

• NOS

• without collision

  V69 Occupant of heavy transport vehicle injured in other and unspecified transport accidents

V69.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V69.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V69.2     Unspecified occupant of heavy transport vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident

Collision NOS involving heavy transport vehicle, nontraffic

V69.3 Occupant [any] of heavy transport vehicle injured in unspecified nontraffic accident

Accident NOS involving heavy transport vehicle, nontraffic

Occupant of heavy transport vehicle injured in nontraffic accident NOS

V69.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident

V69.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V69.6 Unspecified occupant of heavy transport vehicle injured in collision with other and unspecified motor vehicles in traffic accident

Collision NOS involving heavy transport vehicle (traffic)

V69.8 Occupant [any] of heavy transport vehicle injured in other specified transport accidents

Trapped by door or other part of heavy transport vehicle

V69.9 Occupant [any] of heavy transport vehicle injured in unspecified traffic accident

Accident NOS involving heavy transport vehicle

 

Bus occupant injured in transport accident (V70–V79)

Excl.: minibus (V40–V49)

The following fourth-character subdivisions are for use with categories V70–V78:

.0 Driver injured in nontraffic accident

.1 Passenger injured in nontraffic accident

.2 Person on outside of vehicle injured in nontraffic accident

.3 Unspecified bus occupant injured in nontraffic accident

.4 Person injured while boarding or alighting

.5 Driver injured in traffic accident

.6 Passenger injured in traffic accident

.7 Person on outside of vehicle injured in traffic accident

.9 Unspecified bus occupant injured in traffic accident

  V70 Bus occupant injured in collision with pedestrian or animal

[See before V70 for subdivisions]

Excl.: collision with animal-drawn vehicle or animal being ridden (V76.-)

  V71 Bus occupant injured in collision with pedal cycle

[See before V70 for subdivisions]

  V72 Bus occupant injured in collision with two- or three- wheeled motor vehicle

[See before V70 for subdivisions]

  V73 Bus occupant injured in collision with car, pick-up truck or van

[See before V70 for subdivisions]

  V74 Bus occupant injured in collision with heavy transport vehicle or bus

[See before V70 for subdivisions]

  V75 Bus occupant injured in collision with railway train or railway vehicle

[See before V70 for subdivisions]

 

  V76 Bus occupant injured in collision with other nonmotor vehicle

[See before V70 for subdivisions]

Incl.: collision with animal-drawn vehicle, animal being ridden, streetcar

  V77 Bus occupant injured in collision with fixed or stationary object

[See before V70 for subdivisions]

  V78 Bus occupant injured in noncollision transport accident

[See before V70 for subdivisions]

Incl.: overturning:

• NOS

• without collision

  V79 Bus occupant injured in other and unspecified transport accidents

V79.0 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident

V79.1 Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

V79.2 Unspecified bus occupant injured in collision with other and unspecified motor vehicles in nontraffic accident

Bus collision NOS, nontraffic

V79.3 Bus occupant [any] injured in unspecified nontraffic accident

Bus accident NOS, nontraffic

Bus occupant injured in nontraffic accident NOS

V79.4 Driver injured in collision with other and unspecified motor vehicles in traffic accident

V79.5 Passenger injured in collision with other and unspecified motor vehicles in traffic accident

V79.6 Unspecified bus occupant injured in collision with other and unspecified motor vehicles in traffic accident

Bus collision NOS (traffic)

V79.8 Bus occupant [any] injured in other specified transport accidents

Trapped by door or other part of bus

V79.9 Bus occupant [any] injured in unspecified traffic accident

Bus accident NOS

 

Other land transport accidents (V80–V89)

  V80 Animal-rider or occupant of animal-drawn vehicle injured in transport accident

V80.0 Rider or occupant injured by fall from or being thrown from animal or animal-drawn vehicle in noncollision accident Overturning:

• NOS

• without collision

V80.1 Rider or occupant injured in collision with pedestrian or animal

Excl.: collision with animal-drawn vehicle or animal being ridden (V80.7)

V80.2 Rider or occupant injured in collision with pedal cycle V80.3 Rider or occupant injured in collision with two- or three-

wheeled motor vehicle

V80.4 Rider or occupant injured in collision with car, pick-up truck, van, heavy transport vehicle or bus

V80.5 Rider or occupant injured in collision with other specified motor vehicle

V80.6 Rider or occupant injured in collision with railway train or railway vehicle

V80.7 Rider or occupant injured in collision with other nonmotor vehicle

Collision with:

• animal being ridden

• animal-drawn vehicle

• streetcar

V80.8 Rider or occupant injured in collision with fixed or stationary object

V80.9 Rider or occupant injured in other and unspecified transport accidents

Animal-drawn vehicle accident NOS Animal-rider accident NOS

  V81 Occupant of railway train or railway vehicle injured in transport accident

Incl.: person on outside of train

V81.0 Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident

 

V81.1 Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident

V81.2 Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock

V81.3 Occupant of railway train or railway vehicle injured in collision with other object

Railway collision NOS

V81.4 Person injured while boarding or alighting from railway train or railway vehicle

V81.5 Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle

Excl.: fall:

• during derailment:

– with antecedent collision (V81.0–V81.3)

– without antecedent collision (V81.7)

• while boarding or alighting (V81.4)

V81.6 Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle

Excl.: fall:

• during derailment:

– with antecedent collision (V81.0–V81.3)

– without antecedent collision (V81.7)

• while boarding or alighting (V81.4)

V81.7 Occupant of railway train or railway vehicle injured in derailment without antecedent collision

V81.8 Occupant of railway train or railway vehicle injured in other specified railway accidents

Explosion or fire Hit by falling:

• earth

• rock

• tree

Excl.: derailment:

• with antecedent collision (V81.0–V81.3)

• without antecedent collision (V81.7)

V81.9 Occupant of railway train or railway vehicle injured in unspecified railway accident

Railway accident NOS

 

  V82 Occupant of streetcar injured in transport accident

Incl.: person on outside of streetcar

V82.0 Occupant of streetcar injured in collision with motor vehicle in nontraffic accident

V82.1 Occupant of streetcar injured in collision with motor vehicle in traffic accident

V82.2 Occupant of streetcar injured in collision with or hit by rolling stock

V82.3 Occupant of streetcar injured in collision with other object

Excl.: collision with animal-drawn vehicle or animal being ridden (V82.8)

V82.4 Person injured while boarding or alighting from streetcar V82.5 Occupant of streetcar injured by fall in streetcar

Excl.: fall:

• while boarding or alighting (V82.4)

• with antecedent collision (V82.0–V82.3)

V82.6 Occupant of streetcar injured by fall from streetcar

Excl.: fall:

• while boarding or alighting (V82.4)

• with antecedent collision (V82.0–V82.3)

V82.7 Occupant of streetcar injured in derailment without antecedent collision

V82.8 Occupant of streetcar injured in other specified transport accidents

Collision with train or other nonmotor vehicle

V82.9 Occupant of streetcar injured in unspecified traffic accident

Streetcar accident NOS

  V83 Occupant of special vehicle mainly used on industrial premises injured in transport accident

Excl.: vehicle in stationary use or maintenance (W31)

V83.0 Driver of special industrial vehicle injured in traffic accident V83.1 Passenger of special industrial vehicle injured in traffic accident V83.2 Person on outside of special industrial vehicle injured in

traffic accident

V83.3 Unspecified occupant of special industrial vehicle injured in traffic accident

V83.4 Person injured while boarding or alighting from special industrial vehicle

V83.5 Driver of special industrial vehicle injured in nontraffic accident

 

V83.6 Passenger of special industrial vehicle injured in nontraffic accident

V83.7 Person on outside of special industrial vehicle injured in nontraffic accident

V83.9 Unspecified occupant of special industrial vehicle injured in nontraffic accident

Special-industrial-vehicle accident NOS

  V84 Occupant of special vehicle mainly used in agriculture injured in transport accident

Excl.: vehicle in stationary use or maintenance (W30)

V84.0 Driver of special agricultural vehicle injured in traffic accident V84.1 Passenger of special agricultural vehicle injured in traffic

accident

V84.2 Person on outside of special agricultural vehicle injured in traffic accident

V84.3 Unspecified occupant of special agricultural vehicle injured in traffic accident

V84.4 Person injured while boarding or alighting from special agricultural vehicle

V84.5 Driver of special agricultural vehicle injured in nontraffic accident

V84.6 Passenger of special agricultural vehicle injured in nontraffic accident

V84.7 Person on outside of special agricultural vehicle injured in nontraffic accident

V84.9 Unspecified occupant of special agricultural vehicle injured in nontraffic accident

Special agricultural-vehicle accident NOS

  V85 Occupant of special construction vehicle injured in transport accident

Excl.: vehicle in stationary use or maintenance (W31)

V85.0 Driver of special construction vehicle injured in traffic accident

V85.1 Passenger of special construction vehicle injured in traffic accident

V85.2 Person on outside of special construction vehicle injured in traffic accident

 

V85.3 Unspecified occupant of special construction vehicle injured in traffic accident

V85.4 Person injured while boarding or alighting from special construction vehicle

V85.5 Driver of special construction vehicle injured in nontraffic accident

V85.6 Passenger of special construction vehicle injured in nontraffic accident

V85.7 Person on outside of special construction vehicle injured in nontraffic accident

V85.9 Unspecified occupant of special construction vehicle injured in nontraffic accident

Special construction-vehicle accident NOS

  V86 Occupant of special all-terrain or other motor vehicle designed primarily for off-road use, injured in transport accident

Excl.: vehicle in stationary use or maintenance (W31)

V86.0 Driver of all-terrain or other off-road motor vehicle injured in traffic accident

V86.1 Passenger of all-terrain or other off-road motor vehicle injured in traffic accident

V86.2 Person on outside of all-terrain or other off-road motor vehicle injured in traffic accident

V86.3 Unspecified occupant of all-terrain or other off-road motor vehicle injured in traffic accident

V86.4 Person injured while boarding or alighting from all-terrain or other off-road motor vehicle

V86.5 Driver of all-terrain or other off-road motor vehicle injured in nontraffic accident

V86.6 Passenger of all-terrain or other off-road motor vehicle injured in nontraffic accident

V86.7 Person on outside of all-terrain or other off-road motor vehicle injured in nontraffic accident

V86.9 Unspecified occupant of all-terrain or other off-road motor vehicle injured in nontraffic accident

All-terrain motor-vehicle accident NOS Off-road motor-vehicle accident NOS

 

  V87 Traffic accident of specified type but victim’s mode of transport unknown

Excl.: collision involving:

• pedal cyclist (V10–V19)

• pedestrian (V01–V09)

V87.0 Person injured in collision between car and two- or three- wheeled motor vehicle (traffic)

V87.1 Person injured in collision between other motor vehicle and two- or three-wheeled motor vehicle (traffic)

V87.2 Person injured in collision between car and pick-up truck or van (traffic)

V87.3 Person injured in collision between car and bus (traffic)

V87.4 Person injured in collision between car and heavy transport vehicle (traffic)

V87.5 Person injured in collision between heavy transport vehicle and bus (traffic)

V87.6 Person injured in collision between railway train or railway vehicle and car (traffic)

V87.7 Person injured in collision between other specified motor vehicles (traffic)

V87.8 Person injured in other specified noncollision transport accidents involving motor vehicle (traffic)

V87.9 Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic)

  V88 Nontraffic accident of specified type but victim’s mode of transport unknown

Excl.: collision involving:

• pedal cyclist (V10–V19)

• pedestrian (V01–V09)

V88.0 Person injured in collision between car and two- or three- wheeled motor vehicle, nontraffic

V88.1 Person injured in collision between other motor vehicle and two- or three-wheeled motor vehicle, nontraffic

 

V88.2 Person injured in collision between car and pick-up truck or van, nontraffic

V88.3 Person injured in collision between car and bus, nontraffic V88.4 Person injured in collision between car and heavy transport

vehicle, nontraffic

V88.5 Person injured in collision between heavy transport vehicle and bus, nontraffic

V88.6 Person injured in collision between railway train or railway vehicle and car, nontraffic

V88.7 Person injured in collision between other specified motor vehicles, nontraffic

V88.8 Person injured in other specified noncollision transport accidents involving motor vehicle, nontraffic

V88.9 Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle, nontraffic

  V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified

V89.0 Person injured in unspecified motor-vehicle accident, nontraffic

Motor-vehicle accident NOS, nontraffic

V89.1 Person injured in unspecified nonmotor-vehicle accident, nontraffic

Nonmotor-vehicle accident NOS (nontraffic)

V89.2 Person injured in unspecified motor-vehicle accident, traffic

Motor-vehicle accident [MVA] NOS Road (traffic) accident [RTA] NOS

V89.3 Person injured in unspecified nonmotor-vehicle accident, traffic

Nonmotor-vehicle traffic accident NOS

V89.9 Person injured in unspecified vehicle accident

Collision NOS

 

Water transport accidents (V90–V94)

Incl.: watercraft accidents in the course of recreational activities

The following fourth-character subdivisions are for use with categories V90–V94:

.0 Merchant ship

.1 Passenger ship Ferry-boat Liner

.2 Fishing boat

.3 Other powered watercraft Hovercraft (on open water) Jet skis

.4 Sailboat

Yacht

.5 Canoe or kayak

.6 Inflatable craft (nonpowered)

.7 Water-skis

.8 Other unpowered watercraft

Surf-board Windsurfer

.9 Unspecified watercraft

Boat NOS Ship NOS

Watercraft NOS

 

  V90 Accident to watercraft causing drowning and submersion

[See before V90 for subdivisions]

Incl.: drowning and submersion due to:

• boat:

– overturning

– sinking

• falling or jumping from:

– burning ship

– crushed watercraft

• other accident to watercraft

Excl.: water-transport-related drowning or submersion without accident to watercraft (V92.-)

  V91 Accident to watercraft causing other injury

[See before V90 for subdivisions]

Incl.: any injury except drowning and submersion as a result of an accident to watercraft

burned while ship on fire crushed between colliding ships

crushed by lifeboat after abandoning ship

fall due to collision or other accident to watercraft

hit by falling object as a result of accident to watercraft injured in watercraft accident involving collision of watercraft struck by boat or part thereof after falling or jumping from damaged boat

Excl.: burns from localized fire or explosion on board ship (V93.-)

  V92 Water-transport-related drowning and submersion without accident to watercraft

[See before V90 for subdivisions]

Incl.: drowning and submersion as a result of an accident, such as:

• fall:

– from gangplank

– from ship

– overboard

• thrown overboard by motion of ship

• washed overboard

Excl.: drowning or submersion of swimmer or diver who voluntarily jumps from boat not involved in an accident (W69, W73)

 

  V93 Accident on board watercraft without accident to watercraft, not causing drowning and submersion [See before V90 for subdivisions]

Incl.: accidental poisoning by gases or fumes on ship atomic reactor malfunction in watercraft crushed by falling object on ship

excessive heat in:

• boiler room

• engine room

• evaporator room

• fire room

explosion of boiler on steamship

fall from one level to another in watercraft fall on stairs or ladders in watercraft injuries in watercraft caused by:

• deck

 

• engine room

• galley

• laundry

• loading

localized fire on ship

machinery accident in watercraft

 

machinery

 

  V94 Other and unspecified water transport accidents

[See before V90 for subdivisions]

Incl.: accident to nonoccupant of watercraft hit by boat while water-skiing

Air and space transport accidents (V95–V97)

  V95 Accident to powered aircraft causing injury to occupant

Incl.: collision with any object, fixed, movable or moving

crash explosion fire

forced landing

of or on (powered) aircraft

V95.0 Helicopter accident injuring occupant

V95.1 Ultralight, microlight or powered-glider accident injuring occupant V95.2 Accident to other private fixed-wing aircraft, injuring occupant

 

V95.3 Accident to commercial fixed-wing aircraft, injuring occupant V95.4 Spacecraft accident injuring occupant

V95.8 Other aircraft accidents injuring occupant

V95.9 Unspecified aircraft accident injuring occupant

Aircraft accident NOS

Air transport accident NOS

  V96 Accident to nonpowered aircraft causing injury to occupant

Incl.: collision with any object, fixed, movable or moving

crash explosion fire

forced landing

of or on (powered) aircraft

V96.0 Balloon accident injuring occupant V96.1 Hang-glider accident injuring occupant

V96.2 Glider (nonpowered) accident injuring occupant

V96.8 Other nonpowered-aircraft accidents injuring occupant

Kite carrying a person

V96.9 Unspecified nonpowered-aircraft accident injuring occupant

Nonpowered-aircraft accident NOS

  V97 Other specified air transport accidents

Incl.: accidents to nonoccupants of aircraft

V97.0 Occupant of aircraft injured in other specified air transport accidents

Fall in, on or from aircraft in air transport accident

Excl.:  accident while boarding or alighting (V97.1)

V97.1 Person injured while boarding or alighting from aircraft V97.2 Parachutist injured in air transport accident

Excl.: person making descent after accident to aircraft (V95–V96)

V97.3 Person on ground injured in air transport accident

Hit by object falling from aircraft Injured by rotating propeller Sucked into jet

V97.8 Other air transport accidents, not elsewhere classified

Injury from machinery on aircraft

Excl.: aircraft accident NOS (V95.9)

exposure to changes in air pressure during ascent or descent (W94)

 

Other and unspecified transport accidents (V98–V99)

Excl.: vehicle accident, type of vehicle unspecified (V89.-)

  V98 Other specified transport accidents

Incl.: accident to, on or involving:

• cable-car, not on rails

• ice-yacht

• land-yacht

• ski chair-lift

• ski-lift with gondola

caught or dragged by fall or jump from

object thrown from or in

cable-car, not on rails

  V99 Unspecified transport accident

Other external causes of accidental injury (W00–X59)

Falls (W00–W19)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Excl.: assault (Y01–Y02)

fall (in)(from):

• animal (V80.-)

• burning building (X00)

• into fire (X00–X04, X08–X09)

• into water (with drowning or submersion) (W65–W74)

• machinery (in operation) (W28–W31)

• repeated falls not resulting from accident (R29.6)

• transport vehicle (V01–V99) intentional self-harm (X80–X81)

 

W00 Fall on same level involving ice and snow

Excl.: fall with mention of:

• ice-skates and skis (W02)

• stairs and steps (W10)

  W01 Fall on same level from slipping, tripping and stumbling

Excl.: fall involving ice or snow (W00)

  W02 Fall involving ice-skates, skis, roller-skates or skateboards

  W03 Other fall on same level due to collision with, or pushing by, another person

Incl.: fall due to collision of pedestrian (conveyance) with another pedestrian (conveyance)

Excl.: crushed or pushed by crowd or human stampede (W52) fall involving ice or snow (W00)

  W04 Fall while being carried or supported by other persons

Incl.: accidentally dropped while being carried

  W05 Fall involving wheelchair

  W06 Fall involving bed

  W07 Fall involving chair

  W08 Fall involving other furniture

  W09 Fall involving playground equipment

Excl.: fall involving recreational machinery (W31)

  W10 Fall on and from stairs and steps

Incl.: fall (on)(from):

• escalator

• incline

• involving ice or snow on stairs and steps

• ramp

  W11 Fall on and from ladder

  W12 Fall on and from scaffolding

 

  W13 Fall from, out of or through building or structure

Incl.: fall from, out of or through:

• balcony

• bridge

• building

• flag-pole

• floor

• railing

• roof

• tower

• turret

• viaduct

• wall

• window

Excl.: collapse of a building or structure (W20)

fall or jump from burning building or structure (X00)

  W14 Fall from tree

  W15 Fall from cliff

  W16 Diving or jumping into water causing injury other than drowning or submersion

Incl.: striking or hitting:

• against bottom when jumping or diving into shallow water

• wall or diving board of swimming-pool

• water surface

Excl.: accidental drowning and submersion (W65–W74) diving with insufficient air supply (W81)

effects of air pressure from diving (W94)

  W17 Other fall from one level to another

Incl.: fall from or into:

• cavity

• cherry picker

• dock

• haystack

• hole

• lifting device

• mobile elevated work platform [MEWP]

• pit

• quarry

• shaft

• sky lift

• tank

 

• well

 

937

 

  W18 Other fall on same level

Incl.: fall:

• from bumping against object

• from or off toilet

• on same level NOS

  W19 Unspecified fall

Incl.: accidental fall NOS

Exposure to inanimate mechanical forces (W20–W49)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Excl.: assault (X85–Y09)

contact or collision with animals or persons (W50–W64) intentional self-harm (X60–X84)

  W20 Struck by thrown, projected or falling object

Incl.: cave-in without asphyxiation or suffocation collapse of building, except on fire

falling:

• rock

• stone

• tree

Excl.: collapse of burning building (X00) falling object in:

• cataclysm (X34–X39)

• machinery accident (W24, W28–W31)

• transport accident (V01–V99) object set in motion by:

• explosion (W35–W40)

• firearm (W32–W34) sports equipment (W21)

  W21 Striking against or struck by sports equipment

Incl.: struck by:

• hit or thrown ball

• hockey stick or puck

  W22 Striking against or struck by other objects

Incl.: walked into wall

 

  W23 Caught, crushed, jammed or pinched in or between objects

Incl.: caught, crushed, jammed or pinched:

• between:

– moving objects

– stationary and moving objects

• in object

such as folding object

sliding door and door-frame packing crate and floor, after losing grip

washing-machine wringer

Excl.: injury caused by:

• cutting or piercing instruments (W25–W27)

• lifting and transmission devices (W24)

• machinery (W28–W31)

• nonpowered hand tools (W27)

• transport vehicle being used as a means of transportation (V01–V99)

struck by thrown, projected or falling object (W20)

  W24 Contact with lifting and transmission devices, not elsewhere classified

Incl.: chain hoist

drive belt pulley (block) rope

transmission belt or cable winch

wire

Excl.: transport accidents (V01–V99)

  W25 Contact with sharp glass

Excl.: fall involving glass (W00–W19)

flying glass due to explosion or firearm discharge (W32–W40) glass embedded in skin (W45)

  W26 Contact with other sharp objects

Excl.: sharp object(s) embedded in skin (W45)

W26.0 Contact with knife, sword or dagger

W26.8 Contact with other sharp object(s), not elsewhere classified

Edge of stiff paper Tin can lid

W26.9 Contact with unspecified sharp object(s)

 

  W27 Contact with nonpowered hand tool

Incl.: axe

can-opener NOS chisel

fork handsaw hoe

ice-pick needle paper-cutter pitchfork rake scissors screwdriver

sewing-machine, nonpowered shovel

Excl.: hypodermic needle (W46)

  W28 Contact with powered lawnmower

Excl.: exposure to electric current (W86)

  W29 Contact with other powered hand tools and household machinery

Incl.: blender

powered:

• can-opener

• chain-saw

• do-it-yourself tool

• garden tool

• hedge-trimmer

• knife

• sewing-machine

• spin-drier washing-machine

Excl.: exposure to electric current (W86)

  W30 Contact with agricultural machinery

Incl.: animal-powered farm machine combine harvester

derrick, hay

farm machinery NOS reaper

thresher

Excl.: contact with agricultural machinery in transport under own power or being towed by a vehicle (V01–V99)

exposure to electric current (W86)

 

  W31 Contact with other and unspecified machinery

Incl.: machine NOS

recreational machinery

Excl.: contact with machinery in transport under own power or being towed by a vehicle (V01–V99)

exposure to electric current (W86)

  W32 Handgun discharge

Incl.: gun for single hand use pistol

revolver

Excl.: Very pistol (W34)

  W33 Rifle, shotgun and larger firearm discharge

Incl.: army rifle

hunting rifle machine gun

Excl.:  airgun (W34)

  W34 Discharge from other and unspecified firearms

Incl.: airgun

BB gun

gunshot wound NOS shot NOS

Very pistol [flare]

  W35 Explosion and rupture of boiler

  W36 Explosion and rupture of gas cylinder

Incl.: aerosol can

air tank

pressurized-gas tank

  W37 Explosion and rupture of pressurized tyre, pipe or hose

  W38 Explosion and rupture of other specified pressurized devices

  W39 Discharge of firework

  W40 Explosion of other materials

Incl.: blasting material

explosion (in):

• NOS

• dump

 

• factory

• grain store

• munitions explosive gas

  W41 Exposure to high-pressure jet

Incl.: hydraulic jet

pneumatic jet

  W42 Exposure to noise

Incl.: sound waves

supersonic waves

  W43 Exposure to vibration

Incl.: infrasound waves

  W44 Foreign body entering into or through eye or natural orifice

Excl.: corrosive fluid (X49)

inhalation or ingestion of foreign body with obstruction of respiratory tract (W78–W80)

  W45 Foreign body or object entering through skin

Incl.: foreign body or object embedded in skin: nail

splinter

Excl.: contact with:

• hand tools (nonpowered)(powered) (W27–W29)

• hypodermic needle (W46)

• knife, sword or dagger (W26)

• sharp glass (W25)

struck by objects (W20–W22)

  W46 Contact with hypodermic needle

  W49 Exposure to other and unspecified inanimate mechanical forces

Incl.: abnormal gravitational [G] forces

 

Exposure to animate mechanical forces (W50–W64)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Excl.: bites, venomous (X20–X29)

stings (venomous) (X20–X29)

  W50 Hit, struck, kicked, twisted, bitten or scratched by another person

Excl.: assault (X85–Y09)

struck by objects (W20–W22)

  W51 Striking against or bumped into by another person

Excl.: fall due to collision of pedestrian (conveyance) with another pedestrian (conveyance) (W03)

  W52 Crushed, pushed or stepped on by crowd or human stampede

  W53 Bitten by rat

  W54 Bitten or struck by dog

  W55 Bitten or struck by other mammals

Excl.: contact with marine mammal (W56)

  W56 Contact with marine animal

Incl.: bitten or struck by marine animal

  W57 Bitten or stung by nonvenomous insect and other nonvenomous arthropod

  W58 Bitten or struck by crocodile or alligator

  W59 Bitten or crushed by other reptiles

Incl.: lizard

snake, nonvenomous

  W60 Contact with plant thorns and spines and sharp leaves

  W64 Exposure to other and unspecified animate mechanical forces

 

Accidental drowning and submersion (W65–W74)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Excl.: drowning and submersion due to:

• cataclysm (X34–X39)

• transport accidents (V01–V99)

• water transport accident (V90.-, V92.-)

Drowning and submersion while in bath-tub Drowning and submersion following fall into bath-tub Drowning and submersion while in swimming-pool

Drowning and submersion following fall into swimming-pool

Drowning and submersion while in natural water

Incl.: lake

open sea river stream

Drowning and submersion following fall into natural water Other specified drowning and submersion

Incl.: quenching tank reservoir

Unspecified drowning and submersion

Incl.: drowning NOS

fall into water NOS

Other accidental threats to breathing (W75–W84)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Accidental suffocation and strangulation in bed

Incl.: suffocation and strangulation due to:

• bed linen

 

• mother’s body

• pillow

  W76 Other accidental hanging and strangulation

  W77 Threat to breathing due to cave-in, falling earth and other substances

Incl.: cave-in NOS

Excl.: cave-in caused by cataclysm (X34–X39)

cave-in without asphyxiation or suffocation (W20)

  W78 Inhalation of gastric contents

Incl.: asphyxia by

choked on suffocation by

vomitus [regurgitated food]

aspiration and inhalation of vomitus (into respiratory tract) NOS

compression of trachea

interruption of respiration obstruction of respiration

by vomitus in oesophagus

Excl.: injury, except asphyxia or obstruction of respiratory tract, caused by vomitus (W44)

obstruction of oesophagus by vomitus without mention of asphyxia or obstruction of respiratory tract (W44)

  W79 Inhalation and ingestion of food causing obstruction of respiratory tract

Incl.: asphyxia by

choked on suffocation by

food [including bone or seed]

aspiration and inhalation of food [any] (into respiratory tract) NOS

compression of trachea interruption of respiration

obstruction of respiration

by food in oesophagus

obstruction of pharynx by food (bolus)

Excl.: inhalation of vomitus (W78)

injury, except asphyxia or obstruction of respiratory tract, caused by food (W44)

obstruction of oesophagus by food without mention of asphyxia or obstruction of respiratory tract (W44)

 

  W80 Inhalation and ingestion of other objects causing obstruction of respiratory tract

Incl.: asphyxia by

choked on suffocation by any object, except food or vomitus, entering by nose or mouth

aspiration NOS

aspiration and inhalation of foreign body, except food or vomitus (into respiratory tract), NOS

compression of trachea interruption of respiration

obstruction of respiration

by foreign body in oesophagus

foreign object in nose

obstruction of pharynx by foreign body

Excl.: inhalation of vomitus or food (W78–W79)

injury, except asphyxia or obstruction of respiratory tract, caused by foreign body (W44)

obstruction of oesophagus by foreign body without mention of asphyxia or obstruction of respiratory tract (W44)

  W81 Confined to or trapped in a low-oxygen environment

Incl.: accidentally shut in refrigerator or other airtight space diving with insufficient air supply

Excl.: suffocation by plastic bag (W83)

  W83 Other specified threats to breathing

Incl.: suffocation by plastic bag

  W84 Unspecified threat to breathing

Incl.: asphyxiation NOS suffocation NOS

 

Exposure to electric current, radiation and extreme ambient air temperature and pressure

(W85–W99)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Excl.: abnormal reaction to a complication of treatment, without mention of misadventure (Y84.2)

misadventure to patient in surgical and medical procedures (Y63.2–Y63.5) exposure to:

• natural:

– cold (X31)

– heat (X30)

• radiation NOS (X39)

• sunlight (X32)

victim of lightning (X33)

  W85 Exposure to electric transmission lines

  W86 Exposure to other specified electric current

  W87 Exposure to unspecified electric current

Incl.: burns or other injury from electric current NOS electric shock NOS

electrocution NOS

  W88 Exposure to ionizing radiation

Incl.: radioactive isotopes X-rays

  W89 Exposure to man-made visible and ultraviolet light

Incl.: welding light (arc)

  W90 Exposure to other nonionizing radiation

Incl.: infrared

laser radiofrequency

radiation

  W91 Exposure to unspecified type of radiation

  W92 Exposure to excessive heat of man-made origin

 

  W93 Exposure to excessive cold of man-made origin

Incl.: contact with or inhalation of:

• dry ice

• liquid:

– air

– hydrogen

– nitrogen

prolonged exposure in deep-freeze unit

  W94 Exposure to high and low air pressure and changes in air pressure

Incl.: high air pressure from rapid descent in water

reduction in atmospheric pressure while surfacing from:

• deep-water diving

• underground

residence or prolonged visit at high altitude as the cause of:

• anoxia

• barodontalgia

• barotitis

• hypoxia

• mountain sickness

sudden change in air pressure in aircraft during ascent or descent

  W99 Exposure to other and unspecified man-made environmental factors

Exposure to smoke, fire and flames (X00–X09)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Incl.: fire caused by lightning

Excl.: arson (X97)

secondary fire resulting from explosion (W35–W40) transport accidents (V01–V99)

  X00 Exposure to uncontrolled fire in building or structure

Incl.: collapse of

fall from

hit by object falling from

jump from conflagration

burning building or structure

fire melting

smouldering

of fittings furniture

 

  X01 Exposure to uncontrolled fire, not in building or structure

Incl.: forest fire

  X02 Exposure to controlled fire in building or structure

Incl.: fire in:

• fireplace

• stove

  X03 Exposure to controlled fire, not in building or structure

Incl.: camp-fire

  X04 Exposure to ignition of highly flammable material

Incl.: ignition of:

• gasoline

• kerosene

• petrol

  X05 Exposure to ignition or melting of nightwear

  X06 Exposure to ignition or melting of other clothing and apparel

Incl.:  ignition

melting of plastic jewellery

  X08 Exposure to other specified smoke, fire and flames

  X09 Exposure to unspecified smoke, fire and flames

Incl.: burning NOS

incineration NOS smoke inhalation NOS

Contact with heat and hot substances (X10–X19)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Excl.: exposure to:

• excessive natural heat (X30)

• fire and flames (X00–X09)

  X10 Contact with hot drinks, food, fats and cooking oils

 

  X11 Contact with hot tap-water

Incl.: hot water in:

• bath

• bucket

• tub

hot water running out of:

• hose

• tap

  X12 Contact with other hot fluids

Incl.: water heated on stove

Excl.: hot (liquid) metals (X18)

  X13 Contact with steam and hot vapours

  X14 Contact with hot air and gases

Incl.: inhalation of hot air and gases

  X15 Contact with hot household appliances

Incl.: cooker

hotplate kettle

saucepan (glass)(metal) stove (kitchen)

toaster

Excl.: heating appliances (X16)

  X16 Contact with hot heating appliances, radiators and pipes

  X17 Contact with hot engines, machinery and tools

Excl.: hot heating appliances, radiators and pipes (X16) hot household appliances (X15)

  X18 Contact with other hot metals

Incl.: liquid metal

  X19 Contact with other and unspecified heat and hot substances

Excl.: objects that are not normally hot, e.g. an object made hot by a house fire (X00–X09)

 

Contact with venomous animals and plants (X20–X29)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Incl.: chemical released by:

• animal

• insect

release of venom through fangs, hairs, spines, tentacles and other venom apparatus

venomous bites and stings

Excl.: ingestion of poisonous animals or plants (X49)

  X20 Contact with venomous snakes and lizards

Incl.: cobra

fer de lance Gila monster krait rattlesnake sea snake

snake (venomous) viper

Excl.: lizard (nonvenomous) (W59) snake, nonvenomous (W59)

  X21 Contact with venomous spiders

Incl.: black widow spider tarantula

  X22 Contact with scorpions

  X23 Contact with hornets, wasps and bees

Incl.: yellow jacket

  X24 Contact with centipedes and venomous millipedes (tropical)

  X25 Contact with other venomous arthropods

Incl.: ant

caterpillar

 

  X26 Contact with venomous marine animals and plants

Incl.: coral

jellyfish nematocysts sea:

• anemone

• cucumber

• urchin

Excl.: nonvenomous marine animals (W56) sea snakes (X20)

  X27 Contact with other specified venomous animals

  X28 Contact with other specified venomous plants

Incl.: injection of poisons or toxins into or through skin by plant thorns, spines or other mechanisms

Excl.: ingestion of poisonous plants (X49)

puncture wound NOS caused by plant thorns or spines (W60)

  X29 Contact with unspecified venomous animal or plant

Incl.: sting (venomous) NOS venomous bite NOS

Exposure to forces of nature (X30–X39)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

  X30 Exposure to excessive natural heat

Incl.: excessive heat as the cause of sunstroke exposure to heat NOS

Excl.: excessive heat of man-made origin (W92)

  X31 Exposure to excessive natural cold

Incl.: excessive cold as the cause of:

• chilblains NOS

• immersion foot or hand exposure to:

• cold NOS

• weather conditions

Excl.: cold of man-made origin (W93) contact with or inhalation of:

• dry ice (W93)

• liquefied gas (W93)

 

  X32 Exposure to sunlight

  X33 Victim of lightning

Excl.: fire caused by lightning (X00–X09)

injury from fall of tree or other object caused by lightning (W20)

  X34 Victim of earthquake

X34.0 Victim of cataclysmic earth movements caused by earthquake Trapped in or injured by collapsing building or other structure due to earthquake

X34.1 Victim of tsunami

X34.8 Victim of other specified effects of earthquake X34.9 Victim of unspecified effect of earthquake

  X35 Victim of volcanic eruption

  X36 Victim of avalanche, landslide and other earth movements

Incl.: mudslide of cataclysmic nature

Excl.: earthquake (X34.-)

transport accident involving collision with avalanche or landslide not in motion (V01–V99)

  X37 Victim of cataclysmic storm

Incl.: blizzard

cloudburst cyclone hurricane

tidal wave caused by storm tornado

torrential rain

transport vehicle washed off road by storm

Excl.: collapse of dam or man-made structure causing earth movement (X36) transport accident occurring after storm (V01–V99)

  X38 Victim of flood

Incl.: flood:

• arising from remote storm

• of cataclysmic nature arising from melting snow

• resulting directly from storm

Excl.: collapse of dam or man-made structure causing earth movement (X36)

tidal wave:

• NOS (X39)

• caused by storm (X37)

 

  X39 Exposure to other and unspecified forces of nature

Incl.: natural radiation NOS tidal wave NOS

Excl.: exposure NOS (X59.9) tsunami (X34.1)

Accidental poisoning by and exposure to noxious substances (X40–X49)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Note: For list of specific drugs and other substances classified under the three- character categories, see Table of drugs and chemicals in Alphabetical index. Evidence of alcohol involvement in combination with substances specified below may be identified by using the supplementary codes Y90–Y91.

Incl.: accidental overdose of drug, wrong drug given or taken in error, and drug taken inadvertently

accidents in the use of drugs, medicaments and biological substances in medical and surgical procedures

(self-inflicted) poisoning, when not specified whether accidental or with intent to harm. Follow legal rulings when available (see note at Y10–Y34).

Excl.: administration with suicidal or homicidal intent, or intent to harm, or in other circumstances classifiable to X60–X69, X85–X90,

Y10–Y19

correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect (Y40–Y59)

  X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

Incl.: 4-aminophenol derivatives

nonsteroidal anti-inflammatory drugs [NSAID] pyrazolone derivatives

salicylates

  X41 Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

Incl.: antidepressants

barbiturates hydantoin derivatives iminostilbenes

methaqualone compounds neuroleptics psychostimulants

succinimides and oxazolidinediones

 

954

 

tranquillizers

 

  X42 Accidental poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

Incl.: cannabis (derivatives) cocaine

codeine heroin

lysergide [LSD] mescaline methadone morphine

opium (alkaloids)

  X43 Accidental poisoning by and exposure to other drugs acting on the autonomic nervous system

Incl.: parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics

parasympathomimetics [cholinergics] sympatholytics [antiadrenergics] sympathomimetics [adrenergics]

  X44 Accidental poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

Incl.: agents primarily acting on smooth and skeletal muscles and the respiratory system

anaesthetics (general)(local) drugs affecting the:

• cardiovascular system

• gastrointestinal system hormones and synthetic substitutes

systemic and haematological agents systemic antibiotics and other anti-infectives therapeutic gases

topical preparations vaccines

water-balance agents and drugs affecting mineral and uric acid metabolism

  X45 Accidental poisoning by and exposure to alcohol

Incl.: alcohol:

• NOS

• butyl [1-butanol]

• ethyl [ethanol]

• isopropyl [2-propanol]

• methyl [methanol]

• propyl [1-propanol] fusel oil

 

  X46 Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

Incl.: benzene and homologues

carbon tetrachloride [tetrachloromethane] chlorofluorocarbons

petroleum (derivatives)

  X47 Accidental poisoning by and exposure to other gases and vapours

Incl.: carbon monoxide

helium (nonmedicinal) NEC lacrimogenic gas [tear gas] motor (vehicle) exhaust gas nitrogen oxides

sulfur dioxide utility gas

Excl.: metal fumes and vapours (X49)

  X48 Accidental poisoning by and exposure to pesticides

Incl.: fumigants

fungicides herbicides insecticides rodenticides

wood preservatives

Excl.: plant foods and fertilizers (X49)

  X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances Incl.: corrosive aromatics, acids and caustic alkalis

glues and adhesives

metals including fumes and vapours paints and dyes

plant foods and fertilizers poisoning NOS

poisonous foodstuffs and poisonous plants soaps and detergents

Excl.: contact with venomous animals and plants (X20–X29)

 

Overexertion, travel and privation (X50–X57)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Excl.: assault (X85–Y09)

transport accidents (V01–V99)

  X50 Overexertion and strenuous or repetitive movements

Incl.: lifting:

• heavy objects

• weights marathon running rowing

  X51 Travel and motion

  X52 Prolonged stay in weightless environment

Incl.: weightlessness in spacecraft (simulator)

  X53 Lack of food

Incl.: lack of food as the cause of:

• inanition

• insufficient nourishment

• starvation

Excl.: insufficient intake of food and water due to self neglect (R63.6) neglect or abandonment by others (Y06.-)

self neglect NOS (R46.8)

  X54 Lack of water

Incl.: lack of water as the cause of:

• dehydration

• inanition

Excl.: insufficient intake of water due to self neglect (R63.3) neglect or abandonment by others (Y06.-)

self neglect NOS (R46.8)

  X57 Unspecified privation

Incl.: destitution

 

Accidental exposure to other and unspecified factors (X58–X59)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

  X58 Exposure to other specified factors

  X59 Exposure to unspecified factor

X59.0 Exposure to unspecified factor causing fracture

X59.9 Exposure to unspecified factor causing other and unspecified injury

accident NOS exposure NOS

Intentional self-harm (X60–X84)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Incl.: purposely self-inflicted poisoning or injury suicide (attempted)

  X60 Intentional self-poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics

Incl.: 4-aminophenol derivatives

nonsteroidal anti-inflammatory drugs [NSAID] pyrazolone derivatives

salicylates

  X61 Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified

Incl.: antidepressants

barbiturates hydantoin derivatives iminostilbenes

methaqualone compounds neuroleptics psychostimulants

succinimides and oxazolidinediones tranquillizers

 

  X62 Intentional self-poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified

Incl.: cannabis (derivatives) cocaine

codeine heroin

lysergide [LSD] mescaline methadone morphine

opium (alkaloids)

  X63 Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system

Incl.: parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics

parasympathomimetics [cholinergics] sympatholytics [antiadrenergics] sympathomimetics [adrenergics]

  X64  Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances

Incl.: agents primarily acting on smooth and skeletal muscles and the respiratory system

anaesthetics (general)(local) drugs affecting the:

• cardiovascular system

• gastrointestinal system hormones and synthetic substitutes

systemic and haematological agents systemic antibiotics and other anti-infectives therapeutic gases

topical preparations vaccines

water-balance agents and drugs affecting mineral and uric acid metabolism

  X65 Intentional self-poisoning by and exposure to alcohol

Incl.: alcohol:

• NOS

• butyl [1-butanol]

• ethyl [ethanol]

• isopropyl [2-propanol]

• methyl [methanol]

• propyl [1-propanol] fusel oil

 

  X66 Intentional self-poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours

Incl.: benzene and homologues

carbon tetrachloride [tetrachloromethane] chlorofluorocarbons

petroleum (derivatives)

  X67 Intentional self-poisoning by and exposure to other gases and vapours

Incl.:   carbon monoxide

helium (nonmedicinal) NEC lacrimogenic gas [tear gas] motor (vehicle) exhaust gas nitrogen oxides

sulfur dioxide utility gas

Excl.: metal fumes and vapours (X69)

  X68 Intentional self-poisoning by and exposure to pesticides

Incl.: fumigants

fungicides herbicides insecticides rodenticides

wood preservatives

Excl.: plant foods and fertilizers (X69)

  X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances

Incl.: corrosive aromatics, acids and caustic alkalis glues and adhesives

metals including fumes and vapours paints and dyes

plant foods and fertilizers

poisonous foodstuffs and poisonous plants soaps and detergents

  X70 Intentional self-harm by hanging, strangulation and suffocation

  X71 Intentional self-harm by drowning and submersion

  X72 Intentional self-harm by handgun discharge

 

Intentional self-harm by rifle, shotgun and larger firearm discharge

Intentional self-harm by other and unspecified firearm discharge

Intentional self-harm by explosive material Intentional self-harm by smoke, fire and flames

Intentional self-harm by steam, hot vapours and hot objects

Intentional self-harm by sharp object Intentional self-harm by blunt object

Intentional self-harm by jumping from a high place

Incl.: intentional fall from one level to another

Intentional self-harm by jumping or lying before moving object

Intentional self-harm by crashing of motor vehicle

Incl.: intentional collision with:

• motor vehicle

• train

• tram (streetcar)

Excl.: crashing of aircraft (X83)

Intentional self-harm by other specified means

Incl.: intentional self-harm by:

• caustic substances, except poisoning

• crashing of aircraft

• electrocution

Intentional self-harm by unspecified means

 

Assault (X85–Y09)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Incl.: homicide

injuries inflicted by another person with intent to injure or kill, by any means

Excl.: injuries due to:

• legal intervention (Y35.-)

• operations of war (Y36.-)

  X85 Assault by drugs, medicaments and biological substances

Incl.: homicidal poisoning by (any):

• biological substance

• drug

• medicament

  X86 Assault by corrosive substance

Excl.: corrosive gas (X88)

  X87 Assault by pesticides

Incl.: wood preservatives

Excl.: plant food and fertilizers (X89)

  X88 Assault by gases and vapours

  X89 Assault by other specified chemicals and noxious substances

Incl.: plant food and fertilizers

  X90 Assault by unspecified chemical or noxious substance

Incl.: homicidal poisoning NOS

  X91 Assault by hanging, strangulation and suffocation

  X92 Assault by drowning and submersion

  X93 Assault by handgun discharge

  X94 Assault by rifle, shotgun and larger firearm discharge

  X95 Assault by other and unspecified firearm discharge

 

Y06.0 Y06.1 Y06.2 Y06.8 Y06.9

 

Assault by explosive material

Excl.: incendiary device (X97)

Assault by smoke, fire and flames

Incl.: arson

cigarettes incendiary device

Assault by steam, hot vapours and hot objects Assault by sharp object

Incl.: stabbed NOS

Assault by blunt object

Assault by pushing from high place

Assault by pushing or placing victim before moving object

Assault by crashing of motor vehicle

Incl.: deliberately hitting or running over with motor vehicle

Assault by bodily force

Incl.:   unarmed brawl or fight

Excl.: assault by:

• strangulation (X91)

• submersion (X92)

• use of weapon (X93–X95, X99, Y00) sexual assault by bodily force (Y05)

Sexual assault by bodily force

Incl.: rape (attempted)

sodomy (attempted)

Neglect and abandonment

By spouse or partner By parent

By acquaintance or friend By other specified persons By unspecified person

 

  Y07 Other maltreatment

Incl.: mental cruelty

physical abuse sexual abuse torture

Excl.: neglect and abandonment (Y06.-) sexual assault by bodily force (Y05)

Y07.0 By spouse or partner Y07.1 By parent

Y07.2 By acquaintance or friend Y07.3 By official authorities Y07.8 By other specified persons Y07.9 By unspecified person

  Y08 Assault by other specified means

  Y09 Assault by unspecified means

Incl.: assassination (attempt) NOS homicide (attempt) NOS manslaughter (nonaccidental) murder (attempt) NOS

Event of undetermined intent (Y10–Y34)

[See at the beginning of this chapter for the classification of the place of occurrence and activity]

Note:  This section covers events where available information is insufficient to   enable a medical or legal authority to make a distinction between accident, self-harm and assault. It includes self-inflicted injuries, but not poisoning, when not specified whether accidental or with intent to harm (X40–X49). Follow legal rulings when available.

  Y10 Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent Incl.: 4-aminophenol derivatives

nonsteroidal anti-inflammatory drugs [NSAID] pyrazolone derivatives

salicylates

 

  Y11 Poisoning by and exposure to antiepileptic, sedative- hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified, undetermined intent

Incl.: antidepressants

barbiturates hydantoin derivatives iminostilbenes

methaqualone compounds neuroleptics psychostimulants

succinimides and oxazolidinediones tranquillizers

  Y12 Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], not elsewhere classified, undetermined intent

Incl.: cannabis (derivatives) cocaine

codeine heroin

lysergide [LSD] mescaline methadone morphine

opium (alkaloids)

  Y13 Poisoning by and exposure to other drugs acting on the autonomic nervous system, undetermined intent

Incl.: parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics

parasympathomimetics [cholinergics] sympatholytics [antiadrenergics] sympathomimetics [adrenergics]

 

  Y14 Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent

Incl.: agents primarily acting on smooth and skeletal muscles and the respiratory system

anaesthetics (general)(local) drugs affecting the:

• cardiovascular system

• gastrointestinal system hormones and synthetic substitutes

systemic and haematological agents systemic antibiotics and other anti-infectives therapeutic gases

topical preparations vaccines

water-balance agents and drugs affecting mineral and uric acid metabolism

  Y15 Poisoning by and exposure to alcohol, undetermined intent

Incl.: alcohol:

• NOS

• butyl [1-butanol]

• ethyl [ethanol]

• isopropyl [2-propanol]

• methyl [methanol]

• propyl [1-propanol] fusel oil

  Y16 Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent

Incl.: benzene and homologues

carbon tetrachloride [tetrachloromethane] chlorofluorocarbons

petroleum (derivatives)

  Y17 Poisoning by and exposure to other gases and vapours, undetermined intent

Incl.: carbon monoxide

helium (nonmedicinal) NEC lacrimogenic gas [tear gas] motor (vehicle) exhaust gas nitrogen oxides

sulfur dioxide utility gas

Excl.: metal fumes and vapours (Y19)

 

  Y18 Poisoning by and exposure to pesticides, undetermined intent

Incl.: fumigants

fungicides herbicides insecticides rodenticides

wood preservatives

Excl.: plant foods and fertilizers (Y19)

  Y19 Poisoning by and exposure to other and unspecified chemicals and noxious substances, undetermined intent Incl.: corrosive aromatics, acids and caustic alkalis

glues and adhesives

metals including fumes and vapours paints and dyes

plant foods and fertilizers

poisonous foodstuffs and poisonous plants soaps and detergents

  Y20 Hanging, strangulation and suffocation, undetermined intent

  Y21 Drowning and submersion, undetermined intent

  Y22 Handgun discharge, undetermined intent

  Y23 Rifle, shotgun and larger firearm discharge, undetermined intent

  Y24 Other and unspecified firearm discharge, undetermined intent

  Y25 Contact with explosive material, undetermined intent

  Y26 Exposure to smoke, fire and flames, undetermined intent

  Y27 Contact with steam, hot vapours and hot objects, undetermined intent

  Y28 Contact with sharp object, undetermined intent

  Y29 Contact with blunt object, undetermined intent

 

  Y30 Falling, jumping or pushed from a high place, undetermined intent

Incl.: victim falling from one level to another, undetermined intent

  Y31 Falling, lying or running before or into moving object, undetermined intent

  Y32 Crashing of motor vehicle, undetermined intent

  Y33 Other specified events, undetermined intent

  Y34 Unspecified event, undetermined intent

Legal intervention and operations of war (Y35–Y36)

  Y35 Legal intervention

Incl.: 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

Y35.0 Legal intervention involving firearm discharge

Legal intervention with:

• machine gun

• revolver

• rifle pellet or rubber bullet

Y35.1 Legal intervention involving explosives

Legal intervention with:

• dynamite

• explosive shell

• grenade

• mortar bomb

Y35.2 Legal intervention involving gas

Asphyxiation by gas

Injury by tear gas Poisoning by gas

due to legal intervention

Y35.3 Legal intervention involving blunt objects

Hit, struck by:

• baton

• blunt object

• stave

during legal intervention

 

Y35.4

Y35.5 Legal execution

Any execution performed at the behest of the judiciary or ruling authority [whether permanent or temporary], such as:

• asphyxiation by gas

• beheading, decapitation (by guillotine)

• capital punishment

• electrocution

• hanging

• poisoning

• shooting

Y35.6 Legal intervention involving other specified means

Manhandling

Y35.7 Legal intervention, means unspecified

  Y36 Operations of war

Note: Injuries due to operations of war occurring after cessation of hostilities are classified to Y36.8.

Incl.: injuries to military personnel and civilians caused by war and civil insurrection

Y36.0 War operations involving explosion of marine weapons

Depth-charge Marine mine

Mine NOS, at sea or in harbour Sea-based artillery shell Torpedo

Underwater blast

Y36.1 War operations involving destruction of aircraft

Aircraft:

• burned

• exploded

• shot down

Crushed by falling aircraft

 

Y36.2 ments

Y36.3 War operations involving fires, conflagrations and hot substances

Asphyxia

Burns

Other injury originating from fire caused directly by a fire-producing device or indirectly by any conventional weapon

Petrol bomb

Y36.4 War operations involving firearm discharge and other forms of conventional warfare

Battle wounds Bayonet injury Bullet:

• carbine

• machine gun

• pistol

• rifle

• rubber (rifle)

Drowned in war operations NOS Pellets (shotgun)

Y36.5 War operations involving nuclear weapons

Blast effects

Exposure to ionizing radiation from nuclear weapon Fireball effects

Heat

Other direct and secondary effects of nuclear weapons

Y36.6 War operations involving biological weapons

 

Y36.7 War operations involving chemical weapons and other forms of unconventional warfare

Gases, fumes and chemicals Lasers

Y36.8 War operations occurring after cessation of hostilities Injuries by explosion of bombs or mines placed in the course of operations of war, if the explosion occurred after cessation of hostilities Injuries due to operations of war and classifiable to Y36.0–Y36.7 or Y36.9 but occurring after cessation of hostilities

Y36.9 War operations, unspecified

Complications of medical and surgical care (Y40–Y84)

Incl.: complications of medical devices

correct drug properly administered in therapeutic or prophylactic dosage as the cause of any adverse effect

misadventures to patients during surgical and medical care

surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Excl.: accidental overdose of drug or wrong drug given or taken in error (X40–X44)

Drugs, medicaments and biological substances causing adverse effects in therapeutic use

(Y40–Y59)

Note: For list of specific drugs classified under the fourth-character subdivisions, see Table of drugs and chemicals in Alphabetical index.

Excl.: accidents in the technique of administration of drugs, medicaments and biological substances in medical and surgical procedures (Y60–Y69)

  Y40 Systemic antibiotics

Excl.: antibiotics, topically used (Y56.-) antineoplastic antibiotics (Y43.3)

Y40.0 Penicillins

Y40.1 Cefalosporins and other beta-lactam antibiotics Y40.2 Chloramphenicol group

Y40.3 Macrolides

 

Y40.4 Tetracyclines Y40.5 Aminoglycosides

Streptomycin

Y40.6 Rifamycins

Y40.7 Antifungal antibiotics, systemically used Y40.8 Other systemic antibiotics

Y40.9 Systemic antibiotic, unspecified

  Y41 Other systemic anti-infectives and antiparasitics

Excl.: anti-infectives, topically used (Y56.-)

Y41.0 Sulfonamides

Y41.1 Antimycobacterial drugs

Excl.: rifamycins (Y40.6) streptomycin (Y40.5)

Y41.2 Antimalarials and drugs acting on other blood protozoa

Excl.: hydroxyquinoline derivatives (Y41.8)

Y41.3 Other antiprotozoal drugs Y41.4 Anthelminthics

Y41.5 Antiviral drugs

Excl.: amantadine (Y46.7) cytarabine (Y43.1)

Y41.8 Other specified systemic anti-infectives and antiparasitics

Hydroxyquinoline derivatives

Excl.: antimalarial drugs (Y41.2)

Y41.9 Systemic anti-infective and antiparasitic, unspecified

  Y42 Hormones and their synthetic substitutes and antagonists, not elsewhere classified

Excl.: mineralocorticoids and their antagonists (Y54.0–Y54.1) oxytocic hormones (Y55.0)

parathyroid hormones and derivatives (Y54.7)

Y42.0 Glucocorticoids and synthetic analogues

Excl.: glucocorticoids, topically used (Y56.-) Y42.1 Thyroid hormones and substitutes Y42.2 Antithyroid drugs

 

Y42.3 Insulin and oral hypoglycaemic [antidiabetic] drugs Y42.4 Oral contraceptives

Multiple- and single-ingredient preparations

Y42.5 Other estrogens and progestogens

Mixtures and substitutes

Y42.6 Antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified

Tamoxifen

Y42.7 Androgens and anabolic congeners

Y42.8 Other and unspecified hormones and their synthetic substitutes

Anterior pituitary [adenohypophyseal] hormones

Y42.9 Other and unspecified hormone antagonists

  Y43 Primarily systemic agents

Excl.: vitamins NEC (Y57.7)

Y43.0 Antiallergic and antiemetic drugs

Excl.: phenothiazine-based neuroleptics (Y49.3)

Y43.1 Antineoplastic antimetabolites

Cytarabine

Y43.2 Antineoplastic natural products Y43.3 Other antineoplastic drugs

Antineoplastic antibiotics

Excl.:  tamoxifen (Y42.6)

Y43.4 Immunosuppressive agents Y43.5 Acidifying and alkalizing agents

Y43.6 Enzymes, not elsewhere classified

Y43.8 Other primarily systemic agents, not elsewhere classified

Heavy-metal antagonists

Y43.9 Primarily systemic agent, unspecified

  Y44 Agents primarily affecting blood constituents

Y44.0 Iron preparations and other anti-hypochromic-anaemia preparations

Y44.1 Vitamin B12, folic acid and other anti-megaloblastic-anaemia preparations

Y44.2 Anticoagulants

Y44.3 Anticoagulant antagonists, vitamin K and other coagulants

 

Y44.4 Antithrombotic drugs [platelet-aggregation inhibitors]

Excl.: acetylsalicylic acid (Y45.1) dipyridamole (Y52.3)

Y44.5 Thrombolytic drugs

Y44.6 Natural blood and blood products

Excl.: immunoglobulin (Y59.3)

Y44.7 Plasma substitutes

Y44.9 Other and unspecified agents affecting blood constituents

  Y45 Analgesics, antipyretics and anti-inflammatory drugs

Y45.0 Opioids and related analgesics Y45.1 Salicylates

Y45.2 Propionic acid derivatives

Propanoic acid derivatives

Y45.3 Other nonsteroidal anti-inflammatory drugs [NSAID] Y45.4 Antirheumatics

Excl.: chloroquine (Y41.2) glucocorticoids (Y42.0) salicylates (Y45.1)

Y45.5 4-Aminophenol derivatives

Y45.8 Other analgesics and antipyretics

Y45.9 Analgesic, antipyretic and anti-inflammatory drug, unspecified

  Y46 Antiepileptics and antiparkinsonism drugs

Excl.: acetazolamide (Y54.2) barbiturates NEC (Y47.0) benzodiazepines (Y47.1) paraldehyde (Y47.3)

Y46.0 Succinimides Y46.1 Oxazolidinediones

Y46.2 Hydantoin derivatives Y46.3 Deoxybarbiturates

Y46.4 Iminostilbenes

Carbamazepine

Y46.5 Valproic acid

Y46.6 Other and unspecified antiepileptics

 

Y46.7 Antiparkinsonism drugs

Amantadine

Y46.8 Antispasticity drugs

Excl.: benzodiazepines (Y47.1)

  Y47 Sedatives, hypnotics and antianxiety drugs

Y47.0 Barbiturates, not elsewhere classified

Excl.: deoxybarbiturates (Y46.3) thiobarbiturates (Y48.1)

Y47.1 Benzodiazepines Y47.2 Cloral derivatives Y47.3 Paraldehyde

Y47.4 Bromine compounds

Y47.5 Mixed sedatives and hypnotics, not elsewhere classified Y47.8 Other sedatives, hypnotics and antianxiety drugs

Methaqualone

Y47.9 Sedative, hypnotic and antianxiety drug, unspecified

Sleeping:

• draught

• drug

• tablet

NOS

  Y48 Anaesthetics and therapeutic gases

Y48.0 Inhaled anaesthetics Y48.1 Parenteral anaesthetics

Thiobarbiturates

Y48.2 Other and unspecified general anaesthetics Y48.3 Local anaesthetics

Y48.4 Anaesthetic, unspecified Y48.5 Therapeutic gases

  Y49 Psychotropic drugs, not elsewhere classified

Excl.: appetite depressants [anorectics] (Y57.0) barbiturates NEC (Y47.0) benzodiazepines (Y47.1)

caffeine (Y50.2) cocaine (Y48.3) methaqualone (Y47.8)

Y49.0 Tricyclic and tetracyclic antidepressants Y49.1 Monoamine-oxidase-inhibitor antidepressants

 

Y49.2 Other and unspecified antidepressants

Y49.3 Phenothiazine antipsychotics and neuroleptics Y49.4 Butyrophenone and thioxanthene neuroleptics Y49.5 Other antipsychotics and neuroleptics

Excl.: rauwolfia (Y52.5)

Y49.6 Psychodysleptics [hallucinogens] Y49.7 Psychostimulants with abuse potential

Y49.8 Other psychotropic drugs, not elsewhere classified Y49.9 Psychotropic drug, unspecified

  Y50 Central nervous system stimulants, not elsewhere classified

Y50.0 Analeptics

Y50.1 Opioid receptor antagonists

Y50.2 Methylxanthines, not elsewhere classified

Caffeine

Excl.: aminophylline (Y55.6) theobromine (Y55.6) theophylline (Y55.6)

Y50.8 Other central nervous system stimulants Y50.9 Central nervous system stimulant, unspecified

  Y51 Drugs primarily affecting the autonomic nervous system

Y51.0 Anticholinesterase agents

Y51.1 Other parasympathomimetics [cholinergics]

Y51.2 Ganglionic blocking drugs, not elsewhere classified Y51.3 Other parasympatholytics [anticholinergics and

antimuscarinics] and spasmolytics, not elsewhere classified

Papaverine

Y51.4 Predominantly alpha-adrenoreceptor agonists, not elsewhere classified

Metaraminol

Y51.5 Predominantly beta-adrenoreceptor agonists, not elsewhere classified

Excl.: salbutamol (Y55.6)

Y51.6 Alpha-adrenoreceptor antagonists, not elsewhere classified

Excl.: ergot alkaloids (Y55.0)

 

Y51.7 Beta-adrenoreceptor antagonists, not elsewhere classified Y51.8 Centrally acting and adrenergic-neuron-blocking agents, not

elsewhere classified

Excl.: clonidine (Y52.5) guanethidine (Y52.5)

Y51.9 Other and unspecified drugs primarily affecting the autonomic nervous system

Drugs stimulating both alpha- and beta-adrenoreceptors

  Y52 Agents primarily affecting the cardiovascular system

Excl.: metaraminol (Y51.4)

Y52.0 Cardiac-stimulant glycosides and drugs of similar action Y52.1 Calcium-channel blockers

Y52.2 Other antidysrhythmic drugs, not elsewhere classified

Excl.: beta-adrenoreceptor antagonists (Y51.7)

Y52.3 Coronary vasodilators, not elsewhere classified

Dipyridamole

Excl.: beta-adrenoreceptor antagonists (Y51.7) calcium-channel blockers (Y52.1)

Y52.4 Angiotensin-converting-enzyme inhibitors

Y52.5 Other antihypertensive drugs, not elsewhere classified

Clonidine Guanethidine Rauwolfia

Excl.: beta-adrenoreceptor antagonists (Y51.7) calcium-channel blockers (Y52.1) diuretics (Y54.0–Y54.5)

Y52.6 Antihyperlipidaemic and antiarteriosclerotic drugs Y52.7 Peripheral vasodilators

Nicotinic acid (derivatives)

Excl.: papaverine (Y51.3)

Y52.8 Antivaricose drugs, including sclerosing agents Y52.9 Other and unspecified agents primarily affecting the

cardiovascular system

  Y53 Agents primarily affecting the gastrointestinal system

Y53.0 Histamine H2-receptor antagonists

Y53.1 Other antacids and anti-gastric-secretion drugs

 

Y53.2 Stimulant laxatives

Y53.3 Saline and osmotic laxatives Y53.4 Other laxatives

Intestinal atonia drugs

Y53.5 Digestants

Y53.6 Antidiarrhoeal drugs

Excl.: systemic antibiotics and other anti-infectives (Y40–Y41)

Y53.7 Emetics

Y53.8 Other agents primarily affecting the gastrointestinal system Y53.9 Agent primarily affecting the gastrointestinal system,

unspecified

  Y54 Agents primarily affecting water-balance and mineral and uric acid metabolism

Y54.0 Mineralocorticoids

Y54.1 Mineralocorticoid antagonists [aldosterone antagonists] Y54.2 Carbonic-anhydrase inhibitors

Acetazolamide

Y54.3 Benzothiadiazine derivatives Y54.4 Loop [high-ceiling] diuretics Y54.5 Other diuretics

Y54.6 Electrolytic, caloric and water-balance agents

Oral rehydration salts

Y54.7 Agents affecting calcification Parathyroid hormones and derivatives Vitamin D group

Y54.8 Agents affecting uric acid metabolism Y54.9 Mineral salts, not elsewhere classified

  Y55 Agents primarily acting on smooth and skeletal muscles and the respiratory system

Y55.0 Oxytocic drugs

Ergot alkaloids

Excl.: estrogens, progestogens and antagonists (Y42.5–Y42.6)

Y55.1 Skeletal muscle relaxants [neuromuscular blocking agents]

Excl.: antispasticity drugs (Y46.8)

Y55.2 Other and unspecified agents primarily acting on muscles

 

Y55.3 Antitussives

Y55.4 Expectorants

Y55.5 Anti-common-cold drugs

Y55.6 Antiasthmatics, not elsewhere classified

Aminophylline Salbutamol Theobromine Theophylline

Excl.: beta-adrenoreceptor agonists (Y51.5)

anterior pituitary [adenohypophyseal] hormones (Y42.8)

Y55.7 Other and unspecified agents primarily acting on the respiratory system

  Y56 Topical agents primarily affecting skin and mucous membrane and ophthalmological, otorhinolaryngological and dental drugs

Incl.: glucocorticoids, topically used

Y56.0 Local antifungal, anti-infective and anti-inflammatory drugs, not elsewhere classified

Y56.1 Antipruritics

Y56.2 Local astringents and local detergents Y56.3 Emollients, demulcents and protectants

Y56.4 Keratolytics, keratoplastics and other hair treatment drugs and preparations

Y56.5 Ophthalmological drugs and preparations Y56.6 Otorhinolaryngological drugs and preparations Y56.7 Dental drugs, topically applied

Y56.8 Other topical agents

Spermicides

Y56.9 Topical agent, unspecified

  Y57 Other and unspecified drugs and medicaments

Y57.0 Appetite depressants [anorectics] Y57.1 Lipotropic drugs

Y57.2 Antidotes and chelating agents, not elsewhere classified Y57.3 Alcohol deterrents

Y57.4 Pharmaceutical excipients Y57.5 X-ray contrast media Y57.6 Other diagnostic agents

 

Y57.7 Vitamins, not elsewhere classified

Excl.: nicotinic acid (Y52.7) vitamin B12 (Y44.1) vitamin D (Y54.7)

vitamin K (Y44.3)

Y57.8 Other drugs and medicaments Y57.9 Drug or medicament, unspecified

  Y58 Bacterial vaccines

Y58.0 BCG vaccine

Y58.1 Typhoid and paratyphoid vaccine Y58.2 Cholera vaccine

Y58.3 Plague vaccine Y58.4 Tetanus vaccine Y58.5 Diphtheria vaccine

Y58.6 Pertussis vaccine, including combinations with a pertussis component

Y58.8 Mixed bacterial vaccines, except combinations with a pertussis component

Y58.9 Other and unspecified bacterial vaccines

  Y59 Other and unspecified vaccines and biological substances

Y59.0 Viral vaccines Y59.1 Rickettsial vaccines Y59.2 Protozoal vaccines Y59.3 Immunoglobulin

Y59.8 Other specified vaccines and biological substances Y59.9 Vaccine or biological substance, unspecified

Misadventures to patients during surgical and medical care

(Y60–Y69)

Excl.: breakdown or malfunctioning of medical device (during procedure) (after implantation)(ongoing use) (Y70–Y82)

medical devices associated with adverse incidents due to external causes classified elsewhere (V01–Y59, Y85–Y87, Y89)

surgical and medical procedures as the cause of abnormal reaction of the patient, without mention of misadventure at the time of the procedure (Y83–Y84)

 

  Y60 Unintentional cut, puncture, perforation or haemorrhage during surgical and medical care

Y60.0 During surgical operation Y60.1 During infusion or transfusion

Y60.2 During kidney dialysis or other perfusion Y60.3 During injection or immunization

Y60.4 During endoscopic examination Y60.5 During heart catheterization

Y60.6 During aspiration, puncture and other catheterization Y60.7 During administration of enema

Y60.8 During other surgical and medical care

Y60.9 During unspecified surgical and medical care

  Y61 Foreign object accidentally left in body during surgical and medical care

Y61.0 During surgical operation Y61.1 During infusion or transfusion

Y61.2 During kidney dialysis or other perfusion Y61.3 During injection or immunization

Y61.4 During endoscopic examination Y61.5 During heart catheterization

Y61.6 During aspiration, puncture and other catheterization Y61.7 During removal of catheter or packing

Y61.8 During other surgical and medical care

Y61.9 During unspecified surgical and medical care

  Y62 Failure of sterile precautions during surgical and medical care

Y62.0 During surgical operation Y62.1 During infusion or transfusion

Y62.2 During kidney dialysis or other perfusion Y62.3 During injection or immunization

Y62.4 During endoscopic examination Y62.5 During heart catheterization

Y62.6 During aspiration, puncture and other catheterization

 

Y62.8 During other surgical and medical care

Y62.9 During unspecified surgical and medical care

  Y63 Failure in dosage during surgical and medical care

Excl.: accidental overdose of drug or wrong drug given in error (X40–X44)

Y63.0 Excessive amount of blood or other fluid given during transfusion or infusion

Y63.1 Incorrect dilution of fluid used during infusion Y63.2 Overdose of radiation given during therapy

Y63.3 Inadvertent exposure of patient to radiation during medical care Y63.4 Failure in dosage in electroshock or insulin-shock therapy Y63.5 Inappropriate temperature in local application and packing

Y63.6 Nonadministration of necessary drug, medicament or biological substance

Y63.8 Failure in dosage during other surgical and medical care Y63.9 Failure in dosage during unspecified surgical and medical care

  Y64 Contaminated medical or biological substances

Y64.0 Contaminated medical or biological substance, transfused or infused

Y64.1 Contaminated medical or biological substance, injected or used for immunization

Y64.8 Contaminated medical or biological substance administered by other means

Y64.9 Contaminated medical or biological substance administered by unspecified means

Administered contaminated medical or biological substance NOS

  Y65 Other misadventures during surgical and medical care

Y65.0 Mismatched blood used in transfusion Y65.1 Wrong fluid used in infusion

Y65.2 Failure in suture or ligature during surgical operation

Y65.3 Endotracheal tube wrongly placed during anaesthetic procedure Y65.4 Failure to introduce or to remove other tube or instrument Y65.5 Performance of inappropriate operation

Y65.8 Other specified misadventures during surgical and medical care

 

  Y66 Nonadministration of surgical and medical care

Incl.: premature cessation of surgical and medical care

  Y69 Unspecified misadventure during surgical and medical care

Medical devices associated with adverse incidents in diagnostic and therapeutic use

(Y70–Y82)

Incl.: breakdown or malfunctioning of medical device (during procedure)(after implantation)(ongoing use)

Excl.: later complications following use of medical devices without mention of breakdown or malfunctioning of medical device (Y83–Y84)

medical devices associated with adverse incidents due to external causes classified elsewhere (V01- Y59,Y85–Y87, Y89)

misadventure to patients during surgical and medical care, classifiable to Y60–Y69 (Y60–Y69)

The following fourth-character subdivisions are for use with categories Y70–Y82:

.0 Diagnostic and monitoring devices

.1 Therapeutic (nonsurgical) and rehabilitative devices

.2 Prosthetic and other implants, materials and accessory devices

.3 Surgical instruments, materials and devices (including sutures)

.8 Miscellaneous devices, not elsewhere classified

  Y70 Anaesthesiology devices associated with adverse incidents

[See before Y70 for subdivisions]

  Y71 Cardiovascular devices associated with adverse incidents

[See before Y70 for subdivisions]

  Y72 Otorhinolaryngological devices associated with adverse incidents

[See before Y70 for subdivisions]

 

Gastroenterology and urology devices associated with adverse incidents

[See before Y70 for subdivisions]

General hospital and personal-use devices associated with adverse incidents

[See before Y70 for subdivisions]

Neurological devices associated with adverse incidents

[See before Y70 for subdivisions]

Obstetric and gynaecological devices associated with adverse incidents

[See before Y70 for subdivisions]

Ophthalmic devices associated with adverse incidents

[See before Y70 for subdivisions]

Radiological devices associated with adverse incidents

[See before Y70 for subdivisions]

Orthopaedic devices associated with adverse incidents

[See before Y70 for subdivisions]

Physical medicine devices associated with adverse incidents

[See before Y70 for subdivisions]

General- and plastic-surgery devices associated with adverse incidents

[See before Y70 for subdivisions]

Other and unspecified medical devices associated with adverse incidents

[See before Y70 for subdivisions]

 

Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

(Y83–Y84)

Excl.: breakdown or malfunctioning of medical device (during procedure)(after implantation)(ongoing use) (Y70–Y82)

medical devices associated with adverse incidents due to external causes classified elsewhere (V01–Y59, Y85–Y87, Y89)

misadventures to patients during surgical and medical care, classifiable to Y60–Y69 (Y60–Y69)

   Y83 Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y83.0 Surgical operation with transplant of whole organ

Y83.1 Surgical operation with implant of artificial internal device Y83.2 Surgical operation with anastomosis, bypass or graft Y83.3 Surgical operation with formation of external stoma

Y83.4 Other reconstructive surgery Y83.5 Amputation of limb(s)

Y83.6 Removal of other organ (partial) (total) Y83.8 Other surgical procedures

Y83.9 Surgical procedure, unspecified

  Y84 Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

Y84.0 Cardiac catheterization Y84.1 Kidney dialysis

Y84.2 Radiological procedure and radiotherapy Y84.3 Shock therapy

Y84.4 Aspiration of fluid

Y84.5 Insertion of gastric or duodenal sound Y84.6 Urinary catheterization

Y84.7 Blood-sampling

Y84.8 Other medical procedures Y84.9 Medical procedure, unspecified

 

Sequelae of external causes of morbidity and mortality (Y85–Y89)

Note:       Categories Y85–Y89  are to be used  to indicate circumstances as the cause of death, impairment or disability from sequelae or ‘late effects’, which are themselves classified elsewhere. The sequelae include conditions reported as such, or occurring as ‘late effects’ one year or more after the originating event.

Not to be used for chronic poisoning and harmful exposure. Code these to current poisoning and harmful exposure.

  Y85 Sequelae of transport accidents

Y85.0 Sequelae of motor-vehicle accident

Y85.9 Sequelae of other and unspecified transport accidents

  Y86 Sequelae of other accidents

  Y87 Sequelae of intentional self-harm, assault and events of undetermined intent

Y87.0 Sequelae of intentional self-harm Y87.1 Sequelae of assault

Y87.2 Sequelae of events of undetermined intent

  Y88 Sequelae with surgical and medical care as external cause

Y88.0 Sequelae of adverse effects caused by drugs, medicaments and biological substances in therapeutic use

Y88.1 Sequelae of misadventures to patients during surgical and medical procedures

Y88.2 Sequelae of adverse incidents associated with medical devices in diagnostic and therapeutic use

Y88.3 Sequelae of surgical and medical procedures as the cause of abnormal reaction of the patient, or of later complication,

without mention of misadventure at the time of the procedure

  Y89 Sequelae of other external causes

Y89.0 Sequelae of legal intervention Y89.1 Sequelae of war operations

Y89.9 Sequelae of unspecified external cause

 

Supplementary factors related to causes of morbidity and mortality classified elsewhere

(Y90–Y98)

Note: These categories may be used, if desired, to provide  supplementary  information concerning causes of morbidity and mortality. They are not to be used for single-condition coding in morbidity or mortality.

  Y90 Evidence of alcohol involvement determined by blood alcohol level

Y90.0 Blood alcohol level of less than 20 mg/100 ml Y90.1 Blood alcohol level of 20–39 mg/100 ml

Y90.2 Blood alcohol level of 40–59 mg/100 ml  Y90.3 Blood alcohol level of 60–79 mg/100 ml  Y90.4 Blood alcohol level of 80–99 mg/100 ml  Y90.5 Blood alcohol level of 100–119 mg/100 ml Y90.6 Blood alcohol level of 120–199 mg/100 ml Y90.7 Blood alcohol level of 200–239 mg/100 ml Y90.8 Blood alcohol level of 240 mg/100 ml or more

Y90.9 Presence of alcohol in blood, level not specified

  Y91 Evidence of alcohol involvement determined by level of intoxication

Excl.: evidence of alcohol involvement determined by blood alcohol content (Y90.-)

Y91.0 Mild alcohol intoxication

Smell of alcohol on breath, slight behavioural disturbance in functions and responses, or slight difficulty in coordination.

Y91.1 Moderate alcohol intoxication

Smell of alcohol on breath, moderate behavioural disturbance in functions and responses, or moderate difficulty in coordination.

Y91.2 Severe alcohol intoxication

Severe disturbance in functions and responses, severe difficulty in coordination, or impaired ability to cooperate.

Y91.3 Very severe alcohol intoxication

Very severe disturbance in functions and responses, very severe difficulty in coordination, or loss of ability to cooperate.

Y91.9 Alcohol involvement, not otherwise specified

Suspected alcohol involvement NOS

 

  Y95 Nosocomial condition

  Y96 Work-related condition

  Y97 Environmental-pollution-related condition

  Y98 Lifestyle-related condition

CHAPTER XXI

Factors influencing health status and contact with health services (Z00–Z99)

Note: This chapter should not be used for international comparison or for primary mortality coding.

Categories Z00–Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00–Y89 are recorded as ‘diagnoses’ or ‘problems’. This can arise in two main ways:

a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination or to discuss a problem which is in itself not a disease or injury.

b) When some circumstance or problem is present which influences the person’s health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some illness or injury.

This chapter contains the following blocks:

Z00–Z13 Persons encountering health services for examination and investigation Z20–Z29 Persons with potential health hazards related to communicable diseases Z30–Z39 Persons encountering health services in circumstances related to reproduction Z40–Z54 Persons encountering health services for specific procedures and health care Z55–Z65 Persons with potential health hazards related to socioeconomic and

psychosocial circumstances

Z70–Z76 Persons encountering health services in other circumstances Z80–Z99 Persons with potential health hazards related to family and personal

history and certain conditions influencing health status

 

Persons encountering health services for examination and investigation

(Z00–Z13)

Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70–R94.

Excl.: examinations related to pregnancy and reproduction (Z30–Z36, Z39.-)

  Z00 General examination and investigation of persons without complaint and reported diagnosis

Excl.: examination for administrative purposes (Z02.-) special screening examinations (Z11–Z13)

Z00.0 General medical examination

Health check-up NOS

Periodic examination (annual)(physical)

Excl.: general health check-up of:

• defined subpopulations (Z10.-)

• infant or child (Z00.1)

Z00.1 Routine child health examination

Development testing of infant or child

Excl.: health supervision of foundling or other healthy infant or child (Z76.1–Z76.2)

Z00.2 Examination for period of rapid growth in childhood Z00.3 Examination for adolescent development state

Puberty development state

Z00.4 General psychiatric examination, not elsewhere classified

Excl.: examination requested for medicolegal reasons (Z04.6)

Z00.5 Examination of potential donor of organ and tissue

Z00.6 Examination for normal comparison and control in clinical research programme

Z00.8 Other general examinations

Health examination in population surveys

  Z01 Other special examinations and investigations of persons without complaint or reported diagnosis Incl.: routine examination of specific system

Excl.: examination for:

• administrative purposes (Z02.-)

• suspected conditions, not proven (Z03.-) special screening examinations (Z11–Z13)

 

Z01.0 Examination of eyes and vision

Excl.: examination for driving licence (Z02.4)

Z01.1 Examination of ears and hearing Z01.2 Dental examination

Z01.3 Examination of blood pressure

Z01.4 Gynaecological examination (general)(routine)

Papanicolaou smear of cervix

Pelvic examination (annual)(periodic)

Excl.: pregnancy examination or test (Z32.-)

routine examination for contraceptive maintenance (Z30.4–Z30.5)

Z01.5 Diagnostic skin and sensitization tests

Allergy tests Skin tests for:

• bacterial disease

• hypersensitivity

Z01.6 Radiological examination, not elsewhere classified

Routine:

• chest X-ray

• mammogram

Z01.7 Laboratory examination

Z01.8 Other specified special examinations Z01.9 Special examination, unspecified

  Z02 Examination and encounter for administrative purposes

Z02.0 Examination for admission to educational institution

Examination for admission to preschool (education)

Z02.1 Pre-employment examination

Excl.: occupational health examination (Z10.0)

Z02.2 Examination for admission to residential institutions

Excl.: examination for admission to prison (Z02.8)

general health check-up of inhabitants of institutions (Z10.1)

Z02.3 Examination for recruitment to armed forces

Excl.: general health check-up of armed forces (Z10.2)

Z02.4 Examination for driving licence

Z02.5 Examination for participation in sport

Excl.: blood-alcohol and blood-drug test (Z04.0) general health check-up of sports teams (Z10.3)

Z02.6 Examination for insurance purposes

 

Z02.7 Issue of medical certificate

Issue of medical certificate of:

• cause of death

• fitness

• incapacity

• invalidity

Excl.: encounter for general medical examination (Z00–Z01, Z02.0– Z02.6, Z02.8–Z02.9, Z10.-)

Z02.8 Other examinations for administrative purposes

Examination (for):

• admission to:

– prison

– summer camp

• adoption

• immigration

• naturalization

• premarital

Excl.: health supervision of foundling or other healthy infant or child (Z76.1–Z76.2)

Z02.9 Examination for administrative purposes, unspecified

  Z03 Medical observation and evaluation for suspected diseases and conditions

Incl.: persons who present some symptoms or evidence of an abnormal condition that requires study, but who, after examination and observation, show no need for further treatment or medical care

Excl.: person with feared complaint in whom no diagnosis is made (Z71.1)

Z03.0 Observation for suspected tuberculosis

Z03.1 Observation for suspected malignant neoplasm

Z03.2 Observation for suspected mental and behavioural disorders

Observation for:

• dissocial behaviour

• fire-setting

• gang activity

• shop-lifting

without manifest psychiatric disorder

Z03.3 Observation for suspected nervous system disorder Z03.4 Observation for suspected myocardial infarction

Z03.5 Observation for other suspected cardiovascular diseases

Z03.6 Observation for suspected toxic effect from ingested substance

Observation for suspected:

• adverse effect from drug

• poisoning

 

Z03.8 Observation for other suspected diseases and conditions Z03.9 Observation for suspected disease or condition, unspecified

  Z04 Examination and observation for other reasons

Incl.: examination for medicolegal reasons

Z04.0 Blood-alcohol and blood-drug test

Excl.: presence of:

• alcohol in blood (R78.0)

• drugs in blood (R78.-)

Z04.1 Examination and observation following transport accident

Excl.: following work accident (Z04.2)

Z04.2 Examination and observation following work accident Z04.3 Examination and observation following other accident Z04.4 Examination and observation following alleged

rape and seduction

Examination of victim or culprit following alleged rape or seduction

Z04.5 Examination and observation following other inflicted injury

Examination of victim or culprit following other inflicted injury

Z04.6 General psychiatric examination, requested by authority Z04.8 Examination and observation for other specified reasons

Request for expert evidence

Z04.9 Examination and observation for unspecified reason

Observation NOS

  Z08 Follow-up examination after treatment for malignant neoplasms

Incl.: medical surveillance following treatment

Excl.: follow-up medical care and convalescence (Z42–Z51, Z54.-) Z08.0 Follow-up examination after surgery for malignant neoplasm Z08.1 Follow-up examination after radiotherapy for

malignant neoplasm

Excl.: radiotherapy session (Z51.0)

Z08.2 Follow-up examination after chemotherapy for malignant neoplasm

Excl.: chemotherapy session (Z51.1)

 

Z08.7 Follow-up examination after combined treatment for malignant neoplasm

Z08.8 Follow-up examination after other treatment for malignant neoplasm

Z08.9 Follow-up examination after unspecified treatment for malignant neoplasm

  Z09 Follow-up examination after treatment for conditions other than malignant neoplasms

Incl.: medical surveillance following treatment

Excl.: follow-up medical care and convalescence (Z42–Z51, Z54.-) medical surveillance following treatment for malignant neoplasms (Z08.-)

surveillance of:

• contraception (Z30.4–Z30.5)

• prosthetic and other medical devices (Z44–Z46)

Z09.0 Follow-up examination after surgery for other conditions Z09.1 Follow-up examination after radiotherapy for other conditions

Excl.: radiotherapy session (Z51.0)

Z09.2 Follow-up examination after chemotherapy for other conditions

Excl.: maintenance chemotherapy (Z51.1–Z51.2)

Z09.3 Follow-up examination after psychotherapy Z09.4 Follow-up examination after treatment of fracture

Z09.7 Follow-up examination after combined treatment for other conditions

Z09.8 Follow-up examination after other treatment for other conditions Z09.9 Follow-up examination after unspecified treatment for other

conditions

  Z10 Routine general health check-up of defined subpopulation

Excl.: medical examination for administrative purposes (Z02.-)

Z10.0 Occupational health examination

Excl.: pre-employment examination (Z02.1)

Z10.1 Routine general health check-up of inhabitants of institutions

Excl.: admission examination (Z02.2)

Z10.2 Routine general health check-up of armed forces

Excl.: recruitment examination (Z02.3)

Z10.3 Routine general health check-up of sports teams

Excl.: blood-alcohol and blood-drug test (Z04.0) examination for participation in sport (Z02.5)

 

Z10.8 Routine general health check-up of other defined subpopulations

Schoolchildren Students

  Z11 Special screening examination for infectious and parasitic diseases

Z11.0 Special screening examination for intestinal infectious diseases Z11.1 Special screening examination for respiratory tuberculosis Z11.2 Special screening examination for other bacterial diseases Z11.3 Special screening examination for infections with a

predominantly sexual mode of transmission

Z11.4 Special screening examination for human immunodeficiency virus [HIV]

Z11.5 Special screening examination for other viral diseases

Excl.: viral intestinal disease (Z11.0)

Z11.6 Special screening examination for other protozoal diseases and helminthiases

Excl.: protozoal intestinal disease (Z11.0)

Z11.8 Special screening examination for other infectious and parasitic diseases

Chlamydial

Rickettsial Spirochaeta

diseases

Mycoses

Z11.9 Special screening examination for infectious and parasitic diseases, unspecified

  Z12 Special screening examination for neoplasms

Z12.0 Special screening examination for neoplasm of stomach Z12.1 Special screening examination for neoplasm of intestinal tract Z12.2 Special screening examination for neoplasm of

respiratory organs

Z12.3 Special screening examination for neoplasm of breast

Excl.: routine mammogram (Z01.6)

Z12.4 Special screening examination for neoplasm of cervix

Excl.: when routine test or as part of general gynaecological examination (Z01.4)

Z12.5 Special screening examination for neoplasm of prostate Z12.6 Special screening examination for neoplasm of bladder

 

Z12.8 Special screening examination for neoplasms of other sites Z12.9 Special screening examination for neoplasm, unspecified

  Z13 Special screening examination for other diseases and disorders

Z13.0 Special screening examination for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

Z13.1 Special screening examination for diabetes mellitus Z13.2 Special screening examination for nutritional disorders

Z13.3 Special screening examination for mental and behavioural disorders

Alcoholism Depression Mental retardation

Z13.4 Special screening examination for certain developmental disorders in childhood

Excl.: routine development testing of infant or child (Z00.1)

Z13.5 Special screening examination for eye and ear disorders Z13.6 Special screening examination for cardiovascular disorders Z13.7 Special screening examination for congenital malformations,

deformations and chromosomal abnormalities

Z13.8 Special screening examination for other specified diseases and disorders

Dental disorder

Endocrine and metabolic disorders

Excl.: diabetes mellitus (Z13.1)

Z13.9 Special screening examination, unspecified

Persons with potential health hazards related to communicable diseases

(Z20–Z29)

  Z20 Contact with and exposure to communicable diseases Z20.0 Contact with and exposure to intestinal infectious diseases Z20.1 Contact with and exposure to tuberculosis

 

Z20.2 Contact with and exposure to infections with a predominantly sexual mode of transmission

Z20.3 Contact with and exposure to rabies Z20.4 Contact with and exposure to rubella

Z20.5 Contact with and exposure to viral hepatitis

Z20.6 Contact with and exposure to human immunodeficiency virus [HIV]

Excl.: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)

Z20.7 Contact with and exposure to pediculosis, acariasis and other infestations

Z20.8 Contact with and exposure to other communicable diseases Z20.9 Contact with and exposure to unspecified communicable

disease

  Z21 Asymptomatic human immunodeficiency virus [HIV] infection status

Incl.: HIV positive NOS

Excl.: contact with or exposure to human immunodeficiency virus [HIV] (Z20.6)

human immunodeficiency virus [HIV] disease (B20–B24) human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7) laboratory evidence of human immunodeficiency virus [HIV] (R75)

  Z22 Carrier of infectious disease

Incl.: suspected carrier

Z22.0 Carrier of typhoid

Z22.1 Carrier of other intestinal infectious diseases Z22.2 Carrier of diphtheria

Z22.3 Carrier of other specified bacterial diseases

Carrier of bacterial disease due to:

• meningococci

• staphylococci

• streptococci

Z22.4 Carrier of infections with a predominantly sexual mode of transmission

Carrier of:

• gonorrhoea

• syphilis

 

Z22.6 Carrier of human T-lymphotropic virus type- 1 [HTLV-1] infection Z22.8 Carrier of other infectious diseases

Z22.9 Carrier of infectious disease, unspecified

  Z23 Need for immunization against single bacterial diseases

Excl.: immunization:

• against combinations of diseases (Z27.-)

• not carried out (Z28.-)

Z23.0 Need for immunization against cholera alone

Z23.1 Need for immunization against typhoid-paratyphoid alone [TAB] Z23.2 Need for immunization against tuberculosis [BCG]

Z23.3 Need for immunization against plague Z23.4 Need for immunization against tularaemia

Z23.5 Need for immunization against tetanus alone Z23.6 Need for immunization against diphtheria alone Z23.7 Need for immunization against pertussis alone

Z23.8 Need for immunization against other single bacterial diseases

  Z24 Need for immunization against certain single viral diseases

Excl.: immunization:

• against combinations of diseases (Z27.-)

• not carried out (Z28.-)

Z24.0 Need for immunization against poliomyelitis

Z24.1 Need for immunization against arthropod-borne viral encephalitis Z24.2 Need for immunization against rabies

Z24.3 Need for immunization against yellow fever Z24.4 Need for immunization against measles alone Z24.5 Need for immunization against rubella alone Z24.6 Need for immunization against viral hepatitis

  Z25 Need for immunization against other single viral diseases

Excl.: immunization:

• against combinations of diseases (Z27.-)

• not carried out (Z28.-)

Z25.0 Need for immunization against mumps alone Z25.1 Need for immunization against influenza

Z25.8 Need for immunization against other specified single viral diseases

 

  Z26 Need for immunization against other single infectious diseases

Excl.: immunization:

• against combinations of diseases (Z27.-)

• not carried out (Z28.-)

Z26.0 Need for immunization against leishmaniasis

Z26.8 Need for immunization against other specified single infectious diseases

Z26.9 Need for immunization against unspecified infectious disease

Need for immunization NOS

  Z27 Need for immunization against combinations of infectious diseases

Excl.: immunization not carried out (Z28.-)

Z27.0 Need for immunization against cholera with typhoid- paratyphoid [cholera + TAB]

Z27.1 Need for immunization against diphtheria-tetanus-pertussis, combined [DTP]

Z27.2 Need for immunization against diphtheria-tetanus-pertussis with typhoid-paratyphoid [DTP + TAB]

Z27.3 Need for immunization against diphtheria-tetanus-pertussis with poliomyelitis [DTP + polio]

Z27.4 Need for immunization against measles-mumps-rubella [MMR]

Z27.8 Need for immunization against other combinations of infectious diseases

Z27.9 Need for immunization against unspecified combinations of infectious diseases

  Z28 Immunization not carried out

Z28.0 Immunization not carried out because of contraindication Z28.1 Immunization not carried out because of patient’s decision for

reasons of belief or group pressure

Z28.2 Immunization not carried out because of patient’s decision for other and unspecified reasons

Z28.8 Immunization not carried out for other reasons Z28.9 Immunization not carried out for unspecified reason

 

  Z29 Need for other prophylactic measures

Excl.: desensitization to allergens (Z51.6) prophylactic surgery (Z40.-)

Z29.0 Isolation

Admission to protect the individual from his or her surroundings or for isolation of individual after contact with infectious disease

Z29.1 Prophylactic immunotherapy

Administration of immunoglobulin

Z29.2 Other prophylactic chemotherapy

Chemoprophylaxis Prophylactic antibiotic therapy

Z29.8 Other specified prophylactic measures Z29.9 Prophylactic measure, unspecified

Persons encountering health services in circumstances related to reproduction

(Z30–Z39)

  Z30 Contraceptive management

Z30.0 General counselling and advice on contraception

Family planning advice NOS

Initial prescription of contraceptives

Z30.1 Insertion of (intrauterine) contraceptive device Z30.2 Sterilization

Admission for interruption of fallopian tubes or vasa deferentia

Z30.3 Menstrual extraction

Interception of pregnancy Menstrual regulation

Z30.4 Surveillance of contraceptive drugs

Repeat prescription for contraceptive pill or other contraceptive drugs Routine examination for contraceptive maintenance

Z30.5 Surveillance of (intrauterine) contraceptive device

Checking, reinsertion or removal of (intrauterine) contraceptive device

Z30.8 Other contraceptive management

Postvasectomy sperm count

Z30.9 Contraceptive management, unspecified

 

  Z31 Procreative management

Excl.: complications associated with artificial fertilization (N98.-) Z31.0 Tuboplasty or vasoplasty after previous sterilization Z31.1 Artificial insemination

Z31.2 In vitro fertilization

Admission for harvesting or implantation of ova

Z31.3 Other assisted fertilization methods Z31.4 Procreative investigation and testing

Fallopian insufflation Sperm count

Excl.: postvasectomy sperm count (Z30.8)

Z31.5 Genetic counselling

Z31.6 General counselling and advice on procreation Z31.8 Other procreative management

Z31.9 Procreative management, unspecified

  Z32 Pregnancy examination and test Z32.0 Pregnancy, not (yet) confirmed Z32.1 Pregnancy confirmed

  Z33 Pregnant state, incidental

Incl.: pregnant state NOS

  Z34 Supervision of normal pregnancy Z34.0 Supervision of normal first pregnancy Z34.8 Supervision of other normal pregnancy

Z34.9 Supervision of normal pregnancy, unspecified

  Z35 Supervision of high-risk pregnancy

Z35.0 Supervision of pregnancy with history of infertility

Z35.1 Supervision of pregnancy with history of abortive outcome

Supervision of pregnancy with history of:

• hydatidiform mole

• vesicular mole

Excl.: habitual aborter:

• care during pregnancy (O26.2)

• without current pregnancy (N96)

 

Z35.2 Supervision of pregnancy with other poor reproductive or obstetric history

Supervision of pregnancy with history of:

• conditions classifiable to O10–O92

• neonatal death

• stillbirth

Z35.3 Supervision of pregnancy with history of insufficient antenatal care

Pregnancy:

• concealed

• hidden

Z35.4 Supervision of pregnancy with grand multiparity

Excl.: multiparity without current pregnancy (Z64.1)

Z35.5 Supervision of elderly primigravida Z35.6 Supervision of very young primigravida

Z35.7 Supervision of high-risk pregnancy due to social problems Z35.8 Supervision of other high-risk pregnancies

Z35.9 Supervision of high-risk pregnancy, unspecified

  Z36 Antenatal screening

Excl.: abnormal findings on antenatal screening of mother (O28.-) routine prenatal care (Z34–Z35)

Z36.0 Antenatal screening for chromosomal anomalies

Amniocentesis

Placental sample (taken vaginally)

Z36.1 Antenatal screening for raised alphafetoprotein level Z36.2 Other antenatal screening based on amniocentesis

Z36.3 Antenatal screening for malformations using ultrasound and other physical methods

Z36.4 Antenatal screening for fetal growth retardation using ultrasound and other physical methods

Z36.5 Antenatal screening for isoimmunization Z36.8 Other antenatal screening

Screening for haemoglobinopathy

Z36.9 Antenatal screening, unspecified

 

  Z37 Outcome of delivery

Note: This category is intended for use as an additional code to identify the outcome of delivery on the mother’s record.

Z37.0 Single live birth

Z37.1 Single stillbirth Z37.2 Twins, both liveborn

Z37.3 Twins, one liveborn and one stillborn Z37.4 Twins, both stillborn

Z37.5 Other multiple births, all liveborn Z37.6 Other multiple births, some liveborn Z37.7 Other multiple births, all stillborn

Z37.9 Outcome of delivery, unspecified

Multiple birth NOS Single birth NOS

  Z38 Liveborn infants according to place of birth

Z38.0 Singleton, born in hospital Z38.1 Singleton, born outside hospital

Z38.2 Singleton, unspecified as to place of birth

Liveborn infant NOS

Z38.3 Twin, born in hospital Z38.4 Twin, born outside hospital

Z38.5 Twin, unspecified as to place of birth Z38.6 Other multiple, born in hospital Z38.7 Other multiple, born outside hospital

Z38.8 Other multiple, unspecified as to place of birth

  Z39 Postpartum care and examination

Z39.0 Care and examination immediately after delivery

Care and observation in uncomplicated cases

Excl.: care for postpartum complications – see Alphabetical Index

Z39.1 Care and examination of lactating mother

Supervision of lactation

Excl.: disorders of lactation (O92.-)

Z39.2 Routine postpartum follow-up

 

Persons encountering health services for specific procedures and health care

(Z40–Z54)

Note: Categories Z40–Z54 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving follow-up or prophylactic care, convalescent care, or care to consolidate the treatment, to deal with residual states, to ensure that the condition has not recurred, or to prevent recurrence.

Excl.: follow-up examination for medical surveillance after treatment (Z08–Z09)

  Z40 Prophylactic surgery

Z40.0 Prophylactic surgery for risk-factors related to malignant neoplasms

Admission for prophylactic organ removal

Z40.8 Other prophylactic surgery

Z40.9 Prophylactic surgery, unspecified

  Z41 Procedures for purposes other than remedying health state

Z41.0 Hair transplant

Z41.1 Other plastic surgery for unacceptable cosmetic appearance

Breast implant

Excl.: plastic and reconstructive surgery following healed injury or operation (Z42.-)

Z41.2 Routine and ritual circumcision Z41.3 Ear piercing

Z41.8 Other procedures for purposes other than remedying health state

Z41.9 Procedure for purposes other than remedying health state, unspecified

  Z42 Follow-up care involving plastic surgery

Incl.: plastic and reconstructive surgery following healed injury or operation

repair of scarred tissue

Excl.: plastic surgery:

• as treatment for current injury - code to relevant injury – see Alphabetical index

• for unacceptable cosmetic appearance (Z41.1)

 

Z42.0 Follow-up care involving plastic surgery of head and neck Z42.1 Follow-up care involving plastic surgery of breast

Z42.2 Follow-up care involving plastic surgery of other parts of trunk Z42.3 Follow-up care involving plastic surgery of upper extremity Z42.4 Follow-up care involving plastic surgery of lower extremity Z42.8 Follow-up care involving plastic surgery of other body part Z42.9 Follow-up care involving plastic surgery, unspecified

  Z43 Attention to artificial openings

Incl.: closure

passage of sounds or bougies reforming

removal of catheter toilet or cleansing

Excl.: artificial opening status only, without need for care (Z93.-) complications of external stoma (J95.0, K91.4, N99.5)

fitting and adjustment of prosthetic and other devices (Z44–Z46)

Z43.0 Attention to tracheostomy Z43.1 Attention to gastrostomy Z43.2 Attention to ileostomy Z43.3 Attention to colostomy

Z43.4 Attention to other artificial openings of digestive tract Z43.5 Attention to cystostomy

Z43.6 Attention to other artificial openings of urinary tract

Nephrostomy Ureterostomy Urethrostomy

Z43.7 Attention to artificial vagina

Z43.8 Attention to other artificial openings Z43.9 Attention to unspecified artificial opening

  Z44 Fitting and adjustment of external prosthetic device

Excl.: presence of prosthetic device (Z97.-)

Z44.0 Fitting and adjustment of artificial arm (complete)(partial) Z44.1 Fitting and adjustment of artificial leg (complete)(partial) Z44.2 Fitting and adjustment of artificial eye

Excl.: mechanical complication of ocular prosthesis (T85.3)

Z44.3 Fitting and adjustment of external breast prosthesis

 

Z44.8 Fitting and adjustment of other external prosthetic devices Z44.9 Fitting and adjustment of unspecified external prosthetic device

  Z45 Adjustment and management of implanted device

Excl.: malfunction or other complications of device – see Alphabetical index

presence of prosthetic and other devices (Z95–Z97)

Z45.0 Adjustment and management of cardiac devices

Checking and testing of cardiac devices

Z45.1 Adjustment and management of infusion pump

Z45.2 Adjustment and management of vascular access device Z45.3 Adjustment and management of implanted hearing device

Bone conduction device Cochlear device

Z45.8 Adjustment and management of other implanted devices Z45.9 Adjustment and management of unspecified implanted device

  Z46 Fitting and adjustment of other devices

Excl.: issue of repeat prescription only (Z76.0)

malfunction or other complications of device – see Alphabetical index

presence of prosthetic and other devices (Z95–Z97)

Z46.0 Fitting and adjustment of spectacles and contact lenses Z46.1 Fitting and adjustment of hearing aid

Z46.2 Fitting and adjustment of other devices related to nervous system and special senses

Z46.3 Fitting and adjustment of dental prosthetic device Z46.4 Fitting and adjustment of orthodontic device

Z46.5 Fitting and adjustment of ileostomy and other intestinal appliances

Z46.6 Fitting and adjustment of urinary device Z46.7 Fitting and adjustment of orthopaedic device

Orthopaedic:

• brace

• cast

• corset

• shoes

Z46.8 Fitting and adjustment of other specified devices

Wheelchair

Z46.9 Fitting and adjustment of unspecified device

 

  Z47 Other orthopaedic follow-up care

Excl.: care involving rehabilitation procedures (Z50.-) complication of internal orthopaedic devices, implants and grafts (T84.-)

follow-up examination after treatment of fracture (Z09.4)

Z47.0 Follow-up care involving removal of fracture plate and other internal fixation device

Removal of:

• pins

• plates

• rods

• screws

Excl.:  removal of external fixation device (Z47.8)

Z47.8 Other specified orthopaedic follow-up care

Change, checking or removal of:

• external fixation or traction device

• plaster cast

Z47.9 Orthopaedic follow-up care, unspecified

  Z48 Other surgical follow-up care

Excl.: attention to artificial openings (Z43.-)

fitting and adjustment of prosthetic and other devices (Z44–Z46) follow-up examination after:

• surgery (Z09.0)

• treatment of fracture (Z09.4) orthopaedic follow-up care (Z47.-)

Z48.0 Attention to surgical dressings and sutures

Change of dressings Removal of sutures

Z48.8 Other specified surgical follow-up care Z48.9 Surgical follow-up care, unspecified

  Z49 Care involving dialysis

Incl.: dialysis preparation and treatment

Excl.: renal dialysis status (Z99.2) Z49.0 Preparatory care for dialysis Z49.1 Extracorporeal dialysis

Dialysis (renal) NOS

Z49.2 Other dialysis

Peritoneal dialysis

 

  Z50 Care involving use of rehabilitation procedures

Excl.: counselling (Z70–Z71)

Z50.0 Cardiac rehabilitation Z50.1 Other physical therapy

Therapeutic and remedial exercises

Z50.2 Alcohol rehabilitation Z50.3 Drug rehabilitation

Z50.4 Psychotherapy, not elsewhere classified Z50.5 Speech therapy

Z50.6 Orthoptic training

Z50.7 Occupational therapy and vocational rehabilitation, not elsewhere classified

Z50.8 Care involving use of other rehabilitation procedures

Tobacco rehabilitation

Training in activities of daily living [ADL] NEC

Z50.9 Care involving use of rehabilitation procedure, unspecified

Rehabilitation NOS

  Z51 Other medical care

Excl.: follow-up examination after treatment (Z08–Z09)

Z51.0 Radiotherapy session

Z51.1 Chemotherapy session for neoplasm Z51.2 Other chemotherapy

Maintenance chemotherapy NOS

Excl.: prophylactic chemotherapy for immunization purposes (Z23–Z27, Z29.-)

Z51.3 Blood transfusion (without reported diagnosis)

Z51.4 Preparatory care for subsequent treatment, not elsewhere classified

Excl.: preparatory care for dialysis (Z49.0)

Z51.5 Palliative care

Z51.6 Desensitization to allergens Z51.8 Other specified medical care

Excl.:  holiday relief care (Z75.5)

Z51.9 Medical care, unspecified

 

  Z52 Donors of organs and tissues

Excl.: examination of potential donor (Z00.5)

Z52.0 Blood donor

Blood components such as lymphocytes, platelets or stem cells

Z52.1 Skin donor

Z52.2 Bone donor

Z52.3 Bone marrow donor Z52.4 Kidney donor

Z52.5 Cornea donor

Z52.6 Liver donor

Z52.7 Heart donor

Z52.8 Donor of other organs and tissues Z52.9 Donor of unspecified organ or tissue

Donor NOS

  Z53 Persons encountering health services for specific procedures, not carried out

Excl.: immunization not carried out (Z28.-)

Z53.0 Procedure not carried out because of contraindication Z53.1 Procedure not carried out because of patient’s decision for

reasons of belief and group pressure

Z53.2 Procedure not carried out because of patient’s decision for other and unspecified reasons

Z53.8 Procedure not carried out for other reasons Z53.9 Procedure not carried out, unspecified reason

  Z54 Convalescence

Z54.0 Convalescence following surgery Z54.1 Convalescence following radiotherapy

Z54.2 Convalescence following chemotherapy Z54.3 Convalescence following psychotherapy

Z54.4 Convalescence following treatment of fracture

Z54.7 Convalescence following combined treatment Convalescence following any combination of treatments classified to Z54.0–Z54.4

Z54.8 Convalescence following other treatment

Z54.9 Convalescence following unspecified treatment

 

Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55–Z65)

  Z55 Problems related to education and literacy

Excl.: disorders of psychological development (F80–F89)

Z55.0 Illiteracy and low-level literacy

Z55.1 Schooling unavailable and unattainable Z55.2 Failed examinations

Z55.3 Underachievement in school

Z55.4 Educational maladjustment and discord with teachers and classmates

Z55.8 Other problems related to education and literacy

Inadequate teaching

Z55.9 Problem related to education and literacy, unspecified

  Z56 Problems related to employment and unemployment

Excl.: occupational exposure to risk-factors (Z57.-)

problems related to housing and economic circumstances (Z59.-)

Z56.0 Unemployment, unspecified Z56.1 Change of job

Z56.2 Threat of job loss

Z56.3 Stressful work schedule

Z56.4 Discord with boss and workmates Z56.5 Uncongenial work

Difficult conditions at work

Z56.6 Other physical and mental strain related to work

Z56.7 Other and unspecified problems related to employment

  Z57 Occupational exposure to risk-factors

Z57.0 Occupational exposure to noise Z57.1 Occupational exposure to radiation Z57.2 Occupational exposure to dust

Z57.3 Occupational exposure to other air contaminants

Z57.4 Occupational exposure to toxic agents in agriculture

Solids, liquids, gases or vapours

 

Z57.5 Occupational exposure to toxic agents in other industries

Solids, liquids, gases or vapours

Z57.6 Occupational exposure to extreme temperature Z57.7 Occupational exposure to vibration

Z57.8 Occupational exposure to other risk-factors Z57.9 Occupational exposure to unspecified risk-factor

  Z58 Problems related to physical environment

Excl.: occupational exposure (Z57.-)

Z58.0 Exposure to noise

Z58.1 Exposure to air pollution

Excl.: tobacco smoke (Z58.7) Z58.2 Exposure to water pollution Z58.3 Exposure to soil pollution Z58.4 Exposure to radiation

Z58.5 Exposure to other pollution

Z58.6 Inadequate drinking-water supply

Excl.: effects of thirst (T73.1)

Z58.7 Exposure to tobacco smoke

Passive smoking

Excl.: mental and behavioural disorders due to the use of tobacco (F17.-) personal history of psychoactive substance abuse (Z86.4)

tobacco use (Z72.0)

Z58.8 Other problems related to physical environment Z58.9 Problem related to physical environment, unspecified

  Z59 Problems related to housing and economic circumstances

Excl.: inadequate drinking-water supply (Z58.6)

Z59.0 Homelessness Z59.1 Inadequate housing

Lack of heating Restriction of space

Technical defects in home preventing adequate care Unsatisfactory surroundings

Excl.: problems related to physical environment (Z58.-)

Z59.2 Discord with neighbours, lodgers and landlord

 

Z59.3 Problems related to living in residential institution

Boarding-school resident

Excl.: institutional upbringing (Z62.2)

Z59.4 Lack of adequate food

Excl.: effects of hunger (T73.0)

inappropriate diet or eating habits (Z72.4) malnutrition (E40–E46)

Z59.5 Extreme poverty Z59.6 Low income

Z59.7 Insufficient social insurance and welfare support

Z59.8 Other problems related to housing and economic circumstances

Foreclosure on loan Isolated dwelling Problems with creditors

Z59.9 Problem related to housing and economic circumstances, unspecified

  Z60 Problems related to social environment

Z60.0 Problems of adjustment to life-cycle transitions

Adjustment to retirement [pension] Empty nest syndrome

Z60.1 Atypical parenting situation

Problems related to a parenting situation (rearing of children) with a single parent or other than that of two cohabiting biological parents.

Z60.2 Living alone

Z60.3 Acculturation difficulty

Migration

Social transplantation

Z60.4 Social exclusion and rejection

Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behaviour.

Excl.: target of adverse discrimination such as for racial or religious reasons (Z60.5)

Z60.5 Target of perceived adverse discrimination and persecution

Persecution or discrimination, perceived or real, on the basis of membership of some group (as defined by skin colour, religion, ethnic origin, etc.) rather than personal characteristics.

Excl.: social exclusion and rejection (Z60.4)

 

Z60.8 Other problems related to social environment Z60.9 Problem related to social environment, unspecified

  Z61 Problems related to negative life events in childhood

Excl.: maltreatment syndromes (T74.-)

Z61.0 Loss of love relationship in childhood

Loss of an emotionally close relationship, such as of a parent, a sibling, a very special friend or a loved pet, by death or permanent departure or rejection.

Z61.1 Removal from home in childhood

Admission to a foster home, hospital or other institution causing psychosocial stress, or forced conscription into an activity away from home for a prolonged period.

Z61.2 Altered pattern of family relationships in childhood

Arrival of a new person into a family resulting in adverse change in child’s relationships. May include new marriage by a parent or birth of a sibling.

Z61.3 Events resulting in loss of self-esteem in childhood

Events resulting in a negative self-reappraisal by the child such as failure in tasks with high personal investment; disclosure or discovery of a shameful or stigmatizing personal or family event; and other humiliating experiences.

Z61.4 Problems related to alleged sexual abuse of child by person within primary support group

Problems related to any form of physical contact or exposure between an adult member of the child’s household and the child that has led to sexual arousal, whether or not the child has willingly engaged in the sexual acts (e.g. any genital contact or manipulation or deliberate exposure of breasts or genitals).

Z61.5 Problems related to alleged sexual abuse of child by person outside primary support group

Problems related to contact or attempted contact with the child’s or the other person’s breasts or genitals, sexual exposure in close confrontation or attempt to undress or seduce the child, by a substantially older person outside the child’s family, either on the basis of this person’s position or status or against the will of the child.

Z61.6 Problems related to alleged physical abuse of child

Problems related to incidents in which the child has been injured in the past by any adult in the household to a medically significant extent (e.g. fractures, marked bruising) or that involved abnormal forms of violence (e.g. hitting the child with hard or sharp implements, burning or tying up of the child).

Z61.7 Personal frightening experience in childhood

Experience carrying a threat for the child’s future, such as a kidnapping, natural disaster with a threat to life, injury with a threat to self-image or security, or witnessing a severe trauma to a loved one.

Z61.8 Other negative life events in childhood Z61.9 Negative life event in childhood, unspecified

 

  Z62 Other problems related to upbringing

Excl.: maltreatment syndromes (T74.-)

Z62.0 Inadequate parental supervision and control

Lack of parental knowledge of what the child is doing or where the child is; poor control; lack of concern or lack of attempted intervention when the child is in risky situations.

Z62.1 Parental overprotection

Pattern of upbringing resulting in infantilization and prevention of independent behaviour.

Z62.2 Institutional upbringing

Group foster care in which parenting responsibilities are largely taken over by some form of institution (such as residential nursery, orphanage, or children’s home),  or therapeutic care over a prolonged period in which the child is in a hospital, convalescent home or the like, without at least one parent living with the child.

Z62.3 Hostility towards and scapegoating of child

Negative parental behaviour specifically focused on the child as an individual, persistent over time and pervasive over several child behaviours (e.g. automatically blaming the child for any problems in the household or attributing negative characteristics to the child).

Z62.4 Emotional neglect of child

Parent talking to the child in a dismissive or insensitive way. Lack of interest in the child, of sympathy for the child’s difficulties and of praise and encouragement. Irritated reaction to anxious behaviour and absence of sufficient physical comforting and emotional warmth.

Z62.5 Other problems related to neglect in upbringing

Lack of learning and play experience

Z62.6 Inappropriate parental pressure and other abnormal qualities of upbringing

Parents forcing the child to be different from the local norm, either sex-inappropriate (e.g. dressing a boy in girl’s clothes), age-inappropriate (e.g. forcing a child to take on responsibilities above her or his own age) or otherwise inappropriate (e.g. pressing the child to engage in unwanted or too difficult activities).

Z62.8 Other specified problems related to upbringing Z62.9 Problem related to upbringing, unspecified

  Z63 Other problems related to primary support group, including family circumstances

Excl.: maltreatment syndromes (T74.-) problems related to:

• negative life events in childhood (Z61.-)

• upbringing (Z62.-)

 

Z63.0 Problems in relationship with spouse or partner

Discord between partners resulting in severe or prolonged loss of control, in generalization of hostile or critical feelings or in a persisting atmosphere of severe interpersonal violence (hitting or striking).

Z63.1 Problems in relationship with parents and in-laws Z63.2 Inadequate family support

Z63.3 Absence of family member

Z63.4 Disappearance and death of family member

Assumed death of family member

Z63.5 Disruption of family by separation and divorce

Estrangement

Z63.6 Dependent relative needing care at home

Z63.7 Other stressful life events affecting family and household

Anxiety (normal) about sick person in family Health problems within family

Ill or disturbed family member Isolated family

Z63.8 Other specified problems related to primary support group

Family discord NOS

High expressed emotional level within family Inadequate or distorted communication within family

Z63.9 Problem related to primary support group, unspecified

  Z64 Problems related to certain psychosocial circumstances

Z64.0 Problems related to unwanted pregnancy

Excl.: supervision of high-risk pregnancy due to social problems (Z35.7)

Z64.1 Problems related to multiparity

Excl.: supervision of pregnancy with grand multiparity (Z35.4)

Z64.2 Seeking and accepting physical, nutritional and chemical interventions known to be hazardous and harmful

Excl.: substance dependence – see Alphabetical index

Z64.3 Seeking and accepting behavioural and psychological interventions known to be hazardous and harmful

Z64.4 Discord with counsellors

Discord with:

• probation officer

• social worker

 

  Z65 Problems related to other psychosocial circumstances

Excl.: current injury – see Alphabetical index

Z65.0 Conviction in civil and criminal proceedings without imprisonment

Z65.1 Imprisonment and other incarceration Z65.2 Problems related to release from prison

Z65.3 Problems related to other legal circumstances

Arrest

Child custody or support proceedings Litigation

Prosecution

Z65.4 Victim of crime and terrorism

Victim of torture

Z65.5 Exposure to disaster, war and other hostilities

Excl.: target of perceived discrimination or persecution (Z60.5)

Z65.8 Other specified problems related to psychosocial circumstances

Z65.9 Problem related to unspecified psychosocial circumstances

Persons encountering health services in other circumstances

(Z70–Z76)

  Z70 Counselling related to sexual attitude, behaviour and orientation

Excl.: contraceptive or procreative counselling (Z30–Z31)

Z70.0 Counselling related to sexual attitude

Person concerned regarding embarrassment, timidity or other negative response to sexual matters

Z70.1 Counselling related to patient’s sexual behaviour and orientation

Patient concerned regarding:

• impotence

• non-responsiveness

• promiscuity

• sexual orientation

 

Z70.2 Counselling related to sexual behaviour and orientation of third party

Advice sought regarding sexual behaviour and orientation of:

• child

• partner

• spouse

Z70.3 Counselling related to combined concerns regarding sexual attitude, behaviour and orientation

Z70.8 Other sex counselling

Sex education

Z70.9 Sex counselling, unspecified

  Z71 Persons encountering health services for other counselling and medical advice, not elsewhere classified Excl.: contraceptive or procreation counselling (Z30–Z31)

sex counselling (Z70.-)

Z71.0 Person consulting on behalf of another person

Advice or treatment for non-attending third party

Excl.: anxiety (normal) about sick person in family (Z63.7)

Z71.1 Person with feared complaint in whom no diagnosis is made

Feared condition not demonstrated Problem was normal state ‘Worried well’

Excl.: medical observation and evaluation for suspected diseases and conditions (Z03.-)

Z71.2 Person consulting for explanation of investigation findings Z71.3 Dietary counselling and surveillance

Dietary counselling and surveillance (for):

• NOS

• colitis

• diabetes mellitus

• food allergies or intolerance

• gastritis

• hypercholesterolaemia

• obesity

Z71.4 Alcohol abuse counselling and surveillance

Excl.:  alcohol rehabilitation procedures (Z50.2)

Z71.5 Drug abuse counselling and surveillance

Excl.: drug rehabilitation procedures (Z50.3)

Z71.6 Tobacco abuse counselling

Excl.: tobacco rehabilitation procedures (Z50.8)

 

Z71.7 Human immunodeficiency virus [HIV] counselling Z71.8 Other specified counselling

Consanguinity counselling

Z71.9 Counselling, unspecified

Medical advice NOS

  Z72 Problems related to lifestyle

Excl.: problems related to:

• life-management difficulty (Z73.-)

• socioeconomic and psychosocial circumstances (Z55–Z65)

Z72.0 Tobacco use

Excl.: tobacco dependence (F17.2)

Z72.1 Alcohol use

Excl.: alcohol dependence (F10.2)

Z72.2 Drug use

Excl.: abuse of non-dependence-producing substances (F55)

drug dependence (F11–F16, F19 with common fourth character .2)

Z72.3 Lack of physical exercise

Z72.4 Inappropriate diet and eating habits

Excl.: behavioural eating disorders of infancy or childhood (F98.2–F98.3) eating disorders (F50.-)

lack of adequate food (Z59.4)

malnutrition and other nutritional deficiencies (E40–E64)

Z72.5 High-risk sexual behaviour Z72.6 Gambling and betting

Excl.: compulsive or pathological gambling (F63.0)

Z72.8 Other problems related to lifestyle

Self-damaging behaviour

Z72.9 Problem related to lifestyle, unspecified

  Z73 Problems related to life-management difficulty

Excl.: problems related to socioeconomic and psychosocial circumstances (Z55–Z65)

Z73.0 Burn-out

State of vital exhaustion

Z73.1 Accentuation of personality traits

Type A behaviour pattern (characterized by unbridled ambition, a need for high achievement, impatience, competitiveness and a sense of urgency)

Z73.2 Lack of relaxation and leisure

 

Z73.3 Stress, not elsewhere classified

Physical and mental strain NOS

Excl.: related to employment or unemployment (Z56.-) Z73.4 Inadequate social skills, not elsewhere classified Z73.5 Social role conflict, not elsewhere classified Z73.6 Limitation of activities due to disability

Excl.: care-provider dependency (Z74.-)

Z73.8 Other problems related to life-management difficulty Z73.9 Problem related to life-management difficulty, unspecified

  Z74 Problems related to care-provider dependency

Excl.: dependence on enabling machines or devices NEC (Z99.-)

Z74.0 Need for assistance due to reduced mobility Z74.1 Need for assistance with personal care

Z74.2 Need for assistance at home and no other household member able to render care

Z74.3 Need for continuous supervision

Z74.8 Other problems related to care-provider dependency Z74.9 Problem related to care-provider dependency, unspecified

  Z75 Problems related to medical facilities and other health care

Z75.0 Medical services not available in home

Excl.: no other household member able to render care (Z74.2) Z75.1 Person awaiting admission to adequate facility elsewhere Z75.2 Other waiting period for investigation and treatment

Z75.3 Unavailability and inaccessibility of health-care facilities

Excl.: bed unavailable (Z75.1)

Z75.4 Unavailability and inaccessibility of other helping agencies Z75.5 Holiday relief care

Provision of health-care facilities to a person normally cared for at home, in order

to enable relatives to take a vacation.

Respite care

Z75.8 Other problems related to medical facilities and other health care

Z75.9 Unspecified problem related to medical facilities and other health care

 

  Z76 Persons encountering health services in other circumstances

Z76.0 Issue of repeat prescription

Issue of repeat prescription for:

• appliance

• medicaments

• spectacles

Excl.: issue of medical certificate (Z02.7)

repeat prescription for contraceptive (Z30.4)

Z76.1 Health supervision and care of foundling

Z76.2 Health supervision and care of other healthy infant and child Medical or nursing care or supervision of healthy infant under circumstances such as:

• adverse socioeconomic conditions at home

• awaiting foster or adoptive placement

• maternal illness

• number of children at home preventing or interfering with normal care

Z76.3 Healthy person accompanying sick person Z76.4 Other boarder in health-care facility

Excl.: homelessness (Z59.0)

Z76.5 Malingerer [conscious simulation]

Person feigning illness (with obvious motivation)

Excl.: factitious disorder (F68.1) peregrinating patient (F68.1)

Z76.8 Persons encountering health services in other specified circumstances

Z76.9 Person encountering health services in unspecified circumstances

Persons with potential health hazards related to family and personal history and certain conditions influencing health status

(Z80–Z99)

Excl.: follow-up examination (Z08–Z09)

follow-up medical care and convalescence (Z42–Z51, Z54.-)

when family or personal history is the reason for special screening or other examination or investigation (Z00–Z13)

when the possibility that the fetus might be affected is the reason for observation or action during pregnancy (O35.-)

 

  Z80 Family history of malignant neoplasm

Z80.0 Family history of malignant neoplasm of digestive organs

Conditions classifiable to C15–C26

Z80.1 Family history of malignant neoplasm of trachea, bronchus and lung

Conditions classifiable to C33–C34

Z80.2 Family history of malignant neoplasm of other respiratory and intrathoracic organs

Conditions classifiable to C30–C32, C37–C39

Z80.3 Family history of malignant neoplasm of breast

Conditions classifiable to C50.-

Z80.4 Family history of malignant neoplasm of genital organs

Conditions classifiable to C51–C63

Z80.5 Family history of malignant neoplasm of urinary tract

Conditions classifiable to C64–C68

Z80.6 Family history of leukaemia

Conditions classifiable to C91–C95

Z80.7 Family history of other malignant neoplasms of lymphoid, haematopoietic and related tissues

Conditions classifiable to C81–C90, C96.-

Z80.8 Family history of malignant neoplasm of other organs or systems

Conditions classifiable to C00–C14, C40–C49, C69–C79, C97

Z80.9 Family history of malignant neoplasm, unspecified

Conditions classifiable to C80.-

  Z81 Family history of mental and behavioural disorders

Z81.0 Family history of mental retardation

Conditions classifiable to F70–F79

Z81.1 Family history of alcohol abuse

Conditions classifiable to F10.-

Z81.2 Family history of tobacco abuse

Conditions classifiable to F17.-

Z81.3 Family history of other psychoactive substance abuse

Conditions classifiable to F11–F16, F18–F19

Z81.4 Family history of other substance abuse

Conditions classifiable to F55

Z81.8 Family history of other mental and behavioural disorders

Conditions classifiable elsewhere in F00–F99

 

  Z82 Family history of certain disabilities and chronic diseases leading to disablement

Z82.0 Family history of epilepsy and other diseases of the nervous system

Conditions classifiable to G00–G99

Z82.1 Family history of blindness and visual loss

Conditions classifiable to H54.-

Z82.2 Family history of deafness and hearing loss

Conditions classifiable to H90–H91

Z82.3 Family history of stroke

Conditions classifiable to I60–I64

Z82.4 Family history of ischaemic heart disease and other diseases of the circulatory system

Conditions classifiable to I00–I52, I65–I99

Z82.5 Family history of asthma and other chronic lower respiratory diseases

Conditions classifiable to J40–J47

Z82.6 Family history of arthritis and other diseases of the musculoskeletal system and connective tissue Conditions classifiable to M00–M99

Z82.7 Family history of congenital malformations, deformations and chromosomal abnormalities

Conditions classifiable to Q00–Q99

Z82.8 Family history of other disabilities and chronic diseases leading to disablement, not elsewhere classified

  Z83 Family history of other specific disorders

Excl.: contact with or exposure to communicable disease in the family (Z20.-)

Z83.0 Family history of human immunodeficiency virus [HIV] disease

Conditions classifiable to B20–B24, O98.7

Z83.1 Family history of other infectious and parasitic diseases

Conditions classifiable to A00–B19, B25–B94, B99

Z83.2 Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

Conditions classifiable to D50–D89

Z83.3 Family history of diabetes mellitus

Conditions classifiable to E10–E14, O24

 

Z83.4 Family history of other endocrine, nutritional and metabolic diseases

Conditions classifiable to E00–E07, E15–E90

Z83.5 Family history of eye and ear disorders

Conditions classifiable to H00–H53, H55–H83, H92–H95

Excl.: family history of:

• blindness and visual loss (Z82.1)

• deafness and hearing loss (Z82.2)

Z83.6 Family history of diseases of the respiratory system

Conditions classifiable to J00–J39, J60–J99

Excl.: family history of chronic lower respiratory diseases (Z82.5)

Z83.7 Family history of diseases of the digestive system

Conditions classifiable to K00–K93

  Z84 Family history of other conditions

Z84.0 Family history of diseases of the skin and subcutaneous tissue

Conditions classifiable to L00–L99

Z84.1 Family history of disorders of kidney and ureter

Conditions classifiable to N00–N29

Z84.2 Family history of other diseases of the genitourinary system

Conditions classifiable to N30–N99

Z84.3 Family history of consanguinity

Z84.8 Family history of other specified conditions

  Z85 Personal history of malignant neoplasm

Excl.: follow-up medical care and convalescence (Z42–Z51, Z54.-) follow-up examination after treatment of malignant neoplasm (Z08.-)

Z85.0 Personal history of malignant neoplasm of digestive organs

Conditions classifiable to C15–C26

Z85.1 Personal history of malignant neoplasm of trachea, bronchus and lung

Conditions classifiable to C33–C34

Z85.2 Personal history of malignant neoplasm of other respiratory and intrathoracic organs

Conditions classifiable to C30–C32, C37–C39

Z85.3 Personal history of malignant neoplasm of breast

Conditions classifiable to C50.-

 

Z85.4 Personal history of malignant neoplasm of genital organs

Conditions classifiable to C51–C63

Z85.5 Personal history of malignant neoplasm of urinary tract

Conditions classifiable to C64–C68

Z85.6 Personal history of leukaemia

Conditions classifiable to C91–C95

Z85.7 Personal history of other malignant neoplasms of lymphoid, haematopoietic and related tissues

Conditions classifiable to C81–C90, C96.-

Z85.8 Personal history of malignant neoplasms of other organs and systems

Conditions classifiable to C00–C14, C40–C49, C69–C79, C97

Z85.9 Personal history of malignant neoplasm, unspecified

Conditions classifiable to C80.-

  Z86 Personal history of certain other diseases

Excl.: follow-up medical care and convalescence (Z42–Z51, Z54.-)

Z86.0 Personal history of other neoplasms

Conditions classifiable to D00–D48

Excl.: malignant neoplasms (Z85.-)

Z86.1 Personal history of infectious and parasitic diseases

Conditions classifiable to A00–B89, B99

Excl.: sequelae of infectious and parasitic diseases (B90–B94)

Z86.2 Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

Conditions classifiable to D50–D89

Z86.3 Personal history of endocrine, nutritional and metabolic diseases

Conditions classifiable to E00–E90

Z86.4 Personal history of psychoactive substance abuse

Conditions classifiable to F10–F19

Excl.: current dependence (F10–F19 with common fourth character .2) problems related to use of:

• alcohol (Z72.1)

• drug (Z72.2)

• tobacco (Z72.0)

Z86.5 Personal history of other mental and behavioural disorders

Conditions classifiable to F00–F09, F20–F99

 

Z86.6 Personal history of diseases of the nervous system and sense organs

Conditions classifiable to G00–G99, H00–H95

Z86.7 Personal history of diseases of the circulatory system

Conditions classifiable to I00–I99

Excl.: old myocardial infarction (I25.2) postmyocardial infarction syndrome (I24.1) sequelae of cerebrovascular disease (I69.-)

  Z87 Personal history of other diseases and conditions

Excl.: follow-up medical care and convalescence (Z42–Z51, Z54.-)

Z87.0 Personal history of diseases of the respiratory system

Conditions classifiable to J00–J99

Z87.1 Personal history of diseases of the digestive system

Conditions classifiable to K00–K93

Z87.2 Personal history of diseases of the skin and subcutaneous tissue

Conditions classifiable to L00–L99

Z87.3 Personal history of diseases of the musculoskeletal system and connective tissue

Conditions classifiable to M00–M99

Z87.4 Personal history of diseases of the genitourinary system

Conditions classifiable to N00–N99

Z87.5 Personal history of complications of pregnancy, childbirth and the puerperium

Conditions classifiable to O00–O99 Personal history of trophoblastic disease

Excl.: habitual aborter (N96)

supervision during current pregnancy of a woman with poor obstetric history (Z35.-)

Z87.6 Personal history of certain conditions arising in the perinatal period

Conditions classifiable to P00–P96

Z87.7 Personal history of congenital malformations, deformations and chromosomal abnormalities

Conditions classifiable to Q00–Q99

Z87.8 Personal history of other specified conditions

Conditions classifiable to S00–T98

Excl.: personal history of self harm (Z91.5)

 

  Z88 Personal history of allergy to drugs, medicaments and biological substances

Z88.0 Personal history of allergy to penicillin

Z88.1 Personal history of allergy to other antibiotic agents Z88.2 Personal history of allergy to sulfonamides

Z88.3 Personal history of allergy to other anti-infective agents Z88.4 Personal history of allergy to anaesthetic agent

Z88.5 Personal history of allergy to narcotic agent Z88.6 Personal history of allergy to analgesic agent Z88.7 Personal history of allergy to serum and vaccine

Z88.8 Personal history of allergy to other drugs, medicaments and biological substances

Z88.9 Personal history of allergy to unspecified drugs, medicaments and biological substances

  Z89 Acquired absence of limb

Incl.: loss of limb:

• postoperative

• post-traumatic

Excl.: acquired deformities of limbs (M20–M21) congenital absence of limbs (Q71–Q73)

Z89.0 Acquired absence of finger(s) [including thumb], unilateral Z89.1 Acquired absence of hand and wrist

Z89.2 Acquired absence of upper limb above wrist

Arm NOS

Z89.3 Acquired absence of both upper limbs [any level]

Acquired absence of finger(s), bilateral

Z89.4 Acquired absence of foot and ankle

Toe(s)

Z89.5 Acquired absence of leg at or below knee Z89.6 Acquired absence of leg above knee

Leg NOS

Z89.7 Acquired absence of both lower limbs [any level, except toes alone]

Z89.8 Acquired absence of upper and lower limbs [any level] Z89.9 Acquired absence of limb, unspecified

 

  Z90 Acquired absence of organs, not elsewhere classified

Incl.: postoperative or post-traumatic loss of body part NEC

Excl.: congenital absence – see Alphabetical index postoperative absence of:

• endocrine glands (E89.-)

• spleen (D73.0)

Z90.0 Acquired absence of part of head and neck

Eye Larynx Nose

Excl.: teeth (K08.1)

Z90.1 Acquired absence of breast(s) Z90.2 Acquired absence of lung [part of]

Z90.3 Acquired absence of part of stomach

Z90.4 Acquired absence of other parts of digestive tract Z90.5 Acquired absence of kidney

Z90.6 Acquired absence of other organs of urinary tract Z90.7 Acquired absence of genital organ(s)

Z90.8 Acquired absence of other organs

  Z91 Personal history of risk-factors, not elsewhere classified

Excl.: exposure to pollution and other problems related to physical environment (Z58.-)

occupational exposure to risk-factors (Z57.-)

personal history of psychoactive substance abuse (Z86.4)

Z91.0 Personal history of allergy, other than to drugs and biological substances

Excl.: personal history of allergy to drugs and biological substances (Z88.-)

Z91.1 Personal history of noncompliance with medical treatment and regimen

Z91.2 Personal history of poor personal hygiene

Z91.3 Personal history of unhealthy sleep–wake schedule

Excl.: sleep disorders (G47.-)

Z91.4 Personal history of psychological trauma, not elsewhere classified

Z91.5 Personal history of self-harm

Parasuicide Self-poisoning Suicide attempt

 

Z91.6 Personal history of other physical trauma Z91.7 Personal history of female genital mutilation

Female circumcision Female genital cutting FGM types 1–4

Z91.8 Personal history of other specified risk-factors, not elsewhere classified

Abuse NOS Maltreatment NOS

  Z92 Personal history of medical treatment

Z92.0 Personal history of contraception

Excl.: counselling or management of current contraceptive practices (Z30.-) presence of (intrauterine) contraceptive device (Z97.5)

Z92.1 Personal history of long-term (current) use of anticoagulants Z92.2 Personal history of long-term (current) use of other

medicaments

Aspirin

Z92.3 Personal history of irradiation

Therapeutic radiation

Excl.: exposure to radiation in the physical environment (Z58.4) occupational exposure to radiation (Z57.1)

Z92.4 Personal history of major surgery, not elsewhere classified

Excl.: artificial opening status (Z93.-) postsurgical states (Z98.-)

presence of functional implants and grafts (Z95–Z96) transplanted organ or tissue status (Z94.-)

Z92.5 Personal history of rehabilitation measures

Z92.6 Personal history of chemotherapy for neoplastic disease Z92.8 Personal history of other medical treatment

Z92.9 Personal history of medical treatment, unspecified

  Z93 Artificial opening status

Excl.: artificial openings requiring attention or management (Z43.-) complications of external stoma (J95.0, K91.4, N99.5)

Z93.0 Tracheostomy status Z93.1 Gastrostomy status Z93.2 Ileostomy status

 

Z93.3 Colostomy status

Z93.4 Other artificial openings of gastrointestinal tract status Z93.5 Cystostomy status

Z93.6 Other artificial openings of urinary tract status

Nephrostomy Ureterostomy Urethrostomy

Z93.8 Other artificial opening status

Z93.9 Artificial opening status, unspecified

  Z94 Transplanted organ and tissue status

Incl.: organ or tissue replaced by heterogenous or homogenous transplant

Excl.: complications of transplanted organ or tissue – see Alphabetical Index

presence of:

• vascular graft (Z95.-)

• xenogenic heart valve (Z95.3)

Z94.0 Kidney transplant status Z94.1 Heart transplant status

Excl.: heart-valve replacement status (Z95.2–Z95.4)

Z94.2 Lung transplant status

Z94.3 Heart and lungs transplant status Z94.4 Liver transplant status

Z94.5 Skin transplant status

Autogenous skin transplant status Z94.6 Bone transplant status Z94.7 Corneal transplant status

Z94.8 Other transplanted organ and tissue status

Bone marrow Intestine Pancreas Stem cells

Z94.9 Transplanted organ and tissue status, unspecified

  Z95 Presence of cardiac and vascular implants and grafts

Excl.: complications of cardiac and vascular devices, implants and grafts (T82.-)

 

Z95.0 Presence of electronic cardiac devices

Presence of:

• cardiac pacemaker

• cardiac resynchronization therapy defibrillator (CRT-D) • cardiac resynchronization therapy (CRT) pacemaker

• cardioverter-defibrillator (ICD)

Excl.: adjustment or management of cardiac devices (Z45.0) dependence on artificial heart (Z99.4)

Z95.1 Presence of aortocoronary bypass graft Z95.2 Presence of prosthetic heart valve Z95.3 Presence of xenogenic heart valve

Z95.4 Presence of other heart-valve replacement

Z95.5 Presence of coronary angioplasty implant and graft

Presence of coronary artery prosthesis Status following coronary angioplasty NOS

Z95.8 Presence of other cardiac and vascular implants and grafts

Presence of intravascular prosthesis NEC Status following peripheral angioplasty NOS

Z95.9 Presence of cardiac and vascular implant and graft, unspecified

  Z96 Presence of other functional implants

Excl.: complications of internal prosthetic devices, implants and grafts (T82–T85)

fitting and adjustment of prosthetic and other devices (Z44–Z46)

Z96.0 Presence of urogenital implants Z96.1 Presence of intraocular lens

Pseudophakia

Z96.2 Presence of otological and audiological implants

Bone-conduction hearing device Cochlear implant

Eustachian tube stent Myringotomy tube(s) Stapes replacement

Z96.3 Presence of artificial larynx

 

Z96.4 Presence of endocrine implants

Insulin pump

Z96.5 Presence of tooth-root and mandibular implants Z96.6 Presence of orthopaedic joint implants

Finger-joint replacement

Hip-joint replacement (partial)(total)

Z96.7 Presence of other bone and tendon implants

Skull plate

Z96.8 Presence of other specified functional implants Z96.9 Presence of functional implant, unspecified

  Z97 Presence of other devices

Excl.: complications of internal prosthetic devices, implants and grafts (T82–T85)

fitting and adjustment of prosthetic and other devices (Z44–Z46) presence of cerebrospinal fluid drainage device (Z98.2)

Z97.0 Presence of artificial eye

Z97.1 Presence of artificial limb (complete)(partial)

Z97.2 Presence of dental prosthetic device (complete)(partial) Z97.3 Presence of spectacles and contact lenses

Z97.4 Presence of external hearing-aid

Z97.5 Presence of (intrauterine) contraceptive device

Excl.: checking, reinsertion or removal of contraceptive device (Z30.5) insertion of contraceptive device (Z30.1)

Z97.8 Presence of other specified devices

  Z98 Other postsurgical states

Excl.: follow-up medical care and convalescence (Z42–Z51, Z54.-) postprocedural or postoperative complication – see Alphabetical index

Z98.0 Intestinal bypass and anastomosis status Z98.1 Arthrodesis status

Z98.2 Presence of cerebrospinal fluid drainage device

CSF shunt

Z98.8 Other specified postsurgical states

 

  Z99 Dependence on enabling machines and devices, not elsewhere classified

Z99.0 Dependence on aspirator Z99.1 Dependence on respirator

Dependence on ventilator

Z99.2 Dependence on renal dialysis Presence of arteriovenous shunt for dialysis Renal dialysis status

Excl.: dialysis preparation, treatment or session (Z49.-)

Z99.3 Dependence on wheelchair Z99.4 Dependence on artificial heart

Z99.8 Dependence on other enabling machines and devices Z99.9 Dependence on unspecified enabling machine and device

CHAPTER XXII                                             

Codes for special purposes (U00–U99)

 

This chapter contains the following blocks:

U00–U49 Provisional assignment of new diseases of uncertain etiology U82–U85 Resistance to antimicrobial and antineoplastic drugs

Provisional assignment of new diseases of uncertain etiology or emergency use

(U00–U49)

 

  U04 Severe acute respiratory syndrome [SARS]

U04.9 Severe acute respiratory syndrome [SARS], unspecified

 

  U06 Emergency use of U06

Note:    Codes U00–U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology. In emergency situations, codes are not always accessible in electronic systems. The specification of category U06 in the way it is done here will make sure this category and the subcategories are available in every electronic system at any time and that they can be used upon instruction by WHO, immediately.

U06.0 Emergency use of U06.0 U06.1 Emergency use of U06.1 U06.2 Emergency use of U06.2 U06.3 Emergency use of U06.3 U06.4 Emergency use of U06.4 U06.5 Emergency use of U06.5 U06.6 Emergency use of U06.6 U06.7 Emergency use of U06.7 U06.8 Emergency use of U06.8 U06.9 Emergency use of U06.9

  U07 Emergency use of U07

Note:    Codes U00–U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology. In emergency situations, codes are not always accessible in electronic systems. The specification of category U07 in the way it is done here will make sure this category and the subcategories are available in every electronic system at any time and that they can be used upon instruction by WHO, immediately.

U07.0 Emergency use of U07.0 U07.1 Emergency use of U07.1 U07.2 Emergency use of U07.2 U07.3 Emergency use of U07.3

		CHAPTER XXII CODES FOR SPECIAL PURPOSES
U07.4	Emergency use of U07.4
U07.5	Emergency use of U07.5
U07.6	Emergency use of U07.6
U07.7	Emergency use of U07.7
U07.8	Emergency use of U07.8
U07.9	Emergency use of U07.9

 

Resistance to antimicrobial and antineoplastic drugs (U82-U85)

Note: These categories should never be used in primary coding. The codes are provided for use as supplementary or additional codes when it is desired  to identify the resistance, non-responsiveness and refractive properties of a condition to antimicrobials and antineoplastic drugs.

 

  U82        Resistance to betalactam antibiotics

Use additional code (B95–B98), if desired, to identify agents resistant to betalactam antibiotic treatment.

U82.0         Resistance to penicillin

Resistance to:

• Amoxicillin

• Ampicillin

U82.1         Resistance to methicillin

Resistance to:

•  Cloxacillin

•  Flucloxacillin

•  Oxacillin

U82.2         Extended-spectrum betalactamase (ESBL) resistance U82.8    Resistance to other betalactam antibiotics

U82.9         Resistance to betalactam antibiotics, unspecified

 

  U83        Resistance to other antibiotics

Use additional code (B95–B98), if desired, to identify agents resistant to other antibiotic treatment.

U83.0         Resistance to vancomycin

U83.1         Resistance to other vancomycin-related antibiotics U83.2        Resistance to quinolones

U83.7         Resistance to multiple antibiotics

U83.8         Resistance to other single specified antibiotic U83.9  Resistance to unspecified antibiotic

Resistance to antibiotics NOS

 

  U84        Resistance to other antimicrobial drugs

Use additional code (B95–B98), if desired, to identify agents resistant to antimicrobial drugs.

Excl.: Resistance to antibiotics (U82-U83)

U84.0         Resistance to antiparasitic drug(s)

Resistance to quinine and related compounds U84.1  Resistance to antifungal drug(s) U84.2   Resistance to antiviral drug(s)

U84.3         Resistance to tuberculostatic drug(s) U84.7    Resistance to multiple antimicrobial drugs

Excl.:  Resistance to multiple antibiotics only (U83.7)

U84.8         Resistance to other specified antimicrobial drug U84.9          Resistance to unspecified antimicrobial drugs

Drug resistance NOS

 

  U85        Resistance to antineoplastic drugs

Incl.: Non-responsiveness to antineoplastic drugs Refractory cancer

Hajriah Fajar is a multi-talented Indonesian artist, writer, and content creator. Born in December 1987, she grew up in a village in Bogor Regency, where she developed a deep appreciation for the arts. Her unconventional journey includes working as a professional parking attendant before pursuing higher education. Fajar holds a Bachelor's degree in Computer Science from Nusamandiri University, demonstrating her ability to excel in both creative and technical fields. She is currently working as an IT professional at a private hospital in Jakarta while actively sharing her thoughts, artwork, and experiences on various social media platforms.

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