International statistical classification of diseases and related health problems. 10th revision. Volume 3. Alphabetical index. Fifth edition. VOLUME 3. Includes diabetic (acute)(any stage)(chronic)(See also EE14 with fourth character.2) E†. N* . cardioverter-defibrillator (ICD) Z ICD 2e Volume 3 (). SECTION I - Alphabetical index to diseases and nature of injury. A. Aarskog's syndrome. Q Abandonment T
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ICD Volume 2 Instruction manual - Fifth Edition to the users; Volume 3 → presents the Alphabetical index to the classification. WHO's ICD morbidity or mortality coding rules and guidelines in Volume. 2. The introductory pages of Volume 3 include general instructions about the. ICD Volume 1 - Tabular List - Ebook download as PDF File .pdf), Text File . txt) or III DD89 Diseases of the blood and blood-forming organs and certain.
The disorders are usually. Loss of purposive hand movements. This disorder is often associated with marked clumsiness. A condition. In adolescence. Severe mental retardation almost invariably results.
There is a strong tendency for the abnormalities to persist into adolescence and adult life. The extent to which the behavioural pattern is a function of low IQ or of organic brain damage is not known. Trunk ataxia and apraxia start to develop by age four years and choreoathetoid movements frequently follow. Social and play development are arrested but social interest tends to be maintained. Dementia infantilis Disintegrative psychosis Heller's syndrome Symbiotic psychosis Use additional code.
In some cases the disorder can be shown to be due to some associated encephalopathy but the diagnosis should be made on the behavioural features. This syndrome is also often associated with a variety of developmental delays. The category is designed to include a group of children with severe mental retardation IQ below 35 who show major problems in hyperactivity and in attention. Psychotic episodes occasionally occur in early adult life.
Rett's syndrome F It differs from autism primarily in the fact that there is no general delay or retardation in language or in cognitive development. Autistic psychopathy Schizoid disorder of childhood. They tend not to benefit from stimulant drugs unlike those with an IQ in the normal range and may exhibit a severe dysphoric reaction sometimes with psychomotor retardation when given stimulants.
Chapter V Mental and behavioural disorders FF99 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence FF98 F90 Hyperkinetic disorders A group of disorders characterized by an early onset usually in the first five years of life. Several other abnormalities may be associated. Hyperkinetic children are often reckless and impulsive. Impairment of cognitive functions is common.
Their relationships with adults are often socially disinhibited.. They are unpopular with other children and may become isolated. Secondary complications include dissocial behaviour and low self-esteem. Conduct disorder. Such behaviour should amount to major violations of age-appropriate social expectations. Conduct disorder.. Examples of the behaviours on which the diagnosis is based include excessive levels of fighting or bullying..
Disorders characterized by a repetitive and persistent pattern of dissocial. The disorder requires that the overall criteria for F Features of conduct disorder can also be symptomatic of other psychiatric conditions. Any one of these behaviours. Developmental appropriateness is used as the key diagnostic feature in defining the difference between these emotional disorders. Conduct disorder in F Caution should be employed before using this category.
The criteria for both conduct disorders of childhood F9l. A sibling rivalry disorder should be diagnosed only if the degree or persistence of the disturbance is both statistically unusual and associated with abnormalities of social interaction.
Other fears that arise in childhood but that are not a normal part of psychosocial development for example agoraphobia should be coded under the appropriate category in section FF Avoidant disorder of childhood or adolescence F It is differentiated from normal separation anxiety when it is of a degree severity that is statistically unusual including an abnormal persistence beyond the usual age period.
This category should be used only where such fears arise during the early years. Should be diagnosed when fear of separation constitutes the focus of the anxiety and when such anxiety first arose during the early years of childhood. Sibling jealousy F In many instances. The disorder is usually associated with marked personality features involving social anxiety. The syndrome probably occurs as a direct result of severe parental neglect.
Affectionless psychopathy Institutional syndrome Excludes: Selective mutism Excludes: Characterized by a marked. The vocal tics are often multiple with explosive repetitive vocalizations. A tic is an involuntary. Common complex tics include hitting oneself. Tics tend to be experienced as irresistible but usually they can be suppressed for varying periods of time. The disorder usually worsens during adolescence and tends to persist into adult life.
Common complex vocal tics include the repetition of particular words. Some of the conditions represent well-defined syndromes but others are no more than symptom complexes that need inclusion because of their frequency and association with psychosocial problems. The tics usually take the form of eye-blinking.
Common simple vocal tics include throat-clearing. Syndromes in which the predominant manifestation is some form of tic. Common simple motor tics include only eye-blinking. Sometimes there is associated gestural echopraxia which may also be of an obscene nature copropraxia. The enuresis may or may not be associated with a more widespread emotional or behavioural disorder. The condition may occur as a monosymptomatic disorder. A disorder characterized by involuntary voiding of urine.
It may occur as one of many symptoms that are part of a more widespread psychiatric disorder such as autism. Rumination disorder of infancy Excludes: FF79 should be selected as the main diagnosis.
Enuresis primary secondary of nonorganic origin Functional enuresis Psychogenic enuresis Urinary incontinence of nonorganic origin Excludes: The condition may represent an abnormal continuation of normal infantile incontinence. There may or may not be associated rumination repeated regurgitation without nausea or gastrointestinal illness. The phenomenon is most common in mentally retarded children and. The enuresis may have been present from birth or it may have arisen following a period of acquired bladder control.
It generally involves food refusal and extreme faddiness in the presence of an adequate food supply. Functional encopresis Incontinence of faeces of nonorganic origin Psychogenic encopresis Use additional code. If eye-poking occurs in a child with visual impairment. All the stereotyped movement disorders occur most frequently in association with mental retardation when this is the case.
The movements that are of a non self-injurious variety include: Speech is erratic and dysrhythmic. Stereotyped self- injurious behaviour includes repetitive head-banging. It should be classified as a disorder only if its severity is such as to markedly disturb the fluency of speech. When such movements occur as symptoms of some other disorder.. Episodic and paroxysmal disorders G47 G Polyneuropathies and other disorders of the peripheral nervous system G64 G Inflammatory diseases of the central nervous system G09 G Extrapyramidal and movement disorders G26 G Systemic atrophies primarily affecting the central nervous system G13 G Cerebral palsy and other paralytic syndromes G83 G Demyelinating diseases of the central nervous system G37 G Diseases of myoneural junction and muscle G73 G Other degenerative diseases of the nervous system G32 G Other disorders of the nervous system G Asterisk categories for this chapter are provided as follows: Meningitis in: For use of this category reference should be made to the relevant morbidity and mortality coding rules and guidelines in Volume 2.
The "sequelae" include conditions specified as such or as late effects. This category is to be used to indicate conditions whose primary classification is to GG08 i. Onset usually after the age of 20 G Cockayne's syndrome Q Onset usually before the age of 20 Early-onset cerebellar ataxia with: G21 Secondary parkinsonism G G23 Other degenerative diseases of basal ganglia Excludes: G24 Dystonia Includes: G25 Other extrapyramidal and movement disorders G G30 Alzheimer's disease Includes: Onset usually before the age of 65 G Onset usually after the age of 65 G G31 Other degenerative diseases of nervous system, not elsewhere classified Excludes: Reye's syndrome G Grey-matter degeneration [Alpers] Lewy body ies dementia disease Subacute necrotizing encephalopathy [Leigh] G Subacute combined degeneration of spinal cord in vitamin B 12 deficiency E G35 Multiple sclerosis Multiple sclerosis of: G36 Other acute disseminated demyelination Excludes: G37 Other demyelinating diseases of central nervous system G G40 Epilepsy Excludes: Landau-Kleffner syndrome F Epilepsy with: G41 Status epilepticus G G43 Migraine Use additional external cause code Chapter XX , if desired, to identify drug, if drug-induced.
G44 Other headache syndromes Excludes: G45 Transient cerebral ischaemic attacks and related syndromes Excludes: G47 Sleep disorders Excludes: G50 Disorders of trigeminal nerve Includes: G51 Facial nerve disorders Includes: G52 Disorders of other cranial nerves Excludes: G54 Nerve root and plexus disorders Excludes: G56 Mononeuropathies of upper limb Excludes: G58 Other mononeuropathies G G60 Hereditary and idiopathic neuropathy G G61 Inflammatory polyneuropathy G G62 Other polyneuropathies G G70 Myasthenia gravis and other myoneural disorders Excludes: G71 Primary disorders of muscles Excludes: G72 Other myopathies Excludes: Periodic paralysis familial: For primary coding.
The category is also for use in multiple coding to identify these types of hemiplegia resulting from any cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.
G93 Other disorders of brain G G95 Other diseases of spinal cord Excludes: Visual disturbances and blindness H54 H Other disorders of eye and adnexa H Disorders of choroid and retina H36 H Disorders of conjunctiva H13 H Disorders of sclera.
Glaucoma H42 H Disorders of lens H28 H Disorders of eyelid. Disorders of ocular muscles. Disorders of vitreous body and globe H45 H Disorders of optic nerve and visual pathways H48 H Cyst of orbit H Mooren's ulcer H Choroideremia Dystrophy. Glaucoma in: Retained old magnetic foreign body in: Retrobulbar neuritis in: For definition of visual impairment categories see table below. If the extent of the visual field is taken into account. The table below gives a classification of severity of visual impairment recommended by a WHO Study Group on the Prevention of Blindness.
Category of Visual acuity with best possible correction visual impairment Minimum equal to or better Maximum less than: Diseases of external ear H62 H Other disorders of ear H95 Asterisk categories for this chapter are provided as follows: Diseases of inner ear H83 H Diseases of middle ear and mastoid H75 H Chondrodermatitis nodularis chronica helicis Perichondritis of: Otitis media: H93 Other disorders of ear.
This chapter contains the following blocks: In cases where there is doubt as to rheumatic activity at the time of death refer to the mortality coding rules and guidelines in Volume 2. Sydenham's chorea Excludes: QQ23 and Q I07 Rheumatic tricuspid valve diseases Includes: OO16 involving coronary vessels II25 neonatal hypertension P For mortality. For morbidity. I20 Angina pectoris I Subsequent infarction acute of: I24 Other acute ischaemic heart diseases Excludes: Eisenmenger's defect Q Epicardial plaques Focal pericardial adhesions I Myocarditis in: Atrioventricular [AV] dissociation Interference dissociation I Carditis acute chronic Pancarditis acute chronic I I60 Subarachnoid haemorrhage Includes: I65 Occlusion and stenosis of precerebral arteries.
This category is to be used to indicate conditions in II67 as the cause of sequelae.. Acrocyanosis Acroparaesthesia: I82 Other venous embolism and thrombosis Excludes: JJ06 Acute upper respiratory infections JJ18 Influenza and pneumonia JJ22 Other acute lower respiratory infections JJ39 Other diseases of upper respiratory tract JJ47 Chronic lower respiratory diseases JJ70 Lung diseases due to external agents JJ84 Other respiratory diseases principally affecting the interstitium JJ86 Suppurative and necrotic conditions of lower respiratory tract JJ94 Other diseases of pleura JJ99 Other diseases of the respiratory system Asterisk categories for this chapter are provided as follows: When a respiratory condition is described as occurring in more than one site and is not specifically indexed.
J10 Influenza due to other identified influenza virus Excludes: Haemophilus influenzae [H. Chapter X Diseases of the respiratory system JJ99 Influenza and pneumonia JJ18 J09 Influenza due to identified avian influenza virus Influenza caused by influenza viruses that normally infect only birds and. J13 Pneumonia due to Streptococcus pneumoniae Bronchopneumonia due to S. Legionnaires' disease A Chronic sore throat Pharyngitis chronic: Polyp of sinus: Bronchitis not specified as acute or chronic in those under 15 years of age can be assumed to be of acute nature and should be classified to J J40 Bronchitis.
Mendelson's syndrome J Chapter X Diseases of the respiratory system JJ99 Other respiratory diseases principally affecting the interstitium JJ84 J80 Adult respiratory distress syndrome Adult hyaline membrane disease J81 Pulmonary oedema Acute oedema of lung Pulmonary congestion passive Excludes: J98 Other respiratory disorders Excludes: Diseases of peritoneum K67 K Other diseases of the digestive system K93 Asterisk categories for this chapter are provided as follows: Diseases of oesophagus.
Other diseases of intestines K63 K Diseases of oral cavity. Hernia K46 K Diseases of liver K77 K Diseases of appendix K38 K Noninfective enteritis and colitis K52 K Disorders of gallbladder.
Aplasia and hypoplasia of cementum Dilaceration of tooth Enamel hypoplasia neonatal postnatal prenatal Regional odontodysplasia Turner's tooth Excludes: Hutchinson's teeth and mulberry molars in congenital syphilis A K02 Dental caries K Dental calculus: Crossbite anterior posterior Disto-occlusion Mesio-occlusion Midline deviation of dental arch Openbite anterior posterior Overbite excessive: Latent bone cyst of jaw Stafne's cyst Torus: Ranula K K13 Other diseases of lip and oral mucosa Includes: K20 Oesophagitis Abscess of oesophagus Oesophagitis: Barrett's ulcer K Erosion of oesophagus Ulcer of oesophagus: K26 Duodenal ulcer [See before K25 for subdivisions ] Includes: K27 Peptic ulcer.
The following fourth-character subdivisions are for use with categories KK Intussusception of appendix K Hernia with both gangrene and obstruction is classified to hernia with gangrene. K41 Femoral hernia K K57 Diverticular disease of intestine Includes: K59 Other functional intestinal disorders Excludes: Chronic proliferative peritonitis Mesenteric: Budd-Chiari syndrome I Papulosquamous disorders L45 L Infections of the skin and subcutaneous tissue L08 L Radiation-related disorders of the skin and subcutaneous tissue L59 L Other disorders of the skin and subcutaneous tissue L99 Asterisk categories for this chapter are provided as follows: Disorders of skin appendages L75 L Dermatitis and eczema L30 L Urticaria and erythema L54 L Bullous disorders L14 L K07 Dentofacial anomalies [including malocclusion] Excludes: K08 Other disorders of teeth and supporting structures K K09 Cysts of oral region, not elsewhere classified Includes: K11 Diseases of salivary glands K K12 Stomatitis and related lesions Excludes: K21 Gastro-oesophageal reflux disease K K22 Other diseases of oesophagus Excludes: K25 Gastric ulcer [See before K25 for subdivisions ] Includes: K27 Peptic ulcer, site unspecified [See before K25 for subdivisions ] Includes: K29 Gastritis and duodenitis Excludes: K30 Dyspepsia Indigestion Excludes: K35 Acute appendicitis K K36 Other appendicitis Appendicitis: K38 Other diseases of appendix K K40 Inguinal hernia Includes: K42 Umbilical hernia Includes: K43 Ventral hernia Includes: K44 Diaphragmatic hernia Includes: K45 Other abdominal hernia Includes: K50 Crohn's disease [regional enteritis] Includes: K52 Other noninfective gastroenteritis and colitis K K55 Vascular disorders of intestine Excludes: L00 Staphylococcal scalded skin syndrome Pemphigus neonatorum Ritter's disease Excludes: Benign mucous membrane pemphigoid L In this block the terms dermatitis and eczema are used synonymously and interchangeably.
L22 Diaper [napkin] dermatitis Diaper or napkin: L24 Irritant contact dermatitis Includes: Ritter's disease L00 L27 Dermatitis due to substances taken internally Excludes: Candidid [levurid] Dermatophytid Eczematid L L43 Lichen planus Excludes: L50 Urticaria Excludes: Stevens-Johnson syndrome L L60 Nail disorders Excludes: L68 Hypertrichosis Includes: Callus Clavus L85 Other epidermal thickening Excludes: L90 Atrophic disorders of skin L Wegener's granulomatosis M Systemic connective tissue disorders M36 M Different sub-classifications for use with derangement of knee.
Other disorders of the musculoskeletal system and connective tissue M99 Asterisk categories for this chapter are provided as follows: As local extensions or specialty adaptations may vary in the number of characters used. Distinction is made between the following types of etiological relationship: M00 Pyogenic arthritis [See site code at the beginning of this chapter] M This block comprises arthropathies due to microbiological agents.
Charcot's or tabetic arthropathy M Felty's syndrome M Still's disease NOS M Arthropathy in: The term primary has been used with its customary clinical meaning of no underlying or determining condition identified.
In this block the term osteoarthritis is used as a synonym for arthrosis or osteoarthrosis.
M15 Polyarthrosis Includes: Post-traumatic arthrosis of first carpometacarpal joint: QQ74 coxa plana M Raynaud's phenomenon. M35 Other systemic involvement of connective tissue Excludes: Ehlers-Danlos syndrome Q Chapter XIII Diseases of the musculoskeletal system and connective tissue MM99 Dorsopathies MM54 The following supplementary subclassification to indicate the site of involvement is provided for optional use with appropriate categories in the block on dorsopathies.
Friedreich's ataxia. Neuritis or radiculitis: M60 Myositis [See site code at the beginning of this chapter] M Myositis ossificans associated with quadriplegia or paraplegia M The superficially specific terms bursitis. Morton's metatarsalgia G Sudeck's atrophy M M91 Juvenile osteochondrosis of hip and pelvis [See site code at the beginning of this chapter] Excludes: M94 Other disorders of cartilage [See site code at the beginning of this chapter] M Chapter XIII Diseases of the musculoskeletal system and connective tissue MM99 Other disorders of the musculoskeletal system and connective tissue MM99 M95 Other acquired deformities of musculoskeletal system and connective tissue Excludes: The following supplementary subclassification to indicate the site of lesions is provided for optional use with appropriate subcategories in M This category should not be used if the condition can be classified elsewhere.
Other disorders of kidney and ureter N29 N Renal tubulo-interstitial diseases N16 N Urolithiasis N23 N Noninflammatory disorders of female genital tract N98 N99 Other disorders of genitourinary tract. Disorders of breast N64 N Diseases of male genital organs N51 N Renal failure N19 N Glomerular diseases N08 N Inflammatory diseases of female pelvic organs N77 N Other diseases of urinary system N39 N The following fourth-character subdivisions classify morphological changes and are for use with categories NN The three- character categories relate to clinical syndromes.
N04 Nephrotic syndrome [See before N00 for subdivisions ] Includes: N02 Recurrent and persistent haematuria [See before N00 for subdivisions ] Includes: N01 Rapidly progressive nephritic syndrome [See before N00 for subdivisions ] Includes: Alport's syndrome Q N11 Chronic tubulo-interstitial nephritis Includes: N14 Drug.
Renal tubulo-interstitial disorders in: N18 Chronic renal failure Includes: N27 Small kidney of unknown cause N All rights reserved.
The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.
Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied.
The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Printed in France Contents Introduction General arrangement of the Index Conventions used in the Index Alphabetical index to diseases and nature of injury 1 1 5 9 External causes of injury Table of drugs and chemicals iii Introduction Volume 3 of the International Statistical Classification of Diseases and Related Health Problems is an alphabetical index to the Tabular List of Volume 1.
Although the Index reflects the provisions of the Tabular List in regard to the notes varying the assignment of a diagnostic term when it is reported with other conditions, or under particular circumstances e. Volume 1 should therefore be regarded as the primary coding tool. The Alphabetical Index is, however, an essential adjunct to the Tabular List, since it contains a great number of diagnostic terms that do not appear in Volume 1. The two volumes must therefore be used together. The terms included in a category of the Tabular List are not exhaustive; they serve as examples of the content of the category or as indicators of its extent and limits.
The Index, on the other hand, is intended to include most of the diagnostic terms currently in use. Nevertheless, reference should always be made back to the Tabular List and its notes, as well as to the guidelines provided in Volume 2, to ensure that the code given by the Index fits with the information provided by a particular record.
Because of its exhaustive nature, the Index inevitably includes many imprecise and undesirable terms. Since these terms are still occasionally encountered on medical records, coders need an indication of their assignment in the classification, even if this is to a rubric for residual or illdefined conditions.
The presence of a term in this volume, therefore, should not be taken as implying approval of its usage. General arrangement of the Index Main sections The Alphabetical Index consists of the three sections, as follows: Section I is the index of diseases, syndromes, pathological conditions, injuries, signs, symptoms, problems and other reasons for contact with health services, i.
It includes all terms classifiable to categories A00T98 and Z00Z99 except drugs and other chemical substances giving rise to poisoning or other adverse effects these are included in Section III. The terms included here are not medical diagnoses but descriptions of the circumstances in which the violence occurred e. It includes all terms classifiable to V01Y98, except drugs and chemicals. Section III is the index of drugs and other chemical substances giving rise to poisoning or other adverse effects referred to in Sections I and II as the Table of drugs and chemicals.
For each substance the Table gives the Chapter XIX code for poisoning T36T65 and the external cause Chapter XX codes for accidental poisoning by and exposure to noxious substances X40X49 , intentional self-harm X60X69 , and poisoning, undetermined whether accidental or intentional Y10Y For drugs, medicaments and biological substances, it also gives the code for these substances causing adverse effects in therapeutic use Y40Y Structure To avoid unnecessary repetition, the Index is organized in the form of lead terms, which start at the extreme left of a column, and various levels of indentation, which start progressively further right.
A complete index term, therefore, may be composed of several lines, sometimes quite widely separated. For example, in the entry: Erythroblastosis fetalis newborn P For those wishing to identify the histological type of neoplasm. Morphology codes have six digits: Benign neoplasms D36 D Neoplasms of uncertain or unknown behaviour [see note before D37] D48 Notes 1. In situ neoplasms D09 D For example.
In a few exceptional cases morphology is indicated in the category and subcategory titles. Functional activity All neoplasms are classified in this chapter. In both cases the primary site is considered to be unknown. An additional code from Chapter IV may be used.
Sometimes a neoplasm overlaps the boundaries of three-character categories within certain systems. Attention is drawn to the special use of subcategory. A neoplasm that overlaps two or more contiguous sites within a three-character category and whose point of origin cannot be determined should be classified to the subcategory.
Many three- character categories are further divided into named parts or subcategories of the organ in question. Numerically consecutive subcategories are frequently anatomically contiguous. Malignant neoplasms overlapping site boundaries and the use of sub. On the other hand. To take care of this the following subcategories have been designated: Use of the Alphabetical Index in coding neoplasms In addition to site.
The specific instructions and examples pertaining to neoplasms should be consulted to ensure correct use of the. The introductory pages of Volume 3 include general instructions about the correct use of the Alphabetical Index. Where it has been necessary to provide subcategories for "other". Malignant neoplasms of ectopic tissue Malignant neoplasms of ectopic tissue are to be coded to the site mentioned.
It is therefore recommended that agencies interested in identifying both the site and morphology of tumours. Chapter II provides a rather restricted topographical classification.
The topography codes of ICD-O use for all neoplasms essentially the same three. C11 Malignant neoplasm of nasopharynx C Two alternative subclassifications are given: Cardiac orifice Cardio-oesophageal junction Gastro-oesophageal junction Oesophagus and stomach C Hodgkin's disease C C30 Malignant neoplasm of nasal cavity and middle ear C C31 Malignant neoplasm of accessory sinuses C C40 Malignant neoplasm of bone and articular cartilage of limbs C C44 Other malignant neoplasms of skin Includes: Kaposi's sarcoma C C47 Malignant neoplasm of peripheral nerves and autonomic nervous system Includes: C58 Tubo-ovarian Utero-ovarian C C54 Malignant neoplasm of corpus uteri C C63 Malignant neoplasm of other and unspecified male genital organs C If the sites of multiple involvement are known.
C81 Hodgkin's disease Includes: The terms used in categories CC85 for non-Hodgkin's lymphomas are those of the Working Formulation.. The terms used in these schemes are not given in the Tabular List but appear in the Alphabetical Index.
If B-cell lineage or involvement is mentioned in conjunction with a specific lymphoma. C85 Other and unspecified types of non-Hodgkin's lymphoma Includes: If T-cell lineage or involvement is mentioned in conjunction with a specific lymphoma. C83 Diffuse non-Hodgkin's lymphoma Includes: C92 Myeloid leukaemia Includes: This system of grading has been extended to other organs..
Many in situ neoplasms are regarded as being located within a continuum of morphological change between dysplasia and invasive cancer. Descriptions of grade III intraepithelial neoplasia.
D06 Carcinoma in situ of cervix uteri Includes: Pharyngeal tonsil Posterior margin of septum and choanae D D37 Neoplasm of uncertain or unknown behaviour of oral cavity and digestive organs D Categories DD48 classify by site neoplasms of uncertain or unknown behaviour. Chorioadenoma destruens Hydatidiform mole: Di Guglielmo's disease C Lesch-Nyhan syndrome E Evans' syndrome D Chapter III Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism DD89 Aplastic and other anaemias DD64 D60 Acquired pure red cell aplasia [erythroblastopenia] Includes: Blackfan-Diamond syndrome D Chapter III Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism DD89 Coagulation defects.
Chapter III Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism DD89 Other diseases of blood and blood-forming organs DD77 D70 Agranulocytosis Agranulocytic angina Infantile genetic agranulocytosis Kostmann's disease Neutropenia: Anomaly granulation granulocyte or syndrome: Chediak -Steinbrinck -Higashi syndrome E Letterer-Siwe disease C Basophilia D Chapter III Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism DD89 Certain disorders involving the immune mechanism DD89 Includes: D84 Other immunodeficiencies D Disorders of thyroid gland E07 E Diabetes mellitus E14 E Metabolic disorders E90 Asterisk categories for this chapter are provided as follows: Chapter IV Endocrine.
Appropriate codes in this chapter i. All neoplasms. Other disorders of glucose regulation and pancreatic internal secretion E16 E Other nutritional deficiencies E64 E Malnutrition E46 E Disorders of other endocrine glands E35 E Obesity and other hyperalimentation E68 E Some of the conditions have no current hypothyroidism but are the consequence of inadequate thyroid hormone secretion in the developing fetus.
Use additional code FF Environmental goitrogens may be associated. E02 Subclinical iodine-deficiency hypothyroidism E03 Other hypothyroidism Excludes: The following fourth-character subdivisions are for use with categories EE E16 Other disorders of pancreatic internal secretion E Di George's syndrome D Nelson's syndrome E E22 Hyperfunction of pituitary gland Excludes: Cushing's syndrome E Prader-Willi syndrome Q Use additional external cause code Chapter XX.
E28 Ovarian dysfunction Excludes: Albright -McCune -Sternberg syndrome Q May be used as an additional code. E30 Disorders of puberty. The degree of malnutrition is usually measured in terms of weight. In the exceptional circumstances that no measurement of weight is available.
If an observed weight is below the mean value of the reference population. When only one measurement is available.. When one or more previous measurements are available. When only one measurement is available. E45 Retarded development following protein-energy malnutrition Nutritional: E42 Marasmic kwashiorkor Severe protein-energy malnutrition [as in E43]: Starvation oedema E44 Protein-energy malnutrition of moderate and mild degree E E52 Niacin deficiency [pellagra] Deficiency: Marfan's syndrome Q Chapter IV Endocrine..
Schilder's disease G Refsum's disease G II E II Non-ketotic hyperglycinaemia Sarcosinaemia E Glucose-galactose malabsorption Sucrase deficiency Excludes: VII Syndrome: Acrodermatitis enteropathica E Alzheimer's disease G Syndrome of inappropriate secretion of antidiuretic hormone E Whipple's disease K Mental retardation F79 F Mental and behavioural disorders due to psychoactive substance use F19 F Disorders of adult personality and behaviour F69 F Disorders of psychological development F89 F Behavioural and emotional disorders with onset usually occurring in childhood F98 and adolescence F99 Unspecified mental disorder Asterisk categories for this chapter are provided as follows: Mood [affective] disorders F39 F Behavioural syndromes associated with physiological disturbances and physical F59 factors F The impairments of cognitive function are commonly accompanied.
Alzheimer's type Primary degenerative dementia of the Alzheimer's type. Alzheimer's disease. This syndrome occurs in Alzheimer's disease. Dementia FF03 is a syndrome due to disease of the brain.
Use additional code. The dysfunction may be primary. The disorder is usually insidious in onset and develops slowly but steadily over a period of several years. Consciousness is not clouded. Onset is usually in middle or later life.
Onset may be at any time in life. The course is subacute. The cerebral cortex is usually preserved and this contrasts with the clinical picture which may closely resemble that of dementia in Alzheimer's disease. Alzheimer's type F Predominantly cortical dementia F The infarcts are usually small but cumulative in their effect. In rare cases.
Onset is usually in later life. Progression is slow. The disorder is transmitted by a single autosomal dominant gene. Dementia in Huntington's chorea F A dementia occurring as part of a widespread degeneration of the brain.
Dementia in: Symptoms typically emerge in the third and fourth decade. No particular distinguishing clinical features have yet been demonstrated.
The duration is variable and the degree of severity ranges from mild to very severe. Korsakov's psychosis or syndrome. Confabulation may be a marked feature. The prognosis depends on the course of the underlying lesion.
F04 Organic amnesic syndrome.
The extremes of psychomotor disturbance may alternate. Organic hallucinatory state nonalcoholic Excludes: Delusional elaboration of the hallucinations may occur.. Paranoid and paranoid-hallucinatory organic states Schizophrenia-like psychosis in epilepsy Excludes: Some features suggestive of schizophrenia.
The delusions may be accompanied by hallucinations. None of these symptoms is so severe that a diagnosis of either dementia FF03 or delirium F It can be differentiated from postencephalitic syndrome F The disorder may precede. This diagnosis should be made only in association with a specified physical disorder.
Impairment of cognitive and thought functions. A disorder characterized by a partial or complete loss of the normal integration between memories of the past. There is often a marked feeling of mental fatigue when mental tasks are attempted. The principal difference between this disorder and the organic personality disorders is that it is reversible.
Postcontusional syndrome encephalopathy Post-traumatic brain syndrome. Chapter V Mental and behavioural disorders FF99 Mental and behavioural disorders due to psychoactive substance use FF19 This block contains a wide variety of disorders that differ in severity and clinical form but that are all attributable to the use of one or more psychoactive substances.
Other diagnoses should be coded when other psychoactive substances have been taken in intoxicating amounts common fourth character.
Identification of the psychoactive substance should be based on as many sources of information as possible. The third character of the code identifies the substance involved. Many drug users take more than one type of psychoactive substance.
These include self-report data.
ICD-10 Volume 1 - Tabular List
Complications may include trauma. The codes should be used. The disturbances are directly related to the acute pharmacological effects of the substance and resolve with time. Only in cases in which patterns of psychoactive substance-taking are chaotic and indiscriminate. The nature of these complications depends on the pharmacological class of substance and mode of administration.
The main diagnosis should be classified. Psychoactive substance abuse. Convulsions may also occur.
ICD-10 Volume 1 - Tabular List
When organic factors are also considered to play a role in the etiology. The onset and course of the withdrawal state are time-limited and are related to the type of psychoactive substance and dose being used immediately before cessation or reduction of use.
The dependence syndrome may be present for a specific psychoactive substance e. The withdrawal state may be complicated by convulsions. Delirium tremens alcohol-induced. Chronic alcoholism Dipsomania Drug addiction. The damage may be physical as in cases of hepatitis from the self- administration of injected psychoactive substances or mental e.
Acute drunkenness in alcoholism "Bad trips" drugs Drunkenness NOS Pathological intoxication Trance and possession disorders in psychoactive substance intoxication Excludes: The disorder is characterized by hallucinations typically auditory. Alcoholic dementia NOS Chronic alcoholic brain syndrome Dementia and other milder forms of persisting impairment of cognitive functions Flashbacks Late-onset psychoactive substance-induced psychotic disorder Posthallucinogen perception disorder Residual: Other cognitive functions are usually relatively well preserved and amnesic defects are out of proportion to other disturbances.
Disturbances of time sense and ordering of events are usually evident. The sensorium is usually clear but some degree of clouding of consciousness. Flashbacks may be distinguished from psychotic state partly by their episodic nature. A cluster of psychotic phenomena that occur during or following psychoactive substance use but that are not explained on the basis of acute intoxication alone and do not form part of a withdrawal state. Cases in which initial onset of the state occurs later than episode s of such substance use should be coded here only where clear and strong evidence is available to attribute the state to the residual effect of the psychoactive substance.
Immediate recall is usually preserved and recent memory is characteristically more disturbed than remote memory. Onset of the disorder should be directly related to the use of the psychoactive substance. Amnestic disorder. Confabulation may be marked but is not invariably present. F19 Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances [See before F10 for subdivisions ] This category should be used when two or more psychoactive substances are known to be involved.
It should also be used when the exact identity of some or even all the psychoactive substances being used is uncertain or unknown.
Schizoaffective disorders have been retained here in spite of their controversial nature. The most important psychopathological phenomena include thought echo.
The course of schizophrenic disorders can be either continuous. F20 Schizophrenia The schizophrenic disorders are characterized in general by fundamental and characteristic distortions of thinking and perception.
Nor should schizophrenia be diagnosed in the presence of overt brain disease or during states of drug intoxication or withdrawal. Clear consciousness and intellectual capacity are usually maintained although certain cognitive deficits may evolve in the course of time. The diagnosis of schizophrenia should not be made in the presence of extensive depressive or manic symptoms unless it is clear that schizophrenic symptoms antedate the affective disturbance.
Similar disorders developing in the presence of epilepsy or other brain disease should be classified under F The mood is shallow and inappropriate. These depressive states are associated with an increased risk of suicide.
Some schizophrenic symptoms. Paraphrenic schizophrenia Excludes: Hebephrenia should normally be diagnosed only in adolescents or young adults. Catatonic stupor Schizophrenic: The catatonic phenomena may be combined with a dream-like oneiroid state with vivid scenic hallucinations.
Constrained attitudes and postures may be maintained for long periods. Episodes of violent excitement may be a striking feature of the condition. Disturbances of affect. Disorganized schizophrenia Hebephrenia F If schizophrenic symptoms are still florid and prominent. Usually the prognosis is poor because of the rapid development of "negative" symptoms. There is a tendency to social isolation.
Atypical schizophrenia Excludes: If the patient no longer has any schizophrenic symptoms. Paranoid schizophrenia is dominated by relatively stable. Chronic undifferentiated schizophrenia Restzustand schizophrenic Schizophrenic residual state F The symptoms may include a cold or inappropriate affect.
Latent schizophrenic reaction Schizophrenia: Asperger's syndrome F The characteristic negative features of residual schizophrenia e. There is no definite onset and evolution and course are usually those of a personality disorder. A chronic stage in the development of a schizophrenic illness in which there has been a clear progression from an early stage to a later stage characterized by long. Clear and persistent auditory hallucinations voices. Paranoia Paranoid: F22 Persistent delusional disorders Includes a variety of disorders in which long-standing delusions constitute the only.
Delusional dysmorphophobia Involutional paranoid state Paranoia querulans F The content of the delusion or delusions is very variable. Delusional disorders that have lasted for less than a few months should be classified. The polymorphism and instability are characteristic for the overall clinical picture and the psychotic features do not justify a diagnosis of schizophrenia F Perplexity and puzzlement are often present but disorientation for time. Acute onset is defined as a crescendo development of a clearly abnormal clinical picture in about two weeks or less.
A heterogeneous group of disorders characterized by the acute onset of psychotic symptoms such as delusions. The disorder may or may not be associated with acute stress. Emotional turmoil with intense transient feelings of happiness or ecstasy. Complete recovery usually occurs within a few months. Acute undifferentiated schizophrenia Brief schizophreniform: These disorders often have an abrupt onset. If the schizophrenic symptoms persist the diagnosis should be changed to schizophrenia F If the disorder persists.
For these disorders there is no evidence of organic causation. If the symptoms persist the diagnosis should be changed to persistent delusional disorder F Mood-incongruent psychotic symptoms in affective disorders do not justify a diagnosis of schizoaffective disorder.
Only one of the people suffers from a genuine psychotic disorder. Paranoid reaction Psychogenic paranoid psychosis F This category should be used for both a single episode and a recurrent disorder in which the majority of episodes are schizoaffective. Other conditions in which affective symptoms are superimposed on a pre-existing schizophrenic illness.
Acute psychotic disorders in which comparatively stable delusions or hallucinations are the main clinical features. If the delusions persist the diagnosis should be changed to persistent delusional disorder F Schizoaffective psychosis.
F30 Manic episode All the subdivisions of this category should be used only for a single episode. Loss of normal social inhibitions may result in behaviour that is reckless. The disturbances of mood and behaviour are not accompanied by hallucinations or delusions. Self-esteem is often inflated with grandiose ideas and overconfidence. Increased sociability. Most of these disorders tend to be recurrent and the onset of individual episodes can often be related to stressful events or situations.
Hypomanic or manic episodes in individuals who have had one or more previous affective episodes depressive. Attention cannot be sustained.
Elation is accompanied by increased energy. The mood change is usually accompanied by a change in the overall level of activity. Chapter V Mental and behavioural disorders FF99 Mood [affective] disorders FF39 This block contains disorders in which the fundamental disturbance is a change in affect or mood to depression with or without associated anxiety or to elation.
Repeated episodes of hypomania or mania only are classified as bipolar. In addition to the clinical picture described in F Mania with: Sleep is usually disturbed and appetite diminished.
Tabular List of inclusions and four-character subcategories
Capacity for enjoyment. The lowered mood varies little from day to day. Self-esteem and self-confidence are almost always reduced and.
Periods of remission during prophylactic treatment should be coded here.. Depending upon the number and severity of the symptoms.
The patient is currently depressed. The more severe forms of recurrent depressive disorder F Suicidal thoughts and acts are common and a number of "somatic" symptoms are usually present. If such an episode does occur.
The first episode may occur at any age from childhood to old age. Single episodes of: The patient is usually distressed by these but will probably be able to continue with most activities.
The risk that a patient with recurrent depressive disorder will have an episode of mania never disappears completely. The hallucinations and delusions may or may not be mood-congruent. There may. Two or three of the above symptoms are usually present. Endogenous depression with psychotic symptoms Manic-depressive psychosis.
Endogenous depression without psychotic symptoms Major depression. This disorder is frequently found in the relatives of patients with bipolar affective disorder. Some patients with cyclothymia eventually develop bipolar affective disorder. In some instances. Affective personality disorder Cycloid personality Cyclothymic personality F Because they last for many years. Persistent and usually fluctuating disorders of mood in which the majority of the individual episodes are not sufficiently severe to warrant being described as hypomanic or mild depressive episodes.
Depressive and obsessional symptoms and social phobias are also commonly present as subsidiary features. As a result these situations are characteristically avoided or endured with dread. Contemplating entry to the phobic situation usually generates anticipatory anxiety.
Whether two diagnoses. Anthropophobia Social neurosis F Symptoms may progress to panic attacks. Phobic anxiety and depression often coexist.
More pervasive social phobias are usually associated with low self-esteem and fear of criticism. They may present as a complaint of blushing. Agoraphobia without history of panic disorder Panic disorder with agoraphobia F Avoidance of the phobic situation is often prominent. The patient's concern may be focused on individual symptoms like palpitations or feeling faint and is often associated with secondary fears of dying.
Panic disorder is a frequent feature of both present and past episodes. Acrophobia Animal phobias Claustrophobia Simple phobia Excludes: As with other anxiety disorders.
The dominant symptoms are variable but include complaints of persistent nervousness. Fears that the patient or a relative will shortly become ill or have an accident are often expressed. Panic disorder should not be given as the main diagnosis if the patient has a depressive disorder at the time the attacks start. Though the triggering situation is discrete. Phobias restricted to highly specific situations such as proximity to particular animals.
Depressive and obsessional symptoms. There is often also a secondary fear of dying. Neither type of symptom is severe enough to justify a diagnosis if considered separately. Sometimes the ideas are an indecisive.
They are almost invariably distressing and the patient often tries. Anxiety depression mild or not persistent F They are not inherently enjoyable. If compulsive acts are resisted the anxiety gets worse. The relationship between obsessional ruminations and depression is particularly close and a diagnosis of obsessive-compulsive disorder should be preferred only if ruminations arise or persist in the absence of a depressive episode.I82 Other venous embolism and thrombosis Excludes: Confabulation may be marked but is not invariably present.
Cody was bitting on his tongue eating it. Microsporum and Trichophyton tinea. F84 Pervasive developmental disorders A group of disorders characterized by qualitative abnormalities in reciprocal social interactions and in patterns of communication. Please feel free to use this information at your convenience. The International Association of Tongue-Tie Professionals IATP adds that tongue-tie is an embryological remnant of tissue in the mid-line between the under-surface of the tongue and the floor of the mouth that restricts normal tongue movement IATP,