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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

Text Box: CHAPTER XXIICHAPTER 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 Hajriah Fajar (lahir pada bulan Desember 1987) adalah seorang seniman, penulis, dan kreator konten asal Indonesia. Ia lahir dan dibesarkan di sebuah kampung di Kabupaten Bogor. Sebelum terjun ke dunia seni dan tulis-menulis, Fajar pernah bekerja sebagai tukang parkir profesional di beberapa tempat, antara lain Gedung Hijau Arkadia, Plaza Senayan, dan Kafe Lacodefin Kemang. Setelah lulus dari Sekolah Menengah Atas, Fajar melanjutkan pendidikannya di Universitas Nusamandiri, di mana ia memperoleh gelar S1 Komputer Program Dual Degree pada tahun 2019. Setelah lulus, ia bekerja di berbagai perusahaan teknologi dan IT, dan saat ini bekerja di salah satu rumah sakit swasta di Jakarta sebagai IT. Selain bekerja di dunia IT, Fajar juga aktif di media sosial seperti Instagram, Twitter, dan Facebook, di mana ia sering membagikan pemikiran, karya seni, serta konten-konten menarik lainnya. Ia juga menulis di blog pribadinya di hajriahfajar.com dan membuat konten video di kanal YouTube bernama Hajriah Fajar.Fajar diakui sebagai salah satu sosok yang inspiratif dan memotivasi banyak orang untuk berkreasi dan berinovasi dalam bidang seni dan teknologi.

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